source: main/adopters/hi/trunk/src/main/webapps/hhdw-content/xml/html_content/topic/Nutrition.xml @ 24509

Last change on this file since 24509 was 24509, checked in by Paul Leo, 13 months ago

Hawaii IBIS V3, Updating content as per HI

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1<?xml version="1.0" encoding="ISO-8859-1"?>
2
3<HTML_CONTENT xmlns:ibis="http://www.ibisph.org">
4
5        <ibis:doc>
6                <name>topic/Nutrition</name>
7                <summary>Topic Page</summary>
8                <description>
9                </description>
10
11                <author>Paul Leo</author>
12                <company>Software Technology Group</company>
13        </ibis:doc>
14
15        <TITLE>Nutrition</TITLE>
16
17        <CONTENT>
18                <ibis:ExpandableContent titleLevel="2">
19                        <TITLE>Description</TITLE>
20                        <CONTENT>
21                                Good nutrition is essential for keeping current and future generations of Americans healthy across the lifespan. Breastfeeding
22                                helps protect against childhood illnesses, including ear and respiratory infections, asthma, and sudden infant death syndrome
23                                (SIDS). People who eat a healthy diet live longer and are at lower risk for serious health problems such as heart disease, type
24                                2 diabetes, and obesity. For people with chronic diseases, healthy eating can help manage these conditions and prevent complications.
25                                <br/><br/>
26                                The American Academy of Pediatrics recommends exclusive breastfeeding for 6 months, and then continuing breastfeeding while
27                                introducing complementary foods until a child is 12 months old or older. This provides infants with ideal nutrition and supports
28                                growth and development.
29                                <br/><br/>
30                                The 2015-2020 Dietary Guidelines for Americans recommend:
31                                <ul class="Indent">
32                                        <li>Adults consume 1.5-2 cups of fruits and 2-3 cups of vegetables per day.</li>
33                                        <li>Americans should limit their intake of added sugars to less than 10% of their total daily calories. For example, in
34                                        a 2,000 calorie diet, no more than 200 calories should come from added sugars.</li>
35                                </ul>
36                        </CONTENT>
37                </ibis:ExpandableContent>
38
39                <ibis:ExpandableContent titleLevel="2">
40                        <TITLE>Why It's Important</TITLE>
41                        <CONTENT>
42                                Breastfeeding is good for both mothers and babies. Breast milk is the best source of nutrition for most babies. Breastmilk changes
43                                to meet the nutritional needs of a baby as it grows. Breastfeeding can also help protect mother and baby against some short- and
44                                long-term illnesses and diseases including: asthma, type 2 diabetes, eczema, gastrointestinal infections, ear and respiratory
45                                infections, inflammatory bowel disease, obesity and sudden infant death syndrome (SIDS). Low rates of breastfeeding add more than
46                                $3 billion a year to medical costs for women and children in the United States.
47                                <br/><br/>
48                                Poor diet quality is a leading risk factor associated with death and disability in the United States.  Eating a diet rich in fruits
49                                and vegetables as part of an overall healthy diet can help protect against a number of serious and costly chronic diseases, including
50                                heart disease, type 2 diabetes, some cancers, and obesity. Fruits and vegetables also provide important vitamins and minerals that
51                                help the human body work as it should and fight off illness and disease.
52                                <br/><br/>
53                                Americans are eating and drinking too much added sugars which can lead to health problems such as weight gain and obesity, type 2
54                                diabetes, and heart disease. Added sugars are sugars and syrups that are added to foods or beverages when they are processed or
55                                prepared. Naturally occurring sugars such as those in fruit or unflavored milk are not added sugars. To live healthier, longer
56                                lives, most need to move more and eat better including getting fewer calories from added sugars.
57                                <br/><br/>
58                                The leading sources of added sugars in the U.S. diet are sugar-sweetened beverages like soda and fruit drinks, grain-based desserts
59                                like cakes and cookies, candy, and dairy desserts like ice cream. Reducing the amount of sugary drinks and sugary foods each day and
60                                replacing these with plain water and fruit might be a good way to reduce added sugar intake.
