Poor nutritional choices and unhealthy behaviors are considered responsible for the rise in childhood overweight and obesity and may reinforce each other, creating a vicious cycle. This paper studies a primary school intervention designed to break the cycle early in life by replacing date bars with calorie-equivalent meals lower in sugar and fat.…

USDA helps millions of children from low-income households access healthy meals by purchasing food, including seafood, for the NSLP. USDA-purchased foods represent about 15 to 20 percent of the food served in the NSLP. According to the DGA, programs, such as the NSLP, can play an essential role in providing access to healthy meals. This can help…

Background: Despite the establishment of the Healthy, Hunger-Free Kids Act (HHFKA) in 2010, child nutrition programs continue to experience challenges impacting participation. Prior qualitative studies have explored how to reduce barriers to implementation of these programs in schools, but few studies have examined attitudes held by students, who…

Background: Despite the establishment of the Healthy, Hunger-Free Kids Act (HHFKA) in 2010, child nutrition programs continue to experience challenges impacting participation. Prior qualitative studies have explored how to reduce barriers to implementation of these programs in schools, but few studies have examined attitudes held by students, who…

Background: In response to the Healthy, Hunger-Free Kids Act of 2010, the US Department Agriculture updated the nutrition standards for school meals to improve nutrition-related health outcomes for children. This study assesses the association between implementation of the updated nutrition standards and child weight. Methods: A quasi-experimental…

Purpose/Objectives: Advocacy groups recommend the school lunch period allow students 20 minutes of time to eat. While there is increasing evidence to support this recommendation, there is less known about the effect of eating time on nutrient consumption. The purpose of this study was to determine whether time to eat affected students' consumption…

Peer-reviewed research on the effectiveness of salad bars for increasing fruit and vegetable (F/V) intake is limited. This commentary discusses current evidence regarding the effectiveness of salad bars in increasing F/V selection and consumption, thereby reducing food waste. Key findings from this review of the research are that salad bars in…

Background: In this study, we describe state agency strategies to support weight-related policy implementation in schools, and examine the association among state support, obesity prevalence, and strength of state policies governing school nutrition and physical education. Methods: The 2012 School Health Policies and Practices Study describes…

Through reinforcement of policies and nutrition standards linked to the National School Lunch Program (NSLP), school environments play an important role in preventing childhood obesity. The NSLP includes mandated nutrition standards that specify recommended servings of vegetables, fruit, whole grains, dairy and protein, as well as limits on…

The next President of the United States has an enormous responsibility--and opportunity--to provide an equitable foundation for a new generation of learners. The magnitude of the coronavirus pandemic has demonstrated the importance of schools as community anchors that children and families rely on for much more than an education. This document…

Background: Schools can play a major role in prevention and intervention for childhood obesity. We describe changes in elementary school cafeteria lunch sales patterns resulting from nutritional improvements in menu offerings that were part of a community-wide focus on health. Methods: Elementary school lunch sales data were collected for 1 week…

In March of 2020, the COVID-19 pandemic upended our country, leading to a hunger and education crisis like we have never seen before. This report reflects on the role schools play in supporting a culture of wellness; the opportunities, trends, barriers and reasons why schools have been the great equalizer in America, where the minority is the…

Purpose/Objectives: This study investigates the effect of meal component changes by the Healthy, Hunger-Free Kids Act of 2010 (HHFKA) on school lunch quality and consumption in elementary school students, grade 2-5 before and after the HHFKA guidelines were implemented in July 2012 using the Healthy Eating Index. Methods: In Spring 2012, before…

Purpose: The purpose of this paper is to design and implement interventions to increase free school meal (FSM) uptake in pilot schools. This paper describes the interventions, reports on acceptability (as perceived by school working parties) and explores the process of implementing change. Design/Methodology/Approach: The research consisted of two…

Schools are recognized as ideal environments to promote and enhance the health of children. Previous research has shown a positive association exists between increased prevalence of family-style meals and children's health. Use of family-style service provides opportunities to improve children's overall health and well-being through increased…