The study presented at a Health and Education Joint Oversight hearing found poor health and unsupportive environments can lead to bad grades and spotty attendance. The experts recommended integrated reforms to create healthier schools. Judi Larsen is with the California Endowment.

LARSEN: The data that we have right now show that changes in the environment, change behavior. And we saw a ripple effect at home and other places in the community.

Chair of the Assembly Health Committee Bill Monning says student wellness is critical to health reform.

MONNING: The path to healthy communities is largely to be found in bringing health into our schools and using our schools in health promotion.

Advocates suggested support for school health centers and better access to physical activity and nutrition.