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Dear Parent: Today, a representative from Bronson Children’s Hospital presented Be Smart About Your Heart in your child’s classroom. This program is designed to raise awareness about choosing a healthy lifestyle. Good nutrition and physical activity is key to staying healthy. They can help reduce the risk of obesity, diabetes, high blood pressure, stroke, and some forms of cancer. Presentation highlights: Eating a variety of nutritious foods (MyPlate): fruits, vegetables, grains, proteins, dairy foods, oil and empty calories Controlling portion size Using the Nutrition Facts food label to help make healthier food choices Drinking water instead of soda or other sweetened drinks Reducing screen time (video games, computer, TV) Including an active lifestyle into daily routines If you want to find out more about what your child learned during the classroom presentation or about our other education programs, visit www.bronsonhealth.com/schooloutreach. Sincerely, Deb Carpenter, Coordinator School Outreach Program Facts About Heart Disease: It's A Family Affair Some Basic Facts Heart disease is the number one killer of American adults. Every 33 seconds someone will have a heart event. Once a minute someone will die from one. Family history increases heart disease risk. Children of parents who have heart disease are more likely to develop heart disease later in life. Risk factors for heart disease we can control include not smoking, maintaining healthy cholesterol levels and blood pressure, regular exercise, and maintaining a healthy weight. Don't Wait Until It's Too Late Signs of heart disease begin during childhood. High cholesterol is a risk factor for heart disease in adults. Lowering high cholesterol in children and teens may help prevent heart disease later in life. Cholesterol Counts (Even for Kids) Children and teens with high cholesterol are more likely to become adults with high cholesterol. About 10 percent of teens have high cholesterol (over 200 mg/dl). Simple diet changes can lower total and LDL cholesterol levels in parents and their children. Be Heart Smart - Choose a Healthy Diet Healthy habits early in life help reduce the risk of heart disease. children and adults can improve their heart health with a low-saturated-fat and low-cholesterol diet, avoiding obesity, and being physically active. Eighty percent of teens consume more than the recommended amount of total and saturated fat. Another 49 percent consumer more than the recommended amount of cholesterol and are more likely to show early signs of heart disease. Aim for a Healthy Weight Obesity is increasing and threatens the health of adults and children worldwide. Children who are overweight are 2.4 times more likely to have high cholesterol than children of normal weight. More than half of overweight children has at least one risk factor for heart disease. Twenty-five percent of children are overweight and at increased risk for heart disease. Physical Activity Also is Key Being physically inactive is as risky as having high blood cholesterol levels, high blood pressure or cigarette smoking. Health experts recommend at least 30 minutes of physical activity each day to reduce the risk of chronic disease, such as heart disease. According to the American Heart Association, over 37 percent of high school students spend three or more hours a day watching TV. Source: http://www.healthyfridge.org/factsaboutheartdisease.html FN-1404 Get the Facts! Steps to Reading and Understanding Nutrition Facts Labels Julie Garden-Robinson, Ph.D., R.D., L.R.D., Food and Nutrition Specialist Rachelle Fetsch, Student Dietitian You can make quick, informed decisions about foods by following these steps to reading Nutrition Facts labels on food packages. 1 Nutrition Facts N Look at the serving size and number of servings in the package. S Serving Size 1 cup (228g) Servings Per Container 2 S 1 Tip: Ask yourself, “How many servings am I eating?” Amount Per Serving Am 2 Calories 250 C Calories from Fat 110 Look at the number of calories in one serving. % Daily Value* Total Fat 12g To 3 18% 15% 5% Saturated Fat 3g Trans Fat 3g Cholesterol 30mg Sodium 470mg To Total Carbohydrate 31g 4 Dietary Fiber 0g Sugars 5g 0% 10% 0% 20% 10% 0% Protein 5g 4 4% 2% 20% 4% V Vitamin A Vitamin C V Calcium C Iron * Percent Daily Values are based on a 2,000 calorie diet. Your Daily Values may be higher or lower depending on your calorie needs. Calories: 2,000 2,500 Total Fat Sat Fat Cholesterol Sodium Total Carbohydrate Dietary Fiber Less than Less than Less than Less than Fargo, North Dakota Reviewed October 2012 All the rest of the information on the label is based on one serving. 