Nutrition Workshop

1. A, B, C,s Role Modeling The of GOOD HEALTH Nutrition Workshop

2. A Aim for a Healthy Weight • Choose portions right for you. • Balance food & physical Activity

3. B Build a Healthy Base • Eat more fruits and vegetables. • Choose whole grains daily. • Choose nonfat or low-fat milk. • Keep food safe to eat

4. C Choose Wisely • Keep total fat between 20 to 35 % of calories, mostly unsaturated. • Choose & prepare foods with little added sugars or caloric sweeteners. • Consume less than 2,300 mg salt per day, include potassium-rich foods. • Be sensible, drink alcoholic beverages in moderation.

5. Who Are Role Models of Health Behaviors for Children? 1. Parents 2. Teachers & other school staff 3. Childcare providers 4. Health professionals 5. Neighbors 6. Community Members

6. 2 yrs *Overweight: > 95th percentile BMI-for-age; at risk of overweight: > 85th-,95th percentile BMI-for-age, CDC Growth Charts, 2002. 15% of children are expected to fall above the 85th percentile (5% above the 95th percentile and 10% between the 85th and 95th percentiles).

7. Trends in overweight and at risk for overweight among children aged 2 thru 4 years in Wisconsin 1994: overweight: 8.9%; at risk: 13.8% 1995: overweight: 9.3%; at risk: 13.9% 1996: overweight: 9.7%; at risk: 14.6% 1997: overweight: 10.1%; at risk: 14.7% 1998: overweight: 10.1%; at risk: 14.4% 1999: overweight: 10.1%; at risk: 14.6% 2000: overweight: 11.4%; at risk: 15.0% 2001: overweight: 11.3%; at risk: 14.7% 2002: overweight: 11.8%; at risk: 15.0%

8. National Overweight Trends & Rates Among Children & Youth: 1988-94 1999-00 age 12-19: 10.5% 15.5% age 6-11: 11.3% 15.3% age 2-5: 7.2% 10.4% .

9. Should we be concerned about children’s weight? For children, physical complications and problems of being overweight include: • Respiratory problems such as asthma • Sleep apnea • Orthopedic problems • Type 2 Diabetes • Likelihood of adult overweight or obesity

10. Did You Know…Social and emotional effects of overweight may be most damaging? • These include: • Low self-esteem • Target of bullying • Behavior and learning problems • Depression

11. Did You Know…Weight status of children affects lifelong health? • 80% of children and adolescents diagnosed with Type 2 diabetes are overweight • Overweight children = obese adults • Overweight 6 year-olds have a 25% chance of being obese adults • Overweight 12 year-olds have a 75% chance of being obese adults

12. Long-term effects of overweight includes increased the risk for: • High blood pressure • Type 2 diabetes • Heart disease & stroke • Gall bladder disease • Osteoarthritis • Some types of cancer

13. What has happened with children & food? • Portion sizes are up - often 4 times larger than 10 years ago. • More high fat & high calorie foods, more snacking • Soft drinks and sweetened “fruit drinks” have replaced water and milk between 1970 and 1997; soft drinks rose 118%; milk consumption fell 23%. • Advertising and promotion to children of high fat, sweetened, and salty foods. • Easy accessibility to food – vending, fast food, drive-in, convenience foods, micro-waves. • Low cost and wide variety. •More eating away from home. • More catering to children’s preferences.

14. What has happened with children & physical activity? • Competition from sedentary activities – TV, video games, computers, movies – 2-18 year olds get an average of 4 hours daily of “screen time” • Modern community design discourages walking & biking – no sidewalks, schools not in neighborhoods. • Busy family schedules leave little time for physical activity. • Elimination or reduction of physical education at some schools. • Concerns about safety can limit physical activity.

15. Who Wants Healthy Kids?

16. A - Aim for a healthy weight. Which is the most promising dietary approach to preventing childhood overweight? • A. Decrease dietary fat • B. Decrease sweetened beverages • C. Increase fruits and vegetable • D. Increase low-fat and non-fat milk • E. Decrease fast food

17. Correct answer: B. Decrease sweetened beveragesModeling this behavior: • Choose water as your beverage most of the time. • Switch to a low-fat or non-fat milk and choose this at meals eaten with children. • Be sure fruit juices are 100% juice. Limit juice to 1 or 2 servings a day. (4-6 oz. in a serving

18. Helping children learn self-regulation • Have regular times for meals and snacks. Stick to these times and children will learn to trust that they will have food when they are hungry. • Help children recognize when they are hungry or full. • Pay attention when children say they are hungry. • Listen when children say they are full.

19. Be physically active each day. What is the most promising physical activity approach to preventing overweight in children & youth? A. Increase recreational physical activity. B. Decrease TV time. C. Increase physical education participation. D. All of the above.

