creating a healthier future together i. the childhood obesity epidemic ii. the role of schools iii....

Creating a Creating a Healthier Future Healthier Future

TogetherTogether

I.I. the Childhood the Childhood Obesity EpidemicObesity EpidemicII.II. The Role of Schools The Role of Schools III. A role for LibrariesIII. A role for Libraries

Presentation Collaboration:Part I & II Part IIILeah Cox, Executive Director Lynne Marie LoPresto, MS, RD916/760-7448 Project [email protected] Children’s Nutrition Collectionwww.wellnesstaskforce.org www.childrensnutritioncollection.org

The Obesity EpidemicThe Obesity Epidemic

““The design of successful interventions The design of successful interventions and actions for prevention and and actions for prevention and management of overweight and management of overweight and obesity will require the careful obesity will require the careful

attention of many individuals and attention of many individuals and organizations working together organizations working together

through multiple spheres of through multiple spheres of influence.”influence.”

- - David Satcher, M.D., Ph.D., U.S. Surgeon GeneralDavid Satcher, M.D., Ph.D., U.S. Surgeon GeneralThe Surgeon General's Call To Action To Prevent and Decrease The Surgeon General's Call To Action To Prevent and Decrease

Overweight and Obesity 2001Overweight and Obesity 2001

The Children’s Nutrition The Children’s Nutrition Collection is the result of a Collection is the result of a multi-discipline, multi-multi-discipline, multi-organization collaboration of organization collaboration of professionals interested in professionals interested in developing a public resource to developing a public resource to support community nutrition support community nutrition interventions for young children.interventions for young children.

OverviewOverview

• Library-based programLibrary-based program• Supports child nutrition literacy ages 4 to 9Supports child nutrition literacy ages 4 to 9

– Funded through the North Bay Cooperative Funded through the North Bay Cooperative Library SystemLibrary System

– Piloted at Novato Public LibraryPiloted at Novato Public Library

• Consists of: Consists of: – Searchable database of expert reviewed Searchable database of expert reviewed

materialsmaterials– Support website of nutrition resources for Support website of nutrition resources for

librarians, parents and teachers, and childrenlibrarians, parents and teachers, and childrenwww.childrensnutritioncollection.orgwww.childrensnutritioncollection.org

MissionMission

To inspire children and their To inspire children and their families families – to value positive stories about food, to value positive stories about food,

fitness and health, and fitness and health, and – to adopt more ‘Healthy Habits’ in to adopt more ‘Healthy Habits’ in

their livestheir lives

OutreachOutreach

• We encourage CA Public and School We encourage CA Public and School Libraries to make these materials Libraries to make these materials availableavailable– to childrento children– their parentstheir parents– caregivers and teacherscaregivers and teachers

• We encourage public libraries to serve We encourage public libraries to serve as a resource for nutrition education as a resource for nutrition education collaborations in their communitiescollaborations in their communities

Part onePart oneHistoryHistory

Background Information on Background Information on Obesity, Nutrition, Physical Obesity, Nutrition, Physical Activity and Marketing to Activity and Marketing to

ChildrenChildren

We live in an exciting and We live in an exciting and challenging challenging

time in history…time in history…

……Our hectic lives have resulted Our hectic lives have resulted in choices of convenience over in choices of convenience over healthhealth

We are now experiencing We are now experiencing the long-term Health the long-term Health

consequencesconsequences

ObesityObesity

DiabetesDiabetes

CanceCancerr

HeartHeart DiseaseDiseaseHigh Blood PressureHigh Blood Pressure

•75% of Healthcare dollars are spent on chronic disease management

•In 2005, an estimated $28 billion was spent treating issues related to obesity, overweight and physical inactivity (in working adults)http://www.wellnesstaskforce.org/PDF/obese.pdf

