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Section Four Meeting Children's Nutrition Requirements in Care What are children’s nutrition requirements? Food and good nutrition is of utmost importance to young children. What they eat impacts on their growth and development. Children’s eating habits are developed in the early years, and many eating habits developed at this early age will be continued throughout life. It is therefore important that, whilst in care, children consume foods that are consistent with the Dietary Guidelines for Children and Adolescents, promote the development of healthy eating habits and meet children’s nutrition requirements for optimum growth. The Dietary Guidelines for Children and Adolescents in Australia Children and adolescents should be encouraged to: Eat plenty of vegetables, legumes and fruits Eat plenty of cereals (including breads, rice, pasta and noodles), preferably wholegrain Include lean meat, fish, poultry and/or alternatives Include milks, yoghurts, cheese and/or alternatives Reduced-fat milks are not suitable for young children under 2 years, because of their high energy needs, but reduced-fat varieties should be encouraged for older children and adolescents Choose water as a drink Alcohol is not recommended for children And care should be taken to: Limit saturated fat and moderate total fat intake Low-fat diets are not suitable for infants Choose foods low in salt Consume only moderate amounts of sugars and foods containing added sugars Care for your child’s food: prepare and store it safely Children need to consume a certain number of serves from each food group to ensure that their nutrition requirements are being met. This will not only promote appropriate weight gain and reduce the risk of diet related diseases, but also expose children to a variety of foods (Table 1.). Children’s food group recommendations use ‘child size’ serves to allow for their small stomachs. A ‘child size’ serve is equal to half an adult size serve based on the Australian Guide to Health Eating. Edition 3 June 2008 Page 4.1 Table 1. Recommended number of serves of each food group consumed per day for children Food group Number of ‘child size’ serves required each day 1- 3 years* 4- 7 years** Vegetables 3-4 4-8 Fruit 2 2-4 Dairy foods 6 4-6 Meat & meat 1-2 1-2 At least 4 6-14 Limit to ½ - 2 Limit to 1-2 alternatives Breads, cereals, rice and pasta Extras (foods high in fat, salt and/or sugar) *Children’s Hospital Westmead **Australian Guide to Healthy Eating See Resource 4.1 for more details of what types of food each food group includes Extras are foods that do not fit into the other five food groups, as they are not essential to provide the nutrients the body needs and many contain too much added fat, salt or sugar. Examples of such foods include biscuits, chocolates, lollies, crumbed or battered meats, potato chips, pies, pastries etc. It also includes sweetened drinks, such as soft drink and cordial. Such foods should not be consumed by children on a daily basis. There are also foods that could fit into one of the five food groups, because they provide some essential nutrients, but that are also high in fat, sugar and/or salt (eg processed meats, cereal bars, fruit juice). These foods should also not be consumed by children on a daily basis. Therefore, extras and others foods high in fat, sugar and/or salt will be referred to as ‘food and drinks high in fat, salt and/or sugar’ throughout the remainder of the package. Criteria to define food and drinks that are high in fat, salt or sugar has been defined as: A food that is ‘high in fat’ contains greater than 20g of fat per 100g and/or greater than 5g of saturated fat per 100g. For drinks if there is greater than 10g of fat per 100g and/or greater than 2.5g saturated fat per 100g it is high in fat. A food that is ‘high in sugars’ has greater than 15g of sugars per 100g. For drinks if there is greater than 7.5g sugar per 100g it is high in sugars. A food that is ‘high in salt’ contains greater than 600mg of sodium per 100g. For drinks if there is greater than 300mg per 100g it is high in salt. These criteria are based on the“ www.choicefoodforkids.com.au” recommendations. See Resource 4.2 for more details on how to identify food and drinks that are high in fat, salt or sugar. Edition 3 June 2008 Page 4.2 What about infants? There are no specific food group recommendations for children under 1 years of age. However recommendations regarding appropriate introduction of foods and drinks do exist. Children aged less than about 6 months need no solid foods and should receive breast milk or infant formula. Australian and international health authorities recommend exclusive breastfeeding with no other milks or drinks until around 6 months of age. From 6 months children should start to be offered solid foods. At first babies should be offered foods that are easily digestible and soft, and then progress to different textures. Breast milk or infant formula should continue as the main food up until twelve months. Breastfeeding can continue to provide health benefits in a child’s second year of life. Water that has been boiled and cooled can be offered in small amounts. By 12 months of age children should be able to eat most family foods and drink from a cup. See Resource 4.3 for a list of useful resources about infant nutrition What are children’s nutrition requirements when in care? On the days that children attend care, they may spend a large proportion of their day in care. Therefore children should receive an appropriate proportion of their food and drink needs whilst in care. The number of serves of each food group that children are required to eat is dependant on the number of hours they are in care. Some food groups (eg meat or meat alternatives) require certain types of foods within the group to be consumed to ensure children’s requirements for particular nutrients are met (eg red meat to obtain iron). Recommendations for services open for 8 hours If a service is open for 8 hours children should consume enough food to meet 50% of the recommended dietary intake (RDI) for all nutrients. This is reinforced under the NSW Children’s Service Regulations 2004 endorsement of the Dietary Guide for Children (Caring for Children 2005). This equates to approximately half of the recommended number of 'child size' serves of each food group each day, that is: 1 child size serve of meat or meat alternatives 2 child size serves of vegetables 1 child size serve of fruit 3 child size serves of dairy Edition 3 June 2008 Page 4.3 2 child size serves of bread, cereals, rice, pasta or noodles In addition: Water should be available for children to drink at all times, including meal and non-meal times. Food and drinks that are high in fat, salt and/or sugar should not be consumed by children whilst in care. For children aged 1-2 years this is the number of serves from each food group they need to consume to meet their energy and nutrient requirements whilst in care each day. Those aged 3 years and over will require extra food to meet their energy requirements. Extra serves of food from the bread, cereals, rice, pasta or noodles or vegetable groups should be offered in such cases, but should be limited to one to two additional serves from both of the food groups. The older a child is and the more active they are, the more likely it will be that they require these additional serves. To ensure that adequate serves of food from each food group can be consumed during care it is recommended that children should receive one main meal (lunch or breakfast) and two snacks (morning tea, afternoon tea or late afternoon tea). Recommendations for services open for less than 8 hours If a service is open for less than 8 hours children should consume enough food to meet proportionally less than 50% of RDI for all nutrients. This equates to slightly less than half of the number of recommended serves of each food group per day, that is: 1 serve of meat or meat alternatives 1 serve of vegetables 1 serve of fruit 2 serves of dairy 2 serves of bread, cereals, rice, pasta or noodles In addition: Water should be available for children to drink at all times, including meal and non-meal times. Food and drinks that are high in fat, salt or sugar should not be consumed by children whilst in care. Edition 3 June 2008 Page 4.4 For children aged 1-2 years this is the number of serves from each food group they need to consume to meet their energy and nutrient requirements whilst in care each day. Those aged 3 years and over will require extra food to meet their energy requirements. Extra serves of food from the bread, cereals, rice, pasta or noodles or vegetable groups should be offered in such cases, but should be limited to one additional