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Keywords = school lunch waste

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11 pages, 857 KiB  
Article
Enhancing Vietnamese Students’ Acceptance of School Lunches Through Food Combination: A Cross-Over Study
by An Thanh Truong, Anh Thi Lan Pham, Thy Quynh Nguyen, Tan Duy Doan, Tuan Nhat Pham, Yen Thi Hai Hoang, Ryosuke Matsuoka and Shigeru Yamamoto
Nutrients 2025, 17(8), 1385; https://doi.org/10.3390/nu17081385 - 20 Apr 2025
Viewed by 758
Abstract
Background/Objectives: Vegetable leftovers constitute more than half of Vietnamese school lunch waste, partly due to limited ingredient variety, which may reduce meal acceptance. Methods: This cross-over study assessed the impact of diversifying vegetable options on intake and satisfaction among 40 students at a [...] Read more.
Background/Objectives: Vegetable leftovers constitute more than half of Vietnamese school lunch waste, partly due to limited ingredient variety, which may reduce meal acceptance. Methods: This cross-over study assessed the impact of diversifying vegetable options on intake and satisfaction among 40 students at a suburban Vietnamese primary school. Five new menus were developed by redistributing a 100 g vegetable portion into smaller servings of multiple vegetable types, combining them creatively with protein-rich foods or rice while maintaining nutritional value and cost. Students alternated between current and new menus over four weeks. Sensory evaluations using a 5-point hedonic scale and food weighing were conducted daily. Results: Most students increased vegetable intake during the new menu period. Mean intake was significantly higher with new menus (81.5 g; 95%CI: 77.1–85.9) compared to current menus (71.1 g; 95%CI: 65.2–75.1) (p < 0.001). Conclusions: These findings demonstrate that enhancing vegetable variety in combination can significantly improve intake and sensory characteristics without additional costs. This scalable strategy offers a practical solution for schools to foster healthier eating habits among students. Full article
(This article belongs to the Special Issue The Influence of School Meals on Children and Adolescents)
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46 pages, 8252 KiB  
Article
Insights into Awareness and Perceptions of Food Waste and School Catering Practices: A Student-Centered Study in Rezekne City, Latvia
by Juta Deksne, Jelena Lonska, Sergejs Kodors, Lienite Litavniece, Anda Zvaigzne, Inese Silicka and Inta Kotane
Resources 2025, 14(4), 59; https://doi.org/10.3390/resources14040059 - 2 Apr 2025
Viewed by 1870
Abstract
A fundamental step to foster a sustainable future is enhancing students’ awareness of responsible food consumption. The present research study assessed students’ awareness of food waste (FW) issues, attitudes towards school catering and lunch management, and the reasons for plate waste (PW) in [...] Read more.
A fundamental step to foster a sustainable future is enhancing students’ awareness of responsible food consumption. The present research study assessed students’ awareness of food waste (FW) issues, attitudes towards school catering and lunch management, and the reasons for plate waste (PW) in Rezekne city schools, Latvia. A survey was conducted in April 2024 involving 944 students in grades 2 to 7 across four selected schools (S1, S2, S3, and S4), provided with state and municipality-funded free lunches. Statistical analysis methods (Mean ± SD, Kruskal–Wallis H test, Mann–Whitney U post hoc test, and Spearman’s correlation analysis) were used to analyze the results. The findings revealed limited awareness and knowledge of students about FW issues, and generally indifferent attitude towards FW and school meals. In addition, significant dissatisfaction with the sensory qualities of meals was observed, yet sensory satisfaction did not correlate with FW levels, pointing to broader issues within the catering model. The restrictive pre-served portion system was found ineffective in reducing FW and fostering responsible consumption. A sustainable catering model should empower students to independently choose the type and quantity of food, combining their abilities and motivation with practical actions. These findings provide a basis for strategies aimed at reducing FW and promoting responsible and sustainable food consumption in Latvian schools. Full article
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45 pages, 6963 KiB  
Article
Reducing Plate Waste in Latvian Schools: Evaluating Interventions to Promote Sustainable Food Consumption Practices
by Jelena Lonska, Sergejs Kodors, Juta Deksne, Lienite Litavniece, Anda Zvaigzne, Inese Silicka and Inta Kotane
Foods 2025, 14(1), 126; https://doi.org/10.3390/foods14010126 - 4 Jan 2025
Cited by 2 | Viewed by 2093
Abstract
Food waste (FW) threatens food security, environmental sustainability, and economic efficiency, with about one-third of global food production lost or wasted. Schools play a crucial role in addressing FW, representing lost resources and missed educational opportunities. The present research assessed three interventions to [...] Read more.
