School food service directors' perceptions of barriers to and strategies for improving the school food environment in the United States

2009 ◽  
Vol 47 (3) ◽  
pp. 88-93 ◽  
Author(s):  
C H Brouse ◽  
R L Wolf ◽  
C E Basch
Keyword(s):  
United States ◽  
Food Environment ◽  
Food Service ◽  
The United States ◽  
School Food ◽  
School Food Service ◽  
School Food Environment

scholarly journals Comparative risk assessment of school food environment policies and childhood diets, childhood obesity, and future cardiometabolic mortality in the United States

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200378 ◽  
Author(s):  
Katherine L. Rosettie ◽  
Renata Micha ◽  
Frederick Cudhea ◽  
Jose L. Peñalvo ◽  
Martin O’Flaherty ◽  
...  
Keyword(s):  
United States ◽  
Risk Assessment ◽  
Childhood Obesity ◽  
Food Environment ◽  
The United States ◽  
Comparative Risk Assessment ◽  
School Food ◽  
Comparative Risk ◽  
School Food Environment

The Child and Adolescent Trial for Cardiovascular Health (CATCH): Intervention, Implementation, and Feasibility for Elementary Schools in the United States

1997 ◽  
Vol 24 (6) ◽  
pp. 716-735 ◽  
Author(s):  
Cheryl L. Perry ◽  
Deborah E. Sellers ◽  
Carolyn Johnson ◽  
Sheryl Pedersen ◽  
Kathryn J. Bachman ◽  
...  
Keyword(s):  
United States ◽  
Elementary Schools ◽  
Physical Education ◽  
Cardiovascular Health ◽  
Food Service ◽  
Child And Adolescent ◽  
The United States ◽  
Process Data ◽  
School Food ◽  
School Food Service

The Child and Adolescent Trial for Cardiovascular Health (CATCH) was the largest school-based field trial ever sponsored by the National Institutes of Health. The trial demonstrated positive changes in the school food service and physical education program, as well as in students' cardiovascular health behaviors. Because the CATCH intervention programs were implemented in 56 schools (in four states) that were typical of schools throughout the United States, their reception by schools and degree of implementation provide evidence about their feasibility for schools nationally. Extensive process evaluation data were collected from students, teachers, school food service personnel, and physical education specialists throughout the three school years of the CATCH intervention. Four of the CATCH programs—school food service, physical education, classroom curricula, and home programs—were assessed over the three school years. The process data provide information on participation, dose, fidelity, and compatibility of the CATCH programs in the intervention schools for these programs. High levels of participation, dose, fidelity, and compatibility were observed for the four programs during the 3 school years. CATCH emerges as a model of a feasible multilevel health promotion program to improve eating and exercise behaviors for elementary schools in the United States.

Feeding others' children : a comparative ethnography of school food service employees and how they make meaning

2016 ◽  
Author(s):  
◽  
Ashley D. Vancil-Leap
Keyword(s):  
Participant Observation ◽  
Food Service ◽  
The United States ◽  
School Nutrition ◽  
Policy Implications ◽  
Regulatory Structure ◽  
School Food ◽  
Service Employees ◽  
School Food Service ◽  
Food Service Employees

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Utilizing 18 months of participant observation, 25 in-depth interviews and numerous textual sources, this research is an ethnography at an elementary, middle, and high school looking at how school food service employees (i.e. lunch ladies) make meaning out of this low-status, low-paying occupation in the context of changes to federal policies on school nutrition. Overall, I argue that lunch ladies use care work as resources in mundane, yet unique, ways even as their work is shaped and constrained by the financial and regulatory structure changes of the National School Lunch and Breakfast Programs. The goal is to show how food, femininity and labor are interrelated to produce inequalities, as well as, create opportunities for equality. Consequently, this project possesses social, cultural, and policy implications by analyzing an invisible group that provides service to every school in the United States and who influence student's school food choices.

Healthy Eating Guidelines for a School Jurisdiction: Collaborative Design and Implementation

2013 ◽  
Vol 74 (4) ◽  
pp. 193-197
Author(s):  
Flora F. Stephenson ◽  
J. Cyne Johnston ◽  
Theresa Riege ◽  
Farah Bandali ◽  
Deborah A. McNeil
Keyword(s):  
Healthy Eating ◽  
School Environment ◽  
Food Environment ◽  
Collaborative Design ◽  
Positive Impact ◽  
Food Service ◽  
Optimal Growth ◽  
Eating Behaviours ◽  
School Food ◽  
School Food Environment

Purpose: Healthy eating is a determinant of optimal growth, and schools provide an ideal setting in which to influence students’ diets. The Healthy Eating Guidelines Initiative (HEGI) was a partnership among education, health, and community stakeholders to develop and implement healthy eating guidelines across a school jurisdiction. An evaluation was conducted to examine the potential impact of the HEGI on the school food environment and students’ self-reported diets. Methods: All schools in the jurisdiction were invited to participate in the evaluation. Participating schools included elementary, middle, high, and mixed grades schools. A school environment assessment and a student questionnaire were used to collect data before and after the HEGI. Results: Twenty-two (71%) of 31 schools participated in the evaluation. The guidelines were successfully implemented in 17 of these 22 schools. Overall, a greater proportion of students reported healthier eating behaviours at the conclusion of the HEGI. In particular, a greater proportion of students in schools with cafeteria-style food service showed significantly improved self-reported dietary behaviours. These changes were not seen among students at schools with limited or no on-site food service. Conclusions: The findings are consistent with those of previous studies, and indicate that guidelines for a school jurisdiction can have a positive impact on the school food environment and students’ food intake. The HEGI shows promise as a strategy to promote healthy eating among students.

