- (Focus Area) Food
- Author: Michael Hsu
NPI researchers provide influential evidence that shapes federal, state nutrition programs
Of the many challenges facing humanity, nothing is more fundamental than securing healthy food and water for all. Life itself would not be possible without nutrients, energy and water – but for many people across the United States, that essential fuel is compromised.
“Right now, the average American diet quality has a failing grade,” said Lorrene Ritchie, University of California Cooperative Extension nutrition specialist. “If you scored it from 0 to 100, it would be about 55 to 60. And we're trying to move that number closer to 80.”
To help society reach that goal, the Nutrition Policy Institute was established 10 years ago, under the UC Agriculture and Natural Resources umbrella.
“NPI was created in recognition of the fact that more people in the United States are now ill with a nutrition-related chronic disease than are well,” said Ritchie, who has been director of the institute since its founding. “Six in 10 adults in the U.S. have one or more chronic diseases – 4 in 10 have two chronic diseases – that are preventable. When you have that big of a public health nutrition problem, the scope requires big policies, big program changes and big environmental changes.”
Since 2014, NPI – building upon the work of the Center for Weight and Health at UC Berkeley – provides scientific data to inform and guide a host of nutrition improvements across wide swaths of the population, with a focus on low-income and racially and ethnically diverse communities.
The work of NPI's 40 academics, staff and students have furnished policymakers, program managers and school administrators with the pivotal research that, among other things, has enhanced access to federal nutrition programs, reduced food insecurity for children of all ages, and removed unhealthy snack foods and beverages from schools while boosting access to drinking water.
And with about 1 in 3 people in the U.S. touched by federal nutrition programs, NPI experts have become instrumental in evaluating programs such as SNAP (Supplemental Nutrition Assistance Program, popularly known as food stamps or CalFresh in California) and SNAP-Education, WIC (Special Supplemental Nutrition Program for Women, Infants and Children), school meal programs, and the Child and Adult Care Food Program.
“This institute is the only one of its kind on the West Coast, with a very substantial number of graduate-level nutritionists and policy experts who are ready and able to take on policy questions that are being considered at the federal, state and local levels,” said Pat Crawford, a pioneer in the field of nutrition policy and the founding director of the UC Berkeley Center for Weight and Health, which merged with NPI in 2015.
In assessing NPI's overall contributions to the nutrition and public health space, Ritchie is astonished by the work of its academics and staff.
“Our findings have really informed policy and moved the field in a way that I could have hardly conceived of 20 or 30 years ago, when I first started working in this area,” she said. “I could not imagine that we would have achieved all the policy impacts that we have.”
Trusted partners in researching school meal programs
An illustrative example of NPI's prominence in nutrition policy research is its leading role in studying California's effort to provide school meals for all students.
The Nutrition Services Division of California's Department of Education oversees virtually all meal programs in public schools across the state, serving 870 million meals and snacks each year to about 5.8 million students.
According to its director, Kim Frinzell, the division relies on NPI to help evaluate and understand the emerging trends at schools by gathering and analyzing feedback from students, teachers, food service directors, parents, community organizations and other partners. With a better pulse on these trends, Frinzell's team uses the data to inform its policies, practices, training and overall strategy.
“NPI brings the expertise of knowing what kind of research questions to ask; as a state agency, we don't have research resources, nor the specific expertise,” Frinzell said. “So being able to partner with NPI is an incredibly valuable service.”
In addition to working with Christina Hecht on drinking water access and Wendi Gosliner on food waste issues, the California Department of Education has partnered with NPI researchers in recent months to conduct surveys and organize focus groups on California's universal school meals program, School Meals for All.
Coming out of the COVID-19 pandemic, California was one of the first states in the U.S. to adopt a universal school meals program, offering breakfast and lunch at no cost to all K-12 students, regardless of household income. NPI was funded to evaluate the implementation and impact of the program.
“The great value of what NPI brings to School Meals for All is that their work is not just quantitative but qualitative, value-added information that tells a story about real individuals and real situations that is backed by the data about a particular program, and you're able to anchor back to a very well-respected institute and the research they've done and say: ‘This is what the survey says, this is what the evaluations and the data provide,'” Frinzell explained.
