Poll finds parents overwhelmingly support more nutritious school food; USDA expected to issue new guidelines

Photo by Reuters' Lucy Nicholson

Chocolate bars, Cheetos and cheesy fries may soon be a thing of the past at public schools in America, and that's fine with parents, a new poll has found.

The survey found "most people agreed the chips, soda and candy bars students buy from vending machines or school stores in addition to breakfast and lunch are not nutritious, and they support a national standard for foods sold at schools," reports Susan Heavey for Reuters.

As it did for school lunch earlier this year, the U.S. Department of Agriculture is expected to release new guidelines for vending machines and à la carte sales by June, some experts say.

In Kentucky, schools are already not allowed to sell food that competes with the national school lunch and breakfast programs from the minute students arrive in the morning until 30 minutes after the last lunch period. Only water, 100 percent fruit juice, lowfat milk and any beverage that contains no more than 10 grams of sugar per serving are allowed to be sold in school vending machines, as per state mandate. There are no limits as to what food or drinks that can be sold in fundraisers.

The poll, conducted by advocacy group Kids' Safe and Healthful Foods Project, found 80 percent of the 1,010 adults surveyed said they would support nutritional standards that limit the calories, fat and sodium in such schools.

Students eat one-fifth to one-half of their daily diet at schools, and the Centers for Disease Control and Prevention report 20 percent of American children are obese, As of 2007 in Kentucky, more than 37 percent of children were either obese or overweight, a study by the National Conference of State Legislatures shows.

A study by the National Academy of Sciences reports that about $2.3 billion worth of snack food and drinks are sold each year in schools nationwide. As such, changes might be controversial. The new guidelines for school lunch met with resistance from lawmakers, who "locked limits to french fries and counted pizza as a vegetable because it contains tomato sauce," Heavey reports.  There are concerns industry lobbyists and members of Congress could dilute the USDA proposals. (Read more)

Read More

Kids needs to cut out an average of 41 calories a day to stop gaining weight

Children and teens need to cut their food intake an average of only 41 calories a day in order to stop gaining weight, a new study has found. If they don't do that, they'll end up weighing even more than they do now — four more pounds across the board, say the researchers from  Columbia University, the Harvard School of Public Health and the Robert Wood Johnson Foundation.. (Photo: iStockphoto.com)

Without reducing consumption, more than one in five children will be obese nationwide, researchers concluded. In Kentucky, 37.1 percent of children were overweight or obese in 2007, numbers by theNational Conference of State Legislature show.

While cutting 41 daily calories is significant, that number will only stop children from getting heavier. "The federal government really wants children to be slimmer than they are now," reports Nancy Shute for NPR. In order to lower the childhood obesity rate to just 5 percent, children would have to cut an average of 120 calories a day — 33 calories for preschoolers, 149 calories for grade-schoolers, and 177 calories a day for teens.

In order to do so, teens would have to jog at least 30 minutes per day or cut out a 16-ounce soft drink.

The study's "numbers are based on population averages; individuals' experiences will be different," Shute reports. "But the numbers show that the public health world has a lot of work to do to help children keep or reach a healthy weight."

According to a nutrition chart by the American Heart Association, children should consume an average of 900 calories at age 1 and 1,000 calories at age 2. Girls should consume 1,200 calories a day from ages 4 to 8; 1,600 calories from ages 9 to 13; and 1,800 calories a day from ages 14 to 18. Boys should consume 1,400 calories from ages 4 to 8; 1,800 calories ages 9 to 13; and 2,200 calories ages 14 to 18. (Read more)

Read More

Two gene variants identified as risk factors for childhood obesity

The largest ever genome-wide study has identified two new gene variants that increase the risk of common childhood obesity.

"We have definitively identified and characterized a genetic predisposition to common childhood obesity," said lead investigator Struan F.A. Grant, associate director of the Center for Applied Genomics at The Children's Hospital of Philadelphia.

The analysis included 14 previous studies "encompassing 5,530 cases of childhood obesity and 8,300 control subjects, all of European ancestry," reports research-reporting service Newswise.

The study team identified two novel loci, or specific locations of a gene or DNA sequence on a chromosome. One is near the OLFM4 gene on Chromosome 13, the other in the HOXB5 gene on Chromosome 17. There was a degree of evidence for two other gene variants as well. "The known biology of three of the genes hints at a role of the intestine, although their precise functional role in obesity if currently unknown," Newswise reports. (Read more)

Read More

Kids are still eating too much sugar, regardless of parents' income, and they're getting most of it at home

By Tara Kaprowy
Kentucky Health News

American children's sugar consumption is down, but kids are still eating too much sugar, and they are getting most of it at home.

