community nutrition exam ch. 12, 13, and project exam questions

Children

1-11 years old

Adolescents

12-19 years old

after school snack program assistance provided

Available through NSLP

underweight

BMI-for-age < 5th percentile

overweight

BMI-for-age ≥ 85th percentile to < 95th percentile

healthy weight

BMI-for-age ≥ BMI-for-age 5th percentile to <85th percentile

obese

BMI-for-age ≥95th percentile

iron needs

Female needs- 18 mg. Males 8 mg

In January 2012, the USDA published a final rule to update nutrition standards served to NSLP and SBP as part of the

Healthy, Hunger-free Kids Act of 2010

Summer Food Service Program for Children eligibility requirements

Homeless children and children attending public or private nonprofit schools and residential camps or participating in the National Youth Sports Program can receive free meals.

Supplemental Nutrition Assistance Program, SNAP

Improves the diets of low-income households by increasing their ability to purchase foods.

Emergency Food Assistance Program

Makes food commodities available to states for distribution to needy persons such as the unemployed, welfare recipients, and low-income individuals.

How long have federal programs addressing nutrition needs of children and adolescents existed?

More than 150 years

WIC Farmers' Market Nutrition Program

Provides fresh, nutritious unprepared foods such as fruits and vegetables from farmers' markets to low-income women, infants, and children; expands the awareness and use of farmers' markets; and increases sales at farmers' markets

purpose of special milk program

Provides subsidies to schools and institutions to encourage the consumption of fluid milk by children.

ADL

activities of daily living

The School Breakfast Program serves breakfast for free or at a reduced price of no more than ____ to students from households with incomes at or below the income eligibility guidelines. a. $0.40 b. $0.30 c. $0.50 d. $0.60

b. $0.30

List 4 nutrition objectives for children and adolescents in Healthy People 2020

1. Physical activity- increase the proportion of adolescents who meet current federal physical activity guidelines for aerobic physical activity and for muscle-strengthening activity 2. Adolescent health- increase the proportion of schools with a school breakfast program 3. physical activity- increase the proportion of the nation's public and private schools that require daily physical education for all students 4. nutrition and weight status- increase the number of states with nutrition standards for foods and beverages provides to pre-school age children in childcare

A significant and widespread governmental social marketing campaign for prevention of childhood obesity is Let's Move! Championed by First Lady Michelle Obama. List the recommendations for Let's Move! Focus on five pillars:

1. creating a healthy start for children 2. empowering parents and caregivers 3. providing healthy foods in schools 4. improving access to healthy, affordable foods 5. increasing physical activity

Childhood obesity is associated with the increased risk of adverse health outcomes. List 3 of them.

1. hyperinsulinemia 2. hypertriglyceridemia 3. reduced HDL cholesterol concentrations

How can schools prevent and decrease overweight and obesity by creating healthful school environments? (list 6 strategies)

1. provide age-appropriate nutrition and health education to help students develop life-long healthy lifestyle habits. 2. Ensure that meals offered through school breakfast and lunch programs meet healthy standards. 3. Adopt policies that require all foods and beverages available on school campuses and at school events to contribute toward eating patterns that are consistent with the Dietary Guidelines for Americans. 4. Provide food options that are low in solid fat, calories, and added sugars. 5. Ensure that healthy snacks and food are provided in vending machines, school stores, and other venues. 6. Provide adequate time for students to eat school meals, and schedule lunch periods at reasonable hours around midday.

An estimated _____ to ______% of U.S. children aged 18 years or younger experience some form of disability that limits their participation in school, play and social activities.

14-19%

What year was the Child Nutrition Act passed?

1966

, BMI values for children and adolescents are gender-and age- specific and can be calculated using growth charts for children and adolescents from

2 to 20 years old:

Special Milk Program eligibility requirements

All students attending schools and institutions in which the program is operating may participate.

purpose of after school snack program

Assists school-based after-school programs in providing healthful snacks to children.

purpose of Summer Food Service Program for Children

Assists states in conducting nonprofit foodservice programs for low-income children during the summer months and at other approved times, when area schools are closed for vacation

Child and Adult Care Food Program

Assists states in initiating, maintaining, and expanding nonprofit foodservice programs for children and older adults or impaired adults in nonresidential daycare facilities. After-school programs operated by community groups may also serve snacks to teenagers ages 12-18 in low income areas.

purpose of NSLP

Assists states in making the school lunch program available to students. Encourages domestic consumption of nutritious agricultural commodities.

purpose of school breakfast program

Assists states in providing a nutritious, nonprofit breakfast for school students. Eligible schools and residential childcare facilities are the same as for the National School Lunch Program.

School Breakfast Program eligibility requirements

Eligible requirements are the same as for the National School Lunch Program.

