Nutrition Workshop

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Role Modeling The
of
GOOD HEALTH

• Nutrition Workshop

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A
Aim for a Healthy Weight

• Choose portions right for you.

• Balance food physical Activity

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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

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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.

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Who Are Role Models of Health Behaviors for
Children?
1. Parents 2. Teachers other school staff 3.
Childcare providers 4. Health professionals 5.
Neighbors 6. Community Members

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2 yrs
Overweight gt 95th percentile BMI-for-age at
risk of overweight gt 85th-,95th percentile
BMI-for-age, CDC Growth Charts, 2002. 15 of
children are expected to fall above the 85th
percentile (5 above the 95th percentile and 10
between the 85th and 95th percentiles).
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Trends in overweight and at risk for overweight
among children aged 2 thru 4 years in Wisconsin
1994 overweight 8.9 at risk 13.8 1995
overweight 9.3 at risk 13.9 1996
overweight 9.7 at risk 14.6 1997
overweight 10.1 at risk 14.7 1998
overweight 10.1 at risk 14.4 1999
overweight 10.1 at risk 14.6 2000
overweight 11.4 at risk 15.0 2001
overweight 11.3 at risk 14.7 2002
overweight 11.8 at risk 15.0
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National Overweight Trends Rates Among Children
Youth 1988-94
1999-00 age 12-19 10.5 15.5
age 6-11 11.3 15.3
age 2-5 7.2 10.4 .
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Should we be concerned about childrens weight?
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

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Did You KnowSocial and emotional effects of
overweight may be most damaging?

• These include
• ?Low self-esteem
• Target of bullying
• Behavior and learning problems
• Depression

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Did You KnowWeight 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

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• 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

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What has happened with children food?

• Portion sizes are up - often 4 times larger than
  10 years ago.
• More high fat high calorie foods, more snacking
• Soft drinks and sweetened fruit drinks have
  replaced water and milk between 1970 and 1997
  soft drinks rose 118 milk consumption fell 23.
• Advertising and promotion to children of high
  fat, sweetened, and salty foods.
• Easy accessibility to food vending, fast food,
  drive-in, convenience foods, micro-waves.
• Low cost and wide variety.
• More eating away from
  home.
• More catering to childrens
  preferences.

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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 leave little time for
  physical activity.
• Elimination or reduction of physical education at
  some schools.
• Concerns about safety can limit
• physical activity.

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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

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Correct answer B. Decrease sweetened
beveragesModeling 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

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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.

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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.

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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.
• Work with of other community members to decrease
  TV viewing. Observe TV Turn-off week.
• Set limits to TV, video, computer use
• - No more that 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 instead
  of watching
• TV.

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B Build a Healthy Base When is the
window of opportunity for developing strong
bones?

• Throughout childhood
• The teen years
• Young adulthood
• D. All of the above

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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 childrens
  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.

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Choose a variety of grains daily, at least
half the grains should be whole grains. 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

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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, and eat 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

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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. 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

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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 for yourself and children
  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

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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

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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.

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C - Choose WiselyLimit intake of fats and
oils high in saturated and/or trans fatty acids,
choose products low in such fats and oils.
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

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Correct answer D All of these protein choices
have little or no saturated fat. Modeling this
behavior

• Give children choices that limit saturated fat
  by
• Using a meat alternative like beans, yogurt, or
  peanut butter.
• Serving smaller amounts of meat by offering
  combination dishes like spaghetti and meat.
• Using oil and soft margarines instead of solid
  fats.
• Choosing/Serving fruit for dessert often.
• Limiting fast food meals and choosing
• smaller portions when eating fast
  foods.

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Choose beverages and foods with little added
or no sugars. What percentage of toddlers drink
a sweetened beverage daily?

• 20
• B. 30
• C. 40
• D. 50

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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 that many drinks that are
  advertised as nutritious contain mostly sugar
  and water.
• Limit fruit juice to 1 or 2 servings daily

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Choose and prepare foods with little
salt. Which snack will help you cut back on the
amount of salt served to children?

• Crackers and cheese
• B. Fruit milk
• C. Vegetables, dip and juice
• D. Pretzels and milk

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Correct answer B The fruit and milk snack has
the least amount of salt. Modeling this behavior

• Follow these practices to help control blood
  pressure and improve childrens health today and
  in the future
• - 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.

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If you drink alcoholic beverages, be
sensible, drink in moderation. What percentage
of Wisconsin high school students drink alcoholic
beverages?

1. 12
2. 28
3. 47
4. 65

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Correct answer 47 of High School Students
reported having at least one alcoholic drink in
the past 30 days. Modeling this behavior

• Adults who consume alcoholic beverages, should
  drink in moderation 1 drink per 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 who plans to drive/operate
  machinery.
• ? Anyone taking medications that
  can interact
• with alcohol.