Food, Nutrition and Healt h Update 2002 1 Mooove to Lowfat or Fat Free Milk: a campaign of the Florida Interagency Food and Nutrition Committee Linda Benjamin Bobroff Food and Nutrition Update 2002
Dec 22, 2015
Food, Nutrition and Health Update 2002
1
Mooove to Lowfat or Fat Free Milk: a campaign of the Florida Interagency Food and Nutrition Committee
Linda Benjamin BobroffFood and Nutrition Update 2002
Food, Nutrition and Health Update 2002
Overview
• What is FIFNC?
• Diet and disease risk
• Milk consumption patterns
• Rationale for the Mooove campaign
• Scope of the campaign
• Extension’s role
Food, Nutrition and Health Update 2002
What is FIFNC?
• Florida Interagency Food and Nutrition Committee– Long and varied history
– State agencies focused on nutrition
– Share ideas, expertise, resources
– EATT is FIFNC project
– Mooove is first FIFNC collaborative educational campaign
Food, Nutrition and Health Update 2002
FIFNC Agencies
• UF IFAS Extension
• Florida DACS
• Florida DCF
• Florida DOE
• Florida DOEA
• Florida DOH
• FDA
• UF AHEC
Food, Nutrition and Health Update 2002
Diet and Disease Risk
• Obesity
• Diabetes
• Cancer
• Heart disease
• Stroke
• Osteoporosis
Food, Nutrition and Health Update 2002
Obesity on the Rise
CDC, NCHS, NHANES II and NHANES 1999
0
5
10
15
20
25
30
35
1976-80 1999
NHANES
Overweight
Obese
% A
meri
cans
overw
eig
ht/
obese
Food, Nutrition and Health Update 2002
Obesity on the Rise in Children
CDC, NCHS, NHANES II and NHANES 1999
0
5
10
15
20
6-11years
12-17years
1976-80
1999
% A
meri
can c
hildre
n o
verw
eig
ht
Food, Nutrition and Health Update 2002
Obesity and Health Risks
• Diabetes
• High blood cholesterol/Heart disease
• Hypertension/Stroke
• Cancer
• Osteoarthritis
• Other health risks
Surgeon General’s Call to Action, 2001
N Engl J Med 1999;341:1097-1105Www.hhs.gov/news, 12/13/01 press releaseHealthy People 2010, Www.health.gov/healthypeople
Food, Nutrition and Health Update 2002
Obesity - Special Concerns
• Disparities in prevalence
• Concern for children and youth
• Monetary costs
• Personal costs
Www.hhs.gov/news 12/13/01 press release
Food, Nutrition and Health Update 2002
Obesity and Mortality
• Lifestyle vs body weight?
• Recent prospective study >1 million adults: BMI associated with mortality
– effect of BMI greater among whites BMI most predictive of death from CVD
– differences in effect related to lifestyle
NEJMed 341(15): 1097-1105, 1999
Food, Nutrition and Health Update 2002
Healthy People 2010 Goals
• Reduce child and youth overweight/ obesity to 5%
• Reduce adult obesity to 15%
Healthy People 2010, Www.health.gov/healthypeople
Food, Nutrition and Health Update 2002
Diabetes
• Relation to overweight/obesity
• Increased incidence “epidemic”
• Dramatic increase in end-stage renal disease
• Health care costs $98 billion in 1997
Www.cdc.gov/od/oc/media/pressrel/r0010911.htmWww.cdc.gov/hchs/data/hp2k01.pdf
Food, Nutrition and Health Update 2002
Cardiovascular Diseases
• More than 950,000 deaths annually
• Heart disease #1, Stroke #3
• Trends in obesity portend future rise in premature deaths from CV disease
Www.cdc.gov/hchs/data/hp2k01.pdf
Food, Nutrition and Health Update 2002
Milk Consumption Patterns
• Food supply provides 1.6 daily milk/milk product servings
• Trend toward lower fat milk
• Increased consumption of cheese, ice cream
FoodReview 2000;23:2-14FoodReview 1998;22:2-12ERS/USDA Statistical Bulletin 825, 1991
Food, Nutrition and Health Update 2002
Milk Consumption Trends
0
5
10
15
20
25Per
Capit
a M
ilk
Consu
mpti
on (
Gal)
1970-79
1980-89
1990-99
1999
Whole2%1%Fat Free
Food, Nutrition and Health Update 2002
Milk Consumption Patterns
• Eating out . . .– decreased milk consumption
– increased consumption of soft drinks
• Black children drink whole milk
• Hispanic children not switched
• Parents beliefs influence milk consumed
FoodReview 1998;22:2-12J Am Diet Assoc 2001;202:464-66.Prev Med 2001;
Food, Nutrition and Health Update 2002
Milk in Schools
• 63% milk in schools is whole or 2%
• 65% of schools order some lowfat or fat free milk
• 21% of schools order lowfat and fat free milk
School Health Policies and Programs Study 2000, Www.cdc.gov/shpps
Food, Nutrition and Health Update 2002
Rationale for Mooove Campaign
• High-fat milk/milk products major source of fat in American diet
• Increased use of lowfat milk associated with decreased fat consumption
Am J Clin Nutr 1998;67:616-23Am J Public Health 1994;84:799-806
Food, Nutrition and Health Update 2002
Rationale for Mooove Campaign
• Whole milk major source of saturated fat in children’s diets
• Substituting lower fat milk reduces saturated fat intake
Am J Public Health 1994;84:799-806Am J Public Health 1992;82:810-815Am J Clin Nutr 1998;67:616-23
Food, Nutrition and Health Update 2002
Rationale for Mooove Campaign
• Reducing saturated fat intake can decrease diabetes risk.
