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Elementary School Participation in the United States Department of Agriculture's Team Nutrition Program Is Associated With More Healthful School Lunches

Published:February 27, 2013DOI:https://doi.org/10.1016/j.jneb.2012.12.006

      Abstract

      Objective

      To assess school-level characteristics associated with Team Nutrition (TN) program participation, and compare the availability of food items in school lunches in participating vs nonparticipating schools.

      Methods

      Cross-sectional study with a nationally representative sample of 2,489 elementary schools in the United States. A mail-back survey was used to collect school administrator–reported annual data on availability of selected healthful and unhealthful lunch items between 2006-2007 and 2009-2010. Multivariate regression analyses was used to predict the availability of food items in school lunches based on TN participation.

      Results

      Team Nutrition participation was higher among schools in the south, in rural areas, and in states with stronger nutrition policies. Program participation was higher in schools with mostly low-income students and where a dietitian was on staff. Participating schools were more likely to offer healthful items and less likely to serve unhealthful items during lunch.

      Conclusions and Implications

      The TN program has the potential to help schools offer healthier school meals.

      Key Words

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      References

      1. USDA Economic Research Service. Child Nutrition Programs: National School Lunch Program. http://www.ers.usda.gov/Briefing/ChildNutrition/Lunch.htm. Updated June 6, 2012. Accessed January 24, 2013.

      2. USDA Food and Nutirition Service. National School Lunch Program. http://www.fns.usda.gov/cnd/lunch/AboutLunch/NSLPFactSheet.pdf. Updated August 2012. Accessed January 24, 2013.

      3. USDA Food and Nutirition Service. Nutrition Standards in the National School Lunch and Breakfast Programs. FNS-2007-0038. http://www.gpo.gov/fdsys/pkg/FR-2012-01-26/pdf/2012-1010.pdf. Published January 26, 2012. Accessed January 24, 2013.

      4. USDA Food and Nutirition Service. USDA Unveils Critical Upgrades to Nutritional Standards for School Meals. http://www.fns.usda.gov/cga/pressreleases/2011/0010.htm. Published January 13, 2011. Updated November 27, 2012. Accessed January 24, 2013.

        • Neumark-Sztainer D.
        • French S.A.
        • Hannan P.J.
        • Story M.
        • Fulkerson J.A.
        School lunch and snacking patterns among high school students: associations with school food environment and policies.
        Int J Behav Nutr Phys Act. 2005; 2 (Accessed February 7, 2013): 14
        • Kubik M.Y.
        • Lytle L.A.
        • Hannan P.J.
        • Perry C.L.
        • Story M.
        The association of the school food environment with dietary behaviors of young adolescents.
        Am J Public Health. 2003; 93: 1168-1173
        • Story M.
        • Kaphingst K.M.
        • French S.
        The role of schools in obesity prevention.
        Future Child. 2006; 16: 109-142
        • Perry C.L.
        • Bishop D.B.
        • Taylor G.L.
        • et al.
        A randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children.
        Health Educ Behav. 2004; 31: 65-76
        • Fox M.K.
        • Dodd A.H.
        • Wilson A.
        • Gleason P.M.
        Association between school food environment and practices and body mass index of US public school children.
        J Am Diet Assoc. 2009; 109: S108-S117
        • Kubik M.Y.
        • Lytle L.A.
        • Story M.
        Schoolwide food practices are associated with body mass index in middle school students.
        Arch Pediatr Adolesc Med. 2005; 159: 1111-1114
      5. Gleason PM, Suitor C. Children's Diets in the Mid-1990s: Dietary Intake and Its Relationship with School Meal Participation. Report No. CN-01–CD1. http://www.fns.usda.gov/ora/menu/published/CNP/FILES/ChilDiet.pdf. Published January 2001. Accessed January 24, 2013.

