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Children's Nutrition Action Plan - The Food Commission

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vitamins A and B2;<br />

♦ Half of all older girls eat diets<br />

grossly deficient in iron and<br />

magnesium;<br />

♦ 9% of older girls suffer irondeficiency<br />

anaemia. 24 , 25<br />

• Average consumption of non-milk<br />

extrinsic sugars exceeds<br />

recommended levels in all ages of<br />

children. 11 , 24 , 26<br />

• One in five 8-10 year olds buys<br />

sweets, crisps and savoury snacks<br />

on the way to school (spending a<br />

total of £22.4 million). Packed<br />

lunches were usually nutritionally<br />

inappropriate, crisps and chocolate<br />

were common ingredients. 26<br />

• Consumption of fruit and<br />

vegetables in better-off families is<br />

a third higher than in poorer<br />

families. 27 This social class<br />

difference has also been reported<br />

in children. 24 , 11 , 33<br />

• <strong>Food</strong> poverty, affordability and<br />

access to healthy, varied food<br />

have been identified as possible<br />

barriers to people on a low income<br />

eating healthy diets. 28, 24 Work by<br />

the Social Exclusion Unit shows<br />

that on many low-income estates,<br />

there is no access to shops selling<br />

affordable fruit and vegetables (a<br />

situation referred to as ‘food<br />

deserts’ 29 ). 30<br />

Health outcomes in childhood and<br />

adulthood<br />

• Poor nutrition, as a consequence<br />

of an inadequate diet, is a<br />

fundamental factor in the<br />

development of many diseases<br />

prevalent in the UK, including<br />

coronary heart disease 31 and up to<br />

an estimated third of all cancers. 32<br />

• People on a low income are more<br />

food culture’ could also be used to encourage the<br />

development, maintenance and promotion of<br />

healthy eating, for instance measures of:<br />

♦ Healthy foods available;<br />

♦ Presence and content of vending machines, and<br />

a school policy on vending machines;<br />

♦ Commitment to no confectionery –<br />

implementation of a policy on the quality of<br />

food and drink brought into school, and<br />

guidance on healthy lunch boxes 22 which were<br />

found in 1992 to be generally high in fat and<br />

sugar and low in fibre; 46<br />

♦ Policy on food advertising in school; 22<br />

♦ Creative approaches to misuse of pocket<br />

money; 22<br />

♦ Cooking methods used by school caterers;<br />

♦ Hygiene requirements;<br />

♦ Survey of children’s wants and needs;<br />

♦ Quality of eating environment;<br />

♦ Time kept waiting;<br />

♦ Adherence to a nutritional scheme such as<br />

Caroline Walker Trust or SMAP, etc;<br />

♦ Types and proportions of foods corresponding<br />

to the Balance of Good Health (e.g. Kent Heart<br />

in the Mouth project in schools 42 );<br />

♦ Pricing system favouring healthy foods –<br />

making fatty and sugary foods more<br />

expensive; 42<br />

♦ Good presentation of healthy foods; 22<br />

♦ High take-up of healthy foods;<br />

♦ <strong>Nutrition</strong> education integrated into other core<br />

subjects;<br />

♦ Measure of nutritional knowledge in catering<br />

staff; (e.g. Kent Heart in the Mouth project in<br />

schools 42 );<br />

♦ Checklist or guidelines of good practice for<br />

schools wishing to address nutrition, or national<br />

award scheme, or featuring in national school<br />

league tables; 22<br />

♦ Building these into the National Healthy<br />

Schools Standards. At present, the HSS<br />

<strong>The</strong> Children’s <strong>Nutrition</strong> <strong>Action</strong> <strong>Plan</strong>, published by <strong>The</strong> <strong>Food</strong> <strong>Commission</strong><br />

53

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