1. Changes Today for a Healthy Tomorrow Improving Food Nutrition in our Schools Tanya D. Clayton, Master of Public Health Student Walden University PH 6165-1: Aspects of Environmental Health: Local to Global Instructor: Dr. Rebecca Heick Term 1, 2010

2. Audience School Board Members.School Board Members. School Administration.School Administration. Government Officials: County, State and Federal.Government Officials: County, State and Federal. Parents.Parents. Health Care Providers.Health Care Providers. Food Service Providers.Food Service Providers.

3. Learning Objectives Prevalence.Prevalence. Contributing Factors.Contributing Factors. Impact on Public Health.Impact on Public Health. Research Findings.Research Findings. Current Efforts.Current Efforts. Challenges.Challenges. Solutions.Solutions.

4. Obesity Prevalence. Centers for Disease Control and Prevention. Retrieved January 15, 2010, from http://www.cdc.gov/obesity/ childhood/prevalence.html Prevalence of Obesity Among U.S. Children (aged 2-19 Years)

5. Maryland Obesity Statistics: http://fha.maryland.gov/cdp/co_data.cfm Prevalence of Obesity Among Children in Maryland (aged 2-19 Years)

6. Prevalence of Obesity Among Children in Maryland (aged 13-18 Years), 2006

7. Causes of Childhood Obesity Contributing Factors GeneticBehavioralEnvironmental

8. Impact of Childhood Obesity Childhood Obesity Psychosocial Risks Cardiovascular Risks Type 2 Diabetes AsthmaSleep Apnea Hepatic SteatosisAdult Obesity

9. Research Findings In public school children in the U.S., 80% had excessive intakes of saturated fat and 92% had excessive intakes of sodium from school lunches (Clark & Fox, 2009).In public school children in the U.S., 80% had excessive intakes of saturated fat and 92% had excessive intakes of sodium from school lunches (Clark & Fox, 2009). Commercially pre-prepared entrées and meat/meat alternates account for more than 40% of fat and sodium (Clark & Fox, 2009).Commercially pre-prepared entrées and meat/meat alternates account for more than 40% of fat and sodium (Clark & Fox, 2009). The School Nutrition Dietary Assessment Study (SNDA-III) found that fat and saturated fat content of school lunches were high when compared to current dietary standards (Clark & Fox, 2009).The School Nutrition Dietary Assessment Study (SNDA-III) found that fat and saturated fat content of school lunches were high when compared to current dietary standards (Clark & Fox, 2009). Clark, M.A., Fox, M.K. 2009. Nutritional Quality of the Diets of US Public School Children and the Role of the School Meal Programs. Journal of the American Dietetic Association, 109 (Suppl.1), S54-56.

10. Research Findings continued Research in 2004-2005 indicated that over 40% of children consumed foods that were dense and low in nutrients, provided by the school cafeteria (Fox, Gordon, Nogales, & Wilson, 2009).Research in 2004-2005 indicated that over 40% of children consumed foods that were dense and low in nutrients, provided by the school cafeteria (Fox, Gordon, Nogales, & Wilson, 2009). Association established among elementary school children who consume subsidized school meals with increased Body Mass Index (BMI) (Fox, Dodd, Wilson, & Gleason, 2009).Association established among elementary school children who consume subsidized school meals with increased Body Mass Index (BMI) (Fox, Dodd, Wilson, & Gleason, 2009). Association established among middle school children and the availability of vending machines with increased BMI (Fox et al., 2009).Association established among middle school children and the availability of vending machines with increased BMI (Fox et al., 2009). Fox, M.K., Gordon, A.,Nogales, R., Wilson, A. 2009. Availability and Consumption of Competitive Foods in US Public Schools. Journal of the American Dietetic Association, 109(Suppl.1),S57-66. Fox, M.K., Dodd, A.H., Wilson, A., Gleason, P. 2009. Association between Schools Food Environment and Practices and Body Mass Index of US Public School Children. Journal of the American Dietetic Association, 109(Suppl.1),S57-66. Fox, M.K., Dodd, A.H., Wilson, A., Gleason, P. 2009. Association between Schools Food Environment and Practices and Body Mass Index of US Public School Children. Journal of the American Dietetic Association, 109(Suppl.1),S57-66.

