Public Health Education Promotes:Public Health Education Promotes:Nutrition is GoodNutrition is Good

“GROSS” “GROSS”Growth, React, Obtain, Satisfy, & SustainGrowth, React, Obtain, Satisfy, & Sustain

For primary and secondary schools in the community to improve the school nutrition environment.For primary and secondary schools in the community to improve the school nutrition environment.

Vicki A. Guerra, Ph.D.: Public Health with Specialization In EpidemiologyVicki A. Guerra, Ph.D.: Public Health with Specialization In EpidemiologyWalden UniversityWalden University

PUBH 8165-1: Environmental Health PUBH 8165-1: Environmental Health Instructor: Dr. Howard E. RubinInstructor: Dr. Howard E. Rubin

Fall, 2010Fall, 2010

IntroductionIntroduction

The presentation brought forth today is to The presentation brought forth today is to motivate primary and secondary schools in the motivate primary and secondary schools in the community to improve the school nutrition community to improve the school nutrition environment.environment.

Implementing “GROSS”: Growth, React, Implementing “GROSS”: Growth, React, Obtain, Satisfy, & SustainObtain, Satisfy, & Sustain

Balance and StructureBalance and Structure(development of our children)(development of our children)

BalanceBalance NutritionNutrition DevelopmentDevelopment QualityQuality NeedsNeeds

StructureStructure Better healthBetter health FoundationFoundation GoalsGoals Make it happenMake it happen

Learning OutcomesLearning Outcomes Balance and StructureBalance and Structure

What do we know about What do we know about nutrition?nutrition? Good HealthGood Health Poor HealthPoor Health People love foodPeople love food Food does not always Food does not always

love peoplelove people Expenses – Cost Expenses – Cost (people (people

have budgets)have budgets)

Why do we analyze Why do we analyze nutrition?nutrition? ConvenienceConvenience Stressful DecisionsStressful Decisions Time consumingTime consuming Mentality: good health Mentality: good health

vs. poor healthvs. poor health Expenses – Cost Expenses – Cost (people (people

have budgets)have budgets)

Target GoalTarget Goal

GOAL:GOAL: To help children and adolescents To help children and adolescents maintain a healthy weight by increasing maintain a healthy weight by increasing healthy options in schools, incorporating healthy options in schools, incorporating nutrition education into school curricula and nutrition education into school curricula and limiting access to unhealthy food. limiting access to unhealthy food.

(RWJ Foundation, 2010, para2)(RWJ Foundation, 2010, para2)

GrowthGrowth

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Disease/Illness•Heart disease•Cancer•Stroke

Exposure to Health Problems •Obesity•dental caries•iron deficiency (which causes anemia)

Growth cont’dGrowth cont’d

Facts:Facts: Center of Disease Control and Prevention (2010) Center of Disease Control and Prevention (2010)

determines: determines: Ages 6-19Ages 6-19

67% exceed dietary guidelines recommendations for fat 67% exceed dietary guidelines recommendations for fat intake intake

72% exceed recommendations for saturated fat intake (para 72% exceed recommendations for saturated fat intake (para 1)1)High school students of 2009High school students of 2009

22.3% eating fruits and vegetables 5-more times daily 22.3% eating fruits and vegetables 5-more times daily (excluding potato chips/fried potatoes) within a 7day span (excluding potato chips/fried potatoes) within a 7day span (para 1)(para 1)

ReactReact

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Basic Situational Reactions:•“You have a great smile” (fuzzy feeling like the emoticon in the center)•“The movie was so sad it brought a tear to my eye” (just like the first emoticon)•“OMG (Oh My God)” (that did not just happen - second emoticon in the center)

Reactions to the word “Obesity”:•(friend/acquaintance) “You look like you added some pounds” Expression – “Yikes!”•(doctor) “You have high cholesterol”Expression – “Yikes!”•(parent) “That shirt fits you a little tight”Expression – “Yikes!”

React cont’dReact cont’d

Business ConceptBusiness Concept SuccessSuccess AchievementAchievement Finish LineFinish Line Overall – making all parties Overall – making all parties

happyhappy

Educational Health ConceptEducational Health Concept SuccessSuccess AchievementAchievement KnowledgeKnowledge Overall – better health for Overall – better health for

healthier communitieshealthier communities

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React Cont’dReact Cont’dReactions (students) in School Environments Influence:Reactions (students) in School Environments Influence: Food choicesFood choices Eating habitsEating habits(CDC, 2009, para 8) (CDC, 2009, para 8)

Efforts in Improvement for Nutrition:Efforts in Improvement for Nutrition: Support strong state and district school nutrition standards (foods Support strong state and district school nutrition standards (foods

and beverages offered or sold outside of school meals). and beverages offered or sold outside of school meals). Review your district's school wellness policy by ensuring Review your district's school wellness policy by ensuring

nutritional guidelines offerring available foods such as fruits, nutritional guidelines offerring available foods such as fruits, vegetables, whole grains, and low-fat or nonfat milk products. vegetables, whole grains, and low-fat or nonfat milk products.

