Kids as Food Heroes: A New Way to Eat in China - OpenIDEO
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Joint US-China Collaboration on Clean Energy Shanghai, China JUCCCE is a non-profit creating a liveable China because environmental disaster is the biggest issue facing China, and the world. China’s massive migration into new cities, industry’s thirst for energy, and boom of its consumer class threaten to deplete the world’s natural resources and leave our children with an uninhabitable planet. We seek out the best people and bring them together to create innovative solutions. We search the world for solutions that can scale up in China at gigascale, gigapace, and low cost. We have a talent for focusing on China’s “acupuncture points” to accelerate the greening of China. For more information, contact A New Way to Eat Program Director Lucy Luo lucyluo@juccce.org For updates on the program, visit www.juccce.org/eat July 2015 © JUCCCE 聚思 Contributors: Peggy Liu, Lucy Luo, Finola Hackett, Margaret Lane, Paul Liu, Laurelin Haas, Caroline Juang, Jessica Min, Rodrigo Saavedra, Alexandra Wong, Jean Walsh
Children can save their health and the planet’s by becoming Food Heroes ‘A New Way to Eat’, an initiative launched by non- are straining the environment. The good profit organization JUCCCE, is setting out to change news is that children can make a difference the way Chinese children eat through China’s to climate change through their stomachs. first food education program built to integrate nutrition and sustainability. China has no formal food education program. A better future is within reach, but China must act Chinese children are in a health crisis. to improve diet habits now. Overconsumption, western diets and sedentary lifestyles in urban areas have created an alarming A New Way to Eat teaches children how to eat rise of obesity, diabetes and other chronic diseases. in a way that is good for them and good for the In one generation, the percentage of Chinese planet. It has three components: a new ‘Food children who are overweight skyrocketed from 5% Hero Eating Framework’ tailored to children, an to 20%. China accounts for one-fifth of the world’s innovative play-based school curriculum, and population, but a disproportionately high one-third healthy, tasty, and affordable school lunch recipes. of the world’s diabetes patients. The increasing healthcare costs to treat these diseases threaten China has 15% of the global population of primary to bankrupt the economy. China needs to shift its school children, yet it is hardly alone in this perfect focus from treating diseases to preventing them. storm of dietary and planetary challenges. Around the world, children can be food heroes by eating China’s health crisis is also a planetary one. better. They can tackle both threats at the same Globally, food is the single biggest source of time to create a healthier future – and have fun greenhouse gas (GHG) emissions. In China’s doing so. rising middle class, overconsumption, waste, and an increasing demand for meat and dairy 1
“This food education program could be the single most impactful intervention on children’s health.” Brett Rierson World Food Programme Representative in China
“The new cohort of Chinese kids from this millennium is truly the unhealthy generation.” Barry Popkin MD PhD* W. R. Kenan Jr. Distinguished Professor of Nutrition University of North Carolina at Chapel Hill School of Public Health Cheng Wei and Ming Liang may only be primary school students, but the pressure to get into a good university is already weighing heavily on them. From dawn to dusk, they are at school or doing homework. This leaves little time for exercise or playing outside. Despite all the time spent studying, neither has learned about a fundamental aspect of their well-being: the food that goes into their stomachs. Li Cheng Wei, 10 Chen Ming Liang, 6 Shenzhen Nanjing Cheng Wei’s favourite thing to buy after Every week, Ming Liang asks his parents class is milk tea with tapioca pearls. She to take him to KFC. They order a bucket of loves the rush of sweetness and the fun of fried chicken, which he chows down with going out to buy it with her friends. gusto. To him, it is just as tasty as his next favorite food: McDonald’s burgers. Her family uses their apartment kitchen to He is growing up in a city of 6.5 million refrigerate drinks and boil instant noodles, people, surrounded by construction and but rarely to cook fresh meals. Between grey concrete boxes. He can buy fried her schoolwork and parents’ full time jobs, dumplings from a street vendor, but barely eating out is nothing special, simply a part recognizes what a vegetable looks like in of their routine. the ground. * Personal correspondence. May 2015.
“ ‘From famine to gluttony in a generation’ is how one dietician in Guangzhou phrased it to me.” Paul French* Author of Fat China: How Expanding Waistlines Will Change a Nation Qian Feng Mei, 79 Zhang Hao Long, 48 Shanghai Chongqing As a young woman sent to rural China Hao Long likes going out to eat, frequently during the 1970s, Feng Mei had no meat in ordering more food than his family can her meals. Each New Year, the government finish in one sitting. He feels proud that sent her household frozen raw eggs so he can provide this amount of food for his they could celebrate with egg dumplings. family, something he’d never dreamed of Today she can indulge in meat daily. as a child. She is still amazed by the variety of Since China has seen a slew of food packaged snack brands she can buy at her scandals, Hao Long trusts multinational neighborhood supermarket. She finds joy food brands. But last year expired meat in treating her grandchildren to packaged was sold to chains like McDonald’s and snacks without realizing the health KFC. If he can’t trust the big brands, where consequences. can he turn for ‘safe’ food for his children? * How are Policymakers Tackling Rising Obesity in China? The Guardian. 12 February 2015. 5
This generation is Through education, disconnected from young consumers their food: can be influential accustomed to advocates for healthy processed foods, eating and lead China eating out, and into a sustainable excessive waste. future. China’s Diet Dilemma The Challenge of Processed Food variety. It is now cheaper and more convenient for them to buy a dizzying array of processed Most urban Chinese youth are growing up foods, as food stalls and shops line every street. without an awareness of real food. Their parents Sales of processed foods and beverages with never learned how to cook. Their grandparents high quantities of fat, salt, and sugar have grown did not have enough food to eat. at more than twice the rate of fresh fruit and vegetable sales over the last 15 years.4 Chinese have adopted modern food habits and sedentary lifestyles during a period Supermarkets, fast food chains, and convenience of unprecedented economic growth and stores are expanding across the country to fill the urbanization. Projected to be history’s largest needs of today’s fast-paced urban lifestyle. Only urbanization shift, there will be 1 billion urban 29% of urban consumers still shop at traditional dwellers by 2030.1 Traditional family meals ‘wet markets’.3 On the other hand, China’s first at home have been replaced with a culture of supermarket opened in 1990, and by 2002 there eating out and unhealthy packaged goods. were over 53 000, the fastest growth rate in the Today, children in Shanghai, Beijing, and world.2 Chongqing consume 28% of their calories from packaged processed food.5 Wasteful Habits City dwellers with rapidly rising incomes can Cheap food options are abundant. KFC is the afford an abundance of food with greater leading fast food franchise across China.6 The
