Successful Students Eat Smart and Move More

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Successful Students Eat Smart and Move More

• Local Wellness Policy in
• North Carolina Schools

Developed by the N.C. Division of Public Health
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Presentation Overview

• Defining local wellness policy
• Supporting local wellness policy with existing
  regulations
  
• Impacting student success with local wellness
  policy
  
• Moving from policy to practice
• Creating change with local wellness policy
• Addressing the details of local wellness policy
• Finding resources on local wellness policy

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Local Wellness Policy

• Federal requirement
• Every Local Education Agency (LEA) that
  participates in the School Meals Program was
  required to establish a local wellness policy no
  later than the first day of school beginning
  after June 30, 2006
• North Carolina requirement
• Each LEA submitted its local wellness policy to
  the Child Nutrition Services Section at N.C.
  Department of Public Instruction
  

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Local Wellness Policy

• Appropriate goals for nutrition education,
  physical activity and other school based
  activities designed to promote student wellness
  
• Nutrition guidelines for all foods available
  during the school day, with the objectives of
  promoting student health and reducing childhood
  overweight

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Local Wellness Policy

• Assurance that guidelines for reimbursable school
  meals shall not be less restrictive than
  regulations and guidance issued by the Secretary
  of Agriculture
• A plan for measuring implementation of the school
  wellness policy, including designation of at
  least one person to maintain responsibility for
  program operation

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Local Wellness Policy

• Required involvement
• Parents
• Students
• Representatives from Child Nutrition
• Representatives of the school board
• School administrators
• Members of the public

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Food and beverage sales in schools

• 115C-264.  Operation
• Under NC statutes, all school food services must
  be operated on a nonprofit basis for the benefit
  of the Child Nutrition Program
  
• NC SBE Policy ID Number EEO-S-000
• Revenues from the sale of all foods and beverages
  to students until the last child is served accrue
  to the non-profit Child Nutrition Program
  
• Profits from all competitive food sales must be
  used for the non-profit lunch and breakfast
  programs
  

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Food and beverage sales in schools

• 7 CFR 210.11.  Competitive food service
• Competitive foods means any foods sold in
  competition with the Program to children in food
  service areas during the lunch periods
  
• Foods of minimal nutritional value cannot be
  sold
  
• soda water (soda pop)
• water ices
• chewing gum
• processed foods made predominately from
  sweeteners with a variety of minor ingredients
  
• confections and carbonated drinks

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School Meals 115C-264.2. Child Nutrition
Program Standards ? NC SBE Policy ID Number
EEO-S-002

• Nutrition Standards for Elementary Schools
• Standards will promote gradual changes to
  increase fruits and vegetables and whole grain
  foods, and decrease total fat, trans fat,
  saturated fat and sugar
• Nutrition standards will be piloted in middle and
  high schools prior to implementation
  

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NC Nutrition Standards ElementarySchool Meals
- NC SBE Policy ID Number EEO-S-002

• Meals served must be consistent with the current
  edition of the Dietary Guidelines for Americans,
  Federal Regulations as approved for North
  Carolina and State Board of Education Policy on
  Nutrition Standards for School Meals

When averaged over the week, reimbursable meals
will contain 20-35 of calories from fat, and 10 total calories from saturated fat. Trans fat
and sodium levels will be kept as low as possible.
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NC Nutrition Standards - ElementarySchool Meals
- NC SBE Policy ID Number EEO-S-002

• Emphasis on food-preparation methods that do not
  add fat, i.e., frying is not allowed
  
• Emphasis on making whole-grain products available
  daily
  
• Requirements for increased offerings of fruits
  and vegetables with an emphasis on dark green,
  deep yellow and fresh produce
  
• Legumes are required at least once a week
• Only 1 or less fat milks are allowed

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NC Nutrition Standards - ElementaryÀ la Carte -
NC SBE Policy ID Number EEO-S-002

• Emphasis on reducing fat, saturated fat, trans
  fat and sugar
  
• Emphasis on increasing nutrient density, while
  moderating portion sizes
  
• Calorie, fat and sugar limits for dairy products
• Portion size limits for nuts/seeds and
  yogurt/frozen yogurt
  
• Portion size and sugar limits for fruit
  juice/frozen fruit products
  
• Fried fruits and vegetables are not allowed
• Water, 100 juice and low-fat/nonfat milk are the
  only beverages allowed

