Call to Action: Healthy Lifestyle: Obesity Prevention Janet F. Laster, Ph.D. Sandra Laurenson, M.S. OAFCS Public Policy Co-Chairs.

Call to Action:Healthy Lifestyle:

ObesityPrevention

Janet F. Laster, Ph.D.

Sandra Laurenson, M.S.

OAFCS Public Policy Co-Chairs

.

Ohio’s Call to Action: In 2009 and Now

• School districts, facing inadequate school funding, reduce or eliminate FCS programs

• Poor dietary habits, lack of food preparation skills, inactive life styles, and “obesgenic” environment cause obesity and related chronic diseases—all driving up personal, healthcare, and national debt

• Dr. Lichtenstein: “Bring back Home Economics” (JAMA editorial)

• Public’s lack of FCS name recognition and far-reaching effects

2011 AAFCS Resolutions

• Sustaining Family and Consumer Sciences Education

• Obesity Prevention & Healthy Weight Initiative

www.aafcs.org Advocacy Resolutions

Sustaining FCS Education: Be it Resolved that

• Promote name recognition of “Family and Consumer Sciences” and understanding of scope of FCS and its relevance to serious societal concerns today such as obesity, food safety, financial literacy.

• Support and facilitate development and implementation of national, state, and local intervention strategies to sustain FCS Education in current economic and education environment.

AAFCS, Affiliates, Communities...

Obesity Prevention-Healthy Weight Initiative: Be It Resolved that

• Advocate collaborating with nutrition science, medicine, education, policy makers to garner support for FCS Education in MS, HS, Extension programs

• Partner with others to advocate comprehensive national obesity prevention and nutrition education

• Utilize opportunities within range of influence and practice to promote national obesity prevention and nutrition education in public schools and communities

• “Take Obesity Prevention to Streets!”

AAFCS, Affiliates, Communities, Members...

Healthy Lifestyle - Obesity Prevention:National CALLS for Action

• 2010 First Lady Michelle Obama’s

• Dr. Lichtenstein’s “Bring back Home Economics Education” in JAMA, May 12, 2010

• Dietary Guidelines for Americans 2010

• Healthy, Hunger-Free Kids Act of 2010 (PL 111-296) signed into law

• Institute of Medicine Report, May 8, 2012

• Bipartisan Policy Center Report, June 6, 2012

Ohio’s Action Plan Goals:

• Align FCS curriculum, strategies & public image: Professional Development workshops, conferences.

• Become active advocates for public policy supporting healthy lifestyles, FCS ED.

• Initiate/Participate in community healthy lifestyle initiatives.• Use FCS branding resources.

Sustaining FCS Education + Obesity Prevention-Healthy

Lifestyles = Synergy

What has been done?

In Ohio?• FCS Education Promotion Task Force

• OAFCS Annual Conference: Resolution Support - Keynote: Dr. Cheryl Achterberg, Advisory Committee Member for DGFA201

• Obesity Prevention Projects: Extension, United Way, Action for Healthy Kids, Dairy Council

• Professional Development Workshop: Status of FCS Education in Ohio - Obesity Research, Trends & Developments, e.g.,Dietary Guidelines for Americans

• 2010 - Public Policy Panel: State Rep & School Board member

What has been done?• Developed/adapted resources (with FCS branding):

• Affiliate Action Plan Framework

• Sample letter for State legislators, school board

• Call to Action Briefs & Resources

• Call to Action: FCS Professionals

• Call to Action: Americans

• FCS Education Brief (with branding)

• A Call to Action—Private and Public Policy Recommendations for Obesity Prevention

• Leadership Action Plan Framework

• 4 PowerPoint Slides (with FCS branding)

What has been done?

• Developed/adapted resources:

• 4PowerPoint Slides (with FCS branding)

• FCS Branding slides (4 slides)

• Obesity Crisis Slides

• Call to Healthy Lifestyle: Obesity Prevention

• Dietary Guidelines for Americans, 2010: Quiz Yourself! (145 slides with FCS branding) Portion Control slides (with FCS branding)

Adapted from Alice Henneman, MS, RD, U Nebraska- Food.unl.edu

www.aafcs.org Advocacy Resolutions

Key Message: Policy MakersPlease, ensure that Family and Consumer Sciences (formerly home economics) Education programs are in every middle and high school and community in our state.