“What's been really wonderful about NPI over the past 10 years is they're such leaders in studying and helping to create strategies for greater access to healthy meals for all – while also promoting healthy habits for all – across the entire child-nutrition spectrum,” Frinzell added.
Pioneers in researching universal school meals
May Lynn Tan was one of the first students working at NPI. She was interested in learning about universal school meals and accessed data on meal programs from across the U.S. using Lorrene Ritchie's work on a nationwide collaborative school nutrition project.
“At the time, there was not a lot of evidence on the impact of universal meals on participation, because there just weren't that many places where that was happening,” Tan said. “So that data set really helped illustrate some of these patterns that I wouldn't have been able to get at, otherwise.”
Tan chose this topic for her doctoral dissertation. She concluded that students who previously had been ineligible for free or reduced-price meals experienced the greatest impact through universal school meal programs. “It really just went to show that when you offered universal meals in schools, the kids who weren't qualified to get them for free before, but who still needed them, could start participating at a higher rate,” said Tan, noting that her research continues to be used in modeling to predict the effects of such programs in other states.
Presently, as director of research and strategic initiatives for California Association of Food Banks, Tan is thankful for her relationships with NPI team members – and regularly accesses NPI resources and briefs (compiled by NPI communications director Danielle Lee, in collaboration with other NPI researchers) to stay abreast of the latest research.
“NPI does a really good job packaging their findings for practitioners who are managing and providing services for communities,” Tan said. “That's really important in this field, because policymakers and program staff don't necessarily want to wade through a giant study. NPI often puts out one-pagers and things that are more graphically designed that make it easy to understand the findings – and what they mean for the real world.”
Experts in examining WIC program policies, impact
In the early 2010s, Lauren Au was working in Washington, D.C. as a U.S. Senate nutrition advisor, providing lawmakers with the latest research on nutrition programs. But she sought a more active role in the field.
“Instead of being the legislative assistant who's meeting with constituent groups that are giving me their one-pagers about why their legislation should be supported, I wanted to be driving the research that's behind that one-pager,” Au explained.
Having studied with Pat Crawford as an undergraduate student at UC Berkeley, Au returned to the West Coast in 2014 as a postdoctoral researcher with NPI. One of her projects was a long-term study of children, from birth to age 9, participating in the WIC program.
Au's experience in studying WIC – including its pandemic-era changes that increased fruits and vegetables and offered online options for participant enrollment, recertification and education – allowed her to carve out her own niche in the academic space. She cited that research focus, along with the collaborative relationships she cultivated at NPI, as major reasons for her success as a recently tenured professor in the Department of Nutrition at UC Davis.
“I love this work because you're constantly learning and keeping up with where the field is going,” Au said. “I've seen, over time, how it's changed from focusing on obesity to now focusing more on the social determinants of health. And that's where my research has shifted as well, becoming broader and seeing how all these environmental influences play a role in impacting nutrition and public health.”
Trailblazers in studying policy, systems and environmental approaches
NPI's work has been a driver of the field expanding its focus to research and interventions beyond the individual (such as direct education efforts) to the social, cultural and environmental context.
“We know now that nutrition is absolutely one of the determinants of all of the chronic diseases that we're suffering from in this country, whether it be cancer, heart disease, stroke, diabetes or obesity,” said Crawford, emeritus CE nutrition specialist and adjunct professor of public health. “And we've learned that it takes more than just educating people – it really takes policymakers to help make those good, nutritious choices easier for the public.”
Sugar-sweetened beverages, for example, have a significant negative impact on children's diet quality and health, according to Ritchie. And because such beverages are heavily marketed and ubiquitous, parents and caregivers are challenged to make the right choice – even if they know about their harms.
“Regardless of the quality of the education, the onus is on the parents to remember to make the healthy choices, which can be hard when kids naturally love sweets, and given the influence of kids' ‘pester power,'” Ritchie explained.
To help those dietary decision-makers, a bill was passed in California to make the healthy choice (i.e., milk or water) the “default” beverage offered with kids' meals served in restaurants. Since that law went into effect in 2019, its efficacy – and shortcomings in practice – and have been extensively studied by NPI's CalFresh evaluation team.
