Call to Action:Sustaining FCS ED with

Healthy Lifestyle: Obesity Prevention

Janet F. Laster, Ph.D.Sandra Laurenson, M.S.

OAFCS Public Policy Co-ChairsKelly Schulz, M.ED.

OAFCS & OATFACS Board Member

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FCS’s Call to Action:

In 2010 and now • School districts, facing inadequate

funding, reduce or eliminate FCS programs

• Public’s lack of FCS name recognition and far-reaching effects

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FCS’s Call to Action:In 2010 and now • Obesity Crisis in Ohio: Obesity rate currently 29.8%.• Obesity Crisis in US: - 2/3 Americans are overweight or obese (BMI ≥ 30) - 1/3 children are overweight or obese (≥ 95%)

• Increasing obesity-related chronic diseases• Obesity-related chronic diseases driving up

personal, healthcare, and national debt

Source: Bipartison Policy Center, June 2012

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2000

Obesity Trends* Among U.S. Adults: Dramatic Increase in 20 Years

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

2010

1990

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

Epidemic of overweight and obesity

64% of women 72% of men

Over last 30 years, rates of obesity (BMI >30) in US more than doubled for adults and

more than tripled for children

Trends

Increasing Weight – Decreasing Health

Obese children aged 6-11: 7% in 1980 to 20% in 2008

Adolescents aged 12-19: 5% in 1980 to 18% in 2008

2010 Centers for Disease Control

What are the percentages today?In Ohio? In your county?

Definitions: Weight Groups

Underweight: BMI less than 18.5 kg/m2

Healthy weight: BMI between 18.5 - 24.9 kg/m2

Overweight: BMI between 25.0 - 29.9 kg/m2

Obese: BMI equal to or greater than 30.0 kg/m2

* BMI (Body Mass Index) measurement: Divide weight (in kilograms) by height (in meters) squared: kg/m2

Source: Dietary Guidelines for Americans 2010

Adult (BMI*):

Long Term Health Costs

Obesity Crisis: Private and Public Policy Issue

Family/Public health crisis and National economic crisis:

- Affects all segments of society: Adults, children; rich, poor - Long-term budget issue - Bipartisan issue

Source: Bipartisan Policy Center

FCS’s Call to Action: Help REVERSE causes of obesity…

• Change in food supply• “Obesgenic environment”: home, community

• Inactive lifestyles• Unhealthy eating habits and• Lack of food preparation skills

Ohio’s and US’s Call to Action:

Dr. Alice Lichtenstein: “Bring back Home Economics”

Journal of American Medical Association (JAMA) editorial

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“Providing a mandatory food preparation curriculum to students throughout the country may be among the best investments society could make [to reduce health care

expenditures]”.

Dr. Alice Lichtenstein of Tufts University, at the Youth Obesity Prevention Summit sponsored by the FCS Alliance

member: Board on Human Sciences

See “Point of View Obesity Prevention Summit: Positive Change Seen” Carolyn W. Jackson, AAFCS Executive DirectorWinter 2012 Journal of FCS

2010 OAFCS Resolutions:• Sustain Family and Consumer

Sciences Education• Healthy Weight - Obesity Prevention

Not independent but interdependent

www.oafcs.org Public Policy Resolutions

Sustain FCS Education

1. Promote name recognition of “Family and Consumer Sciences” and understanding of scope of FCS and its relevance to serious societal concerns today such as obesity, food safety, financial literacy…

2. Support and facilitate…national, state, and local intervention strategies to sustain FCS Education in current economic and education environment

FCS’s Public Policy Goals

Healthy Weight-Lifestyle Initiative: Obesity Prevention

3. Collaborate with nutrition science, medicine, education, policy makers and others to advocate healthy lifestyles and nutrition education and garner support for FCS Education in MS, HS, Extension programs

4. Utilize opportunities within range of influence and practice to promote national obesity prevention and nutrition education in public schools and communities

5. “Take Obesity Prevention to Streets!”

FCS’s Public Policy Intervention Goals

Healthy Lifestyle - Obesity Prevention:National CALLS for Action

2010 First Lady Michelle Obama’s

Dr. Lichtenstein’s “Bring back Home Economics Education” in JAMA, May 12, 2010

Dietary Guidelines for Americans 2010, p. 58

Healthy, Hunger-Free Kids Act of 2010 (PL 111-296) signed into law

Institute of Medicine Report, May 8, 2012

Bipartisan Policy Center Report, June 6, 2012

Dietary Guidelines for Americans, 2010

CALL TO ACTION:

1. Individual (and Family) behavior change: Nutrient-dense food and physical activity to promote health and disease prevention

