142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

310819
Did eliminating flavored milk at a Los Angeles County local school district result in a decline in students selecting milk?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Lindsey Burbage, MPH , Division of Chronic Disease and Injury Prevention, County of Los Angeles Department of Public Health, Los Angeles, CA
Lauren Gase, MPH , Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA
William McCarthy, PhD , Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA
Paul Simon, MD, MPH , Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Health Services, Los Angeles, CA
Tony Kuo, MD, MSHS , Division of Chronic Disease and Injury Prevention, Los Angeles County Department of Public Health, Los Angeles, CA
With technical/funding support from L.A. County Department of Public Health, the L.A. Unified School District eliminated flavored milk from school menus starting school year (SY) 2011-12. We evaluated the impact of this policy using school-level milk selection data recorded in cafeteria food production records.  We compared food production records for 774 schools in 2010-11 SY and in 2011-12 SY to determine whether the total milk offered and left over decreased after cafeterias eliminated flavored milk. A plate waste study at four randomly-selected middle schools generated complementary data, including observations of milk selected but not consumed by students. These observations occurred fall, 2011 and spring, 2012. Accounting for decreases in program enrollment, analyses suggest the amount of milk offered by cafeterias declined 9.9% between October 2010 (n=15,108,520 units) and October 2011 (n=13,321,559 units). However, the amount of milk leftovers also decreased from 32.4% to 30.0% and remained stable throughout the 2011-12 SY. Plate waste data were collected from 2,228 middle school students in fall and 1,436 middle school students in spring. Plate waste results will show how much of the non-flavored milk students selected was actually consumed. Cafeteria food production records suggest that eliminating flavored milk did not decrease student milk selection as much as feared. However, students may not be drinking the milk they are selecting. Analyses of plate waste milk data are expected to answer this question. Available data suggest that most students previously selecting flavored milk migrated to selecting non-flavored milk after LAUSD cafeterias stopped offering flavored milk.

Learning Areas:

Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the immediate impact of a school nutrition policy change to no longer offer flavored milk on the milk selection and consumption patterns of students. Explain the importance of new nutrition guidelines in school meal programs for shaping the taste preferences of children consuming USDA-subsidized school meals.

Keyword(s): School-Based Health, Nutrition

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked in Public Health for over 6 years. For the past 3 1/2 years, I have served as co-lead for program evaluation in the Division of Chronic Disease and Injury Prevention, focusing primarily on childhood obesity prevention. My research has centered on the evaluation of the school food environment and the promotion of healthy food access in high-risk communities.
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.

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