We Can! Collaborative Program: Preventing Childhood Obesity through Education and Resources

1. Gro’ Our Own Healthy Schools Summit June 5, 2014 Lori Boyd, MSN, RN & Kerri Lindberg, RD, LD Joe R. Utley Heart Resource Center Spartanburg Regional Healthcare System

2. Who We Are • Background/history of “The Joe” • SRHS Foundation, Heart Division (2007) • Ribbon cutting, February 2010 • We have had over 50,000 individual “touches” • Staff – Lori Boyd, RN and Kerri Lindberg, RD, LD • Keywords – Collaboration, Resources

3. We Can! Was Launched in 2005It is a collaboration of four NIH Institutes: National Heart, Lung, and Blood Institute National Institute of Diabetes and Digestive and Kidney Diseases Eunice Kennedy Shriver National Institute of Child Health and Human Development National Cancer Institute

4. National Institutes of Health (NIH) Collaboration

5. We Can!is a national education program –developed by the National Institutes of Health and designed to give parents, caregivers, and communities a way to help children 8 to 13 years old prevent overweight and obesity, and maintain a healthy weight

6. Childhood Obesity: A National Public Health Problem • 1 in 3 children between the ages of 2-19 are overweight or obese • 80% of children who were overweight at ages 10-15 were obese at age 25 • The current generation may have a shorter lifespan than their parents

7. What’s causing the increase in childhood obesity?

8. What Behaviors Does We Can! Emphasize?

9. Nutrition: What Are Children Eating? • Added sugar contributes to about 16% of the total calories in American diets • Pizza and candy consumption have increased by 425% and 180%, respectively, since 1977 • On average, Americans eat less than half of the recommended amount of fruit per day

10. Did You Know? • According to a recent meta-analysis of studies in Europe, the United States, and Asia: • Eating at least 200 grams of fruits per day lowers the risk for stroke by 32% • For every 200 grams of vegetables, the risk fell by 11% (200 grams per day is approximately 2 medium sized apples) SOURCE: American Heart Association, news release, May 8, 2014

11. Physical Activity: Are Children Moving Enough? • Only 26% of high school girls and 44% of high school boys get at least one hour of physical activity 5 days a week • Approximately 33% of elementary children have daily physical education, and less than 20% have extracurricular physical activity programs at their schools

12. Screen Time (TV, video games, computers, smart phones) • Nearly 30% of 0-1 year olds have a TV in their bedroom • On average, 8-18 year olds spend about 4 and a half hours a day watching TV and movies • On average, 8-18 year olds spend about an hour and a half on their phones

13. Why Focus on Parents/Primary Caregivers? • Parents influence what children eat at home and act as effective role models • The home is a primary place for children to learn about and get nutritious food, as well as to learn healthy activity habits

14. We Can! Parent Program • Communities can run this 4-session curriculum for parents and caregivers • Lessons focus on helping parents make healthy behavior changes at home: • Energy balance • Portion control • Family physical activity

15. Four 90 minute sessions** • Each includes Activities, Stretch Break, and Handouts • Energize Our Families: Getting Started • Maintain a Healthy Weight: The Energy Balance Equation • What to Feed My Family: Manage ENERGY IN • Less Sit, More Fit: ENERGY OUT ** Very flexible, may adjust to suit your audience needs

16. We Can! Materials Low Literacy Materials Posters in English and Spanish Tip Sheets Cookbooks

17. go, slow, and whoa! An activity to guide parents to make healthy food choices for their family. http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/downloads/gswflashcards.pdf

18. WeCan! Web site We Can!’sWeb site presents a wealth of information and materials for all audiences http://wecan.nhlbi.nih.gov

19. New program – 6 years and younger • Partnership between NIH and Children’s Museum of Manhattan (CMOM) • Creative educational approach for children and adult caregivers

20. Lesson Plans – English and Spanish • My Five Senses • GO, SLOW, WHOA • Fabulous Fruits • Move to the Beat • Energy Balance • I Love My Veggies! • Perfect Portion • Dem Bones • Healthy Beverages • Smart Sleep! • Family Meal • Appendix: Family Health Journal

