- Author: Michael Hsu
New law mandates at least 30 minutes of recess for K-8 public school students
Last year, while working on a bill that would require California public schools to provide at least 30 minutes of recess, State Sen. Josh Newman sought the latest research on youth physical activity. Newman, whose district encompasses parts of Los Angeles, Orange and San Bernardino counties, traveled to the Bay Area to see one of the leading experts in the field.
During several visits with Newman, Hannah Thompson – a Nutrition Policy Institute senior epidemiologist and an assistant research professor in the University of California, Berkeley School of Public Health – shared the most recent science.
Both the American Academy of Pediatrics and Centers for Disease Control and Prevention recommend that children have 20 minutes or more of daily recess. But, when asked about the current “state of recess” across California, Thompson said she only knew of anecdotal evidence at the state level.
“I said, ‘You know what? I don't actually know what is going on in California,'” Thompson recalled. “I contacted a couple of colleagues who had done more national-level work on recess that included samples of California schools – but no one was really able to disaggregate what was happening in California.”
She brought up the bill during a meeting with her fellow researchers at NPI, an institute under UC Agriculture and Natural Resources.
And it turned out that Janice Kao, an NPI academic coordinator, had exactly what she needed.
CalFresh Healthy Living evaluation team provides key recess data
Kao leads a project team that evaluates local health departments' programs of CalFresh Healthy Living – California's version of the educational arm of SNAP (the federally supported Supplemental Nutrition Assistance Program).
As part of that evaluation process, Kao's team coordinates questionnaire administration at SNAP-Ed-eligible schools that are partnering with local health departments on CalFresh Healthy Living interventions, ranging from nutrition programs to physical activity initiatives. The survey asks school administrators about their current policies, environments and practices – including the provisioning of recess.
“It was just really good luck that everything was in the right place at the right time to be able to work together,” Thompson said.
At Thompson's request, Kao and her colleagues processed and cleaned that crucial piece of data, comprising responses from 153 low-income elementary schools in the 2021-22 school year.
“Just 56% of schools reported providing more than 20 minutes of recess daily,” Kao said. “So this was a situation where the data showed, ‘OK, there is some room for improvement, perhaps at that state policy level.'”
Thompson and Rebecca London, a sociologist at UC Santa Cruz, wrote a research brief detailing their analysis of the data. They describe disparities in recess time based on school size and income level of families, with students in larger, less affluent schools generally receiving less daily recess.
Thompson said those disparities are related to funding and academic inequities, as the imperative to boost test scores forced schools to increase certain classroom hours at the expense of recess time.
“We did all this work engineering physical activity out of the school day despite the tremendous body of evidence that shows physically active kids not only are healthier but can concentrate better; they have better academic performance, fewer disruptions, better classroom behavior,” explained Thompson, a former physical education teacher in Oakland. “In trying to address that academic gap, we ended up exacerbating a lot of these public health disparities.”
Virtual learning during the pandemic showed educators and parents – firsthand – the harmful effects of children staying sedentary in front of computer screens for hours. But the resulting momentum for restoring recess and time for physical activity was soon stalled as schools tried to make up for “lost time” in returning to classrooms, Thompson said.
NPI resources, expertise invaluable to lawmakers
Newman's bill, SB 291, was an attempt to lock in those recess minutes that are crucial for student health, development and scholastic performance. Both Thompson and London testified before the Senate Education Committee in April 2023, providing the senators with science-based information and context to guide their policymaking.
“Crafting policies rooted in science is critical for legislators to ensure our policies are impactful,” Newman said. “The work of Dr. Thompson and her colleagues at UC provided clear and useful guidance on the benefits of unstructured play and how to improve health and educational outcomes in California schools.”
Gov. Gavin Newsom signed SB 291 into law last October. Starting this coming school year, public elementary and middle schools across California will be required to give at least 30 minutes of recess to K-5 students – and prohibited from withholding recess as punishment.
Kao said her team was excited that their CalFresh Healthy Living evaluation data was useful for lawmakers, illustrating NPI's important role in informing evidence-based policy.
