Table Of ContentTHIRD EDITION
&
Eat Well
Keep Moving
An Interdisciplinary Elementary Curriculum
for Nutrition and Physical Activity
Lilian W.Y. Cheung, DSc, RD
Harvard T.H. Chan School of Public Health
Hank Dart, MS
Health Communication Consultant
Sari Kalin, MS, RD, LDN
Nutritionist and Health-Promotion Writer/Editor
Brett Otis, BS
Harvard T.H. Chan School of Public Health
Steven L. Gortmaker, PhD
Harvard T.H. Chan School of Public Health
Human Kinetics
Library of Congress Cataloging-in-Publication Data
Eat well & keep moving : an interdisciplinary elementary curriculum for nutrition and physical activity / Lilian W.Y.
Cheung, DSc, RD, Harvard T.H. Chan School of Public Health [and four others]. -- Third edition.
pages cm
1. Nutrition--Study and teaching (Elementary) 2. Exercise--Study and teaching (Elementary) I. Cheung, Lilian W. Y.,
1951- II. Title: Eat well and keep moving.
TX364.C44 2016
371.7’16--dc23
2015024043
ISBN: 978-1-4925-0397-2 (print)
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E6407
To all children, parents, educators,
and school food service personnel.
Contents
Preface vii
Acknowledgments xi
Introduction xv
Accessing the Web Resource xxxi
Section 1 Nutrition and Physical Activity
Classroom Lessons and Promotions 1
Part I Classroom Lessons for Fourth Graders 3
Lesson 1 Healthy Living 5
Lesson 2 Carb Smart 15
Lesson 3 Safe Workout: An Introduction 23
Lesson 4 Balancing Act 31
Lesson 5 Fast-Food Frenzy 37
Lesson 6 Snack Attack 43
Lesson 7 Sugar Water: Think About Your Drink 49
Lesson 8 Water Water Everywhere . . . And It’s the Thing to Drink 55
Lesson 9 Safe Workout: Snacking’s Just Fine, If You Choose the Right Kind 61
Lesson 10 Prime-Time Smartness 69
Lesson 11 Chain Five 75
Lesson 12 Alphabet Fruit (and Vegetables) 81
Lesson 13 Brilliant Breakfast 87
Lesson 14 Fitness Walking 93
Part II Classroom Lessons for Fifth Graders 101
Lesson 15 Healthy Living, Healthy Eating 103
Lesson 16 Keeping the Balance 113
Lesson 17 Safe Workout: A Review 119
Lesson 18 Hunting for Healthy Fat 129
Lesson 19 Beverage Buzz: Sack the Sugar 137
Lesson 20 Go for H O 143
2
Lesson 21 Snack Decisions 149
Lesson 22 Snacking and Inactivity 155
Lesson 23 Freeze My TV 159
Lesson 24 Menu Monitoring 165
Lesson 25 Veggiemania 171
Lesson 26 Breakfast Bonanza 175
Lesson 27 Foods From Around the World 181
Lesson 28 Fitness Walking 187
Part III Promotions for the Classroom 197
Lesson 29 Freeze My TV 199
Lesson 30 Get 3 At School and 5+ A Day 205
Lesson 31 Class Walking Clubs 211
Lesson 32 Tour de Health 217
iv
Section 2 Nutrition and Physical Activity
Physical Education Lessons and Microunits 223
Part IV Physical Education Lessons 225
Lesson 33 Three Kinds of Fitness Fun: Endurance, Strength, and Flexibility 227
Lesson 34 Five-Foods Countdown 233
Lesson 35 Musical Fare 239
Lesson 36 Bowling for Snacks 245
Lesson 37 Fruits and Vegetables 251
Part V FitCheck Guide 257
Lesson 38 Teachers’ Guide to FitCheck 259
Lesson 39 Students’ Guide to FitCheck 263
Part VI FitCheck Physical Education Microunits 265
Lesson 40 Charting Your FitScore and SitScore 267
Lesson 41 What Could You Do Instead of Watching TV? 271
Lesson 42 Making Time to Stay Fit 275
Lesson 43 Setting Goals for Personal Fitness 279
Part VII Additional Physical Education Microunits 283
Lesson 44 Thinking About Activity, Exercise, and Fitness 285
Lesson 45 Be Active Now for a Healthy Heart Later 289
Lesson 46 Be Active Now for Healthy Bones Later 293
Lesson 47 Let’s Get Started on Being Fit 297
Lesson 48 More on the Three Areas of Physical Fitness 301
About the Authors 305
v
Preface
Eat Well & Keep Moving is a school-based program that equips children with the knowl-
edge, skills, and supportive environment they need in order to lead more healthful lives
by choosing nutritious diets and being physically active. Research shows that a good diet
and physical activity can significantly reduce the risk of obesity and chronic diseases such
as heart disease, high blood pressure, and type 2 diabetes, all of which can begin early in
childhood. However, many children are not living or going to school in an environment
that allows them to eat the food and get the exercise they need in order to combat these
chronic diseases and promote lifelong health. Indeed, childhood obesity is still a major
public health issue in all developed countries; type 2 diabetes, once found primarily in
adults, is increasingly being diagnosed in youths. It is especially disconcerting that, as
