5-2-1 Almost None Workplace Toolkit

Workplace Toolkit

Thank you for taking the time to review this GetUp Montgomery County Toolkit.

Thank you forfor taking thethe time to review this GetUp Montgomery County Toolkit.

Public Health - Dayton & Montgomery County through our GetUp Montgomery Thank you taking time to review this GetUp Montgomery County Toolkit.

County program is leading a community-wide effort to combat obesity by Public Health - Dayton & Montgomery County through our GetUp Montgomery County Public Health Dayton & Montgomery County through our GetUp Montgomery encouraging everyone in the county to to choose healthy program is leading a community-wide effort combata obesity bylifestyle. encouraging everyone in

County program is leading a community-wide effort to combat obesity by encouraging everyone in the county to choose a healthy lifestyle.

Funded through the Human Services Levy, GetUp’s goal is to increase physical the county to choose a healthy lifestyle.

Fundedand through the Human Services Levy, GetUp’s goal is toinincrease physical activity and activity healthy forServices children andGetUp’s families County.

Fundedeating through theeating Human Levy, goal Montgomery is to increase physical healthy for children and families in Montgomery County.

The message simple: activity andisis healthy The message simple: eating for children and families in Montgomery County.

The message is simple: Eat 5 or more fruits and vegetables each day.

Eat 5 or more fruits and vegetables each day.

Eat 5 less or more and vegetables each Spend less than2fruits 2 hours of leisure time* Spend than hours of leisure screenscreen time*day. each day.each day.

Spend less11than 2 hours ofactivity leisure screen time* each day.

Get at least hour of physical each day.

Get at least hour of physical activity each day.

Get at leastNone 1None hour of physical activity each Drink Almost of those sugary soda or juice-flavored drinks. drinks.

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No screen time under thedrinks. age of 2.

DrinkTV/computer Almost None sugary soda or juice-flavored *Keep TV/computer out of the bedroom. No screen time under the age of 2. *Keep TV/computer of thestarting bedroom.

No for screen time under the age of 2.

The 5-2-1-AN message providesout a great point workplaces that are new to wellness The GetUp Goes to School Toolkit is being funded by The Children's Medical promotion and strengthens the efforts of workplaces with existing wellness activities. We The GetUp Goes to School Toolkit is being funded by The Children's Medical Center of Dayton.

They to are providing financial support as well as being encourage all workplaces start with these six strategies for success:

Center of Dayton. They are providing financial support as well as being

a champion the 5-2-1-AN message throughout the region. In this toolkit you Six Strategiesoffor Success: a champion of the 5-2-1-AN message throughout the region. In this toolkit you will find strategies to incorporate the5-2-1-AN 5-2-1-AN message. have Create • will a healthy workplace environment, including a wellness policy that supports find strategies tohelp helpyou you incorporate the message.

WeWe have developed different toolkits, is designed designedtotorepresent represent unique the 5-2-1-AN strategies. developed different toolkits,and and each each is thethe unique Provide • interests healthy food and sector beverage options at meetings and celebrations. interests ofof each workplace, healthcare, afterschool, eachtargeted targeted sector (schools, (schools, workplace, healthcare, afterschool, Provide • healthy food and beverage options in vending machines. andand early childhood early childhoodeducation). education).

• Involve employees in initiatives that promote physical activity and healthy eating.

We hope this toolkit will you andoreducate educate healthier generation. hope this toolkit willhelp help you train and a ahealthier generation.

5-2-1-AN messages • WeInclude in your cafeteria break rooms and in your employee Reducing obesity and encouraging people to choose healthier lifestyles involves Reducing obesity and encouraging people to choose healthier lifestyles involves newsletter and/or website. community commitment.

We are that with your support, a long-term community We areconfident confident that with your support, • a long-term Provide employees withcommitment. parent education materials about 5-2-1-AN. GetUp Initiativewill willlead leadto to aa healthier healthier Montgomery Please direct thethe GetUp Initiative MontgomeryCounty.

County.

Please direct Reducing obesity and encouraging people to choose healthier lifestyles involves a long-term any feedback, questions, or comments to GetUp Montgomery County at any feedback, questions,We orare comments to GetUp Montgomery County at community commitment. confident that with your support, the GetUp Initiative will 937-225-4398 or e-mail us at GetUpMC@phdmc.org.

937-225-4398 or e-mail us at County.

GetUpMC@phdmc.org. lead to a healthier Montgomery Please direct any feedback, questions, or comments to GetUp Montgomery County at 937-225-4398 or e-mail us Sincerely,

Sincerely, at GetUpMC@phdmc.org.

Sincerely, James W. Gross, M.P.H.

Health Commissioner James W.W. Gross, M.P.H. James Gross, M.P.H. Health Commissioner Health Commissioner

James Ebert, M.D., M.P.H.

Lead Physician, LipidM.P.H. Clinic James Ebert, M.D., The Children’s Center of Dayton Lead Physician,Medical Lipid Clinic The Children’s Medical Center of Dayton

Table of Contents Introduction Scientific Rationale for 521AN Tab 1: Healthy Office Environment Tools & Resources Creating a Healthy Work Environment Healthy Food Options for Meetings Healthier Cafeteria Snack Options Power Vending 521AN Articles for Employee Websites or Newsletters Calorie Challenge-Entire Document • • • •

Calorie Challenge Employer Tips Healthy Tips for Dining Out Calorie Challenge Posters Calorie Challenge Posters: Answers

StairWELL Initiative • • •

Right Arrow StairWell Signs Left Arrow StairWell Signs Motivational StairWELL Signs

Drink Comparison Display Chart & Photo Please Give Nutritiously Poster National & Other Workplace Wellness Resources Tab 2: Parent Resources & Handouts Healthy Eating Get Your Portions in Proportion Go Foods, Slow Foods, Whoa Foods Healthy Shopping on a Budget Non-Food Rewards At Home Physical Activity Get one hour or more of physical activity every day.

Limit recreational screen time to two hours or less.

Scientific Rationale for 5-2-1-AN

A diet rich in fruits and vegetables provides vitamins and minerals, important for supporting growth and development, and for optimal immune function in children. High daily intakes of fruits and vegetables among adults are associated with lower rates of chronic diseases such as heart disease, stroke, high blood pressure, diabetes, and possibly, some types of cancers. Emerging science suggests fruit and vegetable consumption may help prevent weight gain, and when total calories are controlled may be an important aid to achieving and sustaining weight loss.

According to the American Academy of Pediatrics (AAP,) the average child watches an average of 5–6 hours of television a day. Watching too much television is associated with an increased prevalence of overweight and obesity, lower reading scores, and attention problems. The AAP therefore recommends that children under the age of two shouldn’t watch any television.

In addition, the AAP recommends no TV or computer in the room in which the child sleeps, and no more than 2 hours of screen time a day.

Regular physical activity is essential for weight maintenance and prevention of chronic diseases such as heart disease, diabetes, colon cancer, and osteoporosis. While most school age children are quite active, physical activity sharply declines during adolescence. Children who are raised in families with active lifestyles are more likely to stay active as adults than children raised in families with sedentary lifestyles.

Sugar-sweetened beverage consumption has increased dramatically over the past 20 years; high intake among children is associated with overweight and obesity, displacement of milk consumption, and dental cavities. It is recommended that children 1–6 years old consume no more than 4–6 ounces of juice per day and youth 7–18 years old consume no more than 8–12 ounces. Whole milk is the single largest source of saturated fat in children’s diets.

Switching to low or non-fat milk products significantly reduces dietary saturated and total fat, as well as total calories.

TAB 1 Healthy Office Environment Tools & Resources Creating a Healthy Office Environment Healthy Food Options for Meetings Healthier Cafeteria Snack Options Power Vending 521AN Articles for Employee Websites or Newsletters Calorie Challenge - Entire Document  Calorie Challenge Employer Tips  Healthy Tips for Dining Out  Calorie Challenge Posters  Calorie Challenge Posters: Answers StairWELL Initiative  Right Arrow StairWELL Signs  Left Arrow StairWELL Signs  Motivational StairWELL Signs Drink Comparison Display Chart & Photo Please Give Nutritiously Poster National & Other Workplace Wellness Resources

Create a Healthy Work Environment The worksite can be a powerful tool to communicate healthy eating and active living messages.

Work with your staff to make healthy eating and active living a part of their lives.

 Hang physical activity and healthy eating posters in lunch or break rooms.  Create a 521AN bulletin board:   

Feature a different theme each month.

Post GetUp! handouts.

Post seasonal recreational activities.

 Feature a fruit or vegetable of the month in your cafeteria.  Sample a fruit or vegetable of the month - select items of different cultures to try.  Host a healthy lunch.  Have a staff contest to create an office slogan or universal message about healthy lifestyles.  Provide 10-minute physical activity or walking break during longer meetings.  Try walking meetings.  Calculate and post average walking distances around your office, campus or worksite.  Promote participation in National Screen-Free Week, March into May, StairWELL or other campaigns.

 Provide water fountains/coolers and ensure that vending machines offer healthy food and beverage options.

Adapted from the Healthy Care for Healthy Kids Learning Collaborative (A Partnership of Blue Cross Blue Shield of Massachusetts and the National Initiative on Children’s Healthcare Quality).

Healthy Food Options for Meetings Drinks 

Offer water and other no-calorie options.

Breakfast 

Serve fresh fruit salad or a fresh fruit platter.



Serve low-fat yogurt and low-fat granola.



Offer low fat cream cheese and whole grain bagels. Try offering mini bagels.

Lunch 

Offer whole-grain bread or wraps.

Offer lean meat options like chicken or turkey, and vegetarian options like veggies & hummus.  Offer condiments (including salad dressing) on the side.





Avoid potato chips or offer baked potato chips.



Consider skipping dessert or offering a fresh fruit salad or fresh fruit platter.

Snacks and Celebrations Offer bite size fruits and veggies in season like apple slices, grapes, melon cubes, baby carrots, strawberries, grape tomatoes, celery sticks and cucumbers.

Offer whole fresh fruits like oranges, apples or bananas.

Try whole grain crackers or air popped popcorn.

Avoid potato chips or offer baked potato chips.

Offer a fresh fruit platter or fresh fruit salad.

Offer low-fat yogurt and granola.

Healthier Cafeteria Snack Options Worried about what your child buys from the a la carte line, school store or vending machines? As you know, the best choices are whole or sliced fruits or veggies which are available at most schools. If your child does select a packaged snack, those from the list below, along side a balanced breakfast or lunch, are good choices. Each snack meets a strict standard for portion size, calories, fat, sodium and sugar. See full criteria on the back. Portion size is important—choose just one!

These items are often found in vending machines, school stores or a la carte lines. If they are not available now, encourage your school nutrition program to carry them!

Snack

Size

 Annie’s Homegrown Bunny 1 oz (28g) Grahams (Chocolate Chip; Honey)

Snack

Size

1 1/8 oz (31.8g)  Baked Lay's (Sour Cream & Onion) 1 3/8 oz (38.9g)  Baked Lay's (Southwestern Ranch)

1 oz (28.3g)

 Baked Ruffles (Plain; Cheddar & Sour Cream)

1 1/8 oz (31.8g)

1.5 oz (42g)

 Doritos (Spicy Sweet Chili Reduced Fat)

1 oz (28.3g)

 Breyers YoCrunch Yogurt (Oreo Cookies n' Cream; Raspberry)

6oz (170g)

 Baked Lay's Doritos (Nacho Cheese)

3/4 oz (21.2g) 1 3/8 oz (38.9g)

 Breyers YoCrunch Yogurt (Strawberry)

7 oz (170g)

 Baked Lay's Potato Chips

1 1/8 oz (31.8g)

 Chobani Yogurt (Strawberry; Blueberry; Peach)

6 oz

 Lay's Potato Chips (Original Fat Free)

1 oz (28.3g)

 CLIF ZBAR (Chocolate Chip; Chocolate Brownie)

1.27 oz (36g)

 Rold Gold Tiny Twists Pretzels

.5 oz (14.1g) 1 oz (28.3 g)

 Minute Maid Juice Bar (Grape)

2.25 fl oz (66.54g)

 Cheerios (Bowl)

11/16 oz (19g)

 Snack Pack Fat Free Pudding (Vanilla; Chocolate)

3.5 oz (99g)

 Cheerios (Honey Nut, Bowl)

1 oz (28g)

1 oz (28.4g)

 Cinnamon Toast Crunch (Reduced Sugar)

1 oz (28g)

 Skinny Cow (Low Fat Fudge Bar)

74g

 Cinnamon Toast Crunch Cereal (Bowl)

1 oz (28g)

 Baked Cheetos

7/8 oz (24.8g)

 Cocoa Puffs Cereal

7/8 oz (24g)

 Baked Lay's (Barbecue)

7/8 oz (24.8g) 1 1/18 oz (31.8g)

 Cocoa Puffs Cereal (Reduced Sugar) (Bowl)

7/8 oz (24g)

 Power Snacks Raisins

1 oz (28.35g)

 Basil's Bavarian Bakery Animal Snackers

1 oz (28g)

 Raisins

 Sunflower Seeds (Honey Roasted; Lightly Salted)

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Snack

Size

 Fruit By The Foot (Color By the Foot Triple Fruit Punch)

.75 oz (21g)

 Hood Ice Cream Cup (Orange Ice) (86g)

 Golden Grahams Cereal (bowl)

1 oz (28g)

 Hood Ice Cream Cup (Orange Sherbet; Raspberry Sherbet)

(90g)

 Kix Berry Berry (Bowl)

7/8 oz(24g)

 Hood Ice Cream Cup (Raspberry Nonfat Frozen Yogurt)

(73g)

 Kix Cereal (Bowl)

5/8 oz (17g)

 Crisp Rice Cereal (bowl)

3/4 oz (21g)

 Nature Valley Crunchy Granola Bar 1.5 oz (42g) (Oats 'N Honey)

 Luigi's Real Italian Ice (Lemon; Strawberry)

4 fl oz (118mL)

 Nature Valley Granola Bar (Oats 'n Honey; Apple Crisp)

 Kashi Heart to Heart (Box)

1.4 oz (40g)

 Scooby-Doo! Fruit Flavored Snacks .9 oz (25.5g)

 Kashi TLC Bar (Cherry Dark Chocolate)

1.2 oz (35g)

 Team Cheerios Cereal Bar (Strawberry)

1.3 oz (37g)

 Kashi TLC Fruit & Grain (Dark Chocolate Coconut)

1.1 oz

 Total Cereal (Bowl)

13/16 oz (23g)

 Apple Jacks (Reduced Sugar)

.7 oz (20g)

 Trix (Bowl)

3/4 oz (21g)

 Austin Zoo Animal Crackers

1 oz (28g)

 Trix (Reduced Sugar) (Bowl)

3/4 oz (21g)

 Cheez-it Baked Snack Crackers (Reduced Fat)

1.5 oz (42g)

 Trix Cereal Bar

1.3 oz (37g)

 Corn Flakes (Box)

.81 oz (23g)

 Soy Crisp (Apple Cinnamon)

1.3 oz (37g)

 Froot Loops (Reduced Sugar)

.67 oz (19g)

 Hershey Mega Fudge-O Bar

4 fl oz (35g)

 Frosted Flakes (Reduced Sugar)

1 oz (28g)

 Hershey Sherbet (Raspberry)

4 fl oz (95.77g)

 Frosted Mini-Wheats

1 oz (28g)

 Hood Fudge Bar

(91g)

 Frosted Mini-Wheats (Box)

1.31 oz (37g)

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1.5 oz (42g)

Snack

Size

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Snack

Size

Snack

Size

 Frosted Mini-Wheats Little Bites (Chocolate)

1 oz (28g)

 Newton's Fruit Crisp (Mixed Berry) 1 oz (28g)

 Keebler Scooby-Doo! Graham Cracker Sticks (Cinnamon)

1 oz (28g)

 Oreo Thin Crisps (100 calorie pack)

.81 oz (23g)

 Wheat Thins Toasted Chips Minis (100 Calorie Pack)

.77 oz (22g)

 EnviroKidz Crispy Rice (Peanut ChocoDrizzle)

1 oz (28g)

 Nutri-Grain Cereal Bar (Apple Cinnamon; Blueberry; Raspberry; Strawberry; Yogurt Strawberry)

1.3 oz (37g)

 Pop-Tarts (Frosted Strawberry)

1.76 oz (50g)

 Flintstones Push Up Sherbet Treats 2.75 fl oz (54g)

 Raisin Bran (Box)

.88 oz (25g)

 Goldfish Baked Snack Crackers (Cheddar)

1 oz (28g)

 Rice Krispies (Box)

1.52 oz (43g)

 Goldfish Giant Grahams

.9 oz (26g)

 Rice Krispies Treats

1.3 oz (37g) 1.7 oz (48g)

 Quaker Oats Breakfast Cookie (Oatmeal Raisin)

1.69 oz (48g)

 Special K (Box)

.81 oz (23g)

 Quaker Oats Cereal Bar (Apple Crisp)

1.3 oz (37g)

 Special K Bar (Honey Nut)

.77 oz (22g)

 Kemps Cream Bar (Orange)

3 fl. oz (66g)

 Quaker Oats Chewy Granola Bar (Low Fat Chocolate Chunk; Oatmeal Raisin; Peanut Butter Chocolate Chip; S-Mores)

.84oz (24g)

 Kemps Nonfat Frozen Yogurt (Chocolate)

