1. Choosing Healthy Beverages Rethink Your Drink Lesson Overview Feb 28, 2014

2. The Rethink Your Drink Team Jackie Richardson Campaign Lead Suzanne Morikawa Marketing Specialist Tara Vang Marketing Specialist

3. Knowles Principles of Adult Learning http://elearningindustry.com/the-adult-learning-theory- andragogy-of-malcolm-knowleshttp://elearningindustry.com/the-adult-learning-theory- andragogy-of-malcolm-knowles Accessed February 20, 2014 Image Credit: Accessed 2/25/2014 http://constructivismetec522.pbworks.com/f/1256512795/adults%20need.jpg http://constructivismetec522.pbworks.com/f/1256512795/adults%20need.jpg

4. 8 Traits of Adult Learners 1. Self-Direction 2. Practical & Results Oriented 3. Less Open-Minded 4. Slower Learning, but More Integrative Knowledge http://elearningindustry.com/8-important-characteristics-of-adult- learnershttp://elearningindustry.com/8-important-characteristics-of-adult- learners 8 Important Characteristics of Adult Learners; Published in Concepts May 8 2013. Accessed Feb. 20, 2014 Photo Credit: http://www.learningpool.com/building-communities- crashcourse-101/http://www.learningpool.com/building-communities- crashcourse-101/

5. 8 Traits of Adult Learners 5.Personal Experience as a Resource 6. Motivation 7. Multi-level Responsibilities 8. High Expectations http://elearningindustry.com/8-important-characteristics-of-adult- learnershttp://elearningindustry.com/8-important-characteristics-of-adult- learners 8 Important Characteristics of Adult Learners; Published in Concepts May 8 2013. Accessed Feb. 20, 2014 Photo Credit: http://teachingwithtech.lss.wisc.edu/images/thinkingcapwhoa.gif http://teachingwithtech.lss.wisc.edu/images/thinkingcapwhoa.gif

6. Adult Learners Commit to Learning when …. Resist Learning when…. Need…..

7. Lesson Agenda 5 minutesWelcome and Introductions 5 minutesMyPlate Overview 5 minutesRethink Your Drink Campaign 10 minutesSugary Drinks Overview 20 minutesNutrition Label Reading Lesson & Activity 5 minutesDo You Remember? 5 minutesReflection 5 minutesClosing and Home Connection 60 minutes

8. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

9. Welcome and Introductions Introduce yourself. Share a short professional background and a bit about your organization. Optional: Ask the participants to introduce themselves.

10. Lesson Objectives By the end of this lesson, participants will be able to: Describe how healthy beverages fit into the MyPlate dietary recommendations; Understand the link between sugary drinks, obesity, and type 2 diabetes; Identify types of sugary drinks in their diets; Calculate the amount of sugar in beverages they commonly drink; Identify drinks with less or no added sugar.

11. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

12. MyPlate Overview Make Half Your Plate Fruits & Vegetables

13. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

14. Rethink Your Drink Campaign Educates about healthy drinks Helps people identify the amount of added sugar and calories in sugary drinks Communicates the link to health risks.

15. Rethink Your Drink Campaign Provides nutrition education and skills, such as label reading, to help people make healthy beverage choices. Encourages a shift towards healthier beverage choices: –Water –Fat free or lowfat 1% milk –and 100% juice in limited amounts

16. Key Messages Drink water instead of sugary drinks Make the switch to fat-free or lowfat (1%) milk. Select 100% fruit juice, in limited amounts (children 4-6 oz./day, adults up to 8 oz./day). The 2010 Dietary Guidelines for Americans

17. Poll What is your level of experience with the Rethink Your Drink Campaign? __ Novice (0-1yr) __ Intermediate (>1yr and <3 yrs) __ Advanced (>3yrs)

18. Why Rethink Your Drink? Related Health Consequences Extra calories from added sugar—like those in sugary drinks—can and do contribute significantly to overweight and obesity. In fact, sugary drinks are the largest source of added sugar in the American diet. 1 1. Guthrie JF, Morton JF. Food sources of added sweeteners in the diets of Americans. J Am Diet Assoc. Jan 2000;100(1):43-51

19. Health Consequences Sugary drinks contribute to increased risk for certain chronic diseases such as type 2 diabetes and heart disease. 2,3 2.Malik VS, Popkin BM, Bray GA, Despres JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care. Nov 2010; 33(11):2477-2483. 3.Fung TT, Malik V, Rexrode KM, Manson JE, Willett WC, Hu FB. Sweetened beverage consumption and risk of coronary heart disease in women. Am J Clin Nutr. Apr 2009;89(4):1037-1042.

