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Healthy Eating - Healthy Action
Oranga Kai - Oranga Pumau

Newsletter
Issue 3, May 2007


In this issue:


Improving Maori Health Through HEHA/Oranga Kai – Oranga Pumau


Kia Ora and welcome to the third edition of the HEHA Action Report.

It’s hard to believe we’re already in May...where has the year gone? Those of you at the HEHA coalface have been anything but idle this year. There is a great deal of work going on all over New Zealand to address the Government’s vision of reducing obesity,improving nutrition and increasing physical activity. This newsletter showcases some of that work.

One area I believe all of us in public health need to focus on more closely is the approaches that will enable better health outcomes for Maori. Rates for being overweight and obese are high for Maori– and the downstream consequences of that are an increased risk of chronic diseases such as Type 2 Diabetes, cardiovascular disease and some cancers.

In 2002, the Government launched He Korowai Oranga: the Maori Health Strategy, with an overall aim of Whanau Ora’ (healthy families) for Maori families to achieve their maximum health and wellbeing, for further information visit www.maorihealth.govt.nz. So critical is this work that the four pathways to achieving the vision of Whanau Ora were integrated into the HEHA Implementation Plan. Likewise, the plan features a table of outcomes and specific actions demonstrating the use of the four pathways as a planning framework to ensure that serious consideration is given to the needs of Maori.

Implementing HEHA in the context of the four pathways would mean a more comprehensive, determined and sustainable way to improve health and reduce inequalities in Maori health. There are some really good initiatives around the country doing this,including Ngati and Healthy, and Te Oranga 4 Lyfe.

Many of you will have heard of the Ngati and Healthy project to reduce Type 2 Diabetes onset as it won the 2006 Whanau Ora supreme award and was a Health Innovation Awards finalist in 2006. This Ngati Porou Hauora diabetes prevention project, based on the East Coast, involved pre and post-intervention surveys with a two-year intervention inbetween. It challenged the community to possible lifestyle and belief changes including making boil-ups healthy; gathering food from the bush and sea to supplement and balance existing fare in whanau cupboards; and regular daily exercise. Localised exercise and nutrition programmes eventually became owned and run by community champions with infrastructure and clinical support still provided by Ngati Porou Hauora. Local pakeke, rangatahi and tamariki along with the East Coast Rugby Team championed the project by acting as healthy role models. Ngati and Healthy is a collaboration between Ngati Porou Hauora and Otago University’s Edgar National Centre for Diabetes.

Another innovative initiative is Te Oranga 4 Lyfe in Kaitaia in the Far North. It aims to improve access to health facilities and the holistic wellbeing of tamariki and whanau through nutrition and physical activity.

So far it has involved children from 20 whanau who were put through a 30-week personalised programme.It involved collaborating with doctors, nurses, social workers, counsellors at Te Oranga and in schools,principals, teachers, youth workers, gym instructors and the whanau. Dependant on whanau needs, each child received services relevant to their immediate needs, eg some needed counselling support for bullying at school due to weight gain; some needed one on one time with a dietician. The programme provided links for the whanau to access services they had not considered or were unaware of.At the end of the programme 12 of the 20 tamariki achieved their individual weight loss and nutrition goals. The team will continue to check in with that group, as they repeat the programme for new recruits. We will follow the progress of this programme with great interest.

These two examples highlight the need for services and programmes to be accessible, available when needed and delivered in a culturally appropriate manner. We must ensure that Maori are receiving equitable quality of service, intervention and care.You may hear colleagues say: “I treat everyone the same”, but equity is not only about treating everyone the same, it’s also about doing things differently for different groups to achieve equal outcomes.

I’ve listed a few questions that may help you better focus on the needs and realities of Maori health during planning and decision making. These questions are designed to give effect to the Whanau Ora vision, as outlined in He Korowai Oranga: the Maori Health Strategy:

1. How are you involving Maori in your planning and decision making, so that your work is informed by Maori/whanau/hapu - /iwi and community perspectives?
2. Maori issues/needs are not always the same as for non-Maori. How does your service/programme address those differences?
3. How are Maori values and concepts reflected in the service/programme?
4. How clear are your objectives regarding Maori health outcomes?
5. What specific actions have you committed to improving Maori health outcomes?
6. How does your service/programme encourage collaborative activity with Maori communities and across sectors to address and improve Maori health outcomes?
7. How will your service/programme reduce inequalities and disparities in health for Maori?
8. How will you know you have made a positive difference to Maori health outcomes?

