Yes, “We Can”

1. Yes, “We Can” A Modern Solution to Obesity

2. We Can: learn and live Ways to Enhance Children’s Activity and Nutrition

3. What is the “We Can” Program? • A national public education program to prevent overweight and obesity [National Heart, Lung, and Blood Institute of the NIH] • In collaboration with • CATCH Kids Club – grades K-5 [Child and Adolescent Trial for Cardiovascular Health] [NHLBI funded program] • Media-Smart Youth: Eat, Think, and Be Active! Program – tweens/teens 11-13 years old [funded by NICHHD] • SMART program – 3rd and 4th grades [Student Media Awareness to Reduce Television [developed at Stanford Prevention Research Center]

4. Video Introduction

5. Why is THIS one different???? • Research [“evidence”] based • Focused on the family, Centered within the community • Flexible • Action-oriented [first you “learn”, then you “live”] • Geared for life, not for a while! • Broad-based • Food choices • Physical activity • Screen time

6. The problem just keeps growing • 65% of US adults are overweight or obese • 17% of children ages 6-19 years old are overweight and another 17% are at risk for overweight • Rate has doubled for children aged 2-5 y • Rate has tripled for children aged 6-11 y and 12-19 y • Rates even higher for certain minority groups

7. Who is targeted? • Children ages 8-13 y • Their parents, caretakers [“gatekeepers” and role models] • On the way to health!!!

8. Program Options • Youth Programs • Parent Programs • Community Events

9. Youth Programs • CATCH Kids Club • Media Smart Youth • Student Media Awareness to Reduce Television [S.M.A.R.T.] • The Power of Choice • Jumpstart • Planet Health Join with successful partners

10. Parent Programs • We Can! Energize our Families • Six lesson program • Primary emphasis is on energy balance and healthy weight

11. Community Events/Partners • Recreation centers and parks • Faith based organizations • School based groups • Community based organizations • Health care providers • Universities

12. Arizona Community Partners • Cardiac CareCottonwood, Arizona 86326 • Banner Desert Medical CenterMesa, Arizona 85202 • Ahwatukee Foothills YMCA Phoenix, Arizona 85048 • Queen Creek Elementary SchoolQueen Creek, Arizona 85242 • Drachman Montessori K-6 Magnet SchoolTucson, Arizona 85701 • Partners for Active, Healthy ChildrenNutritional SciencesTuscon, Arizona 85718 • University of ArizonaPediatric Pulmonary CenterTucson, Arizona 85724

13. Parent Program: We Can! Energize Our Families • Four 90-minute sessions • Getting started on energizing families • Energy Balance: Reaching and Maintaining a healthy weight • Managing Energy In: What to feed my family • Maximizing Energy Out: Less sit, more fit!

14. Session One: Getting Started

15. Session One: Eat Healthier, Save Money • Plan ahead • Shop the ads • Use what you have • Go it alone! • Use label information • All fruits/veggies count • Watch where you’re spending those $$!

16. Session One: Help your children eat well • Be a good role model • Involve children in decisions and activities • Make gradual changes • Make life easy on them! • Don’t bring temptation into the house

17. Session Two: Energy Balance

18. Session Two: Portion Distortion THEN [1980s] NOW [2000s] • Popcorn 270 kcal • Caesar salad 390 kcal • French fries 210 kcal • Popcorn 630 kcal • Caesar salad 790 kcal • French fries 610 kcal

19. Portion Distortion, continued • Bagel 3'' 140 kcal • Bagel 6'' 350 kcal • Cheeseburger 1 333 kcal • Cheeseburger 1 590 kcal • Spaghetti w/meatballs 500 kcal • Spaghetti w/meatballs 1,020 kcal • Soda 6.5 ounces 85 kcal • Soda 20 ounces 250 kcal • Blueberry muffin 1.5 oz 210 kcal • Blueberry muffin 5 oz 500 kcal

20. Session Two: Sensible Snacks • Aim for 100 kcal or less • Focus on fresh fruits • Vary those raw veggies • Simple cereals are super! • “Milk” those dairy for all they’re worth

21. Session Two: Make Your Move • Think of the possibilities • Develop an action plan • Follow through • Bring along a crowd!

