Partner Spotlight: The Division of Nutrition, Physical Activity, and Obesity Prevention at SC DHEC

Partner Spotlight: The Division of Nutrition, Physical Activity, and Obesity Prevention at SC DHEC

We recently caught up with Lori Phillips, director of the Division of Nutrition, Physical Activity and Obesity Prevention (DNPAO) at the SC Department of Health and Environmental Control. Historically, SCDHEC founded the coalition that became Wholespire and DNPAO has been a long-standing partner. Their partnership and shared vision have contributed to the growth and recognition of policy, systems and environmental change strategies as a foundation of community health improvement across South Carolina.

Question: What is DNPAO and what does it do?
Answer: The Division of Nutrition, Physical Activity, and Obesity Prevention (DNPAO) aims to support equitable opportunities for healthy eating and active living statewide through the facilitation of collective state-level actions. It serves as the state arm of the Centers for Disease Control and Prevention’s Division of Nutrition, Physical Activity, and Obesity and a bridge between national nutrition and physical activity best practices and state and local actions.

DNPAO strategies include:

  • Improving early care and education and school environments to support healthy eating and active living
  • Improving student health through the implementation of a statewide, web-based FitnessGram system
  • Engaging partners to guide state-wide healthy eating, active living, and healthy weight efforts

Question: You’ve been the director for quite a while. Can you tell us how the DNPAO and its work have evolved over the years?
Answer: I have served in the director role since 2013. The division’s evolution has predominantly been driven by funding changes over the years. In the past, the division received substantial federal funding which sustained a team of 10 staff with specific subject matter expertise. When this federal funding was cut in 2018, the division was down-sized to focus on nutrition, physical activity, and obesity prevention in the main settings where children spend time – in communities and early care and education and school systems. The division was funded by the state legislature in 2023 to sustain these efforts as well as to maintain the SC FitnessGram system and to serve as a backbone organization (along with Wholespire) for Healthy Palmetto.

Question: Your division and Wholespire are co-leaders of Healthy Palmetto. Will you explain what Healthy Palmetto is and how it’s work is impacting community health improvement?
Answer: South Carolina has had a state obesity plan since 2005. In 2019, the previous plan was wrapping up and key state stakeholders were convened to determine a path forward. It was determined that creating environments and systems that support healthy eating and active living throughout South Carolina is important for the future health of the state. So, Healthy Palmetto was established in 2020 with a commitment to serve as the state lead coalition of organizations responsible for collectively addressing healthy eating, active living, and healthy weight within the Live Healthy SC State Health Improvement Plan.

Healthy Palmetto supports healthy eating and active living priorities that would benefit from collective elevation. This includes creating space for partner organizations to share resources and connect with other state-level leaders, developing and disseminating collective communication assets, tracking the progress of priority measures, and blending funding for greater impact.

Healthy Palmetto is serving as the lead for the 2025-2030 State Health Improvement Plan Health Behaviors Work Group and planning is currently underway to determine strategies for the next five years. Although Healthy Palmetto focuses on state-level population strategies to improve nutrition and physical activity, there is a role for everyone to play. Local stakeholders can implement the Healthy Palmetto priority strategies and can connect with state-level leaders in each of the priority areas for assistance. Healthy Palmetto provides infrastructure for organizations to work towards common goals collectively.

You can find more information on the impacts that Healthy Palmetto has seen in the 2023 Healthy Palmetto Annual Report.

Question: SCDHEC is preparing for a new name and a new brand. How will this transition impact the division, the work and its partnerships?  
Answer: Yes, as of July 1, 2024, DNPAO will be housed within the SC Department of Public Health. While there will be name changes and perhaps some structural changes internally, this should not impact DNPAO’s work or its partnerships. The work that we do is long-term in nature and we are thankful that we can continue contributing to a healthier South Carolina.

Question: What do you think has made Wholespire a good partner?
Answer: DNPAO was a catalyst to establish the original organization that is now Wholespire. While I was not director at that time, it is my understanding that the impetus for that was to create opportunities for a public-private partnership to spearhead and lead the state’s obesity prevention efforts. Although there have been major changes in both DNPAO and Wholespire over the years, I believe this original intent continues to serve the state positively.

