Call to Action:
Sustaining FCS ED with
Healthy Lifestyle: Obesity
Prevention
.
Janet F. Laster, Ph.D.
Sandra Laurenson, M.S.
OAFCS Public Policy Co-Chairs
Kelly Schulz, M.ED.
OAFCS & OATFACS Board Member
FCS’s Call to Action:
In 2010 and
now
.
• School districts, facing inadequate
funding, reduce or eliminate FCS
programs
• Public’s lack of FCS name recognition
and far-reaching effects
FCS’s Call to Action:
In 2010 and now
• Obesity Crisis in Ohio: Obesity rate currently 29.8%.
• Obesity Crisis in US:
.
- 2/3 Americans are overweight or obese (BMI ≥ 30)
- 1/3 children are overweight or obese (≥ 95%)
• Increasing obesity-related chronic diseases
• Obesity-related chronic diseases driving up
personal, healthcare, and national debt
Source: Bipartison Policy Center, June 2012
Obesity Trends* Among U.S. Adults:
Dramatic Increase in 20 Years
(*BMI 30, or about 30 lbs. overweight for 5’4” person)
1990
2000
2010
No Data
<10%
10%–14%
15%–19%
20%–24%
25%–29%
≥30%
Epidemic of overweight and obesity
64% of women
72% of men
Over last 30 years, rates of obesity
(BMI >30) in US more than doubled for adults and
more than tripled for children
Trends
Increasing Weight – Decreasing Health
Obese children aged 6-11:
7% in 1980
to 20% in 2008
Adolescents aged 12-19:
5% in 1980
to 18% in 2008
2010 Centers for Disease Control
What are the percentages today?
In Ohio? In your county?
Definitions: Weight Groups
Adult (BMI*):
Underweight: BMI less than 18.5 kg/m2
Healthy weight: BMI between 18.5 - 24.9 kg/m2
Overweight:
BMI between 25.0 - 29.9 kg/m2
Obese: BMI equal to or greater than 30.0 kg/m2
* BMI (Body Mass Index) measurement:
Divide weight (in kilograms) by height (in meters)
squared: kg/m2
Source: Dietary Guidelines for Americans 2010
Long Term Health Costs
Obesity Crisis:
Private and Public Policy Issue
Family/Public health crisis and National economic
crisis:
- Affects all segments of society:
Adults, children; rich, poor
- Long-term budget issue
- Bipartisan issue
Source: Bipartisan Policy Center
FCS’s Call to Action:
Help REVERSE causes of obesity…
•
•
•
•
•
Change in food supply
“Obesgenic environment”: home, community
Inactive lifestyles
Unhealthy eating habits and
Lack of food preparation skills
Ohio’s and US’s Call to Action:
.
Dr. Alice Lichtenstein: “Bring back
Home Economics”
Journal of American Medical
Association (JAMA) editorial
“Providing a mandatory food preparation curriculum to
students throughout the country may be among the best
investments society could make [to reduce health care
expenditures]”.
Dr. Alice Lichtenstein of Tufts University, at the
Youth Obesity Prevention Summit sponsored by the FCS Alliance
member: Board on Human Sciences
See “Point of View Obesity Prevention Summit: Positive Change Seen” Carolyn W.
Jackson, AAFCS Executive DirectorWinter 2012 Journal of FCS
2010 OAFCS Resolutions:
• Sustain Family and Consumer
Sciences Education
• Healthy Weight - Obesity Prevention
Not independent but interdependent
www.oafcs.org Public Policy  Resolutions
Sustain FCS Education
FCS’s Public Policy Goals
1. Promote name recognition of “Family and
Consumer Sciences” and understanding of scope of
FCS and its relevance to serious societal concerns
today such as obesity, food safety, financial literacy…
2. Support and facilitate…national, state, and local
intervention strategies to sustain FCS Education in
current economic and education environment
Healthy Weight-Lifestyle Initiative:
Obesity Prevention
FCS’s Public Policy Intervention Goals
3. Collaborate with nutrition science, medicine, education,
policy makers and others to advocate healthy lifestyles and
nutrition education and garner support for FCS Education in
MS, HS, Extension programs
4. Utilize opportunities within range of influence and practice to
promote national obesity prevention and nutrition education
in public schools and communities
5. “Take Obesity Prevention to Streets!”
