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Lesson Powerful Bones. Powerful Meals Objectives: Make wise food choices to meet daily requirements of calcium. Name a different ethnic food rich in calcium. Keywords: Calcium-rich foods, ethnic food, nutrition facts Games: Discovery Chain – Wizard Mat, Calcium Chain, Chopsticks, Oh My Word, Heavy Duty Words Utah State Office of Education Objective Food and Nutrition II. STANDARD 20.0118-03. Objective 20.0118-0302 . Classify common food and nutrition related health concerns. National Standard 14.2.3 (The emphasis is on understanding the relationship of Teacher’s Guide. V2/2010 © 2009 by Utah State University 3 10 10 25 5 Lesson Plan PreTest Teaching Games PostTest

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Lesson Powerful Bones. Powerful Meals

Objectives: Make wise food choices to meet daily requirements of calcium. Name a different ethnic food rich in calcium.

Keywords: Calcium-rich foods, ethnic food, nutrition facts

Games: Discovery Chain – Wizard Mat, Calcium Chain, Chopsticks, Oh My Word, Heavy Duty Words

Utah State Office of Education ObjectiveFood and Nutrition II. STANDARD 20.0118-03.

Objective 20.0118-0302. Classify common food and nutrition related health concerns.

National Standard 14.2.3 (The emphasis is on understanding the relationship of diet in the prevention, control and maintenance of these health concerns. A doctor should always be consulted regarding any of these concerns)

Discuss specific health concerns and risk factors for: anemia, colon and rectal cancer and osteoporosis.

Teacher’s Guide. V2/2010 © 2009 by Utah State University

10

10

25

5

Lesson Plan

PreTestTeachingGamesPostTest

3

TIPS: To illustrate how soda is detrimental to bone health, start a week or two earlier, or have your students start an experiment on this day of class. EXPERIMENT: 1) In a container, cover a chicken bone with soda. 2) Check the bone daily. The bone will become softer and softer because calcium is loss as it is dissolved in the weak acid (soda).

Lesson Plan

1. Give Pre-test (Folders)2. Teach3. Games (pick and choose game(s) that fit your class duration)4. Give Post-test (Folders)

A. Daily Calcium Requirements

Ask: How much calcium do 9-18 year olds need every day? 1,300 mg

1. To build strong bones and teeth for life, you need 1,300 mg of calcium every day.

2. You can get calcium from dairy food, non-dairy food, and supplements.

3. Looking at Handout 1 let’s talk about what your favorite calcium-rich foods are, and which contain the highest amount of calcium.

Tips: Additional information about calcium content in food is available at http://www.nichd.nih.gov/milk/prob/other_foods.cfm and http://www.girlshealth.gov/bones/stayingstrong/calcium_where.html

4. Now let’s look at Poster 1.

Ask: Why is it important to make fat-free or low-fat choices from the milk group? Because when calories increase, calcium content decreases.

5. Some foods from the milk group, such as cheese and whole milk, are high in saturated fats and cholesterol which can cause health problems.

6. A diet high in saturated fats increases LDL (low-density lipoprotein), commonly called the “bad cholesterol”, high LDL increases the risk for heart disease.

7. Keeping blood cholesterol at a healthy level is very important. This can occur by limiting the amount of certain foods you eat.

o Choose low-fat or fat free dairy foods. . o By choosing low-fat or fat-free milk, you also automatically

reduce the fat in your diet.

Lesson 3. Powerful Bones. Powerful Meals 2

B. Adding Calcium-Rich Foods to Your Diet1. With busy schedules, many people skip meals. This can be avoided

with just a little planning. 2. Some different ways to get calcium ‘on-the-go’ include:

o Keep portable, calcium-rich foods in hand. For examples, GoGurt® (or a drinkable yogurt) string cheese, pudding, a handful of almonds, or a calcium-fortified cereal bar.

o Asian snacks such as, nori (roasted sea weed), sesame seeds candy, milk candy, dehydrated mini string cheese (stronger flavor), calcium-fortified drinks and crackers are delicious to try out.

o At gas stations and convenience stores, you can still find calcium-rich foods such as milk, cheese crackers, and calcium-fortified orange juice.

o Sardines are a great source and can be made into a sandwich.

3. When you are less busy, you can add blended spinach to make lasagna, spaghetti sauce, or tortilla. Try making a fun salad with calcium-rich vegetables like spinach, and fresh or cooked broccoli.