        • Crepinsek M.K.
        • Gordon A.R.
        • McKinney P.M.
        • Condon E.M.
        • Wilson A.
        Meals offered and served in US public schools: do they meet nutrient standards?.
        J Am Diet Assoc. 2009; 109: S31-S43
        • Clark M.A.
        • Fox M.K.
        Nutritional quality of the diets of US public school children and the role of the school meal programs.
        J Am Diet Assoc. 2009; 109: S44-S56
        • Condon E.M.
        • Crepinsek M.K.
        • Fox M.K.
        School meals: types of foods offered to and consumed by children at lunch and breakfast.
        J Am Diet Assoc. 2009; 109: S67-S78
        • Briefel R.R.
        • Crepinsek M.K.
        • Cabili C.
        • Wilson A.
        • Gleason P.M.
        School food environments and practices affect dietary behaviors of US public school children.
        J Am Diet Assoc. 2009; 109: S91-S107
        • French S.A.
        • Story M.
        • Jeffery R.W.
        Environmental influences on eating and physical activity.
        Annu Rev Public Health. 2001; 22: 309-335
        • French S.A.
        • Story M.
        • Fulkerson J.A.
        • Hannan P.
        An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study.
        Am J Public Health. 2004; 94: 1507-1512
      6. United States Centers for Disease Control and Prevention. Obesity Prevention and Control: School-Based Programs. The Community Guide Web site. http://www.thecommunityguide.org/obesity/schoolbased.html. Updated January 12, 2012. Accessed January 24, 2013.

        • Waters E.
        • de Silva-Sanigorski A.
        • Hall B.J.
        • et al.
        Interventions for preventing obesity in children.
        in: Waters E. The Cochrane Collaboration. Cochrane Database of Systematic Reviews. John Wiley & Sons, Ltd, Chichester, United Kingdom2011 (Accessed January 24, 2013)
      7. USDA Food and Nutrition Service. Team Nutrition: Join the Team. http://www.fns.usda.gov/tn/team.html. Updated January 9, 2013. Accessed January 24, 2013.

      8. Johnston LD, O'Malley PM, Terry-McElrath YM, Freedman-Doan P, Brenner JS. School Policies and Practices to Improve Health and Prevent Obesity: National Secondary School Survey Results, School Year 2006-07 and 2007-08. Vol 1. Ann Arbor, MI: Bridging the Gap Program, Survey Research Center, Institute for Social Research; 2011.

      9. Bridging the Gap Research Project. http://www.bridgingthegapresearch.org. Accessed January 27, 2013.

      10. The American Association for Public Opinion Research. Standard Definitions. Final Dispositions of Case Codes and Outcome Rates for Surveys. 6th ed. http://www.aapor.org/AM/Template.cfm?Section=Standard_Definitions1&Template=/CM/ContentDisplay.cfm&ContentID=1814. Updated 2009. Accessed January 24, 2013.

      11. National Center for Education Statistics. Common Core of Data. http://nces.ed.gov/ccd/index.asp. Accessed January 27, 2013.

        • O'Toole T.P.
        • Anderson S.
        • Miller C.
        • Guthrie J.
        Nutrition services and foods and beverages available at school: results from the School Health Policies and Programs Study 2006.
        J Sch Health. 2007; 77: 500-521
      12. Chriqui JF, Schneider L, Kristen I, Grourdet C, Bruursema A. Bridging the Gap (BTG) Program: School District Wellness Policy Coding Tool, v. 2. http://www.bridgingthegapresearch.org/_asset/6g5t8y/WP_2009_coding_tool.pdf. Published 2010. Accessed January 30, 2013.

      13. Chriqui JF, Chaloupka FJ, Gourdet C, Bruursema A, Ide K, Pugach O. School District Wellness Policies: Evaluating Progress and Potential for Improving Children's Health Three Years After the Federal Mandate. Vol 2. http://www.bridgingthegapresearch.org/_asset/r08bgt/WP_2010_report.pdf. Published August 2010. Accessed January 24, 2013.

        • Thomson J.L.
        • Tussing-Humphreys L.M.
        • Martin C.K.
        • LeBlanc M.M.
        • Onufrak S.J.
        Associations among school characteristics and foodservice practices in a nationally representative sample of United States schools.
        J Nutr Educ Behav. 2012; 44: 423-431
      14. Koplan JP, Brownson RC, Bullock A, et al. Preventing Childhood Obesity: Health in the Balance. http://www.iom.edu/Reports/2004/Preventing-Childhood-Obesity-Health-in-the-Balance.aspx. Published September 29, 2004. Accessed January 24, 2013.