live light live right obesity program for children in new york

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live light live right obesity project for children in new york

Guidelines For Health & Nutrition

Recommendations For Healthy Living

MEALS

  • Eat 3 meals every day, and if desired, 2 snacks.


BEVERAGES

  • Select only 100% fruit juice. Limit juice to no more than 1 cup per day.
  • Select 6 + glasses of water per day.
  • Limit caffeine-containing beverages to 1 cup per day.
  • Eliminate sugar-laden beverages:
    fruit punch, soda, kool aid, Capri sun, etc. You can select the "diet" varieties, as sugar-free diet soda, diet Snapple, crystal light, etc.


STARCH/GRAINS

  • Limit starch to 1 serving per meal (1 cup brown rice, 2 slices bread, 1 cup cereal, 1 cup corn or peas, etc)
  • Limit starches that convert to sugar easily - white bread, white rice, sugar coated cereals, etc.
  • The best cereals are whole grain - bran flakes, special K and other high-fiber cereals.


FRUITS

  • Select 2-4 servings a day. One serving is 1 piece or ½ cup.
  • Select fresh fruit, or fruit canned in water or its own juice.
  • Limit fruit juice to 1 cup (100% fruit juice) a day. The best choices are tomato and grapefruit juice.
  • Limit dried fruit (raisins, dried apricots, etc.)


VEGETABLES

  • Select 3-5 servings per day (1 cup raw, or 1/2 cup cooked).
    Ex: broccoli, kale, cauliflower, eggplant, green beans, zucchini,
    tomatoes, lettuce, collard greens, etc.

PROTEIN

  • Select lean sources of protein, as skinless chicken, turkey, ham, lean beef; eggs, beans, split peas, black-eyed peas, tofu, and peanut butter. Select 2-3 servings a day.
  • Bake, roast, grill or broil foods, do not fry.
  • One serving is the size of a deck of cards or a fist full (3-4 ounces) or 1 cup beans, split peas, or black eyed peas, or 2 tbsp. peanut butter or 2 eggs.

MILK

  • Select skim or 1% low-fat milk only. Select 2-3 cups a day.
  • Select lite or non-fat fruit flavored yogurt.
  • Select low-fat hard cheese (American, Swiss) and soft cheese (cottage, ricotta).

FAT

  • Select vegetable oils, olive oil, etc. Eliminate hydrogenated or partially hydrogenated oils.

FAST FOOD

  • Select grilled chicken, salad with low-fat dressing or broiled burgers. Skip the fries, coke, shakes, etc.
  • Limit fast food meals to once a week.

SNACKS

  • Vegetables as desired.
  • Limit your other snacks to 2 per day. Example of one serving: 1 piece fresh fruit, 2 cups lite popcorn, 7 (3-ring pretzels); 12 baked tortilla chips, 1 cup non-fat or lite yogurt or ¼ cup (1 handful) nuts.

EXERCISE

  • Do 1 hour or physical activity a day.
  • Includes: Walking, stair climbing, dancing, jump rope, treadmill, bike, aerobic tapes.

WEIGH-IN

  • Get a scale. Check your weight once every other week.


SPECIAL NUTRITIONAL CONSIDERATIONS FOR CHILDREN AND ADOLESCENTS

Varying Calorie Needs

Throughout adolescence, kids grow and mature at very different rates. Take a close look at your same-aged classmates. What do you notice? A wide range of heights and weights and differing body shapes.

Because of this it is important to keep in mind that you may need differing amounts of foods to help your body achieve its health-related goals. How much is enough? Speak to your health professional for guidelines.

To make healthier fast food selections, refer to Healthy Fast Food Choices.

Key Nutrient Considerations

Iron

Getting an adequate amount of iron-rich foods is important in adolescents. Your iron requirements increase for several reasons. The onset of menstruation increases your iron requirements, due to a monthly loss of menstrual blood. In addition, as your blood volume and muscle mass increases during your adolescent growth spurt, your body requires extra iron. The Dietary Reference Intakes (DRIs) for iron is 13 milligrams a day.