Food waste (FW) threatens food security, environmental sustainability, and economic efficiency, with about one-third of global food production lost or wasted. Schools play a crucial role in addressing FW, representing lost resources and missed educational opportunities. The present research assessed three interventions to reduce plate waste (PW) in Rezekne City schools, namely (S1) a plate waste tracker, (S2) an awareness and educational campaign, and (S3) organizational changes, including larger plates, extended lunch breaks, and teacher supervision. Implemented in three schools with a fourth as a control, PW was measured at three intervals, at pre-intervention, short-term, and long-term post-intervention. The PW data analysis utilized two models (day view and class view) and a Wilcoxon signed-rank test. While the plate waste tracker initially reduced PW, sustained impact required continuous reinforcement. The awareness and educational campaign alone proved insufficient, highlighting the need for complex strategies. The organizational changes unexpectedly increased PW, underscoring FW’s complexity. The research has concluded that reducing FW requires tailored and multi-faceted approaches. According to the MOA framework, the school catering model in Rezekne City lacks essential “Opportunities” for effective FW reduction, as students have limited flexibility in portion sizes and food choices, which hinders the interventions’ effectiveness. Future research should explore adaptable FW-reducing interventions suited to specific school contexts. Full article
(This article belongs to the Special Issue New Insights into Food Consumption and Sustainable Development)
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13 pages, 490 KiB  
Article
How Do School Salad Bars Impact Elementary School Students’ Dietary Quality and Energy Intake at Lunch? A Randomized Controlled Plate Waste Investigation
by Melanie K. Bean, Suzanne E. Mazzeo, Hollie A. Raynor, Laura M. Thornton, Lilian de Jonge, Ashley Mendoza and Sarah Farthing
Nutrients 2024, 16(23), 4102; https://doi.org/10.3390/nu16234102 - 28 Nov 2024
Cited by 1 | Viewed by 1358
Abstract
Background: Children’s dietary quality is suboptimal, increasing the risk of numerous chronic illnesses. Salad bars (SBs) have potential to enhance children’s nutritional intake within the National School Lunch Program (NSLP); yet, empirical support is lacking. To address this gap, we evaluated the impact [...] Read more.
Background: Children’s dietary quality is suboptimal, increasing the risk of numerous chronic illnesses. Salad bars (SBs) have potential to enhance children’s nutritional intake within the National School Lunch Program (NSLP); yet, empirical support is lacking. To address this gap, we evaluated the impact of school salad bars on dietary quality and energy intake at lunch. Methods: Seven matched elementary school pairs were randomly selected. All schools served pre-portioned fruit and vegetables (F&V) at baseline. Within each pair, one school received an SB. Digital imagery plate waste methods were applied at baseline and 4–6 weeks post salad bar installation to determine intake (20% increments for food, ounces for beverages). Dietary quality (Healthy Eating Index (HEI-2015)) and energy intake (kcal) were evaluated in NDSR. Multilevel modeling evaluated group (SB vs. control) and time (baseline vs. post) differences and group-by-time interactions for: (1) HEI-2015 (total and component scores) and (2) kcal intake (overall, F&V, non-F&V, and beverage kcals). Results: Data from 5674 trays are reported. Significant group-by-time interactions were observed for HEI-2015 total scores and Greens and Beans, Total Fruit, Whole Fruit, Refined Grains, and Added Sugar component scores (p < 0.0001), supporting improved dietary quality in SB schools. SB HEI-2015 scores were 60.1 ± 9.8 at post (+5.3 from baseline; p < 0.0001) compared with 57.2 ± 9.5 in controls (+1.0 from baseline; p = 0.065). Total energy intake significantly increased in SB schools (376 ± 151 kcal (baseline) → 434 ± 176 kcal (post)), driven by F&V energy (+59 kcal), with no change for controls. Discussion: Within the NSLP, SBs improved dietary quality and increased energy intake due to increased F&V intake without replacing other foods. Results can inform school nutrition policies designed to reduce chronic illness risk. Full article
(This article belongs to the Section Nutritional Policies and Education for Health Promotion)
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2 pages, 148 KiB  
Abstract
Public Procurement for School Meal Programmes in Sub-Saharan Africa: Nutritional Outcomes, Implementation Challenges and Programme Enablers
by Julia Liguori, Hibbah Araba Osei-Kwasi, Mathilde Savy, Silver Nanema, Amos Laar and Michelle Holdsworth
Proceedings 2023, 91(1), 51; https://doi.org/10.3390/proceedings2023091051 - 17 Nov 2023
Viewed by 1019
Abstract
Background and Objectives: School-focused public food procurement and service policies (SPFPs) are increasingly being recognised as interventions that can improve the nutritional quality of food served in schools amidst growing overweight/obesity and persistent micronutrient deficiencies, stunting and wasting in sub-Saharan Africa (SSA). The [...] Read more.