61                        </CONTENT>
62                </ibis:ExpandableContent>
63
64                <ibis:ExpandableContent titleLevel="2">
65                        <TITLE>What Is Known</TITLE>
66                        <CONTENT>
67                                Data from the National Immunization Survey reveal that although most infants receive some breastmilk, most are not exclusively
68                                breastfed or continuing to breastfeed as long as recommended. Nationally 83% of babies are ever breastfed, 58% are still breastfeeding
69                                at six months of age and only 36% are still breastfeeding at one year. In terms of exclusive breastfeeding, 47% of babies breastfeed
70                                exclusively through three months and only 25% breastfeed exclusively through six months. Rates of breastfeeding are higher in Hawai'i
71                                than in the U.S. with 96% of women initiating breastfeeding, and 50% breastfeeding exclusively for at least 8 weeks (PRAMS).
72                                <br/><br/>     
73                                Fewer than 1 in 10 children and adults eat the recommended amount of vegetables and only 4 in 10 children and fewer than 1 in 7 adults
74                                eat enough fruit. In Hawai'i 21.0% of adults eat vegetables less than one time per day and 37% eat fruit less than one time per day.
75                                Among high school students, 44% eat vegetables less than once per day and 51% eat fruit less than one time per day.
76                                <br/><br/>
77                                Nationally, in 2011-2014, 63% of youth and 49% of adults drank a sugar-sweetened beverage (SSB) on a given day. On average, youth and
78                                adults in the United States consumed about 144 calories from SSB each day.
79                        </CONTENT>
80                </ibis:ExpandableContent>
81
82                <ibis:ExpandableContent titleLevel="2">
83                        <TITLE>Who Is at Risk</TITLE>
84                        <CONTENT>
85                                About 60% of mothers do not breastfeed as long as they intend to. How long a mother breastfeeds her baby is influenced by many factors including:
86                                <br/>   
87                                <ul class="Indent">
88                                        <li>Issues with lactation and latching</li>
89                                        <li>Concerns about infant nutrition and weight</li>
90                                        <li>Mother's concern about taking medications while breastfeeding</li>
91                                        <li>Unsupportive work policies and lack of parental leave</li>
92                                        <li>Cultural norms and/or lack of family support</li>
93                                        <li>Unsupportive hospital practices and policies</li>
94                                        <li>Lack of community resources to support breastfeeding</li>
95                                        <li>Insufficient reimbursement for lactation support through health plans</li>
96                                </ul>
97                                <br/>
98                                Fruits and Vegetables-- Research shows that residents of low-income, minority, and rural neighborhoods have less access to stores that sell healthy foods, including a variety of fruits and vegetables at affordable prices.
99                                <br/><br/>
100                                While there is evidence that sugary soda consumption is decreasing, teen boys are more likely to report daily soda consumption than girls, and Other Pacific Islanders report more soda consumption than other race/ethnicity groups.
101                        </CONTENT>
102                </ibis:ExpandableContent>
103
104                <ibis:ExpandableContent titleLevel="2">
105                        <TITLE>How To Reduce Risk</TITLE>
106                        <CONTENT>
107                                States and communities can help citizens consume more fruits and vegetables by making them convenient and affordable in the places where children and adults live, work, learn, and play. This is particularly important for individuals and families that face food insecurity or lack access to stores selling quality produce at reasonable prices.
108                        </CONTENT>
109                </ibis:ExpandableContent>
110 
111                <ibis:ExpandableContent titleLevel="2">
112                        <TITLE>How It's Tracked</TITLE>
113                        <CONTENT>
114                                Breastfeeding is tracked by the <a href="https://www.cdc.gov/vaccines/imz-managers/nis/index.html">National Immunization Surveys (NIS)</a>, which can yield national and state-level estimates, and breastfeeding initiation is tracked through the <a href="https://www.cdc.gov/prams/index.htm">Pregnancy Risk Assessment Monitoring System (PRAMS).</a>
115                                <br/><br/>
116                                Fruit and vegetable consumption is tracked at the national and state levels primarily through two surveys:
117                                <ul class="Indent">
118                                        <li><a href="https://www.cdc.gov/healthyyouth/data/yrbs/index.htm">Youth Risk Behavior Surveillance System (YRBSS)</a>, U.S. Centers for Disease Control and Prevention, Adolescent and School Health.</li>
119                                        <li><a href="https://www.cdc.gov/brfss/index.html">Behavioral Risk Factor Surveillance System (BRFSS)</a>, U.S. Centers for Disease Control and Prevention, Office of Surveillance, Epidemiology, and Laboratory Services.</li>
120                                </ul><br/>
121                                National information is also tracked through the <a href="https://www.cdc.gov/nchs/nhanes/index.htm">National Health and Nutrition Examination Survey (NHANES)</a>, CDC/NCHS.