Calcium

The time for greatest bone growth, which requires lots of calcium, begins in the teen years and extends to age 35. Since it's estimated that more than 80 percent of young women and teenage girls are not consuming enough calcium, it's a good idea to increase your intake of calcium-rich foods. According to the Dietary Reference Intakes (DRIs) for calcium, preteens and teenagers need 1,300 mg per day.

What happens if you don't get enough calcium? Your body will maintain normal blood-calcium levels by drawing calcium from the bones. This bone loss over a period of years can lead to osteoporosis (brittle, porous bones).


Nuts And Bolts Of Healthy Eating

The Importance of Eating Well

Did you know your body needs more than 45 different nutrients to maintain good health? Of the 45 nutrients you regularly require, some are needed in smaller amounts, while others have to be consumed in larger quantities for maximum health. A deficiency in many critical nutrients can stunt your growth, interfere with bone health and affect the health of many critical organs.

Of the 45-odd nutrients you regularly require, some are needed in tiny amounts, while others have to be consumed in fairly large quantities for maximum health. Like a well-run company, all the nutrients work together as a team to keep your body fit and functioning. Six of them -- known as the essential nutrients -- should be part of your diet regularly to insure good health, and they come from the foods you eat and the beverages you drink and from vitamin and mineral supplements.

  • Three of these six -- proteins, carbohydrates and fat -- provide calories necessary to fuel the body.
  • The other three -- water, vitamins and minerals -- don't themselves produce calories but nevertheless play important roles, including helping the other three nutrients do their job.

For USDA dietary guidelines: USDA - MyPyramid.gov

The Energy-Producing Nutrients

Although calories -- units of energy for the body -- are provided by protein, carbohydrates and fat, not all of these calories are alike. Protein and carbohydrates provide just four calories per gram, while fat provides more than twice as much -- nine calories per gram. This is why the higher the fat content of a serving of a particular food, the higher the calorie count as well -- and this is one of the reasons why I'll be emphasizing low-fat eating.

Foods contain varying amounts of protein, carbohydrates and fat. That's why health experts always urge you to eat a variety of foods -- including low-fat or non-fat dairy products, fruits and vegetables, grains, low-fat animal protein, plant protein and a bit of heart-healthy fat -- to help insure that your body gets enough of each of the three vital nutrients along with important vitamin and minerals. Why are these nutrients so important to the body? The answers are below:

Protein

Proteins are made up of building blocks called amino acids. Some amino acids are manufactured by the body and others are not, and can be obtained only by eating protein-rich foods. Protein forms part of every cell in your body. They have several main functions:

  • Build, repair and maintain muscle and all other tissue
  • Forms the core of your bones and teeth, the filaments of your hair and the basic material of your fingernails
  • Long term to achieve Weight loss
  • Is needed to transport nutrients in and out of your cells
  • Is important in maintaining a healthy immune system
  • Is a good source of iron and calcium
  • Helps stabilize blood sugar

After water, protein is the most abundant material found in the body, and many essential body substances are made of protein, including insulin, a hormone that helps regulate your blood sugar; enzymes, including digestive enzymes that help break down food; and antibodies that fight disease and ward off potentially harmful invaders.

Carbohydrates

The main function of carbs is to provide energy for the body. There are two types of carbohydrates:

  • Simple sugars, which include white and brown sugar, molasses, honey.
  • Fruit, vegetables and milk
        • Complex carbohydrates, such as bread, pasta, rice, potatoes and vegetables.

Simple sugars

Simple sugar provides calories and little in the way of nutrients and fiber. Although they taste good, they add little nutritional value to your menu.

Fruits and Vegetables

Fruits and vegetables are packed with vitamins, minerals, and fiber and are not high in calories. Also, the fructose (natural fruit sugar) found in fruit gives it its satisfying sweet taste.

As for milk, it's loaded with such good things as calcium, phosphorous, potassium, vitamins A and D, yet offers little in the way of fiber.

Why is fiber important? Foods rich in fiber are broken down more slowly, helping to prevent blood sugar highs and lows, that are often seen with sugar-laden foods, and provide, bulk keeping you fuller longer.

