CACFP Nutrition and Wellness
Training
Enhancing Healthy Eating and Physical Activity
in your Program
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Children Facing a Serious Health Crisis
• 1 in 3 children overweight/obese
• Developing chronic diseases (Diabetes, Heart Disease)
• Heavier kids do worse in school
• Causes & solutions are complex
• Critical period for intervention! 2
Centers Can Help Reverse this Obesity Trend by…
• Increasing Physical Activity• Decreasing Television/Screen Time• Increasing Breastfeeding (initiation, duration
and exclusivity)• Increasing Consumption of Fruits & Veggies• Decreasing Consumption of High-Energy Dense Foods (candy, chips, cookies)• Decreasing Consumption of Sugar-Sweetened
Beverages 3
Active Early includes the following sections:
• Physical Activity Recommendations
• Development • Child Assessment • Daily Routines• Environments• Resources• Business Practices
Appendix
Within each section, you’ll find the following:
• An Overview of the Topic • How it Applies to Infants• How it Applies to Toddlers• How it Applies to Preschoolers• How it Applies to Multi-Age Groups • Quick Tips • Activity Ideas • Inclusion • Cultural Competency • Tools included in the Appendix • Engaging Families • Engaging Communities
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Table of Contents
Quote of the Day…
• Play is often talked about as if it were a relief from serious learning. But for children play is serious learning. Play is really the work of childhood.
- Fred Rogers8
Nutrition for Children Ages 1-12 Fruits & Vegetables Grains & BreadsMeat & Meat AlternatesBeverages
Nutrition for InfantsInfant Feeding PracticesInfant Beverages Infant Foods
Appendix
Nutrition Environment Menu PlanningChildren with Disabilities or Other Special Dietary
NeedsMeal Time Environment Family Style Meal ServiceRole ModelingPicky EatersLocally Grown FoodsGardeningNutrition Education for Staff, Children and ParentsFoods Brought From HomeCelebrations FundraisingStaff & Work Place Wellness
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Table of Contents
Children eat 50 to 75% of their needed calories while they are in early care and education settings.
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Fruits & Veggies
• Variety in Color, Texture & Taste
• Fresh or Frozen
• Canned fruit that is in H20 or natural fruit juice
• Canned veggies labeled “No Salt Added” or “Reduced Sodium”
• Limit 100% juice to no more than 4 oz/day
• Legumes
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Choose dark green, red & orange fruits and vegetables:
Green
Bok ChoyCollard Greens
Green PeasKiwi Fruit
Romaine LettuceSpinachBroccoli
Green CabbageSwiss Chard
Red
BeetsCherriesGuavas
Red applesRed onion
StrawberriesTomatoes
Watermelon
Orange
Apricots Butternut squash
CantaloupeCarrotsMangos
Sweet potatoesGrapefruitNectarinesOrangesPapayasPumpkin
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Crushed Pineapple in Heavy Syrup
Crushed Pineapple in 100% Pineapple Juice
Crushed Pineapple in water
Canned Fruit Labels
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Make them fun!
• Use spices and herbs to jazz up veggies rather than butter or cream sauces
• Rinse canned fruits or veggies if you can’t find them in water or natural fruit juice or without added salt
• Serve oven baked homemade potatoes or sweet potato wedges (Leave the skin on!) in place of fried or pre-fried veggies
• Use low calorie dips like hummus or yogurt dips rather than ranch dressing or sour cream dips.
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Examples of whole grain ingredients:
• Brown Rice• Whole Wheat • Millet• Whole-grain Corn• Quinoa• Wild Rice• Buckwheat• Bulgur (Cracked Wheat)• Whole Cornmeal• Whole Rye• Rolled Oats• Whole-grain Sorghum• Whole Wheat Flour• Whole-grain Barley• Whole Oats/Oatmeal
Whole grains have
all three of these.
