food, nutrition and health update 2002 1 mooove to lowfat or fat free milk: a campaign of the...

Food, Nutrition and Health Update 2002

1

Mooove to Lowfat or Fat Free Milk: a campaign of the Florida Interagency Food and Nutrition Committee

Linda Benjamin BobroffFood and Nutrition Update 2002


Overview

• What is FIFNC?

• Diet and disease risk

• Milk consumption patterns

• Rationale for the Mooove campaign

• Scope of the campaign

• Extension’s role


What is FIFNC?

• Florida Interagency Food and Nutrition Committee– Long and varied history

– State agencies focused on nutrition

– Share ideas, expertise, resources

– EATT is FIFNC project

– Mooove is first FIFNC collaborative educational campaign


FIFNC Agencies

• UF IFAS Extension

• Florida DACS

• Florida DCF

• Florida DOE

• Florida DOEA

• Florida DOH

• FDA

• UF AHEC


Diet and Disease Risk

• Obesity

• Diabetes

• Cancer

• Heart disease

• Stroke

• Osteoporosis


Obesity on the Rise

CDC, NCHS, NHANES II and NHANES 1999

0

5

10

15

20

25

30

35

1976-80 1999

NHANES

Overweight

Obese

% A

meri

cans

overw

eig

ht/

obese


Obesity on the Rise in Children

CDC, NCHS, NHANES II and NHANES 1999

0

5

10

15

20

6-11years

12-17years

1976-80

1999

% A

meri

can c

hildre

n o

verw

eig

ht


Obesity and Health Risks

• Diabetes

• High blood cholesterol/Heart disease

• Hypertension/Stroke

• Cancer

• Osteoarthritis

• Other health risks

Surgeon General’s Call to Action, 2001

N Engl J Med 1999;341:1097-1105Www.hhs.gov/news, 12/13/01 press releaseHealthy People 2010, Www.health.gov/healthypeople


Obesity - Special Concerns

• Disparities in prevalence

• Concern for children and youth

• Monetary costs

• Personal costs

Www.hhs.gov/news 12/13/01 press release


Obesity and Mortality

• Lifestyle vs body weight?

• Recent prospective study >1 million adults: BMI associated with mortality

– effect of BMI greater among whites BMI most predictive of death from CVD

– differences in effect related to lifestyle

NEJMed 341(15): 1097-1105, 1999


Healthy People 2010 Goals

• Reduce child and youth overweight/ obesity to 5%

• Reduce adult obesity to 15%

Healthy People 2010, Www.health.gov/healthypeople


Diabetes

• Relation to overweight/obesity

• Increased incidence “epidemic”

• Dramatic increase in end-stage renal disease

• Health care costs $98 billion in 1997

Www.cdc.gov/od/oc/media/pressrel/r0010911.htmWww.cdc.gov/hchs/data/hp2k01.pdf


Cardiovascular Diseases

• More than 950,000 deaths annually

• Heart disease #1, Stroke #3

• Trends in obesity portend future rise in premature deaths from CV disease

Www.cdc.gov/hchs/data/hp2k01.pdf


Milk Consumption Patterns

• Food supply provides 1.6 daily milk/milk product servings

• Trend toward lower fat milk

• Increased consumption of cheese, ice cream

FoodReview 2000;23:2-14FoodReview 1998;22:2-12ERS/USDA Statistical Bulletin 825, 1991


Milk Consumption Trends

0

5

10

15

20

25Per

Capit

a M

ilk

Consu

mpti

on (

Gal)

1970-79

1980-89

1990-99

1999

Whole2%1%Fat Free


Milk Consumption Patterns

• Eating out . . .– decreased milk consumption

– increased consumption of soft drinks

• Black children drink whole milk

• Hispanic children not switched

• Parents beliefs influence milk consumed

FoodReview 1998;22:2-12J Am Diet Assoc 2001;202:464-66.Prev Med 2001;


Milk in Schools

• 63% milk in schools is whole or 2%

• 65% of schools order some lowfat or fat free milk

• 21% of schools order lowfat and fat free milk

School Health Policies and Programs Study 2000, Www.cdc.gov/shpps


Rationale for Mooove Campaign

• High-fat milk/milk products major source of fat in American diet

• Increased use of lowfat milk associated with decreased fat consumption

Am J Clin Nutr 1998;67:616-23Am J Public Health 1994;84:799-806



• Whole milk major source of saturated fat in children’s diets

• Substituting lower fat milk reduces saturated fat intake

Am J Public Health 1994;84:799-806Am J Public Health 1992;82:810-815Am J Clin Nutr 1998;67:616-23



• Reducing saturated fat intake can decrease diabetes risk.