122                                <br/><br/>
123                                For more information on tracking nutrition health objectives, please visit the Nutrition and Weight Status topic at <a href="https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status">https://www.healthypeople.gov/2020/topics-objectives/topic/nutrition-and-weight-status.</a>
124                        </CONTENT>
125                </ibis:ExpandableContent>
126
127                <ibis:ExpandableContent titleLevel="2"><SHOW/>
128                        <TITLE>Indicator Reports</TITLE>
129                        <CONTENT>
130<!--
131                                <h3>Hawai'i IBIS Indicator Reports</h3>
132                                <ibis:SelectionsList id="IndicatorList">
133                                        <SELECTION>
134                                                <TITLE></TITLE>
135                                                <LOCAL_URL></LOCAL_URL>
136                                        </SELECTION>
137                                </ibis:SelectionsList>
138-->
139                                <h3>Hawai'i Health Matters Indicator Dashboards (Note: leaving IBIS site)</h3>
140                                <ibis:SelectionsList id="IndicatorList">
141                                        <SELECTION>
142                                                <TITLE>Physical Activity and Nutrition Plan Tracker</TITLE>
143                                                <URL>http://www.Hawaiihealthmatters.org/index.php?module=indicators&amp;controller=index&amp;action=dashboard&amp;id=83016762130277974</URL>
144                                        </SELECTION>
145                                        <SELECTION>
146                                                <TITLE>Nutrition patterns</TITLE>
147                                                <URL>http://www.Hawaiihealthmatters.org/indicators/index/indicatorsearch?doSearch=1&amp;grouping=1&amp;subgrouping=1&amp;ordering=1&amp;resultsPerPage=150&amp;l=14&amp;showSubgroups=0&amp;showOnlySelectedSubgroups=1&amp;primaryTopicOnly=&amp;sortcomp=0&amp;sortcompIncludeMissing=0&amp;showOnlySelectedComparisons=1&amp;showComparisons=1&amp;i=1207_7559_3007_3009_1311_1314&amp;handpicked=1&amp;requireSubgroups=0&amp;handpickedItems%5B0%5D=1207&amp;handpickedItems%5B1%5D=7559&amp;handpickedItems%5B2%5D=3007&amp;handpickedItems%5B3%5D=3009&amp;handpickedItems%5B4%5D=1311&amp;handpickedItems%5B5%5D=1314&amp;card=0</URL>
148                                        </SELECTION>
149                                        <SELECTION>
150                                                <TITLE>Food insecurity</TITLE>
151                                                <URL>http://www.Hawaiihealthmatters.org/indicators/index/indicatorsearch?doSearch=1&amp;grouping=1&amp;subgrouping=1&amp;ordering=1&amp;resultsPerPage=150&amp;l=14&amp;showSubgroups=0&amp;showOnlySelectedSubgroups=1&amp;primaryTopicOnly=&amp;sortcomp=0&amp;sortcompIncludeMissing=0&amp;showOnlySelectedComparisons=1&amp;showComparisons=1&amp;i=2108_5747_1247_2107_10735_10733_5219_5749_10287&amp;handpicked=1&amp;requireSubgroups=0&amp;handpickedItems%5B0%5D=2108&amp;handpickedItems%5B1%5D=5747&amp;handpickedItems%5B2%5D=1247&amp;handpickedItems%5B3%5D=2107&amp;handpickedItems%5B4%5D=10735&amp;handpickedItems%5B5%5D=10733&amp;handpickedItems%5B6%5D=5219&amp;handpickedItems%5B7%5D=5749&amp;handpickedItems%5B8%5D=10287&amp;card=0</URL>
152                                        </SELECTION>
153                                        <SELECTION>
154                                                <TITLE>Food environment</TITLE>
155                                                <URL>http://www.Hawaiihealthmatters.org/indicators/index/indicatorsearch?doSearch=1&amp;grouping=1&amp;subgrouping=1&amp;ordering=1&amp;resultsPerPage=150&amp;l=14&amp;showSubgroups=0&amp;showOnlySelectedSubgroups=1&amp;primaryTopicOnly=&amp;sortcomp=0&amp;sortcompIncludeMissing=0&amp;showOnlySelectedComparisons=1&amp;showComparisons=1&amp;i=1852_1861_2222_2362_412_1853&amp;handpicked=1&amp;requireSubgroups=0&amp;handpickedItems%5B0%5D=1852&amp;handpickedItems%5B1%5D=1861&amp;handpickedItems%5B2%5D=2222&amp;handpickedItems%5B3%5D=2362&amp;handpickedItems%5B4%5D=412&amp;handpickedItems%5B5%5D=1853&amp;card=0</URL>
156                                        </SELECTION>
157                                </ibis:SelectionsList>
158
159                        </CONTENT>
160                </ibis:ExpandableContent>
161
