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Improving Memphis city School lunches

Improving Memphis city School lunches . How the Memphis City School systems can prevent childhood obesity through better nutrition in schools . Bridgette Reed, MPH Student Walden University PH 6165-4 Instructor: Dr. Jalal Ghaemghami Fall Quarter 2009. What is Obesity ? .

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Improving Memphis city School lunches

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  1. Improving Memphis city School lunches How the Memphis City School systems can prevent childhood obesity through better nutrition in schools

  2. Bridgette Reed, MPH Student Walden University PH 6165-4 Instructor: Dr. JalalGhaemghami Fall Quarter 2009

  3. What is Obesity? • Obesity is defined as having a body mass index (BMI) ≥ 30. • It is based on a person height and weight. • Those with higher BMI’s are at risk for hypertension, type 2 diabetes, cardiovascular disease, etc.

  4. Obesity Trends* Among U.S. Adults BRFSS,1990, 1998, 2007 (*BMI 30, or about 30 lbs. overweight for 5’4” person) 1998 1990 2007 No Data <10% 10%–14% 15%–19% 20%–24% 25%–29% ≥30%

  5. How obesity affects children • Type 2 Diabetes Mellitus • Cardiovascular Disease • Fatty Liver • Asthma

  6. Behavioral Factors that can prevent obesity • Consuming more nutrient rich foods (fruits, vegetables, whole grains) • Increase Physical Activity • Reduce time spent watching television and other sedentary behaviors

  7. Servings of Fruits and Vegetables needed Girls Ages 4 - 8 3 – 3 1/2 cups total: 1 1/2 cups fruit 1 1/2 - 2 cups vegetables Ages 9 - 13 3 1/2 – 4 1/2 cups total: 11/2 - 2 cups fruit 2 – 2 1/2 cups vegetables Ages 14 - 18 4 - 5 cups total: 1 1/2 - 2 cups fruit 2 1/2 - 3 cups vegetables Boys Ages 4 - 8 3 – 3 1/2 cups total: 1 1/2 cups fruit 1 1/2 - 2 cups vegetables Ages 9 - 13 4 - 5 cups total: 1 1/2 - 2 cups fruit 2 1/2 - 3 cups vegetables Ages 14 - 18 5 - 6 cups total: 2 – 2 1/2 cups fruit 3 – 3 1/2 cups vegetables

  8. How schools can play a position in preventing obesity • Ensure that school breakfast and lunch programs meet nutrition standards • Provide food options that are low in fat, calories and added sugars • Physical Activity for at least 30 minutes daily

  9. The American Dietetic Association position statement “Nutrition services shall be integrated with a coordinated, comprehensive school program and implemented through a school nutrition policy.”(ADA 2003).

  10. The Child Nutrition and WIC Reauthorization Act of 2004 requires all school districts across the country to develop wellness policies.

  11. The child nutrition Act 2009 • Is renewed every 5 years • Provides an outline for the National School Lunch and Breakfast Program • Eliminates Barriers so all children can participate in nutrition programs • Improves quality of meals

  12. The National alliance for nutrition and Activity • Advocates for national policies and programs to promote healthy eating and physical activity • Used as a model for wellness that can be used by school districts • It is made up of 300 organizations • Primary goal: “cultivate champions for nutrition, physical activity, and obesity prevention in Congress and federal agencies” Nutrition Policy 2007

  13. The National alliance for nutrition and Activity (Cont’d) National Alliance for Nutrition and Activity (NANA) Policies: • School Health Councils • Nutritional Quality of Foods and Beverages Sold and Served on Campus • Nutrition and Physical Activity Promotion and Food Marketing • Physical Activity Opportunities and Physical Education • Monitoring and Policy Review

  14. research studies and programs to improve childhood obesity

  15. Kandiah and Jones (2002) School Study • A study using 2 separate schools of 5th graders • School A received no nutrition education • School B received 45 minutes nutrition education for 4 days for 3 weeks • Topics covered: food guide pyramid, food sources and their functions, healthy snacks, vegetarianism, etc. • Post test scores and diets improved in school B Kandiah and Jones 2002

  16. Farm To Schools • Connects with schools with local farms to help improve student nutrition • Provide health and nutrition education • Helps to serve healthy meals by using produce from local farmers • Supports regional and local farmers Farm to School 2006

  17. Farm to schools Cont’d • 2,051 Farm to School Programs in the U.S. (estimated)* • 8,943 Number of schools involved • 2,065 districts involved • 48 States involved (including Washington D.C. and Puerto Rico) Farm to School 2006

  18. Overall Intended Outcomes HEALTHY KIDS= HEALTHIER AMERICA

  19. questions?

  20. References • American Dietetic Association: Nutrition Services: An Essential Component of Comprehensive School Health Programs — Joint Position of ADA, Society for Nutrition Education and American School Food Service Association. J Am Diet Assoc. 2003;103:505-514. http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy_1729_ENU_HTML.htm. Retrieved May 10, 2009. • Bottemiller, H. Vilsack Previews Child Nutrition Act (2009). Food Politics. http://www.foodsafetynews.com/2009/10/vilsack-previews-child-nutrition-priorities-1/ • Center for Disease Control and Prevention: Overweight and Obesity (2009). http://www.cdc.gov/nccdphp/dnpa/obesity/childhood/consequences.htm. Retrieved April 9, 2009. • Center for Disease Control: National Center for Health Statistics. Data 2010: the Healthy People 2010 Database (2007). http://www.cdc.gov/nchs/about/otheract/hpdata2010/abouthp.htm. Retrieved April 18, 2009. • Farm to School Website. http://www.farmtoschool.org/index.php Retrieved October 24, 2009.

  21. References • Johnson, B., Pilkington, L., Lamb, C., He, J., Deeb, C., (2009). Parent Reactions to School-based body mass index screening program. J Sch Health. 79: 216-223 http://wf2dnvr1.webfeat.org/0VyxL13676/url=http://web.ebscohost.com/ehost/pdf?vid=3&hid=7&sid=3aabf69a-e414-4414-af36-a1df8089fa00%40sessionmgr108. Accessed (April 26, 2009) • Kandiah, J. & Jones, C. (2002). Nutrition Knowledge and Food Choices of Elementary School Children. Early Child Development and Care, 172(3), 269–273. Retrieved May 10, 2009. • Wellness Policy Brochure: Promoting Fruits and Vegetables in Schools: Wellness Policy Opportunities. http://www.pbhfoundation.org/pdfs/pulse/policy/programs/wellnesspolicybrochure666_1205Hires.pdf Retrieved October 24, 2009. • Yancey, A MD, MPH, McCarthy WJ, PhD, Sielgel JM, PhD, MsHyg, Wong, WK PhD, Ward, A MD, MPH, Leslie, J, ScD, and Gonzalez E, MD, MPH. Correlation of Obesity With Elevated Blood Pressure Among Racial/Ethnic Minority Children in Two Los Angeles Middle Schools. Prev Chronic Dis. 2008 April; 5(2): A46. Published online 2008 March 15.

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