Healthy Children Make Healthy Adults

1. Healthy Children Make Healthy Adults There are roughly 123 million adults aged 20 to 64 years� and 75% of adults in this age group�are employed in the United States. The workforce is a diverse population: 55% of employees are male 11% are black 15% are Hispanic 51% are aged 40 to 64 years. Maintaining a workforce that is highly productive and healthy is paramount to staying competitive in the marketplace. Lost productivity due to absenteeism or performance below expectations at work translates into lost revenue. Business is committed to the health of our children as they are our next generation of employees directly related to the success of these businesses and the overall health of the communities they live and operate in. There are roughly 123 million adults aged 20 to 64 years� and 75% of adults in this age group�are employed in the United States. The workforce is a diverse population: 55% of employees are male 11% are black 15% are Hispanic 51% are aged 40 to 64 years. Maintaining a workforce that is highly productive and healthy is paramount to staying competitive in the marketplace. Lost productivity due to absenteeism or performance below expectations at work translates into lost revenue. Business is committed to the health of our children as they are our next generation of employees directly related to the success of these businesses and the overall health of the communities they live and operate in.

2. 2 Childhood obesity is a national epidemic with even greater long-term consequences for this nation and its employers than adult obesity. 65% of the nation�s adults are overweight or obese and children are adopting their parent�s unhealthy behaviors. At least 31% of school-aged children have excess weight which presents major health, psychological, and quality of life consequences. This epidemic requires prevention strategies that will demand focus, innovation, and action from all stakeholders. Children with excess weight - like overweight adults - -are at increased risk for developing both short and long-term health and social complications: � Excess weight increases both the prevalence and severity of asthma and other common pediatric chronic illnesses. � Children with excess weight begin to develop adult-like diseases such as high blood pressure and diabetes after being overweight for as little as five years. � Experts predict that one in three children born in the year 2000 will develop Type 2 diabetes during their lifetime. � Children with excess weight are at increased risk for depression, low self-esteem, and diminished social acceptance. � Children with excess weight are less likely to complete secondary education and are more likely to have lower income levels than their peers.Childhood obesity is a national epidemic with even greater long-term consequences for this nation and its employers than adult obesity. 65% of the nation�s adults are overweight or obese and children are adopting their parent�s unhealthy behaviors. At least 31% of school-aged children have excess weight which presents major health, psychological, and quality of life consequences. This epidemic requires prevention strategies that will demand focus, innovation, and action from all stakeholders. Children with excess weight - like overweight adults - -are at increased risk for developing both short and long-term health and social complications: � Excess weight increases both the prevalence and severity of asthma and other common pediatric chronic illnesses. � Children with excess weight begin to develop adult-like diseases such as high blood pressure and diabetes after being overweight for as little as five years. � Experts predict that one in three children born in the year 2000 will develop Type 2 diabetes during their lifetime. � Children with excess weight are at increased risk for depression, low self-esteem, and diminished social acceptance. � Children with excess weight are less likely to complete secondary education and are more likely to have lower income levels than their peers.

3. 3 Our best chance for success in growing healthy kids for a healthy workforce and healthy community is through healthy eating and activity behavior change. How do we get there? Families to be aware of their personal behaviors that affect health and well being; to have realistic objectives regarding lifestyle change; to create a specific roadmaps to reach objectives; to seek professional advice on complex issues, to actively engage in eating and activity choices �and lastly, to track progress over time, making adjustments as necessary in an effort to continually improve.Our best chance for success in growing healthy kids for a healthy workforce and healthy community is through healthy eating and activity behavior change. How do we get there? Families to be aware of their personal behaviors that affect health and well being; to have realistic objectives regarding lifestyle change; to create a specific roadmaps to reach objectives; to seek professional advice on complex issues, to actively engage in eating and activity choices �and lastly, to track progress over time, making adjustments as necessary in an effort to continually improve.