Wholespire serves a role that state agencies cannot in that it can be more flexible and fluid. Wholespire is a leader in advocacy and communication for healthy eating and active living and community health overall. Wholespire also provides direct technical assistance for local stakeholders. The work that Wholespire does complements DNPAO’s work and together we can have greater impact.

Question: Would you like to share any other important details about DNPAO?
Answer: DNPAO is a small team with over 65 years of combined experience and subject matter expertise in nutrition and physical activity best practices, specifically within early care and education, schools, and communities. Please reach out if you think we can help you. We are always open to connect people to the appropriate resources or partners to make South Carolina a healthier state.

Dillon Youth asks City Council to improve Harmon Field

Dillon Youth asks City Council to improve Harmon Field

The Dillon County HYPE Team
The HYPE Team on the steps of City Hall after they advocated to City Council for park improvement

A group of young changemakers at the Dillon County Girls and Boys Youth Center in the City of Dillon have sparked significant improvements in a local park and influenced elected officials to address other outdoor community amenities. Through the Healthy Young People Empowerment (HYPE) Project, youth learned how to assess their community, advocate for change and make Harmon Field a destination for everyone.

In 1924, Harmon Field was given to the City of Dillon and “dedicated forever to the plays of children, the development of youth, and the recreation of all.” The dedication plaque speaks volumes about the intentions of the HYPE team’s civic action project – reinvigorate Harmon Field for everyone.

“We had been taking the kids to a park, not far from us, and the park had to have had the same equipment as I had when I was a child,” says Annie Smith, Dillon County Girls and Boys Youth Center and HYPE Advisor. “The only people that would use the park were our kids (Youth Center) and maybe a few more kids you might see, but everything was dilapidated. It was just terrible.”

As a HYPE advisor, Smith’s responsibility is to lead the youth through the HYPE curriculum and help them learn the process of choosing and implementing a civic action project focused on healthy eating or active living. Once the HYPE team understood what they were doing, they quickly knew they wanted to make Harmon Field a more comfortable and safer place to spend time outdoors.

They used their HYPE grant funds to paint benches, but they had their site set on something bigger, something huge, something that required a lot of courage and determination. They wanted the City Council to devote some of its budget to improvements that would help get Harmon Field back on a path to greatness.

girl using water fountain
A HYPE team member demonstrates the new working water fountain at Harmon Field.

Speaking on behalf of the HYPE team, Smith says, “Our main concern was water. There was no water fountain for the kids. There was no water fountain for anyone. There’s a walking trail there, so you know people will get thirsty while walking. And there is no bathroom.”

Backing Up Their Big Idea

Although the youth knew what they wanted to do, they still needed to collect data and information supporting the need for improvements. They had to assess the park to determine exactly what was missing. Then, they had to get the community’s opinion on the park. While some HYPE teams may choose to conduct a survey, this HYPE team was confident that the community would support their desires. So, they petitioned as many people as they could.

“The kids went to the park on a daily or weekly basis to get signatures from anyone there. They could’ve been students, their parents, their grandparents, anybody in the neighborhood, and visitors,” says Smith. “We have people that visit from out of town. Roland (NC) is right across the border, and I have seen people having a cookout a couple of times. And still, there was no water and no bathroom.”

After collecting around 250 signatures, the HYPE team was ready to approach the City Council. When advocating for something we want, many of us know that we have to be prepared before approaching leaders with a request. Elected officials and decision-makers at all levels want information about the issue, proposed solutions and community support before making any decision. For youth, it took courage to overcome such an intimidating task, to find their voice and speak to elected officials in a public setting.

Advocating to City Council

When advocating for something we want, many of us know that we have to be prepared before approaching leaders with a request. Elected officials and decision-makers at all levels want information about the issue, proposed solutions and community support before making any decision. For youth, it took courage to overcome such an intimidating task, to find their voice and speak to elected officials in a public setting.

new play equipment
The new playground equipment exceeded the team’s expectations.

Smith said about 15 youths attended the council meeting and showed solidarity wearing their HYPE t-shirts. It was their first time attending a City Council meeting for all of them. The HYPE advisors identified one youth who was outspoken and very active on the team to address the City Council.

