The DC Healthy Schools Act was passed in May 2010 in order to improve the health of students in the District of Columbia. It was enacted in response to both the obesity epidemic in DC and childhood hunger. It targets all DC Public and Charter Schools. The bill was introduced by Councilwoman Mary M. Cheh, passed unanimously and signed into law by Mayor Adrian Fenty. [1]
This policy has come about due to the increasing concern about obesity in the United States. Twenty years ago, only 3 percent of Americans thought obesity was the most important health problem. Today, that figure is up to 16 percent. [3] The obesity epidemic has become both a personal issue and something that affects the public good. Americans now spend about 127 billion dollars on directly treating obesity related conditions annually. The estimated indirect costs due to missed work, premature death, etc. cost another $150 billion. [4] The fastest rise in obesity is among children, and considering that most children spend a substantial amount of their time at school, it is natural to target schools as a major player in childhood obesity. [3]
A major reason for the implementation of the DC healthy schools act is due to a lack of action at the federal level. Due to differences in political philosophy as well as the influence of the food lobby, there have not been any major laws passed that significantly effect change on this issue. Therefore, many local districts have enacted their own acts that are stricter than federal standards. [3]
The obesity epidemic is much more prevalent among underprivileged minorities, with about 16% of white children being overweight, compared to 20% of black children and 19% of Hispanic children. This has been attributed to a variety of factors, including the home environment, advertising, a lack of access to healthy food, and the food served at school. It has been found, for instance, that black and Hispanic girls get much less exercise, on average, than white males. In addition, it has been found that black and Hispanic children spend more time watching TV or playing video games, which also means they are exposed to more ads for unhealthy foods
Unfortunately, this same population is the same that does the worst on standardized test results, and therefore is most targeted by No Child Left Behind. 54% of schools identified for improvement are urban schools, which contain a much higher percentage of black and Hispanic children. A common response to this has been to “narrow the curriculum”, which means that many subjects, such as physical education, become superfluous, replaced by extra classes for mathematics and English. 70% of schools have reported cutting at least one class in favor of additional tested material. Another telling statistic is that in 1991 42% of students had physical education daily, compared to 28% of students in 2003. In addition to combating obesity or poor nutrition, the other impetus for this act is that there has been research that links physical activity and cognitive functioning. Specifically, aerobic fitness was found to have a positive correlation with attention and working memory. In another study, it was found that there were major differences in test scores for reading and math when overweight children were compared to non-overweight children. A third study found that being overweight had a significantly negative impact on academics and socio-behavioral outcomes among girls, though not boys.
There have been two major rounds of changes since the bill was signed into law. The first changes were made by the Fiscal Year 2012 Budget Support of Act of 2011. [5] These changes most affected the reduced prices for breakfast and lunches for children. Specifically, the provision to provide free breakfast in charter schools was cancelled, as well as subsidizing breakfast in general. The other major change is that over $4 million collected from vendors will be deposited into the Healthy Schools Act Fund. The second changes came about due to the Healthy Schools Amendment Act of 2011, which was signed by Mayor Vincent Gray. The first major change in this amendment allowed private schools can choose to participate in the Healthy Schools Act. The other major change was to have schools submit additional information to the Office of the State Superintendent of Education, such as the number of students who qualify for free and reduced meals, the number of students who participate in free and reduced meals, and more general things like the number of vending machines, school stores, and which schools participates in the Fresh Fruit and Vegetable Snack Program. [6]
The Richard B. Russell National School Lunch Act is a 1946 United States federal law that created the National School Lunch Program (NSLP) to provide low-cost or free school lunch meals to qualified students through subsidies to schools. The program was established as a way to prop up food prices by absorbing farm surpluses, while at the same time providing food to school-age children. It was named after Richard Russell, Jr., signed into law by President Harry S. Truman in 1946, and entered the federal government into schools' dietary programs on June 4, 1946.
The Child Nutrition Act of 1966 (CNA) is a United States federal law (act) signed on October 11, 1966 by President Lyndon B. Johnson. The Act was created as a result of the "years of cumulative successful experience under the National School Lunch Program (NSLP) to help meet the nutritional needs of children." The National School Lunch Program feeds 30.5 million children per day. NSLP was operated in over 101,000 public and nonprofit private schools in 2007. The Special Milk Program, functioning since 1954, was extended to June 30, 1970 and incorporated into the act. The act also provided Federal funding assistance towards non-food purchases for school equipment.
A school meal is a meal provided to students and sometimes teachers at a school, typically in the middle or beginning of the school day. Countries around the world offer various kinds of school meal programs, and altogether, these are among the world's largest social safety nets. An estimated 380 million school children around the world receive meals at their respective schools. The extent of school feeding coverage varies from country to country, and as of 2020, the aggregate coverage rate worldwide is estimated to be 27%.
Childhood obesity is a condition where excess body fat negatively affects a child's health or well-being. As methods to determine body fat directly are difficult, the diagnosis of obesity is often based on BMI. Due to the rising prevalence of obesity in children and its many adverse health effects it is being recognized as a serious public health concern. The term overweight rather than obese is often used when discussing childhood obesity, as it is less stigmatizing, although the term overweight can also refer to a different BMI category. The prevalence of childhood obesity is known to differ by sex and gender.
Farm to School is a program in the United States through which schools buy and feature locally produced, farm-fresh foods such as dairy, fruits and vegetables, eggs, honey, meat, and beans on their menus. Schools also incorporate nutrition-based curriculum and provide students with experiential learning opportunities such as farm visits, garden-based learning, and recycling programs. As a result of Farm to School, students have access to fresh, local foods, and farmers have access to new markets through school sales. Farmers are also able to participate in programs designed to educate kids about local food and agriculture.