KidneyKidney DiseaseDisease

Obesity Epidemic?Obesity Epidemic?Healthy People 2010:Healthy People 2010:• Set National Health Targets in 2000 to chronic

disease• Is a professional U.S. collaboration led by

Secretary of Health and Human Services

2010 Nutrition/Weight Objectives:2010 Nutrition/Weight Objectives: chronic disease from poor diet & chronic disease from poor diet &

inactivityinactivity adult obesity from 23% to 15%adult obesity from 23% to 15%

• http://http://www.cdc.gov/nccdphp/dnpa/obesity/trend/mapswww.cdc.gov/nccdphp/dnpa/obesity/trend/maps//

http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/



Obesity Trends* Among U.S. AdultsObesity Trends* Among U.S. AdultsBRFSS, 1990BRFSS, 1990

(*BMI ≥30, or ~ 30 lbs overweight for 5’ 4” person)

No Data <10% 10%–14%



No Data <10% 10%–14% 15%–19% ≥20%



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



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


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

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

California’s Childhood California’s Childhood Obesity Epidemic (2005)Obesity Epidemic (2005)

Map LegendMap Legend

For specific information about your region, go to www.gisplanning.net/publichealthnew/map.asp

Crisis Crisis in Americain America• 2/3 US adults are overweight or obese2/3 US adults are overweight or obese

http://www.cdc.gov/nchs/data/nhanes/databriefs/adultweight.pdfhttp://www.cdc.gov/nchs/data/nhanes/databriefs/adultweight.pdf

• Childhood obesity has tripled since 1980Childhood obesity has tripled since 1980National overweight percentages for children aged 2 – 19 :National overweight percentages for children aged 2 – 19 :• 13.9% Caucasian children13.9% Caucasian children• 18.8% African American children18.8% African American children• 17.4% Mexican American children17.4% Mexican American childrenhttp://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htmhttp://www.cdc.gov/nccdphp/dnpa/obesity/childhood/prevalence.htm

• 1/3 children born in 2000 will develop diabetes1/3 children born in 2000 will develop diabetes• Hispanic/Latinos are 1.9 times more likely to develop Type 2 diabetesHispanic/Latinos are 1.9 times more likely to develop Type 2 diabetes• African Americans are 2.0 times more likely to develop diabetesAfrican Americans are 2.0 times more likely to develop diabetes• Native Americans and Alaska Natives are 2.6 times more likely to develop Native Americans and Alaska Natives are 2.6 times more likely to develop

diabetesdiabeteshttp://www.cdc.gov/omh/AMH/factsheets/diabetes.htmhttp://www.cdc.gov/omh/AMH/factsheets/diabetes.htm

• 11stst generation in history with a lower life generation in history with a lower life expectancy than their parentsexpectancy than their parents• New England Journal of MedicineNew England Journal of Medicine 3/17/053/17/05

Snapshot of Snapshot of American ChildrenAmerican Children

Overfed but Overfed but undernourishedundernourished

Limited health Limited health and media and media literacyliteracy

Declining Declining physical activityphysical activity

What Do Our Youth Eat?What Do Our Youth Eat?

Too Many CaloriesToo Many Calories

Not Enough NutrientsNot Enough Nutrients

50% of calories from added fat and sugar50% of calories from added fat and sugar

Only 2% meet key dietary recommendations for Only 2% meet key dietary recommendations for

healthhealth::- Vegetables: < 20% meet recommendationsVegetables: < 20% meet recommendations- Fruit: < 15% meet recommendationsFruit: < 15% meet recommendations- Calcium: < 20% females ages 9-19 meet rec. intakeCalcium: < 20% females ages 9-19 meet rec. intake

www.californiaprojectlean.org

Link between nutrition Link between nutrition and learningand learning

• Provides essential elements for brain Provides essential elements for brain developmentdevelopment

• Improved attendanceImproved attendance• Improved behaviorImproved behavior• Less visits to school nurseLess visits to school nurse• Increased attention and creativityIncreased attention and creativity• Higher test scoresHigher test scores

Health & Media Literacy Health & Media Literacy mean Better Choicesmean Better Choices