162                <ibis:ExpandableContent titleLevel="2"><SHOW/>
163                        <TITLE>Queryable Datasets</TITLE>
164                        <CONTENT>
165                                <h3>Behavioral Risk Factor Surveillance System (BRFSS)</h3>
166                                <ibis:SelectionsList>
167                                        <SELECTION>
168                                                <TITLE>Daily frequency of total fruit consumption</TITLE>
169                                                <LOCAL_URL>query/result/brfss/FruitTotalDay/FruitTotalDayCrude11_.html</LOCAL_URL>
170                                        </SELECTION>
171                                        <SELECTION>
172                                                <TITLE>Daily frequency of total vegetable consumption</TITLE>
173                                                <LOCAL_URL>query/result/brfss/VegTotalDaily/VegTotalDailyCrude11_.html</LOCAL_URL>
174                                        </SELECTION>
175                                        <SELECTION>
176                                                <TITLE>Daily frequency of total fruit and vegetable consumption</TITLE>
177                                                <LOCAL_URL>query/result/brfss/FrtVegTotalDay/FrtVegTotalDayCrude11_.html</LOCAL_URL>
178                                        </SELECTION>
179                                        <SELECTION>
180                                                <TITLE>Daily frequency of soda consumption</TITLE>
181                                                <LOCAL_URL>query/result/brfss/SodaDaily/SodaDailyCrude11_.html</LOCAL_URL>
182                                        </SELECTION>
183                                        <SELECTION>
184                                                <TITLE>Daily frequency of soda consumption (categorized)</TITLE>
185                                                <LOCAL_URL>query/result/brfss/SodaDailyCat/SodaDailyCatCrude11_.html</LOCAL_URL>
186                                        </SELECTION>
187                                        <SELECTION>
188                                                <TITLE>Daily frequency of sweetened fruit drink consumption</TITLE>
189                                                <LOCAL_URL>query/result/brfss/SSFrtJuDailyNew/SSFrtJuDailyNewCrude11_.html</LOCAL_URL>
190                                        </SELECTION>
191                                        <SELECTION>
192                                                <TITLE>Daily frequency of sweetened fruit drink consumption (categorized)</TITLE>
193                                                <LOCAL_URL>query/result/brfss/SSFrtJuDailyCatNew/SSFrtJuDailyCatNewCrude11_.html</LOCAL_URL>
194                                        </SELECTION>
195                                </ibis:SelectionsList>
196                                <br/>
197                                <h3>Pregnancy Risk Assessment Monitoring System (PRAMS)</h3>
198                                <ibis:SelectionsList>
199                                        <SELECTION>
200                                                <TITLE>Breastfeeding initiation, State-level</TITLE>
201                                                <LOCAL_URL>query/result/prams/BFInitiation/BFInitiation_ST.html</LOCAL_URL>
202                                        </SELECTION>
203                                        <SELECTION>
204                                                <TITLE>Breastfeeding initiation, County-level</TITLE>
205                                                <LOCAL_URL>query/result/prams/BFInitiation/BFInitiation_CNTY.html</LOCAL_URL>
206                                        </SELECTION>
207                                        <SELECTION>
208                                                <TITLE>Breastfeeding (exclusive) duration (grouped), State-level</TITLE>
209                                                <LOCAL_URL>query/result/prams/BFExclDurationCat/BFExclDurationCat_ST.html</LOCAL_URL>
210                                        </SELECTION>
211                                        <SELECTION>
212                                                <TITLE>Breastfeeding (exclusive) duration (grouped), County-level</TITLE>
213                                                <LOCAL_URL>query/result/prams/BFExclDurationCat/BFExclDurationCat_CNTY.html</LOCAL_URL>
214                                        </SELECTION>
215                                        <SELECTION>