65g 20g 300mg 2,400mg 300g 25g 80g 25g 300mg 2,400mg 375g 30g 5 2 Question: Looking at the nutrition label, how many calories would you get from consuming two servings of this food? A. 470 B. 110 C. 250 D. 500 Answer: D. Eating two servings of this product would provide you with 500 calories. Compare the amount of fat, saturated fat, cholesterol and sodium to the total amount recommended (see information at the bottom of label or % Daily Value). Try to minimize trans fat in your diet. 3 Eating too much of these may increase your risk of developing chronic diseases. Eating too much saturated fat and/or trans fat, for example, may increase your risk of heart disease. Check the amounts of dietary fiber, vitamin A, vitamin C, calcium and iron. Getting enough of these nutrients in your diet may lower your chances of developing some diseases/conditions. For instance, getting enough calcium may help lower your risk of developing osteoporosis, a condition of weakened, fragile bones. Check out the % Daily Value. Food labels list percentages of the recommended daily intakes of several nutrients. The numbers are based on a 2,000-calorie diet and are used for adults who are 18 years or older. If you consume more or less than 2,000 calories per day, you still can use % Daily Values as a reference. 4 5 Use this reference guide for evaluating a product’s % Daily Value: Quick tips: “Low” = 5% or less of the Daily Value “High”= 20% or more of the Daily Value ■ Aim to eat less than the % Daily Value for total fat, saturated fat, cholesterol and sodium. s &OREXAMPLETHERECOMMENDED daily value for cholesterol is 300 milligrams, which would be 100 percent of the daily value. Try to eat less than 300 milligrams of cholesterol per day. Question: Which of the following does/do not have a % Daily Value? A. Trans fat B. Sugars C. Protein D. All of these Answer: D Sugars have no daily reference value because no recommendations have been made for the total amount of sugars to eat in a day. Protein needs are more individualized and should be based on an individual’s weight and physical activity. ■ Eat foods that are higher in % Daily Experts could not provide a reference value for trans fat nor any other information that the Food and Drug Administration believes is sufficient to establish a Daily Value or % Daily Value. Value for vitamins, minerals and fiber. Label A Label B Nutrition Facts Nutrition Facts Amount Per Serving Amount Per Serving Serving Size 1 cup (245g) Servings Per Container Calories 80 Calories from Fat 0 Serving Size 1 cup (244g) Servings Per Container Calories 120 Calories from Fat 45 % Daily Value* Total Fat 0g Saturated Fat 0g Trans Fat 0g Cholesterol 5mg Sodium 105mg Total Carbohydrate 12g Dietary Fiber 0g Sugars 12g Question: Which of the following labels is reduced-fat milk and which is nonfat milk? Which has more saturated fat and cholesterol? Which has more calcium and vitamin A? % Daily Value* 0% 0% Total Fat 5g 2% 4% 4% 0% Cholesterol 20mg Sodium 100mg Total Carbohydrate 11g Protein 8g Compare Labels 8% 15% Saturated Fat 3g Trans Fat 0g 7% 4% 4% 0% Dietary Fiber 0g Sugars 11g Answer: Label A is nonfat milk and Label B is reduced-fat milk. Reduced-fat milk has more saturated fat and cholesterol. Both nonfat milk and reduced-fat milk contain the same amounts of calcium and vitamin A. Protein 8g Vitamin A 10% Calcium 30% Vitamin C 0% Iron 0% Vitamin A 10% Calcium 30% Vitamin C 0% Iron 0% * Percent Daily Values are based on a 2,000 calorie diet. Your Daily Values may be higher or lower depending on your calorie needs. Calories: 2,000 2,500 * Percent Daily Values are based on a 2,000 calorie diet. Your Daily Values may be higher or lower depending on your calorie needs. Calories: 2,000 2,500 Total Fat Sat Fat Cholesterol Sodium Total Carbohydrate Dietary Fiber Total Fat Sat Fat Cholesterol Sodium Total Carbohydrate Dietary Fiber Less than Less than Less than Less than Calories per gram: Fat 9 Carbohydrate 4 65g 20g 300mg 2,400mg 300g 25g 80g 25g 300mg 2,400mg 375g 30g Protein 4 Less than Less than Less than Less than Calories per gram: Fat 9 Carbohydrate 4 65g 20g 300mg 2,400mg 300g 25g 80g 25g 300mg 2,400mg 375g 30g Protein 4 Reference “How to Understand and Use the Nutrition Facts Label.” Food and Drug Administration. www.cfsan.fda.gov/~dms/foodlab.html For more information, visit www.ndsu.edu/eatsmart The NDSU Extension Service does not endorse commercial products or companies even though reference may be made to