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This training module offers an overview of Let’s Move! Child Care for child care and early education providers. The module is intended for use by trainers, and may be adapted for specific needs and audiences.
For questions, please email LMCCHelp@cdc.gov.
Training Module: Let’s Move! Child Care Overview
www.HealthyKidsHealthyFuture.org
What is Let’s Move! Child Care?
One component of the First Lady’s Let’s Move! initiative to solve the obesity problem
Supports providers to adopt best practices for physical activity, screen time, foods, beverages, and breastfeeding through free resources and interactive, online tools
Recognizes providers who meet best practices
Learning Objectives
By the end of this training, you will understand:1) Basics about childhood obesity prevention and
why you have an important role
2) How participating in Let’s Move! Child Care can help you prevent obesity among children in your care
3) Where to find free tools and tips to help you meet the Let’s Move! Child Care goals and be recognized for your efforts
Basics about Obesity
Obesity
Common
Costly
SolvablePhoto source: www.obesityinamerica.org
Obesity Trends* Among U.S. AdultsBRFSS, 1990
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14%
Obesity Trends* Among U.S. AdultsBRFSS, 2000
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% ≥20%
(*BMI ≥30, or ~ 30 lbs. overweight for 5’ 4” person)
No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%
Obesity Trends* Among U.S. AdultsBRFSS, 2010
Childhood Obesity
24% - 33% of 2 – 5 year olds are overweight or obese.
Obesity rates for young children doubled in about a 20 year period of time (1980’s – 2000).
Obese children are more likely to become obese adults.
If children are overweight, obesity in adulthood is likely to be more severe.
What Is Obesity?
How Is It Measured?
Excess body fat
Indirectly: Excess weight for height
Body mass index (BMI)Weight (kg)/height(m)2
How do you know if a child is obese?
CDC growth charts are used to determine a child’s BMI.
For children 2 and older:Obesity = BMI ≥ 95th percentile for children of the same age and sexIt can be hard to tell if a child is becoming obese just
by looking.
Knowledge Check
Children who are obese are more likely to develop:
Heart disease Diabetes Cancer Sleep Problems All of the above
Knowledge Check
Children who are obese are more likely to develop:
Heart disease Diabetes Cancer Sleep Problems All of the above
Health Consequences
Heart disease
Type 2 diabetes
Cancer
Sleep apnea and respiratory problems
Hypertension
High blood cholesterol
Stroke
Osteoarthritis
Gynecological problems
Liver and Gallbladder disease
Obesity increases the likelihood of certain diseases and health problems, such as:
Education Consequences
Children who are overweight or obese can be undernourished at the same time.
Nutrition deficiencies Impair brain development and cognitive
functioning, including learning
Education Consequences (2) Physical inactivity
Activity promotes brain development, improves sleep, builds self confidence, and reduces stress & depression
Children who are not active have more behavioral and disciplinary problems, shorter attention spans in class and do worse in school compared to active children
Screen Time Interferes with exploration, playing, interaction
with others, which promote social development Competes with being active, social interaction,
reading, and doing homework
You Play an Important Role in Preventing Obesity!
Moving Forward to Reverse the Obesity Trends
“ … we know the cure for this. This isn't like putting a man on the moon or inventing the Internet - it doesn't take some stroke of genius or feat of technology. ... Rarely in the history of this country have we encountered a problem of such magnitude and consequence that is so eminently solvable.”
Michelle ObamaFebruary 9, 2010
Video Message from First Lady Michelle Obama
[For the video, please email LMCCHelp@cdc.gov.]
Why obesity prevention in child care and early education programs? Prevention must start early.
Children spend many hours in your care.
You can provide a healthy environment for children to eat, play, and grow.
Why obesity prevention in child care and early education programs? (2) You can help children build healthy
habits for life Food preferences and physical activity habits
develop during early childhood and continue into adulthood
You are a role model. Kids do as you do, especially when they’re young.
