267533 Sodium levels by food categories in meals served at a local school district in Los Angeles County

Monday, October 29, 2012

Lindsey Burbage, MPH , Division of Chronic Disease and Injury Prevention, County of Los Angeles Department of Public Health, Los Angeles, CA
Patricia L. Cummings, MPH , County of Los Angeles, Department of Public Health, Office of Senior Health, Los Angeles, CA
Brenda Robles, MPH , Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA
Tony Kuo, MD, MSHS , County of Los Angeles, Department of Public Health, Office of Senior Health, Los Angeles, CA
Working in partnership with the Los Angeles County Department of Public Health, the Los Angeles Unified School District (LAUSD) recently made a number of changes to their meal program menu for the school-year (SY) 2011-12; many of these changes were based on IOM recommendations. We recently examined some of these changes, specifically sodium levels by selected food categories. A systematic analysis of the sodium levels in SY 2011-12 was conducted using a sample of food items served in October 2011 for the three menu categories at the district meal program: breakfast (n=29), elementary-lunch (n=59), and secondary-Lunch (n=74). Food items were separated into 10 categories: bread, poultry, other meat, fruit, dairy/cheese, eggs, vegetable, noodles/pasta, sandwich, and potato. The three food categories that made up the majority of sodium content in the menu options offered were poultry, sandwiches, and noodles/pasta. Poultry, on average, contributed the following amount to the meals served throughout the day – breakfast=518.2mg, elementary-lunch=859.7mg, and secondary-lunch=895.6mg. Sandwiches was the next most likely source of sodium, averaging 714.4mg for both lunch menus. Noodles/pasta was the third most likely contributor at 554.1mg and 563.2mg for elementary-lunch and secondary-lunch, respectively. As the meal program menu continues to evolve throughout SY 2011-12, tracking contributing sources of sodium to the different meals throughout the day offers valuable surveillance information for guiding the ongoing day-to-day meal planning at the school district (e.g., adding fruits and vegetable options to the menu, consideration of portion size restrictions, making improvements to food categories, etc.).

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice

Learning Objectives:
Describe the different sodium levels by food categories in the meals served by a large school district in Los Angeles County. List the leading culprits of excess sodium in LAUSD's school menus Understand how information about sodium levels by food categories can help guide ongoing planning at a school district meal program.

Keywords: Surveillance, Food and Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am one of the primary evaluators for the CPPW grant in Los Angeles County
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.