The Effects of the Healthy Hunger-Free Kids Act on School Lunch

Bergman, Ethan A.; Englund, T.; Cashman, L.; Watkins, Tim; Taylor, K. Weigt; Shaw, Edward B.; Saade, C.; Schepman, Stephen

doi:10.1016/j.jand.2014.06.195

Cited by 5 publications

(6 citation statements)

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“…Another national survey conducted by the Centers for Disease Control and Prevention, the School Health Policies and Practices Study, observed healthier meals in schools, including the availability of more nonfried vegetables at lunch from 2000 to 2014 [36]. Bergman et al [34] used nutrient intake from students' consumption data to compare NSLP lunches in the spring of 2012 (before enactment of the HHFKA) to NSLP lunches at the same schools in spring of 2013. They also found post-HHFKA meals to be significantly healthier.…”

Section: Discussionmentioning

confidence: 99%

School Food and Physical Activity Environment: A Longitudinal Analysis of Four School Districts in New Jersey

Acciai

Yedidia

DeWeese

et al. 2019

Journal of Adolescent Health

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Exposures to favorable environments in childhood, including those in schools, are associated with healthy habits among children. In this study, we developed a series of indices aimed at measuring students' exposure to different dimensions of the school food and physical activity (PA) environment. We implemented these indices to investigate how different aspects of the school food and PA environment changed over time and examined their correspondence with known changes in relevant policies and programs. Methods: All public schools (n¼ 141) in four school districts in New Jersey provided detailed food and PA environment data for each school year from 2010e2011 to 2015e2016. Seven food environment indices, three PA environment indices, and two additional indices that capture healthpromoting initiatives at the school level and at the state or federal level were developed. Results: Although the school PA environment largely remained unchanged, several dimensions of the school food environment changed between 2010e2011 and 2015e2016. Overall, the number of healthy items increased over time in vending machines (p < .001), a la carte (p < .05), or through reimbursable school lunches (p < .001); decreases in number of unhealthy items were only detected in school lunches (p < .05). For most food indices, both the number of items offered and the trend over time varied across school levels. Conclusions: Schools are a key venue for implementing policy and environment interventions aimed to promote healthy behaviors. Indices developed from easy-to-use survey questions captured multiple dimensions of the school food and PA environments and were sensitive to policy changes over time.

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Section: Discussionmentioning

confidence: 99%

School Food and Physical Activity Environment: A Longitudinal Analysis of Four School Districts in New Jersey

Acciai

Yedidia

DeWeese

et al. 2019

Journal of Adolescent Health

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“…Nineteen interventions (17 studies, 16 articles) examined nutrition standards for school meals (Table 2). [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Several interventions generally demonstrated positive changes in the nutritional quality of meals and mixed findings for student selection of key food groups and for dietary intake. Sixteen focused on the implementation of federal nutrition standards Table 2.…”

Section: Interventions To Improve School Meals Programsmentioning

confidence: 99%

“…28 Five interventions examined changes to foods and beverages in SMPs 15,24,30 ; 4 found at least one positive change to the nutritional quality of meals available to students following implementation of nutrition standards, 15,24 and 2 found changes in the undesired direction for some of the key nutrients. 24 Of the 8 interventions that examined changes in students' food selection, 7 found positive changes in at least 1 food group or key nutrient, 17,18,20,23,26,27,29 and 6 found at least 1 change in the unexpected direction. 18,23,[26][27][28][29] Nine of the 14 interventions that measured changes in dietary intake found positive changes for at least 1 food group or key nutrient, 16,18,20,23,[25][26][27]29 and 10 found at least 1 change in the unexpected direction.…”

Section: Interventions To Improve School Meals Programsmentioning

confidence: 99%

“…24 Of the 8 interventions that examined changes in students' food selection, 7 found positive changes in at least 1 food group or key nutrient, 17,18,20,23,26,27,29 and 6 found at least 1 change in the unexpected direction. 18,23,[26][27][28][29] Nine of the 14 interventions that measured changes in dietary intake found positive changes for at least 1 food group or key nutrient, 16,18,20,23,[25][26][27]29 and 10 found at least 1 change in the unexpected direction. [16][17][18]20,21,23,[27][28][29] Taste tests, incentives/rewards, improving palatability, pre-sliced fruit, recess before lunch.…”

Section: Interventions To Improve School Meals Programsmentioning

confidence: 99%

“…18,23,[26][27][28][29] Nine of the 14 interventions that measured changes in dietary intake found positive changes for at least 1 food group or key nutrient, 16,18,20,23,[25][26][27]29 and 10 found at least 1 change in the unexpected direction. [16][17][18]20,21,23,[27][28][29] Taste tests, incentives/rewards, improving palatability, pre-sliced fruit, recess before lunch. A variety of strategies were used to increase the selection and consumption of school meals, with several interventions generally demonstrating positive outcomes.…”

Section: Interventions To Improve School Meals Programsmentioning

confidence: 99%

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School Nutrition Environment and Services: Policies and Practices That Promote Healthy Eating Among K‐12 Students

Merlo,

Smarsh,

Xiao

2023

Journal of School Health

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BACKGROUNDChanges to policies at the federal, state, and local levels over the last decade have influenced the school nutrition environment and services.METHODSThis systematic review includes an analysis of individual research articles and government reports published from 2010 to 2021 that examine interventions to improve the school nutrition environment and services and increase the availability, selection, and consumption of healthier foods and beverages in K‐12 schools in the United States.RESULTSNutrition standards for school meals and food outside of meals improved access to healthier options in school. Providing school nutrition professionals with professional development, improving the palatability of school meals, offering taste tests, pre‐slicing fruit, providing recess before lunch, offering incentives for trying healthier options, and providing access to drinking water resulted in increased selection and consumption of healthier items. There were inconclusive or mixed findings for some intervention strategies including adequate seat time for meals.CONCLUSIONSDespite demonstrated improvements to school meal programs and competitive foods, more work is needed to change the selection and consumption of healthier options among K‐12 students. Schools can use multiple interventions to improve the school nutrition environment and services and help students adopt food and beverage choices that support health.

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Partnerships to Improve Child Diet Quality and Reduce Food Waste in School Nutrition Program

Hamdi,

Metcalfe,

Prescott

2024

Food and Health

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The Effects of the Healthy Hunger-Free Kids Act on School Lunch

Cited by 5 publications

References 0 publications

School Food and Physical Activity Environment: A Longitudinal Analysis of Four School Districts in New Jersey

School Food and Physical Activity Environment: A Longitudinal Analysis of Four School Districts in New Jersey

School Nutrition Environment and Services: Policies and Practices That Promote Healthy Eating Among K‐12 Students

Partnerships to Improve Child Diet Quality and Reduce Food Waste in School Nutrition Program

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