4 fl oz (113.4g)

 Quaker Oats Instant Oatmeal (Original)

.98 oz (28g)

 Malt-O-Meal Crispy Rice (Bowl)

.63 oz (17.7g)

 Quaker Oatmeal Express (Golden Brown Sugar; Cinnamon Roll)

1.9 oz (54g)

 Malt-O-Meal Toasty O's

11/16 oz (19.5g)

 Quaker Instant Oatmeal (Cinnamon & Spice)

1.62 oz (46g)

 Quaker Instant Oatmeal (Maple & Brown Sugar)

1.51 oz (43g)

 Quaker Rice Snacks (Caramel Corn)

.91 oz (26g)

 Quaker Oats Snack Mix (Kids Mix)

7/8 oz (24.8g)

 Cheese Nips (100 Calorie Packs)

,74 oz (21g)

 Chips Ahoy Thin Crisps (100 Calorie Pack)

.81 oz (23g)

 Honey Maid Grahams (Cinnamon Sticks)

1 oz (28g)

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Snack

Size

Snack

Size

 Pirate's Booty (Aged White Cheddar)

1 oz (28g)

 Stonyfield Farm Low Fat Yogurt (Blueberry; Strawberry)

 Cascadian Farm Chewy Granola Bar (Chocolate Chip)

1.2 oz (35g)

 YoKids Squeezers Organic Low Fat 2 oz (57g) Yogurt (Strawberry)

 Snyder’s of Hanover Honey Wheat Sticks

2.25 oz (63.8g)

 Snyder’s of Hanover Mini Pretzels

1.5 oz (42.5g)

6 oz (170g)

 Fruit in a Flash Apple Slices

2 oz (57g)

 House Recipe Instant Oatmeal (Regular)

(56g)

 Creamsicle (Orange 'n Cream)

2.7 fl oz (70g)

 Upstate Farms Yogurt (Raspberry; Strawberry/Banana)

4 oz (113g)

 Stacy’s Pita Chips (Cinnamon Sugar; Parmesan Garlic & Herb; Simply Naked)

1 3/8 oz (38.9 g)

 Stacy’s Soy Thin Chips (Sweet BBQ)

1.5 oz

 Yoplait Trix Low Fat Yogurt (Strawberry Banana Bash)

4 oz (113g)

 Stauffer Whales Baked Snack Crackers

.75 oz (21g)

 Yoplait (Light Strawberry; Harvest Peach)

6 oz (170g)

Nutritional criteria for packaged snack foods: Total fat ≤ 35% of calories per serving, excludes nuts, seeds, nut butters, reduced fat cheese Trans fat ≤ 0.5 grams per serving (trans fat free) Saturated fat < 10% of calories per serving, excludes reduced fat cheese Sugar ≤ 35% by weight of total sugars, excludes fruits, vegetables, milk Sodium ≤ 480 mg per serving Calories ≤ 200 calories

The above criteria is based on the USDA's HealthierUS School Challenge competitive food criteria. This list is not reviewed or approved by USDA; products on this list are not approved or endorsed by the USDA and all products may not meet the Gold Award of Distinction criteria. For more information about the criteria, please visit http://www.fns.usda.gov/tn/healthierus/index.html.

For more information about GetUp!, please visit www.GetUpMC.org.

09/10 R12/10

Power Vending is a program designed to support more nutritious food and beverage options in vending machines. The program’s quick guide and supportive online tools make it easy for any site to increase healthier vending machine options. Here are some of the Power Vending highlights:  No cost way to improve healthier vending options.  All vending companies have healthier options. All you have to do is call the company and ask for them. o If it is easier we can call your vending company for you.  Percent age of healthier options is based on an easy star level system. o One star designates 30% of the food in your vending machines to healthy options. o Two stars designate 60% of the food in your vending machines to healthy options. o Three stars designate 100% of the food in your vending machines to healthy options.  To qualify as Power Star healthier option, food serving sizes must meet the following criteria: o Fat – 4 grams or less o Carbohydrates – 30 grams or less o Calories- 200 or less o 5% or more of at least one of vitamins A, C, E, iron, calcium, protein or fiber.  Once healthy options have been placed in the vending machine you can place a power star sticker next to those options and post an information sheet so that employees may have a better understanding of the Power Vending program and how it works.

When you look into vending machines and see the Power Star symbol you can be sure your food or beverage choice is more nutritious and powerful. Each item labeled meets our nutrition guidelines, so the foods you choose have more of what you need and less of what you don’t.

For more information or to register please visit http://ecchcopowervending.org/

521AN Articles for Employee Websites or Newsletters

The purpose of the 521AN articles is to reach employees as parents, caregivers and role models with the same messages children are receiving through other settings in this program (schools, child care, etc.). Employers can encourage employees and their families to strive for healthy, active lifestyles.

These twelve articles support and explain the 521AN messages. Employers can incorporate these messages into their employee wellness campaign/s in a number of ways. Use the articles on internal/employee websites, in newsletters and/or in other materials provided to employees.

We ask that you retain the www.GetUpMC.org link in all articles. If you are able to include our logo, we can provide that to you. Contact GetUp at GetUpMC@phdmc.org This document includes three articles for each of the four 521AN messages:

Every Day!

“5” Message Articles: Five or more servings of fruits and vegetables every day.

Article 1: Eat at least 5 fruits and vegetables a day A diet rich in fruits and vegetables provides vitamins and minerals, important for supporting growth and development, and for optimal immune function.

Most fruits and vegetables are low in calories and fat, making them a healthy choice anytime. They may also contain phytochemicals (fight-o-chemicals) that work together with fiber to benefit your health in many ways. Different phytochemicals are found in different fruits based on their color – that’s why it’s important to put a rainbow on your plate.

Try it:

Try the three bite rule. Offer your family new fruits and veggies different ways and try at least three bites each time – it can take 7 to 10 tries before you like a new food.

Many fruits and veggies taste great with a dip or dressing. Try a low-fat salad dressing with yogurt or get protein with peanut butter.

Make a fruit smoothie with low-fat yogurt.

Mix it: Add them to foods you already make, like pasta, soups, casseroles, pizza, rice, etc.

Add fruit to your cereal, oatmeal, or other breakfast foods.

Be a good role model for your family and have at least one veggie at every meal.

Slice it:

Wash and chop veggies and fruits so they are ready to grab and eat.

Most people prefer crunchy foods over mushy ones. Enjoy them fresh or lightly steamed.

Choose with the seasons: Buy fruits and veggies that are in season.

Don’t forget that frozen fruits and veggies are always available and are a healthy choice.

Be a Role Model: You are your family’s number one role model, so start practicing the healthy habits you encourage your family to practice.

Start by making small changes.

Encourage the whole family to embrace a healthy lifestyle.

For more ideas visit www.GetUpMC.org .

Article 2: Encourage Healthy Eating Habits in Your Child Non-Food Rewards: Have your family create a reward system with a list of fun, non-food rewards that do not cost much, such as playing outdoors, family game night, going to a ball game, buying a new book or reading an extra book at bedtime.

Post the list where the whole family can see it.

Reward the desired behaviors with awards that work for your family.

Family meal time: Do not underestimate the importance of family meal time; take 10-15 minutes to sit down together.

Involve your family in meal planning.

Be a Role Model: You are your family’s number one role model, so start practicing the healthy habits you encourage your family to practice.

Start by making small changes.

Encourage the whole family to embrace a healthy lifestyle.

For more ideas, visit www.GetUpMC.org.

Article 3: What is a serving of fruits or vegetables?

It is important to eat at least five servings of fruits or vegetables a day. What is a serving?

Adults A whole fruit the size of a tennis ball. ½ cup of cut up fruit or veggies.

1 cup of raw leafy greens. ¼ cup of dried fruits.

Kids

Size of the palm of their hand.

For more information, go to: www.GetUpMC.org

“2” Message Articles: Two hours or less recreational screen time every day. Remember, no screen time for kids under the age of two.

Article 4: Limit Your Child’s Screen Time According to the Kaiser Family Foundation, American children and adolescents spend 2228 hours per week viewing television, more than any other activity except sleeping. By the age of 70 they will have spent 7 to 10 years of their lives watching TV. Watching TV is associated with increased energy intake (sitting in front of the TV many children snack more than they should) and increased obesity. Too much TV has been linked to lower reading scores and attention problems.

Screen time includes: TV, computer, texting and videogames such as Wii, Playstation and Gameboy. It is important to limit your child’s TV or computer use to two hours or less daily.

Healthy Screen Time: No TV/computer under the age of 2.

No TV/computer in the room where the child sleeps.

One hour or less of educational TV/computer time between ages 2 and 5.

After the age of 5, 2 hours or less.

Set Limits: • Know how much TV your child is watching.

Set some basic rules such as no TV or computer before homework or chores are done.

Do not watch TV during mealtime.

Participate: • Keep TVs, computers, DVD players, cell phones and video games out of your child’s room.

Keep the TV in a common room and make TV viewing a family activity.

Know what your children are watching on TV and doing online.

Be a Role Model: Children model behavior. Set a good example by limiting your TV and computer time.

Avoid watching programs containing adult content when your child is in the room or nearby.

Put on music and dance with your kids! .

For more information, visit www.GetUpMC.org

Article 5: National Screen-Free Week Get ready for National Screen-Free Week http://www.commercialfreechildhood.org/screenfreeweek/ in April by limiting recreational screen time to 2 hours or less daily. Set family guidelines for age appropriate shows. Help your child plan television viewing in advance. Keep books, magazines, and board games in the family room and make a list of fun activities to do instead of being in front of a screen. Here are some ideas: Indoor Activities: Puzzles Charades Read a book or magazine Spend time catching up with your family Play board games Start a journal Go to the library

Outdoor Activities: Walk, run or jog Ride a bike (don’t forget your helmet!)

Go on a nature hike Visit a park or beach Play ball (catch, basketball, soccer, etc.)

Sled, ski or snowshoe Rollerblade (don’t forget your helmet!)

For more ideas, visit www.GetUpMC.org.

Article 6: Interesting Facts About TV • • • •

Percentage of children ages 6-17 who have TVs in their bedrooms: 50% Percentage of childcare centers that use TV during a typical day: 70% Percentage of Americans that regularly watch TV while eating dinner: 66% Number of minutes per week that parents spend in meaningful conversation with their children: 38.5 Keep the TV out of your child’s bedroom. Don’t watch TV during meals or while doing homework. Limit screen time to two hours or less (no screen time for kids under 2).

Check out www.screentime.org for more facts and information.

For more ideas, visit www.GetUpMC.org.

“1” Message Articles: One hour or more of physical activity every day Article 7: Incorporate One Hour or More of Physical Activity into your Child’s Day Physical activity makes you feel good. It helps keep you at a healthy weight, makes your heart happy, and makes you stronger and more flexible.

One hour of moderate physical activity means: Doing activities where you breathe hard, like hiking or dancing.

20 minutes of vigorous physical activity means: Doing activities where you sweat, like running, aerobics or basketball.

Free and Fun Activities: Take a walk with your family Play with your pet Walk the dog Play tag Take a bike ride (remember to wear your helmet) Turn on music and dance Jump rope Play Frisbee Make snow angels Take the stairs Park the car at the end of the parking lot For more ideas, visit www.GetUpMC.org.

Article 8: Encourage a “One Hour Rule” for Physical Activity Kids and adults should be active for at least one hour every day. You are your family’s number one role model, so start practicing the healthy habits you encourage your child to practice. Encourage the whole family to embrace a healthy lifestyle.

Tips: Make gradual changes to increase your level of physical activity.

Incorporate physical activity into your daily routines.

Try tracking the level of your physical activity using a pedometer.

Role model an active lifestyle.

Turn off the TV and computer and keep them out of the bedroom.

Limit TV and recreational computer time.

Choose toys and games that promote physical activity.

Encourage lifelong physical activity by incorporating physical activity into your routine.

Keep physical activity fun!

For more ideas, visit www.GetUpMC.org.

Article 9: Use Physical Activity as a Reward Using physical activity as a reward is a great way to strive for one or more hours of physical activity a day for your child. Reward good behavior with physical activity instead of extra TV or computer time or with unhealthy food treats.

The Good Behavior Game: o Write a short list of good behaviors on a chart. o Mark the chart with a star every time you see the good behavior. o After your child has earned a small number of stars, give him or her a reward.

Give your child extra play time before or after meals as a reward for finishing homework.

Choose fun, seasonal activities.

Encourage your child to try a new sport or join a team.

For more ideas go to: www.GetUpMC.org.

“Almost None” Message Articles: Almost No sugary drinks, more water and low-fat milk every day.

Article 10: Avoid Sugary Drinks for Your Child Soda has no nutritional value and is high in sugar. Just nine ounces of soda is equal to 110-150 empty calories. Many sodas also contain caffeine, which kids don’t need. Try water and low-fat milk instead of soda and drinks with lots of sugar. If you choose to serve juice, buy 100% juice and limit the serving size.

Sports drinks contain lots of sugar that kids don’t need. They should only be used when kids are active for more than 60 minutes and it is hot and humid.

Energy drinks are NOT sports drinks and should never replace water during exercise.

Water is fuel for your body: Water is the most important nutrient for active people.

Between 70-80% of a child’s body is made up of water.

When you exercise, you sweat, and when you sweat you LOSE water and minerals – it is important to replace the water you lose when you sweat.

Water is the #1 thirst quencher!

Be a Role Model: You are your family’s number one role model, so start practicing the healthy habits you encourage your child to practice. Avoid soda and sugary coffee drinks!

Keep bottled water or a water bottle on hand.

Add fresh lemon, lime or orange wedges to water for some natural flavor.

Fill a pitcher of water and keep it in the fridge.

Don’t replace soda with other sugar-sweetened beverages, such as juice or sports drinks.

Remember, water is the best drink when you are thirsty.

For more ideas, visit www.GetUpMC.org.

Article 11: Encourage Kids to Drink Low-Fat Milk According to the national dairy council, children ages 4-8 years should be consuming three, 8 ounce glasses of milk or other dairy each day. Children ages 9-18 years should be consuming four and a half, 8 ounce glasses of milk or other dairy each day.

Gradually make the change from whole milk to low-fat or no-fat milk. Make a smoothie using low-fat milk, ice, and your kid’s favorite fruit/s.

For more ideas, visit www.GetUpMC.org Article 12: Put Limits on Your Child’s Juice Consumption Juice products labeled “-ade”, “drink”, or “punch” often contain 5% juice or less. The only difference between these “juices” and soda is that they’re fortified with Vitamin C. Always try to choose whole fruits over juice. If you choose to serve juice, buy 100% juice.

Each day, juice should be limited to: • 4-6 ounces for children 1-6 years • 8-12 ounces for children 7-18 years • Children 6 months and under should not be given juice Make changes slowly by adding water to your child’s juice. Try mixing seltzer with a small amount of juice. Suggest a glass of water or low-fat milk instead of juice.

For more ideas, visit www.GetUpMC.org

Calorie Challenge In such a busy world, mealtimes often revolve around our lifestyles. As a result of this, we are doing a lot more dining out. When dining out, we are consuming many extra calories, primarily from fats and the larger portion sizes.

According to the United States Department of Agriculture, “dining out has been increasingly popular for Americans over the past several decades. In 1970, 26 percent of all food spending was on food away from home; by 2005, that share rose to 41 percent."

The purpose of the Calorie Challenge is to provide workplace wellness programs with a tool that will encourage their employees to rethink their dining out menu choices. Employees will be asked to guess the number of calories in various restaurant food items and be STUNNED when they learn the actual amount!

Calorie Challenge Includes:  Employer Tips for Use  Employee Handout: Healthy Tips for Dining Out  20 Calorie Challenge Posters  20 Calorie Answer Posters

Calorie Challenge Employer Tips  Post one challenge a week in your company break room/s or employee kitchen/s. Clip a pen to the sheet to make it easy for employees to submit a guess.  Post the poster showing the correct answer the following week, along with the name of the employee with the most accurate calorie guess.  Post reminders, answers and winners on your company’s internal/employee website, if possible.  Provide a small healthy prize to the weekly winners. Everyone loves incentives!

Pedometers, exercise balls, resistance bands and water bottles are a few examples.  We have provided twenty weeks worth of posters. There are many ways to run the Calorie Challenge campaign. We suggest you run the campaign for ve weeks, 4 times a year, thereby using each poster once in a twelve month period. This will give employees a break between rounds and keep the information fresh!  We recommend you provide copies of the Healthy Tips for Dining Out handout to all employees!  If you wish to edit this le to add your logo or delete the o er of a prize, we will provide these documents in Microsoft Publisher. Please do not remove our logos or the attribution to Men’s Health. Email GetUp at GetUpMC@phdmc.org.

Healthy Tips for Dining Out If you are treating yourself to a meal out, here are some tips to help make it a dining experience that is both tasty and good for you.

ASK! Will the restaurant: Serve trans-fat free margarine rather than butter with the meal?

Serve fat free (skim) milk rather than whole milk or cream?

Trim visible fat from poultry or meat?

Leave all butter, gravy or sauces o a dish?

Serve salad dressing on the side?

Accommodate special requests?

Use less cooking oil when cooking? Use only olive or canola oil when cooking?

Provide a carry out container so that at the start of your meal you can set aside half of your meal to take home?

