1. School Environmental Nutrition Improvement Tracey Carter HUMN-8165-10/PUBH-8165-10 Environmental Health Instructor: Howard Rubin 1

2. Introduction/Agenda Introduction Child Health Statistics. Free & Reduced Lunch Programs. Other sources of Food Sanitation Recommended Improvements to the Free & Reduced Lunch Program Trainings 2

3. Child Health Statistics Obesity Obesity is defined as body mass index (BMI) at or above the 95th percentile of the 2000 Centers for Disease Control and Prevention BMI-for-age growth charts. Children with BMI between the 85th and 95th percentile are classified as overweight. BMI is calculated as weight in kilograms divided by the square of height in meters. Children age 10-17 are included in this data.. (National Conference of State Legislatures, 2011) – Approximately 13 million U.S. children and adolescents are obese, with a body mass index at or above the 95 th percentile. – Obesity contributes to serious health conditions, including type 2 diabetes, stroke, heart disease, high blood pressure and different cancers. – Obese adolescents have an 80% chance of becoming obese adults. – An estimated 61% of those who are obese have at least one additional health risk. – Childhood obesity health expenses are estimated at $14 billion annually. (National Conference of State Legislatures, 2011) 3

4. Child Health Statistics (CDC,2010) 4 Nationally According to the CDC, 20% of children ages 6-11 years old are considered obese according to the (BMI) or Body Mass Index (CDC, 2010) According to the CDC, 18.1% children aged 12-19 are considered obese which increased from 5.0% in 1980 to 18.1% in 2008.(CDC, 2010)

5. Child Health Statistics State of Florida – 10% were obese (students who were > 95th percentile for body mass index, by age and sex, based on reference data). – Unhealthy Dietary Behaviors – 67% ate fruit or drank 100% fruit juices less than two times per day during the 7 days before the survey. – 29% drank a can, bottle, or glass of soda or pop at least one time per day during the 7 days before the survey. – 56% did not attend physical education (PE) classes in an average week when they were in school. – 73% did not attend PE classes daily when they were in school. – 38% watched television 3 or more hours per day on an average school day. – 31% used computers 3 or more hours per day on an average school day. (CDC, 2009) 5

6. Child Health Statistics The 2003 map and 50-state chart include only obese children based on 2003 data Florida is 14.4 % (National Conference of State Legislatures, 2011) 6

7. Child Health Statistics The 2005 map and 50-state chart include both obese and overweight children, based on 2005 data. Florida 32.5% (National Conference of State Legislatures, 2011) 7

8. Child Health Statistics The 2007 map and 50-state chart include both obese and overweight children, based on 2007 data. Florida 33.1% (National Conference of State Legislatures, 2011) 8

9. Child Health Statistics Local – Currently there is little information on the topic of obesity and children within Leon county. 9

10. Free & Reduced Lunch Program Pros. Provides children and parents with meal Security. Affects of development Cons. Nutrition value is not always considered due to budget constraints Taste is not always considered which results in children not eating the lunch though it is available. Affects of poor nutritional development (Community Consolidated School District 15, 2011) 10 Free & Reduced Lunch Programs were: created to provide free and reduced-price lunch and breakfast Federal program under the National School Lunch and School Breakfast programs.

11. Other Sources of food Vending machines – Display and sell foods high in: Salt Sugar Acid Outside vendors – Grease – Fried – Acid 11

12. Sanitation Water Filtering systems – Rinsing foods – Preparing meals – Checking the water fountain system for bacteria build up Frozen vs. Canned Foods 12

13. Recommendations for Improvements to Free & Reduced Lunch Program Encourage the school board and PTA members to push school administrators to: – work with restaurants, food and beverage companies, to encourage them to sell healthier. – develop innovative approaches to encourage physical activity during and after school. – help children improve their coordination, flexibility, agility, endurance, speed and strength. – Provide vendors incentive for selling healthier foods. – Require school to have water filtration system to be mandated for school water sources Nutritious foods on the Free and Reduced Lunch schedule such as: Foods high in nutrients and low in sugars and salt. Choose frozen vs. Canned Foods Eat more fruits and vegetables a day. Choose fat-free, soy or lower-fat milk or milk products. (Tallahassee Magazine, 2007) 13

