North Carolina Public Schools Healthy Menu Program Initiative A Educational Class on The Importance of Nutritional Food Options for our Children Facilitated by: Jackie Kennedy, MPH Walden University Aspects of Environmental Health: Local to Global (PUBH

1
North Carolina Public SchoolsHealthy Menu
Program InitiativeA Educational Class on The
Importance of Nutritional Food Options for our
ChildrenFacilitated by Jackie Kennedy,
MPHWalden UniversityAspects of Environmental
Health Local to Global (PUBH - 6165 - 5)
Instructor Donald GoodwinTerm Summer 2010

• Healthy Lifestyle and Education Go Hand Hand.
  Help Shape Our Young Children into Healthy
  Adults,
• It Begins With Us!

2
Audience

• Primary Parents, Teacher and School
  Administrators

3
Agenda

• Whats Happening To Our Children
• The benefits of healthy food choices
• The Consequences
• How We Can Make A Difference
• Menu Changes
• It Starts With Us
• How You Can Help Shape Our Young Children/Adult
  Lifestyle Habits

4
The Goal

• In order to improve the health, nutritional
  well-being and academic performance of North
  Carolina's students, we must coordinate a
  detailed nutrition policy that enhances the
  teachers classrooms, our kids selection in the
  cafeteria, their home life with
  parents/guardians, their community environment
  that will support lifelong healthful eating
  habits.
• It begins and ends with us, our teachers,
  parents, and school officials.
• McClellan, Mark (2003). FDA Changing The
  American Diet. Retrieved on July 21, 2010, from
• http//www.fda.gov/newsevents/speeches/ucm053648.h
  tm

5
Did You Know?

• Obesity is an epidemic that is rising in our
  youth
• This is not a new trend, but a trend that has
  been relevant over the past few decades.
• One in three US children is overweight
• Obesity rates have tripled in 30 years
• With obesity rates rising, the present
  generations of kids may be the first with shorter
  lives than their parents
• Dont have a understanding of the Food and
  Nutrition Pyramid
• Institute of Medicine of the National Academies
  (2007). Nutrition Standards for foods in
  Schools Leading the Way toward Healthier Youth.
  Retrieved July 19, 2010, from http//www.iom.edu/r
  eports/2007

6
Did You Know?

• The National Health and Nutrition Examination
  Survey (NHANES) data revealed that between 1976
  and 1980 the prevalence of overweight among youth
  was
• aged 2-5 years was 5 percent
• youth 6-11 years was 6.5 percent
• youth aged 12-19 year was 5 percent.
• The most recent data available from NHANES (2003
  2006) show the prevalence of overweight among
  Americas youth to be
• 12.4 percent for 2-5 year olds,
• 17 percent for 6-11 year olds and
• 17.6 percent for 12-19 year olds.

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Why Knowing Your Food Pyramid Is Important?

• There are six food groups grains, fruit,
  vegetables, dairy, meat/beans, and oils.
• Teaches us how to eat healthy
• Highlights the variety of food choices we have
• Why it is important to eat from all groups
• Supported by 1st Lady Michelle Obama
• Recognized by Senate
• Passing of Child Nutrition Bill
• USDA (2010),Steps To A Healthy You. Retrieved
  July 28, 2010, from http//www.mypyramid.gov/
• Lets Move (2010). America Move To Raise A
  Healthier Generation Of Kids, Retrieved August 3,
  2010, from http//www.letsmove.gov/

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The Current Trend of Obesity

• Obesity is a major and rapidly growing global
  public health concern
• Obesity is significantly associated with
  morbidity and mortality
• In the past three decades, obesity has tripled
  among adolescents and more than doubled among
  2039 year olds in the U.S. (Boone,
  Gordon-Larsen, Adair and, Popkin, 2007)
• Increase in weight gain due to a decline in
  physical activity occurs in the transition from
  adolescence to young adult.

