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Persons using assistive technology might not be able to fully access information in this file. For assistance, please send e-mail to: mmwrq cool wood projects for high school students 60. Type Accommodation and the title of the report in the subject line of e-mail.

Bauer, PhD, Director. Corresponding preparer: Sarah M. Telephone: ; Fax: ; E-mail: skeuplee cdc. During the last 3 decades, the prevalence of obesity has tripled Cool Wood Projects For High School Students Worksheet among persons aged years.

Multiple chronic disease risk factors, such as high blood pressure, high cholesterol levels, and high blood glucose levels are related to obesity. Schools have a responsibility to help prevent obesity and promote physical activity and healthy eating through policies, practices, and supportive environments.

This report describes school health guidelines for promoting healthy eating and physical activity, including coordination of school policies and practices; supportive environments; school nutrition services; physical education and physical activity programs; health education; health, mental health, and social services; family and community involvement; school employee wellness; and professional development for school staff members.

These guidelines, developed in collaboration with specialists from universities and from national, federal, state, local, and voluntary agencies and organizations, are based on an in-depth review of research, theory, and best practices in healthy eating and physical activity promotion in school health, public health, and education.

Because every guideline might not be appropriate or feasible for every school to implement, individual schools should determine which guidelines have the highest priority based on the needs of the school and available resources.

Poor diet and physical inactivity among younger persons can lead to an increased risk for certain chronic health conditions, including high blood pressure, type 2 diabetes, and obesity 1. Engaging children and adolescents in healthy eating and regular physical activity can lower their risk for obesity and related chronic diseases 7,8. The dietary and physical activity behaviors of children and adolescents are influenced by many sectors of society, including families, communities, schools, child care settings, health-care providers, faith-based institutions, government agencies, the media, and the food and beverage industries and entertainment industry.

Each of these sectors has an important, cool wood projects for high school students 60 role to play in improving the dietary and physical activity behaviors of young persons. Schools play a particularly critical role by establishing a safe and supportive environment with policies and practices that support healthy behaviors. Schools also provide opportunities for students to learn about and practice healthy eating and physical activity behaviors. In response to the childhood obesity epidemic, much research has been conducted on school-based obesity prevention and healthy eating and physical activity promotion and intervention since the last publication of the Guidelines for School and Community Programs to Promote Lifelong Physical Activity Among Young People and the Guidelines for School Health Programs to Promote Lifelong Healthy Eating The new guidelines in this report synthesize the scientific evidence and best practices during and combine healthy eating and physical activity into one set of evidence-based guidelines for schools serving students in kindergarten through 12th grade grades K ; other educational programs within schools, such as prekindergarten, might also be able to apply these guidelines in their settings.

These guidelines support the Dietary Guidelines for Americans 5the Physical Activity Guidelines for Americans 9and the Healthy People objectives related to healthy eating and physical activity among children and adolescents and schools The guidelines establish a foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices for students Appendix A.

Each of the nine guidelines is accompanied by a series of strategies for schools to implement. The primary audience for this report includes state and local education and health agencies, federal agencies, and national nongovernmental organizations that focus on the health of students in school.

Agencies can use these guidelines to establish professional development materials, programs, and resources for partners and constituents. Locally, physical education and health education teachers, school nutrition directors, school health councils, and other school staff members; health-care providers; community members; policy makers; parents; and students can use these guidelines to establish, implement, and assess healthy eating and physical activity policies and practices in schools.

Finally, faculty members in institutions of higher education can use these guidelines to teach students of school health, public health, physical education, health education, exercise and wellness, physical activity, dietetics, nutrition education, nursing, elementary and secondary education, and other health- and education-related disciplines. The current guidelines and the corresponding strategies and actions were developed through a synthesis of scientific reports and expert opinion about effective and feasible practices in U.

Development of the guidelines involved an extensive literature search, development and use of a codebook by CDC staff members for rating the sufficiency of the scientific evidence and expert opinion, and an external review by approximately 50 organizations and persons in the fields of school health, education, public health, nutrition, and physical activity. A list of these technical advisors is provided on page The use of practice-based expert opinion refines research-based guidelines to ensure that recommendations are accessible, given limited funding and resources; credible, allowing them cool wood projects for high school students 60 be implemented in various school settings and communities; and reasonable in terms of the expectations they set for professional practice and health outcomes The coordinated school health approach was used to organize the literature search results for school-based nutrition and physical activity as they related to a healthy and safe school environment; nutrition services; physical education and school-based physical activity; health education; health services and counseling, psychological and social services; family and community involvement; and health promotion for staff members.

