The Child and Adult Care Food Program

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Tips for Nutrition Physical Activityin Child
Care Settings

• The Child and Adult Care Food Program

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USDA Nondiscrimination Statement

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Introduction

• The Child and Adult Care Food Program

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CACFP Healthy Eating Physical Activity
HEALTHY KIDS
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After this workshop, you will be able to
describe

• Strategies to improve nutrition
• The relationship between nutrition, physical
  activity, and health
• Safe food preparation tips
• The importance of regular physical activity to
  overall health and well-being
• The benefits of limiting screen time

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Benefits of Healthy Eating Active Play for
Children

• Promotes healthy growth and development
• Less likely to be sick and miss school
• Improves learning ability, behavior, and academic
  performance

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WHY Focus on Nutrition Physical Activity in
Child Care Settings

• Increase in overweight and out-of-shape kidsand
  even toddlers
• Percentage of overweight kids (and those on track
  to become overweight) has doubled in the last two
  decades

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WHY Focus on Child Care Settings

• Healthy, Hunger-Free Kids Act of 2010 improves
  nutrition and wellness recommendations for child
  care programs by encouraging
• Healthier meals and snacks with an emphasis on
  increasing the consumption of whole grains,
  fruits and vegetables, low-fat and non-fat dairy
  and lean protein foods
• Opportunities for adequate physical activity
• Limits the use of screen time

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WHY Focus on Child Care Settings

• More than half of obese children are overweight
  by age two
• Approximately one in five is overweight or obese
  by their sixth birthday
• Approximately 10 of children come to
  kindergarten already obese (up from 5 in 1980)

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WHY Focus on Child Care Settings

• Increased incidence of type 2 diabetes (even in
  childhood), heart disease, arthritis, and some
  cancers
• Emotional impact on children and teens by
  contributing to social isolation, lowered
  self-esteem, and depression

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WHY focus on Child Care Settings

• Approximately 47,000 NH children in child care
• 80 of time spent in child care is in sedentary
  activities
• Many young children spend half of the waking
  hours in child care and may consume more than
  half of their daily calories there

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Why is Nutrition Physical Activity Important?
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2009 State Obesity Prevalence Among Low-Income
Children Aged 2 -4 Years
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20072009 County Obesity Prevalence Among
Low-Income Children Aged 2 -4 Years
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Parents Top 10 Health Concerns for Children
Health Concern
Childhood obesity 38
Drug abuse 30
Smoking tobacco use 29
Internet safety 25
Stress 24
Bullying 23
Teen pregnancy 23
Child abuse neglect 21
Alcohol abuse 20
Not enough opportunities of physical activities 20
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Building a Healthy Plate
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Components of a Healthy Plate

• Children over 1 year
• Milk
• Fruit/Vegetable
• Meat/Meat Alternate
• Grains/Bread

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Build a Healthy Plate with Milk

• Children who consume dairy products get many
  important nutrients and have healthier diets than
  those who dont
• Offer unflavored, fat-free, and low-fat milk most
  often
• Offer fat-free and low-fat yogurt and cheese

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Build a Healthy Plate with Fruits Vegetables

• Most children 4 years and older do not eat enough
  fruit
• Serve fresh, frozen, canned, and dried fruits and
  veggies
• Limit fruit juice to one ½ to ¾ cup service of
  100 juice per day

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Build a Health Plate with Dry Beans Peas

• Nutritious
• Inexpensive
• Dry beans and peas are creditable as a meat
  alternate or a vegetable, but not as both in the
  same meal
• Choose the easiest form canned, precooked beans

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Build a Healthy Plate with Protein

• Includes fish, shellfish, dry beans and peas,
  nuts, seeds, lean meats, poultry, eggs, yogurt,
  cheese, and processed soy products
• Look for lean cuts of meat and the leanest ground
  meats possible
• Offer unsalted nuts and seeds or peanut and
  sunflower seed butters spread thinly
• Include cooked, canned, or frozen dry beans and
  peas

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Build a Healthy Plate with Whole Grains

• Grain products are any food made from wheat,
  rice, oats, cornmeal, barley, or cereal grain
• Whole grain versions should be offered whenever
  possible
• At least ½ of your grains should be whole grains

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What types of grains should I offer?
Instead of Choose Whole Grains
White rice Brown rice, wild rice, quinoa
White flour Whole-wheat flour
White or wheat bread 100 whole-grain bread
Noodles, pasta, spaghetti, macaroni Whole-wheat or whole-grain pasta or noodles
Flour tortillas Whole-grain or whole-corn tortillas
Crackers Whole-grain crackers
Degermed cornmeal Whole-grain cornmeal
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Make Water Available

• Water is the best beverage choice
• Make safe drinking water freely available
  throughout the day

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How do you encourage kids to eat healthy foods?

