Achieving Energy Balance

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Achieving Energy Balance Improving Nutrition
Activity at Home, School, and in the
Community Annual PANA Webcast 9-23-08
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• A statewide network that works collectively to
  make it easier to be healthy in the places we
  live, learn, work and play by changing
  environments to support healthier eating and
  physical activity options.

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Energy Balance

• PANA shares a message and measures to achieve

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Energy Balance

• the universal measure of healthy eating and
  active living
• When energy in exceeds our energy out over time,
  weight gain and associated health risks may occur
  (weight loss below an ideal body weight can also
  lead to serious medical issues)

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Web cast Objectives

• Adopt a shared message and events for promoting
  energy balance
• Acquire resources for Enriching Family Meals
• Improve programs and practices in schools and
  recreation centers that support energy balance
• Develop community partnerships around strategies
  to improve energy balance

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• nrgBalance makes it easier for everyone to access
  healthy eating and active living options by
  rallying health and wellness champions to create
  energy balanced environments.

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The Science behind Energy Balance

• or more hours of physical activity
• hours or less of screen time
• meals a day
• or more cups of water or
• low/no-calorie beverages
• or more fruits and veggies

• Recommendations for Prevention of Childhood
  Obesity
• Davis MM et al, 2007 Pediatrics, S229-S253

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One or more hours of physical activity

• Research indicates that children who do not
  engage in regular physical activity are at
  greater risk of obesity. Must Tybor 2005, Int J
  Obes
• Activity habits that are formed during early
  childhood increase the likelihood of being an
  active adult. Telama et al 2005 Am J Prev Med
• Experts recommend kids accumulate 60 minutes of
  moderate daily activity. Davis 2007, Pediatrics
  

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Two hours or less of screen time

• Each year the average child spends 900 hours in
  school and nearly 1,023 hours in front of a TV.
  Sharif Sargent 2006, Pediatrics
• Evidence shows that children tend to be less
  physically active when they devote large amounts
  of time to screen time activities. Delmas
  et al 2007, Obesity Dennison et al 2002,
  Pediatrics Hager 2006, J Adol Health
• Experts recommend limiting television viewing
  and other non-academic screen time to less than 2
  hours per day to prevent obesity Davis
  2007 Pediatrics

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Three meals a day

• Research suggests that neglecting to eat meals,
  particularly breakfast, can lead to weight gain.
  Teveras et al, 2007, Obes Research
• The family meal has a significant impact on the
  nutritional quality of childrens diets-
  increased consumption of fruits, vegetables and
  milk and less fried foods and soft drinks. Davis
  2007, Pediatrics Neumark-Sztainer et al, 2003, J
  Am Diet Assoc Rockett HRH 2007, J Am Diet Assoc
• Experts recommend encouraging family meals in
  which parents and children eat together
  Davis 2007, Pediatrics

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Four or more cups of water or low/no-calorie
beverages

• Adequate Intake for water is 5 - 8 cups total
  beverages including water and other beverages
  such as milk and juice Food Nutrition Board,
  2004, IOM
• Soft drinks are the leading source of added
  sugars in the daily diet of youth. Murphy et al,
  2005, FASEB J
• Research supports a clear association between
  sweetened beverage consumption, increased caloric
  intake, and childhood obesity. Am Diet Assoc
  Evidence Library, 2008
• Experts recommend limiting childrens access to
  sugar-sweetened beverages both at home and at
  school. Davis et al, 2007, Pediatrics

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Five or more fruits and veggies

• Increased fruit and vegetable consumption may
  protect against obesity because they are low in
  calories, high in fiber, and make you feel full.
  Am Diet Assoc Evidence Library 2008
• Increased consumption of fruits and vegetables
  also provides valuable vitamins, minerals and
  fiber children need for good health.
• Experts recommend encouraging 5 or more servings
  of fruits and vegetables
  Davis 2007 Pediatrics Dietary Rec for Child and
  Adol, 2006, Pediatrics

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• nrgBalance
• Powered by Pennsylvania Advocates for Nutrition
  Activity (PANA)

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nrgBalance Initiatives

• Sharing nrgBalance
• Creating Healthy Places
• Partnering for Healthy Communities

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Sharing nrgBalance nrgBalance 12345! nrgBalance
Events nrgBalance Month nrgBalance Rally
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Sharing nrgBalance

• Featuring
• nrgBalance 12345!
• nrgBalance Events
• nrgBalance Rally
• nrgBalance Month
• Resources and
• Downloads

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nrgBalance 12345!

