Kimberly Kanechika University of Hawaii Cooperative Extension Service Hawaii Child Care Nutrition Program

1. Helping ur Keiki Eat Healthfully & Happily Kimberly Kanechika University of Hawaii Cooperative Extension Service Hawaii Child Care Nutrition Program

2. Agenda • Memories with food • Introduction to HCCNP • LOKAHI Wheel • Nutrition & Meal Planning • Healthy eating attitudes and behaviors

3. Hawaii Child Care Nutrition Program • Goals: • To provide: • assistance, support & consultation to child care providers in meeting nutrition licensing requirements. • foods & nutrition education, training, technical assistance & resources for licensed child care providers & licensing staff. • To collaborate and partner with agencies, projects and programs in order to promote quality nutrition services provided by licensed child care providers.

4. Department of Human Services Hawaii Child Care Nutrition Program Child Care Providers Caterers/Vendors Hawaii Child Care Nutrition Program • Background

5. http://www.ctahr.hawaii.edu/new/hccnp/

6. USDA Component Guidelines Meal Planning

8. HCCNP Provider DHS Licensing Worker Menu Review Flowchart Provider

9. LOKAHI WHEEL http://academics.ksbe.edu/plan/ksipp/documents/lokahiwheel.jpg

10. What is Nutrition?

11. Nutrition is… • The act or process of nourishing or being nourished • The sum of the processes by which an animal or plant takes in and utilizes food substances Webster’s Ninth New Collegiate Dictionary

13. Food Components Requirements Breakfast Lunch Supper Snacks – any 2 &

18. What affects what and how children eat? • Physical growth • Social being development • Fine motor skills development • Environment

19. Physical Growth Height Weight

20. Social being development • Parenting style • Authoritative – Authoritarian – Permissive • Family style meal • Self-serve • Role model • Eat together

21. Fine motor skills development • 2 years • Spoon • Drink from cup • 3 years • Fork & spoon • Imitate cooking • 4 years • Peel some foods • Help set the table • 5 years • Cut soft foods with dull knife *Timing of milestones may vary with each child. Taken from www.mypyramid.gov

22. Environment stress • Meal times = _____ - free • At home – types of foods • Focus on meal and each other • Engage in conversation • Incorporate new foods • Variety • Limit distractions

23. Environment – Age appropriate • Child-sized utensils • Fork with dull prongs • Unbreakable dishes • Small cup with broad base • Comfortable height to table so feet are supported

24. Caregivers Menu Environment When to eat Role modeling Child What to eat How much to eat Whose responsibility is it?

25. Does this sound familiar? • Will only eat… • Will not eat… • Always needs to ___ with foods…. • Any others?

26. Hot dogs Whole grapes, cherries Raw vegetables Raisins Nuts and seeds Chunks of meat or cheese, peanut butter Popcorn Hard, gooey, sticky candy, gum Safety – Choking Hazards Recommendations from the American Academy of Pediatrics: http://www.aap.org/publiced/br_choking.htm

27. Tree nuts (almonds, walnuts, pecans) Peanuts Wheat Soybeans Safety – Common food allergens • Milk • Eggs • Fish (bass, flounder, cod) • Crustacean shellfish (crab, lobster, shrimp) • http://www.cfsan.fda.gov/~dms/wh-alrgy.html

28. Positive & Healthy Eating Attitudes Nutrition Checklist

30. Any Questions?

31. Contact Information Hawaii Child Care Nutrition Program 1955 East-West Road, #306 Honolulu, Hawaii 96822 Phone: 956-4124 Fax: 956-6457 Email: hccnp@hawaii.edu Contact Person: Kimberly Kanechika http://www.ctahr.hawaii.edu/new/hccnp/

32. References • American Academy Of Pediatrics, American Public Health Association, and National Resource Center for Health and Safety in Child Care and Early Education (2002). Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs, 2nd edition. Elk Grove Village, IL: American Academy of Pediatrics and Washington, DC: American Public Health Association. Also available at http://nrckids.org. • Farber, B. (1999). Guiding Young Children’s Behavior: Helpful Ideas for Parents & Teachers from 28 Early Childhood Experts. Cutchogue, NY: Preschool Publications. • Kleinman, R.E. (Ed.). (2004). Pediatric Nutrition Handbook (5th ed.). American Academy of Pediatrics. • Satter, E. (1987). How to Get Your Kid to Eat…But Not Too Much. Palo Alto, CA: Bull Publishing Company.