1. Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

2. Project Survey development Focus areas  Opinions  Nutrition (school meals, a la carte, vending)  Physical education  Physical activity  Policy and practices

3. Project Respondent groups  District-level food service administrators  School-level food service managers  Authorized representatives  Health and physical education teachers  School administrators and others (principals FCS teachers, nurse, counselors)

4. Response Rates by District School nutrition survey63% District nutrition survey86% Physical activity survey37% 96% of school districts represented in at least one of the three surveys

5. Response Rates by School Type Percent of state public schools Percent of survey respondent pool Elementary Schools 5855 Middle Schools 1614 High Schools 2530 Total number 1390365 (26%) +7 private schools

6. Opinions

7. (Agree or Strongly agree) Food Service Professionals AdministratorsPE/Health Teachers Overweight and obesity is of concern to me 777090 Availability of junk food is a concern to me 553661 Significant cutbacks if no vending 3316N/A Schools have responsibility to promote healthy choices 857493 Students are customers 3512N/A

8. Breakfast 90% KS schools offer breakfast to students Breakfast option Elementary schools Middle Schools High Schools Total SBP99.598.396.798.3 A la carte11.522.128.719.6 Vending3.25.86.75.0 Upon request 1.42.92.0 School store 1.41.72.71.8

9. Vending Machines Beverage only:15% Vending (both):58% Urban schools:55%  2.6 snack, 4.9 beverage machines Rural schools:78%  1.3 snack, 3.3 beverage machines

10. Vending Machines Top five most commonly available items:  Carbonated beverages…89%  Water……………………..89%  Juice………………………77%  Chips and snack foods….74%  Candy……………………..71%

11. Vending Revenue Uses Sports/clubs (uniforms, travel)………...57% Student incentives………………………46% Teacher/staff incentives………………..15% Supplies (paper, pens, PE equipment)…..........................................3% Facility improvements…………………..11% Supplemental budget or general fund……………………………….7% Food service program……………………5%

12. A la Carte Offerings “All other food and beverage items sold by the school food service program in the school cafeteria or other locations where school meals are served or eaten” Available in:  33% elementary schools  46% middle schools  49% high schools

13. A la Carte Offerings Routinely available:  Milk…………………………..81%  Juice ………………………..75%  Water………..……………...72%  Chips and snack foods......71%  Ice cream …………………..68%  An additional entrée from the school lunch …………..56%

14. Other Policies-Nutrition Time available for lunch  60% of schools provide 15-20 minutes  10% 20 minutes Open campus  15% of middle and 19% of high schools offer open campus  Influenced most by students and district administrators (least by parents and community) Food serving and dining facilities  90% indicate accommodations are adequate

15. Physical Education

16. 93.4% of KS schools offer physical education with at least 25% physically active class time; issue is requirement 0 20 40 60 80 100 K1st2nd3rd4th5th6th7th8th9th10th11th12th Grade Required Physical Education % of responding schools

17. Physical Education Weekly participation  About 98% elementary schools  70% middle schools  Less than 10% high schools  More days, on average in rural schools PE class duration  49% report 20-30 minutes; 41% report over 40 minutes  17% of schools have decreased amount of time for PE during last 3 years

18. Recess 84% elementary schools offer 25% have decreased time over past 3 years Typically follows lunch period  Classroom……..75%  Playground…….41%  Gymnasium……38%  Multipurpose…..12%  Cafeteria……….10%

19. Intersection of Policies

21. Kansas Policy Option?

22. Influencing Factors Factors influencing decisions regarding student wellness, nutrition and physical activity (strongly agree/agree– Administrators)  Laws & regulations……………67%  No Child Left Behind………….60%  Superintendent/principal requests……………………......59%  Testing………………………....55%  Local board…………………....47%  Students…………………….....41%  Community…………………….38%  Budget………………………….17%

23. KHI Recommendations  Kansas needs to develop a comprehensive, statewide strategy  Progress and improvement using the school wellness policy guidelines should be required in all Kansas public K-12 schools  As recommended by the IOM, all food and beverages sold or served to students in school should be healthful and meet an accepted nutritional content standard  An in-depth review should be conducted of how the school lunch program is financed at the local level  State policymakers should institute more comprehensive physical education requirements in Kansas public middle and high schools  Kansas lacks basic information on the level of overweight and obesity among children – collect height and weight data to calculate BMI of public school students

24. Healthier Kansans through informed decisions Kansas Health Institute