the accompanying ABCs of Role Modeling - City of Milwaukee

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					         Role Modeling

The                of




  Nutrition Workshop
          Overview
•   Current statistics and trends
•   Why is this important?
•   Components of ABCs
•   Quiz!
•   Ideas for role modeling
                      Obesity in U.S. Children,
                             Ages 2-19




http://www.cdc.gov/nchs/data/hestat/obesity_child_07_08/obesity_child_07_08.htm
               Obesity in Wisconsin Children,
                         Ages 2-4




2007 Pediatric Nutrition Surveillance System, Centers for Disease Control and Prevention
Total Overweight in Wisconsin Children,
              Ages 2-4




2007 Pediatric Nutrition Surveillance System, Centers for Disease Control and Prevention
Should we be concerned about
     children’s weight?

        For children, physical
        complications and problems
        of being overweight include:
         ü Respiratory problems such as
            asthma
         ü Sleep apnea
         ü Orthopedic problems
         ü Type 2 Diabetes
         ü Likelihood of adult overweight
            or obesity
      Did You Know…
Social and emotional effects
of overweight may be most
         damaging?
ü Low self-esteem
ü Target of bullying
ü Behavior and learning problems
ü 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:
 ü High blood pressure
 ü Type 2 diabetes
 ü Heart disease & stroke
 ü Gall bladder disease
 ü Osteoarthritis
 ü 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
             A
         Aim for a
       Healthy Weight
 p Choose portions right for you.

p Balance food & physical Activity
             B
    Build a Healthy Base
§ Eat more fruits and vegetables.
§ Choose whole grains daily.
§ Choose nonfat or low-fat milk.
§ Keep food safe to eat
             C
         Choose 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 day
What 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 Wisely
Limit intake of fats and oils high in
    saturated and/or trans fats
 Which 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

				
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posted:5/5/2014
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