14. Trainings Food Nutrition – Healthy Foods Calories Nutrition Fruits and Vegetables Dairy Products Fat Salt & Sugar – Servings – Adequate Serving Sizes Environmental School Nutrition Hazards – Test water sources – Looking for bacteria 14

15. Conclusion Environmental Nutrition Improvements : – Reduce Childhood Health Issue – Increase Food & Water Sanitation – Provide trainings on Food Nutrition & Environmental Hazards – Create better lives for our children 15

16. References Center for Disease Control(2009). The Obesity Epidemic. Florida Students. Website: http://www.cdc.gov/HealthyYouth/yrbs/pdf/obesity/fl_obesity_combo.pdf http://www.cdc.gov/HealthyYouth/yrbs/pdf/obesity/fl_obesity_combo.pdf Center for Disease Control(2010). Publications and Information Products. NCHS Health E-Stat. Prevalence of Obesity Among Children and Adolescents: United States, Trends 1963-1965 Through 2007-2008. Website: http://www.cdc.gov/nchs/data/hestat/obesity_child_07_08/obesity_child_07_08.htm http://www.cdc.gov/nchs/data/hestat/obesity_child_07_08/obesity_child_07_08.htm Community Consolidated School District 15 (2011). Free and Reduced-Price Lunch Programs. Guidelines for the National School Meal Programs. Website: http://www.ccsd15.net/AboutDistrict15/DistrictOffices/FoodServices/HTML/freeandreducedlunchpr ogram.html http://www.ccsd15.net/AboutDistrict15/DistrictOffices/FoodServices/HTML/freeandreducedlunchpr ogram.html Friis, R.H., Sellers, T.A. (2009). Epidemiology for Public Health Practice. Practical Applications of Epidemiology. Ch. 2 Health Library(2011). True or False: Fresh Food Is Better Than Frozen or Canned Food Website: http://healthlibrary.epnet.com/GetContent.aspx?token=a4c1f00b-d245-44f2-a90e- 20b047f84a6a&chunkiid=160561http://healthlibrary.epnet.com/GetContent.aspx?token=a4c1f00b-d245-44f2-a90e- 20b047f84a6a&chunkiid=160561 Laureate Education, Inc. (2009) /i/ Water Quality/i/ [DVD]. Available from Walden University.Website: http://sylvan.live.ecollege.com/ec/crs/default.learn?CourseID=4681049&Survey=1&47=7084516& ClientNodeID=984640&coursenav=1&bhcp=1 http://sylvan.live.ecollege.com/ec/crs/default.learn?CourseID=4681049&Survey=1&47=7084516& ClientNodeID=984640&coursenav=1&bhcp=1 National Conference of State Legislatures (2011). Childhood Overweight and Obesity Trends. Website: http://www.ncsl.org/?tabid=13877http://www.ncsl.org/?tabid=13877 Tallahassee Magazine (2007). Childhood Obesity. Growing p fat in a culture of inactivity. Website: http://www.tallahasseemagazine.com/index.php?option=com_content&task=view&id=139&Itemid= 76 http://www.tallahasseemagazine.com/index.php?option=com_content&task=view&id=139&Itemid= 76 16

17. Supplemental Readings Children's Hospital Boston (2010). Nutrition for School-Aged Child. Website: http://www.childrenshospital.org/az/Site1563/mainpageS1563P0.html http://www.childrenshospital.org/az/Site1563/mainpageS1563P0.html Lucile Packard Children’s Hospital(2011). School-Aged Child Nutrition. Website: http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/growth/schlage.html http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/growth/schlage.html National Network for Child Care's (2002). Snacks for School- Age Children. Websites: http://www.nncc.org/nutrition/sac43_snacks.sac.html http://www.nncc.org/nutrition/sac43_snacks.sac.html World Health Organization (2011). Nutrition-Friendly Schools Initiative (NFSI). Website: http://www.who.int/nutrition/topics/nut_school_aged/en/index.html http://www.who.int/nutrition/topics/nut_school_aged/en/index.html 17