77.6 Millions of tons of meat consumed in 2013 in China, a ten-fold increase in 40 years11 28% The percentage of calories consumed by Shanghai children that come from packaged processed food5 1/5 Fraction of food ordered at restaurants that is eventually wasted8 Chinese market for eating out has grown 159- and animal products, such as meat and dairy, has fold from 1978 to 2008.7 This trend of eating also rapidly increased. Total meat consumption in out has exacerbated the issue of food waste. China has increased 10 times over 40 years from Wasting food is a symptom of growing affluence, 7.6 million tons in 1975, to 77.6 million tons in particularly in China where over-ordering food 2013.11 Milk, which was nearly absent from the is a way to show generosity and respect to traditional Chinese diet, has grown in production guests. Although food losses have historically by 16 times since 1978.12 been greatest in the Chinese food supply chain, consumer food waste is on the rise.8 In some restaurants, food waste is one-fifth of A typical modern family consists of two parents what is ordered, and at some university canteens, and four grandparents doting on a single child. nearly one-third of food is wasted.8 Food waste A survey of Chinese households found that in China has an estimated footprint of 135 billion parents were twice as willing to purchase food meters cubed of water (the water footprint of and beverages requested by the child compared Canada), and 26 million hectares of land (the to an average American household.13 Yet a lack total arable land area of Mexico).9 of food education means children are not armed with enough knowledge to make healthy and sustainable food choices. A New Way to Eat steps A Changing Chinese Diet into this void to help children prepare themselves for a long, healthy life. With the rise of the middle class (an estimated 800 million by 2025),10 consumption of edible oils 7
Food Habits in Decline A generation of people accustomed to famine are now bombarded with modern and Western food choices. Urban China has moved from food poverty to food wealth. The traditional diet of vegetables, rice, noodles, and small portions of meat - once hailed as the world’s healthiest diet - is disappearing. Traditional Modern Consequences Meat as condiment Meat as main More heavy-impact red meat Water, Green tea Milk, Bubble tea, Coffee More sugars More heavy-impact dairy Fruits Sweet pastries More non-fructose and refined sugars More artificial sweeteners Wet markets Supermarkets More processed foods instead of local and seasonal foods Home-cooked meals Eating out More processed foods More sugars, salts, fats, and oils
Not Just an Urban Problem Around 45% of China’s population lives in rural areas today.14 While urban children suffer from overconsumption, rural children may not meet basic nutritional needs. To try to fill the nutrition gap, the Chinese government subsidizes school lunches for rural children 4 RMB (about 70 cents USD) per child each day.15 Though city and village children eat very differently, they both increasingly consume heavily processed foods full of chemical additives. These are cheap and readily available, even for rural children. If they have a daily allowance they may choose to spend it on sugary or salty processed snacks that only cost 1-2 RMB (about Hong Pei Qi, 7 25 cents USD). The foods are brightly packaged, flavorful, and very attractive to children who do Guizhou province not understand their damaging health effects and Pei Qi is attracted to the brightly packaged resulting plastic waste. foods available at the stalls lining the streets outside her school gate. For just a Despite their differences, rural and few coins, she can buy colorful candies and fried dough sticks covered in icing sugar. urban children both need education on the negative impacts of ‘garbage foods’ that hurt their bodies and the planet. 9
A Double Crisis: Personal “The rate of change of Chinese overweight status is one of the most rapid in the world.” Barry Popkin PhD* W. R. Kenan Jr. Distinguished Professor of Nutrition University of North Carolina at Chapel Hill School of Public Health China has one-fifth of the world’s population but one-third of the world’s diabetic patients.16 Nearly 15% of Chinese children are pre-diabetic.17 The prevalence of obese and overweight children has more than quadrupled in the past 35 years.18 Over 30 million school-age Chinese children are now overweight.19 * Popkin BM. Will China’s nutrition transition overwhelm its health care system and slow economic growth? Health Affairs. 2008; 27(4): 1064-1076.
and Planetary Health “…we need to safeguard the very life-supporting systems that are paramount for our food production by reducing the environmental footprint of our diets.” Johan Rockström PhD Executive Director Stockholm Resilience Centre at Stockholm University Chair of EAT Advisory Board Walter Willett MD PhD Chair, Department of Nutrition Harvard T.H. Chan School of Public Health Gunhild Stordalen MD PhD* Director, EAT Initiative/EAT Stockholm Food Forum Agriculture accounts for 61% of China’s water withdrawals20 and more than half of China’s water pollution. 21 Up to 25% of China’s greenhouse gas emissions come from agriculture: that is 5% of the world’s total emissions.10 * Rockström J, Willett W, Stordalen G. An American Plate That Is Palatable for Human and Planetary Health. Huffington Post. 26 March 2015. 11
Weighing in Medical Concerns China’s dietary shift has taken place in a short diabetes patients in China received treatment.16 timespan and created an alarming rise of obesity, Per-capita medical spending is 24% higher diabetes, and other chronic diseases. The for obese individuals.28 Diabetes imposes a proportion of overweight and obese children in particularly heavy economic burden. A 2008- China rose from less than 5% in 1980 to nearly 2010 survey found that 13% of all medical 20% in 2013.18 15-20% of school-age children are expenditures in China are directly caused by overweight or obese, including 5-9% who are diabetes.29 Diabetes also becomes increasingly obese.19, 23-26 expensive to treat in later stages. As nearly 70% of diabetes cases are undiagnosed,16 China is Rising obesity rates are putting Chinese adults missing the opportunity to treat patients more and children at risk for chronic illnesses such cost-effectively. as diabetes. Chinese bodies are particularly vulnerable to the negative effects of unhealthy Obesity early in life sets up children for a lower food choices. Research shows that Asians are at quality of life in the future. Cardiometabolic higher risk than other ethnicities for developing risk factors such as high blood pressure and diabetes, heart disease, and other weight- cholesterol make children susceptible to chronic related illness at the same body mass.27 As a illnesses such as heart disease later in life. result, a third of all diabetics live in China, even Overweight and obese children are more likely though China is a fifth of the world’s population.16 to experience depression and other psychosocial complications.30 In 2009, an estimated 1.7 million Chinese children aged 7-17 were diabetic, and 27.7 The spread of the obesity epidemic also million were pre-diabetic.17 In 2010, the threatens Chinese children’s lifespans. Research prevalence of diabetes among Chinese adults was in the U.S. suggests that obesity-related illnesses 11.6%, or 113.9 million people. Only a quarter of could slow or even reverse the steady increase in longevity.31 “The sudden rise of diabetes in China This may be the first generation of is not only a health threat, but an children whose expected lifespans are economic one. It could bankrupt the shorter than their parents’.31 country’s healthcare system. China needs to shift its focus from treating diabetes to preventing it.”22 Xu Zhangrong MD PhD Deputy Secretary China Diabetes Society
