Posts Tagged: Nutrition Policy Institute
Schools across the nation are removing chocolate milk from their meal programs to reduce students' intake of added sugar.
Some people are concerned the new policy will lead to a decrease in students' milk consumption and, specifically, reduce the essential nutrients that milk provides, such as calcium, protein and vitamin D. They also fear the policy could lead to an increase in milk waste. However, results from a study conducted by UC Nutrition Policy Institute may alleviate these concerns.
While the study found that the number of students who selected milk during lunch dropped by about 14% in the year the chocolate milk was removed, there was a no significant difference in the proportion of milk wasted before and after policy implementation. Milk consumption declined by about 1 ounce per student post policy implementation, resulting in a small but statistically insignificant decrease in the average amount of calcium, protein, or vitamin D consumed from milk.
The chocolate milk removal policy did result in a significant reduction in added sugar consumption from milk, by an average of 3.1 grams per student. These results suggest that a school meal chocolate milk removal policy may reduce middle and high school students' added sugar intake without compromising intake of essential nutrients nor increasing milk waste.
The study was conducted by NPI affiliated researchers Hannah Thompson and Esther Park from the UC Berkeley School of Public Health in collaboration with NPI researchers Lorrene Ritchie and Wendi Gosliner, and Kristine Madsen from the Berkeley Food Institute and UC Berkeley School of Public Health. The study was published online on August 27, 2020 in the journal Preventing Chronic Disease. The full study is available online.
Raw hunger or thirst usually draws people to buy snacks from vending machines. Healthy options, calorie counts and reminders help consumers make good-sense decisions when they slip in coins or a credit card, according to research by a working group organized under UC's Global Food Initiative and led by the UC Nutrition Policy Institute.
The working group set out to develop guidelines for food service providers at all 10 UC campuses and other UC facilities in stocking and promoting healthy options in their vending machines. They also created a toolkit with step-by-step guidance in making the switch, including everything from early meetings with students, food service and vendors to anticipating and preparing for barriers to implementation.
As part of the project, the Nutrition Policy Institute evaluated data from six UC campuses that show healthy vending options are growing in popularity, which eases concerns about a potential reduction in profit by making vending healthier.
“In 2005, California began introducing policies limiting junk food in vending machines and student stores on K-12 campuses,” said Janice Kao, a researcher at the Nutrition Policy Institute and chair of the working group. “Today's college students are used to having healthy snack options in schools. Customer resistance that some vendors talk about isn't necessarily the case anymore.”
Two UC campuses – UCLA and UC San Francisco – have been early adopters in making healthy vending machine choices available. According to the evaluation, the two locations achieved the goal of having 70% of their beverage vending products fit the “healthy” description. Other UC campuses are working on adding healthy options – with a wide variation in implementation and definition of “healthy.”
The Global Food Initiative working group recommends a higher standard for “healthy” snacks than some campuses and vendors. The key difference is the decision that an item can only be considered “healthy” if the first ingredient is a fruit, vegetable, low-fat dairy, protein or whole grain.
“This guideline means some granola bars cannot be considered a healthy snack,” Kao said.
Even so, the evaluation results showed improvement in the sales of healthy products.
“Campuses that have actively worked on healthy vending saw greater sales of healthy snacks and drinks,” Kao said. “We want to learn from those experiences and develop systemwide standards to provide consistency. With everyone following the same guidelines, there is potential to take advantage of systemwide food procurement economies of scale and contribute to meeting UC's sustainability goals.”
The NPI evaluation compared the greenhouse gas emissions associated with traditional vending and healthy vending. A dramatic difference emerged when comparing candy bar ingredients and healthy snack bar ingredients. Greenhouse gas emissions of candy bar ingredients were estimated to be more than twice as high as healthy snack bar ingredients.
Now more than ever, California is full of heroes: front-line workers in our hospitals, farm fields and essential businesses. And even though schools are closed, they are full of heroes, too: teachers implementing distance learning and kitchen workers who have stepped up to the heroic task of providing meals for children in their communities, despite the challenges that have come with the COVID-19 pandemic.
School nutrition professionals continue to provide nutritious food that meets dietary standards, the kitchens provide employment, and the hungry students provide a multi-million dollar market for California's agricultural products.
Researchers at UC Agriculture and Natural Resources's Nutrition Policy Institute received an email earlier this spring with a subject line that simply said, “HELP!!!” Local community groups had learned that some Central Valley school districts would not be providing meals over spring break. Even though that might not be cause for alarm some years, this year it would hurt. In the eight-week period between March 14 and May 14, 2020, the California Employment Development Department processed 4.7 million unemployment benefit claims – nearly seven times more claims than over a two-month period at the height of the 2008 recession. EDD estimates that California unemployment reached nearly 25% by mid-May.
