Healthy Drinks for Healthy Kids - Alaska Department of ...dhss.alaska.gov/akshwi/Documents/2017Presentations/HealthyDrinks...Healthy Drinks for Healthy Kids School Health & Wellness

Healthy Drinks for Healthy Kids

School Health & Wellness Institute

November 2017

Karol Fink, MS RDN ** Nancy Edtl, MBA, BSN, RN ** Ann Potempa ,MPH Section of Chronic Disease Prevention and Health Promotion

What are Sugary Drinks?

Added Sugar Limit Less than 10% of calories

per day Reference diet of 2,000

calories, no more than: 12 tsp sugar 50 g sugar 200 calories

US Population Mean Calories of Daily Added Sugar, 2011-2012

164 157

144 168

0

100

200

300

400

Adults 2-18 years old

Calo

ries

Beverage Foods

Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: 1977-2012. Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October 2016.

US Population Mean Calories of Daily Added Sugar, 2011-2012

164 157

144 168

0

100

200

300

400

Adults 2-18 years old

Calo

ries

Beverage Foods Added Sugar Limit

Limit based on a 2,000 calorie

reference diet, upper limit is less than 200 calories

Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: 1977-2012. Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October 2016.

US Population Mean Calories of Daily Added Sugar, 2011-2012

164 157

144 168

0

100

200

300

400

Adults 2-18 years old

Calo

ries

Beverage Foods Added Sugar Limit

Limit based on a 1,600 calorie diet,

for moderately active 8-year old

boy, upper limit is less than 160

calories

Source: Added Sugars Intake Across the Distribution of US Children and Adult Consumers: 1977-2012. Powell ES Smith-Taillie LP Popkin BM Journal of the Academy of Nutrition and Dietetics. Volume 116, Issue 10, October 2016.

Calories of Added Sugar in Drinks

125 125 150 175 255 0

100

200

300

10 oz 20 oz 20 oz 16 oz 20 oz

Calo

ries o

f add

ed su

gars

Calories of Added Sugar in Drinks

128 128 144 176 256 0

100

200

300

10 oz 20 oz 20 oz 16 oz 20 oz

Calo

ries o

f add

ed su

gars

Limit based on 1,600 calorie diet, for

moderately active 8-year old boy

Limit based on 2,000 calorie

reference diet

Alaska high school youth Percent of who drink 1+ per day

22%

15%

0%

10%

20%

30%

40%

50%

2007 2009 2011 2013 2015 2017

Soda

*Linear change is statistically significant

*

Source: AK YRBSS

*Based on trend analyses using a logistic regression model controlling for sex, race/ethnicity, and grade, p < 0.05.

Alaska high school youth Percent of who drink 1+ sugary drink per day

46%

64%

37%

40%

38%

42%

42%

72%

39%

60%

54%

39%

0%

20%

40%

60%

80% Race

Source: Alaska YRBS, 2015

Sex Region

Local School Wellness policies

Promote students' overall physical well-being by: Ensuring healthy nutrition

and physical activity

Key Elements: Smart Snacks

Smart Snacks guidelines apply during the school day from midnight to 30

minutes after the last class period ends

Applies to food and drinks sold in: Vending machines School stores Fundraisers Cafeteria

Smart Snacks prohibit the sale of sugary drinks during the school day.

Low calories and diet drinks only permitted in high school

No and low calorie beverages 20 oz. container, max 10 calories 12 oz. container, max 60 calories

Water and Milk Permitted in all grade levels

Water Plain or carbonated No size limit

Milk White, 1% or less Flavored milk, non-fat Age appropriate size limits

Caffeinated and coffee drinks Allowed only in High School

Coffee drinks if: Made with allowed beverages coffee 1% or less milk

No added caloric flavorings No more than 12 oz.

53%

40%

20%

50%

26%

12% 15%

5% 2% 1% 0%

10%

20%

30%

40%

50%

60%

2002 2004 2006 2008 2010 2012 2014 2016

Sports Drinks*Soda/Fruit Drink*Slushes*Energy Drinks

Percentage of schools in which students can purchase the following… (SHP+, 2002 – 2016)

+Principals survey; *p< .05 trend

Wellness policies required Smart Snacks

Practical Tips Classroom Events, Celebrations

and field trips

Birthdays~Parties

• Best practice: All classroom events fall under the same rules

• Provide parents with suggestion list of things they can bring to class—then (kindly) enforce. (Experts recommend no more than one party per class per month, parents can sign up and do it in teams too)

Fruit Stickers Pencils

Class Game More Stickers! Bean Bags

Colored Chalk Poster Paper Your Time!

