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38 © Copyright 2006-2019 Leah’s Pantry Food Smarts Training Program Best Pracces for Healthy Living // WEEK 5 Time Topics Workbook Reference 10 min. Taste Test SMART Goal Check-in, record on Goal Tracker p. 11 15 min. Rethink Your Drink » Students predict and discover the amount of sugar in soſt drinks. p. 45-46 15 min. Make Moving Fun! Acvity Charades Thinking About Being Acve » Students can explain why exercise is part of a healthy life. » Students can idenfy ways to increase their amount of exercise. » Students can idenfy things that make exercise difficult. p. 79 10 min. Choose from among the following according to what best suits your parcipants: Eang Out and Staying Healthy Feeding Baby, Feeding Mom Diabetes: Know the Risk Sodium and Healthy Blood Pressure Strong Bones for Life » Students idenfy different strategies that they can use to solve the challenges of healthy living in their own lives. Sleep Your Way to Health p. 42 p. 18 p. 82 p. 83 p. 84 p. 81 10 min. Healthy Changes or Make These Meals Healthier » Students apply their knowledge to make healthy improvements. p. 80 p. 47 30 min. Recipe Demonstraon or Acvity (see EatFresh.org for ideas) Closing Queson: What are the biggest challenges you encounter in buying food and meal planning? Notes: 90 6

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Page 1: Best Practices for Healthy Living // WEEK 5 · 2020-01-23 · 38 oprit ea’s antr ood Smarts Trainin roram Best Practices for Healthy Living // WEEK 5 Time Topics Workbook Reference

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Best Practices for Healthy Living // WEEK 5

Time Topics Workbook Reference

10 min. Taste Test SMART Goal Check-in, record on Goal Tracker

p. 11

15 min. Rethink Your Drink»» Students predict and discover the amount of sugar in soft drinks.

p. 45-46

15 min. Make Moving Fun!Activity CharadesThinking About Being Active»» Students can explain why exercise is part of a healthy life.»» Students can identify ways to increase their amount of exercise.»» Students can identify things that make exercise difficult.

p. 79

10 min. Choose from among the following according to what best suits your participants:

Eating Out and Staying HealthyFeeding Baby, Feeding Mom Diabetes: Know the Risk Sodium and Healthy Blood Pressure Strong Bones for Life »» Students identify different strategies that they can use to solve the challenges of healthy living in their own lives.

Sleep Your Way to Health

p. 42p. 18p. 82p. 83p. 84

p. 81

10 min. Healthy ChangesorMake These Meals Healthier»» Students apply their knowledge to make healthy improvements.

p. 80

p. 47

30 min. Recipe Demonstration or Activity (see EatFresh.org for ideas)Closing Question: What are the biggest challenges you encounter in buying food and meal planning?

Notes:

906

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Taste Test

Materials » simple whole foods, cut or portioned into bite sizes; link to workshop recipe or theme if possible. Cut

seasonal fruits or vegetables, unsalted nuts or seeds, plain tofu or yogurt are all good options.

Desired Outcomes » Students explore whole foods with their senses.

The aim of the taste test is multifold: to expose workshop participants to foods they may not have tried before, to raise awareness of the benefits and pleasure of eating seasonal fruits and vegetables, and to raise curiosity and interest in the abundant diversity of food. To this end, the taste test is meant to be an interactive and fun start to the class.

You may find it helpful to coordinate the taste tests with the recipe for each week; for example, if you are making hummus & veggie wraps for a class at the end of summer, you might provide a taste test of different kinds of tomatoes—different colors, heirloom varieties, etc.—and you can then use those same kinds of tomatoes for the recipe, bringing the class full circle.

Directions1. At the beginning of class, provide bite-sized sample portions of your taste test item.

2. Ask participants eat slowly and not comment on the food immediately, but rather observe it using their senses: Sight: What color is the food? Does it look appealing? Can you tell what it is? Smell: What does it smell like? Touch: What is the temperature like? Is the food soft or hard? Wet or dry? Sound: Does it make a sound when you eat it? Taste: Does it remind you of any other foods? How would you describe the taste? Does the taste change as it’s in your mouth?

