Yes,

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Yes, We Can

• A Modern Solution to Obesity

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We Can learn and live

• Ways to
• Enhance
• Childrens
• Activity and
• Nutrition

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What is the We Can Program?

• A national public education program to prevent
  overweight and obesity National Heart, Lung, and
  Blood Institute of the NIH
• In collaboration with
• CATCH Kids Club grades K-5 Child and
  Adolescent Trial for Cardiovascular Health
  NHLBI funded program
• Media-Smart Youth Eat, Think, and Be Active!
  Program tweens/teens 11-13 years old funded by
  NICHHD
• SMART program 3rd and 4th grades Student Media
  Awareness to Reduce Television developed at
  Stanford Prevention Research Center

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Video Introduction
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Why is THIS one different????

• Research evidence based
• Focused on the family, Centered within the
  community
• Flexible
• Action-oriented first you learn, then you
  live
• Geared for life, not for a while!
• Broad-based
• Food choices
• Physical activity
• Screen time

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The problem just keeps growing

• 65 of US adults are overweight or obese
• 17 of children ages 6-19 years old are
  overweight and another 17 are at risk for
  overweight
• Rate has doubled for children aged 2-5 y
• Rate has tripled for children aged 6-11 y and
  12-19 y
• Rates even higher for certain minority groups

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Who is targeted?

• Children ages 8-13 y
• Their parents, caretakers gatekeepers and role
  models

• On the way to health!!!

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Program Options

• Youth Programs
• Parent Programs
• Community Events

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Youth Programs

• CATCH Kids Club
• Media Smart Youth
• Student Media Awareness to Reduce Television
  S.M.A.R.T.
• The Power of Choice
• Jumpstart
• Planet Health

• Join with successful partners

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Parent Programs

• We Can! Energize our Families
• Six lesson program
• Primary emphasis is on energy balance and healthy
  weight

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Community Events/Partners

• Recreation centers and parks
• Faith based organizations
• School based groups
• Community based organizations
• Health care providers
• Universities

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Arizona Community Partners

• Cardiac CareCottonwood, Arizona 86326
• Banner Desert Medical CenterMesa, Arizona 85202
• Ahwatukee Foothills YMCA Phoenix, Arizona 85048
• Queen Creek Elementary SchoolQueen Creek,
  Arizona 85242
• Drachman Montessori K-6 Magnet SchoolTucson,
  Arizona 85701
• Partners for Active, Healthy ChildrenNutritional
  SciencesTuscon, Arizona 85718
• University of ArizonaPediatric Pulmonary
  CenterTucson, Arizona 85724

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Parent Program We Can! Energize Our Families

• Four 90-minute sessions
• Getting started on energizing families
• Energy Balance Reaching and Maintaining a
  healthy weight
• Managing Energy In What to feed my family
• Maximizing Energy Out Less sit, more fit!

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Session One Getting Started
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Session One Eat Healthier, Save Money

• Plan ahead
• Shop the ads
• Use what you have
• Go it alone!
• Use label information
• All fruits/veggies count
• Watch where youre spending those !

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Session One Help your children eat well

• Be a good role model
• Involve children in decisions and activities
• Make gradual changes
• Make life easy on them!
• Dont bring temptation into the house

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Session Two Energy Balance
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Session Two Portion Distortion

• THEN 1980s

• NOW 2000s

• Popcorn 270 kcal
• Caesar salad 390 kcal
• French fries 210 kcal

• Popcorn 630 kcal
• Caesar salad 790 kcal
• French fries 610 kcal

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Portion Distortion, continued

•    
• Bagel 3'' 140 kcal
• Bagel 6'' 350 kcal
• Cheeseburger 1 333 kcal
• Cheeseburger 1 590 kcal
• Spaghetti w/meatballs 500 kcal
• Spaghetti w/meatballs 1,020 kcal
• Soda 6.5 ounces 85 kcal
• Soda 20 ounces 250 kcal
• Blueberry muffin 1.5 oz 210 kcal
• Blueberry muffin 5 oz 500 kcal

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Session Two Sensible Snacks

• Aim for 100 kcal or less
• Focus on fresh fruits
• Vary those raw veggies
• Simple cereals are super!
• Milk those dairy for all theyre worth

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Session Two Make Your Move

• Think of the possibilities
• Develop an action plan
• Follow through
• Bring along a crowd!

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Session Three Feeding my Family

• Plan your meals and snacks
• Plan your food purchases
• Plan your food preparation
• Plan your portions
• Plan for eating out

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Healthy Grains Good to Go!