To access more information on the Whanau Ora tool,contact Maraea Craft at the Ministry of Health maraea_craft@moh.govt.nz

Industry Engagement Meetings


Encouraging children and youth in early childhood centres and at school to eat healthier is one step closer after Ministry of Health meetings with the food and beverage sector.

The Ministry released its framework for the Food and Beverage Classification system in March, and during April held two meetings with industry in Auckland and Christchurch.

Industry advisor Sally Hughes said the meetings’aim was to inform and involve food and beverage companies in the development of the system and get their views prior to finalising it. The system will help schools and early childhood services with food provision and catering by categorising food and beverages into those suitable for consumption everyday, sometimes or occasionally.

“The comments and suggestions industry gave us at these meetings will help to make the system more workable for all parties involved. Various groups raised technical anomalies they would like to see worked through as these could be problematic for them,” says Sally.

She says that although the Ministry may not be able to resolve all the sticking points they will certainly try to meet industry half way.

Of particular interest were technical nutritional issues around the criteria set for the everyday,sometimes and occasional categories for certain products, as well as matters of an operational nature such as the management of the product lists supplied to schools and early childhood services.Although participants were generally supportive of the system some expressed concern that children would buy their food off school premises if food restrictions and choices were too tight.

“It was great to see the enthusiasm and constructive ideas from the food and beverage companies as to how to make this initiative work to improve the nutrition of our young people. It was a good example of the progress that can be made and the benefits of the Ministry working with industry to try to get a good outcome,” says Sally.

“Comments from the Christchurch meeting were that they appreciated the Ministry providing the opportunity for them to get together to discuss the system and it was great to have something to work towards.”

Similarly a number of participants in the Auckland meeting applauded the Ministry for listening and looking at the different angles needed to make a more workable system, as well as the use of focus groups.

Sally says the plan will continue to be worked on and is due for release in June.

The Food and Beverage Classification System supports educational institutions to implement the Ministry of Education’s Food and Nutrition for Healthy, Confident Kids guidelines. The guidelines detail the approach that schools and early childhood centres should take to improve food and nutrition.

Both the Food and Beverage Classification System and the Food and Nutrition for Healthy, Confident Kids guidelines are part of the Government’s‘Mission On’ package announced last year to encourage young New Zealanders to improve nutrition and increase physical activity.

Encouraging Healthy, Confident Kids


The Government’s mission to see more children making healthier lifestyle and food choices has progressed with the launch of guidelines for schools and early childhood education services.

Minister of Education Steve Maharey recently launched the Food and Nutrition for Healthy, Confident Kids guidelines at Mt Cook School.

The Minister told people attending the launch that schools and early childhood services, along with parents and communities, had an important role in making sure children gained the skills and habits they needed for a healthy life.

The Ministry of Education’s Food and Nutrition for Healthy Confident Kids guidelines support those involved in the provision of food to children to help them eat more healthily.

The Ministry of Health’s Food and Beverage Classification System framework, launched in March, supports the guidelines by categorising foods into ones to be eaten everyday, sometimes and occasionally.

“As Education Minister, I want to see healthy, confident kids.And getting into the habit of choosing the right food and drinks is very important. It’s important that children have a mix of foods, including lots of fruit and vegetables, and less of the food and beverages that are high in fat, sugar and salt,” Steve Maharey said.

“The guidelines and framework are useful tools to help schools and early childhood services encourage Kiwi kids to make healthier choices every day. This initiative will improve their educational achievement as well as their physical health.”

Steve Maharey said the guidelines and framework were part of the Government’s$67 million Mission On campaign, which consisted of a broad range of programmes aimed at improving nutrition and making children more active.

The education and health ministries are now facilitating training on implementation of the guidelines and framework. The training will consist of a one-day workshop covering best practice in relation to food and beverages in education settings. Schools and early childhood services will receive funding for up to two attendees. For more information on the training, contact the HEHA project manager at your District Health Board or Pauline Brown at Pauline.Brown@minedu.govt.nz

The Mission-On campaign recognises thatparents, educators, health professionals and the children and young people themselves all have a part to play in encouraging healthy choices and different groups need to work together to make a difference.

Preventing Childhood Obesity The Apple Way


Reducing excessive weight gain in young children is possible, if the findings of an innovative University of Otago study are anything to go by.

Entitled APPLE (A Pilot Programme for Lifestyle and Exercise), this initiative is aimed at reducing the rate at which primary school children gain weight through increased opportunities for physical activity and simple dietary advice via community-based initiatives.

