Early Effects of the Federally Mandated Local Wellness Policy on School Nutrition Environments Appear Modest in Colorado's Rural, Low-Income Elementary Schools

Belansky, Elaine S.; Cutforth, Nicholas J.; Delong, Erin; Litt, Jill; Gilbert, Lynn; Scarbro, Sharon; Beatty, Bridget; Romaniello, Cathy; Brink, Lois; Marshall, Julie A.

doi:10.1016/j.jada.2010.08.004

Cited by 44 publications

(50 citation statements)

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“…These studies were conducted primarily in schools, with some including home-based components [21-24]; there was one exception wherein the study was conducted within Boy Scout troop and Internet settings [25]. Fourteen before-after studies with no control group were included; 12 conducted in the United States [26-37], one conducted in France [38], and one in England [39]. …”

Section: Resultsmentioning

confidence: 99%

“…Some interventions that were primarily focused on policy targeted food services and afterschool programs [17,27] while others examined implementation of district level local wellness policies as part of the National School Lunch Program [26,28,37] in terms of their impact on cafeterias, snack bars, vending machines and school-level policies. Two studies examined state-wide approaches including a public school nutrition policy [31], and a program to reduce chronic disease through a multi-faceted approach that included in-school environmental and policy changes associated with nutrition [35].…”

Section: Resultsmentioning

confidence: 99%

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Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review

et al. 2014

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BackgroundLow fruit and vegetable (FV) consumption is one of the top 10 global risk factors for mortality, and is related to increased risk for cancer, cardiovascular disease and diabetes. Many environmental, sociodemographic and personal factors affect FV consumption. The purpose of this review is to examine the effects of interventions delivered in the home, school and other nutritional environments designed to increase FV availability for five to 18-year olds.MethodsThe search included: 19 electronic bibliographic databases; grey literature databases; reference lists of key articles; targeted Internet searching of key organization websites; hand searching of key journals and conference proceedings; and consultation with experts for additional references. Articles were included if: in English, French and Spanish; from high-, middle-, and low-income countries; delivered to anyone who could bring about change in FV environment for 5 to 18 year olds; with randomized and non-randomized study designs that provided before-after comparisons, with or without a control group. Primary outcomes of interest were measures of FV availability.ResultsThe search strategy retrieved nearly 23,000 citations and resulted in 23 unique studies. Interventions were primarily policy interventions at the regional or state level, a number of curriculum type interventions in schools and community groups and a garden intervention. The majority of studies were done in high-income countries.The diversity of interventions, populations, outcomes and outcome measurements precluded meta-analysis. The most promising strategies for improving the FV environment for children are through local school food service policies. Access to FV was successfully improved in four of the six studies that evaluated school-based policies, with the other two studies finding no effect. Broader state or federally mandated policies or educational programs for food service providers and decision makers had mixed or small impact. Similarly family interventions had no or small impact on home accessibility, with smaller impact on consumption.ConclusionsThe studies have high risk of bias but more rigorous studies are difficult to impossible to conduct in naturalistic settings and in policy implementation and evaluation. However, there are promising strategies to improve the FV environment, particularly through school food service policies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review

et al. 2014

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“…Few previous studies have described supports for student wellness promotion among US rural schools or school districts and the large, diverse sample of rural schools included in this study allowed for an assessment of whether differences in established supports exist according to relative distance from a metropolitan center. [23][24][25][26] This study was also unique in its ability to together examine differences in the coordination of school health improvement, collaboration on health education activities, and the professional preparation and development of teachers.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Supports for Student Wellness Promotion Efforts Among Secondary Schools in Minnesota

Larson

O’Connell

Davey

et al. 2016

Journal of Adolescent Health

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“…Boys, in particular, rank turkey highly in surveys of their school lunch preferences (Caine-Bish & Scheule, 2009). Boneless and skinless cuts are specifically recommended under current federal "Local Wellness Plan" initiatives (Belansky et al, 2010). Seasoned ground turkey and cooked turkey strips are increasingly being substituted for beef in popular cafeteria items such as tacos and fajitas (Salkin, 2002).…”

Section: Institutional Foodservice: Schools and Collegesmentioning

confidence: 99%

Turkeys

Stankus

2011

Journal of Agricultural & Food Information

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Early Effects of the Federally Mandated Local Wellness Policy on School Nutrition Environments Appear Modest in Colorado's Rural, Low-Income Elementary Schools

Cited by 44 publications

References 15 publications

Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review

Enhancing nutritional environments through access to fruit and vegetables in schools and homes among children and youth: a systematic review

Disparities in Supports for Student Wellness Promotion Efforts Among Secondary Schools in Minnesota

Turkeys

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