Post on 29-Mar-2015
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Technical Assistance WorkshopHonolulu, HawaiiMarch 8, 2013Dr. Caree Jackson Cotwright, CDC DNPAODisclaimer: The findings of this presentation are the conclusions of the presenter and do not necessarily represent the official policies of
the CDC nor does the mention of any names or organizations imply endorsement by the Federal government.
What is Let’s Move! Child Care?
One component of the First Lady’s Let’s Move! initiative to solve the obesity problem
Supports providers to adopt best practices for physical activity, screen time, foods, beverages, and breastfeeding through free resources and interactive, online tools
Recognizes providers who meet best practices
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Why Participate?
You can make a difference You can be a champion for
healthy choices You’re a role model You care You’re a partner in parenting It’s easier than you might think
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Icebreaker: Rainbow Run
When I call out one of the colors of the rainbow run and touch 3 things that are that color.
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Session Agenda
Basics about Childhood Obesity
Overview of Let’s Move! Child Care (LMCC)
Physical Activity Focus
LMCC Resources
LMCC Quiz & Action Planning
Tips from Providers that Work!
Technical Assistance and Workshop Feedback
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Session Objectives
After participating in the workshop participants should be able to answer the following questions:
1 What are the best practices for obesity prevention in ECE?
2 What are the key challenges I should consider before developing an action plan to address obesity in ECE?
3 What steps should I take to meet the 5 LMCC goals?
4 How can I use the tools and resources in the LMCC technical assistance toolkit to improve nutrition, physical activity, screen time and breastfeeding support?
Dr. Caree Jackson CotwrightCenters for Disease Control and Prevention
Basics about Childhood Obesity
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Obesity
Common
Costly
SolvablePhoto source: www.obesityinamerica.org
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2010
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We Are Evolving
Childhood Obesity
24% - 33% of 2 – 5 year olds are overweight or obese.
Obesity rates for young children doubled in about a 20 year period of time (1980’s – 2000).
Obese children are more likely to become obese adults.
If children are overweight, obesity in adulthood is likely to be more severe.
Education Consequences
Children who are overweight or obese can be undernourished at the same time. Nutrition deficiencies
`Impair brain development and cognitive functioning, including learning
Physical inactivity Activity promotes brain development, improves
sleep, builds self confidence, and reduces stress & depression
Children who are not active have more behavioral and disciplinary problems, shorter attention spans in class and do worse in school compared to active children
You Play an Important Role in Preventing Obesity!
Moving Forward to Reverse the Obesity Trends
“ … we know the cure for this. This isn't like putting a man on the moon or inventing the Internet - it doesn't take some stroke of genius or feat of technology. ... Rarely in the history of this country have we encountered a problem of such magnitude and consequence that is so eminently solvable.”
Michelle ObamaFebruary 9, 2010
Why obesity prevention in child care and early education programs? You can help children build healthy
habits for life Food preferences and physical activity habits
develop during early childhood and continue into adulthood
You are a role model. Kids do as you do, especially when they’re young.
You are in a unique position to educate parents about healthy eating and activity
What You Can Do to Prevent Obesity
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Moving Forward, Reverse the Trend
“ … we know the cure for this. This isn't like putting a man on the moon or inventing the Internet - it doesn't take some stroke of genius or feat of technology. ... Rarely in the history of this country have we encountered a problem of such magnitude and consequence that is so eminently solvable.”
Michelle ObamaFebruary 9, 2010
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Making a Difference Video:
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Break Time!
Leave the room like the motions of weather in: Rain
Wind
Thunder
Snow
Sunshine
Let’s Move! Child Care Goals
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5 Goals
Provide 1-2 hours of physical activity throughout the day, including outside play when possible.
For mothers who want to continue breastfeeding, provide their milk to their infants and welcome them to breastfeed during the child care day. Support all new parents' decisions about infant feeding.
Provide access to water during meals and throughout the day, and don't serve sugar-sweetened drinks. For children age 2 and older, serve low-fat (1%) or non-fat milk, and no more than one 4- to 6-ounce serving of 100% juice per day.
Serve fruits or vegetables at every meal, eat meals family-style whenever possible, and don't serve fried foods.