Growing Planetary Costs Only when this generation of children starts to eat with a lighter impact does the world stand a chance to sustainably feed a global population of 9 billion by 2050.33-36 Chinese children know that climate change is a dire issue, but they do not know how they can make a difference. Simply by eating healthier (fewer animal products and processed snacks, more fruits and vegetables), children can reduce their personal emissions by an impressive 40%.32 Land Water Emissions The government is concerned China is a dry country: it has China’s food system accounts with food security because only one-third of the global for an astounding 20-25% of China has one-fifth of the average per capita supply of national emissions, or 4-5% of world’s population but just 7% freshwater.42 While 400 of global emissions. This includes of global arable land.37 China’s China’s 662 cities are short of direct emissions from crop and limited fertile soils are being drinking water,43 agriculture livestock production, as well as degraded. Nearly one-fifth of uses 61% of China’s water food processing and transport.10 China’s arable land is polluted withdrawals.44 At current rates, Meat and dairy production is the to some degree.38 Increased China will run out of water by biggest culprit of food emissions. use of chemical fertilizers 2030, with a projected shortfall Worldwide, it accounts for 14.5% has boosted agricultural of 199 billion cubic meters.42 of total GHG (greenhouse gas) productivity, but has driven a In addition, agriculture emissions, more than all forms doubling of soil acidification in contaminates China’s water of transport combined.46 China the past 30 years.39 The use of sources through fertilizer is now the world’s biggest meat chemical fertilizers in China has runoff and poor manure consumer and China’s projected increased 6 times since 1975 management.45 This nutrient growth in meat consumption to and is more than 4 times the pollution causes harmful algal 2020 is over 20 million tons.46 In world average.21, 40-41 blooms. China, livestock production and manure management directly contribute 6% of GHG emissions.10 China has some of the world’s least efficient farming practices. Growing demand for food from rising incomes strains China’s limited land and water resources. The graph on the left shows rising levels of meat consumption in China, while the graph on the right shows the average water used and greenhouse gases (GHG) emitted while producing these food sources as well as a protein alternative, tofu. Graph adapted from Earth Policy Institute - www.earth-policy.org * Mekonnen M, Hoekstra A. A Global Assessment of the Water Footprint of Farm Animal Products. Ecosystems. 2012; 15(3): 401-415. ** Environmental Working Group. Meat Eater’s Guide to Climate Change and Health. 2011. *** Mekonnen M, Hoekstra A. The Green, Grey, and Blue Water Footprint of Crops and Derived Crop Products, Vol. 1: Main Report. UNESCO-IHE Value of Water Research Report Series. 2010; 47(1): 1-31; Plate, Tiffany. Tofu’s Carbon Footprint. 2009. . 13
Food Fears Safety Scares Drive Unhealthy Habits Food safety ranks very high on people’s list of Part of the curriculum of A New Way to Eat daily concerns in China. Industrialization of the covers food safety, including identifying potential food system, lack of food producer accountability, health risks in commerical food preparation and and environmental contamination have made encouraging Chinese children to practice safe food safety scares frequent occurrences. Food habits when making food at home. In a society contamination due to fraud and taking shortcuts where food scares are frequent, children can in food production has destroyed consumer educate themselves and others about safer trust.10 eating. In the Sanlu scandal of 2008, melamine-tainted milk formula killed six Chinese infants and hospitalized 300 000.47 In 2014, police exposed a Shanghai firm supplying rotten or expired meat to fast food chains.48 Recycled ‘gutter oil’ has appeared in restaurants,49 stale buns have been Xian Mei Li, a Shanghai mother, repackaged and resold,50 and thousands of hastily treats her five-year old to a Kentucky Fried disposed diseased pigs have flooded rivers.51 Chicken meal weekly. She mistakes it as a reliable ‘healthy’ option for her son. She For many Chinese consumers, food brands which knows fried food is damaging, but she trusts maintain control of their supply chains and follow KFC will use real cooking oil rather than health and safety standards are ‘healthy’ choices, expired or tainted ingredients. despite how processed or fat- and sugar- laden the foods may be. Parents frequently distrust local food industries and associate multinational brands, like fast-food chains, with better food regulations and safer food.52-53 “Basically, people now feel nothing is safe to eat. They don’t know what choices to make. They are really feeling very helpless.”50 Sang Liwei Director of the Beijing office Global Food Safety Forum Chinese sanitation workers fish out diseased, dead pigs from the Huangpu River in Shanghai in March 2013
Putting Food on the Policy Table Chinese Food Regulation and Education Food safety scares persist in part due to The government backed the campaign by fragmentation of the complex food system limiting extravagant public banquets as part of a and weak government policies. But food policy crackdown on government indulgence, helping it reform is high on China’s priority list. gain widespread attention.57-58 In the wake of high-profile scandals, China has China’s current dietary guidelines were created announced tough amendments to the 2009 in 1989 and last updated in 2007.59 The visual ‘Food Safety Law’ and ‘Agricultural Product representation of the Chinese ‘Food Guide Quality and Safety Law’.54 Upcoming changes in Pagoda’ was modeled after the now-retired October 2015 include severe criminal penalties Western food pyramid. The current eating and new requirements for caterers, online food guidelines do not, however, take cultural markets, food storages and transportation.55 differences in diet into account and are difficult Yet regulations remain difficult to enforce. for consumers to understand and apply. Recent audits of food facilities in China revealed that nearly half do not meet adequate safety standards.56 China lacks nutrition expertise. According to China’s National Institute State intervention in China can be strong enough of Nutrition and Food Hygiene, the to shift deeply-ingrained social customs. Recently, activists in Beijing launched the ‘Empty country has only 10 000 qualified Plate’ initiativee targeting food waste culture. nutritionists nationwide, but needs at least 4 million.4 The Chinese Nutrition Society (CNS) is updating China’s national nutrition guidelines in 2016, the first update since 2007.60 Major updates include design revisions of the food pagoda and creating specific guidelines for various age groups. ‘A New Way to Eat’ working with CNS on creating fun, engaging content for the children’s edition. The importance of sustainable food choices will also be briefly mentioned but are not at the forefront of the guidelines. The Chinese Food Pagoda Updating nutritional guidelines is a key first step, but these guidelines must then be integrated into school curriculum nationwide. While the Chinese government has experimented with some health education programs, such as a nationwide school milk campaign, none have comprehensively targeted child nutrition.61 The current education system, which focuses solely on academic performance, does not offer food education. This is where A New Way to Eat steps in. The program aims to catalyze dietary behavioral change in a fun and innovative way, teaching Chinese schools stress high grades, but lack a formal food Chinese children to take care of their own bodies education program to teach students how to fuel their bodies as they learn and study and the environment. 15