20. Health Consequences Drinking sugary drinks nearly doubles the risk of dental cavities in children. 4 4. Sohn W, Burt BA, Sowers MR. Carbonated soft drinks and dental caries in the primary dentition. J Dent Res. Mar 2006;85(3):262-266.

21. Health Consequences Strong evidence shows that children and adolescents who consume more sugary drinks have higher body weight compared to those who drink less. 5 5. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. Washington, DC: U.S. Government Printing Office; December 2010.

22. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

23. What are sugary drinks? Name some sugary drinks in your diet. The number of types of sugary drinks is amazing!

24. Sugary Drinks Overview In California: 62% of adolescents 41% of children 24% of adults Drink one or more sodas per day. 6 6. Babey SH, Jones M, Yu H, Goldstein H. Bubbling over: Soda consumption and its link to obesity in California. Los Angeles, CA: UCLA Center for Public Health Advocacy; 2009.

25. Sugary Drinks Overview Each year, the average California adolescent consumes the equivalent of 39 pounds of sugar from sugary drinks. 6 6. Babey SH, Jones M, Yu H, Goldstein H. Bubbling over: Soda consumption and its link to obesity in California. Los Angeles, CA: UCLA Center for Public Health Advocacy; 2009.

26. Sugary Drinks Overview Adults who drink one or more sugary drinks a day are 27% more likely to be overweight than adults who do not drink sugary drinks. 6 5. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. Washington, DC: U.S. Government Printing Office; December 2010.

27. Sugary Drinks Overview Strong evidence shows that children and adolescents who consume more sugary drinks have higher body weight compared to those who drink less. 5 5. U.S. Department of Agriculture and U.S. Department of Health and Human Services. Dietary Guidelines for Americans, 2010. Washington, DC: U.S. Government Printing Office; December 2010.

28. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

29. How many teaspoons of sugar do you think is in a typical 20 ounce bottle of soda? Answer: 17 teaspoons of sugar – or more.

30. Reading a Nutrition Facts Label What is the serving size listed in the Nutrition Facts label? Answer: 20 fluid ounces. How many servings per container are listed in this Nutrition Facts label? Answer: One serving.

31. Reading a Nutrition Facts Label How much sugar is listed? Answer: 68 grams of sugar. How many teaspoons is that?

32. Calculating Teaspoons Grams of sugar ÷ 4 = teaspoons of sugar 68 grams of sugar ÷ 4 = 17 teaspoons of sugar Note that this is per serving.

33. How much is in the whole container? Teaspoons of sugar per serving x Servings in container = Teaspoons of sugar in container For example: 17 teaspoons of sugar x 2 servings in container =34 teaspoons of sugar in the container.

34. Use it for all foods and drinks! These same calculations work on food. You can do this with any Nutrition Facts label.

35. Reading the Ingredients List Sugar comes in many forms and has many names. Though not listed separately on the Nutrition Facts label, many drinks contain two types of sugar: naturally occurring sugar and added sugar.

36. Naturally Occurring Sugar Naturally occurring sugars are found naturally in fruits and milk. These sugars are part of the overall healthy package of nutrients that these foods provide.

37. Naturally Occurring Sugars Fructose Lactose Maltose Glucose (aka dextrose) Sucrose

38. Added Sugar Added sugars add calories but no nutrients. Added sugars are found mainly in processed foods and drinks.

39. Names of Added Sugar Invert sugar Corn syrup High fructose corn syrup Malt syrup Maple syrup Brown sugar Raw sugar Honey Maltodextrin Molasses

40. One way to know if there is sugar (added, natural, or both) is to read the Ingredients List on the label. Tip: If a type of sugar is in the first three ingredients, the product is likely to have a lot of added sugars.

