The resources in this section are aimed at helping you complete the Nutrition Environment Assessment Tool (NEAT) and to assist you in taking steps to create a healthier community.

General Information, Resources & Definitions

Healthy Eating/Healthy Weight Programs: Refer to the following online resources for ways to promote healthy eating/healthy weight among the residents of your community.

  • Heart Healthy Recipes: The National Heart, Lung and Blood Institute's website offers a variety of appealing heart healthy recipes. Go to www.nhlbi.nih.gov

  • Everyday Choices: The American Cancer Society, American Diabetes Association and American Heart Association have joined together in a historic collaboration to encourage the prevention and early detection of cancer, diabetes, heart disease and stroke. "Everyday Choices For A Healthier Life" is a joint initiative; one of the goals is to stimulate improvements in disease prevention and early detection by increasing public awareness about healthy lifestyles, including better nutrition and healthier body weights. www.everdaychoices.org

  • Heart Healthy Nutrition Tips: The American Heart Association offers tips on nutrition, shopping, and dietary recommendations to maintain heart health. www.americanheart.org

  • Got Milk? For the latest information on what dairy can do for you - whether you are looking for tips on how to incorporate dairy into your diet or would like to know more about the latest got milk? milk mustache celebrity - you'll find it at the National Dairy Council website. www.nationaldairycouncil.org

  • USDA Nutrition Recommendations: The current USDA (United States Department of Agriculture) nutrition recommendations can be found at: USDA Nutrition Recommendations: www.healthierus.gov/dietaryguidelines/
The Importance of Eating Fruits and Vegetables: The 5-A-Day website provides information and resources about eating more fruits and vegetables for better health. Go to: www.5aday.org

The Importance of Calcium-Rich Foods: For information on the importance of eating calcium-rich food, visit the National Dairy Council website at www.nationaldairycouncil.org

Useful Definitions: The following definitions may be useful to you as you complete the Nutrition Environment Assessment Tool and take steps to make improvements in your community’s health environment.

  • Coalition: alliance of individuals or organizations working together in a common effort to bring about community changes over time and across concerns.

  • Community-based program: planned, coordinated, ongoing effort that characteristically includes multiple interventions.

  • Community capacity: characteristics of communities that affect their ability to identify, mobilize, and address social and public health problems.

  • Community health planning: helps a community mobilize; collect and use local data; set health priorities; and design, implement, and evaluate comprehensive programs that address community health and quality of life issues.

  • Competitive pricing: refers to pricing that encourages consumption by matching or lowering prices of high-nutritional value foods to make them at least as attractive as “minimal nutritional value foods.”

  • Department of Health and Human Services: the United States government's principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves.

  • Health education: promotes healthy behaviors by informing and educating individuals through the use of materials and structured activities.

  • Health organizations: health care facilities, including hospitals, medical and dental clinics and offices.

  • Health promotion: any planned combination of education, political, regulatory, and organizational supports for actions and conditions of living conducive to the health of individuals, groups, or communities.

  • Healthy community: a community that is continuously creating and improving physical and social environments and expanding those community resources that enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential.

  • Settings (worksites, schools, health care sites and the community): Major social structures that provide channels and mechanisms of influence for reaching defined populations and for intervening at the policy level to facilitate healthful choices and address quality of life issues. Conceptually, the overall community, worksites, schools, and health care sites are contained under the broad umbrella of “community”. Health promotion and education may occur within these individual settings or across settings in a comprehensive, community-wide approach.
Healthy Communities ToolKit: Creating healthy communities means changes to the physical environment, establishing policies that support healthy community and promoting social change. The Healthy Communities ToolKit, a booklet produced by the Michigan Department of Community Health, provides guidelines and ideas for implementing all these changes. Click here to access a copy.


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Section 1: Community Policies & Environment

Getting Started: Resources for assisting you in obtaining the necessary information to complete Section 1 include the following:

Section 1 Definitions
  • Family-Style Restaurant: A family-style restaurant is an eating establishment where you are usually seated by restaurant personnel and almost always served by wait staff. The menu generally includes a variety of options offered at a reasonable price. Although many family-style restaurants offer carry out services, most patrons eat at the restaurant. Although there are many family-style restaurant chains, such as Denny's, Big Boy, and IHOP, there are also many independently operated family-style restaurants.

  • Fast-Food Restaurant: A fast-food restaurant is an eating establishment that offers fast, inexpensive take out food. Patrons stand in line to place their order and can choose to eat in or out. Fast-food restaurants often feature drive thrus so that patrons need not leave their car. The vast majority of fast-food restaurants are chains; examples include McDonald's, Burger King, Hardees, and Wendy's.

  • Healthy Menu Options: Healthy menu options include fruits (canned, fresh frozen, or dried), non-fried vegetables (canned, fresh or frozen), salads with low-fat dressing, yogurt, skim or 1% milk, 100% fruit or vegetable juice, baked chips, baked, broiled or grilled meats; low-fat deli meats and whole grain breads.

