Currently browsing posts about: School-food

I was pleased to see the article in last Sunday’s New York Times about New York City’s efforts to improve school food.   The story focused on PS 56, a school that serves low-income kids in Brooklyn.

The article  describes the food revolution that is taking place in New York City schools, one described in an excellent report by Hunter College faculty.

In singling out PS 56, the writer chose a good example.

I visited there a year or so ago, and wrote about it at the time under the title “School food: it can be done!”  Its cafeteria is an astonishing place.  The food smelled good.  It tasted good.  The staff cared whether the kids ate what they cooked.

When I asked whether this school was typical, the answer was “not exactly.”  How come it worked?  Everyone pointed to the principal, Deborah Clark-Johnson, who believes it’s important to feed kids well and who totally supported the cafeteria staff.

So one way to improve school food is to recruit caring staff.

Another, for older kids, is to encourage them to make better choices.  An article in the Boston Globe discusses Cornell professor Brian Wansink’s work in this area:

But it turns out that students are susceptible to the same marketing strategies that grocery stores have been using for years. Several experiments have shown that children will be more likely to eat items if they see them early in the lunch line and find them attractive and convenient to pick up. Putting fruit in a good-looking bowl works. So does putting a salad bar in a prominent place. Calling your carrots “X-ray vision carrots” can double sales.

I’ve discussed Professor Wansink’s work on lunch line redesign in an earlier post.  It raises an interesting question: is this the right strategy, or should schools just serve healthy food in the first place?

This is worth discussion.  Want to weigh in?

The USDA announced today that it is starting the interminable rulemaking process for new nutrition standards for school breakfasts and lunches.

The new standards are designed to add more fruits, vegetables, whole grains, fat-free and low-fat milk to school meals.

These are food-based standards.  The lengthy Federal Register notice specifies the number and size of servings of fruits, vegetables, meat, dairy, and grains (table 3, page 2516).  This is a huge step forward and USDA deserves lots of support for doing this.

I am somewhat less enthusiastic about some of the other provisions, but perhaps they are the price to pay for progress:

Nutrient-based standards? The standards also are designed to limit levels of saturated fat, sodium, calories, and trans fats.  They specify a range of calories as well as maximum values for saturated fat and sodium (trans fats have to be zero).

Alas, the devil is in the details.

Nutrient-based standards force some questionable choices on menu planners.  This is evident from the menus comparing the old and new standards.  The old menus included “kids food”—food-like objects such as pizza sticks and breaded beef patties.

Happily, the new menus drop those and call for real foods.  Some of them—jicama, kiwi, and grape tomatoes, for example—are likely to seem exotic to kids accustomed to chicken fingers.  So far, so good.

But the foods are accompanied by strangely tasting miracles of food technology such as reduced-fat mayonnaise, low-fat salad dressings, and soft margarines.  Why?  To meet nutrient standards.

What about sugars? The standards don’t mention sugars except to say that if the others are followed, there isn’t much room allowed for sugary foods.  Canned fruits are to be low in sugar.  Use of highly fortified sugary foods is discouraged.

Chocolate and other flavored milk? The new standards allow skim “flavored” milk (translation: sugar-sweetened).  Otherwise, says USDA, kids might not drink milk and will not get enough calcium.  Sigh.  Milk, as I keep saying, is not an essential nutrient.  Chocolate or strawberry milk is a dessert.  Chalk this one up to dairy lobbying.

The USDA based the new standards on the report released in October 2009 by the Institute of Medicine (IOM): School Meals: Building Blocks for Healthy Children. It looks to me as though the USDA actually followed the IOM recommendations, a miracle in itself.

If you want to comment on the new standards, you can do so until April 13 at  http://www.regulations.gov. Enjoy!

My first San Francisco Chronicle “Food Matters” column for the new year deals with some predictions:

Q: Whatever you used as a crystal ball last year turned out to be a pretty good predictor of the most prominent food issues of 2010. How about trying again: What food matters will we be hearing about in 2011?

