Croatian National Health Promotion Program Healthy Living

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Croatian National Health Promotion Program Healthy Living Assist. Professor Sanja Musić Milanović MD, PhD Croatian Institute of Public Health, Reference Center of the Ministry of Health for Health Promotion; University of Zagreb, School of Medicine, School of Public Health Andrija Štampar

OPERATIONAL PROGRAM Efficient human resources 2014. - 2020. EMPLOYMENT SOCIAL INCLUSION EDUCATION BETTER ADMINISTRATION The Project was co-financed by the European Union from the European Social Fund.

OVERARCHING GOAL To inform, educate and sensitize Croatian citizens of all age groups about positive aspect of healthy lifestyles through community action: CONTRIBUTIONS Physical health Mental health Educating citizens on maintaining health Higher availability of services for practicing healthy lifestyles Changing modifiable life habits Sexual health Increase in the share of healthy citizens in Croatia ESF financial contribution: 4.088.943,40

Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace

Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace

1. Health Education Sexual/reproductive GOAL: Physical Health Mental Health Health 1. Promoting healthy diets and physical activity with the goal of preventing overweight and obesity 2. Health education in the area of mental health 3. Education and informing of students, youth and target groups in the field of sexual and reproductive health and responsible sexual behavior TARGET GROUP: School-aged children and educators FINANCES: 2.332.672,00 POLYGON IMPLEMENTATION PARTNERS:

Prevalence of Overweight and Obesity in Children 2003 22.1% 20.8% 19.5% SOURCE: Croatian Health Survey 2003, University of Zagreb, School of Medicine, School of Public Health Andrija Štampar

kcal/day Nutritional Recommendations for Elementary School Children 2700 2600 2500 2400 2600 2475 2350 2300 2200 2100 2000 1900 2220 2032.5 1845 1800 1700 1990 2013 Total Boys Girls Year SOURCES: Kaić-Rak A, Antonić K, Tables on the composition of foods and beverages, Health care institute od SR Croatia, Zagreb 1990 National Nutritional Guidelines for Elementary School Children, Ministry ofhealth, 2013

2013 - National Nutritional Guidelines for Elementary School Children Nutritionist: Nutritional Normative for elementary school children 12/2012 - Menus development - School teams education - Evaluation Goal: Nutritionist in every school

Prevalence of Overweight and Obesity in Children 2015 38.7% 34.9% 31.0% SOURCE: CroCOSI 2015/2016, Croatian Institute of Public Health

Nutrition in schools 37 Weekly school menus for 4 seasons 37 Additional school menus for lactose intolerant children First step is to establish School Team for Nutrition We have visited schools in ten counties Principal Secretary Parent Teacher Chef

Weekly menu for elementary schools 25 29 September 2017 DAY Dairy meal Lunch Snack kcal 25 Sep 2017 Monday seeds roll acidophilus milk apple green bean, carrot and potato stew with chicken mixed flour bread crêpes with marmalade 1012,9 26 Sep 2017 Tuesday sandwich (wholemeal bread, ham, cheese, fresh peppers) chicory coffee with milk pea cream soup turkey burger vegetable stew with rice cabbage salad Čokolino cereal milk pear 1092,4 27 Sep 2017 Wednesday fruit muesli with milk banana meatballs in tomato sauce mashed potatoes and cauliflower carrot salad cornbread margarine spread milk 1210,08 28 Sep 2017 Thursday corn polenta drinking yogurt grapes vegetable soup with millet roast pork sautéed green beans with vegetables cheese dessert with fruit 1059,7 29 Sep 2017 Friday graham bread ham and cottage cheese spread honey and lemon tea pasta with tuna and vegetable and tomato sauce lettuce and rapunzel salad coconut pudding with dried fruit 966,0 1068,27

Weekly menu for elementary schools 5 9 February 2018 DAY Dairy meal Lunch Snack kcal 5 Feb 2018 Monday butter roll probiotic yogurt apple celery, potato and pea soup pasta al forno with pumpkin and cottage cheese pickles vanilla pudding with sour cherries 1080,0 6 Feb 2018 Tuesday muesli cereal with milk banana cream of leek soup potatoes au gratin sauerkraut salad mixed-fruit compote 1346,0 7 Feb 2018 Wednesday rye bread cream cheese spread with olives cocoa chicken stew with dumplings and vegetables mixed flour bread apple strudel mandarin orange 969,7 8 Feb 2018 Thursday sandwich (mixed flour bread, ham, cheese, fresh peppers) mandarin orange carrot soup pork in tomato sauce with peas rice and green peas lettuce salad millet with dried fruits and apple milk 1184,7 8 Feb 2018 Friday vegetable pizza tomato soup with rice pan-fried hake bean salad cornbread margarine spread fruit yogurt 1132,0 1142,48 Note: It is possible to move dessert from lunch to snack time (e.g. serve apple strudel at snack time due to limited time for meals).

Weekly menu for elementary schools 14 18 May 2018 DAY Dairy meal Lunch Snack kcal 14 May 2018 Monday oat roll cottage cheese with cream lemon and honey tea kohlrabi, pea, carrot and celery stew with oatmeal rye bread integral fruit muffin milk 1110,5 15 May 2018 Tuesday semolina pudding sprinkled with cocoa powder apple chicken soup with millet turkey fillet in mushroom sauce gnocchi lettuce and rapunzel salad mixed bread honey milk 1005,45 16 May 2018 Wednesday sandwich (mixed flour bread, ham, cheese, cucumbers) acidophilus milk meat, zucchini and spring onion moussaka cabbage salad Keksolino cereal with milk 1169,0 17 May 2018 Thursday chocolate muesli cereal milk banana beef broth with noodles boiled beef in tomato sauce sautéed rice with carrots and peas cucumbers cornbread margarine spread fruit yogurt 1266,0 18 May 2018 Friday seed bread margarine spread boiled egg chicory coffee with milk vegetable soup shrimp pasta with tomato sauce lettuce, radish and maize salad cherries strudel milk 1086,4 1127,47

Future plans additional menus for Lactose-intolerant children Vegetarians for Gluten-intolerant children Lactose free Vegetarians Gluten free

1. Health education - implementation HEALTHY NUTRITION FOR CHILDREN Crocos s plate for kindergarten children Nutritional recommendations for Elementary school children (1 st -4 th grade & 5 th -8 th grade) Nutritional recommendations for High school children

Nutritional recommendations KINDERGARTEN CHILDREN ELEMENTARY SCHOOL CHILDREN PREHRAMBENE SMJERNICE ZA DJECU (1. - 4. razred osnovne škole) HIGH SCHOOL CHILDREN KROKOSOV TANJUR

Future Goals Improve dietary habits of school children Gradually introduce new food to children Educate school children Include children as members of School Team for Nutrition Educate school chefs Educate parents tips and tricks: how to increase consumption of fruit and vegetables

Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace

3. Health and Nutrition IMPLEMENTATION PARTNERS:

Health education Health and physical activity Health and the environment Health and nutrition Health and the workplace

4. Health and the Workplace Main activity: Health-friendly Company PREHRAMBENE SMJERNICE ZA RADNO AKTIVNU POPULACIJU GOAL: Introduction of special certificates for workplaces which enable their employees to adopt healthy habits in life, promote health in the workplace and show positive care for health of their employees. TARGET POPULATION: Working population FINANCES: 232.295,00 IMPLEMENTATION PARTNERS: ASSOCIATION OF CROATIAN TRADE UNIONS MINISTRY OF LABOUR AND PENSION SYSTEM

Да живеем здравословно promicanjezdravlja@hzjz.hr