Dr. Diane Harris


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A PowerPoint presentation from the Town Hall Meeting held on 4/17/08 in Marietta, GA.

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Dr. Diane Harris

  1. 1. Diane M. Harris, Ph.D. UCLA Center for Excellence in Pancreatic Diseases, David Geffen School of Medicine at UCLA Rollins School of Public Health, Emory University Eating the Rainbow: Strategies to Increase Vegetable and Fruit Consumption in Schoolchildren
  2. 2. Topics <ul><li>Background </li></ul><ul><ul><li>Fruits, vegetables, whole grains – and health </li></ul></ul><ul><ul><li>Disease prevention starts in childhood </li></ul></ul><ul><li>Ways to get kids to eat fruits & veggies </li></ul><ul><ul><li>At home </li></ul></ul><ul><ul><li>At school </li></ul></ul><ul><ul><ul><li>Farm-to-School programs </li></ul></ul></ul>
  3. 3. <ul><li>Macronutrients </li></ul><ul><ul><li>carbohydrates </li></ul></ul><ul><ul><ul><li>simple and complex </li></ul></ul></ul><ul><ul><li>fats </li></ul></ul><ul><ul><li>proteins </li></ul></ul><ul><li>Micronutrients </li></ul><ul><ul><li>vitamins </li></ul></ul><ul><ul><li>minerals </li></ul></ul><ul><li>Water </li></ul><ul><li>Phytochemicals </li></ul>Food Composition
  4. 4. D. Heber allicin quercetin kaempferol sulforaphane isothiocyanate indoles lycopene anthocyanins β - carotene lutein vitamin C
  5. 5. Diets Rich in Fruits and Vegetables Reduce Risk for: <ul><li>Many types of cancer </li></ul><ul><li>Stroke and heart disease </li></ul><ul><li>High blood pressure </li></ul><ul><li>Type II Diabetes </li></ul><ul><li>Osteoporosis </li></ul><ul><li>Arthritis </li></ul><ul><li>Excess weight gain </li></ul>
  6. 6. Copyright ©2002 American Association for Cancer Research O'Shaughnessy, J. A. et al. Clin Cancer Res 2002;8:314-346
  7. 7. Healthy Eating is Important Throughout the Lifespan
  8. 8. “ Creating the Healthiest Food Environment the Country Has Ever Seen” <ul><li>Partners: </li></ul><ul><li>National Cancer Institute (NCI) </li></ul><ul><li>United States Department of Agriculture (USDA) </li></ul><ul><li>Centers for Disease Control and Prevention (CDC) </li></ul><ul><li>American Cancer Society (ACS) </li></ul><ul><li>American Diabetes Association (ADA) </li></ul><ul><li>American Heart Association (AHA) </li></ul><ul><li>California Department of Health Services (CDHS) </li></ul><ul><li>National Alliance for Nutrition and Activity (NANA) </li></ul><ul><li>Produce for Better Health Foundation (PBH) </li></ul>1991 2007
  9. 9. Trends in Consumption of Five or More Recommended Vegetable and Fruit Servings for Cancer Prevention, Adults 18 and Older, US, 1994-2005 Note: Data from participating states and the District of Columbia were aggregated to represent the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2003, 2005), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2004, 2006.
  10. 10. Percent of Youth and Adults in Georgia Who Consume 5 or More Servings of Fruits and Vegetables Per Day, 2005 Source: Georgia Dept. of Human Resources, Div. Public Health
  11. 11. Trends in Overweight* Prevalence (%), Adults 18 and Older, US, 1992-2004 1992 1995 1998 *Body mass index of 25.0 kg/m 2 or greater. Source: Behavioral Risk Factor Surveillance System, CD-ROM (1984-1995, 1998) and Public Use Data Tape (2004), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 2000, 2005. 2004 Less than 50% 50 to 55% More than 55% State did not participate in survey
  12. 12. What Can I (We) Do?
  13. 13. Typical American Plate
  14. 15. Include Kids in the Process <ul><li>Let them assist in menu planning </li></ul><ul><li>Take them to the grocery store, farmer’s market </li></ul><ul><li>Teach them to cook </li></ul><ul><li>Grow your own </li></ul><ul><ul><li>Plant a “kitchen” garden (can be in containers) </li></ul></ul>
  15. 16. Farm to School Programs
  16. 17. Types of Farm to School Programs <ul><li>School gardens, greenhouses, compost/recycling </li></ul><ul><li>Salad bars in school cafeterias </li></ul><ul><li>Purchase of food from local sources </li></ul><ul><li>Field trips to local farms and farmer’s markets </li></ul><ul><li>Chef/farmer in class, cooking demos </li></ul><ul><li>Nutrition-based curriculum (e.g. Harvest-of-the-Month – CA Dept. Public Health) </li></ul>
  17. 18. Emory Rollins Day Picnic 4/10/08
  18. 19. “ A Delicious Revolution” http://www.edibleschoolyard.org/ “ The aim of education is to provide children with a sense of purpose and a sense of possibility, and with skills and habits of thinking that will help them live in the world. A key way to learn these skills and habits is to learn how to eat well and how to eat right.” - Alice Waters
  19. 21. http://www.georgiaorganics.org/about_us/Georgia%20Organic%20Farm%20to%20School%20Guide.pdf
  20. 22. Selected California Programs <ul><li>Santa Monica Farmers Market Salad Bar </li></ul><ul><li>Davis Parcel Tax </li></ul><ul><li>Berkeley School Lunch Initiative </li></ul>
  21. 23. <ul><li>Located at Martin Luther King, Jr. Middle School in Berkeley, CA (public school) </li></ul><ul><ul><li>Begun 1994 </li></ul></ul><ul><li>1-acre garden + kitchen classroom </li></ul><ul><li>Using food systems as a unifying concept, students learn how to grow, harvest, and prepare nutritious seasonal produce </li></ul>http://www.edibleschoolyard.org
  22. 24. Dietary Guidelines in the Life Cycle Determinants of Chronic Disease Risk “ metabolic programming” VLW Go Infancy Infancy Childhood Childhood Puberty Puberty Adolescence Young Women & Men Birth Menopause Conception
  23. 25. Benefits of Farm-to-School Programs <ul><li>For schools: </li></ul><ul><ul><li>Buy and feature farm fresh foods such as fruits and vegetables, eggs, honey, meat, and beans on their menus </li></ul></ul><ul><ul><li>Incorporate nutrition-based curriculum </li></ul></ul><ul><ul><li>Provide students experiential learning opportunities through farm visits, school gardens, and recycling programs </li></ul></ul><ul><ul><li>Support local economy </li></ul></ul><ul><li>For farmers: </li></ul><ul><ul><li>Have access to new markets through schools </li></ul></ul><ul><ul><li>Connect to their community through participation in programs designed to educate kids about local food and sustainable agriculture </li></ul></ul>
  24. 26. <ul><li>http://www.farmtoschool.org/ </li></ul><ul><li>National program initiated in 2000 </li></ul><ul><li>Lead organizations: </li></ul><ul><ul><li>Center for Food & Justice (CFJ), a division of the Urban & Environmental Policy Institute at Occidental College </li></ul></ul><ul><ul><li>The Community Food Security Coalition (CFSC) </li></ul></ul><ul><li>Effort in GA organized by Georgia Organics </li></ul><ul><ul><li>www.georgiaorganics.org </li></ul></ul>National Farm-to-School