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Open and Prepa Chinese people are ready for a new Willing To Try New Diets Consumers have adopted new behaviors and tastes rapidly. Parents are eager to try new healthy food choices for themselves and their children as they seek to achieve a higher quality of life. Learn From The Old Chinese consumers want new diets combining the best of East and West: healthy traditional Chinese cuisine and wellness concepts, with the latest in modern nutrition and sustainability research. Food Safety Prompts Desire For Food Education High-profile food scandals have made food safety the number one concern in China. Food education does not exist, but parents and children are keen to know more about where their food comes from.
ared to Change food education program Eating Is A Social Activity Eating together lies at the heart of social bonding in China. Changing social norms have a domino effect in China. Teaching the child can influence the parents and grandparents. Academics As An Incentive Teachers have a larger influence on childrens’ behavior than in Western societies. Parents are eager to learn about anything that will enable their children to perform better in school. Incorporating English into the curriculum motivates parents to support food literacy education. Food Policy Reform Is Underway Government institutions can drive consumer change through top- down, nationwide campaigns. China is revising its nutritional framework and is open to combining health and sustainability. “EAT Forum is working closely with JUCCCE because every country, not just China, needs an education program for kids promoting healthy diets from sustainable food systems. Consumer education to change social norms on diets and actual eating behavior is critical to feeding 9 billion people by 2050.” Gunhild A Stordalen MD PhD Director, EAT Initiative/EAT Stockholm Food Forum 19
A Holistic Dietary Change Program Teaching Nutritious and Eco-friendly Eating Habits A New Way to Eat is China’s first food education program built to integrate nutrition and sustainability. It was initiated by the Joint US-China Collaboration on Clean Energy (JUCCCE) and then launched at the World Economic Forum in Davos in 2013. The curriculum and recipes are still in the process of development and field-testing. A New Way to Eat has three components: Approach Goal 1 Make nutrition Aim for China to A new ‘Food and sustainability adopt the new eating Hero Eating jargon child-friendly, Framework’ framework principles actionable, and designed for culturally appropriate children 2 Aim for schools across Teach children to enjoy Play-based the country to integrate primary school real food and be smarter activities into their activities across food consumers curricula multiple subjects Provide school 3 Use school lunches to cafeterias with 100 Healthy, tasty, model the principles of recipes tested on and affordable A New Way to Eat school lunch children for a variety of recipes budgets Reach every corner of Change the a child’s universe with Create a significant shift way Chinese a multi-channel food in food preferences children eat education experience Our Vision: A Healthier China The program aims for the next generation of Chinese children to be food literate. Children will learn where their food comes from, how it is made, how to eat for both good grades and good health, and how their choices can protect their planet. Parents will become informed advocates for sustainable food systems that nourish their children. In the long term, the program aims to drive a decline in child obesity, diabetes, hypertension, and other diet-related conditions. China can lead a global shift towards healthy and sustainable food systems.
Youth Food Education Program The program is designed for children in order to The window of opportunity is short, but it is create societal-scale change in the way they eat. possible to incentivize young children to eat This generation of children can improve personal healthier foods.63-64 By middle school, food health and planetary wealth with smarter food habits become set and increasingly influenced choices. by peers and marketing rather than teachers and parents.65 The last generation of Chinese children were born into a vacuum of food knowledge and lack of food variety. Today’s adults’ food habits were shaped by the influx of Western-style processed “This program is looking at a critical convenience foods. But now they are willing to age group. Gamification of content is try new things, pay for quality, and learn what beyond what others have done and can make them and their children healthier. quite unique. No one else is linking By educating primary school children, programs like this can reach children at a critical stage food choices to sustainability at the before they develop unhealthy habits that last elementary level.” into adulthood.62 Walter Willett MD PhD Chair, Department of Nutrition, Harvard T.H. Chan School of Public Health Innovative Play-based Approach Integrating sustainability and nutrition for Teachers can customize activities for their children requires a move away from traditional students’ needs and integrate them into any schoolbooks. More engaging approaches make subject class. A New Way to Eat lesson plans children feel empowered to make a significant are designed to be inserted within multiple difference in the world through their stomachs. subjects. For example, in math class, students can calculate the resource impact of a kilogram A new Food Hero Eating Framework helps of beef compared to spinach. A science student children connect their food choices to their can see how cola disintegrates an eggshell health and the planet’s health. It translates the overnight. latest nutritional and environmental guidance into personal language and asks children to The program learns from branded character change their diets in tangible, practical ways. media and merchandising models, using lovable Tactile, play-based activities progressively teach characters to reach out to children across a children how to enjoy real food and become variety of channels, including mobile and video. smarter consumers. The Eating Framework is culturally relevant for “A New Way to Eat’s kid-friendly, China, combining healthy traditional Chinese appealing, and play-based approach concepts with the latest in Western research on is exactly what is needed to engage, nutrition and sustainability. For example, the concept of hot and cold in Traditional Chinese educate, and equip our children to Medicine avoids ‘heated’ food such as fried and both live healthier lives and become heavily processed food. globally responsible citizens.” Laura Jana MD FAAP Pediatrician, Director of Innovation, University of Nebraska College of Public Health 21
1. Food fuels my mind and 2. Quality foods and exercise 3. I can make my world a better body make me healthy and happy place by eating healthier Pay attention to how the food Know which foods are good Food Heroes protect the you eat helps you grow, learn, for your body and which ones environment by eating more and play. Eat three small meals are bad. Eat good foods first. greens and less meat. Learn and two snacks a day, starting Eat a variety of colors and where your food comes from, with a healthy breakfast. Sit textures of foods. Be open to how it is prepared, and how down and enjoy your food trying new foods. A Food Hero it is grown. Eat food that’s in with friends and family. A Food transforms food into fuel by abundance, not endangered Hero can stay alert by not exercising every day. animals. Eat fruits and veggies overeating. Drink lots of water that are local and seasonal. Don’t throughout the day. take more than you can eat.
