1. Take Action Now What Parents Can Do to Keep Their Kids Healthy

2. –Child Obesity 2003-2006: –Age 2-19 yrs = 16.3% –Child Overweight 2003-2006: –Age 2-19 yrs = 31.9%

4. Body Mass Index is a measure of weight in relation to height BMI for age percentile shows your child’s weight compared to kids the same age and sex A BMI for age percentile of 65% means that the child’s weight is greater than 65% of other kids the same age and sex

7. A single BMI-for-age calculation is not enough to evaluate long-term weight status because height and weight change with growth.

8. Boy, age 9, 88 lbs, 4’6” »BMI = 21.2 –BMI for age is at the 94th percentile 94%

9. Obesity = –BMI ≥ 95th percentile for age & sex –OR, BMI > 30 Overweight = –BMI ≥ 85th but < 95th percentile for age & sex

11. Kids do NOT have an “ideal” body weight. In most cases, the goal is to reduce the rate of weight gain while allowing for normal growth and development.

12. Type 2 Diabetes High Blood Pressure High Blood Cholesterol Obstructive Sleep Apnea Asthma Poor self-esteem

13. Type 2 Diabetes High Blood Pressure High Blood Cholesterol Obstructive Sleep Apnea Asthma Poor self-esteem

14. Almost 60% of overweight kids had at least one risk factor for heart disease; 25% of overweight kids had two or more risk factors for heart disease. Kids who have these risk factors face a lifetime of health problems related to obesity.

16. Screen time

17. Portion sizes

18. Sugary drinks

19. Busy lifestyle/Fast Food

20. Decreased activity

21. Family history?

22. No highly restrictive diets for children!

23. Decrease calories in Increase calories used up/burned

25. AgeActivity Level sedentary moderate active 2-3: 1000 1000-1400 1000-1400 4-8 1200 1400-1600 1400-1800 9-13 1600 1600-2000 1800-2200 14-18 1800 2000 2400 AgeActivity Level sedentary moderate active 2-3: 1000 1000-1400 1000-1400 4-8 1200 1400-1600 1400-1800 9-13 1600 1600-2000 1800-2200 14-18 1800 2000 2400

26. AgeActivity Level sedentary moderate active 2-3: 1000 1000-1400 1000-1400 4-8 1200 1400-1600 1600-2000 9-13 1800 1800-2200 2000-2600 14-18 22002400-2800 2800-3200 AgeActivity Level sedentary moderate active 2-3: 1000 1000-1400 1000-1400 4-8 1200 1400-1600 1600-2000 9-13 1800 1800-2200 2000-2600 14-18 22002400-2800 2800-3200

28. Toaster Pastry Soda Chips

29. Toaster pastry 200 calories Soda 240 calories Chips 230 calories

30. What can we substitute for the: –Toaster pastry? –Soda? –Chips?

31. whole wheat mini bagel (120) with light cream cheese (60) water--calorie-free! pretzels (1 oz = 110 calories) and grapes (1 svg = about 15 grapes = 50 cals) 670 cals vs. 340 cals

32. non-nutritious, calorie-dense foods, and increase the more nutritious, lower calorie foods and beverages.

33. Make your home a SAFE place to eat!

34. Fruits & Veggies are Key! –Easy choices: baby carrots, bell pepper strips, baby spinach, snack-size apples, red grapes, berries

36. Remodel your kitchen with healthy choices! pretzels, nuts, whole grain cereal, whole grain crackers, light microwave popcorn, whole wheat pasta, brown rice, canned beans, canned tuna and salmon, canned fruit

37. More simple changes…they all add up! Skim or 1% milk Low fat or fat free cheese and yogurt 100% whole wheat bread Replace sugary cereals Replace sugary drinks Serve lean protein foods

39. Food is not a battle Offer many healthy choices – let them determine which ones to eat Fruits and non starchy veggies for 2nds Water to drink

40. Family meals are easier to prepare when you are prepared! Boneless, skinless chicken breast tenders Whole wheat pasta with sauce & veggies Lean deli meat sandwiches

41. A healthy breakfast sets the “nutrition tone” for the day!

42. Do you eat breakfast? What works best? If not, why not?

43. Remember…low fat/fat free doesn’t equal calorie free!

44. Kids need to be exposed to new foods 8-10 times before they accept or like them. Persistence pays off!

45. Limit TV/screen time to 1 or 2 hours/day; no TV or computer in bedrooms

47. Organized sports are not always that active Too many “activities” can mean a fast food lifestyle

48. What is in the sports team snacks? Fruit and water are best bets

49. Those who used the larger serving bowls and scoops for ice cream ate 53% more than those using smaller bowls and scoops -- Am J Prev Med. 2006;31:240-243

50. “In general, mankind… eats twice as much as nature requires.” ~Benjamin Franklin

51. Small plates, bowls, cups Weigh and measure Read labels!

52. Overcome nutrition challenges away from home

53. Whole grain bread Lean meat Fruit Veggies Skim milk (or yogurt and water)

54. Teach kids to chose healthy options

55. Take healthy snacks Take a pass and get a reward at home

56. On the bus--miniature chocolate bar Reading game--wins starburst fruit chew Lunch--you packed cookies (3 oreos) Afternoon--kid’s birthday--frosted cupcake Math tutor--2 packs of smarties Lollipop at bank on way home from school Afterschool--pre-packaged snack cake After soccer--gatorade and teddy bear graham cookies Dessert--light ice cream (1 1/2 cp)

57. Grand Total = 1,506 calories!

58. Order the smallest portion Share meals Order baked and grilled, not fried Take one serving of bread or chips then give the basket back to the waiter Drink water or sugar-free beverages

59. The program should include a physician, registered dietitian, exercise physiologist, and a psychologist. For more information see http://www.cdc.gov/HealthyYouth/obesity/

60. Fruits and Veggies: More Matters –www.fruitsandveggiesmorematters.org Alliance for a Healthier Generation –www.healthiergeneration.org/ MyPlate –www.choosemyplate.govwww.choosemyplate.gov

61. Take Action Now What Parents Can Do to Keep Their Kids Healthy