the accompanying ABCs of Role Modeling - City of Milwaukee by pengxuebo


									         Role Modeling

The                of

  Nutrition Workshop
•   Current statistics and trends
•   Why is this important?
•   Components of ABCs
•   Quiz!
•   Ideas for role modeling
                      Obesity in U.S. Children,
                             Ages 2-19
               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
         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
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 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
         Aim for a
       Healthy Weight
 p Choose portions right for you.

p Balance food & physical Activity
    Build a Healthy Base
§ Eat more fruits and vegetables.
§ Choose whole grains daily.
§ Choose nonfat or low-fat milk.
§ Keep food safe to eat
         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
   A - Aim for a healthy weight
  Which is the most promising dietary
   approach to preventing childhood

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
• 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
      Helping children learn
• 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
• Help children recognize when they are
  hungry or full
• Pay attention when children say they are
• 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

• 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
• 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
  • 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

       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 &
    –   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
    –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

          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
  • Help children learn not to be fooled by
  • 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
      Additional Resources

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