3. Once everyone has had a chance to try the item, invite students to share their observations.

Additional Information: » Spring: greens: spinach, chard, dandelion, different varieties of lettuce, asparagus

» Summer: berries: strawberries, raspberries, blackberries, blueberries, gooseberries, tomatoes, corn, cherries

» Fall: pumpkin, squashes, apples, pears, grapes

» Winter: citrus fruits: clementines, mandarins, satsumas, persimmons: fuyu and ripe hachiya, pomegranates, berries: strawberries, raspberries, blackberries, blueberries, gooseberries, tomatoes, corn, cherries

» Year-round: milks: skim, low-fat, whole, soy, rice, and almond beverages, nuts: raw almonds, cashews

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EatFresh.org Recipe & Taste Test Combination Suggestions

Berries, Fruits Fruit and Yogurt Parfaits

Tomatoes Hummus & Veggie Wraps

Vegetables Pita Pizzas

Tomatoes Tabbouleh

Persimmons Spinach & Persimmon Salad

Apples Curried Waldorf Salad; Spicy Sweet Potato & Apple Soup

Avocados Avocado & Orange Soup

Beans, Vegetables Black Bean Soup

Tomatoes, Mangoes Salsa Two Ways

Fruits, Grains Oat Bran Banana Muffins

Berries, Tofu, Soy Milks Tofu Berry Smoothie

Taste Test (CONTINUED)

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Your Nutriti on Goals & Goal Tracker

Materials» workbook pages 9-11

Desired Outcomes» Students create three SMART goals.

» Students identi fy SMART goals, and improve vague goals.

Directi onsHave students follow directi ons to imagine their healthy futures. They can make notes in the workbook. Then:

» Explain “SMART” goals and work with the class to fi nd some examples.

» Help each individual create at least one SMART goal they will try to achieve during the course of the workshop. See the back of the goal tracker for examples.

» Record each student’s goal on the goal tracking worksheet and follow up each week.

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Your Nutrition Goals

Have you ever set a health goal and achieved it? How? Try this approach: Dream Big

First, sit quietly for a moment with your eyes closed. Imagine yourself one year from now, living a healthier life. Let yourself dream big even if you don’t know how to achieve your dream! How is your dream life different from your life now? Where are you? Who are you with? What words or pictures come to mind? Make notes here.

[content continues on next page...]

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Fill in the blanks to create two SMART Goals you might set for the coming week. Then choose one to track using the following page.

I will _________________________ _________________________ this week.

(action) (how often)

I will _________________________ _________________________ this week.

(action) (how often)

Your Nutrition Goals (CONTINUED)

Then: Start Small

Now try to think of one small goal for this week to move towards your dream. Your goal should be SMART:

» Specific—Avoid words like “more,” “less” or “better.”

» Measurable—Will you know when you’ve achieved it?

» Action Based—Not everything is in your control; choose goals that relate to your actions.

» Realistic—Choose goals you’re likely to accomplish. Start small.

» Time Frame—Set a goal to achieve this week.

Some examples » I will switch from white rice to brown rice twice this week.

» I will eat a piece of fruit with my breakfast every morning this week.

» I will cook a hot dinner three times this week.

» I will try two new foods this week.

How could the following goals be improved?

1. I will lose weight.

2. I will eat less saturated fat and more fiber.

3. I will never eat fast food again.

TRY IT!

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Goal Tracker

What keeps you motivated? Choose a SMART goal from page 10 to work on for a few weeks. Then, each week, reflect on your goal and your progress.

I will ________________________ ________________________ this week. (action) (how often)

To gauge your progress, ask yourself:

» Did I achieve my goal this past week? Why or why not?

» What was challenging about my goal?

» What was easy?

» Should I continue working on this goal or create a new one? If so, what is it?

Week (end of) My Progress

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.Your Nutrition Goals

Have you ever set a health goal and achieved it? How? Try this approach: Dream Big

First, sit quietly for a moment with your eyes closed. Imagine yourself one year from now, living a healthier life. Let yourself dream big even if you don’t know how to achieve your dream! How is your dream life different from your life now? Where are you? Who are you with? What words or pictures come to mind? Make notes here.

[content continues on next page...]

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Fill in the blanks to create two SMART Goals you might set for the coming week. Then choose one to track using the following page.

I will _________________________ _________________________ this week.

(action) (how often)

I will _________________________ _________________________ this week.

(action) (how often)

Your Nutrition Goals (CONTINUED)

Then: Start Small

Now try to think of one small goal for this week to move towards your dream. Your goal should be SMART:

» Specific—Avoid words like “more,” “less” or “better.”

» Measurable—Will you know when you’ve achieved it?

» Action Based—Not everything is in your control; choose goals that relate to your actions.

» Realistic—Choose goals you’re likely to accomplish. Start small.

» Time Frame—Set a goal to achieve this week.

Some examples » I will switch from white rice to brown rice twice this week.

» I will eat a piece of fruit with my breakfast every morning this week.

» I will cook a hot dinner three times this week.

» I will try two new foods this week.

How could the following goals be improved?

1. I will lose weight.

2. I will eat less saturated fat and more fiber.

3. I will never eat fast food again.

TRY IT!

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.Goal Tracker

What keeps you motivated? Choose a SMART goal from page 10 to work on for a few weeks. Then, each week, reflect on your goal and your progress.