You are in a unique position to educate parents about healthy eating and activity
What You Can Do to Prevent Obesity
Preschool Teacher Builds Healthy Habits
[To show the video, go to: http://www.cdc.gov/CDCTV/ChildObese/index.html]
5 Let’s Move! Child Care Goals
1 Physical Activity
2 Screen Time
3 Food
4 Beverages
5 Infant Feeding
1 Physical Activity
Knowledge Check
What is the recommended amount of physical activity for toddlers in full day care?
15 - 30 min 30 - 45 min 60 - 90 min 90 - 120 min
Knowledge Check
What is the recommended amount of physical activity for toddlers in full day care?
15 - 30 min 30 - 45 min 60 - 90 min 90 - 120 min
Physical Activity Best Practices
Infants: Short supervised periods of tummy time several times each day
Toddlers & Preschoolers: Active play time every day, both indoor and outdoor Toddlers: 60 – 90 minutes or more
(for half-day programs, 30 minutes or more) Preschoolers: 120 minutes or more
(for half-day programs, 60 minutes or more)
REMINDER: Make sure that kids with special needs can
participate in activities too!
Benefits of Physical Activity
Helps children stay at a healthy weight In childhood In adulthood – physical activity habits
learned in early childhood can last a lifetime
Helps children: Develop motor skills and build their
strength, flexibility, and endurance Develop and maintain strong bones Improves social skills and brain
development Sleep better Feel confident about themselves and
their bodies Reduce their risk of feeling stressed or
depressed
Benefits of Physical Activity (2)
Children who are active tend to have fewer behavioral and disciplinary problems, do better in school, and have longer attention spans in class.
Ways to Get Kids Moving
Add physical activity into your daily routine Have children act out a story
as you read it to them. Encourage kids to move like
different animals during transitions from one activity or room to another.
Mix up the usual ‘hokey pokey’ and ‘head, shoulders, knees and toes’ with a dance party or obstacle course
Encourage working together to come up with games and activities
Keep infants active too
During tummy time: Encourage them
to see, touch, and feel what’s around them
Try putting their favorite toys just out of reachREMINDER: Always make sure infants have tummy
time when they’re awake and alert and placed on a solid surface on the floor (never on a surface that’s soft or up high like a mattress or sofa).
2 Screen
Time
Knowledge Check
How much screen time should children under 2 years be allowed?
None 20 minutes 30 minutes 40 minutes
Knowledge Check
How much screen time should children under 2 years be allowed?
None 20 minutes 30 minutes 40 minutes
Screen Time Best Practices
Infants: No screen time Toddlers: No more than 3 – 4 times per year, or
never Preschoolers:
Only for educational or physical activity purposes No more than 30 minutes per week or never, while in
your care Work with families to ensure no more than 1 - 2
hours per day
Provide screen time reduction and/or media literacy education to parents at least twice a year, e.g. special programs, newsletters, or information
sheets
Reasons for Reducing Screen Time
Gets in the way of exploring, playing, and social interaction.
As kids get older, screen time can get in the way of being active, reading, doing homework, playing with friends, and spending time with family.
Kids who spend more time watching TV are more likely to be overweight or obese.
Ways to Reduce Screen Time Keep the TV/computer out of sight
Put it in rooms not used by children Hide it with a blanket or sheet Get rid of it
Replace screen time with fun, interactive activities Turn on the radio or a CD and dance Play outside Bring kids into the kitchen and let them help
you set the table, cook, and clean up
When screen time is allowed:
Make it “quality programming” by choosing shows or computer games that are educational or get kids moving.
Track screen time with a simple scheduling sheet so you know how much screen time a child has and when they’ve reached their limit for the week.
3 Food
Knowledge Check
Do French fries, tater tots, or hash browns count as vegetables?
Yes No
Knowledge Check
Do French fries, tater tots, or hash browns count as vegetables*?
Yes No
*Referring to foods counted as vegetables within LMCC best practices, not current creditable foods for CACFP.
Food Best Practices
Toddlers and preschoolers Serve a fruit and/or a vegetable at every meal
(Juice doesn’t count as fruit, and French fries, tater tots, and hash browns don’t count as vegetables!)