serve from both of the food groups. The older a child is and the more active they are, the more likely it will be that they require these additional serves. To ensure that adequate serves of food from each food group can be consumed during care it is recommended that children should receive one main meal (breakfast or lunch) and one snack (morning tea, afternoon tea or late afternoon tea). Recommendations for services open for greater than 8 hours If a service is open for greater than 8 hours children should consume enough food to meet proportionally more than 50% of RDI for all nutrients. This equates to slightly more than half the number of recommended serves of each food group per day, that is; 1 serve of meat or meat alternatives 3 serves of vegetables 1 serve of fruit 3 serves of dairy 3 serves of bread, cereals, rice, pasta or noodles In addition: Water should be available for children to drink at all times, including meal and non-meal times. Food and drinks that are high in fat, salt or sugar should not be consumed by children whilst in care. For children aged 1-2 years this is the number of serves of food from each food group they need to consume to meet their energy and nutrient requirements whilst in care each day. Extra serves of food from the bread, cereals, rice, pasta or noodles or vegetable groups should be offered in such cases, but should be limited to two additional serves from both of the food groups. The older a child is and the more active they are, the more likely it will be that they require these additional serves. Edition 3 June 2008 Page 4.5 To ensure that adequate serves of each food group can be consumed during care it is recommended that children should receive one main meal (breakfast or lunch) and two snacks (morning tea, afternoon tea or late afternoon tea), and an additional main meal or snack. How do we ensure children are meeting their nutrition requirements when in care? The process to ensure children are meeting their nutrition requirements when in care is described below. Review current practice and identify needs Plan Reflect and evaluate Implement See Bringing about change (Section 2) for more details about this model Review current practice and identify needs Form a team to revise your menu and/or lunchbox recommendations. This should include your cook(s) (if applicable), staff as well as family members. The team should facilitate the remaining steps. a. Determine the nutrition requirements of children that attend your service The nutrition requirements of children attending your service are dependant on your hours of operation. Use Table 2. to determine how many meals, and how many serves from each food group children must be provided with each day whilst in care. Edition 3 June 2008 Page 4.6 b. Determine whether children are currently receiving an appropriate number of meals and snacks whilst in care How many meals and snacks do children currently consume in care? This includes the meals and snacks provided by the service and those provided by families that are consumed whilst the child is in care. If you determine that children are currently not receiving enough meals and snacks you will need to ensure that either the service or families provides any appropriate additional meals or snacks. If you determine that children are currently receiving too many meals or snacks, it is recommended that either the service or families cease providing any extra meals or snacks. Table 2. What meals should children be provided whilst in care? One main meal (breakfast or lunch) + One snack (morning tea, afternoon tea or late afternoon tea) One main meal (breakfast or lunch) + Two snacks (morning tea, afternoon tea or late afternoon tea) How many serves of vegetables must children consume each day whilst in care? How many serves of fruit must children consume each day whilst in care? How many serves of dairy must children consume each day whilst in care? How many serves of meat or meat alternatives must children consume each day whilst in care? How many serves of breads, cereals, rice and pasta must children consume each day whilst in care? 1-2* 2-4* One main meal (breakfast or lunch) + 2 snacks (morning tea, afternoon tea or late afternoon tea) + An additional main meal (breakfast or lunch) or an additional snack (morning tea, afternoon tea or late afternoon tea) 3-5* 1 1 1 2 3 3 1 1 1 2-3* 2-4* 3-5* * Children aged 2 years and younger should be provided with the number of serves at the lower end of the range. Children aged 3 years and over should be provided with the number of serves at the upper end of the range. Edition 3 June 2008 Page 4.7 c. Determine whether children are currently receiving an appropriate number of serves of each food group whilst in care How you determine whether children are currently receiving an appropriate number of serves of each food group whilst in care is dependant on whether your service provides all the meals, families provide all the meals or both families and the service provide meals. If your service provides all meals review your current or future menu to determine if an appropriate number of serves of each food group is being provided. Use the Good for Kids Menu Planning Checklist (see Resource 4.4) for the appropriate number of hours your service is open. When families provide all meals it is more difficult to ensure children are meeting their nutritional requirements. It is the service’s role, however, to develop lunchbox recommendations and inform and educate families about these recommendations. Review your lunchbox recommendations to determine if the service is advising an appropriate number of serves from each food group be provided by families. Use the Good for Kids Lunchbox Recommendations Checklist (see Resource 4.5) for the appropriate number of hours your service is open. If both the service and families provide meals you will need to follow a two step process to determine whether children's nutrition requirements are being met. Review your current or future menu and your lunchbox recommendations to determine how many serves from each food group is being provided/recommended and therefore whether children's nutrition requirements are being met from these combined sources. Use the Good for Kids in Menu Planning Checklist for services where families provide some meals (see Resource 4.6) for the appropriate number of hours your service is open. d. Determine any specific nutritional needs of your children. This will include noting any allergies or intolerances, medical histories, cultures and religious beliefs or developmental difficulties. These factors should be considered when planning the menu and/or lunchbox recommendations. Edition 3 June 2008 Page 4.8 e. Make a list of changes Using the information gathered through review of meal provision, and your menu or lunchbox recommendations, make a list of changes that should be made to the number of meals provided, your menu and/or your lunchbox recommendations. Plan Determine whether or not you need to make changes to your menu and/or lunchbox recommendations. To develop your new menu and/or lunchbox recommendations you should use the appropriate checklist, along with other appropriate resources (e.g. cookbooks). Use some of the cookbooks and resources listed in Resource 4.7 to assist with developing menus and lunchbox recommendations. See Developing a Nutrition Policy that is Good for Kids (Section 3) as any changes made to your menu or lunchbox recommendations should be reiterated in your nutrition policy. See Partnerships with Families (Section 6) for ideas for how to engage families in planning. Implement To help the changes to your nutrition policy, menu and/or lunchbox recommendations run smoothly, it is recommended that you: ensure all families and staff members see a copy of the new menu or lunchbox recommendations provide any necessary education for families about the new menu and/or lunchbox recommendations. This should be part of orientation for new families also. See Partnerships with Families (Section 6) for more details about informing and educating families. Edition 3 June 2008 Page 4.9 Reflect and evaluate It is important that once changes have been made to ensure children’s nutrition requirements are met that your service continues to reflect on and evaluate the effectiveness of and satisfaction with the changes. If changes to your menu or lunchbox recommendations have been effective children will continue to be provided with food and drinks that meets their nutrition requirements. You may evaluate this through: checking that your menu is always planned using an appropriate checklist ensuring that the food actually being provided to children is what is recorded on the menu and that it is being served in appropriate