Eat Smart, Spend Less - USDA

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United States Department of AgricultureEat Smart, Live StrongNutrition Education for Older AdultsEat Smart,Spend LessIn this session, participants explore waysto buy the fruits and vegetables they needwithin a limited budget.Session4

4Welcome!SessionWelcome to Eat Smart, Live Strong. This is one of four fun, social, andinteractive sessions. The Eat Smart, Live Strong sessions are designed tohelp older adults adopt two behaviors that may improve their health andoverall well-being. The two behaviors are:1 Eat at least 31/2 cups of fruits and vegetables every day(11/2 cups of fruit and 2 cups of vegetables)2 Participate in at least 30 minutes of moderate-intensity physicalactivity most daysEach session guide includes a handout thatdescribes four exercises. With an extra 10minutes before and after each session, youmay lead participants in these exercises asa “warm-up” and a “cool-down.”Each session is designed to address specificways to help participants adopt the behaviors.To learn more about the behaviors, pleasesee the Eat Smart, Live Strong Leader’sGuide.The four sessions in this kit are:You can use the session guides “as is”or tailor them to meet your group’sneeds. Refer to the Leader’s Guide fortips on adjusting the session to meet theneeds of your audience. The sessionsare designed to flow nicely together,each session further reinforcing the keybehavioral messages. However, you canuse the sessions as stand-alone piecesif you do not have the opportunity toprovide all four.1 Reach Your Goals, Step by StepSession 2 Challenges and SolutionsSession 3 Colorful and Classic FavoritesSession 4 Eat Smart, Spend LessSessionEnjoy!The sessions are meant to be fun for you – the group leader – and for the participants.

Session4Eat Smart, Spend LessObjectives for Session 4Participants will be able to:n Mentionthree ways to save money onfruits and vegetablesn Nameat least one locally available nutritionresource for which they may be eligibleSession Overviewn Participantshave a chance to practicefour simple exercises in an optional10-minute physical activity “warm-up.”nIn the session: The group reviews the two behaviorsand their benefits. Participants report on progresstoward their goals. Through a price-guessing game,participants share their knowledgeand experience saving money onfruits and vegetables, including usinglocally available nutrition resources.n Participantsrepeat the same four simpleexercises in an optional 10-minute physicalactivity “cool-down.” They receive ahandout that visually depicts the exercisesso they can do them at home.How the Session Encourages Behavior ChangenAwareness: Identify nutrition assistance programs for which participants may be eligible.n Skillsand self-confidence: Participants share strategies for purchasing fruits andvegetables. They see that they – and others like them – can find ways to eat more fruitsand vegetables with a limited budget.nPeer support: Participants work together to find creative solutions to the cost challengesby participating in a game.Session 4: Eat Smart, Spend Less1

Session4MaterialsnPens or pencils for all participantsA place to write participant responses soall can see: large sheets of paper (flip chart pages),masking tape, and markers; or chalk board and chalk; or white board and erasable markersnHandouts: Handout 4a: Set Your Goals Handout 4b: Session 4 Exercises Handout 4c: Cost Sheet for Fruits andVegetables (blank) Handout 4d: Participant Feedback SheetnPreparationn Priorto the session, gather current information about prices and resources. Makea list of current, local prices of fruits andvegetables by reviewing food circulars inthe local paper, checking grocery storereceipts, and checking prices at farmers’markets. Use a blank copy of Handout 4cto record this information. Look for goodvalues by focusing on: Sale items, including fresh, canned,dried, and frozen fruits and vegetables Store and generic brands of cannedor frozen fruits and vegetables In-season fresh fruits and vegetables Bulk or discount itemsn Inorder to compare and contrast thesegood values with more expensive items,include: Items that are not on sale Brand name of canned or frozen fruitsand vegetables Imported and/or out-of-season freshfruits and vegetables Small cans or containers of fruits andvegetables2United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

