Healthy You from UMR

HEALTHY YOU Your journey to wellness starts here

Fit for the future Helping kids embrace a lifetime of healthy choices

A special report on childhood obesity

ÂŠ2015 United HealthCare Services, Inc.

Contents What’s inside

Page

Fit for the future A special report on childhood obesity

Online tools

Getting care

Chronic condition resources

En Español

Fun for kids

Take advantage of our online services for members!

What you need to know and where to go

Manage your condition

Resources for Spanish speakers

Resources for kids

About this magazine “Healthy You” magazine is published as an educational resource for UMR members and to provide information about tools and resources available from UMR as a part of our member online services. Available features and benefits are dependent on the products and features included in the plan design. Not all members will have access to all features shown. Copyright ©2015 United HealthCare Services, Inc. Reproduction in whole or part is not permitted without permission in writing from UMR. All information and links were accurate and functional at the time of publication. However, because this electronic publication contains links to third-party sites, information can change and become unavailable. While using this electronic publication you may click on a link to other websites. We provide links to other websites that may contain information that may be useful or interesting to you. We do not endorse, and are not responsible for, the content and accuracy of linked websites operated by third parties or for any of your dealings with such third parties. You are solely responsible for your dealings with such third parties and we encourage you to read the terms of use and privacy policies on such third-party websites.

Fit for the future Helping kids embrace a lifetime of healthy choices

At UMR, we’re committed to supporting you and your family on your journey to wellness. And, we’re especially concerned about children. Childhood obesity in the United States has reached record levels, and it’s important that we all take steps to help ensure that children have the nutrition they need to grow, learn and thrive. We’ve created this special edition of Healthy You to share what we’re learning about childhood obesity and what we can all do to help nurture a generation of healthy kids. Please join us in making a difference in the lives of all our children.

Just the facts Did you know?

Facts about childhood obesity One-third of all children and adolescents in the United states are overweight. Children that are overweight or obese are 70 percent more likely to become overweight adults. And, the long-term effects of childhood obesity are particularly concerning. Kids that grow into

1 in 3 Children are overweight or obese

overweight adults are more likely to develop cancer, heart disease, type 2 diabetes and osteoarthritis.

ÂŠ2015 United HealthCare Services, Inc.

Overweight or obese? Affects on children

Overweight

Obese

BMI at or above the 85th Percentile

BMI at or above the 95th Percentile

1 in 3 Children are overweight or obese

Affects self-esteem and mental health

ÂŠ2015 United HealthCare Services, Inc.

Limits ability to participate in physical activity

An alarming trend Did you know?

Childhood obesity rates have risen 30%

2008 1980

19.6%

6.9% 4 5

Since 1980, childhood obesity rates

To change this trend, we want to

have risen 30%. Consumption of larger

empower parents, community leaders

portion sizes, high-calorie snack and

and educators with tools to help them

convenience foods and reduced

teach children about making healthy

physical activity have all contributed to

choices and to engage children in

the increase in obesity rates for

increasing their physical activity levels.

children and adolescents.

ÂŠ2015 United HealthCare Services, Inc.

Nutrition and learning How poor nutrition affects kids

their diet had the lowest achievement

Did you know? Proper nutrition directly affects a childâ&#x20AC;&#x2122;s ability to learn. A healthy diet is associated with improved cognitive function and academic performance. Among fourth-grade students, those

scores. Children who suffer from poor nutrition during the brain's most formative years score much lower on tests of vocabulary, reading comprehension, arithmetic, and general knowledge.

having the lowest amount of protein in

essential nutrients we need every day

Carbs

ÂŠ2015 United HealthCare Services, Inc.

Protein

Fats

Vitamins

Minerals

Water

Nutrition and learning How poor nutrition affects kids

Cognitive function Attention span

Ability to focus Irritability Fatigue

ÂŠ2015 United HealthCare Services, Inc.

Cognitive function

Nutrition plays a critical role in brain function. Even short-term disruptions in essential nutrients can have a direct effect on cognitive ability.

Attention span

Iron deficiency is specifically associated with poor attention span, and children who are anemic tend to score poorly on vocabulary, reading and other tests.

