We don t stop playing because we grow old. We grow old because we stop playing.

Transcription

1 We don t stop playing because we grow old. We grow old because we stop playing.

2 A Day to Grow On

3 Objectives Workshop participants will be able to: Understand the childhood obesity problem Identify the role of the childcare environment and staff in promoting the development of health behaviors, specifically eating a nutritious diet and being physically active. Learn examples, tools and techniques to use in your facility that are practical, economical, easy and fun.

4 Childhood Obesity Nationally, 30.5% of 2-5 year old children are overweight or obese. 33.5% of North Carolina children are overweight or obese, placing it among the top ten US states for childhood obesity. Preschool Children who are overweight are almost 5x more likely to be overweight as adults.

5 Causes of Obesity Lack of physical activity Eating unhealthy foods Super sized portions Soft drink consumption Too much TV, games, and computer time

6 Consequences of Obesity Four of the ten leading causes of death are related to obesity Heart disease Stroke Diabetes Certain cancers Psychological/Social Low self esteem Depression Discrimination

7 What is the role of child care? 75% of North Carolina children aged 0-5 years were enrolled at least part-time in child care centers Children receive between 50% and 75% of their daily calories at the child care facility Children learn healthy (or unhealthy) eating habits at a very young age YOU CAN MAKE A DIFFERENCE!

8 Focus on what is within your control Amount and quality of physical activity Meals and snacks served daily Feeding practices and environment Screen time Age-appropriate nutrition education BE A GOOD ROLE MODEL

9 Modeling Healthy Behaviors Participate in physical activities Don t drink soda in front of the children Sit at the table and eat with the children Try new foods along with the children Serve healthy snacks at celebrations Drink water when thirsty

10 Active Play At least 60 minutes of daily unstructured play time (free play) Two or more adult-led structured activities/day minutes of outdoor play Limit sitting time Physical activity can be spread throughout the day in short minute bouts Include physical activity across the curriculum Be sure that much of the play is vigorous

11 Vigorous Activity Increases heart rate and makes the child breathe hard enough so that he or she cannot say more than a few words

12 Active Play and Inactive Time

13 Child Nutrition Label CN labels Tell you the amount to serve to meet CACFP requirements for the meat component and one or more other components Are not required on single component items such as ground turkey, un-breaded chicken, or mixed fruits and vegetables.

14 Nutrition Label vs CN Label Mini Corn Dogs Whole Grain

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16 Feeding Practices Make mealtime as stress free as possible Encourage, but don t force a child to try a bite of food Let the child decide when he/she is full Discourage children from calling food yucky or gross Avoid using food to reward or comfort a child Allow enough time for slow eaters

17 Advantages of using a Food Delivery Service Saves time and money spent on shopping and driving Latest products and CN labeled products or can obtain product analysis information Competitive pricing Healthy menu planning personnel Recipes All food types available: frozen, canned, fresh fruits and vegetables, milk Paper products/supplies *

18 Structured (Teacher-Led) Physical Activities Explain and review- so all children will understand how to play Teacher pep talk about participation after a few minutes Teacher participation in activity Teacher encourages each child by name Teacher praises each child by name

19 Sample Menu CHILDREN'S MENU ( 1-12 YEARS) Week Of: BREAKFAST REQUIRED COMPONEDATE: DATE: DATE: DATE: DATE: CHILDREN'S MEAL PATTERN MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Milk (Whole/1%/Fat Free) Milk Milk Milk Milk Milk Grains/Breads Fruit/Vegetable or 100% Juice Whole Grain Waffles Mandarin Oranges Cheerios Strawberries Whole wheat blueberry muffin Whole wheat minibagel Oatmeal Bananas Pineapple Blueberries PM SNACK LUNCH Milk (Whole/1%/Fat Free) Grains/Breads Fruit/Vegetable Milk Milk Milk Milk Milk Whole Grain Penne Pasta w/tomato sauce Italian Blend Mixed Veggies Biscuit Green Peas & Carrots Whole Wheat Bread Carrot & Celery Sticks Whole Wheat Yeast Roll Unsweetened Applesauce Fruit/Vegetable Pears Grapes Apple Wedges Peaches Meat/Meat Alterna Turkey meatballs *Must serve two of the four components Milk (Whole/1%/Fat Free) Chicken Pot Pie * Ham & Cheese Sandwich Tuna salad Water Water Water Whole wheat english muffin Steamed Broccoli Mandarin Oranges Cheese Grains/Breads Pretzels Goldfish Crackers Mini Rice Cakes Vanilla Wafers Fruit/Vegetable or 100% Juice Pineapple Cucumbers Grape Juice Strawberries Sliced Bananas Meat/Meat Alternate Peanut butter Yogurt Milk *