• Health literacy is Health literacy is “the degree to which individuals have the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions.” – – United States Department of Health and Human ServicesUnited States Department of Health and Human Services

• Children see 40,000 commercials each yearChildren see 40,000 commercials each year– 50% of which are for foods and beverages50% of which are for foods and beverages– $15 billion was spent advertising to children in 2002$15 billion was spent advertising to children in 2002

www.publichealthadvocacy.org/resources.htmlwww.publichealthadvocacy.org/resources.html

• We are victims of too much information!We are victims of too much information!– ““The health terrorist message of the day results in loss The health terrorist message of the day results in loss

of meaning for concern…when everything is dangerous, of meaning for concern…when everything is dangerous, nothing is…” - nothing is…” - Francis Berg: Children and Teens Afraid to EatFrancis Berg: Children and Teens Afraid to Eat

http://www.publichealthadvocacy.org/resources.html

Physical Activity VS. Physical Physical Activity VS. Physical EducationEducation

• ““Physical activity Physical activity is bodily movement of any type is bodily movement of any type and may include recreational, fitness and sport and may include recreational, fitness and sport activities such as jumping rope, playing soccer, activities such as jumping rope, playing soccer, lifting weights, as well as daily activities such as lifting weights, as well as daily activities such as walking to the store, taking the stairs or raking the walking to the store, taking the stairs or raking the leaves.”leaves.”http://www.aahperd.org/naspehttp://www.aahperd.org/naspe

• ““Physical education Physical education teachers assess student teachers assess student knowledge, motor and social skills, and provide knowledge, motor and social skills, and provide instruction in a safe, supportive environment…A instruction in a safe, supportive environment…A quality physical education program provides quality physical education program provides learning opportunities, appropriate instruction, learning opportunities, appropriate instruction, meaningful and challenging content for all meaningful and challenging content for all children…” children…”

Physical inactivityPhysical inactivity• Only 50% of youth meet recommended 60 Only 50% of youth meet recommended 60

minutes of daily physical activityminutes of daily physical activity

• < 50% of CA schools meet P.E. requirements< 50% of CA schools meet P.E. requirements• Elementary grades 1-6, minimum 200 minutes every 10 daysElementary grades 1-6, minimum 200 minutes every 10 days• Secondary grades 7-12, minimum 400 minutes every 10 daysSecondary grades 7-12, minimum 400 minutes every 10 days• Elementary school districts grades 1-8, 200 minutes every 10 daysElementary school districts grades 1-8, 200 minutes every 10 dayshttp://www.cde.ca.gov/be/ms/po/policy99-03-June1999.asp http://www.cde.ca.gov/be/ms/po/policy99-03-June1999.asp

Links Between Physical Activity and Links Between Physical Activity and LearningLearning

•Increased concentrationIncreased concentration•Higher test scoresHigher test scores•Reduced disruptive behavior Reduced disruptive behavior •Better attendanceBetter attendance•Positive attitudePositive attitude•Positive effects on immune systemPositive effects on immune system

Part twoPart twoThe Role for SchoolsThe Role for Schools

Federal and State Regulations and Federal and State Regulations and the School Wellness Policythe School Wellness Policy

The Role of schools….The Role of schools….

““Schools have more influence on the Schools have more influence on the lives of young people than any other lives of young people than any other social institution except the family, and social institution except the family, and provide a setting in which...norms that provide a setting in which...norms that govern behavior are developed and govern behavior are developed and reinforced.”reinforced.”

Healthy People 2010Healthy People 2010

““Schools cannot achieve their primary mission Schools cannot achieve their primary mission of education if students and staff are not of education if students and staff are not

healthy and fit…”healthy and fit…” - National Association of State Boards of Education;

Fit, Healthy, and Ready to Learn, 2000

““Physical health affects learning, Physical health affects learning, and schools have a role to play in developing and schools have a role to play in developing lifelong habits of nutrition and fitness. It is lifelong habits of nutrition and fitness. It is

time to promote and support a culture of time to promote and support a culture of health and fitness in our schools.”health and fitness in our schools.”

