Vicki A. Guerra, Ph.D.: Public Health with Specialization In Epidemiology Walden University

1. Public Health Education Promotes:Nutrition is Good “GROSS”Growth, React, Obtain, Satisfy, & SustainFor primary and secondary schools in the community to improve the school nutrition environment. Vicki A. Guerra, Ph.D.: Public Health with Specialization In Epidemiology Walden University PUBH 8165-1: Environmental Health Instructor: Dr. Howard E. Rubin Fall, 2010

2. Introduction • The presentation brought forth today is to motivate primary and secondary schools in the community to improve the school nutrition environment. • Implementing “GROSS”: Growth, React, Obtain, Satisfy, & Sustain

3. Balance Nutrition Development Quality Needs Structure Better health Foundation Goals Make it happen Balance and Structure(development of our children)

4. What do we know about nutrition? Good Health Poor Health People love food Food does not always love people Expenses – Cost (people have budgets) Why do we analyze nutrition? Convenience Stressful Decisions Time consuming Mentality: good health vs. poor health Expenses – Cost (people have budgets) Learning OutcomesBalance and Structure

5. Target Goal • GOAL: To help children and adolescents maintain a healthy weight by increasing healthy options in schools, incorporating nutrition education into school curricula and limiting access to unhealthy food. (RWJ Foundation, 2010, para2)

6. Growth Permission for picture given by Microsoft Word. • Disease/Illness • Heart disease • Cancer • Stroke • Exposure to Health Problems • Obesity • dental caries • iron deficiency (which causes anemia)

7. Growth cont’d Facts: • Center of Disease Control and Prevention (2010) determines: Ages 6-19 • 67% exceed dietary guidelines recommendations for fat intake • 72% exceed recommendations for saturated fat intake (para 1) High school students of 2009 • 22.3% eating fruits and vegetables 5-more times daily (excluding potato chips/fried potatoes) within a 7day span (para 1)

8. React Permission for picture given by Microsoft Word. • Reactions to the word “Obesity”: • (friend/acquaintance) “You look like you added some pounds” • Expression – “Yikes!” • (doctor) “You have high cholesterol” • Expression – “Yikes!” • (parent) “That shirt fits you a little tight” • Expression – “Yikes!” • Basic Situational Reactions: • “You have a great smile” (fuzzy feeling like the emoticon in the center) • “The movie was so sad it brought a tear to my eye” (just like the first emoticon) • “OMG (Oh My God)” (that did not just happen - second emoticon in the center)

9. React cont’d • Business Concept • Success • Achievement • Finish Line • Overall – making all parties happy • Educational Health Concept • Success • Achievement • Knowledge • Overall – better health for healthier communities Permission for pictures given by Microsoft Word.

10. React Cont’d Reactions (students) in School Environments Influence: • Food choices • Eating habits (CDC, 2009, para 8) Efforts in Improvement for Nutrition: • Support strong state and district school nutrition standards (foods and beverages offered or sold outside of school meals). • Review your district's school wellness policy by ensuring nutritional guidelines offerring available foods such as fruits, vegetables, whole grains, and low-fat or nonfat milk products. • Examine the actual foods and beverages available to students—including competitive foods sold in cafeterias, snack bars, school stores, and vending machines—and determine if they meet strong nutrition standards. • Educate students about nutrition and offer only healthy food and beverage choices (message - healthy eating). (CDC, 2009, para 8)

11. Obtain(reaching our goal) • Prioritize: • Nutritional lunch settings should encompass students to be health conscious • Nutritional guidelines Permission given by CDC [Center of Disease Control and Prevention]

12. Obtain cont’d General statistical findings: • 99% of schools offer nutrition education somewhere within the curriculum • 70% integrate it within the total curriculum (70 percent). • 84% nutrition education concentrates on the health curriculum • 72% science classes • 68% school health program (IES, 1996) District or state requirements for students to receive nutrition education: • Kindergarten thru eighth 50% or more of all schools • 9th thru 10th grades 40% only have these requirements for ninth and tenth grades • 11th thru 12th grades 20% eleventh and twelfth grades (IES, 1996) Topics in nutrition covered: • 90% of all schools • the relationship between diet and health • finding and choosing healthy foods • nutrients and their food sources • the Food Guide Pyramid • the Dietary Guidelines and goals (IES, 1996)

13. Satisfy • Needs: • Satisfy the needs of our cravings through nutrition • Give good food with moderation • Check nutritional value Permission for pictures given by Microsoft Word.