• Children maintain micronutrient intake when switched to fat free milk

N Engl J Med 2001;344:1343-50Pediatrics 1997;100:e4, www.pediatrics.org/cgi/content/full/100/3/e4


Focus of Mooove Campaign

• GOAL: Promote consumption of lowfat or fat free milk in school children, adults, and elders

• STRATEGIES:– Educational activities

– Media

– Product placement


Mooove Campaign Kit

• Research paper

• Professional newsletter article

• Consumer fact sheet

• Lesson plans - children, elders

• Posters with Vaca the cow

• Activity sheets


Extension’s Role

• Committee members prepared research paper, newsletter article, fact sheet, lesson plans

• County faculty can use lesson plans:– Schools, youth organizations, 4-H

– Congregate meal sites

– Extension office

– Other community sites


Extension’s Role

• Have posters visible for Extension clientele (coming soon!)

• Provide feedback on campaign materials

• Use evaluation and reporting forms

• Submit ideas for future Interagency campaigns

ENAFS Healthy Living Program

LESSON 4Mooove to Lowfat or Fat Free Milk

MODULE 5: Healthy Eating for Elders

Winking Cow ENAFS Program

University of Florida IFAS Extension

Health Risks of High Fat DietsENAFS Program


CancerDiabetes

Heart Disease

Obesity Stroke

Milk Packs a Nutritional Punch!ENAFS Program


CalciumProtein

Vitamin D

Lactose is milk sugar.

Lactase breaks it down.

Don’t have lactase? Thenyou’re lactose intolerant.

What About Lactose Intolerance?ENAFS Program


Lowfat (1%) Milk

Fat Free Milk

Moooving to Lowfat or Fat Free MilkENAFS Program


Test Your Taste Buds

Data Sheet

For each participant mark “L” if they like the milk and “D” if they dislike the milk.Write down any comments they make about the milks. Don’t have all participantstaste Sample A first, but do keep track of which milk they are tasting!

Participant # Sample A Comments Sample B Comments

Total like: _____Total dislike: _____

Total like: _____Total dislike: _____

M ILK M IXER

Unscramble the words, using the clues to help you . Then, complete thesentence at the bo ttom using the letters in bo xes to fo rm the missing word.

It’s also called 1% milk. o f w t l a — — — — — G

Another name for mil k sugar. o a s e c l t — — — — — G —

It helps keep muscles s trong. t e i p n o r — — — G G — —

Needed to di gest milk sugar. l a e t a s c — — — — G — —

Mi neral that keeps bo nes s trong. i a l u c c m — — — — — — —

Another great reaso n to drink lowfat o r fat free milk is its G G G G G !

Switching to low fat or fat free milk is agreat thing you ca n do for your heal th!

EVALUATION

Thank you for being a part of this ENAFS lesson. We hope you enjoyed yourself! Please help us do a better job of serving you by completing this evaluation.

1. How much did you learn from this lesson? Please check only one: Very little Some A lot

2. Do you plan on making any changes in the foods you eat or drink as a result ofparticipating in this lesson?

Yes No

3. If you answered “yes,” please tell us what you plan to do. Check all that apply! Mooove from whole milk to 2% milk or 1% milk. Mooove from 2% milk to 1% or fat free milk Try lactose-reduced milk. I plan to do something else. (Please describe.)

___________________________________________________________ ___________________________________________________________

I plan to share information I learned today with a family member or friend.

4. Comments:___________________________________________________________________

___________________________________________________________________

Thank you for completing this form. We look forward to seeing you at our otherENAFS programs!

