AZDA Annual Meeting
6/11/2011
BE INVOLVED:
HELP KIDS EAT RIGHT
&
PREVENT CHILDHOOD OBESITY
OUTLINE
 Trends
in Childhood Obesity
Prevention
 ADA
Strategic Plan
 Family
Nutrition and Physical
Activity Trends
 Kids
Eat Right Initiative
CHILDHOOD OBESITY
PREVENTION IS A TOP
PRIORITY
• Nearly 10 years and
childhood obesity rates
still at epidemic
proportions
• New level of urgency
with focus from the First
Lady’s Let’s Move
Campaign
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
1
AZDA Annual Meeting
6/11/2011
FRAMEWORK FOR CHANGE
SOCIO-ECOLOGICAL
MODEL
TREND CONTINUES
Since 1980, basic food consumption and
weight messages are the same
Children’s consumption patterns look
worse than in late ‘70’s in a few areas:
•
•
•
•
Away-from-home foods
Snacking patterns
Lower quality diet
Higher calorie amount from nutrient poor foods
Activity patterns over last decade (YRBSS)
are stable, still less than 20% of kids have
60 minutes of physical activity each day
ARE HABITS
IMPROVING?
The ADAF fielded the
Family Nutrition and
Physical Activity Survey
2003 and 2010



Children and their parents
alignment 2003 versus
2010
Changes in behaviors from
2003 to 2010
Differences between white,
African American and
Hispanic samples in 2010
• Family Factors
• Eating Habits
• Activity Habits
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
2
AZDA Annual Meeting
6/11/2011
THERE IS GOOD NEWS
• Stage of readiness is “GO”
parents and children are
interested in eating healthy and
being active
• Significantly more parents are
aware of children’s eating and
activity patterns in 2010 than in
2003
• Significant decrease in kids
purchasing snacks and meals
from vending at school, fast food
and restaurants, and convenience
stores
•
•
•
•
Regular Schedules
Family Meals
Parent Spending
Time with Children
FAMILY
FACTORS
FAMILY BEHAVIOR
CHANGES
Percent
*Behaviors are different with statistical significance between 2003 and 2010, p<0.001.
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
3
AZDA Annual Meeting
6/11/2011
ROLE MODELS
Percent
If you had to name one person who you admire, who would that be?
FAMILY BEHAVIORS BY RACE





55% of white, 45% of African American and 47% of Hispanic
children went to bed at the same time all five school nights
72% of white and Hispanic and 61% of African American
children eat meals with their family daily
52% of white, 40% African American and 48% of Hispanic
children eat dinner at the same time all five school nights
42% White, 59% African American, and 42% Hispanic children
do NOT eat breakfast all the time
22% White, 34% African American, and 38% Hispanic children
do NOT eat dinner all the time
Percent
HOW OFTEN KIDS AND
PARENTS DO THESE
ACTIVITIES TOGETHER 3+
DAYS A WEEK
*Statistically significant differences, p<0.05, Parent-child dyad
correlation is statistically significant, p<0.05
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
4
AZDA Annual Meeting
6/11/2011
EATING AND
ACTIVITY
HABITS
Where – When – Why
Children Are Eating?
What activities are
children engaging in?
WHEN KIDS EAT
How often over the past week did you eat “all” or “most” of the
time?
Right after school
In the evening, after
dinner*
While watching TV*
While doing homework**
While playing on the
computer*
When talking on the
phone**
White
African
American
Hispanic
56.7%
57.8%
59.1%
26.0%
26.3%
24.3%
23.1%
30.0%
23.8%
8.8%
15.2%
6.2%
6.3%
10.3%
5.7%
2.9%
8.4%
3.5%
*Statistically significant differences by race, p<0.05; **Statistically significant differences by race,
p<0.001; Parent-child dyad correlation is statistically significant, p<0.05
WHERE KIDS EAT
If children did not eat a school lunch, they were
asked if they eat from...
White
African
American
Hispanic
Lunch from home*
87.8%
60.0%
70.0%
School snack bar*
5.2%
22.9%
Vending machine*
0.6%
27.1%
Store or fast food*
2.3%
29.4%
I do not eat school
lunch*
8.3%
34.0%
24.4%
10.3%
6.4%
26.9%
*Statistically significant differences by race, p<0.001
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
5
AZDA Annual Meeting
6/11/2011
CHANGES IN
PURCHASE HABITS
Percent
*Behaviors are different with statistical significance between 2003 and 2010, p<0.001
**Behaviors are different with statistical significance between 2003 and 2010, p<0.05
DIFFERENCES IN
PURCHASE HABITS
Number of time
purchased - 3+ days/wk
White
African
American
Hispanic
Grocery store*
17.7%
27.7%
20.7%
The school's vending machines,
snack bar, school store*
9.0%
24.3%
14.2%
Restaurants*
5.1%
13.9%
13.7%
Convenience store or street
vendor*
3.9%
19.9%
10.6%
Pizza delivery or other food
delivery service*
2.2%
11.6%
5.7%
*Statistically significant differences, p<0.001 Parent-child dyad correlation is
statistically significant, p<0.05
PHYSICAL ACTIVITY
CHANGES STAGNANT
Children’s participation in physical
activity did NOT change between 2003
and 2010
63% of children in 2003 and 60% of children in
2010 played team sports or group physical
activity
 15% of children in 2003 and 21% of children in
2010 prefer spending free time doing outdoor
activities

ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
6
AZDA Annual Meeting
6/11/2011
Percent
NUMBER OF DAYS GETTING
60 MINUTES PHYSICAL
ACTIVITY
Parent-child dyad correlation is statistically significant, p<0.05
NEW TRENDS
ARE POSSIBLE,
KIDS AND
PARENTS READY
INTEREST IN BEING PHYSICALLY
ACTIVE
Percent
It would help me be more active if...
*Statistically significant differences by race, p<0.001, Parent-child dyad
correlation is statistically significant, p<0.05
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
7
AZDA Annual Meeting
6/11/2011
INTEREST IN BEING PHYSICALLY
ACTIVE
Percent
It would help me be more active if….
*Statistically significant differences by race, p<0.05, **Statistically significant differences by race, p<0.001
Parent-child dyad correlation is statistically significant, p<0.05
Percent
INTEREST IN EATING
HEALTHIER
It would help me eat healthier if…
* Differences are statistically significant p<0.05; ** Differences are statistically
significant p<0.001; Parent-child dyad correlation is statistically significant, p<0.05
INTEREST IN EATING
HEALTHIER
It would help me eat healthier if….
Percent
White
100.0
90.0
80.0
70.0
60.0
50.0
40.0
30.0
20.0
10.0
0.0
African American
89 94 90
70
If these foods
tasted better*
80 82
If my parents at
home ate these
foods**
Hispanic
83
77 79
If healthy
food/drinks cost
less money**
* Statistically significant differences, p<0.05; **Statistically significant differences p<0.001; Parent-child
dyad correlation is statistically significant, p<0.05
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
8
AZDA Annual Meeting
6/11/2011
INSIGHTS FOR CAMPAIGN

Children want to eat healthier and be more physically
active



Parents are kids #1 role model
It is the right time
Address barriers to food/nutrient consumption
Lack of nutrition knowledge – nutrition education
at school
 Snacking opportunities, eating away from home
 Meal patterns


Parents want to talk with Registered Dietitians to learn:
Best foods to feed kids
How to make healthy meals
 How to know what is healthy


ADA Obesity Prevention Goal Areas
Policy
Resources
Kids Eat Right
Promote
Bonnie Spear, PhD, RD, chair
Patricia Crawford, PhD, RD
Dayle Hayes, MS, RD
Theresa Nicklas, PhD
Partners
Lucille Beseler, MS, RD
Nancy Copperman, MS, RD
Alicia Moag-Stahlberg, MS, RD
MEMBER DEVELOPED &
EXECUTED
Vanguard
Network 8 RDs
innovative
connected
ADA/ADAF
Board,
Senior Staff
Various Members
Backgrounds,
ADA Leadership
DPG, State
Affiliate Core
Group
Select DPG
Leaders State
Affiliates
Various
Members
Backgrounds,
ADA
Leadership
RD
Communicators
Network
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
9
AZDA Annual Meeting
6/11/2011
nutrient-rich
KIDS EAT RIGHT GOALS




Raise attention to the total nutrient needs
of kids, quality nutrition for all kids
Include total nutrient needs of kids in
obesity prevention, change focus
Expand the visibility and reach of RDs;
more in prevention, health promotion
Mobilize RDs to take educate, advocate
and demonstrate how to ensure quality
nutrition
Kids Eat Right Campaign Volunteer
Outreach Professionals, DecisionMakers, Parents
“The State of Family Nutrition and
Physical Activity: Are we making
progress?”
2010 ADAF Family Nutrition and Physical
Activity Survey Results, Member Input,
NHANES data
Kids Eat Right
Web Site for Launch
RDYear
Social
Efforts
Parents
Media
RD developed
Campaign
content – submit
your tips & recipes
Resources for
Members
Grant Opportunities
Presentations,
Materials, On-line
CE
MyAction Plan
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
Tracking
Prevention
Activities,
Evaluating
Impact
10
AZDA Annual Meeting
6/11/2011
STRATEGIES FOR
COMMUNITY
CHANGE
 Media - advertising, social marketing campaigns
to encourage healthful practices
 Access – healthy foods and drinks, areas to be
active
 Price – discounts and benefits for healthy
behaviors
 Promotion – point of choice healthy food
promotion
 Services – in community to support healthy
behaviors like breast feeding
Call to Action
Parents and Families
Media
Policy and Decision Makers
SCHOOL
COMMUNITY
Give several presentations Make a presentation Implement NIH We about KER to local to local Can parent curriculum professional groups, schools/districts with local We Can organizations or coalition administrators, site, community working with families
teaching staff, based organizations
PTA/PTO
Brief assignment editor Send Family or producer about KER, Nutrition and survey results and new Physical Activity content area for families report brief and at EatRight.org
cover letter to editor or write an op‐ed to submit
Write letter to state senator and federal leaders for your district and share information from KER and concerns relative to current legislation Work with media partner and community to develop a social marketing plan promoting healthy eating
Meet with community Meet with school coalition and take on leaders to present role as health FNPA survey data professional to brief city and discuss quality and our county decision school meals, makers about nutrition nutrition education and prevention, use KER
all grades MY ACTION PLAN
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
11
AZDA Annual Meeting
6/11/2011
KIDS EAT RIGHT ACTION
PLANS

School and community
Fuel Up to Play 60
Presentation to PTA/PTO,
administrators
 School Wellness Councils
 Local food bank



State and local legislators
Nutrition quality issues
Nutrition education
 Prevention services from RD



Empowering Parents


Grants to RD/MetLife
Kids Eat Right web information
SOCIAL MEDIA AMPLIFIES
MESSAGE
www.kidseatright.org
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
12
AZDA Annual Meeting
6/11/2011
37
BE INVOLVED

Join effort Kids Eat Right/Volunteer

Use social media messages, pass forward,
newsletters, post on websites, new
survey data, fact sheets

Watch for the release of Kids Eat Right
report, “The State of Family Nutrition and
Physical Activity” in January

Bring attention to foods that are not
being eaten, help kids by making these
foods available more often

Be a role model, never no who’s
watching
ADA Kids Eat Right ‐ Alicia Stahlberg, MS, RD
13