1. NPA Comments on IOM’s CACFP Meal Recommendations CACFP NPA Conference April 13, 2012 Austin, TX Diane Hogan, MS, RD Immediate Past-President CACFP National Professional Association

2. NPA Meal Pattern Committee Linda St. Claire, WV Lynne Oudekerk, NY Lois Hazelton, NY Brenda Crosby, FL Krista Schoen, FL Diane Hogan, NV

3. NPA Activities Following IOM Report  Committee ideas  Membership comments  Sponsor Consortium & NPA discussions  Stakeholders meeting w/ USDA at FRAC 2011  TSA Conference 2011

4. Menu Planning NPA Recommendations  Keep simple  Five subgroups of vegetables 2x/week (except legumes) difficult to monitor, increase recordkeeping, and a challenge to train.  Daily meal requirement i/o weekly  Not all facilities operate five days a week  Some children are in care only a few days a week

5. Snacks NPA Recommendations Eliminate enhanced snack  Serve larger portion sizes/more nutritious snacks to participants over 14 yo  Unnecessary with at-risk afterschool meals Simplify snacks (Member)  5 components at least once a week  Limit:  juice and crackers; high fat, sugar & sodium  One orange & one dark green vegetable/week

6. Age Groups NPA Recommendations Define age groups  Children under 2 years of age  American Academy of Pediatrics  2-5 years of age  6-12 years of age  13-18 years of age

7. Breastfeeding NPA Recommendations Simplify program & support breastfeeding (member)  Reimburse breastfed meals through six months of age  Include all meals provided by breastfeeding mother who comes to the facility to feed her infant  Resources similar to Healthier School Challenge

8. Fruits and Vegetables NPA Recommendations Variety of fruits and vegetables  One fruit and one vegetable at lunch/supper  Serve variety of vegetables  Encourage 5 groups i/o require weekly  Require:  Vitamin A sources- 3/week  Vitamin C sources-1/day  Legumes- 1/week

9. Breakfast Meat NPA Recommendations  Recommend instead of require meat/meat alternates at breakfast  Few low fat, low sodium meat/meat alternates for breakfast  Suggest whole grains for satiety

10. Whole Grains NPA Recommendations Half the grains should be whole grains  All breakfast grains should be whole grains  Provide a simple list of whole grains instead of calculating whole grain-rich contributions

11. NPA Supports Changing the CACFP Meal Patterns  Consistency with other agencies and recommendations  Limiting juice to once a day  Limiting high fat/sugar grains  Low fat (1%) or fat free milk and yogurt for participants 2 years of age and older

12. Implementation: Key to Success Gradually introduce requirements in more than one rule. Evaluate, assess and revise each phase to ensure success and prevent adverse effects to participation. Money - next reauthorization.

13. Call to Action After the Proposed Rule, NPA will:  Provide a short Fact Sheet  Distribute model comments as a framework to send comments to USDA

14. Thank you Diane Hogan, MS, RD Past-President, CACFP NPA dhogan@doe.nv.gov 702-486-7927

15. CACFP’s Role in Obesity Prevention IOM: Early Childhood Obesity Prevention Policies Lynne Oudekerk  Children birth to 5 – poor diets  1 out of 4 children – overweight or obese by kindergarten  2 out of 3 young children are in child care 