1. CSPI Publisher of Nutrition Action Healthletter
Center for Science
in the Public
Interest
Publisher of Nutrition Action Healthletter
Margo G. Wootan, D.Sc.
Director, Nutrition Policy

2. Leading Causes of Death
Heart Disease ,894
Cancer ,833
Stroke ,028
4. Chronic Lower Respiratory 123,550
Accidents 93,592
Diabetes 68,662
7. Pneumonia and Influenza 67,024
8. Alzheimer’s Disease 49,044
Nephritis 37,672
Septicemia 31,613
Suicide ,332
12. Chronic Liver Dis./Cirrhosis 26,219
13. High Blood Pressure 17,964
Pneumonitis 16,659
15. Homicide 16,137

3. School Wellness Policies
Involve parents, students, school food personnel, school board, administrators, public
Address nutrition education, physical activity, and other wellness activities
Set nutrition guidelines for all foods available on each school campus during the school day
Plan for implementation, designate person charged with oversight
By June 30, 2006

4. NANA Wellness Policy Supporters
Action for Healthy Kids of Illinois
Advocacy Institute
Advocates for Better Children’s Diets
American Cancer Society
American Dental Association
American Diabetes Association
American Dietetic Association
American Public Health Association
American School Health Association
American Society of Bariatric Physicians
Assoc. of State and Territorial Public Health Nutrition Directors
Be Active New York State
California Center for Public Health Advocacy
California Food Policy Advocates
Center for Behavioral Epidemiology and Community Health
Center for Informed Food Choices
Center for Science in the Public Interest
Chronic Disease Directors
Community Food Security Coalition
Community Health Partnership (OR)
Council of Chief State School Officers
Elyria City Health District (OH)
Fitness Forward Foundation
The Food Trust (PA)
George Washington Cancer Institute
Harvard Prevention Research Center
Harvard School of Public Health
Howard University Cancer Center
Hunter College in the City University of New York
Institute for America’s Health
I4 Learning
Kids First
Louisiana Public Health Institute
Muskegon Community Health Project (MI)
National Association for Health and Fitness
National Association for Sport and Physical Education (NASPE)
National Association of Pediatric Nurse Practitioners
National Association of State Boards of Education (NASBE)
National Center for Bicycling and Walking
National Education Association – Health Information Network
National PTA
National Research Center for Women and Families
National School Boards Association (NSBA)
New York State Department of Health
New York State Nutrition Council
North Dakota Dietetic Association
Parents’ Action for Children
PE4life
Prevention Institute
Produce for Better Health Foundation
Produce Marketing Association
Samuels and Associates
Society for Nutrition Education
SPARK PE
Sportime
Stark County Health Department (OH)
Step Together New Orleans
United Fresh Fruit and Vegetable Association
Univ. of Arkansas for Medical Sciences College of Public Health
U.S. Water Fitness Association
Women’s Sports Foundation
Young People’s Healthy Heart Program at Mercy Hospital (ND)

5. NANA’s Model Wellness Policies
Comprehensive
Based on science and best practices
Promote child health
Feasibility of implementation
Use as is or adapt
Phase in

6. By Tony Auth, The Philadelphia Inquirer
Junk-Food, Couch-Potato Culture
By Tony Auth, The Philadelphia Inquirer

7. Support
Parents and
Protect Kids

8. School Wellness Policies
School Health Councils: create, strengthen, and work within existing councils
Staff Wellness
Monitoring & Policy Review

9. School Meals Are Improving

10. Saturated Fat in School Meals5 10 15 20
School Year
% of Calories
Breakfast
Lunch

11. School Wellness Policies: School Meals
Healthful and appealing
More fruits and vegetables
Half grains whole grain
Serve 1% and fat-free milk

12. Milk in Schools Milk = largest source of sat fat in children’s diets
Heart disease begins in childhood
2/3 = high fat

13. Schools with Vending Machines, School Stores or a la Carte
83% of elementary schools
97% of middle/ junior high schools
99% of high schools
SHPPS 2000 asked an extensive series of questions about what we call “competitive foods” - those foods that compete with the school breakfast and lunch programs. Almost half of elementary schools, 3/4s of middle schools, and almost all senior high schools have either a vending machine or a school store that sells food. Most of the food sold in these vending machines and school stores are high-fat salty snacks, high-fat cookies or baked goods, and soft drinks, sports drinks, or fruit juices that are not 100% juice.
Source: GAO, School Meal Programs: Competitive Foods are Widely Available and Generate Substantial Revenues for Schools, August 2005

15. Children drinking more soda and less milk
Source: Shenkin J, Heller K, Warren J, Marshall T. “Soft Drink Consumption and Caries Risk in Children and Adolescents.” General Dentistry 2003, vol. 51, pp

16. Tooth Decay in Youth

17. Soft Drinks and Health Displace low-fat milk and juice
Dental caries and tooth erosion
More soft drinks – more calories
(extra 190 cal/day for kids)
60% more likely to be obese with each additional soft drink/day
Calorie compensation for beverages less precise than for foods

18. School Fundraising Myths
Contracts raise $10-$20/ student/year
Money shifted from food service
Companies aren’t giving money to schools, their taking it
USDA/CDC: 17 schools w/healthier foods increased funding, 4 no change

19. Vending machines, cafeteria a la carte (snack) lines, fundraisers, school stores
Elementary schools
food sold only as balanced meals
if available, foods and beverages sold individually should be limited to low-fat and non-fat milk, fruits, and non-fried vegetables
school food service should approve and provide all food and beverage sales
Middle and high schools
Beverages
water or seltzer; fruit and vegetable juices, fruit-based drinks (50% juice and no caloric sweeteners); low-fat or fat-free fluid milk
limit portion sizes
Foods
<35% calories from fat and <10% calories from saturated + trans fat
<35% of weight from added sugars
<230 mg of sodium/serving for chips, cereals, crackers, French fries, baked goods, snack items; <480 mg of sodium/serving for pastas, meats; <600 mg of sodium for pizza, sandwiches, main dishes
choice of at least two fruits and/or non-fried vegetables

20. School Wellness Policies Nutrition
Nutritional Quality of Foods and Beverages Sold and Served on Campus
School Meals
Foods and Beverages Sold Individually
Fundraising Activities
Snacks
Rewards
Celebrations & School-sponsored Events
Nutrition Education and Promotion
Food Marketing in Schools

21. School Wellness Policies Physical Activity
Daily P.E. K-12
Daily Recess
Integrate Physical Activity into Classroom
Physical Activity Before and After School
Physical Activity ≠ Punishment
Safe Routes to School
Use of School Facilities Outside School Hours

22. NANA’s model policies and additional resources: www
NANA’s model policies and additional resources:

23. School Foods Tool Kit

24. www.cspinet.org/nutritionpolicy Why Policy: Policy Options:
Why nutrition policy is important
Policy Options:
Policies and programs to promote nutrition and physical activity
Get Involved:
What you can do
Find Out More:
Why its hard to eat well and be active in America today
The National Alliance for Nutrition and Activity
Learn more about how to eat well
Eating well and being physically active takes more than just willpower. We need programs and policies that make healthy food more available, that disclose the calorie content of restaurant foods, and that teach people how to make healthy eating easier. There are existing nutrition policies and programs, like Nutrition Facts labels on packaged foods, nutrition standards for school lunches, and regulation of food additives. But more needs to be done to help people who want to eat well and prevent diet-related disease.