2. Analysis of Associations Between Time Spent in Physical Education and Academic Achievement * Nationally representative sample: 5,316 students starting kindergarten in 1998-99, followed through 5 th grade PE measure: Low (0-35 mins./week), Medium (36-69), High (70-300) AA measure: Mathematics and reading tests designed by experts Higher amounts of PE not associated with AA in boys A small but significant benefit on both the math and reading tests were observed for girls in the high PE category compared with those in the low PE category *Carlson SA et al. Am J Pub Health 2008 April

3. 3)Communicate success stories

5. Key Ingredients of Success Stories Identify the problem being addressed and why its important. Describe what your school or district did to address the problem. Document specific changes made in school policies and practices. Put a face on your success: show how individuals or groups benefited. Identify keys to success and next steps.

6. 4) Document impact

7. YRBS youth risk behavior survey

8. The Percentage of High School Students Engaging in the Following Risk Behaviors Was Lower in 2007 than in the 1990s: Not wearing seat belts Riding with a driver who had been drinking and driving when they had been drinking Using cigarettes, smokeless tobacco, alcohol, marijuana, cocaine, and inhalants Ever having sexual intercourse Having sexual intercourse with >4 persons Having sexual intercourse before age 13 Not wearing a condom Source: CDC, National Youth Risk Behavior Survey

9. Percentage of High School Students Who Ever Had Sexual Intercourse, 1991–2007 1 Decreased 1991-2007, p <.05 CDC, National Youth Risk Behavior Surveys, 1991 – 2007

10. Percentage of High School Students Who Reported Current Cigarette Use,* 1991 – 2007 * Smoked cigarettes on at least 1 day during the 30 days before the survey. 1 Increased 1991-1997, decreased 1997-2007, p <.05 CDC, National Youth Risk Behavior Surveys, 1991 – 2007

11. Percentage of High School Students Who Carried a Weapon,* 1991 – 2007 * For example, a gun, knife, or club on at least 1 day during the 30 days before the survey. 1 Decreased 1991-1999, no change 1999-2007, p <.05 CDC, National Youth Risk Behavior Surveys, 1991 – 2007

12. Note: Obesity is defined as BMI >= gender- and weight-specific 95 th percentile from the 2000 CDC Growth Charts. Source: National Health Examination Surveys II (ages 6-11) and III (ages 12-17), National Health and Nutrition Examination Surveys I, II, III and 1999-2006, NCHS, CDC. 17 18 Percentage of U.S. Children and Adolescents Who Were Obese, 1963- 2006 0 5 10 15 20 Percent 4 5 1963-65 1966-70 1971-741976-801988-941999-00 2001-02 2003-06 Ages 6-11Ages 12-19

13. Compared With U.S. High School Students, Tennessees Students Are at Greater Risk for: TN Students % U.S. Students % Being obese17%13% Drinking soda or pop46%34% Current cigarette use 26%20% Current smokeless tobacco use 13%8% Current sexual activity 40%35% Source: National Youth Risk Behavior Survey and Tennessee Youth Risk Behavior Survey, 2007

14. PROFILES school health profiles

15. Percentage of Middle and High Schools That Required Students to Take 2 or More Health Education Courses Selected States, 2006 N = 36 participating states CDC, School Health Profiles 8.1 18.8 34.7 37.4 42.9 43.3 46.4 68.4 24.1 43.0 020406080100 TENNESSEE Median MS AL SC GA MO AR NC VA States Percentage of middle and high schools

16. Percentage of Middle and High Schools That Required Students to Take 2 or More Physical Education Courses Selected States, 2006 * N = 36 participating states Source: School Health Profiles, 2006 44.4 14.4 42.9 50.1 54.6 60.1 62.0 83.7 70.6 76.6 020406080100 Median* MS GA SC NC AL AR MO VA States Percentage of middle and high schools TENNESSEE

17. Percentage of Middle and High Schools That Prohibited All Tobacco Use in All Locations* Selected States, 2006 * Prohibited all tobacco use, including cigarettes, smokeless tobacco, cigars, and pipes, by students, faculty and staff, and visitors in school buildings, on school property, in school buses or other vehicles used to transport students, and at off-campus, school-sponsored events. ** N = 36 participating states. Source: School Health Profiles, 2006 30.4 53.8 24.0 43.7 45.3 47.0 56.7 62.2 57.3 57.4 020406080100 Median** MO VA NC SC GA AL AR MS States Percentage of middle and high schools TENNESSEE

18. Percentage of Middle and High Schools in Which Students Could Purchase Chocolate Candy from Vending Machines or at the School Store, Canteen, or Snack Bar Selected States, 2006 N = 36 participating states CDC, School Health Profiles Percentage of middle and high schools 40.3 23.5 32.3 35.0 47.2 50.8 53.9 71.0 56.4 58.4 020406080100 Median* AR AL NC VA MO GA SC MS States TENNESSEE

19. WHERE ARE WE HEADED?

20. Reasons for Optimism Agenda for action in place Growing evidence of effectiveness Data systems Support from educators and parents