• Five recommended behaviors for maintaining good
  health, complete with simple, practical tips for
  helping families achieve energy balance every day
• Resources Coming Soon
• Make Healthy Easy with nrgBalance 12345!
• One or more hours of physical activity fact
  sheet
• Two hours or less of screen time fact sheet
• Three meals a day fact sheet
• Four or more cups of water fact sheet
• Five fruits and veggies fact sheets

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nrgBalance 12345!
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nrgBalance Events
nrgBalance hosts three annual events celebrating
healthy snacking, healthy meals and outdoor play.
New and improved online planning guides
available for each event 1 Organize your
Planning Team 2 Plan your Event 3 Promote
your Event 4 Share your Success
Oct. 29, 2008
March 17, 2009
April 22, 2009
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nrgBalance Events
Celebrated during National Apple Month, Apple
Crunch encourages youth, families, schools and
communities to make the apple, and other fruits
and vegetables, a healthy snack. Start planning
your event today!
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nrgBalance Events

• Access our online planning guide

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nrgBalance Events
2) Order an Apple Crunch Poster pack
through our online store 10 posters
for 7.50 Order deadline Sept. 24
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nrgBalance Events

• 3) Download customizable Apple Crunch resources

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nrgBalance Events

• 4) Receive a discount on bagged apple slices from
  Appeeling Fruits
• Participating Food Service Distributors
• U.S. Food Service Allentown
• Feesers
• Kegels Produce
• U.S. Food Service Altoona/Greensburg

• Visit the Organize your Planning Team link on the
  Apple Crunch Web
• to download the flyer with ordering instructions

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nrgBalance Events

• 5) Share your Apple Crunch Success Stories

Biglerville Elementary School 2007
Mount Carmel High School 2007
Jefferson Morgan Middle/High School 2007

• Visit the Apple Crunch Web page to upload success
  stories/photos

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nrgBalance Events
6) School Food Service Directors Submit your
Apple Crunch menus and photos to the National
Apple Month Contest and become eligible to
receive up to 500 in prizes
Visit the Organize your Planning Team link on the
Apple Crunch Web page to download contest details
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nrgBalance Events

• Save the Date

March 17, 2009
April 22, 2009
Online planning guide available January 2009
Begin ordering your Move it Outside Event Kit or
Poster Pack online today!
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nrgBalance Month

• April 2009

Celebrate nrgBalance Month and show your
commitment to healthy eating and active living!

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Find nrgBalance Events Near You
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nrgBalance Rally
October 8, 2008
Location Highmark Headquarters Fifth Avenue
Place 120 Fifth Avenue Pittsburgh, PA
15222 Sponsored by
Rally Schedule 1 30 p.m. About nrgBalance
Workshop 315 p.m. Interactive nrgBalance
12345! Exhibits 515 p.m. Grand Prize
Drawing 530 p.m. Rally Ends
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nrgBalance Rally

• About nrgBalance Workshop

• Audience local health and wellness leaders
  school
• health, community health, youth-serving,
  community
• recreation and employee wellness professionals
• Workshop objective learn how to engage in the
• nrgBalance movement and implement the programs,
  
• campaigns and events that support the creation
  of
• healthy environments
• Registration FREE register at
  www.nrgbalance.org,
• under sharing nrgBalance/nrgBalance Rally

