A VIEW FROM THE LOCAL LENS

Georgia SHAPE 2012-2014

Georgia Childhood Obesity • Georgia ranks 17th in the nation for childhood obesity (Georgia ranked second in 2009) • In May of 2012 Governor Deal Launched the Shape Initiative • Public Health Commissioner Brenda Fitzgerald recruits expert staff and Committee to implement Georgia Shape

Georgia SHAPE Georgia SHAPE is a statewide, multi-agency, multidimensional initiative of Governor Nathan Deal that brings together the governmental, philanthropic, academic and business communities to address childhood obesity in Georgia

Georgia SHAPE Partners • • • • • • • • • • • • • • • • • • • • • • • •

4-H Club Arthur M. Blank Foundation Atlanta Falcons Youth Foundation Board of County Commissioners Boys and Girls Club Bright From the Start CDC Centene Children's Healthcare of Atlanta CIGNA City of Atlanta Cobb/Douglas Health District Coca-Cola Department of Community Health Department of Human Resources Fulton County Board of Health GA Afterschool Investment Council GA Department of Agriculture GA Department of Education GA Department of Natural Resources GA Department of Transportation GA Governor’s Office GA State Board of Education Georgia Chamber of Commerce

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Georgia Family Community Partnership Georgia Healthcare Foundation Georgia Learns Georgia Municipal Association Georgia Organics Georgia Recreation and Park Association Georgia Regents University Georgia Restaurant Association Georgia State University Good Sports Health M Powers Kaiser Permanente Novo Nordisk Safe Routes to School State Health Benefit Plan Southeast United Dairy Industry Association The Alliance for a Healthier Generation The Atlanta Braves Foundation The Giving Point UGA Cooperative Extension United Healthcare Georgia United Way University of Georgia University of West Georgia

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Voices for Georgia's Children

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Georgia Chapter of the American Academy of Pediatrics

Members of the Governor’s Advisory Council on Childhood Obesity

Co-Chair

Co-Chair

Nathan Deal

Rob Schreiner, MD

Brenda Fitzgerald, MD

Casey Cagle

Governor, State of Georgia

Executive Medical Director, SE Permanente Medical Group

Commissioner, Georgia DPH

Lieutenant Governor, State of Georgia

John Alpers

John Bare

Jim Clark

Barbara Hampton, CPA

VP of Sales and Marketing, Royal Food Service

Vice President, Arthur M. Blank Foundation

President and Chief Executive Officer, Boys & Girls Clubs of America

Chairman, State Board of Education

Tom Hensley

Donna Hyland

Evelyn Johnson, MD

Teya Ryan

President, Fieldale Farms Corporation

President & Chief Executive Officer, Children’s Healthcare of Atlanta

Vice President, Georgia Chapter, American Academy of Pediatrics

President and Executive Director, Georgia Public Broadcasting

David Satcher, MD, PhD

Ron Shipman

Clyde Tuggle

Phillip Williams, PhD

Director, Satcher Health Leadership Institute; Director, Center of Excellence on Health Disparities, Morehouse School of Medicine

Vice President. Environmental Affairs, Georgia Power

Senior Vice President, Chief Public Affairs and Communications Officer, The CocaCola Company

Dean, College of Public Health, University of Georgia

Georgia Shape Strategic Plan

FitnessGram Assessments: 1. Aerobic Capacity 2. Flexibility 3. Muscular Strength 4. Muscular Endurance 5. BMI (Body Mass Index)

2012-2013 FitnessGram Results • 41% of Georgia children are overweight or obese • Only 19% of Georgia children were able to pass all SHAPE basic fitness tests • 25% of Georgia children were not able to pass ANY SHAPE basic fitness tests • There is improvement, but we have work to do!

Objective 1: Improve Aerobic Capacity Healthy Fitness Zone measure for the Public School K-12 Population by 1% each year beginning with the 2013 data set. • Aerobic Capacity HFZ measures improve from 64% (2013) to 67% by 2016 • Aerobic Capacity HFZ measures improve from 64% (2013) to 74% by 2023

Sope Creek Elem. School: Physical Activity Model 1. Regular academic schedule is maintained • •

Classroom time is not reduced Increased funding is not required

2. Exercises start at 7:15 am as students arrive 3. Minimal class schedule changes allow for 20 minutes of morning exercise 4. Exercise occurs throughout school day

Physical Activity vs. Physical Education: What’s the Difference? • Physical Education

– Planned, sequential program of curricula and instruction – Develops knowledge, attitudes, motor skills, selfmanagement skills, confidence for an active lifestyle – Taught by a certified teacher – Same level as other learning environments

• Physical Activity – – – –

Structured or unstructured Involves moderate to vigorous physical exertion Led by any teacher Complements– does not replace – PE

Where can you FIND 30 MINUTES & WHAT WORKS?