Healthy Lifestyle - Obesity Prevention:
National CALLS for Action
 2010 First Lady Michelle Obama’s
 Dr. Lichtenstein’s “Bring back Home Economics
Education” in JAMA, May 12, 2010
 Dietary Guidelines for Americans 2010, p. 58
 Healthy, Hunger-Free Kids Act of 2010 (PL 111-296)
signed into law
 Institute of Medicine Report, May 8, 2012
 Bipartisan Policy Center Report, June 6, 2012
Dietary Guidelines for Americans, 2010
CALL TO ACTION:
1.
Individual (and Family) behavior change: Nutrient-dense
food and physical activity to promote health and disease
prevention
2.
Nutrition Policy and Strategies change, e.g.:
Guiding Principles (pp. 57-58 for Strategies)
•
Ensure all Americans have access to nutritious foods &
opportunities for physical activity
•
Facilitate individual behavior change through environmental
strategies
•
Set the stage for lifelong healthy eating, physical activity, &
weight management behaviors
Recommended Public Policy Strategies
Principle: Set the stage for lifelong healthy eating,
physical activity, and weight management
Recommended Policy Strategies (DGFA2010, p. 58):
•
Ensure that all meals and snacks sold and served in
schools…childcare…early childhood settings are
consistent with Dietary Guidelines
•
Provide comprehensive health, nutrition, physical
education in educational settings …special emphasis on
food preparation skills, food safety…”
Healthy, Hunger-Free Kids Act of 2010
• Authorizes funding and sets policy for USDA’s core
programs: National School Lunch, School Breakfast,
WIC, Summer Food Service, Child and Adult Care
Food Programs
• Allows opportunity, for first time in 30 years, for real
reforms to school lunch and breakfast programs by
improving safety net for millions of children
Source: USDA.gov
Institute of Medicine: Call to Action
Accelerate Obesity Prevention with 5 Goals:
1. Integrate physical activity every day in every way.
2. Market what matters for a healthy life.
3. Make healthy foods and beverages available
everywhere.
4. Activate employers and health care professionals.
5. Strengthen schools as the
of health.
“…accomplishing any one of these might help speed
up progress in preventing obesity, but together,
their effects will be reinforced, amplified, and
maximized.” Institute of Medicine
Bipartisan Policy Center: Call to Action
All assume leadership & responsibility
for change & action:
• Healthy families: Develop federal dietary guidelines for all
children under six, all nutrition assistance programs reflect dietary
guidelines, promote breastfeeding
• Healthy schools: Improve nutrition & physical activity
• Healthy workplaces: Develop workplace wellness programs
• Healthy communities: Central role in lifestyle choices
1. Community-based, prevention-focused Health Care
2. Large institutions: Serve healthier foods & lead by example
3. Community programs and built environment:
Families and local governments expand physical
activity opportunities and promote active living
The Time is Right.
WE Can Make a Difference!
Within our state and national
“RUBBLE” of increasing obesity,
disease risk, healthcare costs,
and national debt,
FCS can find and use our
“GOLDEN RING of
opportunity” to partner with
others in our communities to
prevent obesity and sustain
FCS Education in our
schools.
