(image: Project Healthy Schools logo)

• A2 Community Foundation
• Borders Group
• SE Michigan Community Foundation
• Washtenaw County Health
• Hands' on Museum
• Pfizer
• WECAN!
• NuStep
• School Board
• Community Leaders
• SI Company
• Coca Cola
• Harvard Drug Group
• UM PublicHealth
• M-Fit
• UM CVC
• UM Health
• System

(image: diagram of Project Healthy Schools Coalition, with companies and organizations noted above surrounding and linking to "Students, Families and Teachers")

A school-based program for 6th graders designed to increase physical activity and healthier food choices…to begin now and last a lifetime!

(image: Project Healthy Schools logo)

• Hands-On Activities
• Fitness Assemblies
• Incentive Program
• Cafeteria Changes
• Outcome Measures

(image: Project Healthy Schools logo and images of crayons)

(image: photo of fruits and vegetables available in a school cafeteria)

(image: photo of school kids eating lunch)

(image: photo of school kids eating lunch)

(image: photo of school kids enjoying a healthy beverage)

(image: photo of kids playing at recess)

(image: photo of kids exercising at P.E.)

(image: photo of "Fast Food Fixes" bulletin board in school)

(image: photo of child enjoying carrots at lunch)

(image: photo of girls playing soccer)

(image: photo of University of Michigan female athletes giving autographs)

• Physiological Changes
  • Health Screening
• Behavior Changes
  • Health Questionnaire
  • Online Blog

• Complete non-fasting lipid profile (total cholesterol, HDL/LDL, triglycerides, glucose)
• Blood pressure
• BMI
• 3 Minute step test

Risk Marker	Frequency
Overweight >85%	32.0% (92)
Obese > 95%	5.0% (13)
Systolic BP = 124 mmHg	8.4% (24)
Total Cholesterol = 200	7.3% (21)
HDL Cholesterol < 35	5.4% (12)
"At Risk" –	40% (116)

One or More of BMI, SBP, TC, LDL, HDL, Glucose
N= 292

*Data from 2005-06 Three Schools

Variables	n	Baseline	Follow up	P value
BMI	274	19.5 ± 3.5	19.9 ± 3.5	0.00
Mean Systolic BP	273	109.1 ± 12.5	107.9 ± 11.4	0.11
Mean Diastolic BP	273	63.6 ± 8.7	62.3 ± 7.8	0.01
Cholesterol	213	168.8 ± 26.4	154.4 ± 26.6	0.00
HDL	214	55.6 ± 12.5	50.1 ± 12.4	0.00
LDL	172	86.3 ± 24.6	82.8 ± 22.6	0.1
Triglycerides	214	142.5 ± 92.3	109.4 ± 66.7	0.00
Random Glucose	212	96.0 ± 13.0	92.7 ± 15.2	0.08
Resting Heart Rate	274	79.6 ± 10.4	79.3 ± 10.3	0.64
Recovery Heart Rate	263	103.5 ± 15.9	104.7 ± 16.8	0.20

• The post program implementation data supported positive changes in 25% of the indicators on the survey.
• Food Service Director Reported 10% increase in fruit and vegetable purchases

Yesterday how many times did you eat fruit?

(image: bar graph titled "Yesterday how many times did you eat fruit?" illustrates that more students report eating fruit more frequently post program intervention)

Eliminated

• 2 for 1 Hot Dogs
• Double Cheeseburgers
• Candy in lunch line
• High fat meat pizza
• Pop Tarts
• Donuts
• Pastries
• Cookies
• Candy in Stores

Changed

• White flour bread/whole wheat bread
• Fried chips/Baked chips
• Coca-cola soda/Dasani water
• Slushy machine/100% Juices
• Reduced pepperoni on pizza

Offered

• Salad/Fruit bar
• Carrots/ranch dip
• Yogurt
• Celery/peanut butter
• Whole grain products
• Fresh fruit when available
• More Milk Choices
• Hard boiled eggs