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Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health

Trends in the Availability of Less Nutritious Competitive Foods and Beverages at Schools: Results from School Health Profiles. Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health Southern Obesity Summit, Austin TX, October 5, 2009.

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Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health

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  1. Trends in the Availability of Less Nutritious Competitive Foods and Beverages at Schools: Results from School Health Profiles Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health Southern Obesity Summit, Austin TX, October 5, 2009

  2. Greater Access to Low-Nutrient, Energy Dense Competitive Foods at School is Associated With: intake of total calories, soft drinks, total fat, and saturated fat Cullen K et al. JADA 100(12): 1482-1486; Cullen K & Thompson D. JADA 105(12): 1952-1954 intake of fruits, vegetables, milk, and key nutrients Cullen K & Zakeri I. AJPH 94(3): 463-467 BMI among middle school students Fox MK et al. JADA 109(2):S108-S117; Kubik M et al. AJPH 93(7): 1168-1173

  3. In 2006: 89% of high schools and 71% of middle schools had either vending machines or a school store, canteen or snack bar where students could purchase foods or beverages Source: CDC, School Health Policies and Programs Study 2006

  4. Percentage of Schools in Which Students Could Purchase Selected Food and Beverages From Vending Machines or in a School Store, Canteen, or Snack Bar, by School Level, 2006 Source: CDC, School Health Policies and Programs Study

  5. Percentage of Secondary Schools in Which Students Could Purchase Selected Food and Beverages From Vending Machines or in a School Store, Canteen, or Snack Bar, 2000 and 2006 Source: CDC, School Health Policies and Programs Study

  6. Recent Developments in the Competitive Foods Issue • Local Wellness Policy requirement • Action for Healthy Kids • Alliance for Healthier Generation • CSPI state report cards • States with nutritional standards for comp. foods: • 2004: 6 • 2009: 27

  7. Federally reimbursable school nutrition programs should be the main source of nutrition in schools. Opportunities for competitive foods should be limited. If competitive foods are available, they should consist primarily of fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products.

  8. A system of surveys assessing school health policies and programs in states, territories, large urban school districts, and tribal governments • Conducted during even-numbered years • Administered to middle and high school principals and lead health education teachers http://www.cdc.gov/schoolhealthprofiles

  9. Topics Monitored by Profiles School health education requirements and content Physical education requirements School health policies related to HIV infection/AIDS, tobacco-use prevention, and nutrition Asthma management activities Family and community involvement in school health programs

  10. 2008 School Health ProfilesState Participation Map Weighted Results Unweighted Results

  11. 64 25 63 34 44 23 Median Percentage of Secondary Schools That Did Not Sell Less Nutritious Foods and Beverages Among 34 States, 2006 and 2008 *Chocolate candy, other candy, salty snacks low in fat **Not 100% juice CDC, School Health Profiles, 2006 and 2008

  12. Percentage of Middle and High Schools That Did Not Sell Less Nutritious Foods and Beverages* Outside the School Food Service Program—Selected States and Median Among 47 States, 2008 *Baked goods and salty snacks not low in fat, chocolate and other kinds of candy, soda pop or fruit drinks that are not 100% juice CDC, School Health Profiles

  13. Percentage of Secondary Schools That Did Not Sell Less Nutritious Foods and Beverages* Anywhere Outside the School Food Service Program, 2008 13% - 36% 37% - 45% 46% - 57% 58% - 75% No Data *Baked goods not low in fat, salty snacks not low in fat, chocolate candy, other kinds of candy, and soda pop or fruit drinks that are not 100% juice School Health Profiles, 2008

  14. Percentage of Secondary Schools That Did Not Sell Less Nutritious Foods and Beverages* Outside the School Food Service Program—Selected Southern States and Median Among 47 States, 2008 41 39 38 34 33 32 Median 46 FL NC States VA SC OK MO 0 20 40 60 80 100 Percentage of middle and high schools *Baked goods and salty snacks not low in fat, chocolate and other kinds of candy, soda pop or fruit drinks that are not 100% juice CDC, School Health Profiles

  15. Percentage of Secondary Schools That Did Not Sell Less Nutritious Foods and Beverages* Outside the School Food Service Program—Selected Southern States and Median Among 47 States, 2008 65 62 59 55 53 49 46 46 TN MS KY AL States WV TX AR Median 0 20 40 60 80 100 Percentage of middle and high schools *Baked goods and salty snacks not low in fat, chocolate and other kinds of candy, soda pop or fruit drinks that are not 100% juice CDC, School Health Profiles

  16. 93 75 74 60 27 22 Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks That Are Not 100% Juice—Selected States and Median Among 34 States, 2006 and 2008 100 90 80 63 70 60 % of Schools 50 38 40 30 20 10 0 Median, 34 States MS TN CT 2006 2008 CDC, School Health Profiles

  17. 72 72 Percentage of Schools in Which Students Could Not Purchase Candy and Salty Snacks Not Low in Fat—Selected States and Median Among 34 States, 2006 and 2008 100 90 80 64 70 60 46 % of Schools 50 40 31 23 30 20 10 0 Median, 34 States MS TN 2006 2008 CDC, School Health Profiles

  18. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks Not 100% Juice and Candy or Salty Snacks Not Low in Fat—Alabama, 2006 and 2008 % of Schools CDC, School Health Profiles

  19. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks Not 100% Juice and Candy or Salty Snacks Not Low in Fat—West Virginia, 2006 and 2008 % of Schools CDC, School Health Profiles

  20. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks Not 100% Juice and Candy or Salty Snacks Not Low in Fat—Texas, 2006 and 2008 % of Schools CDC, School Health Profiles

  21. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks Not 100% Juice and Candy or Salty Snacks Not Low in Fat—Arkansas, 2006 and 2008 % of Schools CDC, School Health Profiles

  22. Percentage of Schools in Which Students Could Not Purchase Candy or Salty Snacks Not Low in Fat—Arkansas, 2002, 2004, 2006, and 2008 % of Schools CDC, School Health Profiles

  23. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks Not 100% Juice and Candy or Salty Snacks Not Low in Fat—Florida, 2006 and 2008 % of Schools CDC, School Health Profiles

  24. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks That Are Not 100% Juice—South Carolina and Missouri, 2006 and 2008 % of Schools CDC, School Health Profiles

  25. Percentage of Schools in Which Students Could Not Purchase Soda Pop or Fruit Drinks That Are Not 100% Juice—North Carolina and Virginia, 2006 and 2008 % of Schools CDC, School Health Profiles

  26. Conclusions (1) • Survey data are critical • Great progress has been made, albeit unevenly; much more progress is still needed • Availability of less nutritious foods and beverages varies dramatically across states

  27. Conclusions (2) • State policies can make a huge difference • A strong commitment to school health can make a huge difference • Large improvements can occur in a relatively short period of time • We can eliminate less nutritious foods and beverages from school campuses

  28. Trends in the Availability of Less Nutritious Competitive Foods and Beverages at Schools: Results from School Health Profiles Howell Wechsler, EdD, MPH Director, Division of Adolescent and School Health Southern Obesity Summit, Austin TX, October 5, 2009

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