2. Nutrition Policy and Strategies change, e.g.:

Guiding Principles (pp. 57-58 for Strategies)

• Ensure all Americans have access to nutritious foods & opportunities for physical activity

• Facilitate individual behavior change through environmental strategies

• Set the stage for lifelong healthy eating, physical activity, & weight management behaviors

Recommended Public Policy Strategies

Recommended Policy Strategies (DGFA2010, p. 58):

• Ensure that all meals and snacks sold and served in schools…childcare…early childhood settings are consistent with Dietary Guidelines

• Provide comprehensive health, nutrition, physical education in educational settings …special emphasis on food preparation skills, food safety…”

Principle: Set the stage for lifelong healthy eating, physical activity, and weight management

Healthy, Hunger-Free Kids Act of 2010

• Authorizes funding and sets policy for USDA’s core programs: National School Lunch, School Breakfast, WIC, Summer Food Service, Child and Adult Care Food Programs

• Allows opportunity, for first time in 30 years, for real reforms to school lunch and breakfast programs by improving safety net for millions of children

Source: USDA.gov

Institute of Medicine: Call to Action

1. Integrate physical activity every day in every way.2. Market what matters for a healthy life.3. Make healthy foods and beverages available

everywhere.4. Activate employers and health care professionals.5. Strengthen schools as the of health.

“…accomplishing any one of these might help speed up progress in preventing obesity, but together, their effects will be reinforced, amplified, andmaximized.” Institute of Medicine

Accelerate Obesity Prevention with 5 Goals:

Bipartisan Policy Center: Call to Action

All assume leadership & responsibility

for change & action:

• Healthy families: Develop federal dietary guidelines for all children under six, all nutrition assistance programs reflect dietary guidelines, promote breastfeeding

• Healthy schools: Improve nutrition & physical activity• Healthy workplaces: Develop workplace wellness programs• Healthy communities: Central role in lifestyle choices 1. Community-based, prevention-focused Health Care 2. Large institutions: Serve healthier foods & lead by example 3. Community programs and built environment: Families and local governments expand physical activity opportunities and promote active living

The Time is Right. WE Can Make a Difference!

Within our state and national “RUBBLE” of increasing obesity, disease risk, healthcare costs, and national debt,

FCS can find and use our “GOLDEN RING of opportunity” to partner with others in our communities to prevent obesity and sustain FCS Education in our schools.

Ohio’s Action Plan Goals: FCS Professionals…1. Use FCS branding resources:

www.aafcs.org click on FCS logo 2. Provide resources on OAFCS, OATFACS, AAFCS

websites for updating, public policy advocacy, and community presentations

3. Align FCS curriculum, strategies & public image4. Become active advocates for public policy supporting

healthy lifestyles and FCS ED5. Initiate/Participate in community healthy lifestyle initiatives6. Create individual Leadership Action Plan

Sustaining FCS Education + Healthy Lifestyles-Obesity Prevention = Synergy

MOST IMPORTANT: Health Centered

• Health for every age, body shape, and size: Health-centered NOT Weight-centered

• Healthy food choices and food preparation

• Healthy eating in response to internal body cues: Hunger

• Relaxed eating

• Social, emotional, spiritual & physical factors contributing to health & happiness

• Dieting ineffectiveness & dangers

Key Message: Policy Makers

POLICY ACTION: PLEASE

Ensure that Family and Consumer Sciences (formerly home economics) Education programs are in every middle and high school and community in

our stateREASONS

To develop the essential life skills needed to address our complex obesity-related crisis: nutrition, food selection and preparation, parenting, personal and family finance, and career planning skills.

What has been done nationally?

OAFCS Public Policy Resolutions adopted by AAFCS in 2011

FCS Coalition developed FCS brief, Empowering Individuals and Families: Obesity Prevention, for FCS professionals to use with policy makers, public

AAFCS and Let’s Move! partnership formed: FCS Coalition used FCS brief with First Lady Michelle Obama and staff

AAFCS Obesity Prevention Community formed: JOIN!

What has been done in Ohio?

FCS Education Promotion Task Force formed:

Supervisors, Teachers, Teacher Educators

OAFCS Annual Conference: Resolution Support Keynote: Dr. Cheryl Achterberg, OSU Dean and

Advisory Committee Member for DGFA201 Obesity Prevention Projects: Extension, United

Way, Action for Healthy Kids, Dairy Council

Professional Development Workshop: District B Additional workshops planned in other Districts

Resources developed/adapted for OAFCS, OATFACS and AAFCS Websites

www.oafcs.org www.oatfacs.org www.aafcs.org

What Should We Do ?

How should we answer the call for “All to assume leadership and responsibility for change and action to prevent obesity”?