REASONS:

1. To develop the essential life skills needed to address this complex obesity-related crisis: nutrition, food selection and preparation, parenting, personal and family finance, and career planning skills.

2. Only Family and Consumer Sciences (FCS) educators have the expertise and credentials * to “provide comprehensive health (and) nutrition…education programs in educational settings, (with) special emphasis on food preparation skills, food safety, and lifelong physical activity” and * to “encourage healthy weight gain during pregnancy and breastfeeding” as part of this “comprehensive health (and) nutrition…education program”

recommended in USDA and HHS’s Dietary Guidelines for Americans 2010 and Institute of Medicine’s Accelerating

Progress in Obesity Prevention Report

Key Message: Reasons to support FCS ED

Key Message: Reasons to support FCS ED

3. Providing a mandatory food preparation curriculum to students throughout the country may be among the best investments society could make [to reduce health care expenditures]”.

Dr. Alice Lichtenstein of Tufts University, co-author of “Bring Back Home Economics Education” article in the Journal of the American Medical

Association, at the Youth Obesity Prevention Summit sponsored by the FCS Alliance member:

Board on Human Sciences

See “Point of View Obesity Prevention Summit: Positive Change Seen” Carolyn W. Jackson, AAFCSExecutive Director, Winter 2012 Journal of FCS

4. Contemporary family members do not know how to cook or understand ingredients of foods, their nutrients, and their effects on the health of their bodies.

5. FCS educators help their students with other critical and essential skills needed to successfully live and work in our complex and constantly changing world: career planning skills, such as understanding the impact of obesity and health on employment, lifetime earnings, and productivity.

Key Message: Reasons to support FCS ED

Next Steps:

• Update: Use resources * Obesity causes, consequences

* Nutrition research

* Public policy recommendations

• Take Responsibility, Leadership Action:

- As individual, family leader

- In workplace, profession

- In community

My Responsibility-Leadership Action Plan to help make America Healthy

Individual/Family Action• Monitoring my calories:

www.myfitnesspal.com• Eat healthy foods, including

2 ½ cup veggies/day, less than 20 g sugar/day

• Walk 60-70 min./day• Special fruits, berries as

treats for grandchildren rather than cookies, cake

• Encouraging husband to make whole grain bread rather than cookies, cakes

Community-Related Action• Proposed/organizing

Healthy Lifestyle Advisory Committee at church

• Proposed/organizing Forums at church:

1) Obesity Crisis

2) What should we do to prevent obesity of our children? Ourselves?

Goals to Accelerate Obesity Prevention

1. Integrate physical activity every day in every way.2. Market what matters for a healthy life.3. Make healthy foods and beverages available

everywhere.4. Activate employers and health care professionals.5. Strengthen schools as the of health.

… accomplishing any one of these might help speed up progress in preventing obesity, but together, their effects will be reinforced,

amplified, and maximized. Institute of Medicine

Everyone has a role in the movement to make America healthy.”

Dietary Guidelines for American, 2010

“Success is only possible if all…work together and bring creativity, innovation and focused commitment to the effort.”

Lots to Lose. Bipartisan Policy Center

Features & Benefits of Family and Consumer Sciences (FCS)

Nutrition and Wellness Food Preparation and Safety Consumer and Family Resources, including Financial

Literacy Parenting Reasoning for Action Career, Community and Family Connections Family Human Development Interpersonal Relationships

*National Standards for FCS nasafacs.org/national-standards--competencies.html

Family and Consumer Sciences (FCS) Areas of Study*

Healthy People 2010 Targets

Adults (20 and older):

Healthy weight: 60% Overweight: Obese: only 15%

Did we reach 2010 Targets?National Center for Health Statistics. National Health

Trends

Adults (20 and older):• Healthy weight: Falling

From 52% (1971) to 30% (2008)• Overweight: Stable

From 32% (1971) to 33% (2008)• Obese: Rising

From 14% (1971) to 34% (2008)

Source: National Center for Health Statistics. National Health

2000

Dramatic Increase of Obesity* Among U.S. AdultsBRFSS, 1990, 2000, 2010

(*BMI 30, or about 30 lbs. overweight for 5’4” person)

2010

1990

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

U.S. Obesity* Trends: Dramatic Increase in 20 Years

*Obesity is defined as a body mass index (BMI) of 30 or greater.

