1. Jackie Davis-Manigaulte, Ed.D. Program Leader, Family and Youth Development Evalina Irish-Spencer, MS, RD, CDN, CFCS Nutrition & Health Cornell University Cooperative Extension of New York City March 2012

2.  Presentation Materials for CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activity http://www.cdc.gov/healthyyouth/npao/presentation.htm http://www.cdc.gov/healthyyouth/npao/presentation.htm  References for CDC slides and narrative: http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf  CDC Nutrition Facts http://www.cdc.gov/healthyyouth/nutrition/facts.htm http://www.cdc.gov/healthyyouth/nutrition/facts.htm

3. *>95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts. **1963–1970 data are from 1963–1965 for children 6–11 years of age and from 1966–1970 for adolescents 12–17 years of age. Source: NCHS. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD. 2011 CDC, 2011 CDC, 2011 4.6 4.2 19.6 18.1

4. Conditions Seen in Children  High Cholesterol  Type 2 Diabetes/ Impaired Glucose Tolerance  High Blood Pressure  Social Problems and Poor Self-Esteem  Sleep Disturbances  Orthopedic Problems CDC, October 2011

5. Obese children and adolescents are more likely to become overweight or obese adults  Heart Disease  Cancer  Stroke  Type 2 Diabetes  Osteoarthritis  Physical Disability  High Blood Pressure  Sleep Apnea CDC, October 2011

6. Genetics Environment Unhealthy Diet Sedentary Lifestyle Lack of Physical Activity CDC, October 2011

7. The Benefits of Healthy Eating  Optimal growth and development of children  Prevent high cholesterol and high blood pressure  Reduce risk of chronic diseases such as cardiovascular disease, cancer, and diabetes.  Reduce risk for developing obesity, osteoporosis, iron deficiency, and dental caries (cavities)  Healthy breakfast: improved cognitive function (especially memory), reduced absenteeism, and improved mood. CDC-Nutrition Facts

8.  Academic Success  Health and Well-being  Risk for Obesity  Risk for Chronic Conditions (e.g., osteoarthritis)  Risk for Chronic Diseases (e.g., cancer) CDC, October 2011

9. Overall health Cognitive development School performance

10. 2010 Dietary Guidelines for Americans Let’s Move Campaign Choose My Plate Food Icon

11. Most youth in the United States: Do not eat enough fruits and vegetables (2½ cups to 6½ cups daily recommended) Do not eat enough whole grains (2 to 3 oz./daily recommended) Eat too much sodium (max recommended: 1,500 to 2,300 mg each day) Empty calories from added sugars and solid fats contribute to 40% of daily calories for children aged 2 to 18 years, half from six sources: Soda Grain desserts Fruit drinks Pizza Dairy Desserts Whole milk

13. http://www.health.ny.gov/preve ntion/nutrition/resources/docs/a dolescent_food_guidelines.pdf http://www.actforyouth.net/reso urces/n/n_adolescent_food_gui delines.pdf

14. Interviewed provider group leaders:  Current healthy snack practices  Challenges

15.  Outreach throughout Cooperative Extension and other health programs to identify healthy snack resources

16. Youth provided valuable feedback :  Prepared and evaluated recipes  Encouraged food preparation as strategy for introducing new foods ACT for Youth Network members, NYC

17. Youth rate snacks at 4H CITY Project in Forest Hills, Queens

18.  Provider group leaders shared feedback about draft of healthy snacks resource: - relevant for their audience - starting to serve more nutritious snacks, will be helpful resource - engaging and easy to follow  Extensive review provided by Cornell University Cooperative Extension Nutrition & Health and New York State Department of Health staff.

19.  Key Nutrition & Info : - reduce sweetened drinks - increase fruits and vegetables - increase whole grains - less fat and sugar - more fiber - healthier fast food choices - portion size

20.  Tips for Successful Implementation of Guidelines: - Use local resources - Develop food policies - Cost challenges - Involve youth - Limited facilities - Lead by example - Suggestions for food/beverages - Vending machine options - Label reading - Menu suggestions

21.  Sample Recipes

22.  Plan how to incorporate the guidelines into agency program  Involve youth throughout  Share experiences and new tips and recipes

23.  Guidelines for Healthy Food and Beverages for Adolescent Health Programs http://www.actforyouth.net/resources/n/n_adolescent_food_guidelines.pdf http://www.actforyouth.net/resources/n/n_adolescent_food_guidelines.pdf  An Ecological Approach to Adolescent Obesity http://www.actforyouth.net/resources/rf/rf_obesity_0212.pdf http://www.actforyouth.net/resources/rf/rf_obesity_0212.pdf  Best Bones Forever! http://www.bestbonesforever.gov/bbf/ http://www.bestbonesforever.gov/bbf/  Easy Meals and Snacks: A Healthy Cookbook for Teens http://www.cdph.ca.gov/programs/NutiritionandPhysicalActivity/Document s/MO-NUPA-TeenCookBook.pdf http://www.cdph.ca.gov/programs/NutiritionandPhysicalActivity/Document s/MO-NUPA-TeenCookBook.pdf

24.  Presentation Materials for CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activity http://www.cdc.gov/healthyyouth/npao/presentation.htm http://www.cdc.gov/healthyyouth/npao/presentation.htm  References for CDC slides and narrative: http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf  CDC Nutrition Facts http://www.cdc.gov/healthyyouth/nutrition/facts.htm http://www.cdc.gov/healthyyouth/nutrition/facts.htm

25. The ACT for Youth Center of Excellence connects positive youth development resources and research to practice in New York State and beyond. The Center provides:  Technical support, training, and evaluation for youth-serving programs funded by the NYS Department of Health.  Youth Development and adolescent sexual health resources: Website, publications, and presentations http://www.actforyouth.net http://www.actforyouth.net ACT for Youth Update http://www.actforyouth.net/publications/update/cfm http://www.actforyouth.net/publications/update/cfm  ACT Youth Network http://www.nysyouth.net http://www.nysyouth.net Bronfenbrenner Ctr for Translational Research Beebe Hall Cornell University Ithaca, NY 14853 607-255-7736 act4youth@cornell.edu