SessionYou will use this price list to play the game,The Right Price, described in this booklet.n Becomefamiliar with and prepare listsof the nutrition resources available tothe older, low-income adults in yourcommunity, including: Supplemental Nutrition AssistanceProgram. Know how participants canapply for and obtain benefits. Preparea list of nearby, authorized retail foodstores.Senior Farmers’ Markets. Know the value of coupons available throughthe Senior Farmers’ Market NutritionProgram, which local markets participate,and the months of operation.Check current prices of fruits andvegetables at the local farmers’markets and identify some goodvalues. Be prepared to sharecontact information.Food Distribution Programs. Check current availability of fruits andvegetables – or products that containfruits and vegetables. Check whichfoods are available through USDA’sCommodity Supplemental FoodProgram (CSFP) and the quantitiesavailable to an eligible individual. Beprepared to inform participants abouthow and where to obtain canned fruitsand vegetables and other nutritiousfoods through CSFP.Local Meal Programs. Know the types and quantities of fruits and vegetablesin the meals served at congregate mealnnnnn4sites, home-delivered meals, foodpantries, or through other local mealprograms. Know who is eligible forthese programs and be ready withcontact information about how toaccess these programs. If possible, obtain samples of foods touse for The Right Price game. Bring initems from a variety of sources, including: Sale items from local markets Items available through theCommodity Supplemental Food Program Items from Senior Farmers’ MarketsSample fruit and vegetable servings from the day’s home-delivered mealsoffering Fruits and vegetables available throughthe Food Distribution Program onIndian Reservations Samples of electronic benefit transfer(EBT) cards and information aboutother nutrition assistance programs toshare with participants If you are unable to obtain actual fooditems, you may substitute photos fromstore flyers and newspaper circulars. Tailor Handout 4a, Set Your Goals. Makea blank “master” photocopy. On thismaster, fill in the dates for the current orupcoming week before you make copiesfor participants. Make copies of Handouts 4a, 4b, 4c,and 4d, one set for each participant. Arrange room so participants sit in asemicircle. If you will use the physicalactivity segments, set straight-back, firmchairs in a semicircle at least 2 feet apart.Session 4: Eat Smart, Spend Less3

Session4Optional Physical Activity Warm-UpIn addition to talking about the value of physical activity, you havethe option of leading participants through several simple exercises atthe beginning and end of each session.n Add10 minutes for each optional“warm-up” and “cool-down” exercisesession; they feature the same set ofexercises and the same handout is usedfor both.n Handout4b has all of the instructionsneeded to lead Session 4 exercises.n Participantswill have a chance to trythe same movements twice.n Thisrepetition, along with the handout,will give participants the skills, selfconfidence, and tools to do theseexercises on their own at home.4n Mostgroup leaders will find theexercises simple to lead.n Youdo not need to be a skilled exerciseinstructor to lead these exercises, butyou may want to try them out aheadof time so you will be comfortabledemonstrating them.n Keepin mind that you do not have touse all of the exercises presented inthis session. You may want to tailor thephysical activities to meet the needsof each group.United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

Session4ExercisesNeck RollsShoulder Rollsn Explainthat these exercises can improveyour strength, balance, and flexibility.Wrist Rotationsnn Assureparticipants that most will findthese four simple exercises easy to do andmany will be familiar with the exercises.n Emphasizethat if they do not feelcomfortable or have a physical conditionthat prevents them from doing any or all ofthe exercises, it is OKAY to sit them out; ifthey feel pain, discomfort, or fatigue whileexercising, they should not hesitate tostop or take a break; and, if they needassistance, they should let you know rightaway.n Passout Handout 4b, Session 4Exercises, and ask participants to take alook at it.Tip!Ankle RotationsList the four exercises on the handout:Neck Rolls Shoulder Rolls Wrist Rotations Ankle Rotations n LeadSession 4 Exercises 1-4, usingHandout 4b and directing participants tolook at the pictures.n Demonstratethe exercises, making sureparticipants can see you, giving afew, simple verbal instructions. Haveparticipants follow along as you repeateach exercise.n heck whether the group is doing eachCexercise correctly and help those whoappear to need additional instruction.n Besure to encourage and give positivefeedback to participants as they try theexercises.Accommodating Participants’ Physical LimitationsSome of the older adults in your group may have physical limitations, such as beingconfined to a wheel chair. You can adapt the exercises for these participants by havingthem do the exercises seated, while others in the group can do the same exercisesstanding up.Session 4: Eat Smart, Spend Less5

Session4Eat Smart, Spend Less1Welcome and Introductionsn Introduce the session. Let participants know that this is the lastof four sessions in the Eat Smart, Live Strong series and thattoday’s session is “Eat Smart, Spend Less.”n cknowledge familiar faces. Give a big hello to those whoAattended earlier sessions and assure newcomers that they will find iteasy to join in even though this is their first session.n Introduceyourself. Mention the current price of one fruit orvegetable item at a local market. Ask participants to introducethemselves by stating their names and by naming a fruit orvegetable item (fresh, frozen, canned, or dried) and its current,local price to the best of their knowledge. Write theparticipants’ names in two columns and save the list for thesession skills-building activity.6United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

