PHAB Education Services (02-2017) Document Cover Page Davis County Health Department Measure # 1.1: The community health assessment is continually updated to broaden and deepen the community’s understanding of public health issues and resources R D # 3: Increasingly multidimensional and detailed descriptions of the health issues and/or community resources of the population or population groups Example or Document # 2 of 2 Document Date: November 2018 Childhood Overweight & Obesity Rates in Davis County, 2018. In the 2013 Community Health Assessment (CHA) it was determined that there was a data gap as a county rate for childhood obesity was not available. While Davis School District (DSD) schools were conducting height weight assessments as part of the sample to calculate a state rate, the sample was not large enough to calculate a county rate. In 2013 obesity was selected by community partners as a top health priority that was included in the 2014 Community Health Improvement Plan (CHIP). In the CHIP partners included an objective to “Develop and implement a system to establish baseline indicators for overweight/obese children in Davis County by December 31, 2018.” It took the entire five years to work with partners, gain approval, identify funding, establish a representative sample, and collect measurements. By the end of 2018 a baseline for childhood obesity was published. Data was collected by the Davis County Health Department and Davis School District School Nurses. Data was analyzed by the Utah Department of Health. The Height Weight measurement project was implemented to assess the extent of childhood obesity in Davis County. Measurements were taken from December 2017-March 2018. 1st, 3rd and 5th grade students (n = 1,886) from 37 randomly selected elementary schools in Davis County were weighed and measured. The sample and data collected represents all public elementary schools in DSD. Findings: 19.0% of Davis County elementary school students were at an unhealthy weight (overweight & obese combined). This is lower than the state rate of 22.1%. 7.1% of Davis County elementary school students were obese. This is lower than the state rate of 10.6%. Unfortunately the data/results were not available to include the 2018 CHA released early in the year. However, results were reported in the 2018 Davis4Health CHIP Progress Report (page 29) and can be found in the community assessment and improvement plans section of our website. The page numbers below are linked to the required elements and pdf bookmarks have also been provided.
Transcript
PHAB Education Services (02-2017)
Document Cover Page
Davis County Health Department
Measure # 1.1: The community health assessment is continually updated to broaden and deepen the community’s understanding of public health issues and resources
R D # 3: Increasingly multidimensional and detailed descriptions of the health issues and/or community resources of the population or population groups
Example or Document # 2 of 2
Document Date: November 2018
Childhood Overweight & Obesity Rates in Davis County, 2018.
In the 2013 Community Health Assessment (CHA) it was determined that there was a data gap as a county rate for childhood obesity was not available. While Davis School District (DSD) schools were conducting height weight assessments as part of the sample to calculate a staterate, the sample was not large enough to calculate a county rate.
In 2013 obesity was selected by community partners as a top health priority that was included in the 2014 Community Health Improvement Plan (CHIP). In the CHIP partners included an objective to “Develop and implement a system to establish baseline indicators for overweight/obese children in Davis County by December 31, 2018.” It took the entire five years to work with partners, gain approval, identify funding, establish a representative sample, and collect measurements. By the end of 2018 a baseline for childhood obesity was published. Data was collected by the Davis County Health Department and Davis School District School Nurses. Data was analyzed by the Utah Department of Health.
The Height Weight measurement project was implemented to assess the extent of childhood obesity in Davis County. Measurements were taken from December 2017-March 2018. 1st, 3rd and 5th grade students (n = 1,886) from 37 randomly selected elementary schools in Davis County were weighed and measured. The sample and data collected represents all public elementary schools in DSD.
Findings: 19.0% of Davis County elementary school students were at an unhealthy weight
(overweight & obese combined). This is lower than the state rate of 22.1%. 7.1% of Davis County elementary school students were obese. This is lower than the
state rate of 10.6%.
Unfortunately the data/results were not available to include the 2018 CHA released early in the year. However, results were reported in the 2018 Davis4Health CHIP Progress Report (page 29) and can be found in the community assessment and improvement plans section of our website.
The page numbers below are linked to the required elements and pdf bookmarks have also been provided.
The Davis County Health Department has partnered with the Davis School District to conduct a Height & Weight Measurement Project. The project involves taking measurements of students to determine the overweight and obesity rates of elementary age students in Davis County. With nine local elementary schools currently participating in the statewide sample, data from an additional 28 schools is needed to determine a local overweight and obesity rate.
Elementary schools were randomly chosen to participate. In schools randomly chosen, one 1st grade, one 3rd grade and one 5th grade class was randomly chosen to participate.
