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NPA Commentson
IOM’s CACFP Meal Recommendations
CACFP NPA Conference April 13, 2012
Austin, TX
Diane Hogan, MS, RDImmediate Past-President
CACFP National Professional Association
NPA Meal Pattern Committee
Linda St. Claire, WVLynne Oudekerk, NY
Lois Hazelton, NYBrenda Crosby, FLKrista Schoen, FLDiane Hogan, NV
NPA Activities Following IOM Report
Committee ideas
Membership commentsSponsor Consortium & NPA
discussionsStakeholders meeting w/ USDA at
FRAC 2011 TSA Conference 2011
Menu Planning NPA Recommendations
Keep simple Five subgroups of vegetables 2x/week
(except legumes) difficult to monitor, increase recordkeeping, and a challenge to train.
Daily meal requirement i/o weeklyNot all facilities operate five days a weekSome children are in care only a few days a
week
SnacksNPA Recommendations
Eliminate enhanced snack Serve larger portion sizes/more nutritious
snacks to participants over 14 yo Unnecessary with at-risk afterschool
meals
Simplify snacks (Member)5 components at least once a weekLimit:
juice and crackers; high fat, sugar & sodium
One orange & one dark green vegetable/week
Age GroupsNPA Recommendations
Define age groupsChildren under 2 years of age
American Academy of Pediatrics
2-5 years of age6-12 years of age13-18 years of age
Breastfeeding NPA Recommendations
Simplify program & support breastfeeding (member)
Reimburse breastfed meals through six months of age
Include all meals provided by breastfeeding mother who comes to the facility to feed her infant
Resources similar to Healthier School Challenge
Fruits and Vegetables NPA RecommendationsVariety of fruits and vegetables
One fruit and one vegetable at lunch/supper
Serve variety of vegetables Encourage 5 groups i/o require weekly
Require:Vitamin A sources- 3/weekVitamin C sources-1/dayLegumes- 1/week
Breakfast Meat NPA Recommendations
Recommend instead of require meat/meat alternates at breakfast
Few low fat, low sodium meat/meat alternates for breakfast
Suggest whole grains for satiety
Whole GrainsNPA Recommendations
Half the grains should be whole grains
All breakfast grains should be whole grains
Provide a simple list of whole grains instead of calculating whole grain-rich contributions
NPA Supports
Changing the CACFP Meal Patterns
Consistency with other agencies and recommendations
Limiting juice to once a day Limiting high fat/sugar grains Low fat (1%) or fat free milk and
yogurt for participants 2 years of age and older
Implementation: Key to Success
Gradually introduce requirements in more than one rule.
Evaluate, assess and revise each phase to ensure success and prevent adverse effects to participation.
Money - next reauthorization.
Call to Action
After the Proposed Rule, NPA will:
Provide a short Fact Sheet
Distribute model comments as a framework to send comments to USDA
CACFP’s Role in Obesity Prevention
IOM: Early Childhood Obesity Prevention Policies Lynne Oudekerk
Children birth to 5 – poor diets
1 out of 4 children – overweight or obese by kindergarten
2 out of 3 young children are in child care
