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The Child and Adult Care Food Program

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Title: The Child and Adult Care Food Program


1
Tips for Nutrition Physical Activityin Child
Care Settings
  • The Child and Adult Care Food Program

2
USDA Nondiscrimination Statement
  • The U.S. Department of Agriculture (USDA)
    prohibits discrimination against its customers,
    employees, and applicants for employment on the
    bases of race, color, national origin, age,
    disability, sex, gender identity, religion,
    reprisal and, where applicable, political
    beliefs, marital status, familial or parental
    status, sexual orientation, or if all or part of
    an individual's income is derived from any public
    assistance program, or protected genetic
    information in employment or in any program or
    activity conducted or funded by the Department.
    (Not all prohibited bases will apply to all
    programs and/or employment activities.)
  • If you wish to file a Civil Rights program
    complaint of discrimination, complete the USDA
    Program Discrimination Complaint Form, found
    online at http//www.ascr.usda.gov/complaint_filin
    g_cust.html, or at any USDA office, or call (866)
    632-9992 to request the form. You may also write
    a letter containing all of the information
    requested in the form. Send your completed
    complaint form or letter to us by mail at U.S.
    Department of Agriculture, Director, Office of
    Adjudication, 1400 Independence Avenue, S.W.,
    Washington, D.C. 20250-9410, by fax (202)
    690-7442 or email at program.intake_at_usda.gov.
  • Individuals who are deaf, hard of hearing, or
    have speech disabilities and wish to file either
    an EEO or program complaint please contact USDA
    through the Federal Relay Service at (800)
    877-8339 or (800) 845-6136 (in Spanish).
  • Persons with disabilities who wish to file a
    program complaint, please see information above
    on how to contact us by mail directly or by
    email. If you require alternative means of
    communication for program information (e.g.,
    Braille, large print, audiotape, etc.) please
    contact USDA's TARGET Center at (202) 720-2600
    (voice and TDD).
  • USDA is an equal opportunity provider and
    employer.

3
Introduction
  • The Child and Adult Care Food Program

4
CACFP Healthy Eating Physical Activity
HEALTHY KIDS
5
After this workshop, you will be able to
describe
  • Strategies to improve nutrition
  • The relationship between nutrition, physical
    activity, and health
  • Safe food preparation tips
  • The importance of regular physical activity to
    overall health and well-being
  • The benefits of limiting screen time

6
Benefits of Healthy Eating Active Play for
Children
  • Promotes healthy growth and development
  • Less likely to be sick and miss school
  • Improves learning ability, behavior, and academic
    performance

7
WHY Focus on Nutrition Physical Activity in
Child Care Settings
  • Increase in overweight and out-of-shape kidsand
    even toddlers
  • Percentage of overweight kids (and those on track
    to become overweight) has doubled in the last two
    decades

8
WHY Focus on Child Care Settings
  • Healthy, Hunger-Free Kids Act of 2010 improves
    nutrition and wellness recommendations for child
    care programs by encouraging
  • Healthier meals and snacks with an emphasis on
    increasing the consumption of whole grains,
    fruits and vegetables, low-fat and non-fat dairy
    and lean protein foods
  • Opportunities for adequate physical activity
  • Limits the use of screen time

9
WHY Focus on Child Care Settings
  • More than half of obese children are overweight
    by age two
  • Approximately one in five is overweight or obese
    by their sixth birthday
  • Approximately 10 of children come to
    kindergarten already obese (up from 5 in 1980)

10
WHY Focus on Child Care Settings
  • Increased incidence of type 2 diabetes (even in
    childhood), heart disease, arthritis, and some
    cancers
  • Emotional impact on children and teens by
    contributing to social isolation, lowered
    self-esteem, and depression

11
WHY focus on Child Care Settings
  • Approximately 47,000 NH children in child care
  • 80 of time spent in child care is in sedentary
    activities
  • Many young children spend half of the waking
    hours in child care and may consume more than
    half of their daily calories there

12
Why is Nutrition Physical Activity Important?
13
2009 State Obesity Prevalence Among Low-Income
Children Aged 2 -4 Years
14
20072009 County Obesity Prevalence Among
Low-Income Children Aged 2 -4 Years
15
Parents Top 10 Health Concerns for Children
Health Concern
Childhood obesity 38
Drug abuse 30
Smoking tobacco use 29
Internet safety 25
Stress 24
Bullying 23
Teen pregnancy 23
Child abuse neglect 21
Alcohol abuse 20
Not enough opportunities of physical activities 20
16
Building a Healthy Plate
17
Components of a Healthy Plate
  • Children over 1 year
  • Milk
  • Fruit/Vegetable
  • Meat/Meat Alternate
  • Grains/Bread

18
Build a Healthy Plate with Milk
  • Children who consume dairy products get many
    important nutrients and have healthier diets than
    those who dont
  • Offer unflavored, fat-free, and low-fat milk most
    often
  • Offer fat-free and low-fat yogurt and cheese

19
Build a Healthy Plate with Fruits Vegetables
  • Most children 4 years and older do not eat enough
    fruit
  • Serve fresh, frozen, canned, and dried fruits and
    veggies
  • Limit fruit juice to one ½ to ¾ cup service of
    100 juice per day