I will ________________________ ________________________ this week. (action) (how often)

To gauge your progress, ask yourself:

» Did I achieve my goal this past week? Why or why not?

» What was challenging about my goal?

» What was easy?

» Should I continue working on this goal or create a new one? If so, what is it?

Week (end of) My Progress

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4

5

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Rethink Your Drink

Materials» granulated sugar or sugar cubes

» clear plasti c cup

» teaspoon (if using granulated sugar)

» workbook pages 45-46

» opti onal: 5 lb. bag of sugar, jar of Crisco, extra clear cup

Desired Outcomes» Students see a visual representati on of how much sugar is in

diff erent drink sizes of soft drinks.

» Extension outcome: Students see a visual representati on of how much fat is in a Big Mac.

Directi ons1. Show the students one teaspoon of sugar or one sugar cube.

2. Ask the students how many teaspoons they think are in one can of soda.

3. Write their guesses on the board.

4. Work together to calculate the teaspoons in each soft drink shown.

5. If using sugar cubes, stack the sugar cubes for each drink shown.

Disturbing Fact: If you had a Big Gulp every day for a month, you would be drinking the equivalent of 10 lbs. of sugar per month.

6. Extension: Repeat acti vity for fat: 9 tsp. of lard/Crisco to show the amount of fat found in a typical Big Mac.

Discussion» Discuss with the students their thoughts on seeing the graphic visualizati on.

» Ask the students to come up with some alternati ves to eati ng junk food or drinking soda. (What foods are sweet and yummy but not full of added sugars?)

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Flavored Water RecipeFill a pitcher with cool water.

Add 1/2 cup thinly sliced cucumber and 1/2 cup fresh mint leaves. Chill in refrigerator. Enjoy!

Try different combinations of flavors:

» Thin slices: lemon, lime, orange, grapefruit, cucumber, apple, berries, melon, pineapple, fresh ginger

» Fresh whole leaves or sprigs: mint, basil, rosemary, parsley

Rethink Your Drink (CONTINUED)

Drink water instead! » Add lemon to your water for extra flavor. Or try the recipe below.

» Experiment with hot, cold, and room temperature water to see what you like best.

» Have a glass of water on the table at every meal, and nearby when working.

» Drink a glass in the morning after waking up.

» Drink water instead of snacking.

» Drink water when you eat out. It’s free!

» Note that in many places, tap water is held to higher purity standards than bottled water! Bottled water also sits in plastic. This may be harmful to human health and the earth. Consider saving money and going green—drink local tap water from a reusable glass or metal bottle.

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Rethink Your Drink

How much sugar is in your favorite drink? » Use the nutrition facts to find out. » Check the number of servings per container. Will you drink more than one? » For each serving, do the math: grams of sugar ÷ 4 = teaspoons of sugar

For example: 40g sugar ÷ 4 = 10 teaspoons sugar

Now do the math on these other soft drinks. How many teaspoons of sugar in each serving? In each bottle or can?

CHOCOLATE MILK

COLA

ORANGE SODA

SWEET TEA

TRY IT!

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.Rethink Your Drink

How much sugar is in your favorite drink? » Use the nutrition facts to find out. » Check the number of servings per container. Will you drink more than one? » For each serving, do the math: grams of sugar ÷ 4 = teaspoons of sugar

For example: 40g sugar ÷ 4 = 10 teaspoons sugar

Now do the math on these other soft drinks. How many teaspoons of sugar in each serving? In each bottle or can?

CHOCOLATE MILK

COLA

ORANGE SODA

SWEET TEA

TRY IT!

[content continues on next page...]

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Flavored Water RecipeFill a pitcher with cool water.

Add 1/2 cup thinly sliced cucumber and 1/2 cup fresh mint leaves. Chill in refrigerator. Enjoy!

Try different combinations of flavors:

» Thin slices: lemon, lime, orange, grapefruit, cucumber, apple, berries, melon, pineapple, fresh ginger

» Fresh whole leaves or sprigs: mint, basil, rosemary, parsley

Rethink Your Drink (CONTINUED)

Drink water instead! » Add lemon to your water for extra flavor. Or try the recipe below.

» Experiment with hot, cold, and room temperature water to see what you like best.

» Have a glass of water on the table at every meal, and nearby when working.

» Drink a glass in the morning after waking up.

» Drink water instead of snacking.

» Drink water when you eat out. It’s free!

» Note that in many places, tap water is held to higher purity standards than bottled water! Bottled water also sits in plastic. This may be harmful to human health and the earth. Consider saving money and going green—drink local tap water from a reusable glass or metal bottle.

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Make Moving Fun!

Materials» workbook page 79

Desired Outcomes» Students identi fy physical acti vity as an essenti al component of a

healthy life.

