1. State Indicator Report on Physical Activity, 2010 [NAME] [ORGANIZATION] Using the State Indicator Report on Physical Activity, 2010 [Date] Information provided by: Division of Nutrition, Physical Activity & Obesity (DNPAO) National Center for Chronic Disease Prevention and Health Promotion Centers for Disease Control and Prevention (CDC) 1

2. Presentation Outline Background Why physical activity Development of report Purpose of State Indicator Report on Physical Activity, 2010 Key components and data Behavioral indicators Policy and environmental indicators Describe application of the Indicator Report – Call to Action 2

3. Why Focus on Physical Activity? Premature death Diseases such as coronary heart disease, stroke, some cancers, type 2 diabetes, osteoporosis Risk factors for disease, such as high blood pressure and high blood cholesterol Functional capacity Mental health, such as depression and cognitive function 3

4. State Indicator Report on Physical Activity State Indicator Report on Physical Activity, 2010 can be used: As a surveillance tool, part of [State’s] surveillance plan To identify current successes and opportunities for growth and improvement in policy systems and environmental approaches for making PA more accessible and achievable within the state Provide data to advocate for change 4

5. State Indicator Report on Physical Activity Reports information for each state on two categories of indicators The behavioral indicators profile the extent to which a state’s population is meeting the 2008 Physical Activity Guidelines for Americans and Healthy People 2010 objectives The policy and environmental indicators measure elements of supportive policies and environments for increasing PA The indicators show where a state has been successful in supporting the PA target area and where more work is needed 5

6. State Indicator Report on Physical Activity [Insert state indicators, or data to augment Indicator Report information] 6

7. Guiding Framework 7 2008 Physical Activity Guidelines For Americans Guide to Community Preventive Services Recommended Community Strategies and Measurements to Prevent Obesity in the United States (COCOMO ) Institute of Medicine Strategies & Action Steps ARRA MAPPS Strategies For Physical Activity CDC Guide to Strategies for Increasing Physical Activity in the Community Proposed Healthy People 2020 Objectives

8. Development of the State Indicator Report on Physical Activity Criteria for inclusion of an indicator included: Data measurable and available for most states Data from reputable source Transparent methodology in obtaining information CDC received feedback from State PA Coordinators Vote of preference for policy and environmental indicators Provide feedback on State Action Guide 8

9. Behavioral Indicators 2008 Physical Activity Guidelines for Americans 1.Adults should do at least 150 minutes/week of moderate-intensity, or 75 minutes/week of vigorous-intensity aerobic PA or an equivalent combination 2.For additional health benefits, adults should increase their aerobic PA to 300 minutes/ week of moderate-intensity, or 150 minutes/week of vigorous-intensity aerobic PA or an equivalent combination 3.All adults should avoid inactivity 4.Children and adolescents should do 60 minutes or more of PA daily Healthy People 2010 Objectives 5. Increase the proportion of adolescents who participate in daily school physical education Sources: www.healthypeople.gov/Document/HTML/Volume2/22Physical.htm; http://www.health.gov/paguidelines/www.healthypeople.gov/Document/HTML/Volume2/22Physical.htm http://www.health.gov/paguidelines/ 9

10. Behavioral Indicators for Adults Adult physical activity Proportion active in the state Proportion highly active in the state Proportion in the state who engage in no leisure-time physical activity State source: Behavioral Risk Factor Surveillance System (BRFSS 2007 and 2008) 10

11. Behavioral Indicators for Youth Proportion of students in grades 9-12 in the state Achieve 60 minutes or more of moderate- or vigorous-intensity physical activity daily Participate in daily physical education State source: Youth Risk Behavior Surveillance System (YRBSS 2007, grades 9-12) 11

12. Summary of Behavioral Indicators for Adults 12

13. Summary of Behavioral Indicators for Adolescents 13

14. Policy and Environmental Indicators Represent four different strategies to support PA 1.Create or enhance access to places for PA 2.Enhance PE and PA in schools and PA in child care settings 3.Support urban design, land use and transportation policies 4.Develop and maintain a public health workforce competent in PA 14

15. 1. Create or Enhance Access to Places for PA A.Percentage of middle and high schools that allow community sponsored use of physical activity facilities by youth outside of normal school hours National Median: 89% Range across states: 64% - 98% [STATE]: X% Source: School Health Profiles, School Principal Survey, 2006. 15

16. B.Percentage of youth with parks or playground areas, community centers, and sidewalks or walking paths available in their neighborhood Nationally: 50% Range across states: 25% - 72% [STATE]: X% Source: National Survey of Children’s Health, 2007 16 1. Create or Enhance Access to Places for PA

17. C.Percentage of census blocks that have at least one park located within the block or ½ mile of block boundary Nationally: 20% Range across states: 2% - 97% [STATE]: X% Source: Geographic Data Technology Database 17 1. Create or Enhance Access to Places for PA

18. D.Percentage of census blocks that have at least one fitness or recreation center located within the block or ½ mile from the block boundary Nationally: 17% Range across states: 6% - 75% [STATE]: X% Source: InfoUSA commercial database, 2010 Fitness and recreation facilities are defined by the 2007 North American Industry Classification Code (NAICS) of 713940 18 1. Create or Enhance Access to Places for PA

19. 2. Enhance PE and PA in Schools and PA in Child Care Settings A.State requires or recommends regularly scheduled elementary school recess –20 states require or recommend elementary schools provide regularly scheduled recess [STATE]: [Yes/No] State source: School Health Policies and Programs Study, 2006 19

20. 2. Enhance PE and PA in Schools and PA in Child Care Settings B.State policy requiring elementary, middle and high schools to teach PE –37 states require elementary, middle and high schools to teach PE [STATE]: [Yes/No] State source: School Health Policies and Programs Study, 2006 20