Sustaining FCS Education +
Healthy Lifestyles-Obesity Prevention = Synergy
Ohio’s Action Plan Goals: FCS Professionals…
1. Use FCS branding resources:
www.aafcs.org  click on FCS logo
2. Provide resources on OAFCS, OATFACS, AAFCS
websites for updating, public policy advocacy, and
community presentations
3. Align FCS curriculum, strategies & public image
4. Become active advocates for public policy supporting
healthy lifestyles and FCS ED
5. Initiate/Participate in community healthy lifestyle initiatives
6. Create individual Leadership Action Plan
MOST IMPORTANT: Health Centered
•
Health for every age, body shape, and size:
Health-centered NOT Weight-centered
•
Healthy food choices and food preparation
•
Healthy eating in response to internal body cues:
Hunger
•
Relaxed eating
•
Social, emotional, spiritual & physical factors
contributing to health & happiness
•
Dieting ineffectiveness & dangers
Key Message: Policy Makers
POLICY ACTION:
PLEASE
Ensure that Family and Consumer Sciences
(formerly home economics) Education programs are
in every middle and high school and community in
our state
REASONS
To develop the essential life skills needed to address
our complex obesity-related crisis: nutrition, food
selection and preparation, parenting, personal and family
finance, and career planning skills.
What has been done nationally?
 OAFCS Public Policy Resolutions adopted by
AAFCS in 2011
 FCS Coalition developed FCS brief, Empowering
Individuals and Families: Obesity Prevention, for
FCS professionals to use with policy makers, public
 AAFCS and Let’s Move! partnership formed:
FCS Coalition used FCS brief with First Lady
Michelle Obama and staff
 AAFCS Obesity Prevention Community formed:
JOIN!
What has been done in Ohio?
 FCS Education Promotion Task Force formed:
Supervisors, Teachers, Teacher Educators
 OAFCS Annual Conference: Resolution Support
Keynote: Dr. Cheryl Achterberg, OSU Dean and
Advisory Committee Member for DGFA201
Obesity Prevention Projects: Extension, United Way,
Action for Healthy Kids, Dairy Council
 Professional Development Workshop: District B
Additional workshops planned in other Districts
 Resources developed/adapted for OAFCS, OATFACS and
AAFCS Websites
www.oafcs.org www.oatfacs.org www.aafcs.org
What Should We Do ?
How should we answer the call for “All to
assume leadership and responsibility for
change and action to prevent obesity”?
• What should we do individually?
As parents?
Grandparents?
• What should we do professionally—in
workplace?
• What should we do as community
members?
Responsibility-Leadership Action Plan
to help make America healthy
Individual/
Family Action
ClassroomSchool Action
Communityrelated Action
WHAT WILL YOU DO?
Next Steps: Individually
• Use resources to become more nutritionally
and public policy literate
- Dietary Guidelines for Americans, 2010
- Report of Dietary Guidelines Advisory Committee
- Nutrition Action Healthletter (Center for Public Interest)
- Call to Action: Healthy Lifestyle Comparison Chart
- Obesity causes, consequences
• Other steps—individually? in family?
Next Steps: As FCS Teachers
1. Become active advocate for policies supporting healthy
lifestyles and families, e.g., see Sample policy letter and
Talking points and Resources
2. Set the stage for lifelong nutrition learning, healthy eating,
physical activity, and weight management, e.g.,
1. Align FCS curriculum, strategies, and public image
2. Refine teaching strategies and food labs
3. Initiate/Participate in community healthy lifestyle initiatives
4. Create individual Leadership Action Plan:
Individual/Family Plan Workplace Plan Community-related
Plan
Think, Pair, Share
1. What will you need to do to align your curriculum
with new dietary guidelines?
2. What will you need to do to refine your teaching
strategies to develop healthy food preparation
skills?
3. With which community organization, agency
might you partner to foster healthy lifestyle?
What questions do you have?