4. If you enjoy Native American foods, add juniper ash to the recipes.

C. What If You Do Not Like The Taste of Milk? It is okay if you don’t like the taste of milk. There are lots of other

ways to get calcium into your diet. o Enjoy flavored milk, such as chocolate, vanilla, or

strawberry. It has the same amount of calcium as plain milk. There are even flavored straws to change the flavor of plain milk spontaneously!

o Make fruit-flavored pudding or blend fresh fruits with milk. o Drink yogurt smoothies, calcium-fortified soy drinks or

calcium-fortified orange juice for breakfast or snack.o Try fruit bars and fig bars with milk. They taste great

together!

Additional Meal Planning Tools for Teachers For a list of great ideas for snacks and meals check out Milk Matters at

http://www.nichd.nih.gov/milk/can/upload/calcium_rich_ideas.pdf. Check out other ideas at Powerful Girls Have Powerful Bones at

http://www.girlshealth.gov/bones/stayingstrong/calcium_cool.html To involve parents, refer to “Tips for Parents: Teaching Children to Live

Nutrient-Rich.’” at http://www.nutritionexplorations.org/pdf/parents/Back-to-School-Tips.pdf.

Lesson 3. Powerful Bones. Powerful Meals 3

Visuals in power point form and other documents available online at http://extension.usu.edu/nic

Lesson 3. Powerful Bones. Powerful Meals 4

_____P-1. Higher Calcium in Fat-Free and Low-fat Milk

Buttermilk

, Low-Fa

t

Fat-f

ree or Skim

Milk

1% or Low-Fa

t Milk

2% or Reduce

d Fat M

ilk

3.3% or Whole M

ilk

2% Chocolate M

ilk

Chocolate M

ilk0

50

100

150

200

250

300

350

284306

290 285 276285 280

9883

102122

146

180

208

Calcium (milligrams) Calories (kilocalories)

Source: Nutrient values from Agricultural Research Service (ARS) Nutrient Database for Standard Reference, Release 17

Lesson 3. Powerful Bones. Powerful Meals 5

Where Can I Get Calcium? Handout 1Cheddar Cheese, low-fat or fat-free ½ Cup 204

Tofu with calcium sufate ½ Cup 204

Romano Cheese 1.5 oz 452 Soy Drink with added calcium 1 Cup 200-300

Yogurt, plain, fat-free 8 oz 450 Cheese Pizza 1 slice 200

Grilled Cheese Sandwich 1 sandwich 371 Broccoli, raw 1 med. stalk 180

Orange Juice with added calcium 1 Cup 350 Bok Choy, boiled 1 Cup 158

Fruit Yogurt, low-fat 1 Cup 345 Spinach, cooked from frozen ½ Cup 139

Ricotta Cheese, part skim ½ Cup 334 Frozen Yogurt ½ Cup 103

American Cheese 2 oz 312 Macaroni and Cheese 1 Cup 100

Milk 1 Cup 300

Broccoli, cooked 1 Cup 94

Edamame (cooked Soybeans) 1 Cup 298 Almonds 1 oz (22 pc) 75

Juniper Ash 1 tsp 285 Unit: milligrams of Calcium

Mozzarella Cheese 1 oz 207 Supplements: Calcium citrate is the most absorbable

Lesson 3. Powerful Bones. Powerful Meals 6

Players: 2 or more (individually or team of 3).

Materials: Game mat, foam dice, question and answer set, Mystery Moves and Treats cards.

Duration: 15-30 minutes. Modification: Use two dice if you have less time to play this game.

Goal: Be the first player or team to move forward one round and return to the starting point.

How to Play

1. Each team rolls a die. The team with the highest number starts moving first.

2. Each team assigns a member to move as a game piece by standing in the box where the team lands.

3. The first team rolls two dice. The sum represents the number of steps the team can move forward in that turn.

Your team must correctly answer a question. If you fail to answer the question, you will lose the next turn and attempt to answer a question. If you fail to answer the second time, you will go to TIMEOUT CORNER.**You must stay in the TIMEOUT CORNER until you answer two questions correctly in the same turn. After answering correctly, roll the die (dice) to move immediately.

Immediately draw a MYSTERY MOVES CARD and follow the directions.

Immediately draw a TREATS CARD and follow the directions.

Safe zone. No action is needed.

The player must give a big smile to all other players.