21. 2. Enhance PE and PA in Schools and PA in Child Care Settings C.Percentage of middle and high schools that support or promote walking or biking to and from school National Median: 46% Range across states: 10% - 63% [STATE]: X% Source: School Health Profiles, School Principal Survey, 2006 21

22. 2. Enhance PE and PA in Schools and PA in Child Care Settings D.State regulation specifying that children shall be engaged in moderate- or vigorous-intensity physical activity in licensed, regulated child care centers –In 2006, 8 States require child care centers specify moderate- or vigorous-intensity physical activity [STATE]: [Yes/No] Source: Kaphingst KM, Story M. Child care as an untapped setting for obesity prevention: state child care licensing regulations related to nutrition, physical activity, and media use for preschool-aged children in the United States. Prev Chronic Dis. 2009;6(1):1-13. 22

23. 3. Support Urban Design, Land Use and Transportation Policy A.Existence of at least one state-level enacted community-scale urban design/land use policy –27 states have enacted a community-scale urban design/land use policy between the years 2001 and 2009 [STATE]: [Yes/No] Sources: CDC Nutrition, Physical Activity and Obesity Legislative Database. http://apps.nccd.cdc.gov/DNPALeg/ and National Conference of State Legislatures Healthy Community Design and Access to Healthy Food Legislation Database. http://www.ncsl.org/?tabid=13227.http://apps.nccd.cdc.gov/DNPALeg/ http://www.ncsl.org/?tabid=13227 23

24. 3. Support Urban Design, Land Use and Transportation Policy B.Existence of at least one state-level enacted street-scale urban design/land use policy –23 states have enacted a street-scale urban design/land use policy between 2001 and 2009 [STATE]: [Yes/No] Sources: CDC Nutrition, Physical Activity and Obesity Legislative Database. http://apps.nccd.cdc.gov/DNPALeg/ and National Conference of State Legislatures Healthy Community Design and Access to Healthy Food Legislation Database. http://www.ncsl.org/?tabid=13227.http://apps.nccd.cdc.gov/DNPALeg/ http://www.ncsl.org/?tabid=13227 24

25. 3. Support Urban Design, Land Use and Transportation Policy C.Existence of at least one state-level enacted transportation and travel policy in the state –36 states have enacted a transportation and travel policy between 2001 and 2009 [STATE]: [Yes/No] Sources: CDC Nutrition, Physical Activity and Obesity Legislative Database. http://apps.nccd.cdc.gov/DNPALeg/ and National Conference of State Legislatures Healthy Community Design and Access to Healthy Food Legislation Database. http://www.ncsl.org/?tabid=13227.http://apps.nccd.cdc.gov/DNPALeg/ http://www.ncsl.org/?tabid=13227 25

26. 4. Develop and Maintain a Public Health Workforce Competent in PA A.Number of state health department full-time equivalent personnel (FTEs) primarily focused on state physical activity National median: 1.0 Range across states: 0.0 – 15.0 [STATE]: X Source: Self-report web-based “State Physical Activity Capacity” survey hosted by Wisconsin Department of Health Services, 2010 26

27. Call to Action Incorporate into state plan Surveillance Priority strategies Advocate for improvement Identify success stories Broaden community support for PA Strengthen policy action and support 27

28. Call to Action Potential Action Steps Strategy 1: Create or enhance access to places for PA Enhance facilities to provide safe options for diverse populations Form partnerships for the development of interconnected parks and open space Develop guidelines that foster facilities within walking distance of targeted populations and underserved communities Ensure schools provide access to their PA spaces outside of normal school hours 28

29. Call to Action Potential Action Steps Strategy 2: Enhance PE and PA in schools and PA in child care settings Incorporate evidence-based curricula to improve the quality and amount of moderate- to vigorous-intensity PA into PE Require at least 20 minutes of daily recess in elementary schools Adopt time requirements for PE Implement and promote safe walk-to-school events and programs Develop moderate- to vigorous-intensity physical activity policies and regulations in child care settings 29

30. Call to Action Potential Action Steps Strategy 3:Support urban design, land use and transportation policies Develop and encourage local bicycle and pedestrian funding criteria Adopt and support “Complete Streets” ordinances Collaborate with transportation planning agency Plan, build and retrofit residential and mixed-used streets Plan, build, and maintain a well-connected network of off-street trails and paths 30

31. Call to Action Potential Action Steps Strategy 4: Develop and maintain a public health workforce competent in PA Support a PA and health unit as part of integrated approach to chronic disease prevention Support the hiring of PA credentialed health professionals and PA credentialing activities Provide continuing education opportunities 31

32. Call to Action Resources National Physical Activity Plan http://physicalactivityplan.org/ Healthy People http://www.healthypeople.gov/ 2008 Physical Activity Guidelines for Americans http://www.health.gov/paguidelines/ The Guide to Community Preventive Services http://www.thecommunityguide.org/index.html Institute of Medicine Strategies and Action Steps http://www.iom.edu Recommended Community Strategies and Measurements to Prevent Obesity in the United States http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5807a1.htm The Surgeon General’s Vision for a Healthy and Fit Nation http://www.surgeongeneral.gov/library/obesityvision/obesityvision2010.pdf 32

33. Call to Action [STATE] Resources [Add applicable state resources here] [STATE] Partners [Add applicable state partners here] Create awareness among… [Add applicable groups] 33

34. Next Steps Discussion of next steps [Fill in points for discussion] 34

35. [STATE] Contact Information [NAME] [e-mail] [phone] CDC Contact Information PAIndicatorReport@cdc.gov Technical assistance Feedback and general questions The State Indicator Report on Physical Activity, 2010 http://www. Division of Nutrition, Physical Activity, and Obesity http://www.cdc.gov/nccdphp/dnpao/index.html 35