Presentation Transcript

1. Call to Action: Sustaining FCS ED with Healthy Lifestyle: Obesity Prevention Janet F. Laster, Ph.D. Sandra Laurenson, M.S. OAFCS Public Policy Co-Chairs Kelly Schulz, M.ED. OAFCS & OATFACS Board Member .
2. FCS’s Call to Action: In 2010 and now School districts, facing inadequate funding, reduce or eliminate FCS programs Public’s lack of FCS name recognition and far-reaching effects .
3. FCS’s Call to Action: In 2010 and now Obesity Crisis in Ohio: Obesity rate currently 29.8%. Obesity Crisis in US: - 2/3 Americans are overweight or obese (BMI ≥ 30) - 1/3 children are overweight or obese (≥ 95%) Increasing obesity-related chronic diseases Obesity-related chronic diseases driving up personal, healthcare, and national debt Source: Bipartison Policy Center, June 2012 .
4. Obesity Trends* Among U.S. Adults: Dramatic Increase in 20 Years (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1990 2000 2010 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
5. Epidemic of overweight and obesity 72% of men 64% of women
6. Over last 30 years, rates of obesity (BMI >30) in US more than doubled for adults and more than tripled for children
7. Trends Increasing Weight – Decreasing Health Obese children aged 6-11: 7% in 1980 to 20% in 2008 Adolescents aged 12-19: 5% in 1980 to 18% in 2008 2010Centers for Disease Control What are the percentages today? In Ohio? In your county?
8. Definitions: Weight Groups Adult (BMI*): Underweight: BMI less than 18.5 kg/m2 Healthy weight:BMI between 18.5 - 24.9 kg/m2 Overweight: BMI between 25.0 - 29.9 kg/m2 Obese: BMI equal to or greater than 30.0 kg/m2 * BMI (Body Mass Index) measurement: Divide weight (in kilograms) by height (in meters) squared: kg/m2 Source: Dietary Guidelines for Americans 2010
9. Long Term Health Costs
10. Obesity Crisis: Private and Public Policy Issue Family/Public health crisis and National economic crisis: - Affects all segments of society: Adults, children; rich, poor - Long-term budget issue - Bipartisan issue Source: Bipartisan Policy Center
11. FCS’s Call to Action: Help REVERSE causes of obesity… Change in food supply “Obesgenic environment”: home, community Inactive lifestyles Unhealthy eating habits and Lack of food preparation skills
12. Ohio’s and US’s Call to Action: Dr. Alice Lichtenstein: “Bring back Home Economics” Journal of American Medical Association (JAMA) editorial .
13. “Providing a mandatory food preparation curriculum to students throughout the country may be among the best investments society could make [to reduce health care expenditures]”. Dr. Alice Lichtenstein of Tufts University, at the Youth Obesity Prevention Summit sponsored by the FCS Alliance member: Board on Human Sciences See “Point of View Obesity Prevention Summit: Positive Change Seen” Carolyn W. Jackson, AAFCS Executive DirectorWinter 2012 Journal of FCS
14. 2010 OAFCSResolutions: Sustain Family and Consumer Sciences Education Healthy Weight - Obesity Prevention Not independent but interdependent www.oafcs.orgPublic Policy  Resolutions
15. Sustain FCS Education FCS’s Public Policy Goals Promote name recognition of “Family and Consumer Sciences”and understanding of scope of FCS and its relevance to serious societal concerns today such as obesity, food safety, financial literacy… Support and facilitate…national, state, and local intervention strategies to sustain FCS Education in current economic and education environment
16. Healthy Weight-Lifestyle Initiative: Obesity Prevention FCS’s Public Policy Intervention Goals Collaborate with nutrition science, medicine, education, policy makers and others to advocate healthy lifestyles and nutrition education and garner support for FCS Education in MS, HS, Extension programs Utilize opportunities within range of influence and practice to promote national obesity prevention and nutrition education in public schools and communities “Take Obesity Prevention to Streets!”