Parties, continued • Make/Use a special sash/hat/button for your special person • Serve fruit/veggies on fun plates • Have a tasting party where kids can vote on their favorite healthy snack • Use cookie cutters to make sandwiches or fruit more interesting

Food Ideas Fruit smoothie Trail Mix Fruit Kabobs Yogurt Parfait

Angel Cake with Fruit

Light/Low Fat Popcorn

Low-fat Pudding Applesauce (sugar free)

Raw Veggies & Hummus/Low fat dip

Berries with low fat whipped topping

Apple slices with Yogurt Dip

Fruit salad: kids bring fruit, make in class

Dried Fruit Variety Whole Grain Tortilla Chips/Salsa

Whole Grain Crackers (like Triscuit) & Cheese

Graham Crackers with Apple Butter

School Events Alternative Activities:

Focus on Fun, Not Food, A Lifelong Lesson

• Scavenger Hunt, pick a theme and give the kids a list of items to find

• Free choice activity at the end of the day

• Extra recess time • Special outdoor game for

the class when no one else is outside

• Set up craft stations, parents

might supply clay, markers, ideas

• Have a dance party • Read a book related to the

party theme • Everyone dress up to the

theme • Allow the students to pick a

book and a guest to come read it

School Fundraisers

Does this mean no fundraisers involving foods? Not exactly. • Consider using fundraisers that involve non-food

items or those meeting the standard • If your community insists on their favorite candy,

then it can still be done outside of school hours • And again, not consumed on campus

Resources Smart Snacks policy: http://www.fns.usda.gov/sites/default/files/SP36-2014os.pdf

Issue Brief: Fundraisers http://www.fns.usda.gov/sites/default/files/allfoods_fundraisers.pdf

Memorandum: Smart Snacks Nutrition Standards and Exempt Fundraisers http://www.fns.usda.gov/sites/default/files/SP36-2014os.pdf

Healthy Fundraising http://healthymeals.nal.usda.gov/local-wellness-policy-resources/wellness-policy-elements/healthy-fundraising

Questions?

Nancy Edtl, MBA, BSN, RN, NCSN Nurse Consultant II Health System Collaboration Manager Section of Chronic Disease Prevention & Health Promotions Email: [email protected] Phone: 907.269.8037 Former State School Nurse Consultant Women’s Children's & Family Health.

Play Every Day: Creating New Education Materials for

Healthy Drinks for Healthy Kids

Alaska Department of Health and Social Services Division of Public Health

Section of Chronic Disease Prevention & Health Promotion

Ann Potempa, MPH [email protected]

Public Education Campaign to Improve Health Behaviors

• The Section of Chronic Disease Prevention and Health Promotion launched this public education campaign in 2012. – Long-term goal: Prevent and reduce

childhood obesity • Play Every Day is a social marketing

campaign to change knowledge, attitudes and health behaviors: – Increase daily physical activity – Reduce sugary drink consumption

Using a Social Marketing Approach Building Play Every Day as a

social marketing campaign • Using commercial marketing

techniques in social and behavioral settings – Commercial world: money

in exchange for goods – Social world: exchange

one behavior for another to improve personal health or society’s health

Target Areas for Campaign

Play Every Day Physical Activity

60 Minutes Every Day

Healthy Futures

Nutrition

Sugary Drinks

Healthy Food

Healthy Futures Challenge: Partnership to help kids get out and play

What: Free, fun school-based physical activity challenges in Alaska elementary schools When: Fall ‒ September, October and November Spring ‒ February, March and April Goal: Get at least 60 minutes of physical activity every day for at least 15 days each month

Schools participate across Alaska

• About 200 schools and 15,000 students statewide participate. – More than 30 school districts – Kaktovik to Nome to Ketchikan

• Visit www.healthyfuturesak.org to learn more and to register for the November challenge.

• Schools sign up for the free spring challenge in December.