Since weight can be a sensitive topic, special measures are taken to ensure students are weighed and measured in a manner that protects their privacy. Students will not see their weight reading. Students height, weight, sex, school grade, month, and date of birth will be recorded. The data does not identify or single out any individual and student names are not recorded.
HEIGHT AND WEIGHT
MEASUREMENT PROJECT
DESCRIPTION
PURPOSE
Provide a baseline of overweight and obesity rates in Davis County elementary students Assess the trend in growth patterns among elementary students Educate decision makers where needed health programs should be focused Provide data for grants to fund programs and activities that positively impact the health of youth Provide an additional evaluation measure for health and physical activity programs already in place
TIMELINE
CONTACT
ACTIVE CONSENT
Measurements will be taken at elementary schools biennially with the first measurements being taken from January to March 2018. In order to keep data consistent and valid, measurements will be taken at the same schools.
Students will need to have parent/guardian permission to participate in the project.
For more information contact Cailyn Holcomb at [email protected] or 801-525-5073.
Body Weight Terminology: Body Mass Index (BMI) is a standardized measurement based on height and weight that is used to estimate the amount of body fat for an individual.
Classification of Unhealthy Weight
‡Overweight BMI ≥85th and <95th percentile for age and gender
†Obese BMI ≥95th percentile for age and gender
Reports prior to 2008 classified children as “at risk for overweight” with a BMI ≥ 85th and <95th percentile, and “overweight” with a BMI ≥95th.Based on the CDC 2000 Growth Charts.
Between December 2017 and April 2018, the Height/Weight Study was conducted to assess the extent of childhood obesity in Davis County. First, third, and fifth grade students (n = 1,886) from 37 randomly selected elementary schools in Davis County were weighed and measured by school nurses to assess the
• 19.0% of Davis County elementaryschool students were at an unhealthyweight (overweight and obesecombined). This is lower than the staterate of 22.1%.
• 7.1% of Davis County elementaryschool students were obese. This islower than the state rate of 10.6%.
• Third grade boys had the highest rateof obesity among elementary schoolstudents in Davis County at 10.8%.
extent of childhood overweight and obesity within the county. The data collected represents all public elementary schools in Davis School District. These data were collected by the Davis County Health Department and analyzed by the Utah Department of Health.
Overweight in Davis County, 2018ChildhoodChildhood
Percentage of 3rd Grade Students Obese† or Overweight‡, Utah 1994, 2006, and 2008
Source: 2018 Height/Weight Study, Davis County Health Department and 2018 Utah Height/Weight Study, Utah Department of Health.
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Percentage of Students Obese† or Overweight‡ by Grade and Sex, Davis County, 2018
Source: 2018 Height/Weight Study, Davis County Health Department
Figure 1.
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Findings:
Figure 2.Comparision of Davis County and Statewide Utah Obesity† and Overweight‡ Rates by Grade, 2018
4.8% 6.7%10.8%
6.4% 7.8% 6.0%
10.7%11.9%
9.2%11.4%
12.0% 16.4%
0%
5%
10%
15%
20%
25%
30%
35%
Boys Girls Boys Girls Boys Girls
1st Grade 3rd Grade 5th Grade
Obese Overweight
8.0% 5.8%10.2% 8.6%
13.3%6.9%
10.7%11.3%
11.4%10.2%
12.1%
14.2%
0%
5%
10%
15%
20%
25%
30%
35%
State DavisCounty
State DavisCounty
State DavisCounty
First Third Fifth
Obese Overweight
This study was conducted collaboratively by the Davis County Health Department and the Utah Department of Health. Funding was provided by the UDOH Comprehensive Cancer Control Program. For information about public health in Davis County, contact the Davis County Health Department. For information about study methodology, contact the Utah Department of Health.
The Effects of Childhood Overweight and ObesityChildhood overweight predicts obesity later in life 1,2
• Overweight and obese children are more likely to become obese adults.
Adult diseases are now being observed in obese children, including 3,4
• Hardening of arteries, high blood pressure, and high cholesterol, which can lead to heart disease
• Insulin resistence, glucose intolerance, and diabetes
• Sleep-associated breathing disorders
• Non-alcoholic fatty liver disease
Social and psychological impacts, including 5-9
• Social isolation
• Increased rate of suicidal thoughts and attempts associated with weight-based teasing
• Low self-esteem due to poor body image
• Increased rate of anxiety disorders and depression in overweight children
• Increased likelihood to report difficulties in school
• Reduced quality of life
• Increased likelihood of being bullied
Academic consequences 10
• Increased school absenteeism
Childhood Overweight and Obesity Prevention StrategiesThe following are recommendations for preventing unhealthy weight in childhood Children should get at least 60 minutes of physical activity daily.