Refined grains are
missing something. 18
Read the ingredient list
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• The words “whole” or “whole grain” will appear before the grain ingredient’s name
• Whole grain should be the first ingredient listed
• The term “berries” or “groats” indicate a whole, unrefined grain– Rye berries or buckwheat groats
Sugar in Cereals
One cup of any of three popular children’s cereals contains more sugar than a Twinkie:1.Kellogg’s Honey Smacks2.Post Golden Crisp3.General Mills Wheaties Fuel
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Sugar in Cereals
One cup of any of 44 children’s cereals – including Frosted Flakes, Apple Jacks, and
Cap’n Crunch contains more sugar than 3 Chips Ahoy! Cookies
14 grams of sugar
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When Choosing CerealLook for…
1. Short ingredient list (added vitamins and minerals are ok)
2. No more then 6-8 grams of sugar per serving unless it contains dried fruit
3. Supplies at least 2 grams of fiber per serving
• If children prefer a sweet taste, jazz up unsweetened cereal with sliced peaches or bananas, strawberries, or blueberries.
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• When cooking or baking, replace half of the white flour in a recipe with whole grain flour like whole wheat, millet, buckwheat or oat bran
For breakfast try: Oatmeal Whole wheat pancakes or waffles Whole grain English muffins Whole wheat toast Whole grain breakfast cereal
For snacks try: Whole grain pita breads Whole wheat crackers Whole grain bars
• When serving rice or pastas, transition into whole grains by mixing half and half
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Lunch or Dinner Ideas• Make sandwiches with whole-grain breads (rye, oat,
or whole wheat) instead of white• Serve whole-grain rolls with dinner instead of white
rolls• Use whole-grain pastas instead of white• Serve wild or brown rice instead of white rice• Spice up salads with berries, chickpeas, cooked
artichokes, and beans (kidney, black, navy, or pinto)• Serve sweet potatoes with the skins as tasty side
dishes. Regular baked potatoes with the skins are good sources of fiber too.
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Lunch or Dinner Ideas• Use whole-grain (corn or whole wheat) soft-taco
shells or tortillas to make burritos or wraps – Breakfast: eggs and cheese – Lunch: turkey, cheese, lettuce, and tomato – Dinner: beans, salsa, taco sauce, and cheese
• Add lentils or whole-grain barley to soups• Create mini-pizzas by topping whole-wheat English
muffins or bagels with pizza sauce, low-fat cheese, mushrooms, and pieces of grilled chicken
• Add bran to meatloaf or burgers (but not too much bran or the kids might catch on!)
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Meats & Meat Alternates
• Ground beef that is at least 90% lean
• Sirloin & round steaks• Roasts & cuts from chuck and
shoulder• Pork loin • Boneless, skinless chicken
breasts and turkey cutlets• Low-fat lunch meats• Fish and seafood like salmon,
tuna, haddock, trout, tilapia, cod, shrimp and crab
• Legumes• Eggs• Nuts, Seeds & their Butters• Low-fat/Reduced-fat Yogurts
and Natural Cheeses 30
• Select lean cuts of meats and then trim or remove excess fat and skin
• Drain off fat and rinse it in a strainer when cooking ground beef – this can reduce the fat by up to 50%
• Bake, grill, broil, poach, boil or roast
• Serve more beans – they are rich in fiber and protein
• Choose easy legumes, like those that are canned or pre-cooked
• Bake your own chicken nuggets or fish sticks using bread crumbs 31
Homemade vs. ProcessedChicken Nuggets
Homemade Baked Chicken Nuggets (5 or 6 nuggets)
• Calories 160 • Total Fat 2g • Saturated Fat 0.5g• Cholesterol 65mg• Sodium 140mg• Protein 28g
Processed Chicken Nuggets (5 nuggets)
• Calories 270• Total Fat 17g• Saturated Fat 4g• Cholesterol 40mg• Sodium 470 mg• Protein 14g
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Post “Breastfeeding and breast fed babies are welcome here” messages or posters
Create a private, quiet and comfortable place for mothers to breastfeed
Train all staff in breastfeeding support and promotion, including proper storing, handling and feeding of breast milk
Ask a nursing mother how you should act if her baby is hungry and the supply of expressed milk is gone and/or she is not present
Breastfeeding Support & Promotion
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• Make mealtimes both enjoyable and pleasant to promote healthy eating habits– Encourage, but do not force, children to try and
taste new foods– Do not just offer “typical” child foods (e.g. hot
dogs, chicken nuggets)– Have a taste-test when introducing a new food – If a child refuses to eat what is served, make a
gentle reminder of the next meal and/or snack– Make foods fun and call them playful names– Open communication with parents
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Nutrition Environment Picky Eaters
Nutrition Environment Celebrations
• Celebrate holidays or special occasions with mostly healthy foods and non-food items– Healthy Celebration Ideas – Appendix H
• Special Celebration Activities• Non-food Celebration Items• Healthy Foods for Celebrations
– Review celebration program policy with parents• Sample Letter to Parents with Celebration Ideas –
Appendix I
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• Open communication with parents– Taste test with parents at pick-up
• Reach out to parents– Add nutrition and program policy information to
newsletters, bulletin boards, emails, website– Send home list of healthy meals/snacks– Serve healthy foods at parent nights
• Discuss healthy menu options with parents• Encourage parents to take part in activities with their
children at home – gardening, cooking a family meal, menu planning, grocery
shopping, family fitness night
• Role-modeling healthy eating habits 38
Parent Engagement
10 Tips Nutrition Education Series
Also Available in Spanish!
