BACK TO BASICS PARENTS LEAD THE WAY Milk Group and Beverages Welcome parents, thank them for coming and introduce self, interpreter and assistants if any. Tonight we will be looking at the milk group and other beverages. Lesson plan topic #1 - What beverages do your children drink most often? Record responses on easel.

Source:Greer, Krebs & the AAP Committee on Nutrition, 2006 Benefits of Milk Group Strong healthy bones Strong heart beat Controls blood pressure Makes muscles move Sends nerve messages Helps blood clot A low calcium intake has been shown to increase the chance of broken bones in children and bone loss later in life Source:Greer, Krebs & the AAP Committee on Nutrition, 2006

Number of Servings a Day 2 cups a day for 4-8 year olds (800 milligrams of Calcium) 3 cups a day for 9-18 years old (1,300 milligrams of Calcium) Recommended calcium intake is from Greer, Krebs & the (AAP) Committee on Nutrition (2006, p.580). Calcium is found in many food products including cereals, breads and calcium fortified orange juice. For children that can not have milk products calcium fortified soy and rice milk good options in addition to calcium in other foods. Show examples if available. Source: MyPyramid, 2005 Dietary Guidelines for Americans, AAP Committee on Nutrition(2006)

Milk-What is on the Label? Find the grams of fat in one cup, and % Daily value of calcium in one cup % Daily value is based on 2,000 calorie diet 100% of the daily value = 1,000 mg 30% = 300 mg Lesson plan topic # 3 - Pass out read the labels! Handout. Ask audience to report grams of fat and calcium found in each type of milk. Write responses on easel. Why would you serve low fat or non fat milk Remind parents at the end: a child 4-8 years old needs 800 mg, 9-13 needs 1,300 mg of calcium a day or write it on the easel.

Calcium-rich Foods Servings Calcium Content Milk, whole or low-fat 1 cup 300 mg Soy or Rice Milk 1 cup 300 mg White beans 1/2 cup 113 mg Instant Oatmeal 1 cup 100 mg Broccoli, cooked 1/2 cup 35 mg Broccoli, raw 1 cup 35 mg Cheddar cheese 1.5 oz 300 mg Yogurt, low-fat 8 oz 300 mg Orange juice, calcium fortified 1 cup 350 mg Orange, medium 140 mg Sweet potatoes, mashed 1/2 cup 44 mg Your child's body may not be able to use the calcium from there products as well as it does milk or milk products (MyPyramid educational framework, n.d., p. 8).

Building Healthy Bones Between ages10-18 bones grow the most and children make the bones they will use for the rest of their life 60 minutes of physical activity a day is recommended Eating foods high in calcium, getting vitamin D from foods and the sun and active play build strong bones. Bones are living tissue, weight-bearing physical activity causes new bone tissue to form which makes bones stronger. Weight-bearing physical activity keeps their feet on the ground, swimming is not a weight-bearing activity although it is good exercise. These steps taken before age 20 can reduce the risk of bone loss later in life called Osteoporosis, which can cause a curving of the back due to bone loss in the spine and broken bones like the hip.

Building Healthy Bones Walking Running Dancing Jumping rope Climbing stairs Team sports Team sports at this age should be for fun not competition.

Beverages Milk and other calcium rich foods 100% Fruit juice Water Fruit drinks Sports drinks In addition to the milk group we will briefly look at other beverages tonight.