Dr Rachael Taylor of the APPLE team says the two-year findings of the APPLE programme showed weight reduction was possible.

“Activity co-ordinators (ACs) were employed in four intervention schools to develop an activity programme that included lifestyle based activities and nontraditional sports such as beach walks, games from other countries, line dancing and so on. The ACs were employed to be the ‘face’ of activity in the school,acting as a point of contact for parents and other community members who volunteered their time and expertise, and being an initiator of ideas and activities.”

Additionally, innovative games, community resources and science lessons in schools were used to deliver simple nutrition messages targeting increased fruit and vegetable intake and reduced sugary drinks consumption.

“Changes in body mass index (BMI), waist circumference,blood pressure, physical activity and diet were compared in 250 intervention and 250 control children (from three schools in a geographically separate area), after two years.

“Intervention children had significantly smaller gains in BMI over this time, equivalent to 0.5-0.7 BMI units in 7 to 11-year-old children. While these differences might appear small at the individual level, such differences have the potential to translate to large differences in terms of population health.”

Dr Taylor also described how several additional benefits were observed, including smaller waist circumferences, lower blood pressure, greater fruit intake and a lower consumption of sugary drinks.

“An exciting positive outcome not originally considered by the research team was that schools reported less bullying in the playground, encouraging a happier school environment.

“It’s reassuring to discover that a relatively simple approach – the provision of ACs dedicated to promoting increased extra-curricular physical activity, combined with basic nutrition education– can significantly impact on the rate of weight gain in children over a relatively short time period.”

Follow-up analysis was planned to determine the sustainability and reach of APPLE initiatives in the wider community following the end of the programme.Several different approaches including legislative and policy measures have been suggested to help reduce the epidemic of childhood obesity.

Dr Taylor said the APPLE team gratefully acknowledged the participation of the schools and communities involved, as well as funding from the Health Research Council, National Heart Foundation, Community Trust of Otago, University of Otago and the Otago Diabetes Research Trust.

Getting the Youth Perspective


A visit to the Beehive and an audience with the Minister of Health, the Hon Pete Hodgson, were highlights for 14 young people recently.

The 12-18-year-olds from a range of age, ethnic, geographic and socio-economic backgrounds came to Wellington to provide a unique youth perspective on food and nutrition in the school setting.

Megan Grant, HEHA’s Senior Adviser (Nutrition), says this was the second meeting of the National Youth Advisory Group (Rise E Tu), which was established to provide the Ministries of Health and Education with youth input on a range of initiatives related to improving nutrition, increasing physical activity and reducing obesity for young people. The first meeting was held in Wellington in December 2006.

“A highlight this time was meeting with Minister Hodgson, who talked to the students about the need for youth input on a range of initiatives, especially those related to making the school environment healthier,” says Megan.

“The key topic of discussion was the implementation of the Food and Beverage Classification System, a tool which identifies healthier at-school food and beverage choices, and will assist the Ministry of Education to implement its Food and Nutrition for Healthy, Confident Kids guidelines.”

Minister Hodgson explained to the group the importance of the HEHA strategy, and its importance to the health of all New Zealanders.

“He noted that, as Minister of Health, he was seeing improvements in several areas of health – but unfortunately not in obesity related illnesses. He told the group he viewed their participation as critical,because they provided the essential youth perspective on issues and relevant solutions.“

The Minister was so engaged with the group that he kept his next meeting waiting while he had his photo taken with them! They felt this really showed he valued their input,”says Megan.

Rise E Tu was developed by the New Zealand Association for Adolescent Health and Development (NZAAHD), a national non-Government organisation committed to supporting innovative health and education policies and programmes affecting 12-25 year-olds.

The next meeting of Rise E Tu will take place in June 2007.

HEHA Project Manager Workshop


They came, they saw, they...went home filled with enthusiasm for spreading the HEHA message in the 21 DHB regions.

They are the newly-appointed HEHA project managers and in February, they came to Wellington to attend the first national workshop.

Ministry of Health Manager Southern Operations Sue Laurence says the project managers are critical for delivering the HEHA Strategy.

“These project managers are contracted by the DHBs to lead and co-ordinate activities in their respective regions. In this sense, they are the lynchpins to ensuring that initiatives and programmes focus on the Government’s aim of reducing obesity, increasing physical activity and improving nutrition.”

Sue says the workshop focused on developing an understanding of what HEHA means – and how the project managers can implement the HEHA Strategy in their respective areas.

