No description available.

The purpose of the present study is to determine the calcium, phosphorus, and magnesium content of the composite food, mid-morning fruit juice, fluid milk, and "seconds" of nursery school lunches.

In the U.S., few children meet federal recommendations for fruit and vegetable consumption, putting them at increased risk for overweight, obesity and several non-communicable diseases. Interventions to increase fruit and vegetable consumption delivered within the school setting are advantageous in that they provide the opportunity to reach many youths in period of life during which key diet-related behaviors are formed that may track into adulthood. The National School Lunch Program (NSLP), a federal food assistance program that serves over 30 million meals daily in over 100,000 schools in the U.S., is one example of an intervention that may increase fruit and vegetable consumption among children. Recent regulatory changes to the program via the 2010 Healthy Hunger-Free Kids Act (HHFKA) require compliance with minimum daily and weekly minimums for fruit and vegetables offered to students at lunch to receive federal reimbursement, which has resulted in increased availability of fruits and vegetables. Although preliminary evaluations of the regulatory changes have documented small increases in consumption, there is interest in identifying other programs and policies to ensure that components are consumed. Yet there is little meta-evidence that critically examines aspects related to the design of school-based intervention studies assessing fruit and vegetable consumption. This dissertation describes a systematic mapping review of the literature and three empirical studies which inform the development of a conceptual evaluation framework for designing studies to measure fruit and vegetable consumption among elementary students in the U.S. within schools participating in the NSLP. A systematic mapping review of the literature technique was used to identify studies conducted among elementary students in grades K-5th within schools in the United States in the period from 2004 to present with the primary outcome fruit and vegetable consumption at the lunch meal. A total of 61 records were included in the review, categorized as either methodological validation studies (n=10) or as studies of factors related to students’ consumption of fruits and vegetables (n=51). Validation studies were conducted with four types of dietary assessment methods within the school lunch setting, all demonstrating moderate accuracy relative to the referent method: weighed plate waste, direct observation, digital photography and self-report instruments. In the studies examining factors related to fruit and vegetable consumption at school lunch, the frequency of methods was as follows: weighed plate waste method (n=21), direct observation (n=14), digital photography methodology (n=12), and self-report (n=4). Most studies utilized cross-sectional (n=15) or quasi-experimental designs (n=24). A socio-ecological framework was used to group 19 environmental factors examined in these studies into 5 clusters of factors: individual, item-specific, meal-specific, cafeteria environment and school-wide/policy. While many factors were explored across studies, relatively few studies accounted for multiple factors in their analyses, leaving room for potential confounding. Three empirical studies were conducted within a larger, cross-sectional evaluation of FoodCorps, a national farm-to-school program that promotes fruit and vegetable consumption in school-aged children. First, this dissertation conducted a validation study to estimate the accuracy of a self-report questionnaire instrument relative to digital photography for measuring fruit and vegetable consumption in elementary students from 23 schools in a five-phase study. High agreement was observed between student reports of fruit and vegetable items on tray and items observed in digital photographs (match rate ranged from 77 to 88% depending on phase), as well as reports of amounts of fruit and vegetable items consumed (ranges from 67 to 83% depending on phase). There were no differences observed in accuracy of reporting between 2nd and 3rd grade students. It can therefore be concluded that a group-administered self-report instrument can be used to measure fruit and vegetable consumption in a school setting among 2nd and 3rd grade students, providing a potentially less costly instrument than existing objective methods. Second, a descriptive study reports intra-class correlation estimates for fruit and vegetable outcomes, quantifying the variation in these outcomes attributable to the school-level that can be used in power calculation for future studies. Using 2,571 before- and after-meal digital photographs collected of students’ lunch trays across 40 days of data collection within 20 schools, the intra-class correlation coefficients (ICC) were estimated via multilevel regression models. The observed ICCs for all fruit and vegetable consumption outcomes ranged from 0.159 (vegetables on tray, continuous) to 0.472 (vegetables on tray, binary). Within each of food item category (fruit, vegetables, or fruit and vegetables combined), the highest ICC was observed for items on tray (binary). A multilevel linear model which included as covariates the percent of students eligible for free/reduced price lunch and the percent of white students was shown to decrease the ICC for each fruit and vegetable outcome variable except fruit on tray (binary). The largest for decrease in ICC was for the outcome fruit and vegetables on tray (in cup equivalents), wherein the model reduced ICC from 0.268 to 0.018, a 93% decrease. The power calculations for cluster randomized controlled trial that can conducted using these ICCs will help to ensure that researchers have adequately powered their studies. Third, select cafeteria environmental factors were examined in a cross-sectional study as they relate to students’ fruit and vegetable consumption at the lunch meal. Using the digital photographs of 2,571 lunch trays from the previous study, the association between fruit and vegetable consumption and several environmental factors was examined. The average consumption of fruit and vegetables was 0.35 cup equivalents (SD=0.31) and 0.24 cup equivalents (SD=0.29), respectively, among students who had them on their tray. When considering students who had a fruit or a vegetable or both on their tray (96% of the sample), the average was 0.45 cup equivalents (SD=0.40). Hierarchical linear models examined environmental variables and fruit and vegetable consumption outcomes: the number of fruit and vegetable items offered (range from 3 to 14 items) was positively associated with vegetable consumption (B=0.021; SE=0.006; P<0.001); noise (rage from 70 DbA to 84 DbA) was negatively associated with fruit consumption (B=-0.012; SE=0.004; P=0.003) and fruit and vegetable consumption (B=-0.017; SE=0.004; P<0.001); recess scheduled before lunch was positively associated with fruit consumption (relative to recess after lunch; B=0.100; SE=0.023; P<0.001) and fruit and vegetable consumption (B=0.096; SE=0.023; P<0.001). Despite cross-sectional evidence of an association, future research is necessary to systematically manipulate these variables to understand their impact. The results from these three studies and the systematic mapping review are used to develop a conceptual evaluation framework that can be used by researchers to improve the quality and design of studies promoting fruit and vegetable consumption among elementary school-aged children in the U.S.