Guiding Every Mouthful The Food Hero Rules are at the core of the “Napoleon concluded that an army curriculum framework for A New Way to Eat. marches on its stomach. Peggy Liu, Themes within the curriculum each fall under one of the 3 Food Hero Rules, all translated into equally determined but I suspect ‘kidspeak’ to teach children about , and how likely to be more successful long term, food production affects the environment. Age- believes that each generation learns a appropriate activities in each lesson engage children’s imaginations while teaching them good deal through its stomach. I love important concepts about eating and healthy how she and her team are working lifestyles. to give young people an appetite for sustainability.” John Elkington Executive Chairman, Volans Ventures, Honorary Chairman of SustainAbility The Eating Table The Eating Table is an example of a lesson taught in the curriculum. It incorporates nutrition, fitness, sustainability, and the social aspects of eating into a single, cohesive framework. Food Heroes are encouraged to eat plant-based, real food, and eat in moderation. Planet-friendly adjectives such as ‘abundant’ are added to seafood and ‘seasonal’ to fruits and vegetables. A ‘damaging’ category includes foods bad for children’s bodies, but also bad for the planet. The eating table has four food categories: Eat First and Full – By eating these fresh, real foods with minimal processing until mostly full, you will eat less of other foods. Eat Sparingly – Eat these foods but not too much. Damaging Food – Avoid these foods that are EAT FIRST AND FULL EAT SPARINGLY damaging to your health and to the environment Local, seasonal White grains around you. vegetables & fruits Abundant seafood Garbage Food – Don’t eat these products that Legumes Lean meats are so processed and laden with additives that Nuts, seeds Dairy they barely resemble food. Tofu, eggs Good oils and fats Whole grains Sauces and condiments Water Note that the Eating Table is distinct from GARBAGE FOOD DAMAGING FOOD traditional eating guidelines such as the food Heavy impact Chemically processed pyramid. Categories are not broken down food Uncooked meat by food groups or macronutrients (proteins, Fried food Polluted food carbohydrates and fat) but by nutrient content Fatty meat Endangered food and planetary impact. For example, brown rice Sugary drinks and white rice are in different categories, as are chicken and beef. 23
Playducation for a Dietary Revolution Students learning to Eat a Rainbow Every Day by touching and tasting real food at Sproutworks Learning to make quick and easy fresh noodles as an Students with their Food Hero certificates alternative to instant noodles A major barrier to global action on nutrition for planetary health by protecting biodiversity. and sustainability crises has been the inability But these concepts are far removed from a child’s to communicate complex concepts to people daily reality: to engage students they are simply on a personal level. This is why the key to A transformed into ‘Eat A Rainbow Every Day’. New Way to Eat’s success is translating daunting jargon of sustainable agriculture and nutritional For each meme, activities are created which are knowledge to ‘kidspeak’, language which children not only fun but also achieve a learning goal. can understand and act on. This challenge cannot Children may jump around, compete in games, be underestimated – to achieve societal-scale watch short videos, or get blindfolded to touch behavior change, a food education program must and smell mystery foods. A successful activity engage, entertain, and finally ask children to is one that children want to play over and over, make real changes to their daily food habits. earning ‘Food Hero’ certificates and of course lots of stickers. For instance, students learn to sing a First, a complex teaching concept is identified and song to encourage eating a ‘rainbow’ of diverse turned into a memorable meme. Eating a variety foods, a song so catchy they will be humming it of fresh foods is important for personal health even outside the classroom. by ensuring adequate micronutrient intake, and
Turning Expertise into Education Teaching Memorable Play-based Concept Meme Practical Ask Activity (jargon) (‘kidspeak’) Micronutrients and Eat A Rainbow Every Day Guessing the name of Eat a variety of fresh, biodiversity each fruit and vegetable real foods and filling in the poster with pictures Food supply chain and I Know Where My Food Placing flashcards in Be aware of the steps environmental impacts Comes From order from seed to dish taken and resources to demonstrate how used to make food food becomes more processed Processed foods/ I Can’t Believe I Ate That Showing a video of Avoid eating heavily chemical additives instant noodles and processed foods, eat fresh noodles as they plenty of fresh foods are digested in the stomach Added sugar intake in Icky Sticky Sugar Guessing how many Substitute sodas with beverages sugar cubes are in each (fruit) water(s) sugary drink Lastly, each lesson plan concludes with an “After we started holding A New Way actionable request: something children can to Eat activities at our restaurant, easily identify and change in their daily diets. The program eliminates concepts that are not we’ve received an outpouring of practical for children, such as counting calories. requests for more healthy food Rather, students’ ‘Eat A Rainbow’ homework education from parent and school may be to try a fresh fruit or vegetable they have organizations. We are on the brink never eaten before, or to bring a ‘show and tell’ photo of their meal with a rainbow of colors. of an undeniable food revolution in China.” The development of A New Way to Eat’s Kimberly Wong curriculum is an iterative process. All activities Director of Sproutworks are tested with children, teachers, and parents, and their feedback is integrated to continually improve the program. If a particular lesson plan does not resonate with the children, it is adjusted and tested again until just right. 25
Finding Backdoors to Food Education In China, where half the country is still worried 2. China is focusing on preparing more people about getting food on the table and the other for service jobs versus manual labor jobs. half remembers when they could not afford Learning about agricultural careers is a great way treats, quality food is low priority. How can for children to personally connect to the food children become interested in learning about system. long-term and complex health and sustainability issues? 3. The university entrance exam is extremely important in China, so most children study all the The concerns of parents can act as backdoors to time with no room for exercise. Chinese students food education: average 8.6 hours per day in the classroom, and in extreme cases, spend up to 12 hours in 1. High-profile food scandals have made safety school.66 Parents want to find any way possible to a major concern in families. Though China lacks boost their children’s grades, but they overlook food education, families are anxious to learn the fact that healthy diets and lifestyles improve about where their food comes from. This is an academic performance.67-70 entry point to talking about risks and innovations in food supply chains, hygiene, pollution, and 4. Every parent is eager to have their child learn pesticide use. English because it could triple salary potential. A New Way To Eat’s bilingual flashcards are a great way to pick up English words while learning food literacy. Foundational Flashcards Flashcards teach food literacy. They are the basis of many program activities. The flashcards teach basic food groups, the bilingual names of fruits and vegetables, and the difference between real and fake food. There are also flashcards that teach children about jobs in the food industry and the food supply chain. The food supply chain is illustrated by sets of flashcards, including farm to fork, seed to fork, and fish to fork.