20
Build a Health Plate with Dry Beans Peas
  • Nutritious
  • Inexpensive
  • Dry beans and peas are creditable as a meat
    alternate or a vegetable, but not as both in the
    same meal
  • Choose the easiest form canned, precooked beans

21
Build a Healthy Plate with Protein
  • Includes fish, shellfish, dry beans and peas,
    nuts, seeds, lean meats, poultry, eggs, yogurt,
    cheese, and processed soy products
  • Look for lean cuts of meat and the leanest ground
    meats possible
  • Offer unsalted nuts and seeds or peanut and
    sunflower seed butters spread thinly
  • Include cooked, canned, or frozen dry beans and
    peas

22
Build a Healthy Plate with Whole Grains
  • Grain products are any food made from wheat,
    rice, oats, cornmeal, barley, or cereal grain
  • Whole grain versions should be offered whenever
    possible
  • At least ½ of your grains should be whole grains

23
What types of grains should I offer?
Instead of Choose Whole Grains
White rice Brown rice, wild rice, quinoa
White flour Whole-wheat flour
White or wheat bread 100 whole-grain bread
Noodles, pasta, spaghetti, macaroni Whole-wheat or whole-grain pasta or noodles
Flour tortillas Whole-grain or whole-corn tortillas
Crackers Whole-grain crackers
Degermed cornmeal Whole-grain cornmeal
24
Make Water Available
  • Water is the best beverage choice
  • Make safe drinking water freely available
    throughout the day

25
How do you encourage kids to eat healthy foods?
  • Be a healthy food role model
  • Make food fun
  • Add fruits, veggies, and beans to favorite foods
  • Have a tasting day
  • Cook together

26
How do you encourage kids to eat healthy foods?
  • Teach kids about where their food comes from with
    a garden or trip to a farm
  • Give foods creative names
  • Put kids in charge
  • Send the message home
  • Family-style dining

27
Foods to Avoid
  • Added sugars
  • Salt and sodium
  • Solid fats

28
Tips to Avoid Added Sugars
  • Offer foods with no added sugars
  • Fruit
  • Serve fresh fruit more often than fruit-based
    desserts
  • Purchase fruit canned in water or 100 fruit
    juice instead of syrup
  • Use frozen fruits without added sugars
  • Choose 100 fruit juice
  • Offer raisins or other unsweetened dried fruit
    instead of fruit snacks
  • Check labels for sugar, honey, and ingredients
    ending in ose (for example, fructose, sucrose,
    and dextrose)
  • Avoid offering sweets as rewards

29
Tips to Avoid Added Sugars
Instead of Choose
Flavored milk Unflavored fat-free or low-fat milk
Sweetened yogurt Fat-free or low-fat plain yogurt topped with fruit
Ice cream or frozen yogurt Frozen 100 fruit bars
Sweetened breakfast cereals Whole-grain cereals with little or no added sugar or oatmeal
Cookies Whole-grain crackers, graham crackers, or plain animal crackers
Doughnuts, pies, or cakes Fruits, fruit salads, or baked fruits
Jam or jelly 100 fruit spread
Soda, fruit-flavored drinks, fruit cocktails, or fruit punch Water, fat-free or low-fat milk, or 100 juice
30
Tips to Avoid Salt Sodium
  • Use herbs and no-salt spice mixes
  • Look for items labeled no salt added or low
    sodium
  • Rinse and drain canned beans to reduce sodium
    content

31
Tips to Avoid Salt Sodium
  • Soak dry beans overnight in water with no salt to
    cook the next day
  • Limit serving highly processed poultry, fish, or
    meat (like hot dogs or chicken nuggets) to once
    weekly
  • Remove salt from recipes whenever possible

32
Tips to Avoid Solid Fats
  • Solid fats are high in saturated or trans fats
    (for example, fats from meat and dairy products,
    shortening, and stick margarine)
  • Replace solid fats with healthy oils (for
    example, olive oil)

33
Tips to Avoid Solid Fats
  • Use herbs and no-salt spice
  • Switch from solid fats to oils
  • Broil, grill, roast, poach, or boil

34
Tips to Avoid Solid Fats
  • Vegetables
  • Make salad dressings, sauces, and dips light
  • Use frozen veggies without added solid fats
  • Protein
  • Trim fat from meats and poultry before cooking
  • Limit processed poultry, fish, or meat (like hot
    dogs or chicken nuggets) to once weekly

35
Practice the Basics of Food Safety to Prevent
Foodborne Illness
36
Help Keep Kids Healthy
  • Help prevent foodborne illnesses in the children
    you care for by following these 4 simple steps
  • Clean hands and kitchen
  • Shop, store, prep, and serve safely
  • Chill
  • Heat food to the appropriate temperatures

37
Make Hand Washing a Habit
  • How to wash your (and the childrens) hands
  • Use warm soap and water
  • Scrub all parts of your hands for at least 20
    seconds
  • Dry hands with a clean paper towel
  • Use a paper towel to turn off the faucet and open
    doors