22. Session Three: Feeding my Family • Plan your meals and snacks • Plan your food purchases • Plan your food preparation • Plan your portions • Plan for eating out

23. Healthy Grains: Good to Go! • Rice or noodles (spaghetti, macaroni, etc.) • Pasta with red sauce (marinara) • Pasta with vegetables (primavera) • Bran flakes, crispy rice, etc.     • Cooked grits or oatmeal     • Reduced-fat granola      

24. Darling Dairy! • Go low-fat or no-fat • Give credit where credit is due [puddings, smoothies] • Lower the bar slowly [full fat, 2%, 1%, skim]

25. Protein Power without the Pooch! • Low-fat cold cuts (95 to 97% fat-free • Lower-fat hot dogs • Canadian bacon or lean ham • Extra lean ground beef Chicken or turkey without skin (white meat) Water-packed tuna Beef (round, loin) Pork tenderloin or trimmed, lean smoked ham Fish or shellfish, unbreaded (fresh, frozen, canned in water)

26. Carbs to Crunch • Hard french rolls, crusty wheat breads • English muffins, bagels • Low-fat crackers (choose lower in sodium)     • Whole grain crackers (choose lower in sodium) • Cake (angel food, gingerbread) • Naturally low/no fat cookies (graham crackers, ginger snaps, fig bars, animal crackers)

27. Power Packed Produce • Any form fits • Go crazy with color • Look for local sources • Grow your own

28. Snacks for Success • Popcorn (air-popped or light microwave), pretzels • Fresh or dried fruits, vegetables • Frozen yogurt, frozen fruit or chocolate pudding bars • Custards or puddings (made with skim milk)

29. Going down, down, down • Choose foods and food preparation techniques that are lower in fat • Limit foods that are high in sugar • Limit your use of added sugars • Don’t believe all that you read!!!

30. Fat-Free or Reduced-Fat “Savings” • Reduced-fat peanut butter, 2 T 187 • Regular peanut butter, 2 T 191 • Reduced fat chocolate chip cookies, 3 cookies 118 • Regular chocolate chip cookies, 3 cookies 142 • Fat free fig cookies, 2 cookies 102 • Regular fig cookies, 2 cookies 111 • Light vanilla ice cream, fat, 1/2 cup 111 • Regular vanilla ice cream, fat, 1/2 cup 133

31. “Savings” • Lowfat granola cereal, approx. 1/2 cup 213 • Regular granola cereal, approx. 1/2 cup 257 • Lowfat blueberry muffin, 1 small 131 • Regular blueberry muffin, 1 small 138 • Baked tortilla chips, 1 oz. 113 Regular tortilla chips, 1 oz. 143 • Lowfat cereal bar, 1 bar (1.3 oz.) 130 Regular cereal bar, 1 bar (1.3 oz.) 140

32. Easy Ways to “Cut the Fat” • Fat-free or low-fat milk/yogurt rather than whole • Fat-free or low-fat sour cream rather than regular • Remove visible fat from poultry or meat • Serve foods without butter, gravy, or high fat sauces • Offer salad dressing "on the side" • Mustard and low-fat mayo rather than regular mayo • Salsa, not guacamole and sour cream • Grilled, steamed, stir-fried foods not deep-fat fried

33. Go, Slow, and Whoa Foods • GO: • Go for color • Go for sensation • Go for variety • SLOW: • Slow your use of high fat, high sugar foods • Slow your snack attacks • Slow your visits to fast food restaurants • WHOA: • Save fried foods, sweet treats, and high fat foods for very special occasions

34. Menu Magic for Healthy Diets: Cues for Healthy Restaurant Meals • steamed • garden fresh • broiled • grilled • baked • roasted • poached • lightly sautéed or stir-fried

35. Session Four: “ACTION”!!!! • Increase family and personal action time • Reduce screen time

36. Increase family action time • Put everyone to work!! Cleaning is the cure. • Walk those pets • Join in community volunteer efforts • Explore your surroundings • Start a new family tradition • Treasure those moments

37. Downsize the Screen Time • Know how much screen time, active time your family is getting. • Talk to your family. • Set limits on screen time. • Minimize the influence of TV in the home. • Make meal time, family time. • Provide other options and alternatives.. • Set a good example. • Don't use TV to reward or punish a child. • Make screen time, active time.

38. Bringing It All Together • Make a commitment • Creative a supportive network • Define and set realistic personal and family goals • Be prepared • Learn how to handle roadblocks, setbacks, challenges • Track progress • Reward all successes

39. My Challenge to You!!! • Take what you have learned and put it into action • Use what you have learned and implement ONE POSITIVE CHANGE during today’s lunch • Rewards will be offered to those who are successful!