Background and Objectives: School-focused public food procurement and service policies (SPFPs) are increasingly being recognised as interventions that can improve the nutritional quality of food served in schools amidst growing overweight/obesity and persistent micronutrient deficiencies, stunting and wasting in sub-Saharan Africa (SSA). The review aims to investigate the impact of such policies on school food environments and nutritional outcomes of children/adolescents (5–18 y) in SSA and explore challenges and facilitators to implementing effective procurement. Methods: A mixed methods systematic review of studies in SSA published between 2012 and February 2023 was conducted. Studies were included if they reported on a publicly funded school meal (e.g., breakfast, lunch, snack, take home ration) and a nutritional (anthropometric, micronutrient deficiencies, food consumed) or food environment outcome. Quantitative findings were synthesised descriptively. Qualitative evidence was synthesized using an adapted eight-step school food system framework to guide coding (food production, wholesale & trading, transportation & storage, processing & distribution, food preparation, distribution to students, student-stakeholders and community involvement). This framework, along with infrastructure support domains, namely leadership, governance and monitoring/evaluation, guided categorisation of authors’ policy-related recommendations. Results: A total of 33 studies (26 qualitative, 7 quantitative) were included from nine SSA countries. Evidence from the quantitative studies was mixed and did not demonstrate any measurable impact of SPFPs on nutritional outcomes. In total, 53 implementation challenges, particularly in food distribution, food preparation and wholesale & trading, and 37 implementation facilitators, notably student stakeholders, community involvement and processing & distribution, were identified across the school food system. Infrastructure support and policy recommendations from authors span across the school food system, particularly for improving food preparation and engaging students in programming. Discussion: While little evidence on the impact of publicly funded school meal programmes and nutrition outcomes was found (partly explained by inadequate research design to evaluate impact), qualitative evidence suggests that developing or revising SPFPs to include healthy (nutritious and safe) food at all levels of the school food system has much potential. The array of policy action needed to improve implementation of school meal programmes across the school food system calls for action at multiple scales of governance (national/local government), as well as engaging schools and local communities to strengthen stakeholder involvement. Full article
(This article belongs to the Proceedings of The 14th European Nutrition Conference FENS 2023)
17 pages, 802 KiB  
Review
Interventions to Strengthen Environmental Sustainability of School Food Systems: Narrative Scoping Review
by Grace Gardner, Wendy Burton, Maddie Sinclair and Maria Bryant
Int. J. Environ. Res. Public Health 2023, 20(11), 5916; https://doi.org/10.3390/ijerph20115916 - 23 May 2023
Cited by 15 | Viewed by 4372
Abstract
School food systems play a role in the wider food system, but there is a scarcity of literature exploring interventions that aim to improve the environmental sustainability of school food systems. The present review aimed to understand and describe the types of interventions [...] Read more.
School food systems play a role in the wider food system, but there is a scarcity of literature exploring interventions that aim to improve the environmental sustainability of school food systems. The present review aimed to understand and describe the types of interventions that have previously been explored to strengthen the sustainability of school food systems along with their impact. We applied a scoping review methodology guided by Arksey and O’Malley, which included a review of the online database Scopus and the grey literature. Information relating to intervention design, study population, evaluation method and impact were extracted. In total, 6016 records were screened for eligibility, 24 of which were eligible for inclusion. The most common types of interventions were school lunch menus designed to be more sustainable; school food waste reduction; sustainable food system education using school gardens; and dietary interventions with added environmental components. This review highlights a range of interventions which could positively influence the environmental sustainability of school food systems. Further research is needed to explore the effectiveness of such interventions. Full article
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25 pages, 329 KiB  
Article
Management Food Waste in Municipality Schools: An Analysis from a Circular Economy Perspective
by Simone Sehnem, Lucia Godoi, Flavio Simioni, Cristina Martins, Sandro Vieira Soares, José Baltazar Salgueirinho Osório de Andrade Guerra and Tais Provensi
Logistics 2023, 7(2), 20; https://doi.org/10.3390/logistics7020020 - 31 Mar 2023
Cited by 7 | Viewed by 4743
Abstract
Background: Food waste is a situation that triggers certain controversy, considering that there is still a significant number of people who do not have access to healthy and nutritious food every day. The management of food leftovers from school lunches depends on [...] Read more.