ACT! Select foods which are: Steamed Garden fresh Broiled Baked Roasted Poached Lightly sautĂŠed or stir-fried Adapted from Eating Healthy When Dining Out -a tip sheet by The National Heart, Lung, and Blood Institute in cooperation with the National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health. Visit www.nhlbil.nih.gov.

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Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this appetizer/side?

Answer: 2,900 Calories 182g fat 240g carbs

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

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*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Hard to believe that a single onion can wreak so much nutritional havoc, but batter and fry anything and serve it with a rich dipping sauce and you’re bound to do some damage.

Start properly: At Chili’s, take a detour to the “Sides” menu and try the Garlic & Lime Grilled Shrimp. 4 shrimp will only cost you 160 calories.

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this appetizer?

ANSWER: 2,710 calories 203 g fat, 194 g carbs 6,360 mg sodium

WHOA!! *Adapted from “The Twenty Worst Foods in America,” Men’s Health

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*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

The only way you should ever consider eating these is if you’re rolling with a crew of eight.

Turn away: You won’t find a decent option on the appetizer menu. Instead, turn to the Chicken Tacos on the entree portion of the menu; at 250 calories a pop, they make as good a start to your meal as you can hope for.

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

The only way you should ever consider eating these is if you’re rolling with a crew of eight.

Turn away: You won’t find a decent option on the appetizer menu. Instead, turn to the Chicken Tacos on the entree portion of the menu; at 250 calories a pop, they make as good a start to your meal as you can hope for.

ANSWER: 2,740 calories 166 g fat, 191 g carbs 5,280 mg sodium

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods in America,” Men’s Health

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 2,430 calories 128 g fat, 207 g carbs 5,290 mg sodium

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 2,310 calories 162 g fat, 123 g carbs 4,470 mg sodium

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 2,100 calories 130 g fat, 169 g carbs 4,750 mg sodium

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods in America,” Men’s Health

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 2,040 calories 99 g fat 240 g carbs

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,820 calories 127 g fat, 95 g carbs

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this dessert?

ANSWER: 1,600 calories 78 g fat, 215 g carbs

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,540 calories 77 g fat, 198 g carbs

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,540 calories 124 g fat

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,520 calories 111 g fat

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,450 calories 102 g fat, 78 g carbs 2,410 mg sodium

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,370 calories 86 g fat 4,490 mg sodium

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,210 calories 62 g fat 3,450 mg sodium

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,179 calories 7 g fat, 125 g carbs

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,145 calories 71 g fat, 56 g carbs

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 1,020 calories 64 g fat, 86 g carbs

YIKES!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this drink?

ANSWER: 900 calories 10 g fat, 183 g carbs 166 g sugar

WOW!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

*

Can you guess the calories in this meal?

Take a guess and you MAY be the lucky winner!

Name

E-mail/Extension

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace *Adapted from “The Twenty Worst Foods

Number of Calories?

*

Can you guess the calories in this meal?

ANSWER: 830 calories 55 g fat, 48 g carbs

WHOA!!

*Adapted from “The Twenty Worst Foods in America,” Men’s Health

Goes to the Workplace

StairWELL Initiative The purpose of the GetUp StairWELL Initiative is to provide tools for employers to improve employee health by implementing a StairWELL initiative within their organization. This kit also provides options for businesses that do not have stairwells, including links to tools to help map out walking paths around worksites and additional resources to help promote physical activity in the workplace to all employees. As with any health promotion program that is centered on physical activity it is important to remind employees to check with their doctor before starting any new type of physical activity program.

The GetUp StairWELL Initiative is based on the Centers for Disease Control and Prevention’s (CDC) program, “StairWELL to Better Health” (www.cdc.gov/nccdphp/dnpa/hwi/toolkits/ stairwell/index.htm). Stairwells represent an important opportunity to increase daily physical activity because of low personal cost and convenience.

Point of decision prompts and motivational signs that encourage stair use are a great way to promote your initiative. Placing signs at the places where people have a choice between the stairs and the elevator is a key aspect of encouraging people to use the stairs. It will also remind employees that there are stairs for them to use! Each organization is different, however, and messages that motivate some may not be motivating to others. It is important to consider your audience, and tailor the messages accordingly.

The GetUp StairWELL packet contains ready to use materials that can be used to take advantage of a worksite’s built environment as a way to promote and encourage physical activity during the work day:  “How to” tips  Promotional Ideas  Sample e-mails  Point of Decision Prompt Posters (Left and Right Arrows)  Motivational Posters

StairWELL Initiative Table of Contents Page Action Steps ............................................................................................................................................................ 2 Donâ&#x20AC;&#x2122;t Own Your Building? ..................................................................................................................................... 3 What if my business does not have stairs? ......................................................................................................... 3

Safe Walking Routes

............................................................................................................................................... 4 Promotional Ideas

................................................................................................................................................... 5 GetUp Messages for Signage ............................................................................................................................... 6 Employee Testimonials

.......................................................................................................................................... 8 Sample Emails .......................................................................................................................................................... 9 APPENDIX GetUp Point of Decision Prompt Posters GetUp StairWELL Posters (Left/Right Arrows)

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Goal : Increase the use of the organization’s stairwells.

Health Rationale:

We are encouraged to perform at least 30 minutes of moderate-intensity physical activity daily or 20 minutes of vigorous-intensity activity 3 or more days per week. However, most adults do not reach these recommendations. Adults can reduce their risk of developing heart disease, diabetes, and high blood pressure, and improve their quality of life by adding a modest amount of physical activity to their day. One way to achieve daily physical activity is to take advantage of “lifestyle” activities that can be performed on an average day, such as walking instead of driving, and using the stairs instead of the elevators.

Action Steps: 1. Discuss the idea  Discuss your stairwell initiative with building management and/or building owner.

Consider others who could partner in the initiative.

2. Check Stairwells  Assess the condition of your stairwells. Consider any maintenance issues that may need to be addressed before hanging up the posters.  Decide what improvements are feasible for your organization.

3. Involve Management  We encourage you to find a champion at your company to lead the campaign, preferably the CEO or Senior Management.

4. Improve your StairWELL  Ensure that your stairwell is clean and well lit. Other improvement ideas are provided in later sections of this document.

5. Announce StairWELL launch  Hang Point of Decision Prompt posters near elevators and stairs.  Hang Motivational Posters inside stairwells.  Do an internal rally to launch the initiative. Communicate the goal to participants.

Let employees know they will receive weekly e-mails and reminders about the program and promote incentives.  Find cheerleaders and champions and put them in positions where they can encourage others.  Do an email and/or employee website launch.

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Adams MA, Hovell, MF, Irvin V, Sallis JF, et al. Promoting stair use by modeling : An experimental application of the behavioral ecological model. American Journal of Health Promotion. 2006;21:101-109.

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Don’t Own Your Building?

How to work with your property management company.

Things to Consider:  Schedule a meeting with your management company.  Bring to the meeting examples of how this program has been implemented at other managed properties.  Are your stairwells locked?  Seek other tenants’ buy -in to the program.  Learn about acceptable signage and the parameters/restrictions.

What if my business does not have stairs or an employee is unable to take the stairs?  Designate a GetUp parking area and hang signs.  Challenge employees to park farther away for the extra walk.  Provide prizes to employees who are “caught” parking in the long distance lot.  Encourage employees to take a 10-minute walking break during the day.  Encourage employees to have walking meetings.  Challenge employees to create their own departmental activity.  Calculate average distances around the office and let employees know how much physical activity they are fitting into their day.  Create walking routes inside or outside your building.

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Safe Walking Routes Safe walking routes can be a big motivation for employees to incorporate more physical activity into their day. Walking routes provide an alternative to the StairWELL Initiative for businesses who do not have stairs. They can also be a great complementary activity to your StairWELL Initiative.

Distance markers installed around safe walking areas, such as parking lots, encourage tracking of walking time and/or distance. In a large office building, measure and map an inside walking route(s) for both long (30 minutes) and short (10 minutes) walking breaks during inclement weather.

Action Steps: 1. Choose a Coordinator.

2. Determine a safe area for employees to walk. This could be within the employee parking lot, or a nearby neighborhood.

3. Use a measuring wheel (a device that can be rolled along the ground and the distance that is traveled is displayed on a dial). The local recreation department or police department may have a measuring wheel you can borrow.

4. If acceptable, make notations on the path. Note distances within a company owned parking lot by painting on the lot surface. Post distances on the walls inside the building for the indoor walking routes.

Content Source: Adapted from North Carolina HealthSmart Worksite Wellness Toolkit

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Promotional Ideas Promoting your activities is a key step in the successful implementation of the GetUp StairWELL Initiative. It is the element that informs and gets employees excited. Be creative and have fun! See also our sample emails to use for promoting your StairWELL Initiative.

Who?  Involve management and informal leaders. Leverage participation by appointing honorary chairpersons and champions within your organization.

What?           

Designate a central location where employees can learn and access program information.

Post weekly handouts on a bulletin board in high traffic areas.

Offer incentives to participants.

Schedule a speaker. Arrange for a fitness expert or an active employee who has had success with similar exercise programs to share their stories.

Create a GetUp bulletin board. Post parent handouts and community events that promote physical activities.

Post pictures of short, quick activities in front of the copier, fax, and computer.

Plan special event days: Walk/Bike to Work Day, Sneaker Day, Walking Meeting Day. Create a designated GetUp parking area further away from your building. Calculate the distance and let employees know how much physical activity they are fitting into their day.

Artwork Challenge: Have employees or employees’ children create artwork for the stairwells and ask employees to vote for their favorite.

Hold a grand re-opening of your StairWELL. Create stair climbing challenges. Create an image of a fixed climb on a poster and track employees’ progress (i.e. Mount Everest=29,000 feet or 5.5 miles, Mount Fugi =12,388 feet, or 2.3 miles). 2000 steps is equal to 1 mile.

When?  Take advantage of company-wide or departmental meetings, luncheons, etc.  Send out weekly e-mails to employees. Post reminders on your employee website.

Where?  Pick some “hot spots”. Identify high traffic areas in your building (break rooms, cafeterias, etc.) to display promotional materials. Make sure contact information is easily found on all materials.

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GetUp Messages on Point of Decision Prompts and Motivational Posters                            

Add steps to your day the easy way. Park further, walk more.

Free Stair Master here.

Burn calories. Take the stairs.

Race the elevator.

Door to a stronger heart.

This way to burn off last night’s dessert.

Your hips will thank you.

Walk off that whoopie pie here.

Walk off last night’s chocolate temptation.

Abandon all excess calories, ye who enter here.

Free gym.

Feel stressed? Burn some steam.

Free activity program.

Steps this way.

Lower your blood pressure.

No waiting. Steps this way.

Have you had any activity today?

Walking up stairs burns 4 times more calories than riding the elevator.

No waiting. One door over.

Raise your fitness level one step at a time.

No time for activity? Your opportunity is now.

Don’t just stand there…take the stairs!

Take a stroll.

Walk this way.

Take a lap.

Lost your thought? Take a lap.

Take a walking break.

Take a break. Take a lap.

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Employee Testimonials Before the StairWELL challenge, I didn’t even know where the stairs were in the building. The challenge of climbing Mt. Everest, and the ability to contribute steps toward a goal, was highly motivating. Now that the challenge has ended, I still use the stairs everyday. Going up and down several flights a day is a small step toward better health, but it has been the impetus for other, bigger changes; I was inspired to start walking a few nights a week, to join a kickball league, and to start eating better. ~UWGP Employee The StairWELL campaign changed my habits beyond nine - to - five. When I started taking the stairs every morning, I quickly found reasons to leave the building and get some exercise a few times a day. Thinking about healthy choices at work changed some of the decisions I make at home. Now I’m more likely to pass on dessert or rethink portion sizes at meals, and I make a concerted effort to walk and run at night and on weekends more than I did just a few months ago. ~UWGP Employee “I really have enjoyed the break from my desk mid-morning and mid-afternoon and I'm finding that after starting this, I seem to get less and less winded as the days go by. I don't know who came up with the idea but it's a good one.” ~UNUM Employee “Every morning around 10 a.m., I climb the stairways from the ground floor to the fifth floor. I do it two times, and I try to push myself to do it faster each day. I have not missed a day since the program started. The benefits I derived from this routine are improved cardiovascular health, some loss of weight and a general overall feeling of well-being and health. It has inspired me to walk in the morning before I leave for work. I have also noticed that it gives me more energy for my work day.” ~UNUM Employee

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Sample emails What?

Sample emails are provided for your organizations to use as a guide and/or template to create emails or employee website announcements that help promote the GetUp StairWELL Initiative and healthy lifestyles.

Why? Successful initiatives promote awareness of the campaign and encourage employee participation. By using existing resources such as newsletters or e-news communications, organizations can effectively market the campaign with minimal cost.

How? Weekly e-mails to employees are an easy, effective way to achieve visibility and scope. Send emails to your employees once a week, and set a goal of sending your emails on the same day of the week for the duration of the program (12 weeks). Also post updates on your employee website, if you have one.

When?

The first email should be sent out the week that the Point of Decision Prompt posters and motivational signs are posted in your building.

Goes to the Workplace 9

Week One: Introduction Goal: To Introduce the GetUp Campaign and StairWELL Initiative to employees.

CEO/Senior Management may want to insert personal thoughts and feelings as to why the company became involved in the GetUp campaign and the importance of the company/organization being a leader in the community.

Sample Email Content: GetUp is a community-based initiative to promote healthy lifestyle choices for children, youth and families in Montgomery County. Our goal is to increase physical activity and healthy eating for children and youth ages 0-18.

GetUp recognizes that families play an integral role in creating healthy lifestyles for youth. A stairwell campaign is a simple and easy first step that will promote the benefits of physical activity with employees and their families.

Take the first step! By making small changes in your daily routine like taking the stairs or walking at work you can start living an active, healthy life! Each time you take the stairs or go for a walk you are making a decision to be active!

Check out www.GetUpMC.org for other ideas to help you become more physically active.

Week Two: Encouragement Goal : To promote awareness of the GetUp StairWELL Initiative and encourage employee participation by promoting health benefits. Update on company challenge.

Sample Email Content: Take small steps to help make health a priority. Small changes make a big difference over time!

Incorporate the stairs (or walking) into activities you would be doing anyway. If you need to go to a different floor, use the stairs. Take the long way to the restroom and take a flight each way. Studies have shown that people are most likely to stick to exercise when it is part of their daily routine. Get started today!

Along with its benefits to the heart, walking:  improves circulation  helps breathing  combats depression  bolsters the immune system  helps prevent osteoporosis  helps prevent and control diabetes American Heart Association: Physical Activity in Your Daily Life: www.americanheart.org/presenter.jhtml?identifier=2155

10 Goes to the Workplace

Week Three: GetUp at Work Goal: To promote awareness of the GetUp StairWELL Initiative and encourage employees to increase physical activity during the day. Update on CEO Challenge: Has CEO been “caught” in the elevator?

How high have they “climbed”?

Sample E-mail Content: Don’t waste time waiting for the elevator, use the stairs! Challenge yourself to take the stairs all day today. If it is not possible to use the stairs, challenge yourself to pick two new ways this week to increase your physical activity during the work day:      

Use the stairs instead of the elevator.

Schedule a walking meeting with co-workers.

Stand and/or stretch while talking on the telephone.

Rather than using the telephone, walk down the hall to speak with someone.

Walk around your building, stretch your muscles.

Park in the farthest parking spot and walk the rest of the way.

FitDay is a free, online calorie counter and weight loss journal. Find out how many calories are burned while engaging in different types of activity, from climbing the stairs to making copies. www.fitday.com/WebFit/burned/calories_burned.html

Week Four: Motivation Goal: To encourage the participants of GetUp StairWELL Initiative to incorporate physical activity into other times during their day.

Sample Email Content: Stair climbing and other small bursts of physical activity at work can be accumulated across the course of the day, making a significant contribution to the recommended daily amount of 30 minutes (or more) of daily physical activity!

5 Easy Ways to Enjoy Physical Activity at Work: Walk up (and down) stairs: If you have a choice, always take the stairs. If you have stairs, take as many trips up and down as possible.  Walk around the office or building: There's no need to sit still while you talk on the phone or think. Pacing and fidgeting are physical activity. Sometimes a face-to-face talk is the best way to communicate (and it gets you up and moving around).  Wear a pedometer at work: Since every step counts, wearing a pedometer is a wonderful motivator to walk more during your workday. 

CDC Tips for Being More Active: www.cdc.gov/nccdphp/dnpa/physical/life/tips.htm

11 Goes to the Workplace

Week Five: Encourage each other Goal: To keep the StairWELL Initiative visible, and challenge employees to use the stairs all day this week!

Sample Email Content: Think about how others have helped you adopt new behaviors. Support and encouragement from someone may have made a difference in your efforts. You have been making progress through the transition of adding physical activity into your daily life by using the stairs and walking more during the work day. You know it can be both hard and rewarding! Share your skills with someone else. Having others depend on you will increase your likelihood of continued success.

Encourage employees/departments to challenge each other to a “stair climbing contest” or “walking break challenge”.

Have them name their group and award a prize to the most unique name.

Each group should set an agreed upon goal (so many stairs in so many weeks, or so many miles in so many weeks) and the first group to reach the goal gets a prize.

Highlight the competition among these groups to other employees (ex. “The Stair Steppers from Department A have challenged the Stair Climbers to see who can climb 500 flights first”).

The National Women’s Health Information Center provides information on physical activity and other topics related to women’s health: http://www.4women.gov/.