Ability to focus

Studies have found that children who do not eat breakfast or consume sugary breakfasts had reduced ability to concentrate.

Fatigue

Irritability

ÂŠ2015 United HealthCare Services, Inc.

Children suffering from inadequate protein intake or who consume too many simple carbohydrates may lack energy.

Children who are hungry, dehydrated or suffering from poor nutrition may seem irritable and restless.

Healthy habits Start early

During early childhood, children learn most of their eating habits by example, from their family. That’s why it’s important for family members to ensure that healthy, nutritious foods are available at every meal. By ensuring that your children have access to healthy and nutritious foods, you can help to make sure that your child has the essential nutrients to ensure that they are growing, developing and thriving. A variety of resources are available to help you learn more about helping children to develop healthy eating habits.

Video resources Quick and healthy after-school snacks Healthy school lunches kids will eat Fruits & veggies for kids: How much is enough?

Teaching kids to make healthy choices

Ages 3-7

Ages 7-12

Ages 13-19

Teach children that a colorful plate with a variety of fruits and vegetables is a healthy plate.

Teach children about nutrition basics, how to read food labels, and portion sizes.

Teach adolescents to limit intake of excess sodium and sugar.

56% Of children 8 years of age drink soft drinks daily

ÂŠ2015 United HealthCare Services, Inc.

Dietary guidelines For children

Dietary guidelines for girls

Age

Proteins

Fruits

Vegetables

Grains

Dairy

2-3 Calories 1,000-1,400

2-4 ounces

1-1.5 cups

3-5 ounces

2-2.5 cups

4-8 Calories 1,200-1,800

3-5 ounces

1-1.5 cups

1.5-2.5 cups

4-6 ounces

2.5-3 cups

9-13 Calories 1,400-2,200

4-6 ounces

1.5-2 cups

1.5-3 cups

5-7 ounces

2.5-3 cups

14-18 Calories 1,800-2,400

5-6.5 ounces

1.5-2 cups

2.5-3 cups

6-8 ounces

3 cups

ÂŠ2015 United HealthCare Services, Inc.

Dietary guidelines for boys Age

Proteins

Fruits

Vegetables

Grains

Dairy

2-3 Calories 1,000-1,400

2-4 ounces

1-1.5 cups

3-5 ounces

2-2.5 cups

4-8 Calories 1,200-2,000

3-5.5 ounces

1-2 cups

1.5-2.5 cups

4-6 ounces

2.5-3 cups

9-13 Calories 1,600-2,600

5-6.5 ounces

1.5-2 cups

2-3.5 cups

5-9 ounces

3 cups

14-18 Calories 2,000-3,200

5.5-7 ounces

2-2.5 cups

2.5-4 cups

6-10 ounces

3 cups

ÂŠ2015 United HealthCare Services, Inc.

Childhood eating behavior

Did you know? Increased rates of obesity among children can be directly attributed to poor eating habits and reduced physical activity.

40% Of daily caloric intake for children ages 2-19 is from added sugars such as cookies, candy and soda

2-3 ounces Most kids are not eating the recommended amount of whole grains

2-6 cups Most kids are not getting enough fruits and vegetables

ÂŠ2015 United HealthCare Services, Inc.

Physical activity The importance of exercise

They gotta’ move! To ensure that a child’s body is growing and developing properly, physical activity is key. Children need a minimum of 60

96%

minutes of aerobic activity every day. Children also need time for muscle and

bone strengthening activities at least every other day.

U.S. elementary schools offering no daily physical education CDC, School health policy and programs study, 2006. Journal of School Health, Volume 77,Number 8, October 2007.

Average hours spent on watching TV or using computer daily

UnitedHealthcare and kids DanceDanceRevolution classroom edition

UnitedHealthcare is collaborating with Konami and California Endowment to bring DanceDanceRevolution (DDR) Classroom Edition to a southern California school. The participating school will use the popular dance game to track its impact on student health, well-being and exercise habits. For more information visit: www.ddrclassroomedition.com.

ÂŠ2015 United HealthCare Services, Inc.