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Vending Beverages 115C-264.2. Vending Machine
Sales

• NO competition with school meals
• NO soft drinks in elementary schools
• NO regular soft drinks in middle schools
• NO more than 50 of offerings in high schools are
  sugared carbonated soft drinks
  
• Diet soft drinks may be offered
• Bottled water must be available if vending is
  offered
  
• LEAs may adopt stricter policies

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Vending Snacks 115C-264.2. Vending Machine
Sales

• Elementary schools
• No snack vending
• Middle and High Schools
• At least 75 of snacks must have no more than 200
  calories per snack vending package

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Healthy Active Children PolicyNC SBE Policy ID
Number HSP-S-000

• School Health Advisory Council (SHAC)
• Annual reporting requirement
• Required
• K-8
• 30 minutes physical activity daily

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Healthy Active Children PolicyNC SBE Policy ID
Number HSP-S-000

• Recommended
• Elementary schools
• 150 minutes PE/week
• Middle and high schools
• 225 minutes of Healthful Living Education/week
• Physical activity cannot be withheld or used as
  punishment
  

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Eat smart, ready to learn

• More prepared to learn
• More likely to attend school and class
• Better able to take advantage of educational
  opportunities

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Poor nutrition poor learning

• Irritability behavior problems
• Difficulty concentrating and performing complex
  tasks
  
• Lower energy levels
• More illness miss more school
• Reduced cognition
• Lower standardized test scores

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Smart start with breakfast

• Increased math and reading scores
• Improved attention
• Reduced visits to nurse
• Improved behavior
• Improved attendance, reduced tardiness

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Move more, learn more

• Increased concentration
• Increased math, reading and writing test scores
• Reduced disruptive behavior
• Decreased absenteeism due to illness
• EVEN when physical education displaces classroom
  time

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Studies indicate important links between
nutrition, physical activity and academic
achievement. Healthy kids make better students.
School board members are uniquely positioned to
take powerful leadership roles in this effort.

• William Potts-Datema, MS, Director, Partnerships
  for Childrens Health, Harvard School of Public
  Health

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North Carolinas Kids at Risk

• One in four North Carolina school-age kids is at
  risk or is already overweight
  
• Few eat recommended fruits and vegetables
• Few drink milk
• Few get physical activity

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Health Consequences

• Cardiovascular disease
• Hypertension
• Type-2 diabetes
• High blood cholesterol
• Respiratory aliments
• Orthopedic problems

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Social and Emotional Health

• Social and emotional health decreases as soon as
  childs weight rises above average
  
• Lower self esteem
• Negative body image
• Depression
• Stigmatizing, stereotyping and marginalization
• Teasing and bullying

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For the first time in two centuries, the current
generation of children in America may have
shorter life spans than their parents due to the
rapid rise in childhood obesity.

• New England Journal of Medicine, 2005

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What school board members have said about
wellness policy

• Many are not sure who will be monitoring the
  wellness policy in their district
  
• Dont feel their district is doing enough to
  foster healthy eating behaviors
  
• Believe school nutrition policies and programs
  could improve student well-being
  
• Dont feel prepared to address school nutrition
  policies and programs
  

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What school board members need to implement
wellness policy

• Better public relations in the community
• Baseline data and capacity to collect data to
  inform evaluation of policy
  
• Support providing healthy food options in all
  grades
  
• Better financial support

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Results of superintendent survey

• Students who cant run a soccer field or walk a
  trail loop
  
• Parents are supportive
• Teachers are supportive, but dont want to see
  instruction time reduced
  

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Superintendents said they need

• Tools for monitoring the success of the wellness
  policy
  
• Data to determine if what the schools are doing
  is successful
  
• The opportunity to talk with other schools and
  network
  

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Implementing local wellness policy

• Step 1 Identify and prioritize the key elements
• Step 2 Develop an implementation strategy
• Step 3 Develop an implementation plan
• Step 4 Engage students in policy implementation

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Implementing local wellness policy

• Step 5 Communicate the policy
• Building awareness and maintaining support
• Step 6 Market to encourage healthy choices
• Step 7 Monitor and evaluate the policy

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School board members creating change with local
wellness policy

• Set a vision and become advocates for good
  nutrition and health
  
• Adopt policy
• Adopt curriculum
• Allocate resources to district programs
• Ensure program accountability
• Encourage collaborative approaches

