Posts Tagged: Nutrition

Nutrition Policy Institute: 10 years of making healthy choices more accessible for all

Adaptado al español

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.

College students eligible for food assistance deterred by confusing requirements

Modifying Farm Bill could reduce barriers to SNAP for students and improve nutrition

Inadequate access to food can harm college students' health and academic performance. A recent University of California research study in the Journal of Nutrition Education and Behavior investigated why UC students who are eligible for the federal Supplemental Nutrition Assistance Program (SNAP) – the nation's largest food assistance program – do not receive the benefit.

“Based on our study findings, eliminating the extra requirements for college students to qualify for SNAP would go a long way in ensuring that more eligible students get the support they need to meet their basic food needs,” said study coauthor Lorrene Ritchie, director of the UC Nutrition Policy Institute, which is part of UC Agriculture and Natural Resources.

A 2015 study by NPI found four in 10 UC students didn't have enough money to buy sufficient food for a healthy lifestyle. To promote better health, UC has taken steps to ensure students are aware of SNAP, established campus food pantries and other basic needs resources.   

"In California, SNAP is known as CalFresh and despite policies and communication to improve college students' access to CalFresh, participation remains low, with approximately 78% of those eligible not receiving benefits," said lead study author Suzanna M. Martinez, associate professor in the Department of Epidemiology and Biostatistics at UC San Francisco.

For insight on why low-income UC students aren't receiving the benefits, Martinez, Ritchie and colleagues at UC San Francisco and Nutrition Policy Institute consulted county agencies that process student CalFresh applications. The researchers interviewed county staff in nine counties that are home to UC campuses: Alameda, Los Angeles, Merced, Orange, Riverside, San Francisco, Santa Barbara, Santa Cruz and Yolo.

While CalFresh benefits have mainly been paid by the federal government through the Farm Bill, counties contribute and county agencies are responsible for implementing policies, determining eligibility, processing applications and distributing funds.

“With the Farm Bill still up for reauthorization, these findings could provide insight into how to strengthen SNAP policy related to eligible students,” Martinez said.

The researchers conducted focus groups and interviews with county staff to determine how agency workers interpret the complex criteria for students to meet CalFresh eligibility.

Their questions focused on how students' applications differed from those of community members, steps taken when processing student applications, student-specific training and suggested improvements to the process.

Five central themes were identified in the interviews: 

• More consistent policy dissemination and program administration is needed
• Student exemptions and the application process are perceived as challenges for students
• Key supports for successful student applications include carefully reviewing applications for potential exemptions, providing useful resources to students, and campus partnerships
• Tracking policy changes is burdensome
• Eliminating student rules and treating students as regular clients would be more equitable

The researchers found that CalFresh rules are challenging for students as well as the county agency staff.

Also, eligibility requirements, written over 50 years ago, are based on the assumption that college students are supported by middle-class families.

The research supports simplifying the student CalFresh process to increase participation for eligible students, especially for historically underrepresented racial and ethnic groups and low-income students for whom equitable access to CalFresh benefits is critical.

“Once students get confused or don't know what they need to do, they don't follow through with their application,” one CalFresh eligibility worker told the researchers.

During the COVID-19 pandemic, some federal and state requirements were waived or relaxed for students.

“The timing of this study resulted in a natural experiment since COVID-19-related SNAP modifications streamlined the student application process and reduced administrative burden,” Martinez noted. “These modifications alleviated some challenges discussed by county workers, confirming existing opinions to eliminate the student rules.”

Ritchie said, “We hope our research informs policy to remove some of the barriers so students no longer have as much difficulty getting the food they need.”

This study was funded by the California State Legislature, which provided funding to the University of California to address students' basic needs (UC Basic Needs Initiative).

Homeless people cultivate food, better health while gardening in Alameda County

Fresh fruits and vegetables are essential to a healthful diet, but it's hard to keep perishable foods on hand if one doesn't have a refrigerator or a home. To enhance the health of homeless people, the CalFresh Healthy Living, UC Cooperative Extension team in Alameda County has partnered with the South County Homeless Project to grow fresh produce for people staying at the emergency housing in Hayward.

For the past seven years, CalFresh Healthy Living, UCCE Alameda has been delivering nutrition lessons to residents of the South County Homeless Project, part of Building Opportunities for Self Sufficiency. The classes include Rethink Your Drink, Food Safety, Making Every Dollar Count, Eat Healthy Be Active Community Workshops, and Fresh from the Garden.