UnitedHealthcare and kids JOIN for MESM

JOIN for MESM is a first-of-its-kind, wholefamily program to fight childhood obesity that engages kids who struggle with extra weight, along with their parents, in a series of group sessions to achieve healthier weights through healthier family food choices, increased activity, and lifestyle improvement tracking. Each session is built on the framework of group support, learning practical strategies and implementing change in a familyâ&#x20AC;&#x2122;s everyday life. JOIN for ME was developed by the UnitedHealth Center for Health Reform and Modernization.

In the original proof-of-concept study, JOIN for ME partnered with the YMCA of the USA and the YMCA of Greater Providence, R.I. The study demonstrated that the combination of whole-family engagement helped participants achieve significant reductions in extra weight. After six months, 84 percent of the 155 participants completed the full program and

achieved, on average, a 3.5-percent reduction in extra weight. Equally promising is that parents of participants also lost weight in the study, opening the door for new wellness models that engage the entire family. ÂŠ2015 United HealthCare Services, Inc.

The program is currently available in select markets. For more information call: 1-877-554-3755

We Can! Helping children stay at a healthy weight

Take the fit family pledge! We Can! (Ways to Enhance Children's

Activity & Nutrition), developed by the National Institutes of Health, is a national movement designed to give parents, caregivers, and entire communities a way to help children 8 to 13 years old stay at a healthy weight.

Download the fit family pledge Visit the We Can! website

ÂŠ2015 United HealthCare Services, Inc.

Family fitness Going social!

Involve family and friends from your community Everyone needs regular exercise. What could be more fun than to set aside some time every day for fitness with friends and family? Take it to the park, get outdoors, dive in! Your relationships will benefit, and so will your health. Does your community struggle with obesity? Do you live in a rural area or inner city? Fitness opportunities are everywhere. Use these tools to get your whole community on the move!

Explore more National Get Outdoors Day Recreation.gov OptumizeMe

ÂŠ2015 United HealthCare Services, Inc.

ONLINE TOOLS Get your claim and benefit information fast

Click or touch the New User link to register.

Registering for online service is as easy as 1-2-3 1 Be sure to have your member ID card handy. 2 Visit umr.com and click New user, Register here. 3 Follow the on-screen prompts to complete your registration.

ÂŠ2015 United HealthCare Services, Inc.

Online tools Go mobile! Visit our mobile site

On the go? Visit umr.com on your mobile device.

ÂŠ2015 United HealthCare Services, Inc.

Online tools Optumize me

Challenge yourself and your friends

opponents. You can post your

to better health! Getting healthier can

progress to Facebook. You can

be a challenge. Let OptumizeMe

make it high stakes by rewarding the

help make it fun. With OptumizeMe,

winner with whatever prize you think

you can challenge friends, family, co-

would make the challenge worth

workers and even total strangers to

winning. Best of all, you can make it

contests designed to help everyone

fun. When challenges become fun,

get healthy.

goals become realities. That’s what healthy is all about.

Who can walk the most steps? Who can be first to run 100 miles? Who can eat 6 servings of vegetables a day? You can create your own health challenges based on your personal interests or you can pick from our list of existing health challenges. You can even join others’ challenges and then the fun really begins!

OptumizeMe is an app that is built around the power of social

Get the app: OptumizeMe app

networking. You can invite friends, family or the entire state to be a part of your challenge. You can motivate your teammates or you can trash talk your

Getting care What you need to know and where to go

Retail clinic/convenient care clinic Retail clinics, sometimes called convenient care clinics, are located in retail stores, supermarkets and pharmacies.

When to go: •

Colds or flu

•

Vaccinations or screenings

•

Sinus infections

•

Allergies

•

Minor sprains, burns or rashes

•

Headaches or sore throats

Wait time to expect 15 minutes or less (on average)

Cost $50-$100 (approximate cost per service for non-employer sponsored facilities)

Urgent care Urgent care centers, sometimes called walk-in clinics, are often open in the evenings and on weekends.