Week Six: Keep Moving!

Goal: To keep employees involved in the campaign and make it an ongoing lifestyle change. Update on employee challenge from week 5, if appropriate.

Sample Email Content: This is week six of the GetUp Stairwell Campaign and we hope that using the stairs is now becoming a part of your daily routine. Walking improves your health and your mood and is good for your heart.

Remember:     

Walking helps you lose weight.

Walking helps lower your blood pressure.

Walking gives you more energy.

Walking helps relieve stress.

Walking helps you sleep better.

Science-based advice on weight control, getting stronger muscles and bones, and balanced nutrition: : www.healthierus.gov.

12 Goes to the Workplace

Week Seven: Park and Walk!

Goal: To encourage the participants of GetUp StairWELL Initiative to challenge themselves by parking further away in a designated GetUp parking area.

Sample Email Content: Challenge Yourself! Park in the lot furthest from your building. Employees who get caught parking in the designated GetUp Parking area will receive a $ gift certificate to XX. By the end of the week just by parking farther away you will have XX distance (or XX steps).

Remember to keep it simple! Even brief bursts of activity, like a 10-minute walk, can improve your concentration, creativity and performance!

You can easily monitor your progress with a pedometer. All these small steps do add up! 2000 steps is the equivalent of one mile.

Walking routes offer a safe and fun way to get active in your community. Find a walking route in your community and bring the family!

Week Eight: Walking Routes Goal: Encourage employees to leverage other opportunities during their day to incorporate physical activity.

Sample Email Content:     

Do a little bit more, a little more often! Walk around the building before you go to your car.

Invite a co-worker for a walk during lunch. Make an appointment for yourself and your health!

Schedule time in your day to take a walk. Start with 10 -15 minutes a day.

During a ten minute walk, a 150 lb person burns 44 calories walking at a moderate pace (3 mph).

Gradually build up the time spent doing the activity by adding a few minutes every few days until you can comfortably perform the minimum recommended amount of activity (30 minutes per day).

Walking is a great way to start being active more often!

Once you start looking for opportunities to walk, you will be amazed at how many there are.

Type in an address and click a path along nearby streets. The website will calculate distances for you: http://www.gmap-pedometer.com/ .

13 Goes to the Workplace

Week Nine: Eat Right! Be Active!

Goal: To challenge employees to “step up” their program and promote healthy choices.

Sample Email Content: Challenge employees to answer a trivia question about physical activity or nutrition via email. The first employee who answers correctly gets a healthy prize.

The USDA offers a detailed assessment of your food intake and physical activity level choices: : www.choosemyplate.gov.

Week Ten: Friends and Families Goal: To encourage employees to keep “climbing” and bring GetUp! home to their friends and families.

Sample Email Content: Now that you have been taking steps to become more physically active by using the stairs and walking at work, encourage your friends and family to do the same. Make getting more physical activity a family project. Encourage everyone to think of fun things to do to get up and moving!  Celebrate family occasions with a walk or hike.  Get outside and play.  Bike to your children’s sporting events.  Walk the dog.  Encourage your family to use the stairs whenever possible.  Post an activity log and keep track of your family’s progress.

Make Family Time Active Time!: www.nhlbi.nih.gov/health/public/heart/obesity/wecan/live-it/family-time.htm.

14 Goes to the Workplace

Week Eleven: Steps in the Right Direction Goal: Encourage employees to continue to think about physical activity in new ways and reflect on the progress of the StairWELL Initiative.

Sample Email Content: Try to continue to work activity into all areas of your daily life by setting realistic goals. You now have begun to realize that activity doesn't have to take up a lot of time in your day or a lot of planning. You can continue to significantly increase physical activity by continuing to take small steps.

It's essential to be realistic about what you can do - either because you're busy, or because you simply haven't been active in quite a while. Some examples of realistic goals: :  Add 15 minutes of activity to your daily routine whether it's walking, playing with the kids,  swimming, or another activity that you enjoy.  When given the choice between walking or driving, choose walking!   Remember to use the stairs instead of the elevator.   Park further away from the store.   Walk the kids home from school or activities.  Write down your goal and give yourself a timeframe to accomplish that goal. The timeframe is very important and will help you monitor and celebrate your successes!

Find the best bike trails in your community: www.metroparks.org/GetOutside/Regional Trails.aspx.

Week Twelve: We’ve Come a Long Way! Goal : Remind employees how far they have “climbed” and encourage continued participation.

Acknowledge employee participation.

Sample Email Content: Hopefully by being more physically active during your daily living activities you have realized that you don't have to be a marathon runner or mountain climber to reap the benefits. Little things add up!

Tips for including physical activity in your everyday routine:  Develop a simple routine — perhaps something you can do while you watch TV.   Include indoor and outdoor housework in your plan. It all counts!   For short journeys try walking instead of driving.   Include active hobbies in your leisure time —walking, hiking, biking, snowshoeing.    Make active living part of your family life. Go for a walk, play catch, walk the dog.  Adopting a healthier lifestyle can be hard at first, but one step at a time makes it easier every day.   Many people get active and then decide they'd like to lose weight or stop smoking. One thing  does lead to the next.

Hannaford created Guiding Stars to give you a quick, at-a-glance tool to help find the most nutritious foods: www.hannaford.com/Contents/Healthy_Living/Guiding_Stars/index.shtml.

15 Goes to the Workplace

Free StairMaster here!

Burn calories.

Take the stairs.

Race the elevator.

Door to a stronger heart.

Enter free gym here.

This way to burn off last nightâ&#x20AC;&#x2122;s dessert.

Your hips will thank you.

Walk off that whoopie pie here.

Work off last nightâ&#x20AC;&#x2122;s chocolate temptation.

Abandon all excess calories, ye who enter here.

Free gym!

Feel stressed?

Burn some steam.

Free activity program.

Steps this way.

Lower your blood pressure.

No waiting.

Steps this way.

Have you had any activity today?

Walking up stairs burns 4 times more calories than riding the elevator.

No waiting.

One door over.

Raise your fitness level one step at a time.

No time for activity? Your opportunity is now!

Donâ&#x20AC;&#x2122;t just stand there... take the stairs!

Free StairMaster here!

Burn calories.

Take the stairs.

Race the elevator.

Door to a stronger heart.

Enter free gym here.

This way to burn off last nightâ&#x20AC;&#x2122;s dessert.

Your hips will thank you.

Walk off that whoopie pie here.

Work off last nightâ&#x20AC;&#x2122;s chocolate temptation.

Abandon all excess calories, ye who enter here.

Free gym!

Feel stressed?

Burn some steam.

Free activity program.

Steps this way.

Lower your blood pressure.

No waiting.

Steps this way.

Have you had any activity today?

Walking up stairs burns 4 times more calories than riding the elevator.

No waiting.

One door over.

Raise your fitness level one step at a time.

No time for activity? Your opportunity is now!

Donâ&#x20AC;&#x2122;t just stand there... take the stairs!

Burn more calories, take another flight.

Take another flight!

Keep going... youâ&#x20AC;&#x2122;re almost there!

Keep stepping!

Still stressed?

Take another flight!

People are still waiting for the elevator and youâ&#x20AC;&#x2122;re almost there!

You made it!

Donâ&#x20AC;&#x2122;t you feel better now that you took the stairs?

Drink Comparison Display Photo This sugar bottle display is a favorite part of the 5-2-1-AN toolkit.

It is a powerful visual tool that helps employees see the amount of sugar in their family's favorite drinks.

Make Your Own Sugar Bottle Display

Size

20 oz 15.2 oz 20 oz 16 oz 20 oz 20 oz 16 oz 20 oz 20 oz 20 oz 9.5 oz

Drink

Coca-Cola® Classic Dole® 100% Apple Juice Glaceau Vitamin Water® Monster Energy® Drink Poland Spring® Water

Arizona® Green Tea & Honey Dunkin’ Donuts Strawberry Fruit Coolata® Gatorade™ Mountain Dew® Sprite® Starbucks Bottled Frappuccino®

210 cal 290 cal 130 cal 275 cal 250 cal 200 cal

250 cal 220 cal 125 cal 200 cal 0 cal

Total Calories

51 g 65 g 34 g 78 g 65 g 32 g

65 g 48 g 32.5 g 54 g 0g

Sugar Grams

12 15 8 18 15 8

15 11 8 13 0

Teaspoons Sugar

Options You Can Add to Your Own Sugar Bottle Display!

X

X

X

X

X

Included in Display

Purchase bottles in sizes below, empty, dry, and fill with appropriate amounts of sugar • Substitutions may be used by calculating sugar content: 4.2g/teaspoon or 200g/cup

For Display:

Common Drink Choices

Post on bulletin board.

For Simple Chart:

DIRECTIONS:

This is a tool that can be used to demonstrate and provide a visual display of how much sugar is contained in each drink.

Drink Comparison Chart and Display

Shelter, soup kitchens, and food banks depend on your generous food donations.

GetUp hopes you give from the heart and for the heart â&#x20AC;&#x201C; food that is nutritious and healthy.

Here are a few suggestions:

Thank you for whatever you can give!

National & Other Workplace Wellness Resources CDC's LEAN Works!

CDCâ&#x20AC;&#x2122;s LEAN Works! Leading Employees to Activity and Nutrition is a free web-based resource that offers interactive tools and evidence-based resources to design effective worksite obesity prevention and control programs, including an obesity cost calculator to estimate how much obesity is costing your company and how much savings your company could reap with different workplace interventions. www.cdc.gov/leanworks/ CDC's Healthier Worksite Initiative Information, policies, resources, and step-by-step toolkits for workplace health promotion program planners in state and federal government - but useful for all employers. www.cdc.gov/nccdphp/dnpa/hwi/index.htm The Wellness Councils of America (WELCOA) Free resources include a twelve week employee walking program (Step by Step), calendar of health observances, expert interviews, case studies and presentations. www.welcoa.org/freeresources/ Calculate Walking Routes Type in your company address and click a path on streets nearby.

The site will calculate the distance. http://www.gmap-pedometer.com/ The National Center on Physical Activity and Disability, Department of Disability and Human Development http://www.ncpad.org/ Disabled Sports USA http://www.dsusa.org Well Steps http://www.wellsteps.com Healthy Ohio Business Council http://www.healthyohioprogram.org/en/businesses/businesses.aspx

TAB 1 Parents Resources & Handouts HEALTHY EATING Get Your Portions in Proportion Go Foods, Slow Foods, Whoa Foods Healthy Shopping on a Budget Non-Food Rewards At Home

PHYSICAL ACTIVITY Get one hour or more of physical activity every day.

Limit recreational screen time to two hours or less.

Go Foods, Slow Foods, Whoa Foods Lots of kids want to know which foods to eat to be healthy. Here’s something kids can do to eat healthier: Learn the difference between Go, Slow, and Whoa foods.

Go Foods Slow Foods Whoa Foods

You probably know that foods fit into different categories. The USDA puts them into these categories (visit www.choosemyplate.gov for the newest data) : Grains Milk and dairy products

Vegetables Meat, beans, fish, and nuts

Fruits Oils

But now, foods can be classified in three new groups: Go, Slow, and Whoa. In 2005, the U.S. National Heart, Lung, and Blood Institute (part of the National Institutes of Health) suggested kids start thinking about whether foods are Go foods, Slow foods, or Whoa foods.

Go Foods

Slow Foods

Whoa Foods

These are foods that are good to eat almost anytime.

They are the healthiest ones. Example: skim and low fat milk. See the back of this sheet for more examples.

These are sometimes foods. They aren’t offlimits, but they shouldn’t be eaten every day. At most, eat them several times a week. Example: waffles and pancakes.

These foods should make you say exactly that— Whoa! Should I eat that?

Whoa foods are the least healthy and the most likely to cause weight problems, especially if a person eats them all the time. That’s why Whoa foods are oncein-a-while foods. Example: french fries.

For a chart of Go, Slow, and Whoa foods, visit http://www.kidshealth.org/kid/stay_healthy/food/go_slow_whoa.html

● Go Foods ● Slow Foods ● Whoa Foods Go Foods

Slow Foods

■

Baby carrots

■

■

Celery sticks

■

■

Snap peas

■

Grape tomatoes

■

■

Apples

■

■

Cherries

■

Melon

■

100% fruit juice Fruits canned in light syrup

■ ■

French fries Fruits canned in heavy syrup

■

Doughnuts

■

Muffins

■

Whole milk

■

Fried hamburgers

Oranges

■

Chicken nuggets

■

Peaches

■

Cookies

■

Pears

■

Ice cream

■

Whole grain breads

■

Low fat and skim milk

■

■

■

■

White bread

Whoa Foods

French toast, waffles, and pancakes Tuna canned in oil

Chicken and turkey without skin Lower fat cheese and yogurt Water

08/08 R 06/

Healthy Shopping On A Budget Healthy shopping on a budget takes planning!

Planning helps you SAVE TIME, MONEY, and EAT HEALTHIER. Tips:

• Make a list and stick to it – this helps you avoid impulse buys that are usually unhealthy and expensive.

• Shop mostly the perimeter of the store – spend most of your grocery budget on natural

foods found around the outside of the store like fruits, vegetables, dairy and protein foods that are good for your body. Limit your shopping in the middle aisles to staples like pasta, canned tuna, and peanut butter, avoiding other expensive manufactured, and often unhealthy, packaged foods.

• Shop when you are NOT hungry or stressed – people who shop when hungry or stressed tend to not only buy MORE food but also unhealthier food.

• Compare unit prices – bigger is not always better! Use the unit price to compare similar

products and make sure you’re getting the best deal. The unit price is the cost per a standard unit (like ounce or pound) and is usually found on a sticker on the shelf beneath the product.

• Weigh the cost of convenience – if food tends to rot in your fridge before you prepare it, then you could actually save money by purchasing fresh fruits and veggies that have been washed and chopped for you.

• Try frozen and canned – canned and frozen produce keeps for a long time and may be

cheaper per serving than fresh. For frozen, make sure you look for items with no added sauces or sugar. For canned, choose fruit canned in 100% juice and vegetables that are labeled either “low sodium” or “no added salt”.

• Use store flyers to plan your menu – save money by planning your menu around what fruits, vegetables and other items are on sale each week and save time by already knowing what you are going to make for dinner each night.

• Try store brands – store brands on average are cheaper by about 26% to 28% and their quality usually at least meets, and often surpasses, that of name brand products.

• Shop in season – buying fruits and vegetables in season generally means your food not only tastes better, but is more nutritious and more affordable.

• Buy in bulk when foods are on sale – frozen and canned produce, and some fresh items

like apples and carrots will last a long time. If you have the storage space, stock up on the foods you eat regularly when they are on sale to save some money.

Non-Food Rewards at Home How can you celebrate a job well done without using food treats?

Here are ways to reward your child: � Make a list of fun, non-food rewards that don’t cost much and post it where the whole family can see it. � Have a separate list of special and inexpensive rewards for those really big achievements. � Give certificates or ribbons for healthy behaviors. � Allow your child to have a few friends over after school to play sports. � Invite a few of their friends to a sleepover. � Have a family game night. � Keep a box of special toys or art supplies that can only be used on special occasions. � Go to a sports game.

Words of appre ciatio can go a long w n a Children love to y. hear “ You did a gr eat job” or “I appreciate your help.”

� Camp out in the back yard. � Encourage the use of electronics that support physical activity, like Dance Dance Revolution. � Choose toys and games that promote physical activity like jump ropes, balls, or Skip-Its.

ard: w e R a s a d o o F Using to poor health s te u ib tr n o C

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08/08 R07/11

Get one hour or more of physical activity every day.

Get Up Rules Day! Move An Hour Every ily

an hour of da Encourage at least r kids and adults! physical activity…fo

be Free and Fun! y it iv ct A l a ic ys h P Let ur Take a walk with yo Play with your pet

family

Play tag ember to Take a bike ride (rem wear your helmet) dance Turn on music and Jump rope Play Frisbee Take the stairs end Park the car at the of the parking lot Make snow angels

Did you know?

• Helps you keep a healthy weight

Make Physical Activity Easi er.

Make gradual changes to increase your level of physical activity.

Incorporate physical activ ity into your daily routines.

Try tracking the level of yo ur physical activity using a pedometer .

Turn off the TV and comp uter and keep them out of the bedroom.

Limit recreational compute r

One hour of moderate physical activity means:

time.

Choose toys and games tha t promote physical activity.

• Doing activities where you breathe hard like hiking or dancing

Encourage lifelong physica l activity by incorporating physical ac tivity into your routine.

20 minutes of vigorous physical activity means:

• Doing activities where you sweat, like running, aerobics, or basketball Physical activity…

• Makes you feel good

Tips from Get Up!

Keep physical activity fun !!

Be A Role Model.

Use a pedometer.

• Makes your heart happy • Makes you stronger • Makes you flexible

Take a walk after dinner.

Limit recreational two hours or less.

! n u F e h t n o n r Tu

hen you join in! en w n fu re o m ts lo a scre Life is ead of looking at st in s e ti vi ti ac se Try the alk, run, or jog.

Ride a bike. .

Go on a nature hike le.

Put together a puzz and dance.

Turn on the music azine.

Read a book or mag up with Spend time catching your family. e park Take your kids to th or beach.

Play board games.

W Start a journal. l, Play ball (basketbal ). c. catch, soccer, et Go to the library. ur Explore gyms in yo . community Rollerblade.

Play charades. oe.

