U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Centers for Disease Control and Prevention

Centers for Disease Control and Prevention Julie L. Gerberding, MD, MPH, Director

National Center for Chronic Disease Prevention and Health Promotion George Mensah, MD, MPH, Acting Director

Division of Nutrition and Physical Activity William H. Dietz, MD, PhD, Director

The following people contributed to the creation of this publication: Mary K. Serdula, MD, MPH, Chief, Chronic Disease Nutrition Branch Mary Kay Solera, MS, CHES, Manager, 5 A Day Program Kathy Cobb, MS, RD, Expert Consultant, 5 A Day Program

Amanda Crowell, Writer-Editor, Technical Information and Editorial Services Branch

Acknowledgments CDC acknowledges the hard work and dedication of others who helped to make this publication a reality. The state 5 A Day coordinators contributed their innovations and success stories, and Terrance McNally

of Goodman Communications inspired the storytelling format. Seven state coordinators also served as project advisors--Joan Atkinson, Suzanne Craig, Crystelle Fogel, Jody Henderson, Carol Miller, Barbara Pryor, and Rosalind Wilkins. Mark Harrison, Phyllis Moir, and Diana Toomer in CDC's Technical Information and Editorial Services Branch provided additional editorial support. Publication support was provided by

Palladian Partners, Inc., under contract number 200-2003-F-01496.

For more information about 5 A Day programs, contact the individual 5 A Day coordinators listed in each program resume. This publication is available online at .

Suggested Citation Centers for Disease Control and Prevention. 5 A Day Works! Atlanta: U.S. Department of Health and Human Services; 2005.

Photography credits: The photographs and artwork used throughout the book came from a variety of sources. Some were provided by the states, and we would like particularly to thank 5 A Day coordinators in California, Minnesota, Montana, Rhode Island, Ohio, and Utah for sharing photographs with other states. Some of the photographs were taken by a CDC writer-editor (Mark Harrison), while others were purchased from the USDA (photographers Ken Hammond and Bill Tarpenning) or The Image Works (photographers Bob Daemmrich, Jeff Greenberg, Richard Lord, Jim West, and Mitch Wojnarowicz). The photographs on pages 13, 31, 55, 78, 89, and 93 are copyrighted by The Image Works and cannot be reproduced without permission.

Web site addresses of nonfederal organizations are provided solely as a service to our readers. Provision of an address does not constitute an endorsement of this organization by CDC or the federal government, and none should be inferred. CDC is not responsible for the content of other organizations' Web pages.

U.S. Department of Health and Human Services

Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion

Foreword

healthy eating is one of the vital components of a lifestyle that contributes to our quality of life and to the prevention of many chronic diseases and conditions. Eating a diet rich in fruits and vegetables has been associated with lower risks for many chronic diseases, including some cancers and cardiovascular disease. However, there are many competing forces in our society that urge people to choose high-fat, high-calorie foods. Sales of fast foods and restaurant fare have increased in the last decade, whereas consumption of fruits and vegetables in this country has remained unchanged. Getting people to change their eating habits is very hard, but I have been impressed by the determination and creativity of those who work in 5 A Day programs across the country. Despite the barriers and limited support, people in these programs have been steadfast in their resolve to encourage people to increase their consumption of fruits and vegetables. The programs and strategies described in this publication testify to their hard work, creativity, and resourcefulness. Five A Day is changing the environment with programs that promote access to fruits and vegetables and that target people of all ages, schools, the community, industries, restaurants, churches, and work sites. There are cooking schools for children, cookbooks for children and adults, community gardens, 5 A Day restaurant programs, and a variety of innovative partnerships with farmers' markets. Other entries describe unique partnerships, environmental change, and media efforts. We hope that the programs in this book will inspire others to adapt the ideas and strategies for their own communities. For most people, changing lifestyle patterns is easier when they have the support of their families, schools, and other institutions in the community where they live, work, and play. The stories in this book will provide many ideas on how to do just that.

William Dietz, MD, PhD Director, Division of Nutrition and Physical Activity Centers for Disease Control and Prevention

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