- Jack O’Connell, State Superintendnet of Public InstructionCA State of Education Address, January 24, 2005

Health and Success in School Health and Success in School are Interrelatedare Interrelated

55 million students attend U.S. schools and55 million students attend U.S. schools and35-40% of daily energy is consumed at 35-40% of daily energy is consumed at schoolschool

federal Legislationfederal Legislation

Federal law requires all Federal law requires all districts participating in the districts participating in the USDA School Meal Programs USDA School Meal Programs to have adopted a Local to have adopted a Local Wellness Policy by July 2006.Wellness Policy by July 2006.

Child Nutrition and WIC Reauthorization Act Child Nutrition and WIC Reauthorization Act 20042004

(Section 204)(Section 204)

http://www.fns.usda.gov/tn/Healthy/108-265.pdfhttp://www.fns.usda.gov/tn/Healthy/108-265.pdf

According to federal regulations, School According to federal regulations, School Wellness Policies Must:Wellness Policies Must:

• Include nutrition guidelines Include nutrition guidelines for all foods available at schoolfor all foods available at school

• Include goals for nutrition Include goals for nutrition education, physical activity, and education, physical activity, and other school-based activities other school-based activities that promote student wellnessthat promote student wellness

• Establish a plan for Establish a plan for measuring policy measuring policy implementationimplementation

School Wellness CouncilsSchool Wellness CouncilsMust Include:Must Include:

• ParentsParents• StudentsStudents• School food service professionalsSchool food service professionals• School Board membersSchool Board members• Administrators and Administrators and • Community membersCommunity members

Successful implementation of your Local Wellness Policy Successful implementation of your Local Wellness Policy will require ongoing participation from the entire will require ongoing participation from the entire

community. community.

2005 California Laws2005 California LawsSB 12: Sets nutrition standards for all food SB 12: Sets nutrition standards for all food sold* on K-12 school campusessold* on K-12 school campuses• Limits fat and sugar content and portion sizeLimits fat and sugar content and portion size• Affects vending machines, a la carte foods, school stores, Affects vending machines, a la carte foods, school stores,

school fundraisersschool fundraisers• Effective July 1, 2007Effective July 1, 2007• *School meal programs are regulated by federal *School meal programs are regulated by federal

legislationlegislation

SB 965: Eliminates sale of sodas & SB 965: Eliminates sale of sodas & sweetened drinks on middle and high sweetened drinks on middle and high school campusesschool campuses• Phased implementation: July, 2007 - July, 2009Phased implementation: July, 2007 - July, 2009

Legislative summary: www.publichealthadvocacy.org/limits/index.htmlLegislative summary: www.publichealthadvocacy.org/limits/index.htmlFoods allowed for sale: www.calsna.org/Documents/Summary_of_Food_Sales.docFoods allowed for sale: www.calsna.org/Documents/Summary_of_Food_Sales.doc

Wellness Goals for California Wellness Goals for California Schools 2007 - 2008Schools 2007 - 2008

• All foods sold on campus must meet All foods sold on campus must meet standardsstandards

• Develop & implement nutrition education Develop & implement nutrition education programs across the campusprograms across the campus

• Meet Physical Education and physical Meet Physical Education and physical activity goalsactivity goals

• Create healthy fundraising alternativesCreate healthy fundraising alternatives• Reduce marketing of unhealthy foods on Reduce marketing of unhealthy foods on

campuscampus• Outreach to parentsOutreach to parents• Develop community health partnershipsDevelop community health partnerships

Part ThreePart ThreeA role for LibrariesA role for Libraries

Vision: Public and school libraries Vision: Public and school libraries supporting child nutrition supporting child nutrition education efforts in their education efforts in their

communitiescommunities

The CollectionThe Collection

• Nutrition and physical activity related Nutrition and physical activity related books, cookbooks, CD’s and resource books, cookbooks, CD’s and resource materials materials