Sled, ski, or snowsh

Get Up’s Rules Tame the TV and Computer!

Set Limits – know how much TV your child is watching.

Set some basic rules, such as no TV or computer before homework or chores are done.

Do not watch TV during mealtime.

Use a timer. When the bell rings it’s time to turn off the TV

Tips from Get Up!

in advance.

Help your child plan television viewing

es in the family room.

Keep books, magazines, and board gam ad of being in front of Make a list of fun activities to do inste a screen. shows.

Set family guidelines for age-appropriate

Did you know?

Screen-time include s TV computer, Playstatio , n, Gameboy. All are im and portant to limit.

Watching TV is asso cia more snacking and ted with increased obesity.

Too much screen-tim e linked to lower read has been ing scores and attention proble ms.

Healthy screen time:

• No TV/computer un der the age of 2 • No TV/computer in the room the child sleeps • One hour of educat ional TV/computer time between ages 2 and 5 • After the age of 5, 2 hours or less

*Keep TV/Computer out of the bedroom. No screen time under the age of 2.

Choosing Foods and Beverages for Healthy Healthy

Meetings, Conferences and Events Events

CDC promotes workplace practices and policies that make healthy eating choices available whenever food and beverages are provided at work-related events. Many workers consume a significant portion of food away from home.

Foods consumed at cafeterias, from vending machines, and in other public food-service establishments are often not as nutritious or healthy as foods prepared at home. In general, Americans' diets exceed saturated fat and sodium recommendations, and few Americans are meet­ ing fruit, vegetable, and whole grain recommen­ dations. The Dietary Guidelines for Americans provides guidance on a diet that promotes health and may help prevent the effects of diet-related chronic diseases. Making healthy food available at work is one way to encourage employees to eat a healthy diet.

• In 1995, an estimated $9.3 billion in lost productivity associ­ ated with morbidity from coronary heart disease, cancer, stroke, and diabetes was attributed to diet.

• A poor diet is an underlying factor in the development of many conditions such as heart disease, some cancers, stroke, diabetes, and overweight and obesity.

• In 1999-2000, 65% of adults reported being overweight or obese. People who are overweight or obese are more likely to suffer from many chronic illnesses and conditions.

Guidance for Healthier Eating at Work Work

The guidelines listed below can be used for selecting foods and beverages for breaks or meals at meetings, conferences, and other work-related events. When planning menus, consider providing options that accommodate various dietary preferences and needs.

1. Offer a variety of grains—especially whole-grain foods—and fruits and vegetables.

Examples include fresh fruit and salads; fresh and cooked vegetables; whole-grain

breads, pasta, and cereals; and muffins, fruit breads, or granola bars.

2. Provide fat-free, low-fat, or low-calorie foods and beverages. Ideas include fat-free or low-fat dressings or toppings such as salsa, low-fat yogurt dressing, sweet mustard; low-fat or calorie desserts such as angel food cake; low-fat or skim milk ,low-fat yogurt or cheeses; and lean meats, poultry or fish, cooked and dried beans, peas and lentils.

3. Offer foods and beverages low in added sugars. You could serve unsweetened cereals, fruit spreads, cereal bars, water, 100% fruit juices, and regular and decaffeinated coffee or tea.

4. Serve foods that are low in salt and sodium, such as unsalted pretzels, popcorn, or baked chips; grilled or roasted entrees; and entrees cooked with spices and herbs instead of salt.

5. Include smaller portions such as mini-muffins or mini-bagels and 1-inch low-fat cheese squares.

6. Consider offering only beverages at mid-morning and mid-afternoon breaks.

For more information on offering healthy foods at meetings, please see: 1. USDA and USDHHS. Nutrition and Your Health: Dietary Guidelines for Americans, USDA Home and Garden Bulletin No. 232 (fifth edition). Washington, DC: US Government Printing Office, 2000. Available at www.health.gov/dietaryguidelines.

2. American Public Health Association Policy Statement 9711: Healthy Food Choices in Catered Food Situations. APHA Policy Statements 1948-present, cumulative.

Washington, DC: APHA, current volume.

3. University of Minnesota School of Public Health. Guidelines for Offering Healthy Foods at Meetings, Seminars, and Catered Events. Available at http://www.ahc.umn.edu/ahc_content/colleges/sph/sph_news/Nutrition.pdf 4. American Cancer Society. Meeting Well – A Tool for Planning Healthy Meetings and Events. American Cancer Society, 2000

Defining Healthy Foods MANY ORGANIZATIONS AND AGENCIES have developed criteria to describe food items or food consumption patterns as “healthy” or “healthful.” These are often used in comparing food items for specific nutrient components to either select or avoid. There is no single definition of healthy foods.

Most programs develop guidelines to encourage the consumption of less fat, saturated fat, dietary cholesterol and sodium. Some programs, like 5 A Day, are designed to promote fruits and vegetables as low-fat foods.

The core criteria from some organizations/programs are listed below. Consult references for full details.

NATIONAL HEART, LUNG AND BLOOD INSTITUTE Any recipe used in its publication must have (per serving) • Less than 12 grams fat • No more than four grams saturated fat • Less than 100 mg dietary cholesterol • Less than 600 mg sodium See “Stay Young At Heart Program” http://www.nhlbi.nih.gov

NATIONAL CANCER INSTITUTE AND PRODUCE FOR BETTER HEALTH—5 A DAY PROGRAM All juice products must be 100% juice or juice concentrate, may not have added fat or sugar and no more than 480 mg sodium per eight-ounce portion.

Any recipe promoted must • Contribute at least one serving of a fruit and/or vegetable per portion of a recipe.

• Have less than 30% calories from fat or three gram total fat/100 gram serving.

• Less than 10% calories from saturated fat or one gram saturated fat/100 gram serving.

• No more than 100 mg cholesterol • No more than 480 mg sodium

NORTH CAROLINA WINNER’S CIRCLE HEALTHY DINING PROGRAM

For a Meal: Minimum of two servings of fruits/vegetables AND minimum of one serving of grains or beans OR minimum of 245 mg calcium. And meal must have: Maximum 30% of calories from fat AND maximum 1500 mg of sodium per meal.

For single item or side dish: Minimum of one serving of grains or beans OR minimum of one serving of fruits/vegetables OR minimum of 245 mg of calcium. And each item must have: Maximum 30% of calories from fat AND maximum 1000 mg sodium.

For a Snack: Maximum of 30% of calories from fat AND maximum 480 mg sodium AND maximum 35% sugar by weight.

Qualifying Beverages: Water and flavored waters with less than 50 calories per 8 oz serving OR skim or 1% milk OR at least 50% juice and 12 oz serving with no added sweeteners.

See www.ncwinnerscircle.com

AMERICAN HEART ASSOCIATION FOOD CERTIFICATION PROGRAM Based on the standard serving sizes established by the U.S. government, a product may • Include up to three grams total fat, up to one gram saturated fat and up to 20 mg cholesterol • Must not exceed a sodium disqualifying level of 480 mg • Must include at least 10% of the Daily Value for at least one of the six nutrients: protein, dietary fiber, vitamin A, vitamin C, calcium and iron • Seafood, game meats, and meat and poultry products must contain less than five grams total fat, less than two grams saturated fat and less than 95 mg cholesterol per standard serving and per 100 grams See http://www.aha.org

US FOOD AND DRUG ADMINISTRATION. NUTRITION LABELING AND EDUCATION ACT The FDA regulates labeling of packaged foods, nutrient claims and health claims for foods and dietary supplements. Detailed information on food labels and related claims can be found at the FDA web site.

See http://vm.cfsan.fda.gov/

CENTER FOR SCIENCE IN PUBLIC INTEREST The “Best Bites” program rates commercial food products in “Nutrition Action” magazine. The criteria for classifying foods into best/better bites varies by food product.

See: http:///www.cspinet.org

(Source: North Carolina Blueprint for Changing Policies and Environments in Support of Healthy Eating)

Healthy Snacks List • Barbara’s Bakery Multigrain Triple Berry Cereal Bars

• Keebler Journey Multi-Grain Cereal Bar Caramel

• Chattanooga Bakery MoonPies

• Kellogg’s Cereal Bar Apricot

• Cliff Bars, Chocolate Chip Peanut Crunch, Chocolate Almond Fudge, Cookies and Crème and Chocolate Brownie

• Kellogg’s Nutri-Grain Cereal Bars (ALL FLAVORS)

• Dakota Gourmet Products Cool Ranch Toasted Corn

• Kettle Valley Fruit Bars

• Quaker Harvest Crunchy Bars—Mixed Berry

• Kraft Tickles Snack Mix

• Quaker Rice Cakes

• MJM All-Sports Bites and Bear Grahams

• Quaker Crispums

• Nabisco 100 Calorie Pack Honey Maid Cinnamon Thin Crisps

• Snyder’s Sourdough Nibblers

• Dakota Gourmet Products S’More Mix • Famous Amos Oatmeal Raisin Cookies • Famous Amos Lowfat Iced Gingersnaps

• Kellogg’s Special K Bars— Blueberry, Strawberry

Chocolate Chip and Peanut Butter Chocolate Chunk • Quaker Fruit & Oatmeal Bars— Apple Crisp and Strawberry (Lower Sugar) • Quaker Graham Cereal Bars

• Snyder’s Mini Pretzels • Stacy’s Pita Chips • Stacy’s Soy Thin Crisps

• Fig Newtons

• Nabisco 100 Calorie Pack Kraft Chip Nips Thin Crisps

• Frito Lay Baked Doritos and Lays

• Nabisco Snackwells Sugar Free Oatmeal Cookie

• Frito Lay Rold Gold Honey Mustard Pretzels

• Newman’s Own Pretzel Sticks

• Tumaro’s Gourmet Snacks Organic Krispy Crunchy Puffs

• Frito Lay Ruffles Wow!

• Newman’s Own Salted Rounds Pretzels

• Utz Pretzels

• Gatorade Gatorade Bar Chocolate and Peanut Butter Crunch

• Pepperidge Farm Pretzel Goldfish®

• Mariani dried fruit

• General Mills Chex Mix

• Pita Snax Pita Chips

• General Mills Nature Valley Granola Bars—Oats ‘n Honey

• Power Bar Double Chocolate and Harvest Peanut Butter Chocolate Chip

• General Mills Pop Secret 94% Fat Free Butter Popcorn

• Proctor & Gamble Pringles— Fat Free

• Genisoy Soy Crsips

• Quaker Chewy Granola Bar

• Tennessee Chips Baked Nacho Seasoned Corn Chips and Yellow Corn

• Pine Creek Pack Bing Cherries • Dole Canned Fruit • Pine Creek Pack Apple Chips • Just Tomatoes, etc. Just Fruit Munchies • Stretch Island Fruit Leather • Sunsweet dried fruit

• Guiltless Gourmet Corn Chips • Kashi GoLEAN Bars— Chocolate Peanut Bliss • Keebler Crackers Wheatables Reduced Fat

SOME IETMS THAT ARE NOT LISTED ABOVE may also comprise a healthy snack. Read the nutrition label on the package to determine the calorie and nutrient content. In general, the item should not provide more than 200 calories per serving.

Healthy Beverages List • All 1% milks

• Fresh Samantha Carrot Orange Juice

• Tropical Paradise Inc 100% Juice Slush (All flavors)

• Bolthouse Farms Valencia Orange Juice

• Fresh Samantha Desperately Seeking C

• Tropicana Seasons Best 100% Juices

• Bolthouse Farms Passion Fruit Apple Carrot Juice

• Fresh Samantha Fruit Smoothies

• V8 100% Vegetable Juice

• Bolthouse Farms Vedge Vegetable Juice Blend

• Fresh Samantha Mango Mama

• Vita-Fresh 100% Fruit JuicesAll Varieties

• All skim milks

• Dole Chilled 100% Juices All Varieties

• Fresh Samantha Rasberry Dream • Minute Maid 100% Juices

• Veryfine 100% Fruit Juice

• Welch’s 100% Juice

• Dole Frozen 100%Juices

• Mott’s Juice

• Apple & Eve WaterfruitsALL FLAVORS

• Dr. Smoothie 100% Strawberry Smoothie

• Nantucket Nectars 100% Grape Juice

• Aquafina Sparkling— ALL FLAVORS

• Edensoy Rice Milk

• Ocean Spray 100% Juice

• Edensoy Soy Milk: Chocolate and Vanilla

• Odwalla 100% Fruit Juice

• Aquafina Flavor Splash— ALL FLAVORS

• Florida’s Natural 100% Juice 10oz serving- All Flavors

• Silk Soy Milk: Chocolate and Vanilla • Tree Top 100% Apple Juice

• Glaceau VitaminWater • Pepsico H2Oh! Sparkling Water—ALL FLAVORS • Propel Propel Fitness Water— ALL FLAVORS • RWI Riptide Flavored Water

OTHER BEVERAGES THAT ARE NOT LISTED ABOVE may also be considered as a healthy choice. Read the nutrition label to determine the calorie and nutrient content of the beverage.

The following guidelines may be used in determining whether a beverage is a healthy option: • Water, any size • Low-fat or skim milk, flavored or plain; 8 oz.

• 50–100% juice with no added sweeteners; 8 oz.

• 100% vegetable juice; 8 oz.

• RWI Riptide Sparkling • Shasta Clear Fruit Lite— ALL FLAVORS • Vitasoy Soy Milk: Chocolate and Vanilla

Network for a Healthy California—Worksite Program

Healthy Meeting Policies The following suggestions can help you offer healthy foods and physical activity breaks to accommodate the needs of all your employees. By offering these healthy choices at workplace gatherings and events, you will be encouraging vitality and productivity while supporting workers’ interests in healthy eating and physical activity.

Ideas for HealtHy food optIons at MeetIngs

For Snacks During Meetings Serve delicious fruits and vegetables to keep attendees alert and productive. Try the following options:

For Meals During Meetings Include an abundance of fruits and vegetables to help keep attendees focused and full of energy.

•

Serve cut-up fresh fruit for breakfast, as a salad, or for dessert.

•

Serve salads with a variety of colorful vegetables and fruits.

•

Offer delicious vegetable sandwiches or a sandwich tray with lots of fresh vegetables, sliced lowfat cheeses, lean meats, and lowfat spreads.

Serve entrées and side dishes with tasty beans, peas, and lentils.

•

Bite-size fruits and vegetables in-season like grapes, cherries, strawberries, baby carrots, cherry tomatoes, and broccoli florets.

•

Whole, fresh fruits like apples, oranges, nectarines, plums, kiwifruit, and apricots.

•

Cut-up fresh fruits including honeydew melon, cantaloupe, and watermelon.

•

Pre-packaged fruit cups and dried fruits, which can provide a tasty treat when refrigeration is not available.

Find recipes for delicious and healthy meeting meals at www.cachampionsforchange.net/en/Recipes.php.

•

•

Cut-up fresh vegetables, like celery, squash, and bell peppers, served with lowfat or fat free dips.

•

100% fruit and vegetable juices, which are refreshing and nourishing alternatives to sugary drinks.

Find recipes for additional delicious and healthy meeting snacks at www.cachampionsforchange.net/ en/Recipes.php.

Other Ways to Support Healthy Eating at Meetings •

Serve beverages, condiments, and other foods with little or no added sugar such as: o Water o 100% fruit and vegetable juices

•

o

Regular and decaffeinated coffee or tea

o

Vegetable spreads like hummus and pesto

Serve fat free, lowfat, or low-calorie beverages, condiments, and other foods such as: o Nonfat dairy products like nonfat milk and yogurt o

Lowfat or fat free salad dressings (served on the side)

o

Lowfat dips, salsa, or mustard

o Whole grain crackers or air popped popcorn o

Lean meats, poultry, or fish that are served in small portions

o Lowfat or low-calorie desserts like angel food cake or fruit sherbet •

Provide whole grain products like whole wheat or multi-grain breads, bagels, rolls and muffins, brown rice, or whole grain cereals.

•

Serve foods low in sodium like unsalted pretzels, air popped popcorn, and entrées cooked with spices and herbs instead of salt.

•

Offer smaller portions such as whole grain mini-muffins and mini-bagels.

2 | WORKSITE FIT BUSINESS KIT

Ideas for fun pHysIcal actIvIty at MeetIngs Meeting breaks are great opportunities for workers to get some physical activity every day. You don’t have to be an aerobics instructor to lead a physical activity break. Just remember to have fun and be safe.

A Physical Activity Break is: •

Completely voluntary.

•

Movement at one’s own pace that is comfortable and does not cause pain.

•

3 to10 minutes long, gets the muscles warm, and the heart pumping.

•

A reason to smile.

•

An energizer for the rest of the meeting.

A Physical Activity Break does not Need to: •

Make people sweat.

•

Cause pain or discomfort.

•

Be professionally organized or led.

Simple Tips on How to Lead a Physical Activity Break: •

Physical activity breaks can take place anywhere (e.g., inside the meeting room, outside the room, outside the building, or even in your chair).

•

Ensure sufficient space and clearance for everyone to avoid injury.

•

Advise participants to do only what feels good and to stop immediately if anything hurts.

H E A LT H Y M E E T I N G P O L I C I E S | 3

Physical Activity Suggestions that are Ideal for Meeting Breaks: •

Slowly stretch neck, shoulders, arms, hands, back, legs, and feet—avoid bouncing and jerky movements.

•

Move arms, head, and torso in circles.

•

Lead a brisk walk around the room, the inside of the building, or outside. Consider including the stairs, if available.