Background: Food waste is a situation that triggers certain controversy, considering that there is still a significant number of people who do not have access to healthy and nutritious food every day. The management of food leftovers from school lunches depends on the creation of measurement mechanisms. Thus, current characteristics of schools should be identified in order to mitigate and better manage these leftovers. This study addresses this gap, that is, it seeks to understand how food waste management is carried out in schools from a circular economy perspective. Methods: Focusing on the management of school lunches in municipal schools, this study aims to build an inductive interpretive theory in order to understand how schools promote food waste management. Results: Loss estimates and their monetization were identified and explained, and alternatives for waste recovery using the ReSOLVE framework were proposed. Conclusions: Therefore, it was assumed that the perspective of circularity is a possible and viable way to manage food waste in school lunches. Stakeholder engagement and awareness raising become necessary premises for success in the food circularity journey. Full article
15 pages, 557 KiB  
Article
Food Waste Management: A Case of Taiwanese High School Food Catering Service
by Chung-Min Chu, Chueh Chih and Chih-Ching Teng
Sustainability 2023, 15(7), 5947; https://doi.org/10.3390/su15075947 - 29 Mar 2023
Cited by 5 | Viewed by 5186
Abstract
This study aims to understand the current state of food waste in Taiwanese school food catering services and the causal configurations that make school food waste possible, as food waste management has generated considerable concern. Combining document analysis, direct weighing, observation, and semi-structured [...] Read more.
This study aims to understand the current state of food waste in Taiwanese school food catering services and the causal configurations that make school food waste possible, as food waste management has generated considerable concern. Combining document analysis, direct weighing, observation, and semi-structured interviews, a mixed methodology was employed to collect data. In order to comprehend and quantify food waste, the amount of school lunch provided and food waste during a 35-day period were measured, as well as the inefficiency index of lunch food at the two schools. According to this study, the inefficiency index of all dishes offered at Y Senior High School by the same lunch caterer is lower than at X Girls High School. In addition, this study identifies seven factors that contribute to school food waste, comprising meal quality, rigid budget limitation, tracking and feedback system, unforeseen factors, partial eating behavior, environmental awareness, and lack of initiatives for reducing food waste. This research also proposes five strategies to improve the management of contracted catering companies in schools, thereby reducing school lunch waste from supply sources. Taiwan’s experience can serve as a model for countries in comparable situations and academically fills the gaps in the experiences of varied societies. Full article
(This article belongs to the Section Tourism, Culture, and Heritage)
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12 pages, 297 KiB  
Article
Packed School Lunch Food Consumption: A Childhood Plate Waste Nutrient Analysis
by Jack R. Thomas, Derek Hanson, Ashley Chinnan-Pothen, Christine Freaney and Jill Silverman
Nutrients 2023, 15(5), 1116; https://doi.org/10.3390/nu15051116 - 23 Feb 2023
Viewed by 4202
Abstract
Packed school lunch consumption remains a sparsely studied aspect of childhood nutrition. Most American research focuses on in-school meals provided through the National School Lunch Program (NSLP). The wide variety of available in-home packed lunches are usually nutritionally inferior compared to the highly [...] Read more.
