State Indicator Report on Physical Activity, 2010

(SIR PA) Carmen D. Harris, MPH

Division Nutrition, Physical Activity, and ObesityTeleconference

April 8, 2010

Presentation Outline

State Indicator Report on Physical Activity, 2010

Who Are You?

The State Indicator Report on Physical Activity, 2010 presents for the first time information on physical activity behavior and policy and environmental support within each state

Are you useful to states?SIR PA will be used to

– Portray how states support the behavior of physical activity

– Monitor progress and celebrate state successes– Identify opportunities for improvement in physical

activity support through environmental, policy, and systems approaches

– Create synergy with the National Physical Activity Plan

Behavioral Indicators

Five behavioral indicators profile the extent to which a state’s population is meeting:

1. 2008 Physical Activity Guidelines for Americans2. Healthy People 2010 Objectives

Policy & Environmental Indicators

Eleven policy & environmental indicators measure elements of supportive policies and environments for increasing PA within four strategies

1. Create or enhance access to places for PA2. Enhance PA in schools and child care settings3. Support urban design, land use and transportation

policies4. Develop and maintain a public health workforce

competent in PA

State Indicator Report on Physical Activity, 2010

SIRPA: How did you get here?

In the beginning… HHS created PA guidelines, Task Force created the community guide, COCOMO created community measures, ARRA created MAPPS strategies, IOM created action steps, Healthy People keeps proposing new objectives every 10 years..

And it was good.

The Guiding Framework

From The Guiding Framework

Behavioral Indicators Proportion of active adults in the state

Proportion of highly active adults in the stateProportion of adults in the state who engage in no leisure-time physical activity

Proportion of students in grades 9-12 that achieve 60 minutes or more of moderate- or vigorous-intensity physical activity dailyProportion of students in grades 9-12 that participate in daily physical education.

Policy & Environmental Indicators Percentage of all schools that require physical education in schools.

Percentage of all schools that require >50% physical activity in PE

Percentage of elementary schools that require regularly scheduled recess

Percentage of all schools that allow youth community use of their physical activity or athletic facilities

Percentage of all schools that offer intramural activities or physical activity clubs,

Percentage of all schools that provided transportation home from PA clubs

Availability of park, recreation center, or sidewalks in neighborhood of child less than 18 year old

Percentage of schools that support walk/bike to school and Safe Routes to School (SR2S) programs

Percentage of state funds obligated for SR2S programs

Percentage of states that have instituted regulatory policies supporting locating schools within easy walking distance of residential areas

Percentage of Census tracts/blocks with one park located within the tract or within a 1/2 mile radius of tract boundaries

Percentage of Census tracts/blocks with Fitness and Recreation Centers located within the tract or within 1/2 mile radius of tract boundaries

Child care settings have instituted moderate & vigorous PA requirements

Transit way mileage per capita or # of passenger stops per capita, or local, state,& federal funds expended on transit per capita

Community-scale Urban Design/land Use Policies

Street -scale Urban Design/Land Use Policies

Transportation and Travel Policies and Practices

Worksite Policies

Ex0stence of state-level Physical Activity Policy Council

Number of FTEs in a state devoted to Physical Activity

Existence of State Plan to Address Physical Activity

Behavioral Indicators Proportion of active adults in the state

Proportion of highly active adults in the stateProportion of adults in the state who engage in no leisure-time physical activity

Proportion of students in grades 9-12 that achieve 60 minutes or more of moderate- or vigorous-intensity physical activity dailyProportion of students in grades 9-12 that participate in daily physical education

Policy & Environmental Indicators Percentage of all schools that require physical education in schools.

Percentage of all schools that require >50% physical activity in PE

Percentage of elementary schools that require regularly scheduled recess

Percentage of all schools that allow youth community use of their physical activity or athletic facilities

Percentage of all schools that offer intramural activities or physical activity clubs,

Percentage of all schools that provided transportation home from PA clubs

Availability of park, recreation center, or sidewalks in neighborhood of child less than 18 year old

Percentage of schools that support walk/bike to school and Safe Routes to School (SR2S) programs

Percentage of state funds obligated for SR2S programs

Percentage of states that have instituted regulatory policies supporting locating schools within easy walking distance of residential areas

Percentage of Census tracts/blocks with one park located within the tract or within a 1/2 mile radius of tract boundaries

Percentage of Census tracts/blocks with Fitness and Recreation Centers located within the tract or within 1/2 mile radius of tract boundaries

Child care settings have instituted moderate & vigorous PA requirements

Transit way mileage per capita or # of passenger stops per capita, or local, state,& federal funds expended on transit per capita