A: It doesn’t take a crystal ball to figure out what’s coming up with food issues. I’m happy to make predictions, especially since most seem fairly safe.

Dietary guidelines will be released this month. By law, they were due last year and are already late. What will they say? The 2010 guidelines advisory committee recommended eating more fruits, vegetables and whole grains, but introduced a new euphemism – SOFAs, or Solid Fats and Added Sugars – for the “eat less” advice. SOFAs really mean “cut down on fatty meat and dairy products” and “avoid sugary sodas.”

Will government agencies have the nerve to say so? Let’s hope.

The U.S. Department of Agriculture will issue a new food guide. The 2005 pyramid’s rainbow stripes proved impossible to teach and useless to anyone without a computer. I’ve heard a rumor that I will love the new design. I’m skeptical. I liked the original 1992 pyramid. It showed that bottom-of-the-pyramid foods were healthiest, making it unpopular with companies selling top-of-the-pyramid products. But it is healthier to eat some foods than others (see: dietary guidelines).

Will the USDA improve on the 1992 design? We will soon find out.

The fights over food safety will continue. At the last possible moment, Congress passed the food safety bill by a large majority. Now the fights really begin.

Funding will be most contentious, with the actual regulations not far behind. The Congressional Budget Office absurdly considered the bill’s provisions to be “budget neutral.” They are anything but.

The bill’s provisions require the Food and Drug Administration to hire more inspectors just at a time when Republican lawmakers have sworn to cut domestic spending. The FDA also must translate the bill’s requirements and exemptions for small farmers into regulations.

Rule-making is a lengthy process subject to public comment and, therefore, political maneuvering. Watch the lobbying efforts ratchet up as food producers, large and small, attempt to head off safety rules they think they won’t like.

Expect more lawsuits over the scientific basis of health claims. The Federal Trade Commission just settled a $21 million claim against Dannon for advertising that yogurt protects against the flu. The agency also has gone after scientifically unsubstantiated claims that omega-3s in kiddie supplements promote brain development and that pomegranate juice protects against prostate problems. POM Wonderful has already countersued the FTC on grounds that the First Amendment protects commercial speech. I’ll be watching this case carefully.

The FDA will issue new front-of-package label regulations. The FDA has promised to propose an at-a-glance symbol to indicate the overall nutritional value of food products. Food companies like the Guideline Daily Amount spots they are using in the upper corners of food packages because the symbols are factual but nonjudgmental. The FDA, however, is considering red, yellow and green traffic-light symbols that do convey judgments. Food companies say they will not voluntarily use a symbol that tells people to eat less of their products.

Will the FDA have the courage to make traffic lights mandatory? It will need courage. The new British government dealt with the traffic-light idea by summarily dismantling the food agency that suggested it.

Corporations will seek new ways to co-opt critics. Under the guise of corporate social responsibility, food companies have been making large donations to organizations that might otherwise criticize their products. The most recent example is the decision by Save the Children, formerly a staunch advocate of soda taxes, to drop that cause coincidentally at a time when its executives were negotiating funding from Coca-Cola.

Such strategies remind me of how the Philip Morris cigarette company distributed grants to leading arts groups. Expect food companies to use generosity to neutralize critics and buy silence.

School meals will make front-page news. Congress passed the Healthy, Hunger-Free Kids Act last month. Now the USDA must implement it by setting nutrition standards, adding fresh fruits and vegetables (some locally grown) and expanding eligibility.

President Obama has promised to restore the $4.5 billion “borrowed” from the SNAP (food stamp) program to fund this act. The scrambling over the regulations and financing should make excellent spectator sport.

Farm bill advocates will be mobilizing. You might think it too early to be worrying about the 2012 Farm Bill, but I’ve already gotten position papers analyzing commodity and food-assistance issues from groups gearing up to lobby Congress to bring agricultural policy in line with nutrition and public health policy.

