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Katherine Gray-Donald, MCGill University "Linking Agriculture, Nutrition and Health"

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Science Forum 2013 (www.scienceforum13.org)
Plenary Session: Regional Perspectives on Nutrition and Health Outcomes
Katherine Gray-Donald, MCGill University: case study presentation

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Katherine Gray-Donald, MCGill University "Linking Agriculture, Nutrition and Health"

  1. 1. Collaborators: I. Granderson, C. A. Madramootoo, A Besso, L Phillip Katherine Gray-Donald
  2. 2. • increased production of vegetables, fruits and animal forage through drip irrigation Linking Agriculture, Nutrition and Health
  3. 3. Describe the nutritional health of primary school children and changes as a result of school feeding Measure the extent to which one can improve a school lunch program for 3200 children through the use of more local produce 3
  4. 4. Random allocation of 7 /17 primaryRandom allocation of 7 /17 primaryRandom allocation of 7 /17 primaryRandom allocation of 7 /17 primary schoolsschoolsschoolsschools in government sponsored lunchin government sponsored lunchin government sponsored lunchin government sponsored lunch program:program:program:program: 4 menu4 menu4 menu4 menu changechangechangechange ;;;; 3333 control schoolscontrol schoolscontrol schoolscontrol schools
  5. 5. Baseline and 2 yr follow-up (n=188) Children’s height and weight Caregiver’s height , weight, questionnaire Child 24 hr recall Hemoglobin status Process evaluation Implementation Cost Acceptance 5 Nutritional outcomes
  6. 6. 0 5 10 15 20 25 30 35 40 45 <-2 -2 to -1 -1 to 0 0 to 1 1 to 2 >2 PercentPercentPercentPercent Height and BMI for AgeHeight and BMI for AgeHeight and BMI for AgeHeight and BMI for Age Height for Age BMI for Age 6 WHO Z Score Health and Nutrition Status of ChildrenHealth and Nutrition Status of ChildrenHealth and Nutrition Status of ChildrenHealth and Nutrition Status of Children
  7. 7. OldOldOldOld Rice and beans turkey wings, Noodles/ground meat, Hot dogs Chicken soup with pumpkin and dumplings Cheese sandwich Sugar drink NewNewNewNew Goat meat String beans, Carrots Tomatoes, cucumbers Sweet potato, pumpkin Melon, banana 7
  8. 8. Interest for Ministry of Education?? Ministry of Health?? Ministry of Agriculture?? Condition of the central kitchen . 8
  9. 9. Supplies used per daySupplies used per daySupplies used per daySupplies used per day---- logbook of foods issued from thelogbook of foods issued from thelogbook of foods issued from thelogbook of foods issued from the storeroom each daystoreroom each daystoreroom each daystoreroom each day Additions in 2 week period Watermelon, carrots, pumpkin, tomatoes, cucumber Better meat more often Food purchase records for costFood purchase records for costFood purchase records for costFood purchase records for cost New menu costs 70% more (more due to better meat cuts than fruits and vegetables) 29% of food budget is for a sugar drink 9
  10. 10. Food acceptance by childrenFood acceptance by childrenFood acceptance by childrenFood acceptance by children Children waste less familiar foods (tomato, cucumber) Other observationsOther observationsOther observationsOther observations Sweets offered for sale at school or by outside vendors 10
  11. 11. FarmFarmFarmFarm Increased income Inconsistent supply of fruits, vegetables and goat meat ( seasonality, losses, etc) KitchenKitchenKitchenKitchen Increased workload Increased cost Reducing sugar? 11 or Fork to Farm??
  12. 12. Menu Modification

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