Janne E Boone, Penny Gordon-Larsen, Linda S
Adair, and Barry M Popkin (2007). Screen time and
physical activity during adolescence
longitudinal effects on obesity in young. Pub
Med, doi 10.1186/1479-5868-4-26. Retrieved
August 6, 2010, from adulthood http//www.ncbi.nlm
.nih.gov/pmc/articles/PMC1906831/ Yau, Nathan
(2007). Flowing Data Graphing Obesity Trends,
Retrieved August 6, 2010, from http//flowingdata.
com/2010/04/29/challenge-graphing-obesity-trends
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Where Does It Start?A Balanced Lifestyle

• Calories In, Energy Out
• Support and encourage physical activity in the
  curriculum beyond P.E. that help burn calories
• Walking Lunch walk teams, Encourage parents to
  walk with their kids to school
• Sports Afterschool sport activities, i.e. dodge
  ball, volleyball, track and field.
• Bicycling Fitness rooms
• Encourage our kids to be physically active for 60
  minutes each day or almost every day (CDC, 2010)
• At Home
• 76 of all meals are prepared at home (FDA, 2010)
• Parents can help the initiative by including
  their kids in meal selection and use the pyramid
  as a tool to encourage fun activities you can do
  as a family.
• McClellan, Mark (2003). FDA Changing The
  American
• Diet. Retrieved on July 21, 2010, from
• http//www.fda.gov/newsevents/speeches/ucm053648.h
  tm

10
Why We Need Healthy Menu Selections in Our
Schools?

• Benefits

• Consequences

• More Energy
• Studies have indicated when children eat healthy
  balanced meals they are more focus.
• Healthier
• Academic Success
• Improved Behavior
• Overall better health
• Longer life

• Obesity
• Diabetes
• High Blood Pressure
• Heart Disease
• Arthritis
• Respiratory Difficulties
• Cancer
• Early Death

McClellan, Mark (2003). FDA Changing The
American Diet. Retrieved on July 21, 2010,
from http//www.fda.gov/newsevents/speeches/ucm053
648.htm AFT Resolutions (2000). Regulating the
sale of competitive foods in school. Retrieved,
July 20, 2010, From http//www.aft,org/about/reso
lution_detail.cfm?articleid121
11
LOOK AT WHATS HAPPENINGDIABETES IS RISING
CDC (2010). US Obesity Trends. Retrieved, August
12, 2010, from http//www.cdc.gov/obesity/data/tre
nds.html
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Current Wake County School Menu Policy

• All meals (includes reimbursable meals) will
  contain
• 20 - 35 of calories from fat
• no more than 10 total calories from saturated
  fat
• no more than 100 mg of cholesterol
• Food preparation methods are limited to baking,
  roasting, broiling, boiling, and steaming.
• A minimum of 1 daily serving a whole grain
  products will be offered
• whole grain foods will be increased gradually to
  a minimum of 8 servings per week as market
  availability of whole grain products increases to
  supply menu needs.
• Four fruits and/or vegetables will be offered
  daily.
• Dark green, deep yellow or orange fruits or
  vegetables will be offered 3 or more times per
  week.
• Fresh fruits or vegetables will be offered at
  least 4 times weekly at breakfast and/or lunch.
• Legumes will be offered at least 1 time per week.
• All milk choices will be 1 or less fat.
• WCPSS (2010). Wake County Public School Child
  and Nutrition Services, Retrieved August 5, 2010,
  from http//www.wcpss.net/child-nutrition/

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SCHOOL MENU CHANGES

• OLD MENU SELECTIONS

• RECOMMEND USDA MENU SELECTION

• NO FRYING!
• Continue to follow the recommendation from the
  USDA
• Review our children selection of food
• Encourage eating from the six groups to keep our
  kids balanced by offering rewards
• Changing the selections of vending machine items
• Removing junk food
• Substitution
• Low fat cheese
• Turkey sausage
• Vegetarian options
• Meal preparation
• Make food more enticing
• Organic
• Alternative food selection
• Fruits and more Fruits
• Vegetables

• Fatty and sugary foods
• MSG High Sodium
• Artificial Food Flavoring
• Sweets and Sugar high in calories
• Vending Machines
• Follows Recommendation from USDA food
  improvements, but no encouragement of food
  selections.
• Children at Wake County public schools and
  majority of NC school system can pick and choice
  food as they like
• WCPSS (2010). Wake County Public School Child
  and Nutrition Services, Retrieved August 5, 2010,
  from http//www.wcpss.net/child-nutrition/