I have a personal interest in such papers. I will be teaching a course on the Farm Bill at New York University next fall. Please get busy and write more of them!

Happy new year, and let’s see how my guesses play out.

Yesterday, President Obama signed the Child Nutrition Reauthorization Healthy, Hunger-Free Kids Act of 2010 (how do they name these things?)

White House, Pete Souza

The fact sheet on the bill lists what it will do with the additional $4.5 billion in funding (over 10 years), among other actions:

• Gives USDA the authority to set nutritional standards for all foods regularly sold in schools during the school day, including vending machines, the “a la carte” lunch lines, and school stores.
• Provides additional funding to schools that meet updated nutritional standards for federally-subsidized lunches [this is the six cents per meal increase].
• Helps communities establish local farm to school networks, create school gardens, and ensures that more local foods are used in the school setting.
• Expands access to drinking water in schools, particularly during meal times.
• Sets basic standards for school wellness policies including goals for nutrition promotion and education and physical activity.
• Increases the number of eligible children enrolled in school meal programs by approximately 115,000 students…Helps certify an average additional 4,500 students per year to receive school meals.
• Allows more universal meal access for eligible students in high poverty communities.

The sticking point is the funding.  It is to be “borrowed” from an authorized increase in funding for SNAP (food stamps).   As I discussed yesterday, enrollment in SNAP is rising rapidly, and so are its costs so the loss of this increase will hurt.

In his signing speech, President Obama explained:

It’s also important to note that while this bill is fully paid for, it won’t add a dime to the deficit, some of the funding comes from rolling back a temporary increase in food stamp benefits –- or SNAP as it’s now called -– starting in the fall of 2013.  I know a number of members of Congress have expressed concerns about this offset being included in the bill, and I’m committed to working with them to restore these funds in the future.

He also said:

Not only am I very proud of the bill, but had I not been able to get this passed, I would be sleeping on the couch.

Mrs. Obama’s Let’s Move campaign inspired this bill and her leadership had much to do with its enactment.  Cheers for this, at last!

A new middle-school curriculum guide released by WorldLink and the Center for Ecoliteracy invites students and teachers to ask, “What’s the story of my food?” Nourish: Food + Community, they say, is part of a national initiative—one that combines PBS programming, curriculum resources, website content, teacher seminars, and youth summits.  Its purpose?  To increase food literacy.

We want students to explore the question: How do the food choices we make—individually and as a society—affect the health of people and the environment?

The Center for Ecoliteracy is a nonprofit dedicated to education for sustainable living.  It also publishes the guide, Rethinking School Lunch, the curriculum guide to the film, Food, Inc. and other useful publications.

I get asked all the time for resources about how to fix school lunches.  Thanks to the Center for making this easier.

In the current issue of the online Journal of the World Public Health Nutrition Association (of which I am a charter member), Carlos Monteiro, a professor at the University of São Paulo writes “The big issue is ultra-processing.”  Because his Commentary is so lengthy, I am taking the liberty of extracting pieces from it, not always in the order presented.

The most important factor now, when considering food, nutrition and public health, is not nutrients, and is not foods, so much as what is done to foodstuffs and the nutrients originally contained in them, before they are purchased and consumed. That is to say, the big issue is food processing – or, to be more precise, the nature, extent and purpose of processing, and what happens to food and to us as a result of processing.

Monteiro makes it clear that all foods and drinks are processed to some extent.  Fresh apples are washed and, sometimes, waxed.  Drinking water is filtered.  Instead, he distinguishes three types of processing, depending on their nature, extent, and purpose:

• Type 1: Unprocessed or minimally processed foods that do not change the nutritional properties of the food.
• Type 2: Processed culinary or food industry ingredients such as oils, fats, sugar and sweeteners, flours, starches, and salt.  These are depleted of nutrients and provide little beyond calories (except for salt, which has no calories).
• Type 3: Ultra-processed products that combine Type 2 ingredients (and, rarely, traces of Type 1).

