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    Growing Healthy SchoolsGrowing Healthy Schools

    Pathways toward implementingPathways toward implementing

    wellness in school communitieswellness in school communities

    and beyondand beyondKeene Central School, NY

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    Growing Healthy Schools:Growing Healthy Schools:

    Assessing the NeedAssessing the Need

    The Benefits of Wellness Programs inThe Benefits of Wellness Programs inSchoolsSchools

    Support and Incentive: Existing PoliciesSupport and Incentive: Existing Policies

    and Programsand Programs Cultivating SuccessCultivating Success

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    Assessing the NeedAssessing the Need

    At-Large CommunityAt-Large Community

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    DiabetesDiabetes

    Diabetes is one of the most common chronic diseases inchildren and adolescents; about 151,000 people belowthe age of 20 years have diabetes.

    When diabetes strikes during childhood, it is routinely

    assumed to be type 1, or juvenile-onset diabetes.However, in the last 2 decades, type 2 diabetes (formerlyknown as adult-onset diabetes) has been reportedamong U.S. children and adolescents with increasingfrequency.

    Studies conducted in Europe showed an increase in thefrequency of type 1 diabetes, especially in youngchildren.

    Center for Disease Control, 2011

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    Childhood ObesityChildhood Obesity

    Childhood obesity has more than tripled in the past 30 years. Theprevalence of obesity among children aged 6 to 11 years increasedfrom 6.5% in 1980 to 19.6% in 2008. The prevalence of obesityamong adolescents aged 12 to 19 years increased from 5.0% to18.1%

    Obese youth are more likely to have risk factors for cardiovasculardisease, such as high cholesterol or high blood pressure. In apopulation-based sample of 5- to 17-year-olds, 70% of obese youthhad at least one risk factor for cardiovascular disease

    Children and adolescents who are obese are at greater risk for boneand joint problems, sleep apnea, and social and psychologicalproblems such as stigmatization and poor self-esteem.3,6

    Obese youth are more at risk for associated adult health problems,including heart disease, type 2 diabetes, stroke, several types ofcancer, and osteoarthritis.

    Center for Disease Control, 2011

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    2003

    Center For Disease Control

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    2007

    Center for Disease Control

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    Assessing the NeedAssessing the Need The ClientThe Client

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    School LunchesSchool Lunches

    Compared with kids who brought lunch from home, thosewho ate school lunches:

    Were more likely to be overweight or obese (38.2% vs.24.7%)

    Were more likely to eat two or more servings of fatty meatslike fried chicken or hot dogs daily (6.2% vs. 1.6%)

    Were more likely to have two or more sugary drinks a day(19% vs. 6.8%)

    Were less likely to eat at least two servings of fruits a day(32.6% vs. 49.4%)

    Were less likely to eat at least two servings of vegetablesa day (39.9% vs. 50.3%)

    Had higher levels of LDL cholesterol

    Physicians Committee for Responsible Medicine and the HealthySchool Lunch Campaign

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    There is widespread agreement among nutrition

    experts that fruits, vegetables, and whole grainspromote health and help prevent thedevelopment of many chronic diseases. But bythe USDAs own data, fewer than 2% of children

    met the USDA recommendations for fruit,vegetable, and whole grain consumption in 2001(USDA 2001). Furthermore, national studies in2003 found that more than 75% of schools

    exceeded the requirement that only 30% ofcalories come from fat (GAO 2003).

    Demas, Kindermann, Pimente

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    On average, 40% of students in Southeastern

    Ohio participate in the National Free and

    Reduced Lunch Program (NSLP)

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    Current School LunchCurrent School Lunch

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    Chicken Patty: boneless chicken breast with rib meat, water, modified foodstarch, flavor hydrolyzed soy, and corn gluten, protein, salt, maltodextrin,sugar, corn syrup solids, wheat flour, citric acid, sodium diacetate, dextrose,lactose, chicken flavor, disodium inosinate, disodium guanylate, natural and

    artificial flavors, autolyzed yeast extract, corn starch, lactic acid and sesameoil, sodium phosphates, white pepper, breaded with enriched wheat flour,niacin, reduced iron, thiamine mononitrate, riboflavin, folic acid, water, salt,spies, whey, leavering, sodium bicarbonate, sodium acid pyrophosphate,sodium aluminum phosphate, monocalcium phosphate,wheat gluten, dried eggwhites, dextrose, onion powder, paprika, breading set in vegetable oil.