2010

No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

• In 2010 thirty-three states had a prevalence equal to or greater than 25%; 12 of these states had a prevalence of obesity equal to or greater than 30%.

• Ohio’s obesity rate is currently 29.8%.

http://www.cdc.gov/obesity/data/trends.html

Over last 30 years, rates of obesity (BMI >30) in US more than doubled for

adults and more than tripled for children

Definitions: Weight Groups

Underweight: BMI less than 18.5 kg/m2

Healthy weight: BMI between 18.5 - 24.9 kg/m2

Overweight: BMI between 25.0 - 29.9 kg/m2

Obese: BMI equal to or greater than 30.0 kg/m2

BMI (Body Mass Index) measurement:Divide weight (in kilograms) by height (in meters) squared: kg/m2 Source: Dietary Guidelines for Americans 2010

Adult (BMI*):

Definitions: Weight Groups

Children and Adolescents (BMI for Age Percentile Range):

Unhealthy weight: Less than 5th percentile

Healthy weight: 5th to less than 85th percentile

Overweight: 85th to less than 95th percentile

Obese: Equal to or greater than 95th percentile

Source: Dietary Guidelines for Americans 2010

Epidemic of overweight and obesity

64% of women 72% of men

Childhood obesity also rising

Sources: National Center for Health Statistics (June 2010)

Trends

Childhood obesity also rising

• Childhood obesity has more than tripled in last 30 years in US

• More than 1/3 of children (ages 2-19) are overweight or obese

• Obese children aged 6-11: 7% in 1980 to 20% in 2008

• Adolescents aged 12-19: 5% in 1980 to 18% in 2008

What is the percentage today?

2011 Centers for Disease Control

Resources

USDA & USDHHS, Dietary Guidelines for American 2010 www.dietaryguidelines.gov See p.59 for Resource List

Local data related to obesity: http://www.countyhealthcalculator.org/widget

State specific data on health care costs and quality, prevention, insurance coverage, public health, childhood obesity, examples of community creativity, and possible funding source:http://www.rwjf.org/childhood obesity/http://www.rwjf.org/healthpolicy/

Trends

Health risks rising with childhood obesity

• Risk of adult obesity increases:o 25% chance as preschoolero 40% at age 7o 75% at age 12o 90% as teenager

• Risk factors for adult chronic diseases increasingly found in younger ages

2011 Centers for Disease Control

Trends

Obese children likely be obese adults with risk for:

• Many types of cancer, including breast, colon, endometrium, esophagus, kidney, pancreas, gall bladder, thyroid, ovary, cervix, prostate, multiple myeloma and Hodgkin's lymphoma

• Type-2 diabetes (with likely more complications earlier than adults)

• Heart disease & stroke• Osteoarthritis

2011 Centers for Disease Control

Long-term health effects:

Trends

• Cardiovascular disease, such as high cholesterol or high blood pressure

• Prediabetes (more difficult to treat than for adults)

• Bone and joint problems• Social & psychological problems, such as

stigmatization and poor self-esteem 2011 Centers for Disease Control

Immediate health effects of childhood obesity:

Trends

Overweight, obesity, and cancer

BAD NEWS: Obesity & being overweight increases risk of death from many cancers: 14% of cancer deaths in men 20% of cancer deaths in womenGOOD NEWS: Prevention of overweight & obesity reduces risk for several types of cancer

2011 Centers for Disease Control

Trends

Reduced personal income

• Workers who are obese are less likely to be promoted than fit peers.

• Obese women earn about 11% less salary than women of healthy weight or $76 less per week in 2010.

