obesity prevention recommendations for families

1. obesity prevention recommendations for families

2. Healthy Eating and Active Lifestyles Begin at Home • It hardly needs saying that families are one of the most important and lasting influences on the choices—health and otherwise—that children and youth make. • So when it comes to preventing excess weight gain and obesity, parents and guardians have fantastic potential to steer children in directions that lay the foundation for lifelong good health.

3. obesity prevention recommendations for family

4. Promoting Healthy Eating at Home—Source List 1. American Academy of Pediatrics. Prevention and Treatment of Childhood Overweight and Obesity: What families can do . 2011. Accessed January 30, 2012. 2. American Academy of Pediatrics – Policy Statement. Breastfeeding and the use of human milk. Pediatrics. 2005;115:496-506. 3. U.S. Department of Health and Human Services. The Surgeon General’s Vision for a Healthy and Fit Nation 2010 Rockville: U.S. Department of Health and Human Services, Office of the Surgeon General; 2010. 4. Institute of Medicine. Preventing Childhood Obesity: Health in the Balance. Washington, D.C.: The National Academies Press; 2005. 5. Office of the Surgeon General. Childhood Obesity Prevention: Parents and Caregivers Checklist. U.S. Department of Health and Human Services, 2011. 6. American Heart Association. Overweight in Children . 2011. Accessed January 30, 2012. 7. White House Task Force on Childhood Obesity. Solving the Problem of Childhood Obesity within a Generation : White House Task Force on Childhood Obesity Report to the President: White House Task Force on Childhood Obesity; 2010.

5. obesity prevention recommendations for families.

6. Family Physical Activity, Screen Time, and Sleep 1. American Academy of Pediatrics – Council on Sports Medicine and Fitness and Council on School Health Policy Statement. Active healthy living: prevention of childhood obesity through increased physical activity. Pediatrics. 2006;117:1834-42. 2. Institute of Medicine. Preventing Childhood Obesity: Health in the Balance. Washington, D.C.: The National Academies Press; 2005. 3. U.S. Department of Health and Human Services. The Surgeon General’s Vision for a Healthy and Fit Nation 2010 Rockville: U.S. Department of Health and Human Services, Office of the Surgeon General; 2010. 4. Let's Move. Active Families . 2011. Accessed January 30, 2012. 5. American Heart Association. Overweight in Children . 2011. Accessed January 30, 2012. 6. American Academy of Pediatrics. Prevention and Treatment of Childhood Overweight and Obesity: What families can do . 2011. Accessed January 30, 2012. 7. White House Task Force on Childhood Obesity. Solving the Problem of Childhood Obesity within a Generation : White House Task Force on Childhood Obesity Report to the President: White House Task Force on Childhood Obesity; 2010. 8. Strasburger VC. Children, adolescents, obesity, and the media. Pediatrics. 2011;128:201-8. 9. Let's Move. Reduce Screen Time and Get Active . 2011. Accessed January 30, 2012. 10. Office of the Surgeon General. Childhood Obesity Prevention: Parents and Caregivers Checklist. U.S. Department of Health and Human Services, 2011.

7. The Obesity Prevention SourceEarly Child Care • Encourage daily physical activity among children in child care • Offer at least two to three outdoor opportunities for daily active play, weather permitting (1,2,3) • Remove barriers to outdoor play, for example, by keeping a change of clothes at the center and providing shade (1,2,3) • Ensure that restricted playtime (for example, limiting outdoor play) is never used as a punishment for children who misbehave (1,2,3) • Provide child care staff with ongoing training on age-appropriate activities (1,2,3) • Maintain a written policy on promoting physical activity and share these policies with parents (1,2,3)

8. The Obesity Prevention SourceEarly Child Care • Facilitate age-appropriate activity in short, regular bursts throughout the day • Give infants supervised time in the prone position (“tummy time”) every day (1,2,3) • Limit the time that infants spend in restricted seating (swings, strollers, exersaucers, high chairs) (1,2,3) • Give toddlers 60 to 90 minutes per 8-hour day for vigorous physical activities (activities that get them breathing deeper and faster than typical activities), spread out in short, regular bursts throughout the day (1,2,3) • Give preschool-age children 90 to 120 minutes per 8-hour day for vigorous physical activities (activities that get them breathing deeper and faster than typical activities), spread out in short, regular bursts throughout the day (1,2,3)

9. The Obesity Prevention SourceEarly Child Care • Model active play • Lead at least two structured games or activities that require movement each day, such as Simon Says (1,2,3) • Encourage children through positive words, such as “Nice catch!” (1,2,3) • Energetically participate in indoor and outdoor play throughout the day (1,2,3) • Reduce barriers to adult caretakers being active with children (for example, make sure caretakers wear appropriate shoes, and remove outdoor seating for adults) (1,2,3)

