Achieve Healthier Communities CDC Grant results, NDSU Extension Grand Forks County, October 2013

ACHIEVE Healthier Communities

Centers for Disease Control

Grant Results

Action Communities for Health, Innovation and EnVironmental ChangE

ACHIEVE

CHARTCommunity Health Action Response Team

Grand Forks (GF) Park District

GF Health Department

GF Public Schools

GF, EGF Metropolitan Planning Organization

GF City Council

YMCA

UND Work Well

Coalition for a Healthy Greater Grand Forks

CHANGECommunity Health Assessment aNd Group Evaluation

• Change Tool – Snapshot of local policy, system, and

environmental change strategies– Identifies areas where health strategies are

lacking and then define an dprioritize areas for improvement.

New Logo

Goals

• Healthy Concession Stands• Healthy Restaurants• Children’s Community Gardens• EBT Machines for Farmers Markets• Tobacco-Free Parks

Healthy Concession Stands

Partners:• Park District• NDSU Extension Service• GF Public Schools

– Boosters– Superintendent of Teaching and Learning– Principals– Child Nutrition Program

Concession Stands: Park District

Decreased to 5 candy bar choices

– “healthier”, lower calorie,

• Three Muskateers, • Rollos, • Kit Kat, • Peppermint Patties and • Reeses Pieces.

Decreased to 5 candy choices. (children’s most popular items)

– ring pops (high sugar but fat free),

– Extremes– Gummy candy– 2 others

New items• granola • yogurt • applesauce• mandarin orange cups• vitamin waters • teas• string cheese • whole wheat buns • no more cotton candy

No decrease in sales!

• All chips sold are baked• Hot dogs are all beef,

lower in fat• Taco-in-a-bag used

seasoned ground turkey with added bean

• Popcorn oil is canola not trans-fat

Park District Concession Stands

Healthy Restaurant Initiative

Partners:• Park District• NDSU Extension Service• GF Public Health • GF Public Schools• Altru Health System

Food Group Definitions

• Fruit: ½ cup min.

(Fresh, frozen, or canned).

• Vegetables: ½ cup min. (Fresh, frozen,

or canned).

• Whole Grains:

Contains whole grains.

• Lean protein: At least 2 ounces meat, 1 egg

equivalent, 1 oz. nuts/seeds/dry bean/peas.

(skinless white meat poultry, fish, seafood, beef,

pork, tofu, beans, eggs):

• Dairy: 8 oz. low-fat milk (1% or skim milk), 8

oz. calcium fortified soy milk.

Healthy Menu Items

Nutritionally Dense Food Focus

• Whole grain breads,

• Fruits,

• Vegetables,

• Low-fat milk and cheese

• Lean protein.

The Take Action logo may be used on menus if the following nutrition criteria are met for adults.

.Full Meal (entrée, side option and beverage):• 700 calories or less• ≤30% of calories from total

fat• ≤10% of calories from

saturated fat• <0.5 grams trans fat• ≤770 mg of sodium• 2 or more food groups (see

below)

Side Items:• 300 calories or less• ≤30% of calories from total

fat• ≤10% of calories from

saturated fat• <0.5 grams artificial trans fat• ≤250 mg of sodium• 100% fruit, vegetables or

juice; and low fat (1%) and skim milks are permitted

• 1 food group

The Take Action logo may be used on menus if the following criteria are met for children.

Full Meal (entrée, side option and beverage):• 600 calories or less• ≤30% of calories from total

fat• ≤10% of calories from

saturated fat• <0.5 grams trans fat• ≤770 mg of sodium• 2 or more food groups

Side Items:• 200 calories or less• ≤30% of calories from total fat• ≤10% of calories from

saturated fat• <0.5 grams artificial trans fat• ≤250 mg of sodium• 100% fruit, vegetables or juice;

and low fat (1%) and skim milks are permitted

• 1 food group

Nutrition Criteria for Kids’ Meals 

Full Meal (entrée, side option and beverage):

600 calories or less• ≤30% of calories from total

fat• ≤10% of calories from

saturated fat• <0.5 grams trans fat• ≤770 mg of sodium• 2 or more food groups (see

below)

Side Items:

200 calories or less• ≤30% of calories from total

fat• ≤10% of calories from

saturated fat• <0.5 grams artificial trans

fat• ≤250 mg of sodium• 100% fruit, vegetables or

juice; and low fat (1%) and skim milks are permitted

• 1 food group

1 pound small, red potatoes2 Tbsp. olive oil½ tsp. crushed, dried rosemary½ tsp. salt

Preheat oven to 400 F. Wash potatoes thoroughly. Cut in half. Arrange in shallow pan.