Health economist John Cawley, Cornell University, and Reuters

Trends

Rising business costs

Obesity related absenteeism costs employers as much as $6.4 billion a year. Health economists led by Eric Finklelstein,Duke University

Trends

Rising healthcare costs

According to CDC, obesity costs U.S.

as much as $147 - $190 billion annually. or one-fifth of all health care spending in the

U.S. At current rates of increase, obesity costs

expected to exceed $300 billion by 2018.

Trend

Rising healthcare costs and national debt

Obesity Crisis: Private and Public Policy Issue

Family/Public health crisis &National economic crisis:

- Affects all segments of society: Adults, children; rich, poor - Long-term budget issue - Bipartisan issue

Source: Bipartisan Policy Center

What’s causing this increased weight gain?

From 1970s until 2008, changing food supply • Increased availability of all food categories• Eating out, particularly at fast food restaurants, rather than

cooking at home• Average daily calories available per person in marketplace

increased approximately 600 calories• Greatest caloric increases in availability of added fats and

oils, grains, milk and milk products, and caloric sweeteners• Increased portion sizes offered for sale Obesogenic

environment

Source: Dietary Guidelines for Americans, 2010

Obesogenic Environment

Promotes over consumption of calories, sodium, sugar, solid and trans fatty acids

Obesogenic Environment

Discourages physical activity and calorie expenditure

What has been done?

What needs to be done?Increase Breastfeeding

...if 90 percent of new mothers in theUnited States breastfed exclusively for

six months, this change alone coulddeliver health care cost savings on the

order of $13 billion annually.

Source: Business Case for Breastfeeding. HHS.

What needs to be done?Health Consequences of Obesity

What needs to be done?

...if 90 percent of new mothers in the

United States breastfed exclusively

forsix months, this

change alone coulddeliver health care cost savings on theorder of $13 billion

annually.

Source: Business Case for

Breastfeeding. HHS.

Recognizing the obesity crisis in the U.S., First Lady Michelle Obama

launched her Let’s Move! obesity initiative in February 2010.

TIS Leadership Team 2010-11

“Taking it to the Streets” 2010-2011 Initiative: Preventing Obesity

Private and Public Policy Issue

Obesity, rising healthcare costs and national debt

How can businesses, communities and individuals come together to turn the tide and restore America's intertwined physical and fiscal health?

Bipartisan Policy Center

What has been done?

In state? Locally?

What has been done?

• Authorizes funding and sets policy for USDA’s core programs: National School Lunch, School Breakfast, WIC, Summer Food Service, Child and Adult Care Food Programs

• Allows opportunity, for first time in 30 years, for real reforms to school lunch and breakfast programs by improving safety net for millions of children

USDA.gov

Healthy, Hunger-Free Kids Act of 2010

(PL 111-296)

What has been done?

Dietary Guidelines for Americans 2010• Based on most recent scientific evidence

summarized in Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010 at http://www.dietaryguidelines.gov

• For health promotion and disease prevention for Americans 2 years old and older

• Form basis for nutrition policy in Federal food, education, and information programs

Grading the Strength of the Evidence

• Dietary Guidelines Advisory Committee (DGAC) grading criteria:

Quality of studiesQuantity of studies and subjectsConsistency of findings across studiesMagnitude of the effect or public health impactGeneralizability to the population of interest

• Qualitative words used to describe the strength of the evidence:

Strong, Moderate, Limited, Expert Opinion, and Grade Not Assignable (See p. 6, DGFA2010)

ion USDA Center for Nutrition Policy and Promotion

Dietary Guidelines for Americans, 2010

• Maintain calorie balance over time to achieve and sustain a healthy weight

- Improve eating pattern and physical activity behaviors

- Control total calorie intake: Reduce sodium, sugar, solid fats

• Focus on consuming nutrient-dense foods and beverages

- Increase intake of vegetables, fruits, whole grains, fat-free

or low-fat milk and milk products, seafood, and oils with

no SoFAS (Solid Fats Added Sugars)

