Eat Smart Move More H opp i ng - understand - Health Promotion

 
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Eat Smart Move More H opp i ng - understand - Health Promotion
eat sm al le r
  unde rsta nd                                              po rt io ns
  food labe ls

                                                                            Cut down

                     Eat Smart
                                                                            on TV time

                     Move More

H oppi ng
sk ippi ng
jum pi ng

             A Guide for Healthy Eating and Getting Active for Children
                                 www.getirelandactive.ie
Eat Smart Move More H opp i ng - understand - Health Promotion
Eat Smart
Move More
What changes would I like to make?
We all want our children to grow up to be happy, healthy adults. But it can sometimes be hard
to know how. Encouraging children to eat smart and move more is a great way to start.

The information in this booklet has been put together by health professionals and will support
you to help your child to eat well, move more and live longer.

Whatever their weight, it is important that children eat properly and get lots of physical
activity to help them build a healthy body. If they are overweight they are at greater risk of
heart disease and diabetes in later life. If they are underweight it is just as important for them
to eat healthy food and be active.

In Ireland, 1 in 4 children aged seven are either
overweight or obese
Staying a healthy weight is all about balance. Your child takes in energy through their food
and their body uses up energy through physical activity. If the energy they take in is more
than the energy they use they will put on weight and become overweight.

Follow the information in this booklet to help your child reach a healthier weight.

If you are concerned about your child’s weight – speak with your School Nurse or GP.

                                                                                               Eat Smart Move More Page 3
Eat Smart
               Eating smart means eating different foods in the right amounts.
               Use the Food Pyramid as a guide for choosing the right foods in the right amount for your child.

                                                            Not            Foods and drinks high
                                                            every day      in fat, sugar and salt
                                                                           No more than once or twice a week

                                                                   In very           Fats, spreads
                                                                   small
                                                                   amounts           and oils

                                                                          2             Meat, poultry, fish,
                               da l for

                                                                                        eggs, beans and nuts
                            ery tia
                                 y.

                                                                          Servings
                          ev sen

                                                                          a day
                       ety es
                    ari re

                                                                                                    Milk, yogurt and cheese
                 a v es a

                                                                                     3-5            5-8 year olds need 3 servings every day
              joy elv

                                                                                     Servings       9-12 year olds need 5 servings every day
            en sh

                                                                                     a day
                                                                                                    13-18 year olds need 5 servings every day
          h, se
       alt he
    he n t

                                                                                                              Wholemeal cereals
                                                                                                3-5
  od s o

                                                                                                              and breads, potatoes,
go ood

                                                                                                Servings
                                                                                                              pasta and rice
 ef

                                                                                                a day
Th

                                                                                                           5-7          Vegetables,
                                                                                                           Servings
                                                                                                           a day
                                                                                                                        salad and fruit

                Page 4 Eat Smart Move More
Servings equivalent to approximately 100 calories:
                             4 squares of chocolate, 1 chocolate biscuit or 2 plain biscuits
Limit to sometimes,          1 small cup cake (no icing), ½ or 1 cereal bar (check the label)
not every day.               ½ can or 200ml sugary drink, 1 bag lower-fat crisps
                             1 scoop of vanilla ice-cream, 1 plain mini-muffin

Use as little as possible.   One serving equals:
Choose reduced-fat or        1 portion pack of reduced fat spread for 2-3 slices of bread
light spreads. Choose
                             1 teaspoon of oil per person when cooking
rapeseed, olive, canola,
sunflower or corn oils.      Mayonnaise and salad dressing also contain oil

Choose lean meat             One serving equals:
and low-fat cooking          The child’s palm of the hand – width and depth without fingers and thumbs,
methods (grilling, baking,   shows how much meat, poultry or fish needed in a day
steaming or boiling).
                             2-3 dessertspoons of peas, beans or lentils
Choose fish twice a week
                             1 egg
– oily fish is best.

                             One serving equals:
                             1 glass of milk (200ml) (skimmed milk is suitable from 5 years of age)
Reduced-fat or low-fat       1 carton yogurt (125g) or 1 yogurt drink (200ml)
varieties are best.          1 matchbox size (25g) hard or semi-hard cheese such as chedder or edam
                             25g soft cheese such as brie or camembert

                             One serving equals:
Include in each meal.        2 thin slices of bread, 2 breakfast cereal wheat or oat biscuits
High fibre varieties         1/3 cup of dry porridge oats or muesli
are best.                    1 cup of flake type breakfast cereal
                             1 cup of cooked pasta, rice or noodles, 2 medium or 4 small potatoes