Limit fried and pre-fried foods French fries, tater tots, hash browns, potato chips, frozen and breaded meats or fish to no more than once a month
Preschoolers: Serve all meals family style so that children are encouraged to serve themselves with limited help.
Benefits of Healthy Food
Helps children stay at a healthy weight
Opportunity to teach kids’ taste buds to appreciate healthy foods. Food preferences develop at an early age, even in infancy.
Ways to Promote Healthy Eating Have taste tests for
kids to try new veggies and fruits
Serve veggies with yogurt, hummus, or low-fat dressing.
Buy healthy alternatives. Many healthy options cost the same as the not-so-healthy choices (like whole wheat bread vs. white bread)
Ways to Promote Healthy Eating (2) Offer healthy alternatives in place of
fried foods INSTEAD OF fries TRY potatoes sliced and
baked INSTEAD OF potato chips TRY baked
vegetable chips INSTEAD OF chicken nuggets TRY baked
chicken
Be creative and find ways to have healthy holiday and birthday celebrations
REMINDER: Hang in there! It may take 10 to 15 tries for young children to accept a new
food.
Basics about Family Style Dining Let children serve
themselves with limited help
Talk with children about the foods they’re eating
Adults sit at the table and eat the same foods Role model healthy
eating Prevent fighting, feeding
each other, choking, etc.
Benefits of Family Style Dining Improves self-feeding skills and recognition of
hunger cues
Supports social, emotional, and motor skill development
Children learn about the food they’re eating and are more likely to enjoy and eat healthy food
Language skills improve as adults and children talk with each other
Positive role modeling
Ways to Make Family Style Dining Work
Let kids practice serving themselves first Use play food, like plastic fruits
and veggies. Use the right equipment
Use child size pitchers, tongs, and serving bowls and plates.
Put dressings and dips in child size squeeze bottles.
Be prepared for spills! Show kids you enjoy eating
healthy foods. They will follow your example!
4 Beverages
Knowledge Check
What kind of milk should children 2 years and older drink?
Whole milk 2% (reduced
fat) 1% or non-fat
(skim) milk Flavored milk
Knowledge Check
What kind of milk should children 2 years and older drink?
Whole milk 2% (reduced
fat) 1% or non-fat
(skim) milk Flavored milk
Beverages Best Practices
Water: visible and available inside and outside for self-serve
Fruit juice: Only100%; limited to no more than 4 – 6 oz. per day per child and encourage parents to support this limit
Sugary Drinks: Never (includes fruit drinks, sports drinks, sweet tea, and soda)
Milk: Serve only 1% or non-fat (skim) milk to children 2 years and older (unless otherwise directed by the child’s health provider)
REMINDER: Don’t provide water in “sippy cups” or bottles!
Benefits of Drinking Water
Keeps kids hydrated best
Reduces acid in the mouth that can cause cavities
Water instead of sugary drinks reduces the amount of calories children consume.
REMINDER: Infants less than 6 months should not be given water
Benefits of Skim or 1% Milk
Milk is packed with nutrients like calcium and vitamin D that help kids grow and build healthy bones
Skim and 1% milk have the same amount of calcium and vitamin D as whole milk, but without the extra fats. Kids over 2 no longer need those extra fats.
Ways to Promote Healthy Drinks Take water jugs and cups with you
outside. Try adding fruit slices or berries to water
for an extra fun taste! Try diluting 100% fruit juice with water to
train children’s palette to enjoy less sweetness.
Model healthy drinking by avoiding sugary drinks in front of children.
Instead of juice, serve fresh fruit, which includes important dietary fiber and is a natural source of energy.
5 Infant Feeding
Knowledge Check
How long should babies be breastfed exclusively?
3 months 4 months 5 months 6 months
Knowledge Check
How long should babies be breastfed exclusively?
3 months 4 months 5 months 6 months
REMINDER: The American Academy of Pediatrics recommends that babies should not receive formula, water, juice, non-breast-milk, or food for the first six months and nursing continue until 12 months (or longer).