When to go: • • • • • • •

Sprains and strains Mild asthma attacks Sore throats Minor broken bones or cuts Minor sprains, burns or rashes Minor infections or rashes Earaches

Wait time to expect 20-30 minutes (approximate wait time)

Cost $150-$200 average cost (for nonemployer sponsored facilities)

Getting care What you need to know and where to go

Your member ID card is your starting point for getting the care you need. Finding a provider On the back of your member ID card, youâ&#x20AC;&#x2122;ll find your PPO network contact number and your pharmacy contact (if applicable).

You can also find a provider near you by visiting our Web site at www.umr.com.

Emergencies IMPORTANT: If you are severely ill and/or this is an emergency, call 911.

Not sure where to go? Where you go for medical services can make a big difference in how much you pay and how long you wait to see a health care provider. Explore the following information to help you decide the appropriate setting for your care.

ÂŠ2015 United HealthCare Services, Inc.

Getting care What you need to know and where to go

Your doctor’s office Seeing your doctor is important. Your doctor knows your medical history and any ongoing health conditions.

When to go: • •

Preventive services and

Wait time to expect

vaccinations

1 week or more (approximate wait time for an appointment)

Medical problems or symptoms that are not an immediate, serious threat to your health or life

Cost $100-$150 average cost

Emergency room Visit the ER only if you are badly hurt. If you are not seriously ill or hurt, you could wait hours and your health plan may not cover non-emergency ER visits.

When to go: •

Sudden change in vision

•

Sudden weakness or trouble talking

Wait time to expect

•

Large open wounds

•

Difficulty breathing

3-12 hours (approximate wait time for non-critical cases)

•

Severe head injury

•

Heavy bleeding

•

Spinal injuries

•

Chest pain

•

Major burns

•

Major broken bone

Cost $1200-$1500 average cost

Need some ideas for dinner? Log in to umr.com and visit the health center to find healthy recipes and cooking videos.

ÂŠ2015 United HealthCare Services, Inc.

Chronic conditions Manage your condition

Diabetes resources American Diabetes Association

Lung health resources Build Your Defense Against Respiratory Infections

Keep on Track with Diabetes American Lung Association Carbohydrate Counting for Diabetes Management Eating Out Can Be Fun and Easy Even with Diabetes

National Heart, Lung, and Blood Institute Asthma and Allergy Foundation of America

What is the A1c test?

Mental health resources Tips for Managing Stress Depression Self-Assessment National Alliance on Mental Health

Cancer resources American Cancer Society Cancer resources and information From the Department of Health and Human Services Colonoscopy: The Gold Standard for Cancer Screening

ÂŠ2015 United HealthCare Services, Inc.

Chronic conditions Manage your condition

Heart health resources By getting physical and being active for 30 minutes a day, you can reduce your risk and

help build a strong and healthy heart. Follow these steps to reduce your risk: 1. Calculate your risk Calculate Your 10-Year Risk of Heart Attack 2. Get your life assessment with My Life Check from The American Heart Association

Take the Assessment 3. Eat healthy and watch your weight Heart Healthy Recipes

ÂŠ2015 United HealthCare Services, Inc.

En Español

Cómo obtener atención

Recursos Seleccionar un médico de atención primaria Médicos de Atención Primaria Conocer sus números Conocer sus números Tomar sus medicamentos Apéguese a su guión Mis medicamentos diarios Obesidad en niños Otros nombres: Obesidad infantil

For kids

From UnitedHealthcare Children’s Foundation

The New "Oliver & Hope's Superhero Saturday" Storybook is Here! Imagination takes flight when Oliver the bear, Hope the butterfly and Millie the barn owl join their friend Charlotte the fox on a superhero adventure! Bring them home,

straight from the pages of UnitedHealthcare Children's Foundation's (UHCCF) newest storybook, “Oliver & Hope’s Superhero Saturday”. This book is the highly anticipated follow-up to the first two award-winning books in the Oliver & Hope ™ series: "Oliver & Hope's Amusing Adventure," and "Oliver & Hope's Adventure Under the Stars." Find these books and stuffed animal characters on our website. Proceeds support new UHCCF medical grants for kids.

Cooking together A kid-friendly recipe for little hands

Cooking with kids Fruit and dessert kabobs

ÂŠ2015 United HealthCare Services, Inc.