Call to Action:
Refining FCS Curriculum
Align curriculum, strategies & public image
1. Create and promote healthy lifestyles for children (from
in utero to 18 years) Appropriate weight gain during pregnancy,
breastfeeding for infant and mother to have healthy weight throughout
lifetime (NGFA2010, p. 58; Lots to Lose, pp. )
2. Set the stage for lifelong healthy eating, physical
activity & weight management behaviors: Provide
comprehensive health, nutrition, & physical educational programs
in educational settings with special emphasis on food preparation
skills, food safety, and lifelong physical activity
(DGFA2010, Ch. 6, p. 58)
Call to Action: FCS Teaching
Refine teaching strategies for developing
healthy eating & safe food preparation skills
1. Evaluate objectives, eating patterns advocated by
example, recipes, and teaching time spent on
preparing vegetables, fruit, and whole grains vs
refined grain-based desserts and breads
2. Sequence & structure food preparation labs to enjoy
preparing food, eating together, developing knifing
skills; vegetable, fruit, whole grain, fish, and lean
meat and poultry preparation skills; food safety skills
Ruth Dohner, OAFCS, 2012
Call to Action: Evaluate
Collect data to evaluate FCS program
effectiveness
1. Pre-Post unit/course tests
2. Healthy lifestyle project: Pre-post personal
assessment of diet, physical activity, and BMI using
eating, sleeping, & activity logs per day.
Use Super Tracker:
http://www.choosemyplate.gov/SuperTracker/
Or http://www.myfitnesspal.com
Also Dairy Council ppts at www.eatsmart.org
Call to Action: “Take it to the Streets!”
Participate in community
healthy lifestyle initiatives
1. Partner with community agencies, organizations to
promote or support healthy lifestyle, e.g., Action for
Healthy Kids, United Way, schools, Extension
2. Partner with others to develop personal healthy lifestyle,
e.g., teachers, Extension, colleagues, family or friends
3. Advocate supporting FCS Education in MS, HS, and
community extension programs
My Responsibility-Leadership Action Plan
to help make America healthy
Individual/Family Action
Community-related Action
•Monitoring my calories:
www.myfitnesspal.com
•Eat healthy foods, including 2
½ cup veggies/day,
less
than 20 g sugar/day
•Walk 60-70 min./day
•Special fruits, berries as
treats for grandchildren
•Encouraging husband to use
whole grain flour
•Advocacy letter to Ohio
legislators & School Board
•Proposed/organizing Healthy
Lifestyle Advisory Committee
at church
•Proposed/organizing Forums
at church:
1) Obesity Crisis
2) What should we do to
prevent obesity of our
children? Ourselves?
The Guidelines for
a Healthy Lifestyle
The Guidelines for a Healthy Lifestyle
Start Here because…
Dietary Guidelines for Americans 2010
• Based on most recent scientific evidence
summarized in Report of the Dietary Guidelines
Advisory Committee on the Dietary Guidelines for
Americans, 2010 at http://www.dietaryguidelines.gov
•
For health promotion and disease prevention for
Americans 2 years old and older
•
Form basis for nutrition policy in Federal food,
education, and information programs
Key Recommendation #1
Balance calories with physical activity to manage weight
 Prevent and/or reduce overweight and obesity
through improved healthy eating & physical
activity
 Control total calorie intake to manage body
weight. Consume NUTRIENT DENSE FOODS.
Top Sources of Calories
Among Americans 2 Years and Older
Source: NHANES 2005-2006,
Available at http://riskfactor.cancer.gov/diet/foodsources/
How to Put This in Action?
Caloric Balance: Food and Beverage Intake
Determine one’s daily calorie needs by
monitoring body weight and adjust calorie intake
and participation in physical activity based on
changes in weight over time.
MyFitnessPal or Super Tracker
How do I Count Calories if I Don’t Know
How to Serve it?
