Healthy Active Cheo Connects November 2011 Final

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    Healthy Active Living and

    BalanceDr. Annick Buchholz, C.Psych.Dr. Laurie Clark, C.Psych.

    Kelly Heffernan, RD

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    Tonights Agenda

    What is health?

    Balancing busy schedules

    Health at Every Size

    Balanced eating

    Physical activity in our daily lives

    Sleep

    Body !age and E!otional Health

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    What s Health?

    Health is a state of complete physical, mental,an social !ell"#ein$ an not merely the

    a#sence of isease or infirmity.

    World Health Organization

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    What is a healthy li"estyle "or a child ?

    Basic health #eha%iours Nutrition

    Physical Activity,

    Sedentary Time

    Sleep

    Coping and Emotional

    Development

    Daily li%in$ acti%ities School

    Homework

    Extra-curricular

    Activities

    Time with family and

    friends

    Chores

    Balance

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    What is a healthy li"estyle "or a parent?

    Basic health #eha%iours Nutrition

    Physical Activity,

    Sedentary Time

    Sleep

    Coping and Emotional

    Development

    Daily li%in$ acti%ities Work

    Chores

    Extracurricular activities

    Family needs Time with family and

    friends

    Balance

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    #ey ngredients to Balance

    &cheules !ork

    Do not o%er scheule

    Parents self care an mental health count

    &leep matters

    &ettin$ 'lo%in$( limits is important

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    Health at Every Size

    Diets are harmful an on(t !ork

    )ocus on your chil(s health #eha%iours annot their !ei$ht

    A%ocate for size i%ersity

    Remem#er to pro%ie chilren !ith $enuine#oy ima$e compliments

    $%ou loo& great today'

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    Who is healthier?Person A

    Ht* + '

    -t* /0 l#s

    B12* /

    3B)* /3

    -C* 45 cm

    BP* 67+/Chol* Hi$h HDL, Lo! LDL,89(s !ith in normal ran$e

    Person B

    Ht* 0 '4

    -t* : l#s

    B12* /

    3B)* 53

    -C* +: cm

    BP* //7:6Chol* Lo! HDL, Hi$h LDL an89

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    Healthy li"e style versus (eight

    B12; / k$7m/

    o#ese

    B12; / k$7m/

    normal !ei$ht

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    Balanced Healthy Eating

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    Balanced Healthy Eating

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    ts a Balancing Act

    . 1eals "6 foo $roups

    /. &nacks /" foo $roups

    .

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    Balancing Healthy Eating) the *ivision o" +esponsibility

    Parents pro%ie structure, supportanopportunities.

    Chilren choose how muchan whetherto

    eat from !hat the parents pro%ie.

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    Balancing Healthy Eating

    )oo refusal is common for chilren ?e$eta#les

    )oo 'a$s( are normal

    Reintrouction is key

    Parents7care$i%ers, historically, in an effort toha%e a 'healthy( chil !ill*

    )ee fre>uently@ffer lar$e portions

    @ffer preferre foos

    @ffer foo in response to cryin$Coerce !ith foo !hen a%aila#le

    Re!ar !ith foo

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    Balancing Healthy Eating

    8raitional feein$ an their outcomes*

    1. Coercion to eat healthy food = Aversions/Dislikes

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    Balancing Healthy Eating

    8raitional feein$ an their outcomes*

    2. Clean your late = Attention to e!ternal cues

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    Balancing Healthy Eating8raitional feein$ an their outcomes*

    . )oo restriction ; 2ncrease esire

    ".g. #isher and $irch %1&&&' reschool aged( allo)ed certain

    foods and restricted others. What )as the resonse*

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    Balancing Healthy Eating

    Ho! can !e incorporate treat foos

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    Balanced Eating )

    Sugary S(eetened Beverages &u$ary #e%era$es inclue*

    Sports drinks, energy drinks fruit juice, pop, iced coffee, specialty coffees, others

    Consumption has #een $raually increasin$ o%er the past fe!

    ecaes

    20% of caloric intake for 4-18 year olds

    30% of caloric intake for 1-3 year olds

    Hassink, &eminarts Pe &ur$ E/554F, :, 04"=+

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    Balanced Eating )

    Sugary S(eetened Beverages

    @ne of the main contri#utors to

    increase ener$y intake for kis

    AAP recommens*

    4-6 oz (120-180 mL)/day for 1-6 year olds

    8-12 oz (240-360 mL)/day > 6 year olds

    &each et al, 2nt @#es, 6E5F6+0"4, /55

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    Tips to help (ith Balanced Eating

    Pro%ie &tructure

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    Physical Activity

    2s mo%ement that increases our heart rate an our

    #reathin$ an re>uires muscles to use ener$y.