Examine the actual foods and beverages available to students—Examine the actual foods and beverages available to students—including competitive foods sold in cafeterias, snack bars, school including competitive foods sold in cafeterias, snack bars, school stores, and vending machines—and determine if they meet strong stores, and vending machines—and determine if they meet strong nutrition standards. nutrition standards.

Educate students about nutrition and offer only healthy food and Educate students about nutrition and offer only healthy food and beverage choices (message - healthy eating). beverage choices (message - healthy eating).

(CDC, 2009, para 8) (CDC, 2009, para 8)

ObtainObtain(reaching our goal)(reaching our goal)

Permission given by CDC [Center of Disease Control and Prevention]

Prioritize:•Nutritional lunch settings should encompass students to be health conscious•Nutritional guidelines

Obtain cont’dObtain cont’dGeneral statistical findings:General statistical findings: 99% of schools offer nutrition education somewhere within the curriculum99% of schools offer nutrition education somewhere within the curriculum 70% integrate it within the total curriculum (70 percent). 70% integrate it within the total curriculum (70 percent). 84% nutrition education concentrates on the health curriculum 84% nutrition education concentrates on the health curriculum 72% science classes72% science classes 68% school health program (IES, 1996)68% school health program (IES, 1996)

District or state requirements for students to receive nutrition education:District or state requirements for students to receive nutrition education: Kindergarten thru eighth 50% or more of all schools Kindergarten thru eighth 50% or more of all schools 9th thru 10th grades 40% only have these requirements for ninth and tenth grades9th thru 10th grades 40% only have these requirements for ninth and tenth grades 11th thru 12th grades 20% eleventh and twelfth grades (IES, 1996)11th thru 12th grades 20% eleventh and twelfth grades (IES, 1996)

Topics in nutrition covered:Topics in nutrition covered: 90% of all schools90% of all schools

the relationship between diet and healththe relationship between diet and health finding and choosing healthy foodsfinding and choosing healthy foods nutrients and their food sourcesnutrients and their food sources the Food Guide Pyramidthe Food Guide Pyramid the Dietary Guidelines and goals (IES, 1996)the Dietary Guidelines and goals (IES, 1996)

SatisfySatisfy

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Needs:•Satisfy the needs of our cravings through nutrition•Give good food with moderation•Check nutritional value

Satisfy cont’dSatisfy cont’d

Some areas to consider:Some areas to consider: School Lunches and Children's Nutrient School Lunches and Children's Nutrient

RequirementsRequirements School Wellness, School Lunch and the Food GroSchool Wellness, School Lunch and the Food Gro

ups to Encourageups to Encourage School Lunch Milk OfferingsSchool Lunch Milk Offerings Recess Before LunchRecess Before Lunch What Teachers Can DoWhat Teachers Can Do

(Nutrition Explorations, 2010, para 2)(Nutrition Explorations, 2010, para 2)

SustainSustain

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Concerns:•Gray areas when it comes to investments. •Debate will arise from the parties involved•Every party will need to be on the same page (better health for healthier communities)

Target goal:•Children need nourishment for development

Sustaining a better health is essential to all communities.

Sustain cont’dSustain cont’d

Information on NSLP and SNA:Information on NSLP and SNA:National School Lunch Program (NSLP)National School Lunch Program (NSLP) The National School Lunch Program (NSLP) is the Nation's The National School Lunch Program (NSLP) is the Nation's

second largest food and nutrition assistance program. In 2009, second largest food and nutrition assistance program. In 2009, it operated in over 96,000 public and nonprofit private schools it operated in over 96,000 public and nonprofit private schools (grades K-12) and provided low-cost or free lunches to over 31 (grades K-12) and provided low-cost or free lunches to over 31 million children daily. (ERS, 2010, para 1)million children daily. (ERS, 2010, para 1)

School Nutrition Association (SNA)School Nutrition Association (SNA) Ten pieces of serious equipment for your school kitchen – Ten pieces of serious equipment for your school kitchen –

that’s right, ten. Now in its fourth year, the Winston Industries that’s right, ten. Now in its fourth year, the Winston Industries Equipment Award Grant will provide equipment to one school Equipment Award Grant will provide equipment to one school district needing improvement of its kitchen facilities. The district needing improvement of its kitchen facilities. The application is simple and online, just two short essays on the application is simple and online, just two short essays on the equipment challenges you’re facing and how receiving this equipment challenges you’re facing and how receiving this grant could help. (SNA, 2010, para 1)grant could help. (SNA, 2010, para 1)

Sustain cont’dSustain cont’d

Statistical InformationStatistical InformationWhat we need to know about nutritional standards and cost.What we need to know about nutritional standards and cost.

Permission given by USDA to utilize statistical data.

