Exam 2 - School Aged Children

Question 1

Describe the National School Lunch Program.

Answer 1

Providing free lunch to families that qualify

Funding provided by the federal government to provide financial assistance to schools
that meet certain criteria.

Question 2

What are the nutrient requirements of the National School Lunch Program as % of RDA?

Answer 2

Breakfast 1/4
Lunch 1/3
Calories
Protein
Iron
Vitamin A and C

Question 3

What is the National Breakfast Program?

Answer 3

Voluntary federal program where breakfast is provided to students who qualify.

Question 4

What are the nutrient requirements of the National School Breakfast Program as % of RDA?

Answer 4

25%

Question 5

What are some of the changes that have been recently implemented to improve school lunches?

Answer 5

Bills, limit food, portion size

Question 6

What are competitive foods?

Answer 6

Junk food that advertises to children. Ex. coca cola, pepsi, cheez its,
-any food that competes w/ school lunch program

Question 7

What are foods of minimal nutrition? Are they restricted in the National School Lunch Program?

Answer 7

hard candy soda water, water ices, chewing gum, jellies/gummies, licorice, cotton candy, flavored popcorn, etc. YES, because of the Texas Nutrition Policy

Question 8

What are the predictors for overweight / obese in school–aged children?

Answer 8

Early adiposity rebound
One overweight parent (especially mom)
ethnicity (hispanic and African American)
Low income
Lower cognitive stimulation (Not an enriching environment like watching tv all day)

Question 9

List the main points of the following legislation:
Senate Bill 19
Child Reauthorization Action of 2004
Texas Nutrition Policy
Healthy Hunger Free Kids Act of 2010

Answer 9

a. Senate Bill 19
Addresses children’s health by acknowledging a change within the existing school environment for daily physical activity in public schools and a coordinated school health approach aimed at reducing the risk of obesity, cardiovascular disease, type 2 diabetes in elementary school students. has 3 main components addressing healthier school environments: minutes of physical activity, SHAC committees, Coordinated school health programs

b. Child Reauthorization Act of 2004
Local Education agency participating in a school meal program shall establish a local school wellness policy by the 2006-2007 school year.

c. Texas Nutrition Policy: Limit access to Food of Minimal Nutritional Value (soda, gum, candies). Provide nutrition and portion size standards for school meals, a la carte, competitive foods and nutritious classroom snacks fats and fried foods, French fries, trans fat, sugar). By 2006 all beverages served in Elementary school should be water, milk or 100% fruit juice.
d. Healthy Hunger Free Kids Act of 2010: Gives USDA the authority to set nutritional standards for all foods served in schools, including vending, “a la carte” items and school stores. Improvement in nutritional standards of school meals including commodity foods. Help communities establish local farm to school networks, school gardens. Easier and increased access for low low income families to participate in school lunch program.

Question 10

What are the components of comprehensive school health?

Answer 10

1. Environment
2. Instruction
3. Services
4. PE
5. Nutrition
6. Counseling
7. Promotion
8. Partnerships

Question 11

What is CATCH?

Answer 11

CATCH (Coordinated Approach To Child Health) is an evidence-based Coordinated School Health Program designed to promote physical activity and healthy food choices, and prevent tobacco use in elementary school-aged children.

PHysical activity
SHaC committees
Coordinated school Health program

Question 12

What age group of children is affected most by food marketing? How does marketing influence eating behaviors in children?

Answer 12

Marketing food influences children aged 2-11 mostly because they dont understand the intent of the ad.

Marketers use character licensing (nemo) to advertise products, celebrities advertise products and internet site have games children can play that advertise products.
for children age 12-18 it is not clear that food ads change the preferences/purchases

Question 13

What percentage of school aged children are obese in this country?

Answer 13

1/5

Question 14

What is self-efficacy?

Answer 14

knowledge of what to do and ability to do it

Question 15

What is the prevalence of obesity for children ages 6 - 11.

Answer 15

Tripled since 1963

Question 16

Compare the prevalence of obesity for children ages 6 – 11 by race and gender.

Answer 16

Higher in Black Girls and Hispanic boys

Question 17

What are the critical periods for obesity in children?

Answer 17

1. prenatal
2. adiposity rebound (typically around 6-7 years old)
3. adolescence

Infancy - nutritional status
Childhood – growth hormone
Adolescence – growth / sex hormone

Question 18

What significance does an early adiposity rebound have in predicting obesity?

Answer 18

it shows that the child is gaining weight at a faster rate than the normal child so they are predestined for obesity

Question 19

What health complications are associated with child obesity?

Answer 19

sleep apnea, asthma, type 2 diabetes, hypertension/heart disease, psychological (they are teased by others), orthopedic complications (excess body weight is hard on joints), gallbladder disease, fatty liver

Question 20

What is acanthosis nigricans and what does it indicate?

Answer 20

Used to screen children for type 2 diabetes because it is associated with insulin resistance, darkening of skin on neck, groin, armpit (mainly wherever theres a fold in the skin)