11. Current Efforts Nutrition and Physical Activity/Obesity Prevention Program (NPAO).Nutrition and Physical Activity/Obesity Prevention Program (NPAO). Maryland Fruit and Vegetable Nutrition Education Program.Maryland Fruit and Vegetable Nutrition Education Program. Healthy Schools Program Champion Award.Healthy Schools Program Champion Award. HEROES.HEROES. SCOPE.SCOPE.

12. Available Resources Not Fully Utilized Preventive Health and Health Services Block Grant (PHHS Block Grant).Preventive Health and Health Services Block Grant (PHHS Block Grant). Maryland Fruit and Vegetable Nutrition Education Program.Maryland Fruit and Vegetable Nutrition Education Program.

13. Challenges Buy-In, Buy-In, Buy-In! Vending machines. Best for less. Generate revenue. Gardening and preparing opportunities.

14. Solutions Healthy choices education. Healthy choices education. Parent and student participation.Parent and student participation. Partnerships and campaign organization.Partnerships and campaign organization. Taste Testing.Taste Testing. Funding.Funding.

15. Resources Citizens for Healthy Options in Children’s Education (CHOICE).Citizens for Healthy Options in Children’s Education (CHOICE). http://www.choiceusa.net/index/htm Centers for Disease Controls and Prevention. Division of Nutrition, Physical Activity and Obesity.Centers for Disease Controls and Prevention. Division of Nutrition, Physical Activity and Obesity. http://www.cdc.gov/nccdphp/dnpao/ New York Coalition for Healthy School LunchesNew York Coalition for Healthy School Lunches http://www.healthylunches.org Physicians Committee for Responsible Medicine. Guide to Health School Meals for Grades K-12.Physicians Committee for Responsible Medicine. Guide to Health School Meals for Grades K-12. http://www.pcrm.org/ Prince Georges County School Health Council.Prince Georges County School Health Council. http://www1.pgcps.org/schoolhealthcouncil/index.aspx?id=55090

16. Healthy Results

17. References 2009 State of the School System Address. (2009, October). Prince Georges County Public Schools. Retrieved January 15, 2010 from www.pgcps.org2009 State of the School System Address. (2009, October). Prince Georges County Public Schools. Retrieved January 15, 2010 from www.pgcps.org www.pgcps.org Citizens for Healthy Options in Children’s Education (CHOICE). RetrievedJanuary 15, 2010, from http://www.choiceusa.net/EC_overview.htmlCitizens for Healthy Options in Children’s Education (CHOICE). RetrievedJanuary 15, 2010, from http://www.choiceusa.net/EC_overview.html http://www.choiceusa.net/EC_overview.html Clark, M.A., Fox, M.K. (2009). Nutritional Quality of the Diets of US Public School Children and the Role of the School Meal Programs. Journal of the American Dietetic Assocation, 109(Suppl.1), S54-56.Clark, M.A., Fox, M.K. (2009). Nutritional Quality of the Diets of US Public School Children and the Role of the School Meal Programs. Journal of the American Dietetic Assocation, 109(Suppl.1), S54-56. Fox, M.K., Gordon, A.,Nogales, R., Wilson, A. (2009). Availability and Consumption of Competitive Foods in US Public Schools. Journal of the American Dietetic Association. 109(Suppl.1),S57-66.Fox, M.K., Gordon, A.,Nogales, R., Wilson, A. (2009). Availability and Consumption of Competitive Foods in US Public Schools. Journal of the American Dietetic Association. 109(Suppl.1),S57-66. Fox, M.K., Dodd, A.H., Wilson, A., Gleason, P. (2009). Association between Schools Food Environment and Practices and Body Mass Index of US Public School Children. Journal of the American Dietetic Association, 109(Suppl. 1), S108-117.Fox, M.K., Dodd, A.H., Wilson, A., Gleason, P. (2009). Association between Schools Food Environment and Practices and Body Mass Index of US Public School Children. Journal of the American Dietetic Association, 109(Suppl. 1), S108-117.