                             One serving equals:
                             1 kid-size medium fruit – apple, orange, pear or banana
More is better.              2 small fruits – plums, kiwis, mandarin oranges or a handful of grapes
                             ½ cup or 4 dessertspoons of cooked vegetables – fresh or frozen
                             1 bowl of salad – lettuce, tomato, cucumber, 100ml unsweetened fruit juice

                                                                                  Eat Smart Move More Page 5
manage weight with
 smaller food portions
Snack check                     Sugar swap                  Me-size meals             Cut back on fat
Many snacks are full            Swap sugary snacks          It is important to make   We all know too much
of sugar, salt, fat and         and drinks for ones         sure that children get    fat is bad for us, but
calories.                       that are lower in           just the right amount     it is not always easy
                                sugar. It can make          for their age – not       to know how to cut it
  Keep count. You
                                a big difference to         too little and not too    out.
  may be surprised
                                calorie intake – and it     much.
  how many sweets,                                                                      Cut down on
                                is better for their teeth
  crisps, biscuits and                                        Give them a portion       top-shelf snack
                                too.
  cakes your child                                            that matches their        foods. Allow them
  eats in a day.                  Healthier snacks            size not the same         occasionally – not
                                  - fresh fruit and           amount of food as         every day.
  Cut down on top
                                  vegetables (apple           you.
  shelf foods. Allow                                                                    Grill or bake food
                                  slices, carrot sticks,
  them occasionally –                                         Give smaller              in the oven rather
                                  baby tomatoes,
  not every day.                                              portions to begin         than frying. This
                                  bananas) or bread
                                                              with then let them        will help cut fat
  Don’t use top shelf             sticks.
                                                              ask for more if           content by as much
  foods as rewards.
                                  Healthier drinks            they’re still hungry.     as two-thirds.
  Find different ways
                                  - water, semi-              Don’t pressure
  to reward your child                                                                  Trim off any fat you
                                  skimmed milk or             them to eat all the
  – stickers, a trip to                                                                 can see from meat
                                  diluted fresh fruit         food on their plate
  the park.                                                                             before cooking it.
                                  juice.                      if they’re full up.
                                                                                        Take the skin off
  Don’t forget that
                                  Healthier breakfast          When eating out –        chicken and turkey.
  sometimes it is
                                  cereal - lower sugar        ask for kid-size
  kinder to say no.                                                                     Drain fat from meat
                                  cereals, fruit or           portions.
                                  toast.                                                after cooking.

   Page 6 Eat Smart Move More
Check the
                                                                                                             e
                                                                                            label and get th
    Food Labels                                                                             right balance
                                                                                             Some foods th
                                                                                             high in fibre m
                                                                                                            at are
                                                                                                             ay also
     To help understand what you and your family are eating you need                                          r and/
                                                                                             be high in suga
     to be able to make sense of food labels.                                                 or salt.
     Healthy foods are low in fat, low in sugar, low in salt and high in fibre. Under EU
     food law, when nutrition information is given it must be presented as per 100g
     of food or drink.

                               NUTRITION INFORMATION
                                 Typical value per 100g
                                 30g serving with 125ml skimmed milk
 SUGAR
 Low-sugar =
 less than 5g per 100g         ENERGY                     1580 kJ           725 kJ
                                                          372 kcal         171 kcal
 Sugar-free =
 no added or naturally
 occurring sugar               PROTEIN                       7g               7g

 No added sugar =              CARBOHYDRATE                 84g              31g                  100g of some
 no extra sugar added          of which sugars               8g              8g                   foods may be
                                        starch              76g              23g                  more or less than
                                                                                                  a typical serving
                               FAT                          0.9g             2.5g
                               of which saturates           0.2g             1.5g
FAT                            FIBRE                         3g              0.9g
Low-fat =                                                                                               SALT
less than 3g per 100g          SODIUM                       0.7g            0.25g                       Low-salt = 0.3g
Low-saturates =                SALT                         1.8g             0.7g
less than 1.5g

                                                                                                    Look for products with
     FIBRE                                                                                          the lowest % GDA – most
     High-fibre =                                                                                   people need to cut down
     6g or more per 100g                                                                            on all these nutrients

                              Many food companies choose to display Guideline Daily Amounts.
                              These are most often presented for a serving or portion of food, not 100g.

                                                                                             Eat Smart Move More Page 7
Move More
Moving more means being physically active in a variety of ways.
Use the Activity Pyramid and Activity Table as a guide to the different type of activities
your child can do to move more.

                                            Cut down on sedentary activities
                                             Limit screen time to a total of 1 hour per day
                                              Screentime - playing games on
                                               computers/tablets/phones, watching
                                                 TV/DVDs. Sitting down or lounging about.