Innovators in SNAP, SNAP-Ed evaluation
Federally funded by the United States Department of Agriculture, the California Department of Public Health oversees SNAP-Ed (known as CalFresh Healthy Living at the state level) as the largest of four CFHL state implementing agencies to fund work in California's 61 local health departments. CDPH contracted with NPI (and before that the Center for Weight and Health) to conduct ongoing comprehensive evaluation of CalFresh Healthy Living interventions, including individual education and behavior change as well as broader systems approaches.
“NPI has been a wonderful partner and contributed a tremendous amount in how CalFresh Healthy Living evaluates its work, especially as policy, systems and environmental change approaches have evolved and been encouraged over the years,” said Erica Eilenberg, chief of CDPH's Nutrition and Physical Activity Branch.
While developing more efficient systems and processes for tracking, evaluating, and reporting results of CalFresh Healthy Living initiatives across California, NPI also provides technical assistance to local health departments in collecting crucial data and measuring outcomes. In particular, NPI researchers helped develop an innovative “dose score” method to quantify the cumulative and combined impact of multiple interventions at school sites – as opposed to measuring each type of intervention independently.
As a result, more robust evaluation data and reporting have provided local health departments with key information to improve their program planning and delivery.
“NPI's evaluation work has resulted in more effective initiatives that have contributed to improving food and nutrition access for many CalFresh Healthy Living-eligible participants across California,” said Eilenberg, who added that NPI academics are valued contributors to state-level workgroups and national committees advising SNAP-Ed.
Respected voices on food insecurity, nutrition in higher education
One of the many NPI-affiliated researchers who have become prominent voices at the national level, Suzanna Martinez was among the 500 invited attendees at the 2022 White House Conference on Hunger, Nutrition and Health – the first convening of its kind since 1969. Many of the conference's recommendations, outlined in the Biden-Harris administration's national strategy, are supported by research underpinnings from NPI and its partners.
Martinez was invited to the conference because she's part of a UC effort to halve, by 2030, the number of students in the UC system who are facing food insecurity – meaning they are regularly unable to access enough food for a healthy lifestyle.
Now an associate professor in the Department of Epidemiology and Biostatistics at University of California San Francisco, Martinez said her research on student food security in higher education was a direct result of her time at NPI. One of the first researchers to join NPI in 2014, she began working with Ritchie on a groundbreaking, systemwide survey about food security across the UC system.
“Up until that point, there had only been some smaller studies, convenience sample surveys of community college students, and so this was one of the bigger studies to look at this issue in a large public university system,” said Martinez, who noted that she had to be resourceful to avoid being food insecure as a graduate student.
Their initial study found that 4 in 10 UC students were facing food insecurity – a startling statistic that provided hard evidence to policymakers on the need for additional funding and resources, such as campus food pantries. In subsequent years, Martinez and NPI colleagues partnered with staff at UC campus basic-needs centers to pinpoint the barriers preventing greater student access to food assistance – and offered potential ways to streamline processes.
Follow-up surveys indicated improvement in food security at UC locations, until the pandemic halted that progress. Nonetheless, Martinez – who continues to intensively study the subject – said that NPI's broad platform was crucial in spotlighting food needs at colleges and universities.
“It was important, at that time, that this work came out of NPI,” she said. “I don't think it would have had as much impact as it has had because of where the work was coming from.”
Growing as a key source of research in food systems
The depth and breadth of NPI's influence is even more striking given the “youth” of nutrition policy as a field in public health nutrition, which dates back only about 50 years.
“For the applied nutrition policy research that we do at Nutrition Policy Institute, it's only in the last couple of decades that we've really been doing research to see how policy, systems and environmental change can support behavior changes of everyday people like you and me,” Ritchie said.
She pointed out that NPI's partnerships are key to expanding its reach. Partners assist in bringing NPI's rigorous research to legislators, policy staff and the people who manage and deliver nutrition programs. By working with state entities like the Departments of Education, Public Health, Social Services, and Food and Agriculture – as well as organizations such as the California and National WIC Associations, CACFP (Child and Adult Care Food Program) Roundtable and the Center for Science in the Public Interest – NPI researchers provide key data to decision makers and advocates, and receive critical guidance on their research projects in return.
