What’s Being Served? A Nutritional Analysis of the CHEP Supported Children’s Nutrition Program in Saskatoon Schools June 2012 Report Prepared by: Nikole Janzen Student Researcher 230 Avenue R South, Saskatoon, Saskatchewan, S7M 0Z9 Phone: (306) 655-5311 www.chep.org TABLE OF CONTENTS Introduction ___________________________________________________ 2 Methods ______________________________________________________ 3 Results _______________________________________________________ 4 Results 1: Food Group Servings ____________________________________ 4 Results 2: Energy ______________________________________________ 6 Results 3: Macronutrients _______________________________________ 8 Results 4: Micronutrients _______________________________________ 10 What’s Being Served? June, 2012 Conclusion ___________________________________________________ 13 Appendices _________________________________________________________ 14 Appendix 1: School Lunch Meals ________________________________________ 15 Appendix 2: Food Grouping Spreadsheets _________________________________ 22 Appendix 3: Energy & Macronutrient Spreadsheets ___________________________ 24 Appendix 4: Micronutrient Spreadsheets __________________________________ 25 Reference List _______________________________________________________ 27 Introduction Adequate nutrition remains a crucial requirement for the proper growth, development, and health of school-aged children. Children continue to grow physically, cognitively, emotionally, and socially in their pre-adolescent years during which time they prepare for the physical and emotional demands of the adolescent growth-spurt (Brown, 2011). Many children in Canada, however, are unable to obtain the needed nutrition for healthy growth and development, reflected in behaviour issues in school, learning and attention difficulties, and poor academic performance. 2007-2008 findings from The Canadian Community Health Survey showed that 7.7% of households in Canada experienced food insecurity; households with children were further found to have the highest rates of food insecurity (Statistics Canada, 2010). As defined by the World Health Organization, food security exists when “all people, at all times, have access to sufficient, safe, nutritious food to maintain a healthy and active life” (World Food Summit, 1996). Children are particularly susceptible to nutrition problems such as iron-deficiency anemia, undernutrition, and dental caries; furthermore, the overconsumption of energy-dense, nutritiously inadequate foods – as may occur in food-insecure households – may result in chronic conditions such as obesity, type 2 diabetes, and/or cardiovascular disease later in life (Brown, 2011). Many parents rely on school lunches to meet a significant part of their children’s nutrient needs on school days, underscoring the need for school nutrition programs (Whitney & Rolfes, 2011). Chep Good Food, Inc., a Saskatoon community organization, has responded to the need for improved access to good food and food security among children, families, and communities. Chep believes that food is a basic right and that health, learning ability, participation in community, and all facets of human development – physical, mental, and emotional – are adversely affected by inadequate nutrition (CHEP). In keeping with their vision that quality, nutritious, safe food should be accessible for all people in every circumstance, Chep has partnered with community groups to operate food programs for children at neighbourhood schools and community centres. Collaboration between parent groups, schools, businesses, government, and Chep has allowed for the serving of meals at more than thirty-five schools 2- CHEP Good Food Inc What’s Being Served? June, 2012 and children’s and youth programs in Saskatoon. The Saskatchewan Ministry of Health’s document Nourishing Minds: Eat Well, Learn Well, Live Well provides guidelines for all school lunch programs, including those supported by Chep. Nourishing Minds’ Comprehensive School Community Health (CSCH) approach parallels Chep’s values, ultimately striving to enhance the health and well-being of students and the greater community by recognizing four rationales for their policy: Nutrition is a priority, nutrition impacts learning, nutrition impacts health, and school nutrition environments impact health and learning (Sakatchewan Ministry of Health, 2009). The Healthy Eating Guidelines set out by Nourishing Minds are based on the Canada Food Guide and the Saskatchewan Ministry of Health’s Healthy Foods for My School document, which indicates appropriate school food choices from each of the four food groups (Saskatchewan Ministry of Health, 2008). Ultimately, Chep aims to support schools in providing one-third of a child’s daily nutrition and one serving from each of the four food groups through lunch programs in keeping with the government mandates. Nutrition coordinators at each school are responsible for implementing the concerted nutrition goals of the schools and Chep. Nutrition coordinators have a prominent role in exposing children to healthy foods at a young age, equipping them to make good choices during adolescence and later in life (Brown, 2011). To determine whether children’s nutrient needs are, in fact, being met by school lunch programs, Chep conducts a yearly analysis, summarized in a report entitled What’s Being Served? A typical lunch is collected from each school and analyzed for its nutrient content and number of food guide servings; results are then compared to recommendations. Therefore, Chep may determine whether school lunch programs are benefiting children to the extent to which they strive. Methods Chep and students from the University of Saskatchewan’s Nutrition & Dietetic program have partnered together for various projects, allowing for relationships to be built between Chep staff and university students. As a