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THE NEW NC MENU FOR PUBLIC SCHOOLS

• More fruits, vegetables, whole grains, and
  fat-free or low-fat milk and milk products
• Exotic fruits (mango, pineapple or kiwi fruit)
• Sautéed, grilled or steamed vegetables
• Lean meats, poultry, fish, beans, eggs, and nuts,
  that are low in saturated fats, trans fats,
  cholesterol, salt (sodium), and added sugars
• Adding new twists on old favorites
• Baking and grilling meats
• Weekly kids healthy menu selections
• Eat Healthfully and Enjoy It!
• CDC (2010). Healthy Eating For Healthy Weight.
  Retrieved, August 12, 2010, from
  http//www.cdc.gov/healthyweight/healthy_eating/in
  dex.html

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PARENTSSTARTS AT HOME

• We Are The Example!
• Involve your kids in cooking healthy meals
• Reduce Sedentary time (CDC, 2010)
• Limit television time
• Video games
• Internet Use
• Resist Convenience Stores and Fast Food Outlets
• Save Money By preparing healthy meals at home
• Prepare Meals In Advance to eliminate the need to
  eat out and make unhealthy food decision
• Remove calorie-rich temptations (CDC, 2010)

• Talk to the them
• Help them stay active (CDC, 2010)
• Brisk walking
• Physical activities
• REMEMBER LEAD BY EXAMPLE
• NHLBI (2010). Weigh Basics, Retrieved August 6,
  2010, from
• http//www.nhlbi.nih.gov/health/public/heart/obesi
  ty/wecan/healthy-weight-basics/balance.htm
• CDC (2010). Healthy Eating For Healthy Weight.
  Retrieved, August 12, 2010, from
  http//www.cdc.gov/healthyweight/healthy_eating/in
  dex.html

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FAST FOOD VS HOMEMADE
Fast Food Burger Ground beef on white bun, with ketchup, mustard, pickles and onion. Serving size 3.5-ounce sandwich 71 calories per ounce 2.6 grams per ounce 0.29 per ounce
Homemade Burger Lean ground beef on wheat bun, with your choice of condiments. Serving size 4.5-ounce sandwich 67 calories per ounce 2.8 grams per ounce 0.25 per ounce
Nelson, Jennifer, Zeratsky, Katherine (2009).
Home economics - Fast food vs. homemade.
Retrieved August 13, 2010, from
http//www.mayoclinic.com/health/fast-food/MY00574

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TEACHERSYOU CAN MAKE A DIFFERENCE

• You May Be The Only 1
• Make School Administration Aware
• Posters in classroom, playing fields and building
• Teacher meetings
• Make daily announcements
• New policies, programs, and practices to promote
  physical activity and nutrition among students
• Encourage It
• Add it to your curriculum
• Create a plan that rewards students on these
  initiatives
• Gerberding, Julie L (2008). Child Obesity and
  the Impact of Food Marketing on Children.
  Retrieved, August 6, 3010, from
  http//www.hhs.gov/asl/testify/2008/09/t20080923d.
  html

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SCHOOL OFFICIALSWe Need Your Support

• Build Support and Advocate The Message (PRT,
  2010)
• Encourage
• School Officials
• Health Regulators
• Parents
• Local Farmers
• State and Local Leaders
• Community
• Government Officials

• North Carolinas general assembly in 2005 passed
  nutrition standards for food served to our
  students in grades K-5
• Due to budget issues it is currently postponed
• Why
• We May Be The Only 1
• Work with The National School Lunch Program
  (NSLP) and the School Breakfast Program (SPB)

WCPSS (2010). Wake County Public School Child
and Nutrition Services, Retrieved August 5, 2010,
from http//www.wcpss.net/child-nutrition/ Cohe
n, Rhoda, Crepinsek, Mary Kay, Fox, Mary Kay,
Gordon, Anne, Hall, John, Zeidman, Eric. (2009).
The Third School Nutrition Dietary Assessment
Study Background and Study Design. American
Dietetic Association. Suppl1 Vol 109, No2. PSRP
Reporter (2010). Food for thought. The National
Publication of AFT Paraprofessionals and School
Related Personnel Vol 29, No.4. Retrieved July
20, 2010 from http//www.aft.org/pdfs/psrpreporter
/rep_mayjune10
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CONCLUSION

