1 / 33

A Survey of Kentucky Schools: Food and Nutrition Environment

A Survey of Kentucky Schools: Food and Nutrition Environment. Emma S. Walters, MS, RD, LD Dietitian Consultant Kentucky Department for Public Health. Objectives. By the end of the session, program participants will be able to:

ketan
Download Presentation

A Survey of Kentucky Schools: Food and Nutrition Environment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A Survey of Kentucky Schools: Food and Nutrition Environment Emma S. Walters, MS, RD, LD Dietitian Consultant Kentucky Department for Public Health

  2. Objectives • By the end of the session, program participants will be able to: • Describe the survey design and data collection method used in this study. • Discuss the current status of the food and nutrition environment in Kentucky schools. • Identify ways to use survey data to support public health initiatives.

  3. How did this even get started? • In March 2001, Lt. Governor Stephen Henry spoke at the Kentucky Public Health Association meeting. • A Kentucky Public Health dietitian from Lexington-Fayette County HD spoke with him of her concerns: • Increase in obesity in children and adolescents in KY • Increase in Type 2 Diabetes in children and adolescents in KY

  4. Obesity in Kentucky Youth • Data is limited for KY • Over the last 5 years, a 19% increase in obesity has been seen in children served in WIC. • KY 2001 indicates that 14.2% of the children on WIC are above the 95th percentile wt./ht. as compared to 13.1% nationwide. • KY 2001 indicates that 15.7% of children age 2 and older are at risk for overweight (85th to 95th percentile) as compared to 16.8% in the nation. • NHANES III indicates that 20% of children and adolescents are now overweight (BMI > 85th percentile.

  5. Type 2 Diabetes Taskforce • First meeting held June 19, 2001 • Agenda topics • Nutrition and physical activity among youth • National School Lunch Program in KY • Physical fitness in KY schools • Type 2 Diabetes in Youth

  6. Taskforce Workgroups • Nutrition • Education/Media • Legislative Concerns • Physical Education GOAL developed on July 26, 2001 Reduce the prevalence of Type 2 Diabetes

  7. Nutrition Workgroup/Subcommittee • First meetings focus: • Analysis of school meals/plate waste study • Develop assessment tool • Total calories • Fat grams • Carbohydrates • Protein • Sample schools across the state • Develop pilot project on school nutrition and physical activity

  8. Plate waste study • Scrapped • Cost • Difficult to conduct with manpower available • Timeframe – trying to develop legislation for January 2002 Session • Concern about information that would be generated

  9. New focus • What can Nutrition Workgroup/Subcommittee accomplish that can affect eating habits of KY children? • Vending machines • Ala carte items • School rewards centered on foods

  10. School Health Policies and Programs Study (SHPPS) - CDC • National survey conducted to assess school health policies and programs at following levels: • State • District • School • Classroom

  11. SHPPS Areas • Health education • Physical education and activity • Food service • School policy and environment • Faculty and staff health promotion • Family and community involvement Website http://www.cdc.gov/nccdphp/dash/shpps/

  12. Sample Question - SHPPS • Has your state adopted a policy stating that schools will offer students a choice between the following items each day for lunch? • 2 or more different entrees or main courses • 2 or more different vegetables • 2 or more different fruits or types of 100% fruit juice

  13. Kentucky Survey • Epidemiologist (KDPH) selected sample of schools • 200+ elementary schools • 200+ middle and high schools Total of 471 schools were selected for the sample.

  14. Kentucky Survey Design • Face-to-face interviews with school principal • Short as possible • Sections: • Vending machines • School Store, Canteen or Snack Bar • Food Used As Rewards • Classroom Parties/Celebrations

  15. How surveys were conducted? • Elementary schools • School sample divided by counties • Sent supply of surveys to Public Health Dietitian/Nutritionist, Nurse or WIC Coordinator with name and address of school, name of principal • Middle/High Schools • School sample divided by counties • Sent supply of surveys to Extension Agents with name and address of school, name of principal Packet included letter from Lt. Gov. and letter from Public Health or Extension

  16. Results • 471 schools selected for sample • 343 returned the sample (73% return) • Vending machines • 97% of high schools • 88% of middle schools • 44% of elementary schools

  17. Vending Machines • More than one vending machine existed in many schools • Range of machines in elementary schools • 0 to 11 • Range of machines in middle schools • 0 to 16 • Average number in high schools – 8 (with a maximum of 29)

  18. Accessibility of Vending Machines • Before school 11.7% • Throughout the day 5.8% • During lunch 5.6% • After lunch 54.3% • After school 59.2% • Other 19.3%

  19. Revenue from Vending Machines • Ranged from $100.00 to $44,000.00 • High schools highest $9,736.27 • Middle schools next $5,933.13 • Elementary schools $3,145.50 83% of schools that have vending machines have contracts with soft drink companies (56% - Pepsi; 47% - Coke); or 56% of the total schools have contracts with soft drink companies

  20. Vending machines - Other beverage and snack items • Few healthy snack items • Ratio of regular soft drinks to diet soft drinks was 6 to 1 • Ratio of chips/fried snack items to granola bars and trail mix was 9 to 1

  21. School stores/Canteens/Snack Bars • 36% of the schools have store • Accessibility • Before school 6.4% • Throughout day 1.6% • During lunch 33.6% • After lunch 33.6% • After school 13.6% • Other 25.6%

  22. Stocked Items • Chips/fried snacks 68% • Candy 61% • Water 51% • < 100% Juice 54% • Cookies 53% • 100% Juice 23% • Yogurt 16%

  23. Food Rewards/Class Parties • 81% of all the schools use food as a reward for behavior, attendance or academic achievement • Almost 90% of elementary and middle schools use food rewards; 57% high schools • 89% of all schools use non-food rewards

  24. Types of food rewards • Candy 67% • Soft drinks 47% • Pizza 83% • Ice Cream 44% • Fruit 12%

  25. Celebrations • 93% of schools have holiday or birthday celebrations • Only 15% of these have policies regarding the types of food. Pizza is the food of choice

  26. Physical Activity • 90% of elem. schools offer PE grades P– 4; data for grades 5 – 12 could not be determined due to ineffective classification • Minutes spent per week in PE • Elementary 67 minutes • Middle 34 minutes • 9th 36 minutes • 10th 9 minutes • 11th 4 minutes • 12th 6 minutes

  27. Average Recess Time • Elementary 14 minutes • Middle 2.5 minutes • High 2 minutes

  28. Where do we go from here? • Data was used in position paper for legislature • Introduce legislation • Community awareness • Media/video • Future taskforce(s) • Site Based Decision Making Councils

More Related