No screen time for children under 2 years. For children age 2 and older, strive to limit screen time to no more than 30 minutes per week during child care, and work with parents and caregivers to ensure children have no more than 1-2 hours of quality screen time per day (as recommended by AAP).
1 Physical Activity
2 Screen Time
3 Nutrition
4 Beverages
5 Infant Feeding
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Stand Up & Talk Time! (2 minutes)
Turn to your neighbor and discuss which goals are easiest or hardest to adopt in
your ECE setting.
Why Offer Healthy Food?
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Food (1)
Helps children stay at a healthy weight
Food preferences develop at an early age, even in infancy
Opportunity to teach kids’ taste buds to appreciate healthy foods
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Food (2)
Many healthy options cost the same as the not-so-healthy choices (like whole wheat bread vs. white bread)
Many children eat most of their daily meals and snacks while in care, especially children in full-time care
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Food (3)
Benefits of family-style dining Improve skills for self-feeding
and recognition of hunger cues Promotes and supports social
emotional, and motor skill development
Language skills improve as adults and peers talk with each other
Opportunity for positive role modeling
Adults at the table help prevent fighting, feeding each other, potential choking, and other negative behaviors
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Food Moves!
Pretend to move like different foods
Melt like a popsicle
Pop like popcorn
Wiggle like spaghetti
Why Offer Healthy Drinks?
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Beverages (1)
Water keeps kids hydrated best
Water helps to reduce acid in the mouth that can cause cavities
Sugary drinks are high in calories and low in nutrients
Drinking water instead of sugary drinks reduces the amount of calories children consume
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Beverages (2)
Serving fresh fruit instead of fruit juice is best, because it is high in dietary fiber and is a natural source of energy
Skim or 1% milk have the same amount of calcium and other essential nutrients as whole milk, but less fat and calories
Reasons for Reducing Screen Time
Gets in the way of exploring, playing, and social interaction.
As kids get older, screen time can get in the way of being active, reading, doing homework, playing with friends, and spending time with family.
Kids who spend more time watching TV are more likely to be overweight or obese.
When screen time is allowed:
Make it “quality programming” by choosing shows or computer games that are educational or get kids moving.
Track screen time with a simple scheduling sheet so you know how much screen time a child has and when they’ve reached their limit for the week.
Avoid watching while eating (snacks or meals).REMINDER: Touch screen technology does NOT count as ‘active’ screen time. Also, watch the quality of children’s movement with active video games
Why Support Breast Feeding?
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Breast Feeding (1)
Breast milk helps to: Prevent obesity Defend against
infections (keeping infants from getting sick with things like diarrhea and ear infections)
Protect against a number of conditions — like asthma, diabetes, and sudden infant death syndrome (SIDS)
In-Depth Review of Physical Activity Goal
My Bonnie Lies Over the Ocean My Bonnie lies over the ocean,my Bonnie lies over the sea,My Bonnie lies over the ocean, O bring back my Bonnie to me.
Bring back, bring back, O bring back my Bonnie to me, to me.Bring back, bring back, O bring back my Bonnie to me.
Knowledge Check
What is the recommended amount of physical activity for toddlers in full day care?
15 - 30 min 30 - 45 min 60 - 90 min 90 - 120 min
Knowledge Check
What is the recommended amount of physical activity for toddlers in full day care?
15 - 30 min 30 - 45 min 60 - 90 min 90 - 120 min
Physical Activity Best Practices
Infants: Short supervised periods of tummy time several times each day
Toddlers & Preschoolers: Active play time every day, both indoor and outdoor Toddlers: 60 – 90 minutes or more
(for half-day programs, 30 minutes or more) Preschoolers: 120 minutes or more
(for half-day programs, 60 minutes or more)
REMINDER: Make sure that kids with special needs can
participate in activities too!
Benefits of Physical Activity
Helps children stay at a healthy weight In childhood In adulthood – physical activity habits
learned in early childhood can last a lifetime
Helps children: Develop motor skills and build their
strength, flexibility, and endurance Develop and maintain strong bones Improves social skills and brain
development Sleep better Feel confident about themselves and
their bodies Reduce their risk of feeling stressed or
depressed
Benefits of Physical Activity
Children who are active tend to have fewer behavioral and disciplinary problems, do better in school, and have longer attention spans in class.