Adolescent males and females have the same iron needs. T or F

False

All schools that offer the School Lunch Program (NSLP) are also required to offer the breakfast program. T or F

False

assistant provided by NSLP, school breakfast program, special milk program, and Summer Food Service Program for Children

Formula grants

Food Distribution Program

Improves the diets of preschool and school-aged children and other groups and increases the market for domestically produced foods acquired under surplus removal or price support operations.

Commodity Foods Supplemental Food Program

Improves the health and nutrition status of low-income pregnant, postpartum, and breastfeeding women; infants and children up to six years of age, and older adults through the donation of supplemental foods

Special Supplemental Nutrition Program for Women, Infants, and Children

Provides, at no cost, supplemental nutritious foods, nutrition education, and referrals to health care to low-income pregnant, breastfeeding, and postpartum women; infants; and children to age five who are determined to be at nutritional risk

Afterschool Snack Program eligibility requirements

Sites can qualify to serve all children free of charge based on the percentage of children receiving free and reduced-price meals at the school.

What did this rule require schools to increase?

The adherence to Dietary Guidelines for Americans. The USDA , through CACFP, to promote health and wellness in childcare settings through guidance and technical assistance that focuses on physical activity and limiting electronic media use.

Using your text on page 484, describe the impact that federal nutrition programs have on children's diets. Are children who participate in the SBP and NSLP more likely to meet recommended goals for foods/nutrients?

The impact is promoting healthful eating habits and contributing high quality foods to children's overall diets. According to the study, children who ate breakfast and lunch at school received over 50% of their daily food energy. Participation was also associated with larger intakes of total fat, saturated fat, and sodium, but lower intakes of added sugars than those who did not participate. Students who did participate in both came close to meeting the recommended amount of fruits and vegetables, consumed more grains, and drank more milk while eating fewer sweet and salty snacks and drinking fewer sweetened beverages. Participation on only NSLP showed higher intakes of nutrients like B vitamins, calcium, magnesium, and zinc. School meals showed to contribute too much fat in menu items such as pizza, chicken sandwiches, French fries, and baked goods.

Polypharmacy

The use of many different drugs concurrently in treating a patient, who often has several health problems.

Fruits & Veggies- More Matters

a large public/private nutrition partnership to promote the increased consumption of fruits and vegetables by adults and children. It includes many resources including a program for elementary schools, There's a Rainbow on My Plate, that promotes a colorful diet or fruits and vegetables. It includes curriculum guides for teachers and techniques to promote healthful eating in the school foodservice program. It also targets the produce sections at supermarkets.

Healthy Eating Index

a summary measure of the quality of one's diet. It provides an overall picture of how well one's diet conforms to the Dietary Guidelines for Americans. It factors in such dietary practices as consumption of whole fruits, dark leafy green and orange vegetables, whole grains, milk, meat and beans, oils, saturated fat, sodium, and the calories from solid fats and added sugars in the diet.

The _____ mandate(s) the provision of comprehensive nutrition services to special needs children 3-5 years of age, using a community-based approach that focuses on the family. a. Education of the Handicapped Act Amendments b. Healthy, Hunger-Free Kids Act c. Developmental Disabilities Assistance and Bill of Rights Act d. American Disabilities Act

a. Education of the Handicapped Act Amendments

Childhood obesity is associated with ____. a. hyperinsulinemia, hypertriglyceridemia, and reduced HDL-cholesterol b. hypoinsulinemia, hypotriglyceridemia, and reduced HDL-cholesterol c. hypoinsulinemia, hypotriglyceridemia, and elevated HDL-cholesterol d. hyperinsulinemia, hypertriglyceridemia, and elevated HDL-cholesterol

a. hyperinsulinemia, hypertriglyceridemia, and reduced HDL-cholesterol

Which of the following is a clear risk factor for type 2 diabetes in children? a. overweight b. strong family history of hypoglycemia c. Asian ancestry d. younger than 10 years of age

a. overweight

Over the past 20 years, there has been an increase in _____ of commonly consumed foods. a. portion sizes b. nutrient density c. cholesterol content d. fiber content

a. portion sizes

NSLP eligibility requirements

all students where the lunch program is operating may participate. -lunch is served free to students who are determined by local school authorities to live in households with an income at or below 130% of the federal poverty guidelines -lunch is served at a reduced price to students who live in a household with incomes between 130-185% of the poverty guidelines -students from families with incomes over 185% of the poverty guidelines pay full price for lunch

Improving child nutrition is the focus of the ____, which authorizes funding and allows the USDA to reform the nutrition standards of the school lunch and breakfast programs. a. Child Nutrition Act of 1966 b. Healthy, Hunger-Free Kids Act of 2010 c. National School Lunch Act of 1946 d. Economic Opportunity and Community Partnership Act of 1967

b. Healthy, Hunger-Free Kids Act of 2010

More than one-third of the dollars spent on food away from home are spent ____. a. at fine dining establishments b. on fast foods c. on produce from farmer's markets d. at convenience stores

b. on fast foods

List 10 groups of children who are considered to have special health care needs

birth defects, chromosomal abnormalities, asthma, autism, cerebral palsy, epilepsy, metabolic disorders, insulin-dependent diabetes, cancer, fetal alcohol syndrome, mental retardation, and other chronic health conditions.