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nrgBalance Rally

• Interactive nrgBalance 12345! Exhibits

• Audience Pittsburgh-area teens (ages 13 18)
  and local
• health and wellness leaders
• Interactive exhibits Each of the exhibits
  highlights one of the
• five nrgBalance guidelines for making healthy
  easy for teens.
• Features include interactive gaming, cooking
  demos,
• climbing wall, outdoor recreation demos and
  much more
• Registration Youth advisors are invited to
  register their
• organization (school, youth group, rec center,
  etc.) for
• this FREE event at www.nrgbalance.org, under
  sharing
• nrgBalance/nrgBalance Rally

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nrgBalance Rally

• Attention Youth Advisors

Register the most number of teens to
attend the Rally and your organization will
receive a DDR Dueler System (valued at
1,650) from iTech Fitness. Visit
www.nrgbalance.org, and click on Sharing
nrgBalance/ nrgBalance Rally to download and
print our teen invite and for additional
information on parking and drop-off/pick-up
logistics.
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nrgBalance Rally

• Featured Exhibitors

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Katherine Cason, PhD, RD Journal
of the American Dietetic Association, April 2006

• "Promoting the family meal is a potential
  public health measure for improving dietary
  quality, reducing overweight, and improving
  educational and social outcomes.

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Importance ofFamily Mealtimes

• The Amazing Benefits of
• Eating and Talking TOGETHER

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Sally Squires, Lean Plate Club columnistThe
Washington Post, May 2007

• Most parents look for ways to give their
  children an edge, but many miss an easy and often
  inexpensive recipe for success eating together.

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Family Mealtimes

• A simple family habit impressive benefits for
  kids

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Family mealtimes help

• Family togetherness
• Behavior issues
• School success
• Better nutrition
• Weight concerns

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Togetherness

• Unity and sense of identity
• Safety and security
• Adult role models
• Memories for a lifetime

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Behavior issues

• More family meals mean teens are less likely to
• Become depressed
• Use illegal drugs
• Abuse alcohol
• Smoke cigarettes
• Develop eating disorders
• Get pregnant

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School success

• More family meals mean youth are more likely to
• Learn and practice important language skills
• Learn new vocabulary
• Do well in school and score well on achievement
  tests
• Report getting all As and Bs

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Better nutrition

• Nutrient-rich foods for strong bodies and smart
  brains
• More fruits, veggies, lean meats, and milk
• Fewer fried foods and soft drinks

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Weight concerns

• More family meals mean children and teens are
• More likely to have a healthy weight
• Less likely to become or stay overweight
• Less likely to develop an eating disorder

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Mealtime Goals

• Nutrient-rich foods
• TV-free and phone-free
• Minimal distractions
• Relaxed atmosphere
• Positive, child-focused conversations

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Mealtime memory from teacher in Michigan

• Building, bonding relationships. Developing
  family self-esteem and pride by sharing daily
  activities.

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For more information and recipes visit
www.school-wellness.org
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Family MealtimesMade Easy

• Simple Ways to Enjoy Eating and Talking
  TOGETHER

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Easy Food for Family Mealtimes

• Menu Planning and Recipes for
  Nutrient-Rich Meals

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Promoting aFamily Mealtime Challenge

• Helping Families Make a Habit of Eating TOGETHER

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Family MealtimeCHALLENGE

• Beginning new patterns to establish
  lifetime habits

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A successful challenge needs

• Participants
• Partners
• Promotion
• Printing
• Prizes
• Parties

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PARTICIPANTS
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PARTNERS

• Promotion to their members
• Printing of handouts
• Prizes and materials
• Support for parties

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PROMOTION

• Letting potential participants know
  WHY, HOW and WHAT the challenge is all about.

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PRINTING

• Participants need calendars for recording family
  meals, as well as handouts and recipes.

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PRIZES

• Certificates for food, tableware or cookware
• Meals cooked by celebrity chefs
• Child-friendly cookbooks
• Cooking classes for children and/or families
• Active family games

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PARTIES

• Successful programs deserve celebrations. Maybe
  a family potluck or a cooking class for children?

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A successful challenge needs

• PARTNERS
• PROMOTION
• PRINTING
• PRIZES
• PARTIES

FUN
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For more information and recipes visit
www.school-wellness.org
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Questions

• info_at_panaonline.org

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Creating Healthy Places nrg Balance Zones nrg
Powered by Choice
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What is an nrgBalance Zone?

