Healthy Eating in Physical Activity Recreation & Sports Settings a recipe for change Sarah Ross - Public Health Nutritionist Aron Ashton - Public Health Educator Vince Forestall - Physical Activity Strategy Coordinator

Poor Eating Habits in NS Class II Data, Nova Scotia Grade 5 Students CCHS, 2009/10 2011 33% met Canada’s Food Guide (CFG) recommendations for vegetable &fruit intake. 50% met CFG recommendations for milk & alternatives Understanding Our Health Data, 2010- 54% of adults did not meet the vegetable &fruit recommendations *slide credit: Antigonish HERSS Only 31.5% surveyed in CBDHA consumed >5 fruit and vegetable servings

Some perspective Highlighted with arrows are some of the highest rates of chronic disease in Cape Breton, and versus the rest of Nova Scotia, we are not making the grade! The reason why these specific conditions are highlighted is because of their correlation with unhealthy eating behaviours!

Slide credit: Bridgewater

With food the environment is everything! 28% of CBDHA population surveyed are overweight or obese *slide credit: Antigonish Slide credit: Antigonish These rates have been rising steadily. Individual lifestyle alone cannot explain this phenomenon. What is contributing? Canadian Community Health Survey, based on 20 years of age or older (2009-10)

What do these numbers mean to you? Courtesy Victoria County Community Health Plan, 2007 Do you know what the number 80 represents? This is the percentage of people that reported having at least one chronic health condition. What about the number 47? This is the amount of Victoria County residents that did NOT meet Canada’s Food Guide Daily requirements for fruits and vegetables. And 30? This is amount of people that reported a concern they have about being overweight! While 2% were classified as being at risk of developing eating troubles!

The Environment that Shapes Us Our choices are shaped by the options available to us… I understand that some business owners would look at this slide and see revenue!! Junk food sells! What we’re trying to do with the development of a Healthy Eating in Rec. Sport Setting Policy is to reinforce the positive impact that being physically active can have when you supplement healthy eating with it. The two behaviours compliment one another and the outcome means healthier futures for our community!

Physical Activity, Recreation, & Sports Settings *Slide Credit: Bridgewater Slide credit: Bridgewater This particular slide is very important because all too often what items of food are purchased after an event at a rink? Or what are the family members of the participants eating while watching their family member play?

“Baddeck Pharmacist Pulls Sugary Drinks Off Shelves” Educating Residents Evidence shows that education on its own does not work or change behavior Evidence shows that using approaches such as policy and supportive environments works “Baddeck Pharmacist Pulls Sugary Drinks Off Shelves” (CBC News Nova Scotia) •Stones sold 6% of carbonated sales in Baddeck •Summer peak weekly sales declined by 11.4% as a whole in Baddeck in post intervention period •After controlling for model specified seasonality, sales decreased by 21.4%. Not bad for a store that sold only 6% of carbonated beverages overall in Baddeck! •Another unexpected finding - buying patterns did not shift to other retail outlets in the Village Good slide to mention what Graham is doing at Stone’s Pharmasave with sugar drinks

Baby Friendly Initiative (BFI) Victoria County Policy Make Breastfeeding Your Business Endorsing Nova Scotia’s Breastfeeding Human Rights Act which protects the rights of breastfeeding women: Educating our staff on Nova Scotia’s Breastfeeding Human Rights Act and the Municipality’s Breastfeeding Policy. Promoting the initiative Accommodating all women in all areas! -Incorporating MBYB into tool kit (Kim Shebib) MBYB A provincial initiative that helps businesses, organizations, and municipalities adopt practices that promote, protect, and support breastfeeding. MBYB consists of an action tool kit that: -Used to help create supportive breastfeeding environment -a checklist for becoming breastfeeding friendly -Staff tips -A policy template -And, where to get more information Tobacco Policy: Movement at the municipal level became a provincial tobacco smoke free policy and strategy Smoke free is now the culture in Nova Scotia Smoking rates have been reduced!

Food Policy: Scope Applies to all foods and beverages served and sold at Municipal Physical Activity, Recreation & Sports Facilities, settings, programs, meetings, and events, which includes: Sporting events Hospitality suites Special events and festivals Meetings Training Programming for all ages Vending machines Canteens Catering Café/restaurants Dining halls Tournaments

Policy Components Food and Beverages Portion Sizes Food Safety Breastfeeding Dietary Considerations Clean Drinking Water Promotion Placement Fundraising Special Functions Nutrition Education Partnerships “Water Boil Warning” Policy and Communication Strategy

Food and Beverages Served and Sold Foods and beverages fit into 3 categories: Maximum – 50% or more Moderate – 40% Minimum – 10% or less Maximum – food and beverages in this category are considered to be the healthiest options, and generally have higher levels of essential nutrients and lower amounts of fat, sugar, and/or sodium, and higher in naturally occurring fiber. 2. Moderate – food and beverages in this category provide less nutritional benefits than Maximum foods and may have higher levels of fat, sodium and/or sugar and lower amounts of naturally occurring fiber. 3. Minimum – food and beverages in this category have little or no nutritional benefits. If a food or beverage does not fit maximum or moderate nutrient criteria and is on the “Not Permitted” list, then it is considered to be a Minimum choice.