Complex carbohydrates

There are two types of complex carbohydrates:

  • Whole-grain complex carbohydrates as brown rice, whole-wheat bread and whole-wheat pasta.
  • Refined complex carbs, such as white rice and enriched white bread, which have had most of their essential nutrients and the fiber removed during milling. If your white bread or cereal is labeled "enriched," then B vitamins and iron has been put back, but not the fiber.

Why Are Whole Grain Complex Carbs Better?

Whole grain complex carbohydrates are great for maintaining your health and weight. As they enter the digestive system slowly and, for that reason, they keep you satisfied longer than most other kinds of food, so you usually end up eating less. Part of that has to do with the presence in complex carbs of dietary fiber, which has been touted for years as a remedy for everything from irregularity to colon cancer.

Yet, even all Whole grain complex carbs are not created equally. Read on, to learn why.

What About The Glycemic Index In Foods?

The Glycemic Index (GI) is a measure of how much a person's blood sugar rises within two hours of eating high carbohydrate foods. When blood sugar rises, insulin, a hormone, is released to push the sugar from the blood into cells, where it is used for energy. Insulin may influence weight gain by reducing the body's ability to burn fat for energy and by stimulating appetite.

Some studies show that people, trying to reduce their calorie intake, who eat low GI foods may lose more weight and body fat than people who eat the same number of calories, from foods made up of high GI foods.

The goal is to eat foods:

  • With a low GI Index--foods, 20-49, most of the time
  • With a moderate GI index--50-69, some of the time
  • With a high 50-69, rarely.

FOR REVISED INTERNATIONAL TABLE OF GLYCEMIC INDEX (GI) AND GLYCEMIC LOAD (GL)—2002

Please click on the following link:

http://diabetes.about.com/library/mendosagi/ngilists.htm

What Is Fiber?

  • Insoluble fiber, a woody-looking substance, absorbs water as it moves through the digestive tract, keeping body functions running smoothly by speeding up elimination. This helps prevent constipation and may protect you against colon cancer. That's because it speeds up the transit of cancer-causing substances through the colon, thereby decreasing the time the bowel is exposed to potential carcinogens. Good sources of insoluble fiber include whole-grain breads and cereals, wheat bran cereals and the skins of fruit and vegetables. It also fills you up, adding bulk to your meal, without adding any calories.
  • Soluble fiber looks like a gel when it's combined with water. Soluble fiber in your diet helps stabilize your blood sugar, which is important in helping to protect against diabetes and hypoglycemia, as well as reduces your risk of heart disease by helping to lower blood cholesterol. And waist-watchers, take note: not only does soluble fiber keep you satisfied longer by taking longer to chew and be digested by the body, it can, because of its gel-like consistency, easily replace certain high-fat ingredients in your cooking. For example, try substituting chopped prunes or unsweetened applesauce for butter or oil to get a moist cake without a lot of fat.

Good sources of soluble fiber are apples, beans (as kidney and pinto), oats, oat bran, psyllium, flax seeds and barley.

How Much Fiber Should You Eat?

As for fiber requirements, the National Cancer Institute recommends that you consume between 20 and 35 grams of fiber a day, and to aim for a variety of fiber-rich carbs so that you're sure to get both the insoluble and soluble kinds. If you haven't been eating reasonable amounts of fiber all along, introduce it into your diet gradually until you build up to the recommended levels, and don't forget to drink six to eight glasses of water daily to help avoid any potential side effects from the fiber, such as bloating or gassiness.

A Quick Fiber Tip:

Remember that the form of food you choose can greatly affect the amount of fiber you consume. For example, while a small-sized apple (with the skin) and a half-cup of apple juice have about the same number of calories, the apple has about18 times more fiber than the juice. So wherever possible, choose the whole fruit or vegetable over juice or sauce versions.

Fat

Why is it that fat is considered the biggest culprit where it comes to weight woes? Because it's the single most concentrated source of calories you take in. That's because it supplies more than twice the number of calories you would get from equal amounts of protein or carbohydrate, and that's true of all fat -- whether it's butter or extra-virgin olive oil, margarine or mayonnaise.