Obesity in Mexico is a relatively recent phenomenon, having been widespread since the 1980s with the introduction of ultra-processed food into much of the Mexican food market. Prior to that, dietary issues were limited to under and malnutrition, which is still a problem in various parts of the country. Following trends already ongoing in other parts of the world, Mexicans have been foregoing the traditional Mexican diet high in whole grains, fruits, legumes and vegetables in favor of a diet with more animal products and ultra-processed foods. It has seen dietary energy intake and rates of overweight and obese people rise with seven out of ten at least overweight and a third clinically obese.
Obesity is common in the United States and is a major health issue associated with numerous diseases, specifically an increased risk of certain types of cancer, coronary artery disease, type 2 diabetes, stroke, and cardiovascular disease, as well as significant increases in early mortality and economic costs.
Despite India's 50% increase in GDP since 2013, more than one third of the world's malnourished children live in India. Among these, half of the children under three years old are underweight.
While genetic influences are important to understanding obesity, they cannot explain the current dramatic increase seen within specific countries or globally. It is accepted that calorie consumption in excess of calorie expenditure leads to obesity; however, what has caused shifts in these two factors on a global scale is much debated.
Based in Washington, D.C., Leadership for Healthy Communities is a $10-million national program of the Robert Wood Johnson Foundation designed to engage and support local and state government leaders nationwide in their efforts to advance public policies that support healthier communities and prevent childhood obesity. The program places an emphasis on policies with the greatest potential for increasing sustainable opportunities for physical activity and healthy eating among children at highest risk for obesity, including African-American, Latino, American Indian and Alaska Native, Asian-American and Pacific Islander children living in lower-income communities. The foundation's primary goal is the reversal of the childhood obesity epidemic by 2015.
The School Breakfast Program (SBP) is a federally funded meal program that provides free and reduced cost breakfasts to children at public and private schools, and child care facilities in the United States. All children in participating schools and residential institutions are eligible for a federally subsidized meal, regardless of family income. However, free meals must be offered to children from families with incomes below 130% of the federal poverty level, and reduced price meals to those with family incomes between 130% and 185% of the poverty level. Those families over 185% poverty level have to pay full price for their meals which are set by the school. Even though the children have to pay for their own meals, the school is still reimbursed to some extent.
Obesity in China is a major health concern according to the WHO, with overall rates of obesity between 5% and 6% for the country, but greater than 20% in some cities where fast food is popular.
Let's Move! is a public health campaign in the United States led by former First Lady Michelle Obama. The campaign aimed to reduce childhood obesity and encourage a healthy lifestyle in children.
Obesity in the Middle East and North Africa is a notable health issue. Out of the fifteen fattest nations in the world as of 2014, 5 were located in the Middle East and North Africa region.
The Healthy, Hunger-Free Kids Act of 2010 is a federal statute signed into law by President Barack Obama on December 13, 2010. The law is part of the reauthorization of funding for child nutrition. It funded child nutrition programs and free lunch programs in schools for 5 years. In addition, the law set new nutrition standards for schools, and allocated $4.5 billion for their implementation. The new nutrition standards were a centerpiece of First Lady Michelle Obama's Let's Move! initiative to combat childhood obesity. In FY 2011, federal spending totaled $10.1 billion for the National School Lunch Program. The Healthy, Hunger-Free Kids Act allows USDA, for the first time in 30 years, opportunity to make real reforms to the school lunch and breakfast programs by improving the critical nutrition and hunger safety net for millions of children. Healthy, Hunger-Free Kids Act and Michelle Obama were a step in transforming the food pyramid recommendation, which has been around since the early 1990s, into what is now known as "MyPlate".
Nutrition education is a set of learning experiences designed to assist in healthy eating choices and other nutrition-related behavior. It includes any combination of educational strategies, accompanied by environmental supports, designed to facilitate voluntary adoption of food choices and other food and nutrition-related behaviors conducive to health and well-being. Nutrition education is delivered through multiple venues and involves activities at the individual, community, and policy levels. Nutrition Education also critically looks at issues such as food security, food literacy, and food sustainability.
School meals are provided free of charge, or at a government-subsidized price, to United States students from low-income families. These free or subsidized meals have the potential to increase household food security, which can improve children's health and expand their educational opportunities. A study of a free school meal program in the United States found that providing free meals to elementary and middle school children in areas characterized by high food insecurity led to increased school discipline among the students.
Obesity and the environment aims to look at the different environmental factors that researchers worldwide have determined cause and perpetuate obesity. Obesity is a condition in which a person's weight is higher than what is considered healthy for their height, and is the leading cause of preventable death worldwide. Obesity can result from several factors such as poor nutritional choices, overeating, genetics, culture, and metabolism. Many diseases and health complications are associated with obesity. Worldwide, the rates of obesity have nearly tripled since 1975, leading health professionals to label the condition as a modern epidemic in most parts of the world. Current worldwide population estimates of obese adults are near 13%; overweight adults total approximately 39%.
Obesity is defined as the excessive accumulation of fat and is predominantly caused when there is an energy imbalance between calorie consumption and calorie expenditure. Childhood obesity is becoming an increasing concern worldwide, and Australia alone recognizes that 1 in 4 children are either overweight or obese.
The Fresh Fruit and Vegetable Program (FFVP) is a federally assisted program created by the United States Department of Agriculture (USDA) to help subsidize the purchase of fresh fruits and vegetables during non-meal times during school.
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