tradenames, trademarks or service names. NDSU encourages you to use and share this content, but please do so under the conditions of our Creative Commons license. You may copy, distribute, transmit and adapt this work as long as you give full attribution, don’t use the work for commercial purposes and share your resulting work similarly. For more information, visit www.ag.ndsu.edu/agcomm/creative-commons. County commissions, North Dakota State University and U.S. Department of Agriculture cooperating. North Dakota State University does not discriminate on the basis of age, color, disability, gender expression/identity, genetic information, marital status, national origin, public assistance status, race, religion, sex, sexual orientation, or status as a U.S. veteran. Direct inquiries to the Vice President for Equity, Diversity and Global Outreach, 205 Old Main, (701) 231-7708. This publication will be made available in alternative formats for people with disabilities upon request, (701) 231-7881. SERVING SIZE CARD: Cut out and fold on the dotted line. Laminate for longtime use. 1 Serving Looks Like . . . GRAIN PRODUCTS 1 cup of cereal flakes = fist 1 pancake = compact disc ½ cup of cooked rice, pasta, or potato = ½ baseball 1 slice of bread = cassette tape 1 Serving Looks Like . . . VEGETABLESAND FRUIT 1 cup of salad greens = baseball 1 baked potato = fist 1 med. fruit = baseball ½ cup of fresh fruit = ½ baseball ¼ cup of raisins = large egg 1 piece of cornbread = bar of soap 1 Serving Looks Like . . . DAIRYAND CHEESE 1½ oz. cheese = 4 stacked dice or 2 cheese slices ½ cup of ice cream = ½ baseball 1 Serving Looks Like . . . MEATAND ALTERNATIVES 3 oz. meat, fish, and poultry = deck of cards 3 oz. grilled/baked fish = checkbook FATS 1 tsp. margarine or spreads = 1 dice 2 Tbsp. peanut butter = ping pong ball 10 tips choose MyPlate 10 tips to a great plate Nutrition Education Series Making food choices for a healthy lifestyle can be as simple as using these 10 Tips. Use the ideas in this list to balance your calories, to choose foods to eat more often, and to cut back on foods to eat less often. 1 balance calories Find out how many calories YOU need for a day DVD¿UVWVWHSLQPDQDJLQJ\RXUZHLJKW*RWR www.ChooseMyPlate.govWR¿QG\RXUFDORULHOHYHO%HLQJ physically active also helps you balance calories. 2 enjoy your food, but eat less Take the time to fully enjoy your food as you eat it. Eating too fast or when your attention is elsewhere may lead to eating too many calories. Pay attention to hungerr and fullness cues before, during, and after meals. Use them to recognize when to eat and when you’ve had enough. 3 avoid oversized portions Use a smaller plate, bowl, and glass. Portion out foods before you eat. When eating out, choose a smaller size option, share a dish, or take home part of your meal. 4 foods to eat more often Eat more vegetables, fruits, whole grains, and fat-free or 1% milk and dairy products. These foods have the nutrients you need for health—including potassium, calcium, YLWDPLQ'DQG¿EHU0DNHWKHPWKH basis for meals and snacks. 5 make half your plate fruits and vegetables Choose red, orange, and dark-green vegetables like tomatoes, sweet potatoes, and broccoli, along with other vegetables for your meals. Add fruit to meals as part of main or side dishes or as dessert. 6 switch to fat-free or low-fat (1%) milk They have the same amount of calcium and other essential nutrients as whole milk, but fewer calories and less saturated fat. 7 make half your grains whole grains To eat more whole grains, substitute a whole-grain SURGXFWIRUDUH¿QHGSURGXFW—such as eating wholewheat bread instead of white bread or brown rice instead of white rice. 8 foods to eat less often Cut back on foods high in solid fats, added sugars, and salt. They include cakes, cookies, ice cream, candies, sweetened drinks, pizza, and fatty meats like ribs, sausages, bacon, and hot dogs. Use these foods as occasional treats, not everyday foods. 9 compare sodium in foods Use the Nutrition Facts label to choose lower sodium versions of foods like soup, bread, and frozen meals. Select canned foods labeled “low sodium,” ”reduced sodium,” or “no salt added.” 10 drink water instead of sugary drinks Cut calories by drinking water or unsweetened beverages. Soda, energy drinks, and sports drinks are a major source of added sugar, and calories, in American diets. DG TipSheet No. 1 June 2011 United States Department of Agriculture Center for Nutrition Policy and Promotion Go to www.ChooseMyPlate.gov for more information. USDA is an equal opportunity provider and employer. 