•

March in place.

•

Suggest that participants lift knees higher or pump their arms if they want to get a more vigorous workout, but only if it is comfortable.

For more tips on adding physical activity to your day, please refer to the Physical Activity for Your Health, Your Life, and Your Neighborhood brochure at www.networkforahealthycalifornia.net/worksite/resources. resources •

American Cancer Society Meeting Well Tool, www.cancer.org, 1-800-ACS-2345

•

Network for a Healthy California Healthy Meal and Snack Recipes, www.cachampionsforchange.net/en/Recipes.php

•

Lift Off! 10-Minute Physical Activity Breaks, www.ph.ucla.edu/cehd/activity_breaks.htm

Funding for this publication was provided by the Preventive Health and Health Services Block Grant of the Centers for Disease Control and Prevention (CDC) and the United States Department of Agriculture Food Stamp Program, an equal opportunity provider and employer, helping limited income Californians buy more nutritious foods for a healthier diet. For information about the California Food Stamp Program, please call 1-888-328-3483.

The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

BRO-157/REV. 02/08

Appendix B: SAMPLE HEALTHY FOODS POLICY For use where foods or beverages are served.

Whereas: _____________________________________________ (worksite name) is concerned about the health of our employees: and Whereas: People have become more and more interested in eating better and being more active; and Whereas: Heart disease, cancer and stroke—the top three causes of death in North Carolina—are largely affected by what we eat and how active we are; and Whereas: Foods such as fruits, vegetables, whole grain breads and pastas and low-fat dairy products are better choices for preventing many diseases.

Therefore: Effective _________________ (date), it is the policy of _________________________ (worksite name) that all activities and events (examples of events may include: meetings, potluck events, catered events, community sponsored events i.e. health fairs, etc.) sponsored or supported by this organization will always include one or more of these healthier items: • Fruits and/or vegetables Examples of such items include fresh, frozen, canned or dried fruits (such as grapefruit, oranges, apples, raisins or 100% fruit juices) and fresh, frozen or canned vegetables.

• Low-fat milk and dairy products Examples include skim/nonfat or 1% milk; low fat and fat-free yogurt; cheese and ice cream.

• Foods made from grains (like wheat, rice and oats), especially whole grains Examples include low-fat whole wheat crackers, bread and pasta; whole grain ready-to-eat cereal, low-fat baked tortilla chips, pita bread.

• Water Signature _______________________________________________________________ Title ___________________________________________________________________ Worksite Name __________________________________________________________

Insert Your Logo Here

Workplace Health Promotion Workplace Health Promotion Workplace Health Promotion [Enter Name of WORKSITE]Food Policy

Background

[Enter Name of WORKSITE]Food Policy Name WORKSITE]Food Policy [Enter The foods that we choose to eat areof one of the major determinants of our health Background and well-being. Chronic diseases such as heart disease, obesity, diabetes and cancer Background are major causes of mortality and morbidity in this country. In addition, they result The foodslost that we choose eat are one of the major determinants of our healthas in many workdays andtodecreased work productivity.

Healthy diets, defined and Chronic diseases such asof heart disease, obesity, diabetes and cancer The foods we choose toand eat vegetables, are one the major determinants oursalt health thosewell-being. that that are high in fruits whole grains and low inoffat, and are major causes of mortality and morbidity in this country.

In addition, they result and well-being.

Chronic such asdiseases. heart disease, obesity, diabetes and cancer sugar, help to reduce thediseases risk of chronic The workplace is an ideal in many workdays and decreased work because productivity. diets, defined as are majorlost causes of mortality andbehaviors morbidity in this country.

In addition, theyhome result environment to promote healthy manyHealthy meals outside the those that areworkdays high in this fruits and vegetables, whole grains Healthy and lowWellness in fat,defined salt andas in lost andsetting. decreased work productivity. diets, aremany consumed within In line with the mission of the Initiative, sugar, help to reduce the risk of chronic diseases.

The workplace is an ideal those that are high policy in fruits and vegetables, grains and low in fat, salt and this healthy eating will focus on wayswhole to accommodate healthy lifestyles and environment to promote healthy behaviors because many meals outside the home sugar, helpintothe reduce the risk chronic diseases.

The workplace is an ideal behaviors workplace in of order to improve workplace performance.

In are consumed within this setting.

In line with the mission of the Wellness environment to promote healthy behaviors because many meals outside the home addition, it ensures the availability of healthy eating options for those whoInitiative, are on this healthy eating policy will focus on ways to accommodate healthy lifestyles and are consumed setting.

In line with the mission ofand the supports Wellnessthose Initiative, restricted dietswithin such asthis those with diabetes or hypertension, behaviors the workplace in focus orderhabits. to improve workplace performance.

In this healthy eating policy will on ways accommodate healthy lifestyles wishing toin improve their nutrition Thetopolicy focuses on offering, at a and addition, it ensures the availability of healthy eating options for those who arefat on behaviors in the fruits workplace in order to water, improve workplace performance. minimum, fresh and vegetables, 100% juice and low calorie In and restricted suchthe as and those with diabetes orthe hypertension, supports addition,atitdiets ensures availability of within healthy eating options and for those whothose are on options all meetings functions workplace. wishing to improve their nutrition habits.

The policy focuses on offering, a restricted diets such as those with diabetes or hypertension, and supportsat those minimum, fruits andnutrition vegetables, water, andon low calorie at and wishing to fresh improve their habits.

The100% policyjuice focuses offering, a fat Statement Policy options at all meetings andvegetables, functions within workplace. minimum, fresh fruits and water,the 100% juice and low calorie and fat options at all meetings and functions within the workplace.

[WORKSITE] acknowledges that healthy eating can have an impact on its Statement Policy employees’ health, and that the provision of healthy foods will contribute to better Policy Statement health for all.

[WORKSITE] acknowledges that healthy eating can have an impact on its employees’ health, and thatto the provision of healthy foods willimpact contribute [WORKSITE] that healthy eating can have an itsto better isacknowledges committed ensuring a healthy environment for its on employees, health for all. employees’ health, that the provision of healthy foods will contribute to better and will ensure theand following: health for all.

Caterers used for functions must be able to provide a variety of healthy food [WORKSITE] choices;is committed to ensuring a healthy environment for its employees, and will ensure the following: [WORKSITE] isfood committed ensuring a healthy for on its the employees, Healthy choicestowill be available at allenvironment functions held premises; used for functions must be able to provide a variety of healthy food and Caterers will ensure the following: Fresh fruit will be available at any function choices; Caterers used for functions must to provide a variety healthy When half-and-half or whole milkbeisable served, 1% or skim milk of will also befood Healthy food choices will be available at all functions held on the premises; choices; provided Fresh fruit will be available at any function Healthy food choices will be promoted available atinall held on the premises; thefunctions workplace; When half-and-half or whole milk is served, 1% or skim alsofoods; be Fresh fruit will be available any function Healthy food choices will beatdisplayed more prominentlymilk thanwill other provided When half-and-half or whole milk is served, 1% or skim milk will also be Healthy providedfood choices will be promoted in the workplace; Healthy food choices choices will will be be promoted displayed more Healthy food in theprominently workplace; than other foods; Healthy food choices will be displayed more prominently than other foods; MacKenzie and Hoy, 2003 MacKenzie and Hoy, 2003

Workplace Health Promotion

“Healthy food choices” is a very broad term. See suggested healthy eating choices attached. Your policy needs to include examples of healthy food choices suited to your workplace.

Workplace Health Promotion

[WORKSITE] currently provides the following healthy food choices: “Healthy food choices” is a very broad term. See suggested healthy eating choices attached. Your policy needs to include examples of healthy food choices suited to ________________________________ _________________________________ your workplace. ________________________________ _________________________________ [WORKSITE] currently provides the following healthy food choices: By (date) [WORKSITE] will have introduced 2 new healthy eating practices ________________________________ _________________________________ (whenever food is available) at any workplace function. This applies to all meetings, functions, and events held at the workplace. ________________________________ _________________________________ Policy Review By (date) [WORKSITE] will have introduced 2 new healthy eating practices (whenever food is available) at any workplace function. This applies to all This policy will be reviewed six months after its introduction and then on an annual meetings, functions, and events held at the workplace. basis thereafter. This will ensure that the policy remains current and practical.

Policy Review SIGNATURES This policy will be reviewed six months after its introduction and then on an annual New York City Department of Health and Mental Hygiene basis thereafter. This will ensure that the policy remains current and practical.

Bureau of Chronic Disease Prevention Wellness At Work Program Coordinator SIGNATURES ___________________________________________ __________________ New York City Department of Health and Mental Hygiene Signature Date Bureau of Chronic Disease Prevention Wellness At Work Program Coordinator [Enter Name of Worksite] CEO/Head of Organization Coordinator ___________________________________________ __________________ Signature Date _________________________________________ __________________ Signature Date [Enter Name of Worksite] CEO/Head of Organization Coordinator _________________________________________ Signature

MacKenzie and Hoy, 2003

__________________ Date

Network for a Healthy California—Worksite Program

Vending Machine Food & Beverage Standards In order to increase employee access to healthy food and beverage options at work, the Network for a Healthy California—Worksite Program is encouraging employers to implement the following healthy food and beverage standards in their onsite vending machines.

Food StandardS

Beverage StandardS

Mandatory Nutrition Standards

Mandatory Nutrition Standards

At least 50 percent of foods served in vending machines should meet the following nutrition standards:

At least 50 percent of beverage vending machine offerings must include:

1. Have no more than 35 percent of its calories from total fat (not including nuts and seeds).1 2. Have no more than 10 percent of its calories from saturated fat.1

1. Beverages that contain 100% fruit or vegetable juice with no added sweeteners.1 2. Water.1 3. Nonfat or 1% lowfat milk.1

3. Have no more than 35 percent sugar by weight (not including fruits or vegetables; canned fruit must be packed in 100% fruit juice or water).1

4. Beverages that are limited to a portion size no greater than 12 ounces (no limit on water).

Note: If juices are available in smaller-sized portions (6 ounces), they would be preferred.4

Recommended Nutrition Standards

Mandatory Pricing/Placement Standards

At least 50 percent of foods served in vending machines should meet the following nutrition standards:

1. Beverages meeting the mandatory nutrition standards must be sold at a price that is equivalent to or lower than the price of the remaining beverages within the vending machine that do not meet these nutrition standards.

1. Have no more than 360 milligrams (mg) of sodium per serving.2 2. Contain at least 2 grams (g) of dietary fiber per serving.

3. Until a standard becomes available, limit trans fat.3

2. Beverages meeting the mandatory nutrition standards must be placed within the top third of the vending machine so that they are visible at eye level.

Mandatory Pricing/Placement Standards 1. Food items meeting the mandatory/ recommended nutrition standards must be sold at a price that is equivalent to or lower than the price of the remaining items within the vending machine that do not meet these nutrition standards.

2. Food items meeting the mandatory/ recommended nutrition standards must be placed within the top third of the vending machine so that they are visible at eye level.

1 SB 19 Standard 2 FDA definition for “healthy” food label claim 3 IOM report entitled “Dietary Reference Intakes: Guiding Principles for Nutrition Labeling and Fortification” 4 SB 19 School Nutrition Consensus Panel

Step-By-Step guide to CalCulating nutrition StandardS Reading a nutrition label can be intimidating, but the diagram below will take you through the steps of calculating important nutrition information and gives you tips on making healthy choices.

nutrition Facts percent calories from fat: (30 calories from fat/90 total calories) x 100 = 33% percent calories from saturated fat: (1g saturated fat x 9 calories/g) = 9 calories from saturated fat (9 calories from saturated fat/90 total calories) x 100 = 10% number of milligrams of sodium: 300mg number of grams of fiber: 3g percent sugar by weight: (3g sugar/114 total g) x 100 = 2.6%

Serving Size ½ cup (114g) Serving Per Container 4 amount per Serving Calories 90

Calories from Fat 30 % daily value*

total Fat 3g Saturated Fat 1g

5% 0% 0% 0% 13% 4% 12%

Trans Fat 0g Cholesterol 0mg Sodium 300mg total Carbohydrate 13g Dietary Fiber 3g Sugars 3g protein 3g Vitamin A 80% Calcium 4%

• •

Vitamin C 60% Iron 4%

* Percent Daily Values are based on a 2,000 calorie diet.

Your Daily Values may be higher or lower depending on your calorie needs Calories 2,000 2,500 Total Fat Less than 65g 80g Sat Fat Less than 20g 25g Cholesterol Less than 300mg 300mg Sodium Less than 2,400mg 2,400mg Total Carbohydrate 300g 375g Dietary Fiber 25g 30g

How to read an ingredient liSt • Ingredients are listed by weight, so the first ingredient in the list is the most abundant ingredient and the last is the least abundant.

• A good rule of thumb is to avoid products that list sugar, high fructose corn syrup, or trans fats (hydrogenated oils) as one of the first three ingredients.

Sample ingredient liStS

Yogurt A – ingredientS: CULTURED PASTEURIzED GRADE A NONFAT MILK, WHEY PROTEIN CONCENTRATE, PECTIN, CARRAGEENAN.

Note that there is no sugar or hydrogenated (trans) fats listed.

Yogurt B – ingredientS: CULTURED GRADE A REDUCED FAT MILK, APPLES, HIGH FRUCTOSE CORN SYRUP, CINNAMON, NUTMEG, NATURAL FLAVORS, AND PECTIN. CONTAINS ACTIVE YOGURT AND L. ACIDOPHILUS CULTURES.

2 | WORKSITE FIT BUSINESS KIT

Note that high fructose corn syrup is the third most abundant ingredient.

HealtHy vending maCHine optionS

Non-Refrigerated Healthy Vending Machine Options •

Canned fruit cups

•

Lowfat, whole grain cereal bars

•

Dried fruits, such as raisins, apricots, and apples

•

Trail mix

•

Pretzels

•

Graham crackers

•

Baked chips

•

Animal crackers

•

Lowfat popcorn

•

Plain and salted nuts

•

Whole grain crackers

•

100% fruit leather

•

Lowfat granola bars

•

Fig bars

•

Lowfat, whole grain cereals

•

Salsa with baked tortilla chips

Refrigerated/Frozen Healthy Vending Machine Options •

Vegetables, such as baby carrots, broccoli florets, and celery sticks

•

Water

•

100% fruit juice

•

Fresh fruit salads

•

100% vegetable juice

•

Fresh vegetable salads with lowfat or fat free dressing

•

Nonfat or 1% lowfat milk

•

Packaged fruit slices, such as sliced apples

•

Nonfat yogurt

•

Nonfat cottage cheese

•

Sandwiches made with vegetables and/or lean meats on whole grain bread

•

Frozen 100% fruit bars

vendorS oFFering SeleCted HealtHy produCtS For a list of specific items that meet the vending machine food and beverage standards, please visit: www.nojunkfood.com/vendors/healthy_snack_list.html vendor

weB Site

ATNIP Co.

www.atnipco.com

Aramark Vending (Just4U product line)

www.aramarkrefreshments.com

Canteen Vending

www.canteen.com/vending.html

Vendmart

www.vendmart.com

Vistar

www.vistarvsa.com/promotions_vend.cfm

Xengaru Fun Foods

www.xengaru.com

V E N D I N G M A C H I N E F O O D & B E V E R A G E S TA N D A R D S | 3

How Can i make my vending maCHine HealtHy? If you are ready to improve the food and beverage selections in your vending machines, work with your employer to fax a letter similar to the sample on the right hand side of this page to your vending machine vendor. Choose as many healthy vending machine options as you want from the list of healthy vending items found in this tool.

(Insert Your Company Name )

Fax To:

From:

Fax:

Pages:

Phone:

Date:

Re:

Healthy Vending Machines

CC:

Dear___________________, In an effort to improve the health of our employees, I would like to improve the selection of healthy items in our vending machines. Below is a list of sample healthy options that I am interested in including in our vending machines.

Non-Refrigerated Healthy Vending Machine Options • Canned fruit cups • Dried fruit • Pretzels • Baked chips • Lowfat popcorn Refrigerated/Frozen Healthy Vending Machine Options • Vegetables, such as baby carrots, broccoli florets, and celery sticks • Fresh fruit salad • Nonfat yogurt • Water • 100% fruit juice Please contact me immediately to discuss this further. Thank you.

Sincerely, Name: Business Name: Telephone Number: Email Address:

To download the fax form above, please visit www.networkforahealthycalifornia.net/fitbusinesskit.

Funding for this publication was provided by the Preventive Health and Health Services Block Grant of the Centers for Disease Control and Prevention (CDC) and the United States Department of Agriculture Food Stamp Program, an equal opportunity provider and employer, helping limited income Californians buy more nutritious foods for a healthier diet. For information about the California Food Stamp Program, please call 1-888-328-3483.

The contents of this publication are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

BRO-155/REV. 02/08

Barriers to Being Active Quiz What keeps you from being more active?

Directions: Listed below are reasons that people give to describe why they do not get as much physical activity as they think they should. Please read each statement and indicate how likely you are to say each of the following statements: How likely are you to say?