216                                                <TITLE>Breastfeeding (exclusive) duration 8+ weeks, State-level</TITLE>
217                                                <LOCAL_URL>query/result/prams/BFExclGE8Wks/BFExclGE8Wks_ST.html</LOCAL_URL>
218                                        </SELECTION>
219                                        <SELECTION>
220                                                <TITLE>Breastfeeding (exclusive) duration 8+ weeks, County-level</TITLE>
221                                                <LOCAL_URL>query/result/prams/BFExclGE8Wks/BFExclGE8Wks_CNTY.html</LOCAL_URL>
222                                        </SELECTION>
223                                        <SELECTION>
224                                                <TITLE>Breastfeeding (any) duration (grouped), State-level</TITLE>
225                                                <LOCAL_URL>query/result/prams/BFAnyDurationCat/BFAnyDurationCat_ST.html</LOCAL_URL>
226                                        </SELECTION>
227                                        <SELECTION>
228                                                <TITLE>Breastfeeding (any) duration (grouped), County-level</TITLE>
229                                                <LOCAL_URL>query/result/prams/BFAnyDurationCat/BFAnyDurationCat_CNTY.html</LOCAL_URL>
230                                        </SELECTION>
231                                        <SELECTION>
232                                                <TITLE>Breastfeeding (any) duration 8+ weeks, State-level</TITLE>
233                                                <LOCAL_URL>query/result/prams/BFAnyGE8Wks/BFAnyGE8Wks_ST.html</LOCAL_URL>
234                                        </SELECTION>
235                                        <SELECTION>
236                                                <TITLE>Breastfeeding (any) duration 8+ weeks, County-level</TITLE>
237                                                <LOCAL_URL>query/result/prams/BFAnyGE8Wks/BFAnyGE8Wks_CNTY.html</LOCAL_URL>
238                                        </SELECTION>
239                                        <SELECTION>
240                                                <TITLE>Breastfeeding liquid supplement 1st week, State-level</TITLE>
241                                                <LOCAL_URL>query/result/prams/BFLiqSupp1stWeek/BFLiqSupp1stWeek_ST.html</LOCAL_URL>
242                                        </SELECTION>
243                                        <SELECTION>
244                                                <TITLE>Breastfeeding liquid supplement 1st week, County-level</TITLE>
245                                                <LOCAL_URL>query/result/prams/BFLiqSupp1stWeek/BFLiqSupp1stWeek_CNTY.html</LOCAL_URL>
246                                        </SELECTION>
247                                </ibis:SelectionsList>
248                                <br/>
249                                <h3>Youth Risk Behavior Survey (YRBS)</h3>
250                                <ibis:SelectionsList>
251                                        <SELECTION>
252                                                <TITLE>Consumption - 5+ fruit/veggie per day, past 7 days, High Schools, State-level</TITLE>
253                                                <LOCAL_URL>query/result/yrbs/FruitNVeg7D/FruitNVeg7D_HS_ST.html</LOCAL_URL>
254                                        </SELECTION>
255                                        <SELECTION>
256                                                <TITLE>Consumption - 5+ fruit/veggie per day, past 7 days, High Schools, County-level</TITLE>
257                                                <LOCAL_URL>query/result/yrbs/FruitNVeg7D/FruitNVeg7D_HS_CNTY.html</LOCAL_URL>
258                                        </SELECTION>
259                                        <SELECTION>
260                                                <TITLE>Consumption - 3+ fruit/veggie per day, past 7 days, High Schools, State-level</TITLE>
261                                                <LOCAL_URL>query/result/yrbs/FruitNVeg3Plus7D/FruitNVeg3Plus7D_HS_ST.html</LOCAL_URL>
262                                        </SELECTION>
263                                        <SELECTION>
264                                                <TITLE>Consumption - 3+ fruit/veggie per day, past 7 days, High Schools, County-level</TITLE>
265                                                <LOCAL_URL>query/result/yrbs/FruitNVeg3Plus7D/FruitNVeg3Plus7D_HS_CNTY.html</LOCAL_URL>