• Provide safe, accessible environments in communities, schools, and child care facilities that encourageregular physical activity.
Children should eat at least 1½ to 2 cups of fruit and 1½ to 3 cups of vegetables daily.
• Ensure access to affordable, quality fruits and vegetables in communities, schools, and child care facilities.
Children should rarely have sugar-sweetened drinks and should eat few high-calorie foods with little or no nutritional value.
• Increase the availability of and access to healthy foods and drinks (including water) in neighborhoods,schools, child care facilities, and other places where children go.
• Establish nutrition standards for vending machines in schools and other places where children go.
Limit screen time (television, computer, and video games) to no more than 2 hours per day.
• Provide opportunities for schools, communities, faith-based organizations, and health care providers tosupport alternatives to screen time at home and school.
Recommendations:• Implement the School Health Guidelines to Promote Healthy Eating and Physical Activity. These guidelines
can be used as a foundation for developing, implementing, and evaluating school-based healthy eating andphysical activity policies and practices for students. For more information, visit www.cdc.gov/healthyschools/npao/strategies.htm.
• The health of students is linked to their academic success. Create environments that support therecommended 60 minutes or more of physical activity each day for children and adolescents aged 6-17and offer healthy eating options wherever food is sold. Find resources and tools to help your school meetnutrition standards at www.fns.usda.gov/healthierschoolday/tools-schools-focusingsmart-snacks.
• Use the School Health Index (SHI): Self-Assessment and Planning Guide to identify strengths andweaknesses of school health policies and programs, create an action plan, and encourage the community inpromoting better health, available at www.cdc.gov/healthyschools/shi/introduction.htm.
• The Comprehensive School Physical Activity Program (CSPAP) enables students to participate in dailyphysical activity. Find the step-by-step guide at www.cdc.gov/healthyschools/physicalactivity/cspap.htm.
• The Alliance for a Healthier Generation’s Healthy Schools Program is an evidence-based initiative that aimsto help create and sustain healthy environments. See how your school can adopt this framework by visitinghttps://schools.healthiergeneration.org.
• Ensure that school districts have comprehensive wellness policies. For policy requirements, resources, andhelp, please visit www.fns.usda.gov/tn/local-school-wellness-policy-requirements or contact the Utah Actionfor Healthy Kids at [email protected].
More Physical Activity
Less screen timeFewer high-calorie foods
More fruits and vegetables
Fewer sugar-sweetened drinks
How can we impact children’s lives to change this trend?
By focusing on:
References1. Singh AS, Mulder C, Twisk JW, et al. (2008) Tracking of childhood overweight into adulthood: a systematic review of the literature.
Obesity Reviews 9(5):474-488.
2. Potter CM, Ulijaszek SJ. (2013) Predicting adult obesity from measures early in life. Journal of Epidemiology and Community Health67:1032-1037.
3. Barlow SE and the Expert Committee. (2007) Expert Committee recommendations regarding the prevention, assessment, and treatmentof child and adolescent overweight and obesity: Summary Report. Pediatrics 120(4):S164-S192.
4. Estrada E, Eneli I, Hampl S, et al. (2014). Children’s Hospital Association consensus statements for comorbidities of childhood obesity.Childhood Obesity 10(4)304-317.
5. Gable S, Britt-Rankin J, and Krull JL. (2008) Ecological predictors and developmental outcomes of persistent childhood overweight.Economic Research Service. URL: www.ers.usda.
6. Rofey DL, Kolko RP, Iosif AM, et al. (2009) A longitudinal study of childhood depression and anxiety in relation to weight gain. ChildPsychiatry and Human Development 40:517-526.
7. Williams J, Wake M, Hesketh K, et al. (2005) Health-related quality of life of overweight and obese children. Journal of the AmericanMedical Association 293(1):70-76.
8. Lumeng JC, Forrest P, Appugliese NK, et al. (2010) Weight Status as a Predictor of Being Bullied in Third Through Sixth Grades.Pediatrics 125(6):e1301-e1307.