4. The first team to make it around once (or more depending on time) wins.

Lesson 3. Powerful Bones. Powerful Meals 7

Question SetEasy

1. What are sources of calcium?a. Dairy foodb. Nondairy foodc. Supplementsd. All of the above

2. True or false. 1 cup of skim milk contains more calcium than 1 cup of whole milk. The principle is when calories decrease calcium absorption increases.

a. True

Medium1. For youth between 9 and 18 years old, how much

calcium do they need each day?a. 1300 Milligrams

2. If you are in a hurry and you need a snack, what would you bring as a good on-the-go, calcium-rich snack?

a. GoGurt, string cheese, pudding, a handful of almonds, calcium-fortified cereal bar

3. What can you do if you don’t like the taste of milk?a. Enjoy flavored milk, make fruit-flavored

pudding or blend fresh fruits with milk, drink yogurt smoothies, calcium fortified soy beverages or orange juice for breakfast of snack, try fruit bars and fig bars with milk

4. With busy schedule, how can you include calcium-rich food ‘on-the-go’?

a. Keep portable calcium rich foods on hand such as gogurt, string chese, pudding, almonds, or fortified cereal, try Asian snacks, get a calcium rich food in a gas station or convenience store, try a sardine sandwich

5. When you are less busy, what can you do to include calcium-rich foods in your diet?

a. Answers can vary. Some from the lesson include adding blended spinach to make lasagna, spaghetti sauce or tortilla, make a fresh salad with calcium-rich vegetables, try juniper ash on foods

Difficult1. Remember what you saw in Handout 1. Name a 4-

bone calcium-rich food.a. Romano cheese, yogurt plain fat-free

2. Remember what you saw in handout 1. Name a 3-bone calcium-rich food.

a. Grilled cheese sandwich, orange juice with added calcium, fruit yogurt lowfat, ricotta cheese part skim, American cheese, milk

3. Remember what you saw in Handout 1. Name a 2-bone calcium-rich food.

a. Edamame, juniper ash, mozzarella cheese, cheddar cheese low fat or fat free, tofu with calcium sulfate, soy drink with added calcium, cheese pizza

4. Remember what you saw in Handout 1. Name a 1-bone calcium-rich food.

a. Broccoli raw, bok choy boiled, spinach cooked from frozen, frozen yogurt, macaroni and cheese

5. Remember what you saw in Handout 1. Name a half-bone calcium-rich food.

a. Broccoli cooked, almonds.

Lesson 3. Powerful Bones. Powerful Meals 8

Players: 2 or more.

Materials: Discovery Chain – Calcium Chain cards

Duration: 5-10 minutes.

Goal: Create a chain of food that adds up to 1,000 mg of calcium. The first player who gets rid of all his or her cards wins.

How to Play1. All players sit in a circle. If played in teams, no players from the same team should sit

next to each other.2. One player shuffles the deck and deals out a hand of 7 cards to each player.3. Players hold their 7 cards in hands and do not reveal their cards to any player. The

remaining deck is placed face down in the center of the play area to become the draw pile. Next to it, place a pile of Vitamin D cards.

4. To start the chain, the first player lays down a card, followed by the next player in line. 5. The chain continues until it gets to 1,000 mg 25 mg. Then, the next player in line must

lay down a Vitamin D card.6. If a player lays down a Vitamin D card too soon or he/her goes over the 25 mg limit,

the penalty is to draw 2 cards from the draw pile.7. A player can lay down a Lactose Intolerance card during his/her turn. This card will cause

subsequent cards in the calcium chain to NOT contain any dairy foods. If a player does not have any suitable cards to play, he/she will draw 1 card from the draw pile and may lay down 1 card after that in the same round.

8. If a player accidentally lays down a dairy food card following a Lactose Intolerance card, then the penalty is to draw 2 cards.

9. When a player lays down a second Lactose Intolerance card placed right after the first Lactose Intolerance card, the next player in line has to draw 4 cards but may then lay down a card.

10. The Lactase card will cancel out the Lactose Intolerance card. After a player lays down a Lactase card, the calcium chain can include dairy foods again.

See card set for 3 more games!

Lesson 3. Powerful Bones. Powerful Meals 9

Players: 4-8 players, two players per team.

Materials: Miniature food models (made from eraser), 2-4 Wildcards, 4-8 pairs of chopsticks, plates or bowls, masking tape or a piece of 2’x2’ cloth.