Ways to Get Kids Moving
Two kinds of physical activity
1. STRUCTURED: Organized, quick, and intense activities led by adults
2. UNSTRUCTURED: Free Play to stimulate the imagination and creativity
Ways to Get Kids Moving
Add physical activity into your daily routine Have children act out a story
as you read it to them. Encourage kids to move like
different animals during transitions from one activity or room to another.
Use props to help kids move and identify shapes, colors and numbers
Ways to Get Kids Moving
Mix up the usual ‘hokey pokey’ and ‘head, shoulders, knees and toes’ with a dance party or obstacle course
Encourage working together to come up with games and activities
Where to Play
Opt for the outdoors as much as possible.
Be weather-ready. Check your
childproofing. Get down to their
level. Let’s Play!
Keep infants active too
Tummy Time: Is allowing babies to interact and
play while awake and on their tummies
Prepares babies for sliding on their bellies and crawling
Begins as a three-five minute period and is gradually increased as the infant shows enjoyment of the activity
Keep infants active too
During tummy time: Encourage them to see, touch, and
feel what’s around them Try putting their favorite toys just
out of reach
REMINDER: Always make sure infants have tummy time when they’re awake and alert and placed on a solid surface on the floor (never on a surface that’s soft or up high like a mattress or sofa).
Know the Developmental Milestones Kids should do specific things at
every age and stage.
Know the milestones to help them work on the appropriate physical and motor skills.
Check out the following chart of developmental milestones from birth to 36 months old.
Know the Developmental Milestones
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Motion Moments: Toddlers
Be a Get Moving Role Model
Participate in and enjoy physical activity
Wear comfortable clothing
If you have limitations, be a cheerleader!
Available in English and Spanish
Physical Activities
Fun activity ideas, tips for incorporating physical activity into your daily routine, activity sheets, and more!
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Physical Activity Innovation: Yoga Flashcards
Activity sheets
eXtension Alliance for
Better Child Care Hands-on
Activities Database
Songs to get kids dancing
Creative Physical Activity: Bean Bag Blitz!
*These bean bags should only be used with children ages 3 and up
Let’s Move Child Care Resources
• Fruit & Veggie Bean Bags• Sesame Street: We Have the Moves!• Sesame Street: Food For Thought:http://www.sesamestreet.org/parents/topicsandactivities/toolkits/food
• Grow It, Try It, Like It! Garden Curriculum USDAhttp://teamnutrition.usda.gov/Resources/growit.html
• 4 oz and 6 oz cup samples• Potter the Otter: Book about Water Consumptionhttp://www.potterloveswater.com/
• Child Size Pitchers• Helpful Resource Idea Printed Tip Sheets
Curriculum
Menu Planning & Recipes
Training videos
Activity Sheets
Parent Handouts
And more!
Website Resources
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Start Early
Start Early tab: Provides research base
for LMCC
Answers questions providers may have
Links providers to relevant areas of the website as they get started:
Sign up
Quiz
Tools & Resources
Child & Adult Care Food Program Resource
http://healthymeals.nal.usda.gov/cacfp-wellness-resources-child-care-providers/electronic-media-use-screen-time
Physical Activities
Fun activity ideas, tips for incorporating physical activity into your daily routine, activity sheets, and more!
Kid-friendly recipes, menu planning guides, healthy eating tips, shopping lists, and more!
Healthy Eating
Tip Sheets
Resources for families
Tips for parents
Nutrition & Physical Activity Curriculum (with DVD)
Action Story New Fruits and Veggies at the Market
Healthy eating and activity tips for you!
Healthy recipes
PostersBreastfeeding Resource
Kit
Free Online Trainings
One for every LMCC goal
Special topics Farm to
Preschool Using
LMCC resources
Stretch Time!
