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    Objectives
    • Identify tools you can use to promote healthy habits like fitness and good nutrition.
    • Describe the benefits of family style dining.
    • Practice and promote portion control for young children.
    • Provide opportunities for active play and physical fitness.

    Learn

    Learn

    Know

    Healthy lifestyle attitudes begin early. You can help preschool children develop lifelong healthy habits. Children need you to offer healthy food choices and model a healthy lifestyle. Understanding what to eat and how much to eat are important skills for young children to learn. At the same time, understanding the importance of physical activity and how to achieve it is equally significant for young children. Establishing and maintaining healthy lifestyle attitudes ultimately affects young children's learning and reinforces the significance of the mind-body connection.

    The U.S. government has developed a tool, known as MyPlate, to guide all of us toward healthier food choices. You can find more information at www.choosemyplate.gov. You can find information about helping children make healthy choices at https://www.choosemyplate.gov/browse-by-audience/view-all-audiences/children/health-and-nutrition-information.

    Choosing What to Eat

    All of us need a variety of foods each day. A healthy diet includes a mix of grains, fruits, vegetables, dairy, and protein. The MyPlate guide helps you visualize the relative amounts of food you-and children-need each day. Half your plate should be covered with fruits and vegetables. The other half is split between grains and protein. Filling the plate with this balance of food will help children develop healthy habits from the very beginning.

    myplate - fruits, vegetables, grains, protein, dairy

    Watch an introductory video about the MyPlate initiative on the White House's YouTube channel: http://www.youtube.com/watch?v=SEFmSk08LIE

    Choosing How Much to Eat

    In addition to thinking about what types of food to eat, it's also important to think about how much food to eat. With obesity on the rise, portion control is an essential skill to teach young children. In addition to specific dietary needs, each person needs a certain balance of calories each day to stay healthy. Preschool children need approximately 1,200 calories per day, split between the five food groups on MyPlate. This daily food plan for a preschool-age child, based on the MyPlan guidelines, shows how much of each kind of food a preschooler needs:

    My Daily Food Plan

    This food plan provides suggestions for a full day's worth of food. Child care programs can also look to the U.S. Department of Agriculture's Child and Adult Care Food Program for nutritional information related to each meal. You will find the recommended daily servings of each food group for breakfast, snack, and lunch attached.

    Tips to Encourage Portion Control

    Portion control in family style dining can be a challenge. The hallmark of family style dining is that children make choices about what they eat. There are bound to be times when children take too much or too little, spill, or refuse a particular food. This is part of the process; remember to respond patiently. To prevent many of these problems you can:

    • Use small, child-sized pitchers and serving dishes.
    • Limit waste by only putting a portion of available food in the serving dishes; refill as needed.
    • Use child-size plates, bowls, and cups; this will help children limit themselves to healthy portions.
    • Remember that children's appetites and tastes change over time; growth spurts happen throughout the preschool years.
    • Encourage children to put a small serving of each available food on their plates, but do not require children to eat a certain food or a certain amount of food.
    • Model adventurous eating; try each food item yourself even if you know you don't like it.
    • For children who need strict portion control for health reasons, teach them how much of each item to take and monitor their eating.
    • Allow second helpings of nutritious foods.

    Family Style Dining

    Family style dining is considered best practice when eating with preschoolers. It involves sitting at the same table with preschoolers, in small groups, with the children serving themselves when possible, and eating together with adults while sharing pleasant conversation. People pass food to one another from serving dishes. It is different from cafeteria style dining, in which children wait in line and are given single servings of food.

    Family style dining has many benefits in the preschool classroom:

    • It promotes social skills. Children learn to say, "please" and "thank you." They learn to ask for what they need, wait patiently, and take turns.
    • It promotes language and vocabulary development. Children learn the names of new foods, and adults can model complex language around the size, color, texture, taste, and smell of foods. Meals are also a natural time for conversations about interests and ideas.
    • It promotes hand-eye coordination as children handle dishes and utensils.
    • It promotes decision-making and problem solving as children decide what to eat, how much to eat, and how to express their wants and needs.
    • It allows children to see adults making healthy choices. This is an excellent opportunity for you to model these important lifelong behaviors.