children move into adolescence and then adulthood, they become progressively less active
and choose less healthy diets. This trend makes it even more important for children to be
surrounded by healthful environments and to develop healthful habits early in life so that
they can sustain these practices into adulthood.
Initially designed as a joint research project between the Harvard School of Public
Health (presently the Harvard T.H. Chan School of Public Health) and Baltimore City
Public Schools, Eat Well & Keep Moving has evolved into a comprehensive program that
can be introduced in other school systems throughout the country, including urban, sub-
urban, and rural schools. The program received the Dannon Institute Award for Excellence
in Community Nutrition in 2000. Since the publication of the first edition of Eat Well &
Keep Moving in 2001, the program has been disseminated throughout all 50 U.S. states
and in more than 20 countries.
Unlike traditional health curricula, this program encompasses all aspects of the learning
environment, including the classroom, cafeteria, gymnasium, school hallways, homes,
and even out-of-school-time programs and community centers. This approach, as recom-
mended by the Centers for Disease Control and Prevention’s coordinated school health
program model, reinforces crucial messages about nutrition and physical activity and
increases the chance that students will eat well and keep moving throughout their lives.
Numerous existing curricula address either nutrition or physical activity independently,
yet few address nutrition and physical activity simultaneously. This program is a significant
addition to elementary school curricula not only because it was among the first to address
both nutrition and physical activity but also because it was among the first to address
children’s physical inactivity (namely screen-time activities such as watching television
or playing computer games).
In this third edition of Eat Well & Keep Moving, we include two additional core Principles
of Healthy Living messages, one focusing on sleep and its association with screen time
and the other promoting the consumption of water. To expand on our existing lessons on
sugar-sweetened beverages, two new lessons focus on and further emphasize water as
the healthy alternative to sugary drinks that are a key factor in childhood obesity. These
and the existing six core messages have also been updated to reflect targets as defined
vii
viii Preface
by the CDC-funded Childhood Obesity Research Demonstration (CORD) partnership. In
addition, the entire curriculum reflects the latest research at the time of publication and
incorporates recommendations from the Dietary Guidelines for Americans 2015.
Included throughout this updated edition is the Kid’s Healthy Eating Plate. The plate is
an adaptation of the Healthy Eating Plate, which was created by nutrition experts at the
Harvard T.H. Chan School of Public Health and editors at Harvard Health Publications to
address key limitations in the U.S. Department of Agriculture (USDA)’s MyPlate. The Kid’s
Healthy Eating Plate provides detailed visual guidance, in a simple format, that educators
and caregivers can use to help children make the best eating choices. Classrooms familiar
with the USDA’s MyPlate can easily incorporate the Kid’s Healthy Eating Plate into their
programs.
The six interlinked components of Eat Well & Keep Moving—classroom education,
physical education, schoolwide promotional campaigns, food service, staff wellness,
and parent involvement—work together to create a supportive learning environment that
promotes the learning of good lifelong habits. But this program does more than just work
well for students. Because it uses existing school resources, fits in most school curricula,
contains camera-ready teaching materials, and is inexpensive to implement, teachers
and schools find it easy to adopt as well. Feedback from the teachers who have taught
the curriculum has been exceptionally positive. In particular, teachers have praised the
integration of the lesson plans into core subject areas, and they see that integration as
fundamental to the program’s success. Schools are hard pressed to find time for additional
subjects; with the integrated design of Eat Well & Keep Moving, nutrition and physical
activity can be taught by classroom teachers in core subject areas (including math, lan-
guage arts, and science).
