This document discusses nutritional standards and policies around school meals programs in the United States. It notes that childhood obesity rates have tripled in recent decades and many children consume too much fat and too few fruits and vegetables. The document outlines various federal and state programs that provide school meals, but also notes that "competitive foods" high in fat and sugar that are sold outside of meal programs contribute to poor diets and undermine nutrition standards. It calls for restrictions on competitive food sales and increased funding to improve child nutrition and health.

1. Nutritional integrity in our schools and the impact on child health Tiffany Ford, Mike Gilmer, Jennifer Heidel, Micah Morris, Nishi Parikh, Heather Schillinger, Rebecca Willis

2. Join the School Lunch Revolution! CURRENT NUTRITIONAL STATUS

9. REFERENCE J am Diet Assoc. 2004;104:660-677.

10. CURRENT PROGRAMS

12. NATIONAL SCHOOL LUNCH PROGRAM (NSLP) Healthy Meals, Healthy Schools, Healthy Kids. United States Department of Agriculture. 2007.

13. NATIONAL SCHOOL LUNCH PROGRAM CONT. ·30 million students participate each school day in NSLP in approximately 101,000 schools ·17.5 million students receive a free or reduced-price school lunch every school day ·More than 2 million children have been added to the NSLP ·NSLP and Vegetables ·After School Snacks

14. SCHOOL BREAKFAST PROGRAM (SBP) · Nearly 10 million children in 82,000 schools receive a school breakfast every school day ·7.7 million students received a free or reduced-price breakfast ·More than 2 million children have been added to the school breakfast program ·Effects of Eating Breakfast

15. SUMMER FOOD SERVICE PROGRAM ·Provides free, nutritious meals and snacks to children in low-income areas ·Served in congregate settings, primarily low-income areas ·SFSP operation

16. TEAM NUTRITION · Provides support through training and technical assistance for food service, nutrition education for children and their caregivers, and school and community support for healthy eating and physical activity ·Goal of Team Nutrition

17. REFERENCE Healthy Meals, Healthy Schools, Healthy Kids. United States Department of Agriculture. 2007; 1-4. Available at http://www.ask.com/bar?q=healthy+meals%2C+healthy+schools%2C+healthy+kids+USDA+School+meals&page=1&qsrc=0&ab=1&u=http%3A%2F%2Fwww.fns.usda.gov%2Fcga%2FFactSheets%2Fschool_meals.htm. Accessed September 16, 2009.

18. CURRENT POLICIES

20. TENNESSEE’S COORDINATED SCHOOL HEALTH INITIATIVE The Coordinated School Health Improvement Act of 1999: 1. Comprehensive School Health Education (grades K-12) 2. Physical Education and Activity 3. Nutrition Services * 4. School Health Services 5. School Counseling, Psychological and Social Services 6. Healthy and Safe School Environment 7. Student, Family and Community Involvement in Schools 8. Health Promotion for School Staff http://www.state.tn.us/education/schoolhealth/

30. CURRENT CONCERNS: What Can I Do?

35. CURRENT CONCERNS What is one way you can support your community progress in its efforts to improve the health of its children?

36. COMPETITIVE FOODS