Nutrition Nutrition Workshop

Role Modeling

The of

Overview• Current statistics and trends

• Why is this important?

• Components of ABCs

• Quiz!

• Ideas for role modeling

5.5

10

13.915.4

17.115.5

16.9

0

2

4

6

8

10

12

14

16

18

1976-

1980

1988-

1994

1999-

2000

2001-

2002

2003-

2004

2005-

2006

2007-

2008

Year

% o

bese

Obesity Rate

http://www.cdc.gov/nchs/data/hestat/obesity_child_07_08/obesity_child_07_08.htm

Obesity in U.S. Children, Ages 2-19

11.5 11.4

11.8

13

13.3

13 13

10

10.5

11

11.5

12

12.5

13

13.5

2000 2001 2002 2003 2004 2005 2006Year

Perc

ent

Obese

Obesity in Wisconsin Children, Ages 2-4

2007 Pediatric Nutrition Surveillance System, Centers for Disease Control and Prevention

26.6

26

26.8

28.9

29.6

2929.3

24

25

26

27

28

29

30

2000 2001 2002 2003 2004 2005 2006Year

Perc

ent

Total Overweight(Overwt + Obese)

Total Overweight in Wisconsin Children, Ages 2-4

2007 Pediatric Nutrition Surveillance System, Centers for Disease Control and Prevention

For children, physical complications and problems of being overweight include: Respiratory problems such as asthma

Sleep apnea

Orthopedic problems

Type 2 Diabetes

Likelihood of adult overweight or obesity

Should we be concerned about children’s weight?

Did You Know…Social and emotional effects of overweight may be most

damaging?

Low self-esteem

Target of bullying

Behavior and learning problems

Depression

Did You Know…Weight status of children affects lifelong health?

• 80% of children and adolescents diagnosed with Type 2 diabetes are overweight

• Overweight children --> obese adults– Overweight 6 year-olds have a 25%

chance of being obese adults– Overweight 12 year-olds have a 75%

chance of being obese adults

Long-term effects of overweight includes

increased the risk for: High blood pressure Type 2 diabetes Heart disease & stroke Gall bladder disease Osteoarthritis Some types of cancer

What has happened with children & food?

• Increased portion sizes

• More high calorie foods & sugary snacks

• Soft drinks and sweetened “fruit drinks” have replaced water and milk

– 1970 - 1997: soft drink consumption rose 118%; milk consumption fell 23%

• Advertising and promotion to children

• Easy accessibility & low cost

• More eating away from home

What has happened with children & physical activity?

• Competition from sedentary activities – TV, video games, computers, movies – 2-18 year olds get an average of 4 hours daily of

“screen time”• Modern community design discourages walking &

biking – no sidewalks, schools not in neighborhoods.

• Busy family schedules• Elimination or reduction of physical education at

some schools. • Concerns about safety

AAim for a

Healthy Weight

Choose portions right for you.

Balance food & physical Activity

BBuild a Healthy Base

Eat more fruits and vegetables.

Choose whole grains daily.

Choose nonfat or low-fat milk.

Keep food safe to eat

CChoose Wisely

• Keep total fat between 20 to 35 % of calories, mostly unsaturated.

• Choose & prepare foods with little added sugars or caloric sweeteners.•Consume less than 2,300 mg salt per

day, include potassium-rich foods.

•Be sensible, drink alcoholic beverages in moderation.

Who Are Role Models of Healthy Behaviors

for Children?

1. Parents

2. Teachers & other school staff

3. Childcare providers

4. Health professionals

5. Neighbors

6. Community Members

Who wants

healthy kids?

A - Aim for a healthy weight Which is the most promising dietary approach to preventing childhood

overweight?

A. Decrease dietary fat

B. Decrease sweetened beverages

C. Increase fruits and vegetable

D. Increase low-fat and non-fat milk

E. Decrease fast food

Correct answer: B. Decrease sweetened beverages

Modeling this behavior:

• Choose water as your beverage most of the time.

• Switch to a low-fat or non-fat milk and choose this at meals eaten with children.

• Be sure fruit juices are 100% juice. Limit juice to 1 or 2 servings a day. (4-6 oz. in a serving

Helping children learn self-regulation

• Have regular times for meals and snacks • Stick to these times and children will learn to

trust that they will have food when they are hungry

• Help children recognize when they are hungry or full

• Pay attention when children say they are hungry

• Listen when children say they are full

Be physically active each dayWhat is the most promising physical activity

approach to preventing overweight in children & youth?

A. Increase recreational physical activity

B. Decrease TV time

C. Increase physical education participation

D. All of the above

Correct answer: D All of these approaches are very promising.

