Health Education Lesson Plan Teacher: Grade Level: 5

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Health Education Lesson Plan Teacher: Grade Level: 5 Core Idea: Wellness Safety Nutrition X Sexual Health Social Emotional Health Substance Use & Abuse Topic Beverages Unit Title Lesson Title Making Better Beverage Choices (Grade 5) Grade Level Outcome(s) Learning Standards (Check all that apply) Compare beverages to make a healthy choice. H5.N2.5 (1) Health Promotion/Disease Prevention X (2) Influence of Family, Peers, Culture, Media, Technology (3) Access Valid Information (4) Communication Skills _ X _ (5) Decision Making X_ (6) Goal Setting (7) Practice Health-Enhancing Skills _ X _ (8) Advocacy Learning Outcomes Essential/Inquiry Questions Students will use the Nutrition Facts label to compare beverages for various nutrients in order to make healthy choices. Student Success Criteria Key Words I can compare the various nutritional values of beverages and determine which are the healthiest. How can I compare beverages to make the healthiest choice? Caffeine: A drug that stimulates the central nervous system, causing increased alertness. It is naturally produced in the leaves and seeds of many plan plants but also produced artificially and added to certain foods. Hydration: Consuming the fluids necessary for the body to function properly. Sugar: A sweet crystalline substance obtained from various plants, especially sugar cane and sugar beet, and is used as a sweetener in food and drink. (Definitions from: OSPI Health Education Glossary, Dictionary.com and KidsHealth.org) Lesson Introduction Beverages make up a large part of grocery and convenience stores. [Show Visual #1.] You can buy beverages at many other stores such as clothing and toy stores. They are a big money making industry. There are hundreds of beverages to choose from. Which will you choose? Today we are going to talk more in depth about beverages and get more practice at comparing them. Beverages 1

Health Education Lesson Plan Teacher: Grade Level: 5 Core Idea: Wellness Safety Nutrition X Sexual Health Social Emotional Health Substance Use & Abuse Lesson Content & Activities 1. What are some of your favorite beverages? Let s call out a few. [Invite responses.] We all make decisions every day about what to eat and drink. Let s take a look at some statistics about beverage choices kids in the United States are making. 2. Show Visual #2. You can see that many kids and teens are choosing soda on a weekly basis. Sugar-sweetened fruit flavored drinks are also popular. There has been an increased consumption of flavored teas and coffee drinks. 3. Show Visual #3. You can see that over 60% of kids and teens are drinking sugar-sweetened beverages every day. 4. Show Visual #4. You may have heard that soda consumption has been slowly declining in the United States. That is true. It s still the most popular, but other beverages are gaining in popularity. The newer beverages are taking away drinkers from the traditional beverages. In other words, people are drinking less milk and juice, but drinking more tea and sports drinks. 5. Being properly hydrated is very important. Our bodies need water every day. But people make beverage choices for more reasons than just thirst. Sometimes it has to do with taste. Or maybe you just want to drink what everyone else is drinking. Do you think most people look at the Nutrition Facts label as a way to decide what to drink? Do you think they should? [Wait for responses.] Every beverage choice we make is important to our health. Let s look at the impact of sugary drinks. [Show Visual #5 and discuss.] 6. Now we are going to look even closer at a variety of beverages and consider what they mean for our health. We will be dividing up into six groups. Each group will be investigating some of the beverages we have just talked about. Then you will report back to the class. You will have about 25 minutes to work together in your group. Divide class into six groups and give each group one of the six worksheets with corresponding beverage cards. Display Visual #6 as students will need this to complete their worksheets. Circulate amongst the groups to answer questions as needed. Suggest that as they record numbers, one group member is the scribe and others call out the information for the chart. 7. When all groups have completed their worksheets, invite each group to share their discoveries. As needed, help them clarify and be succinct. 8. Now that we have heard from all the groups, share with a partner something you learned that may change your beverage choices. As time allows, hear from a few students. Beverages 2

Health Education Lesson Plan Teacher: Grade Level: 5 Core Idea: Wellness Safety Nutrition X Sexual Health Social Emotional Health Substance Use & Abuse Closure We all make decisions about what to drink every day. Drinking water is always the best choice to stay hydrated. Today we have discovered that other beverages have a wide variety of ingredients and nutrients. What we choose makes a difference for our health. Differentiating Instruction For students with limited English language skills, they may be paired with a partner who is more fluent for help with group work. Assessment Student learning may be measured by: 1) Participation in group work 2) Participation in classroom discussion Interdisciplinary Connections Common Core State Standards for English Language Arts Reading Standards for Informational Text: #7 Draw on information from multiple print or digital sources, demonstrating the ability to locate an answer to a question quickly or to solve a problem efficiently. Language Standards Knowledge of Language #6 Acquire and use accurately grade-appropriate general academic and domainspecific words and phrases, including those that signal contrast, addition, and other logical relationships (e.g., however, although, nevertheless, similarly, moreover, in addition). Equipment/ Resources Teacher Resources in Preparation for the Lesson: What s the Big Deal with Sugary Beverages (Included) Why Water? (Included) Beverage Card Groups (Sort cards ahead of lesson and place them with the corresponding worksheet for each group) Classroom Resources for Teaching the Lesson: Beverage Cards (Order from www.eatsmart.org) Visuals 1-6 (Included) 6 Worksheets for Group Activity (Included) Teacher Reflection (Complete After Teaching) Lesson written and developed by Carolyn A Lee, MS, RD in cooperation with the Highline School District through a CDC Partnerships to Improve Community Health (PICH) grant. Beverages 3

