NPA Commentson

IOM’s CACFP Meal Recommendations

CACFP NPA Conference April 13, 2012

Austin, TX

Diane Hogan, MS, RDImmediate Past-President

CACFP National Professional Association

NPA Meal Pattern Committee

Linda St. Claire, WVLynne Oudekerk, NY

Lois Hazelton, NYBrenda Crosby, FLKrista Schoen, FLDiane Hogan, NV

NPA Activities Following IOM Report

Committee ideas

Membership commentsSponsor Consortium & NPA

discussionsStakeholders meeting w/ USDA at

FRAC 2011 TSA Conference 2011

Menu Planning NPA Recommendations

Keep simple Five subgroups of vegetables 2x/week

(except legumes) difficult to monitor, increase recordkeeping, and a challenge to train.

Daily meal requirement i/o weeklyNot all facilities operate five days a weekSome children are in care only a few days a

week

SnacksNPA Recommendations

Eliminate enhanced snack Serve larger portion sizes/more nutritious

snacks to participants over 14 yo Unnecessary with at-risk afterschool

meals

Simplify snacks (Member)5 components at least once a weekLimit:

juice and crackers; high fat, sugar & sodium

One orange & one dark green vegetable/week

Age GroupsNPA Recommendations

Define age groupsChildren under 2 years of age

American Academy of Pediatrics

2-5 years of age6-12 years of age13-18 years of age

Breastfeeding NPA Recommendations

Simplify program & support breastfeeding (member)

Reimburse breastfed meals through six months of age

Include all meals provided by breastfeeding mother who comes to the facility to feed her infant

Resources similar to Healthier School Challenge

Fruits and Vegetables NPA RecommendationsVariety of fruits and vegetables

One fruit and one vegetable at lunch/supper

Serve variety of vegetables Encourage 5 groups i/o require weekly

Require:Vitamin A sources- 3/weekVitamin C sources-1/dayLegumes- 1/week

Breakfast Meat NPA Recommendations

Recommend instead of require meat/meat alternates at breakfast

Few low fat, low sodium meat/meat alternates for breakfast

Suggest whole grains for satiety

Whole GrainsNPA Recommendations

Half the grains should be whole grains

All breakfast grains should be whole grains

Provide a simple list of whole grains instead of calculating whole grain-rich contributions

NPA Supports

Changing the CACFP Meal Patterns

Consistency with other agencies and recommendations

Limiting juice to once a day Limiting high fat/sugar grains Low fat (1%) or fat free milk and

yogurt for participants 2 years of age and older

Implementation: Key to Success

Gradually introduce requirements in more than one rule.

Evaluate, assess and revise each phase to ensure success and prevent adverse effects to participation.

Money - next reauthorization.

Call to Action

After the Proposed Rule, NPA will:

Provide a short Fact Sheet

Distribute model comments as a framework to send comments to USDA

Thank you

Diane Hogan, MS, RDPast-President, CACFP NPA

dhogan@doe.nv.gov702-486-7927

CACFP’s Role in Obesity Prevention

IOM: Early Childhood Obesity Prevention Policies Lynne Oudekerk

Children birth to 5 – poor diets

1 out of 4 children – overweight or obese by kindergarten

2 out of 3 young children are in child care