    Hamburger Bun: Wheat flour, water, yeast, high fructose corn syrup or sugar,yeast,soybean oil, contains 2% or less of: ferrous sulfate (iron) B vitamins, (niacin,

    thiamine mononitrate (B1), riboflavin (B2), folic acid), barley malt, wheat gluten,salt, calcium sulfate, dough conditioners (sodium stearoyl lactylate, ethoxylatedmono and diglycerides, detem, mono and diglycerides, calcium dioxide, sorbicacid and/or azodicarbonamide), vinegar, yeast nutrients ( ammonium chloride,ammonium sulfate, monocalcium phosphate and/or calcium carbonate),cornstarch, wheat starch, soy flour, whey, calcium propionate (to retainfreshness), soy lecithin.

    Apple Sauce: Apples, corn syrup, high fructose corn syrup and water.

    Ketchup: Tomato concentrate made from vine ripened tomatoes, high fructose,corn syrup, distilled vinegar, corn syrup, salt, onion powder, garlic powder,natural flavors.

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    The Benefits of School BasedThe Benefits of School Based

    Wellness ProgramsWellness Programs

    The things we have to learn before we do them, we learn by doingThe things we have to learn before we do them, we learn by doing

    them.them.

    - Aristotle- Aristotle

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    Consumption of fruits andvegetables, as a habit in

    childhood, is an important

    predictor of higher fruit and

    vegetable consumption as

    adults and can help toprevent or delay chronic

    disease conditions.

    Heimendinger & Van Duyn

    (1995)

    MEAL NUTRITIONAL ANALYSIS

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    Note: Menu analysis done by Melissa Mahoney, dietician, Baltimore City Public Schools, using USDA Nutri-kids

    software. Proportions for the standard meal included 1 white roll, 1 hot dog, 1/2 cup tater tots, 1/2 cup canned

    fruit in syrup, and 1/2 pint strawberry milk; the alternative meal included 1 cup casserole, 1 piece of cornbread,

    1/2 cup cabbage salad, and 1 baked apple

    Nutrient Standard menuvalues

    Healthy alternativevalues

    Calories 680 366

    Total fat / saturated fat 26.7 g / 9.0 g 4.4 g / 0.8 g

    Sodium 1,416 mg 750 mg

    Cholesterol 43 mg 13 mg

    Total Carbohydrate 88.8 g 71.8 g

    Protein 27.5 g 13.5 g

    Fiber 5.1 g 15.5 g

    MEAL NUTRITIONAL ANALYSIS:

    STANDARD MEAL COMPARED TO ALTERNATIVE MEAL

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    Third, fourth, and fifth grade

    students who participated in

    school gardening activities

    scored significantly higheron science achievement

    tests compared to students

    that did not experience any

    garden-based learning

    activities.

    Klemmer et al. (2005)

    Cornell Dept. of Horticulture

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    Students who ate an

    adequate amount offruit, vegetables,

    protein, fiber and other

    components of a healthy

    diet were significantly

    less likely to fail aliteracy test, Dr. Paul J.

    Veugelers of the

    University of Alberta in

    Edmonton and

    colleagues found.

    Journal of School Health, April

    2008

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    Parents who are highly

    involved at school are morelikely to be involved in

    educational activities with

    their children at home.

    -National Center forEducational Statistics

    (1997)

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    Support and Incentive:Support and Incentive:Existing Policies and ProgramsExisting Policies and Programs

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    CHILD NUTRITION REAUTHORIZATIONCHILD NUTRITION REAUTHORIZATION

    HEALTHY, HUNGER-FREE KIDS ACT OFHEALTHY, HUNGER-FREE KIDS ACT OF

    20102010

    Improves Nutrition and Focuses on Reducing Childhood Obesity Provides additional funding to schools that meet updated nutritional

    standards for federally subsidized lunches.