• Eat Healthy Be Healthy
• Live Healthy For A Better Life
• While childhood obesity cannot be solved
  overnight, with all of us, teachers, school
  administration and parents working together,
  theres no question that it can be solved and
  todays vote to support this healthy menu
  campaign for North Carolinas school systems,
  moves us one step closer to reaching that goal
• Lets remember what research has told us, there is
  a rising trend of obesity in our children. The
  imbalance within peoples dietary choice is having
  profound impact on our children lives now and for
  many more in the future. We must balance this
  not only with fundamental educational teaching,
  but incorporate physical activity and nutrition
  in our classroom, school policies and home life.
• We are the role models, teachers, and supporters.
  Research has given us a pretty good understanding
  of the causes of these rising obesity trends due
  to an imbalance within people's dietary choices.
  By educating all of you here today, we can make a
  difference in our childrens live in every daily
  aspect.
• REMEMBER IT STARTS WITH US!
• WE CAN CHANGE THE OUTCOME OF OUR CHILDRENS
  LIVES.
• BE A VOICE!

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REFERENCES

• AFT Resolutions (2000). Regulating the sale of
  competitive foods in school. Retrieved, July 20,
  2010,
• From http//www.aft,org/about/resolution_detail.cf
  m?articleid121
• CDC (2010). Healthy Eating For Healthy Weight.
  Retrieved, August 12, 2010, from
  http//www.cdc.gov/healthyweight/healthy_eating/in
  dex.html
• CDC (2010). US Obesity Trends. Retrieved August
  12, 2010 from http//www.cdc.gov/obesity/data/tren
  ds.html
• Cohen, Rhoda, Crepinsek, Mary Kay, Fox, Mary Kay,
  Gordon, Anne, Hall, John, Zeidman, Eric. (2009).
  The Third School Nutrition Dietary Assessment
  Study Background and Study Design. American
  Dietetic Association. Suppl1 Vol 109, No2.
• Institute of Medicine of the National Academies
  (2007). Nutrition Standards for foods in
  Schools Leading the Way toward Healthier Youth.
  Retrieved July 19, 2010, from http//www.iom.edu/r
  eports/2007
• Gerberding, Julie L (2008). Child Obesity and
  the Impact of Food Marketing on Children.
  Retrieved, August 6, 3010, from
  http//www.hhs.gov/asl/testify/2008/09/t20080923d.
  html
• Janne E Boone, Penny Gordon-Larsen, Linda S
  Adair, and Barry M Popkin (2007). Screen time and
  physical activity during adolescence
  longitudinal effects on obesity in young. Pub
  Med, doi 10.1186/1479-5868-4-26. Retrieved
  August 6, 2010, from adulthood http//www.ncbi.nlm
  .nih.gov/pmc/articles/PMC1906831/

21
REFERENCES

• Lets Move (2010). America Move To Raise A
  Healthier Generation Of Kids, Retrieved August 3,
  2010, from http//www.letsmove.gov/
• McClellan, Mark (2003). FDA Changing The
  American
• Diet. Retrieved on July 21, 2010, from
  http//www.fda.gov/newsevents/speeches/ucm053648.h
  tm
• Nelson, Jennifer, Zeratsky, Katherine (2009).
  Home economics - Fast food vs. homemade.
  Retrieved August 13, 2010, from
  http//www.mayoclinic.com/health/fast-food/MY00574
  
• PSRP Reporter (2010). Food for thought. The
  National Publication of AFT Paraprofessionals and
  School Related Personnel Vol 29, No.4. Retrieved
  July 20, 2010 from http//www.aft.org/pdfs/psrprep
  orter/rep_mayjune10
• USDA (2010), Retrieved July 28, 2010, from
  http//www.mypyramid.gov/
• WCPSS (2010). Wake County Public School Child
  and Nutrition Services, Retrieved August 5, 2010,
  from http//www.wcpss.net/child-nutrition/
• Yau, Nathan (2007). Flowing Data Graphing
  Obesity Trends, Retrieved August 6, 2010, from
  http//flowingdata.com/2010/04/29/challenge-graphi
  ng-obesity-trends/