Milk Facts. A sciencebased. discussion. Presenter Name Presenter Title Presenter Organization

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1 Milk Facts A sciencebased discussion Presenter Name Presenter Title Presenter Organization

2 Do you know the facts? While concerns about childhood obesity continue to grow, it is critical that we not overlook the fact that most Americans are also undernourished most children and adolescents are not getting the recommended amounts of key vitamins, minerals and nutrients needed for growth and development. Nearly 90 percent of adolescents do not meet recommendations from the dairy group. -USDA

3 Why should milk, yogurt, and cheese be a part of a diet?

4 Milk, yogurt, and cheese are nutrient-rich Milk is the #1 food source of vitamin D, calcium and potassium. Calcium (Ca) Protein Riboflavin (B 2 ) Vitamin B 12 Phosphorous (P) Potassium (K) Niacin Vitamin A Vitamin D, fortified

5 Calcium and other nutrients available in dairy are critical for much more than bones Dairy foods, when part of a balanced diet, may help reduce chronic disease risk of: Hypertension Osteoporosis Obesity Colon cancer Kidney stones Type 2 diabetes

6 Calcium Gap On average, Americans are getting only half the recommended three daily servings of dairy. NHANES , ages 2 years and older

7 Nutrients of Concern Need more Adults Calcium Potassium Fiber Vitamin D Dairy foods provide 3 of the 4 nutrients of concern.

$Boys are 32% and girls 56% more likely to experience bone fracture than children were 30 years$ often by overweight than nonoverweight children.

9 Boys are 32% and girls 56% more likely to experience bone fracture than children were 30 years ago. Childhood overweight has increased steadily and research shows fractures are reported more often by overweight than nonoverweight children. These factors increase the risk of repeat injury, which can impede growth and bone mass accrual. -Journal of the American Medical Association, 2003

10 Milk essential for a reason Milk provides nutrients essential for growth, development and good health. Milk contains a unique nutrient package - calcium, potassium, phosphorus, protein, vitamins A, D, and B12, riboflavin and niacin (niacin equivalents).

11 Flavored milk is stealth health Flavored milk contains the same nine essential nutrients as white milk. Flavored milk drinkers have lower intakes of soft drinks compared to those who do not drink flavored milk. -JADA 2002

12 Make Mine Chocolate a nod to nutrient-rich fat-free flavored milk Flavored milk contributes only 3 % of the added sugar in children s diets

13 Flavored milk Low-fat chocolate milk is the most popular choice in schools and kids drink less milk (and get fewer nutrients) if it s removed. -JADA percent of the milk chosen at school is flavored; most of which is low-fat or fatfree. -ENVIRON 2008

Flavored milk Children who drink flavored milk meet more of their nutrient needs; do not consume more added sugars, fat or calories; and are not heavier than non-milk drinkers.

14 Flavored milk Children who drink flavored milk meet more of their nutrient needs; do not consume more added sugars, fat or calories; and are not heavier than non-milk drinkers. -JADA 2002, 2008 The American Heart Association states when sugars are added to nutrient-rich foods, such as flavored milk and yogurt, the quality of children s diets improve, and in the case of flavored milk, no adverse effects on weight states were found. -Circulation 2009

Flavored milk Removing flavored milk from schools has been shown to result in a 62-63 percent reduction in milk consumption by kids

15 Flavored milk Removing flavored milk from schools has been shown to result in a percent reduction in milk consumption by kids in K-5 grades. JADA 2009 As a school nutrition expert, this is your opportunity to declare your opinion. Insert your own comments here

16 Milk consumption dropped 35% or 1.4 servings per week 58 elementary schools across the U.S. When flavored milk is not offered, many children do not drink white milk instead and miss out on essential nutrients Calcium, vitamin D, vitamin A, potassium, magnesium and protein Study found that milk delivers the important combination of essential nutrients in a more costeffective way than any other food commonly consumed by students in schools. The essential nutrients lost from elimination of flavors are significant and are not easily replaced by other foods. -Milk Processors Education Program Study of flavored milk elimination, 2010

Waste Consumption 163 Flavors & White offered White Only Waste 24.5% 36.

17 Unintended Consequences 1.4 servings per week decrease Average Elementary School 333 Units of Milk Each Day % -35% Waste Consumption 163 Flavors & White offered White Only Waste 24.5% 36.1% Average Attendance = 419 A decline of 1.4 servings per week per milk-drinking student. On an annual basis, this means that on average, each student would lose 47 milk servings along with all the nutrients in those milk servings.

18 When flavored milk leaves, essential nutrients leave with it.

19 Colorado students receive 30% fewer milks in school than national average Colorado students average 1.1 fewer milk servings each week. Equates to 40 servings below national average each school year.

20 Several government and national medical organizations support flavored milk.

21 The Dairy Industry recognizes the need to Their response: sugar in flavored milk Dairy companies have reduced the amount of added sugar by 38%, in the last five years.