You can make the Eat Well & Keep Moving program as broad or as focused as you like.
Choose the approach that works best for you. Focusing solely on the classroom portion of
the program will provide students with excellent knowledge and skills that they can apply
throughout life. The program is at its strongest, though, when it includes the entire school
community: other teachers (classroom and physical education teachers), food service staff,
the school food environment and policies, and parents or guardians. The power of the
messages is enhanced even further when students are exposed to these messages in other
classes, experience them in the cafeteria and school hallways, and put them into practice
at home with their parents or guardians. Implementing Eat Well & Keep Moving—either
the curriculum or the broad program—can also help schools meet new federally mandated
wellness policy criteria.
The Eat Well & Keep Moving book and accompanying web resource provide all the
information you need to implement the program, whether you are introducing it into a
single classroom or expanding it to an entire school community or school system. We
encourage you to customize the content of the program according to your school and
student population profile. For example, schools can tailor the foods, language, and cus-
toms of the lesson plans and activities to their student population.
Components of Eat Well & Keep Moving
Parts I and II of the Eat Well & Keep Moving book contain the interdisciplinary fourth- and
fifth-grade classroom lessons that provide students with in-depth exposure to the program’s
themes. Through a feature unique to these lessons, students learn about nutrition and
physical activity while actually being physically active in the classroom. This feature is
especially valuable in schools where physical education is limited or unavailable.
Part III, Promotions for the Classroom, offers students and teachers fun and engaging
ways to put the themes of the program into practice. These promotions include class
walking clubs, a week of featuring fruits and vegetables through Get 3 At School and 5+
A Day, the Freeze My TV contest, and the Tour de Health game.
Preface ix
Parts IV, V, VI, and VII contain the physical education lessons, FitChecks, FitCheck
physical education microunits, and additional physical education microunits. The physical
education lessons offer students more traditional physical education activities, many of
which integrate nutrition topics. Students learn as they move, and by doing so they begin
to appreciate the importance of both eating well and being physically active. The FitCheck
is a tool for self-assessment of activity and inactivity. Teachers and students are taught how
to use this tool in order to evaluate how students are progressing. The FitCheck physical
education microunits are to be used with the FitCheck materials so that students learn
about a variety of topics in physical activity. Likewise, the additional physical education
microunits are five-minute lessons that cover a range of physical activity topics.
Both the FitCheck microunits and the additional microunits have been formatted dif-
ferently from the rest of the book. These units contain many bulleted lists to provide you
with an easy outline to follow while you are delivering the lessons to your students. In the
microunits you will notice text boxes that contain additional information you can share
with your students to help them learn even more about the topic at hand.
The Eat Well & Keep Moving web resource provides in-depth implementation manuals
and supporting materials for each part of the program as well as information for running
workshops to train fellow teachers, food service staff, after-school and out-of-school-
time program staff, and community members about nutrition and physical education.
It contains a comprehensive list of resources on nutrition, physical activity, improving
the school environment, school wellness policies, and other related topics. It includes
stretches and strength exercises that you will use throughout the book, the classroom and
physical education lessons, worksheets, and other reproducibles contained in this book.
It also houses the Eat Well cards and the Keep Moving cards. These cards offer a quick
and fun way for students to synthesize and put into practice the information on nutrition
and physical activity they learn through the lessons and other promotions.
Even more important than the scope of your school’s approach to implementing the Eat
Well & Keep Moving program is the fact that you are teaching your students the impor-
tance of good nutrition and regular physical activity. This lesson will not only help them
be healthier and happier students right now but will also give them the knowledge and
skills they need for lifelong health.
Description:In North America obesity continues to be a problem, one that extends throughout life as children move into adolescence and adulthood and choose progressively less physical activity and less healthy diets. This public health issue needs to be addressed early in childhood, when kids are adopting the b