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Menu Planning – Nutrition Best Practices

Menu Planning – Nutrition Best Practices. ODE CNP June 2011. GOAL. CACFP menus can be enhanced Institute of Medicine Recommendations 2010 Dietary Guidelines “Best Practices” in menu planning. Change in Obesity Rates*.

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Menu Planning – Nutrition Best Practices

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  1. Menu Planning – Nutrition Best Practices ODE CNP June 2011

  2. GOAL • CACFP menus can be enhanced • Institute of Medicine Recommendations • 2010 Dietary Guidelines • “Best Practices” in menu planning

  3. Change in Obesity Rates* Sources: Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among U.S. adults, 1999–2008. JAMA. 2010;303(3): 235-241. Ogden CL, Flegal KM, Carroll MD, Johnson CL. Prevalence and trends in overweight among U.S. children and adolescents, 1999–2000. JAMA. 2002;288 (4):1728-1732. Ogden CL, Carroll MD, Curtin LR, Lamb MM, Flegal KM. Prevalence of high body mass index in U.S. children and adolescents, 2007–2008. JAMA. 2010;303(3):242-249. Centers for Disease Control and Prevention. U.S. Obesity Trends. Available at: http://www.cdc.gov/obesity/data/trends.html. Accessed August 12, 2010. [Note: State prevalence data based on self-report.] Dietary Guidelines for Americans, 2010, Chapter 2, page 10, Table 2.1

  4. Key Message: CACFP sponsors and Family Day Care Home providers serving menus In alignment with 2010 dietary guidelines and the institute of medicine recommendations offer more nutritious food choices to children in care

  5. Institute of Medicine (IOM) Recommendations Dietary Guidelines for Americans, 2010 Child Nutrition Reauthorization

  6. Child Nutrition Reauthorization(Healthy, Hunger-Free Kids Act of 2010) • Spring 2012 Proposed rule published • Fall 2013 Final rule published

  7. Effective Immediately and no later that October 1, 2011 • Implement these changes: • 1% or non-fat milk for children ages 2 and older • May be flavored or unflavored • Meet State and local standards • Whole milk should be served to children under the age of 2 (no change in requirements) • Potable water readily available • Is not part of the reimbursable meal and may not be served in lieu of milk • Encourage to serve water when no other beverage is being served

  8. Achieving “Best Practices” in Menu Planning Minimum Required Practice: • Menus meet CACFP meal pattern requirements.

  9. Achieving “Best Practices” in Menu Planning Good Practice: • Menus meet CACFP meal pattern requirements and include basic menu planning principles such as: • Strive for balance • Emphasize variety • Add contrast • Think about color • Consider eye appeal

  10. Achieving “Best Practices” in Menu Planning Best Practice: • Menus meet CACFP meal pattern requirements, • Menus include basic menu planning principles and, • Menus include recommendations from the Institute of Medicine and 2010 Dietary Guidelines.

  11. Six Key Recommendations • Increase the variety of fruits and vegetables • Increase the proportion of whole grains • Decrease the amount of solid fats and trans fats • Decrease the amount of added sugars • Decrease the amount of sodium • Increase the variety of foods offered for snack

  12. Recommendation #1 • Increase the variety of fruits and vegetables: • Offer dark green vegetables weekly • Offer deep orange vegetables weekly • Offer legumes (dried beans & peas) weekly • Limit starchy vegetables weekly • Offer other vegetables weekly (include additional vegetables at lunch & supper) • Offer unsweetened 100% juice < 1 time per day

  13. Recommendation #2 • Increase the proportion of whole grains: • ½ grains/breads offered are whole grain • The product ingredient listing lists whole grains first, specifically: • Non-mixed dishes (i.e. breads, cereals): “whole grain” must be the primary ingredient by weight • Mixed dishes(i.e. pizza, corn dogs): Whole grains must be the primary grain ingredient by weight (a “whole grain” is listed is the first grain ingredient in the list).

  14. Recommendation #3 Decrease solid fats and trans fats: • Choose non-fat or 1% dairy products • Choose lean meats • Reduce the amount of grain-based desserts, pizza, processed meats, fried foods and regular fat cheeses. • Choose foods with nutrition labels that are labeled as containing 0 trans fat.