4. 4 Workforce Health Behavioral Norms Absenteeism ranges from 8 to 12 days yearly for workers with diagnosed migraine, arthritis, diabetes, or chronic obstructive pulmonary disease, with 8% to 15% of affected workers reporting work limitations. Dyslipidemia and hypertension are the 2 most prevalent chronic conditions in the workforce, affecting 29% and 20% of all workers, respectively; however, only 20% and 53% of workers with these conditions are treated pharmacologically. Twenty one percent of the workforce experiences at least 1 mental or substance use disorder each year, but recognition is problematic: 36% of workers with depression and 50% of employees who abuse alcohol do not seek treatment for their condition. Behavioral risk factor modification is less than optimal among workers: 65% of the workforce is overweight or obese and 35% report that they do not exercise. The Health Status of the United States Workforce Findings from the National Health and Nutrition Examination Survey (NHANES) 1999-2002, and the National Health Interview Survey (NHIS) 2005 Absenteeism ranges from 8 to 12 days yearly for workers with diagnosed migraine, arthritis, diabetes, or chronic obstructive pulmonary disease, with 8% to 15% of affected workers reporting work limitations. Dyslipidemia and hypertension are the 2 most prevalent chronic conditions in the workforce, affecting 29% and 20% of all workers, respectively; however, only 20% and 53% of workers with these conditions are treated pharmacologically. Twenty one percent of the workforce experiences at least 1 mental or substance use disorder each year, but recognition is problematic: 36% of workers with depression and 50% of employees who abuse alcohol do not seek treatment for their condition. Behavioral risk factor modification is less than optimal among workers: 65% of the workforce is overweight or obese and 35% report that they do not exercise. The Health Status of the United States Workforce Findings from the National Health and Nutrition Examination Survey (NHANES) 1999-2002, and the National Health Interview Survey (NHIS) 2005

5. 5 Maybe even it takes a healthy village to raise a healthy child?????Maybe even it takes a healthy village to raise a healthy child?????

6. 6 Why in Indiana? 65% of the nation�s adults are overweight 28% of Indiana�s adults are obese � up from 20% just 8 years ago CDC study reveals 32% of our school-aged children are > 85% BMI for age and have at least one avoidable risk factor for heart disease Overweight parents are 10 times more likely to have overweight children

7. 7 Strategies for Real Change Realistic Goal Setting Small changes can result in impressive results Slow steady progress leads to life-long habits Achieving initial goals reinforces good behavior Barriers and Setback ID roadblocks ahead of time Prevent the barriers from slowing progress Do not punish children for setbacks Set long-term goals Knowing the goals can motivate change Motivation is essential for Family behavior change. Discuss why your family wants to eat healthy and get more active. What do you want to be able to do? How do you want to feel? By discussing outcomes, families motivate each other through shared goals and outcomes. Realistic Goal Setting It is important to be realistic when selecting goals. Your family does not need to make big changes all at once. Even very small changes in behavior can result in impressive results over time! Slow, steady progress increases your chances of turning the behavior changes into lifelong habits. Another purpose of setting realistic goals is to make your family and child feel good about their progress in the program. Each week your family should choose goals starting with long-term objectives. Barriers and Setbacks: Try to identify any barriers to your family�s success. If you identify roadblocks ahead of time, you will be able to prevent these barriers from slowing your family�s progress. Setbacks are going to happen. We all are human and cannot be perfect. Behavior change can be very difficult for some people, especially when starting far from your ultimate goal. Parents, it is important that your child not be punished for setbacks. We do not want your child to feel bad when goals are not met. Instead encourage and support your child to get back on track. Evolution not revolution. Set your long-term goals Long-term goals are the baseline reasons your family wants to adopt healthier eating and activity behaviors. When a person knows their long-term goals, he/she can be motivated to change. Is it to be healthier? Play better basketball? Run faster? Cute clothes?Motivation is essential for Family behavior change. Discuss why your family wants to eat healthy and get more active. What do you want to be able to do? How do you want to feel? By discussing outcomes, families motivate each other through shared goals and outcomes. Realistic Goal Setting It is important to be realistic when selecting goals. Your family does not need to make big changes all at once. Even very small changes in behavior can result in impressive results over time! Slow, steady progress increases your chances of turning the behavior changes into lifelong habits. Another purpose of setting realistic goals is to make your family and child feel good about their progress in the program. Each week your family should choose goals starting with long-term objectives. Barriers and Setbacks: Try to identify any barriers to your family�s success. If you identify roadblocks ahead of time, you will be able to prevent these barriers from slowing your family�s progress. Setbacks are going to happen. We all are human and cannot be perfect. Behavior change can be very difficult for some people, especially when starting far from your ultimate goal. Parents, it is important that your child not be punished for setbacks. We do not want your child to feel bad when goals are not met. Instead encourage and support your child to get back on track. Evolution not revolution. Set your long-term goals Long-term goals are the baseline reasons your family wants to adopt healthier eating and activity behaviors. When a person knows their long-term goals, he/she can be motivated to change. Is it to be healthier? Play better basketball? Run faster? Cute clothes?