Which two USDA nutrition education programs specifically target the improvement of children's health? a. Head Start and Early Head Start programs b. Action for Healthy Kids and Title V Maternal and Child Health Program c. Expanded Food and Nutrition Education Program and Team Nutrition d. Medicaid and the Early and Periodic Screening, Diagnosis, and Treatment program

c. Expanded Food and Nutrition Education Program and Team Nutrition

Which statement best describes, in general, the nutritional health status of U.S. children? a. It is much worse today than it was a decade ago. b. It is worse today than ever before. c. It is better today than ever before. d. It is the same today as it has been for a decade.

c. It is better today than ever before.

As a program of Feeding America, ____ is one of the nation's largest free meal service programs for children. a. Team Nutrition b. The Summer Food Service Program c. Kids Café d. The National School Lunch Program

c. Kids Cafe

Overweight in children is defined as having a BMI ____ on the CDC growth chart. a. above the 50th but below the 60th percentile b. at or above the 95th percentile c. above the 85th but below the 95th percentile d. above the 15thbut below the 25th percentile

c. above the 85th but below the 95th percentile

The most common chronic disease of children aged 5 to 17 years is ____. a. COPD b. diabetes c. dental caries d. hypertension

c. dental caries

Healthy People 2020 aims to increase the proportion of adolescents who meet current federal physical activity guidelines for aerobic physical activity to ____. a. 28.7% b. ​17.9% c. 9.3% d. 31.6%

d. 31.6%

Obesity in children is defined as having a BMI ____ percentile on the CDC growth chart. a. above the 50th b. above the 75th c. above the 85th d. above the 95th

d. above the 95th

Eat Smart. Play Hard

designed to convey motivational messages about healthful eating and physical activity. The campaign uses a mascot, Power Panther, as the primary communication vehicle for delivering messages about nutrition and physical activity. Target audience is children 2-18. Campaign messages are based off of the Dietary Guidelines for Americans and focus on four basic themes: eating breakfast, healthful snacking, achieving balance, and physical activity.

Healthy People 2020

health and nutrition objectives for children and adolescents. The priority health related areas for children and adolescents include physical activity and fitness, nutrition, and dental health. Includes targets for fruits, vegetables, whole grains, consistent with Guidelines. Objectives are included for food eaten at school and for nutrition education in schools

Food Distribution Program on Indian Reservations

improves he diets of needy persons in households on or near Indian reservations and increases the market for domestically produced foods acquired under surplus removal or price support operations

Fuel Up to Play 60:

launched in 2009, this is a nationwide movement focused on fighting childhood obesity by empowering children to take control of their own health. The in-school program encourages the availability and consumption of nutrient-rich foods and at least 60 minutes of daily physical activity. The program was founded by the National Dairy Council and the National Football League in collaboration with the USDA. The program in more than 7,000 schools, helps schools create a healthier environment for students. It provides a free "playbook" of tools, resources, rewards, and activities to empower youth. Some member schools have started walking clubs, while other conducted "taste tests" of foods such as whole grains, fruit, and reduced-fat cheese. Students then vote on which ones they would like to see in the school cafeteria.

Best Bones Forever

national bone health campaign that partners the National Osteoporosis Foundation with the Centers for Disease Control and Prevention and the Department of Health and Human Services. It is a multiyear campaign to promote optimal bone health in girls 9-12 years of age and thus reduce the risks of osteoporosis later in life. The goal is to encourage calcium consumption and physical activity for building and maintaining strong bones. It also targets adults who influence "tweens" including parents, teachers, and health care professionals.

Farm-to-school programs

students gain access to healthy, local foods and experiential learning opportunities. Includes one of the following 1. Procurement: local foods purchased and served in the cafeteria, part of social marketing campaign of schools; 2. Education: includes activities such as school gardens, cooking classes, and field trips to local farms; 3. School gardens: students engage in hands-on learning through gardening. Currently 44% of schools and 23.5 million students participate in some form of this program.

Children with special health care needs are at increased nutritional risk due to potential feeding problems, drug/nutrient interactions, and decreased mobility. T or F

true

The Healthy Eating Index is used as an indicator of diet quality as it provides an overall picture of the types of foods people choose to eat and of their adherence to the Dietary Guidelines for Americans. T or F

true

The National Football League (NFL) helped establish the Fuel Up to Play 60 program focused on fighting childhood obesity. True False

true

The primary feeding goal of a child with special needs is for the child to feed him- or herself. True False

true