Dietary Guidelines for Americans, 2010

Healthy eating plan:• Emphasizes nutrient-dense foods:

vegetables, fruits, whole grains, and fat-free or low-fat milk and milk products

• Includes lean meats, poultry, fish, beans, peas, eggs, unsalted nuts and seeds

• Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars

• Stays within your daily calorie needs

For more information on healthy weight, seewww.cdc.gov/healthyweight/index.html

Key Terms

• Calorie balance: Balance between calories consumed in foods & beverages and calories expended through physical activity and metabolic processes

• Eating pattern: Combination of foods & beverages that constitute an individual's complete dietary intake over time

• Nutrient-dense: Foods providing vitamins, minerals, and other beneficial substances, such as fiber & phytochemicals, with relatively few calories

Nutrient-dense Foods & Beverages• Whole plant foods: Vegetables (dark-green, red,

and orange), fruits, whole grains, beans and peas, unsalted nuts and seeds

• Seafood

• Eggs

• Fat-free & low-fat milk & milk products

• Lean meat & poultry

• These foods prepared without adding solid fats or sugars or refined starches

Dietary Guidelines for Americans 2010, p. 5

Key Recommendations

• Prevent and/or reduce overweight and obesity through improved healthy eating & physical activity.

• Control total calorie intake to manage body weight.

• For overweight or obese, consume fewer calories from high caloric food and beverages.

• Increase physical activity and reduce time in sedentary activities.

• Maintain appropriate calorie balance during each stage of life.

1. Balance calories with physical activity to manage weight

Key RecommendationsPrevent and/or reduce overweight and obesity through improved healthy eating and physical activity behaviors:

• Increase physical activity and reduce time spent in sedentary behaviors.

• Maintain appropriate calorie balance during each stage of life—childhood, adolescence, adulthood, pregnancy and breastfeeding, and older age.

• Be aware of calories consumed and needed for age, gender, height, weight, and activity level.

• Determine one’s daily calorie needs by monitoring body weight and adjust calorie intake and participation in physical activity based on changes in weight over time.

Key RecommendationsPrevent and/or reduce overweight and obesity through improved healthy eating and physical activity behaviors:

• Eat nutrient-dense breakfast.

• Replace high calorie foods with nutrient-dense foods: whole grains, vegetables, fruits, non-fat and low-milk and milk products, lean meats and poultry.

• Choose smaller portions of foods, beverages.

• Monitor intake of 100% fruit juice for children & adolescents.

• Monitor calories from alcoholic beverages.

Key RecommendationsPrevent and/or reduce overweight and obesity through improved healthy eating and physical activity behaviors:

• Make food choices, at home and away from home: nutrient dense, low in calories, and appropriate portion size

• Focus on the total number of calories consumed.

• Monitor and control total caloric intake: Consume fewer calories by replacing foods higher in calories with nutrient-dense foods and beverages relatively low in calories:

• Increase intake of vegetables, fruits, and whole grains

• Reduce intake of sugar-sweetened beverages

Simplified Calorie CountingAverage Calories per Serving

• Vegetables – 25 calories: 1 cup raw; ½ cup cooked

• Fruits – 60 calories: medium size fresh fruit; ½ c. sliced fruit

• Grains & Starchy Vegetables – 70 calories: ½ cup or slice of

bread

• Lean Protein/Low-Fat Dairy Products – 110 calories: 3 oz. or

1 cup low fat dairy or 1 oz. cheese

• Fats – 45 calories: 1 teaspoon oil; 1 tablespoon nuts, seeds

• Sugars – 20 calories: 1 sugar cube; 1 teaspoon sugar

Mayo Clinic Diet, 2010

Key Recommendations

• Daily sodium to less than 2,300 mg; or 1,500 mg if 51 or over, African-American or have hypertension, diabetes, or chronic kidney disease

• Saturated fatty acids to less than 10% of calories: Replace with monounsaturated and polyunsaturated fatty acids

• Trans fatty acids, such as partially hydrogenated oils

• Solid fats and added sugars (SoFAS)

• Foods that contain refined grains, especially foods with solid fats, added sugars, and sodium

• Dietary cholesterol (less than 300 mg per day)