“The workshop was run in conjunction with the Ministry of Education and SPARC to ensure that project managers understand their role in implementing HEHA and Mission On initiatives such as the Nutrition Fund and the Food and Beverage Classification System.”

The project managers also received a solid grounding in the DHB Ministry Approved Plans(MAP) process, which outlines how the DHB will take a leadership and co-ordination role in working with health and other sectors to develop an integrated district plan for the implementation of HEHA.

“Community ownership of these plans is important for their success and communities need to be involved in all stages of their development and implementation. MAP will ensure that DHBs work within a nationally consistent framework so that progress on implementing the HEHA Strategy can be tracked,” says Sue.

The next national project manager workshop will be held on September 18 and 19 in Wellington.

Healthy Eating for Children Begins at the Dinner Table


The first step towards achieving a healthy diet for children begins with bringing a family to the dinner table, according to the new national healthy eating programme.

The programme, developed by the Health Sponsorship Council (HSC) with assistance from Agencies for Nutrition Action (ANA), will spring into life this May with a high profile mass media campaign talking to parents and caregivers about ways of achieving healthy diets for their children.

“We know that being a parent is a daily challenge, so we wanted to start by talking with them about healthy eating in a way that recognises the barriers parents face, but still offers a practical and achievable starting point,” says Michelle Mako, Programme Manager.

The first phase of the programme promotes three simple steps families can take towards achieving healthy diets for their children. The first step is to encourage parents to eat together regularly as a family,as their kids are more likely to eat better and make healthier choices. “The evidence suggests that eating a meal as a family around a table is good for children as they are more likely to consume healthier food,plus the family will have more chances to improve its communication and understanding. So it’s a good message on many fronts,” says Michelle.

The second step is to encourage children to get involved in the kitchen with meal preparation, so that they learn about the food they eat, and they’ll be more likely to try the new foods if they’ve helped to prepare them, explains Nikki Chilcott, ANA. “Children can start getting involved from a young age, even if it’s through bringing items from the cupboard or freezer, or setting the table. The key is to get them involved regularly and build their skills and understanding so they can grow in confidence and competence,” says Nikki.

The third tip in the series will start to look at specific foods, by promoting water or reduced fat milks as the first choice for children,while reminding parents that kids don’t need sugary drinks.

“We will be taking parents on a journey, moving increasingly towards more challenging practices that we believe will contribute to improved outcomes for their children,” says Nikki.

This approach has evolved from findings of formative research including a review of international evidence for social marketing for nutrition, interviews with 24 key informants, and guidance from the public health expert advisory group. For more information about these sources see the HSC website at www.hsc.org.nz/nutrition.html

The new programme aims to support those working in public health nutrition by providing a national platform to promote improved nutrition and eating behaviours among their communities. It launches at the ANA National Nutrition & Physical Activity Public Health Conference, in Rotorua on 23 – 25 May. Information and resources will be available post-launch from the HSC.

For more information about the programme or resources please contact Michelle Mako, Programme Manager, on Michelle@hsc.org.nz or Anna Passera,Marketing and Communications, on Anna@hsc.org.nz.For more information about the ANA conference please see the website www.ana.org.nz

HEHA Project Manager Profile: Russell Holmes


The second cab off the rank for this regular newsletter slot is the Northland HEHA/Oranga Kai– Oranga Pumau project manager, Russell Holmes,who started in the role in January 2007.

Although Russell has worked in Te Taitokerau/Northland for seven years, he actually hails from the deep south. Born and raised in Dunedin, he majored in languages at the University of Otago before completing study in Berlin in the mid-70s.

“Living there then was very exciting,especially in the political sense as it was a divided city,” he says. With qualifications in hand,Russell subsequently headed to London where he spent a few months working at are tail store.

Returning to New Zealand, he trained as a secondary school teacher, a career that lasted around 20 years. “I taught German, French and Japanese in New Zealand, Australia and the UK,as well as English in Germany.”

Russell’s first foray into the health sector was with the New Zealand AIDS Foundation in 1996, when he was part of the recruitment team for a national research project about New Zealand’s gay community.Following that, he became the AIDS Foundation’s support and counselling team manager.

Russell moved to the Bay of Islands in 1999 and from 2000 until 2005 worked as a Health Promoting Schools (HPS) advisor, before joining the Ministry of Health in 2006 as the National Project Manager for the very successful Fruit in Schools (FIS) programme. In this role, he travelled the length and breadth of the country supporting the FIS providers to initiate the programme, and leading a range of inter-agency partners to deliver professional development and support to school clusters.