portion sizes ensuring that food being provided by families is consistent with the service’s lunchbox recommendations Use Resource 4.8 How to conduct a ‘Menu Audit’ to assist Use Resource 4.9 How to conduct lunchbox audits to assist It is also important that staff, children and families are satisfied with the changes. Information regarding satisfaction may be collected formally or informally from these parties. Use Resource 6.12 to evaluation parent’s satisfaction with your menu and/or lunchbox recommendations. See Bringing about change (Section 2) for more details about determining staff, children and families satisfaction and Partnerships with Families (Section 6) for more details on how to overcome family dissatisfaction. Edition 3 June 2008 Page 4.10 Resource 4.1: Identifying which food group foods and drinks belong to a. Australian Guide to Healthy Eating: Summary Information Brochure* b. Food for Health- Dietary Guidelines for Children and Adolescents: Pamphlet * * The serving sizes recorded in these documents are ‘adult size’ serves not ‘child size’ serves. One child size serve= ½ an adult size serve Edition 3 June 2008 Page 4.11 Resource 4.2: Identifying foods and drinks high in fat, salt and/or sugar Edition 3 June 2008 Page 4.12 Nutrition information panels (NIP) Is it high in salt? made simple! Looking at the quantity per 100g column for Current food standard codes require all sodium check if there is >600mg of sodium. manufactured foods to have a nutrition If there is the food is high in salt! For drinks information panel. They can help you if there is >300mg it is high in salt! identify what foods are high in fat, salt or Source: www.choicefoodforkids.com.au sugar. Is it high in sugars? Nutrition information panels provide Looking at the quantity per 100g column for information on the levels of: saturated fats sugar check if there is >15g sugars. If there and total fat; protein; energy (kilojoules); is, the food is high in sugars. For drinks if sugars (includes added sugar and sugar that there is >7.5g sugar it is high in sugars! is naturally present); total carbohydrate; Source: www.choicefoodforkids.com.au and sodium. Nutrition claims Nutrition Information Servings per package: 3 Serving Size: 150g Energy Protein Fat, total - saturated Carbohydrate - sugars Sodium Quantity per serving 608kJ 4.2g 7.5g 4.6g 18.6g 18.6g 90mg For products to make some nutrition claims on their products they must meet certain Quantity per 100g 405kJ 2.8g 4.9g 3.0g 12.4g 12.4g 60mg criteria No added sugar- Contain no added sugar but can contain natural sugars (eg from fruit or milk) Reduced fat, salt - should be at least a 25 per cent reduction from the original product. What to look for……. Low fat - must contain less than 3 per cent Quantity per 100g: 100g is a useful fat for solid foods (1.5 per cent for liquid standard to help you compare different foods). products. It can be found on every nutrition panel. This is most helpful as different products record different serving sizes (and Fat free - must be less than 0.15 per cent fat. Nutrition labelling tricks! therefore servings per package). ‘Lite’ or ‘Light’ doesn’t always mean that a product is low in fat or kilojoules. It often refers to texture, colour or taste (e.g. oil). Is it high in fat? The label should include a statement of what Looking at the quantity per 100g column makes the food ‘light’ for fat (total and saturated) check if there is ‘93% fat free’ Many products are now > 20g of total fat OR > 5g of saturated claiming that they are 93% or even 90% fat fat. If so, the food is high in fat! For drinks if free- but remember this means that the there is >10g of fat OR >2.5g saturated fat it is high in fat. product is still 7 or 10 per cent fat! ‘Baked not fried’ although this sounds healthier, the product can still contain too much fat. Make sure you check the nutrition Source: www.choicefoodforkids.com.au information panel when such a claim is made. Edition 3 June 2008 Page 4.13 Resource 4.3: List of infant nutrition resources Edition 3 June 2008 Page 4.14 Caring for Infants. NSW Health. A concise, spiral bound book covering nutrition and food hygiene for 0-1 year olds Copies can be obtained from: The Community Nutritionist Central Sydney Community Health Services Level 4, Queen Mary Building Grose Street Camperdown NSW 2050 Ph: (02) 9515 3270 Fax: (02) 9515 3282 $15.00 Breastfeeding, Women And Work. The Australian Breastfeeding Association Practical suggestions and ideas to assist mothers continue to breastfeed after returning to the paid workforce, study or any other pursuits involving long periods separating mother and baby. Available to order from http://www.mothersdirect.com.au $5.00 Introducing solids. The Australian Breastfeeding Association A sensible approach to starting your breastfed baby on solids and foods eaten by the rest of the family. Available to order from http://www.mothersdirect.com.au $5.00 Starting family foods. NSW Health A short brochure providing information for families on introducing solids. Available at: http://www.health.nsw.gov.au/pubs/2006/pdf/baby_foods.pdf Feeding from 6 months Queensland Health A fact sheet outlining food and nutrition needs from 6 months Available at: http://www.health.qld.gov.au/phs/documents/cyhu/28108.pdf Feeding from 8 months. Queensland Health A fact sheet outlining food and nutrition needs from 8 months Available at: http://www.health.qld.gov.au/phs/documents/cyhu/28109.pdf Feeding from 9 months. Queensland Health A fact sheet outlining food and nutrition needs from 9 months Available at: http://www.health.qld.gov.au/phs/documents/cyhu/28110.pdf Solids table. Queensland Health A fact sheet including a table that summaries the introduction of solids process (by age and food group. Available at:http://www.health.qld.gov.au/phs/documents/cyhu/28115.pdf Edition 3 June 2008 Page 4.15 Resource 4.4 Good for Kids Menu Planning Checklists a. Menu Planning Checklist for services open for 8 hours b. Menu Planning Checklist for services open for less than 8 hours c. Menu Planning Checklist for services open for greater than 8 hours d. Menu Planning Checklist Instructions Edition 3 June 2008 Page 4.16 Menu Planning Checklist Use this checklist to plan each two-week cycle of your menu if you are open for 8 hours and provide all meals. The number of serves recommended is required to meet the nutritional needs of children whilst in care. You must get a tick in every box to be meeting children’s nutrition requirements whilst in care. You only get a tick in the box if you are providing the exact number of serves. . Number of meals provided The menu includes: One main meal Two snacks Dairy Foods The menu includes 3 'child size' serves of dairy foods per day The menu includes reduced fat milk for children aged 2 years and over Main meals Beef/Lamb Breads, cereals, rice & pasta Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). Iron On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu High fibre varieties are included at least 4 times per fortnight Snacks are planned on the menu as part of the total day's intake High fat, sugar or salt foods Drinks The menu allows for 1-2 additional ‘child size’ serves of vegetables for children aged 3 years and over The menu allows for 1-2 additional ‘child size’ serves of bread, cereal, rice or pasta foods per day for children aged 3 years and over Snacks Vegetables and Fruit The menu includes at least 2 'child size' serves of vegetables daily The menu includes at least 2 'child size' serves of bread, cereal, rice or pasta foods per day for The menu does not include foods that are high in fat, sugar or salt The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) The menu includes 1 'child size' serve of fruit daily Checklist based on ‘Nutrition Checklist for Long Day Care Menu Planning from NSW Health’s Caring for Children Food, Nutrition and Fun Activities, June 2005 Edition 3 June 2008 Page 4.17 Menu Planning Checklist Use this checklist to plan each two-week cycle of your menu if you are open for less than 8 hours and provide all meals. The number of serves recommended is required to meet the nutritional needs of children whilst in care. You must get a tick in every box to be meeting children’s nutrition requirements whilst in care. You only get a tick in the box if you are providing the exact number of serves. Number of meals provided The menu includes: One main meal One snack Main meals Beef/Lamb Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu Vegetables and Fruit The menu includes 2 'child size' serves of dairy foods per day The menu includes reduced fat milk for children aged 2 years and over Breads, cereals, rice & pasta The menu includes at least 2 'child size' serves of bread, cereal, rice or pasta foods per