• Alcohol, in moderation: 1 drink for women; 2 drinks for men per day

2. Reduce some foods and food components:

•

Key Recommendations

• Vegetables and fruits

• Variety of vegetables, especially dark-green, red, and orange vegetables, beans, and peas

• Whole grains: Replace refined grains with whole grains—at least half

• Fat-free or low-fat milk and milk products, such as yogurt, cheese, or fortified soy beverages

• Variety of protein foods: seafood (8-oz. per week), lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds

• Potassium, dietary fiber, calcium and vitamin D

3. Increase these foods and nutrients (Ch. 4):

Key Recommendations

• Focus on nutrient-dense foods

• Remember: Beverages count

• Nutrients should come from food

• Only use dietary supplements or fortification in specific situations to provide highly bioavailable forms, e.g. vitamin D, Folic acid, vitamin B12, iron for pregnant women

4. Build healthy eating pattern to meet nutrient needs over time at appropriate calorie level, e.g., DASH,

Mediterranean-style

New Dietary Emphasis Focus on consuming nutrient-dense foods

• Increase vegetable and fruit intake

• Increase whole-grain intake by replacing refined grains with whole grains

• Choose a variety of protein foods, including plant-based proteins, i.e., beans, peas, soy, unsalted nuts and seeds, and animal-based protein, i.e. seafood, lean meat and poultry, eggs

• Without calories from added sugar and solid fats

Top Sources of Calories Among Americans 2 Years and Older

Grain-based dessertsCake, cookies, pie, cobbler, sweet rolls, pastries, and donuts

Yeast breads White bread and rolls, mixed-grain bread, flavored bread, whole

wheat bread, and bagelsChicken and chicken mixed dishes

Fried and baked chicken parts, chicken strips/patties, stir-fries, casseroles, sandwiches, salads, and other chicken mixed dishes

Soda/energy/sports drinks Sodas, energy drinks, sports drinks, and sweetened bottled water

including vitamin waterPizza

Source: NHANES 2005-2006, Available at riskfactor.cancer.gov/diet/foodsources/

Call to Action: Public PolicyBecome active advocate for policies

supporting healthy lifestyles

Guiding Principles (DGFA2010, Ch. 6, pp. 57-58 for Strategies)

1. Ensure all Americans have access to nutritious foods & opportunities for physical activity

2. Facilitate individual behavior change through environmental strategies

3. Set the stage for lifelong healthy eating, physical activity, & weight management behaviors

Institute of Medicine’s Accelerating Progress in Obesity Prevention

Goals1. Integrate physical activity every day in every way2. Make healthy foods and beverages available

everywhere3. Market what matters for a healthy life: Physical activity,

food, nutrition4. Activate employers and health care professionals5. Strengthen schools as the heart of health

Recommendations and strategies for action available at www.iom.edu/~/media/Files/Report%20Files/2012/APOP/APOP_insert.pdf

IOM Goals and Recommendations1. Integrate physical activity every day in every way:

Recommendation 1: Communities, transportation officials, community planners, health professionals, and governments should make promotion of physical activity a priority by substantially increasing access to places and opportunities for such activity.

2. Make healthy foods, beverages available everywhere:

Recommendation 2: Governments and decision makers in the business community/private sector should make a concerted effort to reduce unhealthy food and beverage options and substantially increase healthier food and beverage options at affordable, competitive prices.

Institute of Medicine’s Accelerating Progress in Obesity Prevention

Unhealthy foods and beverages*

• Calorie-dense and low in naturally occurring nutrients• Contribute little fiber• Contribute few essential nutrients and phytochemicals• Contain added fats, sweeteners, sodium, and other

ingredients• Displace the consumption of foods recommended in the

Dietary Guidelines for Americans and • May lead to the development of obesity. * No consensus of definition

Institute of Medicine’s Accelerating Progress in Obesity Prevention

IOM Recommendations – cont’d

3. Market what matters for a healthy lifeRecommendation 3: Industry, educators, and governments should act quickly, aggressively, and in a sustained manner on many levels to transform the environment that surrounds Americans with messages about physical activity, food, and nutrition.

