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Creating a Healthier Future Together. I. the Childhood Obesity Epidemic II. The Role of Schools III. A role for Libraries. Presentation Collaboration: Part I & II Part III Leah Cox, Executive Director Lynne Marie LoPresto, MS, RD 916/760-7448 Project Coordinator
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Creating a Healthier Future Together I. the Childhood Obesity Epidemic II. The Role of Schools III. A role for Libraries Presentation Collaboration: Part I & II Part III Leah Cox, Executive Director Lynne Marie LoPresto, MS, RD 916/760-7448 Project Coordinator wellnesstaskforce@yahoo.com Children’s Nutrition Collection www.wellnesstaskforce.orgwww.childrensnutritioncollection.org
The Obesity Epidemic “The design of successful interventions and actions for prevention and management of overweight and obesity will require the careful attention of many individuals and organizations working together through multiple spheres of influence.” - David Satcher, M.D., Ph.D., U.S. Surgeon GeneralThe Surgeon General's Call To Action To Prevent and Decrease Overweight and Obesity 2001
The Children’s Nutrition Collection is the result of a multi-discipline, multi-organization collaboration of professionals interested in developing a public resource to support community nutrition interventions for young children.
Library-based program Supports child nutrition literacy ages 4 to 9 Funded through the North Bay Cooperative Library System Piloted at Novato Public Library Consists of: Searchable database of expert reviewed materials Support website of nutrition resources for librarians, parents and teachers, and children www.childrensnutritioncollection.org Overview
Mission To inspire children and their families • to value positive stories about food, fitness and health, and • to adopt more ‘Healthy Habits’ in their lives
Outreach • We encourage CA Public and School Libraries to make these materials available • to children • their parents • caregivers and teachers • We encourage public libraries to serve as a resource for nutrition education collaborations in their communities
Part oneHistory Background Information on Obesity, Nutrition, Physical Activity and Marketing to Children
…Our hectic lives have resulted in choices of convenience over health
High Blood Pressure We are now experiencing the long-term Health consequences HeartDisease Obesity Diabetes Cancer KidneyDisease • 75% of Healthcare dollars are spent on chronic disease management • In 2005, an estimated $28 billion was spent treating issues related to obesity, overweight and physical inactivity (in working adults) • http://www.wellnesstaskforce.org/PDF/obese.pdf
Obesity Epidemic? Healthy People 2010: • Set National Health Targets in 2000 to chronic disease • Is a professional U.S. collaboration led by Secretary of Health and Human Services 2010 Nutrition/Weight Objectives: • chronic disease from poor diet & inactivity • adult obesity from 23% to 15% • http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/
Obesity Trends* Among U.S. AdultsBRFSS, 1990 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 2000 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% ≥20%
Obesity Trends* Among U.S. AdultsBRFSS, 2001 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2002 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2003 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2004 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% ≥25%
Obesity Trends* Among U.S. AdultsBRFSS, 2005 (*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2006 (*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person) No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
California’s Childhood Obesity Epidemic (2005) For specific information about your region, go to www.gisplanning.net/publichealthnew/map.asp
Crisis in America • 2/3 US adults are overweight or obesehttp://www.cdc.gov/nchs/data/nhanes/databriefs/adultweight.pdf • Childhood obesity has tripled since 1980 National overweight percentages for children aged 2 – 19 : • 13.9% Caucasian children • 18.8% African American children • 17.4% Mexican American children http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm • 1/3 children born in 2000 will develop diabetes • Hispanic/Latinos are 1.9 times more likely to develop Type 2 diabetes • African Americans are 2.0 times more likely to develop diabetes • Native Americans and Alaska Natives are 2.6 times more likely to develop diabetes http://www.cdc.gov/omh/AMH/factsheets/diabetes.htm • 1st generation in history with a lower life expectancy than their parents • New England Journal of Medicine3/17/05
Snapshot of American Children Overfed but undernourished Limited health and media literacy Declining physical activity
What Do Our Youth Eat? Too Many Calories Not Enough Nutrients 50% of calories from added fat and sugar Only 2% meet key dietary recommendations for health: • Vegetables: < 20% meet recommendations • Fruit: < 15% meet recommendations • Calcium: < 20% females ages 9-19 meet rec. intake www.californiaprojectlean.org
Link between nutrition and learning • Provides essential elements for brain development • Improved attendance • Improved behavior • Less visits to school nurse • Increased attention and creativity • Higher test scores
Health & Media Literacy mean Better Choices • Health literacy is “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” – United States Department of Health and Human Services • Children see 40,000 commercials each year • 50% of which are for foods and beverages • $15 billion was spent advertising to children in 2002www.publichealthadvocacy.org/resources.html • We are victims of too much information! • “The health terrorist message of the day results in loss of meaning for concern…when everything is dangerous, nothing is…” - Francis Berg: Children and Teens Afraid to Eat
Physical Activity VS. Physical Education • “Physical activity is bodily movement of any type and may include recreational, fitness and sport activities such as jumping rope, playing soccer, lifting weights, as well as daily activities such as walking to the store, taking the stairs or raking the leaves.” http://www.aahperd.org/naspe • “Physical education teachers assess student knowledge, motor and social skills, and provide instruction in a safe, supportive environment…A quality physical education program provides learning opportunities, appropriate instruction, meaningful and challenging content for all children…”
Physical inactivity • Only 50% of youth meet recommended 60 minutes of daily physical activity • < 50% of CA schools meet P.E. requirements • Elementary grades 1-6, minimum 200 minutes every 10 days • Secondary grades 7-12, minimum 400 minutes every 10 days • Elementary school districts grades 1-8, 200 minutes every 10 days http://www.cde.ca.gov/be/ms/po/policy99-03-June1999.asp • Links Between Physical Activity and Learning • Increased concentration • Higher test scores • Reduced disruptive behavior • Better attendance • Positive attitude • Positive effects on immune system
Part twoThe Role for Schools Federal and State Regulations and the School Wellness Policy
“Schools have more influence on the lives of young people than any other social institution except the family, and provide a setting in which...norms that govern behavior are developed and reinforced.” Healthy People 2010 The Role of schools….