“We are researchers, but we are not on the ground implementing these programs and policies and we absolutely cannot do the work that we do without our partners,” Ritchie explained. “Asking the right questions of the right people is really hard to figure out if we don't have the community partners at the table.”
By virtue of its place alongside UC ANR experts on agriculture, natural resources and the environment, the NPI team is also connected to an even larger community of farmers, producers and other people along the food supply chain. Ritchie envisions, in the next decade, NPI taking a larger role in examining and improving the greater food system. As Wendi Gosliner and Ron Strochlic did through NPI's involvement in a recent project linking local growers with state correctional facilities, UC ANR can help connect the many scattered dots from farm to fork – from the food production side to the consumer nutrition side.
“Looking toward the future, that's the kind of thing I'm most excited about – helping those two arms, and everybody in between, talk to each other so that agricultural decisions are made thinking about human and planetary health, and nutrition decisions by consumers are made thinking about both planetary and human health,” Ritchie said. “We're going to need to do that to address climate change.”
‘We can see where the future is headed'
Meeting the challenges of the climate crisis – as well as incipient global health crises – will require a continued influx of talent, innovation and new ideas.
“The U.S. is now leading all nations in the prevalence of chronic disease, and what happens here, in terms of our food system, often gets exported all around the world,” Ritchie said. “We can see where the future is headed, and what we need to do is to figure out how to go back to a healthier lifestyle and a healthier diet. So the field of nutrition policy research, though there aren't that many of us, needs the brightest and best minds, the most enthusiastic and passionate people.”
The NPI Student Fellowship, established in 2019 in honor of Pat Crawford, has funded about a dozen students to work with NPI researchers on a variety of projects. While they gain hands-on research skills, glimpses of potential career paths, and access to nutrition professionals and resources, they also contribute their own diverse perspectives.
“We intentionally recruit students with this fellowship funding who bring a diversity of lived experiences.” Ritchie said.
“Students participate in interdisciplinary and cross-cultural discussions on research design and data interpretation,” Crawford added.
Brianna Aguayo, a second-year undergraduate studying nutritional sciences at UC Berkeley, is a first-generation Latina college student currently working at NPI through the fellowship program. Growing up in East Palo Alto, Aguayo saw how systemic barriers prevented community members from accessing vital nutrition assistance and resources.
Through her time at NPI, Aguayo has gained new insights on how researchers, policy analysts and communication specialists work together to generate the scientific evidence that can improve federal, state and local policies so they can potentially benefit more people. That knowledge will only enhance her ability to create positive change in her community, as she plans to incorporate that public health policy perspective along her journey to becoming a pediatrician.
“It's not just one sole person making this change,” Aguayo said. “But it really takes a group effort to help initiate change, and then make sure that that change is constantly being implemented.”
People interested in supporting and celebrating NPI's first decade of research, which has led to more healthful food offerings to vulnerable children and their families, can donate to NPI's Student Fellowship. It provides students from underrepresented groups the opportunity to work with NPI, learn from NPI and continue after graduation to improve nutrition for all. An anonymous matching gift of up to $10,000 will double every donation made through June 30, 2024.
/h3>/h3>/h3>/h3>/h3>/h3>/h3>/h3>/h3>The Special Supplemental Nutrition Program for Women, Infants and Children—commonly known as WIC—is celebrating 50 years of improving the health of participants, including those who are pregnant, new parents, infants, and children under five. The American Rescue Plan Act of 2021 provided the US Department of Agriculture with $390 million, available through FY 2024, to carry out outreach, innovation, and program modernization efforts to increase participation and redemption of benefits for both the WIC program and the WIC Farmers' Market Nutrition Program. The USDA contracted with Mathematica and their partners, including the Nutrition Policy Institute, to design and implement an evaluation of these projects being implemented across 89 WIC State agencies and 51 Farmers Market Nutrition Program State agencies. The evaluation will assess whether the modernization projects being implemented are associated with increases in enrollment, participation, retention, and redemption of benefits; improvements in participant experience; and reduced disparities in program delivery. The five-year project began in September 2023. NPI research project team members will include Lorrene Ritchie, Danielle Lee, Celeste Felix, KC Whitsett and Reka Vasicsek.