4. Activate employers and health care professionalsRecommendation 4: Health care and health service providers, employers, and insurers should increase the support structure for achieving better population health and obesity prevention.

Institute of Medicine’s Accelerating Progress in Obesity Prevention

IOM Recommendations – cont’d5. Strengthen schools as the heart of healthRecommendation 5: Federal, state, and local government and education authorities, with support from parents, teachers, and the business community and the private sector, should make schools a focal point for obesity prevention.

Strategy 5-3: Ensure food literacy, including skill develop ment, in schools. Through leadership and guidance from federal and state governments, state and local education agencies should ensure the implementation and monitoring of sequential food literacy and nutrition science education, spanning grades K-12, based on the food and nutrition recommenda tions in the Dietary Guidelines for Americans.

Institute of Medicine’s Accelerating Progress in Obesity Prevention

Bipartisan Policy Center’s Lots to LoseNutrition and Physical Activity Initiative

All assume leadership and responsibility for change and action:

• Healthy families: Develop federal dietary guidelines for all children under six, all nutrition assistance programs reflect dietary guidelines, promote breastfeeding

• Healthy schools: Improve nutrition & physical activity• Healthy workplaces: Develop workplace wellness programs• Healthy communities: Central role in lifestyle choices 1. Community-based, prevention-focused Health Care 2. Large institutions: Serve healthier foods & lead by example 3. Community programs and built environment: Families and local governments expand physical activity opportunities and promote active living

What Should We Do?

How should we answer the call for “All to assume leadership and responsibility for change and action to prevent obesity”?

• What should we do individually? • As parents? Grandparents?• What should we do professionally?• What should we do as community members?

Promote Health & Healthy Eating

Health for every age, body shape, and size Health-centered NOT Weight-centered

• Healthy eating in response to internal body cues: Hunger

• Pleasurable physical activity

• Appreciation of natural diversity in body shape and size and factors contributing to weight

• Relaxed eating

• Critical contribution of social, emotional, spiritual & physical factors to health and happiness

• Dieting ineffectiveness & dangers

Call to Action

Think – Pair – Share

• What have you learned that you want to share with others?

• Use yourself?• What surprised you? • What reinforced what you already knew?

What questions do you have?

All families having access to healthy food

• Nearly 15% of Am households unable to acquire adequate food to meet nutritional needs (Dietary Guidelines for Americans,2010, p. 2)

• Sociologist Helen Lee reported in the journal Social Science & Medicine that children in poor, minority neighborhoods have ample access to fast food & convenience stores but also supermarkets

• Distance to food outlets didn't explain weight gain

• Similar findings by health economist Roland Strum at the Rand Corp for children in CA & national studies of middleschoolers

Issues

Call to Action: Refining FCS Curriculum

Align curriculum, strategies & public image

1. Create and promote healthy lifestyles for children (from in utero to 18 years) Appropriate weight gain during pregnancy, breastfeeding for infant and mother to have healthy weight throughout lifetime (NGFA2010, p. 58; Lots to Lose, pp. )

2. Set the stage for lifelong healthy eating, physical activity & weight management behaviors: Provide comprehensive health, nutrition, & physical educational programs in educational settings with special emphasis on food preparation skills, food safety, and lifelong physical activity (DGFA2010, Ch. 6, p. 58

Call to Action: FCS TeachingRefine teaching strategies for developing

healthy eating & safe food preparation skills

1. Evaluate objectives, eating patterns advocated by example, recipes, and teaching time spent on preparing vegetables, fruit, and whole grains vs refined grain-based desserts and breads

2. Sequence & structure food preparation labs to enjoy preparing food, eating together, developing knifing skills; vegetable, fruit, whole grain, fish, and lean meat and poultry preparation skills; food safety skills

Ruth Dohner, OAFCS, 2012

Call to Action: Evaluate

Collect data to evaluate FCS program effectiveness

1. Pre-Post unit/course tests

2. Healthy lifestyle project: Pre-post personal assessment of diet, physical activity, and BMI using eating, sleeping, & activity logs per day.

