CCCC Webinar: Promoting Healthy Active Living in Early Education and Child Care

Transcription

1 CCCC Webinar: Promoting Healthy Active Living in Early Education and Child Care Presenters: Meredith Reynolds, PHD Katy Levenhagen, MS, RD

2 Meredith Reynolds PHD, CDC Obesity Prevention and Control Branch Team Lead

3 Let s Move! Child Care Let s Move! Cities, Towns and Counties Let s Move! Faith and Communities Let s Move! in Indian Country Let s Move! Museums and Gardens Let s Move! in the Clinic Let s Move! Salad Bars 2 Schools Chefs Move to Schools Let s Move! Active Schools Let s Move! Outside

4 Visit LetsMove.gov

5 What is Let s Move! Child Care? Supports providers to adopt best practices for physical activity, screen time, foods, beverages, and breastfeeding through free resources and interactive, online tools Recognizes providers who meet best practices

6 Childhood Obesity 24% - 33% of 2 5 year olds are overweight or obese. Obesity rates for young children doubled in about a 20 year period of time (1980 s 2000). Obese children are more likely to become obese adults. If children are overweight, obesity in adulthood is likely to be more severe.

7 Health Consequences Obesity increases the likelihood of certain diseases and health problems, such as: Heart disease Stroke Type 2 diabetes Osteoarthritis Cancer Sleep apnea and respiratory problems Hypertension Gynecological problems Liver and Gallbladder disease High blood cholesterol

8 Education Consequences Children who are overweight or obese can be undernourished at the same time. Nutrition deficiencies Impair brain development and cognitive functioning, including learning

9 Education Consequences (2) Physical inactivity Activity promotes brain development, improves sleep, builds self confidence, and reduces stress & depression Children who are not active have more behavioral and disciplinary problems, shorter attention spans in class and do worse in school compared to active children Screen Time Interferes with exploration, playing, interaction with others, which promote social development Competes with being active, reading, and doing homework

10 Moving Forward to Reverse the Obesity Trends we know the cure for this. This isn't like putting a man on the moon or inventing the Internet - it doesn't take some stroke of genius or feat of technology.... Rarely in the history of this country have we encountered a problem of such magnitude and consequence that is so eminently solvable. Michelle Obama February 9, 2010

11 Why obesity prevention in child care and early education programs? Prevention must start early. Children spend many hours in your care. You can provide a healthy environment for children to eat, play, and grow.

12 Why obesity prevention in child care and early education programs? (2) You can help children build healthy habits for life Food preferences and physical activity habits develop during early childhood and continue into adulthood You are a role model. Kids do as you do, especially when they re young. You are in a unique position to educate parents about healthy eating and activity

13 Making Health Easier: Healthy Changes Start in Preschool

14 5 Let s Move! Child Care Goals 1 Physical Activity 2 Screen Time 3 Food 4 Beverages 5 Infant Feeding

15 Physical Activity Best Practices Infants: Short supervised periods of tummy time several times each day Toddlers & Preschoolers: Active play time every day, both indoor and outdoor Toddlers: minutes or more (for half-day programs, 30 minutes or more) Preschoolers: 120 minutes or more (for half-day programs, 60 minutes or more)

16 Screen Time Best Practices Infants: No screen time Toddlers: No more than 3 4 times per year, or never Preschoolers: Only for educational or physical activity purposes No more than 30 minutes per week or never, while in your care Work with families to ensure no more than 1-2 hours per day Provide screen time reduction and/or media literacy education to parents at least twice a year, e.g. special programs, newsletters, or information sheets

17 Food Best Practices Toddlers and preschoolers Serve a fruit and/or a vegetable at every meal (Juice doesn t count as fruit, and French fries, tater tots, and hash browns don t count as vegetables!) Limit fried and pre-fried foods French fries, tater tots, hash browns, potato chips, frozen and breaded meats or fish to no more than once a month Preschoolers: Serve all meals family style so that children are encouraged to serve themselves with limited help.

18 Beverages Best Practices Water: visible and available inside and outside for self-serve Fruit juice: Only100%; limited to no more than 4 6 oz. per day per child and encourage parents to support this limit Sugary Drinks: Never (includes fruit drinks, sports drinks, sweet tea, and soda) Milk: Serve only 1% or non-fat (skim) milk to children 2 years and older (unless otherwise directed by the child s health provider)

19 Infant Feeding Best Practice Have a private room for moms to breastfeed or pump other than a bathroom appropriate seating and privacy

20 Visit

21 LMCC Steps to Success 1. Sign up online at 2. Take the Checklist Quiz to see how you are doing on the 5 Let s Move! Child Care goals 3. Build an Action Plan to reach the goals 4. Use the free online resources to help implement your action steps 5. Retake the Checklist Quiz once you meet the goals 6. Share your success story

22 1. Sign Up Look for the Take Action box on the homepage

23 2. Take the Checklist Quiz Answer questions to see which best practices you are meeting and which goals you need to work on Available in Spanish too!

24 3. Build an Action Plan Action Planning is an important step to help you make changes You choose your priorities start with whatever is going to be easiest, then build on your success Be ready to create individual action steps Samples are available

25 4. Use Online Resources Visit

26 5. Retake the Checklist Quiz Get Your Recognition Award Be Featured on the LMCC Map

27 6. Share Your Success Story Success stories inspire others!