18. References Continued Guide to Healthy School Meals for Grades K-12. Physicians Committee for Responsible Medicine. Retrieved January 15, 2010 from www.pcrm.orgGuide to Healthy School Meals for Grades K-12. Physicians Committee for Responsible Medicine. Retrieved January 15, 2010 from www.pcrm.orgwww.pcrm.org Health Areas Funded by PHHS Block Grant, Maryland FY2008. Preventive Health Services Block Grant. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/nccdphp/blockgrant/pdf/ReportFY2008.pdfHealth Areas Funded by PHHS Block Grant, Maryland FY2008. Preventive Health Services Block Grant. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/nccdphp/blockgrant/pdf/ReportFY2008.pdf http://www.cdc.gov/nccdphp/blockgrant/pdf/ReportFY2008.pdf Maryland Fruit and Vegetable Nutrition Education Program. Retrieved January 15, 2010 from http://www.marylandpublicschools.org/MSDE/programs/schoolnutrit ion/nutr_prog/FFVP.htmMaryland Fruit and Vegetable Nutrition Education Program. Retrieved January 15, 2010 from http://www.marylandpublicschools.org/MSDE/programs/schoolnutrit ion/nutr_prog/FFVP.htm http://www.marylandpublicschools.org/MSDE/programs/schoolnutrit ion/nutr_prog/FFVP.htm http://www.marylandpublicschools.org/MSDE/programs/schoolnutrit ion/nutr_prog/FFVP.htm Maryland Obesity Data. Retrieved January 15, 2010 from http://fha.maryland.gov/cdp/co_data.cfmMaryland Obesity Data. Retrieved January 15, 2010 from http://fha.maryland.gov/cdp/co_data.cfm http://fha.maryland.gov/cdp/co_data.cfm National Health and Nutrition Examination Survey (NHANES). Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/chilhood/prevalence.htmlNational Health and Nutrition Examination Survey (NHANES). Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/chilhood/prevalence.html http://www.cdc.gov/obesity/chilhood/prevalence.html

19. References Continued Nutrition and Physical Activity/Obesity Prevention Program. Maryland Healthy Eating and Active Lifestyle Coalition, Inc. 2009. Retrieved January 15, 2010 from http://healthyactivemaryland.org/mdplan.htmlNutrition and Physical Activity/Obesity Prevention Program. Maryland Healthy Eating and Active Lifestyle Coalition, Inc. 2009. Retrieved January 15, 2010 from http://healthyactivemaryland.org/mdplan.html http://healthyactivemaryland.org/mdplan.html Obesity Contributing Factors. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/causes.htmlObesity Contributing Factors. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/causes.htmlhttp://www.cdc.gov/obesity/childhood/causes.html Obestiy Consequences. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/consequences.htmlObestiy Consequences. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/consequences.htmlhttp://www.cdc.gov/obesity/childhood/consequences.html Obesity Prevalence. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/prevalence.htmlObesity Prevalence. Centers for Disease Control and Prevention. Retrieved January 15, 2010 from http://www.cdc.gov/obesity/childhood/prevalence.htmlhttp://www.cdc.gov/obesity/childhood/prevalence.html Obesity Threatens to Cut U.S. Life Expectancy, New Analysis Suggests.(2005, March 16). National Institute of Health. Retrieved January 30, 2010 fromObesity Threatens to Cut U.S. Life Expectancy, New Analysis Suggests.(2005, March 16). National Institute of Health. Retrieved January 30, 2010 from http://www.nih.gov/news/pr/mar2005/nia-16.htm School Health Council Meeting. November 2009 Meeting Minutes. Retrieved January 15, 2010 from http://www1.pgcps.org/schoolhealthcouncil/index.aspx?id=55096School Health Council Meeting. November 2009 Meeting Minutes. Retrieved January 15, 2010 from http://www1.pgcps.org/schoolhealthcouncil/index.aspx?id=55096 Tillman, Z. (2010). Recipe for Success: Surrattsville Students Learn Healthy Cooking. Gazette. Retrieved January 15, 2010 from http://www.gazette.net/stories/01212010/uppenew181516_32552.phpTillman, Z. (2010). Recipe for Success: Surrattsville Students Learn Healthy Cooking. Gazette. Retrieved January 15, 2010 from http://www.gazette.net/stories/01212010/uppenew181516_32552.php http://www.gazette.net/stories/01212010/uppenew181516_32552.php