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

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

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Page 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

Kansas School Nutrition and Physical Activity Survey, 2006

Obesity Task Force Topeka, Kansas October 24, 2006

Kansas School Nutrition and Physical Activity Survey, 2006

Obesity Task Force Topeka, Kansas October 24, 2006

Kim S. Kimminau, Ph.D. Kansas Health Institute

Page 2: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

ProjectProject

Survey development Focus areas

1. Opinions

2. Nutrition (school meals, a la carte, vending)

3. Physical education

4. Physical activity

5. Policy and practices

Page 3: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

ProjectProject

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)

Page 4: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Response Rates by DistrictResponse Rates by District

School nutrition survey 63% District nutrition survey 86% Physical activity survey37%

96% of school districts represented in at least one of the three surveys

Page 5: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Response Rates bySchool Type

Response Rates bySchool Type

Percent of state public schools

Percent of survey respondent pool

Elementary Schools

58 55

Middle Schools

16 14

High Schools

25 30

Total number

1390 365 (26%) +7 private schools

Page 6: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

OpinionsOpinions

Page 7: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

(Agree or Strongly agree)

Food Service Professionals

Administrators PE/Health Teachers

Overweight and obesity is of concern to me

77 70 90

Availability of junk food is a concern to me 55 36 61

Significant cutbacks if no vending 33 16 N/A

Schools have responsibility to promote healthy choices

85 74 93

Students are customers

35 12 N/A

Page 8: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

BreakfastBreakfast

90% KS schools offer breakfast to students

Breakfast option

Elementary schools

Middle Schools

High Schools

Total

SBP 99.5 98.3 96.7 98.3

A la carte 11.5 22.1 28.7 19.6

Vending 3.2 5.8 6.7 5.0

Upon request

1.4 2.9 2.0 2.0

School store

1.4 1.7 2.7 1.8

Page 9: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Vending MachinesVending 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

Page 10: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Vending MachinesVending Machines

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

Page 11: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Vending Revenue UsesVending 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%

Page 12: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

A la Carte OfferingsA 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

Page 13: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

A la Carte OfferingsA 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%

Page 14: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Other Policies-NutritionOther Policies-Nutrition Time available for lunch

60% of schools provide 15-20 minutes 10% < 15 minutes and 30% > 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

Page 15: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Physical EducationPhysical Education

Page 16: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Physical EducationPhysical Education

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

K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Grade

Required Physical Education

% o

f re

spon

din

g sc

hoo

ls

Page 17: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Physical EducationPhysical 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

Page 18: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

RecessRecess

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%

Page 19: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Intersection of PoliciesIntersection of Policies

Page 20: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute
Page 21: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Kansas Policy Option?Kansas Policy Option?

Page 22: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

Influencing FactorsInfluencing Factors Factors influencing decisions regarding student

wellness, nutrition and physical activity (strongly agree/agree– Administrators)

1. Laws & regulations……………67%2. No Child Left Behind………….60%3. Superintendent/principal

requests……………………......59%4. Testing………………………....55%5. Local board…………………....47%6. Students…………………….....41%7. Community…………………….38%8. Budget………………………….17%

Page 23: Kansas School Nutrition and Physical Activity Survey, 2006 Obesity Task Force Topeka, Kansas October 24, 2006 Kim S. Kimminau, Ph.D. Kansas Health Institute

KHI RecommendationsKHI Recommendations1. Kansas needs to develop a comprehensive, statewide

strategy 2. Progress and improvement using the school wellness policy

guidelines should be required in all Kansas public K-12 schools

3. 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

4. An in-depth review should be conducted of how the school lunch program is financed at the local level

5. State policymakers should institute more comprehensive physical education requirements in Kansas public middle and high schools

6. 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

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

Healthier Kansans through informed decisionsHealthier Kansans through informed decisions

Kansas Health InstituteKansas Health Institute