14. Satisfy cont’d Some areas to consider: • School Lunches and Children's Nutrient Requirements • School Wellness, School Lunch and the Food Groups to Encourage • School Lunch Milk Offerings • Recess Before Lunch • What Teachers Can Do (Nutrition Explorations, 2010, para 2)

15. Sustain Permission for pictures given by Microsoft Word. Sustaining a better health is essential to all communities. • Concerns: • Gray areas when it comes to investments. • Debate will arise from the parties involved • Every party will need to be on the same page (better health for healthier communities) • Target goal: • Children need nourishment for development

16. Sustain cont’d Information on NSLP and SNA: National School Lunch Program (NSLP) • The National School Lunch Program (NSLP) is the Nation's second largest food and nutrition assistance program. In 2009, it operated in over 96,000 public and nonprofit private schools (grades K-12) and provided low-cost or free lunches to over 31 million children daily. (ERS, 2010, para 1) School Nutrition Association (SNA) • Ten pieces of serious equipment for your school kitchen – that’s right, ten. Now in its fourth year, the Winston Industries Equipment Award Grant will provide equipment to one school district needing improvement of its kitchen facilities. The application is simple and online, just two short essays on the equipment challenges you’re facing and how receiving this grant could help. (SNA, 2010, para 1)

17. Sustain cont’d Statistical Information What we need to know about nutritional standards and cost. Permission given by USDA to utilize statistical data.

18. Conclusion “GROSS” • Implementing: • Growth – investment of our children’s health • React – responding to the influence of good/bad nutrition • distributed to our children • Obtain – gaining possession of our children’s health • Satisfy – fulfill the needs of better nutrition for our children • Sustain – supply the necessary actions for our • children’s nourishment

19. References • Center of Disease Control and Prevention (CDC) (2010). Healthy youth. Retrieved from http://www.cdc.gov/HealthyYouth/nutrition/index.htm • Center of Disease Control and Prevention (CDC) (2009). Promoting healthier foods and beverages in U.S. schools. Retrieved from http://www.cdc.gov/Features/SchoolNutrition/ • Economic Research Survey (ERS) (2010). Child Nutrition Programs: National School Lunch Program. Retrieved from http://www.ers.usda.gov/Briefing/ChildNutrition/lunch.htm • Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and cost in the national school lunch program. Retrieved from http://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htm • Institute of Education Sciences (IES) (1996). U.S. Department of Education. Nutrition Education in Public Elementary and Secondary Schools. Retrieved from http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=96852 • Leadership for Healthy Communities (2010). RJW Foundation - Action strategies for healthy communities. Retrieved from http://www.leadershipforhealthycommunities.org/content/view/311/133/ • Nutrition Explorations (2010). School lunch — More than a convenient option. Retrieved from http://www.nutritionexplorations.org/educators/school-nutrition-lunch.asp • School Nutrition Association (SNA) (2010). Grants. Retrieved from http://www.schoolnutrition.org/ • United States Department of Agriculture (USDA) (2010). School Meals. Retrieved from • http://www.fns.usda.gov/cnd/ • United States Department of Agriculture (USDA) (2010). National school lunch program. Retrieved from http://www.fns.usda.gov/cnd/lunch/ • United States Department of Agriculture (USDA) (2010). (PDF) fact sheet. National school lunch program. Retrieved from http://www.fns.usda.gov/cnd/Lunch/AboutLunch/NSLPFactSheet.pdf

20. Websites • Leadership for Healthy Communities (2010). RJW Foundation - Action strategies for healthy communities. Retrieved from http://www.leadershipforhealthycommunities.org/content/view/311/133/ • Communities in Schools. Non-profit organization. Retrieved from http://communitiesinschools.org/ • Communities in Schools. Non-profit organization. Retrieved from http://communitiesinschools.org/ • United States Department of Agriculture [USDA] (2010). National school lunch program. Retrieved from http://www.fns.usda.gov/cnd/lunch/ • School Nutrition Association. Grants. Retrieved from http://www.schoolnutrition.org/ • Center of Disease Control and Prevention (2010). Healthy youth. Retrieved from http://www.cdc.gov/HealthyYouth/nutrition/index.htm • Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and cost in the national school lunch program. Retrieved from http://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htm