Arnell J. Hinkle, RD, MPH, CHES. Executive Director

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1 Creating Equal Opportunities for a Healthy Weight: Upgrading Food and Physical Activity Options in OST in Low Income Neighborhoods Institute of Medicine Washington, DC June 7, 2013 Arnell J. Hinkle, RD, MPH, CHES Executive Director

2 TODAY S GAME PLAN Some Context A Little About CANFIT What I See In the Field Policy Recommendations

3 Out-of-School Time and Youth Facts: 80% of time, youth not formally in school Nationwide, more than 8 million youth in OST programs OST Programs include before, during, after school; summer, alternative schools, juvenile justice CA is one of the nation s 3 most segregated states for Latino students, and one of the 5 most segregated states for African American students 93% of youth use Internet, 55% social networks, and 57% post their own content

4 CANFIT MISSION To work with communities and policymakers to develop culturally resonant policies and practices that improve food and physical activity environments for adolescents in low income communities and communities of color.

5 Culture and Behavior Culture Determines Values Values Shape Behaviors Behavior is the Explicit Language of Culture

6 Mobilizing Communities of Color Provide TRAINING, technical assistance and consultation to youth-serving organizations Develop effective CULTURALLY- APPROPRIATE nutrition and physical activity educational materials Advocate for nutrition and physical activity POLICIES at local, state, and national levels

7 Current Priorities After school implementation of snack, meal and physical activity policies Using Peer-led Social Media to Market Health Child Nutrition Implementation (Quality meals) Promoting Health at Every Size Improving Food Systems & Built Env in COC Developing Youth Engagement Strategies

8 Sample of CANFIT Projects MO Project E-Advocates OUSD After School Learning Community Workshops and Trainings Serve on state and national OST policy groups Provide Technical Assistance for: Building Healthy Communities (TCE) Food and Fitness (Kellogg) HEAL Zones (Kaiser)

9 Resources (all at 99 Way to Make Your After-School Program Healthier [99 Maneras] Active8 Toolkit Cultural Needs Assessment Guide Recetas para el Exito Healthy Snack and Meal Guide Policy Briefs

13 In the Field The Good News Recognition of importance of OST nutr/pa Standards Being Created - CA, NIOST, Y of USA Increase in AS Meals - over 2.7 million served in CA Joint Use promotion More OST research conducted Innovative use of technology (e.g., gaming) Increase in nutr ed, gardens, activity options Attention to racial equity issues

14 An Example of a Typical After School Meal (meeting new guidelines) Doritos Bagel Sandwich Packaged Pineapple Spear Juice Box Milk Box

15 In the Field The Not So Good News Implementation Inconsistent Nutr ed often not correlated with access or health PA is often endless variations of Tag Staff training lacking Sequestration Effects School vs CBO programs Evaluation/monitoring of standards is lacking (fnd $) Overemphasis on weight reduction Food Industry marketing to OST programs

16 Policy Recommendations 1. Include After School in School Wellness and Farm-to-School Policies 2. Revise CACFP Standards to be consistent with school lunch and competitive food standards 3. Establish Programs That Channel College Students (esp. Female Athletes) Into Community After School Programs as Coaches and Volunteers 4. Educate OST About Joint-Use Agreements

17 Policy Recommendations 5. Promote physical activity programming that provides life-long skills (e.g., swimming, walking, yoga, Tai Chi, martial arts, dance, community walks/races) 6. Support regular staff training and prof development in nutrition and physical activity 7. Extend food and activity guidelines to alternative schools and juvenile justice agencies 8. Emphasize youth engagement and health at every size

18 QUESTIONS??????

CANFIT (510) 644-1533 2140 Shattuck Avenue,

19 CANFIT (510) Shattuck Avenue, Suite 610 Berkeley, CA Arnell Hinkle, RD, MPH, CHES Executive Director twitter.com/canfit

21 After School Snacks and Meals: CANFIT Best Practice Guidelines GRAIN/BREAD - Bread (1 slice) - Dry cereal (3/4 cup) - Cooked cereal (1/2 cup) - Pasta, noodles (1/2 cup) - Grain (1/2 cup) Needs Improvement All beverages and snacks in after school programs meet the minimum NSLP or CACFP component guidelines, regardless of funding source. Basic Proficient Superior Snacks/ Meals meet SB 12 standards of: 35% total calories from fat. 10% total calories from saturated fat. 35% added sugar by weight. In addition to above: Snacks: Whole grains served at least twice per week. Meals: Whole grains served at least twice per week. Snacks/ Meals meet SB 12 standards of: 35% total calories from fat. 10% total calories from saturated fat. 35% added sugar by weight. In addition to above: Snacks: Whole grains served at least three times per week. Meals: Whole grains served at least three times per week. 0 trans fats. Snacks/ Meals meet SB 12 standards of: 35% total calories from fat. 10% total calories from saturated fat. 35% added sugar by weight. In addition to above: Snacks: Only whole grains are served. Meals: Only whole grains are served. 0 trans fats.

22 After School Snacks and Meals: CANFIT Best Practice Guidelines Needs Improvement Basic Proficient Superior PROTEIN - Lean meat, poultry, fish (1 oz.) - Cheese (1 oz.) - Beans/peas (1/4 cup) - Peanut or nut butter (2 Tbsp) - Nuts/seeds (1 oz.) - Yogurt (4 oz.) FRUIT/VEGETABLE - 1 serving - 100% juice (3/4 cup) - 1 cup MILK All beverages and snacks in after school programs meet the minimum NSLP or CACFP component guidelines, regardless of funding source. All beverages and snacks in after school programs meet the minimum NSLP or CACFP component guidelines, regardless of funding source. All beverages and snacks in after school programs meet the minimum NSLP or CACFP component guidelines, regardless of funding source. Snacks: Beans/peas are served at least once per week. Meals: Beans/peas/ lean meat are served at least twice per week. Snacks: Dark green or orange fruit or vegetable served two or more times per week. Meals: Dark green or orange fruit or vegetable served at its minimum requirement (3/4 cup) everyday. Low fat (1%) or nonfat milk. Snacks: Beans/peas are served at least twice per week. Meals: Beans/peas/ lean meat are served at least three per week. Snacks: A different fresh fruit or vegetable served three or more days per week. Meals: Dark green or orange fruit or vegetable served at least 1 cup every day Only 100% citrus juices. Low fat (1%) or nonfat milk. Snacks: Different protein source served three or more days per week. Meals: Beans/peas/ lean meat are served every day. Snacks: A different fruit or vegetable is served each day of the week. Meals: Dark green or orange vegetable served at least 1 cup per day & Fruits are served at least 1 cup every day. Only 100% citrus juices. Low fat (1%) or nonfat milk.

23 EXAMPLES OF POLICY/SYSTEMS CHANGE Organizational Practices Standards and Guidelines Joint Use Legislation and Regulations After School Zones Workforce Development Federal Policies Funding

24 California Adolescent Nutrition and Fitness Program

My Food Groups. My Physical Activity. Healthy Bodies. Protein Meat, Beans, Nuts. Dairy Milk, Yogurt, Cheese. Grains Breads, Cereals, Pasta.

My Food Groups. My Physical Activity. Healthy Bodies. Protein Meat, Beans, Nuts. Dairy Milk, Yogurt, Cheese. Grains Breads, Cereals, Pasta. My Food Groups Dairy Milk, Yogurt, Cheese Vegetables Fruits Grains Breads, Cereals, Pasta Meat, Beans, Nuts OATMEAL OATM EAL extras My Physical Activity Healthy Bodies Main Nutrients and Their Health Benefits