Linking Language Arts and Nutrition Lessons and Resources for Integrated Instruction GRADE FOUR The Incredible Nutrient Eating Kid Acknowledgments Linking Language Arts and Nutrition was developed by the California Healthy Kids Resource Center with funding by the California Department of Public Health, Network for a Healthy California. The contents do not necessarily reflect the position or policy of the California Department of Public Health. Project Administration Deborah Wood, Ph.D., Executive Director (Retired) California Healthy Kids Resource Center Nora Zamora, M.S., Interim Executive Director California Healthy Kids Resource Center Christine Bilbrey, M.S., R.D., C.L.E. Network for a Healthy California Cancer Control Branch California Department of Public Health Project Coordinator Jacquelyn Russum, M.P.H., R.D., Program Manager California Healthy Kids Resource Center Writers Lily Jones, M.A. North Oakland Community Charter School Kathleen McDougall, M.A. Principal, San Ramon Elementary Reviewers and Teacher Consultants Juliet Jones, Novato Unified school District Serian Strauss, North Oakland Community Charter School Kay Rodrigues, Lesson Editor California Department of Public Health Network for a Healthy California 1616 Capitol Avenue, Suite 74.516, MS 7204 Sacramento, CA 95814 Phone: (916) 449-5400 Web site: http://networkforahealthycalifornia.net © 2011, California Department of Public Health. This material may not be reproduced or disseminated without prior written permission from the California Department of Public Health. This material was produced by the California Department of Public Health’s Network for a Healthy California with funding from USDA SNAP, known in California as CalFresh (formerly Food Stamps). These institutions are equal opportunity providers and employers. CalFresh provides assistance to low-income households and can help buy nutritious foods for better health. For CalFresh information, call 1-877-847-3663. For important nutrition information, visit www.cachampionsforchange.net. . Grade FOUr The Incredible Nutrient eating Kid acTIvITy OvervIew • ThislessonbeginswithareadaloudofThe Incredible Book Eating Boy.Inthisbook,theprotagonist eatsbooks:Themorebooksheeats,thesmarterhegets. • Studentswillusethisbookasamodeltowritetheirown“IncredibleNutrientEatingKid”books.Each studentwillchooseanutrienttoresearchandwillgatherinformationabouthis/hernutrientbyreading thefactsheetsincludedwiththislesson. • Eachstudentwillcreateabookthatillustrateswhathappenswhenachildeatsalotofaparticular nutrient.Astudentmay,forexample,create“TheIncredibleCalciumEatingGirl”aboutagirlwhoeats foodsrichincalciumanddevelopsstrongbones. READING/LANGuAGE ARts GoAL Studentswillreadinformationaltextanduseinformationfromtwotextstohelpthemwriteafictionalbook withwell-researchedfacts. NutRItIoN GoAL StudentswillunderstandthebenefitsofconsumingvitaminsAandC,fiber,andcalcium. HomE CompoNENt Studentssharetheir“IncredibleNutrientEatingKid”bookswiththeirfamilyandtalkaboutwaystoinclude foodsthatcontaincalcium,vitaminA,vitaminC,andfiberatmeals. stANDARDs AND skILLs suppoRtED IN tHIs LEssoN • California’s Common Core Content standards for English Language Arts GradeFour ReadingStandardsforInformationalText:IntegrationofKnowledgeandIdeas •7 Interpretinformationpresentedvisually,orallyorquantitativelyandexplainhowthe informationcontributestoanunderstandingofthetextinwhichitappears. •9 Integrateinformationfromtwotextsonthesametopicinordertowriteorspeakaboutthe subjectknowledgeably. WritingStandards:TextTypesandPurposes •3 Writenarrativestodeveloprealorimaginedexperiencesoreventsusingeffectivetechnique, descriptivedetails,andcleareventsequences. SpeakingandListeningStandards •4 Reportonatopicortext,tellastory,orrecountanexperienceinanorganizedmanner,using appropriatefactsandrelevant,descriptivedetailstosupportmainideasorthemes;speak clearlyatanunderstandablepace. LinkingLanguageArtsandNutrition 1 • California Health Education Content standards NutritionandPhysicalActivityContentArea‒FourthGrade Standard1:EssentialConcepts •1.1.N Identifyanddefinekeynutrientsandtheirfunctions. Standard5:DecisionMaking •5.1.N Describehowtouseadecision-makingprocesstoselectnutritiousfoodsandbeverages. Standard7:PracticingHealth-EnhancingBehaviors •7.3.N Identifywaystoestablishandmaintainhealthyeatingpracticesconsistentwithcurrent research-basedguidelinesforanutritionallybalanceddiet. CRoss-DIsCIpLINARy skILLs •Researching •Organizing •Summarizing •Communicatinginformation MaTerIals Needed • NutrientFactSheets(twofactsheetsforone nutrientforeachstudent) • “TheIncredibleNutrientEatingKid”planning page(oneperstudent) • The Incredible Book Eating Boy byOliver Jeffers(one) • “TheIncredibleNutrientEatingKid”reflection page(oneperstudent) • Writingpaper(tenpiecesperstudent) • Pencils(oneperstudent) • “NutrientResearch”worksheet (oneperstudent) • Crayonsormarkers (oneboxperfourstudents) pREpARAtIoN tImE • 10minutes pREpARAtIoN ACtIvItIEs • Printoutthefactsheetsandstaplethemtogether.Eachstudentwillreceivefactsheetsforeachofthe fournutrients. ACtIvIty tImE • 220minutes Thisactivitycanbedividedintofourclassperiods: •Day1-Warm-UptoActivity(60minutes) •Day2-Activity(60minutes) •Day3-Activity(60minutes) •Day4-ActivityResultstoClosing(40minutes) LinkingLanguageArtsandNutrition 2 BACkGRouND Adietrichinfruitsandvegetablesprovidesnutrients,suchasvitamins,minerals,andfiber.These nutrients,especiallyvitaminsAandChelptokeepeyesandskinhealthy,maintainhealthyblood pressure,healcutsandwounds,andperformmanyotherfunctions.Fourthgradersmayhaveabasic understandingaboutwhatitmeanstoeathealthybutmaynotunderstandhowhealthyfoodscontain nutrientsthatkeepourbodiesfunctioningwell.Thislessonintroducesstudentstoseveralimportant nutrients:calcium,fiber,vitaminA,andvitaminC. RECommENDAtIoNs TheDietary Guidelines for Americans, 2010 recommendsthatfourthgradechildreneat3½to5½ cupsoffruitsandvegetableseachday.Onlyaboutone-thirdofchildreninCaliforniaactuallymeet thisrecommendation. tEACHING tIps • Writingthebook,The Incredible Nutrient Eating Kid,maylastlongerthanoneclassperiod.If necessary,extendthisportionofthelessontolastmorethanoneday. • Studentscanhavetheoptionofwritingeitherapictureorcomicbook. • Studentsmaybenefitfromtheavailabilityofhighlightersduringthislesson.Ifpossible,encourage studentstohighlightimportantinformationastheyreadthetext. • Ifthereisacomputerlabatyourschool,studentscandoonlineresearchabouttheirnutrients(see resourceWebsiteslistedbelow).Ifyouallowstudentstousecomputers,teachthemhowtofind reliablesources.Tellthemthatifthesameinformationispresentedbytwoseparatesources,this informationismorelikelytobereliablethaninformationfoundonjustonesource. • Itwouldbegreattodothislessoninconjunctionwithorafteraunitonthehumanbody.Ifstudents havethebackgroundknowledge,youmaywanttoreviewwhattheyhavelearnedaboutthedigestive systemandhownutrientsareabsorbedintothebloodstream. • Strugglingreaderscanbepairedupwithabuddyorworkinasmallgroupduringtheresearchportion ofthislesson. voCABuLARy Calcium –Amineralfoundindairyandotherfoods,suchaslow-fatmilkandyogurt.Ithelpstobuild strongbonesandteethandhelpsmuscleswork. Fiber –samedefinition. Nutrient –Asubstancethatprovidesnourishmentforgrowthandgoodhealth. vitamin A –Anutrientthathelpsgrowth,sight,healthyskin,andhelpstheimmunesystemfight offinfections. vitamin C –Anutrientthatkeepsgumshealthy,helpswoundsheal,andhelpstheimmunesystem workproperly. stEps FoR CLAssRoom ACtIvIty Warm-up (10minutes) • ReadThe Incredible Book Eating Boy aloudtotheclass. LinkingLanguageArtsandNutrition 3 Before the Activity (10 minutes) • Ask students the following comprehension questions: What happened to Henry when he first started eating books? What happened In the middle of the story? What happened at the end? Do you think Henry got smarter from eating books or reading books? • Tell students that by eating fruits and vegetables they provide their bodies with vitamins and minerals. Ask students if they know of any vitamins or minerals. Call on several students to share their knowledge with the class. If possible, encourage students to share the benefits of each vitamin and mineral that is mentioned. Tell students that vitamins and minerals are nutrients that have different roles to help to keep our body healthy and functioning properly. • Use the vocabulary definitions to explain the roles of calcium, fiber, and vitamins A and C, to one’s physical well being. Activity (220 minutes) Day 1 (40 minutes) • Tell students that they will each be researching an important nutrient – calcium, fiber, vitamin A, or vitamin C. Using The Incredible Book Eating Boy as a model, each student will create their own “The Incredible Nutrient Eating Kid” book. For example, a student may create “The Incredible Calcium Eating Girl” about a girl who eats foods that contain the recommended amounts of calcium and develops strong bones. • Tell students they can choose to create a picture or comic book. • Explain that each student will research their nutrient using information from