• The nrgBalanze Zone campaign is an annual
  campaign that publicly recognizes Pennsylvania
  schools and community recreation centers for
  their commitment to make healthy easy for the
  youth they serve.
• The campaign provides resources, materials,
  training, and technical assistance to help
  schools improve nutrition and physical activity

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What is an nrgBalance Zone?

• nrgBalance Zones participate in events and
  programs offered through the nrgBalance movement.
• nrgBalance equips schools and community
  recreation centers with information and resources
  to make healthy policy and environment changes
  that support access to healthy eating and active
  living.

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nrg Balance Zones (Keystone Healthy Zone)

• Annual enrollment for schools and community
  recreation centers with after-school program(s)
• Select a healthy change goal from the12345!
  continuum
• Receive access to evidence-based programs and
  incentives to implement change

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Congratulations Class of 07-08

• Get Started
• School Health Profile emailed in early October
• Hang your KHZ Banner
• Implement your KHZ Award
• Communicate this achievement with newsletter
  template, press release
• Prepare for 2009 enrollment

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2009 nrgBalance Zone EnrollmentFebruary 2-March
13, 2009
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How do I enroll?

• Sites enroll by committing to make a healthy
  change that supports one of the nrgBalance 12345
  Recommendations
• Complete an online assessment about policies and
  practices related to coordinated health,
  nutrition, and physical activity efforts.

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Recognition Benefits

• Receive recognition and evidence-based awards for
  improving healthy food and physical activity
  options in their setting.
• CATCH Kids Club Activity Box and Nutrition
• Media-Smart Youth Eat, Think, and Be Active!
• Family Fitness Professional Development
• Polar Companion Pocket PC and Heart Rate Monitor
• School Nutrition Association of Pennsylvania
  Membership

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nrgBalance Zone Featured Resource

• Freedom Climber
• Higher Ground Curriculum
• Highmark Healthy School
• Challenge Grant Template
• PANA Letter of Support

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Would getting teens involved in creating healthy
changes inspire them to eat better and be more
active?
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• the teen campaign to make healthy easy

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the nrg network

• 5490 nrg Members
• More than 4700 Teens
• More than 730 Advisors

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nrg Teen Social Networks

• Top nrg Teen Groups
• At School
• Student Council
• National Honors Society
• Student Press
• Varsity Club
• Drama Club
• In the Community
• Community Recreation Center Clubs
• 4-H
• Boy/Girl Scouts

• Top nrg Teen Extra-curricular Activities
• Chorus
• Track Field
• Basketball
• Band
• Football

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3 Levels of EngagementOwn it.Share
it.Change it.
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own it.

• Adult Advisor signs onto the campaign at
  www.poweredbychoice.org
• Adult Advisor orders a Back to School Promotion
  Kit
• Adult Advisor distributes promotional material to
  teens
• Post decal on locker, car, or other fun places
• Wear an nrg t-shirt to show youre part of the
  cause

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back to school promotion kits
get teens excited about nrg Powered by Choice
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share it.

• Teens sign-up online
• Send an nrg e-card
• Post an nrg web-banner
• Make nrg your friend on Facebook and Myspace
• Enter the nrg Contests

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capture your nrg Photo Contest
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Web banners
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e-cards
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teen badges
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change it.

• Teens can work with an adult advisor to select a
  change that supports healthy eating or physical
  activity
• e.g. PE Equipment, Healthy Vending, Salad Bar,
  After School Programs
• Promote the change with nrg materials
• Plan an nrg Ultimate Frisbee Fundraiser to make
  the change a reality (event kit provided to first
  100 requests)

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Ultimate frisbee fundraiser kits

• Give teens a format for raising money to
  implement their selected change
• Contents
• T-shirts
• nrg decals
• nrg frisbee decals
• Ultimate Frisbee Equipment
• Tournament Guide
• Event Posters

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orchange it.

