Lessons learned from evaluations of California's statewide school nutrition standards.

Publisher: American Public Health Association Country of Publication: United States NLM ID: 1254074 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1541-0048 (Electronic) Linking ISSN: 00900036 NLM ISO Abbreviation: Am J Public Health Subsets: MEDLINE

Publication: Washington, DC : American Public Health Association
Original Publication: New York [etc.]

Nutrition Policy*/legislation & jurisprudence; Schools/*standards; California ; Child ; Evaluation Studies as Topic ; Feeding Behavior ; Food Supply/standards ; Guideline Adherence/statistics & numerical data ; Humans ; Nutrition Surveys ; Obesity/prevention & control

Objectives: We assessed the impact of legislation that established nutrition standards for foods and beverages that compete with reimbursable school meals in California.
Methods: We used documentation of available foods and beverages, sales accounts, and surveys of and interviews with students and food service workers to conduct 3 studies measuring pre- and postlegislation food and beverage availability, sales, and student consumption at 99 schools.
Results: Availability of nutrition standard-compliant foods and beverages increased. Availability of noncompliant items decreased, with the biggest reductions in sodas and other sweetened beverages, regular chips, and candy. At-school consumption of some noncompliant foods dropped; at-home consumption of selected noncompliant foods did not increase. Food and beverage sales decreased at most venues, and food service à la carte revenue losses were usually offset by increased meal program participation. Increased food service expenditures outpaced revenue increases.
Conclusions: Regulation of competitive foods improved school food environments and student nutritional intake. Improvements were modest, partly because many compliant items are fat- and sugar-modified products of low nutritional value. Additional policies and actions are needed to achieve more substantive improvements in school nutrition environments and student nutrition and health.

Erratum in: Am J Public Health. 2011 Oct;101(10):1816.

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Date Created: 20100925 Date Completed: 20101025 Latest Revision: 20240409

20240409

PMC2951961

10.2105/AJPH.2010.193490

20864696