1. Healthy Children, Healthy Weights – Community Engagement Growing Healthy Kids Moms, Babies, Toddlers and Preschoolers A Family Engagement Project of Healthy Children, Healthy Weights Supported by Growing Healthy Kids Columbus and Columbus Public Health

2. Healthy Children, Healthy Weights – Community Engagement Session Objectives Discuss the importance of healthy eating habits and physical activity for expectant mothers and young children Develop skills for talking to families about nutrition, physical activity, and healthy habits at home Experience the Active Play Kit and Health Fair Kits

3. Healthy Children, Healthy Weights – Community Engagement In Columbus……. About 1 of every 3 children will enter kindergarten at an unhealthy weight.

4. Healthy Children, Healthy Weights – Community Engagement Long-Term Risk “Because of the increasing rates of obesity, unhealthy eating habits and physical inactivity, we may see the first generation that will be less healthy and have a shorter life expectancy than their parents.” - Former Surgeon General Richard Carmona

5. Healthy Children, Healthy Weights – Community Engagement Healthy Families Why Family Engagement?

6. Healthy Children, Healthy Weights – Community Engagement Tools & Resources http://publichealth.columbus.gov/HCH W-posters.aspx

7. Healthy Children, Healthy Weights – Community Engagement What can we do? Practice healthy habits! Welcome Breastfeeding Water First for Thirst Build Children up with Words Healthy Celebrations Good Rest is Best Eat your colors! Make Each Plate a Healthy Plate Make Breakfast Count Take Time for Meals Growing Great Tasters Make Snacks Count Keep moving! An Hour a Day for Play Reduce Screen Time Cold Weather Fun

8. Healthy Children, Healthy Weights – Community Engagement Where to Start? Recommended weight gain during pregnancy  Prepregnancy Body Mass Index (18.5 – 24.9 kg/m 2 ): 25-35 lbs.  Prepregnancy Body Mass Index (25-29.9 kg/m 2 ): 15-25 lbs.  Prepregnancy Body Mass Index (>30 kg/m 2 ): 11-20 lbs. To calculate BMI go to www.nhlbisupport.com/bmi/

9. Healthy Children, Healthy Weights – Community Engagement Welcome Breastfeeding Why is breastfeeding important? Contains antibodies Protects against some diseases Lower risk of obesity, diabetes, and more

10. Healthy Children, Healthy Weights – Community Engagement Welcome Breastfeeding What can you do? Encourage expectant mothers to decide to breastfeed Provide space to pump or breastfeed Provide time for employees to pump

11. Healthy Children, Healthy Weights – Community Engagement Make Snacks Count Snacks are important Mini meals Every bite counts According to the USDA, children are now eating nearly 3 snacks per day, compared to one snack per day 30 years ago

12. Healthy Children, Healthy Weights – Community Engagement Make Snacks Count Fresh fruit and vegetables Low-fat or fat-free dairy products, including string cheese and yogurt Whole grain breads and cereals, low-fat microwave popcorn Low-fat frozen yogurt Low-fat granola bar

13. Healthy Children, Healthy Weights – Community Engagement Make Snacks Count What can you encourage families to do? Let children pick out healthy snacks Allow children to wash fruits and vegetables Try new foods together Have healthy snacks ready to go Do not offer food as reward or punishment

14. Healthy Children, Healthy Weights – Community Engagement Reduce Screen Time What is screen time TV, DVDs, video games Computers Mobile devices Average screen time 2-5 year olds: 25 hours/week of TV 6-11 year olds: 28 hours/week

15. Healthy Children, Healthy Weights – Community Engagement Reduce Screen Time How Much? No screen time for children under age 2 No more than 2 hours a day for children age 2 and up

16. Healthy Children, Healthy Weights – Community Engagement Reduce Screen Time What can you encourage families to do? Set limits on screen time Turn off the TV during meal times Don’t use screen time as a reward or punishment Remove the TV from your child’s bedroom

17. Healthy Children, Healthy Weights – Community Engagement Make Each Plate a Healthy Plate

18. Healthy Children, Healthy Weights – Community Engagement Make Each Plate a Healthy Plate What can you encourage families to do? Role model healthy eating Quit the ‘clean plate club’ Division of Responsibility in Feeding  www.ellynsatter.com www.ellynsatter.com  The adult is responsible for what, when and where  The child is responsible for how much and whether

19. Healthy Children, Healthy Weights – Community Engagement Build Children Up with Words Self esteem and body image Starts early Words and action can build body image Research shows that role modeling is an essential part of adopting new behaviors; children tend to model their parent’s eating behaviors

20. Healthy Children, Healthy Weights – Community Engagement Build Children Up with Words What can you encourage families to do? Let parents know they are powerful role models Use positive words to describe yourself and others Model healthy behaviors

21. Healthy Children, Healthy Weights – Community Engagement Growing Great Tasters Gardening Children are more willing to try foods they have grown “One Bite”

22. Healthy Children, Healthy Weights – Community Engagement Growing Great Tasters What can you do? “One Bite” club Start a center or home garden Connect with your local farmers’ market www.ohioproud.org www.ourohio.org www.ohiomarketmaker.com www.localharvest.org Buy in Season http://www.ohioproud.org/docs/produceavail ability.pdf

