With childhood obesity on the rise, research in early life dietary habits are essential to promoting long-term health in children. The current recommendation is for children to drink whole milk from ages 1-2 years, then drink low-fat 1% or non-fat 0% milk. However, there is limited research to support this recommendation. Milk Type in Toddlers—also known as Milk-TOT—is a study being conducted by the Nutrition Policy Institute in partnership with Stanford University and funded by the National Institute of Health. In this randomized control trial, toddlers ages 23-30 months, in the San Francisco Bay Area, will receive whole or low-fat 1% milk for one year through grocery delivery. Their height, weight, waist circumference, diet, and other health markers will be measured throughout the study. Parents will also receive nutrition guidance from a registered dietitian. This study aims to reduce childhood obesity by improving nutrition recommendations and creating long-term healthy eating habits. If your child is healthy and between the ages of 23-30 months they may be eligible for participation. To determine eligibility please fill out this survey. For more information or questions email milktotstsudy@ucanr.edu or call 510-987-9023.
Nutrition Policy Institute Director Dr. Lorrene Ritchie presents at the Society for Nutrition Education and Behavior, SNEB, 2024 international conference. This year's international conference, themed “Understanding Foodways: Learning, Growing, and Sustaining,” will highlight the reasons why we eat the foods we eat and the impacts of those choices on ourselves and our communities. The SNEB conference takes place at the University of Tennessee in Knoxville and through a virtual livestream from July 29th through August 1st, 2024. Lorrene Ritchie participates in a session on August 1, 3:30-4:30 p.m. ET titled “Food Waste Reduction Efforts: The Intersection of Food Ways, Climate Change, and Human Health,” along with Sara Elkbakib and Yu Meng. Additionally, Ritchie presents a poster on July 31, 4:30-5:30 p.m. ET titled “Boosting the Benefits of WIC: Exploring Participant Perspectives from the 2023 Multi-State WIC Survey;” co-authored by NPI's Danielle Lee and Celeste Felix as well as Georgia Machell, and Loan Kim. Ritchie is one member of the team for an additional poster presentation on July 31, 4:30-5:30 p.m. EST titled “Child and Adult Care Food Program Meal Reimbursement Rates and Program Participation by Family Child Care Homes in California,” presented by Susana Matias of UC Berkeley's Nutritional Sciences and Toxicology Department, and co-authored by NPI's Danielle Lee, Kassandra Bacon, and Celeste Felix, and CACFP Roundtable's Samantha Kay-Daleiden Marshall and Elyse Homel Vitale. Furthermore, Ritchie gives an oral presentation on July 31, 2:30-3:15 p.m. ET titled “Impact of Increased Child and Adult Care Food Program Reimbursement Rates for Family Child Care Home Providers in California,” co-authored by NPI's Danielle Lee, Kassandra Bacon, and Celeste Felix, CACFP Roundtable's Samantha Kay-Daleiden Marshall and Elyse Homel Vitale, and UC Berkeley's Susana Matias. Lastly, Ritchie speaks on July 31, 3:30-4:30 p.m. ET and a subsequent invited poster presentation on August 1, 4:30-5:30 p.m. ET titled “Transition to freshly prepared school meals: impact of meal appeal student participation, intake, food and packaging waste & school finance,” co-authored by NPI's Celeste Felix, Danielle Lee, and Wendi Gosliner, as well as UC Berkeley School of Public Health's Hannah Thompson, Caroline Nguyen, and Kris Madsen.
A recently published study reveals that California students appreciate Universal School Meals, reporting that having meals free of charge for all students made school meals more accessible, reduced stigma, improved food security, and streamlined the process for receiving meals. Prompted by the rise in food insecurity during the COVID-19 pandemic, in 2020-2022 the USDA implemented an unprecedented change allowing schools to serve meals free of charge to all students regardless of household income. For many students, school meals are their primary source of nutritious food. This qualitative study, conducted in 9 different regions in California, interviewed 67 middle and high school students, representative of the demographic profile of students in the state, about their experiences with Universal School Meals during the pandemic. Students expressed widespread appreciation for the program and a desire for its continuation. Students of different backgrounds agreed that the program supported food security by relieving the financial burden on families during an economically hard time. This was achieved through easier access to school meals by eliminating income barriers and the eligibility process. Universal School Meals also reduced the stigma faced by those who receive free or reduced-price school meals by including everyone in the program. There is still room for improvement, as students expressed concern about the quality and quantity of food served during the pandemic and perceived greater food waste. California was the first state to commit to continuing Universal School Meals beyond the 2021-2022 school year. This study was published online in the Journal of Nutrition Education and Behavior co-authored by Dania Orta-Aleman, Monica Zuercher, Kassandra Bacon, Carolyn Chelius, Christina Hecht, Ken Hecht, Lorrene Ritchie, and Wendi Gosliner of the Nutrition Policy Institute and Juliana Cohen of Merrimack College. This research was funded by California General Fund SB 170.
- Author: Brianna Aguayo Villalon
- Editor: Danielle Lee
- Editor: Lorrene Ritchie
Milk provides various nutrients such as calcium, protein, and vitamin D, which are essential for health and brain development. In the US, it is advised that children switch from the recommended whole cow's milk from ages 1-2 to low-fat or non-fat milk after age 2 to reduce saturated fat and calorie intake, however, few studies support this recommendation. Nutrition Policy Institute researchers and Anisha Patel with the Stanford Medicine Department of Pediatrics recently received funding for a research study from the National Institute of Health. The study, Milk Type in Toddlers or Milk-TOT, includes a randomized controlled trial that will investigate how whole and low-fat 1% milk affect child adiposity, dietary intake, and health outcomes, aiming to provide evidence-based recommendations for dietary guidelines. The California Dairy Research Foundation provided additional funding to include the assessment of the impacts of varying milk types on participating children's gut microbiota diversity, in collaboration with Justin Sonnenburg with the Stanford Medicine Department of Microbiology and Immunology. Parents or caregivers with children between 23-30 months old living in the San Francisco Bay Area may be eligible to participate in the study. The four-year project began in January 2024 and is estimated to end in June 2028. The project is led by Lorrene Ritchie as the principal investigator, and NPI researchers, Kassandra Bacon, Ryan Williams, Suzanne Rauzon, Celeste Felix, Hannah Thompson, Fanta Jimissa, Reka Vasicsek and Meirong Liao.
Nutrition Policy Institute researchers were awarded a $199,786 grant from the California Collaborative for Pandemic Recovery and Readiness Research Program, also known as CPR3. The grant funds a collaborative project with NPI principal investigator Lorrene Ritchie, co-principal investigator Susana Matias from the University of California, Berkeley and the CACFP Roundtable. The project, “Child and Adult Care Food Program: Impacts of COVID-19 Changes to Meal and Snack Reimbursement Rates on Family Childcare Home Providers, Children and Families – Phase 2”, builds on a current project to understand the impact of COVID-19 changes to CACFP reimbursement rates for family child care homes on CACFP participation, food quality, and food security. The one-year project began on July 1, 2023 and includes Kassandra Bacon as project manager, Celeste Felix as data analyst, Reka Vasicsek as research coordinator, Meirong Liao as Administrative Coordinator, Hannah Thompson as statistical consultant, and Ken Hecht as policy advisor. A goal of the CPR3 Program is to generate policy-relevant evidence to improve the health and well-being of California residents in the wake of the COVID-19 pandemic. The CPR3 Program is funded by the California Department of Public Health. California Department of Public Health will not be involved in study design, data collection, data analysis and interpretation, manuscript development, or the decision to publish.