Drizzle with olive oil and turn to coat well. Sprinkle with rosemary and salt. Stir to mix well. Bake uncovered in a 400 F oven, stirring occasionally, until tender (25 to 35 minutes).

Makes four servings. Each serving has 145 calories, 18g carbohydrate, 7.2g fat, 2g fiber and 298mg sodium

Rosemary Roasted Potatoes

EBT Machines at Farmer’s Markets

Partners:• Park District• GF Public Health• State Department of Health

• Choice Health and Fitness: Sprouts Deli serves healthy foods. – Monster cookies made with apple sauce– Nothing fried– Chocolate peanut butter truffles with whole

grain chips and dark chocolate.– Brownie tart made with beans

EBT Machines at Farmer’s Markets• Bismarck• BisMarket Farmers Market

Saturdays - 9:00 a.m. to 1:00 p.m.Sertoma Park, Shelter

• Skyline Ranch ProduceSundays - 12 to 5 p.m. - Kmart Pkg LotTuesdays - 12 to 5 p.m. - Kmart Pkg LotThursday – 12 to 5 p.m. - Kmart Pkg Lot

• Beulah• Skyline Ranch Produce

Wednesdays - 3 to 6 p.m. Shopko Pkg Lot• Fargo• Bill Erbes Farm

Tues., Thurs., and Sat. - 10 a.m. to 5 p.m. • Great Plains Produce Association Farmers’

Market , Dike East Park –

• Hazen• Skyline Ranch Produce

Mondays - 3 to 6 p.m. (ct) All Season’s Arena

• Minot• North Prairie Farmers Market 

Saturdays - 11 a.m. to 2 p.m. Intersection

• Washburn• Skyline Ranch Produce

Fridays - 4 to 7 p.m. (ct) (through Sept.) Fridays - 3 to 6 p.m. (ct) (Oct.) Cenex

• West Fargo• Hildebrant’s Farmers Market 

Mondays to Fridays - 10 a.m. to 7 p.m. Saturdays - 10 a.m. to 6 p.m. Sundays - Noon to 6 p.m. 

First Steps

Get an FCN number

• Can be a lengthy process• Can accept debit and

credit cards.

• http://www.fns.usda.gov/snap/retailers/application-process.htm

Contacts

• John Klein, Max ,ND701-679-2693

GoalsFarmer’s Markets

Electronic Benefits Transfer (EBT) MachinesPartners:• Park District• GF Department of Health• USDA Human Nutrition Research Center• NDSU Extension

Children’s GardensPartners:• Park District• NDSU Extension Service• GF Public Schools• US Green Building Council• Rydell• USDA

– Natural Resources Conservation Service– Human Nutrition Research Center

Century School Garden

Century School Garden

Century School Garden

School Orchard

Lake Agassiz School Garden

Tobacco-Free Parks

• Park District• GF Public Health Department• State Department of Health

City of GF Ordinance

• Stricter language than state.

Sports arena means any facility or area, whether an indoor or outdoor

place, where members of the public assemble to engage in physical

exercise, participate in athletic competition, or witness sports or other

events, including but not limited to sports pavilions, stadiums,

gymnasiums, health spas, boxing arenas, swimming pools, roller and

ice rinks, race tracks, ball parks, athletic fields, stadiums,

grandstands, and bowling centers.

Tobacco-Free Parks

• Board Commissioners wanted a survey of softball players and golfers

• Received $5,000• No progress on this to date.

Next Steps

• NDSU Extension will lead the initiatives.• Continue to engage community partners.• Delegate work to others involved.