    There may be times when you have a child or children with food allergies in your classroom. It is crucial to keep those children healthy and safe. Food allergies are addressed later in this course in Lesson Seven, Special Health Needs and also in Lesson Seven in the Focused Topics course, Essentials in Child Care Food Service, Pathogens and Allergens.

    What Does a Program That Promotes Healthy Eating Look Like?

    Family style dining is one way programs promote healthy habits. Watch this video to see examples of high-quality family style dining. Do you use these techniques in your classroom?

    Family Style Dining

    Family style dining is a strategy to model healthy habits.

    Physical Activity

    You can help children develop lifelong healthy habits. Physical activity is a critical component of children’s development and overall well-being. It promotes a healthy lifestyle and prevents obesity. In this lesson, think of physical activity as one more way to model healthy habits. Children learn from the adults around them, so teach them the importance of physical activity. The information you share with parents and guardians is valuable. When parents make an effort to improve or maintain their good health, those benefits are strongly related to their children's good health. (Murphey, Cook, Beckwith, & Belford, 2018).

    In preschool programs, there are two main ways to promote physical activity: offer daily opportunities for outdoor play, and model or encourage exercise indoors and outdoors. All preschool children should have at least two or three chances to play outdoors each day, weather permitting (Caring for our Children, 2015). To help children become and remain active outside, be sure to include a few adult-led games or activities that last about five minutes. The total time a preschooler spends outdoors each day should be at least 60 to 90 minutes. However, preschool children do not need to be engaged in vigorous physical activities for the full 60 to 90 minutes to get the most health benefits. Children can get health benefits from very short or moderate bursts of activity. These short bursts add up over the day.

    It is equally important to promote physical activity in the classroom as well. Music and movement is a great way to incorporate physical activity indoors and allows children opportunities to express themselves and have fun with their peers.

    See

    Programs that model healthy habits also promote physical activity. Watch this video to see the many ways you can help children become and stay physically fit.

    Physical Fitness

    Promote physical fitness through outdoor play and modeling exercise.

    Do

    Safety Considerations for Meals

    Safety is very important during meal times. The risk of choking is high and although requiring children to sit while eating minimizes the risk, it cannot be completely eliminated. Certain foods are known choking hazards and should not be served or on posted menus. For example, children under 4 years old should not be given:

    • Hot dogs (whole or sliced into rounds)
    • Whole grapes
    • Raw peas and carrot rounds
    • Hard candy
    • Nuts, seeds
    • Hard pretzels, chips, peanuts, or popcorn
    • Rice cakes
    • Marshmallows
    • Spoonfuls of peanut butter
    • Chunks of meat larger than what can be swallowed whole

    Regardless of the child's age, watch to make sure they take reasonably sized bites. Intervene if a child stuffs their mouth or takes an overly large bite. Preschool children are typically able to cut or break apart their own food, but be prepared to assist a child who is having trouble.

    Promoting Oral Health

    After meals, it is important to encourage children to brush their teeth. Good oral health is associated with improved overall health. Make sure each child has their own toothbrush. Store toothbrushes so they do not touch each other and can air dry. Teach children proper brushing techniques.
    toothbrushes in a clean plastic toothbrush holder

    For storing toothbrushes, you can talk with your administrator about purchasing a toothbrush holder from a childcare supply company, like the one pictured above.

    Dispense toothpaste in pea-sized amounts onto a paper plate or wax paper then transfer to each child's toothbrush in order to prevent cross-contamination of germs

    You also want to prevent cross contamination of germs by dispensing smears or pea-sized amounts of toothpaste onto a large piece of wax paper, a paper plate, or bottom of a rinsing cup, and then onto each child's brush.

    Encourage Physical Activity

    To make sure children stay safe and healthy outdoors, follow these precautions:

    • Make sure each child is dressed for the weather. Encourage parents to dress children in layers that can be easily removed if needed.
    • Have extra clean mittens, jackets, and hats available if a child does not have appropriate gear.
    • Make sure all the clothing a child is wearing is dry.
    • Offer shaded and sheltered areas outdoors.
    • Use sun protection on sunny days. Make sure children wear protective clothing and sunscreen with SPF 15 or greater.
    • Make sure water is always available.