www.ChooseMyPlate.gov
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http://www.fns.usda.gov/core-nutrition/core-nutrition-messages
New Core Messages and Tools
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Target Behaviors:Increase consumption of:• whole grains• fat-free or low-fat milk• fruits and vegetables
Use child feeding practices that foster healthy eating habits in kids
BEHAVIORAL-
FOCUSED
Core Messages
13 NEW Messages• 5 Whole Grain• 4 Milk• 4 Child Feeding16 Existing Messages• 7 Child Feeding• 5 Fruits and Vegetables• 4 MilkOver 35 pages of tips, advice and guidance
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Messages, Tips, Guidance
COMPELLING
REL
EVANT
ACTIONABLEhttp://www.fns.usda.gov/core-nutrition/core-nutrition-messages
Implementing New Core Messages
• Consider cultural relevance • Incorporate messages into group discussions,
interactive classes, newsletters or on website• Share messages with parents during pick-up”
or “drop-off” times and during special family events
• Provide multiple exposures to the messages
“Maximizing the Message” Guidebook
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Download This!
http://www.fns.usda.gov/core-nutrition/core-nutrition-messages
CACFP Provider Handbook includes recommendations, guidelines and best practices:
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Nutrition Physical Activity Screen Time Wellness
Target audience = child care providers caring for children 2-6 y.o.
Available at http://www.fns.usda.gov/tn/resource-library
Nutrition and Wellness Tips for Young Children:
Provider Handbook for CACFP
• Tip sheets on nutrition, active play, screen time consistent with – CACFP meal pattern requirements– Dietary Guidelines recommendations– Guidelines from Caring for Our Children: National Health
and Safety Performance Standards; Guidelines for Early Care and Education, 3rd Edition
• Best Practices: CACFP Success Stories • Choking Hazards• Food Allergies• Additional Resources 47
Provider Handbook for CACFP: Evidence-Based
http://www.fns.usda.gov/tn/resource-library
• Trainings for child care providers and staff
• Activity Sheets:– Examine current weekly/cycle
child care menu– Plan next month’s menu– Reading labels and ingredient lists– Plan how to promote certain
foods next month– Plan to provide opportunities for
active play – circle the fun ideas they will try 48
COMING SOON!
Provider Handbook for CACFP: How to Use it
http://www.fns.usda.gov/tn/resource-library
• Provides information on crediting of foods that are commonly served in CACFP
• Incorporates and updates the crediting information in previous documents What’s in a Meal? and Crediting Foods in the CACFP
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Complimentary document to the Food Buying Guide for Child Nutrition Programs
Crediting Handbook for CACFP
Available at http://www.fns.usda.gov/tn/resource-library
USDA Recipes for Childcare
• Recipes• Food Safety• Cooking tips• Storage info• More…
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http://www.fns.usda.gov/usda-recipes-child-care
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Grow It, Try It, Like It!Preschool Fun with Fruits and Vegetables
• A garden-themed education kit• Introduces young children to fruits and vegetables
http://www.fns.usda.gov/tn/resource-library
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Based around 3 vegetables (crookneck squash, spinach, sweet potato) and 3 fruits (cantaloupe, peach, strawberry)
http://www.fns.usda.gov/tn/resource-library
Take-Home Materials• Letters to parents• Family-size recipes; tips for
cooking with young children• Parent/child activity• DVD video clips
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Grow It, Try It, Like It! The Learning Continues at Home
http://www.fns.usda.gov/tn/resource-library
A garden toolkit for implementing youth gardens
A youth garden-based nutrition education
curriculum
http://www.dhs.wisconsin.gov/physical-activity/index.htm
WI Gardening Resources
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