The purpose of Type 3 ultra-processing is to create:

durable, accessible, convenient, attractive, ready-to-eat or ready-to-heat products. Such ultra-processed products are formulated to reduce microbial deterioration (‘long shelf life’), to be transportable for long distances, to be extremely palatable (‘high organoleptic quality’) and often to be habit-forming. Typically they are designed to be consumed anywhere – in fast-food establishments, at home in place of domestically prepared and cooked food, and while watching television, at a desk or elsewhere at work, in the street, and while driving.

Monteiro argues: “the rapid rise in consumption of ultra-processed food and drink products, especially since the 1980s, is the main dietary cause of the concurrent rapid rise in obesity and related diseases throughout the world.”

As evidence, he notes that ultra-processed products as a group are:

• Much more energy-dense than unprocessed and minimally processed foods and processed culinary ingredients taken together.
• [Contain] oils, solid fats, sugars, salt, flours, starches [that] make them excessive in total fat, saturated or trans-fats, sugar and sodium, and short of micronutrients and other bioactive compounds, and of dietary fiber.
• Relatively or even absolutely cheaper to manufacture, and sometimes – not always – relatively cheaper to buy.
• Often manufactured in increasingly supersized packages and portions at discounted prices with no loss to the manufacturer.
• Available in ‘convenience’ stores and other outlets often open late or even 24/7, and vended in machines placed in streets, gas stations, hospitals, schools and many other locations.
• The main business of transnational and big national catering chains, whose outlets are also often open until late at night, and whose products are designed to be consumed also in the street, while working or driving, or watching television.
• Promoted by lightly regulated or practically unregulated advertising that identifies fast and convenience food, soft drinks and other ultra-processed products as a necessary and integral part of the good life, and even, when the products are ‘fortified’ with micronutrients, as essential to the growth, health and well-being of children.

Overall, he says:

Their high energy density, hyper-palatability, their marketing in large and super-sizes, and aggressive and sophisticated advertising, all undermine the normal processes of appetite control, cause over-consumption, and therefore cause obesity, and diseases associated with obesity.

His groups the main points of his argument in three theses:

• Diets mainly made up from combinations of processed ingredients and unprocessed and minimally processed foods, are superior to diets including substantial amounts of ultra-processed products.
• Almost all types of ultra-processed product, including those advertised as ‘light’, ‘premium’, supplemented, ‘fortified’, or healthy in other ways, are intrinsically unhealthy.
• Significant improvement and maintenance of public health always requires the use of law. The swamping of food systems by ultra-processed products can be controlled and prevented only by statutory regulation.

Lest there be any confusion about the significance of this proposal for public health nutrition, an accompanying editorial (unsigned but assumed to be by Geoffrey Cannon) poses a serious challenge: “Nutrition science: time to start again.”

This editorial is about the significance of food processing, and in particular of ‘ultra-processed’ food and drink products. It is also about the nature, purpose, scope and value of nutrition science, which as conventionally taught and practiced, is now widely perceived to have run into the buffers or, to change metaphor, to have painted itself into a corner.

The editorial argues that nutritionists’ focus on nutrients, rather than foods, has led to the assumption that if foods contain the same nutrients, they are the same—even though it is never possible to replicate the nutritional content of foods because too much about their chemical composition is still unknown.

This notion is an exquisite combination of stupidity and arrogance, or else of intelligence and cunning. For a start, similar results can only be of those chemical constituents that are at the time known, and actually measured.

These are important ideas, well worth consideration and debate.  I am struck by their relevance to the latest survey of soft drink availability in American elementary schools.  Despite the efforts of the Clinton Foundation and the voluntary actions of Coca-Cola and Pepsi-Cola, the availability of soft drinks to young school children increased from 49.% to 61% just in the year from 2006-07 to 2008-09.  Soft drinks, in Monteiro’s terms, are ultra-processed.  Doing something about them requires statutory regulation.

