Analyses of Maryland Data on Student Nutrition and Physical Activity

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Analyses of Maryland Data on Student Nutrition and Physical Activity 2014 School Health Profiles Data August 4, 2016

2014 School Health Profiles Purpose: To assess school health policies and practices in public secondary schools Conducted every 2 years by the CDC since 2004 Middle and high school principals and lead health education teachers surveyed 2014 participants: 48 states 21 large urban school districts 2 territories

Topics Covered by the School Health Profiles 1. School health education requirements and content 2. Physical education and physical activity 3. Practices related to bullying and sexual harassment 4. School health policies related to tobacco-use prevention and nutrition 5. School-based health services 6. Family engagement and community involvement 7. School health coordination

Percentage of Maryland high school students who are obese or overweight* State average 26.3% *Obese (>= 95th percentile for body mass index, based on sex- and age-specific reference data from the 2000 CDC growth charts); overweight (>= 85th percentile but <95th percentile) Source: Youth Risk Behavior Survey, 2014

Health Education Curriculum

20 Nutrition and Dietary Behavior Topics 1. Benefits of healthy eating 2. Benefits of drinking plenty of water 3. Benefits of eating breakfast every day 4. Food guidance using the current Dietary Guidelines for Americans 5. Using food labels 6. Differentiating between nutritious and non-nutritious beverages 7. Balancing food intake and physical activity 8. Eating more vegetables, fruits, and whole-grain products 9. Choosing foods and snacks that are low in solid fat 10. Choosing food, snacks, and beverages that are low in added sugars 11. Choosing food and snacks that are low in sodium 12. Eating a variety of foods that are high in calcium 13. Eating a variety of foods that are high in iron 14. Food safety 15. Preparing healthy meals and snacks 16. Risks of unhealthy weight control practices 17. Accepting body size differences 18. Signs, symptoms, and treatment for eating disorders 19. Relationship between diet and chronic diseases 20. Assessing body mass index

13 Physical Activity Topics 1. Short-term and long-term benefits of physical activity 2. Mental and social benefits of physical activity 3. Health-related fitness 4. Phases of a workout 5. Moderate, vigorous, musclestrengthening, and bone-strengthening physical activity 6. Decreasing sedentary activities 7. Preventing injury during physical activity 8. Weather-related safety 9. Dangers of using performanceenhancing drugs 10. Increasing daily physical activity 11. Incorporating physical activity into daily life 12. Using safety equipment for specific physical activities 13. Benefits of drinking water before, during, and after physical activity

Percentage of Maryland secondary schools in which teachers covered all key topics in a required course, 2013-14: U.S. Maryland Above the median? All 20 nutrition and dietary behavior topics 56.2% 61.4% All 13 physical activity topics 66.6% 70.0% Source: School Health Profiles, 2014

Teacher Professional Development

Percentage of Maryland secondary schools in which the lead health education teacher: *Such as workshops, conferences, continuing education, or any other kind of in-service. Source: School Health Profiles, 2014

School District Policies

Percentage of Maryland secondary schools that taught a required physical education course in each grade* *Among schools with students in that grade Source: School Health Profiles, 2014

Percentage of Maryland secondary schools that prohibited advertisements for candy, fast food restaurants, or soft drinks: *Including on the outside of the school building, on playing fields, or other areas of the campus Source: School Health Profiles, 2014

Percentage of Maryland secondary schools that implemented the following policies to promote nutrition, healthy eating, and physical activity: *Includes (1) chocolate candy; (2) other kinds of candy; (3) salty snacks; (4) cookies, crackers, cakes, pastries, or other baked goods; (5) soda pop or fruit drinks; and (6) sports drinks Source: School Health Profiles, 2014

School Strategies to Promote Physical Activity and Fitness

Percentage of Maryland secondary schools that offered: *Any physical activity programs that are voluntary for students, in which students are given an equal opportunity to participate regardless of physical ability Source: School Health Profiles, 2014

Percentage of Maryland secondary schools that: Source: School Health Profiles, 2014

School Strategies to Promote Nutrition and Healthy Eating

Percentage of Maryland secondary schools that implemented the following strategies to promote healthy eating: *Including on the outside of the school building, on playing fields, or other areas of the campus Source: School Health Profiles, 2014

Percentage of Maryland secondary schools that implemented the following strategies to promote healthy eating: Source: School Health Profiles, 2014

Percentage of Maryland secondary schools that implemented the following strategies to promote healthy eating: *Permitted students to have a drinking water bottle with them during the school day and offered a free source of drinking water (in the cafeteria during breakfast and lunch, in hallways throughout the school, in the gym, on sports fields, and in other indoor and outdoor physical activity facilities) Source: School Health Profiles, 2014

Family and Community Involvement

Percentage of Maryland secondary schools that provided parents and families with health information on these topics: Source: School Health Profiles, 2014

Where have we seen substantial improvements between 2012 and 2014? Percentage of MD secondary schools that: 2012 2014 Change 1. Prohibited ads for candy, fast food restaurants, or soft drinks: a. on school grounds 56.9% 62.1% + 5.2 b. on school buses 64.9% 72.5% + 7.6 c. in school publications 56.8% 62.0% + 5.2 2. Planted a school garden 22.5% 30.9% + 8.4 3. Placed fruits and vegetables near the cafeteria cashier 4. Used attractive displays for fruits/veggies in the cafeteria 77.3% 86.2% + 8.9 64.7% 71.7% + 7.0 5. Offered a salad bar to students 19.7% 27.8% + 8.1 Source: School Health Profiles, 2012 and 2014

Where have we seen substantial declines between 2012 and 2014? Percentage of MD secondary schools that: 1. Collected suggestions from students, families, and school staff on nutritious food preferences and strategies to promote healthy eating 2. Labeled healthful foods with appealing names 2012 2014 Change 46.3% 40.5% - 5.8 34.0% 26.2% - 7.8 Source: School Health Profiles, 2012 and 2014

For Discussion 1. Overall, how would you say Maryland secondary schools are doing with respect to promoting nutrition and physical activity? 2. Where do you see a need for more intensive or targeted efforts? 3. What policies or practices have you adopted in your district to improve student wellness? 4. Based on these results, what else do you think health education and physical education teachers should be doing? Other teachers? Principals? School district leaders? Parents? The media? Businesses? Others?

For More Information 2014 School Health Profiles http://www.cdc.gov/healthyyouth/data/profiles/p df/2014/2014_profiles_report.pdf 2014 Maryland Youth Risk Behavior Survey http://phpa.dhmh.maryland.gov/ccdpc/reports/p ages/yrbs.aspx

For More Information - MSDE Contacts Christopher Hersl, Education Specialist for Physical Education and Comprehensive Health Education email:christopherc.hersl@maryland.gov 410-767-0327 office Alicia Mezu, Health Services Specialist email: alicia.mezu@maryland.gov 410-767-0353 office