266                                        </SELECTION>
267                                        <SELECTION>
268                                                <TITLE>Eat 3 or more vegetables per day, High Schools, State-level</TITLE>
269                                                <LOCAL_URL>query/result/yrbs/Eat3Veg/Eat3Veg_HS_ST.html</LOCAL_URL>
270                                        </SELECTION>
271                                        <SELECTION>
272                                                <TITLE>Eat 3 or more vegetables per day, High Schools, County-level</TITLE>
273                                                <LOCAL_URL>query/result/yrbs/Eat3Veg/Eat3Veg_HS_CNTY.html</LOCAL_URL>
274                                        </SELECTION>
275                                        <SELECTION>
276                                                <TITLE>Eat 2 or more fruits per day, High Schools, State-level</TITLE>
277                                                <LOCAL_URL>query/result/yrbs/Eat2Fruit/Eat2Fruit_HS_ST.html</LOCAL_URL>
278                                        </SELECTION>
279                                        <SELECTION>
280                                                <TITLE>Eat 2 or more fruits per day, High Schools, County-level</TITLE>
281                                                <LOCAL_URL>query/result/yrbs/Eat2Fruit/Eat2Fruit_HS_CNTY.html</LOCAL_URL>
282                                        </SELECTION>
283                                        <SELECTION>
284                                                <TITLE>Consumption - any soda, past 7 days, High Schools, State-level</TITLE>
285                                                <LOCAL_URL>query/result/yrbs/DrkSoda1Plus/DrkSoda1Plus_HS_ST.html</LOCAL_URL>
286                                        </SELECTION>
287                                        <SELECTION>
288                                                <TITLE>Consumption - any soda, past 7 days, High Schools, County-level</TITLE>
289                                                <LOCAL_URL>query/result/yrbs/DrkSoda1Plus/DrkSoda1Plus_HS_CNTY.html</LOCAL_URL>
290                                        </SELECTION>
291                                        <SELECTION>
292                                                <TITLE>Consumption - soda each day, in past 7 days, High Schools, State-level</TITLE>
293                                                <LOCAL_URL>query/result/yrbs/SodaDaily7D/SodaDaily7D_HS_ST.html</LOCAL_URL>
294                                        </SELECTION>
295                                        <SELECTION>
296                                                <TITLE>Consumption - soda each day, in past 7 days, High Schools, County-level</TITLE>
297                                                <LOCAL_URL>query/result/yrbs/SodaDaily7D/SodaDaily7D_HS_CNTY.html</LOCAL_URL>
298                                        </SELECTION>
299                                        <SELECTION>
300                                                <TITLE>Consumption - juice, 1+ per day, past 7 days, High Schools, State-level</TITLE>
301                                                <LOCAL_URL>query/result/yrbs/DrkJuice1Plus/DrkJuice1Plus_HS_ST.html</LOCAL_URL>
302                                        </SELECTION>
303                                        <SELECTION>
304                                                <TITLE>Consumption - juice, 1+ per day, past 7 days, High Schools, County-level</TITLE>
305                                                <LOCAL_URL>query/result/yrbs/DrkJuice1Plus/DrkJuice1Plus_HS_CNTY.html</LOCAL_URL>
306                                        </SELECTION>
307                                        <SELECTION>
308                                                <TITLE>Consumption - milk, 3+ per day, past 7 days, High Schools, State-level</TITLE>
309                                                <LOCAL_URL>query/result/yrbs/DrkMilk3Plus/DrkMilk3Plus_HS_ST.html</LOCAL_URL>
310                                        </SELECTION>
311                                        <SELECTION>
312                                                <TITLE>Consumption - milk, 3+ per day, past 7 days, High Schools, County-level</TITLE>
313                                                <LOCAL_URL>query/result/yrbs/DrkMilk3Plus/DrkMilk3Plus_HS_CNTY.html</LOCAL_URL>
314                                        </SELECTION>
315                                        <SELECTION>