Session4n et a warm and relaxed tone. Let participants know that youShope to learn from their experiences and that they may offercomments or ask questions at any time.nState the purpose of today’s session. Participants will identifyways they can eat at least 31/2 cups of fruits and vegetables everyday while staying within their food budgets.nShare the length of the session. Let people know that thesession will take about an hour. Mention other helpfulinformation such as the location of the rest rooms, waterfountains, or exit areas.Session 4: Eat Smart, Spend Less7

Session4Eat Smart, Spend LesscontinuedTwo Important Behaviorsand Their Benefits2n xplain that the Eat Smart, Live Strong program focuses on twoEimportant behaviors. These are two actions that health expertsrecommend to improve the health and well-being of people of all ages:1 Eat at least 31/2 cups of fruits and vegetables every day2 Participate in at least 30 minutes of moderate-intensityphysical activity most daysn ention that the amount of fruits and vegetables for anyMperson depends on activity level, age, and gender. Point outthat older adults should eat at least 31/2 cups each day. One anda half cups should be fruit. Two cups should be vegetables.11/2 cupsFruitsn 2 cups 3cups ofFruits and Vegetables11/2VegetablesAsk participants to name some of the benefits of eating 31/2cups of fruits and vegetables every day. Make sure thefollowing are mentioned: Get some of the vitamins, minerals, and fiber needed tomaintain good health Maintain regularity Help prevent or delay the effects of chronic diseasessuch as obesity, hypertension, and heart disease Add color, taste, and variety to their diets1 Based on the segment of the target audience with the lowest caloric need – sedentary women (1,600 calories per day).For older adults who are more active, recommend 2 cups of fruits and 21/2 cups of vegetables (2,000 calories per day).8United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

Sessionn sk participants to list some of the ways they can be physicallyAactive. Be sure to include: Walkingbriskly Mowing thelawn Aerobicsn34 Weight liftingJoggingDancingSwimming Stationary cycling Active walkingor running withgrandchildren iscuss the benefits of engaging in 30 minutes of physicalDactivity most days. Mention the following: Help prevent or delay the effects of chronic diseaseDecrease mild stress, anxiety, and depression Build and maintain healthy bones, muscles, and jointsImprove strength Increase balance and reduce the risk of falling Improve sleep Measuring Your Goalsn hose who participated in Session 1 or 2 set goals for themTselves for both behaviors. Some may have brought back the SetYour Goals handout on which they recorded their daily success.nI nvite participants to share their successes. Ask participants todescribe what has made it easier to do each of the two behaviors.n Havethe group congratulate those who have made progresstoward their goals.n Handout additional copies of Handout 4a, Set Your Goals, tothose who wish to continue tracking their success.Session 4: Eat Smart, Spend Less9

Session44Eat Smart, Spend LesscontinuedSkills-Building ActivitynT ell participants that one of the most frequently mentionedbarriers to eating fruits and vegetables is price. Acknowledge thateating fruits and vegetables can be more expensive than eatingother foods, but that they will have a chance during this session tolook for ways to purchase reasonably priced fruits and vegetables.n4Session Introducethe game The Right Price, designed to identify waysto cut the cost of eating fruits and vegetables. You will showplayers a food item, tell them where you obtained it, and askthem to guess the price.n DistributeHandout 4c, Cost Sheet for Fruits and Vegetables,and explain to participants that they can record each fruit orvegetable, its price, and where it was obtained as the game isplayed. They can also use this table to keep track of where theyhave purchased fruits and vegetables on sale. Provide samplesor suggest fruits and vegetables that are typically priced lowerthroughout the year such as bananas, apples, orange juice,carrots, greens, potatoes, and beans.Tip!Everyone’s a WinnerReinforce learning and increase the fun by presenting players with reinforcementtools. When a player correctly guesses the price of a food item, you may offer him orher an item to take home. Alternatively, you may want to give every participant areinforcement item – such as a grocery list pad – just for playing.10United States Department of Agriculture Food and Nutrition Service Eat Smart, Live StrongFr