“We made a folder and passed it out to everybody on the City Council so they would follow along with us as we talked. We showed them pictures of what the park looked like. And at the end, we showed them a convenient bathroom that wasn’t that expensive that they could actually put out there, and the bathroom had a place to put a water fountain in front of it”, says Smith. “We talked about statistics. It was all written down, and they had it so they could see it, visualize it, and see where we were coming from.”

Council members were surprised to hear from youth, a group of citizens who usually don’t speak at meetings or talk about issues or business that may affect them. Several residents complained about the lack of running water at the existing water fountain, but no action was taken. Perhaps that’s why the City Council agreed to fulfill most of the HYPE team’s requests.  

The City Council did not agree to install a bathroom, citing concerns about misuse of the facility, such as potential crime, drug paraphernalia being left behind, lack of staff, and other deterrents.

“We’re going have to keep going back. I understand their concerns, but we’re still going to try to work on them and find a grant that would fund an employee because they desperately need a bathroom.” 

The Proof is In the Pudding

new play equpment
The HYPE Advisors were surprised by the amount of new playground equipment.

Since installing new playground equipment and a water fountain, Smith has noticed an increase in adults and children at the park. They’re staying longer, playing longer, and enjoying the great outdoors. Even teens have been spotted using the walking track.

“I am so excited to go to that park now. They have a water fountain that’s working, and the equipment is beautiful. They put new equipment everywhere. I went to the park twice last week, and there have been so many kids out there playing. It actually made kids come to the park! It’s just beautiful to be sitting in the park now. You’ve got older people coming out there walking their dogs. We’re still excited about what we started.”

The ultimate goal of this HYPE project was to increase physical activity in Harmon Field. While there is evidence of that goal being met, the HYPE team gained an experience they can be proud of. They used their influence and voice to express a desire and a need for community health improvement.

“It’s a good thing for kids to get involved,” says Smith. “It’s something they get to call their own, something they can be proud of. They get a chance to use their input, and we get a chance to listen to them.”

Ava Dean, BSN, MPH, Out the Lifeline: A Mission to Families and HYPE Advisor, added, “I was going to say the same thing, to let them have ownership of it and not to let us as adults come up with the project, but to allow them. Once you allow them to do it and see the final project, they will walk away knowing, ‘Hey, I had something to do with this,’ and they will be proud of that. They will forever have that accomplishment.”

The HYPE team in Dillon indeed started something. The City Council plans to update the playground equipment in all its parks. The City Manager approved Dean and the Tobacco-Free Health Disparities Coalition to place a “Clean Air is Fair” sign to keep the park smoke-free. Smith and Dean have also discussed possible collaboration amongst local coalitions to volunteer and remove graffiti from the park shelter.

So, while the HYPE team certainly had a successful civic action project and learned new leadership and advocacy skills, they have also influenced other groups to answer the question, “What’s next?”  

Ridge Spring Focusing on Getting Families Outside More Often

Ridge Spring Focusing on Getting Families Outside More Often

Town of Ridge Spring, SC made park improvements
New sensory equipment

Rural municipalities are relying on increased community engagement to enhance amenities and opportunities for families to explore local businesses, as well as provide inclusive play opportunities for children of all abilities. Focusing on these types of improvements means looking at the built environment, which influences healthy eating and physical activity.

The built environment includes the man-made spaces where we live. When community leaders value the surroundings and what they offer to attract residents and visitors, there is an opportunity to create more liveable, thriving spaces for recreation and transportation purposes. In Ridge Spring, SC, community leaders are investing in changes to the environment to increase walking, bicycling, outdoor playing and the local economy.

With assistance from the Upper Savannah Council on Governments, the Town of Ridge Spring applied for a Healthy Eating and Active Living (HEAL) Mini-Grant to purchase and install bike racks and inclusive playground equipment. The small, rural Saluda County town wanted to encourage residents to become more active. They proposed installing bicycle racks at the farmers market and interactive sensory equipment at the community playground.  

Town of Ridge Spring, SC made park improvements
New and updated riders

According to their application, several public hearings related to streetscape (view of a street) projects and potential improvements related to walkability (a measure of how friendly an area is to walking) were held and residents responded. They were interested in being able to walk and bike to places more safely. There was also a desire to update the community playground. Like many rural community parks, the equipment was outdated, unsafe and unappealing.