Abstract 01: The Impact of School Food Environment Policies on Child Dietary Intake and BMI and Future Cardiometabolic Outcomes in the United States

Circulation ◽  
2017 ◽  
Vol 135 (suppl_1) ◽  
Author(s):  
Katherine L Rosettie ◽  
Renata Micha ◽  
Jose L Peñalvo ◽  
Frederick Cudhea ◽  
Dariush Mozaffarian
Keyword(s):  
Food Environment ◽  
Vegetable Intake ◽  
The United States ◽  
Dietary Factors ◽  
Assessment Model ◽  
Sensitivity Analyses ◽  
School Food ◽  
School Food Environment ◽  
Meta Analyses ◽  
The Impact

Introduction: Promising school food environment policies include providing fresh fruits and vegetables (F&V provision) and competitive food restrictions on sugar-sweetened beverages (SSB restriction). Yet, the impact of these policies on diet and BMI in children and future cardiometabolic disease (CMD) outcomes is not established. Methods: We used a comparative risk assessment model to estimate the effects of F&V provision and SSB restriction on diet and BMI in US children age 5-18 yrs. We used national data from NHANES 2009-12 on baseline BMI and intakes of fruits, vegetables, and SSBs; impacts of these policies on diet from meta-analyses of interventions; and estimated effects of dietary changes on BMI from trials and cohorts. We also estimated the effects of these school policies on CMD in current US adults if such policies had been implemented in their childhood, based on meta-analysis of long-term within-person correlations of childhood and adult diets, meta-analyses of diet and CMD, and data on national CMD deaths. Model inputs were stratified by age, sex, and race, where appropriate. Point estimates and 95% uncertainty intervals were derived from probabilistic sensitivity analyses using 1000 Monte Carlo simulations. Results: F&V provision would increase overall fruit intake in children by ~ 14-21% and would not significantly increase vegetable intake ( Table ). SSB restriction would decrease overall SSB intake by ~ 6-11% and BMI (kg/m 2 ) by 0.2-0.3%. Among these dietary factors, reducing SSBs had the largest estimated impact on CMD (2418 deaths averted/year), followed by providing fruits (2121) and vegetables (165). If US adults had been exposed to both policies, an estimated 4703 CMD deaths/year would be averted, representing 0.67% of all CMD deaths. Conclusions: Specific US school food environment policies involving F&V provision and SSB restriction would modestly improve diet and BMI in children, and could prevent up to 0.7% of all CMD deaths.

scholarly journals Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents

2016 ◽  
Vol 5 (3) ◽  
pp. 222
Author(s):  
Maria Cristina Perez ◽  
Benjamin D. Knisley ◽  
Grace E. Crosby ◽  
Shasha Zheng ◽  
M. Margaret Barth
Keyword(s):  
Native American ◽  
Dietary Intake ◽  
Food Service ◽  
Primary Source ◽  
The United States ◽  
Normal Weight ◽  
Obesity Prevalence ◽  
School Food ◽  
School Food Service ◽  
Antioxidant Intake

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students’ primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus.

scholarly journals Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents

2016 ◽  
Vol 5 (3) ◽  
pp. 222
Author(s):  
Maria Cristina Perez ◽  
Benjamin D. Knisley ◽  
Grace E. Crosby ◽  
Shasha Zheng ◽  
M. Margaret Barth
Keyword(s):  
Native American ◽  
Dietary Intake ◽  
Food Service ◽  
Primary Source ◽  
The United States ◽  
Normal Weight ◽  
Obesity Prevalence ◽  
School Food ◽  
School Food Service ◽  
Antioxidant Intake

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students’ primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus.

Food procurement in English-language Canadian public schools: Opportunities and challenges

2019 ◽  
Vol 6 (1) ◽  
pp. 75-99
Author(s):  
Shawna Holmes
Keyword(s):  
Public Schools ◽  
Food Environment ◽  
Nutritional Quality ◽  
English Language ◽  
Nutrient Content ◽  
Food Environments ◽  
School Food ◽  
Provincial Level ◽  
School Food Environment

This paper examines the changes to procurement for school food environments in Canada as a response to changes to nutrition regulations at the provincial level. Interviews with those working in school food environments across Canada revealed how changes to the nutrition requirements of foods and beverages sold in schools presented opportunities to not only improve the nutrient content of the items made available in school food environments, but also to include local producers and/or school gardens in procuring for the school food environment. At the same time, some schools struggle to procure nutritionally compliant foods due to increased costs associated with transporting produce to rural, remote, or northern communities as well as logistic difficulties like spoilage. Although the nutrition regulations have facilitated improvements to food environments in some schools, others require more support to improve the overall nutritional quality of the foods and beverages available to students at school.

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