• Children maintain micronutrient intake when switched to fat free milk
N Engl J Med 2001;344:1343-50Pediatrics 1997;100:e4, www.pediatrics.org/cgi/content/full/100/3/e4
Food, Nutrition and Health Update 2002
Focus of Mooove Campaign
• GOAL: Promote consumption of lowfat or fat free milk in school children, adults, and elders
• STRATEGIES:– Educational activities
– Media
– Product placement
Food, Nutrition and Health Update 2002
Mooove Campaign Kit
• Research paper
• Professional newsletter article
• Consumer fact sheet
• Lesson plans - children, elders
• Posters with Vaca the cow
• Activity sheets
Food, Nutrition and Health Update 2002
Extension’s Role
• Committee members prepared research paper, newsletter article, fact sheet, lesson plans
• County faculty can use lesson plans:– Schools, youth organizations, 4-H
– Congregate meal sites
– Extension office
– Other community sites
Food, Nutrition and Health Update 2002
Extension’s Role
• Have posters visible for Extension clientele (coming soon!)
• Provide feedback on campaign materials
• Use evaluation and reporting forms
• Submit ideas for future Interagency campaigns
ENAFS Healthy Living Program
LESSON 4Mooove to Lowfat or Fat Free Milk
MODULE 5: Healthy Eating for Elders
Winking Cow ENAFS Program
University of Florida IFAS Extension
Health Risks of High Fat DietsENAFS Program
University of Florida IFAS Extension
CancerDiabetes
Heart Disease
Obesity Stroke
Milk Packs a Nutritional Punch!ENAFS Program
University of Florida IFAS Extension
CalciumProtein
Vitamin D
Lactose is milk sugar.
Lactase breaks it down.
Don’t have lactase? Thenyou’re lactose intolerant.
What About Lactose Intolerance?ENAFS Program
University of Florida IFAS Extension
Lowfat (1%) Milk
Fat Free Milk
Moooving to Lowfat or Fat Free MilkENAFS Program
University of Florida IFAS Extension
Test Your Taste Buds
Data Sheet
For each participant mark “L” if they like the milk and “D” if they dislike the milk.Write down any comments they make about the milks. Don’t have all participantstaste Sample A first, but do keep track of which milk they are tasting!
Participant # Sample A Comments Sample B Comments
Total like: _____Total dislike: _____
Total like: _____Total dislike: _____
M ILK M IXER
Unscramble the words, using the clues to help you . Then, complete thesentence at the bo ttom using the letters in bo xes to fo rm the missing word.
It’s also called 1% milk. o f w t l a — — — — — G
Another name for mil k sugar. o a s e c l t — — — — — G —
It helps keep muscles s trong. t e i p n o r — — — G G — —
Needed to di gest milk sugar. l a e t a s c — — — — G — —
Mi neral that keeps bo nes s trong. i a l u c c m — — — — — — —
Another great reaso n to drink lowfat o r fat free milk is its G G G G G !
Switching to low fat or fat free milk is agreat thing you ca n do for your heal th!
EVALUATION
Thank you for being a part of this ENAFS lesson. We hope you enjoyed yourself! Please help us do a better job of serving you by completing this evaluation.
