Physical Activity in School

7/31/2019 Physical Activity in School

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PHYSICAL EDUCATIONJennifer Menon, MD, PGY1

Advocacy Presentation10/26/2012


2/18

MT

12 year old male with no PMH comes in for WCC

No changes in history, getting As and Bs in school, has a few closefriends.

After school activities include homework, tv, and video games. Hedoesnt like to go outside much because theres nothing to do

outside. He lives with his parents in an apartment building. Both parents are

obese. Mom is a diabetic, diagnosed at age 34, and Dad has beentreated for high cholesterol for many years.

Friends come over occasionally, and when they do they usually justplay video games or watch TV.

Parents bought him a Wii for Christmas, and he enjoys games likeMario Kart and Zelda.

Diet consists of fast food once to twice per week (both parents workfull time, its just easier to drive through and grab something quick) .When his parents do cook, its usually a meat with either pasta orrice and occasionally a vegetable.


3/18

MT cont

PE: Vitals: HR 91, RR 20, BP 100/73, BMI

28

General: Obese appearing youngmale, NAD

HEENT: NC/AT, MMM, OP and TMsclear

Neck: Supple, no LAD, no rashes, nothyromegaly

CVS: RRR, no murmurs

Resp: CTAB

Abd: NT/ND, normoactive bowelsounds

Extr: MAEW, PPP

Skin: No rashes


4/18

MT cont

Go through your anticipatory guidance

Congratulate him on his As and Bs in school

What else do you want to do?


5/18

Addressing Obesity

One study looking at PCPs addressing childhoodoverweight and obesity in Southern Appalachia 71% spoke about diet and physical activity

17% provided parents with tools for intervention

One study surveyed pediatricians and familypractitioners listed in the AMA database Less than 50% routinely used BMI as a screening tool

18% referred overweight or obese patients for furthermanagement

58% either never, rarely, or sometimes trackedpatients over time for concern about weight issues


6/18

Some National Facts onObesity

1 in 3 children in low-income households areobese or overweight before their 5th birthday

Highest rates in Native American, Hispanic, and

Alaskan Native children National Youth Risk Behavior Survey of high

school students (2011):

No daily PE classes for 69% of students Increased sedentary lifestyle behaviors

Childhood obesity rates tripled since 1980

http://www.cdc.gov


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So why is this an issue?

Overweight and obese children andadolescents become overweight and obeseadults

Earlier onset of complications of obesity Hospitalization associated issues:

Increased length of stay by 0.85 day

$1,634 increase in charges $727 increase in costs


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How Utah Ranks vs. Nationally

Overweight

Obese

Children 12% 8.7%

Adolescents

12.2% 8.6%

Overweight

Obese

Children(age 2-19yrs)

31% 17%

Adolescents

15.2% 13%

Utah National Statistics

2011 Youth Risk Behavior Survey.http://www.cdc.gov/HealthyYouth/yrbs/index.htm

Congratualtions,Utah! You are theleast overweight/obese state in the US!But its still 1 in 5
http://www.cdc.gov/HealthyYouth/yrbs/index.htmhttp://www.cdc.gov/HealthyYouth/yrbs/index.htmhttp://www.cdc.gov/HealthyYouth/yrbs/index.htm


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Where the Burden Falls

Whose job is it to address obesity andinactivity?

Is it the physician taking care of the patient

who spends about 15 minutes per year withthem?

Is it the schools role to promote good health?


10/18

Food for Thought

regular daily physical activityhelps children do betteracademically and should be part

of a school curriculum for allstudents in grades K-12?

that more school physicaleducation could help control orprevent childhood obesity?

that physical education is at least

as important as other academicsubjects?

that there should be morephysical education in schools,particularly for fighting obesity?