So says a new study from the National Center for Health Statistics, which also found parent income is not playing a part in how much sugar kids are consuming. "We found that all kids are eating a lot of added sugars," said Cynthia Ogden, the study's co-author and an epidemiologist with the Centers for Disease Control and Prevention. (One study found kids in low-income families are drinking more juice than recommended, however.)

The study found sugar consumption has dropped to 17 percent of total caloric intake, from 22 percent, but 17 percent is still well higher than federal guidelines, which say total discretionary calories, including added sugar and solid fat, should account for only 5 to 15 percent of total daily caloric intake.

Sugar consumption may have declined because kids are consuming less sugar when they're not at home, thanks to bans or limits on sugary drinks at schools, said Dr. Wendy Slusser, an associate clinical professor of medicine at the Mattel Children's Hospital at the University of California. Kentucky has such a ban.

Most of the sugar is coming from food, not beverages, Linda Carroll reports for MSNBC. About 16 percent of kids' calorie intake comes from "added sugars," such those added to breads, cakes, jams, chocolate and ice cream. Those numbers do not include sugars that naturally occur in food, such as in fruit or fruit juice.

Going forward, the goal is to address how parents are feeding their children. "This is an opportunity for families," Slusser said. "There are estimates now that we could shift children's weights back to 1970s levels if we could just take 350 calories out of a kid's diet each day."

One way to do so is using water to replace sports drinks and those with 10 percent fruit juice. Giving kids Cheerios rather than Honey Nut Cheerios — or any cereal that's lower in sugar — also helps. Reading nutrition labels, avoiding processed foods and planning ahead for healthy snacks and nutritious dinners can also solve the problem. "Once there's a routine, parents can integrate healthier foods into their children's diets," Slusser said. "When you're always eating on the fly, you end up eating too many processed foods." (Read more)

Kentucky Health News is a service of the Institute for Rural Journalism and Community Issues, based in the School of Journalism and Telecommunications at the University of Kentucky, with support from the Foundation for a Healthy Kentucky.

Read More

Video systems like Wii Fit not working against child obesity: study

Video games designed to encourage children to exercise don't do anything to prevent obesity, a study has concluded. It found that children either find a way to trick the games "into thinking they are moving around, or they make up for exercise by vegging out more later," reports Maggie Fox for the National Journal.

"It doesn't appear that there's any public-health value to having active video games available in stores — simply having those active video games available on the shelf or at home doesn't automatically lead to increased levels of physical activity in children," said Dr. Tom Baranowski.

Baranowski and his Baylor College of Medicine team studied 78 children, whom they gave the video system Wii to play with. "It's not clear whether those in the study group were more active as a result of the video games but compensated by being less active later, or if they found a way to manipulate the instruments to minimize the amount of physical activity," he said.

Other studies have shown the video systems are beneficial to some age groups, including seniors, Fox reports. The study is published in the journal Pediatrics. (Read more)

Read More

New federal rules on vending machines in schools are expected in the next few weeks

With new lunch standards set to kick in by next school year, the Obama administration is looking at its next target in the school food landscape: vending machines. New guidelines are expected to be released in the coming weeks "for foods that children can buy outside the cafeteria," reports Ron Nixon of The New York Times. Kentucky already has some rules in place, may get stronger as a result of the new guidelines. (NYT photo by Kirsten Luce)

Students eat from one-fifth to one-half of their daily diet at schools, and the Centers for Disease Control and Prevention report 20 percent of American children are obese. As of 2007 in Kentucky, more than 37 percent of children were either obese or overweight, a study by the National Conference of State Legislatures shows. The administration wants to ensure that students eat what is good for them and avoid becoming overweight, Nixon reports, but there is strong pushback from the food and beverage industries.

A study by the National Academy of Sciences reports that about $2.3 billion worth of snack food and drinks are sold each year in schools nationwide. Schools have a stake in the fight as well, with candy sold in fundraisers often used to help pay for sports, music and arts programs. In Kentucky, the changeover to water, lowfat milk and fruit juices caused a downturn in revenue from the machines, but in most cases it appears to have rebounded to earlier levels.