day The menu allows for 1 additional ‘child size’ serve of bread, cereal, rice or pasta foods per day for children aged 3 years and over High fibre varieties are included at least 4 times per fortnight Snacks Snacks are planned on the menu as part of the total day's intake High fat, sugar or salt foods Iron Dairy Foods The menu includes at least 1 'child size' serves of vegetables daily The menu does not include foods that are high in fat, sugar or salt Drinks The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) The menu makes available 1 additional ‘child size’ serves of vegetables for children aged 3 years and over The menu includes 1 'child size' serve of fruit daily Checklist based on ‘Nutrition Checklist for Long Day Care Menu Planning from NSW Health’s Caring for Children Food, Nutrition and Fun Activities, June 2005 Edition 3 June 2008 Page 4.18 Menu Planning Checklist Use this checklist to plan each two-week cycle of your menu if you are open for greater than 8 hours and provide all meals. The number of serves recommended is required to meet the nutritional needs of children whilst in care. You must get a tick in every box to be meeting children’s nutrition requirements whilst in care. You only get a tick in the box if you are providing the exact number of serves. Number of meals provided The menu includes: One main meal Two snacks Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Breads, cereals, rice & pasta Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals The menu includes at least 3 'child size' serves of dairy foods per day The menu includes reduced fat milk for children aged 2 years and over An additional main meal or snack Main meals Beef/Lamb Dairy Foods A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). The menu includes at least 3 'child size' serves of bread, cereal, rice or pasta foods per day The menu allows for 2 additional ‘child size’ serve of bread, cereal, rice or pasta foods per day for children aged 3 years and over High fibre varieties are included at least 4 times per fortnight Snacks Snacks are planned on the menu as part of the total day's intake Iron High fat, sugar or salt foods On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu The menu does not include foods that are high in fat, sugar or salt Drinks Vegetables and Fruit The menu includes at least 3 'child size' serves of vegetables daily The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) The menu makes available 2 additional ‘child size’ serves of vegetables for children aged 3 years and over The menu includes 1 'child size' serve of fruit daily Checklist based on ‘Nutrition Checklist for Long Day Care Menu Planning from NSW Health’s Caring for Children Food, Nutrition and Fun Activities, June 2005 Edition 3 June 2008 Page 4.19 Menu planning checklist instructions Use Table 1 below and the appropriate menu planning checklist for your service to determine whether your menu meets children's nutrition requirements. To be meeting children's nutrition requirements you should get a tick in every box on the appropriate Good for Kids Menu Planning Checklist. You should only get a tick if your menu provides exactly that number of serves, you are not meeting children's nutrition requirements if you are providing less serves and you are exceeding their nutrition requirements if you are providing more. Table 1 provides examples of foods within the groups to help complete the relevant Good for Kids Menu Planning Checklist. Pay special attention to the 'includes' and 'does not include' column as there are particular foods within each food group that should not be included on your menu as they are high in fat, sugar or salt. You should not count the foods in the 'does not include' column as a serve for that food group, but instead as a food high in fat, salt or sugars. Also note that when the checklist asks for number of serves it may be referring to the number of serves of the food group over each day, or the total over the fortnight. If you are not sure whether a food or drink is high in fat, salt or sugar refer to Resource 4.2 Identifying foods and drinks high in fat, salt and/or sugar. Table 1: Examples of foods from each group Group Includes Does not include Beef/Lamb Premium/’heart smart’ mince Lean roast beef/lamb Lean and trimmed fillet/rump/sirloin steaks Lean and trimmed lamb chops Chicken/fish/pork/veal Lean cuts of chicken, fish, pork, veal Chicken, pork or veal mince Lean and trimmed pork midloin or forequarter chop Pork butterfly steak Lean veal, loin chop or leg shoulder steak Roast pork Grilled baked fish fingers Grilled/baked fish cakes Tofu Egg Cheese** Baked beans Chickpeas Kidney beans Lentils Four bean Mix Nuts** Citrus fruit, rockmelon, melon, kiwifruit, passionfruit, pineapple, mango, raspberry, strawberry, blackberry, cherry, guava and lychee Artichoke, asparagus, broad beans, butter beans, green beans, brussel sprouts, cabbage, capsicum, cauliflower, onion, snow peas, sweet corn, tomato and zucchini Crumbed or battered beef or lamb Commercial hamburger patties Processed meats such as: sausage, Devon, cabanossi, pastrami, salami, bacon, frankfurters Pies or sausage rolls Processed meats eg chicken roll Fish burgers Crumbed or battered chicken, fish, pork or veal Chicken nuggets, chicken patty and chicken fillet wedges Vegetarian meals Vegetarian meals (Vitamin C rich fruit or vegetable) Edition 3 June 2008 Serving size (per child) 30-50g cooked meat (match box size) ¼ cup lean mince 1 slice roast meat 40-60g fish 30-50g chicken, pork or veal ¼ cup cooked dried beans, lentils, chickpeas, split peas or canned beans 1 small egg 1 slice processed cheese or 20g block cheese ¼ cup nuts Dependant on food group Page 4.20 Group Includes Does not include Iron containing foods Wholemeal bread Wholemeal pasta Wholemeal crackers Some breakfast cereals (eg weetbix, bran flakes) Dried fruit** Dark green vegetables (eg spinach) Orange vegetables (eg pumpkin, sweet potato) Cruciferous vegetables (eg broccoli, cauliflower) Starchy vegetables (eg potato) Salad vegetables (eg lettuce, tomato) Includes fresh, frozen and canned Citrus fruits (eg oranges, mandarins) Tropical fruits (eg bananas, pineapples) Stone fruits (eg apricots, peaches) Melons, berries, grapes, apples and pears Includes fresh, canned (in juice) and dried** Plain milk Cheese** Custard Reduced fat cream Reduced fat sour cream Yoghurt Milo Vegetables Fruit Dairy foods Breads, cereals, rice and pasta Edition 3 June 2008 Reduced fat dairy products should be provided for children 2 years and over Reduced fat cream or sour cream do not contain calcium so they are not a substitute for cheese, yoghurt, custard or milk Breads eg white, wholemeal, multigrain Turkish, pita, Lebanese, rye, fruit loaf Rice Pasta Noodles Some breakfast cereals (eg Weetbix, Special K, All bran, Mini Wheats, Guardian, All Bran, Rolled Oats) Cous Cous Crumpets Low fat savoury biscuits (eg paradise lites, rice crackers, rice cake thins, corn thins, vita-wheats) Pastry Pancakes/Pikelets High fibre varieties of breads, cereals, rice and pasta are preferable Serving size (per child) Dependant on food group All varieties of potato or other vegetables cooked in oil (e.g. potato chips, fries, gems, wedges, hash browns) ¼ cup of cooked vegetables (~35g) ½ cup salad vegetables ¼ cup of legumes (dried beans, peas or lentils) ½ medium potato Canned varieties in syrup Fruit Straps Fruit bars and sticks 1 small piece of fruit (eg apricot, kiwi fruit, plums) 1 small piece of fruit (eg apple, orange, pear) ½ cup diced pieces or canned fruit 2 dried apricot halves ¾ tablespoon of sultanas ½ cup of milk (125ml) ½ cup yoghurt (~100g) 1 slice processed cheese or 20g block cheese ½ cup custard (~100g) Frozen yoghurt Dairy Desserts (eg Yogo) Ice cream (including low fat) Cream Sour cream Flavoured milk Fried noodles Some breakfast cereals (eg Nutrigrain, Cornflakes, Coco Pops, Fruit Loops. Frosties, Cheerios,) Savoury biscuits (eg Sao) Croissants Processed or high fat/sugar cakes, biscuits and slices 1 slice of bread ½ medium bread roll ½ cup cooked rice, pasta or noodles 100g spaghetti ½ cup breakfast cereal ¼ cup muesli 10 rice crackers 1 thick rice cake 2 thin rice/corn cakes Small packet popcorn 1 small pikelet 2 medium crispbread Page 4.21 Group Includes Does not include Drinks Water Plain milk (N.B Plain milk provided as a drink should still be counted within the dairy serves) Fruit juice Cordial Soft Drink Flavoured Milk Foods high in fat, salt or sugar’ For your service to 'not include foods that are high in fat, sugar or salt’, your menu cannot contain any foods in the 'does not include’ columns above Serving size (per child) 125ml of milk N/A ** Although this food or drink does meet the criteria specified for foods high in fat, sugar or salt it provides vital nutrients that are available from few other foods Edition 3 June 2008 Page 4.22 Resource 4.5: Good for Kids Lunchbox Recommendations Checklist a. Good for Kids Lunchbox Recommendations Checklist for Children's Services Open for 8 hours b. Good for Kids Lunchbox Recommendations Checklist for Children's Services Open for less than 8 hours c. Good for Kids Lunchbox Recommendations Checklist for Children's Services Open for greater than 8 hours Edition 3 June 2008 Page 4.23 Lunchbox Recommendation Checklist Use this checklist to plan or review your lunchbox recommendations if you are open for 8 hours and families provide all meals. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box for your lunchbox recommendations to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if you are recommending the exact number of serves for that food group. Please tick the box if your lunchbox recommendations for families encourage them to pack: 1 main meal 2 snacks 1 child size serve of lean meat or meat alternatives 2 child size serves of vegetables for children less than 3 years & up to 3-4 child size serves of vegetables for children 3 years and over 1 child size serve of fruit 3 child size serves of dairy (reduced fat milk suggested for children over 2 years of age) 2 child size serves of bread, cereals, rice, pasta or noodles for children less than 3 years and 3-4 child size serves of breads, cereals, rice pasta or noodles for children 3 years and over Water as a drink No foods or drinks that are high in fat, sugar or salt If all boxes are ticked your lunchbox recommendations meet children's nutrition requirements. Edition 3 June 2008 Page 4.24 Lunchbox Recommendation Checklist Use this checklist to plan or review your lunchbox recommendations if you are open for less than 8 hours and families provide all meals. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box for your lunchbox recommendations to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if you are recommending the exact number of serves for that food group. Please tick the box if your lunchbox recommendations for families encourage them to pack: 1 main meal 1 snack 1 child size serve of lean meat or meat alternatives 1 child size serve of vegetables for children less than 3 years & up to 2 child size serves of vegetables for children 3 years and over 1 child size serve of fruit 2 child size serves of dairy (reduced fat milk suggested for children over 2 years of age) 2 child size serves of bread, cereals, rice, pasta or noodles for children less than 3 years and 3 child size serves of breads, cereals, rice pasta or noodles for children 3 years and over Water as a drink No foods or drinks that are high in fat, sugar or salt If all boxes are ticked your lunchbox recommendations meet children's nutrition requirements. Edition 3 June 2008 Page 4.25 Lunchbox Recommendation Checklist Use this checklist to plan or review your lunchbox recommendations if you are open for greater than 8 hours and families provide all meals. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box for your lunchbox recommendations to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if you are recommending the exact number of serves for that food group. Please tick the box if your lunchbox recommendations for families encourage them to pack: 1 main meal 2 snacks An additional main meal or snack 1 child size serve of lean meat or meat alternatives 3 child size serve of vegetables for children less than 3 years & up to 5 child size serves of vegetables for children 3 years and over 1 child size serve of fruit 3 child size serves of dairy (reduced fat milk suggested for children over 2 years of age) 3 child size serves of bread, cereals, rice, pasta or noodles for children less than 3 years and up to 5 child size serves of breads, cereals, rice pasta or noodles for children 3 years and over Water as a drink No foods or drinks that are high in fat, sugar or salt If all boxes are ticked your lunchbox recommendations meet children's nutrition requirements. Edition 3 June 2008 Page 4.26 Resource 4.6: Good for Kids Menu Planning Checklist for services where families provide some meals a. Good for Kids Menu Planning Checklist for services where families provide some meals and are open for 8 hours b. Good for Kids Menu Planning Checklist for services where families provide some meals and are open for less than 8 hours c. Good for Kids Menu Planning Checklist for services where families provide some meals and are open for greater than 8 hours Edition 3 June 2008 Page 4.27 Menu Planning Checklist For services where parents also provide some meals Use this checklist to plan or review each two-week cycle of your menu and your lunchbox recommendations for families if you are open for less than 8 hours. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if in total you are recommending and providing the exact number of serves for that food group. Number of meals provided Children are provided with one main meal and one snack either by the service or the family. The service provides_______________ The parents provide _______________ Main meal (complete this section if lunch is provided by the service) Beef/Lamb Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). Iron On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu Vegetables The main meal should include at least 1 'child size' serve of vegetables Breads, cereals, rice or pasta The main meal should include at least 1 'child size' serve of bread, cereal, rice or pasta foods per day Dairy The main meal should include 1 'child size' serve of dairy Main meal (complete this section if lunch is provided by parents) Our lunchbox recommendations state that families must pack 1 child size serve of meat or meat alternatives each day. Edition 3 June 2008 Page 4.28 Dairy Foods A child should consume 2 'child size' serves of dairy foods whilst in care How many ‘child size’ serves of dairy is provided on your menu each day? How many ‘child size’ serves of dairy are families recommended to pack each day? Total The total number of serves is equal to 2 child size serves of dairy per day The service provides reduced fat dairy products for children aged 2 years and over Our lunchbox recommendations state that parents must pack reduced fat dairy Vegetables and Fruit A child should consume at least 2 child size serves of vegetables each day in care. 1 additional serve of vegetables should be made available to children 3 years and over. How many ‘child size’ serves of vegetables is provided on your menu each day? How many ‘child size’ serves of vegetables are families recommended to pack each day? Total The total number of serves is equal to at least 2 'child size' serves of vegetables daily products for children aged 2 years and over Breads, cereals, rice & pasta A child should consume 2 child size serves of bread, cereal, rice or pasta per day. 1 additional serve of bread, cereal, rice or pasta should be made available to children 3 years and over. How many ‘child size’ serves of breads etc is provided on your menu each day? How many ‘child size’ serves of bread etc are families recommended to pack each day? Total The total number of serves is equal to at least 2 child size serves of bread, cereal, rice or pasta High fibre varieties are included on the menu at least 4 times per fortnight Our lunchbox recommendations state that parents should try and pack high fibre varieties A child should consume 1 child size serve of fruit whilst in care How many ‘child size’ serves of vegetables is provided on your menu each day? How many ‘child size’ serves of vegetables are families recommended to pack each day? Total The total number of serves is equal to 1 'child size' serve of fruit daily High fat, sugar or salt foods The menu does not include foods that are high in fat, sugar or salt Our lunchbox recommendations state that families should provide no foods or drinks that are high in fat, sugar or salt. Drinks The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) Our lunchbox recommendations state that families should provide water as a drink Edition 3 June 2008 Page 4.29 Menu Planning Checklist For services where parents also provide some meals Use this checklist to plan or review each two-week cycle of your menu and your lunchbox recommendations for families if you are open for 8 hours. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if in total you are recommending and providing the exact number of serves for that food group. Number of meals provided Children are provided with one main meal and two snacks either by the service or the family. The service provides_______________ The parents provide _______________ Main meal (complete this section if lunch is provided by the service) Beef/Lamb Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). Iron On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu Vegetables The main meal should include at least 1 'child size' serve of vegetables Breads, cereals, rice or pasta The main meal should include at least 1 'child size' serve of bread, cereal, rice or pasta foods per day Dairy The main meal should include 1 'child size' serve of dairy Main meal (complete this section if lunch is provided by parents) Our lunchbox recommendations state that families must pack 1 child size serve of meat or meat alternatives each day. Edition 3 June 2008 Page 4.30 Dairy Foods A child should consume 3 'child size' serves of dairy foods whilst in care How many ‘child size’ serves of dairy is provided on your menu each day? How many ‘child size’ serves of dairy are families recommended to pack each day? Total The total number of serves is equal to 3 child size serves of dairy per day The service provides reduced fat dairy products for children aged 2 years and Vegetables and Fruit A child should consume at least 2 child size serves of vegetables each day in care. 1-2 additional serves of vegetables should be made available to children 3 years and over. How many ‘child size’ serves of vegetables is provided on your menu each day? How many ‘child size’ serves of vegetables are families recommended to pack each day? Total over Our lunchbox recommendations state that parents must pack reduced fat dairy products for children aged 2 years and over Breads, cereals, rice & pasta A child should consume 2 child size serves of bread, cereal, rice or pasta per day. 1-2 additional serves of bread, cereal, rice or pasta should be made available to children 3 years and over. How many ‘child size’ serves of breads etc is provided on your menu each day? How many ‘child size’ serves of bread etc are families recommended to pack each day? Total The total number of serves is equal to at least 2 child size serves of bread, cereal, rice or pasta The total number of serves is equal to at least 2 'child size' serves of vegetables daily A child should consume 1 child size serve of fruit whilst in care How many ‘child size’ serves of fruit is provided on your menu each day? How many ‘child size’ serves of fruit are families recommended to pack each day? Total The total number of serves above is equal to 1 'child size' serve of fruit daily High fat, sugar or salt foods High fibre varieties are included on the menu at least 4 times per fortnight The menu does not include foods that are high in fat, sugar or salt Our lunchbox recommendations state that families should provide no foods or drinks that are high in fat, sugar or salt. Drinks Our lunchbox recommendations state that parents should try and pack high fibre varieties Edition 3 June 2008 The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) Our lunchbox recommendations state that families should provide water as a drink Page 4.31 Menu Planning Checklist For services where parents also provide some meals Use this checklist to plan or review each two-week cycle of your menu and your lunchbox recommendations for families if you are open for greater than 8 hours. The number of serves recommended is required to meet the nutritional needs of children in care. You must get a tick in every box to be meeting children’s nutrition requirements when in care. You should only get a tick in the box if in total you are recommending and providing the exact number of serves for that food group. Number of meals provided Children are provided with one main meal and two snacks, and an additional main meal or snack either by the service or the family The service provides_______________ The parents provide _______________ Main meal (complete this section if lunch is provided by the service) Beef/Lamb Lean red meat is included on the menu at least 4 times per fortnight Chicken/fish/pork/veal Lean white meat is included on the menu at least 3 times per fortnight Vegetarian meals A vegetarian meal is included on the menu at least 2 times per fortnight A vegetable or fruit high in Vitamin C is served with the vegetarian meal (excluding fruit juice). Iron On each day that a white meat or vegetarian meal is served, at least 1 other iron containing food is included on the menu Vegetables The main meal should include at least 1 'child size' serve of vegetables Breads, cereals, rice or pasta The main meal should include at least 1 'child size' serve of bread, cereal, rice or pasta foods per day Dairy The main meal should include 1 'child size' serve of dairy Main meal (complete this section if lunch is provided by parents) Our lunchbox recommendations state that families must pack one child size serve of meat or meat alternatives each day. Edition 3 June 2008 Page 4.32 Dairy Foods A child should consume 3 'child size' serves of dairy foods whilst in care How many ‘child size’ serves of dairy is provided on your menu each day? How many ‘child size’ serves of dairy are families recommended to pack each day? Total The total number of serves is equal to 3 child size serves of dairy per day The service provides reduced fat dairy products for children aged 2 years and over Our lunchbox recommendations state that parents must pack reduced fat dairy products for children aged 2 years and over Breads, cereals, rice & pasta A child should consume 3 child size serves of bread, cereal, rice or pasta per day. 2 additional serves of bread, cereal, rice or pasta should be made available to children 3 years and over. How many ‘child size’ serves of breads etc is provided on your menu each day? How many ‘child size’ serves of bread etc are families recommended to pack each day? Total Vegetables and Fruit A child should consume at least 3 child size serves of vegetables each day in care. 2 additional serves of vegetables should be made available to children 3 years and over. How many ‘child size’ serves of vegetables is provided on your menu each day? How many ‘child size’ serves of vegetables are families recommended to pack each day? Total The total number of serves is equal to at least 3 'child size' serves of vegetables daily A child should consume 1 child size serve of fruit whilst in care How many ‘child size’ serves of vegetables is provided on your menu each day? How many ‘child size’ serves of vegetables are families recommended to pack each day? Total The total number of serves is equal to 1 'child size' serve of fruit daily High fat, sugar or salt foods The total number of serves is equal to at least 3 child size serves of bread, cereal, rice or pasta High fibre varieties are included on the menu at least 4 times per fortnight Our lunchbox recommendations state that parents should try and pack high fibre varieties Edition 3 June 2008 The menu does not include foods that are high in fat, sugar or salt Our lunchbox recommendations state that families should provide no foods or drinks that are high in fat, sugar or salt. Drinks The menu includes water as a drink The menu does not include sweetened drinks (including fruit juice) Our lunchbox recommendations state that families should provide water as a drink Page 4.33 How to use the menu planning checklist(s) for services where both families and the service provide food Use Table 1 below and the appropriate Good for Kids Menu and Lunchbox Planning Checklist for your service to determine whether your menu and lunchbox recommendations combined meet children’s nutrition requirements. You should only get a tick if your menu provides exactly that number of serves, you are not meeting children's nutrition requirements if you are providing less serves and you are exceeding their nutrition requirements if you are providing more. In Table 1, pay special attention to the 'includes' and 'does not include' column as there are particular foods within each food group that should not be included on your menu as they are high in fat, sugar or salt. You should not count the foods in the 'does not include' column as a serve for that food group, but instead as a food high in fat, salt or sugars If you are not sure whether a food or drink is high in fat, salt or sugar refer to Resource 4.2 Identifying foods and drinks high in fat, salt and/or sugar. N.B It is important to be reasonable when determining the number of serves of each food group provided by the families and the service. For example, if the service provides lunch with no vegetables, it is not practical to expect the families to supply the remaining 2 serves of vegetables in the 2 snacks they are providing. In this case the menu may need to be revised. Also, take into consideration what types of foods families normally pack in their allocated meals when planning your menu. For example, if most families pack fruit