Evidence map›Paper›PMID 37858673›Full record

ArticleJournal of the Academy of Nutrition and Dietetics2024

Daily Saturated Fat and Sodium Content of Elementary School Meals in a Large Sample of 128 Geographically Diverse School Systems in the United States.

Leah Elizabeth Chapman, Scott A Richardson, Eric B Rimm, Steven L Gortmaker, Matthew M Lee, Juliana F W Cohen

Open access · greenAbstract read
In one paragraph

Article in Journal of the Academy of Nutrition and Dietetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 81% of its field
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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. Article
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 at 2 institutions in 1 country.

Leah Elizabeth ChapmanDepartment of Nutrition and Public Health, Merrimack College, North Andover, Massachusetts; Center for Health Inclusion, Research, and Practice, Merrimack College, North Andover, Massachusetts. Electronic address: lec768@mail.harvard.edu.
Scott A RichardsonDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Eric B RimmDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Steven L GortmakerDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Harvard Prevention Research Center, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Matthew M LeeDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Juliana F W CohenDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Department of Nutrition and Public Health, Merrimack College, North Andover, Massachusetts; Center for Health Inclusion, Research, and Practice, Merrimack College, North Andover, Massachusetts.
Harvard University · USMerrimack College · US

Funding

CVD Epidemiology Training Program in Behavior, the Environment and Global HealthT32HL098048 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Goodarz Danaei, ERIC B RIMM · 2009 to 2026
$6.9M
NHLBI NIH HHS T32 HL098048
6 · The paper itself

Abstract

backgroundDespite federal regulations limiting saturated fat and sodium levels on a weekly average basis, daily nutrient content of school meals in the United States is not regulated, leading to potential large fluctuations and intake well in excess of dietary recommendations.

objectiveTo assess the daily prevalence of potential public elementary school meal combinations that were high in saturated fat and sodium (using cutoffs based on the US Department of Agriculture weekly average reimbursable meal thresholds), and to identify saturated fat and sodium thresholds for entrées to limit full meals exceeding those cutoffs.

designCross-sectional. PARTICIPANTS AND

settingFour weeks of publicly available public elementary school (kindergarten through grade five) breakfast and lunch menus with associated nutrition data were collected from a national stratified random sample of 128 school districts during fall 2019.

main outcome measuresPercent of meal combinations exceeding the saturated fat and Target 1 sodium thresholds were calculated, as well as thresholds for saturated fat and sodium levels in breakfast and lunch entrées. STATISTICAL ANALYSES: Descriptive statistics and logistic regression were used to examine the odds of alignment with sodium and saturated fat US Department of Agriculture thresholds.

resultsThe prevalence of elementary breakfast and lunch meal combinations that were high in sodium was on average 11% and 12.4%, respectively, and for saturated fat was 10.6% and 34%, respectively. Entrées above certain thresholds (≥400 and ≥1,000 mg sodium and ≥4.5 and ≥6 g saturated fat for breakfast and lunch, respectively) had a higher odds of producing a reimbursable meal that was high in sodium and saturated fat.

conclusionsThere is widespread availability of high-saturated fat and sodium elementary school meal combinations on a daily basis. Daily thresholds, in addition to weekly nutrient thresholds, as well as limits on sodium and saturated fat for entrées, may therefore be needed to prevent daily excess intake of saturated fat and sodium among elementary students.

Indexed as

Food ServicesChildCross-Sectional StudiesDietHumansLunchMealsSodiumUnited StatesSodiumBreakfastLunchSaturated fatSchool mealsSodium

Identifiers

PMID37858673
PMCPMC10922125
OpenAlexW4387711238

What OpenQuestion holds

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Registered trials

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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.