result, a nutrition student has been asked to conduct the What’s Being Served? school lunch analysis each year the review has been done. Prior to the collection of school lunches, Chep sent an e-mail to school administrators informing them of approximately when they could anticipate the student coming. This year, during the week of May 22 and May 25, eighteen schools were visited between 9:30 and 11:45 AM. The nutrition student presented herself to the school office, where she was directed to the school’s nutrition room. Nutrition coordinators then provided details regarding what they were serving on that particular day. While some schools gave the student a physical lunch for analysis, others provided a detailed verbal description of the day’s menu; either way, the student recorded all foods and their correct amounts to her best ability. All schools that were contacted responded to the nutrition 3- CHEP Good Food Inc What’s Being Served? June, 2012 student willingly and cooperatively, providing information regarding ingredients used, preparation methods, and serving sizes. The eighteen schools were coded for anonymity using the letters A through R. Once data was gathered from all schools, each meal was entered into a diet analysis computer program by its individual food components. Food Processor (Version 7) is known to be an accurate, reliable generator of nutrient data, and was thus used to derive quantities of both macronutrients and micronutrients. Food grouping was then conducted by the nutrition student using the standards set by Canada’s Food Guide to determine the number of servings of each food group provided by each meal. The collected data was then organized into tables in Microsoft Excel to be further analyzed and compared to recommendations. Eating Well with Canada’s Food Guide and the Institute of Medicine’s Dietary Reference Intakes (Health Canada, 2011) provide the standards to which school lunches are compared for food guide servings as well as macro- and micro-nutrients, respectively. As mentioned, Nourishing Minds recommends that school lunches provide one serving of each of the four food groups and one-third of a child’s nutrient needs. Because nutrient needs differ according to sex and age group, two reference active male children are used in this analysis to represent the energy and nutrient needs of all children – both males and females – in two age categories. Both of these males’ heights and weights fall within the fiftieth percentile of the 2010 World Health Organization (WHO) Growth Charts (Dietitians of Canada): The younger child, given the age of six years, would have a height of 116 centimetres and a weight of 21 kilograms, and the older child, given the age of eleven years, would have a height of 143 centimetres and a weight of 37 kilograms. We may thus compare results of our meal analysis to the energy and nutrient needs of these reference children. Of the eighteen schools analyzed, four schools provided differing quantities of food for different age groups served. Younger children included those from Kindergarten to Grade Three or Four, represented by our six-year-old reference child, while older children included those in Grade Four or Five and older, represented by our eleven-year-old reference child. Therefore, to facilitate the interpretation of results, all data is organized into two age categories: The younger children and the older children. Also distinguished in some results is the difference between the two school divisions from which meals were collected, Greater Saskatoon Catholic Schools (GSCS) and the Saskatoon Public School Division (SPSD). Of the eighteen schools, seven were of the SGCS (Schools A through G) and eleven were of the SPSD (Schools H through R). Though statistical analysis was not performed on the data, differences between the two school divisions appear to be very small. 4- CHEP Good Food Inc What’s Being Served? June, 2012 The DRIs are comprised of several different recommendations for each nutrient. Namely, the Estimated Average Requirements (EARs), the Recommended Dietary Allowances (RDAs), the Adequate Intakes (AIs), and the Tolerable Upper Intake Levels (ULs) reflect daily amounts of nutrients that are appropriate for healthy individuals to consume through food and supplements. EAR values were chosen as the standard values for this study as they are appropriate for evaluating and implementing nutrition programs for groups (Whitney & Rolfes, 2011). Results 1. Food Group Servings Eating Well with Canada’s Food Guide recommends the following number of servings of each of the four food groups for both male and female children: Boys & Girls Ages 4-8 Boys & Girls Ages 9-13 Vegetables & Fruit 5 6 Grain Products 4 6 Milk & Alternatives 2 3-4 Meat & Alternatives 1 1-2 Chart 1.1 (on the next page) illustrates the number of food guide servings provided in school lunches, averaged together from all eighteen schools. 5- CHEP Good Food Inc What’s Being Served? June, 2012 Chart 1.1: Average Number of Food Guide Servings in School Lunches Discussion: Recall that Nourishing Minds recommends that one serving from each of the four food groups be provided by a school lunch. For older and younger age categories, schools are serving 1.6 and 1.7 servings of vegetables and fruits, respectively; 1.3 and 1.4 servings of grain products, respectively; 0.89 servings of milk and alternatives; and 0.51 and 0.52 servings of meat and alternatives, respectively. Therefore, schools may seek ways in which they may increase their servings of both milk and alternatives and meat and alternatives. It is important to note, however, that many schools served second helpings of food and milk to children who wished for more, particularly with regards to milk. Some schools reported that milk was previously being wasted when larger portions were given, and serving less than a full serving was simply a solution to the wastage problem. Chart 1.2 (on the next page) illustrates the difference between the average numbers of food guide servings provided in lunches within the two school divisions represented in the study. 