Duration: 5-10 minutes.

Goal: Be the team who picks up the highest number of calcium-rich foods.

How to Play

1. Lay the 2’x2’ cloth on the floor, or use the masking tape to form a 2’x2’ square.

2. Place miniature food models and all Wildcards on the cloth or in the playing area.

3. Divide players in teams. Arrange players to sit in alternate teams around the square. Each player holds a pair of chopstick and a plate or bowl. Those who do not know how to use the chopsticks are allowed to use both hands to hold the chopsticks.

4. Each team competes to pick up as many calcium-rich foods as possible. Encourage your students to use their ‘wildest imagination’ to find foods high in calcium.

5. At the end, each player counts the number of food items in their own plate or bowl. Each explains why he or she considers the food rich in calcium.

6. Anyone who picks up a Wildcard needs to name a calcium-rich food that is different from all items in his or her bowl. If the answer is correct, the Wildcard is counted as an additional food item.

7. The team with the highest number of calcium-rich foods wins.

Lesson 3. Powerful Bones. Powerful Meals 10

Players: 2 teams of 5 or more players.

Materials: Keywords, 4.25” x 5.5” laminated alphabet cards and ‘blank’ cards.

Duration: 5-10 minutes.

Goal: Be the first team to spell a keyword correctly.

… Moving around …How to Play

1. Spread all alphabet cards on the floor.

2. Each team selects a leader. All players stand around the alphabet cards.

3. The judge hands over two keywords with the same number of letters to each team leader. Both teams will begin together and compete to form a chain of the alphabets that spell out the keyword.

4. The fastest team that completes the spelling correctly wins.

Keyword Examples

Dairy food Ethnic Foods Calcium-Rich Food Nutrition Facts

Lesson 3. Powerful Bones. Powerful Meals 11

Need a little weight-bearing? ...

Players: 2 players or more. Materials: Keyword cards, keyword bag, bean bags.

Duration: 5-10 minutes.

Goal: Be the first one to spell a keyword correctly without dropping any bean bags.

How to Play

1. Place one bean bag on the back of each speller’s hands. Each player will spell with their arms straight.

2. The judge will announce a keyword drawn from the ‘keyword bag’.

3. All spellers will stand in one line facing the judge. The size of each letter spelt with hand movements must not be smaller than a letter-sized paper.

4. Starting together, every speller will act out each alphabet of the keyword in right order without dropping any bean bags.

5. If any bean bag falls before a word is completely spelled out, the speller has to start over.

6. The fastest speller who spells out the whole word without dropping any bean bags wins.

TIPS: To make the game more advanced, double the number of bean bags in Round 2.

Lesson 3. Powerful Bones. Powerful Meals 12

Answer Key Time: First 5 minutes

1. What vitamin is added to milk to help with calcium absorption?a. Vitamin Ab. Vitamin Cc. Vitamin D

2. What is lactose?a. A natural sugar in milkb. A natural sugar in tofuc. A bone enzyme

3. Which snack has more calcium?a. Calcium-fortified orange juice and broccolib. Regular orange juice and pop-tart

4. If you are in a hurry and need a snack, what would be a good on-the-go, high calcium snack?a. Pop sodab. String cheesec. Regular orange juice

5. Which food has more calcium?a. Fruit snacksb. Calcium-fortified cereal bar

Score: _______ Points

Lesson 3. Powerful Bones. Powerful Meals 13

Answer Key Time: Last 5 minutes

1. Why is milk fortified with vitamin D? a. Vitamin D acts a preservativeb. To help with calcium absorptionc. Vitamin D makes milk taste and look better

2. The sugar found in milk is called a. lactoseb. fructosec. maltose

3. Which contains meal contains more calcium?a. Grilled cheese sandwich, French fries, orange juiceb. Chicken sandwich with cheese and spinach, low-fat yogurt, soy

milk, and fig bar.

4. What is not a calcium-rich food? a. peanutsb. Almondsc. pudding

5. Name a calcium-rich vegetable: _____________ Broccoli Brussels sprouts Bok Choy Spinach

Score: _______ pointsLesson 3. Powerful Bones. Powerful Meals 14

To be completed at the end of Lesson 4 if all four lessons are taught. If not, have your students complete this survey at the end of this lesson.