17. Healthy Lifestyle - Obesity Prevention:National CALLS for Action 2010 First Lady Michelle Obama’s Dr. Lichtenstein’s “Bring back Home Economics Education” in JAMA, May 12, 2010 Dietary Guidelines for Americans 2010, p. 58 Healthy, Hunger-Free Kids Act of 2010 (PL 111-296) signed into law Institute of Medicine Report, May 8, 2012 Bipartisan Policy Center Report, June 6, 2012
18. Dietary Guidelines for Americans, 2010 CALL TO ACTION: Individual (and Family) behavior change: Nutrient-dense food and physical activity to promote health and disease prevention Nutrition Policy and Strategies change, e.g.: Guiding Principles (pp. 57-58 for Strategies) Ensure all Americans have access to nutritious foods & opportunities for physical activity Facilitate individual behavior change through environmental strategies Set the stage for lifelong healthy eating, physical activity, & weight management behaviors
19. Recommended Public Policy Strategies Principle: Set the stage for lifelong healthy eating, physical activity, and weight management Recommended Policy Strategies (DGFA2010, p. 58): Ensure that all meals and snacks sold and served in schools…childcare…early childhood settings are consistent with Dietary Guidelines Provide comprehensive health, nutrition, physical education in educational settings …special emphasis on food preparation skills, food safety…”
20. Healthy, Hunger-Free Kids Act of 2010 Authorizes funding and sets policy for USDA’s core programs: National School Lunch, School Breakfast, WIC, Summer Food Service, Child and Adult Care Food Programs Allows opportunity, for first time in 30 years, for real reforms to school lunch and breakfast programs by improving safety net for millions of children Source: USDA.gov
21. Institute of Medicine: Call to Action Accelerate Obesity Prevention with 5 Goals: Integrate physical activity every day in every way. Market what matters for a healthy life. Make healthy foods and beverages available everywhere. Activate employers and health care professionals. Strengthen schools as the of health. “…accomplishing any one of these might help speed up progress in preventing obesity, but together, their effects will be reinforced, amplified, and maximized.” Institute of Medicine
22. Bipartisan Policy Center: Call to Action All assume leadership & responsibility for change & action: Healthy families: Develop federal dietary guidelines for all children under six, all nutrition assistance programs reflect dietary guidelines, promote breastfeeding Healthy schools: Improve nutrition & physical activity Healthy workplaces: Develop workplace wellness programs Healthy communities: Central role in lifestyle choices 1. Community-based, prevention-focused Health Care 2. Large institutions: Serve healthier foods & lead by example 3. Community programs and built environment: Families and local governments expand physical activity opportunities and promote active living
23. The Time is Right. WE Can Make a Difference! Within our state and national “RUBBLE” of increasing obesity, disease risk, healthcare costs, and national debt, FCS can find and use our “GOLDEN RING of opportunity” to partner with others in our communities to prevent obesity and sustain FCS Education in our schools.
24. Sustaining FCS Education + Healthy Lifestyles-Obesity Prevention = Synergy Ohio’s Action Plan Goals: FCS Professionals… Use FCS branding resources: www.aafcs.org click on FCS logo Provide resources on OAFCS, OATFACS, AAFCS websites for updating, public policy advocacy, and community presentations Align FCS curriculum, strategies & public image Become active advocates for public policy supporting healthy lifestyles and FCS ED Initiate/Participate in community healthy lifestyle initiatives Create individual Leadership Action Plan
25. MOST IMPORTANT: Health Centered Health for every age, body shape, and size: Health-centered NOT Weight-centered Healthy food choices and food preparation Healthy eating in response to internal body cues: Hunger Relaxed eating Social, emotional, spiritual & physical factors contributing to health & happiness Dieting ineffectiveness & dangers
26. Key Message: Policy Makers POLICY ACTION: PLEASE Ensure that Family and Consumer Sciences (formerly home economics) Education programs are in every middle and high school and community in our state REASONS To develop the essential life skills needed to address our complex obesity-related crisis: nutrition, food selection and preparation, parenting, personal and family finance, and career planning skills.
27. What has been done nationally? OAFCS Public Policy Resolutions adopted by AAFCS in 2011 FCS Coalition developed FCS brief, Empowering Individuals and Families: Obesity Prevention, for FCS professionals to use with policy makers, public AAFCS and Let’s Move! partnership formed: FCS Coalition used FCS brief with First Lady Michelle Obama and staff AAFCS Obesity Prevention Community formed: JOIN!
28. What has been done in Ohio? FCS Education Promotion Task Force formed: Supervisors, Teachers, Teacher Educators OAFCS Annual Conference: Resolution Support Keynote: Dr. Cheryl Achterberg, OSU Dean and Advisory Committee Member for DGFA201 Obesity Prevention Projects: Extension, United Way, Action for Healthy Kids, Dairy Council Professional Development Workshop: District B Additional workshops planned in other Districts Resources developed/adapted for OAFCS, OATFACS and AAFCSWebsites www.oafcs.orgwww.oatfacs.orgwww.aafcs.org
29. What Should We Do ? How should we answer the call for “All to assume leadership and responsibility for change and action to prevent obesity”? What should we do individually? As parents? Grandparents? What should we do professionally—in workplace? What should we do as community members?