• Rice or noodles (spaghetti, macaroni, etc.)
• Pasta with red sauce (marinara)
• Pasta with vegetables (primavera)
• Bran flakes, crispy rice, etc.    
• Cooked grits or oatmeal    
• Reduced-fat granola      

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Darling Dairy!

• Go low-fat or no-fat
• Give credit where credit is due puddings,
  smoothies
• Lower the bar slowly full fat, 2, 1, skim

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Protein Power without the Pooch!

• Low-fat cold cuts (95 to 97 fat-free
• Lower-fat hot dogs
• Canadian bacon or lean ham
• Extra lean ground beef
• Chicken or turkey without skin (white meat)
• Water-packed tuna
• Beef (round, loin)
• Pork tenderloin or trimmed, lean smoked ham
• Fish or shellfish, unbreaded (fresh, frozen,
  canned in water)

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Carbs to Crunch

• Hard french rolls, crusty wheat breads
• English muffins, bagels
• Low-fat crackers (choose lower in sodium)    
• Whole grain crackers (choose lower in sodium)
• Cake (angel food, gingerbread)
• Naturally low/no fat cookies (graham crackers,
  ginger snaps, fig bars, animal crackers)

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Power Packed Produce

• Any form fits
• Go crazy with color
• Look for local sources
• Grow your own

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Snacks for Success

• Popcorn (air-popped or light microwave), pretzels
• Fresh or dried fruits, vegetables
• Frozen yogurt, frozen fruit or chocolate pudding
  bars
• Custards or puddings (made with skim milk)

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Going down, down, down

• Choose foods and food preparation techniques that
  are lower in fat
• Limit foods that are high in sugar
• Limit your use of added sugars
• Dont believe all that you read!!!

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Fat-Free or Reduced-Fat Savings

• Reduced-fat peanut butter, 2 T 187
• Regular peanut butter, 2 T 191
• Reduced fat chocolate chip cookies, 3 cookies 118
  
• Regular chocolate chip cookies, 3 cookies 142
• Fat free fig cookies, 2 cookies 102
• Regular fig cookies, 2 cookies 111
• Light vanilla ice cream, fat, 1/2 cup 111
• Regular vanilla ice cream, fat, 1/2 cup 133

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Savings

• Lowfat granola cereal, approx. 1/2 cup 213
• Regular granola cereal, approx. 1/2 cup 257
• Lowfat blueberry muffin, 1 small 131
• Regular blueberry muffin, 1 small 138
• Baked tortilla chips, 1 oz. 113
  Regular tortilla chips, 1
  oz. 143
• Lowfat cereal bar, 1 bar (1.3 oz.) 130
  Regular cereal bar, 1 bar (1.3
  oz.) 140

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Easy Ways to Cut the Fat

• Fat-free or low-fat milk/yogurt rather than whole
  
• Fat-free or low-fat sour cream rather than
  regular
• Remove visible fat from poultry or meat
• Serve foods without butter, gravy, or high fat
  sauces
• Offer salad dressing "on the side"
• Mustard and low-fat mayo rather than regular mayo
• Salsa, not guacamole and sour cream
• Grilled, steamed, stir-fried foods not deep-fat
  fried

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Go, Slow, and Whoa Foods

• GO
• Go for color
• Go for sensation
• Go for variety
• SLOW
• Slow your use of high fat, high sugar foods
• Slow your snack attacks
• Slow your visits to fast food restaurants
• WHOA
• Save fried foods, sweet treats, and high fat
  foods for very special occasions

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Menu Magic for Healthy Diets Cues for Healthy
Restaurant Meals

• steamed
• garden fresh
• broiled
• grilled
• baked
• roasted
• poached
• lightly sautéed or stir-fried

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Session Four ACTION!!!!

• Increase family and personal action time
• Reduce screen time

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Increase family action time

• Put everyone to work!! Cleaning is the cure.
• Walk those pets
• Join in community volunteer efforts
• Explore your surroundings
• Start a new family tradition
• Treasure those moments

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Downsize the Screen Time

• Know how much screen time, active time your
  family is getting.
• Talk to your family.
• Set limits on screen time.
• Minimize the influence of TV in the home.
• Make meal time, family time.
• Provide other options and alternatives..
• Set a good example.
• Don't use TV to reward or punish a child.
• Make screen time, active time.

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Bringing It All Together

• Make a commitment
• Creative a supportive network
• Define and set realistic personal and family
  goals
• Be prepared
• Learn how to handle roadblocks, setbacks,
  challenges
• Track progress
• Reward all successes

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My Challenge to You!!!

• Take what you have learned and put it into action
• Use what you have learned and implement ONE
  POSITIVE CHANGE during todays lunch
• Rewards will be offered to those who are
  successful!