                                                     Physical activity
                                                       All children and young people should be
                                                        active at a moderate to vigorous level,
                                                         for at least 60 minutes every day

                                                             Strength and flexibility,
                                                              bone strengthening
                                                                 At least 3 times a week
                                                                  Swinging on playground bars, climbing
                                                                   walls, hopscotch, skipping, jumping, running,
                                                                    ballet, gymnastics, yoga, martial arts.

                                                                         Be more active every day
                                                                          Walking, cycling, active play - games
                                                                           involving movement, dancing, use
                                                                            stairs instead of the lift, help around
                                                                             the house, walk the dog.

Page 8 Eat Smart Move More
TYPE OF ACTIVITY            EXAMPLES
Moderate intensity          Cycling
(Heart is beating faster    Brisk walking
than normal, breathing is   Swimming
harder than normal)         Skateboarding or rollerblading
                            Hiking
                            Dancing
                            Games of catch and throw

Vigorous intensity          Active games involving running and chasing such as tag
(Heart is beating much      Cycling
faster than normal and      Jumping rope
breathing is much harder    Running
than normal)                Vigorous dancing
                            Sports such as gaelic football, hurling/camogie, soccer,
                            rugby, basketball, swimming, tennis

Muscle                      Games such as tug of war
strengthening               Rope climbing
                            Swinging or climbing on playground equipment or bars
                            Climbing walls
                            Sit-ups (curl-ups or crunches)
                            Modified push-ups (with knees on the floor)
                            Martial arts, such as karate

Bone strengthening          Games such as hopscotch
                            Hopping, skipping, jumping
                            Jumping rope
                            Running
                            Sports such as gymnastics, basketball, volleyball, tennis

                                                                                   Eat Smart Move More Page 9
60 active minutes                  Make it enjoyable and               Get up and about
It doesn’t have to be all
                                   fun                                 Today’s way of life means most
sport – running around and         Include a variety of activities     of us spend too long sitting
having active fun counts too.      so getting more active doesn’t      down.
Children are naturally active      become a chore.                       Encourage your child to be
so any amount of physical
                                     Join in – adults need to be         active during their free time.
activity counts toward their 60
minutes.                             active too.                         Try not to sit or lounge about
                                     Make a list of activities your      for more than 30 minutes at a
  Active play every day –
                                     child would like to try – check     time.
  hopscotch, hide and seek,
  dancing to music, cycling,         out www.getirelandactive.ie         Limit the amount of time
  tag, skipping.                     for details of these places in      your child can sit in front of a
                                     your local area.                    screen – TV/computer/tablet/
  Active treats – a trip to
                                     Allow your child to explore         phone. Set daily and weekly
  the park, playground or
                                     different activities so they        limits.
  swimming pool.
                                     find out what they like.            Get them running around after
  Active travel – get them off
                                                                         school. When the evenings
  the bus and out of the car
                                                                         are dark early, allow some
  – if it’s walkable, walk it or
                                                                         playtime before homework.
  cycle.
                                                                         Don’t let the weather interfere
  Organised activities –
                                                                         – swap outdoor activities for
  hurling, football, karate,
                                                                         indoor ones or wear suitable
  dance, archery, community
                                                                         clothing.
  games.

Page 10 Eat Smart Move More
Getting more active
All children and young people should
be active, at a moderate to vigorous
level, for at least 60 minutes every
day. Include muscle-strengthening,
flexibility and bone-strengthening
exercises 3 times a week.

                                        Start off slowly
                                        Include an extra 15-30 minutes
                                        activity 1-2 days in your weekly
                                        routine. Gradually build this
                                        into your daily routine, adding
                                        activities over time until you
                                        reach your goal of at least 60
                                        minutes a day.

Moderate activity                      Vigorous activity
Heart is beating faster than           Heart is beating much faster
normal, breathing is harder            than normal and breathing
than normal                            is much harder than normal

                                                                      Eat Smart Move More Page 11
Putting it into practice
  Use these exercises to help plan how to eat smarter and move more.
  Fill in the food and activity pyramids below and when complete, compare your
  pyramids with the ones on pages 4 and 8.