• Be a healthy food role model
• Make food fun
• Add fruits, veggies, and beans to favorite foods
• Have a tasting day
• Cook together

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How do you encourage kids to eat healthy foods?

• Teach kids about where their food comes from with
  a garden or trip to a farm
• Give foods creative names
• Put kids in charge
• Send the message home
• Family-style dining

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Foods to Avoid

• Added sugars
• Salt and sodium
• Solid fats

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Tips to Avoid Added Sugars

• Offer foods with no added sugars
• Fruit
• Serve fresh fruit more often than fruit-based
  desserts
• Purchase fruit canned in water or 100 fruit
  juice instead of syrup
• Use frozen fruits without added sugars
• Choose 100 fruit juice
• Offer raisins or other unsweetened dried fruit
  instead of fruit snacks
• Check labels for sugar, honey, and ingredients
  ending in ose (for example, fructose, sucrose,
  and dextrose)
• Avoid offering sweets as rewards

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Tips to Avoid Added Sugars
Instead of Choose
Flavored milk Unflavored fat-free or low-fat milk
Sweetened yogurt Fat-free or low-fat plain yogurt topped with fruit
Ice cream or frozen yogurt Frozen 100 fruit bars
Sweetened breakfast cereals Whole-grain cereals with little or no added sugar or oatmeal
Cookies Whole-grain crackers, graham crackers, or plain animal crackers
Doughnuts, pies, or cakes Fruits, fruit salads, or baked fruits
Jam or jelly 100 fruit spread
Soda, fruit-flavored drinks, fruit cocktails, or fruit punch Water, fat-free or low-fat milk, or 100 juice
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Tips to Avoid Salt Sodium

• Use herbs and no-salt spice mixes
• Look for items labeled no salt added or low
  sodium
• Rinse and drain canned beans to reduce sodium
  content

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Tips to Avoid Salt Sodium

• Soak dry beans overnight in water with no salt to
  cook the next day
• Limit serving highly processed poultry, fish, or
  meat (like hot dogs or chicken nuggets) to once
  weekly
• Remove salt from recipes whenever possible

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Tips to Avoid Solid Fats

• Solid fats are high in saturated or trans fats
  (for example, fats from meat and dairy products,
  shortening, and stick margarine)
• Replace solid fats with healthy oils (for
  example, olive oil)

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Tips to Avoid Solid Fats

• Use herbs and no-salt spice
• Switch from solid fats to oils
• Broil, grill, roast, poach, or boil

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Tips to Avoid Solid Fats

• Vegetables
• Make salad dressings, sauces, and dips light
• Use frozen veggies without added solid fats
• Protein
• Trim fat from meats and poultry before cooking
• Limit processed poultry, fish, or meat (like hot
  dogs or chicken nuggets) to once weekly

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Practice the Basics of Food Safety to Prevent
Foodborne Illness
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Help Keep Kids Healthy

• Help prevent foodborne illnesses in the children
  you care for by following these 4 simple steps
• Clean hands and kitchen
• Shop, store, prep, and serve safely
• Chill
• Heat food to the appropriate temperatures

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Make Hand Washing a Habit

• How to wash your (and the childrens) hands
• Use warm soap and water
• Scrub all parts of your hands for at least 20
  seconds
• Dry hands with a clean paper towel
• Use a paper towel to turn off the faucet and open
  doors

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Food Preparation Tips

• Always start with clean equipment and counter
  tops
• Wash your equipment and counter tops with hot
  soapy water between each food item

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Food Preparation Tips

• Use clean towels or paper towels to wipe counter
  tops, sinks, and tables
• Dont allow books, backpacks, or other items to
  be places on tables or counters where food will
  be prepared

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Food Shopping Tips

• Pick out your cold foods last
• Dont buy foods close to or past the sell by or
  use by date
• Place meat, poultry, and seafood in plastic bags