41. Label Reading Activity In pairs or small groups, please fill in the How Much Sugar? worksheet. When completed, one participant from each group will come to the front: Share the information on worksheet; Measure out the number of teaspoons of sugar into the baggies/cups.

42. Was anyone surprised by the amount of sugar in any of the beverages? Did it seem like there was a lot of sugar in some of the beverages? Would you eat that amount of sugar or put that much into your coffee each day?

43. What can I drink instead of a sugary drink? Try these… Water – Plain or flavored with added fruit, vegetables and herbs, like we have available today Unsweetened seltzer water or unflavored sparkling water Unsweetened tea (iced or hot) Unsweetened coffee (iced or hot) Fat-free or low-fat (1%) unflavored milk

44. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

45. Do you remember? How many teaspoons of sugar is in a typical 20 ounce bottle of soda? A: 17 teaspoons of sugar – or more.

46. Do you remember? How do you calculate the number of teaspoons of sugar in a beverage? Answer: Grams of sugar ÷ 4 = teaspoons of sugar

47. Do you remember? Bonus: How do you calculate the total teaspoons of sugar in a container? Answer: Multiply teaspoons of sugar x the total servings in the container.

48. Do you remember? True or False Adults and children who drink one or more sugary drinks a day are more likely to be overweight or obese. Answer: True

49. Do you remember? Instead of a sugary drink, name another beverage you can drink. Answers: Water – plain or flavored with added fruit, vegetables and herbs Unsweetened seltzer water or unflavored sparkling water Unsweetened tea (hot or iced) Unsweetened coffee (hot or iced) Fat-free or low fat (1%) unflavored milk

50. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

51. Reflection How will you use what you learned here today?

52. Presentation Overview Welcome and Introductions MyPlate Overview Rethink Your Drink Campaign Sugary Drinks Overview Nutrition Label Reading Lesson & Activity Do You Remember? Reflection Closing and Home Connection

53. Activities to do at home Think of the foods and drinks you most commonly have at home. Are there any that you feel may be high in added sugar? Use the Nutrition Facts Scavenger Hunt worksheet to check the Nutrition Facts labels.

54. Calculating How Much Sugar is in a Container Take this worksheet home with you and practice the skills that we learned today: Read the Ingredients list. Find the amount of sugars per serving on the Nutrition Facts label. Multiply the sugars per serving by the number of servings you typically eat or drink in a sitting. Calculate the teaspoons of sugar in that food or drink.

55. Tips for Trainers Displays Online Resource links Rethink Your Drink Campaign contacts

56. Displays to Accompany your Lesson Focus on one topic Possible topics: Sugar – types and names Sugary Drink Labels Water Tips (flavored water recipes, tips to make drinking water easier, etc.)

57. Sample Displays

58. Rethink Your Drink Campaign On CDPH Website http://www.cdph.ca.gov/programs/Pages/RethinkYourDrink.aspx Resources Curriculum Summary Guidance Orientation Presentation

59. Rethink Your Drink Campaign Curriculum Web Page

60. Resources Available State RYD Team –General Technical Assistance –Fact Checking / Materials Review –State Resources Research & Evaluation –Assisting with Data –Special Evaluation Projects –Impact/Outcome Activities Project Officer – Approvals – Reporting Direction – Linkage with Other Projects Brown Miller Communications –Public Relations Technical Assistance

61. For CalFresh information, call 1-877-847-3663. Funded by USDA SNAP-Ed, an equal opportunity provider and employer. Visit www.CaChampionsForChange.net for healthy tips. www.CaChampionsForChange.net Thank You Jackie Richardson Jackie.Richardson@cdph.ca.gov (916) 449-5398 Tara Vang Tara.Vang@cdph.ca.gov (916) 324-1173 Suzanne Morikawa Suzanne.Morikawa@cdph.ca.gov (916) 449-5420