ConclusionConclusion

Implementing:•Growth – investment of our children’s health•React – responding to the influence of good/bad nutrition distributed to our children•Obtain – gaining possession of our children’s health•Satisfy – fulfill the needs of better nutrition for our children•Sustain – supply the necessary actions for our children’s nourishment

“GROSS”

ReferencesReferences Center of Disease Control and Prevention (CDC) (2010). Healthy youth. Retrieved from Center of Disease Control and Prevention (CDC) (2010). Healthy youth. Retrieved from

http://www.cdc.gov/HealthyYouth/nutrition/index.htmhttp://www.cdc.gov/HealthyYouth/nutrition/index.htm Center of Disease Control and Prevention (CDC) (2009). Promoting healthier foods and beverages in U.S. Center of Disease Control and Prevention (CDC) (2009). Promoting healthier foods and beverages in U.S.

schools. Retrieved from schools. Retrieved from http://www.cdc.gov/Features/SchoolNutrition/http://www.cdc.gov/Features/SchoolNutrition/ Economic Research Survey (ERS) (2010). Child Nutrition Programs: National School Lunch Program. Economic Research Survey (ERS) (2010). Child Nutrition Programs: National School Lunch Program.

Retrieved from Retrieved from http://www.ers.usda.gov/Briefing/ChildNutrition/lunch.htmhttp://www.ers.usda.gov/Briefing/ChildNutrition/lunch.htm Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and cost in the national Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and cost in the national

school lunch program. Retrieved from school lunch program. Retrieved from http://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htmhttp://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htm

Institute of Education Sciences (IES) (1996). U.S. Department of Education. Nutrition Education in Public Institute of Education Sciences (IES) (1996). U.S. Department of Education. Nutrition Education in Public Elementary and Secondary Schools. Retrieved from Elementary and Secondary Schools. Retrieved from http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=96852http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=96852

Leadership for Healthy Communities (2010). RJW Foundation - Action strategies for healthy communities. Leadership for Healthy Communities (2010). RJW Foundation - Action strategies for healthy communities. Retrieved from Retrieved from http://www.leadershipforhealthycommunities.org/content/view/311/133/http://www.leadershipforhealthycommunities.org/content/view/311/133/

Nutrition Explorations (2010). School lunch — More than a convenient option. Retrieved from Nutrition Explorations (2010). School lunch — More than a convenient option. Retrieved from http://www.nutritionexplorations.org/educators/school-nutrition-lunch.asphttp://www.nutritionexplorations.org/educators/school-nutrition-lunch.asp

School Nutrition Association (SNA) (2010). Grants. Retrieved from School Nutrition Association (SNA) (2010). Grants. Retrieved from http://www.schoolnutrition.org/http://www.schoolnutrition.org/ United States Department of Agriculture (USDA) (2010). School Meals. Retrieved fromUnited States Department of Agriculture (USDA) (2010). School Meals. Retrieved from http://www.fns.usda.gov/cnd/http://www.fns.usda.gov/cnd/ United States Department of Agriculture (USDA) (2010). National school lunch program. Retrieved from United States Department of Agriculture (USDA) (2010). National school lunch program. Retrieved from

http://www.fns.usda.gov/cnd/lunch/http://www.fns.usda.gov/cnd/lunch/ United States Department of Agriculture (USDA) (2010). (PDF) fact sheet. National school lunch program. United States Department of Agriculture (USDA) (2010). (PDF) fact sheet. National school lunch program.

Retrieved from http://www.fns.usda.gov/cnd/Lunch/AboutLunch/NSLPFactSheet.pdfRetrieved from http://www.fns.usda.gov/cnd/Lunch/AboutLunch/NSLPFactSheet.pdf

WebsitesWebsites Leadership for Healthy Communities (2010). RJW Foundation - Action strategies Leadership for Healthy Communities (2010). RJW Foundation - Action strategies

for healthy communities. Retrieved from for healthy communities. Retrieved from http://www.leadershipforhealthycommunities.org/content/view/311/133/http://www.leadershipforhealthycommunities.org/content/view/311/133/

Communities in Schools. Non-profit organization. Retrieved from Communities in Schools. Non-profit organization. Retrieved from http://communitiesinschools.org/http://communitiesinschools.org/

Communities in Schools. Non-profit organization. Retrieved from Communities in Schools. Non-profit organization. Retrieved from http://communitiesinschools.org/http://communitiesinschools.org/

United States Department of Agriculture [USDA] (2010). National school lunch United States Department of Agriculture [USDA] (2010). National school lunch program. Retrieved from http://www.fns.usda.gov/cnd/lunch/program. Retrieved from http://www.fns.usda.gov/cnd/lunch/

School Nutrition Association. Grants. Retrieved from School Nutrition Association. Grants. Retrieved from http://www.schoolnutrition.org/http://www.schoolnutrition.org/

Center of Disease Control and Prevention (2010). Healthy youth. Retrieved from Center of Disease Control and Prevention (2010). Healthy youth. Retrieved from http://www.cdc.gov/HealthyYouth/nutrition/index.htmhttp://www.cdc.gov/HealthyYouth/nutrition/index.htm

Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and Economic Research Survey (ERS) (2010). Balancing nutrition, participation, and cost in the national school lunch program. Retrieved from cost in the national school lunch program. Retrieved from http://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htm http://www.ers.usda.gov/AmberWaves/September08/Features/BalancingNSLP.htm