INCREASE P

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HPA 4

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ISSUE

Decline of Physical Activity (PA) Healthy People 2020

More than 80 percent of adults do not meet the guidelines for both aerobic and muscle-strengthening activities. Similarly, more than 80 percent of adolescents do not do enough aerobic physical activity to meet the guidelines for youth [1].

Decline of PA in children:

The percentage of children aged 6–11 years in the United States who were obese increased from 7% in 1980 to nearly 18% in 2010. Similarly, the percentage of adolescents aged 12–19 years who were obese increased from 5% to 18% over the same period.

Among Illinois’ children aged 2 years to less than 5 years 15.3% were overweight (85th to < 95th percentile BMI-for-Age) 14.6% were obese (≥ 95th percentile BMI-for-Age) [2].

PA Benefits:

Physical education is linked with academic achievement, obesity prevention, and behavior management. CPS aims to improve both the quality and quantity of physical education for all students [3].

CHICAGO ACTION

Healthy People 2020:

The Physical Activity objectives for 2020 highlight how physical activity levels are positively affected by: [1]

1. Structural environments, such as the availability of sidewalks, bike lanes, trails, and parks

2. Legislative policies that improve access to facilities that support physical activity

Action:

March 12, 2012: Mayor Rahm Emanuel announced a coordinated citywide effort to invest $290 million over the next five years to complete more than 800 projects in parks, recreational areas, and green spaces across Chicago.

Funders: private donations and public funds, including $5 million from Exelon and $1 million each from CNA and Boeing, along with $37 million in federal funds and $2 million in Park District funds [4].

CHICAGO ACTION

Chicago Public Schools (CPS) has received a $4.4 million grant from the U.S. Department of Health and Human Services (HHS) to support the launch of a comprehensive initiative aimed at improving the health and well-being of Chicago’s students: Healthy CPS. Healthy CPS will build upon this year’s addition of recess of the full school day for students across the city and will align CPS with the goals that are outlined in Healthy Chicago, the City’ first public health agenda. Specifically this federal grant will allow CPS to design and implement policies and programs that work to tackle obesity rates and tobacco use among CPS students [5].

Healthy Places, a joint effort of the Chicago Department of Public Health (CDPH) and the Consortium to Lower Obesity in Chicago Children (CLOCC) [6].

POTENTIAL PROBLEM

Today:

Illinois Office of Management & Budget (OMB) data shows that without comprehensive pension reform, Illinois will spend more on pensions than education by Fiscal Year 2016 [6].

Governor Quinn strongly objects to the General Assembly’s cuts to education and the Department of Children and Family Services [8].

Action:

Senate Bill 3374, sponsored by Sen. Linda Holmes (D-Plainfield) and Rep. Jerry Mitchell (R-Rock Falls), creates the Enhance Physical Education Task Force to examine existing physical education strategies and programs, assess the impact of physical education, and identify and leverage local, state and federal resources for physical education [9].

PROPOSED SOLUTION FOR ILLINOIS

Develop a policy that allows for institutional change to increase PA among children

- IL only state (1) that has extensive local control of curriculum (2) daily K-12 Requirement [9].

Collaborate with knowledgeable individuals on strategizing

- Illinois Enhanced P.E. Task Force is supported by the Illinois Department of Public Health, Illinois Public Health Institute, the Superintendent of the Schools [9].

Identify organizations and agencies that may support efforts

Support from Universities

- UIC’s ImpacTeen project was awarded a $4.4 million grant from the Robert Wood Johnson Foundation to study policy and environmental factors that influence youth behaviors related to nutrition, physical activity and obesity [6].

Involvement of all Illinois counties

ACTION

Target population

-Youth: specific lines of communication, use of technology

Evidence-based interventions

- Implementation of EB interventions state-wide

-Community Guide, “Behavioral and Social Approaches to Increase Physical Activity: Enhanced School-Based Physical Education” [9]

Advocate for a priority on health and education; utilize the Let’s Move Campaign and build infrastructure

POLICY MAKERS

Illinois Enhanced P.E. Task Force:

LaMar Hasbrouck, Christopher Koch, Teresa Garate, Elissa Bassler.

Senate Sponsors for Senate Bill 3374Sen. Linda Holmes, William Delgado, Dale A. Righter, Toi W. Hutchinson, Edward D. Maloney, Don Harmon, Wm. Sam McCann, Tim Bivins.

House Sponsors for Senate Bill 3374

Rep. Jerry Mitchell, Linda Chapa LaVia, Monique D. Davis, Naomi D. Jakobsson, Tom Cross, Scott E. Penny, Dwight Kay, Sidney H. Mathis.

CPS Chief of Health Officer

Stephanie Whyte.

POLICY MAKERS

Senators (D=40, R=19):

Patricia Van Pelt, John M. Sullivan, Steve Stadelman, Chapin Rose, Sue Rezin, Michael Noland, Julie Morrison, Karen McConnaughay, Kyle McCarter, Dan Kotowski, Iris Y. Martinez, Kimberly A. Lightford, David S. Luechtefeld, Jennifer Bertino-Tarrant, Daniel Biss, Melinda Bush, Bill Cunningham, Michael W. Freichs, Napoleon Harris III.

House Representatives (D=71, R=47):

Daniel V. Beiser, Patricia R. Bellock, Katherine Cloonen, Deborah Conroy, Barbara Wheeler, Emanuel Welch, Michael Unes, Michael W. Tryon, Cynthia Soto, Carol A. Sente, Sue Scherer, Pam Roth, Wayne Rosenthal, Al Riley, Robert W. Pritchard, Michelle Mussman, Sandra Pihos, Thomas Morrison.

STAKEHOLDERS ANALYSIS

Everyone will lose if our children are not healthy

Children

Parents/guardians will need to care for them

- Miss a day or more of work

- Children developing chronic disease: quality of life, medical costs

Healthcare systems

- Increase demand for services

Employers, Future employers

- Rising healthcare cost, Decrease return on invest, Low productivity

City, State, Federal budgets

Productivity of the U.S.

REFERENCES1. Healthy People 2020. http://

www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=33

2. Centers for Disease Control and Prevention. Http://www.cdc.gov/healthyyouth/obesity/facts.htm

3. Chicago Department of Public Health. Update August 2012. http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/HCNewsletterAugust2012.pdf

4. Chicago Department of Public Health. Update March 2012. http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/HCNewsletterMarch2012.pdf

5. IL Grant to CPS. http://www.cityofchicago.org/content/dam/city/depts/mayor/Press%20Room/Press%20Releases/2012/October/10.1.12cpsgrant.pdf

6. Chicago Department of Public Health. Update October 2012. http://www.cityofchicago.org/content/dam/city/depts/cdph/CDPH/HCNewsletterOctober2012.pdf

7. Illinois Government News Network. http://www3.illinois.gov/PressReleases/ShowPressRelease.cfm?SubjectID=2&RecNum=10451

8. Illinois Government News Network. http://www3.illinois.gov/PressReleases/ShowPressRelease.cfm?SubjectID=2&RecNum=10357

9. Illinois Enhanced P.E. Task Force. http://www.idph.state.il.us/pdf/EnhancedPE_StrategicPlan_Final2.pdf