» Students identi fy diff erent ways they can increase the amount of physical acti vity in their lives and the lives of their children.

» Students identi fy challenges in increasing acti vity levels and develop strategies for meeti ng those challenges.

» Students explain the link between acti vity levels and obesity rates and overall health.

Directi onsThe goal of this acti vity is to have parti cipants examine the role of exercise in their lives and create strategies for increasing their acti vity levels if they are too low. Most people have a lot of reasons why this is diffi cult, so begin with the objecti ons and go from there. Give a lot of opti ons for ways to increase acti vity, based on your students’ lifestyles. Make sure to discuss the correlati on between acti vity level and obesity as well as amount of hours in front of the TV.

Discussion Questi onsOpen-ended questi ons» What do you fi nd to be the most challenging aspects of increasing your physical acti vity level? Your

child’s physical acti vity level?

» What are your biggest concerns about you and your children’s physical acti vity level?

» In what ways do you noti ce that your acti vity level aff ects how you feel during the day? How your children act during the day?

Specifi c questi ons» How many hours a week do you spend ti me exercising or being acti ve?

» Do you parti cipate in any organized physical acti viti es, by yourself or in groups?

» How many hours a week do your children spend playing outside, exercising, parti cipati ng in organized sports, or being acti ve?

» How many hours a day do you and your children spend watching TV?

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» Limit “Screen” Time (TV, video games, mobile devices, computers); the number of hours of TV children watch per week is directly correlated with obesity. Children who watch more than three hours of television a day are 50% more likely to become obese than children who watch fewer than two hours.

» Physical activity affects more than just weight. It can also improve mood, sleep, and concentration!

» If you have a tough time getting motivated, look for ways to be active with others—find a class, go for walks or dance with a buddy, add physical games to a family party. Getting Exercise in Small Spaces

» Jump rope

» Jumping jacks

» Dance parties

» Wrestling

» Housework

» Stairs instead of the elevator

» Yoga or stretching

» Hula hoops

Make Moving Fun!

What are your favorite ways to move? Kids need 60 minutes of exercise daily. Adults need 150 minutes of moderate activity per week or 75 minutes of vigorous activity per week.

TRY IT!

THINK ABOUT ITDo you get enough exercise every week? Does your family?

What are some ways to move more during your day?

“The easiest way to reduce inactivity is to turn off the TV. Almost anything else uses more energy than watching TV.” - Dr. William H. Deitz

How can you create a SMART Goal to achieve the changes suggested here?

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Follow-up DiscussionThese discussion questions can be used with returning groups of students.

» In addition to considering the discussion questions from the original activity, invite students to consider how their exercise habits have changed since the last workshop with the following questions:

» Have your exercise habits changed over the past year? Have your attitudes towards exercise changed?

» Do you find you exercise more or less frequently depending on the time of year? Is this because of the weather, your schedule, or other reasons?

» What are some challenges you faced in incorporating exercise into your routine?

» If you were successful in incorporating exercise into your routine, what did you do? Did you notice any benefits, such as increased energy or a better mood?

Make Moving Fun! (FOLLOW-UP)

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» Limit “Screen” Time (TV, video games, mobile devices, computers); the number of hours of TV children watch per week is directly correlated with obesity. Children who watch more than three hours of television a day are 50% more likely to become obese than children who watch fewer than two hours.

» Physical activity affects more than just weight. It can also improve mood, sleep, and concentration!

» If you have a tough time getting motivated, look for ways to be active with others—find a class, go for walks or dance with a buddy, add physical games to a family party. Getting Exercise in Small Spaces

» Jump rope

» Jumping jacks

» Dance parties

» Wrestling

» Housework

» Stairs instead of the elevator

» Yoga or stretching

» Hula hoops

Make Moving Fun!

What are your favorite ways to move? Kids need 60 minutes of exercise daily. Adults need 150 minutes of moderate activity per week or 75 minutes of vigorous activity per week.

TRY IT!

THINK ABOUT ITDo you get enough exercise every week? Does your family?

What are some ways to move more during your day?

“The easiest way to reduce inactivity is to turn off the TV. Almost anything else uses more energy than watching TV.” - Dr. William H. Deitz

How can you create a SMART Goal to achieve the changes suggested here?

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Activity Charades

Materials » paper and pen

» stopwatch, clock, or wristwatch

Desired Outcomes » Students identify a variety of ways to be active.

» Students identify physical activity with activities other than exercise or working out.

» Students identify factors that make exercise difficult to fit in, and then potential solutions.

Directions1. If there are more than 6 students, divide the class into two teams. Otherwise, avoid a competition and

just play with the whole group together.

2. If there is at least one student on each team who can read and write, have each team brainstorm different ways to be active (i.e. rock climbing, soccer, ballet, cooking, running). Encourage the students to include activities that are active, but not sports (i.e. cleaning the house, carrying groceries, climbing stairs). Each team should write these ideas on slips of paper and give them to the opposite team.