Community-scale Urban Design/land Use Policies

Street -scale Urban Design/Land Use Policies

Transportation and Travel Policies and Practices

Worksite Policies

Ex0stence of state-level Physical Activity Policy Council

Number of FTEs in a state devoted to Physical Activity

Existence of State Plan to Address Physical Activity

State Indicator Report on Physical Activity, 2010

Behavioral Indicators

Adult physical activity1. Proportion active in the state2. Proportion highly active in the state3. Proportion in the state who engage in no leisure-

time physical activityProportion of students in grades 9-12 in the state4. Achieve 60 minutes or more of moderate- or

vigorous-intensity physical activity daily5. Participate in daily physical educationData Sources: 2007& 2008 BRFSS, 2007 YRBSS

Summary of Behavioral Indicators Among Adults

Summary of Behavioral Indicators Among Adolescents

Policy & Environmental Indicators

Represent four different strategies to support PA

1. Create or enhance access to places for PA2. Enhance PA in schools and child care settings3. Support urban design, land use and

transportation policies4. Develop and maintain a public health workforce

competent in PA

Strategy Create or enhance access to places for PA

State

% of schools that allow youth use of PA facilities

% of youth with parks, community

centers and sidewalks in

neighborhood 95% Confidence

interval

% of census tracts with

fitness center within 1/2 mile of boundary

U.S. National 86.1* 50.0 (49.2, 50.8) 34.9

Minimum 63.7 24.7 (22.2, 27.3) 26.0

Maximum 97.6 71.6 (68.5, 74.5) 45.9

State source: 2006 School Health Profiles, Principal Surveys, National Survey of Children’s Health (NSCH, 2007), InfoUSA database

SIRPA: What are you telling us?

*Average across reporting states

Strategy Enhance PA in schools and child care settings

State

Require or recommend

elem schools provide

scheduled recess

Require elem, middle and high schools to teach

PE

% of schools that support walking or biking to and

from school

Child care centers

specify MVPA

U.S. National 20^ 37^ 43.0* 8^

Minimum No No 10.3 No

Maximum Yes Yes 62.9 Yes

Source: 2006 School Health Policies and Programs Study, 2006 School Health Profiles, Principal Surveys, : 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

SIRPA: What are you telling us?

*Average across reporting states ^ Total count

SIRPA: What are you telling us?

^ Total count

Strategy Support urban design, land use and transportation

policies

State

Community-scale urban design/land

use policy

Street-scale urban design/land use

policy Transportation and

travel policy U.S. National 27^ 23^ 36^

Minimum No No No

Maximum Yes Yes Yes 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.

SIRPA: What are you telling us?

Strategy Develop public health

workforce competent in PA

State

Number of state physical activity FTEs

U.S. National 1.0‡

Minimum 0.0

Maximum 15.0 ‡Median

Source: Self-report web-based “State Physical Activity Capacity” survey hosted by Wisconsin Department of Health Services

State Indicator Report on Physical Activity, 2010

Near Future

Prior to May 3 release of SIR PA:• Send individual state-level data & national

data to each state• Send “Swiss Cheese” press release to statesIn conjunction with May 3 release of SIR PA:• National Action Plan for Physical Activity• Translation Materials • Evaluation of SIR PA

National and State Action Guides

Translation MaterialsTranslation Materials

Data to Action PowerPointData to Action PowerPoint

Call to Action • Incorporate into state plans

Surveillance

• Select priority strategies to work on• Advocate for improvement• Use as a baseline for program evaluation• Evaluate progress over time• Identify success stories• Broaden community support for PA• Strengthen legislative action and support

Next Steps• Legislative Data Policy Paper• Use of legislative abstract methods for

proposed policy-oriented Healthy People 2020 Objective

• Mapping of Indicators– State-level– Local area community?

• Repeat periodically

Call to Action Create awareness within your states among…• Public Health professionals• Local coalitions and advocates• Policy makers• Education• Urban & Rural planners• Transportation Officials• Parks and Recreation Representatives• Government and community partners• Media

Thank You• Melissa Cunningham, OWCD• Marissa Zwald, PDEB• Janet Fulton Susan Carlson, Dianna Carroll, Fleetwood Loustalot, PEST• Heidi Blanck, Kirsten Grimm, Latetia Moore, Sonia Kim• Eric Burger, ASTDR GRASP• Chris Reinold, Sarah Kuester, Joi Hudson, Kate Thomas, PDEB• PA State Coordinators, Jon Morgan- Wisconsin • PAHB- Tom Schmid, Candace Rutt • DNPAO’s PA Workgroup• Rosie Bretthauer-Mueller, Tim Hensley, Suzanne Hurley, Reba Griffith • Nancy Brenner, DASH • Dee Merriam, NCEH• Tony Giarrusso, Georgia Tech

Questions?

Contact Information: PAIndicatorreport@cdc.gov