Nutrition and Weight Status Healthy People 2020

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Nutrition and Weight StatusHealthy People 2020

• Marina Castanedo, Lauren Jones, Sasha Seiden

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Nutrition and Weight Status

• Goal1
• Promote health and reduce chronic disease risk
  through the consumption of healthful diets and
  achievement and maintenance of healthy body
  weights.
• Overview1
• Healthful diet and healthy body weight
• Individual behaviors, policies, and various
  environments
• Household food security and hunger elimination

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Americans With a Healthful Diet1

• Nutrient-dense foods
• Include all food groups
• Limit intake of saturated and trans fats,
  cholesterol, added sugars, sodium, and alcohol
• Meet caloric needs
• Avoid unhealthy weight gain

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Americans With a Healthful Diet2

• Eating healthily and exercising regularly can
  help
• Maintain healthy weight
• Reduce risk of chronic disease
• Promote overall health status
• Growth and development in children

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Weight Loss3

• Advantages of weight loss
• How to achieve weight loss
• Dietary Therapy
• Physical Activity
• Behavior Therapy

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Overview of Objectives

• NWS-2.2 Increase the proportion of school
  districts that require schools to make fruits or
  vegetables available whenever other food is
  offered or sold
• NWS-10.2 Reduce the proportion of children and
  adolescents who are considered obese in children
  aged 6 to 11 years
• NWS-10.3 Reduce the proportion of children and
  adolescents who are considered obese in children
  aged 12 to 19 years
• NWS-12 Eliminate very low food security among
  children
• NWS-13 Reduce household food insecurity and in
  doing so reduce hunger

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NWS-10.2 10.3

• Baseline 17.4 of children aged 6-11 years were
  considered obese.
• Target 15.7
• Baseline 17.9 of adolescents aged 12-19 were
  considered obese.
• Target 16.1

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Background for 10.2 10.3

• Costly condition
• 125 million/yr spent on hospital admittances9
• Lower math reading scores in kindergarten
• Increased behavioral and learning disabilities9
• In 2005-20088
• 17.4 of children (6-11 years)
• 17.9 of adolescents (12-19 years)
• Increased rates, as well as heavier weights6

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Importance of 10.2 10.3

• Physically, mentally, academically
• Increased risk of chronic disease premature
  death
• More likely to be overweight or obese adults4
• Economic impact direct medical costs4
• 14 billion annual in direct health care expenses

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Importance

• Minority youth populations at risk7
• Ages 6-11
• 22 Mexican American
• 20 African American
• 14 non-Hispanic
• Ages 12-19
• 23 Mexican American
• 21 African American
• 14 non-Hispanic
• American Indian children ages 5-18
• 39 overweight/at risk

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National Programs8

• Lets Move!
• Americas move to raise a healthier generation
  of kids
• American Academy of Pediatrics
• Chefs Move to School
• National School Lunch Program Breakfast Program
• HealthierUS School Challenge
• Partnership for a Healthier America
• http//www.letsmove.gov/

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State Programs in Washington

• Washington State Nutrition Physical Activity
  Plan11
• Center for Safe Routes to School
• Unplugged12
• 30 Days Live! students give up TV for a month
• Washington State Senate Bill 543612
• Adopt nutrition physical policies
• Washington State Senate Bill 509312
• Encourages healthy food beverages during school
  hours, school sponsored activities

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Local Programs

• Boys Girls Club of Whatcom County6
• SMART Girls5
• Healthy Habits5
• Child Nutrition Program6
• USDA funded
• Provide nutritious meals snacks to childcare
  centers
• Food ense Nutrition Program in Skagit County3

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Gaps

• Programs arent fully funded2
• No programs are aimed towards minority groups
• Time requirement for PE or recess vary1
• Food deserts8
• Should incorporate sleep health
• Food companies market for children
• Difficult to change attitudes

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NWS 2.2

• Only 6.6 of school districts require schools to
  make fruits or vegetables available