“I'm hopeful that we can use this same data set to also provide key pieces of information on other types of legislation that's in the works, or newly passed legislation,” Kao said.
Thompson said the challenge now will be ensuring schools have the resources and funding to provide quality time for young people.
“If you only have one schoolyard, and it's already dedicated to PE, what do you do now, if you have to increase your time for recess and you don't have that space?” she said.
Thompson added that she is currently applying for a grant to study how schools across California are adjusting to meet the new requirements.
/h3>/h3>/h3>- Author: Brianna Aguayo Villalon
- Editor: Janice Kao
- Editor: Gail M Woodward-Lopez
Nutrition Policy Institute researchers studied an intervention for the expansion of the Mandela Health and Wealth Net, a food hub-based healthy retail initiative located in Oakland, California. The Mandela Produce Distribution food hub aggregates, distributes, and markets source-identified food products to enhance the accessibility of affordable, high-quality produce within low-income, low-access neighborhoods. The Nutrition Policy Institute research team examined how, with a grant from the Centers for Disease Control and Prevention, Mandela Partners was able to expand their food hub while implementing complementary interventions to ensure that the residents of low-income, low-access neighborhoods had increased access to fruits and vegetables. New produce retail sites were carefully selected to be places where neighborhood residents already frequented; complementary interventions included taste tests, marketing, accommodating SNAP-EBT payment, and offering a dollar-matching program for produce purchased using SNAP-EBT. This combination of strategies resulted in improved accessibility and purchases of fruits and vegetables in low-income, low-access neighborhoods and benefited local stores and regional farms; however, the overall food hub net losses increased during the period of expansion. Researchers suggest that for food-hubs to be financially self-sustaining, adjustments may be needed to reduce operating costs and increase revenues. The study led by Janice Kao, Gail Woodward-Lopez, Maria Isabel Rangel, and Aviva Hicks was published in the Journal of Hunger & Environmental Nutrition.
A recent study examined changes in Supplemental Nutrition Assistance Program Education programming by California's local health departments during the COVID-19 pandemic. Local health department SNAP-Ed programs comprise California's largest obesity prevention program. In March 2020, when schools and other institutions closed their doors in response to the COVID-19 emergency, the impact on public health programs like SNAP-Ed was immediate and large. As the pandemic continued, California's local health departments reported numerous challenges, including the diversion of staff, funding, and other resources from programs like SNAP-Ed to emergency response. Nutrition Policy Institute researchers measured the changes in local health department SNAP-Ed programming and documented dramatic reductions in reach and dose during the early stages of the pandemic. Reductions disproportionately impacted disadvantaged communities, including those with higher poverty, higher proportions of Black and Latino residents, and less healthy neighborhood conditions. Disproportionately reduced access to important health programs may have worsened health disparities in diet and physical activity-related chronic diseases, as well as increasing susceptibility to COVID-19. This study demonstrates the importance of an equity-centered approach to promoting healthy eating and active living, even—or perhaps especially—during public health emergencies. Study results were published in the journal SSM-Population Health by Gail Woodward-Lopez, Erin Esaryk, Sridharshi Hewawitharana, Janice Kao, Evan Talmage, and Carolyn Rider of NPI with funding from the USDA's Supplemental Nutrition Assistance Program Education.
Nutrition Policy Institute researchers will present their collaborative research findings at the Society for Nutrition Education and Behavior International Annual 2023 Conference in Washington, D.C. Wendi Gosliner presents on July 22, 9:45 a.m. to 11:15 a.m. ET as part of a session on "School Meals for All: Exploring Global Initiatives and Lessons Learned from California and Maine." Lorrene Ritchie presents a poster on July 23, 10:15 a.m. to 11:30 a.m. ET titled "Transition to Freshly-Prepared School Meals: Impacts on Meal Appeal, Student Participation, Intake, Food and Packaging Waste & School Finances;" the poster is co-authored by Celeste Felix and Danielle Lee from NPI, Hannah Thompson, Kristine Madsen and Caroline Nguyen from the University of California, Berkeley, and Laura Vollmer from UC Agriculture and Natural Resources. Miranda Westfall presents a poster on July 23, 10:15 a.m. to 11:30 a.m. ET titled "Assessments of Practices to Support Nutrition and Physical Activity at CA SNAP-Ed Eligible Schools Reveal Inequities;" the poster is co-authored by Janice Kao, Carolyn Rider, Sridharshi Hewawitharana, Amanda Linares, and Gail Woodward-Lopez from NPI.