With HEAL Mini-Grant funds, Ridge Spring installed a bike rack at the farmers market, providing opportunities for cyclists to secure their bicycles and feel comfortable while they browse and shop. At the playground, new sensory-related equipment was installed, which helps make the space more inclusive of children’s needs. Observations indicate increased usage of the playground and children are playing longer.

Through the mini-grant, the town found a new partnership with Kids in Parks, a non-profit organization focused on getting families and children to spend more time outside. The new partnership could lead to additional funding opportunities to assist with future projects. Leaders also have their eye on improving another community playground and placing more bike racks in other areas of the town.

Town of Ridge Spring, SC made park improvements
Bike rack at the farmers market

Partner Spotlight: BlueCross BlueShield of South Carolina Foundation

Partner Spotlight: BlueCross BlueShield of South Carolina Foundation

The Wholespire Partner Spotlight Series shines a light on the remarkable collaborations and impactful initiatives of our valued partners. In this series, we highlight the incredible work being done by organizations and individuals who share our vision and commitment to ensure an equitable South Carolina, where everyone has access to healthy choices.

We recently caught up with Erika Kirby, executive director of the BlueCross BlueShield of South Carolina Foundation. The Foundation has been a long-standing partner of Wholespire. Their partnership has enabled hundreds of communities to increase opportunities for healthy food choices and physical activity across the state.

The BlueCross and BlueShield of South Carolina Foundation logo

What is the BlueCross BlueShield of South Carolina Foundation?

The BlueCross BlueShield of South Carolina Foundation (Foundation), an independent licensee of the Blue Cross Blue Shield Association, was established in early 2000 with a vision to bridge health and health care in South Carolina. Its mission and commitment remain steadfast to identifying and supporting solutions to address gaps in care and serving as a change agent to support innovation and value-added public-private partnerships.

The Foundation is South Carolina’s only statewide state-based philanthropic organization focused exclusively on improving health. Since its first grant was awarded in 2003, the Foundation has supported projects and efforts in all 46 counties.

The Foundation supports organizations and communities across South Carolina. Aside from grant support, how does the Foundation achieve its mission?

The Foundation is committed to creating value beyond traditional grantmaking. As a statewide health funder, the Foundation uses both its financial and non-financial assets to maximize its impact and create value for those we serve. Examples of how the Foundation’s service to South Carolina extends beyond traditional grantmaking and financial support: 

  • We use our reputation to convene partners on key health issues.
  • We work with partners to minimize duplication and aim to increase coordination of organizations working to improve health, as well as to promote learning across communities and organizations.
  • Given our statewide footprint, we interact with a wide array of organizations and are aware of many health-related efforts occurring across South Carolina.  With this information, we frequently make connections across stakeholders and across communities. 

An example would be convening support for the South Carolina Social Determinants of Health Roadmap and engagement with the health-focused partners and members of the Alliance for Healthier South Carolina.  While not directly health-focused, the Foundation is also a member and involved in SC’s state association of nonprofit organizations and the state grantmakers network to stay abreast of issues and opportunities for South Carolina.  

One of your approaches is “Working Downstream and Upstream.” How does this approach impact health outcomes in SC?

The Foundation recognizes that South Carolina faces many complex health issues and has a unique position, given our statewide reach, to influence and lead the direction of initiatives to make an impact. Accordingly, the Foundation sees its role beyond a grantmaker to a change maker. Our values below convey our commitment to a diverse array of projects and approaches.

  • We support a continuum of approaches ranging from providing direct care for the economically vulnerable to advancing practice and policy, systems and environmental changes.
  • We prioritize efforts that will improve the health of future generations of South Carolinians.
  • We empower organizations to increase effectiveness towards improved health outcomes.
  • We support efforts that represent community and statewide priorities that are locally determined, culturally relevant and data-informed solutions.
  • We equip our partners to connect learning to action and use data for continuous improvement.
  • We are a catalytic partner, supporting organizations and programs as they gain sustainability by leveraging funds and we value innovative projects that can expand to multiple geographic areas in South Carolina.

The Foundation has the ability as a corporate philanthropic statewide health foundation to help discover, introduce, and advance new, different, or more effective ways to improve health and well-being and to improve the quality of health delivered to improve individual health outcomes. 