10 tips build a healthy meal 10 tips for healthy meals Nutrition Education Series A healthy meal starts with more vegetables and fruits and smaller portions of protein and grains. Think about how you can adjust the portions on your plate to get more of what you need without too many calories. And don’t forget dairy—make it the beverage with your meal or add fat-free or low-fat dairy products to your plate. 1 make half your plate veggies and fruits Vegetables and fruits are full of nutrients and may help to promote good health. Choose red, orange, and darkgreen vegetables such as tomatoes, sweet potatoes, and broccoli. 2 add lean protein Choose protein foods, such as lean beef and pork, or chicken, turkey, beans, or tofu. Twice a week, make seafood the protein on your plate. 3 include whole grains Aim to make at least half your grains whole grains. Look for the words “100% whole grain” or “100% whole wheat” on the food label. Whole grains provide more nutrients, like fiber, than refined grains. 4 don’t forget the dairy Pair your meal with a cup of fat-free or low-fat milk. They provide the same amount of calcium and other essential nutrients as whole milk, but less fat and calories. Don’t drink milk? Try soymilk (soy beverage) as your beverage or include fat-free or low-fat yogurt in your meal. 5 avoid extra fat Using heavy gravies or sauces will add fat and calories to otherwise healthy choices. For example, steamed broccoli is great, but avoid topping it with cheese sauce. Try other options, like a sprinkling of low-fat parmesan cheese or a squeeze of lemon. 6 7 8 take your time Savor your food. Eat slowly, enjoy the taste and textures, and pay attention to how you feel. Be mindful. Eating very quickly may cause you to eat too much. use a smaller plate Use a smaller plate at meals to help with portion control. That way you can finish your entire plate and feel satisfied without overeating. take control of your food Eat at home more often so you know exactly what you are eating. If you eat out, check and compare the nutrition information. Choose healthier options such as baked instead of fried. 9 try new foods Keep it interesting by picking out new foods you’ve never tried before, like mango, lentils, or kale. You may find a new favorite! Trade fun and tasty recipes with friends or find them online. 10 satisfy your sweet tooth in a healthy way Indulge in a naturally sweet dessert dish—fruit! Serve a fresh fruit cocktail or a fruit parfait made with yogurt. For a hot dessert, bake apples and top with cinnamon. United States Department of Agriculture Center for Nutrition Policy and Promotion Go to www.ChooseMyPlate.gov for more information. DG TipSheet No. 7 June 2011 USDA is an equal opportunity provider and employer. eating better on a budget 10 tips Nutrition Education Series 10 tips to help you stretch your food dollars Get the most for your budget! There are many ways to save money on the foods that you eat. The three main steps are planning before you shop, purchasing the items at the best price, and preparing meals that stretch your food dollars. 1 plan, plan, plan! Before you head to the grocery store, plan your meals for the week. Include meals like stews, casseroles, or sitr-fries, which “stretch” expensive items into more portions. Check to see what foods you already have and make a list for what you need to buy. 2 get the best price Check the local newspaper, online, and at the store for sales and coupons. Ask about a loyalty card for extra savings at stores where you shop. Look for specials or sales on meat and seafood—often the most expensive items on your list. 3 compare and contrast Locate the “Unit Price” on the shelf directly below the product. Use it to compare different brands and different sizes of the same brand to determine which is more economical. 4 buy in bulk It is almost always cheaper to buy foods in bulk. Smart choices are family packs of chicken, steak, or fish and larger bags of potatoes and frozen vegetables. Before you shop, remember to check if you have enough freezer space. 5 buy in season Buying fruits and vegetables in season can lower the cost and add to the freshness! If you are not going to use them all right away, buy some that still need time to ripen. 6 convenience costs... go back to the basics Convenience foods like frozen dinners, pre-cut vegetables, and instant rice, oatmeal, or grits will cost you more than if you were to make them from scratch yourself. Take the time to prepare your own—and save! 7 easy on your wallet Certain foods are typically low-cost options all year round. Try beans for a less expensive protein food. For vegetables, buy carrots, greens, or potatoes. As for fruits, apples and bananas are good choices. 