two sources. • Ask students to choose which nutrient they would like to research. As much as possible, try to have an equal number of students researching each nutrient. • After students have decided which nutrient to research, give each student the two fact sheets for their selected nutrient, a highlighter (optional), and a “Nutrient Research” worksheet. • Explain that each fact sheet is one source for their research. They will use information from the fact sheets to prepare for writing their book. Review the “Nutrient Research” worksheet and the questions they will answer to help them write their books. Instruct students to read the text from each source (fact sheet) and to highlight information that is interesting and that they will use to complete the “Nutrient Research” worksheet. Day 2 (60 minutes) • Explain that today students will begin writing their “Incredible Nutrient Eating Kid” books. • Tell students that authors plan out their books before they start writing them. Distribute “The Incredible Nutrient Eating Kid” planning pages and review the questions that the students will answer. Remind students that in number three, the result of eating foods with the selected nutrient should be related to the real benefits of the nutrient. For number four, students can include an imaginary timeframe, however the benefits of most nutrients occur over time. Have students fill in their planning pages. • When students are done with their planning pages, they may start writing their books. Tell students to use their planning pages and The Incredible Book Eating Boy as resources while they write their books. • Distribute writing paper and use the entire class period for writing. Encourage students to include realistic, detailed illustrations in their books. Linking Language Arts and Nutrition 4 Day 3 (60 minutes) • Have students continue to work on their books. If students complete their assignments early, encourage them to reread and revise/edit their work. Day 4 (40 minutes total) Activity Results (25 minutes) • Pair students up and have them swap books. Have students read their partners’ books. Ask students to provide their partners with at least three pieces of detailed positive feedback about their books. • Have volunteers read an entire page of their book in front of the class. Encourage students to read loudly and slowly. Language Arts/Nutrition Discussion (10 minutes) • Have students share what they learned from each other’s books. • Ask students to explain what happens when we eat calcium, vitamin A, vitamin C, and fiber. • Ask students to give examples of foods that contain calcium, vitamin A, vitamin C, and fiber. Have students put their hand up to indicate interest in trying each food. • Have students complete “The Incredible Nutrient Eating Kid” Reflection Page. Closing (5 minutes) • Have students refer to their responses to number three on “The Incredible Nutrient Eating Kid Reflection Page.” Ask students to share some of the ways they will try to get enough of these important nutrients each day. • Practice asking family members for foods that contain calcium, vitamin A, vitamin C, and fiber using the following sentence frame, “I would like to eat ______________ (specific food) because it contains______________ (nutrient) which will help my body ______________ (specific benefit of eating this nutrient).” • Encourage students to put their “Incredible Nutrient Eating Kid” books in the classroom library or display the books elsewhere in the class or school. • Have students refer to their responses to number four on “The Incredible Nutrient Eating Kid Reflection Page.” Ask students why including other foods that may not be rich sources of these four nutrients is also important. (Responses may include: There are other nutrients that our bodies need that are provided by a variety of other foods. Eating too many foods with only these four nutrients may provide too much of these four nutrients and not enough of other nutrients needed for good health.) Assessment • Collect “The Incredible Nutrient Eating Kid” planning and reflection pages along with your students’ books. Assess how much each child learned about his/her nutrient and how that information was communicated through his/her book. Linking Language Arts and Nutrition 5 IDEAs AND REsouRCEs FoR ExtENDING tHE LEssoN Theactivitieslistedbelowincluderesourcesthatareavailableforfree,four-weekloanfromtheCalifornia