• What should we do individually? As parents? Grandparents?• What should we do professionally—in

workplace?• What should we do as community

members?

Responsibility-Leadership Action Planto help make America healthy

Community-related Action

Individual/ Family Action

Classroom- School Action

WHAT WILL YOU DO?

Next Steps: Individually

• Use resources to become more nutritionally and public policy literate

- Dietary Guidelines for Americans, 2010

- Report of Dietary Guidelines Advisory Committee

- Nutrition Action Healthletter (Center for Public Interest)

- Call to Action: Healthy Lifestyle Comparison Chart

- Obesity causes, consequences

• Other steps—individually? in family?

Next Steps: As FCS Teachers

1. Become active advocate for policies supporting healthy lifestyles and families, e.g., see Sample policy letter and Talking points and Resources

2. Set the stage for lifelong nutrition learning, healthy eating, physical activity, and weight management, e.g.,

1. Align FCS curriculum, strategies, and public image

2. Refine teaching strategies and food labs

3. Initiate/Participate in community healthy lifestyle initiatives

4. Create individual Leadership Action Plan: Individual/Family Plan Workplace Plan Community-related Plan

Think, Pair, Share

1. What will you need to do to align your curriculum with new dietary guidelines?

2. What will you need to do to refine your teaching strategies to develop healthy food preparation skills?

3. With which community organization, agency might you partner to foster healthy lifestyle?

What questions do you have?

Call to Action: Refining FCS Curriculum

Align curriculum, strategies & public image

1. Create and promote healthy lifestyles for children (from in utero to 18 years) Appropriate weight gain during pregnancy,

breastfeeding for infant and mother to have healthy weight throughout lifetime (NGFA2010, p. 58; Lots to Lose, pp. )

2. Set the stage for lifelong healthy eating, physical activity & weight management behaviors: Provide comprehensive

health, nutrition, & physical educational programs in educational settings with special emphasis on food preparation skills, food safety, and lifelong physical activity

(DGFA2010, Ch. 6, p. 58)

Call to Action: FCS Teaching

Refine teaching strategies for developing healthy eating & safe food preparation skills

1. Evaluate objectives, eating patterns advocated by example, recipes, and teaching time spent on preparing vegetables, fruit, and whole grains vs refined grain-based desserts and breads

2. Sequence & structure food preparation labs to enjoy preparing food, eating together, developing knifing skills; vegetable, fruit, whole grain, fish, and lean meat and poultry preparation skills; food safety skills

Ruth Dohner, OAFCS, 2012

Call to Action: Evaluate

Collect data to evaluate FCS program effectiveness

1. Pre-Post unit/course tests

2. Healthy lifestyle project: Pre-post personal assessment of diet, physical activity, and BMI using eating, sleeping, & activity logs per day.

Use Super Tracker: http://www.choosemyplate.gov/SuperTracker/

Or http://www.myfitnesspal.com

Also Dairy Council ppts at www.eatsmart.org

Call to Action: “Take it to the Streets!”

Participate in community healthy lifestyle initiatives

1. Partner with community agencies, organizations to promote or support healthy lifestyle, e.g., Action for Healthy Kids, United Way, schools, Extension

2. Partner with others to develop personal healthy lifestyle, e.g., teachers, Extension, colleagues, family or friends

3. Advocate supporting FCS Education in MS, HS, and community extension programs

My Responsibility-Leadership Action Planto help make America healthy

Individual/Family Action

•Monitoring my calories:

www.myfitnesspal.com

•Eat healthy foods, including 2 ½ cup veggies/day, less than 20 g sugar/day

•Walk 60-70 min./day

•Special fruits, berries as treats for grandchildren

•Encouraging husband to use whole grain flour

•Advocacy letter to Ohio legislators & School Board

Community-related Action

•Proposed/organizing Healthy Lifestyle Advisory Committee at church

•Proposed/organizing Forums at church:

1) Obesity Crisis

2) What should we do to prevent obesity of our children? Ourselves?

The Guidelines for a Healthy Lifestyle

The Guidelines for a Healthy Lifestyle Start Here because…

Dietary Guidelines for Americans 2010

• Based on most recent scientific evidence summarized in Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2010 at http://www.dietaryguidelines.gov

• For health promotion and disease prevention for Americans 2 years old and older

• Form basis for nutrition policy in Federal food, education, and information programs

Key Recommendation #1

Prevent and/or reduce overweight and obesity through improved healthy eating & physical activity

Control total calorie intake to manage body weight. Consume NUTRIENT DENSE FOODS.

Balance calories with physical activity to manage weight

Top Sources of Calories Among Americans 2 Years and Older

Source: NHANES 2005-2006,Available at http://riskfactor.cancer.gov/diet/foodsources/

How to Put This in Action?