Scientific reports were included if they described practices to improve child and adolescent nutrition and physical activity that were based in schools or that addressed family or community involvement in schools.

Two overall types of scientific reports were used to identify the new guidelines and corresponding strategies and actions: 1 reports that included cross-sectional, prospective, and randomized controlled trials that were designed to improve healthy eating and physical activity and prevent youth obesity and to promote wellness among school employees and 2 expert statements that cool wood projects for high school students 60 opinions, commentaries, or consensus statements from public health and education organizations or agencies about youth nutrition, physical activity, or obesity prevention.

Scientific reports were included if they were published during to update and expand on research described in the previous guidelines. Epidemiologic and cool wood projects for high school students 60 data also were used to develop the introductory text. Reports were excluded from consideration if they included only preschool children or college-age or older adults, were not in English, described clinical trials for weight-loss drugs or other nonbehavioral methods for weight loss, primarily addressed mental health issues such as eating disorders, or described interventions to improve performance in a specific sport or to improve functional ability after illness or injury.

A total of 6, abstracts were screened to identify full scientific reports to be retrieved. A total of 1, full scientific reports and expert statements were retrieved and reviewed for consideration in the guidelines. A team of four CDC scientists used a database to record descriptions of each of the 1, scientific reports and expert statements, including health topics e. For reports describing evaluation studies, CDC scientists identified and documented the sample size, demographic makeup of study participants, duration of study, method of group assignment e.

Expert statements were described by type of statement e. After describing the characteristics of evaluation studies and expert statements, four CDC staff members rated the relevance of each for inclusion in the guidelines.

Each study and expert statement was read, and its evidence was rated. For scientific reports, the rating process focused on rigor, confidence in the findings, efficacy, and feasibility.

For expert statements, the rating process focused on the organization that published or wrote the report, conflicts of interest, and evidence to support the statement. Scientific reports were included if they had a rigorous study design with, at a minimum, a matched comparison group, strong study methods that contributed to confidence in the results, evaluation efficacy that included one or more positive results, and feasibility of implementing the intervention rated as medium or better.

Cool wood projects for high school students 60 four categories had to be rated as acceptable for a study to be included in the review for cool wood projects for high school students 60 guideline document. In addition to the review of research and evaluation studies, CDC staff members identified, collected, and considered for inclusion all relevant reports from the Task Force on Community Preventive Services.

Three task force reports on nutrition, physical activity, and obesity were relevant i. Best practice documents, position statements of individual persons or on behalf of organizations, and convened expert panels that covered topics related to youth physical activity and nutrition were included in the expert statements that were read and rated for sufficiency of evidence.

Expert statements were included if 1 the experts had no conflicts of interest i. Cool wood projects for high school students 60 ensure standardized and reliable coding, four CDC staff worked in pairs to rate a subset of 40 reports. Discrepancies among coders were resolved through group discussion cool wood projects for high school students 60 consensus. The 1, scientific reports and expert statements were coded and categorized by each component for coordinated school health: healthy and safe school environment; nutrition services; physical education and school-based physical activity; health education; health services and counseling, psychological, and social services; family and community involvement; and school employee wellness.

The CDC staff members concluded that there was enough scientific evidence on school-based nutrition and physical activity for each component of the coordinated school health framework to be an independent guideline. Furthermore, the CDC staff members identified enough scientific evidence to support the inclusion of two additional guidelines: 1 using a coordinated approach for nutrition and physical activity policies and practices and 2 professional development for school staff members.

After identifying each guideline, the CDC staff members reviewed the scientific reports again to identify common strategies and actions within each guideline that resulted in positive associations with student knowledge, attitude, behavior, or health outcomes related to physical activity, diet, weight, or chronic disease risk factors.

Expert statements also were reviewed for strategies and actions that are supported by opinions, commentaries, or consensus statements from public health and education organizations or agencies about youth nutrition, physical activity, or obesity prevention.

Ultimately, research and evaluation studies and expert statements were rated as presenting evidence of sufficient relevance for a strategy or action to be included in the revision of the guidelines. An additional descriptive articles were included in the document to support the background information e. In addition to the literature search and rating the sufficiency of cool wood projects for high school students 60 evidence, CDC convened a group of 10 experts in youth nutrition, physical activity, school health, school food service, education, and public health to review the scientific evidence and to provide individual input on proposed revisions of the guidelines.