    Helps communities establish local farm to school networks, create schoolgardens, and ensures that more local foods are used in the school setting. Builds on USDA work to improve nutritional quality of commodity foods that

    schools receive from USDA and use in their breakfast and lunch programs. Expands access to drinking water in schools, particularly during meal

    times.

    Sets basic standards for school wellness policies including goals fornutrition promotion and education and physical activity, while still permitting

    local flexibility to tailor the policies to their particular needs.

    Increases Access

    Increases Program Monitoring and Integrity

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    Team Nutrition:Team Nutrition:

    HealthierUS ChallengeHealthierUS ChallengeThe goal of the (HUSSC) is to improve the health of the

    Nations children by promoting healthier school

    environments. To help meet the goal, the Food and

    Nutrition Service (FNS) identifies schools that have

    made changes to improve the quality of the foods

    served, provide students with nutrition education, and

    provide students with physical education and

    opportunities for physical activity.

    Chefs Move to SchoolsChefs Move to Schools

    The Chefs Move to Schools program, run through the U.S.Department of Agriculture, will help chefs partner with

    interested schools in their communities so together

    they can create healthy meals that meet the schools

    dietary guidelines and budgets, while teaching young

    people about nutrition and making balanced and

    healthy choices.

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    ODA- Farm to SchoolODA- Farm to School

    The Department of Agriculture and Ohio Food

    Policy Council have developed a resource guide forFarm-to-School. This resource provides

    background information on farm-to-school

    programs, the benefits they offer, key principles,

    how to begin and sustain a program, potential

    obstacles and solutions, national and Ohio based

    resources and much more.

    F2S initiatives involve connecting schools with local farmsby bringing fresh, nutritious foods from local farms into

    school cafeterias and by offering students experiential

    learning opportunities through farm visits, food and nutrition

    educational activities, and an incorporated nutrition

    education curriculum. Such initiatives serve both to help

    support local farmers and keep food dollars in localeconomies, and to help create a generation of informed

    food consumers informed of the nutritional significance of

    their food choices, but also the economic, environmental,

    and social impact.

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    Action for Healthy Kids fights childhood obesity and

    undernourishment by partnering with schools to improve

    nutrition and physical activity to help our kids learn to eat

    right, be active every day, and be ready to learn.

    The Ohio Action for Healthy Kids Team has three goals:Increase the number of children eating school breakfastImprove nutritious snack options in schools, andIncrease opportunity for physical activity during the

    school day.

    Ohio Action For Healthy KidsOhio Action For Healthy Kids

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    Food & Garden Based CurriculumFood & Garden Based Curriculum

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    Food Is ElementaryFood Is Elementary

    Food is Elementary (FIE) is a unique and vibrant

    curriculum introduced into schools and

    communities that teach children aboutfood,

    nutrition, culture, and healthy living by:

    Educating children about the relationship between

    food choices and disease prevention

    Encouraging a child's natural curiosity and creativity tobe the foundation of learning

    Providing children with the life skill of food preparation

    through hands-on interactive experience

    Introducing healthful foods through the traditions and

    arts of different cultures

    Involving families and community in classroomteaching, school meals, gardens, and collaborative

    mural projects

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    The Growing ClassroomThe Growing Classroom

    The Growing Classroom is a teacher's

    manual featuring step-by-step

    instructions and strategies for setting upa garden-based science program and

    outdoor classroom activities.

    Topics include planning a garden

    laboratory, facilitating investigative

    lessons on ecology and nutrition, and

    involving the community. Includes anexpanded gardening resource section;

    grades 2-6.

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    Cultivate!Cultivate!

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    Form Wellness Team

    Visioning

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    The Design

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    ImplementImplement

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    Food Matters Curriculum

    Farm to Fork

    Food Is Elementary

    Community Education

    Appalachian Green Teachers

    Environmental Education

    Lesson Plans

    Educator Training

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    Molly Jo Stanley

    Edible Schoolyard Project/

    Farm to School CoordinatorCommunity Food Initiatives

    Athens, Ohio

    [email protected]

    www.communityfoodinitiatives.org

    mailto:[email protected]:[email protected]
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    More ResourcesMore Resources