ILSI Research FoundationPhysical Activity and Nutrition (PAN) Program1156 15th Street NW, 2nd Floor, Washington DC 2005

Email: take10@ilsi.org Website: www.take10.netPresenter: Debra Kibbe – dkibbe@gsu.edu

TAKE 10!®

A Program of the ILSI Research Foundation

A 501c3 Non-Profit Organization

Integrating Physical Activity, Nutrition and Health with Academic Concepts

Imagine…

…3rd-grade students learning multiplication factors and their products while jumping an invisible rope.

www.take10.net

www.take10.net

Imagine…

…11-year-olds learning the skeletal system by doing the Hokey Pokey with a twist…

“You put your left femur in, you put your left femur out…”

www.take10.net

www.take10.net

KINDERGARTEN:OPPOSITES IN ACTION

Do a TAKE 10!®

ACTIVITY

1. History & Key Barriers2. Why TAKE 10!?3. What is TAKE 10!?4. Project Examples: Smart Bodies, Louisiana Make School a Moving Experience, Delaware

5. Impact of TAKE 10!7

Presentation Outline

History of TAKE 10! and barriers to implementing

physical activity breaks during the school day

TAKE 10!®

Objective #1

TAKE 10! History

• May 1999 obesity conference – School health discussion of research gaps

identified PA and Academic integration as a priority

• “Born” in fall 1999 & tested in 4 GA schools• Ongoing evaluation 2000 to the present• Studies: U.S., China, Brazil, UK

www.take10.net

History: TAKE 10!®? The Theory

Brain-based Learning Theory Jensen, 1998; Shephard, 1997

Social Learning / Social Cognitive Theory Bandura, 1963, 1977 & 1986

Surplus Energy Theory and Novelty Theory Jambor, 1994; Evans and Pellegrini, 1997

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TAKE 10!® HistoryLink between Learning, PA + Nutrition

Undernourished children:

• Attain lower scores on standardized tests

• More likely to become sick

• Miss school

• Fall behind in class

Physically active children:

• Achieve higher math scores

• Calmer in class

• Less absent from school

Literature review completed in 1999-2000

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• Developed by teachers for teachers,• Uses age-appropriate physical activity (PA),• Low cost – started at $79, now $82/binder• System fit requiring no changes in curriculum,• Appeals to students with different learning

styles, and• Focused on positive health behaviors.

TAKE 10! is….

TAKE 10! History

Barriers to Classroom-based Physical Activity (CBPA)

• Noise level of students

• Students will “lose focus” or are “difficult to calm down”

• Classroom space is limited

• Teacher inactivity

Barriers to CBPA

• Teacher resistance

• School leadership/administration not supportive

• Does not exactly match curriculum

The #1 Challenge is….?

#1 Challenge is TIME!

TAKE 10! To Date

• 4 revisions of the program have been completed -- all with teacher input.

• TAKE 10! continues to be designed with a “school system fit” orientation:– little change is required in an elementary

school.– no special equipment or training is needed.– grade-specific linkages

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Why TAKE 10!?

www.take10.net

Objective #2

Why TAKE 10!®?

• Rapid of pediatric obesity prevalence over 30 years• Increased 54% in 6-11 year olds - TAKE 10!

Targeted Age Group

• periods of sedentary behavior particularly related to school

• in nutrition & health education in school

• Evidence links health & learning

Source: CDC

Energize the ClassroomWhy teachers use TAKE 10!...

De-stress & Re-focus the Students

Why teachers use TAKE 10!...

Reinforce specific academic concepts

Why teachers use TAKE 10!...

Cherokee Nation, OK -- TAKE 10! Teacher Training

What is TAKE 10!?Objective #3

What is TAKE 10!?

Physical activity and nutrition concepts integrated with core academic learning objectives

Grade-specific for K, 1st, 2nd, 3rd, 4th & 5th

Fun “activity learning breaks”

Positive health messages for elementary students and teachers

www.take10.net

TAKE 10!® is….

TAKE 10!®

Materials

A variety of teacher resources ≈ 40 four-color activity cards 50+ student worksheets (reproducible)

Reinforces the activity card learning concepts Evaluation tools – teacher implementation

questionnaire & 3 student knowledge tests Tracking posters (3) & stickers (400+)

Grade-specific binder contains:

TAKE 10! K – 5 Materials

Minda

Jordan

Junji

Raven

Reina

Featuring the TAKE 10! Crew:

Representing diversity in students

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Materials are ordered by curriculum content area: Language Arts, Math, Science, Social Studies, General Health & Nutrition

What is TAKE 10!?