Key Recommendation #2
Reduce some foods and food components:
 Daily sodium to less than 2,300 mg; or 1,500 mg if
51 or over, African-American or have hypertension,
diabetes, or chronic kidney disease
 Solid fats and added sugars (SoFAS)
 Foods that contain refined grains, especially foods
with solid fats, added sugars, and sodium
Key Recommendations #3
Focus on consuming nutrient-dense foods
 Variety of vegetables, especially dark-green,
red, and orange vegetables, beans, peas
 Whole grains: Replace refined grains with
whole grains—at least half
 Variety of protein foods: seafood (8-oz. per week),
lean meat and poultry, eggs, beans and peas, soy
products, and unsalted nuts and seeds
Nutrient-dense foods retain naturally
occurring components, such as dietary fiber
Nutrient-Dense Foods
All vegetables, fruits,
whole grains, eggs,
seafood, beans and peas,
unsalted nuts and seeds,
fat-free and low-fat dairy,
lean meats and poultry
are nutrient-dense when
prepared without solid
fats or sugars
Nutrient-Dense vs. Not Nutrient-Dense
Nutrient-Dense vs. Not Nutrient-Dense
Nutrient-Dense vs. Not Nutrient-Dense
Key Recommendation #4
Build healthy eating pattern to meet
nutrient needs over time at appropriate
calorie level, e.g., DASH, Mediterranean-style
 Focus on nutrient-dense foods
 Remember: Beverages count
 Nutrients should come from food
Let’s Get Started
Responsibility-Leadership Action Plan
to help make America healthy
Individual /
Family Action
Classroom
School Action
CommunityRelated Action
WHAT WILL YOU DO?
In Summary
Three Nutrition Points to Put in Your
Back Pocket!
1. This is the time to ADOPT a healthy lifestyle
NOT a band aid.
2. Any “diet” can be healthy and unhealthy.
3. Calories are to be respected!
You Pick Three!
1. Pick 3 actions from your sheet that you have pondered
today
2. Put them into action this year!
3. Report back…… yeah that’s right… report back!
Here’s How:
Kelly Schulze: kmac10@me.com
Facebook: find Ohio FCS group or friend me –
Kelly McNulty Schulze and I will lead the way.
Twitter: find me and those around you and stay
connected!
Additional
Resources
Internet Resources
USDA & USDHHS, Dietary Guidelines for American 2010
www.dietaryguidelines.gov
See p.59 for Resource List
Local data related to obesity:
http://www.countyhealthcalculator.org/widget
State specific data on health care costs and quality,
prevention, insurance coverage, public health, childhood
obesity, examples of community creativity, and possible
funding source:
http://www.rwjf.org/childhood obesity/
http://www.rwjf.org/healthpolicy/
Apps that you might find useful
myfitnesspal
Get Fit Map
Apps that you might find useful
Smash Your Food
Internet Resources
The Snackwise® Nutrition Rating System
All you do is type the information from the nutrition facts label in the
Snackwise® Calculator and Snackwise® determines the nutrient density
and rates the snack! Snack foods are then rated as either: GREEN:
BEST CHOICE; YELLOW: CHOOSE OCCASIONALLY; and, RED:
CHOOSE RARELY
http://www.snackwise.org/
Nebraska Extension Office: Spending your Calorie Salary and
other PowerPoints
Alice Henneman, MS, RD, Extension Educator Univerity of Nebraska
Extension Services
Beverly Benes, PhD, RD, Assistant Director, Nutrition Services
http://lancaster.unl.edu/food/resources.shtml
Internet Resources
Institute of Medicine’s Report: Accelerating Progress in Obesity Prevention.
Published May8, 2012.
http://www.iom.edu/Reports/2012/Accelerating-Progress-in-ObesityPrevention.aspx
Bipartisan Report: Lots to Lose How America’s Health and Obesity Crisis
Threatens our Economic Future. Published June 5, 2012
http://bipartisanpolicy.org/library/lotstolose
Websites for BMI calculation:
The Center for Disease Control and Prevention http://www.cdc.gov/healthyweight/assessing/bmi/
The National Heart Lung and Blood Institute
http://www.nhlbisupport.com/bmi/
“Everyone has a role in the movement
to make America healthy.”
Dietary Guidelines for American, 2010, USDA & HHS
“Success is only possible if all…work
together and bring creativity,
innovation and focused commitment to
the effort.”
Lots to Lose. Bipartisan Policy Center