The South County Homeless Project facility houses 24 people for up to a year. With the help of the CalFresh Healthy Living, UC Cooperative Extension team, its existing garden was refurbished and redesigned. The large outdoor garden behind the facility offers therapeutic gardening opportunities to residents and provides food for their meals. 

"I love the garden and when the cook cooks the vegetables, they taste amazing,” said one resident. “I am thankful for this garden and for having the CalFresh Healthy Living team.”

At one time, South County Homeless Project's backyard featured a flower garden. After years of neglect, weeds overtook the garden.

In 2022, CalFresh Healthy Living, UCCE Alameda proposed getting residents involved in growing food by resurrecting the garden with edible plants.

“Not only could we continue to engage residents in nutrition education classes, but we could also work together to reinvigorate their neglected garden,” said MaxFairbee, nutrition educator withCalFresh Healthy Living team,UCCE Alameda.

More than 15 varieties of herbs and vegetables planted

Residents and staff set out to replace the weedy beds with a vegetable and herb garden.

“We worked with South County staff and residents on the design, clean up, planting, harvesting and ultimately incorporating food from the garden into the kitchen for residents to enjoy the fruits of their labor,” Fairbee said.

For gardening expertise and support, Fairbee enlisted the UC Master Gardeners of Alameda County's Community Garden Team to help. While the CalFresh Healthy Living, UCCE staff continued providing nutrition classes, the UC Master Gardener volunteers trained the residents on the basics of gardening.

In April, after heavy rains, the group planted 50 seedlings, half donated by the UC Master Gardeners. They planted two varieties of lettuce,arugula, four varieties of tomatoes, zucchini, kale, onions, cucumbers, green beans, Swiss chard, kale, basil, cilantro, tarragon, thyme, parsley, rosemary, oregano and mint.

From garden to table

“In May, we harvested lettuce and in June, we harvested green beans, cucumbers, kale and onions,” Fairbee said.

The fresh vegetables and herbs were used to prepare salads, sandwiches and pasta dishes for the residents. Fairbee and the other educators have also used the fresh produce for cooking demonstrations and tastings as part of their Fresh from the Garden class.

"We have been able to use many of the veggies as sides or to go in the salad," said one of the South County Homeless Project cooks.

"One of the chefs used the zucchini in the pasta sauce, it was so good! I didn't really know you could use it that way!" said a resident.

After tasting summer squash andgazpacho made with tomatoes from the garden, a South County resident namedSelina said, "I was surprised how good the raw summer squash tasted and how the flavor was different after it was cooked. I'll definitely be adding more zucchini to my plate."

Challenges to keeping the garden going

To keep the garden healthy, they faced competition with plant-chewing snails, slugs and aphids and cats digging in the soil. Because the water source is over 200 feet from the garden, they run a long hose across the main path, along the parking lot to water the plants, then unhook the hose and stash it indoors after each use so that it won't get stolen.

Another challenge of maintaining the garden is getting enough residents and staff to volunteer to work on it.

“Although staff are supportive of the garden, none actually have time to work in the garden,” Fairbee said.

The residents harvest, wash and store the produce in the kitchen. Only four to six of the 24 residents are typically interested in working in the garden, pulling weeds and protecting the plants from pests – most are focused on getting a new job and a home. South County residents usually leave the temporary housing within a few months.

For more consistent garden maintenance, Fairbee is looking to other community groups for volunteers. He is also hoping to persuade the county government to install a water spigot close to the garden so they can install drip irrigation to water the garden.

“We'd like to work with the UC Master Food Preservers to teach residents how to preserve herbs and vegetables,” Fairbee said.

He hopes South County Homeless Project residents will continue gardening in their new homes to grow fresh vegetables so they can enjoy a more nutritious diet and better health.

Beyond the fresh food, the South County Homeless Project residents and staff enjoy the ambience of the garden.

"It's really nice to go back there and just sit, it's really peaceful," said one staff member.

A resident added, "(The garden) relaxes me from stress. I love the garden."

‘Super Carbolicious’ 4-H Food Fiesta challenges young chefs

Inside a quiet classroom, Sadie, a 4-H member in Orange County, stands in front of two judges with an insulated cooler bag in hand. From it she pulls out plates, utensils and napkins and sets them down on the table. She unzips the bottom compartment and carefully reaches for a cast iron platter with golden fluffy pancakes piled on top.

