healthy drinks for healthy kids - alaska department of...
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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
907-269-3433