Use Super Tracker: http://www.choosemyplate.gov/SuperTracker/

Or http://www.myfitnesspal.com

Also Dairy Council ppts at www.eatsmart.org

Call to Action: “Take it to the Streets!”

Participate in community healthy lifestyle initiatives

1. Partner with community agencies, organizations to promote or support healthy lifestyle, e.g., Action for Healthy Kids, United Way, schools, Extension

2. Partner with others to develop personal healthy lifestyle, e.g., teachers, Extension, colleagues, family or friends

3. Advocate supporting FCS Education in MS, HS, and community extension programs

“Providing a mandatory food preparation curriculum to students throughout the country

may be among the best investments society could make [to reduce health care

expenditures]”.

Dr. Alice Lichtenstein of Tufts University, co-author of “Bring Back Home Economics Education” article in the Journal of the American Medical Association, at the Youth Obesity Prevention Summit sponsored by the FCS Alliance member: Board on Human Sciences

See “Point of View Obesity Prevention Summit: Positive Change Seen” Carolyn W. Jackson, AAFCS Executive DirectorWinter 2012 Journal of FCS

Provides–State and partner liaisons–Ongoing communication–Conference Presentations–Resources available at website link:http://www.aafcs.org/Advocacy/TIS.asp

The “Taking It to the Streets” Leadership Team

TIS Leadership Team 2010-11

Obesity and the Impact on

Everyday LivingsFinances

Clothing

Shelter

Family Relationships

Social Relationships

Emotions …..and more!

Join the new community formed around Obesity Prevention!

AAFCS Taking it to the Streets Formed Partnerships with

Groups such as the Public Policy Committee, AAFCS Communities, Extension, FCCLA, 4-H, ACTE,

Phi Upsilon Omicron & Kappa Omicron Nu

TIS Leadership Team 2010-11

TAKING IT TO THE STREETSAn exciting campaign sponsored by AAFCS

to respond to critical issues utilizing family and consumer sciences research and expertise.

We are….

TIS Leadership Team 2010-11

Touching lives……

Through YOU!

Resources at www.aafcs.org/Advocacy/TIS.asp

• Includes Impact of Obesity on Life, with websites, related research, key findings, implications for FCS, and suggested learning activities

• The research-based Childhood Obesity Causation Wheel developed and shared by Dr. Janelle Walter and Dr. Bernadette Hascheke

• Updated by the Taking It to the Streets Team

CHILDHOOD OBESITY CAUSATION WHEELIn 2007 20% of children ages 6-11 and 18% of adolescents 12-19 were overweight (CDC).

ISSUES RELATED TO CHILDHOOD OBESITY:• Social isolation and poor self-esteem• Risk factors for heart disease, high cholesterol, high blood pressure• Excessive weight and obesity linked closely to type 2 diabetes in children• Overweight adolescents have a 70% chance of becoming overweight or

obese adults

NEIGHBORHOOD ISSUES:• No adult supervision of

activities outside the home• Restricted outdoor playtime

due to neighborhood safety issuesSCHOOL ISSUES:• Starting in middle school,

fewer children participate in school lunch programs

• A la carte choices contain higher fat content and fewer fruits & vegetables

LIMITED PHYSICAL ACTIVITY:• Excessive use of TV, electronic games, texting, computer work • Unhealthy snacks chosen while

engaged in above activities• Minimal outdoor play

INADEQUATE SUPERVISION: • Fewer structured activities• Less physical activity= more couch potatoes• Increased access to foods with low nutrient quality

ALTERNATE MEAL CHOICES:

• These meal choices include: fast food, take-out, prepackaged/ convenience foods which:

are higher in fat, calories, and sugar content are lower in fiber contain fewer fruits & vegetables include more carbonated beverages may have increased portion sizes

FAMILY MEALTIME ISSUES: • More meals eaten away from home• More time constraints• More time may be spent on extra curricular activities• Less energy to prepare meals• Limited food preparation skills & nutrition knowledge

Causation Wheel © developed and revised 2011 by

Dr. Janelle Walter & Dr. Bernadette Hascheke

AAFCS Resources

Thank You!