23. Healthy Children, Healthy Weights – Community Engagement Growing Great Tasters What can you encourage families to do? Start a garden Let kids pick the seeds or seedlings out Choose a variety of favorite foods Try new foods together Visit a Farmers Market www.ohioproud.org www.ourohio.org www.ohiomarketmaker.com www.localharvest.org

24. Healthy Children, Healthy Weights – Community Engagement An Hour a Day to Play Activity Break

25. Healthy Children, Healthy Weights – Community Engagement An Hour a Day to Play Physical activity helps Promote healthy growth and development Build strong bones and muscles Achieve and maintain a healthy weight Provide opportunities to make friends Improve self-esteem

26. Healthy Children, Healthy Weights – Community Engagement An Hour a Day to Play What can you encourage families to do? Encourage families to be active together Make physical activity part of their daily life www.getactivecolumbus.com

27. Healthy Children, Healthy Weights – Community Engagement Water First for Thirst Healthy Beverages Soda and flavored drinks are the largest source of added sugar in American’ diets A 20-ounce soda has 17 teaspoons of sugar Evidence shows that soft drinks are the food category most strongly linked to increased rates of obesity

28. Healthy Children, Healthy Weights – Community Engagement Water First for Thirst What can you do? Make water fun Available at all times Get the right milk Limit juice  According to the American Academy of Pediatrics, excessive juice consumption may contribute to the development of obesity

29. Healthy Children, Healthy Weights – Community Engagement Water First for Thirst Rethink your Drink RED – Drink Rarely, if at all Regular sodas, energy or sports drinks, fruit drinks Yellow – Drink Occasionally Diet soda, low calorie, low sugar drinks Fruit juice with no added sugar Green – drink plenty Water, skim or 1% milk or dairy alternatives

30. Healthy Children, Healthy Weights – Community Engagement Take Time for Meals Make meal time special Food is food – not reward or punishment Children will eat – eventually Slow down No distractions Create a positive food environment

31. Healthy Children, Healthy Weights – Community Engagement Take Time for Meals What can you do?

32. Healthy Children, Healthy Weights – Community Engagement Take Time for Meals What can you encourage families to do? Division of responsibility Eat together  Model healthy eating  Try new foods together Serve family style meals Quit the clean plate club Allow enough time

33. Healthy Children, Healthy Weights – Community Engagement Make Breakfast Count Breakfast is important Breakfast is the most important meal of the day Kids who eat breakfast  perform better  attend 1.5 more days of school per year  average 17.5 percent higher math scores (“No Kid Hungry,” 2013)

34. Healthy Children, Healthy Weights – Community Engagement Make Breakfast Count What can you encourage families to do? Talk about the benefits of breakfast Share ideas for healthy options Let kids choose from healthy breakfast choices Give kids time to wake up Allow kids to help

35. Healthy Children, Healthy Weights – Community Engagement Good Rest is Best Sleep recommendations vary by age.  Infants Birth-2 months need 12-18 hours 3-11 months need 14-15 hours  Toddlers/Children 1-3 years need 12-14 hours 3-5 years old need 11-13 hours 5-10 years old need 10-11 hours

36. Healthy Children, Healthy Weights – Community Engagement Good Rest is Best What can you do? No distractions Set a routine ABCs of Safe Sleep Alone On their Backs In a safety-approved Crib

37. Healthy Children, Healthy Weights – Community Engagement Good Rest is Best What can you encourage families to do? Practice the ABCs of safe sleep Set a bedtime routine Avoid caffeine and all sugary beverages Keep a sleep log Do not allow electronics in the bedroom

38. Healthy Children, Healthy Weights – Community Engagement Healthy Celebrations “But it’s just a cupcake!” Celebrate without food The USDA recommends making healthy habits part of your celebration; if food is requested, ask for healthy food

39. Healthy Children, Healthy Weights – Community Engagement Healthy Celebrations What can you encourage families to do? Celebrate with non-food treats and activities Limit the number of desserts, chocolates, and other sweets at parties Celebrate the event – not the food

40. Healthy Children, Healthy Weights – Community Engagement Cold Weather Fun Despite the cold An Hour a Day for Play every day of the year Children are happier and healthier when they have outdoor play

41. Healthy Children, Healthy Weights – Community Engagement Cold Weather Fun What can families do? Bundle up and get outside Take 5 to 10 minute active breaks throughout the day Children learn as they play

42. Healthy Children, Healthy Weights – Community Engagement In the Community You are a trained volunteer and the messages and ideas you share should not be substituted for medical advice. Always encourage families to consult a physician or licensed health care provider for personal health recommendations.

43. Healthy Children, Healthy Weights – Community Engagement In the Community Model the messages Dress appropriately for the activities Have fun!

44. Healthy Children, Healthy Weights – Community Engagement Thank you Questions? Cheryl Graffagnino MS RD LD clgraffagnino@columbus.gov Office: 614-645-0867 Cell: 614-354-8523