3. If you are playing with one team, have each student think of idea on his own and act it out. You can assist kids who are having trouble.

4. One player from each team takes a slip of paper and attempts to get his team to guess the activity. Each time a player acts out a phrase, a stopwatch is used to track the time (with a maximum of two minutes for each turn). The team with the least amount of total minutes and seconds wins. For a group of younger students, you may need to whisper ideas into their ears and avoid the stopwatch.

5. Extension: Play again using the question: “What are things that prevent people from exercising every day?” (i.e. TV, being tired, homework, nothing to do, etc.)

Discussion Questions » What were some ideas that you hadn’t thought of on your own?

» What are some things that everyone can do every day to be active?

» Why is being active an important part of a healthy life?

» Why is being active every day challenging? What gets in the way?

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Thinking About Being Active

Materials » paper, one per group (large pieces ideal, but anything will work)

» markers

Desired Outcomes » Students recognize the challenges of being active and provide solutions.

DirectionsDivide the class into four groups. Hand out manila paper and markers to each group. (If the class is less than eight people, have two groups answer two questions each.) Assign one of the lists below to each group:

» Things that Make It Easy to be Active

» Things that Make It Hard to be Active

» Why Being Active Every Day Is Important

» Easy Ways to Be Active Every Day

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Eati ng Out and Staying Healthy

Materials» workbook page 42

» opti onal: menus from inexpensive local restaurants (can oft en be found online)

Desired Outcome» Students identi fy and practi ce strategies for decision-making when

eati ng out.

Directi ons1. Have students refl ect for a moment to identi fy how many

meals they get each week from restaurants (including fast-food establishments).

2. Have them share any strategies they know or use for making good choices when eati ng out.

3. Read the ti ps listed in the workbook together. Are there any that are new to them?

4. Review the menu at the bott om of the page with students. They can work independently, in pairs, or as a whole group to create some MyPlate meals using this menu. If you have brought additi onal menus, include these in the acti vity as well.

Discussion Questi ons» What is challenging about making good decisions when you eat out?

» Are there any inexpensive local restaurants where you fi nd making good choices easier? Why?

» Which of the ti ps listed would you like to try?

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Starters and Sides .......................... $4 Sweet Potato Home Fries

Chips and Guacamole

Split Pea Soup

Chicken & Rice Soup

Small Fruit Salad with Granola

Small Garden Salad

Main Dishes ..................................... $72 Eggs w/Biscuit or Corn Tortillas

Hamburger (add cheese, 50¢)

Grilled Cheese with Tomato

Mushroom Burger on Whole Wheat Bread

Tuna Salad Bowl

Large Garden Salad with Grilled Chicken

Vegetarian Three-Bean Chili

Drinks & Desserts ........................... $3 Small Fresh Orange or Carrot Juice

Milk

Large Soda

Baked Apple

Chocolate Fudge

Eating Out and Staying Healthy

Do you make different food choices when you’re away from home? It’s easy to indulge when eating out. Try these choices.

» Rethink Your Drink: choose water over sugar-sweetened choices.

» Ask for sauces and dressings on the side. Dip instead of pour!

» Choose salsa and mustard over mayo and oil.

» Avoid dishes with these words: au gratin, breaded, buttered, cheesy, creamy, gravy, scalloped, fried, battered.

» Choose dishes with these words: baked, broiled, poached, grilled, roasted, steamed.

» Split entrees with your friend.

» Consider serving sizes carefully. Can your craving for french fries be satisfied by a small instead of a large order?

» If the portions are large, set aside food to take home before you dig in.

» Bring the food home and add a side of raw veggies or fruit to complete the meal.

» Drive by the drive-thru; it’s difficult to find healthy fast food on the run!

Try to make a MyPlate meal using this menu. Which items couldn’t fit on MyPlate at all? TRY IT!

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Starters and Sides .......................... $4 Sweet Potato Home Fries

Chips and Guacamole

Split Pea Soup

Chicken & Rice Soup

Small Fruit Salad with Granola

Small Garden Salad

Main Dishes ..................................... $72 Eggs w/Biscuit or Corn Tortillas

Hamburger (add cheese, 50¢)

Grilled Cheese with Tomato

Mushroom Burger on Whole Wheat Bread

Tuna Salad Bowl

Large Garden Salad with Grilled Chicken

Vegetarian Three-Bean Chili

Drinks & Desserts ........................... $3 Small Fresh Orange or Carrot Juice

Milk

Large Soda

Baked Apple

Chocolate Fudge

Eating Out and Staying Healthy

Do you make different food choices when you’re away from home? It’s easy to indulge when eating out. Try these choices.