There are three different types of dietary fat, some types more harmful and others types, critical and helpful:

1. Saturated fat

Saturated fat is found mainly in animal products, such as beef, veal, lamb, pork, whole and low-fat milk and milk products and anything made from these foods. You'll also find these fats in natural fats such as palm and coconut oils, plus hidden away in foods like crackers, granola bars and store-bought cakes and cookies as well as in such processed fats as shortening and lard.

A type of fat that you may be hearing about is "trans" fat, which behaves like saturated fat in your body. This type of fat is made by taking vegetables oils and heating them to high tempertures. This process is called "hydrogenation", and converts the liquid vegetable oil into a more solid, unhealthy, form..

2. Monosaturated fat

Monosaturated fats are liquid at room temperature, and they actually lower cholesterol levels. Peanut, olive and canola oils, as well as avocados and olives, contain a good deal of monosaturated fat.

3. Polyunsaturated fat

This type of fat -- liquid at room temperature, like monosaturated fats -- is also frequently recommended because it also lowers total blood cholesterol. They come in two forms:

  • Omega-6 oils are derived mainly from vegetable oils, as safflower, sunflower, corn, canola, soybean, sesame.
  • Omega-3 oils come from marine and fatty fish ( such as anchovies, rainbow trout, salmon, mackerel, sardines, herring), walnuts and walnut oil, flaxseed and flax oil, pumpkin seeds as well as canola and soy oil.

Although too much fat is clearly to be avoided, it's important to include some unsaturated fat in your diet each day because there are definite health benefits to be derived from small amounts of it. What you want to aim for is to reduce your fat intake to between 15 and 30 percent of your total calories. That equates to about one tablespoon of heart-healthy fat per day.

Some of the benefits of fats include:

  • Help produce hormones
  • Promote cell growth
  • Is a good source of fat-soluble vitamins
  • Is a good source of energy
  • Slows down digestion
    and the emptying of food from the stomach, and so produces a longer-lasting sensation of fullness after a meal


Food Allies

Food allies are those foods which have a low glycemic index (20-49). Foods with a low glycemic index have a steadier effect on blood sugar. That’s why eating these foods may help starve off hunger and keep you satisfied longer. Picking a low glycemic snack or meal is an excellent thing to do for your heart and your insulin-making cells. These foods may also help to keep diabetes at bay.

FRUITS:

  • Berries, including Strawberries and Cherries
  • Apples, Oranges, Plums, and Apricots.
  • Peaches, Pears and Grapefruit

VEGETABLES:

  • Tomatoes, Celery and Peppers
  • All lettuces
  • Artichokes and Asparagus
  • Black-eyed peas and Split peas
  • Azuki beans, Butter beans, Black beans, Garbanzo beans, Soybeans and Navy Beans

GRAINS:

  • All bran cereals
  • Muesli cereals (without dried fruit)
  • Whole grain breads
  • Whole grain pastas
  • Barley and Bulgar

DAIRY:

Milk, plain yogurt, and low-fat Cottage cheese.

BEVERAGES:

  • Fresh Tomato juice
  • Grapefruit juice
  • Tea/coffee, and water

According to Dr. Sarita Dhuper, director of pediatric cardiology and the pediatric obesity clinic at the Brookdale University Hospital and Medical Center, fruit drinks are a major source of calories on their own. Moreover, she says, their high sugar content may increase a child's appetite for even greater amounts of food, thus further contributing to weight gain.

A 12-ounce glass of orange juice has as many calories as three chocolate-chip cookies, so reach for grapefruit or tomato juice instead of other juices.

NUTS: Peanuts.


Food Limits

Food limits are those foods which have a moderate glycemic index (50-69). Foods with a moderate glycemic index can offer a fast energy boost but they also raise blood sugar levels. Hence, eat them in moderation.

  • FRUITS
    Grapes, pineapples, mangos, kiwis and watermelon
  • VEGETABLES
    Beets, carrots, corn on the cob, lima beans, yams, sweet potatoes, potatoes (white, red), peas and onions.
  • GRAINS
    Basmati rice, brown rice, wild rice, buckwheat, low sugar cereal, oatmeal, most pasta, pita bread, popcorn, whole wheat bread (100 % stone-ground), pumpernickel bread, and sourdough bread.
  • DAIRY
    Custard
  • BEVERAGES
    Apple juice, orange juice, black cherry juice, and blueberry juice.
  • SWEETENERS
    Unrefined brown sugar, unrefined raw honey, unprocessed blackstrap molasses, and barley malt


Foods to Avoid

Restrict these foods with a high glycemic rating (70-100). Eat at your own risk as these foods spike your blood sugar.