22 Flavored milk stats Flavored milk contributes only 3% of total added sugar in children s diets Flavored milk contains both natural and added sugars, nearly half of the sugar is naturally present All flavored milk in schools is fat-free and about 130 calories. 8-ounces of chocolate milk contains about 2-7 mg of caffeine the same amount in decaffeinated coffee

23 Our goal is to feed children foods that support growth and development and fuel them so they are ready to learn. We strive to offer nutrient-rich foods. But it is only children who decide whether to eat and how much. Ellyn Satter Registered dietitian

24 Additional slides IF TIME PERMITS OR MORE INFORMATION IS NECESSARY, CONSIDER USING THE FOLLOWING SLIDES The resource slide is intended for your background information

25 Sugars do not cause Building Support for Milk in Schools hyperactivity The implications of removing chocolate milk from the school meal environment: A Colorado school district s impact study

Sugars do not cause Reason for Study hyperactivity Aurora Public Schools school

elementary schools during the 2010/2011 school year.

decrease in milk consumption, in turn leading to students missing out on the essential

26 Sugars do not cause Reason for Study hyperactivity Aurora Public Schools school nutrition director Mona Martinez-Brosh decided to test offering white milk only in two elementary schools during the 2010/2011 school year. Martinez-Brosh was concerned that elimination of flavored milk would lead to a decrease in milk consumption, in turn leading to students missing out on the essential vitamins and minerals that milk provides. For an entire school year, Martinez-Brosh monitored milk sales evaluate consumption trends.

27 Daily Milk Consumption (cartons) Sugars do not cause hyperactivit '09 '10 '10 '11 0 School 1 School 2 Average Sales fell by 31% at one school and 48% at the other. There was speculation that students would compensate by drinking white milk. However, based upon monthly milk sales patterns, white milk consumption never exhibited a rising trend.

28 Sugars do not cause Martinez-Brosh Conclusions hyperactivity The decrease in milk consumption is problematic because the students best source of calcium, vitamin D and other essential nutrients is the milk served at school. Based upon the study, chocolate milk will be provided in all of their schools for lunch.

29 Flavored milk drinkers According to a study published in the Journal of the American Dietetic Association: Children who drink flavored or plain milk get more nutrients and have an equal or lower BMI than children who do not drink milk.

30 ENVIRON Study RESULTS: Improved nutrient intake among all milk drinkers Females ages years: double calcium intake among milk drinkers Intake of added sugars similar (milk and non milk) BMI comparable to or lower than non-milk drinkers

31 ENVIRON Study ENVIRON Study CONCLUSION: Kids who drink flavored or plain milk have increased nutrient intake and equal or lower BMIs than non-milk drinkers

32 ENVIRON Study ENVIRON Study CONCLUSIONS: CONCLUSION: Drinking low-fat or fat-free flavored milk can help youth meet their dairy recommendations

33 ENVIRON Study ENVIRON Study CONCLUSIONS: CONCLUSION: It is unnecessary to limit access to flavored milk due to its added sugar

34 Sugars do not cause Sugar does not cause hyperactivity hyperactivity The medical and scientific communities concluded sugars are not responsible for hyperactivity in children. In studies where the observers do not know which children were given sugar and which were not (double blind studies) no differences in hyperactivity are found. The Institute of Medicine reviewed more than 23 studies conducted over a 12-year period and concluded that sugar intake does not affect hyperactivity in children.

Children 1-3 y Vitamin E Vitamin A 0 20 40 60 80 100 Percent

35 Undernourished Zinc Magnesium Phosphorus Vitamin C Girls y Boys y Girls 9-13 y Boys 9-13 y Children 4-8 y Children 1-3 y Vitamin E Vitamin A Percent with nutrient intakes below the EAR Moshfegh A. USDA/ARS 2005.

36 Undernourished Dietary Fiber Potassium Calcium Girls y Boys y Girls 9-13 y Boys 9-13 y Children 4-8 y Children 1-3 y Vitamin K Percent with nutrient intakes above the AI Moshfegh A. USDA/ARS 2005.

bones and generate energy in body s cells helps maintain healthy vision and skin helps build red blood cells

37 Dairy Nutrients: Benefits for Bones and Beyond Potassium Phosphorus Vitamin A Vitamin B12 Riboflavin Niacin (niacin equivalents) helps regulate body s fluid balance and maintain normal blood pressure helps strengthen bones and generate energy in body s cells helps maintain healthy vision and skin helps build red blood cells that carry oxygen from lungs to working muscles helps convert food into energy helps metabolize sugars and fatty acids

38 Resources Five Reasons to Raise Your Hand for Chocolate Milk Environ Fact Sheet Flavored Milk Brochure- It s More Than Flavor Think Your Drink copy master and poster International Food Information Council Sugars Fact Sheets Flavored Milk in Perspective WesternDairyAssociation.org Dairy Council Digest: Why Flavored Milk is a Nutritious Choice for Children Dairy Council Digest: Flavored Milk: Questions and Answers Dairy Council Digest: Child Nutrition: A focus on dairy foods

39 When it comes to NUTRITION not all drinks are created equal.

40 How we eat vs. how we should How we eat vs. how we should

LESSON 2 BUILD FOODS DEVELOPED AT THE OHSU BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS

LESSON 2 BUILD FOODS DEVELOPED AT THE OHSU BOB AND CHARLEE MOORE INSTITUTE FOR NUTRITION & WELLNESS Lesson Plan 2: MyPlate Build Foods The Build Your Body groups - protein and dairy Summary of needed materials