The Tennessee Department of Education's office of coordinated school health (CSH) works with every school district in the state to address all aspects of student health, with a special emphasis on reducing Tennessee's childhood obesity rates. Encouraging adequate physical activity and providing physical education for all students are the central…

Background: Childhood obesity is a significant but largely "modifiable" health risk, disproportionately affecting socioeconomically disadvantaged, racial/ethnic minority, and rural children. Elementary school-aged children typically experience the greatest increases in excess weight gain and therefore are important targets for reducing…

The Tennessee Department of Education's office of coordinated school health (CSH) works with every school district in the state to address all aspects of student health, with a special emphasis on reducing Tennessee's childhood obesity rates. Encouraging adequate physical activity and providing physical education for all students are the central…

Background: Approximately one third of California school-age children are overweight or obese. Legislative approaches to assessing obesity have focused on school-based data collection. During 2010-2011, the Chula Vista Elementary School District conducted districtwide surveillance and state-mandated physical fitness testing (PFT) among fifth grade…

The Tennessee Department of Education's office of coordinated school health (CSH) works with every school district in the state to address all aspects of student health, with a special emphasis on reducing Tennessee's childhood obesity rates. Encouraging adequate physical activity and providing physical education for all students are the central…

Weight-related outcomes were examined among high school students in Minnesota public school districts according to the quality of district wellness policies. Wellness policy strength and comprehensiveness were scored using the Wellness School Assessment Tool (WellSAT) for 325 Minnesota public school districts in 2013. The associations between…

Objectives: To examine the association between frequency of breakfast consumption and body mass index (BMI) among elementary students participating in a traditional School Breakfast Program (SBP) in a school district that is implementing a Farm to School (F2S) program compared to those participating in a traditional SBP without F2S. Methods: This…

Physical Education programs have monitored physical fitness and sport skills since the 1950's when the President's Council on Physical Fitness was formed. Unfortunately we have seen two divergent paths, the first is a dramatic decline in physical activity time often accompanied by a decline in fitness, and an equally dramatic increase in…

Background: School-based measurement of children's body mass index (BMI) is a useful tool for tracking childhood obesity rates, and may be an effective intervention strategy for reducing the increasing trends in obesity. This article examines the relationship between state law, district policy, and school-level BMI measurement practices.…

Background: Although studies have shown that school-based obesity interventions can be effective, little is known about how to translate and implement programs into real-world school settings. Methods: Semistructured interviews were conducted in spring 2012 with 19 key informants who participated in a multifaceted childhood obesity intervention…

Background: Limited data indicate that obese children are absent from school more than their normal-weight peers. We analyzed administrative data from a large urban school district to investigate the association of obesity and student sociodemographic characteristics with absenteeism. Methods: We analyzed 291,040 records, representing 165,056…

The concept of the "food desert", an area with limited access to retail food stores, has increasingly been used within social scientific and public health research to explore the dimensions of spatial inequality and community well-being. While research has demonstrated that food deserts are frequently characterized by higher levels of…

Parents of children in most elementary grades in Minnesota's Independent School District 191 receive an annual notice with potentially life-altering data for their children--and they are not state test scores, attendance rates, or grades. The notice contains the child's body mass index (BMI) score, which estimates whether the student has excess…