ArticleThe American journal of clinical nutrition2023
Evaluation of health and economic effects of United States school meal standards consistent with the 2020-2025 dietary guidelines for Americans.
Article in The American journal of clinical nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Current status of sodium provision and reduction management in South Korean school meals: a descriptive study.Korean journal of community nutrition · 2026Article
- Healthy Food Service Guidelines for Worksites and Institutions: A Scoping Review.International journal of environmental research and public health · 2025Article
- Global burden and projection of colorectal cancer attributable to low whole-grain diets: an analysis of GBD 2021 data with Bayesian age-period-cohort modeling.Frontiers in oncology · 2025Article
- Efficacy of a Brief Intervention to Improve the Levels of Nutrition and Physical Exercise Knowledge Among Primary School Learners in Tshwane, South Africa: A Quasi-Experimental Study.International journal of environmental research and public health · 2024Article
- Associations of dietary selenium intake with the risk of chronic diseases and mortality in US adults.Frontiers in nutrition · 2024Article
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8 authors.
Funding
Abstract
backgroundThe current school meal nutrition standards, established in 2010, are not fully aligned with the 2020-2025 Dietary Guideline for Americans (DGA). This study evaluates the potential short-term and long-term health and economic benefits of strengthening the school meal standards on added sugars, sodium, and whole grains to be aligned with current guidelines.
methodsWe used comparative risk assessment frameworks based on nationally representative data incorporating current demographics, dietary habits, and risk factors of United States children aged 5-18 y from 3 cycles of the National Health and Nutrition Examination Survey (2013-2018). To estimate short-term impact, the model incorporated estimated dietary changes owing to potential new DGA-aligned school meal nutrition standards and the effect of these changes on childhood body mass index (in kg/m
resultsIn a best-case scenario assuming full school compliance, implementing new DGA-aligned nutritional standards would lower elementary children's BMI by an average 0.14 (95% UI: 0.08-0.20) kg/m
conclusionsStronger school meal nutrition standards on added sugars, sodium, and whole grains aligned with the 2020-2025 DGA recommendations may improve diet, childhood health, and future adult burdens of CVD, diabetes, cancer, and associated economic costs.
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