“Would you like syrup with your pancakes? I highly recommend it,” said Sadie, an eighth grader who is participating in the annual 4-H Food Fiesta for a second time.

4-H, a youth development program supported by the University of California Agriculture and Natural Resources and administered through local UC Cooperative Extension offices, promotes hands-on experiential learning for all youth.

Rita Jakel, 4-H program coordinator for Orange County, described the Food Fiesta event – intended for ages 5 to 18 – as an opportunity to practice and showcase public speaking skills through a fun, food-related competition.

Youth present their creations before a panel of evaluators, who ask them to describe how they prepared the dish and why, and how they managed challenges throughout the process. The interaction between youth and adult leaders provides a unique opportunity for youth to practice career readiness skills such as job interviews and public speaking.

This year's theme was “Super Carbolicious” and 4-H participants were encouraged to make their favorite dishes using ingredients like pasta, potatoes and bread. Carbohydrates are often perceived as unhealthy, which is not a helpful mindset to have when teaching youth about nutrition. Carbohydrates provide the body with glucose, which is converted into energy that people need to function throughout the day.

Some of the dishes that were presented during the Food Fiesta included chocolate chip banana bread, cheesy baked potatoes, cookies and Nutella-stuffed crepes. 4-H member Kaitlin had only ever attended the Food Fiesta to cheer on a friend. This year, she decided to participate and presented pumpkin macaroni and cheese as her entry.

“Pumpkin mac and cheese is better than the regular one because there's a lot more flavor and you have to use two cheeses: cheddar and parmesan,” explained Kaitlin, a seventh grader. When asked what motivated her to participate instead of a being a bystander this time around, Kaitlin said that she wanted to work on her presentation skills. 

“Usually, I'm a bit shy and I don't like to share that much. The Food Fiesta helped me practice speaking up more so that I can accomplish my goals,” Kaitlin said.  

Sadie, who loves public speaking, admits that it wasn't always a strength of hers. “There was a time when I hated public speaking. But when I joined 4-H's cake decorating, poultry and food fiesta events, I got more comfortable with public speaking,” she said. “Now, I like going to events and showing off. I get to show off turkeys, my cakes and, today, I presented homemade pancakes.”

Helping to keep the day's festivities running smoothly were two 4-H state ambassadors: Michaela and Laurelyn, two high school seniors. Both have been involved in 4-H for over nine years, with Laurelyn being a third-generation 4-H member. “My grandmother grew up in a 4-H club in Orange County. She still raises breeding lambs for 4-H members to this day,” said Laurelyn, whose mother was a 4-H member in San Joaquin County.

As state ambassadors, they are responsible for creating and presenting workshops during state, national and regional events. “We also engage the public via social media, specifically TikTok and Instagram (@4horangeco),” said Michaela, who is in her second year as an ambassador.

During the Food Fiesta, Michaela and Laurelyn made themselves available to answer questions from participants and their families. Both ambassadors agreed that seeing parents involved in 4-H should not come as a surprise. “Being in 4-H is a family effort. This isn't an extra-curricular where you just drop your kids off and leave,” said Michaela.

Laurelyn shared that the biggest misconception others have about 4-H is that they think it's about introducing youth to agriculture or livestock. There's a civic engagement and leadership component to it, too. “If parents knew about all the ways 4-H can benefit their kids, I think more people would want to join us,” she said. “And they're finding fun ways to help us learn life skills, like this Food Fiesta.” 

The homemade dishes weren't the only thing to look forward to, however. In another building, Sandy Jacobs, volunteer event coordinator, and her team set up a kitchen quiz for members. On several tables, there were different cooking tools and participants were challenged to name as many tools as they could. 

In another classroom, while some members were presenting food, others presented their themed table setting décor. Participants had to prepare a complete table setting entry including a menu card, centerpiece and table settings for two. Judges considered creativity, use of color, table setting etiquette, knowledge in talking to the judges, and appearance in their evaluation. 

Finally, to wrap up the day, members competed in a cupcake decorating competition. Participants were responsible for bringing their own supplies including tools and edible decorations for Cupcake Wars. Depending on their age group, participants had 20 minutes to decorate two to four cupcakes, each of a different theme.

To learn more about 4-H in Orange County, visit https://oc4h.org/.

NPI researchers find school recess varies with school size, family income

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.

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