Social Marketing Step: Picking a Target Audience

Alaska parents of children ages 5 to 12 • Parents

• determine how children spend time

• choose which foods, drinks to buy for the family

• Children are building healthy habits • Children participate in the Healthy

Futures Challenge

Social Marketing Step: Improving Knowledge, Changing Behaviors

Changing Behaviors Parents: • Motivate their children to

get 60 minutes of physical activity a day

• Serve fewer sugary drinks to children

• Serve water or low-fat milk instead

Social Marketing Step: Using Research to Inform, Evaluate Messages

Informing the Messages: • Focus groups of Alaska parents of young children • Key informant interviews of teachers, principals, dental

providers Evaluating the Messages: • Repeated telephone surveys of Alaska parents of young

children

2017 Play Every Day Research Play Every Day’s task in 2017 was to support the Healthy Drinks for Healthy Kids project with new public education and provider materials. January through March 2017: • Four focus groups of Alaska parents of young children in

Anchorage, Wasilla, Dillingham and Utqiagvik • 16 key informant interviews with dental providers December 2017: • Statewide telephone survey of 750 Alaska parents of young

children

What are Sugary Drinks?

Creating Messages Based on Past Focus Groups: What Alaska Families Drink At Home

0% 20% 40% 60% 80%

Energy drinks

Coffee drinks

Tea drinks

Flavored water

Sports drinks

Juice drinks

Soda

Powdered drinks

Source: Play Every Day Focus Groups, 2013

Tooth Decay PSA

https://www.youtube.com/watch?v=suDKTfyj9AQ&feature=youtu.be

Switch Up PSA

https://www.youtube.com/watch?v=pxzhhbXx6Ms&feature=youtu.be

http://dhss.alaska.gov/dph/PlayEveryDay/Pages/Sugary-Drink-Resources.aspx or https://youtu.be/hkA1s6_Fw2I

Sugary Drinks Animated Videos

Posters to Match the PSAs

Matching Rack Cards

New Play Every Day Materials

New Brief Guide to Educate Families • Design brief intervention for

dental providers to help families reduce sugary drink intake – Ask: Does your child drink sugary

drinks? – Advise: Sugary drinks are harmful

for your child’s teeth and health. – Assess: Are you interested in

making a change and serving fewer sugary drinks?

– Assist: Help the parent/child develop a plan to reduce sugary drink consumption.

– Arrange: Make a note in the patient record to follow up at the next visit.

Lesson plan for teachers • Designed brief lesson plan to help

students learn how much sugar is hiding in drinks

• Interactive tool reveals sugar adding up

• Pledge cards for students to sign and make a plan to drink water and low-fat milk.

Additional parts of lesson plan available under “Lesson Plans for Alaska Elementary Schools” at http://dhss.alaska.gov/dph/PlayEveryDay/Pages/Sugary-Drink-Resources.aspx

Play Every Day website

www.playeveryday.alaska.gov

Website – Education about Sugary Drinks

http://dhss.alaska.gov/dph/PlayEveryDay/Pages/Cutting-Back-on-Sugary-Drinks-Improves-Health.aspx

Website – Sugary Drink/Water Resources

http://dhss.alaska.gov/dph/PlayEveryDay/Pages/Sugary-Drink-Resources.aspx

Website – Physical Activity Resources

http://dhss.alaska.gov/dph/PlayEveryDay/Pages/Physical-Activity-Resources.aspx

Play Every Day Social Media

www.facebook.com/playeverydayak

www.youtube.com/playeverydayak

Promotion – Blogging About Our Work

Updated Blog

Promotion – Blogging About Our Work

Get Free Updates

Here

www.playeveryday.alaska.gov

Promotion – Blogging About Our Work

Sharing Play Every Day’s Message • Support children and families in getting 60 minutes of

daily physical activity, reducing sugary drink intake • Hang posters • Hand out rack cards • Play the public service announcements and videos • Share stickers and other small items that promote

physical activity, water consumption • Give folders to children and families • Model the healthy habit of drinking water • Share the Play Every Day website, Facebook page and

YouTube channels as resources

Questions?

Ann Potempa, Play Every Day coordinator

State of Alaska

Department of Health and Social Services

[email protected]

907-269-3433