1. Select To Protect Presenter: Erika Lannaman, RD Select To Protect Social Marketing Campaign

2. NJ Saw a 1% Decrease in Prevalence of Obesity BUT…… Too Many Preschoolers Are Still Obese 1 in 8 (12%) preschoolers are obese About 1 in 5 (19%) African American children an 1 in 6 (16%) Hispanic Children between the ages of 2 and 5 are obese CDC: Childhood obesity rates falling in many states USA Today August 7, 2013

3. Our kids are in trouble... 1 of 3 Children Are Obese or Overweight Before Their 5th Birthday….. CDC Obesity Among Low-Income Preschool Children 2013

4. Approximately 17% (12.5 million) of children and adolescents aged 2-19 years old are obese CDC Data and Statistics January 2013

5. Obesity  Having too much body fat  20 percent over the ideal body weight for their stature

6. Measuring Overweight and Obesity in Children Overweight- a BMI at or above the 85 th percentile and lower than the 95 th percentile for children of the same age and sex Obesity- a BMI at or above the 95 th percentile for children of the same age and sex CDC: Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion April 27, 2012

7. High cholesterol High blood pressure Pre-diabetes Obese preschoolers are 5 times as likely to be obese adults Bone & joint problems & sleep apnea Increased risk of certain cancers Obese Children Are More Likely To Have:

8. Obesity rates tripled over past three decades! WHY? Kids walked to school Outside play Recess Gym class Home cooked meals Portion size Snacks Beverage sizes have increased Increase in sugary drinks Let’s Move: Americas Move To Raise A Healthier Generation of Kids

9. Infant Feeding Practices Associated with Obesity Formula vs Bottle Feeding Early Introduction of Solid Foods Taking a Bottle-to-Bed Excessive Juice Intake Eating Fatty or Sugary Foods Before Age One

10. Toddler Feeding Practices Associated with Obesity Drinking Milk From A Bottle After Age One Use of Food For Reward High Juice Intake High Intake of Sugary Beverages High Intake of Energy Dense Foods

11. Surgeon General Richard Carmona…. “Because of the increasing rates of obesity, unhealthy eating habits and physical activity, we may see the first generation that will be less healthy and have a shorter life expectancy than their parents.”

13. Get ACTIVE !!! Active Families- engage in physical activity each day for a total of 60 min for children and 30 min for adults Active Schools- add activity back in the curriculum: PE classes; before-and-after school programs; recess; open school facilities for student and family recreation Active Communities-increase safe routes for kids to walk and ride to school; revitalize parks & community centers; provide fun and affordable sports and fitness programs. Let’s Move: Americas Move To Raise A Healthier Generation of Kids

15. How Much Sugar Should We Eat? 25 % of your total calories from “added sugars”

16. ADDED SUGARS? High Fructose Corn Syrup Corn Syrup Solids White Sugar Brown Sugar Corn Syrup Raw Sugar Malt Syrup Maple Syrup Fructose Molasses Honey

17. WHAT ARE SOME MAJOR SOURCES OF ADDED SUGAR IN THE DIET??

18. Facts About Sugar Sugar Does Not Cause Hyperactivity Sugar Does NOT Cause Diabetes Sugar Can Lead To Dental Cavities Sugar Does Not Make You Fat Natural Sugar Is Not Better

19. Artificial Sweeteners Aspartame Equal or Nutra Sweet Acesulfame-K Sunette or Sweet One Sucralose Splenda SaccharinSweet N Low and Sweet 10 NeotameNutraSweet

20. What Do We DRINK???? WATER Tea and Coffee Low Fat and Skim Milk Reduced Sugar Alternatives Juice (Moderation)

21. Juice Recommendations: Not Before 6 Months Old No Juice In Bottles or Large Cups No Juice At Bedtime Limit Fruit Juice to 4-6 oz /day for children ages 1-6 Limit Fruit Juice to 8-12 oz/day for children ages 7-18 Encourage Children to Eat Whole Fruits Do Not Allow Children To Drink Unpasteurized Juice

22. Tips for Healthy Families Increase Fruits & Vegetables Reduce Fat and Sugar  Switch to low-fat and fat-free milk & dairy products  Choose lean cuts of meat  Bake or grill instead of fry  Substitute olive oil for vegetable oil and butter  Drink less soda or sugar-sweetened beverages  Switch to lower sugar breakfast cereals  Switch desserts like ice cream and cake to fruits

23. Tips for Healthy Families…… Snacks  Reduce number of snacks  Offer fruit and vegetables as snacks  Have snacks that require permissions such as “cookies”  Increase water consumption  Save “treats” for special occasions Portion Size  Kids are smaller than adults and should eat smaller portions  Use smaller plates for kids  Don’t force children to clear their plate if they are full EAT TOGETHER ! Let’s Move: Americas Move To Raise A Healthier Generation of Kids

24. Be A Good Role Model

25. NJ Childhood Obesity Rates Low-Income Children 2-5 years old Hudson 27.0% Hunterdon24.0% Somerset21.9% Union19.3% Mercer18.7% Morris18.1% Middlesex18.1% Atlantic18.0% Monmouth17.5% Passaic17.2% Cape May17.1% Salem17.0% Cumberland17.0% Bergen16.4% Warren15.3% Sussex15.3% Burlington15.0% Essex14.6% Gloucester14.0% Ocean13.0% Camden9.2% (City of Camden= 35%)