HealthyKidsResourceCenter(CHKRC).AdditionalnutritionandphysicalactivityDVDs,curricula, references,anddisplayscanalsobeborrowed.Toordermaterialsorforotherresourcesuggestions, checktheCHKRCWebsiteathttp://www.californiahealthykids.org orcalltollfree(888)318-8188. Activity Setupatimeforstudentstosharetheirbookswithanotherclassroom.Thiscouldbe agreatbuddyreadingopportunityforyourstudentstoreadtheirbookstoyounger students.Havestudentbuddiesbrainstormfoodsthataregoodsourcesfortheirnutrient, includingHarvest of the Month fruitsandvegetables.Withtheirbuddytheyplannutrientrichsnacksandagreetohelponeanothermakechoicesthatincludefoodsourcesofthe nutrienteachday. Resource Harvest of the Month (CHKRCID#5798)oraccessotherHarvest of the Month resources onlineathttp://www.harvestofthemonth.com standards English Language Arts ReadingforInformationalText IntegrationofKnowledgeandIdeas9 Health EssentialConcepts Grade41.1.N WritingStandards TextTypesandPurposes3 PracticingHealth-EnhancingBehaviors Grade47.3.N SpeakingandListening4 HealthPromotion Grade48.1.N Activity Asaclass,studentslistbarrierstofruitandvegetableconsumptionandphysicalactivity, particularlyinthehomeenvironment.Usingscenariosprovided,studentsbrainstorm waystoadvocaterespectfullyforhealthierchoices.Includehavingstudentswritealetter tofamilymembersrequestingnutrient-richfruitsandvegetablesandexplainingthe healthbenefitsofeatingthenutrient. Resource Children's Power Play! Campaign - School Idea and Resource Kit,Grade4(#1364)– Activity10:HealthierPlease! standards English Language Arts WritingStandards TextTypesandPurposes3 SpeakingandListening4 LinkingLanguageArtsandNutrition Health EssentialConcepts Grade41.1.N,1.3.N InterpersonalCommunication Grade47.3.N 6 REsouRCE WEB sItEs AND REFERENCEs HarvardSchoolofPublicHealth,NutritionSource– http://www.hsph.harvard.edu/nutritionsource LearnaboutMyPlate,healthydrinks,saltandsodiuminfood,andothernutrientsRecipesandanswers tonutritionquestionsarepostedonthisonlineresource. HarvestoftheMonth– www.harvestofthemonth.com AccessnutritionandseasonalinformationaboutfreshCaliforniaproduce,aswellasnewslettersfor educators,parents,andfoodserviceprofessionalsforthisNetwork for a Healthy California Website. KidsHealth–http://kidshealth.org Findhealthinformationandadviceforchildren,teens,andfamiliesprovidedbyTheNemours Foundation'sCenterforChildren'sHealth. MyPlate–http://www.ChooseMyplate.gov Thisonlineresource,fromtheUnitedStatesDepartmentofAgriculture,featurespersonalizedeating plans,interactivetools,classroommaterials,posters,brochures,andadviceformakingfoodchoices fromeveryfoodgroup. NutrientsinFood,UniversityofMassachusetts– http://www.umass.edu/nibble/infolist.html Findbriefdescriptionsofavarietyofnutrients,foodsources,andsuggestionsforincludingthem eachday. OfficeofDietarySupplements,NationalInstitutesofHealth– http://ods.od.nih.gov/factsheets/list-VitaminsMinerals Findfactsheetsthatgiveanoverviewofdifferentvitamins,minerals,andotherdietarysupplements. Therearetwoversions– HealthProfessionalandQuickFacts.Bothversionsprovidethesametypes ofinformationbutvaryinthelevelofdetail.QuickFactsareavailableinSpanish. LinkingLanguageArtsandNutrition 7 Nutrient Research Name:____________________________________ 1.Whatnutrientdidyouresearch? 2.Whattwosourcesdidyouuseforyourresearch? 3.Whyisitimportanttoconsumethisnutrient? 4.Listatleastfivefoodsthatyouwouldliketoeatthataregoodtoexcellentsourcesforthisnutrient. 1) 2) 3) 4) 5) 5.Howmuchofthisnutrientisrecommendedforyoueachday?________Wouldeatingthesefivefoodsinonedayreach thetotalyouneed?____Ifnot,whatcouldyouadd?___________________. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 8 The Incredible Nutrient Eating Kid planning page Name:____________________________________ 1.Whatwillyounameyourmaincharacter? 2.Whatnutrientwillyourmaincharactereat? 3.Whatwillhappentoyourcharacterwhenhe/sheeatsthisnutrient? 4.Howsoonwillyourcharacternoticetheeffectsofeatingthisnutrient? 5.Howwillyourstoryend? ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 9 The Incredible Nutrient Eating Kid Reflection page Name:____________________________________ 1.Whatnutrientdidyouresearch? 2.Whatdidyoulearnaboutthisnutrient? 3.Howareyougoingtomakesureyoueatenoughofthisnutrient? 4.Whyisitimportanttoeatfoodsthatarerichinthisnutrientaswellasotherfoodsthatmaynotbeagoodsourceof thisnutrient? ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 10 Nutrient Fact Sheets calcium (Source1) WHAt Is CALCIum AND WHAt DoEs It Do? Thereismorecalciuminthebodythananyothermineral.Thebodyneedscalciumforstrongbonesandteeth.Calciumis especiallyimportantforchildrenwhenbonesaregrowingthefastest.Calciumisalsoimportantformusclestomoveand fornervestocarrymessagesbetweenthebrainandeverypartofthebody. HoW muCH CALCIum Do I NEED? Theamountofcalciumyouneedeachdaydependson yourage.Theaveragerecommendedamountsofcalcium forchildrenareshowninchartbyageandinmilligrams(mg): Age (years) Calcium Amount in milligrams (mg) Children4to8years 1,000mg Children9to13years 1,300mg WHAt FooDs pRovIDE CALCIum? Calciumisfoundinmanyfoods.Youcangetrecommendedamountsofcalciumbyeatingavarietyoffoodsthatinclude: Good and Excellent sources Food and Amount Fair Calcium sources Calcium in milligrams (mg) Plainyogurt,non-fat,8-ozcontainer.......452 Plainyogurt,low-fat,8-ozcontainer .......415 Calciumfortifiedbeverages (soy,rice,almond),1cup ...............368 Fruityogurt,low-fat,8-ozcontainer .......345 Swisscheese,1.5oz ..................336 Ricottacheese,partskim,½cup .........335 Sardines,Atlantic,inoil,drained,3oz .....325 PasteurizedprocessAmerican cheesefood,2oz .....................323 Provolonecheese,1.5oz ...............321 Mozzarellacheese,part-skim,1.5oz ......311 Cheddarcheese,1.5oz ................307 Fat-free(skim)milk,1cup ..............306 1%low-fatmilk,1cup..................290 Low-fatchocolatemilk(1%),1cup........288 2%reducedfatmilk,1cup ..............285 Reducedfatchocolatemilk(2%),1cup ....285 Fortifiedready-to-eatcereals (various),1oz .....................236-1043 Tofu,firm,½cup ......................253 Food and Amount Calcium (mg) Pinksalmon,canned,withbone,3oz .....181 Collards,cookedfromfrozen,½cup ......178 Spinach,cookedfromfrozen,½cup ......146 Turnipgreens,cookedfromfrozen,½cup ..124 Oceanperch,Atlantic,cooked,3oz .......116 Oatmeal,plainandflavored,instant, fortified,1packetprepared ............99-110 Whitebeans,canned,½cup .............96 Kale,cookedfromfrozen,½cup ..........90 Okra,cookedfromfrozen,½cup .........88 Chinesecabbage,cookedfromfresh,½cup .79 ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 11 calcium (Source1) WHAt HAppENs IF I DoN't GEt ENouGH CALCIum? Peoplewhodon’teatenoughcalciumformanymonthsand yearscanbeathigherriskofhavingweakbonesalso calledosteoporosis. WHAt ARE somE EFFECts oF CALCIum oN HEALtH? Scientistsarestudyingcalciumtounderstanditsrelationshipto health.Hereareexamplesofsomeresearch: Bone health and osteoporosis Childrenandteensneedplentyofcalcium.Peoplecanhelpreduceboneandcalciumlossbyeatingfoodswiththe recommendedamountsofcalcium.Adequatecalcium,aswellasvitaminDandregularphysicalactivity(suchaswalking andrunning)helptokeepboneshealthythroughoutlife. High blood pressure Somestudieshavefoundthatgettingtherecommendedamountofcalciumcanreducetheriskofdevelopinghigh bloodpressure. CAN CALCIum BE HARmFuL? Gettingtoomuchcalciumcancauseconstipation.Itmightalsolimittheamountofironandzincthebodyabsorbs fromfood. Reference source TheOfficeofDietarySupplements.AccessedandadaptedfromTheOfficeofDietarySupplements,NationalInstitutesof Health-FactSheetonJune30,2011fromhttp://ods.od.nih.gov. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 12 Nutrient Fact Sheet calcium (Source2) DID you kNoW? • That99percentofcalciumisstoredinthebones. • 1200milligrams(mg)equalsabout4cupsofmilk • Peopleofeveryageneedcalciumbecauseasmallamountofoldboneisabsorbedandnewboneismadeinourbody eachday. • Eatinglessthantherecommendedamountofcalciummayleadto: • Osteoporosis-isadiseaseinwhichbonesbecomefragileandmaybreakmoreeasily. • Highbloodpressure. souRCEs oF CALCIum •Non-fatandlow-fatmilkandcheesesaregoodchoicestogetcalciumwithoutgettingtoomuchfat. •Calciumissometimesaddedtoorangejuice,cereal,waffles,andcranberryjuice,checkthefoodlabel. •Highcalciumintakesmayleadtoconstipationandmaydecreasetheabsorptionofironandzincfromfood. CALCIum-RICH IDEAs Herearesomeeasyideastoaddmorecalcium-richfoodseachday: • AddasliceofAmerican,Swiss,orprovolonecheesetosandwiches. • Usewhole-graintortillastomakequesadillas. • Createmini-pizzaswithwhole-wheatEnglishmuffinsorbagelswithpizzasauceandlow-fatmozzarellaorsoycheese. • Trywhole-graincrackerswithlow-fatcheeseasasnack. • Digintosouporbeanstoppedwithlow-fatcheese. • Createparfaitswithlow-fatyogurt,freshfruit,andwhole-graincereal. • Enjoyaglassofcoldmilkwithacoupleofoatmealcookiesorgrahamcrackers. Reference source KansasStateUniversityAgriculturalExperimentStationandCooperativeExtensionService,theUniversityofArizona CooperativeExtension,andVirginiaCooperativeExtension.Prepared by Danita L. Brookins, EFNEP Program Associate University.AccessedMay20,2011. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 13 Nutrient Fact Sheet vitamin c (Source1) WHAt Is vItAmIN C AND WHAt DoEs It Do? VitaminCisfoundinmanyfruitsandvegetables.Inthebody, vitaminChelpstokeepbodytissues,suchasgumsand musclesingoodshapeandifyougetacutithelpsyouheal. VitaminCalsohelpstheimmunesystemworkproperlyto protectthebodyfromgettingsick. HoW muCH vItAmIN C Do I NEED? YourbodycannotmakevitaminCorstoreit,soyouneed toeatfoodsrichinvitaminCeveryday.Therecommended amountsforchildreninfourthgradeare: Age (years) vitamin C Amount in milligrams (mg) Children4to8years 25mg Children9to13years 45mg WHAt FooDs pRovIDE vItAmIN C? FruitsandvegetablesarethebestsourcesofvitaminC.YoucangetrecommendedamountsofvitaminCbyeating avarietyoffoods. Good and Excellent sources Food and Amount vitamin C in milligrams (mg) Redpepper,raw,½cup .................95 Orangejuice,¾cup ....................93 Orange,1medium .....................70 Grapefruitjuice,¾cup ..................70 Kiwifruit,1medium .....................64 Greenpepper,raw,½cup ...............60 Broccoli,cooked,½cup .................51 Strawberries,fresh,½cup ...............49 Brusselssprouts,cooked,½cup ..........48 Grapefruit,½medium ..................39 Broccoli,raw,½cup ....................39 Tomatojuice,¾cup ....................33 Cantaloupe,½cup .....................29 Cabbage,cooked,½cup ................28 Cauliflower,raw,½cup..................26 Potato,baked,1medium ................20 Tomato,raw,1medium .................17 ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 14 vitamin c (Source1) WHAt HAppENs IF I DoN't GEt ENouGH vItAmIN C? VitaminCdeficiencyisrareintheUnitedStates.PeoplewhogetlittleornovitaminC(belowabout10mgperday)for manyweekscangetscurvy.Scurvymaymakepeoplefeeltiredandhavesoregumsandslowhealingwounds. Cancer prevention and treatment WhenpeopleeatenoughvitaminCfromfruitsandvegetablestheymayhavealowerchanceofgettingmanytypes ofcancer. Heart disease Peoplewhoeatlotsoffruitsandvegetablesseemtohavealowerriskofheartdisease. CAN vItAmIN C BE HARmFuL? TakingtoomuchvitaminCmaycausediarrhea,nausea,andstomachcramps. Reference source TheOfficeofDietarySupplements.AccessedandadaptedfromTheOfficeofDietarySupplements,NationalInstitutesof Health-FactSheet.AccessedandadaptedfromtheOfficeofDietarySupplements–FactSheetonJune30,2011from http://ods.od.nih.gov. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 15 Nutrient Fact Sheet vitamin c (Source2) HoW muCH Do I NEED? TherecommendedamountofvitaminCiseasytohitwithagooddiet. Childreneighttothirteenyearsoldshouldaimfor25to45milligrams ofvitaminCeachday. FooD souRCEs GoodsourcesofvitaminCincludecitrusfruitsorcitrusjuices,greenandred peppers,kiwis,strawberries,tomatoes,andbroccoli.VitaminCcanbe destroyedbyhighheat,soitisbesttoeatvitamincrichfoodsraworonly lightlycooked. sCIENtIFIC DIsCovERy VitaminCwasdiscoveredin1932.Beforethatscientistsobservedthatsomethingincitrusfruitscouldpreventscurvy,a diseasethatkilledmanysailorsbetween1500and1800. WAys to GEt vItAmIN C • AddfoodsrichinvitaminCtocerealorsandwiches,forexamplestrawberriesoncerealortomatoestoasandwich. • TrytoincludeatleastonefreshfruitorvegetablethatisrichinvitaminCeveryday. • LimitoravoidfruitdrinksorvitamindrinkswithaddedvitaminCtheyaddextrasugarandusuallylackothernutrients thatfreshfruitsandvegetablescanprovide. • Startyourdaywithasmallglass(6ounces)of100percentorangejuiceandyouwillhavetherecommendedamountof vitaminCcoveredfortheday. • IncludevitaminCrichfruitsandvegetablesforsnacks. Reference source TheHarvardSchoolofPublicHealthNutritionSource.Accessed andadaptedfromtheHarvardSchoolofPublicHealthNutrition SourceonJune11,2011from http://www.hsph.harvard.edu/nutritionsource. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 16 Nutrient Fact Sheet vitamin a (Source1) WHAt Is vItAmIN A? VitaminAisimportantforvision,bonegrowth,andcellgrowth.VitaminAhelpstheimmunesystemfightoffinfections. VitaminAalsohelpstokeeptheskin,lungs,andintestineshealthy. TherearetwotypesofvitaminA;onefromanimalsandonefromplants.AnimalsourcesofvitaminAincludeliver,whole milk,andfish.PlantsourcesofvitaminAincludecolorfulfruitsandvegetables,suchasorangesweetpotatoes,redbell peppers,anddarkgreenspinach. WHAt FooDs pRovIDE vItAmIN A? VitaminAinfoodsthatcomefromanimals. selected Animal sources of vitamin A Food vitamin A (Iu)* Food vitamin A (Iu)* Liver,beef,cooked,3ounces 27,185 Cheese,cheddar,1ounce 284 Liver,chicken,cooked,3ounces 12,325 Milk,whole(3.25%fat),1cup 249 Eggsubstitute,¼cup 226 Milk,fortifiedskim,1cup 500 * IU = International Units VitaminAinfoodsthatcomefromplantsources. selected plant sources of vitamin A (from beta-carotene) Food vitamin A (Iu)* Food vitamin A (Iu)* Carrotjuice,canned,½cup 22,567 Apricotnectar,canned,½cup 1,651 Carrots,boiled,½cupslices 13,418 Papaya,1cupcubes 1,532 Spinach,frozen,boiled,½cup 11,458 Mango,1cupsliced 1,262 Kale,frozen,boiled,½cup 9,558 Oatmeal,instant with water, 1 cup 1,252 Carrots,1raw(7½inches) 8,666 Peas,frozen,boiled,½cup 1,050 5,820 Tomatojuice,canned,6ounces Cantaloupe,1cupcubes 5,411 Peaches,canned Spinach,raw,1cup 2,813 Peach,1medium Apricotswithskin,juicepack,½cup 2,063 Pepper,sweet,red Vegetablesoup canned, chunky, ready-to-serve, 1 cup fortified, plain, prepared juice pack, ½ cup halves or slices 819 473 319 raw, 1 ring (3” diameter by ¼” thick) 313 ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 17 vitamin a (Source1) HoW muCH vItAmIN A Do I NEED? TheamountofvitaminAthatpeopleneedvariesforage andgender.Forhealthyfourthgraderstherecommended amountsare: Age (years) vitamin A Amount in International units (Iu) Children4to8years 1,320IU Children9to13years 2,000IU WHAt HAppENs WHEN pEopLE DoN’t GEt ENouGH vItAmIN A? VitaminAdeficiencyoccurswhenpeopleareeatingtoofewfoodswithvitaminA.VitaminAdeficiencyisrareintheUnited States.However,almost500,000childreninothercountriesbecomeblindeachyearfromnotgettingenoughvitaminA. NightblindnessisoneofthefirstsignsofvitaminAdeficiency.EatingtoofewvitaminArichfoodsalsodecreasesthe body’sabilitytofightinfections. CAN vItAmIN A BE HARmFuL? VitaminAfromanimalscanbeharmfulinvery,verylargeamounts,forexamplewhenpeopletakeextravitaminswith vitaminA.VitaminAfromplantsisconsideredsafe,howevereatingtoomanydarkorangefruitsandvegetablesorjuices mayturntheskinyellow,butthisisnotconsidereddangerous. Reference source TheOfficeofDietarySupplements.AccessedandadaptedfromTheOfficeofDietarySupplements,NationalInstitutesof Health-FactSheet.AccessedandadaptedfromtheOfficeofDietarySupplements–FactSheetonJune30,2011from http://ods.od.nih.gov. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 18 Nutrient Fact Sheet vitamin a (Source2) WHAt Is vItAmIN A AND HoW muCH Do I NEED? Haveyouheardthateatingcarrotscanhelpyouseeinthedark? CarrotsareonefoodwithvitaminA;howevervitaminAdoesmorethan helpyouseeinthedark.VitaminAalsohelpsyourbodymakecellsfor yourimmunesystem,foryourskin,foryourintestines,andformany otherpartsofyourbody. VitaminAismeasuredindifferentunits,onewayitismeasuredis InternationalUnitsorIU.Childrenageseighttothirteenneedbetween 1,320to2,000IUeachday. FooD souRCEs oF vItAmIN A Manyorange,red,anddarkgreenfruitsandvegetablescontainvitaminA. TherearealsoanimalsourcesofvitaminA,suchasliveranddairyproducts. VitaminAissometimesaddedtobreakfastcerealsandotherfoods;checkthefoodlabel. CAN vItAmIN A BE HARmFuL? EatingtoolittlevitaminA,mayleadtodifficultyseeinginthedark.TakingtoomuchvitaminAinvitaminsmayincreasethe riskofbrokenbones.ThatiswhyitisbettertogetvitaminAfromfoodinsteadoffromtakingextravitamins. WAys to GEt vItAmIN A • Putfruitinabowloutwhereyoucanseeit.Thatwayyou'llbemorelikelytoeatit. • IncludesomevitaminArichfruitsandvegetablesateachmealeachday.Tryfillinghalfyourplatewithvegetablesat eachmealandhavesomefruitsandvegetablesatsnacktime,too. • Gotothegrocerystoreandtryanewfruitorvegetable.Varietyisonekeytoahealthydiet. Reference source TheHarvardSchoolofPublicHealthNutritionSource.AccessedandadaptedfromtheHarvardSchoolofPublicHealth NutritionSourceonJune11,2011fromhttp://www.hsph.harvard.edu/nutritionsource. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 19 Nutrient Fact Sheet Fiber (Source1) WHAt Is FIBER AND HoW muCH Do I NEED? Fiberisoneofthosenutrientsthatmanypeopleknowisimportantandoftendon’tgetenough.Whatisfiber?Fiberisa typeofcarbohydratesthatourbodycannotdigest.Fiberisfoundinallplantsthatareeatenforfood,includingfruits,vegetables,grains,andbeans.Fiberhelpstomovefoodthoughthedigestivetractandhelpsitworkproperly. Therecommendedwaytocalculatethenumberofgramsoffiberforchildrenistousetheirageandaddfive.Soformost childreninfourthgrade,therecommendedamountistoeatbetween14to20gramsoffiberperdayfromfood. WHAt FooDs pRovIDE FIBER? WHAt ARE tHE HEALtH EFFECts oF EAtING FIBER? Good and Excellent sources Fiber in Grams (gm) Food Lentils,cooked,1cup ..................15.6 BlackBeans,cooked,1cup .............15.0 PintoBeans,cooked,1cup .............13.2 Artichoke,1medium ...................10.3 Peas,cooked,1cup....................8.8 Raspberriesraw,1cup ..................8 