Infant Feeding Best Practice
Have a private room for moms to breastfeed or pump
other than a bathroom
appropriate seating and privacy
Benefits of breastfeeding
Prevents obesity Defends against infections (keeping
infants from getting sick with things like diarrhea and ear infections)
Protects against a number of conditions—like asthma, diabetes, and sudden infant death syndrome (SIDS)
Ways to Support Breastfeeding Educate teachers and staff about the
importance of breastfeeding and how to properly handle breast milk.
Respect parents’ wishes to give breast milk, infant formula, or both.
Reassure nursing mothers. Create an ideal environment to pump or
nurse.
Participating in Let’s Move! Child Care
www.HealthyKidsHealthyFuture.org
Why Participate?
You can make a difference You can be a champion for
healthy choices You’re a role model You care You’re a partner in parenting It’s easier than you might think!
www.HealthyKidsHealthyFuture.org
1.Sign up online at www.HealthyKidsHealthyFuture.org to receive a participation certificate and resource updates
2.Take the Checklist Quiz to see how you are doing on the 5 goals
3.Build an Action Plan to reach the goals
4.Use the free online resources to help implement your action steps
5.Retake the Checklist Quiz once you meet the goals and earn the LMCC Provider Recognition Award
6.Share your success story
LMCC Steps to success
www.HealthyKidsHealthyFuture.org
Post your participation certificate to let families know the goals you’re working towards!
Updates from LMCC
New resources and website features
Online training announcements
‘How to’ tips, activity sheets, & ideas from providers like you
See where you are and make a manageable action plan to achieve the LMCC goals
Take the Checklist Quiz
Look for the ‘Take Action’ box on the homepage.
Checklist Quiz: Part 1
Answer questions to see which best practices you are meeting and which goals you need to work on
Available in English and Spanish
Build your action plan
Action Planning is an important step to help you make changes
You choose your priorities—start with whatever is going to be easiest, then build on your success
Be ready to create individual action steps
Samples are available
Checklist Quiz: Part 2
Sample Action Plan
Easy Drag & Drop!
www.HealthyKidsHealthyFuture.org
LMCC Process Snapshot
Make Action Plan
NO
Implement Steps in
PlanFree online tools,
resources, webinars, help from trainers
Take Checklist Quiz
Meet all best
practices?
Sign Up on Websit
e
CONGRATULATIONS! LMCC
Recognition AwardYES
www.HealthyKidsHealthyFuture.org
www.HealthyKidsHealthyFuture.org
Finding resources and tips
www.HealthyKidsHealthyFuture.org
Visit www.HealthyKidsHealthyFuture.org
Curriculum
Menu Planning & Recipes
Training videos
Activity Sheets
Parent Handouts
And more!
Resources
Kid-friendly recipes, menu planning guides, healthy eating tips, shopping lists, and more!
Healthy Eating
Physical Activities
Fun activity ideas, tips for incorporating physical activity into your daily routine, activity sheets, and more!
Ideas and Resources
One stop shop for nutrition and physical activity resources for all providers, including centers and family child care homes
Resources in Spanish
Resources for providers serving tribal communities
Videos
Articles from KidsHealth.org
Sample Resources
Nutrition & Physical Activity Curriculum (with DVD)
Tip Sheets
Activity sheets
eXtension Alliance for
Better Child Care Hands-on
Activities Database
Songs to get kids dancing
Resources for families
Tips for parents
Available in English and Spanish
Healthy eating and activity tips for you!
Healthy recipes
PostersBreastfeeding Resource
Kit
Nutrition and physical activity resources for tribal communities
Mini poster para niños preescolares
Recurso para
Actividades Físicas
Free Online Trainings
One for every LMCC goal
Special topics Farm to
Preschool Using
LMCC resources
Share your Success!