21. Why We Can! Needs Partnerships • Ourgoal is to build partnerships with groups like YOURS to strengthen our outreach activities • Partnering together can best optimize We Can! program recruitment/retention – which is critical to making a greater impact on childhood obesity within OUR community

22. Brief Video http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/flash/default.htm

23. Help parents adopt healthier habits at home! http://wecan.nhlbi.nih.gov 1-866-35-WeCan (1-866-359-3226)

24. Thank You! We would love to help you – let us know how. Lori Boyd, MSN, RN 864 560-8185 ltboyd@srhs.com

26. Fast Facts: Media Smart Youth • A program helping young people think critically to make healthy decisions about the media they are exposed to • Ages 11-13 • Have had good success with down to ages 9 and up to 15-16 depending on the population. • Use the older students to help younger • 10 lessons • 90-minute sessions • Flexible schedule to fit your timing needs

27. The Importance of MSY • Reduced physical activity: Nationwide, less than one-third of all youth ages 6 to 17 engage in vigorous physical activity.2 • Poor diets: Too often, youth are consuming too many calories, while not getting enough of certain nutrients they need. Most U.S. youth eat less than the recommended daily amounts of vegetables, fruits, and whole grains.3 And nearly 40% of the daily calories of youth ages 2 to 18 are empty calories from solid fats and added sugars.4 • Rising use of media, which is tied to an increasingly sedentary lifestyle: Youth ages 11 to 14 spend an average of 8 hours and 40 minutes each day using media.5 • Frequent exposure to marketing messages for less nutritious foods: Studies show thatchildren are exposed to between 14,000 and 30,000 ads on TV alone per year. The majority of the advertisements are for food—primarily candy, cereal, and fast food.6

28. Lessons: MSY • Components: • 3 Activities • Snack break • Action break • Closing statements • Take home handouts • Big Production • Created after completion of the 10 lessons • Allows participants to creatively promote their own better nutrition or increased activity messages through media • Example: Lesson 8 • Activity A: Foods in the Media and Thinking about Packaging • Snack Break: Better Bones Sundaes and More • Activity B: Building Better Bones • Action Break: Weight-Bearing Fun • Activity C: Mini-Production: Your Attention Please! • Finishing Up the Lesson • Take home handouts: • Scavenger Hunt: Digging for Calcium • Better Bones Sundaes Recipe • Tips for Media-Smart Parents

29. Lesson 3, Activity B Activity from Media smart youth

32. Get Your Own Toolkits • WeCan!: • http://www.nhlbi.nih.gov/health/public/heart/obesity/wecan/tools-resources/index.htm • Media Smart Youth: • http://www.nichd.nih.gov/msy/materials/Pages/default.aspx

33. Other Resources • Weight of the Nation films • Grocery Store Tours • Grocery store tour in Media Smart Youth • Paper handouts • Kids EatRight Toolkits • http://www.eatright.org/programs/kidseatright/activities/content.aspx?id=6442459508

37. 48 Veggies! • Brussels sprouts • PumpkinRadicchioRadishRhubarbRutabagaSpinachSquashSweet potato • FennelHot pepperKale ArtichokeArugulaAsian greensAsparagusBeansBean sproutsBeetsBell peppersBok choyBroccoliBroccoli flower EggplantBroccoli raab Endive CabbageCarrotCauliflowerCeleryChardCollardsCornCorn saladCucumber • KohlrabiLeekLettuceLima beanOkraOnionParsnip • PeaPotato TomatilloTomatoTurnipZucchini

39. Berry, Berry Crazy! BlackberriesBlueberriesBoysenberries CloudberryCranberriesElderberries GooseberriesMarionberriesRaspberries StrawberriesTayberries

41. 17 Apples! • Jonagold • JonathanMcIntoshNittanyPacific RosePaula Red • Red DeliciousWealthy BraeburnCameoCortlandFujiGala Ginger GoldGolden DeliciousGranny SmithHoneycrisp

43. 8 and a Bonus “B” Bean sproutsBeansBeets Bell peppersBok choyBroccoli Broccoli flowerBroccoli raabBrussels sprouts