Whole-wheatspaghetti,1cupcooked ......6.2 Pear,withskin,1medium ...............5.5 Branflakes,¾cup .....................5.3 Broccoli,cooked,1cup .................5.1 Apple,withskin,1medium ..............4.4 Oatmeal,cooked,1cup .................4.0 Sunflowerseeds,¼cup .................3.9 Strawberries,1¼cup ..................3.8 Popcorn,airpopped,3cups .............3.5 BrownRice,cooked,1cup ..............3.5 Almonds,1ounce .....................3.5 Banana ..............................3.1 Orange,1medium .....................3.1 Potato,based,withskin,1medium ........2.9 Fibermayreducetheriskofheartdisease,diabetes,and constipation.Whenscientistscomparedpeoplewhoate wholegrainfoodseverydaywithpeoplewhoatewhole grainfoodsonlyafewtimeseachweek,theyfoundlower ratesofheartdisease.Theyalsofoundthatpeoplewho atemorewholegrainshadlowerratesoftype2diabetes. WAys to GEt FIBER Thebestsourcesoffiberarewholegrainfoods,fresh fruitsandvegetables,legumesandnuts. Somewaystoincreasefiberintake: • Eatfreshfruitsinsteadofdrinkingfruitjuice. • Replacewhiterice,bread,andpastawithbrownrice andwholegrainproducts. • Choosewholegraincerealsforbreakfast. • Snackonrawvegetablesinsteadofchips,crackers, orcandy. • Eatbeanstwotothreetimes perweekinchili andsoups. Reference source TheHarvardSchoolofPublicHealth.AccessedandadaptedfromtheHarvardSchool ofPublicHealthNutritionSourceonJune11,2011from http://www.hsph.harvard.edu/nutritionsource. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 20 Nutrient Fact Sheet Fiber (Source2) WHAt Is FIBER? Mostofusknowthatfiberisoneofthosegoodnutrients.Somedeliciousfoodshaveloadsoffiber.So,whatexactlyis fiber?Thetermfiberreferstocarbohydratesthatcannotbedigested.Fiberisfoundintheplantslikefruits,vegetables, grains,andbeans. Eatingfoodsthatarerichinfibermakesusfeelfull,whichpreventsovereating.Fiberhasnocalories,andithelpsmove foodthroughtheintestines,promotinghealthyfunctioningoftheintestineandhelpingtopreventconstipation. FINDING FIBER Great sources of fiber include: • Whole-grainbreadsandcereals • Fruitslikeapples,oranges,bananas,berries,prunes,andpears • Vegetableslikegreenpeas,broccoli,spinach,andartichokes • Legumes(splitpeas,soy,lentils,etc.) • Nutsandseeds Checkthefoodlabeldstoseethefibercontentoffoods.Itislisted undertheinformationfor"totalcarbohydrates."Ahigh-fiberfoodhas 5gramsormoreoffiberperservingandagoodsourceoffiberisone thatprovides2.5to4.9gramsperserving. Here are some fiber-friendly foods: •½cupcookednavybeans(9.5gramsoffiber) •½cupcookedlimabeans(6.6grams) •1mediumbakedsweetpotatowithpeel(4.8grams) •1whole-wheatEnglishmuffin(4.4grams) •½cupofcookedgreenpeas(4.4grams) •½cupraspberries(4grams) •1mediumbakedpotatowithpeellefton(3.8grams) •¼cupoatbrancereal(3.6grams) •1ouncealmonds(3.5grams) •½cupraisins(3grams) •¼cupbakedbeans(3grams) •1mediumorange(3.1grams) •1mediumbanana(3.1grams) ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 21 Fiber (Source2) IDEAs FoR INCLuDING FIBER At EACH mEAL Breakfast • Haveabowlofhotoatmeal. • Havewhole-graincereals. • Putapples,oranges,berries,orbananas,oralmondsontopofcereal. • Trywhole-wheatbagelsorEnglishmuffins. Lunch and Dinner • Makesandwicheswithwhole-grainbreads. • Usewhole-grainspaghetti. • Trywildorbrownrice.Addbeans(kidney,black,navy,andpinto)toricedishes. • Addberriesandalmonds,peas,andbeanstosalads. • Usewhole-grain(cornorwholewheat)tortillas. • Addlentilstoyourfavoritesoups. • Takefreshfruitandvegetablesinschoolbaglunches. snacks and treats • Trywhole-wheatcrackerswithpeanutbutterorlow-fatcheese. • Tryfruitsaladwithpears,apples,bananas,oranges,andberries.Topwithalmondsforaddedcrunch. • Leavetheskinsonfruitsandvegetablesandwashbeforeeating. • Eatwholefruitsinsteadofdrinkingfruitjuices. Reference source TeenHealth-Fiber,reviewedby:MaryL.Gavin,MD(February 2011)TeenHealth.TheNemoursFoundation.Allinformationon TeensHealthisforeducationalpurposesonly.Forspecificmedical advice,diagnoses,andtreatment,consultyourdoctor.Allrights reserved.AccessedandadaptedfromtheNemoursFoundation onJune11,2011fromhttp://kidshealth.org. ThismaterialwasproducedbytheCaliforniaDepartmentofPublicHealth’sNetwork for a Healthy California withfundingfrom USDASNAP,knowninCaliforniaasCalFresh(formerlyFoodStamps).Theseinstitutionsareequalopportunityprovidersand employers.CalFreshprovidesassistancetolow-incomehouseholdsandcanhelpbuynutritiousfoodsforbetterhealth. ForCalFreshinformation,call1-877-847-3663.Forimportantnutritioninformation,visitwww.cachampionsforchange.net. 22
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