We know that it is important that students feel a sense of belonging in school, but additional research is needed to better understand the influences on belonging, especially for junior high and middle school students. Junior high lunchtime is an ideal space to study as a potential influence on belonging because it is a central part of the secondary school experience and it is a social space for students. The purpose of this study is to connect lunchtime experiences to school belonging by showing that how students experience lunchtime and how this affects their overall sense of belonging in school.Descriptive statistical methods such as SPSS Two-Step Cluster Analysis as well as predictive statistics such as logistical regression are used to evaluate data collected during a schoolwide survey conducted in spring 2014 at a junior high (grades 7-8) located in the intermountain region of the United States. The survey provided responses from 832 students across the junior high. Results indicate that loving lunch significantly positively affects school belonging and that students naturally group into different profiles based on their lunchtime preferences. The results also indicate that these lunchtime activity preference profiles significantly affect belonging. Three recommendations are made based on the findings of this study. (a) Offer a variety of lunchtime activity options for students to choose from aimed at making lunch a more positive experience for all students. (b) Create more structured activities for students to participate in during lunch for those who may have anxiety about what to do during lunch. (c) Involve students in making lunch more enjoyable for themselves and others through a school-wide initiative to improve lunchtime experiences for all students.While this study confirms the suspected connection between lunchtime experiences and school belonging, further research is necessary to better understand how lunchtime is experienced by students and how lunchtime can be used as a space for fostering belonging in junior highs.

Thesis (M. Dev.) --University of Limpopo, 2016 / The purpose of this study was to investigate the challenges in implementing the Nutrition Programme at Khomela Primary School in Vhembe District, Limpopo Province. A qualitative research was conducted using case study research design method. The Non-probability sampling method was done through purposive sampling method to select Grade 6 and 7 learners and convenient sampling method for teachers and parents. Data collection was done using individual unstructured interviews. Data was analysed using qualitative data analysis method. Four groups of respondents participated in the study: learners group (n=10) giving information on the meal preference; teachers (n=8) managing and administering the Nutrition Programme at school level; parents and food handlers (food handlers n=2, parents n=5). The study focused on the following challenges: management, infrastructure, training, motivation, food safety, quality of food, delivery by suppliers and feeding time as the main challenges of the Nutrition Programme. The findings of the study concluded that there was poor involvement of teachers and parents in the Nutrition Programme. The study also concluded that the aim and principles of the Nutrition Programme were not well understood at Khomela Primary School. The participants also made suggestions on how the Nutrition Programme could be improved effectively. The study suggested that the school had to conduct awareness campaigns of learners, teachers and parents indicating the importance of the Nutrition Programme in schools. The study also concluded that the school had to be provided with modern a kitchen and a school dining hall. Despite the challenges, the Nutrition Programme had a positive impact on the school enrolment. To minimise the challenges of the Nutrition Programme, the study recommends that the principal and the School Governing Body draft a School Nutrition Policy which is in line with the Nutrition Programme guidelines. The Nutrition Policy should cover issues such as management and administration of the Nutrition Programme.