30. Responsibility-Leadership Action Planto help make America healthy Individual/ Family Action Community-related Action What will you do? Classroom-School Action
31. Next Steps: Individually Use resourcesto become more nutritionally and public policy literate - Dietary Guidelines for Americans, 2010 - Report of Dietary Guidelines Advisory Committee - Nutrition Action Healthletter(Center for Public Interest) - Call to Action: Healthy Lifestyle Comparison Chart - Obesity causes, consequences Other steps—individually? in family?
32. Next Steps: As FCS Teachers Become active advocate for policies supporting healthy lifestyles and families, e.g., see Sample policy letter and Talking points and Resources Set the stage for lifelong nutrition learning, healthy eating, physical activity, and weight management, e.g., Align FCS curriculum, strategies, and public image Refine teaching strategies and food labs Initiate/Participate in community healthy lifestyle initiatives Create individual Leadership Action Plan: Individual/Family Plan Workplace Plan Community-related Plan
33. Think, Pair, Share What will you need to do to align your curriculum with new dietary guidelines? What will you need to do to refine your teaching strategies to develop healthy food preparation skills? With which community organization, agency might you partner to foster healthy lifestyle? What questions do you have?
34. Call to Action: Refining FCS Curriculum Align curriculum, strategies & public image Create and promote healthy lifestyles for children (from in utero to 18 years)Appropriate weight gain during pregnancy, breastfeeding for infant and mother to have healthy weight throughout lifetime (NGFA2010, p. 58; Lots to Lose, pp. ) Set the stage for lifelong healthy eating, physical activity & weight management behaviors: Provide comprehensive health, nutrition, & physical educational programs in educational settings with special emphasis on food preparation skills, food safety, and lifelong physical activity (DGFA2010, Ch. 6, p. 58)
35. Call to Action: FCS Teaching Refine teaching strategies for developing healthy eating & safe food preparation skills Evaluate objectives, eating patterns advocated by example, recipes, and teaching time spent on preparing vegetables, fruit, and whole grains vs refined grain-based desserts and breads Sequence & structure food preparation labs to enjoy preparing food, eating together, developing knifing skills; vegetable, fruit, whole grain, fish, and lean meat and poultry preparation skills; food safety skills Ruth Dohner, OAFCS, 2012
36. Call to Action: Evaluate Collect data to evaluate FCS program effectiveness Pre-Post unit/course tests Healthy lifestyle project: Pre-post personal assessment of diet, physical activity, and BMI using eating, sleeping, & activity logs per day. Use Super Tracker: http://www.choosemyplate.gov/SuperTracker/ Or http://www.myfitnesspal.com Also Dairy Council ppts at www.eatsmart.org
37. Call to Action: “Take it to the Streets!” Participate in community healthy lifestyle initiatives Partner with community agencies, organizations to promote or support healthy lifestyle, e.g., Action for Healthy Kids, United Way, schools, Extension Partner with others to develop personal healthy lifestyle, e.g., teachers, Extension, colleagues, family or friends Advocate supporting FCS Education in MS, HS, and community extension programs
38. My Responsibility-Leadership Action Planto help make America healthy Individual/Family Action Community-related Action Proposed/organizing Healthy Lifestyle Advisory Committee at church Proposed/organizing Forums at church: 1) Obesity Crisis 2) What should we do to prevent obesity of our children? Ourselves? Monitoring my calories: www.myfitnesspal.com Eat healthy foods, including 2 ½ cup veggies/day, less than 20 g sugar/day Walk 60-70 min./day Special fruits, berries as treats for grandchildren Encouraging husband to use whole grain flour Advocacy letter to Ohio legislators & School Board
39. The Guidelines for a Healthy Lifestyle
40. The Guidelines for a Healthy Lifestyle Start Here because… Dietary Guidelines for Americans 2010 Based on most recent scientific evidence summarized in Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010 at http://www.dietaryguidelines.gov For health promotion and disease prevention for Americans 2 years old and older Form basis for nutrition policy in Federal food, education, and information programs
41. Key Recommendation #1 Balance calories with physical activity to manage weight Prevent and/or reduce overweight and obesity through improved healthy eating & physical activity Control total calorie intake to manage body weight. Consume NUTRIENT DENSE FOODS.