Food                                                 Foods and drinks high
Fill in everything your                                in fat, sugar and salt
child ate yesterday.
Try to include serving
sizes and include all                                          Fats, spreads
meals and snacks.                                                and oils

                                                                       Meat, poultry, fish,
                                                                        eggs, beans and nuts

                                                                                 Milk, yogurt and cheese

                                                                                      Wholemeal cereals
                                                                                       and breads, potatoes,
                                                                                         pasta and rice

                                                                                             Vegetables,
                                                                                               salad and fruit

   Page 12 Eat Smart Move More
What changes could you make?                                 Helpful tips
                                                                                      at a time and
                                                               Pick one change
                                                                                   child to make it.
1.                                                             work with your
                                                                                        involved –
                                                               Get all the family
                                                                                       st by example.
2.                                                              children learn be
                                                                                   n activity to do
                                                                Pick a family fu
                                                                                    weekends: visit
3.                                                              together at the
                                                                                      imming pool or
                                                                 the park, the sw
                                                                                       e it a routine.
                                                                 go cycling - mak
                                                                                                        d
                                                                                      sheet below an
                                                                  Use the record                  to pl an
                                                                                         page  19
                                                                  reward chard on

      Activity                                                    your activ iti es .

      Fill in all the activity your child did last week.
                                                                                Moderate/
                                                                                Vigorous
          Day                       Activity               Duration             Intensity

     Ex. Monday                Cycling with friends        40min             Vigorous

                                                                         Eat Smart Move More Page 13
·    P14 exchange the food tip for an exercise tip

 Meal Planner
 It is important for children to have regular meals as growing bodies respond better to routine.

                       MONDAY                    TUESDAY                  WEDNESDAY                  THURSDAY
Breakfast              1-2 cereal wheat          A bowl of cereal oat     A bowl of oat cereal       A bowl of flake type
at home                biscuits with low-        biscuits with low-       with a teaspoon of         cereal with low-fat
                       fat fortified milk.       fat fortified milk.      nutmeg or cinnamon         fortified milk. Add
                       Add some fruit like       Add some fruit like                                 banana for variety
                       berries/banana/           berries/banana/
                       raisins for variety       raisins for variety

Breakfast              Banana or handful of      Banana, cereal bar,      Breakfast milkshake        Apple, a handful of dry
on the run             raisins with a slice of   and a glass of low-fat   - 200ml low-fat            cereal and a low-fat
                       toast and a low-fat       fortified milk           fortified milk or          yogurt drink
                       yogurt drink                                       a low-fat yogurt
                                                                          blended with fruit

Snack                  Low-fat yogurt            Orange segments          Banana                     Cheese
(Little Break)

Lunch                  2 slices of wholemeal     Pita bread with          Tortilla wrap with a       Cooked pasta with tuna,
                       bread with a low-         cooked ham, low-fat      slice of chicken, relish   sweetcorn, spring onion
                       fat cheese slice and      mayonnaise, lettuce      and lettuce and a          and tomato ketchup
                       tomato                    and cucumber             sliced apple

Snack                  Fresh fruit               1 thin slice of fruit    2 rice cakes               Packet of plain popcorn
                                                 brack/ banana bread

Dinner                 Shepherd’s pie with       Lamb curry with          Spaghetti bolognaise       Baked fish with
                       sweetcorn and green       vegetables and                                      vegetables and pasta
                       beans                     boiled rice

  Page 14 Eat Smart Move More
FRIDAY                       SATURDAY                 SUNDAY
A bowl of porridge           Slice of wholemeal       Omelette with lots
                                                                              Try to organise around
needn’t be boring.           toast with baked beans   of fresh/frozen         three regular mealtimes –
Add honey or yoghurt         or scrambled egg         vegetables              breakfast, lunch, dinner.

                                                                                Breakfast is the most important
                                                                                meal of the day. Don’t skip it.
                                                                                Try getting up 15 minutes earlier
                                                                                so you have some time to wake
Slice of wholemeal toast
thinly spread with jam or                                                       up before breakfast.
reduced-fat spread                                                              Most schools have a healthy
                                                                                eating policy – your child cannot
                                                                                bring top-shelf foods. Include
                                                                                healthy snacks in lunchboxes.
Carrot sticks                Low-fat yogurt           Chopped apple             Eat together whenever you can.
                                                                                Children copy parents, brothers,
                                                                                sisters and friends. When they
                                                                                see you eating lots of different,
Brown roll with mashed       1 wholemeal bap with     Cooked rice, lettuce,
                                                                                healthy foods they are more
hard boiled egg, lettuce,    a lean grilled rasher,   tomato, low-fat
                                                                                likely to do the same.
peppers and tomato           tomato and avocado       cheese or tuna
                                                                                Involve your child in planning
                                                                                and preparing meals. They are
Sugar-free jelly             Small bowl of            Low-fat yogurt            more likely to eat foods they’ve
                             homemade soup                                      helped prepare. For recipe ideas
                                                                                download 101 Square Meals
                                                                                from www.hse.ie/!WHKNTW.
Roast breast of chicken      Stir fried pork with     Chicken casserole
(remove the skin), carrot,   peppers, mushrooms,      with vegetables and
parsnip and broccoli with    onions and noodles       boiled potato
a jacket potato