Farm to Fork Understanding the food supply chain and environmental impacts along the path to the plate How Food Grows Following the transformation of food from seed to dish Real vs Fake Food Real food Changed a little Changed a lot How food items vary in their levels of processing and addition of chemicals 27
Putting flashcards on a Where Our Food Comes From poster to learn how food is grown Do You Know How Your Food is Grown? This is an example activity designed by A New Way to Eat for children in grades 1-3. It supplements the lesson I Know Where My Food Comes From, a part of the third Food Hero Rule ‘I can make my world a better place by eating healthier.’ In this activity, children take turns matching flashcards with pictures of food to the large poster of where the food is grown, whether the food is grown below ground, on the ground, on a stalk, or on a tree. The goal is to teach them about how the food they eat grows in nature. Where Our Food Comes From poster
Play with Food and Science In addition to a school curriculum, children can understand what they are eating through hands-on science activities at home. A New Way to Eat publishes four pages of food-related science experiments in the monthly educational magazine. This magazine reaches a million children each month in second and third tier cities. Past pages of science experiments published by JUCCCE in Chuang Xiang Hao magazine Influencing School Lunches Finally, A New Way to Eat hopes to use school lunches to model the principles of its curriculum. By working with school cafeterias, A New Way to Eat lets children live what they learn through healthy and flavorful lunches. Our goal is to provide schools with over 400 recipes of varying budgets that have been designed by local star chefs and tested on children. Four schools have begun using these recipes through Chartwells, which caters to a network of schools across China. (Left to right) Wang Hongbin of Dashu Wujie, Kimberly Ashton of Sprout Lifestyle, Scott Minoie of Element Fresh, Austin Hu of Madison “Sustainability and nutrition are often presented as disjointed concepts, and rarely presented in a practical manner. If we succeed at explaining to a six- year-old what we are eating, we succeed at shaping healthier generations. Our cafeterias are a key part of the solution, that’s why we partnered with JUCCCE and actively contributed to A New Way to Eat.” Stefano Bosello Head of Chartwells, China 29
Scaling Up Reach China’s schools lack formal food education. Chinese children develop food habits from A New Way to Eat aims to be the go-to food exposure to school lunches and home cooking. curriculum for Chinese primary school children. Reforming school cafeterias and engaging parents can create significant change in their children’s The program has been in development since behavior. 2013 and the first two years were spent creating the Food Hero Eating Framework with Activities for parents and children have already leading experts and developing the play-based been held at restaurants such as Sproutworks, methodology through field-testing activities. and will be expanded to company family days. The pilot has rapidly expanded with the help of curriculum developers, recipe contributors and Future development plans include a TV show, channel partners. merchandise line, and a mobile game that tracks changing food preferences. Basic curriculum and recipes will be fully developed within the next two years. All The program will leverage other organizations’ curriculum tools and recipes will be open source channels to scale quickly once the curriculum and free to use by teachers, parents, and caterers is completed. XQKids (创想号), a subscription across the country. To reduce the need for educational magazine that reaches one million training, each activity will have a teacher’s guide, children each month, already includes a four how to videos and downloadable materials that page A New Way To Eat layout in each issue. can be printed. Program content will provide a source of A classroom setting allows for deeper use of educational activities for Chartwells Catering curriculum over the school year. Children in to roll out across its 40-plus schools in China. China are taught to respect teachers as role Discussions are also underway with a new rural models and so their messages greatly shape teachers’ website and a health insurance portal behavior. The pilot is currently learning from such to provide educational content. in-school classes as Shanghai’s YK Pao school, and extracurricular programs at Talent Academy. China’s children are not alone in facing this double health and environmental crisis. The Food education must reach beyond the classroom eating framework, curriculum and recipes are and touch every corner of a child’s ecosystem designed for local organizations to adapt and to reinforce dietary changes. The challenge is use freely in other regions. Children as food to integrate food education across a variety of heroes worldwide have the power to create channels to reach children and their parents. revolutionary change, starting from their next mouthful. More information on the program can be found at http://www.juccce.org/eat