» Rethink Your Drink: choose water over sugar-sweetened choices.

» Ask for sauces and dressings on the side. Dip instead of pour!

» Choose salsa and mustard over mayo and oil.

» Avoid dishes with these words: au gratin, breaded, buttered, cheesy, creamy, gravy, scalloped, fried, battered.

» Choose dishes with these words: baked, broiled, poached, grilled, roasted, steamed.

» Split entrees with your friend.

» Consider serving sizes carefully. Can your craving for french fries be satisfied by a small instead of a large order?

» If the portions are large, set aside food to take home before you dig in.

» Bring the food home and add a side of raw veggies or fruit to complete the meal.

» Drive by the drive-thru; it’s difficult to find healthy fast food on the run!

Try to make a MyPlate meal using this menu. Which items couldn’t fit on MyPlate at all? TRY IT!

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Feeding Baby, Feeding Mom

What is hard about feeding your infant? What about feeding yourself?Breastfeeding Tips

1. Learning to breastfeed may take time and effort. This is normal!

2. Switch breasts about halfway through each feeding, or from one feeding to the next.

3. Flavors and compounds from foods you eat can end up in breast milk. Spicy or gassy foods, like cabbage, may cause problems for your baby.

4. Check with your doctor to see if alcohol or medications are safe for you while breastfeeding.

5. Your baby should dirty several diapers per day. This is one sign he or she is eating enough.

Mom Needs Care, TooIt can be tough to take care of yourself while taking care of someone else! Remember:

1. Avoid restricting calories if breastfeeding in the first 6 months.

2. An eating pattern of mostly whole foods may help you recover from pregnancy and delivery faster.

3. Keep healthy, ready-to-eat foods on hand for when cooking is impossible. Fresh fruit, cut vegetables, yogurt, nuts, and whole grain bread are good choices.

4. Drink extra water through the day if you are breastfeeding.

5. Limit alcohol, caffeine, and added sugars. These can disrupt your sleep cycle. It’s hard enough to sleep with a newborn around!

Infants... » should be breast-fed every three hours

(more if needed) or given a bottle of formula as directed by your doctor.

» vary in how long they nurse at one time. Some need as few as 10 minutes, others as much as 60 minutes.

» should get most of their nutrition from breast milk, or formula, only until 6 months old.

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Diabetes: Know the Risk

Do you know your diabetes risk? Family background may play a role in your risk for diabetes. But lifestyle makes a difference, too.

Risks

You have higher risk for Type 2 diabetes if you:

» are overweight

» are over 45 years old

» have had a parent, brother, or sister with diabetes

» have family background that is Alaska Native, American Indian, African American, Hispanic/Latino, Asian American, or Pacific Islander

» have had gestational diabetes or given birth to a baby weighing more than 9 pounds

» have had abnormal cholesterol levels

» exercise less than 3 times per week

» have polycystic ovary syndrome (PCOS)

» on previous testing, had impaired fasting glucose or glucose tolerance

» have history of cardiovascular disease

Symptoms

Nearly 6 million Americans have Type 2 diabetes and do not know it. Some show no signs or symptoms. Others do not know what to look for:

» increased hunger and/or thirst

» fatigue

» increased urination, especially at night

» weight loss

» blurred vision

» sores that do not heal

Fortunately, you can reduce your risk!

» Reach and maintain a reasonable body weight.

» Make wise food choices most of the time.

» Be physically active every day.

» Lower your intake of sodium and alcohol.

» Talk with your doctor about whether you need medication to control your blood pressure or lower your cholesterol levels.

Diabetes is a disease in which the body does not produce enough insulin. As a result, the body cannot use sugar well. Type 1 diabetes usually appears in childhood or young adulthood. It cannot be prevented. Type 2 diabetes can develop at any age. It can be prevented or delayed through healthy lifestyle.

How can you create a SMART Goal to achieve

the changes suggested here?

TRY IT!

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.Sodium and Healthy Blood Pressure

Do you or a family member have high blood pressure?A desirable blood pressure is 120/80. Your blood pressure is high at 140/90 and above. Have your blood pressure checked at least once a year. High blood pressure means your body is working harder than it should to move blood to all parts of your body.

High blood pressure raises your risk of...

» stroke

» heart attack

» kidney problems

» eye problems

» death

High blood pressure can be preventable

» Stay active.

» Reduce sodium intake.

» Reduce alcohol intake.

» Maintain a healthy weight.

Test your Sodium Smarts! You’ve heard a lot about limiting sodium from foods, but what else should you know? Answer True or False to the questions below. (Here’s a clue: only one item is false!)

True False1. Healthy individuals should keep intake under 2300 mg a day; those with high

blood pressure or high risk should keep intake to under 1500 mg a day.

