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Healthy School Nutrition Environments:
A Team Approach
Grants awarded to 7 schools to implement activities to improve theschool nutrition environment and develop school nutrition policies.
Healthy School Nutrition EnvironmentsGrant School Districts
Forbes Road S. D. - Waterfall, PA
Hampton Township S. D. - Allison Park, PA
McKeesport Area S. D. - McKeesport, PAMontoursville Area S. D. - Montoursville, PA
North Pocono S. D. - Moscow, PA
Philadelphia S. D. - Philadelphia, PAS. Weir Mitchell Elementary School
Towanda Area S. D. - Towanda, PA
Bone Health
• link between bone fractures and soda consumption in teen girls (Archives of Pediatric and Adolescent Medicine, 2003)
• forearm fractures increased 32% for boys and 52% for girls from 1969-2000 (JAMA, 2003)
Prevalence of overweight among childrenand adolescents ages 6-19 years
Source: CDC/NCHS, NHES, and NHANES
Obesity Trends* Among U.S. AdultsObesity Trends* Among U.S. AdultsBRFSS, 1991BRFSS, 1991
(*BMI 30, or ~ 30 lbs overweight for 5’4” woman)
Source: Mokdad A H, et al. J Am Med Assoc 2001;286:10
No Data <10% 10%-14% 15-19% >20%
Obesity Trends* Among U.S. AdultsObesity Trends* Among U.S. AdultsBRFSS, 1995BRFSS, 1995
(*BMI 30, or ~ 30 lbs overweight for 5’4” woman)
Source: Mokdad A H, et al. J Am Med Assoc 2001;286:10
No Data <10% 10%-14% 15-19% >20%
Obesity Trends* Among U.S. AdultsObesity Trends* Among U.S. AdultsBRFSS, 2000BRFSS, 2000
(*BMI 30, or ~ 30 lbs overweight for 5’4” woman)
Source: Mokdad A H, et al. J Am Med Assoc 2001;286:10
No Data <10% 10%-14% 15-19% >20%
Obesity Trends Among U.S. Adults Obesity Trends Among U.S. Adults BRFSS, 2001BRFSS, 2001
Source: Mokdad A H, et al. J Am Med Assoc 1999;282:16, 2001;286:10.
Obesity is related to many health problemsincluding:
• high blood cholesterol• high blood pressure• heart disease• stroke• some forms of cancer• arthritis• diabetes
Type 2 diabetes, once called “adult onset,” increased ten-fold among children between
1982 and 1994.(Pinhas-Hamiel et al., 1996)
CDC predicts:1 out of 3 childrenborn in 2000 will develop diabetes because of poor diet and exercise
habits. (CDC, 2003)
Emotional/Psychological Consequences
Severely obese children rate their quality of life similar to that of
cancer patients being treated with chemotherapy. (JAMA, 2003)
“I do not blame schools for our obesity epidemic. Instead I look to schools –
and to everyone who has an influential hand in education – as a powerful force
for change.”
- Dr. David SatcherFormer Surgeon GeneralChairman, Action for Healthy
Kids
Why Schools?
• reach almost all children• can improve eating behaviors • have skilled personnel• provide healthy eating opportunities
Participation in School Breakfast Programis associated with:
improved test performance reduced tardiness and absenteeism
increased attention improved behavior
School Nutrition Dietary Assessment Study II
NSLP participants consume less added sugar and more vegetables and milk.
Commitment to Nutrition and Physical Activity
• Nutr. and phys. activity are top priorities
• Policies are in place
Quality School Meals
• School meals programs are available and are promoted.
• Healthy, appealing choices are available.
• SFS staff is properly trained.
Other Healthy Food Options
•All foods in school make a positive
contribution to children’s diets
•School policies address foods in school that are not associated with the meal program
Pleasant Eating Experiences
•Meal times and lengths are appropriate.
•Serving and seating areas are adequate and attractive.
•Whether or not students pay full price is confidential.
Nutrition Education
•Nutrition ed. (pre-K - grade 12) focuses on skill development.
•Messages are reinforced throughout school.
Marketing
•Healthy eating and physical activity are actively promoted.
•Students receive positive messages throughout the school environment.
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