  • Grocery Stores/Supermarkets: A grocery store (or supermarket) sells a full range of food products (produce, meats, breads, dairy products, dry goods) and household items (such as soap or paper products). They are usually operated on a self service basis.

  • Convenience store: refers to a retail business with primary emphasis placed on providing the public a convenient location to quickly purchase from a wide variety of consumable products (predominantly food or food and gasoline) and services.
Healthy Dining Programs:For information on the M-FIT Healthy Dining Program and the restaurants that participate, go to
www.med.umich.edu/mfit/nutrition/hdp.htm

Healthy Dining & Carry Out Tips: Find tips for dining out and carry out from the American Diabetes Association at health.discovery.com/centers/diabetes/ada/nutrition/eatingout.html

Grocery Store Point of Purchase Healthy Food Identification Programs: Point of purchase food identification programs place eye-catching signage to flag healthy foods, such as shelf markers or brochures. Generally, the signage also includes explanatory information about why the food is considered to be healthy. The 5-a-day program has a point of purchase program used by some grocery stores, for example. For more on 5-a-day, go to www.5aday.org

Michigan Farmers Markets: For a listing of locations, months and hours of operation, go to www.ams.usda.gov/farmersmarkets/States/Michigan.htm or
www.mda.state.mi.us/market/u-pick/index.asp

Locating Local Chapters of National Organizations: To find the nearest local chapter, visit the national association website. If they do not have a community level contact, they almost always have a directory of state level associations. You can also check your community's phone book. Organizations that support healthy eating include (but are not limited to): American Heart Association (www.americanheart.org ), American Cancer Society (www.cancer.org ); and American Diabetes Association (www.diabetes.org) ).

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Section 2: Worksite Policies & Environment

Getting Started: The first task in completing Section 2 is to identify your community's three largest employers. This information is generally available from your community's government office or from a local Chamber of Commerce. Once you've identified the employers, contact the employer's human resources department. A human resource manager is the best starting point for getting answers to these questions. They may refer you to others, but they will know who's who.

Ways Worksites Can Support Healthy Food Environments

  • Suggestions for Promoting Healthy Eating to Employees: The following ideas were provided by Health South Dakota (www.healthysd.gov)

    • Offer appealing, low-cost, healthy food options, such as fruits and vegetables, juices, and low-fat dairy products in vending machines, snack bars, break rooms, and/or cafeterias. These can include fresh, canned, and dried fruits, 100 percent fruit or vegetable juice, plain or mixed nuts, low-fat bagged snacks, nonfat yogurt and milk.

    • Post motivational signs about the 5-a-day program, nutrition, and healthful eating in the cafeteria and break rooms. For more information about the 5-a-day program, go to www.5aday.gov

    • Employees often organize to purchase coffee or spring water as a group. Suggest employees organize for group purchases of fruits, vegetables, and other healthy snacks.

    • Establish an on-site or neighborhood farmers’ market at the workplace or among several workplaces in collaboration with a group of employers.

    • Place nutrition action stickers on phone handsets or other prominent locations.

    • Offer coupons for fruits and vegetables as reward for work well done.

    • Distribute educational materials, such as newsletters, recipes, brochures, and posters, at workplaces to show the benefits of eating fruits and vegetables and how to prepare healthy meals throughout the day.

    • Create a worksite culture that minimizes consumption of low-nutrition foods and beverages, such as cakes at parties, candy bowls, and sweets as rewards.

    • Make available reliable resources on general nutrition related to portion size (for example, portion size placemat or plate, food models). To see slides of changes in portion sizes over the years, go to hin.nhlbi.nih.gov/portion/


  • Establishing Worksite Policies for Nutrition and Physical Activity: The Washington State Department of Health has a policy manual titled Nutrition and Physical Activity: A Policy Resource Guide which addresses policies for a variety of venues, including businesses. To access the guide, go to Nutrition_activity_policy_guide.pdf

  • Worksite Wellness Committees: A worksite wellness committee establishes continuity, motivation, and broad ownership of employee wellness initiatives. The following guides provide sections that address worksite wellness committees.

    • Healthy Workforce 2010; Section IV: Planning a Worksite Health Promotion Program. Developed by the US Department of Health and Human Services. Click here to access this sourcebook. To access this sourcebook, go to Healthy_Workforce_2010.pdf

    • Comprehensive Wellness Program. Developed by University of Michigan Worker Health. To access this guide, go to Comprehensiveprogram.html


  • Employee Survey to Determine Health and Wellness Needs: Ask employees what they’re interested in, and what needs they have. People are more willing to participate and support wellness efforts if they are involved in the decision-making process. Click here for a sample employee survey.