Very likely 3

Somewhat likely 2

Somewhat unlikely 1

Very unlikely 0

1. My day is so busy now, I just don’t think I can make the time to include physical activity in my regular schedule.

2. None of my family members or friends like to do anything active, so I don’t have a chance to exercise.

3. I’m just too tired after work to get any exercise.

4. I’ve been thinking about getting more exercise, but I just can’t seem to get started

3

2

1

0

3 3

2 2

1 1

0 0

5. I’m getting older so exercise can be risky.

6. I don’t get enough exercise because I have never learned the skills for any sport.

3 3

2 2

1 1

0 0

7. I don’t have access to jogging trails, swimming pools, bike paths, etc.

8. Physical activity takes too much time away from other commitments—time, work, family, etc.

9. I’m embarrassed about how I will look when I exercise with others.

10. I don’t get enough sleep as it is. I just couldn’t get up early or stay up late to get some exercise.

11. It’s easier for me to find excuses not to exercise than to go out to do something.

12. I know of too many people who have hurt themselves by overdoing it with exercise.

13. I really can’t see learning a new sport at my age.

14. It’s just too expensive. You have to take a class or join a club or buy the right equipment.

15. My free times during the day are too short to include exercise.

16. My usual social activities with family or friends to not include

3

2

1

0

3

2

1

0

3 3

2 2

1 1

0 0

3

2

1

0

3

2

1

0

3 3

2 2

1 1

0 0

3 3

2 2

1 1

0 0

physical activity.

17. I’m too tired during the week and I need the weekend to catch up on my rest.

18. I want to get more exercise, but I just can’t seem to make myself stick to anything.

19. I’m afraid I might injure myself or have a heart attack.

20. I’m not good enough at any physical activity to make it fun.

21. If we had exercise facilities and showers at work, then I would be more likely to exercise.

3

2

1

0

3

2

1

0

3 3 3

2 2 2

1 1 1

0 0 0

Follow these instructions to score yourself: • Enter the circled number in the spaces provided, putting together the number for statement 1 on line 1, statement 2 on line 2, and so on.

• Add the three scores on each line. Your barriers to physical activity fall into one or more of seven categories: lack of time, social influences, lack of energy, lack of willpower, fear of injury, lack of skill, and lack of resources. A score of 5 or above in any category shows that this is an important barrier for you to overcome. ____ + ____ + ____ = ______________________ 1 8 15 Lack of time ____ + ____ + ____ = ______________________ 2 9 16 Social influence ____ + ____ + ____ = ______________________ 3 10 17 Lack of energy ____ + ____ + ____ = ______________________ 4 11 18 Lack of willpower ____ + ____ + ____ = ______________________ 5 12 19 Fear of injury ____ + ____ + ____ = ______________________ 6 13 20 Lack of skill ____ + ____ + ____ = ______________________ 7 14 21 Lack of resources

Dear North Carolina Resident: It’s time to take action for ourselves, our families, our community, and our great state.

Poor nutrition and lack of physical activity are taking a significant toll on the health of our citizens and our communities. It has been estimated that $11.1 billion dollars is being spent per year on medical and lost productivity costs in NC due to physical inactivity, poor nutrition, overweight and obesity.

According to Dr. Bill Dietz, MD, PhD, Director of the Division of Nutrition and Physical Activity at the Centers for Disease Control and Prevention (CDC), “…North Carolina is one of our nation’s leaders in developing an initiative to move communities to adopt healthy eating and physical activity policy and environmental changes in an effort to prevent and combat rising trends in obesity and other chronic diseases.”

You can join this initiative and take action today! Adopt the sample physical activity policy on the reverse side of this sheet and use it in the following ways: • Share it with your faith organization and encourage a policy that supports physical activity in a variety of ways.

• Share it with your employer and encourage a worksite policy that supports physical activity breaks at meetings, designated walking routes or other activity opportunities, and flexible work schedules to allow physical activity.

• Share it with the variety of community groups in which you may be involved.

• Take the pledge to be physically active and encourage your family members and friends to join you.

Building Healthy Communities in North Carolina…State and Community Partners Partners within the NC Department of Health and Human Services and the NC Division of Public Health, along with multiple state and community partners have joined together to create the Eat Smart, Move More…North Carolina initiative. Visit the initiative’s website www.EatSmartMoveMoreNC.com to locate potential partners and learn about additional ways to get involved.

Adapted from a variety of materials by the Physical Activity & Nutrition BranchΠ April 2004

State of North Carolina Π Department of Health and Human Services Π Division of Public Health Π Health Promotion Branch Π Dr. Leah Devlin Acting State Health Director

This institution is an equal opportunity provider.

Sample Physical Activity Policy

For use within any organization/agency or community group.

Whereas: ________________________________________-(fill in your worksite, faith group, etc name here) is concerned about the health of our __________________________ (employees, members) Whereas: People have become more and more interested in eating better and being more active; Whereas: Both heart disease, cancer and stroke --the top three causes of death in North Carolina--are largely affected by what we eat and how active we are; Whereas: Regular physical activity provides for increased quality of life through improved endurance, strength, flexibility and balance, as well as reduced risk of chronic diseases, injury and perception of stress; Therefore: Effective ______(today's date), it is the policy of _______________________________________-(fill in your organizations name) that activities and events sponsored or supported by this organization will include opportunities for physical activity: •

Physical Activity Breaks In Meetings Examples include facilitated activities such as stretch breaks or icebreakers.

•

Identification Of Physical Activity Opportunities Examples include provision of maps with walking routes and local attractions; identification of recreational and exercise facilities; organization of walking groups and other group activities.

•

Supportive Schedules To Allow Physical Activities Examples include flexible work schedules; longer lunch breaks to allow activity; as well as scheduled and/or facilitated stretch breaks integrated into meeting agendas.

•

Encouragement From Group Leadership To Engage In Physical Activity Examples include faith community promotion of healthy lifestyles as spiritual responsibility; employee leadership promoting physical activity for employees; group leadership being a role model.

Signature

Title

Name of Organization, Faith Group, Community Group, Worksite, School, Health Care Facility Date Adapted from a variety of materials by the Physical Activity & Nutrition BranchΠ April 2004

State of North Carolina Π Department of Health and Human Services Π Division of Public Health Π Health Promotion Branch Π Dr. Leah Devlin Acting State Health Director

This institution is an equal opportunity provider.

General Administration: CDC-116 Date of Issue: 11/01/2005 Proponent: Office of the Director, CDC Material Superseded: Protecting Federal Employees and the Public from Exposure to Tobacco Smoke in the Federal Workplace, dated 01/11/02

CDC TOBACCO-FREE CAMPUS POLICY Sections: I. PURPOSE AND COVERAGE II. ACRONYMS AND DEFINITIONS III. BACKGROUND AND AUTHORITY IV. POLICY V. RESPONSIBILITIES VI. REFERENCES On November 10, 2004, HHS Secretary Tommy Thompson announced the TobaccoFree HHS initiative. This policy requires all properties owned or leased by HHS agencies to be tobacco free, beginning with limited implementation on January 1, 2005, and achieving full implementation by February 1, 2005, as labor and lease agreements permit.

The goal of Tobacco-Free HHS is to improve the health of its employees by promoting tobacco use cessation. Each year, approximately 440,000 people die prematurely of diseases caused by smokingâ&#x20AC;&#x201D;that is about one in five of all deaths in the United States.

An estimated 44.5 million adults in the United States smoke cigarettes, and more than 8.6 million Americans currently suffer from at least one serious illness caused by smoking. Use of smokeless tobacco, cigars, pipes, bidis, and other tobacco products also lead to disease and death. Therefore, this policy is designed to include all tobacco products. Because there is no safe tobacco product, the only logical action is to promote a campus that is tobacco free.

This policy will also serve as a model program for other HHS Operating Divisions when they initiate their own programs to promote healthy behaviors and to discourage participation in unhealthy behaviors. Reducing tobacco use also increases productivity in the workplace, decreases absenteeism, and possibly lowers excess medical expenditures and other costs associated with tobacco use in the workplace.

1

References to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR).

U.S Department of Health and Human Services Centers for Disease Control and Prevention

Executive Order 13058 authorizes HHS to expand the current no-smoking policy to prohibit smoking on all HHS properties, unless prohibited by the lease terms. Section 1701(a)(7)(A) of the Public Health Service Act authorizes HHS to prohibit the use of all tobacco products on HHS properties, as a part of a model program to promote healthy behaviors and discourage participation in unhealthy behaviors. Lastly, the Comprehensive Smoking Education Act (CSEA) and the Comprehensive Smokeless Tobacco Health Education Act of 1986 (Smokeless Act), found at 15 U.S.C. section 1341 and 15 U.S.C. section 4401, respectively, provide further legal authority for Tobacco-Free HHS. IV. POLICY A. Prohibition of Tobacco Use Effective August 26, 2005, the use of tobacco products (including cigarettes, cigars, pipes, smokeless tobacco, or other tobacco products) is prohibited at all times: • in all interior space owned, rented, or leased by CDC; • on all outside property or grounds owned or wholly leased by CDC, including parking areas – this applies to private vehicles while they are on CDC property; and • in government vehicles.

CDC facilities where labor agreements with relevant unions have not yet been renegotiated to incorporate the provisions of the new policy and construction sites on CDC property are temporarily deferred from implementing the tobacco-free campus policy.

Outdoor environments in leased facilities not under full control of CDC and temporarily deferred locations will remain subject to the pre-existing policy, which states that the smoking of tobacco products is prohibited: • in all interior spaces owned, rented, or leased by CDC; • in government vehicles; • within 20 feet of building entrances and exits; • within 20 feet of building air intake ducts; • within 20 feet of the storage of flammable and combustible liquids or gases; • within 20 feet of dumpsters provided for collecting combustible materials; • inside any covered parking that is physically part of or connected to a facility where CDC employees regularly pass on their way to or from work; and • within designated “Smoke-Free Zones.”

B. Communication of Policy Signs bearing the message “Tobacco-Free Campus” will be posted at each vehicular and pedestrian CDC campus entrance (as applicable), and each building owned or leased in full will display a decal that states “Tobacco Free Facility.” However, tobaccofree zones apply on the grounds around CDC-owned facilities and around facilities fully leased or rented by CDC, whether or not signs are posted. No ashtrays or smoking shelters will be provided on tobacco-free campus grounds.

C. Tobacco Use Cessation Programs CDC is committed to providing support to all CDC employees and other CDC personnel who wish to stop using tobacco products. CDC is committed to ensuring that CDC employees and, to the extent possible, other CDC personnel have access to several types of assistance, including over-the-counter tobacco cessation medications and telephone or group counseling.

Supervisors are encouraged to refer employees, contractors, and other personnel to cessation services for which they are eligible.

V. RESPONSIBILITIES A. Responsibilities of all employees, contractors, fellows, visiting scientists, students, visitors, and others with regard to compliance with the tobacco-free policy at CDC Adherence to the policy cited above is the responsibility of all CDC employees.

Contractors, fellows, visiting scientists, students, and visitors must also comply with this policy while on CDC property, either leased or owned.

Employees who do not conform to this policy may be subject to disciplinary action under the provisions of 5 C.F.R., Part 700 ff. Contractors in violation of this policy will be reported to their supervisor at the contracting organization.

B. Responsibilities of supervisors with regard to compliance with the tobacco-free policy at CDC This policy will be enforced through administrative action by supervisors and managers.

In general, supervisors are responsible for ensuring that employees under their direction are aware of the policy and comply with it and for taking appropriate action to correct noncompliance.

Supervisors are responsible for ensuring that all employees are notified of the new policy and receive a copy of the policy.

Any person who observes violations of the policy may report these violations to the supervisor of the employee in question. Once the employeeâ&#x20AC;&#x2122;s supervisor has been notified of a violation, or if the supervisor directly observes a violation by an employee under their direction, the supervisor is responsible for discussing the violation with the employee and taking appropriate disciplinary action. The same disciplinary approach should be applied that is used in addressing violations of other CDC policies. This approach involves a series of disciplinary actions that become progressively more severe if an employee commits repeated violations (e.g., oral warnings, written warnings, reprimands, etc.) Supervisors should consult with a CDC employee relations specialist for advice on the appropriate discipline.

VI. REFERENCES A. Protecting Federal Employees and the Public from Exposure to Tobacco Smoke in the Federal Workplace, Executive Order 13058, August 9, 1997.

B. Code of Federal Regulations, Title 41, Volume 2, Chapter 101, Part 30.3 Use and Care of GSA Interagency Fleet Management System Vehicles, July 1, 2001.

C. Employee Responsibilities and Conduct, 5 C.F.R., Part 700ff, January 1, 2002.

D. Atlanta Human Resources Center â&#x20AC;&#x201C; Employee Relations Web Page, October 2005.

E. 15 USC CHAPTER 70 - Comprehensive Smokeless Tobacco Health Education, January 19, 2004.

Policy Title:

Tobacco-free Campus Policy

Policy Number:

[XX-XXX-XXX]

Version:

1.0

Effective Date:

Approved By: (Authorized Signer Name)

Date Approved

Approved By: (Authorized Signer Name)

Date Approved

[Enter date]

Overview Description: This policy provides clarity regarding the prohibition of the use of tobacco products in all interior and exterior spaces controlled by [Agency name] as well as those interior and/or exterior spaces that [Agency name] shares with other government or private tenants.

Purpose/Rationale: Tobacco use is the leading preventable cause of death in Oregon and the nation. According to Oregon physician reports through death certificates, tobacco contributed to 6,965 deaths in 2007 (22 percent of all deaths in the state). In addition, there are an estimated 800 deaths caused by secondhand smoke in Oregon annually.

In Oregon, people with lower incomes and lower education levels smoke at more than three times the rate of those with greater resources. OHP (Medicaid) clients represent a large percentage of lower-income individuals and families in Oregon. An estimated 428,000 Oregonians are clients of OHP, over half of whom are children; adult OHP clients are nearly twice as likely to smoke as Oregon adults in general.

By establishing a tobacco-free workplace, [Agency name] will promote employee and client health, and contribute to a healthier workforce.

This policy prohibits the use of all tobacco products within all spaces controlled by [Agency name]. In addition, during implementation of “Phase 2” of this policy, [Agency name] will negotiate with property owners or lease-holders to prohibit the use of all tobacco products within all interior and exterior spaces that [Agency name] leases and/or shares with other government or private tenants.

Applicability: This policy applies to all [Agency name] employees, contractors, volunteers, clients, and visitors in all interior and exterior spaces controlled, leased, or shared by [Agency name] including all facilities, grounds, vehicles, and employee work spaces.

In “Phase 2” of this policy, [Agency name] will provide leadership in multi-tenant buildings (those buildings not wholly owned or leased by [Agency name] to promote the adoption of this tobacco-free campus policy.

Oregon's Tobacco-free State Properties

July 2012

Failure to comply: Failure by an employee to comply with this policy may result in disciplinary action, up to and includingtodismissal state Contractors and volunteers havemay theirresult service Failure comply:from Failure byservice. an employee to comply with thismay policy in terminated. disciplinary action, up to and including dismissal from state service. Contractors and volunteers may have their service terminated.

Policy Policy Tobacco-free campus

The use of allcampus tobacco products (including cigarettes, cigars, pipes, smokeless tobacco, or any other tobacco product, Tobacco-free ‡ The use of“e-cigarettes” all tobacco products (including cigars, any pipes, smokeless any other tobacco including ) is prohibited at cigarettes, all times within interior spacetobacco, and all oroutside property or product, grounds ‡ controlled, leased, or shared by [Agency at name] (including parking areas and private whileproperty they are or on grounds [Agency including “e-cigarettes” ) is prohibited all times within any interior space andvehicles all outside name] property). controlled, leased, or shared by [Agency name] (including parking areas and private vehicles while they are on [Agency name] property).

In addition, ashtrays and smoking shelters are prohibited within and should be removed from [Agency name] campuses.

In addition, ashtrays and smoking shelters are prohibited within and should be removed from [Agency name] campuses.

Communication of policy Signs will be usedoftopolicy designate a/an [Agency name] controlled facility as a “Tobacco-free Campus” and will be produced Communication and bytothe Department Administrative Services (DAS). communicating this message shall clearly Signsdistributed will be used designate a/an of [Agency name] controlled facility Signs as a “Tobacco-free Campus” and will be be produced posted (1) on the perimeter of the property, (2) at each vehicular and pedestrian entrance, and (3) at other prominent and distributed by the Department of Administrative Services (DAS). Signs communicating this message shall be clearly locations. all facilities andproperty, grounds controlled [Agencyand name] are tobacco-free regardless whether posted (1)However, on the perimeter of the (2) at eachby vehicular pedestrian entrance,zones and (3) at other of prominent or not signs are posted. locations.

However, all facilities and grounds controlled by [Agency name] are tobacco-free zones regardless of whether or not signs are posted.

A copy of this Tobacco-free Campus Policy will be made available to clients and visitors whenever it is deemed to be necessary communicate the requirements of available this policy.

A copy of to thiseffectively Tobacco-free Campus Policy will be made to clients and visitors whenever it is deemed to be necessary to effectively communicate the requirements of this policy.

All [Agency name] employees, contractors and volunteers will be provided with basic information about the Tobaccofree[Agency Campusname] Policyemployees, at initial hire and/or upon andwill periodically thereafter as itinformation is deemed about to be necessary, to All contractors and request, volunteers be provided with basic the Tobaccoensure compliance this policy. free Campus Policywith at initial hire and/or upon request, and periodically thereafter as it is deemed to be necessary, to ensure compliance with this policy.

Compliance This policy is the shared responsibility of all [Agency name] personnel. Employees are authorized and encouraged to Compliance communicate this shared policy with courtesy, of respect and diplomacy.