28

TAKE 10!® Teacher Resources

TAKE 10! Learning Concepts are Grade-specificMovement / Motor Skill Activities are Age-specific

TAKE 10! Health Smart Questions

1. What instrument does a doctor use to listen to your heart?

2. What are the bones called that make up your spine?

Answers:  1. Stethoscope  2. Vertebrae

• On every activity card

• For use during cool down

Worksheets: Linked to Activity Card Curriculum Objectives

Each binder has:

• 3 Posters*• Fall, Winter & Spring

themes• Track TAKE 10! Activities

• 400+ Stickers*• track activities on posters

• reward students

* Schools can laminate & reuse these items

TAKE 10! Tracking

New TAKE 10!® Materials

A subset of TAKE 10! materials in Spanish Will be evaluated in 2010-2011 Uses “generic” Spanish

language

New general health & nutrition content for each grade Energy balance & food variety Topics in 2010 Dietary

GuidelinesGrammar Speedway

in Spanish

Integrating TAKE 10! in the Classroom: An Example

• 4th Grade Example: A = Activity W = Worksheet

Typical School Day TAKE 10! Integration Examples8:40 am Spelling Pretest 9:15 am Reading Workshop10:20 am Writing Workshop11:05 am Spanish Lesson11: 35 am Word Study Mini-lesson12:10-12:50 pm LUNCH12:50 pm Read Aloud 1:10 pm Math2:15 pm Recess2:30 pm Science3:40 pm Dismissal

A: Spelling for Good Health; W: Field Day

A & W: Grammar SpeedwayA: El Bugui Bugui (Hokey Pokey)

A & W: Math on the Run

A: Planets in Motion; W: Planets in Order

TAKE 10!®

is an approved program of…

www.take10.net

• The Alliance for a Healthier Generation

• The National Blue Cross Blue Shield Association & its 39 Plans

TAKE 10! Stories on the Move……in Washington DC

• Walk to the Washington Monument - a tribute to ?

• Walk west to the World War II Monument – what year did it end?

• Run past the Reflecting Pool and lunge to the 16th

President’s monument ?

• Jump to the memorial honoring the 3rd U.S. President famous for signing the LA Purchase ?

www.take10.net

Started 1939, Ended 1945

George Washington - for military leadership during American Revolution

Abraham Lincoln

Thomas Jefferson

TAKE 10!®

Project Examples:

Objective #4

Louisiana Delaware

Smart Bodies Program Overview• Interactive educational program designed to help

prevent childhood obesity

• Public-private partnership of LSU AgCenter & Blue Cross Blue Shield of Louisiana Foundation

• Started in 2006 - 50 schools each year - reaching 30,000 K-5 students

• Body Walk

• Healthy School Kit

• Nutrition: OrganWise Guys• Classroom PA: TAKE 10!

Components:

Study Design• Randomized block design with the school as the unit

of match (Free & reduced lunch, school performance [1 * on 5* scale)]

• 4th and 5th grade children (w/ parental consent)• 18 elementary schools in EBR parish, pair matched,

9 intervention & 9 control• Environmental approach using social cognitive

theory

School PA Levels

StudentFeedback

Delaware Study: Physical fitness,

academic achievement and student behavior

Research collaboration between Delaware Department of Education

and Nemours Health and Prevention

Services

What are the goals?

1. For schools: Provide 150 minutes of moderate to vigorous physical activity to every student, every week.

2. For after-school providers: Provide 100 minutes of moderate to vigorous physical activity to participating children.

Delaware: Make School a Moving Experience

Nemours’ Make School A Moving Experience

• PEP Grant• 74 elementary schools

• 71% of DE’s public elementary schools

• Incorporate 150 minutes of MVPA into the school week

• Improve PE, recess, afterschool - CATCH• PA in the classroom - TAKE 10!

• Trained ~1800 school staff to implement TAKE 10! over 2.5 yrs

The Delaware Study: Make School A Moving Experience

• Statewide student level data• Analyzed relationship between fitness, academic

outcomes and student behaviors: attendance and suspension days– Fitness: FitnessGram®– Academics: DE state test scores for math & reading– Student behaviors tracked using E.SchoolPlus

• FitnessGram and E.SchoolPlus data for 2 school years (SY 2008-09 and SY2009-10) were merged

• N = 80,064 usable cases (after data cleaning)

The Cooper Institute (2011) FitnessGram Overview.

Results and Recommendations

Results* show strong, clear & consistent relationships between student fitness and: • Performance on DE standardized tests compared to less fit

students, • Significantly lower number of suspension days, and • Significantly greater attendance at school, than students who are

less physically fit.

• Stakeholders may use these findings to:– Continue to promote quality PE & PA to enable all students to

achieve all five FitnessGram HFZs– Focus on policy that ensures that all students in elementary schools

are provided with 150 minutes of MVPA weekly

* Controlled for family income, race, gender & school district

TAKE 10!®

Impact

www.take10.net

Objective #5

Energy Expenditure

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Reference: Stewart JA, Dennison DA, Kohl HW, Doyle JA. J Sch Health.2004 Dec;74(10):397-400.

• 3 Classrooms, CSA accelerometers & digital pedometers• 10-minute sessions

Grade Avg MET levels

Avg kcalexpenditure

Pedometer step counts

1st Grade 5.72-7.05 25.6-27.8 644-9313rd Grade 5.51-6.77 27.6-33.9 659-13765th Grade 4.98-7.19 29.7-42.9 1002-1041

TAKE 10! & CATCH: PASS & CATCHCBPA & Learning Linked

Reading & math scores improve for “poorly adapting students” when increase CBPA.1

Most students improve their math scores when increase CBPA.2

Increased physical activity does not take away from classroom academic outcomes.3

1) Murray N, et. al. Amer Public Health Assn Conference, October 29, 2008, San Diego, CA. 2) Murray N, et. al. Amer College of Sports Medicine Meeting, May 30, 2008, Indianapolis IN. 3) Murray N, et. al., Coordinated School Health Programs and Academic Achievement: A Systematic Review of the Literature. Journal of School Health, 2007.

Impact of TAKE 10!Enhances Student PA

1) Tassin M, Murphy E, et. al. Smart Bodies 4-H Programs of Distinction Report. LSU AgCenter Report , 2007.

Accelerometer Data: Students were more active when participating in a TAKE 10! activity than during PE, lunch, recess, or after school

Impact of TAKE 10!Enhances Student

Health & Physical Activity (PA)

Statistically significant in PA knowledge1

TAKE 10! increased student attraction to PA1

Teachers did active lessons on most days, resulted in greater student PA levels (p < 0.0001)2,4

Significant decreases in weight & blood pressure among girls during a 2-year study w/ daily CBPA3

1) Tsai PY, Boonpleng W, et.al. J Sch Nurs. 2009 Apr;25(2):163-72. Epub 2009 Feb 23. 2) Gibson CA, Smith BK, et. al Int J Behav Nutr Phys Act. 2008 Jul 7;5:36. 3) Hollar D, Messiah SE, Lopez-Mitnik G, et. al. J Am Diet Assoc. 2010 Feb;110(2):261-7. 4) Liu A, Hu X, Obes Rev. 2008 Mar;9 Suppl 1:130-4. 5) Hunnell BJ. Dissertation: Evaluation of the TAKE 10! program: A pilot program to help reduce obesity and sedentary behavior. Gardner-Webb University, 2008.

Teachers report students are more able to concentrate after TAKE 10! sessions.1

Increases student time on task; reduces time off task.1,2

Reduces disruptive behavior.2,3

Addresses different learning styles.3,4

Helps with behavior management, reduced fidgeting, & made students more focused.4,5

1) Tsai PY, Boonpleng W, et.al. J Sch Nurs. 2009 Apr;25(2):163-72. 2) Gibson CA, Smith BK, et. al. Int J Behav Nutr Phys Act. 2008 Jul 7;5:36. 3) Kibbe DL, Hackett J, et. al. Prev Med 2011 Jan 31. 4) Lloyd LK, Cook CL et. al. TAHPERD Journal, Spring Issue 2005, 8-11. 5) Murray N, et. al. PASS & CATCH with TAKE 10!. Presentation, American Public Health Association Annual Meeting. October 29, 2008, San Diego CA.

Impact: Breaks Enhance Classroom Management

Students

Teachers

Schools, Families & Communities

• Promotes healthy PA & Nutrition• Appeals to different learning styles• Decreases sedentary time • Fun!

TAKE 10! Benefits

• Curriculum integration• Provides new learning methods• Improves student behavior • Promotes PA among teachers

• Complements PE & achieves PA/PE policy mandates

• Increases awareness of PA & nutrition in families

• Encourages communication between child and parent

Thank youto the more than 100 partner orgs., 30 school districts

and 20 funders who have engaged in TAKE 10! studies

since 1999!

Website:www.take10.net

How To Weigh Yourself

THANK YOU! & QUESTIONS?

ILSI Research Foundation’s TAKE 10! Program

Email: take10@ilsi.orgWeb: www.take10.net

Contact: Stephanie Carter

Presenter: Debra Kibbe, MS Senior Research Associate,

Georgia Health Policy CenterEmail: dkibbe@gsu.edu

Phone: 404-413-0287