Input from the individual experts on the nine guidelines and corresponding strategies and actions were reviewed and integrated into the guidelines. CDC also garnered input from 53 federal and state education and public health agencies, as well as from nongovernmental organizations that represented policy makers, educators, parents, students, school nurses, physicians, and other health-care providers.

Each of the 53 agencies provided a review of the guidelines and proposed revisions. The revised version was sent for review and revision to three experts in the field of school-based nutrition and physical activity who had not previously reviewed the document. This report was developed in response to the long-term and intermediate outcomes associated with inadequate physical activity and unhealthy eating.

Healthy eating and physical activity have been associated with increased life expectancy, increased quality of life, and reduced risk for many chronic diseases 9, Healthy living through healthy eating and regular physical activity reduces the risk for the top three leading causes of death in the United States heart disease, cancer, and strokeas well as for certain chronic conditions, such as high blood pressure cool wood projects for high school students 60 type 2 diabetes 1,2, Cardiovascular disease CVD includes cool wood projects for high school students 60 heart disease, myocardial infarction, congestive heart failure, stroke, and other diseases and illnesses of the heart and blood vessels.

Heart disease is the leading cause of death in the United States, and stroke is the third leading cause Adult population subgroups disproportionately affected by CVD and its related risk factors include blacks, Hispanics, Mexican-Americans, and persons of low socioeconomic status A healthy diet and regular physical activity can prevent and reduce metabolic risk factors that cause CVD, including hyperlipidemia e.

For example, dietary fiber can decrease the cholesterol concentration in the blood 21and physical activity can help maintain normal blood glucose levels 9. Studies indicate that CVD risk factors occur more frequently in obese children.

Some types of cancer can be prevented through regular physical activity and a diet consisting of various healthy foods with an emphasis on plant sources e. A diet rich in plant foods is associated with a decreased risk for lung, esophageal, stomach, and colorectal cancer Dietary factors that influence cancer risk include food type, variety, preparation, portion size, and fat content 17, Excess consumption of processed and red meats is associated with an increased risk for colorectal and prostate cancer Physical activity might contribute to cancer prevention through its role in regulating the production of hormones, boosting the immune system, and reducing insulin resistance 9.

Regular physical activity can reduce the risk for developing cancers of the breast and colon, and some evidence indicates that physical activity can reduce the risk for developing endometrial and lung cancers 9. Healthy eating and physical activity also can contribute to cancer prevention by preventing obesity 9.

Overweight and obesity are associated with increased risk for numerous types of cancer, including cancer of the breast, colon, endometrium, esophagus, kidney, pancreas, gall bladder, thyroid, ovary, cervix, and prostate, as well as multiple myeloma and Hodgkin's lymphoma Diabetes, a disease characterized by high blood glucose levels 26was the seventh leading cause of death in the United States in Diabetes is the leading cause of kidney failure, nontraumatic lower-extremity amputations, and new cases of blindness among adults and can affect the nervous system and oral health Persons with diabetes have a two to four times higher risk for dying from CVD than those without diabetes 27, Diabetes is a result of defects in insulin production, insulin action, or both and is classified as either type 1 insulin-dependent diabetes or type 2 usually non--insulin-dependent diabetes Although diet and physical activity can help control blood glucose levels and reduce complications from both types of diabetes, type 1 diabetes is an autoimmune disease of the pancreas, and little is known about prevention Inthe prevalence of type 1 diabetes among a sample of U.

Type 2 diabetes is the most common form of diabetes in adults cool wood projects for high school students 60 Healthy eating and regular physical activity can help prevent this type of diabetes 29,31, Type 2 diabetes was previously observed primarily among adults but has become more common among children and adolescents 26, Inthe prevalence of type 2 diabetes in a sample of U.

In the Pima Indian community, type 2 diabetes in children and adolescents cool wood projects for high school students 60 years increased significantly from 0.

Poor diet and physical inactivity are risk factors for numerous conditions that affect overall health and quality of life, and many of these conditions can lead to chronic diseases.

Intermediate outcomes such as obesity, metabolic syndrome, inadequate bone health, undernutrition, iron deficiency, eating disorders, and dental caries can begin in childhood, leading to earlier onset of disease and subsequent premature death.

Healthy eating and physical activity control Woodworking Projects For High School Students Program body weight through a balance of energy expenditure and caloric consumption Weight gain occurs when persons expend less energy through physical activity than they cool wood projects for high school students 60 through their diet As this imbalance continues over time, the risk for overweight and obesity increases

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