    The best way to help children be physically active is to be physically active yourself. Sitting down on the playground sets a poor example for the children (and it limits your ability to supervise effectively). Instead of sitting or standing still while children play, take an active role. Of course, your first priority is to ensure safety and adequate supervision. When you can do so safely, join in. Here are some ideas:

    • Suggest a game of Ring Around the Rosie, Mother May I, or Red Rover, or a walk around the playground.
    • Bring music outside and dance.
    • Offer toys like jump ropes, balance beams, and balls.
    • Make sure you are dressed for the occasion; wear sensible shoes and clothing.
    • Encourage children's activities by recognizing their efforts. Try noticing and commenting positively when children run, throw, jump, dance, or participate in other vigorous physical activities.

    Explore

    Explore

    Use the Find Your Healthy Eating Style & Maintain It for a Lifetime guide to complete the Exploring Nutrition & Wellness activity below. Also look at the National Resource Center for Health and Safety in Childcare and Early Education Family Checklist for Physical Activity in Early Care and Education checklist at http://nrckids.org/files/physicalchecklist.pdf. Share your responses to the questions in the activity with a trainer, coach, or administrator. 

    Taking care of your own fitness is an important way to model healthy habits for young children. It can be difficult to squeeze in physical activity during the day. Use the Fitness Tracker from the U.S. Department of Health and Human Services. For one week, use this tracking tool to set goals for your own physical activity. Work with others to help you reach your goal. As an alternative, you may want to use the online activity planner at https://health.gov/MoveYourWay/Activity-Planner/.

    If you would like to share nutrition information with families in your classroom, see the Newsletters for Parents of Young Children web page from the U.S. Department of Agriculture’s Food and Nutrition Service at https://www.fns.usda.gov/tn/nibbles.

    Apply

    Apply

    Use the Physical Activity Idea Cards when you have a spare minute during transitions by randomly selecting a card and encouraging children to do the movement. Post the Choose Your Family’s Healthy Adventure! poster in your classroom to encourage healthy eating and physical activity.

    Glossary

    TermDescription
    Cafeteria style diningCafeteria style dining is a style of food service in which children choose their food (or are given predetermined food) on a serving line
    Family style diningFamily style dining is a style of food service in which adults and children eat from a shared supply of food, are responsible for the size of their own portions, and talk together at a shared table
    Vigorous physical activityVigorous physical activity raises the heart rate. Examples include running, jumping, skipping, fast dancing, or riding a bike
    Weather permittingChildren should not play outdoors when the wind chill is less than 15 degrees below zero or the heat index is above 90 degrees, but individual policies may prohibit outdoor play even when the weather is not this extreme (e.g., the weather is unusual for the region and children do not have heavy coats). Children should also stay indoors during rain, thunder, or snow storms or during potentially dangerous weather situations

    Demonstrate

    Demonstrate
    Assessment

    Q1

    True or False? Portion control is an issue for older school-age children; portion control is not a concern for preschool children.

    Q2

    True or False? Preschool children need 45 minutes outside each day.

    Q3

    Which of the following are benefits of family style dining?

    References & Resources

    American Academy of Pediatrics. (2006). A Parent’s Guide to Childhood Obesity: A Roadmap to Health. S. Hassink [Ed.]

    American Academy of Pediatrics. (2015). Nutrition and Fitness. Retrieved from  http://www.healthychildren.org/English/ages-stages/preschool/nutrition-fitness/Pages/default.aspx 

    Bright Futures. (2001). Bright Futures in Practice: Physical Activity. Washington, DC: Georgetown University.

    Child Care Aware. (2020). Health Resources and Links. Retrieved from https://www.childcareaware.org/our-issues/health-nutrition/health-resources-and-links/

    Head Start, Office of the Administration for Children and Families, Early Childhood Learning & Knowledge Center (n.d.). I am moving I am learning: A provocative approach for addressing childhood obesity in Head Start children. 

    Institute of Child Nutrition. (2018). Child and adult care food programs (CACFP). Retrieved from https://theicn.org/cacfp

    Kansas State University. (n.d.). Let’s Move, Learn, and Have Fun: A Physical Activity Curriculum.