every day, it is probably best for the families to continue to pack the one serve of fruit required and for the service not to provide any fruit. Table 1: Examples of foods from each group Group Includes Does not include Beef/Lamb Premium/’heart smart’ mince Lean roast beef/lamb Lean and trimmed fillet/rump/sirloin steaks Lean and trimmed lamb chops Chicken/fish/pork/veal Lean cuts of chicken, fish, pork, veal Chicken, pork or veal mince Lean and trimmed pork midloin or forequarter chop Pork butterfly steak Lean veal, loin chop or leg shoulder steak Roast pork Grilled/baked fish fingers Grilled/baked fish cakes Tofu Egg Cheese** Baked beans Chickpeas Kidney beans Lentils Four bean Mix Nuts** Citrus fruit, rockmelon, melon, kiwifruit, passionfruit, pineapple, mango, raspberry, strawberry, blackberry, cherry, guava and lychee Crumbed or battered beef or lamb Commercial hamburger patties Processed meats such as: sausage, Devon, cabanossi, pastrami, salami, bacon, frankfurters Pies or sausage rolls Processed meats eg chicken roll Fish burgers Crumbed or battered chicken, fish, pork or veal Chicken nuggets, chicken patty and chicken fillet wedges Vegetarian meals Vegetarian meals (Vitamin C rich fruit or vegetable) Edition 3 June 2008 Serving size (per child) 30-50g cooked meat (match box size) ¼ cup lean mince 1 slice roast meat 40-60g fish 30-50g chicken, pork or veal ¼ cup cooked dried beans, lentils, chickpeas, split peas or canned beans 1 small egg 1 slice processed cheese or 20g block cheese ¼ cup nuts Dependant on food group Page 4.34 Group Iron containing foods Vegetables Fruit Dairy foods Breads, cereals, rice and pasta Edition 3 June 2008 Includes Artichoke, asparagus, broad beans, butter beans, green beans, brussel sprouts, cabbage, capsicum, cauliflower, onion, snow peas, sweet corn, tomato and zucchini Wholemeal bread Wholemeal pasta Wholemeal crackers Some breakfast cereals (eg weetbix, bran flakes) Dried fruit** Dark green vegetables (eg spinach) Orange vegetables (eg pumpkin, sweet potato) Cruciferous vegetables (eg broccoli, cauliflower) Starchy vegetables (eg potato) Salad vegetables (eg lettuce, tomato) Includes fresh, frozen and canned Citrus fruits (eg oranges, mandarins) Tropical fruits (eg bananas, pineapples) Stone fruits (eg apricots, peaches) Melons, berries, grapes, apples and pears Includes fresh, canned (in juice) and dried** Plain milk Cheese** Custard Reduced fat cream Reduced fat sour cream Yoghurt Reduced fat dairy products should be provided for children 2 years and over Reduced fat cream or sour cream do not contain calcium so they are not a substitute for cheese, yoghurt, custard or milk Breads eg white, wholemeal, multigrain Turkish, pita, Lebanese, rye, fruit loaf Rice Pasta Noodles Some breakfast cereals (eg Weetbix, Special K, All bran, Mini Wheats, Guardian, All Bran, Rolled Oats) Cous Cous Crumpets Low fat savoury biscuits (eg paradise lites, rice crackers, rice cake thins, corn thins, vita-wheats) Does not include Serving size (per child) Milo Dependant on food group All varieties of potato or other vegetables cooked in oil (e.g. potato chips, fries, gems, wedges, hash browns) ¼ cup of cooked vegetables (~35g) ½ cup salad vegetables ¼ cup of legumes (dried beans, peas or lentils) ½ medium potato Canned varieties in syrup Fruit Straps Fruit bars and sticks 1 small piece of fruit (eg apricot, kiwi fruit, plums) 1 small piece of fruit (eg apple, orange, pear) ½ cup diced pieces or canned fruit 2 dried apricot halves ¾ tablespoon of sultanas ½ cup of milk (125ml) ½ cup yoghurt (~100g) 1 slice processed cheese or 20g block cheese ½ cup custard (~100g) Frozen yoghurt Dairy Desserts (eg Yogo) Ice cream (including low fat) Cream Sour cream Flavoured milk Fried noodles Some breakfast cereals (eg Nutrigrain, Cornflakes, Coco Pops, Fruit Loops. Frosties, Cheerios,) Savoury biscuits (eg Sao) Croissants Processed or high fat/sugar cakes, biscuits and slices 1 slice of bread ½ medium bread roll ½ cup cooked rice, pasta or noodles 100g spaghetti ½ cup breakfast cereal ¼ cup muesli 10 rice crackers 1 thick rice cake 2 thin rice/corn cakes Small packet popcorn 1 small pikelet 2 medium crispbread Page 4.35 Group Drinks Foods high in fat, salt or sugar’ Includes Pastry Pancakes/Pikelets High fibre varieties of breads, cereals, rice and pasta are preferable Water Plain milk (N.B Plain milk provided as a drink should still be counted within the dairy serves) Does not include Serving size (per child) Fruit juice Cordial Soft Drink Flavoured Milk 125ml of milk For your service to 'not include foods that are high in fat, sugar or salt’, your menu cannot contain any foods in the 'does not include’ columns above N/A ** Although this food or drink does meet the criteria specified for foods high in fat, sugar or salt it provides vital nutrients that are available from few other foods Edition 3 June 2008 Page 4.36 Resource 4.7: List of recommended resources for menu planning & lunchboxes Edition 3 June 2008 Page 4.37 Caring for Children. Food, Nutrition and Fun Activities. NSW Health The latest (4th) edition of the well-known ‘Yellow Book’ from Lady Gowrie Child Centre. Looks at nutrition for childcare and fun activities to get children involved in eating well. You can order a copy by printing the order form from the website. Available from: www.gowrie-sydney.com.au What is Better Food? Queensland Health Available at: http://www.health.qld.gov.au/phs/Documents/shpu/6656.pdf Planning nutritious childcare centre menus: Nutrition checklist and support materials. 2nd Edition. South Australian Childcare Nutrition Partnership A resource for child care centres to help them provide nutritious food for children Available at: http://www.chdf.org.au/i-cms_file?page=110/PlanningNutritionCCCmenu.pdf Start them Right. Tasmanian Health A booklet for families and carers giving practical information about common food and nutrition issues Available at: http://www.dhhs.tas.gov.au/healthyliving/nutrition/documents/Start_them_right_booklet.pdf Menu planning for childcare centres Nutrition Australia A comprehensive guide to planning nutritious menus for childcare environments. It covers general healthy eating information that needs to be considered when planning a menu and provides great menu suggestions which incorporate all of the children’s nutritional requirements whilst in care. The book also covers feeding infants, introduction of solids and what to feed children on special diets such as lactose free, diabetes, gluten free or vegetarian. Taking into account cultural diversity of foods, seasonal availability of foods and budgeting, this book is a must have for centres which provide food. Available at: http://www.nutritionaustralia.org/On_the_Book_Shelf/Publications/publications.asp Culture, cuisines and child care: more than just nutrition. A multicultural resource for childcare centres. A multicultural resource to learn about foods from different cultures and include them in menus. Available from: Community Nutrition Liverpool Health Service PO Box 3084, LIVERPOOL NSW 2170 Cost: $11.00 (including GST) plus postage and handling Edition 3 June 2008 Page 4.38 Tummy Tempters. A cookbook for long day care centres Northern Sydney Cooks Network (2000) A recipe book for cooks developed by cooks Available from Dietitian in Charge, Dietetics Department, Manly Hospital. PO Box 465, Manly NSW 1655 Ph (02) 99769611 NEAT Recipes for Kids. Cookbook for Long Day Care Centres Penrith City Council A recipe book for cooks that includes nutritious, economical and tasty recipes for 40 children. Available from Lady Gowrie South Australia www.gowrie-adelaide.com.au/cms/index.php?q=system/files/Catalogue05Web.pdf N.B. There may be slight differences in the recommendations being made in these resources to those of Good for Kids. To meet Good for Kids. Good for Life Best Practice Nutrition Guidelines you should follow the recommendations listed in this package. Edition 3 June 2008 Page 4.39 Resource 4.8: How to conduct a Menu Audit a. Instructions b. Menu audit form Edition 3 June 2008 Page 4.40 Menu Audit Instructions 1. Serve up an extra plate of each main meal and snack on one day 2. Complete the menu audit form, taking into consideration: - Is the meal or snack provided what was recorded on the menu? - How many serves of each food group does each meal and snack provide? 