1. How much did you learn from this lesson? Please check only one: Very little Some A lot
2. Do you plan on making any changes in the foods you eat or drink as a result ofparticipating in this lesson?
Yes No
3. If you answered “yes,” please tell us what you plan to do. Check all that apply! Mooove from whole milk to 2% milk or 1% milk. Mooove from 2% milk to 1% or fat free milk Try lactose-reduced milk. I plan to do something else. (Please describe.)
___________________________________________________________ ___________________________________________________________
I plan to share information I learned today with a family member or friend.
4. Comments:___________________________________________________________________
___________________________________________________________________
Thank you for completing this form. We look forward to seeing you at our otherENAFS programs!
Module 5: Healthy Eating for EldersLesson 4: Moooving to Lowfat or Fat Free Milk
Mooove to Lowfat or Fat Free MilkLesson and Activity for Elementary Age Children
Concept:USDA’s Food Guide Pyramid recommends two to three servings from theMilk, Yogurt & Cheese Group daily for adults and children over the age oftwo years. Foods in the milk group contribute important nutrients neededfor bone health and overall growth and development. Milk and milkproducts are naturally high in fat. A diet high in fat, especially saturated fat,is considered a risk factor for various health problems. Exposing children tolowfat and fat free milk choices is one step toward a lifetime of healthyeating habits.
Objectives: Children mention the health benefits of a lowfat diet. Children identify nutrients found in milk. Children compare the fat content of different types of milk. Children are motivated to switch from whole or reduced fat (2%) milk
to lowfat (1%) or fat free milk.
Teaching Aids: Transparencies Food replicas of milk, cheese, and yogurt (optional) Empty cartons of different types of milk Food Guide Pyramid poster (optional)
Available at USDA’s Center for Nutrition Policy and Promotion,http://www.usda.gov/cnpp/
“Mooove to Lowfat or Fat Free Milk” campaign poster
Handout: Look What I Learned Today! (for parents)
Activities: I like this milk! Can you see the fat in your glass of milk?
Food Demonstration (optional): Mix, Whisk and Serve: Instant Pudding Anyone?
Activity: I like this milk! (Taste-testing)
Purpose
To encourage participants to try lowfat or fat free milk and to decide which one of these lower fatmilk types they like.
Materials needed
Different types of milk: whole, reduced-fat (2%), lowfat (1%), and fatfree (stored in refrigerator or a cooler)3 oz cupsNapkins
Description and Instructions:
To reduce time and cost of the taste testing, just use two types of milk, whole and lowfat(1%), instead of all four types.
• Label each milk A, B, C, and D (or A and B if you are using only two types of milk.)Make sure the milk is very cold.
• Each participant needs four (or two) 3-ounce disposable cups. If the children can write,ask them to label their cups A, B, C, and D. If not, label the cups before distributing.
• Pour a small amount of milk in each cup for each participant. Be sure to pour milk A intocup A, and so forth.
• Ask participants to try each milk and discuss their opinion of each. Then use thevegetable shortening to “show” the fat content of each type of milk, as in the followingactivity.
Ask your child to help you complete this activity.
Use the words listed below to fill in the blanks. Then see if you can find them inthe word search.
WHOLE
FAT FREE
FAT
CALCIUM
PROTEIN
My bones need ________ to grow.
My muscles need _______ to grow.
This milk has little or no fat: _______.
This milk has the most fat: ________.
My heart would be healthier if I eat less _____.
Prepared by: Isabel Valentín-Oquendo, MS, RD, LD/N, Department of Family, Youth and Community Sciences,University of Florida, Gainesville, 2002, for the Florida Interagency Food and Nutrition Committee’s Mooove toLowfat or Fat Free Milk campaign. May be reproduced for educational purposes.Visit our website at: www.doh.state.fl.us/family/cvh/nutrition/milk.html ©2002, University of Florida
An equal opportunity provider
F A T F R E E C A
A E G Y I B D A M
F C A J W H O L E
A D E H W O H C R
T S P R O T E I N
U S K M I R N U D
O K M K L F F M S
Food, Nutrition and Health Update 2002
Time Line for Campaign
• December/January: prepare materials
• January/February: peer review
• February: printing and distribution
• March (National Nutrition Month): Mooove to Lowfat or Fat Free Milk campaign implemented across Florida!
Food, Nutrition and Health Update 2002
Time Line for Campaign
• Mar 02-Feb 03: Campaign implemented
• June 02-May 03: Evaluations
• June 03-Aug 03: Data analysis and campaign review
• July 03-Sept 03: Abstract(s), paper(s) prepared
QUESTIONS?