The forthcoming guidelines are unknown, but officials predict they will be similar to the changes in the school lunch program, which reduced sugar, salt and fat. Those changes were a compromise after a fight between health advocates and the food industry. Nancy Huehnergarth, executive director of the New York State Healthy Eating and Physical Activity Alliance, said she expects another fight. "I think the food and beverage industry is going to fight tooth and nail over these rules," she said.

In Kentucky, schools are not allowed to sell food that competes with the national school lunch and breakfast programs from the minute students arrive until 30 minutes after the last lunch period. Only water, 100 percent fruit juice, lowfat milk and any beverage that contains no more than 10 grams of sugar per serving are allowed to be sold in school vending machines, as per state mandate. There are no limits as to what foods or drinks that can be sold in fundraisers. (Read more)

Read More

Michelle Obama announces nationwide contest to fight childhood obesity; $500,000 in prizes

As part of her Let's Move initiative to fight childhood obesity, First Lady Michelle Obama announced a contest today that will give away $500,000 in prizes. The Active Schools Acceleration Project will reward the most "creative, impactful and scalable school-based programs and technological innovations that promote physical activity for children," a press release reads.

"We know there's so much good work going on all across this country to get our kids up and moving every single day," Obama said. "So we want to find the best school programs and technology ideas that increase physical activity for kids — and then help them reach even more children throughout America."

The competition features two categories: school programs and technology innovation. Teachers, schools or entire districts can submit their in-school activity programs, which could include a curriculum, activity, environmental modification, event or other initiative. The technology innovation category can include devices, tracking and measurement systems, software applications, social media, gaming and smart phones that encourage kids to be physically active.

Applications will be accepted through April 2. For more information, click here.

Read More

USDA issues new school lunch rules; not as broad as first written, but will make meals healthier

The U.S. Department of Agriculture has released new, finalized requirements that will make school lunch a healthier meal for students.

The guidelines will mean:

• Students will be given both fruit and vegetables every school day.

• More foods will be made with whole grains.

• Students will be offered only fat-free or low-fat milk.

• Calories will be limited by portion size, based on the age of children being served.

• There will be less saturated fat and trans-fats in the food served.

• The amount of sodium will decrease gradually over the next 10 years.

Though the changes represent the first school-lunch overhaul in 15 years, they are not as comprehensive as the Obama administration initially wanted them to be. A bill passed late last year "would require the department to allow tomato paste on pizzas to be counted as a vegetable, as it is now," reports Mary Clare Jalonick of The Associated Press. "The initial draft of the department's guidelines, released a year ago, would have prevented that." Congress also kept USDA from limiting potatoes to two servings a week. Potato farmers and frozen-pizza companies lobbied hard against those proposals, some conservatives said the government shouldn't be telling children what to eat, and some school districts said the changes were too broad and too expensive.

Some of the changes will be incorporated by September, and others will be phased in. The changes affect lunches that are subsidized by the federal government in the National School Lunch Program, which serves 32 million children. Participation rates are very high in Kentucky. The Covington and Owsley County school districts have the highest percentage of students — 88 percent — eligible for free or reduced-price lunch. Magoffin County has the second highest with 86 percent followed by Newport (85 percent); Bell County (83 percent); and West Point Independent in Hardin County (81 percent). (Read more)

The changes are aimed in part at curbing childhood obesity. That has also been the target of measure to limit junk food in schools, which have been called into question. A recent study of almost 20,000 students found no link between junk food at school and weight gain in children. "The researchers examined the children's weight and found that in the eighth grade, 35.5 percent of kids in schools with junk food were overweight while 34.8 percent of those in schools without it were overweight — a statistically insignificant increase," reports Benjamin Radford of Discovery News. (Read more)

Read More

Halloween treats can be healthy, and trick-or-treaters with diabetes can still be part of the fun

It wouldn't be Halloween without candy and chocolate in pillowcases and paper sacks. But with childhood obesity and diabetes rates looking as scary as the ax murderers and zombies knocking at the door, parents may consider handing out something other than the usual calorie-packed treats this year.

Courtney Cairns Pastor of The Associated Press suggests five non-candy foods "that won't get your house egged," including pretzel packs, single-serving bags of Goldfish snack crackers, freeze-dried fruit, snack-size microwave popcorn bags and squeezable applesauce. (AP photo) She also suggests handing out items that aren't food related at all, including stickers, temporary tattoos, crayons, bubbles and Play-Doh.

Still, eating a bit of candy on Halloween is tradition — and one still going strong. The National Retail Federation reported Americans spent nearly $1.8 billion on Halloween candy in 2010, spending an average of $20.29 per person.

