Lecture 16 Flashcards

(11 cards)

1
Q

why should we focus on school food?

A

serves 29 million each day
access to 95% all US children
precedent for setting higher safety and health standards
ideal setting to combine education with environmental change
an opportunity to shift the childhood obesity conversation from a medical model to a PH model
- becoming an advocate
- the growth of a national movement
- federal, state, and local policies

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2
Q

evidence that the environment influences diet quality?

A

evidence that environment influences diet quality

  • students who choose the NSLP
    eat two time as many fruits and veggies
  • as students transition to middle school
    diet deteriorates
    fewer fruits, fewer non fried vegetables
    less milk and more SSB
  • students in schools without a la carte
    eat more fruits and vegetables
    fewer calories from fat
  • schools that have more policies to limit food consumption
    have a lower prevalence of obesity
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3
Q

what is the NSLP?

A

NSLP- national school lunch programs

  • president truman signed law in 1946
  • no nation is any healthier than its children or more prosperous than its farmers
  • combination of human nutrition needs and agricultural system needs

administrative structure

  • federal government provides money to states to administer the program
  • three categories of pricing based on student income
  • federal government reimbursement
  • some states provided additional money
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4
Q

school lunch nutrition over time?

A
  • historically, concern was undernutrition
    calorie minimums, no maximums
    no limits on sugar or fat
  • over time
    minimum protein, grain, fruit/veg, milk continued to be served
    no sugar or calorie limos
    transition to processed foods
    more kid foods- pizza, chicken nugs, hamburgers, fries, flavored milk
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5
Q

what is the impact of NSLP on diet?

A

impact of NSLP on diet

  • solid fats added sugars SoFAS = empty calories
  • elementary schools = 115% of daily SoFAS from lunch
  • middle and high schools = 59-74% of daily SoFAS
leading contributors: 
     flavored milk
     cookies, cases, brownies
     pizza and pizza products
     condiments, toppings, spreads
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6
Q

what is a competitive food?

A

competitive foods- any food that “competes” with national school lunch participation

  • a problem for 4 decades
  • in 1970 congress gave USDA authority to control all food that is offered at school during lunch
  • ensured that the food service got the revenue from competitive foods
  • disables other groups from fundraising through vending, school stores, bake sales
  • 1872-1977 political battle over whether USDA can regulate competitive foods
  • 1980 lawsuit from National soft drink association

1984 court decision that USDA cannot regulate outside of the lunch period

  • 1984 - now a la carte items sold within cafeteria during lunch cannot be foods of minimal nutritional value
  • school stores, vending machines, and fundraisers are allowed to sell anything including FMNV
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7
Q

what was the “pouring rights” contract?

A

led to “pouring rights” contracts

vast majority of high schools has soft drink vending in 2000

were supposed to be turned off during lunch

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8
Q

what is the healthy, hunger-free kids act?

A

healthy, hunger-free kids act
- signed in 2010
- influenced by michelle obama
- requires USDA to update
national school lunch and breakfast regulations
gives authority to regulate competitive foods
school wellness policy regulations

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9
Q

what was the middle school snack intervention study?

A

middle school snack intervention study

  • 8th grade students in 6 schools across the state
  • intervention: removed all unhealthy snacks and beverages
  • snack decreased at school and did not change at home
  • trends in weight concerns and dieting behavior were the same across conditions; there was no condition by school interaction
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10
Q

what was the CT healthy food pilot study and what were the results?

A

CT healthy food pilot study

  • pilot schools removed all snacks and beverages in 2004-2005 that did not meet state nutrition guidelines
  • comparison schools remained the same
  • food service directors were given lists of “approved” beverages and snacks

Results on financial impact:

  • pilot schools did not lose money when they made the changes
  • a la carte sales did go down
  • lunch sales went up
Results:
- middle school students in pilot schools
     ate more healthy snacks
     drank more water
     ate fewer unhealthy snacks
     drank fewer unhealthy beverages
- no evidence of compensatory increases in junk food at home
- no increase in body image concerns
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11
Q

serving vs offering fruit and implementations

A

serving versus offering fruit:

  • children who chose fruit were just as likely to eat it as children who were served fruit
  • the proportion who ate fruit once taken was the same- 70%
  • as a results of this policy change, the percent of children eating fruit went from 33 to 50%

new NSLP rules
- required students to take a fruit or vegetable
- one of the most controversial changes
concern that this will increase waste
concern that it will not lead to increased consumption
- the truth is that it does both
- cost benefit analysis is needed

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