28 Steps in Review Sign up Take Checklist Quiz Implement Steps in Plan Yes Meet all best practices? No Use free online resources & tips Become a Recognized Let s Move! Child Care Provider & celebrate your success! Make Action Plan

29 Participation Information (as of June 30) 12,207 participants registered 10,535 providers registered 7,113 quiz takers 3,653 meeting >50% best practices 1,104 meeting >75% best practices 332 quiz takers are meeting all best practices 6 large ECE networks have made commitments to implement LMCC goals in their programs, reaching ~1.36M children

30 Progress Towards Best Practices (as of April 30) Most Frequently Met Sugary drinks are never offered 73% Fruit (not juice) and/or a vegetable is offered to toddlers and preschoolers at every meal % of quiz takers 64% Active play time is provided to all toddlers minutes each day 58% Least Frequently Met Parents of preschool children are offered screen time reduction and/or media literacy education 2 times per year or more Active play time is provided to all preschool children more than 120 minutes each day Fried or pre-fried meats or fish are offered no more than 2 times per month to toddlers and preschoolers % of quiz takers 34% 32% 32%

31 Examples of Common Challenges Increasing physical activity Limiting screen time Working with vendors Making water available Creating an appropriate space for breastfeeding mothers Accessing resources in Spanish

32 Finding resources

33 Visit

34 Ideas and Resources One stop shop for nutrition and physical activity resources for all providers, including centers and family child care homes Resources in Spanish Resources for providers serving tribal communities

35 Resources Curricula Menu Planning & Recipes Training videos Activity Sheets Parent Handouts And more!

36 Sample Resources Videos Articles from KidsHealth.org

37 Nutrition & Physical Activity Curriculum (with DVD)

38 Tip Sheets

39 Activity sheets extension Alliance for Better Child Care Hands-on Activities Database Songs to get kids dancing

40 Healthy eating and activity tips for you! Healthy recipes

41 Recurso para Actividades Físicas Mini poster para niños preescolares

42 Free Online Trainings for Providers More trainings coming soon!

43 Free Resources for Trainers Slide sets coming soon!

44 Slide sets for Trainers Overview of LMCC In-depth slide sets for each of the 5 LMCC goal areas Best practices & rationale Tips & Resources Activity ideas Videos & ideas for handouts

45 For more information Visit Contact the Let s Move! Child Care Help Desk LMCChelp@cdc.gov

46 Katy Levenhagen, MS, RD Child Care Nutrition Consultant Child Care Grant Recipient CPPW/CSHEL WA PLAY CTG-Child Care

47 What are Best Practices in Nutrition and Physical Activity? Caring For Our Children Let s Move Child Care Altarum Institute Nemours Health and Prevention Services

48 Opportunities to Incorporate Best Practice Standards Child care regulations and policy change QRIS (Early Achievers in Washington State) Professional development trainings for child care providers and early learning staff (MERIT registry in WA State)

49 Promoting Best Practice Standards Through Child Care Trainings CPPW CDC, Train the Trainer trainings to school age and early learning professionals 50 Development of a Best Practice Crosswalk WA State child care and early learning programs measured poorly compared to the CFOC standards both are available on the CSHEL website Nutrition and PA for Somali family home CC providers - 75 WA PLAY PhysicaL Activity for the Young - Promoting Active Play in Early Learning, Metlife and AAP PA trainings for child care center staff PA training for child care home providers - 60

50 Promoting Best Practice Standards Through Child Care Trainings CTG Child Care, Seattle Children s Hospital, CDC, , Seattle and S. King Co. (high density, low income) Focus on Nutrition and PA (specific topics identified by focus groups) On-site technical assistance follow up to trainings Trainings to date 1 infant/toddler to new E. African providers physical activity and screen time trainings PA training with Spanish interpretation 46 4 menu planning and cooking classes School Age trainings on BP Standards - 75

51 Are The Trainings Working? More floor time play with infants in child care centers CCHCs visiting infant rooms Many early learning programs are using 1% milk and serving fruit or veggie for 1 snack ECEAP and City of Seattle health consultant reports Staff are using new PA ideas and recipes from trainings Repeat participants Pre/Post training surveys indicate high level of understanding Early CTG child care surveys indicate improvement

52

53

54

55 I hear and I forget. I see and I remember. I do and I understand and One picture is worth a thousand words.

56 Questions?

57 Pediatric e-practice: Optimizing Your Obesity Care (PeP) Online based office was designed to help you prime your office for effective prevention, assessment and treatment of childhood overweight and obesity. The resources are organized to align with the workflow in your office and the associated tasks that align to each room. Each room contains a variety tools and resources informed by the expected context of that portion of a patient visit. These tools and resources have been developed and/or curated by AAP to support your practice and help integrate obesity screening, guidance, and counseling into your busy practice setting. Once you enter a room, you will be able to explore and download the tools available.

58 PeP: Office Layout Rooms to Explore: Waiting Room, Examination Room, Measurement Room, Practitioner Room, Break Room and Front Office

59 PeP: Inside the Examination Room Highlighted items show where tools and resources for that portion of a patient visit are located.

60 PeP: Inside the Waiting Room A number of resources for families are located within this room.

61 PeP: Inside the Break Room This room is where our community/advocacy resources are showcased.

62 To Access the PeP Visit Click Login in the upper right hand corner Use your AAP ID and Password to sign in Questions or comments about PeP? Please contact

63 Coming This Fall Virtual Early Education Center (VEEC) Information will be related to: Medication administration Healthy active living Managing infectious disease Three types of settings: Early education and child care center Head Start center Family child care home

64 Thank You!