  • FRUITS
    Raisins, ripe bananas, and papayas (Use portion control as they’re high in sugar).
  • VEGETABLES
    French-fries, parsnips, baked potato, cooked carrots, and sweet corn.
  • GRAINS
    French bread, bagels, corn chips, cornflakes, rice cakes, crackers and crispbread, donuts, hamburger and hot-dog buns, white rice, muffins (due to processed flour), white bread, pancakes, puffed rice or wheat, pretzels, shredded wheat, and toaster waffles.
  • DAIRY
    Ice cream
  • BEVERAGES
    Soft drinks, sport drinks and all sodas (with added sugar).
  • SWEETENERS
    Corn syrup and solids, sucrose (table sugar), glucose and glucose polymers (maldodextrin-based drinks), honey, maltose, and high-fructose corn syrup.

Healthy Eating Pyramid

Healthy eating habits can be inculcated by following the Healthy Eating Pyramid. Moreover, the Healthy Eating Pyramid is very simple to follow. You don’t have to weigh and measure food or tally up fat. Instead this new pyramid aims to encourage you to eat mostly familiar foods that have been shown to improve health and reduce the risk of chronic disease.

It involves simple changes you can make one at a time. Because it’s an eating strategy aimed at improving your health instead of a diet aimed solely at helping you or your child shed pounds; it is something you and your family can stick to for years.

healthy eating pyramid

From: Willett, W. The Harvard Medical School Guide to Healthy Eating.
Simon & Schuster, August 2001

The Healthy Eating Pyramid sits on a foundation of daily exercise and weight control. These two are the essence of staying healthy for a life-time. The other building blocks of the pyramid are:

  • Whole Grain Foods (at most meals)
    The body needs carbohydrates mainly for energy. The best sources of carbohydrates are whole grains such as oatmeal, whole-wheat bread, and brown rice. They deliver the outer (bran) and inner (germ) layers along with energy-rich starch. The body can't digest whole grains as quickly as it can highly processed carbohydrates such as white flour. This keeps blood sugar and insulin levels from rising, then falling, too quickly. Better control of blood sugar and insulin can keep hunger at bay and may prevent the development of type 2 diabetes.
  • Plant Oils
    Olive, canola, soy, corn, sunflower, peanut, and other vegetable oils, as well as fatty fish such as salmon are good sources of healthy unsaturated fats. These healthy fats not only improve cholesterol leels (when eaten in place of highly processed carbohydrates) but can also protect the heart from rhythm problems.
  • Vegetables (in abundance) and Fruits (2 to 3 times)
    A diet rich in fruits and vegetables can decrease the chances of having a heart attack or stroke, protect against a variety of cancers, lower blood pressure and guard against cataract.
  • Nuts and Legumes (1 to 3 times)
    Nuts and legumes are excellent sources of protein, fiber, vitamins, and minerals. Legumes include black beans, navy beans, garbanzos, and other beans that are usually sold dried.
  • Fish, Poultry, and Eggs (0 to 2 times)
    These are important sources of protein. Eating fish can reduce the risk of heart disease. Chicken and turkey are also good sources of protein and at the same time they are low in saturated fat. An egg is also a much better breakfast than a doughnut cooked in an oil rich in trans fats or a bagel made from refined flour.
  • Dairy or Calcium Supplement (1 to 2 times)
    Dairy products are the main source of calcium, however, they contain a lot of saturated fat. Thus, use no-fat or low-fat dairy products or take calcium supplements to get your daily calcium.
  • Red Meat and Butter (Use Sparingly)
    These sit at the top of the Healthy Eating Pyramid because they contain lots of saturated fat. If you eat red meat every day, switching to fish or chicken several times a week can improve cholesterol levels. So can switching from butter to olive oil.
  • White Rice, White Bread, Potatoes, Pasta, and Sweets (Use Sparingly)
    These all-American staples are at the top because they can cause fast and excessive increases in blood sugar that can lead to weight gain, diabetes, heart disease, and other chronic disorders. Whole-grain carbohydrates cause slower, steadier increases in blood sugar that don't overwhelm the body's ability to handle them.
  • Multiple Vitamin
    A daily multivitamin, multimineral supplement can fill in the nutrient holes that may sometimes affect even the most careful eaters.
  • Alcohol (in moderation)
    Many studies have shown that an alcoholic drink a day lowers the risk of heart disease. Moderation is very important, since alcohol has risks as well as benefits. For men, a good balance point is 1 to 2 drinks a day. For women, it's at most one drink a day.