Module 5: Healthy Eating for EldersLesson 4: Moooving to Lowfat or Fat Free Milk

Mooove to Lowfat or Fat Free MilkLesson and Activity for Elementary Age Children

Concept:USDA’s Food Guide Pyramid recommends two to three servings from theMilk, Yogurt & Cheese Group daily for adults and children over the age oftwo years. Foods in the milk group contribute important nutrients neededfor bone health and overall growth and development. Milk and milkproducts are naturally high in fat. A diet high in fat, especially saturated fat,is considered a risk factor for various health problems. Exposing children tolowfat and fat free milk choices is one step toward a lifetime of healthyeating habits.

Objectives: Children mention the health benefits of a lowfat diet. Children identify nutrients found in milk. Children compare the fat content of different types of milk. Children are motivated to switch from whole or reduced fat (2%) milk

to lowfat (1%) or fat free milk.

Teaching Aids: Transparencies Food replicas of milk, cheese, and yogurt (optional) Empty cartons of different types of milk Food Guide Pyramid poster (optional)

Available at USDA’s Center for Nutrition Policy and Promotion,http://www.usda.gov/cnpp/

“Mooove to Lowfat or Fat Free Milk” campaign poster

Handout: Look What I Learned Today! (for parents)

Activities: I like this milk! Can you see the fat in your glass of milk?

Food Demonstration (optional): Mix, Whisk and Serve: Instant Pudding Anyone?

Activity: I like this milk! (Taste-testing)

Purpose

To encourage participants to try lowfat or fat free milk and to decide which one of these lower fatmilk types they like.

Materials needed

Different types of milk: whole, reduced-fat (2%), lowfat (1%), and fatfree (stored in refrigerator or a cooler)3 oz cupsNapkins

Description and Instructions:

To reduce time and cost of the taste testing, just use two types of milk, whole and lowfat(1%), instead of all four types.

• Label each milk A, B, C, and D (or A and B if you are using only two types of milk.)Make sure the milk is very cold.

• Each participant needs four (or two) 3-ounce disposable cups. If the children can write,ask them to label their cups A, B, C, and D. If not, label the cups before distributing.

• Pour a small amount of milk in each cup for each participant. Be sure to pour milk A intocup A, and so forth.

• Ask participants to try each milk and discuss their opinion of each. Then use thevegetable shortening to “show” the fat content of each type of milk, as in the followingactivity.

Ask your child to help you complete this activity.

Use the words listed below to fill in the blanks. Then see if you can find them inthe word search.

WHOLE

FAT FREE

FAT

CALCIUM

PROTEIN

My bones need ________ to grow.

My muscles need _______ to grow.

This milk has little or no fat: _______.

This milk has the most fat: ________.

My heart would be healthier if I eat less _____.

Prepared by: Isabel Valentín-Oquendo, MS, RD, LD/N, Department of Family, Youth and Community Sciences,University of Florida, Gainesville, 2002, for the Florida Interagency Food and Nutrition Committee’s Mooove toLowfat or Fat Free Milk campaign. May be reproduced for educational purposes.Visit our website at: www.doh.state.fl.us/family/cvh/nutrition/milk.html ©2002, University of Florida

An equal opportunity provider

F A T F R E E C A

A E G Y I B D A M

F C A J W H O L E

A D E H W O H C R

T S P R O T E I N

U S K M I R N U D

O K M K L F F M S


Time Line for Campaign

• December/January: prepare materials

• January/February: peer review

• February: printing and distribution

• March (National Nutrition Month): Mooove to Lowfat or Fat Free Milk campaign implemented across Florida!


Time Line for Campaign

• Mar 02-Feb 03: Campaign implemented

• June 02-May 03: Evaluations

• June 03-Aug 03: Data analysis and campaign review

• July 03-Sept 03: Abstract(s), paper(s) prepared

QUESTIONS?

food, nutrition and health update 2002 1 mooove to lowfat or fat free milk: a campaign of the...

Documents

health update

nutrition update

florida interagency

govhealthypeople slide

nutrition share ideas

press release slide

health risks surgeon

campaign extensions