Food & Beverages Served/Sold Maximum 50% or more Moderate 40% Minimum 10% or less Follow the 50/40/10 Guidelines! *Slide credit: Yarmouth Slide Credit: Yarmouth

Canada Day Celebration Example 40% Moderate = 50% Maximum = *Slide Credit: Yarmouth 10% Minimum = Slide credit: Yarmouth

*Slide credit: Yarmouth Meeting Example 50% Maximum *Slide credit: Yarmouth 40% Moderate 10% Minimum Cookies Water Whole-grain fruit muffin Other Slide Credit: Yarmouth Fruit Low-fat cheese Tea & Coffee Veggie Tray

Healthy Eating Initiatives Healthy Eating Included in Municipal Physical Activity Strategy Since 2011 & 2016-2017 Renewal Year Goal 5: Policies Engage and work with federal, provincial, municipal, first nation and community agencies to develop and monitor policies that promote physical activity and healthy eating indoors and outdoors Keeping up with the partnership from the NSHA, and part of the Tool Kit/resource will be that Nutritionist/Dieticians can be accessed thru some municipal grant monies to help organization with the implementation of a “healthy menu”. Education and capacity building! 5.5: Work with local physical activity, recreation and sports facilities to implement provincial healthy eating guidelines https://naturallyactivevictoriacounty.com/healthy-eating/herss/

A Spirit of Cooperation Exists: Providing Healthy Eating Opportunities & Exposure (Since 2012) •St. Ann’s Bay Community Health Group Society - Seniors Luncheon •Cape North Farmers Market Coop - Encouraging food production •ACAP Cape Breton - Food Upskilling Festival Spring 2016 •Bay St Lawrence Community Centre: Grades 3-5 Healthy Eating Program Culturally significant events include things like the Moose harvest, Eel hunt etc… when considering the distribution of Municipal funds! The Inverness Green Vending machines that were received thru Thrive! grants facilitated by PHS. Upkeep and maintenance is essential for sustainability! Bras d’Or Yacht Club: Junior Sailing Healthy Snacks (Since 2012) Eat, Drink & Be Healthy Sessions (Chef & Dietician) Workplace Wellness Network Luncheons – Education, awareness Don WM Nicholson Consulting - 4 season food: your own growing healthy workshop & soil prep, crop selection and growing workshop Baddeck Academy - Health & Wellness Fair (Since 2013) Cabot Education Centre - 1st Health & Wellness Day–Health Eating After School–Healthy Living Program-Cabot Junior A Basketball Team Bay St Lawrence Community Centre-Santa’s Workshop: Christmas Apples & Oranges Englishtown Community Hall Association - Our Journey to Better Health Wagmatcookewey School - Fresh Fruit Fridays Girls Only After-school programs: Healthy Snacks 5 2 1 0 Cape Breton BaM Cape Breton (Body & Mind Program) Baddeck Community Garden North of Smokey North Highlands Orchard Project-Grow More Healthy fruit (Since 2014) •Smelt Brook Community Hall Society: Exercise & Healthy Eating for Kids Program (s) •Wagmatcook Community Garden Project - Ecology Action Centre https://naturallyactivevictoriacounty.com/testimonials/

School Settings Making A Difference 2007 - CBVRSB fully implemented the NS Food & Nutrition Policy for all foods sold and served at schools. The following successes were achieved: •All deep fryers were removed •All carbonated beverages were removed from vending machines and canteens •Only beverages available in vending are water and 100% juice •All regular chips (over 5g of fat) were removed from canteens & vending •All chocolate bars were removed from canteens & vending Debbie Madore Nutrition for Learning Dietitian

HERSS Implementation Healthy Eating – Naturally Active for Life Victoria County Physical Activity Strategy Outreach to Volunteers, Leaders, Organizations & Facility Operators = Buy-in, Ownership NS Healthy Eating in Recreation & Sports Settings Guidelines NEW Victoria County HERSS Assistance Fund Victoria County Municipal Policy https://naturallyactivevictoriacounty.com/healthy-eating/herss/

What does this mean for Victoria County? Support other healthy eating policies eg. schools and daycares Promote Local Food Provide Municipal Grants Demonstrate leadership and positive role modeling Work collaboratively together to create a healthy community

Acknowledgements Victoria County Antigonish Bridgewater Lunenburg & Yarmouth HERSS Working Groups NS Health Authority (Eastern Region) Wagmatcook & Naturally Active for Life Victoria County

Our Ask Approval of the draft Healthy Eating in Municipal Physical Activity Recreation and Sports Settings Policy Questions/Comments!