Local Wellness Policies Congressional Mandate

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Local Wellness PoliciesCongressional Mandate

• Section 204 of the Child Nutrition and WIC
  Reauthorization Act of 2004 requires every local
  district to develop and implement a Wellness
  Policy by first day of SY- 2006.

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School Wellness PoliciesMust

• Include nutrition guidelines for all foods
  available on the school campus during the school
  day.
• Include goals for nutrition education, physical
  activity other school-based activities to
  promote student wellness.

• Have a plan for measuring implementation.
• Involve parents, students, school food reps,
  school board, administrators and public in
  development.

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Why Local Wellness Policies?

• Health
• Academic links
• Increased interest in school environment
• Local control/buy in
• MAKES SENSE

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Percentage of U.S. Children and Adolescents Who
Were Overweight
18
16
14
12
10
Ages 12-19
8
6
5
4
4
Ages 6-11
2
0
1963-
1971-74
1976-80
1988-94
1999-
70
2002
gt95th percentile for BMI by age and sex based
on 2000 CDC BMI-for-age growth charts Data from
1963-65 for children 6-11 years of age and from
1966-70 for adolescents 12-17 years of age
Source National Center for Health Statistics
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Overweight Prevalence Among Youth Ages 12-19, By
Sex and Ethnicity, 1999-2002
95th percentile of body mass index Source
Hedley AA, et al. Prevalence of overweight and
obesity among US children, adolescents, and
adults, 1999-2002. JAMA. 2004 291 (23)2847-2850.
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Adult Diseases in Children
Diet- and inactivity-related adult diseases
found in children

• Early warning signs of heart disease
• Elevated triglycerides and LDL
• Low HDL
• High blood pressure
• Type 2 diabetes
• Metabolic Syndrome

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Risk Factors in Youth

• of children, aged 5-10, with 1 or more adverse
  CVD risk factor levels 27.1

• of children, aged 5-10, with 2 or more adverse
  CVD risk factor levels 6.9

Source Freedman DS et al. Pediatrics
19991031175-82
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Why Target Youth?

• of overweight children, aged 5-10, with 1 or
  more adverse CVD risk factor levels
• of overweight children, aged 5-10, with 2 or
  more adverse CVD risk factor levels

60.6
27.1
6.9
26.5
Source Freedman DS et al. Pediatrics
19991031175-82
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Economic and Academic Impacts

• Economic estimated increase in hospital costs
  due to obesity in youth
• From 35 million in 1979 to 127 million in 1999
• Poor nutrition/physical activity impact on
  learning
• Readiness to learn? Behavior? Ability to
  concentrate?
• Energy level? Absenteeism? Connectedness?

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Kids are Eating More

• Between 1989 and 1996, childrens calorie intake
  has increased by approximately 80 to 230 extra
  calories per day
• Majority of increase comes from refined grains,
  added fats and added sugars
• Sources USDA, IOM, Putnam Food Review

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Children Meeting Dietary Recommendations

• Food Guide Pyramid 2
• Total Fat 36
• Sat. Fat 16
• Milk Group 30
• Fruits and Vegetables 19
• USDA, Changes in Childrens Diets, 2001, CSFII

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Fast Food and Kids

• Nearly 1/3 of kids eat fast food each day
• FF intake has increased 5 times since 1970
• More fats, sugars, carbohydrates
• Fewer fruits and non-starchy veggies

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Lack of Physical Activity

• Nearly ½ of young people are not physically
  active
• Enrollment in daily PE classes down
• More then 1 in 5 dont do any free time PA
• Lack of vigorous PA assoc. w/ OW

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Why School-Based Wellness?

• Health and success in school are interrelated.
  
• Schools cannot achieve their primary mission
  of education if students and staff are not
  healthy and fit physically, mentally and
  socially
• The nation's leading health authorities
  recommend that schools take an active role in
  preventing disabling chronic health conditions
  that create misery and consume a burdensome share
  of the nation's resources.
• National Association of State Boards of
  Education Fit, Healthy, and Ready to Learn, 2000

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Healthy People 2010

• Schools have more influence on the lives of
  young people than any other social institution
  except the family, and provide a setting in which
  friendship networks develop, socialization
  occurs, and norms that govern behavior are
  developed and reinforced.

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Snapshot of Schools

• 55 million students attend U.S. schools
• 35-40 of daily energy consumed at school
• School Breakfast and National School Lunch
  Programs (USDA) are effective
• Competitive foods -- a la carte, vended foods,
  school stores -- dilute schools power
• Open lunches promote fast-food

French, Am J Pub Health 2003 931161
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What Do Parents/Staff Think?

• Parents and teachers support
• Healthy vending options
• Only healthy options at elem. school
• PE every day at every grade level
• New lifestyle approaches to PE
• Greater emphasis on PE

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Local Buy-In is Key

• District level support increases teacher buy-in
• Children take healthy behaviors home to
  families
• Schools with strong program leader have better
  implementation

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Can Schools Improve Nutrition Standards AND
Maintain Revenues?

• Students will buy and consume healthful foods
  and beveragesand schools can make money from
  selling healthful options.
• Of the 17 schools and school districts that
  reported income data, 12 increased their revenue
  as a result of the changes and 4 reported no
  change.

Making It Happen! School Nutrition Success
Stories, USDAs Team Nutrition Program.
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School Food ServicesYou hold the key to success!

• Strong nutrition components will make strong
  Wellness Policy
• School Food Service staff must set the stage and
  promote strong and DOABLE policies
• Opportunity to highlight the positive aspects of
  your program

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Resources

• USDA wellness policy resources
  http//www.fns.usda.gov/tn/Healthy/wellnesspolicy.
  html
• CDC Making It Happen www.cdc.gov/healthyyouth/nu
  trition/making-it-happen/index.htm
• CDC Guidelines for School Health Programs to
  Promote Lifelong Healthy Eating and Physical
  Activity. http//www.cdc.gov/HealthyYouth/index.ht
  m
• National Alliance for Nutrition and Activity
  model wellness policy www.schoolwellnesspolicies.
  org

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Resources (contd)

• Action for Healthy Kids Wellness Policy Tool
  www.actionforhealthykids.org/resources_wp.php
• School Nutrition Association Local Wellness
  Policy Guidelines http//www.schoolnutrition.org
  /Index.aspx?id1075
• ADA Wellness Policy Tool www.eatright.org
• Fit, Healthy and Ready to Learn
  http//www.nasbe.org/HealthySchools/fithealthy

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• The best window our children have in our
  society today is our educational system and
  programs We cant mandate that are kids be
  stronger. We cant mandate that they be smarter.
  We cant even mandate that they be better people,
  But we can show them, we can teach them,we can
  give them information.
• Lynn Swann, Chairman, Presidents Council on
  Physical Fitness and Sports

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PROCESS is Key

• Create a team
• Assess current situation
• Plan for the change
• Implement the change timing pace
  communication stakeholders patience link w/
  ed modeling
• Monitor/Adjust
• CELEBRATE!