Content Source: Harvard School of Public Health

Menus


Food Choices based on the Healthy Food Pyramid

Breakfast: One of the following:

  1. A medium size bowl of cereal with low fat 1% or 2% milk:
    Oatmeal, all bran with few raisins or fruit, old-fashioned oatmeal, special K, or any other high fiber cereal. No cheerios, cornflakes, sugar cereals.
  2. 1 egg or 2 egg whites with whole wheat toast. Slice of Canadian or turkey bacon or low fat cheese. Glass of low fat milk. Can add chocolate syrup.
  3. Low fat milk or yogurt blended with fruits (smoothie). One whole wheat toast with peanut butter.
    No waffles, pancakes, bagels, doughnuts or white bread allowed.

Lunch: Choice of:

  1. Whole wheat or multigrain bread or pita filled with turkey, tuna, grilled chicken with low fat mayo or mustard , tomato and lettuce.
  2. A bowl of non-cream based vegetable or chicken soup with a slice of whole wheat bread. Low fat yogurt or fruit. Diet drink, water or low fat milk.
  3. A medium portion of pasta with tomato sauce, + vegetables. Low fat yogurt or a fruit. Diet drink or water.

Dinner:

Fist size portion of chicken, fish, turkey or meat. A bowl of salad or vegetables with fat free dressing. 1 portion of starch. Prefer brown rice, pasta, whole wheat bread or pita bread. No white bread or rolls or potatoes in any form.

Snacks:

Limit to two times a day: Fruits, low fat popcorn, carrots, handful of peanuts, celery or apple with peanut butter, yogurt or milk.

Drinks:

6-8 glasses of water a day. Limit 100% fruit juice to 1 cup a day.
No soda, ice tea or other juices like kool aid, capri sun etc. Can have crystal light, diet soda or snapple if craving for sweet drinks.

Dessert:

Fruit with cool whip, or low fat ice cream, 2 squares of dark chocolate. Small cup of sweet yogurt.

Fast Foods:

Not more than once a week. No fries, No mayo and no soda with food. Try the grilled chicken burgers or thin crust pizza with less cheese.

Tips For Better Health

  • Watch your portion size. Limiting daily calorie intake is the single most important key to controlling weight. One serving is the size of a deck of cards or a fist full (3-4 ounces).
    Weigh-in regularly.
  • Keep your weight and your child’s weight from creeping up. Weigh-in regularly.
  • Eat fewer bad fats and more good fats. Fats from nuts, seeds, grains, fish, and liquid oil (including olive oil, canola, soybean, corn, sunflower, peanut and other vegetable oils) are good for you, especially when you eat them instead of saturated or trans fat.
    Go easy on: saturated fats such as butter, margarine, whole fat dairy products, red meat, bacon fat or lard.
    Avoid: Trans fat such as partially hydrogenated vegetable oils or vegetable shortening.
  • Eat lots of vegetables but hold the potatoes.
  • Eat fewer refined carbohydrates and more whole-grain carbohydrates. True whole grain products should list as the main ingredient whole wheat, whole oats, whole rye, or some other whole-grain cereal.
  • It is important to read food labels closely as "made with wheat flour" may be a whole grain product or it may be an advertising gimmick—as the silkiest, most refined white cake flour is made with wheat flour. Bran cereals and wheat germ also aren’t technically whole-grain foods.
  • Take a multivitamin for insurance!

Nutritional Handbook

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