20 Structured (Teacher-Led) Physical Activities Explain and review- so all children will understand how to play Teacher pep talk about participation after a few minutes Teacher participation in activity Teacher encourages each child by name Teacher praises each child by name

21 Feeding Practices Make mealtime as stress free as possible Encourage, but don t force a child to try a bite of food Let the child decide when he/she is full Discourage children from calling food yucky or gross Avoid using food to reward or comfort a child Allow enough time for slow eaters

22 Structured (Teacher-Led) Physical Activities Explain and review- so all children will understand how to play Teacher pep talk about participation after a few minutes Teacher participation in activity Teacher encourages each child by name Teacher praises each child by name

23 100% Percentage of Most Commonly Consumed Foods Among Children, Age 2-5 years old (2004) Percent of consumers 80% 60% 40% 20% 0% M ilk Bread Soft Drinks Cereal Juice Cookies French Fries Banana Peanut Butter Macaroni and Cheese 2-3 year-olds 91% 81% 72% 71% 47% 42% 32% 30% 28% 28% 4-5 year-olds 93% 86% 79% 72% 41% 46% 33% 25% 28% 19% McConahy, K.L., Smicklas-Wright, H., Mitchell, D.C., and M.F. Picciano. (2004). Portion Size of Common Foods Predicts Energy Intake among Preschool-Aged Children. American Dietetic Association 104:

24 Regular and Diet Soda Increase Obesity Risk Percentage of Increased Risk 100% 80% 60% 40% 20% 0% Increased Risk of Adult Obesity, by Daily Soft Drink Consumption, (2005) 47% 26% 30% 33% Regular Soda Daily Consumption 55% 57% 37% 38% Diet Soda 1/2 can 1/2 to 1 can 1-2 cans 2+ cans Source: Fow ler, S.P. 65th Annual Scientific Sessions, American Diabetes Association, San Diego, June 10-14, 2005; Abstract 1058-P. Sharon P. Fow ler, MPH, University of Texas Health Science Center School of Medicine, San Antonio.

25 Eat Smart

26 Guidelines for a Healthy Diet Recommended daily values based on age* 2-3 Years 4-8 Years 9-13 Years Calories 1,000 to 1,400 1,200 to 2,000 1,400 to 2,600 Protein 13 to 50 grams 30 to 90 grams 35 to 120 grams Carbohydrates 113 to 163 grams 135 to 195 grams 158 to 260 grams Total Fat 33 to 44 grams 33 to 47 grams 39 to 62 grams Sodium 1,000 mg 1,200 mg 1,500 mg Fiber 14 to 20 grams 17 to 28 grams 20 to 36 grams Calcium 700 mg 1,000 mg 1,300 mg Vitamin D 600 IU 600 IU 600 IU * Ranges depend on children s sex, as well as growth and activity levels.

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28 USDA Recipes Portion sizes *

29 Websites

30 A Day to Grow On: Breakfast Serve the appropriate milk type Aim to reduce sugar Switch to whole grains Use more fresh fruits Add protein

31 Which Milk is Healthiest? Per 8 ounces Whole 2% 1% Skim Fat (gm) <0.5 Saturated fat (gm) Calories Protein (gm) Calcium (mg) Vitamin D (iu)

32 Be a label reader: Breakfast Whole wheat blueberry muffins

33 A Day to Grow On: Lunch / Dinner Control sodium and fat Less processed, more homemade Make vegetables without or with less salt and butter Limit pre-fried foods Switch to whole grains Serve veggies raw or steamed

34 Be a Label Reader Mini Corn Dogs Whole Grain Fully Cooked Fajita Seasoned Grilled Chicken Breast Strips with Rib Meat

35 Be A Label Reader Homemade Dirty Rice Pre-cooked ground turkey Black Beans

36 A Day to Grow On: Snack Limit juice Mini-meal not a treat Tailor to other meals served that day

37 Be a Label reader 1 Cheese cracker sandwich with peanut butter (Nab) 1 cup 100% apple juice One 4 celery stick 2 Tbs. Peanut butter

38 Make a Difference Set Goals You don t have to do everything at once Get the staff on board Be patient, but monitor results Positive reinforcement Be a role model Don t give up!