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Objectives New to Healthy People 2020
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NWS HP2020–20:
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Increase the percentage of schools that offer nutritious foods and beverages outside of school meals.
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a. Increase the percentage of schools that do not sell or offer calorically sweetened beverages to students.
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b. Increase the percentage of school districts that require schools to make fruits or vegetables available whenever other food is offered or sold.
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Status: New to Healthy People 2020.
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View Objective Comments
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Objective Clarification:
Also agree that this is an important objective to retain. As others as asserted, work also needs to be done with several related topics: including building nutrition into and across school curricula; and to improve the quality of the USDA meals – both of which certainly could be worthy separate objectives.
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Objective Clarification:
Definitely keep this objective. Additionally, in item b. add that fruits and vegetables should be 'unprocessed or minimally processed.'
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Objective Text:
The American Heart Association supports this objective but we believe it should include school meals as well. Despite the fact that national standards are established for school meals, these standards still need to be updated by the USDA and implementation realities require that we continue to monitor the quality of the school meal program. Ideally, there would be goals under this objective that would specifically mention reductions in sodium content, saturated fat, trans fat, and an increase in fruits, vegetables, low- or no-fat dairy, and whole grains. (Reference: Gidding SS. Dennison BA. Birch LL. Daniels SR. Gilman MW. Lichtenstein AH. Rattay KT. Steinberger J. Stettler N. Van Horn L. Dietary Recommendations for children and adolescents. Circulation. 2005;112:2061-2075.)
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We applaud the Committee for recognizing the need to increase the percentage of schools that do not sell or offer calorically sweetened beverages to students.
Carbonated soft drinks are the leading source of added sugar among children and teens. These sugar-filled beverages have long been known to promote tooth decay: the single most common chronic childhood disease — five times more common than asthma and seven times more common than hay fever. They are also being associated with higher rates of childhood obesity and obesity-related health conditions, such as heart disease, diabetes, and osteoporosis.
Public schools are increasingly relying on beverage company “pouring rights contracts” to support a number of curricular and extracurricular activities. These contractual arrangements allow schools to share in a portion of vending machine revenue in exchange for allowing beverage companies the exclusive right to sell their products on campus. They also inevitably provide for the direct and indirect advertising of carbonated soft drinks on school grounds.
The practice of selling carbonated soft drinks on school grounds is not compatible with the goals and objectives of our federal nutrition assistance programs. It also undermines our nation’s desire to reduce childhood obesity and advance the oral health of America’s children.
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Objective Text:
Revise to “Increase the percentage of schools that offer only nutritious foods and beverages outside of school meals.”
Revise (a) to increase proportion of schools that allow no sugar sweetened beverages
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Objective Text:
ASTPHND recommends a modification:
Increase the percentage of school districts that offer nutritious foods and beverages outside of school meals and physical activity during and after school hours.
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Objective Clarification, Objective Text:
Specifically include increasing the percentage of schools that do not sell or offer calorically sweetened beverages to students. In addition, increase monitoring/enforcement/regulation of school wellness policies to once/year as opposed to once every 5 years.
An additional suggested objective is to increase the consumption of low fat/fat free milk and dairy products, which would result in an increased intake of Calcium, Phosphorus, Potassium and Vitamin D.
Additional suggested objectives with regard to Physical Activity, as safety concerns (both street crime and traffic hazards) are identified as the top barrier to high-risk populations not engaging in recommended levels of physical activity:
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Objective Clarification, Objective Text:
Revise the objective to increase the percentage of schools that offer nutritious foods and beverages, in accordance with the Dietary Guidelines for Americans outside of school meals.
Additionally,
Increase the percentage of schools that do not sell or offer calorically sweetened beverages to students and
Increase the percentage of school districts that require schools to make fruits or vegetables available whenever other food is offered or sold.
Many schools offer a very limited variety of fruits and vegetable to students, and objective should be to increase the percentage of school districts that require schools to make a variety of whole fruits and/or vegetables available whenever other food is offered or sold.
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Objective Clarification:
Add comments that suggest Objective Clarification, recommendations to update the Objective Text, information on the Data Source, and detail on the Status.
Our school district has been involved with a grant from the Fruit and Vegetable Growers Assoc. for the past two years. Twice a week children are given access to a fresh, non-cooked, non-altered fruit or vegetable (no sauces, etc) in their daily PE class ("Tasty Tuesdays" for vegetables, "Fruity Fridays" for fruits). The results have been remarkable. Children are eating a significantly expanded diet since participating, based on surveys. And not just at school. Children are requesting--and getting--an expanded whole food palette at home.
Education is key. Children need to get the message of healthy food choices at many different levels: in class, in the lunchroom, in the halls, on the P.A. system. By exposing kids to new food choices several times, children are broadening their food horizons. Peer support seems to play an vital roll as well. Children are more likely to try new foods because their friends are talking about it.
Policy change is also important, but it can be a much harder component to change. School districts should ban school fundraisers that do not promote healthy food options, but this is a tough sell to schools that have very limited funding options (which is most).
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Objective Clarification, Objective Text, Data Source, Status:
ASCD believes that school nutrition is one part—albeit an important one—of educating the whole child. Schools should be places where students can learn about and practice healthy lifestyles and the school environment must be one that supports the practice that is taught. Policies need to be in place that support the ability of students and staff to easily make healthy choices and nutrition messages throughout the school building and grounds (whether conveyed actively or passively) should be consistent and have as their ultimate goal improving the nutrition and wellness.