Acknowledgments Key contributors: Kevin Ong (Designer) Peggy Liu (Chairperson, JUCCCE) Kyle Mertensmeyer (Creative) David Agus MD (Professor of Medicine and Paul Iglesia (Creative) Engineering at the University of Southern California, Malcolm Casselle author of “The End of Illness”) Mercedes Revy (Head, China Nutrition and Food Olivier Oullier (Professor of Behavioral and Brain Safety, World Health Organization, China) Sciences, Aix-Marseille University) Lu Mai 卢迈 (Secretary General, China Development Walter Willett MD DrPH (Chair, Department of Research Foundation) Nutrition, Harvard T.H. Chan School of Public Health) Qian Zhang 张倩 (China Center for Disease Control) Barry Popkin PhD (W. R. Kenan Jr. Distinguished Antony Froggatt (Senior Research Fellow, Chatham Professor of Nutrition, University of North Carolina at House) Chapel Hill School of Public Health) Rob Bailey (Research Director, Chatham House) Gunhild A Stordalen MD PhD (Director, EAT Initiative/ Prof. Yuexin Yang (President, China Nutrition Society) EAT Stockholm Food Forum) Prof. Liu Xin 刘新 (Tsinghua University) Brett Rierson (Head, World Food Programme, China) Prof. Yuan Bo 原博 (Tsinghua University) Laura Jana MD FAAP (Director of Innovation, Stefano Bosello (Head, Chartwells Catering, China) University of Nebraska College of Public Health) Dana Jiang (Nutritionist, Chartwells Catering, China) Kirk Bergstrom (President, WorldLink), Viktor Serafimov (Chartwells Catering, China) Alan Dangour (London School of Hygiene & Tropical YB. Song (Founder, Dashu Wujie) Medicine) Daisy Zhang (Element Fresh) Prof. Sir Andy Haines (London School of Hygiene & Sandra Brown (Shanghai pilot school YK Pao) Tropical Medicine) Graeme Kennedy (Director of Communications, Dr. Rosemary Green (London School of Hygiene & Wellington College International Shanghai) Tropical Medicine) Nicola Street (Teacher, Wellington College Lili Jia (London School of Hygiene & Tropical Medicine) International Shanghai) Prof. Hugh Montgomery (Director, UCL Inst for Human Michelle Kolossy (Teacher, Wellington College Health and Performance) International Shanghai) John Elkington (Executive Chairman, Volans Ventures, Alexandra Blake (Teacher, Wellington College Honorary Chairman of SustainAbility) International Shanghai) Dr. Linda Friedland (Nutritionist, Australia) Cristina Ng (Teacher, Liaoyuan Elementary School) Fiona Gately (Nourish Communication) Malcolm Shu (Managing Partner, SproutWorks) Dr. Tara Garnett (FCRN, Oxford University) QXKids 创想号 (Children’s educational magazine) Roy Ballam (Education Programme Manager, British EAT Forum Nutrition Foundation) Neil Lovell (CEO, Jamie Oliver Food Foundation) Recipe contributors: Dashu Wujie restaurant, Element Juliane Caillouette Noble (School Programmes Fresh, Sprout Lifestyles (Kimberly Ashton), Farmhouse Manager, Jamie Oliver Food Foundation) Juice (Uriel Copelev and Ena), Madison restaurant Louise Holland (Deputy to Jamie Oliver, The Jamie (Austin Hu), Awakening restaurant, Sproutworks Oliver Group) Anthony Lilley (Magic Lantern) Thanks also to Project Directors: Lucy Luo, Charlie Colin Bullen (Health at Work) Mathews, Stephanie Marmier Myles Bremner (School Food Plan) Researchers: Nicole Adler, Michelle Chan, Henry Chen, Katy Cooper (C3 Collaboration for Health) Jennie Chen, Olivia Chen, Wee Leng Cheong, Derek Christine Hancock (C3 Collaboration for Health) Dai, George Day-Reiss, Sabrina Devereaux, Meredith Tim Wang (CEO, Ecolab China) Fischer, Laurelin Haas, Finola Hackett, Nathan Hayes, Magic Breakfast (UK) Noel He, Michael Homer, Amy Hua, Sophia Hua, Vivian The End of the Line Huang, Michelle Jia, Caroline Juang, Jiao Chun Ting 焦 Anne Heughan (Unilever) 骏婷, Margaret Lane, Diana Lee, Li Kai Yue 李恺悦, Li Gae Redoblado (Unilever) Zhuojun 李卓君, Lu Shanshan 陆珊珊, Luxi Liu, Paul Liu, Claire Hughes (Nutritionist, Marks & Spencer) Jessica Min, Rachel Mok, Calli Obern, Taylor Patrash, Rasmus Taun (Photography) Kate Price, Rodrigo Saavedra, Seika Sanada-Martin, Kimberly Wong (Director of Sproutworks) Claire Sun, Rebecca Tanda, Jean Walsh, Yale Wang, Kimberly Ashton (Chief Officer, Sprout Lifestyle) Alex Wong, Stephanie Wong, Sylvia Wong, Ju Yu, Andrew Wong (Beach Creative) Xiao Yuan 肖媛, Alex Zheng, Mason McCormack, Cory Lucy Guyard (Designer) McCormack 31
References 1. UN. World Urbanization Prospects: The 2014 Revision. United 37-48. Nations Department of Economic and Social Affairs, Population 25. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono Division. 2014. C, et al. Global, regional, and national prevalence of overweight 2. Hawkes C. Agro-food industry growth and obesity in China: what and obesity in children and adults during 1980–2013: a systematic role for regulating food advertising and promotion and nutrition analysis for the Global Burden of Disease Study 2013. The Lancet. labelling? Obesity Reviews. 2008; 9(Suppl 1): 151-161. 2014; 384(9945): 766-781. 3. Accenture. The Allure and Challenges of China’s Changing 26. Sun H, Ma Y, Han D, Pan CW, Xu Y. Prevalence and trends in Consumer Market. 2014. obesity among China’s children and adolescents, 1985-2010. PLOS 4. French P. Fat China: How are policymakers tackling rising obesity? ONE. 2014; 9(8): e105469. The Guardian. 12 February 2015. 27. Obesity Prevention Source: Ethnic Differences in BMI and 5. Zhai FY, Du SF, Wang ZH, Zhang JG, Du WW, Popkin BM. Dynamics Disease Risk. Harvard T. H. Chan School of Public Health. Accessed of the Chinese diet and the role of urbanicity, 1991-2011. Obesity 23 May 2015. Available from: http://www.hsph.harvard.edu/ Reviews. 2014; 15(Suppl 1): 16-26. obesity-prevention-source/ethnic-differences-in-bmi-and-disease- 6. China Daily. Top 10 fast-food chains in China. Updated 28 risk/. July 2014. Accessed 26 May 2015. Available from: http://www. 28. Dobbs R, Sawers C, Thompson F, Manyika J, Woetzel J, Child P, chinadaily.com.cn/bizchina/2014-07/28/content_17932826.htm. McKenna S, Spatharou A. Overcoming obesity: an initial economic 7. Garnett T, Wilkes A. Appetite for change: Social, economic and analysis. McKinsey Global Institute. 