Nutrition Policy Institute, in collaboration with the Dolores Huerta Foundation, Cultiva La Salud, and Stanford Pediatrics, released three infographics with information on school meal programs. The cartoon-style one-pagers were developed after a PhotoVoice project suggested the need for culturally and linguistically relevant materials about school nutrition programs for Spanish-speaking families in California's San Joaquin Valley. The infographics emphasize federal nutrition requirements for school meals, factors influencing school meal offerings, and the role families and youth can play in advocating for changes.
- “What's on the menu?” promotes the benefits to student health and learning from school meals, including an overview of their nutritional components. It is available in Spanish, “¿Qué hay en el Menú de la?”, and complementary English and Spanish videos.
- “What goes into making school meals?” highlights the logistics and other factors that influence how schools provide meals. It is available in Spanish, “¿Qué se Necesita para Preparar las Comidas Escolares?” and complementary English and Spanish videos.
- “Make Your Voice Heard!” highlights avenues for parent and community involvement in advocating for policies and practices related to school meals at local, state, and federal levels. It is available in Spanish, “¡Alza tu Voz!
Parents, youth, school district officials, food service directors in the San Joaquin Valley, and other partners helped to co-create the infographics with designers at Tremendousness. The project partnership includes NPI's senior policy advisor Christina Hecht and policy director Ken Hecht. Initial investigation and infographic content development were funded by the Stanford University Office of Community Engagement, with video development and extended dissemination funded by the Thompson Family Foundation.
- Author: Kathy Keatley Garvey
It was all the buzz.
Thousands of bee and honey enthusiasts made a beeline for the California Honey Festival, held last Saturday on the Yolo County Fairgrounds.
The annual festival, relocated this year from the streets of downtown Woodland to the fairgrounds due to a weather forecast cautioning heavy rain and wind, drew scores of smiles beneath the arched umbrellas.
Beekeeper Rick Moehrke, a retired Vacaville teacher, answered questions about bees in the Sacramento Area Beekeepers' Association booth.
American Honey Queen Kaelyn Sumner of Cecil, Wisc., a beekeeper and a senior at Kansas State University discussed queen bees, worker bees and drones. She is majoring in agricultural education and minoring in food science and entomology.
Charles McMaster, a U.S. Army veteran from Copperas Cove, Texas, headed the Hives for Heroes booth. The national non-profit service organization focuses on sustainability, conservation, and providing a healthy transition from service: "Through our national network of beekeepers, we provide connection, purpose, and healthy relationships, through access, resources, and funding for Active Duty, Veterans, and First Responders.">
Steve Hays, retired sheriff's deputy, Sacramento County and founder of Second Chance Beekeeping Reentry Service, chronicled the history of his program and how inmates are learning beekeeping and getting "a second chance." (See news story)
Amina Harris, retired founding director of the UC Davis Honey and Pollination Center and now the "Queen Bee" of her family's Woodland-based Z Food Specialty and The HIVE, offered guests "a taste of honey" from all over California. They also sold honey, including a family favorite, starthistle. Harris co-founded the California Honey Festival in 2017 with the City of Woodland.
Attendees tasted and purchased Hawaiian honey, with such varietals as Eucalyptus, macadamia, mango, Christmas bush, tropical blossom and wildflower, from "Queen Bee" Inna Eyrih, business owner of Hawaiian Honey AT&S, a company based in Hawaii (Keaau) and California.
GATEways horticulturist Rachel Davis of the UC Davis Arboretum and Public Garden discussed pollinator gardening, focusing on native bees, butterflies, moths, hoverflies, and hummingbirds.
This year's California Honey Festival lived up to its mission: to emphasize the importance of bees and to promote honey and bee products. The annual festival, co-sponsored by UC Davis, features educational presentations, kids' center activities, honey tasting, cooking demonstrations, a beer and mead garden, live music, vendors and more.
- Author: Kristen Farrar, UC Sustainable Agriculture Research & Education Program
Projects will support socially disadvantaged farmers, increase urban access to healthy food and more
The UC Sustainable Agriculture Research & Education Program (SAREP) is pleased to announce the recipients of the Sustainable Agriculture and Food Systems 2024-25 Small Grants Program. This grant program will fund planning, research and education projects that support the development of sustainable community food systems and environmentally sound and economically viable farming enterprises.
