1. Kids Eat Right Ensuring Quality Nutrition

2. Childhood Obesity Prevention is a Top Priority Nearly 10 years since Surgeon General report and childhood obesity rates still at epidemic proportions There is a new level of urgency to end the childhood obesity epidemic and more people are getting involved than ever before The importance of the issue is highlighted by the First Lady’s Let’s Move Campaign

3. Childhood Obesity Prevention Strategies Many of the childhood obesity prevention strategies have focused on restricting fat, sugar, sweetened beverages, and “junk food” Strategies have NOT addressed the total nutrient needs of children resulting in chronic low intake of nutrient rich foods Consequently, many American children are simultaneously over-fed AND under- nourished

4. Visible problem of overweight and obesity  Over 30% of kids 2-19 are overweight or obese o 16.9% obese o 14.8% overweight Invisible problems of undernourished and hunger  Over 22% of children live in homes with insufficient food Poor Nutrition Results In

5. The majority of children and adolescents have inadequate consumption of nutrients, especially vitamins A, C, D, and E, and phosphorus and magnesium These are critical for normal growth and development, learning and cognition Undernourished

6. 40% of the calories consumed by US youth have no nutritive value other than calories, regardless of whether these children are normal weight or overweight. Undernourished These food choices are displacing higher-nutrient foods Childhood obesity and under-nourishment are BOTH consequences of what children are NOT eating

7. Poor nutrition and hunger interferes with cognitive function and is associated with lower achievement Even well nourished students who skip breakfast have difficulty concentrating and scoring well on tests Undernourishment and Learning

8. The Family Nutrition and Physical Activity Survey In 2010, the ADA Foundation fielded the Family Nutrition and Physical Activity Survey to gain a better understanding of children’s attitudes and behaviors that influence nutrient consumption and healthy weights

9. Follow-up to a similar 2003 survey Knowledge Networks fielded survey in Feb 2010 with pairs of children and parents randomly selected from nationally representative panel. Parents with children aged 8 to 17 comprise the three samples: 754 pairs of children and parents that are representative of the US population 209 African American 230 Hispanic Survey Methodology

10. 2003 and 2010 data assessed for: o Changes in parent’s awareness of children’s attitudes and behaviors (child-parent dyads) o Changes in children’s attitudes and behaviors 2010 data assessed for: o Child-parent dyad correlation by race o Children’s attitudes and behaviors by race, gender, household income, and school grades Survey Objectives

11. From 2003 to 2010: Children and Parents Make Progress

12. Increase in alignment of answers of children and parents, indicating more awareness of parents when it comes to their children’s attitudes, behaviors, and choices when it comes to food and activity. Decrease in children’s purchases from vending machines or snack bars, fast food restaurants, and convenience stores. More families eating meals together and participating in physical activity together. More children eating regularly scheduled dinners. Areas of Improvement

13. Barriers: When, Where and Why Children Eat

14. * Statistically significant differences by race, p<0.05; ** Statistically significant differences by race, p<0.001; Parent-child dyad correlation is statistically significant, p<0.05 How often over the past week did you eat “all” or “most” of the time? White African AmericanHispanic Right after school56.757.859.1 In the evening, after dinner* 26.026.324.3 While watching tv*23.130.023.8 While doing homework**8.815.26.2 While playing on the computer* 6.310.35.7 When talking on the phone** 2.98.43.5 When Kids Eat

15. Children do not eat breakfast and dinner all the time 42% white, 59% African American, and 42% Hispanic children do NOT eat breakfast all the time 67% of whites from low income (< $24,999) homes and African Americans from medium income ($25,000-74,999) homes do NOT eat breakfast all the time 22% white, 34% African American, and 38% Hispanic children do NOT eat dinner all the time 46% of Hispanics and 41% of African Americans from medium income ($25,000-74,999) homes do NOT eat dinner all the time When Kids Do Not Eat

16. 56% white, 75% African American, and 65% of Hispanic children eat school lunch on most days* Many children do not eat school lunch because they dislike what is offered or how it tastes (white 49.7%, African American 63.2%, Hispanic 59.3%) *Statistically significant differences by race, p<0.001, Where Kids Eat

17. If children did not eat a school lunch, they were asked if they eat from... *Statistically significant differences by race, p<0.001 White African American Hispanic Lunch from home*87.8%60.0%70.0% School snack bar*5.2%22.9%24.4% Vending machine*0.6%27.1%10.3% Store or fast food*2.3%29.4%6.4% I do not eat school lunch*8.3%34.0%26.9% Where Kids Eat

18. Children and Parents Are Ready for Change

19. Number of Days Getting 60 Minutes Physical Activity in the Past Week Parent-child dyad correlation is statistically significant, p<0.05

20. *Statistically significant differences by race, p<0.001, Parent-child dyad correlation statistically significant, p<0.05 It would help me be more active if…. Interest in Being Physically Active

21. * Statistically significant differences by race, p<0.05, ** Statistically significant differences by race, p<0.001 Parent- child dyad correlation is statistically significant, p<0.05 It would help me be more active if…. Interest in Being Physically Active

22. * Differences are statistically significant p<0.05; ** Differences are statistically significant p<0.001; Parent-child dyad correlation is statistically significant, p<0.05 It would help me eat healthier if…. Interest in Eating Healthier

23. * Statistically significant differences, p<0.05; **Statistically significant differences p<0.001; Parent-child dyad correlation is statistically significant, p<0.05 It would help me eat healthier if…. Interest in Eating Healthier

24. How Often Kids and Parents Do These Activities Together 3+ Days a Week *Statistically significant differences, p<0.05, Parent-child dyad correlation is statistically significant, p<0.05

25. If you had to name one person who you admire, who would that be? Role Models

26. There are still significant barriers to adequate nutrient consumption including lack of nutrition knowledge, skipping meals, and eating for reasons other than hunger Children want to eat healthier and be more physically active and see their parents as their #1 role model Schools and families provide a great opportunity to support a quality nutrition approach Summary

27. Launched in November 2010 by the American Dietetic Association (ADA) and the American Dietetic Association Foundation (ADAF) Purpose: to re-frame the childhood obesity prevention dialogue to include quality nutrition Kids Eat Right

28. Childhood obesity prevention efforts comprehensively address the nutrient needs of all youth increasing attention towards the foods kids need to eat more often. ADA members take actions supporting the White House Task Force for childhood obesity prevention to improve nutrition and physical activity in communities, schools and with families. RDs are sought to provide evidence-based nutrition guidance supporting healthy weight and quality nutrition. Kids Eat Right Goals

29. ADA is mobilizing its 71,000 members participate in activities to support a quality nutrition approach: Using Fuel Up to Play 60 to help schools make changes with students Leading parent workshops Joining community coalitions and providing nutrition expertise to childhood obesity prevention efforts Meeting with school leaders to discuss the importance of quality school meals and the link between nutrition and learning Kids Eat Right

30. When addressing childhood obesity, it is critical to include a quality nutrition approach to ensure we are not unintentionally harming our children Registered Dietitians have the education, training, and expertise to ensure children’s diets have all the necessary nutrients for proper growth and development As part of the Kids Eat Right initiative, Registered Dietitians across the country are volunteering their time and expertise to help communities, schools, and families address quality nutrition To learn more about Kids Eat Right, visit www.kidseatright.org www.kidseatright.org Kids Eat Right