“This was the best job I’ve ever had and a ‘fruitful’introduction to my current role as the Northland HEHA/Oranga Kai – Oranga Pumau project manager. People in Northland face many health-related challenges, including deprivation and geographic isolation, but the region is also blessed with many vibrant people making a huge difference to improve this situation.”

Russell says he has extensive networks across Taitokerau, and is passionate about being able to play a part in the lives of tamariki/mokopuna alongside a whole range of organisations and communities in a strength-based ‘can-do’ way– to address issues of hauora/wellbeing.

“I’m especially privileged to have worked with Kaumatua and Kuia, whose connections with,and commitment to, wha - nau, hapu - and iwi, and whose wisdom and knowledge of what works best for their communities across the rohe, are of immeasurable value.”

There are many dynamic HEHA initiatives already underway in Northland, including:
• More than 84 of the approximately 150 schools in the region are Health Promoting Schools and 34 are FIS schools
• Green Prescription communities, whereby community solutions are sought to keep participants active and eating healthily
• Oranga Kai, focusing on developing Maori health providers’ capacity and skills in the area of healthy eating
• Child Health Family Lifestyle Clinic, a multi-disciplinary family-based programme supporting young people to become more active, improve their diets and lose weight.This is a partnership between Sport Northland, the Public Health Dietician and the Child Health Centre Staff.

Where We're Going – and Where We've Been...


Considerable progress has been made over the past 12 months in implementing the HEHA Strategy and the accompanying HEHA Implementation Plan. These documents focus on the need for environmental and society-level support to assist New Zealanders to eat healthy food, lead physically active lives and attain and maintain a healthy body weight.

Progress to date has been documented in a new Ministry of Health publication, Healthy Eating-Healthy Action, Oranga Kai-Oranga Pumau: Progress on Implementing the HEHA Strategy 2007.

This document outlines the work of the Ministry and other agencies’programmes, like Fruit in Schools, the Nutrition Fund, the Food and Beverage Classification System and a multi-media social marketing campaign.The document also covers actions in the HEHA arena this coming year. As Ministry of Health Director General Stephen McKernan says in his foreword:“This document outlines our progress so far, and the journey we need to take in 2007 as we work towards an environment in which all New Zealanders are supported to eat well, live physically active lives and maintain a healthy body weight”.

Progress on Implementing the HEHA Strategy 2007 is on www.moh.govt.nz/heatlhyeatinghealthyaction

National Nutrition and Physical Activity Public Health Conference, 23-25 May 2007, Rotorua

The countdown is on to the start of the National Nutrition and Physical Activity Public Health Conference.

Conference organiser, Christina McKerchar, from Agencies for Nutrition Action (ANA), says the theme for this year’s conference is Ngahuru.

“Ngahuru means 10 in Maori, so we have a keynote programme designed around reviewing the last 10 years of action to prevent obesity in New Zealand and hopefully provide some stimulating insight. Ngahuru can also mean harvest,so on the second day of the conference, we’ll bring in the food security theme.”

Christina says the conference is a good opportunity to catch up on who is doing what in the sector.

“There’s so much going on in the nutrition and physical activity arenas and this conference is a fantastic way to bring together those working in these sectors to share ideas and celebrate successes.”

For further information, visit the ANA website: www.ana.org.nz

Library Corner


The following include the latest publications and articles in the HEHA arena:

Articles:

Nutrition-related disorders in Indigenous Australians: how things have changed[Nutrition and Obesity – Viewpoint]
Michael S Gracey, Med J Aust 2007; 186 (1): 15-17.
Abstract: Awareness of a serious Indigenous health problem in Australia did not emerge until the 1960s and 1970s. Much attention was focused at the time on poor pregnancy outcomes, high infant and young child mortality rates, and childhood malnutrition and impaired growth, often associated with high infectious disease burdens.

Although that situation has improved somewhat,Indigenous infant and child health is still poor compared with that of other Australian children.

Over recent decades, there has been a rapid rise among Indigenous people of nutrition-related“lifestyle” disorders such as obesity, cardiovascular disease, type 2 diabetes mellitus and chronic renal disease and their complications.

This epidemic of disabling and often fatal chronic diseases in Indigenous Australians is also occurring in disadvantaged groups in many other countries.

Control of this potentially disastrous epidemic must become a much higher priority in Indigenous health programs. Governments must commit to this task in cooperation and collaboration with Indigenous organisations and communities.

