Alexandria Childhood Obesity

Action Network (A-COAN)

Healthy Snacks on the

GoMarley Nelms, MPA, RD, Community Coordinator

Tricia Rodgers, MA, MSW, Chair, Alexandria Childhood

Obesity Action NetworkApril 12, 2013

Workshop Objectives

During this session, participants will learn

A process for assessing vending machine offerings;

Providing healthier alternatives; and

Developing a healthy vendingpolicy.

A-COAN Partners & Collaborators

The Honorable William D. Euille and Alexandria City Council ▫ Alexandria Health Department ▫ Department of Community & Human Services ▫ Alexandria Redevelopment Housing Authority ▫ Public Health Advisory Commission ▫ Congregational Health Partnership, Inova Health System ▫ Healthy Families, Inc ▫ Alexandria City Public Schools ▫ Wise Educational Services, LLC ▫ Alexandria Police Department ▫ Alexandria Neighborhood Health Services, Inc. ▫ Campagna Center ▫ Creative Play School ▫ George Washington University: Project ITAP ▫ Northern Virginia Community College ▫ Virginia Cooperative Extension ▫ Arlington/Alexandria Smart Beginnings ▫ Evening Star & The Neighborhood Restaurant Group ▫ Virginia Commerce Bank ▫ Reading Connection ▫ Northern Virginia Health Foundation ▫ Virginia Cooperative Extension & Master Gardeners▫ Alexandria Healthy Green Foods Group ▫ Alexandria Pedestrian & Bicycle Program ▫ MRC Leverage Group, LLC ▫ Long & Foster Real Estate ▫ Dept. of Recreation, Parks & Cultural Activities ▫ Department of Planning & Zoning ▫ Congregational Health Resource, LLC ▫ DeCostas, Inc ▫ Healthy Families Alexandria ▫ Northern Virginia Health Foundation ▫ Dept of Planning & Zoning ▫ WIC ▫ Happy Home Child Learning Center ▫ Creative Play School ▫ Hopkins House ▫ Alive! Center for Child Development ▫ Grace Episcopal Preschool ▫ Child & Family Network Centers ▫ Agudas Achim Preschool ▫ Trinity Mops Preschool ▫ Happy Home Child Learning Center ▫ Creative Play School ▫ Hopkins House Preschool Academy ▫ Alive! Center for Child Development ▫ Old Town ACE Hardware ▫ Grace Episcopal Preschool ▫ La Leche League ▫ March of Dimes ▫ Alexandria Community Members ▫

Prevalence of Overweight Among Children & Adolescents

(City of Alexandria)

Sources: • 2007 PRC Child & Adolescent Obesity Survey. © Professional Research Consultants, 2007. [Item 87]Notes: • Reflect children and teens aged 2 to 18 years.

• Based on heights and weights reported by parent respondents.• The definition of overweight for children and adolescents is having a body mass index (BMI), a ratio of weight to height (kilograms divided by meters squared), at or above the 95th percentile of U.S. growth charts for their gender and age.

27.7%20.5%

43.5%

23.5%

13.1% 13.7%

23.9%

8.5%13.5%

29.9%25.5%

17.2%24.0%

32.9%

24.1%

BoysGirls

2 to 56 to 10

11 to 1415 to 18

Grades K-5Grades 6-8

Grades 9-12<200% Poverty

200%+ PovertyWhite

Black/Afr AmHispanic

TOTAL0.0%

20.0%

40.0%

60.0%

80.0%

100.0%

Why are we focusing on obesity?

Survey conducted in 2007 by Inova Health System

Key Areas of Focus

Breastfeeding Support & Promotion Preschool Health Network - Color Me

Healthy and Active Play!  Playgrounds & Project Play Access to healthy foods – Farmers

markets, community gardens, and broader food distribution issues

AND

Healthy Vending Policies

Steps to Healthy Vending

•Why Now?

•Charting a Path

Research

NEMS-V Food Environment Audit Employee Healthy Vending

Machine (HVM) Survey Market Research Procurement

NEMS-V Nutrition Environment Measurement Survey-Vending

GREENProvides at least one serving of fruit, vegetable,and/or whole grains or non-fat/low-fat dairyproducts and meets the Dietary Guidelines forAmericans. Must also meet all of the followingcriteria:

• ≤ 200 calories per portion as packaged• No more than 35 percent of total calories from fat• < 10 percent of total calories from saturated fat • Zero trans fat (less than or equal to 0.5 grams perserving• ≤ 35 percent of calories from total sugars, except foryogurt with no more than 30 grams of total sugars, per8oz portion as packaged.• Sodium content of 400mg or less per portion aspackaged

YELLOWDoes not provide at least one serving of fruit,vegetable, and/or whole grains or non-fat/lowfat dairy products and meets the DietaryGuidelines for Americans. Must also meet allof the following criteria:

• ≤ 200 calories per portion as packaged• No more than 35 percent of total calories from fat• < 10 percent of total calories from saturated fat • Zero trans fat (less than or equal to 0.5 grams perserving• ≤ 35 percent of calories from total sugars, except foryogurt with no more than 30 grams of total sugars,Per 8oz portion as packaged.• Sodium content of 400mg or less per portion aspackaged

RED Does not meet green or yellow criteria.

Food Environment Audit

PurposeMethodsResults

Employee HVM Survey

PurposeDevelopmentMethodsResults

Market Research

Vendors (traditional vs. Healthy) Products & Machines Cost Sharing

Procurement

Government Purchasing Finance/Purchasing Office Current/Future Contracts eVA

Lessons Learned

Next Steps

Please contact us with questions…

Marley Nelms, MPA, Community Coordinator, Alexandria Childhood

Obesity Action Networkmarley.nelms@vdh.virginia.govTricia Rodgers, MA, MSW, Chair, Alexandria Childhood Obesity

Action Network trodgers@novahealthfdn.org