Packed school lunch consumption remains a sparsely studied aspect of childhood nutrition. Most American research focuses on in-school meals provided through the National School Lunch Program (NSLP). The wide variety of available in-home packed lunches are usually nutritionally inferior compared to the highly regulated in-school meals. The purpose of this study was to examine the consumption of home-packed lunches in a sample of elementary-grade children. Through weighing packed school lunches in a 3rd grade class, mean caloric intake was recorded at 67.3% (32.7% plate waste) of solid foods, while sugar-sweetened beverage intake reported a 94.6% intake. This study reported no significant consumption change in the macronutrient ratio. Intake showed significantly reduced levels of calories, sodium, cholesterol, and fiber from the home-packed lunches (p < 0.05). The packed school lunch consumption rates for this class were similar to those reported for the regulated in-school (hot) lunches. Calories, sodium, and cholesterol intake are within childhood meal recommendations. What is encouraging is that the children were not “filling up” on more processed foods at the expense of nutrient dense foods. Of concern is that these meals still fall short on several parameters, especially low fruit/vegetable intake and high simple sugar consumption. Overall, intake moved in a healthier direction compared to the meals packed from home. Full article
(This article belongs to the Special Issue School Meals and Children’s Dietary Behaviour)
12 pages, 331 KiB  
Article
Impact of a Food Education Session on Vegetables Plate Waste in a Portuguese School Canteen
by Cátia Marques, João P. M. Lima, Sónia Fialho, Ezequiel Pinto and Ana Lúcia Baltazar
Sustainability 2022, 14(24), 16674; https://doi.org/10.3390/su142416674 - 13 Dec 2022
Cited by 8 | Viewed by 3418
Abstract
Several authors have shown that vegetables a re the most commonly wasted component in school lunches and enhance the importance of food education on topics such as food waste and vegetable consumption. The present research evaluated the efficacy of a single session of [...] Read more.
Several authors have shown that vegetables a re the most commonly wasted component in school lunches and enhance the importance of food education on topics such as food waste and vegetable consumption. The present research evaluated the efficacy of a single session of food education on vegetables waste and consumption. The data collection was focused on primary school students from a school located in Guarda district (Portugal). A vegetable selective aggregate weighing from the lunch plate was required in two distinct phases: before and after a single 30 min nutritionist’s intervention. The variables collected were the quantities of vegetables produced, leftovers and plate waste. Through these weighings, it was possible to measure the variables: distributed vegetables, consumed vegetables, vegetables waste, leftovers index, plate waste index. The use of materials such as a scale, suitable containers, gown, disposable gloves, cap and office supplies were necessary. In total during the two phases, 870 meals were evaluated. Measures of central tendency and statistical analysis tests were used. At the end of the present research, it was possible to verify significant results in the reduction of the vegetables leftovers index and in the increase in vegetable consumption per capita, through the nutritionist’s intervention. There were significant differences in the reduction of the index of vegetable leftovers and in the increase in the consumption of vegetables per capita and no significant differences in total vegetable waste. Potential causes and strategies for future research were also discussed. This study demonstrates how a nutritionist’s intervention, in a school context, could translate into behavioral change in nutrition and sustainability terms. Full article
(This article belongs to the Section Sustainable Food)
11 pages, 552 KiB  
Article
Systems Mapping of the New Zealand Free and Healthy School Lunch Programme: Perspectives from Lunch Providers
by Brittany Chote, David Rees, Boyd Swinburn, Pippa McKelvie-Sebileau, Rachael Glassey and David Tipene-Leach
Nutrients 2022, 14(20), 4336; https://doi.org/10.3390/nu14204336 - 17 Oct 2022
Cited by 5 | Viewed by 4288
Abstract
As part of the COVID-19 economic recovery package, the Aotearoa New Zealand Government rolled out a universal free and healthy lunch programme to the 25% least advantaged schools nationwide. This study explored experiences of school lunch providers in the Hawke’s Bay region. The [...] Read more.
As part of the COVID-19 economic recovery package, the Aotearoa New Zealand Government rolled out a universal free and healthy lunch programme to the 25% least advantaged schools nationwide. This study explored experiences of school lunch providers in the Hawke’s Bay region. The aim was to create a systems map identifying points of intervention through which the lunch programme could be improved to meet the goal of reducing child food insecurity. Twelve lunch providers were interviewed to generate casual loop diagrams which were examined and integrated to form a single systems map. Seven themes arose during analysis: teacher support, principal support, nutrition guidelines and government support, supply chain, ingredient suppliers, student feedback and food waste. Teacher support was important for getting students to try new foods and eat the nutritious lunches. Principal support was a strong theme impacting opportunities for broader student engagement. This study employed systems science to highlight the importance of support from different stakeholders within the lunch programme to achieve the goal of reduced child food insecurity. Further work is needed to ensure the programme meets the wider goals of the government and community, and to determine the potential broader benefits of the programme. Full article
(This article belongs to the Special Issue School Meals and Children’s Dietary Behaviour)
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26 pages, 6729 KiB  
Article
Plate Waste in School Catering in Rezekne, Latvia
by Jelena Lonska, Anda Zvaigzne, Inta Kotane, Inese Silicka, Lienite Litavniece, Sergejs Kodors, Juta Deksne and Aija Vonoga
Sustainability 2022, 14(7), 4046; https://doi.org/10.3390/su14074046 - 29 Mar 2022
Cited by 9 | Viewed by 3778
Abstract
This research was conducted within the framework of a research project aimed at detecting patterns of plate waste and developing recommendations for improving catering in seven schools in Rezekne city (Latvia) by a combination of observation, physical weighing, semi-structured interview approaches and statistical [...] Read more.