38
Food Preparation Tips
  • Always start with clean equipment and counter
    tops
  • Wash your equipment and counter tops with hot
    soapy water between each food item

39
Food Preparation Tips
  • Use clean towels or paper towels to wipe counter
    tops, sinks, and tables
  • Dont allow books, backpacks, or other items to
    be places on tables or counters where food will
    be prepared

40
Food Shopping Tips
  • Pick out your cold foods last
  • Dont buy foods close to or past the sell by or
    use by date
  • Place meat, poultry, and seafood in plastic bags
  • Keep a cooler in your car to transport perishable
    foods
  • Always refrigerate perishable foods within 2
    hours, or less if its hot out

41
Food Storage Tips
  • Store raw seafood, meat, and poultry on the
    bottom shelf of the refrigerator

42
Food Preparation Tips
  • Use a clean, separate cutting boards
  • Keep fruits and vegetables separate from raw
    meat, poultry, and seafood
  • Wash and dry the top of cans before opening

43
Safe Meat Preparation Tips
  • Defrost foods on the bottom shelf of the
    refrigerator overnight, not at room temperature
  • Do not rinse raw fish, seafood, meat, and poultry

44
Safe Meat Preparation Tips
  • Use 1 clean cutting board for fresh produce or
    ready-to-eat foods and a separate 1 for raw
    seafood, meat, and poultry
  • Use a food thermometer to check when meat, fish,
    poultry, or egg dishes are fully cooked

45
Fresh Fruits Vegetables Preparation Tips
  • Rinse well even if you are going to peel after
  • Cut away damaged or bruised areas
  • Store fresh fruits and veggies in a clean
    refrigerator (temp of 40F or below)

46
Serving Storage Tips
  • Always use a clean plate to serve food
  • Keep books, backpacks, or other items off areas
    where food will be served
  • Keep animals away from where food is served
  • Discard or freeze leftover foods within 3 4
    days
  • Reheat all leftovers to at least 165F

47
Tips to Handle Foods Carefully
  • Never leave perishable food out of the
    refrigerator for more than 2 hours
  • Refrigerate or freeze perishables, prepared
    foods, and leftovers as soon as possible, but no
    longer than 2 hours after purchasing, preparing,
    or serving

48
Active Play
49
Active Play Movement
  • Physical activity is any activity that gets your
    body moving, uses your muscles, and burns calories

50
Active Play Movement
  • Helps children
  • Develop their brains
  • Develop social skills
  • Develop muscles movement skills
  • Learn about their environment
  • Create healthy habits

51
Moderate vs. Vigorous
  • Moderate
  • Walking
  • Playing outdoors on play equipment
  • Swimming or climbing on equipment
  • Playing hopscotch or kickball
  • Vigorous
  • Running or jogging
  • Skipping
  • Race-walking
  • Running games
  • Jumping rope, jumping jacks, or jumping games
  • Dancing

52
Encourage Active Play!
  • Be a good role model
  • Lead activities two or more times per day
  • Wear clothing and footwear the allows easy and
    safe movement
  • Limit screen time

53
Encourage Active Play!
  • Create opportunities for safe active play indoors
    and outdoors
  • Be ready for various weather
  • Use space wisely
  • Pick a variety of games for children of all
    abilities

54
Recommendations for Physical Activity
  • Infants, Toddlers Preschoolers

55
Infants Birth to 12 Months
  • Take outside 2-3 times per day, if feasible
  • Tummy time 2-3 times per day

56
Tummy Time for Infants
  • Provides a different perspective from which to
    see the world
  • Develops skills, such as
  • Lift and support head
  • Hold head steady
  • Turn head
  • Develops strength and control of the neck,
    shoulders, and back to prepare the infant to
    roll, crawl, pull up, and walk

57
Toddlers 1 3 Years Old
  • Provide 60-90 minutes per day of moderate to
    vigorous physical activity (outdoors if possible)

58
Preschoolers 3-6 Years Old
  • Provide 90-120 minutes per day for moderate to
    vigorous physical activity

59
What are the challenges to active play
movement?
60
Things to consider.
  • Inform parents of the benefits
  • State how long children will have in active play
  • Make sure water is available
  • Provide a shady area outdoors
  • Make sure children have sunscreen or protective
    clothing
  • Make sure area is safe

61
REASONS to Limit Screen Time
  • Having the TV on can disturb childrens sleep and
    play, even if it is on in the background
  • TV and some DVDs include advertisements for
    unhealthy food children cannot tell the
    difference between programming and ad
  • Many video games include violence

62
More REASONS
  • The more time children spend watching TV or
    playing video games, the less active they are
  • The more time children spend playing video games,
    the more likely they are to have difficulty
    concentrating in school
  • Limit all videos including those that encourage
    children to be active (exergames)

63
SCREEN TIME Recommendations
How much is too much? How much is too much?
Children under the age of 2 No screen time, including TV/DVD/video viewing or computer use
Children over 2 years old Only 30 minutes total of screen time per week. No more than 15-minute increments of computer time
All ages No screen time during meals or snacks
64
Key Resources
65
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