That is why school meals are more important than ever.
On receiving the request for HELP!!!, the Nutrition Policy Institute teamed with a Stanford pediatrician to distill critical information from USDA and the California Department of Education. Connecting with child nutrition professionals throughout the state, they gleaned tips and best practices, and added COVID-19-specific resources from the Community of Practice convened by LunchAssist and the Center for Ecoliteracy. The team produced informational flyers targeted to California school district officials and food service directors:
- Child Hunger Doesn't Take a Spring Break (2-pager)
- Calling all Districts! USDA Summer Meals Can Keep Kids Healthy (4-pager)
The resources provide explanations and resources for operating school meal programs during non-instructional periods through either the Seamless Summer Option (SSO) or the Summer Food Service Program (SFSP).
The University of California is providing a free online course, Healthy Beverages in Early Care & Education, in English and Spanish for child care providers in California. The 30-minute on-demand class is a friendly way to learn about the latest recommendations for healthy beverages for children and help child care providers meet the California Healthy Beverages in Child Care Act (AB 2084) requirements.
- Milk - whenever milk is served, serve only lowfat (1%) milk or nonfat milk to children two years of age or older.
- Juice - limit juice to not more than one serving per day of 100% juice.
- Sweetened Beverages - serve no beverages with added sweeteners, either natural or artificial. Beverages with added sweeteners does not include infant formula or complete balanced nutritional products designed for children.
- Drinking Water - make clean and safe drinking water readily available and accessible for consumption throughout the day.
The training includes videos, short quizzes and activities, and covers topics such as milk, types of fruit juice, drinking water and reading a nutrition label. A professional development certificate will be provided upon completion of the class.
To sign up for the class, visit http://bit.ly/NPIccbevE for English and http://bit.ly/NPIccbevS for Spanish and create an account. Providers outside of California may have similar beverage requirements. And all young children, regardless of licensing or Child and Adult Care Food Program (CACFP) requirements, can benefit from consuming healthy beverages. The course is free for California providers and available for child care providers outside of California for a $15 fee.
This class was developed by the UCSF School of Nursing, California Childcare Health Program in partnership with the University of California Nutrition Policy Institute and Cooperative Extension, with support from a grant by UC Agriculture and Natural Resources.
A study of the first University of California campus (UC San Francisco) to ban the sale of soda on campus has shown that employees reduced their consumption by nearly 50 percent. UCSF staff who took part in the study also reduced their waist measurements and weight.
“This was not a ban on the consumption of sugared beverages,” emphasized co-lead author Laura Schmidt, PhD, MSW, MPH, UCSF professor in the Philip R. Lee Institute for Health Policy Studies. “This was a ban on sales on sugary beverages in vending machines, break rooms and cafeterias...People could still bring them from home or buy them off campus.”
The study was published Oct. 28, 2019, in the Journal of the American Medical Association, Internal Medicine.
California Assembly Member Richard Bloom (D–Santa Monica) noted the importance of workplace and governmental restrictions on soda sales while communities are prohibited from establishing local soda taxes for the next 12 years. In June 2018, the beverage industry strong-armed the California Legislature and Governor into enacting a “preemption” law that prohibits communities from passing local soda taxes.
“Workplace restrictions enable communities to take charge of their own health as we build momentum to pass AB 138, my bill that establishes a statewide soda tax that will fund prevention efforts. The bill will reduce soda consumption and generate positive health outcomes in impacted communities, where most needed, just like the UCSF effort,” Bloom said.
Lorrene Ritchie, UC Cooperative Extension specialist and director of the UC Nutrition Policy Institute, which conducts nutrition research to strengthen public policy, commented: “I am so impressed with both UCSF's sales ban and this very well-done study. Sodas are such a huge contributor to our obesity crisis that it is heartening to recognize a solution that any employer can adopt to help people improve their lives.”
Speaking of the UCSF study, lead author Elissa Epel, PhD, UCSF professor of psychiatry and director of the UCSF Aging, Metabolism, and Emotions Center, said: “This shows us that simply ending sales of sugary drinks in the workplace can have a meaningful effect on improving health in less than one year. There is a well-known pathway from soda to disease. High sugar intake leads to abdominal fat and insulin resistance, which are known risk factors for diabetes, heart disease, cancer and even dementia. Recent studies have also linked sugar intake to early mortality.”