This research was conducted within the framework of a research project aimed at detecting patterns of plate waste and developing recommendations for improving catering in seven schools in Rezekne city (Latvia) by a combination of observation, physical weighing, semi-structured interview approaches and statistical analysis of variance (ANOVA). We identified plate waste (including wasted beverages), which remains after the lunch of schoolchildren in grades 1–7, examining a total of 7064 lunch samples. The originality of the research is due to the fact that a unified menu was designed for the field study, which ensured the same field study conditions in all the schools. The results of the research revealed that the average weight of plate waste per schoolchild reached 178 g, and the total weight of plate waste accounted for 28.75% of the total weight of food served. No significant differences in plate waste weight between various age groups and grades of schoolchildren were found, which was also confirmed by a one-way ANOVA test. An analysis of plate waste by food category showed that beverages accounted for the largest share of total plate waste (42.24%), followed by staple food (28.38%) and meat (11.77%). An analysis of plate waste shares of food served (%) by food category revealed a similar situation: the largest share of food served was made up of beverages (37.56%), followed by staple food (36.48%) and meat (28.77%). An analysis of the monetary value of food waste showed that the average cost of plate waste (excluding beverage) per schoolchild was EUR 0.236, which represented 16.6% of the national and municipal funding of EUR 1.42 per portion. Given the research results, the authors have concluded that in order to reduce the amount of plate waste generated by Rezekne city schools, school menus should be based not only on the requirements prescribed by relevant legal acts but also on cooking processes that meet the requirements of modern consumers (learners), e.g., by following trends in cooking practices in society to make the learners interested in consuming school food. Full article
(This article belongs to the Topic Sustainable Development and Food Insecurity)
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7 pages, 297 KiB  
Article
The Efficacy and Cost-Effectiveness of Replacing Whole Apples with Sliced in the National School Lunch Program
by Shelly Palmer, Jessica Jarick Metcalfe, Brenna Ellison, Toni Kay Wright, Lindsey Sadler, Katherine Hinojosa, Jennifer McCaffrey and Melissa Pflugh Prescott
Int. J. Environ. Res. Public Health 2021, 18(24), 13157; https://doi.org/10.3390/ijerph182413157 - 14 Dec 2021
Cited by 1 | Viewed by 2652
Abstract
The National School Lunch Program (NSLP) serves 29.6 million lunches each day. Schools must offer ½ a cup of fruit for each lunch tray. Much of this fruit may be wasted, leaving the schools in a dilemma. The objectives of this study were [...] Read more.
The National School Lunch Program (NSLP) serves 29.6 million lunches each day. Schools must offer ½ a cup of fruit for each lunch tray. Much of this fruit may be wasted, leaving the schools in a dilemma. The objectives of this study were to evaluate the consumption of whole vs. sliced apples and determine the cost-effectiveness of the intervention. Researchers weighed apple waste at baseline and three post-intervention time points in one rural Midwest school. The costs of the intervention were collected from the school. The cost-effectiveness analysis estimates how often apples need to be served to offset the costs of the slicing intervention. A total of (n = 313) elementary student students participated. Students consumed significantly more sliced as compared to whole apples in intervention months 3 (β = 21.5, p < 0.001) and 4 (β = 27.7, p < 0.001). The intervention cost was USD 299. The value of wasted apple decreased from USD 0.26 at baseline to USD 0.23 wasted at post-intervention. The school would need to serve 9403 apples during the school year (54 times) to cover the expenses of the intervention. In conclusion, serving sliced apples may be a cost-effective way to improve fruit consumption during school lunch. Full article
(This article belongs to the Special Issue Improving School Nutrition: Innovations for the 21st Century)
51 pages, 1945 KiB  
Article
Strategies to Improve School Meal Consumption: A Systematic Review
by Juliana F. W. Cohen, Amelie A. Hecht, Erin R. Hager, Lindsey Turner, Kara Burkholder and Marlene B. Schwartz
Nutrients 2021, 13(10), 3520; https://doi.org/10.3390/nu13103520 - 7 Oct 2021
Cited by 53 | Viewed by 13638
Abstract
School meals can play an integral role in improving children’s diets and addressing health disparities. Initiatives and policies to increase consumption have the potential to ensure students benefit from the healthy school foods available. This systematic review evaluates studies examining initiatives, interventions, and [...] Read more.
