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Update on NY’s Proposed Healthy Schools Act

Update on NY’s Proposed Healthy Schools Act. Barbara A. Dennison, MD New York State Department of Health. Stepping Up for a Healthier School Environment April 16, 2008. Statistics for NYS. In NYS, there are 4.5 million children 1 million are obese 900,000 are overweight

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Update on NY’s Proposed Healthy Schools Act

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  1. Update on NY’s ProposedHealthy Schools Act Barbara A. Dennison, MD New York State Department of Health Stepping Up for a Healthier School Environment April 16, 2008

  2. Statistics for NYS • In NYS, there are 4.5 million children • 1 million are obese • 900,000 are overweight • 3.3 million are school-age • 7,066 schools (4,943 public) • 705 school districts

  3. Prevalence of Overweight and Obesity is Increasing NYS (excluding NYC) New York City Overweight, 85≤BMI Percentile<95 Obese, 95≤BMI Percentile<99 Morbidly Obese, 99≤BMI Percentile Percent (%) c d a b aOral Health Survey, 2nd and 5th grade students bOral Health Survey, 3rd grade students c2nd and 5th grade students dKindergarten through 5th grade students

  4. Medical Consequences of Obesity in Youth • Glucose intolerance, insulin resistance, Type 2 diabetes • Hypertension, Dyslipidemia, CVD • Hepatic steatosis (fatty liver) • Cholelithiasis (gall bladder disease) • Orthopedic problems • Arthritis • Asthma • Sleep apnea • Cognitive Impairment

  5. Psychological Consequences of Obesity in Youth • Low self-esteem • Negative body image • Teasing and bullying • Depression • Social stigma • Negative stereotyping • Discrimination (job, education) • Social marginalization

  6. http://www.health.state.ny.us/prevention/obesity/strategic_plan.htm

  7. NYS Legislation to Fight Obesity • Passed • Time Restrictions for Sale of Food of MNV in Schools (1987) • Right to Breastfeed in Public (1994) • Childhood Obesity Prevention Program (2003 – 2005) • School District Child Nutrition Committees (2004) • Eating Disorders Centers (2005) • Child BMI Screening & School Reporting (2007) • Nursing Mothers in the Workplace Act (2007) • NYS Food Policy Council (2007) • Legislation Proposed • Healthy Schools Act • Cupcake Bill

  8. Focus on Policy and Environmental Change • Local School Wellness Policies • Technical assistance, toolkits, small grants • Local Child Care Center Policies • Technical assistance, promote assessment, provide curricula and training (NAPSACC, Eat Well Play Hard in Child Care Settings) • Public Health Nutrition Programs in NYS • WIC - Eat Well Play Hard • WIC & CACFP: Working with USDA, NYS OCFS • Change to 1% or less milk, after age 2 years • Increase Fruits & Vegetables; Limit Juice • Improve nutrition standards (proposed) • Apply CACFP standards to all childcare centers (proposed)

  9. Focus on Policy and Environmental Change • Worksites • Nursing Mothers in the Workplace Act • Developing Best Practices and Guidelines with other DOH Div, Partners, and NYS Dept. of Labor • Worksite Wellness • Focus on small-medium worksites • Hospitals: Breastfeeding Promotion • NYC Health & Hospitals Corporation – • Established breast-feeding policies • Breastfeeding Best Practices • Hospital survey • Communities: Breastfeeding Promotion • Training and TA - www.breastfeedingpartners.org • WIC Peer counselor program

  10. School Nutrition:ThePolicy Change Process - • Voluntary change – individual, local schools • NYC SchoolFood Plus • School District Child Nutrition Committees (2004) • Local and Federal legislation mandating local school wellness policies (2006) • IOM Report – Nutrition Standards for Food in Schools (2006) • Proposed state legislation – multiple approaches • Comprehensive proposal - Healthy Schools Act • Introduced as a Program Bill in 2007 • Reintroduced in the Executive Budget 2008 • Not in 2008-2009 Approved Budget • Next Steps…

  11. Healthy Schools Act • Promote Model School Environment • Nutrition Standards • Physical Education • Physical Activity • School Wellness Policy • Based on scientific evidence supporting optimal nutrition for all children & teens • U.S. Dietary Guidelines for Americans • American Heart Association (AHA) • Institute of Medicine (IOM)

  12. Healthy Schools Act • Many children do not meet dietary recommendations for vegetables, fruits, dairy (milk) and whole grains. • Therefore, snacks should provide those foods of which children don’t consume enough. • The discretionary calories (fats, sugars) in meals and snacks need to be limited or children and teens will consume excess calories, which contributes to obesity.

  13. Healthy Schools Act Role of Schools- • Provide foods and beverages that contribute to optimal nutrition of youth. • Paradigm shift from the earlier purpose of school foods (primarily to meet nutritional deficiencies; now includes promoting health and optimal growth & development).

  14. Healthy Schools Act Role of Schools- • Model the Way • Support efforts of parents and families to provide healthful foods • Change the School Environment • Increase availability and variety of healthful foods & beverages • Limit (ban) foods & beverages of low nutrition (MNV) • Studies show that Nutrition Education, in the absence of environmental change, does not change dietary or eating behaviors.

  15. Healthy Schools Act • State Education and State Health Departments work together to: • Develop nutrition standards for foods & beverages sold, served or offered in schools based on the best scientific evidence • Expand availability of School Breakfast • Provide additional reimbursement to schools for healthier foods

  16. Healthy Schools Act • Assess schools’ compliance with Physical Education regulations as part of school district audits • Addresses increased time for physical activity • Promotes the development and evaluation of school wellness policies • Encourages nutrition education

  17. Healthy Schools Act Advantages • Supports improved student nutrition and student health • School breakfast associated with improved attention, better test scores, decreased absenteeism • Sends consistent message • Models what’s taught • The right thing to do

  18. Healthy Schools Act Challenges • Concerns about lost revenue from not selling soda, cookies, ice cream, cake • But, there is evidence to the contrary • Concerns that students won’t eat healthier food or buy lunch as frequently • But, there is evidence to the contrary • Prepping vegetables takes more time than baking cookies • Schools don’t want to be told what to do • Schools don’t have time, space, teachers to meet physical education requirements

  19. In Summary • Many Local Schools and School Districts (including NYC) have accomplished a lot • There’s still much work to do • Support local, city and state groups working to improve the school environment

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