Individual-, Family-, Community-, and Policy-Level Impact of a School-Based Cardiovascular Risk Detection Screening Program for Children in Underserved, Rural Areas: The CARDIAC Project

Table 1

5th-grade screening results, 1998–2012.

Year 1

Year 2

Year 3

Year 4

Year 5

Year 6

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Year 13

Year 14

Total

1998-1999

1999-2000

2000-2001

2001-2002

2002-2003

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

Number of participating counties

3

7

14

27

40

53

55

54

53

55

55

53

50

51

—

Eligible 5th-grade population

781

1.487

3.549

8.495

13.168

18.274

20.854

19.220

17.720

19.778

18.169

18.642

17.845

14.628

192.610

Children screened number (%)

349; (44.7)

709; (47.7)

1.247; (35.1)

3.917; (46.1)

5.973; (45.4)

8.984; (49.2)

9.008; (43.2)

9.257; (48.2)

7.599; (42.9)

7.794; (39.4)

7.816; (43.0)

7.547; (40.5)

6.176; (34.6)

4.780; (32.7)

81.156; (42.1)

Underweight-normal <85th percentile number (% of screened)

188; (55.8)

360; (52.1)

647; (53.3)

2.039; (54.6)

2.948; (51.0)

4.633; (53.7)

4.603; (52.7)

4606; (50.4)

3.878; (54.6)

4.109; (53.3)

4.139; (53.0)

4.039; (53.6)

3.253; (52.7)

2.555; (53.5)

41.999; (52.9)

Overweight BMI ≥ 85th–94th% number (% of screened)

59; (17.5)

141; (20.4)

213; (17.5)

684; (18.3)

1.089; (18.9)

1.576; (18.3)

1.664; (19.0)

1.741; (19.1)

1.293; (18.2)

1.538; (20.0)

1.447; (18.5)

1.422; (18.9)

1.136; (18.4)

892; (18.7)

14.895; (18.8)

Obese BMI ≥ 95th% number (% of screened)

90; (26.7)

190; (27.5)

355; (29.2)

1.017; (27.2)

1.736; (30.1)

2.426; (28.1)

2.469; (28.3)

2.785; (30.5)

1.935; (27.2)

2.060; (26.7)

2.218; (28.4)

2.075; (27.5)

1.781; (28.9)

1.325; (27.8)

22.461; (28.3)

Blood pressure ≥ 95th percentile number (% screened)

69; (24.8)

133; (20.7)

174; (29.7)

823; (23.9)

1.210; (22.8)

1.824; (22.9)

1.757; (21.7)

2.034; (27.2)

1.405; (24.8)

1.565; (24.7)

1.627; (21.9)

1.587; (22.2)

1.470; (23.9)

962; (20.3)

16.640; (23.4)

Child abnormal lipid value (% of FLP sample)

25; (73.5)

21; (77.8)

18; (72.0)

109; (58.0)

214; (28.0)

757; (28.8)

1.173; (28.0)

1.375; (25.3)

1.392; (23.4)

1.451; (23.8)

1.465; (23.7)

1.697; (28.7)

1.458; (26.1)

1.050; (23.5)

12.204; (25.7)

Acanthosis nigricans (AN) number with present marker (%)

—

—

—

111; (3.1)

347; (5.9)

430; (5.0)

378; (4.4)

522; (7.0)

442; (6.9)

498; (7.7)

252; (3.8)

301; (4.1)

248; (4.1)

187; (3.9)

3.716; (5.2)

Child abnormal insulin level (% of AN positive + ordered insulin sample)

—

—

—

19; (11.1)

20; (23.0)

57; (23.9)

56; (30.8)

106; (42.6)

99; (35.4)

126; (40.8)

72; (43.6)

118; (41.0)

162; (42.4)

72; (62.1)

907; (36.8)