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School Health Advisory Council (SHAC) members
creating change with local wellness policy

• Note serious problems/needs, but emphasize
  solutions
  
• Link to existing policies, programs and goals
• Highlight school health as an emerging trend
• Identify policy gaps and options
• Be honest about costs and potential
  implementation problems
  
• Advocate for evaluation of policy implementation

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Principals creating change with local wellness
policy

• Establish school policy and enforce district
  policy
  
• Communicate support for policy to staff, families
  and students
  
• Enlist business community endorsement
• Ask respected community members for support
• Role model healthy eating and physical activity
• Provide continuing education opportunities

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PTA members creating change with local wellness
policy

• Monitor agendas, discussions, board processes and
  board members interests
  
• Contact with sympathetic board members
• Raise awareness with other parents, principals,
  teachers and the community
  
• Develop key messages and simple strategies
• Provide testimony at meetings and public
  hearings
  
• Support and advocate for policy implementation

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Persistence pays when creating change with local
wellness policy

• Respect the hierarchy
• Stay focused on the ultimate goal
• Dont expect quick or easy success
• Sustain the effort
• Be willing to compromise, but know your bottom
  line
  
• Dont burn your bridges

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Nutrition Education

• Skills-based, sequential and integrated
• Engages families and communities
• Consistent nutrition messages in the classroom,
  cafeteria and community
  

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Nutrition Education in NC Schools

• Integrated nutrition education
• Healthful Living
• Math
• English Language Arts
• Follows the Healthful Living Standard Course of
  Study
  
• Grade-specific lesson plans
• Grade K-5

www.nutritionnc.com
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Physical Activity in NC Schools

• Classroom-based physical activities that
  integrate physical activity with academic
  concepts
  
• Short (about 10 minutes) activities that
  classroom teachers can use to provide physical
  activity
  
• Supports the Healthy Active Children requirements

www.nchealthyschools.org
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Fundraising

• Healthy foods for fundraisers
• Fruit
• Nuts
• Trail mix and low-fat granola bars
• Non-food fundraisers
• Greeting Cards
• Calendars
• Kitchenware

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Concessions

• String cheese
• Nuts and trail mix
• Baked chips and pretzels
• Frozen low-fat yogurt
• 100 fruit juice bars

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School Stores

• String cheese
• Beef jerky
• Baked chips and salsa
• Animal crackers or vanilla wafers
• Fruit cups
• Whole-grain crackers

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Celebrations at School

• Non-Food Ways to Celebrate
• Dance party
• Fun walk with the principal
• Special art project
• Healthful Food Celebrations
• Fruit sundae bar with frozen low-fat yogurt
• Fresh apple wedge with caramel dip
• Oatmeal raisin cookies with low-fat milk

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Classroom Rewards

• Restrict the use of food as a reward
• Ways to reward a job well done for all ages
• Elementary
• Taking care of the class pet
• Class leader for the day
• Middle School
• Free time at the end of class
• Extra computer time
• High School
• Magazine subscription
• Prime parking space

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Foods from Home

• Ways to ensure foods from home are healthy
• Educate parents and students on what is healthy
  for those who pack meals
  
• Encourage students to eat school meals

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Time to Eat

• Lunch periods
• Students have at least 20 minutes after they are
  seated to eat and socialize
  
• Close to the middle of the day
• Breakfast periods
• Students have at least 20 minutes after they are
  seated to eat and socialize
  

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Dining Environment

• Space
• Furniture
• Cleanliness
• Lighting
• Temperature
• Safety
• Noise

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A Plan for Measuring Implementation

• Who
• What
• When
• How

• Superintendent or designee
• Leadership team
• SHAC
• Child Nutrition Director
• Director of Student Services
• Building level administrator
• Wellness Advisory Committee
• Wellness Coordinator
• Principal
• School Improvement Team

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NC Web Sites

• www.nchealthyschools.org
• www.nutritionnc.com
• www.eatsmartmovemorenc.com

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Web Sites

• www.actionforhealthykids
• www.schoolnutrition.org
• www.schoolwellnesspolicies.org
• www.fns.usda.gov/tn/
• www.cdc.gov/HealthyYouth/healthtopics/wellness.htm
  
  
• www.californiaprojectlean.org/