2. Whole fruits and vegetables do not contain sodium.

3. Soy sauce, canned foods, and seafood can be high-sodium foods.

4. Potassium helps to balance the sodium in your body; therefore, eating plenty of high-potassium fruits and vegetables may help maintain healthy blood pressure.

5. A food with less than 140 mg of sodium per serving can be labelled a “low-sodium food.”

How can you create a SMART Goal to achieve the changes suggested here?TRY IT!

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Strong Bones for Life

How can you keep your bones strong? Bones can become fragile as we age. Bone loss cannot be reversed, but it can be prevented or delayed. Treatment and care include intake of calcium and Vitamin D, weight bearing exercise, prevention of falls, and bone-friendly medicines. Eat plenty of calcium-rich foods (see chart) to ensure you are getting enough calcium to build and maintain strong bones.

Getting Enough Calcium Through Foods » Adults 19-50 years old should get 1,000 mg of calcium each day. Adults over 50 years of

age should get 1,200 mg each day.

» Eat 3 to 4 servings of dairy or enough of other high calcium foods each day. (See chart below.)

» Read Food Labels: 100% of the Daily Value (%DV) = 1000 mg. Add a zero to the end of the percentage to get milligrams (mg) of calcium in one serving. (Example: 30% DV equals 300 mg of calcium.)

No Dairy? No Problem!

These foods are also high in calcium: sardines, tofu made with calcium sulfate, orange juice with calcium, calcium-fortified bread, salmon, spinach, turnip greens, cooked or raw kale, raw Chinese cabbage, broccoli, cauliflower, and calcium-fortified products.

Weight-bearing exercise like weight lifting can increase muscle mass and protect your bones as you age.

Food Calcium % Daily Value

yogurt, 8 oz. 415 mg 42%

skim/whole milk, 8 oz. 300 mg 30%

cheddar cheese, 1 oz. 306 mg 30%

frozen yogurt, 1/2 c. 103 mg 10%

ice cream, 1/2 c. 85 mg 9%

DID YOU KNOW?

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.Sleep Your Way to Health

Do you get enough rest? Sleep is important for mental health and weight control. If you answer yes to any of these questions, you may be sleep deprived!

» Crave caffeine to get going in the morning, and junk food later in the day?

» Fall asleep within five minutes of laying down?

» Gain weight and don’t know why?

» Have memory trouble?

» Want to take a nap right now?

Fill in the Blanks

1. You may eat _______________ when you’re tired.

2. Most adults need at least 7–9 _______________ of sleep per night, even seniors. Children need more.

3. Your brain can _______________ itself during sleep by getting rid of waste.

4. Sleep helps the brain form _______________.

5. During deep sleep your _______________ pressure drops. Breathing slows and blood flow moves to the muscles.

6. The Challenger shuttle disaster and Chernobyl nuclear accident have been blamed on errors related to _______________ deprivation.

7. It should take about 10–15 _______________ to fall asleep. If you always fall asleep faster, you may be sleep deprived.

8. _______________ are the only mammal that delay sleep on purpose.

9. While you’re asleep, your _______________ switches from cleansing your body to rebuilding it.

10. Growth _______________, which help the body grow and heal, are released during sleep.

hours

liver

minutes

more

humans

memories

sleep

blood

hormones

clean

Word bank:

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Healthy Changes

Materials» workbook page 80

Desired Outcomes» Students suggest improvements to each person’s diet.

» Students apply informati on to real life situati ons

Directi ons1. Break the class up into groups of two or three.

2. Have each group read the case studies and make suggesti ons.

3. Bring the class back together and discuss each group’s suggesti ons.

Discussion Questi ons» Did you identi fy with any of the people in the case studies?

» What changes might you make to your diet based on this acti vity?

» Which aspects of your meal routi ne do you want to keep?

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Healthy Changes

❶ Carla, a 65 year old woman, often complains about being tired. Her doctor is also concerned she is at risk for diabetes due to her weight, family history, ethnic background, and moderately high blood pressure. When Carla wakes up, she always has coffee but sometimes doesn’t eat more than a slice of white bread with butter. For lunch, she eats from the cafeteria at work and snacks during the day on fruit, chips, candy and diet soda. If she has food in the house, she has a reasonably sized dinner that includes a simple salad, pasta, chicken and rice, or hamburgers. Otherwise she’s often too tired to go to the grocery store after work and eats frozen pizzas, cereal, or whatever she can find. She has never exercised regularly and isn’t sure what she should do to start.

❷ Laura is a single mother of 3 children who works full time. In the morning, she hurries to get the kids ready for school and daycare. She rarely has time to eat before going to work, and never has time to pack a lunch. She doesn’t feel hungry until the afternoon but drinks a lot of coffee and diet soda at work. By the evening, she hardly has any energy to make dinner and help the kids with their homework. They eat a lot of frozen fish sticks and junk food. In order to occupy the kids while she makes dinner, they watch TV. Even though she hardly eats all day, she’s still not able to lose much of the weight she gained after her last baby.