BEFORE School

DURING School

Morning Cardio & Group Workouts 10-30 Minutes Yoga Spin Class Zumba Zero Hour Run Walk to School Open Gym Brains & Bodies

Breaks & Active Lessons 2 – 10 Minutes Fitness for Life Lesson Plans Active Academics Deskercise Just a Minute Energizers Brain Breaks

AFTER School Clubs & After Hours 30 Minutes Safe Routes Web Log Move More Unlock the Playground Walk/Run Clubs Facility Joint Use Scavenger Hunts Fundraisers

Objective 2 Increase Georgia’s student population not currently being assessed by Fitnessgram by 50% •Home School Population assessed moves from 0% (2013) to 50% by 2016 •Private School Population assessed moves from 0% (2013) to 50% by 2016

•Public School Population assessed moves from 76% (2013) to 88% by 2016

FitnessGram 2011-2012

2012-2013

182 Districts

182 Districts

75 Schools did not assess

20 Schools did not assess

998,774 Students were assessed (67% of total enrollment)

1,139,998 Students were assessed (76% of total enrollment)

43% Unhealthy Weight

41% Unhealthy Weight

16% Passed all 5 Components

19% Passed all 5 Components

20% Could not pass ANY Component

25% Could not pass ANY Component

36.7% Unhealthy Aerobic Capacity

36% Unhealthy Aerobic Capacity

Georgia SHAPE School Grantees Purpose: Fund elementary, middle and high schools to develop and/or implement strategies that support increased physical activity and healthy eating in schools. • 38 Schools (Primary, Elementary, Middle and High) awarded since 2012 • Funding levels: – Planning $3,000 (6 awarded in 2013) – Implementation $5,000 (14 awarded in 2013) – 15 additional schools will be awarded in early 2014

Accomplishments • Funded schools have been able to identify and secure additional funding to support their efforts (ie. Fuel Up to Play 60) • Convened inaugural Shape Technical Assistance (TA) conference in 2013 for Shape School Grantees • Provided TA to funded schools on strategies for identifying and applying for grants focused on school health and wellness

Objective 3 • Improve the Georgia Breastfeeding 6th Month Initiation/Duration rate by 55% over 5 years, according to the CDC Breastfeeding Report Card*. • *CDC data report includes mainly WIC participants, and those served by public health programming • Breastfeeding Initiation rate improves from 31.8% (2013) to 48% by 2018

Georgia 5-STAR Hospital Initiative • The Georgia 5-STAR Hospital Initiative was implemented as a component of Governor Nathan Deal’s Georgia SHAPE obesity program focused on health, fitness and nutrition.

• The purpose of the initiative was support hospital breastfeeding capacity-building. Each hospital will apply to meet the Baby-Friendly USA national standards and can earn up 5 stars by meeting the specific criteria.

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Georgia 5-Star Hospitals Program Participants A total of nine hospitals were funded to increase exclusive rates by implementing evidence-based maternity care practices. The funded hospitals were: • • • • • • • • •

The Medical Center Doctors Hospital Gwinnett Medical Center The Medical Center of Central Georgia Wellstar Kennestone Hospital Phoebe Putney Memorial Hospital Southeast Georgia Health System Southern Regional Medical Center and Tift Regional Medical Center

Muscogee County Muscogee County Gwinnett County Bibb County Cobb County Dougherty County Glynn County Clayton County Tift County 20

Objective 4 • Increase the percentage of Quality Rated Early Care and Learning Centers that are SHAPE Awarded by 50% over 5 years. • Quality Rated Early Care Centers that are Shape Awarded increases from 11% (2013) to 16% by 2016.

Georgia SHAPE/DECAL Early Care Centers

40 Quality Rated Centers Awarded in 2013-2014 Award Winners Excel in Early Care Nutrition and Physical Activity Best Practices Recognized at Farm to Pre-School Summit

Farm to Pre-School Summit Georgia Shape & Georgia Organics hosted the first Farm to Pre-school summit in the Nation! Over 150 Early Care Providers Attended Seminars Included: – – – –

Sourcing & Serving Local Foods Healthy Snacks Gardening with Children Community Engagement

Georgia SHAPE Flags

Prevention to treatment Strong4Life is transforming lives in Georgia

Before

After