As a statewide organization, we balance scaling solutions statewide to supporting strategies that can most effectively address local health needs. The Foundation seeks to listen to community needs, analyze, and evaluate data, and understand local community assets and challenges. We are also respected for our approach to develop relationships that foster honest dialogue. We listen, suggest, and in many instances, co-create mutually beneficial solutions.

This commitment to serving South Carolina is communicated to key stakeholders across the state and positions the Foundation as both a source of information, accelerating action, and working to find innovative solutions to best serve South Carolina.

What are the priorities of the Foundation for the next 3-5 years?

Most recently, we have intentionally woven together and overlayed our funding pillars of access to care, workforce, improving the quality of services, and investing in the health and well-being of South Carolina children and families with an additional emphasis in three health priorities of diabetes, oral health, and mental health.

The Foundation amplifies different areas of focus annually, mostly within these noted priorities. However, we are always keeping an eye out for innovative approaches not yet tried so we balance defined priorities to needs and opportunities as we hear from partners.

Over the years, the Foundation has supported Wholespire and its work. What do you think has made Wholespire a good partner?

The Foundation views its grantees as partners, leveraging their capacity to improve health across South Carolina. We invest in strong relationships with key organizations and design initiatives that build a network of trusted partners with which we can listen, learn, ask, and receive candid ‘on the ground’ check-ins – all towards advancing action and impact.

Would you like to share any other important details about the Foundation?

We recently held our inaugural regional grantee appreciation events. These events were created to recognize the contributions of each and the potential of all. Health is local and we wanted to give grantees the chance to strengthen relationships with each other. We see the possibility and power that the cross-pollination of ideas between grantees will lead to even more positive change in the communities they serve.

Take a look at the Foundation’s website for impact stories and highlights as well as the Foundation’s new team members. 

BlueCross and BlueShield of South Carolina Foundation grantees in the Upstate
Upstate Grantees
BlueCross and BlueShield of South Carolina Foundation grantees in the Pee Dee
Pee Dee Grantees
The BlueCross BlueShield of South Carolina Foundation funds initiatives around the state.
BlueCross and BlueShield of South Carolina Foundation grantees in the Midlands
Midlands Grantees
BlueCross and BlueShield of South Carolina grantees in the Lowcountry
Lowcountry Grantees
Healthy Palmetto partners are increasing healthy eating and active living opportunities

Healthy Palmetto partners are increasing healthy eating and active living opportunities

Getting multiple organizations with different missions on the same page isn’t an easy task. It takes a lot of coordination, planning and communication. But, Healthy Palmetto, the coalition responsible for implementing the healthy eating and active living portion of the SC State Health Improvement Plan, seems to be doing the right things. With financial support from Wholespire, they recently released their annual report indicating the progress being made by organizations on the ground across all six priority areas. You can see more detailed data and information by downloading the Health Palmetto Annual Report.

Improve Outdoor Environments for Early Care and Education

Grow Outdoors SC is transforming early childhood outdoor spaces into diverse, naturalized environments that spark play and learning.

Prioritize Physical Activity in Schools

SCDHEC and its partners are improving student health by enhancing physical education and creating more opportunities for physical activity before, during, and after school.

Promote Trail Connectivity

The South Carolina Trails Coalition is increasing trail connectivity in the state and promoting the use of trails through increased knowledge and outreach.

Expand Awareness of WIC

SCDHEC is expanding awareness of the benefits and services of the Women, Infants, and Children (WIC) program to increase enrollment of eligible participants.

  • A new online app to make it easier for families to pre-apply for WIC was launched. The app streamlines enrollment and recertification processes for families.

Increase Senior Enrollment in SNAP

The SC Department on Aging and SC Thrive are increasing enrollment of eligible older adults in SNAP through community-based outreach.

  • Over 139,00 SC residents 51 years of age or older who are eligible for SNAP are receiving SNAP benefits.
  • The SNAP for Seniors Toolkit was created and those assisting seniors to apply for SNAP benefits were trained. Updates to the toolkit are currently in process and will be released soon.

Increase Access to Healthy Food

The SC Food Policy Council is strengthening local food systems in South Carolina, addressing food insecurity through the health care system by expanding screening and referral tools and resources and exploring strategies to address community design for physical activity and access to healthy food.