For more information
Visit www.HealthyKidsHealthyFuture.org
Contact the Let’s Move! Child Care Help Desk LMCChelp@cdc.gov
Share your success stories!www.healthykidshealthyfuture.org/resources/testimonials.html
Local Resources
[insert any local resources—e.g. contact information for technical assistance like Child Care Resource & Referral Agencies, Cooperative Extension, child care health consultants; grant opportunities; nutrition and physical activity websites created by your local health department; and upcoming training opportunities]
The following slides are intended to offer trainers ideas on interactive activities that they can lead during training sessions. Use them to break up the presentation to help keep people’s attention and reinforce messages
Activity Ideas for Trainers
Build in physical activity breaksPhysical activity break ideas: Read a story with action verbs and act out the
actions as a group as you read the story. (see example in a following slide)
Sing a song that gets providers moving (see example in a following slide)
Physical activity breaks help to energize providers throughout your session so they can stay engaged! Activity breaks are especially important for longer presentations, but they are good to include for presentations of all lengths. Plus, the activities can serve as fun examples of activities they can do with their children.
Activity Break
Get on your feet for a fun activity! (that can be also be used with kids!)
Action Story New Fruits and Veggies at the Market
My Bonnie Lies Over the Ocean My Bonnie lies over the ocean,my Bonnie lies over the sea,My Bonnie lies over the ocean, O bring back my Bonnie to me.
Bring back, bring back, O bring back my Bonnie to me, to me.Bring back, bring back, O bring back my Bonnie to me.
Come up with games
1) Break providers up into groups of 3 – 5. 2) Ask them to come up with a game using
bean bags that they can play with their children.
3) Give providers 15 minutes to come up with the game.
4) Ask each group to present the game to the larger group.
This activity should be done after reviewing the physical activity slides. It encourages providers to be creative and come up with a low-cost activity to get kids moving. It also gives providers an opportunity to share their ideas and take home new activity ideas that they can implement in their programs. This is also a great way to get providers moving around the room and get their energy up!
Best Practices in Review
Pop Quiz! Can you recite all of the [insert goal area here – e.g. food] best practices
without looking at your notes?
Role play
After presenting information on action planning, have participants come up with different scenarios that may present challenges and have providers act them out. Try having a few scenarios ready prior to the session and then coming up with the rest as a group during the session.
Example scenarios: How would you respond to a parent who wants their child to have
screen time while in care? Ask for a volunteer to play the provider and one to play the parent.
How would you talk to families about packing healthy beverages for their child? Ask for a volunteer to play the provider and one to play the parent.
How would you talk with your director about incorporating more physical activity into the day? Ask for a volunteer to play the director and one to play the teacher.
This activity helps providers think about potential challenges and practice how they would overcome them.
Play Videos to Reinforce Goal Messages
Insert videos throughout the presentation to reinforce the messages on the goals
Embed the videos in your presentation so they will play on demand
Family Style Dining: http://www.youtube.com/watch?v=nj_s89ydnBs
Physical Activity: http://youtu.be/k55liTC7sGI
Screen Time: http://youtu.be/cogJkMgIjs0
Trying New Foods: http://www.sesamestreet.org/parents/topicsandactivities/toolkits/food (Available on DVD)
Take the Checklist Quiz
1) Print out the paper version of the LMCC Checklist Quiz and pass one out to each provider (For the paper version, go to http://www.healthykidshealthyfuture.org/content/hkhf/home/startearly/quiz.html or email LMCCHelp@cdc.gov)
2) Give providers 10 – 15 minutes to complete the quiz.
3) Have providers create an action plan. You may want to encourage providers to work with others who are working towards the same best practices.
4) Have providers share examples of action steps they plan to take with the larger group.
Often, providers are most excited about implementing the LMCC best practices right after they’ve learned about the importance of nutrition and physical activity and ways to promote healthy habits in their programs. Take advantage of this window of opportunity by making time for providers to take the Checklist Quiz during your session. Plus, when you’re in the room, you can help answer questions they might have about the best practices or how to make changes in their programs.
Have small group discussionsAfter taking the LMCC Checklist Quiz this activity gives providers an opportunity to identify common challenges, share ideas, and learn
from others who have already overcome these challenges.