Sessionsing LesSpendTipsbles:d vegetauits an and vegetables ionmore frutitsr eating s to purchase fru m Food DistribfosipTtables froriesT benefitgent Use EBnned fruits and vebanks or food paion Program Get carams, such as fooders’ Market Nutrit Program ifodProgor Farm pplemental Fofor Seni Applyy for Commodity Susaletables ongeve Appl able.danzen fruitsavailed or fronnoncaasysetivity: Bu se produce inysical ac Choomore phating in re or officeipicrtr pae stoTips fo r farther from th elevatorcaof Park the stairs instead dsren Take and talk with frien with grandchild Walkcipate in active playe!usrtiho Pa e around theetables DanceetCost ShbleVegetaruit orart,: Eat Smout 4c2012HandNovemberRevisedongLive Strtsfor Fruiand VegPricenLocatio4n Showthe first item and tell players where you got it, giving thename of the market or the program that offers the fruit orvegetable. If you do not have the actual item, show a photo orillustration. Specify whether players should guess the item costor a price per pound.n Displaythe list of participants’ names that you made duringintroductions. Ask the first participant in each column to guessthe price of the first item. Write each player’s guess next tohis or her name. No two players may guess the same amount.Continue guessing until each participant has had an opportunityto guess the cost of an item. Reveal the actual price. The winnerof the round is the player whose guess is closest to the item’sprice, without going over. Offer the winner a reinforcementitem.n Keepthe play fair by rotating the order in which participantsguess. If it takes too long for everyone to make a guess, youcan make two teams to play each round.Session 4: Eat Smart, Spend Less11

Session44Eat Smart, Spend LessSkills-Building Activitycontinuedcontinuedn Usethe price examples to highlight a variety of ways to cut costs:For example, present a fresh fruit or vegetable that is in season and a fresh fruit or vegetable that is out of season.Have participants discuss why buying in season saves money.Similarly, present a brand-name frozen or canned item and a store-brand or generic version of the same item. Reviewthe label with participants to identify which ingredients arethe same or different. Comparing the two prices leads to adiscussion of how to save money by shopping for genericrather than brand-name products.Compare the per-ounce cost of canned green beans in a small can versus a large can.Tip!Available ResourcesThe discussions about available resources make this game a useful way for older, low-incomeparticipants to share their knowledge and experiences. You will want to be up-to-date on theresources that are available locally, so you can ensure the information they offer is accurate.(See Preparation, pages 2-3, for tips on how to be ready.)12United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

Sessionn4L ead a discussion about nutrition assistance programs. This givesyou and participants a chance to talk about the SupplementalNutrition Assistance Program, Senior Farmers’ Market NutritionProgram, Commodity Supplemental Food Program, local foodpantries, home-delivered meals, and other programs for whichthe participants may be eligible. Be aware of other local communityresources.n Throughoutthe game, ask participants to share their knowledgeand experiences, since many of them will be resourceful atcutting corners on food budgets.n Timemay not allow for you to provide details on all the programsavailable. Offer to talk after the session with individuals who wantmore information about nutrition assistance programs. Whenpossible, make it easy for participants to apply by providingapplication forms, addresses, phone numbers, or web sites. Ifappropriate and available, pass out copies of resource lists thatdescribe local programs.You need not be an expert on this topic. If participants raise a question you cannot answeror make a statement that you doubt, it’s fine to acknowledge that you do not know. Offerto find the facts and get back to the participants. Have names and phone numbers handyto refer participants.Session 4: Eat Smart, Spend Less13

Session44Eat Smart, Spend LessSkills-Building ActivityncontinuedcontinuedA sk participants to estimate how low-cost and free food itemsmight enable them to eat at least 31/2 cups of fruit and vegetablesevery day. Ask them to share their own strategies for savingmoney on fruits and vegetables – such as raising their ownproduce (benefits can be used to purchase vegetable seeds) orjoining with friends to buy and share bulk purchases.n Congratulateparticipants for their success at playing the gameand encourage them to continue to share their ideas for buyinglow-cost fruits and vegetables.14United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