National Nutrition Month – March 2007
MMWR 16 March 2007
First paragraph: “March is National Nutrition Month (in the United States). A healthy diet is high in fruits and vegetables, and evidence indicates that eating more fruits and vegetables can lower a person’s risk for chronic diseases such as certain cancers and cardiovascular disease. Healthy People 2010 objectives include increasing the proportion of persons who eat adequate amounts of fruit and vegetables every day (objectives 19-5 and 19-6).”

Freely available online at www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a1.htm?s_cid=mm5610a1_x

Fruit and Vegetable Consumption Among Adults– United States, 2005
MMWR 16 March 2007

First paragraph: “A diet high in fruits and vegetables is associated with decreased risk for chronic diseases
(1). In addition, because fruits and vegetables have low energy density (i.e., few calories relative to volume), eating them as part of a reduced-calorie diet can be beneficial for weight management
(2). Healthy People 2010 health objectives include increasing to 75% the percentage of persons aged>2 years who eat at least two daily servings* of fruit (objective 19-5) and increasing to 50% the proportion of persons aged >2 years who eat at least three daily servings of vegetables, with at least one third being dark green or orange vegetables (objective 19-6)
(3). To assess the level of fruit and vegetable consumption among adults by state and demographic characteristics, data from the 2005 Behavioral Risk Factor Surveillance System (BRFSS) were analyzed. This report describes the results of that analysis, which indicated that32.6% of adults consumed fruit two or more times per day and 27.2% ate vegetables three or more times per day. The results underscore the need for continued interventions that encourage greater fruit and vegetable consumption among U.S. adults.

”Freely available online at: www.cdc.gov/mmwr/preview/mmwrhtml/mm5610a2.htm?s_cid=mm5610a2_x

The role of diet in the prevention and managementof adolescent depression
Bamber, D. J, et al. Nutrition Bulletin,
Volume 32 Issue s1 Page 90 – March 2007
Abstract: Depression in adolescence is associated with a range of negative outcomes and substantial risk for morbidity and mortality across the lifespan. Dietary improvement and supplementation may offer an inexpensive and acceptable adjunct to standard treatment; yet this has, to date, been largely overlooked, owing to lack of evidence and knowledge. This is important, as improving understanding of the role of diet in mental health and promotion of appropriate dietary practices could significantly reduce the personal and social impact of depression in young people. This article sets out to review the existing research literature on associations between diet and mental health in adolescence.

Book:Appetite for profit: how the food industry undermines our health and how to fight back.
Simon, Michele. New York: Nation Books, 2006.
Table of contents:
- Anatomy of a food corporation: why we can’t trust them
- Personal responsibility, energy balance, and other distractions
- Freedom from choice: distortions of all-American values
- Nutriwashing fast food- Nutriwashing processed foods
- “Responsible marketing” to kids- Exposing Government complicity
- Co-opting the science- Eating in the dark: nutrition labeling in restaurants
- Battling big food in schools- Regulating junk food marketing to children
- Scapegoating the lawyers- The bigger picture
- App. 1. Anti-glossary
- App. 2. Guide to industry groups and spin doctoring
- App. 3. Myth vs. reality: nutrition labeling at fast-food and other chain restaurants
- App. 4. Taking back our schools
- App. 5. Protect your legal rights
- App. 6. Resources for positive change.

Search inside (via Amazon): www.amazon.com/gp/reader/1560259329/ref=sib_dp_pt/102-2765333-8345758#reader-link

Healthy Eating Healthy Action Tips


Because the HEHA vision is an environment where all New Zealanders are supported to eat well, live physically active lives and maintain a healthy body weight, we in the HEHA team are all for practical ways that can help make this goal a reality.

In each issue of the HEHA Action Report, we’ll bring you a couple of simple nutritional and physical activity tips which we would encourage you to incorporate into your daily lives.

Healthy Eating
If choosing to drink alcohol, limit your intake.Remember, drinks containing alcohol are high in energy density and may contribute to weight gain.Have some alcohol-free days each week.

Healthy Action
There are 1440 minutes in every day...Schedule thirty of them for physical activity.How about keeping a pair of comfortable walking or running shoes in your car or at your office?Then you’ll be ready for activity wherever you go!

Contact Details


We would love to get your feedback on this bi-monthly newsletter and, of course,to hear how HEHA is being implemented n your respective regions. Please send your contributions to heha@moh.govt.nz


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