school nutrition policies in prince edward island dr jennifer taylor associate professor department...
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School Nutrition Policies in Prince Edward Island
Dr Jennifer TaylorAssociate ProfessorDepartment of Family & Nutritional SciencesCo-Chair, PEI Healthy Eating Alliance
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Where it all began…
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2002 2005
2003
Elementary School Nutrition Policy Full Full ImplementationImplementation
2006
Elementary School Nutrition Policy DevelopmentDevelopment
PEI Timeline: Elementary School Nutrition Policy Development, Implementation and
Evaluation
School Food Survey
2001
Children’s food survey
School Food Survey
Tremblay & Willms
Report on Childhood Obesity
Ont vs PEI survey
School policy adherence
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In 2002, PEI Children Had Poor Eating Habits
Too little: Milk Products, Vegetables & Fruit
Too much: Soft drinks French fries
High fat/sugary snacks
Evers, Taylor, Manske, & Midgett, 2001; Taylor, Bradley, & Peacock, 2003
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Before PEI had nutrition policies in schools (2002)…
68% sold regular hot dogs >90% sold pepperoni pizza,
chicken nuggets 67% that had canteens sold
chips 4/5 foods in vending machines
were unhealthy 54% schools used food for
fundraising
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It is critical that schoolsare not part of the
“obesigenic environment”
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Elementary Nutrition Policy Development:From the Bottom Up
Dept Health contracted with HEA to develop policies
Schools without cafeterias
School district level 17 “Lead” schools
across the province
Grass roots
Decision makers
New Policy
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Allowing Schools to Talk and Have Input Throughout the Process…
Increased Ownership AND started the change process: “Thank you for listening and I really hope this is
something you could help us turn into policy and action.”
“It was great to see how other schools deal with these issues.”
“[We appreciated]….the interaction between other schools and realizing that the same problems are everywhere.”
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Allowing Schools to Talk and Have Input Throughout the Process…
Increased “expert” understanding of the school change process
Helped identify policy elements most likely to make a difference AND most likely to be implementable
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“.....I don’t think we can make drastic changes, I think it’s a process, I think we need to keep working and make a few changes....it’s a process of 2-3-4 years for schools...because it’s better slowly...than to go quickly and then miss the boat...”
Principal, from Freeze, 2006.
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PEI Elementary Policy Elements
Same policy was adopted 2005/06 by all 3 school districts (province wide)
Elements: 1. Nutrition Education 2. Student Access to food 3. Quality of Food Available
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Availability of Healthy Food Choices
4 food based lists Why?
No cafeterias; volunteer lunch programs/canteens
Concern that complicated policies would impede adherence
Avoid complete bans on foods (Satter approach)
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Support for Implementation
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Support for Implementation
Challenges: Role clarification needed: HEA vs School
Districts Inadequate staff resources
No community dietitians assigned to schools
Sustainability of networking meetings: costly due to teacher substitute fees
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What?!...An “F”??
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But…positive change is already happeningCanteens: 2002 vs.2005
66.7
33.3
12.5
33.3
4.2
56.3
35.7 38.5
58.3
83.3
0
10
20
30
40
50
60
70
80
90
Chips Cer Bar Yogurt J uice Milk Ch
2002 2005
**
*
* p<0.05 ** p<0.001
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Foods Sold at Lunch: 2002-2005
67.7
90.6
33.338.2
91.2
38.2
Hot Dogs Pizza Chk nug0
20
40
60
80
100
2002 2005
*
* p<0.05
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Issues
Bottom up approach has been effective re: “buy in”
Bottom up + top down needed Policy revision, then
provincial adoption Funding,
sustainability
Grass roots
Decision makers
New Policy
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Conclusions
Political will, public focus on acute care an ongoing challenge
Intermediate/Senior High policies in development; will have nutrient rather than food based standards
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AcknowledgementsAcknowledgements
Department of Health
Thanks to schools and teachers!Thanks to schools and teachers!