6- CHEP Good Food Inc What’s Being Served? June, 2012 Chart 1.2: Comparison of Food Group Servings between the Greater Saskatoon Catholic School Division & the Saskatoon Public School Division . Discussion: The above chart shows a slightly higher average of all food groups served in the seven Greater Saskatoon Catholic School Division schools in comparison to the eleven Saskatoon Public School Division schools. Both school divisions exceeded the recommended one serving of vegetables and fruit and grain products. Milk and alternatives’ recommendation was nearly reached by Greater Saskatoon Catholic Schools, and meat and alternatives was lower than the recommended one serving in both school divisions. Again, many schools reported serving second helpings to children who asked for them; therefore, some children may, in fact, be served greater amounts of each of the four food groups than the above charts display. 2. Energy Estimated energy requirements (EERs) are derived from the following formulas, where PA is a physical activity constant: Table 2.1: EER Formulas for Children Sex & Age EER Formula 7- CHEP Good Food Inc What’s Being Served? June, 2012 Boys, Ages 3-8 88.5-(61.9 x age [years]) + PA x {(26.7 x weight [kg]) + (903 x height [m])} + 20 Boys, Ages 9-18 88.5-(61.9 x age [years]) + PA x {(26.7 x weight [kg]) + (903 x height [m])} + 25 Using the reference male children mentioned in the Methods section as a representative of all children (both males and females), we conclude that an active six-year-old male would need 1763 kilocalories per day, and an active eleven-year-old male would need 2304 kilocalories per day. Table 2.2 compares energy requirements with the kilocalories being served in the schools. Table 2.2: Child’s Energy Requirements (Kilocalories) as Compared to Energy in an Average School Lunch – All Schools Age EER 1/3 of EER Average % Actual of Average % Actual of Average % Actual of (kcal) (Lunch Kcal: All Recommended Kcal: Recommended Kcal: Recommended Requirement) Schools 1763 587 482.4 82% 472.3 81% 488.8 83% 9-13 230 767 493 64% 481.5 64% 500.3 65% Year 4 4-8 GSCS SPSD Year s s Discussion: The above table shows that the lunches are not meeting our reference child’s estimated energy requirements. Particularly, lunches served to older children with higher energy needs are providing up to 36% fewer kilocalories than are required. However, several issues may exist with the analysis. Firstly, not all schools provide lunches for children in the older age category, yet all are analyzed in comparison to the EER for an older child. Table 2.3 (below) takes into consideration only those four schools that indicated different portions of food served to older and younger children for a more accurate reflection of meals served. Secondly, as mentioned previously, many schools provide second helpings of food to children; all meals were only analyzed as per the initial portion served. Table 2.3: Child’s Energy Requirements (Kilocalories) as Compared to Energy in an Average School Lunch – Schools G, L, O, & P Age EER 1/3 of EER Average Kcal of the Four Schools that % Actual of (kcal) (Lunch Distinguished Between Older & Younger Recommended Requirement) Portions (Schools G, L, O & P) 8- CHEP Good Food Inc What’s Being Served? 4-8 June, 2012 1763 587 372.7 63% 2304 767 420.4 55% Years 9-13 Years Discussion: Schools may consider increasing portion sizes in order to meet energy requirements of the children served. School-aged children are growing at a slow, yet steady, rate, which is reflected in their energy needs (Brown, 2011). Though energy needs differ largely from child to child, it is important that every child consume enough nutrient-dense foods to meet energy requirements. 3. Macronutrients Protein, carbohydrates, fat, and fibre comprise the four macronutrients considered in addition to total energy. The DRIs provide adequate intake (AI) values for total fibre, while recommendations for carbohydrates and protein are expressed as recommended dietary allowances (RDAs). Recommendations for fat are not given a specific DRI value; rather, fat is expressed as an accepted macronutrient distribution range (AMDR). The following table displays the recommendations for each macronutrient and the amounts of each that one school lunch should be providing (1/3 of recommendation). Table 3.1: Macronutrient Recommendations ProteinA Carbohydrate Fat FibreB Recommendation RDA RDA AMDR AI Age 4-8 years old 15.9 g/day 100 g/day 20-35% total 25.0 g/day Age 9-13 years old 28.1 g/day 100 g/day kcal (all ages) 31.0 g/day Age 4-8 years old 5.3 g 33.3 g 20-35% total 8.3 g Age 9-13 years old 9.4 g 33.3 g kcal (all ages) 10.3 g 1/3 of Recommendation A The protein RDA for children aged 4-13 years is 0.95 g protein/kg body weight/day (Brown, 2011). The value on this table considers the weight of our two reference children, mentioned above. B The fibre AI for all ages is 14 g/1000 kcal consumed (Health Canada). Again, values on this table represent the needs of the two reference children in each age category. 9- CHEP Good Food Inc What’s Being Served? June, 2012 The following graph shows the lunch’s average amounts of energy, protein, carbohydrates, fat, and fibre as a percentage of the recommended amount. Graph 3.1: Extent to Which Lunches’ Average Macronutrient Content Met the Minimum Standard Discussion: The chart shows that energy and fibre fall below the recommended amounts, yet protein and carbohydrates are well above the recommended amount in school lunches. While energy has already been discussed, fibre is a crucial, yet often overlooked, element of childhood nutrition. Fibre is important in the diets of children for several reasons: It fosters weight management, lowers blood cholesterol, may help to prevent colon cancer, helps prevent and control diabetes, helps prevent and alleviate hemorrhoids, helps prevent appendicitis, and helps prevent diverticulosis (Whitney & Rolfes, 2011). Grains, vegetables, fruit, and legumes are high sources of fibre that schools may consider incorporating into their menus in greater amounts. As mentioned, carbohydrates and protein are served by schools in amounts much greater than are recommended. Carbohydrates provide about half of all the energy muscles and other body tissues use (Whitney & Rolfes, 2011); therefore, active children benefit largely from consuming adequate carbohydrates. Proteins have many varied roles in the body including tissue repair and growth. When adequate kilocalories are not consumed, however, protein may be used for energy; thus protein malnutrition may have devastating effects in children (Brown, 2011). 10- CHEP Good Food Inc What’s Being Served? June, 2012 Fat was not shown on the graph due to a different way of expressing fat’s recommendations. It is recommended that 20-35% of one’s total kilocalories come from fat. In this study, 36% of all kilocalories provided were fat kilocalories. Evidently, the fat content of school lunches is high; further analysis would be needed to discover whether schools are serving appropriate amounts of both healthy and unhealthy types of fat: Saturated and trans fats may result in increased health risks among children, while monounsaturated and polyunsaturated fats, as well as Omega-3 fats, provide benefits (Whitney & Rolfes, 2011). Generally, school-aged children typically exceed their dietary fat requirements. 11- CHEP Good Food Inc What’s Being Served? June, 2012 4. Micronutrients Eleven vitamins and minerals were considered in the school lunch analysis; though some play more significant roles in the body, deficiency in any one may have negative health effects. Recommendations of the eleven nutrients analyzed are as follows: Table 4.1: Micronutrient Recommendations (EAR) Recommendation 1/3 of Recommendation (EAR) Ages 4-8 Ages 9-13 Vitamin C 22 mg/day Vitamin AA 275 mcg/day 445 (RAE) 39 mg/day Ages 4-8 Ages 9-13 7.3 mg 13 mg 91.7 mcg 148.3 mcg 3.3 mcg 3.3 mcg 53.3 mcg 83.3 mcg mcg/day (RAE) Vitamin D 10 mcg/day 10 mcg/day Folate 160 mcg/day 250 mcg/day Thiamin 0.5 mg/day 0.7 mg/day 0.17 mg 0.23 mg Riboflavin 0.5 mg/day 0.8 mg/day 0.17 mg 0.27 mg Vitamin B6 0.5 mg/day 0.8 mg/day 0.17 mg 0.27 mg Vitamin B12 1.0 mcg/day 1.5 mcg/day 0.33 mcg 0.5 mcg Calcium 800 mg/day 1100 266.7 mg 366.7 mg mg/day Iron 4.1 mg/day 5.9 mg/day 1.37 mg 2.0 mg SodiumB 1200 1500 400 mg 500 mg mg/day mg/day A Vitamin B Sodium A recommendations are expressed as retinol activity equivalents (RAEs) is expressed as an AI value rather than an EAR. Graph 4.1 shows that school lunches are generally suffice in each of the nutrients acknowledged. 12- CHEP Good Food Inc What’s Being Served? June, 2012 Graph 4.1: Extent to Which Lunches’ Average Micronutrient Content Met the Minimum Standard Discussion: Despite the lunches providing fewer calories than are recommended for consumption by school-aged children, only two micronutrients showed to be under the recommended amount: Vitamin D and calcium. A brief statement will outline the importance of each micronutrient, and a more extensive explanation will be given regarding vitamin D and calcium, as well as sodium. Vitamin C: Humans are one of few mammals unable to synthesize vitamin C, making it an important dietary vitamin. Among its roles are antioxidant activity, and synthesis of collagen, hormones, and neurotransmitters (Gropper et al., 2009; Whitney & Rolfes, 2011). Vitamin A: A versatile, fat-soluble vitamin, Vitamin A promotes vision, plays a role in the health of epithelial tissue and skin, and supports growth (Whitney & Rolfes, 2011). Forms of vitamin A include retinyl esters in animal foods and beta-carotene in plant foods, which are then transformed to retinol, retinal, and retinoic acid in the body. Retinol activity equivalents (RAEs) are how dietary vitamin A is most accurately measured. 13- CHEP Good Food Inc What’s Being Served? June, 2012 Folate: Folate deficiency impairs cell division and protein synthesis; for this reason, it is critical that growing children receive adequate folate (Whitney & Rolfes, 2011). A lack of folate may also be related to premature coronary artery disease, among other conditions (Gropper et al., 2009). Thiamin: Thiamin is especially important in the body’s ability to use energy (Gropper et al., 2009). Generally, thiamin is not a nutrient of concern for deficiency in North America (Whitney & Rolfes, 2011). Riboflavin: Milk and milk products are very high in riboflavin, whose role also relates to energy metabolism (Whitney & Rolfes, 2011). A deficiency in riboflavin almost always occurs alongside other nutrient deficiencies, usually due to an overall lack of kilocalories. Vitamin B6: Vitamin B6 plays a role in amino acid and fatty acid metabolism (Whitney & Rolfes, 2011). Without vitamin B6, red blood cell production fails to efficiently occur. Vitamin B12: Dietary vitamin B12 is needed in very small amounts, yet plays a significant role in synthesizing new cells, maintaining nerve cells, and breaking down some fatty acids and amino acids. Vitamin B12 and folate are closely associated in the roles that they perform in the body (Whitney & Rolfes, 2011). Iron: Iron deficiency, though prevalent in the toddler- and pre-school-age years, declines during schoolage years, yet remains a nutrient of concern in some children. Meats, fortified breakfast cereals, and dry beans and peas are sources of iron that are important to include in children’s diets (Brown, 2011). Iron is part of the protein that carries oxygen in the blood (Whitney & Rolfes, 2011). Vitamin D: Vitamin D is unique due to the fact that can be synthesized by the body. There are very few food sources of vitamin D; sources that exist include fortified milk and margarine, veal, beef, egg yolks, liver, and fatty fish and fish oils (Whitney & Rolfes, 2011). The active form of vitamin D is a hormone, which circulates in the body, causing responses in various areas, namely, the intestines, the kidneys, and the bones (Whitney & Rolfes, 2011). Bone growth is a primary role of vitamin D’s action, which is why it is important that children obtain adequate vitamin D. As stated, vitamin D may be synthesized by the skin; however, people with darker skin pigmentation are less efficient at synthesizing the active form of vitamin D from sunlight. Limited sun exposure and the use of sunscreen, along with few existing food sources of vitamin D, cause vitamin D deficiency in many children (Gropper et al., 2009). Because it is difficult to obtain adequate vitamin D through food sources, it is not surprising that the school lunches are low in vitamin D content. Milk is one of the most significant sources of vitamin D; hence milk remains a significant component of school lunch programs. 14- CHEP Good Food Inc What’s Being Served? June, 2012 Calcium: Calcium and vitamin D work closely together in the bone mineralization process, which again reinstates the necessity of each in children’s diets. Milk and dairy products are the main food sources of calcium. It is recommended that children consume between two and four servings of milk and alternatives each day. An 8-ounce (250 ml) glass of milk, 175 grams (175 ml) of yogurt, or 1.5 ounces of cheese constitutes a serving of milk (Health Canada, 2007). Calcium may be low in school lunches due to the fact that many children are not consuming the full 8-ounce amount of milk; furthermore, single-serving containers of yogurt – commonly served at some schools – are portioned out in amounts between 100 and 110 grams, so will not provide a full serving of milk and alternatives. Cheese and other milk products may be more expensive items that are used in moderation. Lastly, many children have developed milk intolerances, making it difficult to obtain needed amounts of calcium from food sources. Inadequate calcium intake during the period of bone mineralization (until 30 years old) is a concern due to the high incidence of osteoporosis among elderly women. It has been shown that present bone density and past calcium intake are significantly correlated (Gropper et al., 2009). Sodium: Despite its important role in the body, sodium differs from other nutrients in that its Upper Level (UL) value – that amount which may incur health risks – remains only slightly above the AI value. Children ages 4-8 years and 9-13 years are not to exceed 1900 and 2200 mg sodium per day, respectively (Health Canada, 2012). According to the AI, children are to consume 400 and 500 mg sodium/lunch (per respective age group), yet the UL states that children are not to consume more than 633.3 and 733.3 mg sodium/lunch (per respective age group). Results from the Canadian Community Health Survey show that 93% of children aged 4-8 years exceed the UL for sodium (Health Canada, 2012). Foods such as breads, processed meats, and soups contribute significantly to one’s sodium intake. Average sodium content in lunches served to 4-8 year-olds was found to be 720.1 mg, while that of the lunches served to 9-13 yearolds was found to be 754.1 mg; both exceed the UL. Though sodium is difficult to reduce, schools should consider using low-sodium broths and soup-bases, eliminate any added salt from recipes, and limit the use of processed meats and commercially-prepared breads, instead finding lower-sodium replacements. Conclusion It is evident that schools utilizing Chep’s support are striving to serve healthy lunches to children in compliance with the vision shared between the schools and Chep. Significant differences were not observed between the nutrition content in lunches served between Saskatoon’s two school divisions. After examining the average food group and nutrient content of school lunches, key issues identified include less than one serving of milk and alternatives and meat and alternatives in school lunches, as well as inadequate total energy, fibre, vitamin D, and calcium. As stated, many schools serve second helpings of 15- CHEP Good Food Inc What’s Being Served? June, 2012 lunches to children; therefore, actual amounts of the nutrients of concern may be higher than values stated in some children’s diets. Overall, children are benefiting from school lunch programs by consuming generally nutritious foods which meet a significant amount of their nutrient needs. 16- CHEP Good Food Inc What’s Being Served? June, 2012 Appendices Appendix 1: School Lunch Meals School Code Lunch Items Collected Translated to Food Processor Data School A Chili: Whole Recipe Of Chili, each child served: 17- CHEP Good Food Inc What’s Being Served? June, 2012 2 large blocks lean ground beef (1 kg 53.8 ml lean ground beef each) 9.3 ml onion 3 onions 21.9 ml sweet pepper 6 sweet peppers 22.3 ml canned tomatoes 2 large cans diced tomatoes (796 ml 25.5 ml canned mushrooms each) 15.9 ml condensed tomato 3 cans mushrooms (400 g each) 4 cans condensed tomato soup (284 30.2 ml canned kidney beans ml each) 6.6 ml pureed lentils 4 cans kidney beans (540 ml each) 43.1 ml pork ‘n beans 2 cups cooked, pureed lentils 0.2 ml oregano Large can pork ‘n beans (3081 ml) 0.2 ml basil 1 tbsp oregano 1.3 ml chili powder 1 tbsp basil 1.3 ml garlic powder 6 tbsp chili powder 0.4 ml salt 6 tbsp garlic powder 1.7 ml vinegar 2 tbsp salt 0.2 ml pepper 1/2 cup vinegar 1 tbsp pepper Also served: Served with: 1 piece whole wheat bread 1/2 orange, apple, or banana 1 piece whole wheat bread (choose apple; seems most 1/2 whole fruit: Orange, apple, or common) banana School B soup 177 ml 2% milk 6 oz. 2% milk Beef Lentil Soup: 1-Cup Serving Of Beef Lentil Soup, each child Half beef broth 15 ml potato 118 ml beef broth 5 ml cooked lentils 15 ml potato Rest: Carrots, celery, tomatoes (more 5 ml cooked lentils tomatoes than carrots and celery) 45 ml tomatoes 25 ml celery 29 ml carrots served: Also Served: 2 soda crackers (white, salted) Also Served: 1.5 oz cheddar cheese 1/2 cup veggies: o 59 ml cucumber slices 18- 2 soda crackers (white, salted) 1.5 oz cheddar cheese 1/2 cup veggies: CHEP Good Food Inc What’s Being Served? June, 2012 o 59 ml carrot slices 1.5 tbsp Ranch dressing 118 ml 2% milk for Pre-K, K, & Gr. 1 o 59 ml cucumber o 59 ml carrot 22.5 ml Ranch dressing 118 ml 2% milk for Pre-K, K, & Gr. 1 School C Hamburger & Macaroni Casserole with Of Hamburger & Macaroni Casserole Lentils: 1.5 Cup Serving with Lentils, each child served: 177 ml white macaroni 1/2 white macaroni 44.4 ml lean ground beef 1/8 lean ground beef 44.4. ml cooked lentils 1/8 lentils 2.5 ml garlic powder 1/4 carrots, celery, pepper, onion, 2.5 ml black pepper garlic, tomato 21 ml carrots Cheese: 1/8 cup shredded per serving 21 ml celery 21 ml onion 21 ml tomato 30 ml shredded cheddar cheese Also Served: Also Served: 1 apple 1 apple 1 carton yogurt (100 g, fruit- 100 g yogurt, fruit-flavoured flavoured) (2-4% M.F.) 6 oz. 2% milk 177 ml 2% milk (for younger children, older children alternate milk with yogurt) School D Soup: 6 oz. Bowl (2 oz. liquid and spices, 4 oz. other items) Of soup, each child served: 0.5 ml thyme 1/6 lentils 0.5 ml oregano 1/6 tomatoes 0.5 ml basil 1/6 white macaroni 0.5 ml pepper 1/18 broccoli 0.5 ml sugar 1/18 carrot 6.5 ml chicken bouillon 1/18 celery 50 ml water 1/6 potato 19.7 ml lentils Spices: Thyme, oregano, basil, 19.7 ml tomato pepper, sugar 19.7 ml white macaroni Water 6.6 ml broccoli 19- CHEP Good Food Inc What’s Being Served? June, 2012 Chicken bouillon Served With: School E 6.6 ml carrot 6.6 ml celery 19.7 ml potato Served With: 2 crackers (white, salted) 2 crackers (white, salted) 8 oz. 2% milk 237 ml 2% milk 1/2 cup oranges 118 ml orange pieces Veggies – 2 pieces each 59 ml carrots Hashbrown Casserole: Whole Recipe (12 Of Hashbrown Casserole, each child Servings) served: Frozen hashbrowns (2 lbs) 85.1 ml hashbrowns 1 can mushroom soup (284 ml) 23.7 ml mushroom soup 1/2 cup margarine 9.8 ml margarine 1 cup sour cream 19.8 ml sour cream 1/2 cup onions 9.8 ml onions Served With: Served With: Orange slices – 2 each 1/4 orange 1 serving yogurt 100 g yogurt (sweetened, 24%) Pizza bun o Whole wheat bun/bagel o 1 whole wheat bun o 1 tbsp tomato sauce o 15 ml tomato sauce o 1 slice pepperoni o 1 slice pepperoni o 1 slice cheese o 1 slice cheese Pizza bun Fruit Crisp Fruit Crisp: Whole Recipe (8 o 1/2 apple servings) o 14.8 ml peach o 4 apples o 14.8 ml blueberries o 1/2 cup peaches o 14.8 ml white flour o 1/2 cup blueberries o 14.8 ml margarine o 1/2 cup flour o 14.8 ml sugar o 1/2 cup margarine 23.6 ml tomato o 1/2 cup oats 23.6 ml cucumber o 1/2 cup sugar 23.6 ml snap peas 23.6 ml carrots 23.6 ml celery 1/2 cup tomato, cucumber, snap peas, carrots, celery 20- CHEP Good Food Inc What’s Being Served? School F June, 2012 Chili: 6 oz. Serving Of Chili, each child served: 1/4 lean ground beef 44.3 ml lean ground beef 1/4 kidney beans 44.3 ml kidney beans 1/8 pureed lentils 22.1 ml pureed lentils 1/8 corn 22.1 ml corn 1/4 celery, tomato, & onion 14.8 ml celery Chili powder 14.8 ml tomato 14.8 ml onion 2.5 ml chili powder Served With: School G Served With: 1-2 slices whole wheat bread 2 slices whole wheat bread 1 tsp margarine 10 ml margarine Apple or orange Apple 6 oz. 2% milk (+ seconds) 177 ml 2% milk (+ seconds) Beef Noodle Soup: 6 oz. Serving for Younger Of Beef Noodle Soup, each child Children; 10 oz. Serving for Older Children served: 1/2 whole wheat egg noodles 1/2 tsp onions 1 tsp celery 1.8 OR 3 ml onion 1 tsp lentils 2.6 OR 6 ml celery 1/2 tsp carrots 2.6 OR 6 ml lentils Tomato sauce 1.8 OR 3 ml carrots Beef broth 7.1 OR 11.8 ml beef 2 tsp beef 35.4 OR 59.2 ml tomato 88.5 OR 148.1 ml whole wheat egg noodles sauce 35.4 OR 59.2 ml beef broth Served With: School H Whole wheat bun 1 tsp margarine Pasta Salad: 1.5 Cup Serving Served With: Whole wheat bun 5 ml margarine Of Pasta Salad, each child served: 5/8 white macaroni 221.9 ml white macaroni 2 tbsp mayonnaise, yogurt, & vinegar 15 ml mayonnaise dressing per cup pasta salad 15 ml plain yogurt 1/8 mixed vegetables 15 ml vinegar 1/4 tuna, canned 44.4 ml mixed vegetables 88.8 ml canned tuna 21- CHEP Good Food Inc What’s Being Served? June, 2012 Served With: Served With: 1/2 apple or orange 1/2 apple or orange 1/2 cup carrots 118 ml carrots Tomato slice – 1 each 28 g tomato Milk: 6 oz. 2% for younger children 177 ml 2% milk (younger children only) School I Salad: 3/4 Cup Serving Of salad, each child served: 5/6 iceberg lettuce 147.5 ml iceberg lettuce 1/18 cauliflower 9.8 ml cauliflower 1/18 broccoli 9.8 ml broccoli 1/18 grated carrots 9.8 ml grated carrots 2 tbsp cheddar cheese 30 ml grated cheddar cheese 1 tbsp Ranch dressing 15 ml Ranch dressing Served With: Served With: 2 boiled eggs 1 or 2 boiled eggs 1 slice watermelon 1 slice watermelon 1 bought commercial 1 bought commercial sandwich cookie Whole wheat bun with 1 tsp 1 whole wheat bun margarine 5 ml margarine 8 oz. 2% milk 237 ml 2% milk School J Egg Salad: Whole Recipe sandwich cookie Of egg salad, each child served: 3 dozen eggs 0.4 hard-boiled egg 2 cups pureed beans 4.7 ml pureed beans 1 tbsp pepper 0.2 ml pepper Pinch salt 0.003 ml salt 1 tbsp onion powder 0.2 ml onion powder 1 cup salad dressing (white, whipped) 2.4 ml salad dressing 1 cup mayonnaise 2.4 ml mayonnaise Also Served: 1-2 slice(s) whole wheat bread 1/8 cantaloupe 1 slice whole wheat bread 1/2 cup salad: 1/8 cantaloupe Also served: o 3/4 romaine lettuce 88.5 ml romaine lettuce o 1/16 carrots 7.4 ml carrots o 1/16 peppers 7.4 ml peppers o 1/16 cauliflower 7.4 ml cauliflower 22- CHEP Good Food Inc What’s Being Served? June, 2012 o School K 1/16 tomatoes 7.4 ml tomatoes 1 tbsp half Ranch, half water 7.5 ml Ranch dressing 6 oz. 2% milk (+ seconds) 7.5 ml water 177 ml 2% milk (+ seconds) Salad Bar: Self-Serve Of Salad Bar, assume each child Broccoli Baby tomatoes 88.8 ml broccoli Cucumbers 88.8 ml baby tomatoes Carrots 88.8 ml cucumbers Seed Mixture: Sunflower seeds, 88.8 ml carrots pumpkin seeds 118 ml grapes Grapes 15 ml sunflower seeds Apples 15 ml pumpkin seeds Bananas 1 apple Whole wheat buns with margarine 1 whole wheat bun 5 ml margarine 3/4 cup bean salad: served: Bean Salad: School L 5/8 mixed beans 1/8 red pepper 1/8 corn 1/16 onion o 22.1 ml red pepper 1/16 dressing: oil, vinegar, sugar, salt, o 22.1 ml corn pepper o 11.1 ml onion o 0.5 ml salt o 0.5 ml pepper o 3.4 ml oil o 3.4 ml vinegar o 3.4 ml sugar o 110.6 ml mixed beans Hamburger Soup: 6 oz. Serving for Younger Of Hamburger Soup, each child Children; 8 oz. Serving for Older Children served: 1/6 lean ground beef 29.5 OR 39.5 ml ground beef 1/6 white macaroni 29.5 OR 39.5 ml white 1/6 mixed vegetables Bouillon powder Salt & Pepper Water macaroni 29.5 OR 39.5 ml mixed vegetables 23- 5 OR 6.7 ml bouillon powder 83.5 OR 111.8 ml water 0.5 OR 0.7 ml salt CHEP Good Food Inc What’s Being Served? June, 2012 0.5 OR 0.7 ml pepper Also Served: Also Served: School M 2 crackers (white, salted) 2 crackers (white, salted) 118 ml 2% milk 4 oz. 2% milk (+ seconds) 118 ml orange pieces 1/2 cup banana or orange Ham Sandwich: Half Sandwich/Child Each child served: 1 slice whole wheat bread 1 slice whole wheat bread 1 tsp margarine 5 ml margarine 1 slice deli ham 1 slice deli ham Served With: Served With: 1/2 cup cauliflower, broccoli, carrots 39.3 ml cauliflower 3/4 paper cup yogurt (Co-op Gold) 39.3 ml broccoli 4 oz. 2% milk (+ seconds) 39.3 ml carrots 1/2 – 3/4 fruit (orange/apple) 144 ml sweetened yogurt (24%) School N 118 ml 2% milk (+ seconds) 1/2 apple Spaghetti & Meat Sauce: 1 Cup Spaghetti + 6 Of the Spaghetti & Meat Sauce, each oz. Ladel Sauce child served: 8 oz. whole grain spaghetti (+ seconds) (+ seconds) Sauce: 118 ml ground beef 29.6 ml packaged spaghetti o 4 oz. ground beef o 1 oz. packaged sauce o 1.5 oz. tomatoes 44.4 ml tomatoes o 0.5 oz. sweet pepper 14.8 ml sweet pepper Also Served: School O 237 ml whole grain spaghetti sauce Also Served: 1/2 cup carrots 118 ml carrots 1/2 cup watermelon or orange 118 ml watermelon 6 oz. 2% milk (+ seconds) 177 ml 2% milk (+ seconds) 1 slice whole wheat bread 1 slice whole wheat bread 1 tsp margarine 5 ml margarine 2.5 ml garlic powder 2.5 ml garlic powder Hamburger Casserole: 4 oz. Serving for Of Hamburger Casserole, each child Younger Children; 6 oz. Serving for Older served: Children 24- 19.7 OR 29.5 ml mixed CHEP Good Food Inc What’s Being Served? June, 2012 1/6 mixed vegetables 1/2 white rice 59 OR 88.5 ml white rice 1/6 extra lean ground beef 19.7 OR 29.5 ml extra lean 1/6 condensed tomato soup vegetables ground beef 19.7 OR 29.5 ml condensed tomato soup Served With: Served With: 1/2 cup carrots, cucumbers, & 39.3 ml carrots cauliflower 39.3 ml cucumbers 2 tbsp Ranch dressing 39.3 ml cauliflower 1 slice whole wheat bread 30 ml Ranch dressing 1 tsp margarine (non-hydrogenated) 1 slice whole wheat bread 6 oz. 2% milk 5 ml non-hydrogenated margarine School P Sandwiches: 1 Serving = 1 Sandwich 177 ml 2% milk Each child served: 2 slices whole wheat bread 2 slices whole wheat bread 1 tsp margarine 5 ml margarine 1 slice tomato 28 g tomato 2 leaves iceberg lettuce 2 leaves iceberg lettuce 1 tsp ketchup 5 ml ketchup 1 tsp mustard 5 ml mustard 1 slice cheese 21 g cheese 1 slice ham 1 slice ham Served With: Served With: Spinach Salad (0.5 cup Serving for Spinach Salad o Younger Children; 1.5 Cup Serving for spinach Older Children) School Q o o 3/4 spinach o 1/8 tomato o 1/8 cucumber o 1-1.5 tbsp Ranch dressing 8 oz. 2% milk 1/4 fruit – apple 88.5 OR 266.6 ml 14.8 OR 44.4 ml tomato o 14.8 OR 44.4 ml cucumber o 7.5 OR 15 ml Ranch dressing Corn Chowder: Whole Recipe (32 L) 25- 237 ml 2% milk 1/4 apple Of Corn Chowder, each child served: CHEP Good Food Inc What’s Being Served? June, 2012 6 onions 11.5 ml onions 1 head celery 7.7 ml celery 20 cups mashed potatoes 40.8 ml mashed potatoes 2 lbs bacon 13.8 ml bacon 2 kg corn 24.8 ml corn 2.84 L cream corn 24.4 ml cream corn 2 L half ‘n half cream 17.2 ml half ‘n half 10 L water 86 ml water 1 L whipping cream 8.6 ml whipping cream 1 cup chicken bouillon 2.0 ml chicken bouillon Served With: Served With: 1 slice whole wheat bread 1 tsp margarine – non-hydrogenated Fruit Salad: 4 oz. serving School R 1 slice whole wheat bread 5 ml non-hydrogenated margarine 39.3 ml honeydew o Honeydew 39.3 ml watermelon o Watermelon 39.3 ml strawberries o Strawberries 118 ml 2% milk (+ seconds) 4 oz. 2% milk (+ seconds) Peanut Butter & Jelly Sandwich: 1 Sandwich = Each child served: 1 Serving 2 slices whole wheat bread 2 slices whole wheat bread 15 ml peanut butter 1 tbsp peanut butter 30 ml strawberry jam 2 tbsp strawberry jam Served With: Served With: 1 apple 1 orange or apple 39.3 ml carrots 1/2 cup carrots, celery, cucumber 39.3 ml celery 8 oz. 2% milk (+ seconds) 39.3 ml cucumber 237 ml 2% milk 26- CHEP Good Food Inc What’s Being Served? June, 2012 Appendix 2: Food Grouping Spreadsheets by Age Category 2.1 Younger Children Spreadsheet Vegetables & Fruit Grain Products Milk & Alternatives Meat & Alternatives School A 1.24 1 0.75 0.67 School B 1.48 0.25 1.5 0.03 School C 1.72 1.5 1.64 0.6 School D 1.77 0.42 1 0.11 School E 2.44 1.2 1.18 0.37 School F 1.95 2 0.75 0.86 School G Younger 0.36 1.75 0 0.07 School H 1.63 1.9 0.83 0.75 School I 1.74 1 1.32 1 School J 1.49 1 0.75 0.28 School K 3.71 1 0 1.12 School L Younger 1.25 0.5 0.5 0.25 School M 1.01 1 1.3 0.37 School N 2.26 3 0.75 1 School O Younger 0.76 1.5 0.75 0.17 School P Younger 1.12 2 1.42 0.37 School Q 1.94 1 0.61 0.62 School R 1.51 2 1 0.5 27- CHEP Good Food Inc What’s Being Served? June, 2012 2.2 Older Children Spreadsheet School A School B School C School D School E School F School G Older School H School I School J School K School L Older School M School N School O Older School P Older School Q School R Vegetables & Fruit Grain Products Milk & Alternatives Meat & Alternatives 1.24 1 0.75 0.67 1.48 0.25 1.5 0.03 1.72 1.5 1.64 0.6 1.77 0.42 1 0.11 2.44 1.2 1.18 0.37 1.95 2 0.75 0.86 0.61 2.26 0 0.13 1.63 1.9 0.83 0.75 1.74 1 1.32 1 1.49 1 0.75 0.28 3.71 1 0 1.12 1.33 0.58 0.5 0.33 1.01 1 1.3 0.37 2.26 3 0.75 1 0.88 1.75 0.75 0.25 2.13 2 1.42 0.37 1.94 1 0.61 0.62 1.51 2 1 0.5 28- CHEP Good Food Inc What’s Being Served? June, 2012 Appendix 3: Energy & Macronutrients Spreadsheet (All Ages) School A School B School C School D School E School F School G Younger School G Older School H School I School J School K School L Younger School L Older School M School N School O Younger School O Older School P Younger School P Older School Q School R Energy (kcal) Protein (g) Carbohydrates (g) 369.18 21.5 52.99 419.84 18.38 22.64 604.71 28.61 88.87 258.14 12.77 39.05 838.3 20.51 110.2 507.39 22.38 69.9 308.34 11.12 51.33 373.15 14.65 63.28 510.36 28.96 72.47 746.93 32.8 74.29 278.21 12.87 31.71 683.25 23.36 108.8 207.44 10.67 26.4 238.07 12.54 29.38 457.75 17.57 59.7 618.28 32.21 75.87 449.81 14.08 43.19 497.87 16.23 51.15 525.31 24.19 48.82 572.35 25.21 51.55 343.47 11.53 41.42 556.22 18.64 90.95 29- Fat (g) Fibre (g) 9.74 7.77 29.02 2.58 15.72 6.93 6.29 3.96 37.49 10.37 17.76 8.6 8 7.37 8.77 9.03 12.11 6.15 37.01 6.87 11.99 3.61 22.1 19.33 6.89 2.53 8.16 2.93 17.34 4.43 22.9 9.47 25.54 4.09 26.38 4.58 27.44 6.02 31.37 6.95 16.45 4.52 15.81 8.86 CHEP Good Food Inc What’s Being Served? June, 2012 Appendix 4: Micronutrients Spreadsheet (All Ages) 4.1 Calcium, Vitamin A, Thiamin, Riboflavin, & Vitamin B6 School A School B School C School D School E School F School G Younger School G Older School H School I School J School K School L Younger School L Older School M School N School O Younger School O Older School P Younger School P Older School Q School R Calcium (mg) Vit. A (RAE) Thiamin (mg) Riboflavin (mg) Vit. B6 (mg) 297.2 146.37 0.32 0.57 0.44 508.35 475.39 0.17 0.52 0.26 508.16 237.07 0.49 0.84 0.48 357.25 362.1 0.27 0.58 0.3 394.84 431.87 0.31 0.45 0.3 297.52 222.6 0.42 0.62 0.45 40.04 60.08 0.08 0.07 0.1 51.78 68.25 0.13 0.12 0.17 294.49 594.14 0.46 0.62 0.42 496.56 496.45 0.3 1.12 0.37 268.25 347.91 0.25 0.55 0.25 145.95 410.64 0.33 0.32 0.58 185.46 128.52 0.18 0.35 0.16 189.88 148.07 0.2 0.37 0.18 398.98 273.62 0.28 0.63 0.31 298.33 587.24 0.44 0.67 0.62 269.31 322.93 0.27 0.5 0.3 274.85 344.15 0.29 0.53 0.34 509.59 318.99 0.37 0.73 0.31 538.85 435.83 0.41 0.78 0.38 212.12 184.57 0.26 0.39 0.3 368.33 272.57 0.36 0.68 0.4 30- CHEP Good Food Inc What’s Being Served? June, 2012 4.2 Vitamin B12, Vitamin C, Vitamin D, Folate, Iron, & Sodium School A School B School C School D School E School F School G Younger School G Older School H School I School J School K School L Younger School L Older School M School N School O Younger School O Older School P Younger School P Older School Q School R Vit. B12 (mcg) Vit. C (mg) Vit. D (mcg) Folate (DFE) Iron (mg) Sodium (mg) 1.37 33.96 2.15 63.61 4.64 933.42 1.07 12.3 1.39 44.11 1.87 1050.98 1.82 16.84 2.11 229.87 4.31 287.76 1.13 43.08 2.63 96.47 2.01 714.34 0.73 58.11 3.23 83.27 4.45 1135.54 1.29 11.23 3.36 102.39 4.09 693.77 0.12 2.42 0.66 33.4 3.29 746.43 0.2 4.08 0.68 43.32 4.14 958.63 1.64 14.5 3.14 188.07 3.17 471.81 2.41 26 4.59 97.32 4.53 911.55 1.1 42.33 2.28 66.66 1.83 363.45 0 86.09 0.64 179.75 8.2 728.47 0.98 37.49 1.47 69.05 1.34 817.78 1.12 38.31 1.52 79.37 1.66 1073.92 1.21 33.18 2.11 49.04 1.4 649.04 2.41 34.34 3.17 38.36 4.75 536.43 1.14 12.88 2.67 32.36 2.05 665.35 1.23 13.87 2.7 35.57 2.39 729.73 1.33 12.37 3.47 65.12 2.83 1055.33 1.36 22.24 3.47 110.27 3.59 1134.55 0.72 26.89 2.43 43.08 1.55 752.64 1.13 12.82 2.62 62.64 2.77 447.08 31- CHEP Good Food Inc What’s Being Served? June, 2012 Reference List Brown, J. (2011). Nutrition Through the Life Cycle.(4th ed.). Belmont. Wadsworth, Cengage Learning. Chep Good Food, Incorporated. Chep’s Mission. Retrieved from http://www.chep.org/mission.html Chep Good Food, Incorporated. Children’s Nutrition Programs. Retrieved from http://www.chep.org/cnp/index.html Dietitians of Canada. WHO Growth Charts Adapted for Canada. Retrieved from http://www.dietitians.ca/Secondary-Pages/Public/WHO-Growth-Charts.aspx ESHA’s Food Processor, Version 9. Gropper, S., Smith, J., & Groff, J. (2009). Advanced Nutrition and Human Metabolism. (5th ed.). Belmont. Wadsworth, Cengage Learning. Health Canada. (2010). Dietary Reference Intakes. Retrieved from http://www.hc-sc.gc.ca/fnan/nutrition/reference/table/index-eng.php Health Canada. (2007). Eating Well with Canada’s Food Guide. Retrieved from http://www.hcsc.gc.ca/fn-an/food-guide-aliment/index-eng.php Health Canada. (2010). Vitamin D & Calcium. Retrieved from http://www.hc-sc.gc.ca/fnan/nutrition/vitamin/vita-d-eng.php Health Canada. (2012). Sodium in Canada. Retrieved from http://www.hc-sc.gc.ca/fnan/nutrition/sodium/index-eng.php Saskatchewan Ministry of Health. Healthy Foods for My School. (2008). Retrieved from http://www.health.gov.sk.ca/healthy-foods-school Saskatchewan Ministry of Education. Nourishing Minds: Eat Well, Learn Well, Live Well. (2009). Retrieved from http://www.education.gov.sk.ca/nourishing-minds/. Statistics Canada. Household Food Insecurity, 2007-2008 data. (2010). Retrieved from http://www.statcan.gc.ca/pub/82-625-x/2010001/article/11162-eng.htm Whitney, E. & Rolfes, S. (2011). Understanding Nutrition. (12th ed.). Belmont. Wadsworth , Cengage Learning. World Food Summit: World Health Organization. Food Security. (2012). Retrieved from http://www.who.int/trade/glossary/story028/en/ 32- CHEP Good Food Inc What’s Being Served? June, 2012 33- CHEP Good Food Inc