Health and Success in School are Interrelated • 55 million students attend U.S. schools and • 35-40% of daily energy is consumed at school “Schools cannot achieve their primary mission of education if students and staff are not healthy and fit…” - National Association of State Boards of Education; Fit, Healthy, and Ready to Learn, 2000 “Physical health affects learning, and schools have a role to play in developing lifelong habits of nutrition and fitness. It is time to promote and support a culture of health and fitness in our schools.” - Jack O’Connell, State Superintendnet of Public Instruction CA State of Education Address, January 24, 2005
federal Legislation Federal law requires all districts participating in the USDA School Meal Programs to have adopted a Local Wellness Policy by July 2006. Child Nutrition and WIC Reauthorization Act 2004 (Section 204) http://www.fns.usda.gov/tn/Healthy/108-265.pdf
According to federal regulations, School Wellness Policies Must: • Include nutrition guidelines for all foods available at school • Include goals for nutrition education, physical activity, and other school-based activities that promote student wellness • Establish a plan for measuring policy implementation
School Wellness CouncilsMust Include: • Parents • Students • School food service professionals • School Board members • Administrators and • Community members Successful implementation of your Local Wellness Policy will require ongoing participation from the entire community.
2005 California Laws SB 12: Sets nutrition standards for all food sold* on K-12 school campuses • Limits fat and sugar content and portion size • Affects vending machines, a la carte foods, school stores, school fundraisers • Effective July 1, 2007 • *School meal programs are regulated by federal legislation SB 965: Eliminates sale of sodas & sweetened drinks on middle and high school campuses • Phased implementation: July, 2007 - July, 2009 Legislative summary: www.publichealthadvocacy.org/limits/index.html Foods allowed for sale: www.calsna.org/Documents/Summary_of_Food_Sales.doc
Wellness Goals for California Schools 2007 - 2008 • All foods sold on campus must meet standards • Develop & implement nutrition education programs across the campus • Meet Physical Education and physical activity goals • Create healthy fundraising alternatives • Reduce marketing of unhealthy foods on campus • Outreach to parents • Develop community health partnerships
Part ThreeA role for Libraries Vision: Public and school libraries supporting child nutrition education efforts in their communities
The Collection • Nutrition and physical activity related books, cookbooks, CD’s and resource materials • Reviewed by a committee of child health professionals in Marin County, CA • Screened for accurate and up-to-date information
Guiding Principles In support of current public health practices: • Materials promote a positive approach to child nutrition • focus on healthy diet and activity habits rather than weight loss • Categorized by the Nutrition Competencies from the California Department of Education for grades Pre-K to grade 3 • www.cde.ca.gov/ls/nu/he/nec.asp • Materials support the US Dietary Guidelines for children as depicted on MyPyramid.gov • Referred to as ‘healthy habits’
‘healthy habits’ • Make half your grains whole • Vary your veggies: eat more colors • Focus on fruits: eat a variety every day • Go lean with protein: choose low-fat and lean • Get your calcium-rich foods: go low-fat or fat-free • Fats and sugars – know your limits: • Limit solid fats as well as foods that contain them • Choose foods & beverages low in added sugars • Find your balance between food and fun: move more • Aim for at least 60 minutes every day or most days
support materials • Database searchable by: • interest level (pre-k – 1, 1 – 3, resource) • CA Dept. of Education Nutrition Competency topics • Language (English, Spanish) • Recommended book and resource lists • Healthy Habit stories, Family Food Stories, Cookbooks • Book lists include Spanish materials • Website resources include online nutrition games for children • Book selection Criteria • “Event in a box” section for Librarians • Downloadable bookmark (includes Spanish translations) • Templates • Event flier and event press release • This Powerpoint
let’s Work together on behalf of our children to ensure a healthy future for us all Special thanks for providing information and editing go to: Lynne Marie LoPresto, MS, RD Nutrition Education Specialist Dominican University of California Andrew Carothers Communications Consultant The Carothers Group CA Project LEAN CA School Boards Association California Food Policy Advocates
Funding This project was funded in part by The California Endowment, Kaiser Permanente of Northern California, and the U.S. Institute of Library and Museum Services under the provisions of the Library and Technology Act, administered in California by the State. For more information about the School Wellness Challenge or the California Task Force on Youth and Workplace Wellness, visit www.wellnesstaskforce.org, or call Leah Cox at 916/ 760-7448.