8. 8 Triggers Know the triggers for the child When does he or she go for food Boredom Tired Sad Make up for lack of friends Not excelling in school Issues at home Family fighting Being compared to another sibling Not good at sports Food habits and triggers: Many families eat for reasons other than hunger. Your family might be one of those families. When a family member is sad, stressed, or hurt, do they use food to feel better? Families also eat when they are busy doing something else, like driving in the car, talking on the phone, or watching TV.Food habits and triggers: Many families eat for reasons other than hunger. Your family might be one of those families. When a family member is sad, stressed, or hurt, do they use food to feel better? Families also eat when they are busy doing something else, like driving in the car, talking on the phone, or watching TV.

9. 9 Children�s Goals: I want to� Play fun sports Get my asthma under control Make more friends Run faster than my friend Be able to compete in gym class Buy nice clothes Like myself better Be healthier Learn to cook

10. 10 Kids Love to Have Fun Get ACTIVE Walk with a friend or a pet Ride a bike Rollerblade to a friend�s house Dance Try a new activity Karate Gymnastics Hip Hop Fly a kite Learn a new sport Play Wii sports

11. 11 Boys and Girls are Creative Don�t make food a negative Pre-pack their own healthy snacks Provide a menu of lunches to choose from Take them grocery shopping & assign tasks Learn the joy of cooking Watch cooking shows Choose health recipes on line Get a cookbook from the library Making food a negative or even a reward � can backfire as we try to create healthy habits Educating children and letting them participate can set them on the right course for a healthy lifestyle Let children use the internet to find recipes, family activitiesMaking food a negative or even a reward � can backfire as we try to create healthy habits Educating children and letting them participate can set them on the right course for a healthy lifestyle Let children use the internet to find recipes, family activities

12. 12 Boys and Girls Like to Move Start the day with Pledge of Allegiance and 25 jumping jacks Mid-morning break of stretching "FitDeck Jr." � 45 challenges such as tightrope Engage the physical education teachers and their resources Trends in Physical Activity: At age 9, children engaged in moderate-to vigorous physical activity approximately 3 hours per day on both weekends and weekdays, according to a July 2008 study published in the Journal of the American Medical Association. However, by age 15 years, adolescents were only engaging in MVPA for 49 minutes per weekday and 35 minutes per weekend day. The CDC says, Children should engage in at least 60 minutes of moderate intensity physical activity most days of the week, preferably daily. Nader, P.R., R.H. Bradley, R.M. Houts, S. L. McRitchie, and M. O�Brien. �Moderate-to- Vigorous Physical Activity from Ages 9 to 15 Years.� Journal of the American Medical Association 300, no. 3 (2008): 295-305. Trends in Physical Activity: At age 9, children engaged in moderate-to vigorous physical activity approximately 3 hours per day on both weekends and weekdays, according to a July 2008 study published in the Journal of the American Medical Association. However, by age 15 years, adolescents were only engaging in MVPA for 49 minutes per weekday and 35 minutes per weekend day. The CDC says, Children should engage in at least 60 minutes of moderate intensity physical activity most days of the week, preferably daily. Nader, P.R., R.H. Bradley, R.M. Houts, S. L. McRitchie, and M. O�Brien. �Moderate-to- Vigorous Physical Activity from Ages 9 to 15 Years.� Journal of the American Medical Association 300, no. 3 (2008): 295-305.