Consideration of the effects of ultra-processing might help us look at what we feed our kids in a more constructive way.  This is important work.

Addition: I should have mentioned that Monteiro’s approach is consistent with that of the people (including me) who worked with the Strategic Alliance in Oakland, CA to write Setting the Record Straight: Nutritionists and Health Professionals ” Define Healthful Food.

The Alliance is California’s network of food and activity advocates, we’ve developed a definition of healthy food that asserts that truly healthful food comes from a food system where food is produced, processed, transported, and marketed in ways that are environmentally sound, sustainable, and just.

If you agree with Setting the Record Straight, you can endorse it on the Strategic Alliance’s website.

A Canadian reader, Professor Amir Attaran of the Law and Medicine Faculties at the University of Ottawa, has just discovered UNICEF-Canada’s Halloween partnership with Cadbury:

I was not made cheery this morning when at the grocery store, I found UNICEF’s name and logo plastered all over the packages of Halloween candy.  On closer investigation, UNICEF Canada have struck a three-year partnership with Cadbury (this is the final year) where UNICEF lends its name and logo to advertising some 4 million packages of Cadbury candies each year.  In exchange, Cadbury donated some money ($500k) to UNICEF for schools in Africa.

The UNICEF Cadbury “Schoolhouse Project” (now closed) collected donations from Canadian communities for children in Africa.

UNICEF continues to collect funds for such purposes and has declared October 31 as National UNICEF Day.

Remember UNICEF’s orange trick-or-treat boxes? They helped make October 31 National UNICEF Day – and taught scores of Canadians that they can make a vital difference around the world. Today, it’s easier than ever to have an impact on the lives of the world’s most vulnerable children.

But UNICEF-Canada is aggressively seeking donations from corporate partners, apparently with little regard for what they sell.

Invest in the world’s children today to make a world of difference tomorrow. On behalf of UNICEF Canada, we invite you to involve your organization in a rewarding partnership and unique business opportunity. UNICEF Canada designs exclusive customized initiatives that achieve real, measurable business results while meeting your humanitarian goals.

Enhance your brand, drive sales, increase revenues. UNICEF delivers….We have built direct relationships with governments, businesses and community leaders in every jurisdiction where UNICEF is present.

No other aid organization engenders greater trust. None has greater impact.

Make us part of your business strategy and join us in building a better world for children. For your bottom line, for the sake of our children and for the future of our world, there is no better investment.

As I keep saying, you cannot make this stuff up.

Candy?  Or, UNICEF’s other Canadian partners such as Pizza Nova?

I know the argument: It’s Halloween and kids will eat candy anyway, so why not make some money from it.  This is the same argument used to promote sales of junk food in vending machines in U.S. schools.

But should UNICEF-Canada be doing this?  Canadians: how about doing some serious talking about this embarrassing partnership.

Addition, October 26:  Here’s what Cadbury gets for its $500,000 donation:

A cornerstone of the partnership is the dedication of significant space on approximately 4.3 million boxes and bags of mini-treats each year to raise awareness about UNICEF and the Schools for Africa programme. Cadbury Adams will also use point of purchase displays, flyers, advertising and the Web to promote the programme and its toll-free number.

Brian Wansink and his Cornell colleagues have teamed up with a designer to reconfigure school lunch lines to encourage kids to make healthier food choices, according to their op-ed—it’s interactive!—in yesterday’s New York Times.

My favorite part: “When cafeteria workers asked each child,”Do you want a salad” salad sales increased by a third.

Of course they did.  From my observations, the single factor that works best in getting kids to eat real food is exactly this: an adult who cares what kids eat.

I can go into a school lunchroom anywhere in America and tell right away whether there is any chance of getting kids to eat healthfully.  Do the cafeteria workers know the kids names and talk to them about the food?

If the answer is yes, the chances are really good.

If not?  Watch Jamie Oliver’s Food Revolution TV programs, if you can find them.