n4Sessio5Wrap-Upetck SheeedssbaFtnaip Smart, Spend LeParsstioicte groupn 4, Eaeet to thSessionthis shfor Sesession. Returnimprove thetothis formmplete der continuets to coleamomenwill help thewfeatstakePlease Your commenoutleast ableader.you like thete:ddiDatuy’shayoToda5. Wn?rmationiofossinsees ththison?useful wa1. How from this sessied.)selearne responl(Mark on t at all usefuefulNoewhat usout thisSom lhear ab session?uefuyodUsdi6. How art, Live StrongusefulVeryEat Sm that apply.)tritiont?(Mark all pplemental Nu m officewhy noraSuWhy orce ProgAssistandFrien centerorSeni rPosteritsFlye letterfrueorNewsto eat mrshipngnie of woek?u planPlac r – specify2. Are yo getables next weand ve e response.)Otheate?(Mark on su participyoYedosramich progNo not sure7. In wh that apply.) NutritionI amallurtal(Marklemencrease yoSupp ce Program entalng to in ek?u planniweAssistan ity Supplem3. Are yo l activity nextmodphysica e response.)Com ProgramketonodkFoarers’ Mar(Mor FarmYesSeni tion Program lsNotrimeaNuliverednot suredeameImtabouHo regate mealse mostCong bank or pantryu like tht did yoFood4. Wha ssion?this se!Strongt, Livet Smar4Eaating inThankcipr partiyou fo,t Smartt 4d: EaHandou er 2012RevisednongLive StrNovembThank participants for joining this session.n Recapthe main point of this session: participants can find waysto stay within their food budgets while obtaining enough fruitsand vegetables to eat at least 31/2 cups every day.n Letparticipants know that their honest feedback about today’ssession will help you to improve the session for future groups.Using the Participant Feedback Sheet (Handout 4d) and/orthrough discussion, ask some of these questions: What new thing did you learn? Which part of the session was most important to you? Do you think today’s session will help you eat at least 31/2cupsof fruits and vegetables every day? Will this session help you participate in at least 30 minutes ofphysical activity most days of the week? How could we make the session better? How did you hear about today’s session? – or – about theEat Smart, Live Strong program?n If youare using the written Participant Feedback Sheets, assureparticipants that this is not a test – and that there are no wronganswers! Encourage honest opinions. Help people who havedifficulty writing. Collect the feedback sheets. You will findit useful to review participants’ responses. Tabulating theiranswers can help you find ways to improve the session beforeyour next group. The feedback also may serve as a report onyour educational activities.Session 4: Eat Smart, Spend Less15

Session4Optional Physical Activity Cool-DownFollowing the 30-minute session, add 10 minutes to lead the same set ofexercises with which you opened this session. If you opted not to do the“Warm-Up,” refer to pages 4-5 for more explanation.n Announcethat the last activity intoday’s session will be 10 minutes of“cool-down” exercises.n Emphasizethat if they do not feelcomfortable or have a physical condition that prevents them from doing anyor all of the exercises, it is OKAY to sitthem out; if they feel pain, discomfort,or fatigue while exercising, they shouldnot hesitate to stop or take a break;and, if they need assistance, theyshould let you know right away.n Askparticipants to look at Handout 4bbefore they begin. Remind them thatthey will take the handout home andcould try these exercises most days ofthe week.16n If youhave noticed some participantswho are comfortable with theexercises, you might invite aparticipant to lead the group in oneof the exercises; or ask the participantto help others who may be havingdifficulty.n Thankthe group again for theirparticipation. Express the hope thatthey see adding a little physicalactivity to their day can be fun andeasy. Suggest that they do thesesimple exercises with a friend or familymember.United States Department of Agriculture Food and Nutrition Service Eat Smart, Live Strong

Eat Smart, Live Strong Activity KitThe Eat Smart, Live Strong Activity Kit offers a set of learningexperiences to facilitate older adults’ adoption of two importantbehaviors that can improve almost everyone’s health and qualityof life:1Eat at least 31/2 cups of fruits and vegetables every day2Participate in at least 30 minutes of physical activity most daysBecause knowledge is not enough for people to adopt healthfulhabits, the kit takes a behavioral approach that builds on appliedbehavioral theory and prior research. The sessions and materialshave been tested with staff and group leaders in nutrition sites.Handouts were also tested with potential participants – low-incomeadults between 60 and 74 years old who are eligible for USDAFood and Nutrition Service’s programs.

United States Department of AgricultureFood and Nutrition Service3101 Park Center Drive, Alexandria, VA 22302The USDA is an equal opportunity provider and employer.Revised November 2012

Eat Smart, Spend Less n Introduce the session. Let participants know that this is the last of four sessions in the Eat Smart, Live Strong series and that today’s session is “Eat Smart, Spend Less.” n degAonw ekfamiliar cl faces. Give a big hello to those who attended ear

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BIOGRAFÍA ACADÉMICA DE ALFREDO LÓPEZ AUSTIN Enero de 2020 I. DATOS PERSONALES Nacimiento: Ciudad Juárez, Estado de Chihuahua, México, 12 de marzo de 1936. Nacionalidad: mexicano. Estado civil: casado. Investigador emérito de la Universidad Nacional Autónoma de México, por acuerdo del Consejo Universitario, con fecha 21 de junio de 2000. Sistema Nacional de Investigadores. Nivel III .