Moving like an animal: Prowl like a lion Hop like a bunny Strut like a
flamingo Swing your trunk
like an elephant Tip toe like a
mouse
Sign Up & Let’s Move! Child Care Quiz
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1.Sign up online to receive a participation certificate and get emails from LMCC www.HealthyKidsHealthyFuture.org
2.Take the Checklist Quiz to see how you are doing in the goal areas
3.Build your Action Plan
4.Use the free online tools and resources to help implement your action steps
5.Retake the Checklist Quiz once best practices have been met and earn the LMCC Provider Recognition Award
6.Share your success story
LMCC Steps
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The Checklist Quiz can be taken any time on the LMCC Website:www.HealthyKidsHealthyFuture.org
Fun way to see where you are and make a manageable action plan to achieve the LMCC goals
You choose your priorities -- start with whatever is going to be easiest and then build on your success
Take the Checklist Quiz
Small Group Discussion
Consider key challenges to meeting the LMCC Best Practices in the
Child Care Setting
Choose one person to report out to the group
Action Planning
Action Planning is an important step to help you make changes
You choose your priorities
Start where you and your program are most likely to be successful
Be ready to create individual action steps
Samples are available
Action Plan using the Checklist Quiz
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Sample Action Plan
Tips From Providers that Work!
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Nutrition
Mix it up — serve a variety of nutritious choices.
Opt for healthier alternatives. Let children participate in preparing
food, if possible. -special jobs (like stirring and adding ingredients) makes kids feel like helpful "big boys" and "big girls" and proud of what they created
Have kids create their snacks.
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Nutrition
Learn about how food grows. -Plan field trips to the local farmers’ market or pick your-own-farm, garden with the kids to talk about where food comes from and to pique their interest in trying the new produce they see
Don’t use food as a reward or punishment. -Avoid forcing children to finish the “healthy foods” to get to their dessert or sweets.
Talk about “sometime” vs. “anytime” foods.
Reinforce nutrition messages with classroom activities.
Ways to Make Family Style Dining Work
Let kids practice serving themselves first Use play food, like plastic fruits
and veggies. Use the right equipment
Use child size pitchers, tongs, and serving bowls and plates.
Put dressings and dips in child size squeeze bottles.
Be prepared for spills! Show kids you enjoy eating
healthy foods. They will follow your example!
Ways to Promote Healthy Drinks Take water jugs and cups with you
outside. Try adding fruit slices or berries to water
for an extra fun taste! Try diluting 100% fruit juice with water to
train children’s palette to enjoy less sweetness.
Model healthy drinking by avoiding sugary drinks in front of children.
Instead of juice, serve fresh fruit, which includes important dietary fiber and is a natural source of energy.
Ways to Reduce Screen Time Keep the TV/computer out of sight
Put it in rooms not used by children Hide it with a blanket or sheet Get rid of it
Replace screen time with fun, interactive activities Turn on the radio or a CD and dance Play outside Bring kids into the kitchen and let them help
you set the table, cook, and clean up
Ways to Support Breastfeeding Educate teachers and staff about the
importance of breastfeeding and how to properly handle breast milk.
Respect parents’ wishes to give breast milk, infant formula, or both.
Reassure nursing mothers. Create an ideal environment to pump or
nurse.
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Success Stories
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Neighborhood House Association Head Start: San Diego, CA
26 Head Start and Early Head Start centers in San Diego
Hired a Registered Dietitian and professional chef who spearheaded a menu overhaul
Engage in Farm to Preschool
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Break Time!
MARCH to your break and pretend to play your favorite instrument. Have someone guess which instrument you are playing!
Back to Action Planning
Sharing & Role Play
Examine one specific goal and discuss solutions to potential barriers that might arise for parents and/or providers.
Choose a partner to role play with and create a solution to the barrier.
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LMCC Process Snapshot
Make Action Plan
NO
Implement Steps in
PlanFree online tools,
resources, webinars, help from trainers
Take Checkli
st Quiz
Meet all best
practices?
Sign Up on Websit
e
CONGRATULATIONS! LMCC
Recognition Award
YES
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Success Stories (within “Ideas and Resources”)
Learn from others and overcome challenges
Submit Success Stories May be highlighted in
e-mail blasts, articles or on the LMCC website
Inspire others to achieve the LMCC goals
Be recognized for outstanding efforts
Technical Assistance & Feedback
Complete Feedback Form
Questions & Answers
Next Steps
For more information
Visit www.HealthyKidsHealthyFuture.org
Contact the Let’s Move! Child Care Help Desk LMCChelp@cdc.gov
Share your success stories!www.healthykidshealthyfuture.org/resources/testimonials.html