  • Mission Statement Includes Support of Employee Health: When writing a mission statement, consider making its tone encouraging and supportive of employees making healthy lifestyle choices. For examples of such mission statements, go to Mission Statement Examples
Cafeteria Policies that Support Healthy Eating: The American Cancer Society has a 5-A-Day Worksite Implementation Guide that addresses policies related to food served at work. Click here to access this guide.

Healthy Food and Beverage Options at Meetings or Conferences: The American Cancer Society offers a book titled Meeting Well that provides tips on how to plan healthy menus for meetings and events. For more information on how you can get a copy of Meeting Well, go to Meeting Well

Worksite Support of New Mothers: Studies show that employers who provide a suitable place for their breastfeeding employees will be rewarded with reduced absenteeism (because breastfed babies are sick less often), reduced turnover, and the gratitude and loyalty of their employed mothers who wish to continue giving their babies optimal nutrition. The following links/publications provide more information.
  • Sample Policy Supporting New Mothers at the Worksite: Click here for a sample policy.

  • United States Breastfeeding Committee:Workplace Breastfeeding Support. Click here for a copy of this publication.

  • United States Breastfeeding Committee: Accommodations for Breastfeeding in the Workplace. Click here for a copy of this publication.
Policy for Paid Time Off to Attend Worksite-sponsored Health Promotion Programs/Classes During Work Hours. For an example of such a policy (pertaining to physical activity), go to www.eatsmartmovemorenc.com .

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Section 3: School Policies & Environment

Getting Started: Contact your school board or school district administrative office to obtain the information for this section. If a private school is the school with the largest enrollment for an elementary school, middle school or high school, contact the school’s principal.

Free and Reduced School Meal Programs: The National School Lunch Program (NSLP) is a federally assisted meal program operating in public and nonprofit private schools and residential child care institutions. It provides nutritionally balanced, low-cost or free lunches to children each school day. The program was established under the National School Lunch Act, signed by President Harry Truman in 1946. For more information, go to National School Lunch Program

United States Department of Agriculture (USDA) School Meal Standards: The USDA has established standards for meals that qualify for their Breakfast and Lunch Programs. To learn about their criteria, go to www.fns.usda.gov/fns/

Michigan Department of Education (MDE) Standards: Three policies that relate to a Healthy School Environment have recently been endorsed by the Michigan State Board of Education: Coordinated School Health Programs (9/03), Quality Physical Education (10/03) and Healthy Food and Beverages (12/03). Access them at: www.tn.fcs.msue.msu.edu

Breakfast Programs: Refer to the following online resources for information on breakfast programs.

Healthy Eating and Quality Physical Education Policies: Refer to the Michigan State Board of Education Policies on Healthy Food and Beverages (12/03) and Quality Physical Education (10/03), for details about how “healthy eating” is defined and what constitutes a quality Physical Education Program. Find these policies at www.tn.fcs.msue.msu.edu

Minimal Nutritional Value Foods: Defined by the United States Department of Agriculture (USDA) regulations as foods that provide less than 5% of the US recommended daily allowance per serving for protein, vitamin A, vitamin C, niacin, riboflavin, thiamin, calcium, and iron. Examples include

    Carbonated soft drinks & beverages
    Chewing gum
    Water ices
    Licorice, jelly beans, gum drops, candy bars, hard candies, marshmallow candies, caramels and chewy candies
    Most cakes, cupcakes and cookies
    Ades and punches(such as lemonade, orange juice, fruit punch)
    Juice drinks that are not 100% fruit juice
    Spun candy
    Donuts
    Candy coated popcorn
    Chips
    Cough drops and breath mints

Allowing Ample Time to Eat: For information on the importance of allowing students ample time to eat, including plate waste study results and more, go to https://fns.state.mn.us/StrategicPlan

The Downsides of Using Food as a Reward: For a fact sheet on this topic, go to www.tn.fcs.msue.msu.edu

Michigan Statewide Training Program for Food Service Staff: For information about the Michigan Statewide Training Program for Food Service Staff go to www.msfsa.org

Coordinated School Health Team - Definition and Benefits: Find the Coordinated School Health Programs Policy (September 2003) at the Michigan Team Nutrition website: www.tn.fcs.msue.msu.edu

Other Healthy School Environment Resources:

  • Team Nutrition: Team Nutrition (TN) is a USDA program providing resources to schools to support healthy school environments. Schools enrolled in Team Nutrition have access to many tools to improve the school nutrition and physical activity environment. To find out more, go to: www.tn.fcs.msue.msu.edu

  • Recess Before Lunch: For a fact sheet about why it is better to have recess before lunch, go to www.opi.state.mt.us/schoolfood/recessBL.html

  • Nutrition Service Surveys: A good start to improving nutrition in the school is to get feedback from students. For sample evaluation surveys to use with students, go to www.tn.fcs.msue.msu.edu/evaluation.html



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Section 4: Summary & Next Steps

The Michigan Healthy Communities Collaborative provides several websites to allow you to take the next step to creating a healthier community.



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Presented by the Michigan Healthy Communities Collaborative