Alberta s Nutrition Report Card on Food Environments for Children and Youth. Kim D. Raine, PhD, RD, FCAHS Professor and Associate Dean (Research)

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1 Alberta s Nutrition Report Card on Food Environments for Children and Youth Kim D. Raine, PhD, RD, FCAHS Professor and Associate Dean (Research)

2 Food Environments in Canada Food environments shape the availability, affordability, and social acceptability of food and nutrition choices association between food environments and dietrelated outcomes

3 Benchmarking Develop an Annual Nutrition Report Card on Food Environments to: Provide an assessment of how current environments and policies support or create barriers to improving children and youth s dietary behaviours and body weights Increase awareness of the public, practitioners and policy makers of the relevance of food environments for health promotion and obesity prevention

4 History of the Nutrition Report Card ( ) Inspired by ParticipACTION Physical Activity Report Card

5 How was the Nutrition Report Created? Review of literature, over 20 Canadian nutrition and physical activity experts identified key indicators

6 Conceptual framework, adapted from Brennan and colleagues (2011).

7 Framework & Organization

8 Grading

9 Alberta s 2015 Report Card Highlights

10 PHYSICAL ENVIRONMENT CATEGORY 1 Food availability within settings: Policies and actions that increase availability of healthy foods and limit availability of unhealthy foods in schools, childcare and community settings (including foods served at meals and sold in concessions and vending machines) INDICATOR High availability of healthy food IN SCHOOLS BENCHMARK Approximately ¾ of available foods are healthy in schools. W W W. P O W E R U P F O R H E A LT H. C A P O W E R U P F O R H E A LT H - F R. C A

11 KEY FINDINGS COMPASS assessed food and beverages offered in 10 Alberta schools. Figure 4 highlights contents of beverage vending machines. Chips and chocolate bars were most common items in snack vending machines. 56 PHYSICAL ENVIRONMENT REAL Kids Alberta survey found 91% of principals reported using the ANGCY 63% of principals reported incorporating ANGCY into school nutrition policies Water 100% Juice *Note: 0% indicated Milk Figure 4: Proportion of Beverages by the ANGCY in School Vending Machines 56 Mainly healthy choices 66% A few healthy choices 13% Have not monitored All healthy choices 20% the nutrition Figure 5: Principals' responses to "How do you rate the nutritional quality of the food and beverages that are served or available for sale in your school? (n=122) 57 SUPPORTS Various supports exist including: ANGCY; HealthyU Healthy Eating Campaigns; AHS Health Promotion Coordinators. MONITORING No monitoring systems in place at this time.

12 PHYSICAL ENVIRONMENT CATEGORY 1 Food availability within settings: Policies and actions that increase availability of healthy foods and limit availability of unhealthy foods in schools, childcare and community settings (including foods served at meals and sold in concessions and vending machines) INDICATOR High availability of healthy food IN SCHOOLS BENCHMARK Approximately ¾ of available foods are healthy in schools. DECISION STEPS Was the benchmark met? Are supports in place to promote (ongoing) achievement? Achievement is Monitored? Grade High Risk Group Addressed? Recommendations Somewhat Yes No C 0 Research: Annual surveys to monitor current state of school food environments Practice: Greater implementation of ANGCY and compliance Policy: Mandate and monitor ANGCY in all schools

13 Alberta s 2016 Nutrition Report Card Highlights

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15 Physical Environment

16 Alberta s 2017 Nutrition Report Card Highlights

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18 Alberta School Nutrition Program (Nov ) reaches 5000 students K-6

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24 2018 Focus on Municipalities Zoning Recreation facilities Local policies (marketing, schools) Advocacy with local policy-makers

25 Conclusions Communication and advocacy with policy-makers has piqued interest and engagement Process has been refined and increasingly targeted Some change in individual indicators, although overall grades slow to change Engaging local communities mobilizes community action for change Longitudinal impact on policy readiness, environmental change and children s diets will be reported in the future!

26 Future Directions Local data collection in collaboration with AHS (Mini report cards) Expanding to other provincial (and national) Report Cards International Network for Food and Obesity / non-communicable Diseases Research, Monitoring and Action Support

27 Thank you! (HAC) The 2017 Nutrition Report Card can be downloaded from uab.ca/chan

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