• Keep a cooler in your car to transport perishable
  foods
• Always refrigerate perishable foods within 2
  hours, or less if its hot out

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Food Storage Tips

• Store raw seafood, meat, and poultry on the
  bottom shelf of the refrigerator

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Food Preparation Tips

• Use a clean, separate cutting boards
• Keep fruits and vegetables separate from raw
  meat, poultry, and seafood
• Wash and dry the top of cans before opening

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Safe Meat Preparation Tips

• Defrost foods on the bottom shelf of the
  refrigerator overnight, not at room temperature
• Do not rinse raw fish, seafood, meat, and poultry

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Safe Meat Preparation Tips

• Use 1 clean cutting board for fresh produce or
  ready-to-eat foods and a separate 1 for raw
  seafood, meat, and poultry
• Use a food thermometer to check when meat, fish,
  poultry, or egg dishes are fully cooked

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Fresh Fruits Vegetables Preparation Tips

• Rinse well even if you are going to peel after
• Cut away damaged or bruised areas
• Store fresh fruits and veggies in a clean
  refrigerator (temp of 40F or below)

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Serving Storage Tips

• Always use a clean plate to serve food
• Keep books, backpacks, or other items off areas
  where food will be served
• Keep animals away from where food is served
• Discard or freeze leftover foods within 3 4
  days
• Reheat all leftovers to at least 165F

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Tips to Handle Foods Carefully

• Never leave perishable food out of the
  refrigerator for more than 2 hours
• Refrigerate or freeze perishables, prepared
  foods, and leftovers as soon as possible, but no
  longer than 2 hours after purchasing, preparing,
  or serving

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Active Play
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Active Play Movement

• Physical activity is any activity that gets your
  body moving, uses your muscles, and burns calories

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Active Play Movement

• Helps children
• Develop their brains
• Develop social skills
• Develop muscles movement skills
• Learn about their environment
• Create healthy habits

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Moderate vs. Vigorous

• Moderate
• Walking
• Playing outdoors on play equipment
• Swimming or climbing on equipment
• Playing hopscotch or kickball

• Vigorous
• Running or jogging
• Skipping
• Race-walking
• Running games
• Jumping rope, jumping jacks, or jumping games
• Dancing

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Encourage Active Play!

• Be a good role model
• Lead activities two or more times per day
• Wear clothing and footwear the allows easy and
  safe movement
• Limit screen time

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Encourage Active Play!

• Create opportunities for safe active play indoors
  and outdoors
• Be ready for various weather
• Use space wisely
• Pick a variety of games for children of all
  abilities

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Recommendations for Physical Activity

• Infants, Toddlers Preschoolers

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Infants Birth to 12 Months

• Take outside 2-3 times per day, if feasible
• Tummy time 2-3 times per day

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Tummy Time for Infants

• Provides a different perspective from which to
  see the world
• Develops skills, such as
• Lift and support head
• Hold head steady
• Turn head
• Develops strength and control of the neck,
  shoulders, and back to prepare the infant to
  roll, crawl, pull up, and walk

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Toddlers 1 3 Years Old

• Provide 60-90 minutes per day of moderate to
  vigorous physical activity (outdoors if possible)

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Preschoolers 3-6 Years Old

• Provide 90-120 minutes per day for moderate to
  vigorous physical activity

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What are the challenges to active play
movement?
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Things to consider.

• Inform parents of the benefits
• State how long children will have in active play
• Make sure water is available
• Provide a shady area outdoors
• Make sure children have sunscreen or protective
  clothing
• Make sure area is safe

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REASONS to Limit Screen Time

• Having the TV on can disturb childrens sleep and
  play, even if it is on in the background
• TV and some DVDs include advertisements for
  unhealthy food children cannot tell the
  difference between programming and ad
• Many video games include violence

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More REASONS

• The more time children spend watching TV or
  playing video games, the less active they are
• The more time children spend playing video games,
  the more likely they are to have difficulty
  concentrating in school
• Limit all videos including those that encourage
  children to be active (exergames)

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SCREEN TIME Recommendations
How much is too much? How much is too much?
Children under the age of 2 No screen time, including TV/DVD/video viewing or computer use
Children over 2 years old Only 30 minutes total of screen time per week. No more than 15-minute increments of computer time
All ages No screen time during meals or snacks
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Key Resources
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Thank you for coming!

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