Steven H. Kelder, PhD
Michael and Susan Dell Center for Advancement of Healthy Living
University of Texas Health Science Center at Houston, School of Public Health
Presented at Partnerships in Prevention: Shaping Policies – Improving Health
October 26, 2006

(image: photos of happy, healthy children, and a cowboy boot)

(image: bar graph titled "Trends in Prevalence of Youth Overweight1 in Texas Compared to National Data" reporting increases in overweight in 4th, 8th, and 11th grade youth between 1963 and 2005)

¹ Overweight is > 95th Percentile for BMI by Age/Sex
* significant difference (CI do not overlap)

Source: Hoelscher et al., 2004; Ogden et al., 2006; SPAN, 2004-2005

• Classroom Curriculum
• Physical Education
• School Food Service
• Family

(image: diagram explaining CATCH consists of Classroom Curriculum, Physical Education, School Food Service and Family.)

(image: diagram displaying Intervention Efficacy multiplied by Population Reach equals Public Health Impact!!)

Pilot	1987-91	8 schools
Trial	1991-94	96 schools
Tracking	1994-97	51 schools
Maintenance	1998-99	88 schools
Dissemination	1998-2006	1900 + schools
Catch Kids Club	1999-2001	16 schools
Homocysteine	2000-2001	25 schools

EXPORT	2003-2007	LRGV
Pass & CATCH	2004-2007	8 schools
RWJ Policy	2005-2008	150 schools
Harris County	2005-2007	430 schools
CDC SIP 11,12,18	2005-2008	32 schools
Dell CATCH	2006-2010	97 schools

(image: photo of 2004 Texas statehood quarter)

(image: graph titled "Moderate to Vigorous PA (Percent of Lesson Time)")

(image: bar graph illustrating rates of overweight in girls from 8 to 10 years old in control group compared to CATCH group. Girls in control, non-CATCH schools had significant increases in overweight from 3rd to 4th and 3rd to 5th grades (4th and 5th grades were not different). Source: Coleman et al., 2005)

(image: bar graph illustrating percentages of 151 representative Texas elementary schools that adopt, train, and implement CATCH, GBS, and HW)

>2,000 Texas elementary schools
Thousands nation and worldwide

Other Adopters:

• Dept of Def
• Florida
• California
• Illinois
• New York
• New Mexico
• Maine
• Delaware
• Kansas
• Nat'l Parks & Rec

(image: chart of Texas elementary schools adopting CATCH)

4th Grade Prevalence of Overweight* by Health Service Region, SPAN, 2000-2002 to 2004-2005

(image: two county maps of Texas comparing 4th Grade Prevalence of Overweight* by Health Service Region, SPAN, 2000-2002 to 2004-2005)

• CATCH is a well documented, evidence based, cost effective, and net beneficial program.
• SB 19 appears to have stimulated wide scale adoption, training, and implementation of CATCH.
• Overweight prevention efforts among 4th grade students appears to be blunting the increase in overweight.
• Dissemination of coordinated school health programs is time consuming and labor intensive. Our public health and education infrastructure is insufficiently equipped to handle training and implementation demands.

• Deanna Hoelscher, RD, PhD
• Guy Parcel, PhD
• Nancy Murray, MS, DrPH
• R. Sue Day, PhD
• Eun Sul Lee, PhD
• Ralph Frankowski, PhD
• Adriana Pérez, PhD
• Goldy George, PhD
• Andrew Springer, DrPH
• Julia Sanders, MS
• Peter Cribb, MEd
• Jerri Ward, MA, RD,LD
• Carolyn Smith
• Joey Walker, MPH
• Karen Doramus
• Pam Greer
• Tiffni Menendez, MPH
• Heather Hochberg-Garrett, RD
• Roy Allen, MA

(image: photos of individuals involved in CATCH)

(image: screenshot of CATCH homepage)

• Flaghouse, Inc.
• National Heart Lung and Blood Institute
• Centers for Disease Control and Prevention
• National Center on Minority Health and Health Disparities
• Texas Department of State Health Services
• Robert Wood Johnson
• International Life Sciences Institute
• Paso del Norte Health Foundation
• Houston Endowment
• Michael and Susana Dell Foundation

(image: photos of individuals involved in CATCH)