Journal article
Variable improvement in whole grain consumption among youth by school lunch participation level in the United States: Findings from the 2007–2018 national health and nutrition examination survey
Preventive medicine reports, v 53, 103017
2025
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
AbstractIntroductionThe Healthy, Hunger Free Kids Act (HHFKA) 2010 renewed food and nutrient requirements in school meals. Changes in whole grain consumption and fiber among youth may vary by school meal participation level. MethodsWe analyzed cross-sectional data of five to seventeen year olds from the National Health and Nutrition Examination Survey across three policy periods (pre-policy (2007–2010), during the transition (2011–2014), and after HHFKA 2010 (2015–2018)). Weighted, multivariable regression models were fitted to estimate the association between policy periods and each of the dietary outcomes with interactions between policy periods and school meal participation levels, adjusting for sociodemographic characteristics. ResultsOver 70 % of the children and adolescents participated in the school lunch program regularly in 2007–2018. Overall, there was an increasing trend in the whole grain consumption. At baseline, the group who did not participate in school lunch generally had a better nutritional profile including higher whole grain intake. However, the increase in whole grain intake after HHFKA 2010 among youth with regular participation, along with recent plateauing trends among infrequent participation groups, led to similar levels of whole grain intake across school meal participation groups. The amount of whole grain consumption among youth remained lower than the recommendation for all groups. ConclusionAfter HHFKA 2010, the improvement in whole grain consumption among youth was variable by the levels of school meal participation. There is a need for additional measures of school-based interventions to promote whole grain and fiber consumption among youth.
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Details
- Title
- Variable improvement in whole grain consumption among youth by school lunch participation level in the United States: Findings from the 2007–2018 national health and nutrition examination survey
- Creators
- Mika Matsuzaki - Johns Hopkins UniversityMaria E Acosta - San Francisco State UniversityNancy Barba - San Francisco State UniversityBrisa N Sánchez - Drexel UniversityEmma Sanchez-Vaznaugh - Drexel University
- Publication Details
- Preventive medicine reports, v 53, 103017
- Publisher
- Elsevier
- Number of pages
- 6
- Grant note
- Shriver National Institute of Child Health and Human Development: R01HD111169
Mika Matsuzaki was supported by the National Heart, Lung, and Blood Institute (K01HL165465). Brisa N. Sanchez and Emma V. Sanchez-Vaznaugh were supported by the National Insisute of Minority Health and Health Disparities (R01MD017687) and Eunice KennedyShriver National Institute of Child Health and Human Development (R01HD111169) .
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:001449043300001
- Scopus ID
- 2-s2.0-105000058502
- Other Identifier
- 991022035116704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health