Presented by: Marcia Archer

Presented by: Marcia Archer

CHILDHOOD OBESITY has more than TRIPLED 9 MILLION CHILDREN The problem touches millions of families!!!

Objectives How TRAC came to be Nutrition Plan What we are currently doing Future plans

History Of TRAC MUNCH Project- (Model for Understanding Childcare Health) was an ADHS Obesity Prevention Program that Chino Valley was selected to participate in during 2005. Federated- In 2005 was selected as the pilot site for the planning & implementation of a physical movement curriculum. An intern from NAU s Health Promotion class was instrumental in developing the plan. P.E.Central- Was selected as the NACOG HS physical activity curriculum. Training and distribution of the manuals were provided at Pre-Service 2006.

In The History Making IMIL (I am Moving I am Learning) January 07 Region IX Head Start conducted a Training-of-training event in San Francisco that was a proactive approach for addressing childhood obesity in HS NikeGo Head Start Initiative-Nike partnered with National Head Start Association and SPARK (Sports, Play and Active Recreation for Kids) as an initiative to encourage young children and adults to engage in movement activities every day. Implemented in 08 UCLA Johnson & Johnson Health Care Institute, Diabetes Prevention Project January 09, 8 sites participated in low-literacy nutrition and physical activity intervention program designed for HS

In The History Making TRAC-The TRAC name originated by re-branding all three movement/nutrition programs (PE Central, IMIL & NikeGo Head Start) into one NACOG Head Start program. There were 4 pilot centers that were involved in the three programs: Clark Homes, Page, Show Low and Winslow. General Mills Champions for Healthy Kids Grant-2009 NACOG HS was awarded $10,000. In December 2009 a train-the-trainer approach was used to implement TRAC program wide. Teaching staff from each center and 7 home-base visitors attended the TRAC training.

Why We Support Physical Movement/Nutrition Initiatives 19% of children ages 6-11 in the US are overweight Preschool obesity rates have tripled in the last 30 years. Researchers predict that ½ of the children in North American will be overweight by 2010 15% of NACOG Head Start children were identified as overweight in the school year 2009-2010 15% of NACOG Head Start children were identified as overweight in the school year 2008-2009 14% of NACOG Head Start children were identified as overweight in the school year 2007-2008 10% of NACOG Head Start children were identified as overweight in the school year 2003-2004 5% of NACOG Head Start children were identified as overweight in the school year 1999-2000

The Importance of Nutrition Development Under-nutrition along with environmental factors associated with poverty can permanently retard physical growth, brain development and cognitive functioning Over-fed children, along with environmental factors, can lead to health consequences such as Type 2 diabetes, high blood pressure, heart disease, sleep apnea and mental health

Benefits of a Healthy Lifestyle Helps build and maintain healthy bones, muscles and joints Helps to maintain appropriate weight gain Enhances development of brain-muscle connections. Reduces risk of heart disease, diabetes and high blood pressure Reduces feelings of depression and anxiety Increase children s capacity for learning

Nutrition Goals for TRAC To improve healthy nutrition choices for children every day Provide an environment where children enjoy eating Reduce the risk of chronic disease through appropriate eating habits. Achieve optimal physical and cognitive development. Children will show growing independence in nutrition through enjoying food, developing positive habits toward food, and attaining a healthy weight.

What Currently Exists Family Style Meal Service Age appropriate meal time equipment Scheduled meal times Planned menus Lessons and Nutrition Activities Nutrition Education Resources

Benefits of Family Style Meals All children and staff are offered the same meal Children are able to serve themselves and choose the amount of food they want Children practice new skills with their hands and fingers while eating and also learn table manners. Children do not see one food as more important than another

Developmental Skills during Preschool Years: Utilizing Age- Appropriate Mealtime Equipment Language-vocalize needs and wants Gross motor skillsserves own plate Fine motor skillsuse of spoon, fork & knife Able to eat a variety of food textures

Importance of Scheduled Meal Times & Scheduled Meal Times Planned Menus Infants: Feed on demand Preschool: Specific times for meals and snacks Planned Menus Review menus to ensure compliance with CACFP guidelines for components and content Ensure variety

Nutrition Education Resources Examples of nutrition education resources available in the center Stone Soup Do Carrots Make You See Better? Food Pyramid for Kids Creative Pockets Chef Combo Eating From The Earth Kinder-Krunchies

Lessons & Nutrition Activities Introduction to MY PYRAMID My Pyramid for Kids Poster Creative Pockets Pictures of food & food cards Food matching games Food tasting party Books relating to food

Lessons & Nutrition Activities Grains Kinder-Krunchies Letter pretzels Zucchini Muffins Eating From the Earth Whole Wheat Tortillas pg 13 Fruits & Vegetables Arizona 5-a-Day Stone Soup Eating from the Earth Do Carrots Make you See Better?

