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With great appreciation to WellPoint Foundation for the donation of 2,000 squares and tapes
UPDATE: Student Test Number is nine digits and should have no dashes.
Click here for a sample Excel® document for the school height and weight data collection
DO NOT SUBMIT any form until the
Indiana Department of Education has released
instructions for electronic submission.
Click here to obtain Questions from Schools with updated information on regional meetings.
The purpose of this training guide is to provide guidance to school personnel who will be collecting height and weight of students in their school environment. The training guide is intended to answer the majority of questions relating to these measurements.
Compared to other countries, the United States has an overweight population. There are predictions that the children of today will be the first generation to live shorter, less healthy lives than their parents because of excessive weight. While we cannot predict the future of our children who are overweight, it is believed they will be more prone to the same conditions as adults who are overweight, including: premature death, early cardiovascular disease, high blood pressure, arthritis, some cancers and type 2 diabetes.
According to CDC, 112,000 annual deaths are attributed to obesity. In 2003, medical costs attributed to obesity were $75 billion dollars or $175 annually for each US taxpayer. Indiana has recently been identified as the 9th heaviest state in the nation based on 2002-2004 averages.
In 1999, 13 percent of children aged 6 to 11 years and 14 percent of adolescents in the United States were overweight. This prevalence nearly tripled for adolescents in the past two decades. Overweight teenagers have already been shown to have metabolic risk factors for diabetes and heart disease. Type 2 diabetes, previously considered an adult disease, has increased dramatically in children and adolescents. The most immediate consequence of overweight as perceived by the children themselves is social discrimination. This is associated with poor self-esteem and depression.
The limited data we have indicates Indiana children are not doing better than the national average [YRBSS 2003 data]. Fourteen percent are at risk of overweight; and twelve percent are overweight. Since the demographics of our state are changing, it is imperative that we begin longitudinal measurements of our children.
Tape Measure and Rafter Square
The screening area should ensure the privacy of each student during measurements. Privacy includes the area within the school where the measurements are taken, the description of the measuring process, and the interpretation of the numbers.
Be Sensitive as Screeners
Do not comment on the height or weight of a student as measurements are taken. Neutral comments such as “thank you” or “you can step off the scale” are appropriate. Do not judge student on his/her height or weight. Do not label a student as too tall, short, thin, or overweight based on a single height and weight measurement.
NOTE: DO NOT USE THE HEIGHT BAR ON A BALANCE SCALE…IT IS NOT ACCURATE!!!
Have student remove shoes, heavy outer clothing, hats, and barrettes.
Have student undo a hairstyle that interferes with measurements. If the student is unwilling or unable to undo hairstyle, locate crown of the head to the best of your ability.
Have student stand with his/her back and feet against the wall on a flat floor directly in front of the measuring tape. You may wish to mark the floor with masking tape to indicate where the student should stand. The tape should run directly down the center of his/her back.
Student should stand with the back as straight as possible. Weight should be evenly distributed on both feet.
Position the student with heels close together, legs straight, arms at sides, and shoulders relaxed. Buttocks and shoulders should touch the wall.
Have student inhale deeply and stand fully erect without altering heel position or allowing heels to rise off the floor.
Have student look straight ahead with head erect.
Place the square flat against the wall. Lower it until it firmly touches the crown of the head with sufficient pressure to compress the hair.
Hold the square steady and have the student move out from under the square.
Read the measurement at eye level where the lower edge of the square intersects the measuring tape.
RECORDING WEIGHT AND HEIGHT
A sample spreadsheet is attached. Create an electronic spreadsheet with the following columns:
A Student absent
C Child refused
R Parent refused
D Student unable to stand without support secondary to physical disability
P Student pregnant
O Any other reason
Reports should be prepared for electronic submission in Excel (comma delimiting) format. Student names must be removed before submitting the report.
The report will contain the following information from the worksheet:
The IDOE will append the data received from the schools so that it will also include:
The STN will be removed from the data before it is sent to the ISDH, thereby assuring that the data is confidential and anonymous. The data will be aggregate corporation data.
The Institute of Medicine Committee on Prevention of Obesity in Children and Youth has developed a comprehensive national strategy that recommends specific actions for families, schools, industry, communities, and government. The committee's recommendations are described in the report Preventing Childhood Obesity: Health in the Balance. An executive summary can be found on their Web site: http://www.iom.edu/.
The report's action plan lays out explicit goals and recommendations for preventing obesity in children and youth in various segments of society. It also explores the actions needed to initiate, support, and sustain the societal and lifestyle changes that can reverse the trend among our children and youth.
Student refuses to be measured:
Student asks for results of height and/or weight:
Weight is greater than the scale can measure:
Height is greater than seven feet:
Student becomes emotional:
For Additional Information:
American Academy of Pediatrics Policy Statement on Preventing Obesity:
Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Adolescent and School Health:
Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition and Physical Activity: