Valerie Minor, RN, MSN., Christa Ice, Ph.D.,
& Shannon Holland, MA.
Valerie Minor, Associate Director CARDIAC, will
introduce the CARDIAC project
2. Christa Ice will present findings from the past year
of CARDIAC and give examples of CARDIAC
research projects
3. Shannon Holland, Executive Director WVOM, will
talk about the Schools on the Move grants
1.
The West Virginia CARDIAC Project
Coronary
Artery
“To reduce cardiovascular disease,
Risk
diabetes, and other chronic illnesses
in West Virginia through research and
Detection
intervention in children.”
In
Appalachian
Communities
1998: 3 counties
2012: 55 counties
W.A.Neal, MD
…there was a famous pediatric cardiologist. He saved and improved
the quality of the lives of hundreds of sick children.
In 1995, the WV age adjusted
death rate from heart disease was
21% higher than the national
average.
Something had to be done. But the grown-ups just
didn’t seem to be getting it.
Now, this was not just your average “run of the mill” famous
pediatric cardiologist. He was a deep thinker!
Hold that thought.
The postman delivered letters that invited lots of people (including the famous
pediatric cardiologist and a cranky nurse) to a meeting.
Lfdoas lfoei ad ald da ll ldjpe fj j erd
lfoe d 0p aod ap apo
A[a aeipf apoia’p d ka adl k
“Geez, you’re the worst focus group I’ve ever seen.”
Geez, you’re the worst focus group I’ve ever seen.”
The cranky nurse didn’t like focus groups with all talk
and no action and said so as she introduced herself
to the group.
The famous pediatric cardiologist agreed. He decided to
introduce himself to the cranky nurse.
And there are 2 others
who can make this
happen…
W.Neal, MD
So over lunch at the meeting, the famous pediatric
cardiologist talked to the cranky nurse. He told her
about his bright idea and about 2 other people...
WVU SOM Department of Pediatric Cardiology
And you will do community service projects…
…and
the givers gave…
WE
CARDIAC
…and the legislature gave…
And the famous pediatric cardiologist said, “This is good.”
 Many of the same people
 Remains community based
 Able to focus on CARDIAC alone
 So far, so good!
Active consent 5th grade (CARDIAC Kid)
1) Family history
2) BMI
3) Blood pressure
4) Acanthosis Nigricans
5) Fasting lipid profile
2) Eight county active consent research program
3) Passive consent 2nd grade (CARDIAC TOO)
1)
 County and state results for 5th grade are available on
our website: www.cardiacwv.org
 Since 1998, we’ve screened over 81,156 5th graders!
 In 2011-2012:
1. 48 counties were screened
2. 259 schools
3. 4,780 students
4. 60 parents
 Among those 4,780 screened:
 18.7% were overweight
 27.8% were obese
 20.3% had high blood pressure
 23.5% had abnormal lipids (high TC and/or low HDL)
 3.9% had Acanthosis Nigricans
 Of those with AN, 62.1% had high insulin
 Many of the students screened do not realize they need medical
attention!
 Parents can call our toll-free hotline with questions.
 Parents are contacted if their child should seek immediate medical
attention.
 Since 2005, over 50,082 2nd graders have been screened
 During 2011-2012:
 41 counties participated
 8,591 students
 15.7% were overweight
 24.5% were obese
 2% had Acanthosis Nigricans
 Screened 868 kindergartners
 17.2% were overweight
 13.6% were obese
 0.7% had Acanthosis Nigricans
 Screened 97 8th graders
 19.8% were overweight
 26% were obese
 6.2% had Acanthosis Nigricans
Validate a Model for Reducing and Preventing
Obesity in WV School Aged Children
 3 year project following students in 6th, 7th, and 8th grades
 In collaboration with Marshall University regarding School Based
Health Centers
 Funded by The Claude Worthington Benedum Foundation
 Compared school-based health centers to a physician office-based
model
Evaluation and program develop of Greenbrier CHOICES, an
integrated adolescent health promotion program on the physical
activity, fitness, and dietary behaviors of middle school students.
 Screening 6th, 7th, and 8th grade students
 In Greenbrier County middle schools
 As part of the Clinical Component of the Carol M. White Physical Education
Program (PEP) Grant
 With the discontinuation of WVRHEP in the 2011-2012 school year,
CARDIAC hired experienced Area Coordinators
 If you are currently a school nurse participating in the CARDIAC
Project, please see our booth, pick up screening results, and say hi
to your Area Coordinator!
 If you have any questions regarding CARDIAC screening of 2nd or 5th
grade students, please feel free to talk to them!
 One of the biggest questions we get is what can we do with these
CARDIAC results to improve child health in WV?
 Area Coordinators will start implementing or facilitating intervention
efforts in their areas in 2012-2013
 We will generally only be screening passive consent 2nd grade and
active consent 5th grade schools
 We value the expertise of the School Nurses and we request that they
participate in the screening
 These results are extremely important for families, who might not
realize cardiovascular risk starts in young children
 They are also important for state and nationwide research
implications.
CARDIAC in the state news:
 Kate Long with the Charleston Gazette:
http://theshapewerein.wordpress.com/
 Nationwide CARDIAC research in the news:
1)
2012 AHA EPI-NPAM Science News: Sam Gidding, MD, FAHA
and Christa Ice, PhD. CV Risk Factors and Rurality in
Appalachian Children
2)
Ms. Ritchie’s 2010 article: Universal versus targeted blood
cholesterol screening among Appalachian youth: The CARDIAC
project. Pediatrics. 126, 260-265.
3)
Dr. Cottrell’s 2011 article: Metabolic abnormalities in children
with asthma. American Journal of Respiratory and Critical Care
Medicine. 183, 441-448.
20,266 Subjects Tested
(5th Graders)
14,468 met NCEP screening
Guidelines (71.4%)
5,798 did not meet NCEP
Screening guidelines (28.6%)
170 warrant pharmacologic tx
(1.2% of those who met
NCEP guidelines)
98 warrant pharmacologic tx
(1.7% of those who did not
Meet NCEP guidelines)
Data from 2003 - 2011
Results Summary:
 Mid-sized metro areas consistently
presented with the worst outcomes
(BP, BMI, cholesterol)
 All areas/counties have high rates
of cardiovascular risk!
Obesity is defined as BMI
≥95th percentile
Data includes over 81,000
participants
National average is ~20%
All counties have prevalence
above the national average
 Take steps to improve West Virginia children’s health! Here are a few
ways you can help:
 Ask parents and schools to participate in the CARDIAC Project
 Encourage state legislators to continue supporting child health
initiatives, such as healthy school meals and obesity screening
 Volunteer with local, community-based health initiatives, such as
school gardens
 Become a role model: Follow 5-2-1-0. Have your cholesterol and
blood pressure checked.
 Become involved in statewide initiatives, such as the
physical activity plan: www.wvphysicalactivity.org
 Go to West Virginia on the Move for other great
physical activity ideas: www.wvonthemove.net
 Partner with WVU Extension’s healthy lifestyle
initiative: www.ext.wvu.edu
 Since 2004
 Statewide non-profit
 Mission :
To promote a physically active lifestyle for all West
Virginians, by providing leadership, technical
expertise, and collaboration with the goal of reducing
the prevalence of chronic disease.
To help WV schools create
and foster opportunities
for comprehensive
school physical activity
that could not be
developed without
external funding. *
*WV Physical Activity Plan - Priority Area 1:
School-based Programs & Initiatives.
Implement multi-year programs to provide
resources and technical support for PK-12
schools seeking to establish comprehensive
school physical activity programs. (ActiveWV
Schools)
Warwood School 2010-2011
50
 Since 2005
 Up to $5,000
 Pre-K to 12
 Public or private
 # of grants varies
 5 to 11
 Increase physical
Tunnelton-Denver Elementary (2011)
activity opportunities
before, during or after
school for students, staff
and families
51
 Walking Tracks
 Circuit Training & Hip







Hope Dance Program
Mobile PE Boxes
Climbing Walls
Family Fun Nights
Cycling Clubs
Kids Run Wild Program
SPARK Training
Summer Shape Up
Challenge
Williamstown Elementary 2009
52
Brandywine Elementary (Pendleton) - Walking Trail
Increase physical activity most students receive by twenty minutes on a new walking trail.
Activities include after-school family walking program in addition to before and during school
programs.
Fountain Primary School (Mineral) - On the Go
Increase physical activity levels of students and community members through programs using
paved walking track. Promote use before during and after school and increase community access.
Marlowe Elementary (Berkeley) - Marlow is Walking around the World
Increase student physical activity levels during the school day in addition to increasing levels for
parents, staff and community weekly by creating walking clubs that will “walk around the world”.
Point Harmony Elementary (Kanawha) - Point Harmony After-School Activity Program
Increase physical activity levels and reduce screen time through after school clubs and integration
of nature trail in school and community outdoor physical activity.
Tucker County High School (Tucker) - Wheels for the Hills
Create school based outdoor adventure club to foster a life-long enjoyment of outdoor recreation
for students, staff and community through mountain biking.
West Liberty Elementary (Ohio) - Heart of an Eagle
Increase knowledge of moderate to vigorous physical activity using heart rate monitors through
programming that includes best practices such as SPARK and Let’s Move! WV.
Total
39,281 Reported by Grant Contacts 2005 – 2011
Hancock
Grants
2005 to 2013
58 grants in 30 counties
Brooke
Ohio
Marshall
Monongalia
Wetzel
Pleasants
Wood
Marion
Tyler
Ritchie
Dodd- Harrison
ridge
Roane
Putnam
Pendleton
Webster
Nicholas
Pocahontas
Wayne Lincoln
Boone
Fayette
Greenbrier
Mingo
Logan
Raleigh
Wyoming
McDowell
Summers
Mercer
Grant
Randolph
Braxton
Kanawha
Tucker
Jefferson
Hardy
Upshur
Clay
Cabell
Mineral
Hampshire
Taylor
Lewis
Cal- Gilmer
houn
Jackson
Mason
Preston
Barbour
Wirt
Morgan
Berkeley
Monroe
6 Grants
5 Grants
4 Grants
3 Grants
2 Grants
1 Grants
Funding for 2011-2013 Schools on the Move Program provided by WVU
Children’s Hospital Foundation. Additional support from End Childhood
Obesity Race (ECHO) and The CARDIAC Project.
2010-2011 Reported..
 58% leveraged more
funding
 36% obtained up to
$5,000
 27% obtained >$10,000
 100% received publicity
 91% reached desired
target audience
 91% report SOM
experience encouraged
them to seek other
funding or increased their
grant writing capacity
Bridge Elementary 2011-2012
56
 “The sight of over 100 children staying after school and running
happily on a trail that the school community built was the vision
we hoped for…
 …[Children] are learning the basics of health through the
activity and parents see it in action.”
 “…I have noticed that students that were not normally
competitive in sports activities are very successful and enjoy
using the climbing wall. “
 “Through [this project] our school adopted an entire health and
wellness initiative”
 Story from ...parent : “They took a slow, trudging, injury prone,
overweight work horse and turned her into a eager, peppy and
healthy race horse who is forty pounds lighter. … that running
club's last group was 180 kids out of an enrollment of 460
children, more than 1/3 of our school. Crazy amounts of kids
are running here thanks …”
Thanks!
 WVU Children’s Hospital Foundation
 Additional support provided by The CARDIAC Project
and End Childhood Obesity (ECHO) Race, Wheeling
 Initial program funding from The Benedum Foundation
 WVOM Board Members provide their expertise
 In-kind support from countless organizations who help
spread the word
 New Funding for 2013-2014 Academic Year
 WVU Children’s Hospital Foundation
 Information on WVOM website by September 2012
 List of previously funded projects – available now
 CARDIAC Area Coordinators role
 www.wvonthemove.net
59
 First - Letter of Intent Form required
 Then - Application:
 Cover Sheet
 Committee List
 Narrative
 Need/Problem Statement
 Expected Outcomes
 Target Audience
 Intervention Description
 Evaluation.
 Outcomes Table
 Budget and Justification
 2 Letters of Support
Proposals should support
local initiatives that
promote comprehensive
approaches to youth
physical activity:
(a) Quality physical
education
(b) Alternative before, during
or after school programs
(c) Parent/community
outreach
(d) Staff/faculty wellness
(e) Active transportation
Tygarts Valley High School
61
Thanks for all you do to help …
West Virginia Schools Get on the Move!
www.wvonthemove.net
62
For Schools on the Move contact:
Shannon Holland: sholland@wvonthemove.net
For CARDIAC contact:
Christa Ice: cice@hsc.wvu.edu OR Valerie Minor vminor@hsc.wvu.edu