• Choose to be a role model for younger kids and
  plan a Move It Outside event (promoting outdoors
  and activity with a Frisbee) at an elementary
  school or in the community

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nrg move it outside kits

• Give teens a specific opportunity to engage and
  mentor younger children
• Contents
• nrg T-shirts
• nrg Frisbee decals
• 50 Frisbees for youth
• 10 nrg string bags
• Activity ideas for Frisbee games and events
• Move it Outside posters

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• Video

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teen demographics

• Student groups most likely to participate in
  leading Powered by Choice
• Student Council (35)
• Basketball (27)
• Student Press (26)
• Chorus, Soccer, or Volleyball (25 each)
• National Honor Society (24)
• Teen leaders are likely to affiliate with these
  crowds brains (48), populars(37), and jocks
  (37)

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change it focus

• Nutrition Environment 34
• Physical Education 17
• Physical Activity Opportunities 57

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personal attitudes

• The leaders care a lot about making changes in
  their neighborhoods that would make it safe, fun,
  and easy to be physically active.

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teen leader findings

• Teen leaders self-efficacy and attitudes about
  nutrition significantly improved
• Self-efficacy measures that improved
• overcoming personal challenges to nutrition
  physical activity
• developing interest in new activity
• also perceptions of barriers to achieving
  nutrition physical activity decreased

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creating pro-social involvement

• The nrg team sponsored after school Tae Kwon
  Do classes have been very successful! What has
  been exciting to me is that the students that
  have been attracted to that activity are ones
  that arent normally connected to any other
  school activities, so besides the physical
  activity were creating a positive school
  relationship for them!
• Thanks for all your support,
• Denise Foltz, School Nurse

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• Find out how to join
• nrg Powered by Choice
• the teen campaign to make healthy easy
• Contact Rebecca Stametz
• rstametz_at_psu.edu

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Break
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Partnering for Healthy Communities PANA nrg
Outdoors Safe Routes to School Academy
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• A statewide network that works collectively to
  make it easier to be healthy in the places we
  live, learn, work and play by changing
  environments to support healthier eating and
  physical activity options.

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PANA State Network

• History
• Mission
• Reach
• Adoption Goals
• Executive Team
• Advisory Members
• State Leadership Network

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Moving Youth to Active Outdoor Recreation
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Sponsored by
Program Partners
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nrg Outdoors

• Annual program designed to
• Teach outdoor recreation skills to youth
• Promote the use of parks and trails
• Improve conservation practices among youth and
  families

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Keystone Active Zone (KAZ) and nrg Outdoors

• Formerly Keystone Active Zone
• Transition to nrg Outdoors program as part of
  nrgBalance make healthy easy campaign
• New and improved program design and evaluation

• Designation of PA Parks and Trails listed in the
  nrg Outdoors program

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nrg Outdoors Reconnects Kids to Nature and
Improves Physical Activity

• Barriers to Outdoor Recreation
• Lack of skills
• Awareness of facilities and resources
• nrg Outdoors provides training and tools to
• Teach outdoor recreation skills to youth
• Promote facilities and events to encourage visits
  to local parks and trails

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How do you implement the nrg Outdoors Program?
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Step 1

• Form a partnership

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Partnership

• Lead Partners
• Physical education teachers
• Teaches recreation skills
• Recreation professionals
• Offers summer passport events
• Community health professionals
• Convenes partners, plans promotion
• and incentives

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Step 2

• Inventory local
• parks and trails

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Inventory

• Collect and enter state, county, and municipal
  parks and trails into an online directory
  (including activities and amenities)
• work with local government planning offices or
  utilize student volunteers
• Pennsylvania parks and trails promoted
• in the directory are designated as
• Keystone Active Zones

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Step 3

• Provide outdoor recreation skill instruction for
  youth

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Skill Instruction

• Offer a minimum of one outdoor recreation
  activity unit in a school or after school program
  between October and April
• An annual calendar of professional development
  programs to teach
• outdoor recreation skills is
• provided.