8 cook once...eat all week! Prepare a large batch of favorite recipes on your day off (double or triple the recipe). Freeze in individual containers. Use them throughout the week and you won’t have to spend money on take-out meals. 9 get your creative juices flowing Spice up your leftovers—use them in new ways. For example, try leftover chicken in a stir-fry or over a garden salad, or to make chicken chili. Remember, throwing away food is throwing away your money! 10 eating out Restaurants can be expensive. Save money by getting the early bird special, going out for lunch instead of dinner, or looking for “2 for 1” deals. Stick to water instead of ordering other beverages, which add to the bill. DG TipSheet No. 16 December 2011 United States Department of Agriculture Center for Nutrition Policy and Promotion Go to www.ChooseMyPlate.gov for more information. USDA is an equal opportunity provider and employer. A Plan for Family Physical Activity Being physically active as a family is fun. It’s a great way to make lasting memories and build positive relationships. Plus, being active has great health benefits! Health Benefits of Regular Physical Activity Make physical activity a part of your family schedule every day if you can. It will impact the health of each family member for a lifetime! Reduce the risk of: • • • • • heart disease high blood pressure stroke colon cancer diabetes Increase your health and well-being by: • strengthening the heart and lungs • building healthier joints • building stronger muscles and bones • helping to manage stress • lifting your spirits If your family has a history of these conditions, it is even more important to be physically active. Create a Plan Ideas to Consider as a Family As a family, list physical activities you enjoy. You may not always agree on what is enjoyable, but it’s likely there will be some activities you can enjoy together. Use the calendar on the back of this page to plan times to be active as a family. • • • • • • • • • Set a Goal Children should be active 60 minutes each day. Adults should aim for 2 1/2 hours of moderate physical activity weekly, or 1 1/4 hours of vigorous physical activity weekly. Using different colored pens, have each family member add personal or team sports or practices to the calendar. See if each family member has met his or her goal. If not, work together to find ways to increase the number of minutes. Page 48 Lesson 4 Take an in-line skating class or a dance class. Walk to the store, instead of driving. Offer to walk the neighbor’s dog. Visit a park with hiking or walking trails. Mow the lawn and do other yard work. Shovel the snow. Take the stairs, instead of the elevator. Ride a bike ride around the neighborhood. Set up relay races for the neighborhood – adults and youth. • Sign up for a fun walk/run. • Go to the school gym or swimming pool during open hours. • Encourage neighborhood games, such as tag or hide and seek. Get Around the Obstacles • Many people love television, movies, video games, and computers. But these activities are not physically active. Set a daily two-hour time limit on these activities for your family. • Break the habit of spending lots of time doing things where you are not being active. Increase the time you are physically active as a family. • Sunshine and warm weather make it easier to be active outdoors. When the weather doesn’t cooperate, find ways to be active indoors. Go to an ice-rink or in-line skating rink. Go to the library and check out a video tape on yoga, kickboxing, or karate. Walk at the mall. 3–Nutrition/Physical Activity Revised by Addendum 2011 © Copyright 2007 Our Family Plan for Physical Activity Directions: Plan times for your family to be physically active together. Note the day, activity, and the number of minutes you plan to do the activity. Find different colored pens so each person can write his or her activities on the same calendar. AIM FOR THE GOAL Youth: 60 minutes each day Adults: 2 1/2 hours of moderate physical activity weekly, or 1 1/4 hours of vigorous physical activity weekly ay d Sun ay d Mon y a d s e Tu ay sd e n d We y da s r u h T ay Frid ay rd u t a S Need More Information? Visit the U.S. Department of Health and Human Services, National Heart, Lung, and Blood Institute website. www.nhlbi.nih.gov/health/public/heart/obesity/wecan/ Take the President’s Challenge! www.presidentschallenge.org/ © Copyright 2007 Revised by Addendum 2011 3–Nutrition/Physical Activity Lesson 4 Page 49