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Showing posts with label Childhood Obesity. Show all posts
Showing posts with label Childhood Obesity. Show all posts

Wednesday, August 17, 2011

Schools Restore Fresh Cooking to the Cafeteria

NY Times
 By
GREELEY, Colo. — The idea of making school lunches better and healthier has gathered steam in many parts of the nation in recent years, but not equally for every child. Schools with money and involved parents concerned about obesity and nutrition charged ahead, while poor and struggling districts, overwhelmed by hard times, mostly did not.
Kevin Moloney for The New York Times
George Coates III, who trained at the Culinary Institute of America, has become the Greeley district's first executive chef.
This midsize city in northern Colorado, where 60 percent of the 19,500 students qualify for free or reduced-price meals, is trying to break the mold. When classes start on Thursday, the district will make a great leap forward — and at the same time back to the way it was done a generation ago — in cooking meals from scratch.
Factory food took over most American schools in a rolling, greasy wave of chicken nuggets and pre-prepped everything over the last few decades. Now, real ingredients and spices like cumin and garlic — and in a modern twist, fiber-laden carrots snuck in where children do not expect them, like pasta sauce — are making their return to the cafeteria tray.
Getting ready for that counterrevolution here in Greeley involved a weeklong boot camp to relearn forgotten arts like kitchen math — projecting ingredients to scale when making, say, 300 pans of lasagna, which cooks were doing this week — and to brush up on safe cooking temperatures for meat.
“It shows it’s not just for the elite,” said Jeremy West, the nutrition services director for Weld County District 6.
Colorado, which has been the least obese state in the nation since federal health measurements of American girth began, is a leader in the back-to-scratch movement. Of the 100 or so districts nationally that have worked with Cook for America, a group that trains school cooks in healthier lunch-ways and ran Greeley’s boot camp, more than half are in Colorado, including schools in the largest districts in Denver, Colorado Springs and Boulder.
Nutrition experts say that many school systems around the nation, however much they might want to improve the food they serve, have been profoundly distracted by years of budget cuts and constriction. Many face structural problems, too. Some newer schools have tiny kitchens designed for only reheating premade meals, while some older schools have outdated electrical wiring that cannot handle modern equipment. Many districts, and their lawyers, have also grown fearful of handling and cooking raw meat, as food-borne illnesses like E. coli have made headlines.
“A lot of schools are looking to prepare more items from scratch, and starting to prepare more, but there are tremendous hurdles,” said Diane Pratt-Heavner, a spokeswoman for the School Nutrition Association, a nonprofit membership organization of school nutrition professionals.
Greeley’s schools will be cooking from scratch about 75 percent of the time on the opening day, with a goal of reaching 100 percent by this time next year, when ovens and dough mixers for whole wheat pizza crust will be up and running. But already, the number of ingredients in an average meal — not to mention the ones that sound like they came from chemistry class — is plummeting.
Consider the bean burrito: last year, in arriving from the factory wrapped in cellophane, each one had more than 35 ingredients, including things like potassium citrate and zinc oxide. This year: 12, including real cheddar cheese. Italian salad dressing went from 19 ingredients to 9, with sodium reduced by almost three-fourths and sugar — the fourth ingredient in the factory blend — eliminated entirely.
Statistics showing obesity rates growing faster here in Weld County than in surrounding areas gave the project impetus with district administrators, Mr. West said. The argument was then cinched by the numbers, which showed that going back to scratch would not cost more at all, but could in fact save the district money in the long run.
From the Colorado Health Foundation, a nonprofit group that has helped districts all over the state return to healthy cooking, Greeley got $273,000 in grants, which helped defray much of the $360,000 for construction and new equipment.
Equally crucial was the fact that the district still had a huge central kitchen space that was partly intact from the old days, including a bank of giant ovens that for some reason were never ripped out in the 1980s when cooking from scratch faded. That sharply reduced transition and projected operating costs. Even with 10 new hires in the core kitchen, Mr. West said, 10 net food service jobs were eliminated, since many lunch workers in individual schools were no longer needed.
“The biggest myth is that it costs more money,” said Kate Adamick, a food consultant based in New York and co-founder of Cook for America. She said federal reimbursement rules could actually give poorer school systems some advantages in shifting back to scratch, especially for meat, which many districts buy with deep discounts. Cooking the meat themselves, rather than paying a processor, can drastically reduce total costs, she said.
Meanwhile, the district’s first executive chef, George Coates III, who trained at the Culinary Institute of America and worked in high-end restaurants in Arizona and elsewhere, is plotting a food revolution. Mr. Coates, known in the kitchen as Chef Boomer, said he envisioned good food not just taking over the schools here in Greeley, but also eventually filtering back into homes, reconnecting parents with cooking through a system of recipe sharing — especially if, as he hopes, children go home and talk about the good food they are getting on his watch.
And he has a trick or two up his white sleeves. Take macaroni and cheese, for example. It will still be a staple on the new menu and will still have that bright, strange yellow color that children have become accustomed to, but it will not be artificial. “No natural cheese is that color,” he said.
Greeley’s version will be colored by turmeric, a spice associated with Indian cooking. “Adds a really interesting, subtle flavor, too,” Mr. Coates said.
Elida Martinez is among the kitchen workers who saw the full circle of change over her 32 years at the district. She sees now, she said, that the old days of cooking from scratch were not perfect. Dessert, often gooey, was offered every day, for example, and there was not a lot of fussing over sodium or fat. The new menu plan makes dessert a special occasion.
“We’re going to teach children how to eat again,” she said.
Some things, though, are going back the way they were. A recipe box from the old days was found, tucked away in an office, maybe even saved with hopes of this moment. Chef Boomer said his chili recipe, with a tweak here and there, would be pretty close

Wednesday, February 23, 2011

Pounds add up

Tuesday, February 22, 2011

by Andrea Schoellkopf

Albuquerque Journal Staff Writer

One in three Albuquerque Public Schools students is either overweight or obese — "which is kind of scary," according to the district's wellness manager.  And children across the state are getting obese — not just overweight — at earlier ages, according to a recent report by the state Department of Health.

That report, and data from APS, show the early rise in obesity levels is contradicting the historical notion that obesity happens at later ages.  In Albuquerque, the schools with the highest obesity levels are also showing the lowest academic proficiency levels, both of which appear to be tied to income levels. "You can really see it across the county, the difference," said Jennie McCary, APS' wellness manager. "It's pretty obvious there are a higher proportion of overweight or obese clusterings in areas that are poor."

This month, APS launched "Get in the Action," aimed at improving student health and raising awareness of physical activity and nutrition. The district is asking schools to find one or two programs they can try each month.

McCary said the overweight/obese trend increases with age, peaking at about 38 percent of fifth graders and staying high in eighth grade, she said.

The Giron family had been on such a track — with overweight and obese relatives on both sides, cousins having gastric bypass surgeries and children getting heavier — until their kids started an exercise program at Mission Avenue Elementary. Previously, the boys would spend four or five hours a day in front of video games or television.  "It's changed our whole way of thinking," said Adam Giron, who has lost 10 pounds, wears a pedometer and coaches his third-grade son's basketball team.

His wife, Alison Giron, changed meals to healthier options, and cookies and potato chips are eaten in moderation, rather than in an unlimited supply.

The kids must play outside for 45 minutes a day, and the family ends each day with a neighborhood walk with their first-grade son, who has epilepsy. Giron said that while the boys have not really lost weight, they have improved their muscle tone and are more physically fit. Even the grandparents have gotten in on the act and are exercising more and replacing soda with water.

"We're not really losing weight," Giron said. "We're starting to think healthy."

Early intervention

School nurses measure and weigh about 25,000 children a year in kindergarten, third, fifth and eighth grades to determine Body Mass Index (BMI), a comparison of height and weight, as a factor for obesity. The district had been collecting the data for individual student health records for decades but had not compiled it, McCrary said.

APS officials, using data for a state Health Department on overweight and obesity, looked at which students needed the most attention. "We know we need to intervene early," said Thomas Scharmen, a Health Department epidemiologist who worked with APS data. "We need to work with families ... that's the hard part, is to get the families involved. We can't really dictate."

Nationally, attention has been focused on childhood obesity through the efforts of first lady Michelle Obama's "Let's Move" initiative. The effort focuses on healthy eating as well as an active lifestyle. APS' program involves a "day of simultaneous movement" on May 4, when all schools will be asked to schedule physical activity at the same time of day. "We wanted to start with a simple message around moving more," McCary said, adding that nutrition would continue to be a part of that message.

McCary said she's seen a startling rise in the student diabetes rate. More than 40 middle and high school students have type 2 diabetes, which is related to obesity. When she started 15 years ago, there were none with type 2, then called adult-onset diabetes.

Statewide, 13.2 percent of kindergartners and 22.6 percent of third grade students are obese. That is far beyond the national rate of 19.5 percent for the age group of 6-11 years old.

The state report also found:

• The average weight of a healthy third-grader was 60.7 pounds, compared with an obese third-grader average weight of 98.9 pounds, with some reporting weights between 150 and 200 pounds.

• Nearly twice as many third-graders are classified as obese as kindergartners, a rapid growth contradicting the traditional assumption that most obesity occurs at ages far older than third grade.

• Native American children are three times more likely to be obese than Anglo children and twice as likely as Hispanic children.

The next phase of the state study will look at the Body Mass Index and compare it with after-school programs, amount of physical education offered in each school and policies regarding nutrition.

An overweight student is one whose BMI is greater than 85 percent of his peers, while the measure of obesity is higher than 95 percent.

Scharmen said no one can explain the close correlation between neighborhood income levels and obesity rates. "It may be other things, maybe less sports teams, less opportunities for getting out and being active, and maybe less opportunities for healthy eating," he said.