HealthScaping NorthWest

Creating healthy, vibrant communities

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Screen-Time: a Conversation with Jean Rystrom

I recently interviewed Jean Rystrom, National Clinical Lead for Screen-Time Reduction at Kaiser Permanente, for the Parenting in Portland newsletter.

“We have a problem with screen time,” declares my husband.

I glance up from my iPad and mumble, “I know. I just have to respond to this comment first.”

Ten minutes later, I wander out to the living room to find my husband scrolling through his iPhone, while our 13-year-old is doing the same. Our 11-year-old is on an iPad, our seven-year-old is on the laptop, and our two-year-old is looking over her shoulder.

My husband is right. We all have a problem with screen time. But what to do about it?

Please read the full interview here:

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Parents and Childcare: Working Together to Help Kids Eat Healthy

Written by Kylie Menagh-Johnson, MPH for Parenting in Portland


“Can I give her some Fruit Loops?”

I shook my head in disbelief and told the childcare provider, “No… she’s only nine months old.”

It was my daughter’s first day in childcare. I couldn’t believe the teacher was offering sugary, processed cereal to my baby girl. I couldn’t believe they would offer that to any child, of any age.

Despite paying a premium price for downtown childcare, I realized I couldn’t count on the quality of the food they served. For the next six months, I stayed up late, chopping finger foods to send with my daughter the next day. It was exhausting. After transferring her to a marginally better center, I gave up on the late-night food preparation and settled for “good enough.”

We constantly hear that parents should take responsibility and instill good eating habits in their children. Many of us do our best. Yet sometimes, it feels like an uphill battle if the schools and programs in which we entrust our children don’t reinforce healthy habits.


Many childcare providers could be doing better to support our children’s health, according to a Multnomah County survey by the Oregon Public Health Institute and partners (2011). Areas of particular concern were:


  • Access to water
  • Enough time to play and be active
  • Too many sugar-sweetened beverages
  • Too much screen time (television, video games)
  • Letting children decide when they are full


Parents, childcare providers, and health advocates are working together to promote better nutrition in childcare centers and in-home providers across Oregon.


But First, What Are the Rules?


 Licensed childcare providers in Oregon are required to follow the U.S. Department of Agriculture (USDA) rules for the Child & Adult Care Food Program (CACFP).


Child and health advocates have asked the USDA to update the rules to:


  • include more whole grains, beans, and orange and green fruits and vegetables,
  • eliminate sugar sweetened beverages,
  • decrease trans fats, solid fats, added sugars, and sodium, and
  • offer fat-free and low-fat milk (instead of whole milk).


If these efforts are successful, we should see a wider variety of whole foods, fruits, and vegetables being offered to our children. Health and education experts across the state have come together to support childcare centers in making this shift.


Oregon Initiatives to Promote Nutrition in Childcare


 Many local organizations work with childcare providers to improve nutrition. The Oregon Department of Education (ODE) won funding from the USDA to promote a holistic approach to health among childcare providers. ODE provides small grants to 35 “Childcare Wellness Champions” and helps them improve across five key areas:


  1. Increase the amount and variety of fruit and vegetables
  2. Increase healthy beverages
  3. Increase accommodations for breastfeeding
  4. Eliminate screen time (television, videos, computer games)
  5. Increase physical activity


ODE provides an online Child Care Wellness Warehouse that is chock-full of curriculum ideas for eating local fruits and vegetables, gardening, cooking classes, and more.


The Harvest for Healthy Kids Program is another inspiring effort to help preschool kids eat healthy. The program introduces new fruits and vegetables to young children through picture books, gardening, local produce, games, and family-style meals that provide role modeling. It’s a collaboration between Mount Hood Community College Head Start and Portland State University. Ecotrust has launched the Oregon Farm-to-Preschool Coalition to spread similar programs.


The Right from the Start Coalition, formed last October to promote nutrition in childcare. Amanda Peden, Master of Public Health, of theOregon Public Health Institute believes it “has the potential to make a really strong impact in childcare.”


With a focus on improving accommodations for breastfeeding at childcare, the Right from the Start Coalition also works on nutrition, physical activity, and screen time.


“We know it’s important to support health in the early years, so that children have the best start in life and are set on a path for a healthy, successful life,” says Peden. “Nutrition also includes healthy first foods for baby—think about how your childcare provider supports you when you are going back to work and continuing to breastfeed.”


“Healthy and Local” is a Growing Trend


“Many programs are offering more local and organic options – especially dairy and produce. We offer organic milk, and our produce vendor offers an ‘Organic Pick of the Week’ which varies in price. Although this option is more expensive, more centers are seeing the value in offering this option because of the demand from families,” observes Jillian Hoy ofCreative Minds Learning Center (CMLC).


CMLC’s program includes gardening, cooking classes, and a vegetarian menu. Gardening and cooking classes help the kids get more excited about trying new foods because they are more involved in the process from start to finish.


“Most parents are excited that it’s fresh and we’re not messing around with processed meats and frozen fish sticks,” says Hoy. “CMLC prides itself on offering freshly made meals and snacks, with no processed foods that tend to be full of sodium, refined sugars, and empty calories. The vegetarian menu saves on the cost of using fresh and grain-fed meats, which are just too expensive, and reduces the chances of cross-contamination and food-borne illness.”


They incorporate beans and cheese into the menu for protein, and train the teachers on how to patiently introduce new foods to young children.


What Parents Can Do


If your childcare center is already doing a great job, let them know you appreciate the extra effort and care they are taking. Gratitude goes a long way toward encouraging them to keep up the good work!


If you are unsure, some questions to ask your existing or potential childcare provider include:


  1. Is the food fresh, homemade, or frozen/prepackaged?
  2. Do you offer both fruits and vegetables at every meal?
  3. Do you offer vegetarian entrees?
  4. Do you serve whole grains at least half the time you serve grains?
  5. How do you accommodate allergies and special diets?
  6. What do your teachers do when a child says they are full or still hungry?
  7. Are meals served family-style?
  8. Is there a quiet, designated space for breastfeeding?
  9. Do you have written guidelines for storage and handling of breastmilk?
  10. How do you incorporate nutrition education into your curriculum (stories, gardening, cooking classes, etc.)?


The National Resource Center for Health and Safety in Child Care and Early Education also offers a full checklist for parents.


As parents and care providers work more closely together to offer healthy foods to our children, Peden offers some final wisdom: “Young children often must be offered a new food ten times before they’ll eat it. Just keep trying! They’ll eventually eat them. These are the habits that they’re learning for a lifetime.”