13. 13 Increase Access for Activity Ask parents for help & ideas Paint hopscotch, wall ball court, Buy balls � football, basketball, dodge ball Provide recess aides with rules for outdoor games Red Light Green Light Dot Drill Mirror Dance Relay games

14. 14 Bring Wellness to the Classroom Spelling Words, Word Searches or Scrambles Fruits or vegetables Games Healthy foods Outdoor games or sports Use math Calculate exercise to burn calories Calculate calories Use science Create a school garden Make health a part of the curriculum Sample sheets for word searches and scramble are available at our exhibitor table Variety of websites available to make this easy How can this be incorporated into classwork beyond health and gym classes? Suggestions?Make health a part of the curriculum Sample sheets for word searches and scramble are available at our exhibitor table Variety of websites available to make this easy How can this be incorporated into classwork beyond health and gym classes? Suggestions?

15. 15 Bring Wellness to the School Engage parents Ideas and talents To lead or plan activities Create competition � citywide or countywide Show adults engaged Walking Club just before school lets out Early evening classes Pick up games soccer, baseball, dodgeball Parents are an underutilized resource at schools. Realizing that parents are juggling many demands on their time, you may find that some will volunteer to use their talents if they can choose the timing. A parent may be an artist and be able to paint games on the blacktop. Another may be able to engage with other schools to create competition for health events. Someone may be able to �organize� pick up games And there is sure to be other parents with creative ideas. The key here is to ask what they want to do and then set it up in do-able tasks that they can then commit to � asking someone to paint a hopscotch is different from asking to help build a playgroundParents are an underutilized resource at schools. Realizing that parents are juggling many demands on their time, you may find that some will volunteer to use their talents if they can choose the timing. A parent may be an artist and be able to paint games on the blacktop. Another may be able to engage with other schools to create competition for health events. Someone may be able to �organize� pick up games And there is sure to be other parents with creative ideas. The key here is to ask what they want to do and then set it up in do-able tasks that they can then commit to � asking someone to paint a hopscotch is different from asking to help build a playground

16. 16 Bring Wellness to Fundraising AHA � Jump Rope Challenge Pay students for stairs climbed, miles walked, jump rope, jumping jacks Create a healthy kids cookbook Kids submit recipes that other kids will like Have a Healthy Cook-off Chili Best sandwich Best healthy snack Instead of candy or cookie fundraisers, why not double up and have students raise money for our schools by doing something healthy. There are options here that can get students moving while raising money AND without relatives and family friends buying candy that they then eat. These are but suggestions and I am sure that your parent-teacher group will have many other ideas.Instead of candy or cookie fundraisers, why not double up and have students raise money for our schools by doing something healthy. There are options here that can get students moving while raising money AND without relatives and family friends buying candy that they then eat. These are but suggestions and I am sure that your parent-teacher group will have many other ideas.

17. 17 This is a brand new program emanating from our UnitedHealthcare Children�s Foundation. As we have been discussing all day, pediatric obesity is a major concern not only today � but for the next generation. UnitedHealth Heroes aims to involve us all in taking care of our children � including the kids themselves.This is a brand new program emanating from our UnitedHealthcare Children�s Foundation. As we have been discussing all day, pediatric obesity is a major concern not only today � but for the next generation. UnitedHealth Heroes aims to involve us all in taking care of our children � including the kids themselves.

18. 18 UnitedHealthcare is partnering with Youth Service of America (YSA) UnitedHealth Heroes rewards good health habits Teacher & Youth Program Coordinators can apply for microfinance grants Youth Service of American has implemented other outreach programs to children and by partnering with them for UnitedHealth Heroes, we will build on their previous successes. Our goal in the Heroes program is to actively engage children and make them responsible for their health today and in the future. Youth Service of American has implemented other outreach programs to children and by partnering with them for UnitedHealth Heroes, we will build on their previous successes. Our goal in the Heroes program is to actively engage children and make them responsible for their health today and in the future.

19. 19 Encourage students to take the initiative for health awareness: Seat belts Tobacco DARE program Grants awarded to those service learning modules demonstrating: A strong understanding of the risk factors associated with obesity Creative solutions to combat obesity Clear path to implementing a program with measurable results

20. 20 Grant applications available online Details at the Exhibitor Table 5 grants awarded in Indiana Submission deadline is Nov. 26, 2008 Grants awarded in January 2009 I encourage each of you to bring this back to your schools.I encourage each of you to bring this back to your schools.

21. 21 We help people live healthy lives. Our Mission is Simple: