School Breakfast Promotion and How-To Strategies Sami Beilke, Nutrition Program Consultant – MN Dept of Education Debbie Leone, Outreach Coordinator – Children’s Defense Fund - MN Karra Hartog & Kristine Black, Gideon Pond Elementary – Burnsville, MN Moderator: Alexandra Larson, Midwest Dairy Council
Agenda • Provide overview of the school breakfast program guidelines. • Discuss different breakfast models. • Provide success stories
Breakfast for Learning + Students who participate in school breakfast show improved attendance, behavior, standardized achievement test scores as well as decreased tardiness. 1,2 + Children who are undernourished have poorer cognitive functioning when they miss breakfast. 3 + Providing breakfast to students at school improves their concentration, alertness, comprehension, memory, and learning. 4,5,6 + School breakfast participation is associated with a lower body mass index (BMI, an indicator of excess body fat), lower probability of overweight, and lower probability of obesity. 7,8,9 3
School Breakfast Program Meal Pattern and Monitoring • Meal Pattern Requirements • Monitoring Requirements – Point of Service – Offer vs. Serve • Recordkeeping Requirements 4
Breakfast: The “Phased In” Approach • Be flexible and watch for updates from MDE • Requirements could change for future years • Progress not perfection 5
The Breakfast Bottom Line – Breakfast Meal Pattern went into effect July 1, 2013 Grade groups 4 target nutrients similar to lunch 3 food components required Minimum of 4 required food items offered with OVS – 1 cup fruit required No more than half of the weekly fruit offerings may be in the form of juice – Emphasis on grains and whole grain rich (WGR) All grains must be WGR, unless planned as an extra – Meat/meat alternate can sub for some grain After 1 oz. eq. daily grain minimum is met – Breakfast is a mandatory part of state review 3 year review cycle Possible weighted nutrition analysis of 1 week of menus 6
Grade Groups • Correspond to School Lunch Program – K-5 - 6-8 - 9-12 • Flexibilities – Portion size requirements of each grade group must be met Overlap exists between 3 grade groups A single menu can be used that meets portion size requirements of all 3 grade groups Nutrient requirements of each grade group must still be met 7
Breakfast Meal Pattern for SY13-14 Grades K-5 Grades 6-8 Grades 9-12 Grades K-12 Fruits 1 cup per day Vegetables Optional in place of fruit Grains 1 oz. eq. daily 1 oz. eq. daily 1 oz. eq. daily 1 oz. eq. daily Daily minimum 7 – 10 oz. eq. 8 – 10 oz. eq. 9 – 10 oz. eq. 9 – 10 oz. eq. Weekly maximum weekly weekly weekly weekly Meat/Meat Optional for grains after 1 oz. eq. served Alternates Fluid Milk 1 cup per day OVS Must offer at least 4 food items 8
Nutrient Requirements Grades K-5 Grades 6-8 Grades 9-12 Grades K-12 Min-Max 350-500 400-550 450-600 450-500 Calories Sodium <540 <600 <640 <540 Target 1 Trans Fat 0 grams Saturated Less than 10% of total calories Fat 9
Meal Pattern Components - Fruit • Portion Size – 1 cup required daily – No maximum limit for fruit quantities Keep nutrient requirements in mind • Forms – Fresh, frozen, canned and dried allowed – Temporary allowance of frozen fruit with added sugar Allowed through SY 14-15 – Single fruit type or combination of fruits may be offered – Juice No more than half the weekly fruit offerings can be in the form of juice 100% pasteurized juice only 10
Meal Pattern Components - Grains • Portion Size – 1 oz. equivalent daily minimum for all grade groups, no daily maximum – Weekly minimums and maximums in oz. equivalents 7 – 10 oz. eq. (Grades K-5) 8 – 10 oz. eq. (Grades 6-8) 9 – 10 oz. eq. (Grades 9-12) – 9 oz. eq. per week fulfills requirement for all grade groups (be mindful of nutrient requirement limitations) • Forms – All grains must be whole grain rich (WGR) – Can offer meat/meat alternates after 1 oz. eq. grain is offered 11
Definitions • Whole Grain Rich: Foods that contain a blend of whole grain meal and/or flour and enriched meal and/or flour of which at least 50% is whole grain – Bran – Germ – Endosperm • Whole grain rich products must contain at least 50% whole grain and the remaining grain must be enriched. 12
Crediting Meat/Meat Alternates • Yogurt • Breakfast meats – ½ cup or 4 oz. = 1 oz. – need Child Nutrition eq. label or product formulation statement • Cheese • Tofu – 1 oz. = 1 oz. eq. – see USDA memo • Egg http://www.fns.usda.gov/ – ½ large egg = 1 oz. cnd/governance/Policy- eq. Memos/2012/SP16- 2012os.pdf • Peanut Butter – 2 Tbsp = 1 oz. eq. 13
Meal Pattern Components - Milk • Allowable milk options include: – Fat-free skim (unflavored or flavored) – Low-fat 1% (unflavored only) – Fat-free or low-fat lactose-reduced or lactose-free • Must offer at least 2 choices 14
The Breakfast Bottom Line Offer versus Serve Offer at least 4 food items (specific to OVS only) Fruit may count as more than 1 food item Student must select at least 3 food items from what is offered – Regardless of how many food items offered – One of which must be at least ½ cup fruit and/or vegetable Monitoring Same “point of service” requirements apply as before 15
Breakfast Meal Service Types • Traditional Cafeteria • Grab and Go Cafeteria – Unitized – Self-select • Alternate Locations – Classroom – Bus – Hallway – Others 16
OVS and Meal Service Type • Pre-plating/Bundling/pre-bagged meals – Can 2 or 3 food items be pre-plated bundled? – Yes, if there are logistical limitations – If some/all of the components are bundled, SFA should attempt to offer choices when possible – Ideas: fruit basket with different choices, variety of milk separate from pre-pack, variety bundles Helps minimize food waste and costs – Reminder: OVS is never required at breakfast – School Food Authorities (SFA’s) need to remain consistent with intent of OVS 17
Recordkeeping Requirements • Meal Pattern Contributions – Food Production Records – Recipes – Child Nutrition Labels and Product Formulation Statements – Nutrition Facts – Ingredient Statement Lists • Point of Service Monitoring Documentation – Meal Counts • HACCP/Food Safety Considerations • Special Diet Statements 18
References 1. Murphy JM. (2007) “Breakfast and Learning: An Updated Review.” Journal of Current Nutrition and Food Science , 3(1): 3-36. 2. Basch , CE. (2011) “Breakfast and the Achievement Gap Among Urban Minority Youth.” Journal of School Health , 81 (10):635-640. 3. Taras H. (2005) “Nutrition and Student Performance at School.” Journal of School Health , 75(6):199-213. 4. Grantham- McGregor S, Change S, Walker S. (1998) “Evaluation of School Feeding Programs: Some Jamaican Examples.” American Journal of Clinical Nutrition , 67(4) 785S-789S. 5. Brown JL, Beardslee WH, Prothrow-Stith D. (2008) “Impact of School Breakfast on Children’s Health and Learning.” Sodexo Foundation. 6. Morris CT, Courtney A, Bryant CA, McDermott RJ. (2010) “Grab N’ Go Breakfast at School: Observation from a Pilot Program.” Journal of Nutrition Education and Behavior , 42(3): 208- 209. 7. Gleason, P.M. & Dodd, A.H. (2009). School breakfast program but not school lunch program participation is associated with lower body mass index. Journal of the American Dietetic Association , 109(2 Supplement 1), S118-S128. 8. Millimet, D.L., Tchernis, R. (2009). School nutrition programs and the incidence of childhood obesity. Journal of Human Resources , 45(3), 640-654. 9. Millimet, D.L. &Tchernis, R. (2013). Estimation of treatment effects without an exclusion restriction: with an application to the analysis of the School Breakfast Program. Journal of Applied Economics , 28, 982-1017. 19
Minnesota Utilization of the School Breakfast Program Total Meal Potential 55,683,968 Only 45% of School 60 Breakfast Meals 50 Available to Low- 29M Meal Millions 40 Gap Income Students are 30 Actually Being Served 26M Meal 20 Across Minnesota Served 10 0 2013-14 Sources: USDA; Minnesota Department of Education, EnSearch Analysis (2013), Hunger-Free Minnesota Analysis (2013) 20
Why Does Breakfast Matter? Better Student Health Nutrition Weight Physical complaints Social and Emotional Well-Being Depression and anxiety Behavioral issues Improved Academics Test scores Attendance Punctuality Financial benefits to schools 21
Successful Breakfast Models Increasing school breakfast participation requires the investment of schools to employ proven alternative breakfast models: Breakfast in the Classroom Grab ‘n Go 2 nd Chance Breakfast 22
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