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Step 4

• Plan the nrg Outdoors summer passport program

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Summer Passport

• Identify or create a minimum of two events per
  month (May through August) at local parks and
  trails
• Feature active outdoor recreation activities
  (e.g. hiking, paddling, biking, fly fishing, and
  conservation)
• Encourage youth to visit events
• through nrg Outdoors punch card
• and local incentives

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Step 5

• Determine promotional plan for nrg Outdoors
  summer passport program

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Summer Passport Promotion Plan

• Identify school and community youth groups to
  promote and register in the summer passport
  program
• passport should target youth groups who
  received outdoor skill instruction.

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Step 6

• Celebrate
• Move It Outside Day
• April 22, 2009

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• Kick-off for the summer passport program
• Celebrates outdoor play
• Last Wednesday of April during National Turn off
  the TV week
• Event kits available on 9/23 at
  www.nrgbalance.org

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Step 7

• Evaluate nrg Outdoors participation

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Evaluation

• Online forms are provided to track summer
  passport event participation
• Tools provided to help share local progress and
  results for outdoor recreation instruction

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Important Dates

• September 2- September 30
• 2008-09 nrg Outdoors program enrollment
• Mini-grant application automatically sent via
  email to enrolled partnerships
• October 15
• Online mini-grant applications due

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All registered partnerships receive

• An nrg Outdoors Implementation mini-grant
  application
• 1 scholarship registration for professional
  development to teach outdoor recreation skills
• 5 nrg Outdoors indoor/outdoor signs
• 100 nrg Outdoors decals
• Access to a central Web site and a tailored
  county web page

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All registered partnerships receive

• Downloadable templates and materials for local
  nrg Outdoors program promotion
• Technical Assistance via conference calls
• Annual professional development Web cast
• iConserve PA and Get Outdoors PA Promotional
  Materials (Sponsored by DCNR)

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For more information visitwww.nrgoutdoors.org

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Safe Routes to School Academy
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Safe Walking Routes to School

• A means to improve physical activity and support
  childhood obesity prevention efforts

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Federal Safe Routes to School program

• Provided to every state DOT (2005-2009)
• Funds infrastructure and non-infrastructure
  activities
• Requires State SRTS Coordinators
• Comprehensive SRTS program

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5 Es of SRTS

• Education
• Encouragement
• Enforcement
• Engineering
• Evaluation

Brockway Elementary School Walk to School Day
2006.
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• This work was sponsored by the Pennsylvania
  Department of Transportation and the US
  Department of Transportation, Federal Highway
  Administration.

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Goals

• Develops local partnerships among education,
  health, local government, parents, and public
  safety representatives
• Encourages implementation of supervised walk to
  school programs
• Supports the development of safe walking routes.

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Academy Features

• Online training modules
• Mini-grants
• Professional development training
• Promotional materials templates
• Technical assistance

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Mini-Grant Basics

• Seed money for schools and communities to promote
  walking to school and plan for safe routes
• Two year mini-grant program
• Only schools with grades K-8 may apply.

Drop Walk at Nash Elementary, 2007 W2SD.
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SRTS Academy Mini-GrantsRound 2Fall 2008
Capacity Building Mini-Grant 5,000 over two
years technical assistance provider SRTS
Education Encouragement Mini-Grant 5,000
over two years
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CONGRATULATIONS!

• Spring 2008 Mini-grant Winners
• Broad Street Elem School (Dauphin Co)
• Jenks Hill Elem School (Jefferson Co)
• Mt. Penn Elem School (Berks Co)
• Northside Elem School (Dauphin Co)
• Wellsboro Area MS (Tioga Co)

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Round 2 Timeline
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October 8, 2008

• 225 Walking School Bus kits were distributed
  across Pennsylvania
• Access our online planning guide at
  www.srtsacademy.org and click on Walk to School
  Day
• Register your walk to school day event with
  International Walk to School Day at
• www.walktoschool.org/register

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nrgBalance Web site Features Upload
Stories Find nrgBalance near you
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Find nrg Balance near you
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Questions Answers [phone] Passcode
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