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Report offers roadmap to better school meals
October 28, 2009
Suzanne Havala Hobbs

Our nation’s school breakfasts and lunches will graduate to a higher level of quality if government officials act on recommendations issued last week by the Institute of Medicine.

The IOM report was drafted at the request of the U.S. Department of Agriculture, the agency that administers the national school lunch and breakfast programs. The report recommends substantial changes that build on improvements made in the mid-1990s when legislation was passed requiring school meals to comply with the USDA’s own Dietary Guidelines for Americans.

Since then, many schools have made progress in cutting the sodium, saturated fat and cholesterol in meals. Improvements have been inconsistent across the nation’s schools, however.

If the USDA adopts the IOM recommendations and integrates them into school meals regulations, the nutritional quality of school meals should improve, helping to ensure that the meals kids eat at school are good models for lifelong eating habits.

Highlights of the recommendations include:

* Reducing sodium to less than half the amount currently served. The report suggests this could be accomplished gradually over a ten-year period, allowing food preparers to adapt recipes over time.

People are less likely to notice small, incremental decreases in the sodium content of foods in contrast to big changes that happen more quickly.

* Menus should focus on the amounts and types of whole foods served rather than on nutrient targets. In other words, super-fortified donuts shouldn’t be used to meet nutritional goals.

Instead, schools should increase the portion sizes and varieties of fruits and vegetables served, including fewer potatoes and starchy vegetables and more leafy greens, orange vegetables and legumes. Schools should serve less fruit juice and more whole fruits.

Refined grains should be replaced by whole grains in at least half the grain products served.

* Whole milk and 2 percent milk should be replaced with 1 percent or skim milk. This will cut the saturated fat content of school meals.

In addition, schools should get trans fat to minimal amounts.

The recommendations include some practical considerations to simplify menu planning, as well as more nutrition education for students and technical assistance to support school food service personnel.

The federal government will also need to increase the reimbursement rates for school meals, since higher amounts of fruits, vegetables and whole grains will raise the cost of meals. That’s where Congress will have to come through with more funding to help make the suggested changes a reality.

The full IOM report is available online at http://www.iom.edu/en/Reports/2009/School-Meals-Building-Blocks-for-Healthy-Children.aspx.

It will no doubt take some time for the USDA to integrate the IOM recommendations into the nation’s school meals. The rest of us don’t have to wait, however.

Take the IOM’s lead and look for ways to make the same recommended changes in the meals you serve in your own home. Model as close to an ideal diet as you can.

Help your children and others you love establish health-supporting eating habits they’ll carry with them all their long lives.

Suzanne Havala Hobbs is a licensed, registered dietitian and clinical associate professor in the Department of Health Policy and Management and the Department of Nutrition in the UNC Gillings School of Global Public Health. Send questions and comments to suzanne@onthetable.net.

The contents of this website are not intended to provide personal medical advice.Individual medical advice should be obtained from a qualified health professional.
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