1) Break providers up into groups of 5 – 7. 2) Ask them to talk about their current
challenges related to promoting nutrition and physical activity.
3) Give providers 20 minutes to discuss their challenges and come up with solutions.
4) Ask each group to share what they discussed with the larger group.
Identify next steps
1) At the end of the session, pass out pieces of paper or note cards and pens.
2) Encourage providers to write down 1 to 3 action steps they will take when they go back to their programs.
3) Ask for volunteers to share what they wrote with the larger group.
By identifying clear action steps, providers will be ready to make changes when they return to their programs.
We compiled some of our best ideas and tips based on our experience conducting presentations and training providers across the country. We hope these tips will be helpful to you!
Presentation Tips for Trainers
Presentation tips
To help maintain providers’ interest and focus, break up slides by playing videos or having physical activity breaks. We’ve placed videos throughout this training module at points where providers typically need breaks.
Use visuals—e.g. bring examples of low-cost physical activity props like bean bags and yoga flashcards, show 4 oz. and 6 oz. cups (it’s often hard for people to visualize these amounts), and show examples of equipment for family style dining like child size pitchers and tongs.
Bring one or more computers and set up a station where providers can sign up to participate in LMCC and explore the LMCC website. Make sure to check with the hotel ahead of time to see if you need to purchase internet access.
Presentation tips
Bring hand outs—e.g. tip sheets from the LMCC website, recipe ideas, activity tips (see ‘Ideas for Handouts’ slide).
Pass out the LMCC promotional flyer, which includes the LMCC goals, steps for participating in the initiative, and the LMCC website and contact information for help. Download the flyer in English or Spanish, at http://www.healthykidshealthyfuture.org/content/hkhf/home/resources.html (see the ‘promotional materials’ section).
Give away ‘participation prizes’—e.g. if a provider helps you lead an activity, give him/her a prize like a CD with songs for kids or a printed version of the Head Start Body Start Activity Calendar, a recipe book, or other resources you find on the LMCC website. Prizes can incentivize providers to actively participate!
Presentation tips
Encourage providers to eat healthy and drink water during the session. If you bring snacks, make sure they’re healthy! If possible, have pitchers of water and cups available.
At the end of the session, ask providers to evaluate the session by filling out a short survey on what they found to be most/least useful and what they plan to do as a result of the session. You can use these evaluations to show the value of the training and to help you make improvements.
Ideas for Handouts
Water & Juice Tip Sheet: http://nrckids.org/TipSheet/JuiceTipSheet.pdf Family-style dining tip sheet: http://
www.healthykidshealthyfuture.org/content/dam/hkhf/filebox/resources/familydiningtips.pdf
Healthy Eats from A to Z: http://www.kcfb.info/chicka/ChickaChicka_HealthyEats.pdf
Healthy Menu Planning: http://www.healthykidshealthyfuture.org/content/dam/hkhf/filebox/naccrra/newnaccrra/menuplan.pdf
Making the Most of Meal Times: http://www.healthykidshealthyfuture.org/content/dam/hkhf/filebox/naccrra/newnaccrra/makingmealtime.pdf
Healthy Moves from A to Z: http://www.kcfb.info/chicka/ChickaChicka_HealthyMoves.pdf
Get Moving Today! Activity Calendar: http://www.healthykidshealthyfuture.org/content/dam/hkhf/filebox/kidshealthsheets/FinalENGLCalendarFULL.pdf
Non-Competitive and Active Games for Preschoolers: http://www.healthykidshealthyfuture.org/content/dam/hkhf/filebox/naccrra/newnaccrra/noncomgames.pdf
We are always excited to learn about local efforts to train providers on LMCC. Let us know about your training activities by emailing us at LMCCHelp@cdc.gov. You can also share your story by filling out a short online form at http://www.healthykidshealthyfuture.org/content/hkhf/home/resources/success.html. Your story may be featured on the LMCC website.
Thank you for all you do to support children’s health! We look forward to hearing from you.
Share Your Training Success Story
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