3. Determine whether you have met children’s nutrition requirements for that day, if not identify the issues (eg too small/large serving sizes, different ingredient used than listed on the menu) 4. Work with your cook and menu planning group to overcome the issues Edition 3 June 2008 Page 4.41 Menu Audit Evaluation Form For services that provide all meals Date_______________________ Are all meals provided as listed on the menu? Yes No ____________________________________________________________________________________________________ Does this meet children's nutrition requirements whilst in care? Determine whether this meets your services required number of serves dependant on opening hours- see notes) Notes 30-50g cooked meat ¼ cup lean mince 1 slice roast meat 40-60g fish 30-50g chicken, pork or veal ¼ cup legumes 1 small egg 1 slice processed cheese or 20g block cheese 1 serve per day in care ¼ cup of cooked vegetables (~35g) ½ cup salad vegetables ¼ cup of legumes (dried beans, peas or lentils) ½ medium potato Food group Serving size Instructions Use the serving sizes to calculate how many serves of each food group a child receives from the menu Red meat White meat or vegetarian meal Vegetables Edition 3 June 2008 Food(s) provided from this group List foods within the food group provided on the menu. Remember to divide up mixed menu items (eg spaghetti bolognaise to meat, vegetable and breads) Number of serves Calculate total number of serves Yes No- not enough No- too many serves Comments: Yes No- not enough No- too many serves Comments: 1 serve per day if open less than 8 hours At least 2 serves per day if open for 8 hours At least 3 serves per day if open greater Page 4.42 than 8 hours Fruit Bread, cereal, rice, pasta or noodles Dairy 1 small piece of fruit (eg apricot, kiwi fruit, plums) 1 small piece of fruit (eg apple, orange, pear) ½ cup diced pieces or canned fruit 2 dried apricot halves ¾ tablespoon of sultanas 1 slice of bread ½ medium bread roll ½ cup cooked rice, pasta or noodles ½ cup breakfast cereal ½ cup of milk (125ml) 1 /3 cup yoghurt 1 slice processed cheese or 20g block cheese ½ cup custard Edition 3 June 2008 Yes 1 serve per day in care No- not enough No- too many serves Comments: Yes No- not enough No- too many serves Comments: Yes No- not enough No- too many serves Comments: At least 2 serves per day if open less than 8 hours At least 2 serves per day if open for 8 hours At least 3 serves per day if open greater than 8 hours 2 serves per day if open for less than 8 hours 3 serves per day if open for greater than or equal to 8 hours Page 4.43 Resource 4.9: Lunchbox Audits a. Good for Kids Lunchbox Audit tool for services open for 8 hours b. Good for Kids Lunchbox Audit tool for services open for less than 8 hours c. Good for Kids Lunchbox Audit tool for services open for greater than 8 hours d. Instructions for Lunchbox Audits Edition 3 June 2008 Page 4.44 Lunchbox Audit Tool Food Group Number of serves in child's lunchbox Meat or meat alternatives Vegetables Number of serves required to meet nutrient requirements 1 Fruit At least 2 Up to 3-4 serves if 3 years or over 1 Dairy 3 Breads, cereals, rice, pasta or noodles At least 2 Up to 3-4 serves if 3 years or over 0 Foods or drinks high in fat, sugar or salt Water Meeting children's nutrition requirements (please circle) Edition 3 June 2008 YES Must be packed in lunchbox NO - Not enough serves - Too many serves - Combination of not enough and too many serves Page 4.45 Lunchbox Audit Tool Food Group Number of serves in child's lunchbox Meat or meat alternatives Vegetables Number of serves required to meet nutrient requirements 1 Fruit At least 1 Up to 2 serves if 3 years or over 1 Dairy 2 Breads, cereals, rice, pasta or noodles At least 2 Up to 3 serves if 3 years or over 0 Foods or drinks high in fat, sugar or salt Water Meeting children's nutrition requirements (please circle) Edition 3 June 2008 YES Must be packed in lunchbox NO - Not enough serves - Too many serves - Combination of not enough and too many serves Page 4.46 Lunchbox Audit Tool Food Group Number of serves in child's lunchbox Meat or meat alternatives Vegetables Number of serves required to meet nutrient requirements 1 Fruit At least 3 Up to 5 serves if 3 years or over 1 Dairy 3 Breads, cereals, rice, pasta or noodles At least 3 Up to 5 serves if 3 years or over 0 Food or drinks high in fat, sugar or salt Water Meeting children's nutrition requirements (please circle) Edition 3 June 2008 YES Must be packed in lunchbox NO - Not enough serves - Too many serves - Combination of not enough and too many serves Page 4.47 Instructions for Lunchbox Audit a) Use the checklist either at meal times or outside meals, whatever suits your service b) On one day, complete for each child (or a selection of children) an audit tool by checking what is packed in their lunchboxes. c) Calculate how many serves from each food group each child has packed (using the table below). If you are having trouble determining whether a food is high in fat, salt or sugar you can also refer to Resource 2.1 d) Determine whether the lunchbox meets children's nutrition requirements. The food meets children's nutrition requirements if: The number of serves in child’s lunchbox = number of serves required to meet children's nutrition requirements column A child’s lunchbox may not meet requirements because there are: - Not enough serves of some food groups - Too many serves of some food groups - Both not enough serves of some food groups AND too many serves of other food groups e) Calculate overall how many children's lunchboxes met nutrition requirements (ie total number of 'yes') f) Your service should aim for 100%. g) Take any appropriate action, for example: - if most people are packing a healthy lunchbox that meets children's nutrition requirements (eg 90%) this should be celebrated (eg congratulations to families in the newsletter) - if there a still some 'unhealthy' lunchboxes not meeting children's nutrition requirements then further communication and education for families regarding the service lunchbox recommendations may be required - if there are a lot of unhealthy lunchboxes not meeting children's nutrition requirements you may need to revisit your lunchbox recommendations or nutrition policy. Note: Conducting a lunchbox audit should be at the discretion of each service. Results should be used to determine how effective your nutrition policy and lunchbox recommendations are. Do not single out or deny children of foods packed. Food Group Meat or meat alternatives Edition 3 June 2008 Example Lean cuts of beef or lamb Lean cuts of chicken, fish, pork, veal Serving Size 30-50g cooked meat ¼ cup lean mince 1 slice roast meat 40-60g fish 30-50g chicken, pork or veal Page 4.48 Food Group Vegetables Fruit Dairy Breads, cereals, rice, pasta or noodles Example Vegetables include all dark green vegetables (e.g. spinach), orange vegetables (e.g. pumpkin, sweet potato), cruciferous vegetables (e.g. broccoli, cauliflower), starchy vegetables (e.g. potatoes) and salad vegetables (e.g. lettuce, tomato) Includes all citrus fruits (e.g. oranges, mandarins), tropical fruits (bananas and pineapple) stone fruits (e.g. apricots, peaches), melons, berries, grapes, apples and pears Includes fresh, canned and dried fruits Plain milk Yoghurt Cheese Custard Reduced fat dairy products should be provided for children 2 years and over Breads: loaf, pita, Lebanese, fruit loaf Rice Pasta Noodles Breakfast cereals Cous Cous Filo pastry Crumpets Pikelets/Pancakes Low fat savoury biscuits Serving Size ¼ cup of cooked vegetables (~35g) ½ cup salad vegetables ¼ cup of legumes (dried beans, peas or lentils) ½ medium potato 1 small piece of fruit (eg apricot, kiwi fruit, plums) 1 small piece of fruit (eg apple, orange, pear) ½ cup diced pieces or canned fruit 2 dried apricot halves ¾ tablespoon of sultanas ½ cup of milk (125ml) 1 /3 cup yoghurt 1 slice processed cheese or 20g block cheese ½ cup custard 1 slice of bread ½ medium bread roll ½ cup cooked rice, pasta or noodles ½ cup breakfast cereal High fibre varieties of breads, cereals, rice and pasta are preferable Foods high in fat, sugar or salt Edition 3 June 2008 Crumbed or battered beef or lamb Commercial hamburger patties Processed meats such as: sausage, devon, cabanossi, chicken roll, pastrami, salami, bacon, frankfurters Pies or sausage rolls Fish fingers, fish cakes or fish burgers Crumbed or battered chicken, fish, pork or veal Chicken nuggets, chicken Page 4.49 Food Group Sweetened drinks Edition 3 June 2008 Example Serving Size patty, chicken fillet wedges All varieties of potato or other vegetables cooked in oil (e.g potato chips, fries, gems, wedges, hash browns) Coloured, buttered or salted popcorn Fruit juice, fruit straps Flavoured milk Flavoured custard Ice cream Sour cream or cream Dairy desserts or puddings Low fibre, high sugar or high salt breakfast cereals (e.g. Nutrigrain, cornflakes, Special K, Coco Pops, Fruit Loops, Frosties) Flaky pastry 2 minute noodles Croissants Processed or high fat/sugar cakes or biscuits Muesli or cereal bars Fruit Juice Cordial Soft drinks Flavoured mineral waters Sports Drinks Flavoured milk Page 4.50