  • Seven (7) local food policy councils received support from USC SNAP-Ed in partnership with the SC Food Policy Council. Multiple organizations in South Carolina received USDA funding to establish produce prescription programs.
  • Multiple organizations in South Carolina received USDA funding to establish produce prescription programs.
  • Active People, Healthy Nation Walkability Action Institute was held in South Carolina in 2023. Five (5) local communities received training and developed action plans to address walkability/moveability through community planning and design.

Ask your State Representative to Support Healthy School Meals for All

Ask your State Representative to Support Healthy School Meals for All

Advocacy Alert

We have an opportunity to help move a proactive child wellness bill through the SC House, but we need your help! House Bill 5022 seeks to give all public school students free breakfast and lunch each school day and to extend the lunch period to at least 30 minutes each day. Learn more about the bill on our watchlist.

We’ve made it easy for you to take action. Simply click on the button below and complete the online form. Hit “Send Email” and a prepopulated message about H.5022 will be sent to your state representative.

Wholespire Richland County Joins Healthy People, Healthy Carolinas

Wholespire Richland County Joins Healthy People, Healthy Carolinas

Four new South Carolina community coalitions, including Wholespire Richland County, have joined Healthy People, Healthy Carolinas (HPHC), an initiative of The Duke Endowment to help address chronic health issues such as obesity, diabetes and heart disease.

Each community will receive financial assistance from The Duke Endowment and technical support from the South Carolina Hospital Association and the South Carolina Office of Rural Health. The coalitions will serve to strengthen local infrastructure and community engagement to measurably improve population health around chronic prevention issues like unhealthy weight, diabetes, and heart disease. 

“We are beyond excited for Wholespire Richland County, the communities it serves and the possibilities this substantial funding will support,” said Meg Stanley, executive director at Wholespire. “Co-Chairs Robin Cooper and Wanda Austin have done an incredible job navigating through the challenges coalitions often face and positioning the chapter for success.”

In the HPHC model, diverse community organizations collaborate to address systemic conditions that have led to poor health outcomes by implementing evidence-based interventions and sustaining them through policy, systems, and environmental changes. At the end of a one-year readiness phase, each coalition can reapply for up to five more years of funding to support implementation and policy change.

Oconee County Students, Community Get Active Pathways  

Oconee County Students, Community Get Active Pathways  

Nestled between Oconee State Park and Lake Keowee in Oconee County, students at Tamassee-Salem Elementary School are reaping the benefits of active pathways, also known as sensory pathways, and blacktop games, and so are community members. In 2022, former Physical Education Teacher Leah Ryan made it her mission to give the students, teachers and community an outlet for brain breaks and fun physical activity. She applied for a Wholespire Healthy Eating and Active Living Mini-Grant and got it!

Sensory pathways have become a popular tool for school administrators and teachers to help students stimulate their cognitive activity with movement. They are a series of visual cues on the ground that guide students along a particular path. From jumping, leaping, and walking a line, students follow the guided paths for a fun break between classes, during indoor recess and other ways teachers choose to incorporate them into their lesson plan.

In his letter of support, Tamassee-Salem Elementary School Principal Bobby Norizan said, “What I love about this initiative is that it is sustainable, and simply put, it is something that will help make physical activity more enjoyable. We have several families use our walking track outside of school hours, but I feel like we will be providing more opportunities other than simply walking the track if we are able to add the active pathway activities.”

Principal Norizan said, “The Four Square games not only provide an opportunity for physical activity but also opportunities for students to socially interact within the rules during active play, which is vital regarding the developmental growth of their students.”

Tamassee-Salem Elementary School received funding for the purchase of reusable stencil kits and paint. They leveraged 12 hours of volunteer time to place and paint the pathways. Pathways were placed on the walking path, a paved sidewalk that circles the school. Four Square games were placed in the recess area.

Mrs. Ryan said in her application, “A couple of teachers use the path as a brain break for their students. This active pathway will encourage more teachers to take their students outside more, and students will get to benefit from the open play. I teach students how to play Four Square in my physical education class. It is an easily accessible and simple game to play. Having the courts will give students access to a physically active game they can play at recess.”