Of the 33 eligible applications, eight applicants were selected to receive approximately $80,000 in combined funding to support their work. Individual grants are limited to $10,000. “The Small Grants Program is an important part of our mission,” said Ruth Dahlquist-Willard, interim director of UC SAREP. “By facilitating these grants, SAREP is able to support ANR in engaging a wide range of food systems stakeholders, outcomes show that a small financial investment can have a large impact in improving the lives of Californians.”
The eight recipients of this year's grants are:
Planning
Building Capacity and Resiliency Among Networks of Socially Disadvantaged California Farmers
Fresh Approach will establish a network of pooled learning and technical support that will aid emerging food-aggregation businesses in accessing sustainable market channels, including emergency food distribution. As part of the project, they will enhance an interactive GIS mapping tool of value chains to streamline market opportunities for socially disadvantaged farmers and aggregators. (Project lead: Andy Ollove, Fresh Approach)
Sustainable Urban Resident Food Gardens Expansion Planning Project
Growing Hope Gardens will systematize the process of outreach, discovery, design, planning and implementation in creating new urban resident food gardens. The project will document Growing Hope Gardens' garden development process into a training and implementation manual to more effectively duplicate food garden programs in more low-income urban communities. (Project lead: Carolyn Day, Growing Hope Gardens)
Research
Evaluating Best Management Practices for Cover Crops to Minimize Nitrogen Losses in California's Salinas Valley
This project will quantify the effectiveness of cover cropping at different planting times and termination dates to scavenge excess nitrogen in the soil and reduce nitrate leaching in a Salinas vegetable cropping system. The results will inform Ag Order 4.0 for cover crop credits and help stakeholders in the Salinas Valley better understand crop management for efficient nutrient cycling. (Project lead: Scott Fendorf, Stanford University)
Implications of American Kestrel Diet, Dispersal and Migration on Pest Control in Northern California Farming Systems
Investigators will study how the diet, post-breeding dispersal, and migration of nesting kestrels influences biological pest control on Northern California farms. The project will generate management recommendations for using the predatory bird for biological pest control in sustainable agriculture programs across California. (Project lead: Breanna Martinico, UC Cooperative Extension)
Education and Outreach
EAT! Community Farms Market Access and Promotion Project
This project helps socially disadvantaged and indigenous farmers in Riverside County create pathways for realizing economic return. EAT! will provide mentoring for marketing strategy development, connect farmers to buyers, promote the farmers market so it's more profitable for farmers, and provide a cooperative farm stand in the city of Norco for farmers to sell produce directly to consumers. (Project lead: Patrick Mitchell, Ecological Agricultural Training Cultural Center [EAT!])
Cultivating Cooperative Education, Stewardship and Connection at the Agroecology Commons Cooperative Incubator Farm
Agroecology Commons aims to address challenges faced by young, first-generation, BIPOC, queer and femme farmers at the Agroecology Commons Cooperative Incubator Farm in the Bay Area. The project will focus on education and outreach, providing technical assistance and training in regenerative agriculture practices such as soil health, pest management and crop diversification to socially disadvantaged farmers. (Project lead: Jeneba Kilgore, Agroecology Commons)
Signage and Mural Refurbishment for Southeast Asian Farmers to Improve Direct-to-Consumer Marketing
This project will build new, long-lasting farm signs for Southeast Asian farmers growing diversified vegetables and berries in the Sacramento region. Improving the appeal and durability of farm signs will increase the profitability of the farm stands as these resource-limited farmers rely on direct-to-consumer marketing strategies to promote their businesses. (Project lead: Margaret Lloyd, UC Cooperative Extension)
Community Nutrition Security and Education Program
Farm Discovery at Live Earth will increase access to organic produce for individuals and families experiencing food and nutrition insecurity in the Santa Cruz and Monterey Bay area. This will be accomplished through farming, outdoor education and nutrition education programs focusing on regenerative agricultural practices to connect youth and families to their regional agricultural and ecological systems. (Project Lead: Jessica Ridgeway, Farm Discovery at Live Earth)
The UC SAREP Small Grants Program has a big impact! Help us fund more projects that support sustainable community food systems and environmentally sound, economically viable farming enterprises. To support this program, please donate here. Choose SAREP Small Grants Program for the designation.