2014. environmental transformations in China’s food system. Food Climate 29. IDF. China spends RMB 173.4 billion (US$25 billion) a year Research Network, University of Oxford. 2014. on diabetes treatment. International Diabetes Federation. 2010. 8. Liu G. Food Losses and Food Waste in China: A First Estimate. Accessed 27 April 2015. Available from: http://www.idf.org/ OECD Food, Agriculture and Fisheries Papers, No. 66, OECD node/4371/. Publishing, Paris. 2014. 30. Taras H, Potts-Datema W. Obesity and student performance at 9. Liu J, Lundqvist J, Weinberg J, Gustafsson J. Food Losses school. The Journal of School Health. 2005; 75(8): 291-295. and Waste in China and Their Implication for Water and Land. 31. Olshansky SJ, Passaro DJ, Hershow RC, Layden J, Carnes BA, Environmental Science & Technology. 2013; 47(18): 10137-10144. Brody J, et al. A Potential Decline in Life Expectancy in the United 10. Xinhua. China has growth potential: McKinsey expert. 30 States in the 21st Century. New England Journal of Medicine. 2005; January 2015. 352(11): 1138-1145. 11. Meat Consumption in China, 1975-2013. Earth Policy Institute. 32. Green R, Milner J, Dangour A, Haines A, Chalabi Z, Markandya A, Updated 25 February 2014. Accessed 28 April 2015. Available from: et al. The potential to reduce greenhouse gas emissions in the UK http://www.earth-policy.org/data_center/C24. through healthy and realistic dietary change. Climatic Change. 2015; 12. OECD-FAO Agricultural Outlook 2013-2022: Highlights. 129(1-2): 253-265. Organisation for Economic Co-operation and Development, Food 33. Foley JA, Ramankutty N, Brauman KA, Cassidy ES, Gerber JS, and Agricultural Organization of the United Nations. 2013. Johnston M, et al. Solutions for a cultivated planet. Nature. 2011; 13. Jing J. Feeding China’s Little Emperors: Food, Children, and Social 478(7369): 337-42. Change. Stanford: Stanford University Press; 2000. 34. Bajzelj B, Richards KS, Allwood JM, Smith P, Dennis JS, Curmi 14. China Statistical Yearbook 2014. China Statistics Press. Accessed E, et al. Importance of food-demand management for climate 29 April 2015. Available from: http://www.stats.gov.cn/tjsj/ mitigation. Nature Climate Change. 2014; 4(10): 924-929. ndsj/2014/indexeh.htm. 35. Hedenus F, Wirsenius S, Johansson DA. The importance of 15. Lu M. Personal correspondence. China Development Research reduced meat and dairy consumption for meeting stringent climate Foundation. May 2015. change targets. Climatic Change. 2014; 124(1-2): 79-91. 16. Xu Y, Wang L, He J, Bi Y, Li M, Wang T, et al. Prevalence and 36. Tilman D, Clark M. Global diets link environmental sustainability Control of Diabetes in Chinese Adults. Journal of the American and human health. Nature. 2014; 515(7528): 518-522. Medical Association. 2013; 310(9): 948-959. 37. Piao S, Ciais P, Huang Y, Shen Z, Peng S, Li J, et al. The impacts of 17. Yan S, Li J, Li S, Zhang B, Du S, Gordon-Larsen P, et al. The climate change on water resources and agriculture in China. Nature. expanding burden of cardiometabolic risk in China: the China Health 2010; 467(7311): 43-51. and Nutrition Survey. Obesity Reviews. 2012; 13(9): 810-821. 38. Chin J, Spegele B. China details vast extent of soil pollution. The 18. IHME. Overweight and Obesity Viz. Institute for Health Metrics Wall Street Journal. 17 April 2014. and Evaluation, University of Washington. Accessed 5 May 2015. 39. Guo JH, Liu XJ, Zhang Y, Shen JL, Han WX, Zhang WF, et al. Available from: http://vizhub.healthdata.org/obesity/. Significant Acidification in Major Chinese Croplands. Science. 2010; 19. Ji CY, Chen TJ. Empirical changes in the prevalence of overweight 327(5968): 1008-1010. and obesity among Chinese students from 1985 to 2010 and 40. Fertilizer consumption (kilograms per hectare of arable land). corresponding preventive strategies. Biomedical and Environmental World Bank. Accessed 5 May 2015. Available from: http://data. Sciences. 2013; 26(1): 1-12. worldbank.org/indicator/AG.CON.FERT.ZS. 20. Big Picture: Agriculture. China Water Risk. 2013. Accessed 28 41. FAO. FAOSTAT: Inputs. Food and Agriculture Organization of the April 2015. Available from: http://chinawaterrisk.org/big-picture/ United Nations Statistics Division. Accessed 5 May 2015. Available agriculture. from: http://faostat3.fao.org/. 21. Liu G, Chen Y, He H. China’s environmental challenges going rural 42. Big Picture: China Water Crisis. China Water Risk. 2013. Accessed and west. Environment and Planning A. 2012; 44(7): 1657-1660. 28 April 2015. Available from: http://chinawaterrisk.org/big-picture/ 22. Schmitz R. Diabetes’ new frontier: China. BBC World Service china-water-crisis/. Marketplace. 24 March 2014. 43. Yu K. Building Ecological Chinese Cities: The Need for a Big Foot 23. Dong J, Guo XL, Lu ZL, Cai XN, Wang HC, Zhang JY, et al. Revolution. Griffith Asia Institute Regional Outlook Paper No. 28. Prevalence of overweight and obesity and their associations with 2011. blood pressure among children and adolescents in Shandong, China. 44. Big Picture: Agriculture. China Water Risk. 2013. Accessed 28 BMC Public Health. 2014; 14: 1080. April 2015. Available from: http://chinawaterrisk.org/big-picture/ 24. Gordon-Larsen P, Wang H, Popkin BM. Overweight dynamics in agriculture. Chinese children and adults. Obesity Reviews. 2014; 15(Suppl 1): 45. Jones C, Zhong L. China needs comprehensive and cost-effective
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