Why Water? Regulates body temperature Keeps eyes, mouth, nose and skin moist Protects organs, tissues and joints Carries nutrients and oxygen to cells Helps your body absorb and use nutrients Flushes waste from kidneys and liver Helps move waste through the body Teacher Resource

Beverages Take Up Lots of Room in Grocery Stores Visual #1

What Teens Drink in an Average Week Soda Milk 66% 59% Fruit Drinks 58% Tea 29% Coffee 17% Percent of 17 year olds that drink each category in an average week Visual #2 Data Source: Kantar World Panel

What Percent of Kids Drink Sugar-Sweetened Drinks Every Day? 70% 60% 50% 64.5 61.3 40% 30% 20% 10% 32.7 33.7 20.2 18.1 11.5 9.5 0% Total 1 Drink per day 2 Drinks per day 3+ Drinks per day Boys (2-19 years) Girls (2-19 years) Visual #3 Data Source: NCHS, National Health and Nutrition Examination Survey, 2011-2014

What are People Drinking Now? Visual #4 Data Source: Kantar World Panel

What s the Big Deal with Sugary Beverages? Sugary Beverages Lead to: Excess Calories They do not fill you up, but they fill you out. Overeating can lead to obesity, diabetes, heart disease and cancer. Lower Nutrient Intake Your body may not absorb nutrients as well. Less calcium and vitamin D leads to poor bone health. High Caffeine Intake This can cause headaches, sleep loss, increased heart rate and calcium loss. Tooth Decay Sugars erode tooth enamel and fuel tooth bacteria in your mouth. Visual #5

Words for Sugar Brown Sugar Beet Sugar Cane Juice Cane Sugar Cane Syrup Corn Sweetener Crystalline Fructose Dextrose Fructose Glucose High Fructose Corn Syrup Honey Lactose Liquid Sucrose Maltodextrin Maltose Molasses Sugar Sucrose Raw Sugar Visual #6

Beverage Card Groups Divide as follows: Group 1 Almond Beverage Unsweetened Almond Beverage Original Almond Beverage Vanilla Soy Milk Unsweetened Soy Milk Vanilla Fat Free Milk 2% Milk Fat Free Chocolate Milk Group 2 Rice Beverage Original Rice Beverage Vanilla 1% Milk Whole Milk Fat Free Lactose Free Milk Coconut Beverage Vanilla Coconut Beverage Unsweetened Group 3 Cola Diet Cola Energy Drink 8.4 ounces Sports Drink Coconut Water Group 4 Cola 20 ounces Energy Drink 16 ounces Sports Drink 20 ounces Plain Water Vitamin Added Water with Sweetener Group 5 Vegetable Juice Apple Juice Orange Juice Fortified 6 ounces Orange Juice Powdered Fruit Drink Cranberry Juice Cocktail Juice Drink Pouch Lemonade Group 6 Bottled Coffee Drink Iced Tea with Sweetener Iced Vanilla Latte Hot Chocolate Iced Latte Unsweetened Black Coffee Iced Tea Unsweetened

Group 1 - You are Comparing Various Milk and Milk Alternatives Beverage Serving Size Almond Beverage Unsweetened Almond Beverage Original Almond Beverage Vanilla Soy Milk Unsweetened Soy Milk Vanilla Fat Free Milk 2% Milk Fat Free Chocolate Milk Calories Protein Vitamin D Calcium Potassium Teaspoons of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) Look at the beverage cards. Which beverages seem to have the most ingredients? Are you familiar with those ingredients? 5) Based on the information you have now collected, which of these beverages is the healthiest choice? If there is more than one, list them and give your reasons. Be specific. 6) Making healthy food and beverage choices is especially important for children and teens who are still growing. Protein is important for building and repairing tissues and for strong muscles. Vitamin D and calcium are important for strong bones. Potassium supports a healthy heart. What would you say to someone who is trying to decide which beverage to select?

Group 2 - You are Comparing Various Milk and Milk Alternatives Beverage Serving Size Calories Protein Vitamin D Calcium Potassium Teaspoons of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) Rice Beverage Original Rice Beverage Vanilla Coconut Beverage Unsweetened Coconut Beverage Vanilla 1% Milk Whole Milk Fat Free Lactose Free Milk* * Real milk for people who have lactose intolerance and cannot digest regular milk sugar 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) Look at the beverage cards. Which beverages seem to have the most ingredients? Are you familiar with those ingredients? 5) Based on the information you have now collected, which of these beverages do you believe is the healthiest choice? If there is more than one, list them and give your reasons. Be specific. 6) Making healthy food and beverage choices is especially important for children and teens who are still growing. Protein is important for building and repairing tissues and for strong muscles. Vitamin D and Calcium are important for strong bones. Potassium supports a healthy heart. What would you say to someone who is trying to decide which beverage to select?