42. Top Sources of Calories Among Americans 2 Years and Older Source: NHANES 2005-2006, Available at http://riskfactor.cancer.gov/diet/foodsources/
43. How to Put This in Action? Caloric Balance: Food and Beverage Intake Determine one’s daily calorie needs by monitoring body weight and adjust calorie intake and participation in physical activity based on changes in weight over time. MyFitnessPal or Super Tracker
44. How do I Count Calories if I Don’t Know How to Serve it?
45. Key Recommendation #2 Reduce some foods and food components: Daily sodium to less than 2,300 mg; or 1,500 mg if 51 or over, African-American or have hypertension, diabetes, or chronic kidney disease Solid fats and added sugars (SoFAS) Foods that contain refined grains, especially foods with solid fats, added sugars, and sodium
46. Key Recommendations #3 Focus on consuming nutrient-dense foods Variety of vegetables, especially dark-green, red, and orange vegetables, beans, peas Whole grains: Replace refined grains with whole grains—at least half Variety of protein foods: seafood (8-oz. per week), lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds
47. Nutrient-dense foods retain naturally occurring components, such as dietary fiber
48. Nutrient-Dense Foods All vegetables, fruits, whole grains, eggs, seafood, beans and peas, unsalted nuts and seeds, fat-free and low-fat dairy, lean meats and poultry are nutrient-dense when prepared without solid fats or sugars
49. Nutrient-Dense vs. Not Nutrient-Dense
50. Nutrient-Dense vs. Not Nutrient-Dense
51. Nutrient-Dense vs. Not Nutrient-Dense
52. Key Recommendation #4 Build healthy eating pattern to meet nutrient needs over time at appropriate calorie level,e.g., DASH, Mediterranean-style Focus on nutrient-dense foods Remember: Beverages count Nutrients should come from food
53. Let’s Get Started
54. Responsibility-Leadership Action Planto help make America healthy Individual / Family Action Community-Related Action What will you do? ClassroomSchool Action
55. In Summary
56. Three Nutrition Points to Put in Your Back Pocket! This is the time to ADOPT a healthy lifestyle NOT a band aid. Any “diet” can be healthy and unhealthy. Calories are to be respected!
57. You Pick Three! Pick 3 actions from your sheet that you have pondered today Put them into action this year! Report back…… yeah that’s right… report back! Here’s How: Kelly Schulze: kmac10@me.com Facebook: find Ohio FCS group or friend me – Kelly McNulty Schulze and I will lead the way. Twitter: find me and those around you and stay connected!
58. Additional Resources
59. Internet Resources USDA & USDHHS, Dietary Guidelines for American 2010 www.dietaryguidelines.gov See p.59 for Resource List Local data related to obesity: http://www.countyhealthcalculator.org/widget State specific data on health care costs and quality, prevention, insurance coverage, public health, childhood obesity, examples of community creativity, and possible funding source: http://www.rwjf.org/childhood obesity/ http://www.rwjf.org/healthpolicy/
60. Apps that you might find useful myfitnesspal Get Fit Map
61. Apps that you might find useful Smash Your Food
62. Internet Resources The Snackwise® Nutrition Rating System All you do is type the information from the nutrition facts label in the Snackwise® Calculator and Snackwise® determines the nutrient density and rates the snack! Snack foods are then rated as either: GREEN: BEST CHOICE; YELLOW: CHOOSE OCCASIONALLY; and, RED: CHOOSE RARELY http://www.snackwise.org/ Nebraska Extension Office: Spending your Calorie Salary and other PowerPoints Alice Henneman, MS, RD, Extension Educator Univerity of Nebraska Extension ServicesBeverly Benes, PhD, RD, Assistant Director, Nutrition Services http://lancaster.unl.edu/food/resources.shtml
63. Internet Resources Institute of Medicine’s Report: Accelerating Progress in Obesity Prevention. Published May8, 2012. http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention.aspx Bipartisan Report: Lots to Lose How America’s Health and Obesity Crisis Threatens our Economic Future. PublishedJune 5, 2012 http://bipartisanpolicy.org/library/lotstolose Websites for BMI calculation: The Center for Disease Control and Prevention -http://www.cdc.gov/healthyweight/assessing/bmi/ The National Heart Lung and Blood Institute http://www.nhlbisupport.com/bmi/
64. “Everyone has a role in the movement to make America healthy.” Dietary Guidelines for American, 2010, USDA & HHS “Success is only possible if all…work together and bring creativity, innovation and focused commitment to the effort.” Lots to Lose. Bipartisan Policy Center