1. Leading the Way to a Healthy Life … Hispanic Infants Solving the problem of childhood obesity with an infant nutrition focus … from the beginning

2. Objectives for Today A Key Solution: The L.I.N.I. Project Shaping New Directions  Challenges & Opportunities: Research, Education, Practice & Policy  Outcomes to Date Call to Action  Website Contributions  Curriculum Development, models, sites  L.I.N.I. 2012  L.I.N.I. in Action  L.I.N.I. Policy Brief  Our Communities

4. MORE ABOUT TODAY … Background 1 3 2011 Plans 2 Summary of Outcomes

5. L.I.N.I. Leaders Partners National Hispanic Medial Association National Council of La Raza MANA – a Latina Visión y Compromiso Sponsor Abbott Nutrition Advisors American Dietetic Association Groups: – Latinos and Hispanics in Dietetics & Nutrition MIG – Pediatric DPG – Women’s Health DPG – Public Health DPG Corporate Voices for Working Families LifeCare, Inc. National Association of Community Health Centers National Association of Hispanic Nurses National Institute of Child Health and Human Development National Latino Children’s Institute National WIC Association Working Mother Media ZERO TO THREE the National Infant & Toddler Child Care Initiative

6. Demonstrated Need One in three children will be of Latino ethnicity by 2025 By 2050 Hispanic women of child bearing age will have grown to 92% Latino infants, children and families are at a particularly high risk for food insecurity while, at the same time, are suffering from obesity, and related chronic diseases Emphasis needed on infant feeding and nutrition 6 9% 15% 16% 123% I N C R E A S E From 1990-2012

7. L.I.N.I. Project Goals LINI Project Develop a cohesive evidence-based policy strategy to address the nutritional status, growth, development, and the health profile of Latino infants Raise awareness and engage public and private stakeholders in defining critical issues, identifying solutions, and providing a framework of best practices and essential interventions Create platforms to motivate research, education, practice, and policy commitments at key levels to achieve a sustainable difference Latinos have reached critical mass and are projected to represent 30% of the US population through mid century Latino infants grow to be disproportionately obese children; 1 in 2 Latino infants born in 2000 are destined to develop type 2 diabetes FACT

8. Social Determinants Conditions in which people are: Born Grow Live Work Age 8 L.I.N.I Lens…

9. Latino Infant Nutrition Initiative (L.I.N.I) MISSION Advocate and support all U.S. Latino mothers and families with culturally appropriate, evidence based informed choices for improved infant feeding and nutrition – birth to twelve months. Vision Hispanic infants will have a healthy start and that childhood obesity trends will be reversed. Infant feeding and nutrition will be primary prevention strategy GOALS Stimulate solutions Work to positively impact policies at local, state, and federal level of health Deal with social determinants 9

12. 12 L.I.N.I. PROCESS

13. LINI Evidence Analysis Key Finding: Fundamental eating habits are formed by the second year of life; Key Finding: By the time children reach school age, it is often too late to reverse already established food preferences and poor nutritional habits; Key Finding: (Hispanic) Infants are being left out of the national nutrition policy in a coordinated and/or comprehensive approach … 13

14. Summary Validation  Feeding practices in U.S. Hispanic infants are leading to obesity  Additional government initiatives and policies are needed … targeted to Hispanics to help improve infant feeding and nutrition habits 14

15. Factors Affecting Nutrition 15

16. Practices 16

17. Policies 17

18. Demonstrated Need Current lack of infant nutrition policy plays a significant role in the health disparities in some communities within the United States. Yet few policies specifically target the underlying issues of poor or inadequate nutrition for Hispanic infants, families and communities 18

19. JOIN US…AHORA MISMO 19

20. LINI Summit July 2010 20

21. Summit Outcomes Strong evidence: weak evidence Much being done by many Forum for multi-disciplinary sharing and actions…is desirable Challenges yet many opportunities Collective vision could be created for policy, education, research, and education Models and vision for impact to the continuum are possible Hispanic organizations are interested in making a difference 21

22. SUMMIT OUTCOMES Communities Policies Access and Resources 22

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24. L.I.N.I. Policy Brief Federal, state, and local focus 24

25. L.I.N.I. Policy Brief Communitities 25

26. L.I.N.I. Policy Brief Resources and Allocations 26

27. L.I.N.I. In ACTION  March 16, 2010: ADA, CHC, First Lady’s - Congressional Briefing  March 26, 2010: National Hispanic Medical Association (NHMA) annual meeting  April 28, 2010: Department of HHS  June 26, 2010: LINI presentation at National Association of Latina Elected and Appointed Officials (NALEO) Annual Conference  July 23, 2010: Women in Governments (WIG)  September 24, 2010: NHMA Congressional Briefing  October 5, 2010: MANA Annual Conference and White House Briefing

28. L.I.N.I. Legislative Activities 28 Fit for L.I.F.E. Act of 2010 BE A PART OF THE FIGHT AGAINST CHILDHOOD OBESITY IN UNDERSERVED COMMUNITIES LINI … an original Co-sponsor of the Fit for L.I.F.E. Act of 2010 The first comprehensive bill seeking to address childhood obesity in underserved communities. TEACHING KIDS IN SCHOOL HOW TO MAKE HEALTHY FOOD CHOICES H.R. 4958: THE HEALTHY CHILDREN THROUGH SCHOOL NUTRITION EDUCATION ACT (Current Co-sponsors: Reps. Berkley, Carnahan, Chu, Clay, Connolly, Conyers, Cuellar, Norton, Ortiz, Richardson, Ryan, Schakowsky, Sires, Stark, Towns) Endorsed by: the National Education Association, the National Indian Health Board, the Physicians Committee for Responsible Medicine, and the Inland Behavioral and Health Services.

29. CONVERGENCE… Birth Projections Childhood Obesity Obesity Economics Latino Population Food Deserts Social Justice Urgent need for comprehensive, coordinated strategy with a focus on infant nutrition as a framework for action …. from surveillance through community services.

31. 31 www.liniproject.org