1. Bright Futures in Practice: Nutrition

2. “New Morbidities”of the 21st Century Changing family structures Highly mobile populations Lack of access to health care Health disparities Deteriorating neighborhoods and communities Intentional and unintentional injuries, substance abuse, depression, and HIV infection

3. Bright Futures Sponsors

4. Every Child Deserves a Bright Future!

5. The Mission of Bright Futures To promote and improve the health and well-being of infants, children, adolescents, families, and communities. Bright Futures is dedicated to developing educational materials for health professionals and families; implementing Bright Futures content, philosophy, and materials; and fostering partnerships and collaboration.

6. Bright Futures An Organized Structure for Health Supervision Bright Futures provides a framework to address the current and emerging health needs of infants, children, adolescents, and their families.

7. Bright Futures Guidelines Cornerstone Document

8. Families Matter! Families as partners Families as caregivers Families as teachers Families as resources

9. Immunizations Back to Sleep Bike Helmets Fluoridation Health Promotion/Prevention Works!

10. Partnerships Make a Difference Health professionals Families Child care professionals Social service professionals Schools Local and state government Community groups Business/industry Faith communities Payers

11. Bright Futures in Practice Series Oral Health Nutrition Physical Activity Mental Health

12. Bright Futures in Practice: Nutrition Advances in Nutrition Optimal nutrition is important for sustenance, good health, and well-being Diet and health is important for disease prevention Lifelong eating behaviors often established in early childhood

13. Emphasis of Bright Futures in Practice: Nutrition Developmental approach Contextual approach Partnerships among health professionals, families, and communities

14. Vision and Goals of Bright Futures in Practice: Nutrition Improve the nutrition status of infants, children, and adolescents Encourage partnerships among health professionals, families, and communities Educate health professionals, families, and communities about nutrition

15. Organizations That Support Bright Futures in Practice: Nutrition American Academy of Pediatrics American Academy of Pediatric Dentistry American Dietetic Association American Medical Association National Association of Pediatric Nurse Associates and Practitioners American School Health Association American Public Health Association and many more…

16. How the Guide is Organized Introduction Nutrition Supervision Guidelines Nutrition Issues and Concerns Nutrition Tools

17. Introduction Healthy Eating and Physical Activity Nutrition in the Community Cultural Awareness in Nutrition Counseling

18. Nutrition Supervision Guidelines Major Stages Infancy 0-11 Months Early Childhood 1-4 Years Middle Childhood 5-10 Years Adolescence 11-21 Years

19. Nutrition Supervision Guidelines Chapter Highlights Growth and physical, social, and emotional development Common nutrition concerns Nutrition supervision Desired outcomes Frequently asked questions

20. Nutrition Issues and Concerns Breastfeeding Children and adolescents with special health care needs Nutrition and sports Vegetarian eating Obesity Pediatric undernutrition

21. Nutrition Tools Nutrition questionnaires Key indicators of nutrition risk Tips for promoting food safety Tips for fostering a positive body image Federal food assistance and nutrition programs

22. How the Guide Can Be Used Clinical Community Policy Education and Training

23. How the Guide Can Be Used: Clinical Incorporate into each nutrition supervision visit Incorporate into each health supervision visit Develop nutrition programs and services Develop standards of practice and protocol Educate and train health professionals

24. How the Guide Can Be Used: Community Serve as a resource to provide anticipatory guidance to families on healthy eating practices Develop nutrition education programs and services Help schools develop health curricula Develop standards of practice and protocol

25. How the Guide Can Be Used: Policy Obtain support for nutrition policies and programs Provide information on relevant nutrition issues and concerns

26. How the Guide Can Be Used: Education and Training Educate and train health professionals Educate and train paraprofessionals Provide in-service education and training to staff Use as a textbook or reference

27. Bright Futures Web Site www.brightfutures.org Resources for health professionals and families View, download and order publications

28. Bright Notes

29. To find out more about Bright Futures, contact: Bright Futures Project National Center for Education in Maternal and Child Health Georgetown University 2000 15th Street, North, Suite 701 Arlington, VA 22201-2617 Tel: (703) 524-7802 Fax: (703) 524-9335 E-mail: BrightFutures@ncemch.org