10. The Obesity Prevention Source Early Child Care

11. Healthy Activity, Screen Time, and Sleep—Source List 1. American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. Preventing Childhood Obesity in Early Care and Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition; 2010. 2. National Resource Center for Health and Safety in Child Care and Early Education, University of Colorado Denver. National Resource Center for Health and Safety in Child Care and Early Education: Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010. Aurora, CO; 2011. 3. Institute of Medicine (IOM).  Early Childhood Obesity Prevention Policies. Washington, DC: The National Academies Press; 2011. 4. Position of the American Dietetic Association: Benchmarks for Nutrition in Child Care.J Am Diet Assoc. 2011;111:607-615.

12. The Obesity Prevention SourceEarly Child CareInfant Feeding and Mealtime Habits early child care obesity prevention recommendations. Promote ideal and age-appropriate fluid intake among infants • Educate parents on breastfeeding resources and services within the community (1,2,3,5) • Provide a welcoming, private place for mothers to breastfeed on site (1,2,3,5) • Serve human milk or infant formula, not cow’s milk, to children until at least 1 year of age unless documentation from a parent/provider indicates otherwise (1,2,3,5) • Do not serve fruit juice to children under 1 year of age (1,2,3) • Do not bottle feed an infant formula mixed with any cereal, juice, or other foods without documentation from a medical provider (1,2,3

13. The Obesity Prevention SourceEarly Child CareInfant Feeding and Mealtime Habits Practice responsive feeding • Initiate feedings based on an infant’s cue (opening mouth, making suckling sounds) (1,2,3) • Pay attention to an infant’s fullness cues to avoid overfeeding (turning away from the nipple, keeping mouth closed) (1,2,3) • Position an infant appropriately in a caretaker’s arms or propped up in a caretaker’s lap, and don’t let infants bottle-feed themselves alone (1,2,3) • Bottle feed only one infant at a time (1,2)

14. The Obesity Prevention Source Early Child CareInfant Feeding and Mealtime Habits

15. The Obesity Prevention Source Early Child CareInfant Feeding and Mealtime Habits Model healthy mealtime behaviors to children • Sit and eat with children at meal time (1,2,3,4) • Say positive things about foods during meals (1,2,3,4) Infant Feeding and Mealtime Habits—Source List 1. American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. Preventing Childhood Obesity in Early Care and Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition; 2010. 2. National Resource Center for Health and Safety in Child Care and Early Education, University of Colorado Denver. National Resource Center for Health and Safety in Child Care and Early Education: Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010. Aurora, CO; 2011. 3. Institute of Medicine (IOM).  Early Childhood Obesity Prevention Policies. Washington, DC: The National Academies Press; 2011. 4. Position of the American Dietetic Association: Benchmarks for Nutrition in Child Care.J Am Diet Assoc. 2011;111:607-615. 5. World Health Organization. Global Strategy for Infant and Young Child Feeding. 200

16. The Obesity Prevention SourceEarly Child CareEarly Child Care Nutrition Serve age-appropriate and healthy beverages • Offer safe drinking water regularly and in place of fruit drinks, soda, or other sweetened beverages (1,2,3,4) • Ensure that children ages 1 to 6 are limited to 4 to 6 ounces of juice per day, including at home (1,2,3,4) • Serve 100 percent juice with no added sweeteners in cups, and only at mealtimes (1,2,4) • Offer either skim or 1 percent pasteurized milk to all children over 2 years of age, or whole pasteurized milk for children ages 1 to 2 (1,2,4)

17. The Obesity Prevention SourceEarly Child CareEarly Child Care Nutrition

18. The Obesity Prevention SourceEarly Child CareEarly Child Care Nutrition

19. Early Child Care Nutrition—Source List 1. American Academy of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education. Preventing Childhood Obesity in Early Care and Education: Selected Standards from Caring for Our Children: National Health and Safety Performance Standards; Guidelines for Early Care and Education Programs, 3rd Edition; 2010. 2. National Resource Center for Health and Safety in Child Care and Early Education, University of Colorado Denver. National Resource Center for Health and Safety in Child Care and Early Education: Achieving a State of Healthy Weight: A National Assessment of Obesity Prevention Terminology in Child Care Regulations 2010. Aurora, CO; 2011. 3. Institute of Medicine. Early Childhood Obesity Prevention Policies. Washington, DC: The National Academies Press; 2011. 4. Position of the American Dietetic Association: Benchmarks for Nutrition in Child Care.J Am Diet Assoc. 2011;111:607-615.