316                                                <TITLE>Consumption - weekly frequency of breakfast, High Schools, State-level</TITLE>
317                                                <LOCAL_URL>query/result/yrbs/BrkfstDaysEat4Cat/BrkfstDaysEat4Cat_HS_ST.html</LOCAL_URL>
318                                        </SELECTION>
319                                        <SELECTION>
320                                                <TITLE>Consumption - weekly frequency of breakfast, High Schools, County-level</TITLE>
321                                                <LOCAL_URL>query/result/yrbs/BrkfstDaysEat4Cat/BrkfstDaysEat4Cat_HS_CNTY.html</LOCAL_URL>
322                                        </SELECTION>
323                                        <SELECTION>
324                                                <TITLE>Consumption - weekly frequency of breakfast, Middle Schools, State-level</TITLE>
325                                                <LOCAL_URL>query/result/yrbs/BrkfstDaysEat4Cat/BrkfstDaysEat4Cat_MS_ST.html</LOCAL_URL>
326                                        </SELECTION>
327                                        <SELECTION>
328                                                <TITLE>Consumption - weekly frequency of breakfast, Middle Schools, County-level</TITLE>
329                                                <LOCAL_URL>query/result/yrbs/BrkfstDaysEat4Cat/BrkfstDaysEat4Cat_MS_CNTY.html</LOCAL_URL>
330                                        </SELECTION>
331                                </ibis:SelectionsList>
332                        </CONTENT>
333                </ibis:ExpandableContent>
334
335        <ibis:ExpandableContent titleLevel="2">
336                        <TITLE>Publications</TITLE>
337                        <CONTENT>
338                                <ibis:SelectionsList id="Publications">
339                                        <SELECTION>
340                                                <TITLE>Hawai'i Physical Activity and Nutrition Plan, 2013-2020</TITLE>
341                                                <URL>https://health.hawaii.gov/physical-activity-nutrition/files/2013/08/Hawaii-PAN-Plan-2013-2020.pdf</URL>
342                                        </SELECTION>
343                                        <SELECTION>
344                                                <TITLE>The Surgeon General's Call to Action to Support Breastfeeding</TITLE>
345                                                <URL>https://www.cdc.gov/breastfeeding/resources/calltoaction.htm</URL>
346                                        </SELECTION>
347                                        <SELECTION>
348                                                <TITLE>Dietary Guidelines for Americans 2015-2020, Eighth Edition</TITLE>
349                                                <URL>https://health.gov/dietaryguidelines/2015/guidelines/</URL>
350                                        </SELECTION>
351                                </ibis:SelectionsList>
352                        </CONTENT>
353                </ibis:ExpandableContent>
354
355                <ibis:ExpandableContent titleLevel="2">
356                        <TITLE>Resources</TITLE>
357                        <CONTENT>
358                                <ibis:SelectionsList id="ResourcesFAQList">
359                                        <SELECTION>
360                                                <TITLE>Hawai'i Department of Health Physical Activity and Nutrition Program</TITLE>
361                                                <URL>https://health.hawaii.gov/physical-activity-nutrition/</URL>
362                                        </SELECTION>
363                                        <SELECTION>
364                                                <TITLE>CDC - Nutrition website</TITLE>
365                                                <URL>https://www.cdc.gov/nutrition/index.html</URL>
366                                        </SELECTION>
367                                        <SELECTION>
368                                                <TITLE>CDC - Breastfeeding website</TITLE>
369                                                <URL>https://www.cdc.gov/breastfeeding/index.htm</URL>
370                                        </SELECTION>
371                                </ibis:SelectionsList>
372                        </CONTENT>
373                </ibis:ExpandableContent>
374
375        </CONTENT>
376</HTML_CONTENT>
377
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