Jackie Davis-Manigaulte, Ed.D.Program Leader, Family and Youth Development

Evalina Irish-Spencer, MS, RD, CDN, CFCSNutrition & Health

Cornell University Cooperative Extension of New York City

March 2012

Presentation Materials for CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activityhttp://www.cdc.gov/healthyyouth/npao/presentation.htm

References for CDC slides and narrative:http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf

CDC Nutrition Factshttp://www.cdc.gov/healthyyouth/nutrition/facts.htm

*>95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts.

**1963–1970 data are from 1963–1965 for children 6–11 years of age and from 1966–1970 for adolescents 12–17 years

of age.

Source: NCHS. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD. 2011

CDC , 2011

4.6

4.2

19.6

18.1

Conditions Seen in ChildrenHigh CholesterolType 2 Diabetes/Impaired Glucose ToleranceHigh Blood PressureSocial Problems andPoor Self-EsteemSleep DisturbancesOrthopedic Problems

CDC, October 2011

Obese children and adolescents are more likely to become overweight or obese adultsHeart DiseaseCancerStrokeType 2 DiabetesOsteoarthritisPhysical DisabilityHigh Blood PressureSleep Apnea

CDC, October 2011

Genetics

Environment

Unhealthy Diet

Sedentary Lifestyle

Lack of Physical Activity

CDC, October 2011

The Benefits of Healthy

Eating Optimal growth and development of children Prevent high cholesterol and high blood pressure Reduce risk of chronic diseases such as cardiovascular disease, cancer, and diabetes. Reduce risk for developing obesity, osteoporosis, iron deficiency, and dental caries (cavities) Healthy breakfast: improved cognitive function (especially memory), reduced absenteeism, and improved mood.

CDC-Nutrition Facts

Academic Success Health and Well-being

Risk for Obesity Risk for Chronic Conditions

(e.g., osteoarthritis) Risk for Chronic Diseases

(e.g., cancer)CDC, October 2011

• Overall health • Cognitive development

• School performance

2010 Dietary Guidelines

for Americans

Let’s Move Campaign Choose My Plate

Food Icon

Most youth in the United States:• Do not eat enough fruits and vegetables (2½ cups to 6½ cups daily recommended)• Do not eat enough whole grains (2 to 3 oz./daily recommended)• Eat too much sodium (max recommended: 1,500 to 2,300 mg each day)

Empty calories from added sugars and solid fats contribute to 40% of daily calories for children aged 2 to 18 years, half from six sources:

•Soda •Grain desserts

•Fruit drinks •Pizza

•Dairy Desserts •Whole milk

http://www.health.ny.gov/prevention/nutrition/resources/docs/adolescent_food_guidelines.pdf

http://www.actforyouth.net/resources/n/n_adolescent_food_guidelines.pdf

Interviewed provider group leaders:

Current healthy snack practices

Challenges

Outreach throughout Cooperative Extension and other health programs to identify healthy snack resources

Youth provided valuable feedback :

Prepared and evaluated recipes

Encouraged food preparation as strategy for introducing new foods

ACT for Youth Network members, NYC

Youth rate snacks at 4H CITY Project in Forest Hills, Queens

Provider group leaders shared feedback about draft of healthy snacks resource:

- relevant for their audience- starting to serve more nutritious snacks, will

be helpful resource

- engaging and easy to follow

Extensive review provided by Cornell University Cooperative Extension Nutrition & Health and New York State Department of Health staff.

Key Nutrition & Info :

- reduce sweetened drinks

- increase fruits and vegetables

- increase whole grains

- less fat and sugar

- more fiber

- healthier fast food choices

- portion size

Tips for Successful Implementation of Guidelines:

- Use local resources- Develop food policies- Cost challenges- Involve youth- Limited facilities- Lead by example - Suggestions for

food/beverages- Vending machine options- Label reading- Menu suggestions

Sample Recipes

Plan how to incorporate the guidelines into agency program

Involve youth throughout

Share experiences and new tips and recipes

Guidelines for Healthy Food and Beverages for Adolescent Health Programshttp://www.actforyouth.net/resources/n/n_adolescent_food_guidelines.pdf 

An Ecological Approach to Adolescent Obesityhttp://www.actforyouth.net/resources/rf/rf_obesity_0212.pdf

Best Bones Forever!http://www.bestbonesforever.gov/bbf/

Easy Meals and Snacks: A Healthy Cookbook for Teenshttp://www.cdph.ca.gov/programs/NutiritionandPhysicalActivity/Documents/MO-NUPA-TeenCookBook.pdf

Presentation Materials for CDC’s School Health Guidelines to Promote Healthy Eating and Physical Activityhttp://www.cdc.gov/healthyyouth/npao/presentation.htm

References for CDC slides and narrative:http://www.cdc.gov/healthyyouth/npao/pdf/references.pdf

CDC Nutrition Factshttp://www.cdc.gov/healthyyouth/nutrition/facts.htm

The ACT for Youth Center of Excellence connects positive youth development resources and research to practice in New York State and beyond. The Center provides:

Technical support, training, and evaluation for youth-serving programs funded by the NYS Department of Health.

Youth Development and adolescent sexual health resources: • Website, publications, and presentations

http://www.actforyouth.net

• ACT for Youth Updatehttp://www.actforyouth.net/publications/update/cfm

ACT Youth Networkhttp://www.nysyouth.net

Bronfenbrenner Ctr for Translational ResearchBeebe HallCornell UniversityIthaca, NY 14853607-255-7736act4youth@cornell.edu