❸ Jesse hates to get up in the morning! She would rather sleep in than eat breakfast. But by the time she gets to school, she feels hungry and tired. She often falls asleep in class. She eats mostly from the school cafeteria, but usually chooses foods like chips, juice, and french fries. After school, she often snacks on soda, cookies, and candy. Her mom always comes home and cooks a healthy dinner.

❹ Tony is an athlete who has practice almost every day after school. He needs to eat a lot! He eats cereal in the morning, lunch in the cafeteria and a fast food meal every day before practice. His mom makes big dinners like fried chicken and mashed potatoes. Although he’s really active, Tony is worried he weighs too much—but he’s also concerned about having enough energy to play.

❺ Jill doesn’t eat regular meals. If she’s up in time, she eats breakfast but often skips lunch because she doesn’t like the food in the cafeteria. She drinks a lot of diet soda but eats mostly fruit, cheese, veggies, and bread. She stays up late at night and often eats around 11pm. Her family doesn’t eat dinner together usually because everyone has a different schedule.

» What changes would you suggest to these individuals and/or their caregivers?

» What will be the hardest changes for them to make?

» Can you think of a SMART Goal each one could try to achieve?

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Healthy Changes

❶ Carla, a 65 year old woman, often complains about being tired. Her doctor is also concerned she is at risk for diabetes due to her weight, family history, ethnic background, and moderately high blood pressure. When Carla wakes up, she always has coffee but sometimes doesn’t eat more than a slice of white bread with butter. For lunch, she eats from the cafeteria at work and snacks during the day on fruit, chips, candy and diet soda. If she has food in the house, she has a reasonably sized dinner that includes a simple salad, pasta, chicken and rice, or hamburgers. Otherwise she’s often too tired to go to the grocery store after work and eats frozen pizzas, cereal, or whatever she can find. She has never exercised regularly and isn’t sure what she should do to start.

❷ Laura is a single mother of 3 children who works full time. In the morning, she hurries to get the kids ready for school and daycare. She rarely has time to eat before going to work, and never has time to pack a lunch. She doesn’t feel hungry until the afternoon but drinks a lot of coffee and diet soda at work. By the evening, she hardly has any energy to make dinner and help the kids with their homework. They eat a lot of frozen fish sticks and junk food. In order to occupy the kids while she makes dinner, they watch TV. Even though she hardly eats all day, she’s still not able to lose much of the weight she gained after her last baby.

❸ Jesse hates to get up in the morning! She would rather sleep in than eat breakfast. But by the time she gets to school, she feels hungry and tired. She often falls asleep in class. She eats mostly from the school cafeteria, but usually chooses foods like chips, juice, and french fries. After school, she often snacks on soda, cookies, and candy. Her mom always comes home and cooks a healthy dinner.

❹ Tony is an athlete who has practice almost every day after school. He needs to eat a lot! He eats cereal in the morning, lunch in the cafeteria and a fast food meal every day before practice. His mom makes big dinners like fried chicken and mashed potatoes. Although he’s really active, Tony is worried he weighs too much—but he’s also concerned about having enough energy to play.

❺ Jill doesn’t eat regular meals. If she’s up in time, she eats breakfast but often skips lunch because she doesn’t like the food in the cafeteria. She drinks a lot of diet soda but eats mostly fruit, cheese, veggies, and bread. She stays up late at night and often eats around 11pm. Her family doesn’t eat dinner together usually because everyone has a different schedule.

» What changes would you suggest to these individuals and/or their caregivers?

» What will be the hardest changes for them to make?

» Can you think of a SMART Goal each one could try to achieve?

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.Make These Meals Healthier

How would you make the following meals healthier? Use the guidelines of MyPlate or the Healthy Eating Plate to help. Include more vegetables, whole grains, legumes, fruits and dairy... and use your imagination!

Meal 1 Meal 2 Meal 3 Meal 4 Meal 5

Fried chicken

White rice

Salad with lettuce and cucumbers

Whole milk

Hamburger on white bun

French fries

Milk shake

Pasta

Tomato sauce

Garlic bread with butter

Soda

Instant Ramen

Chips

Juice

Stir-fry with beef and white rice

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Food Demonstration Planning Template

Recipe Title: _________________________________________________________________________

EQUIPMENT/MATERIALS INGREDIENTS

Recipe Modifications to Suggest:

Healthy Nutrition Message to Highlight:

Culinary Skill to Demonstrate:

Food Bank-Friendly Items to Show:

Ingredients to Prep Ahead of Time (if any):