Name: ______________________ School: ___________________________

Date: ________ Age: ______ Gender: Boy Girl

Ethnicity: White Hispanic Asian Native American

African American Other: ____________________________

1. Things I like about this class:

Short Lesson

Games

Handouts

Treats

Something else: __________________________________

2. Things I don’t like about this class are:

Lesson 3. Powerful Bones. Powerful Meals 15

Teacher’s Name: ____________________________ Date: _____________

Age group taught: _______ years old Years of Teaching:_____

Grading Scale: A+ = Excellent, A = Very Good, B = Good, C = Average, D = Poor, F = Fail

Reading and Comprehension LevelAspects Grade Comments

Reading Level

Clear Purpose

Appropriate word usage

Appropriate sentence and paragraph structures

Overall organization

Appropriate tone

Lesson 3. Powerful Bones. Powerful Meals 16

ContentAspects Grade Comments

Accurate, credible information

Age Appropriate information

Practical information

Appropriate recipes

Design and QualityAspects Grade Comments

Appropriate use of color

Readable type size and style

Appropriate illustration

Appropriate tables, charts, and graphs

Organized, balanced layout

Which game(s) did you use to teach this lesson?

Which is the best game that you consider most effective in helping your students learn and apply?

Overall grade = ________

Additional comments:

Lesson 3. Powerful Bones. Powerful Meals 17

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Lesson 3. Powerful Bones. Powerful Meals 18

Tracking Sheet Teacher’s Initial: _____

Start Date: __________ End Date: __________

# Full Name Consent Submitted

Pre-Test Score

Calcium Countdown

Score

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Lesson 3. Powerful Bones. Powerful Meals 20

Extra Notes

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USU Extension is an equal opportunity, affirmative action educator and employer.Utah State University is committed to providing an environment free from harassment and other forms of illegal discrimination based on race, color, religion, sex,

national origin, age (40 and older), disability, and veteran’s status. USU’s policy also prohibits discrimination on the basis of sexual orientation in employment and

academic related practices and decisions.

Utah State University employees and students cannot, because of race, color, religion, sex, national origin, age, disability, or veteran’s status, refuse to hire; discharge;

promote; demote; terminate; discriminate in compensation; or discriminate regarding terms, privileges, or conditions of employment, against any person otherwise

qualified. Employees and students also cannot discriminate in the classroom, residence halls, or in on/off campus, USU-sponsored events and activities.

This publication is issued in furtherance of Cooperative Extension work, acts of May 8 and June 30, 1914, in cooperation with the U.S. Department of Agriculture,

Noelle E. Cockett, Vice President for Extension and Agriculture, Utah State University.

Lesson 3. Powerful Bones. Powerful Meals 21

References1. American Academy of Pediatrics. http://www.aap.org. 2. American School Health Association. http://www.ashaweb.org.

3. Dietary Guidelines for Americans 2005. http://www.healthierus.gov/dietaryguidelines.

4. Establishing Peak Bone Mass. National Council of Strength and Fitness. http://www.ncsf.org/pdf/ceu/establishing-peak-bone-mass.pdf

5. Matkovic V, Fontana D, Tominac C, Goel P., Chesnut III CH. Factors that Influence Peak Bone Mass Formation: A Study of Calcium Balance and the Inheritance of Bone Mass in Adolescent Females. American Journal of Clinical Nutrition, 52:878-888, 1990.

6. MyPyramid. http://MyPyramid.gov.

7. National Institute of Child Health and Human Development – Milk Matters Calcium Education Campaign. http://www.nichd.nih.gov/milk.

8. National Institutes of Health – Bone Health. http://www.niams.nih.gov/Health_Info/Bone/.

9. National Osteoporosis Foundation. http://www.NOF.org.

10. Powerful Girls Have Powerful Bones. National institutes of Health. http://www.girlshealth.gov/bones/.

11. U.S. Department of Health and Human Services – Healthier U.S. http://healthierus.gov/index.html.

12. Weaver CM and Heaney RP. Calcium in Human Health. New York, NY: Humana Press; 2006.

13. What We Eat in America, NHANES 2005-2006 - Usual Nutrient Intakes From Food and Water Compared to 1997 Dietary Reference Intakes for Vitamin D, Calcium, Phosphorus, and Magnesium. http://www.ars.usda.gov/SP2UserFiles/Place/12355000/pdf/0506/usual_nutrient_intake_vitD_ca_phos_mg_2005-06.pdf.

Lesson 3. Powerful Bones. Powerful Meals 22