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Importance of Objective

• School environments impact adolescent diets
• 19-50 of daily calories at school12
• Too many unhealthy foods can damage brain2
• Academic impact
• Motivation and attention12
• GPA9
• Obesity has more than doubled in last decade in
  school age children19

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Background12

• ¼ of WA students eat 5 fruits vegetables a day
• 1 in 10 teens in WA are overweight
• Shortened lunch periods
• 90 of students have easy access to unhealthy
  food
• Focus on prevention, not treatment

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What are kids eating at school?9

• Food brought from home
• Federal school lunch or breakfast programs
• Foods sold outside of meal programs
• Vending Machines, snack bars, school stores
• Competitive Food
• Much of schools revenue depends on competitive
  foods
• Institutional fear results in unhealthy decision
  making

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Competitive Foods9

• Vending Machines found in 17 of elementary, 82
  of middle, and 97 of high schools
• Low nutrient, energy dense (high calorie) food
• Low income vs. high income schools?
• Availability of snacks in schools? higher calorie
  intake
• Decrease in fruits and vegetables
• USDA cannot regulate what is sold outside of
  mealtime

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National Programs

• Lets Move!6
• Healthier US School Challenge17
• National School Lunch Breakfast Program13
• Low cost/free lunches to children living in
  poverty
• Fresh Fruit and Vegetable Program16
• Outreach to low income schools
• Farm to School programs19
• Child Nutrition Act

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National Programs

• FitPick4
• Healthy Schools Program1
• Make healthy foods at competitive pricing so they
  are a more available option for schools
• CDC IOM make recommendations and policies
  consistent with Dietary Guidelines for
  Americans12
• 5-9 fruits and vegetables a day

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State Programs in Washington

• Bills requiring nutrition and physical fitness
  policies in schools12
• Encourages school health advisory committees
• Farm to School programs19
• Local Farms-Healthy Kids
• WA State utilizes federal programs

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Local Programs

• Whatcom County Statistics
• 40.4 eligible for federal program assistance
• Fit Pick12
• Clark County
• Square Foot Nutrition Project20
• Weekly lessons vegetable growing

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Cultural Competence12

• Different perceptions of nutrition
• Correct knowledge and attitude required when
  dealing with dynamics of cultures
• Delivery of information
• Respect and awareness
• Goal Reduce disparities in health outcomes

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Gaps

• Lack of a standard of measure to assess policy
  strength
• Budget cuts in schools
• Nutrition programs in schools
• Support for agricultural programs
• Competitive food

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NWS-13

• Reduce household food insecurity and in doing so
  reduce hunger1
• 15 of American households unable to acquire
  adequate food2
• HP 2020 Target goal 6.0 Percent
• Retain 2010 Goal
• What is food security?
• access at all times to enough food for an
  active, healthy life for all household members.
  USDA4

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Importance5

• USDA measures food security annually
• Domestic food and nutrition assistance programs
• Children often shielded from insecurity
• 1.3 of households with children insecure in
  2008
• 1/3 of food-insecure households had very low food
  security 2008
• 6.7 million (5.7 percent of all U.S. households)
• Variety of coping strategies

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National Level

• National School Lunch Program5
• Meet Dietary Guidelines for Americans
• SNAP (Supplemental Nutrition Assistance Program)6
• Food Stamp Program
• WIC (Women, Infants, and Children)7
• Provides state grants to all 50 states
• Targets low income, nutritionally at risk
  populations
• Healthy Food Financing Initiative8
• Eliminating Food Deserts in America

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State Programs

• Washington Basic Food Program9
• WIC10
• Department of Agriculture10
• EFAP, TEFAP, CSPF
• Partners in Action12
• Strengthen food assistance programs and improve
  economic security for low-income families and
  individuals
• Improve access to and awareness of food
  assistance programs

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Local Programs13

• Bellingham Food Bank14
• Free groceries, open to all.
• Food Bank Farm
• Food for Tots
• Small Potatoes Gleaning Project
• Milk Money
• Victory Gardens

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Any Questions?