2010-2011 PLAN For TRAC Nutrition Increase the amount of nutrition activities in the classroom Improve the quality of nutrition activities that include more whole grains, fruits & vegetables Extend nutrition activities for parents in the home

2. To improve healthy nutrition choices for children every day Head Start Child Outcomes Using Creative Curriculum Assessment Health/Nutrition Status and Practices Children will show growing independence in nutrition through enjoying food, developing positive habits toward food and attain a healthy weight. Resources Monitoring Team Plan Nutrition Activities Mealtimes Stone Soup Do Carrots Make you See Better? Food Pyramid for Kids Creative Pockets Chef Combo Eating From the Earth Kinder-Krunchies Lessons and Nutrition Activities; 1. INTRODUCTION TO MY PYRAMID MyPyramid for Kids Poster Creative Pockets Pictures of food & food cards Food matching game Bread and Jam Frances by Russell Hoban Food Tasting Party Classroom Monitoring Tools Family Style Meals Checklist from NACOG Head Start Family Style Meal Service Manual Lesson Plans- Scheduled nutrition activities Nutrition Assessment Data- BMI Child Health & Developmental History Menus Educate staff Nutrition Manager will Indentify trainers with expertise to train key staff in how to use classroom-based nutrition education to encourage the children to develop personal preferences for healthy foods. The selected materials will be used to define the materials to conduct the activities and record which activities the classroom has conducted. Key trainers will be Marcia Archer R.D., support from Arizona Nutrition Network Meal Planning Students will learn the importance of variety by putting together three different food groups for a complete meal using food models and paper plates.

2. FRUITS AND VEGETABLES Suggested books for reading The Very Hungry Caterpillar, Eating from the Alphabet Do Carrots Make you See Better? Coleslaw page 82 Mini Pizzas page 86 Celery Boat page 96 Arizona 5-a-Day Fruit Smoothies page 43 Fruit or vegetable Kabobs page 44 Stone Soup story book Eating From the Earth Jicama Salad page 28 Fruits & Veggies: More Matters A lesson on the benefits of eating fruits and vegetables like Vitamin A (good for your eyes), Vitamin C (helps to heal you), and fiber (cleans out your insides), how much is recommended to eat everyday followed by a tastetesting of 5 different colored fruit & vegetables using a take home sheet to vote Smiley face (liked it) or Frown face (didn t like it). 3. GRAINS Suggested books for reading Bread, Bread, Bread by Ann Moris Kinder-Krunchies Letter Pretzels page 38 Zucchini Muffins page 66 Eating From the Earth Blue Corn Pancakes page 27 Whole Wheat Tortillas page 13 4. MEAT & BEANS Do Carrots Make you See Better? Clown Roll page 80 Eating From the Earth Hummus page 53 Kinder-Krunchies Tuna Treats page 102 Egg Boats page 22 Peanut Butter Balls page 46 5. DAIRY Kinder-Krunchies Cheese please page 94 EHS Lessons and Nutrition Activities; How to Make Baby Food Play a guessing game by placing a fruit or vegetable in a paper bag. Have the toddler feel the shape and surprise them with what is in the bag.

Responsibility of Head Start Staff Understand the sequence of infant development and feeding skills. Understand how and why young children develop certain food habits Being healthful food role models Being mindful of our own attitudes Providing enjoyable and safe food experiences Incorporate nutrition education with lessons and activities

Responsibility of the Children Mealtime and Snacks at Head Start: Decide from internal cues whether to eat Decide how much to eat Use words to ask and make conversations Help with setting the table Sit on a chair at the table Pass food to one another Clean up after themselves Participate in Lessons and Activities

What to expect from Preschoolers Reject new foods Food jags and rituals Easily distracted Need snacks Difficulty with meats, tough foods Small serving sizes

Enhancing Nutrition with TRAC Plan ahead so that healthy snacks are served Offer appropriate sized portions; the size of a young child s fist is a portion size Have planned mealtimes Provide the environment that supports appropriate foods in the form the child can manage and in a social environment that is loving and accepting Have planned nutrition activities that incorporate more whole grains, fruits, and vegetables

Together We Can Make a Difference