Evidence map›Paper›PMID 37165566›Full record

ArticlePublic health nutrition2023

Improving school lunch menus with multi-objective optimisation: nutrition, cost, consumption and environmental impacts.

Alexandra L Stern, Stephen Levine, Scott A Richardson, Nicole Tichenor Blackstone, Christina Economos, Timothy S Griffin

Abstract read
In one paragraph

Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alexandra L SternTufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA02111, USA.ORCID 0000-0001-9207-7870
Stephen LevineTufts University College of Arts and Sciences, Medford, MA, USA.
Scott A RichardsonHarvard University T.H. Chan School of Public Health, Boston, MA, USA.
Nicole Tichenor BlackstoneTufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA02111, USA.ORCID 0000-0001-8343-3650
Christina EconomosTufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA02111, USA.
Timothy S GriffinTufts University Friedman School of Nutrition Science and Policy, 150 Harrison Ave, Boston, MA02111, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo support school foods programmes by evaluating the relationship between nutritional quality, cost, student consumption and the environmental impacts of menus.

designUsing linear programming and data from previously served menu items, the relationships between the nutritional quality, cost, student consumption and the environmental impacts of lunch menus were investigated. Optimised lunch menus with the maximum potential student consumption and nutritional quality and lowest costs and environmental impacts were developed and compared with previously served menus (baseline).

settingBoston Public Schools (BPS), Boston Massachusetts, USA.

participantsMenu items served on the 2018-2019 BPS lunch menu (

resultsUsing single-objective models, trade-offs were observed between most interests, but the use of multi-objective models minimised these trade-offs. Compared with the current weekly menus offered, multi-objective models increased potential caloric intake by up to 27 % and Healthy Eating Index scores by up to 19 % and reduced costs and environmental impacts by up to 13 % and 71 %, respectively. Improvements were made by reducing the frequency of beef and cheese entrées and increasing the frequency of fish and legume entrées on weekly menus.

conclusionsThis work can be extrapolated to monthly menus to provide further direction for school districts, and the methods can be employed with different recipes and constraints. Future research should test the implementation of optimised menus in schools and consider the broader implications of implementation.

Indexed as

Food ServicesLunchAnimalsCattleEnvironmentMenu PlanningSchoolsClimate changeMenusPlate wasteSchool lunch

Identifiers

PMID37165566
PMCPMC10410403

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.