                                                                                       Eat Smart Move More Page 15
Let’s find some healthier alternatives at
the Food Exchange
  FATS AND OILS                For a healthier option why not...
  Butter                       › use half the amount of a mono/poly-unsaturated spread or reduced-fat spread

  Mayonnaise                   › choose low-fat mayonnaise or relish or chutney

  Salad dressing               › choose reduced-fat dressing

  Vegetable oil                › use a small amount of olive/canola/rapeseed oil

  MEAT,                          For a healthier option why not...
  POULTRY, FISH
  Beef/lamb/bacon/pork         › choose cuts with little visible fat and trim any remaining fat

  Chicken/turkey               › remove all skin

  Tuna                         › choose tuna in brine

  Sausages                     › choose 80% meat/reduced-fat/vegetarian

  MILK, YOGURT                 For a healthier option why not...
  AND CHEESE
  Yogurts                     › choose plain/fruit low-fat yogurt

  Cheese                      › choose reduced-fat cheeses or small amounts of lower fat cheeses e.g edam,
                                mozzarella, brie

  Milk                        › choose low-fat, skimmed or fortified (added vitamins)

Page 16 Eat Smart Move More
FOOD HIGH
IN FAT, SUGAR          For a healthier option why not...                                   ER -
AND SALT                                                                            REMEMB
                                                                                            RY
 Crisps               › try low-fat crisps, rice cakes or popcorn
                                                                                    NOT EVE
 Chocolate            › choose fun-sized chocolate bars
                                                                                     DAY
 Biscuits             › choose low-fat/plain biscuits

 Hot chocolate        › choose low-calorie hot chocolate or cocoa

 Chips                › choose oven chips

 Ice-cream            › choose low-fat frozen yoghurt/ice-cream/ ice-pops

 Cream                › choose low-fat natural yogurt

 DRINKS                   For a healthier option why not...                             IMPO  RTAluNdTing-
                                                                                           rinks, inc
                                                                                        fizzy d                   ,
                                                                                                         versions
                                                                                                 d sugar
 All day               › choose water or milk                                            no adde            a n d
                                                                                                  age teeth
                                                                                         can dam
 At meal times only    › choose fresh fruit juice (100ml once a day),
                                                                                          bones
                          well diluted cordials (5 parts water to 1 part cordial)

                                                                                    Eat Smart Move More Page 17
Set goals and keep track
of your progress
Setting goals is a good way to stay
motivated and keep track of your
progress.
                                             DAILY GOAL
Choose one change from your list on
page 13.                                      Eat vegetables every day

Agree a goal with your child and a            Try one new piece of fruit
suitable weekly reward if they achieve the                                         ry day
                                              Walk for at least 20 minutes eve
goal. The reward should not involve food.
                                                                                 e
Choosing an active reward such as a trip       Eat all meals at the kitchen tabl
to the playground is a good way to make        Try a new after-school activity
moving more attractive and fun.                                                  h day
                                               Watch only one hour of TV eac
Suggestions for daily goals and reward                                         lunch
                                               Actively play at break time and
could include the following:                   dur ing sch ool
                                                                                 ry day
                                               Try to be active for one hour eve
                                               after sch ool

                      chart to
      Use the reward
                        s and
       record your goal
                          ss.
        track your progre                      WEEKLY REWARD
                                                 Trip to the playgro
                                                                     und
                                                 New colouring pe
                                                                   ncils or paint set
                                                Go for a swim

                                                Get a new book fro
                                                                    m the library

Page 18 Eat Smart Move More
My Reward Chart                                             My goal is:

Encourage your child to set food
and activity goals each week.                               To achieve my goal I will:
Place a star in the food or activity
boxes for each day the goal is achieved.
                                                            My reward is:

  FOOD           MONDAY         TUESDAY         WEDNESDAY      THURSDAY      FRIDAY         SATURDAY         SUNDAY

  ACTIVITY       MONDAY         TUESDAY         WEDNESDAY      THURSDAY      FRIDAY         SATURDAY         SUNDAY

 Visit www.healthpromotion.ie/publications to print further copies of this Reward Chart.

                                                                                           Eat Smart Move More Page 19
Published by:       Health Service Executive   Informed by Eat Smart Move More booklet by kind
Publication date:   June 2017                  permission of Irish Nutrition & Dietetic Institute and Irish
                                               Society for Chartered Physiotherapist.
Review date:        June 2020
Order code:         HPM00835
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