Group 3 - You are Comparing Various Popular Drinks Beverage Serving Size Calories Protein Vitamin D Calcium Potassium Teaspoons of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) Cola Diet Coke Energy Drink Sports Drink Coconut Water 8.4 ounces 16.9 ounces 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) It is recommended that for a 2,000 calorie diet, we get no more than 10% of our calories from added sugars each day. What is 10% of 2,000? calories Each teaspoon of sugar is about 16 calories. How many teaspoons of added sugar is the maximum recommended? teaspoons per day If a teenager drinks one 12 ounce can of cola in a day, how many teaspoons of added sugar are left for the rest of the day? What happens if that same teenager drinks 2 cans of cola in a day? 5) Look at the beverage cards. Which beverages seem to have the most ingredients overall? Are you familiar with those ingredients? 6) Do any of these drinks have caffeine? Which ones? 7) Now that you have compared these drinks, what conclusions can you make? _

Group 4 - You are Comparing Various Popular Drinks Beverage Serving Size Calories Protein Vitamin D Calcium Potassium Teaspoons of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) Cola 20 ounces Energy Drink 16 ounces Sports Drink 20 ounces Plain Water Any Size Vitamin Added Water With Sweetener 20 ounces 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) It is recommended that for a 2,000 calorie diet, we get no more than 10% of our calories from added sugars each day. What is 10% of 2,000? calories Each teaspoon of sugar is about 16 calories. How many teaspoons of added sugar is the maximum recommended? teaspoons per day Which drinks exceed that number of teaspoons? 5) Look at the beverage cards. Which beverages seem to have the most ingredients overall? Do you know what all those ingredients mean? 6) Do any of these drinks have caffeine? Which ones? 7) Now that you have compared these drinks, what conclusions can you make? _

Group 5 - You are Comparing Juices and Juice Drinks Beverage Vegetable Juice Serving Size Calories Protein Vitamin D Calcium Potassium Teaspoon s of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) Apple Juice Orange Juice Fortified 6.75 ounces 6 ounces Orange Juice Powdered Fruit Drink Cranberry Juice Cocktail 10 ounces Juice Drink Pouch 6 ounces Lemonade 20 ounces 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) The names of the drinks without added sugar are called juice. What other names are given to the drinks with added sugar? If a juice doesn t have added sugar on its label, it is 100% juice. The sugar in 100% juice comes naturally from the fruit; it is called naturally occurring sugar. The drinks with added sugar might have the word fruit in their name, but they can t be called just juice. Do you think some people might be confused by that if they didn t read the Nutrition Facts label? 5) It is recommended that for a 2,000 calorie diet, we get no more than 10% of our calories from added sugars. What is 10% of 2,000? calories Each teaspoon of sugar is about 16 calories. How many teaspoons of added sugar is the maximum recommended? teaspoons per day Which drinks exceed that number of teaspoons? 6) Now that you have compared these drinks, what conclusions can you make?

Group 6 - You are Comparing Juices and Juice Drinks Beverage Serving Size Calories Protein Vitamin D Calcium Potassium Teaspoons of Added Sugar Words for sugar listed in the ingredients (use the Words for Sugar document for help) Bottled Coffee Drink 9.5 ounces Iced Vanilla Latte Iced Latte with No Sweetener Black Coffee Hot Chocolate Iced Tea with Sweetener 23 ounces Iced Tea Unsweetened 18.5 ounces 1) Locate the information from each card and write it in the chart. 2) For each of the nutrients listed above (Protein, Vitamin D, Calcium and Potassium) put a star by the number that is the highest for each of the beverages. In other words, read each column and find the highest number. Then put a star by it. 3) Look at the number of added teaspoons of sugar for each of the beverages. Put an arrow pointing up by the number that is the highest. Put a star by those beverages that have no added sugars. 4) It is recommended that for a 2,000 calorie diet, we get no more than 10% of our calories from added sugars each day. What is 10% of 2,000? calories Each teaspoon of sugar is about 16 calories. How many teaspoons of added sugar is the maximum recommended? teaspoons per day Which drinks exceed that number of teaspoons? If someone goes to a coffee shop and gets a bottled coffee drink in the morning, and then gets a sweetened iced tea later in the day, how many teaspoons of added sugar are they getting for the day? teaspoons How does that compare to the maximum recommended sugar? 5) Coffee, tea and chocolate drinks have caffeine. Many of these also have sugar. Considering all you have discovered about each drink, do any of them have other health benefits? Which ones? 6) Which of the drinks you investigated would you say is the least healthy and why?