Post-Healthy, Hunger-Free Kids Act Adherence to Select School Nutrition Standards by Region and Poverty Level: The Healthy Communities Study

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Post-Healthy, Hunger-Free Kids Act Adherence to Select School Nutrition Standards by Region and Poverty Level : The Healthy Communities Study

Au, Lauren E. (author)

Ritchie, Lorrene D. (author)

Gurzo, Klara (author): Stockholms universitet,Institutionen för folkhälsovetenskap

Nhan, Lilly A. (author)

Woodward-Lopez, Gail (author)

Kao, Janice (author)

Guenther, Patricia M. (author)

Tsai, Marisa (author)

Gosliner, Wendi (author)

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(creator_code:org_t)

Elsevier BV, 2020
2020
English.
In: Journal of nutrition education and behavior. - : Elsevier BV. - 1499-4046 .- 1878-2620. ; 52:3, s. 249-258

Related links:: https://www.ncbi.nlm...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

Objective: This study determined the extent to which schools adhered to select nutrition and wellness provisions of the 2010 Healthy, Hunger-Free Kids Act and examined differences by US region and school poverty level. Design: Comparison of cross-sectional observational data from the Healthy Communities Study (2013-2015) by region and school poverty level. Participants: A total of 401 US elementary and middle schools. Main Outcome Measures: Adherence with federal nutrition standards for meals and competitive foods; extent of implementation of select aspects of school wellness policies. Analysis: Descriptive statistics and multivariate regression were used. Differences were examined by school poverty level and region, adjusting for other school- and community-level covariates. Results: Most schools reported meeting reimbursable school meal nutrition standards (74%); more schools in the West met nutrition standards (82%) than in the Midwest (64%). Most grains offered at lunch were whole grain-rich (82%), and most competitive foods complied with standards (78%) before they were required. Most schools had a wellness coordinator (80%). Lowest levels of adherence were reported for guidelines for classroom or school event foods. No differences were observed by school poverty level. Conclusions and Implications: Findings suggest that Healthy Hunger-Free Kids Act provisions were feasible across a wide variety of schools, and schools successfully implemented reimbursable school meal nutrition standards regardless of school poverty level.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
SAMHÄLLSVETENSKAP -- Utbildningsvetenskap -- Pedagogik (hsv//swe)
SOCIAL SCIENCES -- Educational Sciences -- Pedagogy (hsv//eng)

Keyword

school nutrition
whole grains
competitive foods
Healthy Hunger-Free Kids Act

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ref (subject category)
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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

SOCIAL SCIENCES: SOCIAL SCIENCES; and Educational Scie ...; and Pedagogy

Articles in the publication: Journal of nutri ...

By the university: Stockholm University

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