Caloric Balance: Food and Beverage Intake

Determine one’s daily calorie needs by monitoring body weight and adjust calorie intake

and participation in physical activity based on changes in weight over time.

MyFitnessPal or Super Tracker

How do I Count Calories if I Don’t Know How to Serve it?

Key Recommendation #2

Daily sodium to less than 2,300 mg; or 1,500 mg if 51 or over, African-American or have hypertension, diabetes, or chronic kidney disease

Solid fats and added sugars (SoFAS)

Foods that contain refined grains, especially foods with solid fats, added sugars, and sodium

Reduce some foods and food components:

Variety of vegetables, especially dark-green, red, and orange vegetables, beans, peas

Whole grains: Replace refined grains with whole grains—at least half

Variety of protein foods: seafood (8-oz. per week), lean meat and poultry, eggs, beans and peas, soy products, and unsalted nuts and seeds

Key Recommendations #3

Focus on consuming nutrient-dense foods

Nutrient-dense foods retain naturally occurring components, such as dietary fiber

Nutrient-Dense Foods

All vegetables, fruits, whole grains, eggs,seafood, beans and peas, unsalted nuts and seeds, fat-free and low-fat dairy, lean meats and poultry are nutrient-dense when prepared without solid fats or sugars

Nutrient-Dense vs. Not Nutrient-Dense

Nutrient-Dense vs. Not Nutrient-Dense

Nutrient-Dense vs. Not Nutrient-Dense

Key Recommendation #4

Focus on nutrient-dense foods

Remember: Beverages count

Nutrients should come from food

Build healthy eating pattern to meet

nutrient needs over time at appropriate

calorie level, e.g., DASH, Mediterranean-style

Let’s Get Started

Responsibility-Leadership Action Planto help make America healthy

Community-Related Action

Individual / Family Action

Classroom School Action

WHAT WILL YOU DO?

In Summary

Three Nutrition Points to Put in Your Back Pocket!

1. This is the time to ADOPT a healthy lifestyle NOT a band aid.

2. Any “diet” can be healthy and unhealthy.

3. Calories are to be respected!

You Pick Three!

1. Pick 3 actions from your sheet that you have pondered today

2. Put them into action this year!

3. Report back…… yeah that’s right… report back!

Here’s How:

Kelly Schulze: kmac10@me.com

Facebook: find Ohio FCS group or friend me – Kelly McNulty Schulze and I will lead the way.

Twitter: find me and those around you and stayconnected!

Additional Resources

Internet Resources

USDA & USDHHS, Dietary Guidelines for American 2010 www.dietaryguidelines.govSee p.59 for Resource List

Local data related to obesity: http://www.countyhealthcalculator.org/widget

State specific data on health care costs and quality, prevention, insurance coverage, public health, childhood obesity, examples of community creativity, and possible funding source:http://www.rwjf.org/childhood obesity/http://www.rwjf.org/healthpolicy/

Apps that you might find useful

myfitnesspal

Get Fit Map

Apps that you might find useful

Smash Your Food

Internet Resources

The Snackwise® Nutrition Rating System All you do is type the information from the nutrition facts label in the Snackwise® Calculator and Snackwise® determines the nutrient density and rates the snack! Snack foods are then rated as either: GREEN: BEST CHOICE; YELLOW: CHOOSE OCCASIONALLY; and, RED: CHOOSE RARELY http://www.snackwise.org/

Nebraska Extension Office: Spending your Calorie Salary and other PowerPoints Alice Henneman, MS, RD, Extension Educator Univerity of Nebraska Extension ServicesBeverly Benes, PhD, RD, Assistant Director, Nutrition Services

http://lancaster.unl.edu/food/resources.shtml

Internet Resources

Institute of Medicine’s Report: Accelerating Progress in Obesity Prevention. Published May8, 2012.http://www.iom.edu/Reports/2012/Accelerating-Progress-in-Obesity-Prevention.aspx

Bipartisan Report: Lots to Lose How America’s Health and Obesity Crisis Threatens our Economic Future. Published June 5, 2012http://bipartisanpolicy.org/library/lotstolose

Websites for BMI calculation: The Center for Disease Control and Prevention -http://www.cdc.gov/healthyweight/assessing/bmi/

The National Heart Lung and Blood Institute http://www.nhlbisupport.com/bmi/

“Everyone has a role in the movement to make America healthy.”

Dietary Guidelines for American, 2010, USDA & HHS

“Success is only possible if all…work

together and bring creativity, innovation and focused commitment to

the effort.”

Lots to Lose. Bipartisan Policy Center