    MacLaughlin, S. (2017). The Truth about Juice. Zero to Three. Retrieved from https://www.zerotothree.org/resources/1902-the-truth-about-juice

    Massachusetts Department of Public Health, Office of Oral Health (2009). Growing Healthy Smiles in the Child Care Setting: Implementing a Tooth Brushing Program to Promote Oral Health and Prevent Tooth Decay.  Retrieved from http://www.mass.gov/eohhs/docs/dph/com-health/oral-grow-healthy-smiles-child-care.pdf 

    Murphey, D., Cook, E., Beckwith, S., & Belford, J. (2018). The health of parents and their children: A Two-Generation Inquiry. Washington, D.C.: Child Trends. Retrieved from https://www.childtrends.org/wp-content/uploads/2018/10/AECFTwoGenerationHealth_ChildTrends_October2018.pdf Summary retrieved from https://www.childtrends.org/a-parents-health-is-one-of-the-strongest-predictors-of-a-childs-health

    National Food Service Management Institute. (2012). More Than Mud Pies: A nutrition curriculum guide for preschool children (6th ed). University of Mississippi.

    National Resource Center for Health and Safety in Child Care and Early Education. (n.d.). Motion Moments.

    National Resource Center for Health and Safety in Child Care and Early Education. (2018). Achieving a state of healthy weight: 2017 update. Aurora, CO: University of Colorado Denver. Retrieved from http://nrckids.org/files/ASHW.2017_7.23.18.pdf

    National Resource Center for Health and Safety in Child Care and Early Education. (2018). Achieving a state of healthy weight 2017 Supplement: State Profiles. Aurora,CO: University of Colorado Denver. Retrieved from http://nrckids.org/files/ASHW.2017.Supplement_7.23.18.pdf

    National Resource Center for Health and Safety in Child Care and Early Education. (2018). Healthy Weight. Retrieved from http://nrckids.org/HealthyWeight

    National Resource Center for Health and Safety in Child Care and Early Education. (2017). Preventing Childhood Obesity in Early Care and Education Programs. Retrieved from http://nrckids.org/CFOC/Childhood_Obesity

    New York Department of Health & U.S. Department of Health and Human Services’ Na­tional Diabetes Education Program. (2005). Tips for Kids: How to Lower Your Risk for Type 2 Diabetes.  
    Retrieved from https://www.health.ny.gov/publications/0936.pdf

    North Carolina State Extension & Community & Clinical Connections for Prevention & Health Branch, North Carolina Division of Public Health. Color Me Healthy: Preschoolers Moving and Eating Healthy. Retrieved from http://www.colormehealthy.com

    Pica, Rae. (n.d.) Moving and Learning: The Physical Activity Specialists for Birth through Age 8. 

    Sanders, S. (2002). Active for Life: Developmentally Appropriate Movement Programs for Young Children. Human Kinetics Publishers.

    SHAPE America Society of Health and Physical Educators. (n.d.). Physical Activity for Children: A Statement of Guidelines for Children 5 - 12. Retrieved from https://www.shapeamerica.org/standards/guidelines/pa-children-5-12.aspx

    SHAPE America Society of Health and Physical Educators. (2009). Active Start: A Statement of Physical Activity Guidelines for Children From Birth to Age 5 (2nd ed.). Retrieved from https://www.shapeamerica.org/standards/guidelines/activestart.aspx

    University of Mississippi National Food Service Management Institute. (n.d.). Information for child care. 

    University of North Carolina at Chapel Hill. (2018). NAP SACC. Nutrition and Physical Activity Self-Assessment for Child Care program. Retrieved from http://www.napsacc.org 

    U.S. Department of Health and Human Services and U.S. Department of Agriculture. (2015). 2015–2020 Dietary Guidelines for Americans. 8th Edition. Retrieved from http://health.gov/dietaryguidelines/2015/guidelines/

    U.S. Department of Health and Human Services’ 2008 Physical Activity Guidelines for Americans. Retrieved from https://health.gov/our-work/physical-activity/about-physical-activity-guidelines

    U.S. Department of Agriculture Child and Adult Food Care Program. (n.d.). Child Day Care Centers. Retrieved from https://www.fns.usda.gov/cacfp/child-day-care-centers

    U.S. Department of Agriculture. (n.d.). Choose My Plate Initiative: Health and Nutrition Information for Preschoolers.  Retrieved from https://www.choosemyplate.gov/browse-by-audience/view-all-audiences/children/health-and-nutrition-information

    U.S. Department of Agriculture. (2013). Two Bite Club for Child Care and Preschool Programs. Retrieved from https://www.fns.usda.gov/tn/two-bite-club