China

India

Thailand

Mexico

Hawaii

Texas

Somewhere in New Hampshire

Stick-to-it Strategies

healthier eating and active living

education

+

policyenvironmental change

Stick-to-it Strategies

education

+

policyenvironmental change

Chronic disease prevention

Extending life span

Improving quality of life

Stick-to-it Strategies

education

+

policyenvironmental change

10 to 20 years of extended, higher-quality living

Policy Ideas

Require chain restaurants to disclose on menus and menu boards the calorie levels of standard menu items

Improve school nutrition environments by:

• developing nutrition standards for all school foods • promote and serve 1% and fat-free milk• strengthening nutrition education in schools• supporting daily physical education for every school-

child Reduce the number of ads that promote high-calorie,

low-nutrition foods to children

Expand efforts to promote mass transit, walking, and

bicycling and build infrastructure for physical activity

Support a campaign to reduce TV viewing

Encourage food companies to market healthy food and adhere to responsible marketing practices

Hold a Governor’s meeting to urge restaurants to serve

smaller portions and use healthier ingredients Worksites--improve nutritional quality of foods and

provide nutrition information in cafeterias, exercise facilities and physical activity breaks

California Department of Health Services

What Workers Want

Have employers create a work environment that supports healthful eating

– Offer fruit and vegetable snacks instead of junk foods at meetings, in common work areas, and in break rooms

– Offer tasty, affordable, and healthful foods in vending machines and in cafeterias

– Organize healthy food potlucks– Receive coupons, subsidies, and discounts for

purchasing healthy meals either at the worksite cafeteria or at restaurants and stores close to the workplace

Distribute educational materials at the workplace that would provide the “hows” and “whys” of eating more fruits and vegetables

Have a knowledge person, like a nutritionist, available at work to provide information and motivate employees to eat healthier

Offer incentives for eating 5 a Day– Gift certificates– Extra time off– Small yearly bonus

Have extra time allotted for physical activity either before, during, or after work

Offer discounts or subsidies for fitness club memberships

Have on-site exercise classes Provide showers and changing facilities Engage in workplace physical activities with

peers

What Employers Want

Offer more fruits and vegetables in vending machines in place of junk food

Offer coupons or discounts for healthful food items either in the worksite cafeteria or at local eateries

Provide information about “personal” nutrition

Offer activities before, during, or after work Assuming space/facilities and time were given

to employees to engage in physical activity at work, most felt it would be a costly liability if someone was injured

It is best to have a physical activity program either run by an outside group or led by employees for employees

Randomized Results