Modeling this behavior:• Be physically active most days for at least 30

minutes

• Participate with children in physical activities

• Advocate for increased physical education requirements at your school

• Limit screen time

Limiting Screen Time• Work with other community members to

decrease TV viewing• Observe “TV Turn-off” week

(www.tvturnoff.org)• Set limits to TV, video, computer use:

- ≤ 1-2 hours of quality programs daily- No TV for children under age 2- Read, talk, or sing to children instead of TV- Have family mealtimes with the TV turned off- Play games with children vs. watching TV

B – Build a Healthy Base When is the “window of opportunity” for

developing strong bones?

A. Throughout childhood

B. The teen years

C. Young adulthood

D. All of the above

Correct answer: D All of these periods of life are opportunities to develop strong bones.

Modeling this behavior:• Choose milk and other dairy products

often• Include a variety of dairy products in

children’s meals and snacks• Advocate for replacing soda vending

machines with milk vending machines at your school and at community sites that children use

• If you or a child is lactose intolerant, choose small portions of dairy products and other calcium-rich foods each day

Make half your grains whole.The health benefits of whole grains

are found in all of these foods except:

A. Brown Rice

B. Enriched white bread

C. Cheerios

D. Oatmeal

Correct answer: B Although white bread is enriched with some nutrients removed during

milling, it does not contain fiber.

Modeling this behavior:• Read labels• Choose whole grain products with lots of

fiber for these benefits for yourself & children:

– Feeling of fullness with less calories

– Proper bowel function

– Phytochemicals that may prevent cancer and other diseases

– Lower risk of heart disease

Eat more fruits and vegetables. Which of the following practices DO NOT

help children learn to eat new foods:

A. Rewards for trying new foods

B. Allowing children to serve themselves

C. Giving opportunities to see, touch, and smell a food before it is offered at a meal or snack

D. 10 or more exposures to a new food

Correct answer: A When children are rewarded for trying a new food, they are less

likely to try that food again.

Modeling this behavior:• Provide lots of chances to experience

new foods before tasting:– Gardening and going to a Farmers Market– Choosing produce at the store– Preparing new foods for meals and snacks

• Allow children to serve themselves

• Pair a new food with a familiar food

Keep food safe to eat. What proportion of food-borne illnesses occur in children aged 10 or younger?

A. One-tenth

B. One-fourth

C. One-third

D. One-half

Correct answer: C One-third of food borne illnesses are in children age 10 and younger.

Modeling this behavior:

• Let children see you keeping food safe to eat by:

–Washing hands and surfaces often.–Separating raw, cooked, and ready-to-

eat foods while shopping, preparing, and storing.

–Cooking foods to a safe temperature.–Refrigerating perishable and cooked

foods promptly.

C - Choose WiselyLimit intake of fats and oils high in

saturated and/or trans fatsWhich of these protein choices have less than 1 gram of saturated fat in a 4 ounce

serving?

A. Turkey breast, no skin

B. Pinto beans

C. Tuna packed in water

D. All of the above

Correct answer: D All of these protein choices have little or no saturated fat.

Modeling this behavior:• Give children choices that limit saturated fat:

– Use a meat alternative like beans, yogurt, or peanut butter

– Serve smaller amounts of meat by offering combination dishes like spaghetti and meat

– Use oil instead of solid fats– Choose/Serve fruit for dessert often – Limit fast food meals and choosing

smaller portions when eating fast foods.

Choose beverages and foods with little added or no sugars. What percentage of toddlers drink

a sweetened beverage daily?

A. 20%

B. 30%

C. 40%

D. 50%

Correct answer: C 40% of toddlers drink a sweetened beverage daily. An increase in

broken bones in grade school children is related to soft drinks replacing milk.

Modeling this behavior:

• Read beverage labels and show children what labels tell you about a food

• Help children learn not to be fooled by advertising

• Limit fruit juice to 1 or 2 servings daily

Choose and prepare foods with little salt.

Which snack will help you cut back on the amount of salt served to children?

A. Crackers & cheese

B. Fruit & milk

C. Vegetables, dip and juice

D. Pretzels and milk

Correct answer: B The fruit and milk snack has the least amount of salt.

Modeling this behavior:• Eat lots of fruits and vegetables

• Eat beans, nuts, and seeds

• Have at 2-3 servings of low-fat dairy products daily

• Eat less meat, poultry, and fish (6 oz. or less daily)

• Eat whole grain foods

If you drink alcoholic beverages, be sensible, drink in moderation.

What percentage of Wisconsin high school students drink

alcoholic beverages?

A. 12%

B. 28%

C. 47%

D. 65%

Correct answer: 47% of High School Students reported having at least one alcoholic drink in

the past 30 days.

Modeling this behavior:

• Adults should drink in moderation• 1 drink/day for women; 2 for men

• Those who should not drink any alcohol include:• Children and adolescents• Individuals of any age who cannot restrict their drinking to moderate levels• Women who are pregnant or may become pregnant• Anyone taking medications that can interact with alcohol

Additional Resources• www.fruitsandveggiesmatter.gov

• www.kidnetic.com/Parents

• actionforhealthykids.org/family/

• www.bluekids.org/parentsandcaregivers