Community members in Tamassee and Salem who use the walking path for physical activity benefit from the active pathways too. The School District of Oconee County adopted an Open Community Use Policy, which allows community members to use outdoor recreational facilities on school grounds for physical activity and play. Now, children aren’t the only ones who can jump, leap and walk a line as they navigate the path. Adults can too!

Physical activity is not just a vital component of a healthy lifestyle; it also plays a crucial role in academic success and overall well-being, especially in the school environment. More and more school administrators and teachers are emphasizing the integration of physical activity into the daily lives of students. Administrators and teachers at rural Tamassee-Salem Elementary School are part of the growing innovation in creating healthier school environments.

New Data Reveals Decline in Health of South Carolina’s Children During COVID-19 Pandemic, Disproportionate Effects Noted on Minority Populations

New Data Reveals Decline in Health of South Carolina’s Children During COVID-19 Pandemic, Disproportionate Effects Noted on Minority Populations

COLUMBIA, S.C. – The South Carolina Department of Health and Environmental Control (DHEC), in partnership with the University of South Carolina and the BlueCross® BlueShield® of South Carolina Foundation, has released a new SC FitnessGram data report, revealing a steady decline in student health throughout the COVID-19 pandemic.

The SC FitnessGram assessment is a comprehensive physical fitness test that evaluates various components of fitness, including aerobic capacity, muscular strength, flexibility, and body composition. The test is administered by school PE teachers in grades 2, 5, 8, and high school in participating schools across South Carolina. 

In keeping with the declines in health noted in the study, participation in the study also declined from 64 districts in 2018-19 to just 52 in 2020-21, and of those 52 districts, only 21 districts had high-enough student participation data to be considered responsive. This study reflects data from those districts, which represent 48,154 students, 58% of whom qualify as living in poverty according to the U.S. Census Bureau

The report shows the percentage of children in the “Healthy Weight Category” decreased from 65% pre-pandemic to 59% post-pandemic, and the percentage of students in the “Healthy Fitness Zone” for cardiorespiratory fitness (i.e., heart and lung function) declined from 60% pre-pandemic to 51% post-pandemic. 

There were also several disparities present in the data:

  • A disproportionate number of Black and Hispanic children scored lower on all testing than their White peers;
  • Students living in poverty are less likely to achieve the Healthy Fitness Zone; and
  • The percentage of students in the Healthy Fitness Zone decreases from elementary to middle to high school.

“This stark decline when students are not in the school setting, particularly for marginalized populations, proves that students are much more physically active when attending school in person,” said Dr. Brannon Traxler, DHEC public health director. “These numbers show us just how important the role of public schools is to our children’s overall health, and schools should continue to promote physical activity before, during, and after school. We have a lot of ground to make up.”

Dr. Russ Pate of the USC Arnold School of Public Health and his team at the Children’s Physical Activity Research Group has been analyzing the SC FitnessGram data since its inception in 2014 and producing statewide reports of the data annually.

“These findings add to the growing body of evidence showing that the COVID pandemic harmed children’s health by depriving them of the physical activity that they normally receive in the school setting,” Pate said

According to the American Academy of Pediatrics, healthy children are less likely to develop chronic health conditions such as diabetes, high blood pressure and heart disease at a young age. The health of children also has a direct impact on academic capabilities. Children who are within a healthy weight range tend to have better memory, attention spans and self-esteem compared to those who are overweight or obese. 

Breonna Mealing, SC FitnessGram Coordinator, said the connection of childhood health to the workforce of tomorrow can’t be underestimated.

“Even within the Career and Technical Education offerings for South Carolina students, there are many jobs that require physical fitness such as construction, the military, manufacturing, transportation and corrections,” Mealing said. “While offering these pathways to our students is important, equally as important is ensuring students are physically capable to take on those jobs once they graduate.”  

The critical data SC FitnessGram produces each year is used to support programs and policies in public schools that will improve the health of our children. However, schools alone cannot bear all of the burden. 

“We are calling on not only schools, but community organizations, parents, community members, and students themselves to play a role in the movement for daily physical activity,” Mealing said. “Not everyone can do everything, but everyone can do something.” 

Visit SC FitnessGram at scdhec.gov/fitnessgram for the full data report and summary and to learn more about how you can support the movement to support students’ health from head to heart.