If difficulties arise with employee should This policy is the responsibility all [Agency name] personnel.

Employees arecompliance, authorizedan and encouraged to notify security or management-level staff. communicate this policy with courtesy, respect and diplomacy. If difficulties arise with compliance, an employee should notify security or management-level staff.

Any person who observes an individual violating this policy is encouraged to address the noncompliance with the person in Management and supervisory staffthis arepolicy responsible for ongoing compliance with this policy their Anyquestion. person who observes an individual violating is encouraged to address the noncompliance withwithin the person respective areas. In addition, management and responsible supervisory for staffongoing are expected to adhere to standard practice in in question.work Management and supervisory staff are compliance with this policy within their resolving issues of noncompliance. respectiveany work areas.

In addition, management and supervisory staff are expected to adhere to standard practice in resolving any issues of noncompliance.

If questions arise regarding the actual physical parameters of the prohibition for any particular [Agency name] property, the agency Chief Officer, or designee, shall provide a final determination.

If questions ariseAdministrative regarding the actual physical parameters of the prohibition for any particular [Agency name] property, the agency Chief Administrative Officer, or designee, shall provide a final determination.

Resources [Agency name] is committed to assisting employees, contractors, volunteers, clients and visitors in overcoming tobacco Resources dependency.

[Agency name] employees access to stop-smoking andinpharmacology (when [Agency name]Currently, is committed to assisting employees, have contractors, volunteers, clientsprograms and visitors overcoming tobacco indicated) as part of their[Agency standard medical benefits. have In addition, resourceprograms information be provided to any dependency.

Currently, name] employees access cessation to stop-smoking andwill pharmacology (when employee who expresses an interest in seeking help to stop using tobacco products.

[Agency name] will also continue to indicated) as part of their standard medical benefits. In addition, cessation resource information will be provided to any provide change-management classes in and technical as needed toproducts. ensure adherence to this will policy. employee who expresses an interest seeking helpassistance to stop using tobacco [Agency name] also continue to provide change-management classes and technical assistance as needed to ensure adherence to this policy.

Oregon's Tobacco-free State Properties Oregon's Tobacco-free State Properties

July 2012 July 2012

[Agency name] contractors, volunteers, clients and visitors may be referred to the Oregon Tobacco Quit Line, which is a [Agency name]cessation contractors, volunteers, clients and visitors be referred to the Oregon Public Tobacco Quit Line, which a free tobacco resource.

The line is operated by may the Oregon Health Authority Health Division andis is free tobacco cessation resource.

The line is operated by the Oregon Health Authority Public Health Division and is available to all Oregonians. available to all Oregonians.

Procedure(s) that apply Procedure(s) that apply None None

Form(s) that apply Form(s) that apply None None

Definition(s) Definition(s)

[Agency name] property: Any interior space and all outside property or grounds controlled by [Agency name].

[Agency name] property: Any interior space and all outside property or grounds controlled by [Agency name].

Electronic cigarette (“e-cigarette”): The FDA defines e-cigarettes as products designed to Electronic The FDA definesthey e-cigarettes as products designed to deliver nicotine or cigarette other substances(“e-cigarette”): to a user in the form of a vapor.

Typically, are composed of a rechargeable,

deliver nicotine orheating other substances a user in thecartridge form of athat vapor. are composed of a rechargeable, battery-operated element, ato replaceable mayTypically, contain they nicotine or other chemicals, and an battery-operated heating element, replaceable that into maya contain atomizer that, when heated, convertsathe contents ofcartridge the cartridge vapor. nicotine or other chemicals, and an atomizer that, when heated, converts the contents of the cartridge into a vapor.

Smokeless tobacco: Smokeless chewing tobacco. tobacco:

Non-ceremonial tobacco products including, but not limited to, snuff, snus and Non-ceremonial tobacco products including, but not limited to, snuff, snus and

chewing tobacco.

Tobacco-free: Tobacco, in any form, is neither smoked, ingested, nor used in any manner on [Agency name] Tobacco-free: Tobacco, in any form, is neither smoked, ingested, nor used in any manner on [Agency name] property. property.

Reference(s) Reference(s) ‡ ‡

In 2010, the U.S. Court of Appeals ruled that “e-cigarettes” and other products made or derived from In 2010, the U.S. Court of Appeals ruled that “e-cigarettes” and other products made or derived from tobacco can be regulated as tobacco products tobacco can be regulated as tobacco products Tobacco Prevention and Education Program. Oregon Tobacco Facts & Laws. Portland, Oregon: Oregon Tobacco Prevention and Education DHS, Public Health Division, 2011. Program. Oregon Tobacco Facts & Laws. Portland, Oregon: Oregon DHS, Public Health Division, 2011. System (BRFSS) 2009, Consumer Assessment of Healthcare Providers and Behavioral Risk Factor Surveillance Behavioral Risk Factor System (BRFSS) 2009, Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveySurveillance 2007.

Systems (CAHPS) survey 2007.

Smoking at Building Entrances and the Capitol Mall Parking Structure, DAS Policy 125-6-323 Smoking at Building and the Capitol Parking Structure, DAS Policy 125-6-323 Oregon Indoor CleanEntrances Air Act and Penalties, ORSMall 433.835 to 433.875 and 433.990 Oregon Indoor Clean AirSmoking Act andinPenalties, ORS 433.835 to 433.875 and 433.990 Prohibition of Tobacco Public Places and Workplaces, OAR 333-015-0035 Prohibition of Tobacco Smoking in Public Places and Workplaces, OAR 333-015-0035 Tobacco-free DHS Project Quit, www.dhs.state.or.us/tools/tobfree/ Tobacco-free DHS ProjectEmployee Quit, www.dhs.state.or.us/tools/tobfree/ The Cascade Counseling, Assistance Program http://www.cascadecenters.com/ The Cascade Counseling, Employee Assistance Program http://www.cascadecenters.com/ PEBB Free & Clear http://www.freeclear.com PEBB Free & Clear http://www.freeclear.com

Contact(s) Contact(s) Policy History Policy History Oregon's Tobacco-free State Properties Oregon's Tobacco-free State Properties

July 2012 July 2012

Date of Issue: 08/08/2005 Proponent: Atlanta Human Resources Center

LACTATION SUPPORT PROGRAM Sections: I. PURPOSE II. ACRONYMS AND DEFINITIONS III. INTRODUCTION IV. POLICY V. PROCEDURES VI. RESPONSIBILITIES VII. REFERENCES I. PURPOSE This document describes the Centers for Disease Control and Prevention (CDC)[1] policy and procedures for the agency’s nationwide (headquarters and field sites) Lactation Support Program which provides education and support to CDC employees who are pregnant or breastfeeding. Guidance from the U.S. Office of Personnel Management provides agencies the authority to establish employee health programs that foster healthy lifestyles and support a healthy working environment.

II. ACRONYMS AND DEFINITIONS A. For the purposes of this policy, the following acronyms apply: 1. AHRC – Atlanta Human Resources Center 2. CDC – Centers for Disease Control and Prevention 3. FDA – Food and Drug Administration 4. FPMO – Facilities Planning and Management Office 5. HHS – Department of Health and Human Services 6. MSDS – Material Safety Data Sheets B. For the purposes of this policy, the following definitions apply: 1. Contractor – Personnel performing specific contractual services on-site or off-site in the furtherance of CDC’s mission.

2. Employees – Persons who are employed by CDC, including both civil servants and Commissioned Corps officers.

3. Lactation program coordinator – Human resource specialist responsible for coordinating the agency’s nationwide lactation support program.

4. Lactation consultant – Person certified by the International Board of Lactation Consultant Examiners and is contracted to support various components of the lactation support program. Please refer to Section VI., paragraph F., for a list of responsibilities.

U.S Department of Health and Human Services Centers for Disease Control and Prevention

VII. REFERENCES A. Health Service Programs, 5 U.S.C., Section 7901, January 6, 2003.

B. Leave and Excused Absence, HHS Personnel Instruction 630-1, July 26, 1996.

C. Employee Health Programs: Authorities and Agency Responsibilities. Office of Personnel Management guidance, as of August 4, 2005.

D. Breastfeeding and the use of human milk. American Academy of Pediatrics Work Group on Breastfeeding. Pediatrics, Volume 115, No. 2, February 2005.

E. Breastfeeding Best Bet for Babies, Williams, RD, U.S. Food and Drug Administration Statement.

F. Helping Moms Breastfeed is Good Business. Cigna Press Release. June 15, 2000.

G. Blueprint for Action in Breastfeeding, HHS, October 25, 2000.

H. The Impact of Two Corporate Lactation Programs on the Incidence and Duration of Breastfeeding by Employed Mothers. Cohen R, Mrtek, MB. American Journal of Health Promotion. Volume 8; pages 436-41, July-August 1994.

I. Policy for Visitors in the Workplace at CDC, May 23, 2002.

[1] References

to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR).

[2] Center refers to CDCâ&#x20AC;&#x2122;s national centers, institute, the National Immunization Program, the Office of Genomics and Disease Prevention, and the Agency for Toxic Substances and Disease Registry.

use by program participants to express breast milk during the work day. Rooms will be identified by signage on the adjoining wall.

Space identified for use as a lactation room should be private (7’ x 7’ minimum) and include a lockable door and electrical outlet. A location with or in close proximity to a sink is required. The room should be equipped with a hospital-grade, FDA-approved, electric breast pump, table, chair, nursing stool, mid-size or compact refrigerator, and cleaning supplies.

Lactation rooms must be able to maintain a year-round temperature conducive to expressing milk. Temporary use of a room will be arranged for employees where permanent space cannot be identified. Participants may choose to use their private office in lieu of the lactation room. Lactation rooms should be placed in building locations that are accessible to all personnel in the proximate campus area. Laboratory buildings and other locations may have markedly diminished worker access and may, therefore, not be good locations for lactation facilities. Additionally, lactation rooms should not be located in high hazard areas such as laboratory suites; animal holding facilities or their support areas; or in mechanical, engineering, utility areas or other high hazard spaces.

Eating, drinking and food preparation are not allowed in many locations within laboratory buildings. Similarly, lactation activities or the handling, processing and storage of breast milk should not occur in any location where these activities are prohibited. Use of bathrooms, open air cubicles, computer closets or shared space is not appropriate for this program.

Lactation room refrigerators are for the limited purpose and use of storing expressed breast milk during the work day. Stored milk will be labeled with the name of the mother, date and time milk was expressed, and the mother’s work telephone number. Labels and a marking pen will be available in the lactation room. At the end of each work day, participants must remove stored breast milk from the refrigerator. Participants may choose to store breast milk in a personal cooling kit.

4. Breast pump – A hospital-grade, FDA-approved, electric breast pump will be provided by the program for each lactation room for the purpose of expressing milk. In locations where space cannot be identified, a pump will be provided for use in the office.

For CDC employees whose spouse/significant other is breastfeeding, information on breast pump rental can be obtained by contacting the lactation consultant.

5. Return-to-work consultation – Approximately two weeks prior to the breastfeeding mother’s return to work, a consultation with the lactation consultant will be provided to develop familiarity with the lactation room and its location, equipment, instruction and cleaning requirements, pumping schedule, milk supply issues and other common concerns.

6. Educational materials – An educational packet will be provided to each program participant. A reference library providing books, videos, and other educational media on breastfeeding will be maintained by the AHRC lactation program coordinator and available for review by employees.

7. Breastfeeding discussion groups – Three forums will be conducted each year by the lactation consultant to invite open discussion by mothers who are breastfeeding. The goal of these discussion groups is to create a nursing mothers network to share information and best practices.

V. PROCEDURES This section outlines procedures for enrolling in the lactation support program and participating in the various program components.

A. Program enrollment – Participants must request enrollment in the program and/or prenatal breastfeeding class by contacting the AHRC lactation program coordinator via

phone or e-mail. Eligibility for participation will be verified based on criteria listed in Section IV., paragraph A., and the participant will be notified of level of participation. The AHRC lactation program coordinator will forward enrollment information to the lactation consultant. The AHRC lactation program coordinator will notify supervisors via e-mail of employee participation. Contractors and those employed under other staffing arrangements should notify their supervisor of program enrollment.

B. Breastfeeding counseling – Participants must contact the lactation consultant after delivery to initiate counseling services. The lactation consultant will continue to provide counseling services as needed via telephone and/or e-mail until nursing ceases.

C. Return-to-work consultation – During leave for childbirth, the participant will notify the lactation consultant of the return to work date. The lactation consultant will work with the participant to schedule a time and date to conduct the consultation.

D. Use of lactation room – At CDC facilities where a lactation room is established, the participant will receive the code for entrance to the room and check the sign-in sheet for available times to use the room and/or pump. Participants will use a broad spectrum chemical sanitizer as instructed to disinfect the table surface and pump after each use.

Visitors should contact the AHRC lactation program coordinator to access the lactation rooms.

E. Breastfeeding discussion group – The lactation consultant will notify program participants via e-mail announcement of date, time, and location of discussion groups.

Participants will indicate discussion group attendance by e-mail response to the lactation consultant. Participants will also notify their supervisors of their participation.

VI. RESPONSIBILITIES Responsibilities for adhering to this policy are outlined in this section.

A. Responsibilities of the AHRC lactation program coordinator in the Lactation Support Program are to: • provide promotion and administration of the program • provide new employees with information at orientation • announce upcoming classes via e-mail • provide enrollment intake and determine eligibility • notify supervisor of enrollment in the program via e-mail • work with the centers to identify space for lactation rooms • provide cleaning supplies for the lactation rooms • provide a copy of this policy to each program participant at the class or return-towork consultation and post in each lactation room • provide chemical sanitizer and MSDS in lactation rooms B. Responsibilities of center[2] and staff offices in the Lactation Support Program are to: • work with the AHRC lactation program coordinator to assess and designate space for a lactation room in the buildings occupied by their center • assign a liaison to ensure room maintenance and cleaning is performed and work with the AHRC lactation program coordinator to resolve any issues relative to the lactation rooms in their space • seek Financial Management Office approval for purchase of lactation room furnishing and appliances C. Responsibilities of FPMO in the Lactation Support Program As CDC constructs new office buildings, FPMO will coordinate with the AHRC lactation program coordinator to identify the need for a lactation room to be established.

For leased space, after the need is identified by the AHRC lactation program coordinator, FPMO will be notified to secure private, permanent space for a lactation room to be established.

D. Responsibilities of supervisors/managers in the Lactation Support Program are to: • provide support of the program participants by allowing excused time to participate in the prenatal breastfeeding class (one two-hour session) and the breastfeeding discussion groups (one hour sessions) ensure employees are aware of the program and its benefits through internal communication E. Responsibilities of employees in the Lactation Support Program are to: • apply via e-mail or contact the AHRC lactation program coordinator to enroll • contact the lactation consultant to begin support counseling • provide the personal kit to be used with the pump at the worksite • follow proper hand washing techniques before and after the expression of breast milk • clean the table and breast pump as well as any spills of breast milk after each use • certify receipt of return to work consultation and instruction on cleaning techniques and maintenance of room • review and sign the MSDS for use of chemical sanitizer • label the expressed breast milk with name, time, and date and remove the milk from lactation room refrigerators at the end of each work day • accept full responsibility for the security and integrity of breast milk placed in the lactation room refrigerator • seek supervisor approval of use of lactation room outside breaks • notify lactation consultant when nursing/pumping ceases • notify supervisor of discontinuation in program F. Responsibilities of lactation consultants in the Lactation Support Program are to: • provide encouragement and assistance to program participants • provide hospital-grade, FDA-approved, electric breast pumps • conduct quarterly classes to provide information on the basic techniques of breastfeeding • provide educational materials to participants • provide breastfeeding counseling to participants during the prenatal period, immediately postpartum, during leave for childbirth, and until nursing ceases • provide return to work consultations as scheduled and to give instruction on use of the pump, establishing pumping schedules, collection and storage of milk, and answering general questions/concerns • provide MSDS for chemical sanitizer and obtain participant signature • provide instruction on sanitation techniques of pump and lactation room • conduct breastfeeding discussion groups three times each year

VII. REFERENCES A. Health Service Programs, 5 U.S.C., Section 7901, January 6, 2003.

B. Leave and Excused Absence, HHS Personnel Instruction 630-1, July 26, 1996.

C. Employee Health Programs: Authorities and Agency Responsibilities. Office of Personnel Management guidance, as of August 4, 2005.

D. Breastfeeding and the use of human milk. American Academy of Pediatrics Work Group on Breastfeeding. Pediatrics, Volume 115, No. 2, February 2005.

E. Breastfeeding Best Bet for Babies, Williams, RD, U.S. Food and Drug Administration Statement.

F. Helping Moms Breastfeed is Good Business. Cigna Press Release. June 15, 2000.

G. Blueprint for Action in Breastfeeding, HHS, October 25, 2000.

H. The Impact of Two Corporate Lactation Programs on the Incidence and Duration of Breastfeeding by Employed Mothers. Cohen R, Mrtek, MB. American Journal of Health Promotion. Volume 8; pages 436-41, July-August 1994.

I. Policy for Visitors in the Workplace at CDC, May 23, 2002.

[1] References

to CDC also apply to the Agency for Toxic Substances and Disease Registry (ATSDR).

[2] Center refers to CDCâ&#x20AC;&#x2122;s national centers, institute, the National Immunization Program, the Office of Genomics and Disease Prevention, and the Agency for Toxic Substances and Disease Registry.