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    Physical Activity, ts +e(ards

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    Physical Activity -uidelines.hildren /011 years

    !!!.csep.ca7C1)iles79uielines7C&

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    ntensity Tal&

    !!!.csep.ca7C1)iles79uielines7C&

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    Sedentary Behaviour -uidelines

    !!!.csep.ca7C1)iles79uielines7C&

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    Screen Ti!e

    Chilren an screen time*

    = hrs7ay on !eekays

    + hrs7ay on !eeken aysI

    2n 4+, a%era$e a$e a chil starte !atchin$ 8?

    !as 6 yearsJ toay, it is 0 monthsII

    Canaian chilren spent =/3 of their !akin$ hours

    #ein$ seentaryIII

    +2,1, Active Healthy -ids Canada eort Card

    ++i00er0an et al++i00er0an et al. Arch ediatr Adolesc ed. 2,,3

    +++C4" 4edentary $ehaviour 5uidelines

    Lea%es little time to #e acti%e

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    We tell our children to be active2

    But have (e "orgotten that in order "or &ids to be

    active3 it needs to be easy and natural "or the!?

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    What can parents do to

    increase Physical Activity &tart early in life

    Role moelin$

    Balance screen time !ith acti%e time

    ?ariety

    Dress for success &cheule 2t

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    Tips to Ta!e the Screen

    &et #asic rules !eekly plans e.g. no screen time before homework or chores are done

    e.g. let your child choose 2 shows or computer/video games theycan watch/play each day

    o !atchin$ 8?, playin$ !ith ipo urin$ mealtimes

    Choose specific sho!s to !atch a%oi 8? on asconstant #ack$roun

    &hare epectations !ith care$i%ers

    Chilhoo @#esity Resource* @#esity &ociety

    Participation !!!.participation.com

    http://bp0.blogger.com/_rKvAmdl5y-8/RiSUZeUBHzI/AAAAAAAAAbg/CU8P3ghBXgE/s400/picture-6.jpg
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    Sleep HygieneThe promotion of regular sleep

    Adated fro0 "arly childhood o6esity revention olicies. 7nstitute of edicine. 2,11

    Age Sleep 4eeds 5Per 67 Hour Period8

    e!#orns E"/ mo.F 5.0": hours

    2nfants E" mo.F 4"/ hours at ni$ht M5.0 / hour naps, "6 per ay

    8olers E" yrsF /"6 hours

    Pre"schoolers E"0 yrsF " hours

    &chool"a$e ChilrenE0"/ yrsF

    5" hours

    8eena$ers E/"+ yrsF :.0"4./0 hours

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    Sleep Hygiene, Tips "or Pro!oting Sleep

    Create en%ironments that ensure restful sleepo screen7meia !here chilren sleep

    Lo! noise an li$ht le%els

    Create a #etime routineRelain$ acti%ities tasks #efore #e

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    -oing beyond Health Behaviours,E!otional Health

    -e !ant kis to feel $oo a#out

    themsel%es -hat is Boy 2ma$e

    How we think and feel about our bodies

    How we treat our bodies It is a core component of Self Esteem for people of all ages,

    including kids

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    Body !age, Where does it co!e "ro!?

    n"luences,

    )amily !hat !e say o, ho! !e treat our o!n #oies

    )riens Peers $roup norms,

    Community an culture school climate, communitycele#ration of i%ersity

    8he meia a po!erful influence pressure on our youth toay Body image messages are ever present and typically state:

    8hin !omen are #eautiful, successful, an happy

    1uscular men are hansome an successful

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    Women: The Thin Ideal

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    Men: Muscle, Muscle, Muscle

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    Educate children and youthabout ho( societies $i!age' o"

    ideal beauty changes across

    the years:

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    ts not ;ust teens and adults

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    The

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    0@ %ear lds

    Kis are @8 mini aults They are concrete thinkers

    They have not developed insight or good self-regulation (I am

    tired so I think I will go to bed now)

    @ur messa$es to them nee to #e tailore totheir le%el of unerstanin$

    Kis L@?< structure

    Putting t all together, The Balancing Act

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    Putting t all together, The Balancing Act

    Kis nee to mo%e #ut they also nee o!ntime

    -e on(t !ant to o%er"scheule our kis

    8ime to rechar$e

    Learnin$ emotion re$ulation an self"soothin$ skills

    nstructured Playis Gust as important as structure play

    Fosters creativity and social development Self determination

    &cheule in o!ntime an unstructure play as you !oul

    structure acti%ities.

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    Tal&ing to #ids about 4utrition3 Physical

    Activity and Health

    Remem#er Kis often think in Black -hite

    Place the key on BALANCE

    Avoid referring to foods or activities as being

    either good or bad

    Focus on the positive kids respond to positive

    reinforcement more than to punishment

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    We 4eed to Wal& the Wal&,

    Parents as Role Models

    @ur o!n health #eha%iors

    Engage in activity yourself and limit your own screen time

    1ake )amily time Acti%e time

    &tart !ith &mall Chan$es #uil routine

    Walk to school (even if only part of the way) with your kids

    A Saturday walk and then a movie -ork at Consistency