9. Williams NS, Fournier J, Coday M et al. (2013) Body esteem, peer difficulties and perceptions of physical health in overweight and obeseurban children aged 5-7 years. Child: Care, Health, and Development 39(6),825-834.
10. Li Y, Raychowdhury S, Tedders SH, et al. (2012) Association between increased BMI and severe school absenteeism among US childrenand adolescents: findings from a national survey, 2005-2008. International Journal of Obesity 36:517-523.
ResourcesThe Utah Department of Health (UDOH) Healthy Living Through Environment, Policy and Improved Clinical Care (EPICC) Program and Utah’s local health departments work with partners, including the Utah State Board of Education and local school districts, to provide resources and assistance to improve nutrition and physical activity policies, practices, and environments. Additional resources available at http://www.choosehealth.utah.gov/preK-12.php.
Utah Action for Healthy Kids brings partners together to improve nutrition and physical activity environments in schools by implementing school-based strategies, working with the Utah Board of Education and local school boards to improve or develop policies including local district wellness policies. For more information, contact Utah Action for Healthy Kids at [email protected].
AcknowledgmentsThe Utah Department of Health would like to recognize the following school districts for participating in the collection of statewide data: Al-pine, Box Elder, Cache, Canyons, Davis, Emery, Granite, Jordan, Murray, North Sanpete, Nebo, Ogden, Park City, Piute, Provo, South Sanpete, South Summit, Salt Lake City, Tintic, Tooele, Uintah, Wasatch, Washington, and Weber. We would also like to thank participating local health districts and school nurses.
Contact InformationHealthy Living Through Enviroment, Policy and Improved Clinical Care (EPICC) ProgramBureau of Health PromotionUtah Department of Health(801) 538-6229 or www.choosehealth.utah.gov
www.choosehealth.utah.gov
The height and weight measurement project was implemented to obtain baseline data for childhood overweight and obesity rates in Davis County. From December 2017 through March 2018, this joint project was conducted by Davis County Health Department health educators and Davis School District school nurses. The data collection occurred in 37 randomly selected county elementary schools. All collected data was analyzed by the Utah Department of Health.
Findings:
19.0% of Davis County elementary school students were at an unhealthy weight (overweight2 or obese1), which is lower than the state rate of 22.1%
7.1% of Davis County elementary school students were obese1, which is lower than the state rate of 10.6%
4.8%6.7%
10.8%
6.4% 7.8%6.0%
10.7%
11.9%
9.2%
11.4%12.0% 16.4%
0%
5%
10%
15%
20%
25%
Male Female Male Female Male Female
1st Grade 3rd Grade 5th Grade
Per
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of
Stu
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Source: 2018 Height/Weight Study, Davis County Health Department and Utah Department of Health
Percentage of Students Obese1 or Overweight2 by Grade and Sex, Davis County, 2018
Obese Overweight
8.0% 5.8%10.2% 8.6%
13.3%
6.9%
10.7%11.3%
11.4%10.2%
12.1%
14.2%
0%
5%
10%
15%
20%
25%
30%
State DavisCounty
State DavisCounty
State DavisCounty
1st Grade 3rd Grade 5th Grade
Per
cen
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of
Stu
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Source: 2018 Height/Weight Study, Davis County Health Department and Utah Department of Health
Comparison of Davis County and Statewide Utah Obesity1 and Overweight2 Rates by Grade, 2018
Obese Overweight
Body Mass Index (BMI) is a standardized measurement based on height and weight that is used to estimate the amount of body fat for an individual. 1The CDC defines obesity as a BMI at or above the 95th percentile for children of the same age and sex. 2The CDC defines overweight as a BMI at or above the 85th and below the 95th percentile for children of the same age and sex. Based on the CDC 2000 Growth Charts: https://www.cdc.gov/nchs/data/series/sr_11/sr11_246.pdf
29
Priority: Obesity
Childhood Height/Weight Study
Height Weight Study conducted to assess the extent of childhood obesity in Davis County (Dec 2017-April 2018)
1st, 3rd & 5th grade students (n = 1,886) from 37 randomly selected elementary schools in DavisCounty were weighed & measured. The sample & data collected represents all public elementaryschools in DSD.
19.0% of Davis County elementary school students were at an unhealthy weight (overweight & obesecombined). This is lower than the state rate of 22.1%.
7.1% of Davis County elementary school students were obese. This is lower than the state rate of10.6%.
Data collected by the Davis County Health Department & Davis School District nurses. Data wasanalyzed by the Utah Department of Health.