School meals can play an integral role in improving children’s diets and addressing health disparities. Initiatives and policies to increase consumption have the potential to ensure students benefit from the healthy school foods available. This systematic review evaluates studies examining initiatives, interventions, and policies to increase school meal consumption. Following PRISMA guidelines, this review was conducted using four databases and resulted in a total of 96 studies. The research evidence supports the following strategies to increase school meal consumption: (1) offering students more menu choices; (2) adapting recipes to improve the palatability and/or cultural appropriateness of foods; (3) providing pre-sliced fruits; (4) rewarding students who try fruits and vegetables; (5) enabling students to have sufficient time to eat with longer (~30 min) lunch periods; (6) having recess before lunch; and (7) limiting students’ access to competitive foods during the school day. Research findings were mixed when examining the impact of nutrition education and/or offering taste tests to students, although multiple benefits for nutrition education outside the cafeteria were documented. There is some evidence that choice architecture (i.e., “Smarter Lunchroom”) techniques increase the proportion of students who select targeted meal components; however, there is not evidence that these techniques alone increase consumption. There were limited studies of the impact of increasing portion sizes; serving vegetables before other meal components; and strengthening local district and/or school wellness policies, suggesting that further research is necessary. Additionally, longer-term studies are needed to understand the impact of policies that limit students’ access to flavored milk. Several studies found increases in students’ meal consumption following the Healthy Hunger-Free Kids Act (HHFKA) and concerns regarding an increase in food waste following the HHFKA were not supported. Overall, there are a range of effective strategies to increase school meal consumption that can be implemented by schools, districts, and policymakers at the local, state, and federal levels (PROSPERO registration: CRD42021244688). Full article
(This article belongs to the Section Pediatric Nutrition)
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15 pages, 568 KiB  
Article
Prevalence of Evidence-Based School Meal Practices and Associations with Reported Food Waste across a National Sample of U.S. Elementary Schools
by Hannah G. Calvert, Punam Ohri-Vachaspati, Michaela McQuilkin, Peter Boedeker and Lindsey Turner
Int. J. Environ. Res. Public Health 2021, 18(16), 8558; https://doi.org/10.3390/ijerph18168558 - 13 Aug 2021
Cited by 6 | Viewed by 4136
Abstract
Providing meals at school is an important part of the hunger safety net for children in the United States and worldwide; however, many children do not receive school meals even when they qualify for federally-subsidized free or reduced-priced meals. This study investigates the [...] Read more.
Providing meals at school is an important part of the hunger safety net for children in the United States and worldwide; however, many children do not receive school meals even when they qualify for federally-subsidized free or reduced-priced meals. This study investigates the prevalence of several evidence-based practices that have previously been shown to increase the reach and impact of school meals. A survey was sent to a national sample of US elementary schools, with items examining practices regarding school breakfast, school lunch, recess, the promotion of meals, nutrition standards, and food waste, during the 2019–20 school year. Almost all schools that offered lunch also offered breakfast. More than 50% used a breakfast service strategy other than cafeteria service, such as grab-and-go breakfast meals. Providing at least 30 min for lunch periods and providing recess before lunch were reported by less than half of schools. About 50% of schools reported using only one or fewer meal promotional strategies (such as taste tests) throughout the school year. Use of more promotional strategies was associated with less reported food waste in a multivariable regression model accounting for school demographic characteristics. Findings show that some evidence-based practices for school meals are being implemented, but many recommendations are not being widely adopted. Full article
(This article belongs to the Special Issue Improving School Nutrition: Innovations for the 21st Century)
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