Beth Cecil RD Beth.cecil@owensborohealth 270-688-4852 Isaac Coffey Manager of Health & Fitness

2. Introductions: • Beth Cecil RD • Beth.cecil@owensborohealth.org • 270-688-4852 • Isaac Coffey Manager of Health & Fitness • Isaac.coffey@owensborohealth.org • 270-688-4828

3. Agenda • Obesity Data & Prevention • History of Power Up Kidz! • PUK Lesson Plans • Open Discussion • Q and A

4. MISSION STATEMENT • To teach kids and their families how nutrition and fitness can promote healthy lifestyles.

5. The PUK program is interactive and fun with the following objectives: • Identify healthy foods and those which should be increased in their diets • Recognize foods that should be limited in their diets • Be familiar with MyPlateguidelines • Explain the importance of daily physical activity • Increase physical activity every day

6. History • Identified the need for an interactive nutrition and fitness program for kids • September 2007, curriculum was written and we started offering the program at Healthpark • PUK After School Program started in 2009 • Have tracked results of the programs

7. Results From pre and post testing Fall/Winter 2009: 10 kids, 100% completion rate 70% of the kids improved their BMI 70% showed an improved heart rate 50% showed an improvement in their blood pressure

8. Results From pre and post testing Winter Spring 2010: 13 kids, 85% completion rate 38% improved their BMI 100% improved their heart rate 63% decreased their body fat 88% showed an improved blood pressure 50% improved in cardio exercise (using the ball run)

9. www.healthdepartment.org

10. www.omhs.org/healthassessment Community Health Needs Assessment

11. Percentage of U.S. Children and Adolescents Classified as Obese, 1963–2008* 19.6 18.1 4.6 4.2 *>95th percentile for BMI by age and sex based on 2000 CDC BMI-for-age growth charts. **1963–1970 data are from 1963–1965 for children 6–11 years of age and from 1966–1970 for adolescents 12–17 years of age. Source: NCHS. Health, United States, 2010: With Special Feature on Death and Dying. Hyattsville, MD. 2011

12. ObesityNot just an adult concern anymore… Conditions Seen in Children High Cholesterol Type 2 Diabetes/Impaired Glucose Tolerance High Blood Pressure Social Problems and Poor Self-Esteem Sleep Disturbances Orthopedic Problems

13. Rationale Physical activity and healthy eating are linked with • Academic Success • Health and Well-being • Risk for Obesity • Risk for Chronic Conditions (e.g., osteoarthritis) • Risk for Chronic Diseases(e.g., cancer)

14. Expert committee recommendations on the assessment, prevention and treatment of childhood and adolescent overweight and obesity-2007 (cdc) Implementation Guide • Sweetened beverage consumption • Fruit and vegetable consumption • Consumption of excessive portion sizes • Daily breakfast consumption • Amount of moderate physical activity • Level of screen time and other sedentary activities • Attitudes • Frequency of family meals and dining out

15. Lessons plans • 12 weeks of lesson plans • Includes a pre-assessment and post-asssessment • Lesson plans adapted from Expert Committee Recommendations Implementation Guide and the questions on the pre/post-assessments

16. Lessons plans format • OBJECTIVES • TIME (15 MINUTES) • ACTIVITIES • TEACHING POINTS • HANDOUTS • Kids • Parents

17. Lessons plans Week 1 - Pre-Assessment page 5 Week 2 - 5-4-3-2-1 Blast Off To Good Health page 7 Week 3 - Eat Smart/Play Hard page 11 Week 4 - Get Up and Exercise page 19 Week 5 - Breakfast page 26 Week 6 - “MyPlate” page 33

18. Lessons plans Week 7 - Eat the Rainbow page 42 Week 8 - Snack Attack page 50 Week 9 - Go, Slow and Whoa Foods page 56 Week 10 - Screen Time page 64 Week 11 - Liquid Calories page 72 Week 12 - Post-Assessment page 79

19. For a copy of presentation and curriculum go to: • https://www.owensborohealth.org/power-up-documents/

20. THANK YOU!