% Change in Mean Intake from 1977-78 Beverages, Children 6-11 Years Old Milk -39% Fruit juice 54% Fruit drinks 69% From the late 70’s to 2002 the intake of milk has gone down, 100% fruit juice, fruit drinks, soda and most recently sports drinks have increased. Fruit drinks, soda, sweetened tea and sports drinks have very little if any nutritional value but are high in calories and can cause cavities in teeth. The nutrition facts label will be important to read before making your decision which beverages to buy and serve your children. Lesson plan topic #4 – Have the audience or several volunteers read nutrition fact labels on a variety of beverages: water, 100% juices, several fruit drinks, sports drinks, bottled tea, regular and diet soda. Record on easel amounts of fruit juice, sugar-type of sugar or sweetener, salt, vitamins and minerals. Ask parents why it is important to limit 100% fruit juice, fruit drinks, sports drinks, teas and soda. Carbonated soda 137% % decrease 0% % increase SOURCE: L. Cleveland USDA; NFCS 1977-78 and WWEIA, NHANES 2001-02, 1 day

Source: American Academy of Pediatrics 100% Fruit Juice No more than 4-6 ounces 1-6 year olds No more than 8-12 ounces 7-18 year olds Lack fiber High in natural sugars High in natural sugars that promote tooth decay and weight gain. Juice does not have fiber that whole fruit does. Great source of vitamin C and orange juice is often fortified with calcium and vitamin D. Source: American Academy of Pediatrics

Fruit Drinks-What is on the label? Contain 10% or less fruit juice High in sugar / fructose corn syrup High fructose corn syrup is a thick liquid made from cornstarch that disrupts the body’s production of certain hormones that regulate appetite and fat storage (Good Kids Bad Habits p.53) Fruit drinks have vitamin C added but note the other vitamins and minerals they lack.

Source: Water is Cool in School & Ask the Dietitian Most foods contain water 4-8 glasses a day (1-2 liters) ½ of this during the school day Cold water is the best fluid to satisfy thirst and replace fluids Some children may get enough liquid with food and drinks with meals, however if you child is thirsty and they have or will have their 2-3 cups of milk that day, water is the best liquid for them to drink. Keep a pitcher of water in the refrigerator. Source: Water is Cool in School & Ask the Dietitian

Signs of Not Having Enough Fluids Dry lips and sticky mouth Irritable Tired Less able to concentrate Headaches Dark urine Urine should be very pale yellow, like straw Source: Water is Cool in School & Ask the Dietitian

Soda No nutritional value About 100 calories in 8 ounces from high-fructose corn syrup Family rules for in and out of home soda drinking Cans are 12 ounces and servings outside the home can be much, much more. Diet sodas and sweated tea has also been shown to cause tooth decay. You will find a big savings if your family asks for water in restaurants. As a family you may want to have an occasional soda treat, but sharing a two liter bottle can be a savings over individual sodas. It is a good idea to set family rules about how much soda or other beverages are used both in and out of the home. Changes will go more smoothly if they are slow. Sometimes as parents we have to be the “bad guy” when it really means improving out children's health (teeth and weight). 100 calories over and above what is needed for growth a day can add 10 pounds of additional weight in a year.

Sports Drinks-What is on the label? Added sugars, colors, and salts May have vitamins or caffeine added Reserve for active sport fluid replacement The only time sports drinks may be beneficial is after a big spots event like a competitive football game, or track meet.

Our children not only see what we do, but they do what we do! We have all heard the saying you are what you eat (the calcium, vitamin D and weight-bearing exercise provided early in life helps keep bones strong now and later in life) Research shows our children eat and drink what we eat and drink Resource: Greer, Krebs & the (AAP) Committee on Nutrition (2006)

Small Steps - Big Reward Find low-fat calcium rich beverages and foods your child likes and serve them more often Introduce low-fat calcium-rich beverages and foods slowly, do not force Discuss family rules for sugar added beverages (soda, fruit and sports drinks) Do not force beverages or foods or totally restrict them. If you have been using whole milk products you may find it easier going to low fat for awhile before switching to fat free.

Small Steps - Big Reward (cont.) Drink and eat what you want your child to drink and eat, YOU are the most influential person in your child’s life! Eat together as a family without TV Limit TV, electronic games and non-school computer use to 1 - 2 hours a day Encourage 60 minutes of moderate to vigorous play a day to build strong bones Source: American Academy of Pediatrics