Foods sold outside of the cafeteria, such as those found in student stores and à la carte lines, and those offered outside of the traditional school day, such as those offered through school fundraisers or made available at sporting and extracurricular events, should be part of this effort to support the practice of good nutrition. These offerings should not include food choices that compete with the cafeteria nor should they be in opposition to the messages that students receive in class.
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Objective Clarification:
Updated guidelines for school meals would also be helpful, as the amount of sodium, fat & heavily-refinded carbohydrates in school meals is more than enough for athletic adults, let alone elementary school children.
A way to enforce regulations re: the sale of sweetened beverages and other non-nutritive food products is also needed. Many districts ban these, but the schools continue to sell and serve them.
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Objective Text:
Yes, absolutely agree. Schools cannot be filling their budget gaps by selling sweetened beverages to kids.
Studies have shown that plopping apples down in the cafeteria doesn't mean kids will eat them--it's really important to have educational components that go along with the introduction of fruits and vegetables.
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Objective Text:
Strongly, strongly agree. But it won't have teeth unless "Increase the percentage of schools with hands-on nutrition programs, e.g. school gardens and kitchen classrooms," is added to it. Kids won't choose healthy foods until they've learned to enjoy them, and the best way to do that is by giving them hands-on experience planting and cooking fruits and vegetables for themselves. As mentioned, it's also important that healthy food options be fresh, appealing and culturally relevant.
A recent report shows that many schools are losing money on foods sold outside the lunchroom. Here it is: http://campaignforbetternutrition.org/reports/flunkinglunch.html. Perhaps a stronger addition would be to "Decrease the percentage of schools offering foods and beverages outside of school meals."
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Objective Text:
This is a great objective to include in HP2020. With type 2 diabetes and child obesity rates on the rise it's a great idea to give students healthier options at school. Not only should foods be healthy, but they need to be appealing and affordable to students. Instead of having the typical fruits and vegetables like apples, oranges, and carrots, schools should involve the student's by surveying them to find out what they'd like to see offered. I strongly agree with eliminating high calorie sweetened beverages in all schools. If this is not possible due to contracts with certain companies you may want to consider reducing the size of beverages.
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Objective Text:
This is a great objective to include in HP2020. With type 2 diabetes and child obesity rates on the rise it's a great idea to give students healthier options at school. Not only should foods be healthy, but they need to be appealing and affordable to students. Instead of having the typical fruits and vegetables like apples, oranges, and carrots, schools should involve the student's by surveying them to find out what they'd like to see offered. I strongly agree with eliminating high calorie sweetened beverages in all schools. If this is not possible due to contracts with certain companies you may want to consider reducing the size of beverages.
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Objective Text:
I completely agree with this objective and think it is a wonderful addition to HP 2020. However, not only do schools need to provide healthier food choices to students, they need to make those choices equally attractive and desirable to the student as other less healthy food choices my be. With that, I think it will be easier and more acceptable for students to make healthier food choices.
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Objective Text:
I think this a great addition to HP 2020. Schools should not sell calorically sweetened beverages to students. This only reduces the amount of nutrient-containing beverages, such as low-fat or non-fat milk, they consume and adds to their daily energy intake without adding nutrition. I also think the requirement to make fruit or vegetables available where other food is offered is a great choice. It needs to be easy to make the healthy choice if changes are going to be seen in the obesity epidemic. Also, hopefully children are receiving nutrition education in school as well, so making the healthy choice if it is available will be more appealing.
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Objective Text:
I completely agree with this. Students need increased availability of healthier food options. In my experience with school food, there were very few fruit and vegetable options. In addition, with the few fruit and vegetable choices did not look very appetizing. I feel that it is important for the fruit and vegetable items available to look appetizing and to be promoted adequately. Otherwise, students will go for the unhealthier options and other competitive foods.
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I think that this is a great idea. However, in order for it to be effective, it needs to be enforced -- unlike the current school nutrition programs. Many schools have contracts with Pepsi and Coca-Cola from whom they receive large amounts of money; if they discontinue serving these beverages (which I believe is a good idea), what programs in the schools will suffer? This is a great idea to prevent childhood obesity, but there are many barriers.
Ann Scheufler, Kansas State University
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Objective Text:
I agree with it.. students need more access to healthier food choices. calorically sweetened beverages are junk food which may causes disease.
schools should offer more fruits and vegetable than the burgers and french fried!!
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Objective Text:
By establishing health-promoting nutritional standards for food sold in schools outside of the school meals program, students will have more access to nutritious foods and less access to unhealthy snack foods. Competitive food items sold in schools, such as snacks and beverages from vending machines, must be consistent with the Dietary Guidelines for Americans and with nutritional standards for school meals.
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Objective Text, Status:
I support this objective 100%. With increasing obesity trends, students need more access to healthier food choices, less access to non-nutritious foods.
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Important objective to keep.
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Objective Clarification, Objective Text, Data Source, Status:
I agree 100%. Students need healthy choices because it may be the only time they get this type of food service.
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Objective Clarification, Objective Text, Data Source, Status:
i think this objective is greatly needed. Its only one aspect to sserve nutritioonal lunchs. WE know children will get there hand on something unhealthy if they can. Healthy options need to be made in vending machines and as snacks. Schools need to limit the high sugar drinks and sweets that school aged children grab for at lunch and after school.
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