03_01_2017 BOH Minutes1
New Hanover County
BMI Data Discussion
Second Year Learnings
Administration ‐County Manager’s OfficeMarch 1, 2017
Beth Schrader
Chief Strategy & Budget Officer
New Hanover County Slide 2
Why NHC is Interested in Child Obesity
Administration ‐County Manager’s OfficeMarch 1, 2017
•NHC Strategic Plan
−Reducing Health Risks and Disease is a key
objective identified by the BOCC in the
strategic plan and on our Strategy Map
−Obesity is the primary metric
−Adopted goal to reduce child obesity by 8%
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New Hanover County Slide 3
Body Mass Index (BMI) Characterization
Administration ‐County Manager’s OfficeMarch 1, 2017
1)BMI calculated using weight and height
2)BMI plotted on the CDC BMI‐for‐age growth
charts (by sex) to obtain a percentile ranking
Weight StatusPercentile Range
Underweight < 5th percentile
Healthy ≥ 5th and < 85th percentile
Overweight ≥ 85th and < 95th percentile
Obese ≥ 95th percentile
New Hanover County Slide 4
Two Different Data Sources
Administration ‐County Manager’s OfficeMarch 1, 2017
Kindergarten Health Assessment (KHA)Health O’Rama(HOR)
State(DPI, DHHS)County
Kindergarten and Pre‐K (FY15‐16)1st, 3rd, 6th Grades
Requiredby Law
Opt In to Share Data
Voluntary ‐Opt In Participation & Data
Sharing
Data provided by Parent(s) and Physician’s
Office
Measurementstakenby school nurse(s)
and parent volunteers
Dataentry after form submittedData entered at time of collection
FY14‐15 and FY15‐16FY15‐16
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New Hanover County Slide 5
Response Rates
Administration ‐County Manager’s OfficeMarch 1, 2017
KHA
•FY15‐16 response rate strong overall (72%)
Health O’Rama
•Participation rates significantly lower overall with “Opt‐
in” vs historical “Opt‐out” participation
•1st and 3rd grade had similar response rates (77% and
75% respectively), but a big drop off in 6th grade (42%)
New Hanover County Slide 6
Kindergarteners –The Second Cohort
Administration ‐County Manager’s OfficeMarch 1, 2017
•High participation rate
•30% of students are not
at a Healthy Weight
−4% are Underweight
−13% are Overweight
−13% are Obese
•Rates vary by gender
and school
Differences By School Year
3%4%
70%70%
17%13%
10%13%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
FY14‐15FY15‐16
BMI Classification for Entering K
Underweight Healthy Weight Overweight Obese
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New Hanover County Slide 7
Review of District Maps
Administration ‐County Manager’s OfficeMarch 1, 2017
New Hanover County Slide 8
Administration ‐County Manager’s OfficeMarch 1, 2017
3%7%
70%64%
17%16%
10%13%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
14‐15 Kindergarten15‐16 First Grade
BMI Percentile By Grade and Year
Underweight Healthy Weight Overweight Obese
Kindergarteners –One Year Later
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New Hanover County Slide 9
A Cautionary Tale
Administration ‐County Manager’s OfficeMarch 1, 2017
FY15‐16 Pre‐K Results
•Lower response rate overall (57%)
•Higher risk students (social determinants of health)
•Almost 1 in 3 overweight or obese
•15% overweight, 14% obese
•36 students fall in the 98‐100 BMI percentile
New Hanover County Slide 10
Other / Next Steps
Administration ‐County Manager’s OfficeMarch 1, 2017
1) Changes to KHA form FY16‐17 (narrative
only); no BMI data
2) FY16‐17 Health O’Rama
a)Data collection complete(1st, 3rd, 6th)
b)Technical issues with data collection make
comparisons difficult
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New Hanover County Slide 11
Next Steps
Administration ‐County Manager’s OfficeMarch 1, 2017
3) Request of Board of Education to:
a)Expand HOR to include Kindergarteners
b)Change back to previous opt‐out format
4) Work with Health Department to identify
resources / programs to work with the Pre‐K
families