  15. Recommendation #4 • Decrease added sugars: • Choose fruits and juices free of added sugar • Serve ready-to-eat breakfast cereals with < 6 gm sugar/dry oz of cereal • Limit to < 1 serving per week baked or fried grain products (donuts, sweet rolls) that are high in added sugars.

  16. Recommendation #5 • Limit the amount of sodium: • Limit highly salted meat, poultry, and fish and breaded fried products to <1 time per week • Prepare foods with less salt • Use no salt at the table

  17. Recommendation #6 • Increase the variety of foods offered for snack: • Vary throughout the week the components offered for snack. • Provide water as a beverage when milk is not one of the components for snack

  18. One Idea for a Weekly Snack Menu Template Adapted from Child and Adult Care Food Program, Aligning Dietary Guidance For All, Institute of Medicine of the National Academies, The National Academies Press, Chapter 7, page 122, table 7-5

  19. Menu Evaluation Take out the Menu Activity Handout: Compare week 1 lunch and snack menus with week 2 lunch and snack menus. • Which snack menu would meet “best practices”? • Which lunch menu would meet “best practices”?

  20. Six Key Recommendations • Increase the variety of fruits and vegetables • Increase the proportion of whole grains • Decrease the amount of solid fats and trans fats • Decrease the amount of added sugars • Decrease the amount of sodium • Increase the variety of foods offered for snack

  21. Revising Menus to Meet Nutrition Best Practices • Take out the “Nutrition Best Practices Menu Activity” #2. Using the 6 key recommendations to guide you , make as many revisions as you can in 5 minutes. • In your packet is a list of fruits, vegetables, and whole grains for menu ideas. Remember that the menu must meet CACFP meal pattern requirements.

  22. Revising Menus to Meet Nutrition Best Practices Using the 5 Basic Menu Planning Principles listed in the next slide and on your Nutrition Best Practices checklist take 5 minutes to evaluate the menus you have planned to determine that you have included the Menu Planning Principles in your menu.

  23. Meal Pattern Menu Planning 5 Basic Menu Planning Principles • Strive for balance • Emphasize variety • Add contrast • Think about color • Consider eye appeal

  24. Other Suggestions for Best Practices in Menu Planning • Use cycle menus • Generally 4-6 weeks • Accommodates seasonal foods • Encourages variety • Use new USDA recipes (June 2009) • Lower in fat, sugar and sodium

  25. SUMMARY What is required for menus to be reimbursable for USDA CACFP? • Menus ( Minimum Required Practice) • must meet CACFP Meal Pattern Requirements for the meal served (including non-fat or 1% milk) • working menu shows specific foods that were served • minimum portions served according to the age group served • supporting documentation available

  26. How Might Menus Be Improved? • Menus (Good Practice) • meet CACFP Meal Pattern Requirements • include the 5 Basic Menu Planning Principles • Menus (Best Practice) • meet CACFP Meal Pattern Requirements • include the 5 Basic Menu Planning Principles • Include the 6 Key Recommendations from the IOM and 2010 Dietary Guidelines

  27. Remember • Effective immediately and no later than October 1, 2011, Sponsors must serve non-fat or 1% milk to children ages 2 and older. Potable water must be available and Sponsors are encouraged to serve water for snack when no other beverage is served.

  28. Remember • Except for the requirements regarding non-fat and 1% milk, the “Best Practices” recommendations are not required. When new guidance comes out from USDA regarding meal pattern changes, you will be notified with a memo from ODE.

  29. Links To Recommendations Institute of Medicine CACFP Meal Pattern Recommendations http://iom.edu/Reports/2010/Child-and-Adult-Care-Food-Program-Aligning-Dietary-Guidance-for-All/Report-Brief.aspx Dietary Guidelines for Americans, 2010 http://www.cnpp.usda.gov/dietaryguidelines.htm USDA Recipes for Child Care http://teamnutrition.usda.gov/Resources/childcare_recipes.html

  30. SUMMARY • Effective immediately and no later than October 1, 2011, Sponsors must serve non-fat or 1% milk to children ages 2 and older. Potable water must be available and Sponsors are encouraged to serve water for snack when no other beverage is served. • Spring 2012 – Proposed rule on CACFP meal pattern • Fall 2013 – Final rule on CACFP meal pattern

  31. THE END

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