95% of parents

76% of parents

54% - 85% of

parents, dependingon subject

91% of parents

How many of you think How many parents think it:

http://www.aahperd.org/naspe/publications/upload/Executive-Summary.pdf
http://www.aahperd.org/naspe/publications/upload/Executive-Summary.pdfhttp://www.aahperd.org/naspe/publications/upload/Executive-Summary.pdfhttp://www.aahperd.org/naspe/publications/upload/Executive-Summary.pdfhttp://www.aahperd.org/naspe/publications/upload/Executive-Summary.pdf


11/18

National Association for Sports andPhysical Education

Mission: enhance knowledge, improve professionalpractice, and increase support for high quality physicaleducation, sports and physical activity programs Promote physical education to children

Encourage lifelong commitment to physical activity Not trying to make athletes out of all children

National Recommendations for Physical Activity andEducation:

150 minutes/ wk for elementary school students

225 minutes/ wk for middle and high school students On Physical Activity:

At least 60 minutes per dayAvoid prolonged periods of inactivity


12/18

Physical Activity: What Counts?

Vigorous backyard play

School recess

Some PE teachers organize activities during

recess to get kids involved and physically active

Physical Education classes

Taught by licensed professionals

School and community sponsored sportsteams


13/18

Utah Physical Education Laws

PE classes must be offered in grades K-6, butit does not require daily recess.

Minimum of 225+ minutes per week of

physical education in grades 7-8 and a forthree years in high school.

PE must be taught by a certified instructor

PE must be open to all students Must be co-educational


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Utahs CORE Curriculum

Standards for PE

1) Students will demonstrate competency in motor skills andmovement patterns needed to perform a variety of physicalactivities.

2) Students will demonstrate understanding of movementconcepts, principles, strategies and tactics as they apply to

the learning and performance of physical activities.3) Students will participate regularly in physical activity.

4) Students will achieve and maintain a health-enhancing levelof physical fitness.

5) Students will exhibit responsible personal and social

behavior that respects self and others in physical activitysettings.

6) Students will value physical activity for health, enjoyment,challenge, self-expression, and/or social interaction.


15/18

Action for Healthy Kids Utah

Mission: reduce and prevent childhood obesityand undernourishment

Work with legislators for passing laws for

providing appropriate nutrition andopportunities for physical activity in school


16/18

Action for Healthy Kids Utah:Recommendations

Implement Core Curriculum

Goal: 150 minutes/week of

physical education andinstruction

2 recess periods per day

Recess is not a reward

Discourage withholdingrecess as punishment or forremediation

Establish safe walking/ bikingroutes and encourage use

Allow recess before lunch

Implement CoreCurriculum

Instruction shouldemphasize activities,knowledge, and skills forlifelong physical fitness

Include and promoteintramural sports andfitness activities in additionto formal athletic programs

Establish safe walking/biking routes andencourage use

Elementary School Secondary School

http://choosehealth.utah.gov/documents/AFHKPApolicyrecommendations.p
http://choosehealth.utah.gov/documents/AFHKPApolicyrecommendations.pdfhttp://choosehealth.utah.gov/documents/AFHKPApolicyrecommendations.pdf


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Where Can We Advocate?

School boards

Legislators and policy makers

Community based organizations

Action For Healthy Kids: Utah


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References

http://www.aahperd.org/naspe/

http://www.diabetes.org/diabetes-basics/diabetes-statistics/

http://www.schools.utah.gov/curr/healthpe/ http://dx.doi.org/10.1016/j.amepre.2011.03.016,

Holt N. et al, Primary Care Practice Addressing

Child Overweight and Obesity: A Survey ofPrimary Care Physicians at Four Clinics inSouthern Appalachia. South Med J. 2011 January;104(1): 14-19.
http://www.aahperd.org/naspe/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.schools.utah.gov/curr/healthpe/http://dx.doi.org.ezproxy.lib.utah.edu/10.1016/j.amepre.2011.03.016http://dx.doi.org.ezproxy.lib.utah.edu/10.1016/j.amepre.2011.03.016http://www.schools.utah.gov/curr/healthpe/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.diabetes.org/diabetes-basics/diabetes-statistics/http://www.aahperd.org/naspe/

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Physical Activity in School