Though one in four children are diabetic, they needn't skip tradition entirely, research-reporting service Newswise reports. "They can enjoy Halloween and enjoy some of the sweets the holiday offers — within reason," said Dr. Kenneth McCormick, pediatric endocrinologist and senior scientist at the Comprehensive Diabetes Center at the University of Alabama at Birmingham.

McCormick said kids can opt to count their carbohydrate calories; exchange candy for other treats; or save their candy for dessert. By counting carbs, a child pays attention to how much they are consuming and "take, for example, one unit of insulin for every 15 to 20 grams of carbohydrates," Newswise reports. "This is an easy option for kids on an insulin pump because they can just dial in an extra dose of insulin to compensate for what they are about to eat," McCormick said.

Parents can "trade the child a gift, money or low-carb snack for their candy," McCormick suggested. "We have been advising parents to do this for many, many years, and it is a solution that continues to work." Diabetic kids can also avoid problems if they eat their Halloween treats after they have eaten dinner. "By incorporating a sugary treat into meal time, when a child would normally get a dose of insulin, it eliminates the need for adding doses to their regimen," McCormick said. (Read more)

Read More

Appalachian Regional Commission conference in Prestonsburg Sept. 7-9 to focus on improving access to health care

Featuring the insight of 42 federal, state and local health experts, officials and community leaders, the Appalachian Regional Commission's Healthy Families: Healthy Future conference will be held Sept. 7-9 in Prestonsburg.

The keynote address will look at different ways access to quality health care can be expanded. It will be given by Marcia Brand, deputy administrator of the Health Resources and Service Administration. HRSA is the primary federal agency for improving access to health-care services for people who don't have insurance, are geographically isolated, or are medically vulnerable.

Other conference topics include childhood obesity and diabetes; substance abuse in adolescents; improving access to dental care for children; health information technology; and Appalachian perspectives on infant mortality reduction.

The conference will be at Jenny Wiley State Resort Park in Prestonsburg. To register, click here. Online registration ends Wednesday, Aug. 31.

Read More

Generals in Kentucky, the national leader in young-adult obesity, say the 'too fat to fight' trend is endangering national security

Recent commanders of the Kentucky National Guard say the country could be at risk because America's youth is too fat to fight, and they urge Congress to take action. A study recently showed more than half of adults 18 to 24 in Kentucky are overweight or obese — the highest share of any state. Nationally, one in four young adults are too overweight to enlist.

"What can we do to combat child obesity and help expand the pool of young adults qualified for military service?" former Adjutant Gens. Donald Storm (right), Michael Davidson and D. Allen Youngman write in an op-ed piece for Kentucky newspapers. "School is a good place to start. Many children consume nearly half of their daily calories at school, and more than half of kids eat at least one meal served in school every day."

The Healthy, Hunger-Free Kids Act, which updates school nutrition standards for the first time in decades and provides more funding for each meal served in school cafeterias, is a step in the right direction, they say, "but more is needed to prevent our childhood obesity crisis from becoming a national security crisis."

Updating school equipment and personnel seem necessary. A recent survey of 13 southeastern Kentucky school districts found that nine use deep fryers and only five use salad bars. The survey also found that the vast majority of districts do not have the funds necessary to update or repair equipment that will be needed to comply with the new nutrition standards. Also, 11 of the 13 school food-service directors said their cafeteria workers need more training in order to be prepared for new standards.

"We are urging members of Congress to help schools meet the standards of the new child-nutrition law and provide additional support for kitchen equipment and training," they write. "These funds will help ensure that all of our children can lead healthy lives and that those who wish to serve their country are fit enough to do so." (Read more)

Read More

128 Kentucky schools get money for fresh fruits and veggies

More than 50,000 students in 128 Kentucky elementary schools will be served fresh fruits and vegetables in the coming school years as part of the U.S. Department of Agriculture's Fresh Fruit and Vegetable Program.

The program ensures children are given a variety of free produce throughout the school day. The goal is is create healthier school environments by providing healthy choices; expand children's exposure to fresh produce; expand consumption of the foods; and improve children's diets.

For a list of all the schools that will receive the funds, click here. The selection was based on applications from elementary schools that have a student population with half or more of the students are eligible for free or reduced-price meals in the National School Lunch Program. Priority was given to schools with the highest percentages.

Kentucky received $2.65 million for the program. Each school will receive funds to operate the program based on approximately $52 per student enrolled.

Read More