20. Correct answer: D All of these approaches are very promising. Modeling this behavior: • Be physically active most days for at least 30 minutes. • Participate with children in physical activities. • Advocate for increased physical education requirements at your school. • Work with of other community members to decrease TV viewing. Observe “TV Turn-off” week. • Set limits to TV, video, computer use: - No more that 1-2 hours of quality programs daily. - No TV for children under age 2. - Read, talk, or sing to children instead of TV. - Have family mealtimes with the TV turned off. - Play games with children instead of watching TV.

21. B – Build a Healthy Base When is the “window of opportunity” for developing strong bones? • Throughout childhood • The teen years • Young adulthood D. All of the above

22. Correct answer: D All of these periods of life are opportunities to develop strong bones.Modeling this behavior: • Choose milk and other dairy products often. • Include a variety of dairy products in children’s meals and snacks. • Advocate for replacing soda vending machines with milk vending machines at your school and at community sites that children use. • If you or a child is lactose intolerant, choose small portions of dairy products and other calcium-rich foods each day.

23. Choose a variety of grains daily, at least half the grains should be whole grains. The health benefits of whole grains are found in all of these foods except: A. Brown Rice B. Enriched white bread C. Cheerios D. Oatmeal

24. Correct answer: B Although white bread is enriched with some nutrients removed during milling, it does not contain fiber.Modeling this behavior: • Read labels, choose, and eat whole grain products with lots of fiber for these benefits for yourself & children: • Feeling of fullness with less calories • Proper bowel function • Phytochemicals that may prevent cancer and other diseases • Lower risk of heart disease

25. Eat more fruits and vegetables.Which of the following practices DO NOT help children learn to eat new foods: A. Rewards for trying new foods B. Allowing children to serve themselves C. Opportunities to see, touch, and smell a food before it is offered at a meal or snack D. 10 or more exposures to a new food

26. Correct answer: A When children are rewarded for trying a new food, they are less likely to try that food again. Modeling this behavior: • Provide lots of chances for yourself and children to experience new foods before tasting: • Gardening and going to a Farmers Market • Choosing produce at the store • Preparing new foods for meals and snacks • Allow children to serve themselves • Pair a new food with a familiar food

27. Keep food safe to eat. What proportion of food borne illnesses occur in children aged 10 or younger? A. One-tenth B. One-fourth C. One-third D. One-half

28. Correct answer: C One-third of food borne illnesses are in children age 10 and younger. Modeling this behavior: • Let children see you keeping food safe to eat by: • Washing hands and surfaces often. • Separating raw, cooked, and ready-to-eat foods while shopping, preparing, and storing. • Cooking foods to a safe temperature. • Refrigerating perishable and cooked foods promptly.

29. C - Choose WiselyLimit intake of fats and oils high in saturated and/or trans fatty acids, choose products low in such fats and oils.Which of these protein choices have less than 1 gram of saturated fat in a 4 ounce serving? • A. Turkey breast, no skin • B. Pinto beans • C. Tuna packed in water • D. All of the above

30. Correct answer: D All of these protein choices have little or no saturated fat.Modeling this behavior: • Give children choices that limit saturated fat by: • Using a meat alternative like beans, yogurt, or peanut butter. • Serving smaller amounts of meat by offering combination dishes like spaghetti and meat. • Using oil and soft margarines instead of solid fats. • Choosing/Serving fruit for dessert often. • Limiting fast food meals and choosing smaller portions when eating fast foods.

31. Choose beverages and foods with little added or no sugars.What percentage of toddlers drink a sweetened beverage daily? • 20% B. 30% C. 40% D. 50%

32. Correct answer: C 40% of toddlers drink a sweetened beverage daily. An increase in broken bones in grade school children is related to soft drinks replacing milk. Modeling this behavior: • Read beverage labels and show children what labels tell you about a food • Help children learn that many drinks that are advertised as “nutritious” contain mostly sugar and water. • Limit fruit juice to 1 or 2 servings daily

33. Choose and prepare foods with little salt. Which snack will help you cut back on the amount of salt served to children? • Crackers and cheese B. Fruit & milk C. Vegetables, dip and juice D. Pretzels and milk

34. Correct answer: B The fruit and milk snack has the least amount of salt. Modeling this behavior: • Follow these practices to help control blood pressure and improve children’s health today and in the future: - Eat lots of fruits and vegetables. - Eat beans, nuts, and seeds. - Have at 2-3 servings of low-fat dairy products daily. - Eat less meat, poultry, and fish (6 oz. or less daily). - Eat whole grain foods.

35. If you drink alcoholic beverages, be sensible, drink in moderation. What percentage of Wisconsin high school students drink alcoholic beverages? • 12% • 28% • 47% • 65%

36. Correct answer: 47% of High School Students reported having at least one alcoholic drink in the past 30 days. Modeling this behavior: Adults who consume alcoholic beverages, should drink in moderation – 1 drink per day for women, 2 for men. Those who should not drink any alcohol include:  Children and adolescents.  Individuals of any age who cannot restrict their drinking to moderate levels.  Women who are pregnant or may become pregnant.  Anyone who plans to drive/operate machinery.  Anyone taking medications that can interact with alcohol.