• Reviewed by a committee of child health Reviewed by a committee of child health professionals in Marin County, CAprofessionals in Marin County, CA– Screened for accurate and up-to-date Screened for accurate and up-to-date

informationinformation

Guiding Guiding PrinciplesPrinciples

In support of current public health practices:In support of current public health practices:

• Materials promote a positive approach to child Materials promote a positive approach to child nutrition nutrition – focus on healthy diet and activity habits rather than focus on healthy diet and activity habits rather than

weight lossweight loss

• Categorized by the Nutrition Competencies from Categorized by the Nutrition Competencies from the California Department of Education for grades the California Department of Education for grades Pre-K to grade 3 Pre-K to grade 3 – www.cde.ca.gov/ls/nu/he/nec.aspwww.cde.ca.gov/ls/nu/he/nec.asp

• Materials support the US Dietary Guidelines for Materials support the US Dietary Guidelines for children as depicted on MyPyramid.govchildren as depicted on MyPyramid.gov– Referred to as ‘healthy habits’Referred to as ‘healthy habits’

‘‘healthy healthy habits’habits’

Make half your grains wholeMake half your grains whole Vary your veggies: eat more colorsVary your veggies: eat more colors Focus on fruits: eat a variety every dayFocus on fruits: eat a variety every day Go lean with protein: choose low-fat and leanGo lean with protein: choose low-fat and lean Get your calcium-rich foods: go low-fat or fat-Get your calcium-rich foods: go low-fat or fat-

freefree Fats and sugars – know your limits:Fats and sugars – know your limits:

Limit solid fats as well as foods that contain themLimit solid fats as well as foods that contain them Choose foods & beverages low in added sugarsChoose foods & beverages low in added sugars

Find your balance between food and fun: move Find your balance between food and fun: move moremore Aim for at least 60 minutes every day or most daysAim for at least 60 minutes every day or most days

Website HomepageWebsite Homepage

support support materialsmaterials

• Database searchable by:Database searchable by:– interest level (pre-k – 1, 1 – 3, resource)interest level (pre-k – 1, 1 – 3, resource)– CA Dept. of Education Nutrition Competency topicsCA Dept. of Education Nutrition Competency topics– Language (English, SpanishLanguage (English, Spanish))

• Recommended book and resource listsRecommended book and resource lists– Healthy Habit stories, Family Food Stories, CookbooksHealthy Habit stories, Family Food Stories, Cookbooks

• Book lists include Spanish materials– Website resources include online nutrition games for childrenWebsite resources include online nutrition games for children

• Book selection CriteriaBook selection Criteria

• ““Event in a box” section for LibrariansEvent in a box” section for Librarians– Downloadable bookmark (includes Spanish translations)Downloadable bookmark (includes Spanish translations)– TemplatesTemplates

• Event flier and event press release Event flier and event press release – This PowerpointThis Powerpoint

let’s Work together let’s Work together on behalf of our children on behalf of our children

to ensure a healthyto ensure a healthyfuture for us allfuture for us all

Special thanks for providing information and editing go to:

Lynne Marie LoPresto, MS, RDNutrition Education Specialist

Dominican University of California

Andrew CarothersCommunications Consultant

The Carothers Group

CA Project LEANCA School Boards Association

California Food Policy Advocates

FundingFunding

This project was funded in part by This project was funded in part by The California Endowment, Kaiser The California Endowment, Kaiser

Permanente of Northern California, Permanente of Northern California, and the U.S. Institute of Library and and the U.S. Institute of Library and

Museum Services under the Museum Services under the provisions of the Library and provisions of the Library and

Technology Act, administered in Technology Act, administered in California by the State.California by the State.

For more information about the School Wellness Challenge or the California Task Force on Youth and Workplace Wellness, visit

www.wellnesstaskforce.org, or call Leah Cox at 916/ 760-7448.

creating a healthier future together i. the childhood obesity epidemic ii. the role of schools iii....

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