- Author: Katherine Lanca
- Editor: Danielle L. Lee
- Editor: Lorrene Ritchie
The American Public Health Association holds an Annual Meeting & Expo for public health professionals to engage, collaborate, and network with the overarching goal of advancing the nation's health. This year's meeting in Boston, November 6-9, 2022 will celebrate 150 Years of Creating the Healthiest Nation: Leading the Path Toward Equity. Nutrition Policy Institute researchers will share findings that bring nutrition equity to the forefront of federal programs, school nutrition, community health, health literacy, and the food retail environment. A list of the poster presentations and live oral presentations is found below.
Retail food environment:
-
What can we learn from California's investment in the Healthy Stores Refrigeration Grant Program?
Authors: Carolyn Chelius, Caroline Long, Taylor Baisey, Wendi Gosliner
Wednesday, November 9, 8:30 a.m. - 10:00 a.m.; oral presentation
School meals:
-
Providing School Meals to All Students Free of Cost: Challenges and Benefits Reported by School District Foodservice Professionals to Inform California's Policy Implementation
Authors: Wendi Gosliner, Monica Zuercher, Juliana Cohen, Christina Hecht, Michele Polacsek, Kenneth Hecht, Lindsey Turner, Marlene Schwartz, Anisha Patel, Lorrene Ritchie
Monday, November 7, 4:30 p.m. - 6:00 p.m.; oral presentation
-
Impact of a teacher intervention to encourage students to eat school lunch
Authors: Hannah Thompson, Stephanie Machado, Kristine Madsen, Renata Cauchon-Robles, Marisa Neelon, Lorrene Ritchie
Monday, November 7, 4:30 p.m. - 6:00 p.m.; oral presentation
SNAP-Ed:
-
Evaluation identifies the most promising combinations of school-based Supplemental Nutrition Assistance Program-Education (SNAP-Ed) interventions for improving student fitness
Authors: Sridharshi Hewawitharana, Gail Woodward-Lopez, Punam Ohri-Vachaspati, Francesco Acciai, Hannah R. Thompson, Wendi Gosliner
Monday, November 7, 4:30 p.m. - 6:00 p.m.; oral presentation -
Reductions in public health obesity prevention interventions due to COVID-19 disproportionately affect neighborhoods with pre-existing health inequities
Authors: Erin E Esaryk, Carolyn D Rider, Gail Woodward-Lopez
Tuesday, November 8, Session 8; 3:00 p.m. - 4:00 p.m.; poster presentation -
A novel approach to measuring potential for health equity impact in community health interventions
Authors: Janice Kao, Gail Woodward-Lopez, Christina Becker, Carolyn Rider, Erin Esaryk, Evan Talmage
Tuesday, November 8, Session 7; 3:00 p.m. - 4:00 p.m.; poster presentation
WIC:
-
Assessing changes associated with expanding the WIC Cash-Value Benefit for the purchase of fruits and vegetables among children age 1 to 5 years: a longitudinal study
Authors: Marisa Tsai, Christopher Anderson, Catherine Martinez, Martha Meza, Lauren Au, Lorrene Ritchie, Shannon Whaley
Tuesday, November 8, 2:30 p.m. - 4:00 p.m.; oral presentation
Other:
-
Impact of an arts-based public health literacy program delivered online to high school students during the COVID-19 pandemic
Authors: Hannah Thompson, Jackie Mendelson, Maya Zamek, Gabriel Cortez, Dean Schillinger
Wednesday, November 9, 12:30 p.m. - 2:00 p.m.; oral presentation