The primary research question to be answered from this study was: to what degree have school districts in the County of San Bernardino been able to respond to federal legislation mandating the design and implementation of local school wellness policies. A major finding was that the majority of districts have not yet implemented nutrition and wellness policies.

Proficiency in literacy is paramount during a child's education. Lacking proficiency can have lasting effects. At both the state and local level, continuing gaps in student achievement in literacy have been documented. The purpose of this qualitative case study was to focus on kindergarten teachers and administrators' early literacy strategies, specifically current practices in early literacy skills and possible resources needed in early literacy to lessen the gap between White students and ethnic minority and students who qualify for free/reduced meals. The constructivist framework was the platform used to investigate teacher and administrator understanding of the 6 early literacy skills, their understanding of current literacy building instructional practices/strategies related to those skills, and possible needs for resources related to the six early literacy skills. The guiding question for this study was: Despite targeted instruction, dedicated time for daily literacy instruction, and tiered interventions, why does the literacy gap exist in kindergarten? A qualitative case study design was used for this project study with a convenience sample of five participants. Semistructured interviews were conducted and transcribed. Open coding was used to identify themes. Major themes emerged including instructional support, use of multimodal curriculums, strong teacher/student relationships, and consideration of issues outside the instruction and curriculum such as mental health of students. Recommendations were made in the form of a position paper to identify possible changes, modifications, and items to keep. A major implication when considering positive social change is the collaborative work from all stakeholders. With this position paper, the district can migrate from reactive strategies in third grade to proactive strategies in kindergarten to lessen the literacy gap between student subgroups.

Nutritional problems of var ious population groups throughout the world are constantly being emphasized, It has been pointed out that life expectancy at birth is only thirty to forty years for over half of the world's population , while for those people who have been able to take advantage of modern medical and nutritional science, it is sixty five to seventy years, Hunger, as well as preventing economic advancement, promotes unrest and political upheavals. The United States, in the interest of preserving its own security and way of life has a vital stake in solving world nutritional problems as well as its own. Without doubt, we are all aware of this need today of improving the nutritional needs of our own people in practically all parts of the United States. However, the nutritional needs have to be defined before improvements can be recommended. More exact and reliable criteria are needed for identifying borderline cases of malnutrition for various groups of people. This problem is gradually being solved through correlated medical, biochemical, and dietary studies. Thus, as one of the criteria on which to rely, dietary studies are one of the means of measuring the nutritional adequacy of the diet. An evaluation of the school lunch by means of a dietary study cannot be made without also considering the other foods eaten during the day. The benefit of a good school lunch to health and dietary habits, therefore, may be greatest for those children whose family food supplies and habits are the poorest. The benefit will be greatest in the extent to which the foods provided in the school lunch supplement those supplied in the home. A study of the dietary habits of school children in terms of the nutritive value of the school lunch and the rest of the day's food would help to evaluate the nutritional status for the group studied and measure the effectiveness of the school lunch program for improving the dietary habits of the children. Since the school lunch and its contribution tot the total day's diet had not been studied in Utah, seven-day dietary records of the 8th grade Logan Junior High and 8th and 9th grades Wellsville Junior High students were used in evaluating the nutrient intake of the children. The purpose of this study was to determine the contribution of each meal ( breakfast , noon meal , and evening meal) to the total day's diet with emphasis on children eating school lunch versus the children not eating school lunch . The between-meal foods were also studied to see to what extent this supplementary intake improves the overall adequacy of the adolescent's diet .

Syftet med denna studie var att undersöka huruvida det finns skillnader i förskolepersonalens lunchmåltid beroende på om de äter pedagogisk lunch, det vill säga samma mat som barnen, eller medhavd matlåda. Studiedesignen är av beskrivande och jämförande karaktär, och undersökningen skedde i en medelstor svensk stad där tre förskolors kvinnliga personal deltog. Tolv individuella halvstrukturerade telefonintervjuer genomfördes. Sex pedagoger åt samma mat som barnen och övriga medförd matlåda. Resultatet visade att respondenterna som åt medhavd matlåda hade ett högre totalt energiintag i form av protein, fett, men även en högre konsumtion av c-vitamin och järn. Dock hade de med matlåda ett lägre intag av kolhydrater. Övervägande del av respondenterna åt inte en tillfredsställande mängd energi för att täcka en tredje del av dagsbehovet. Alla respondenter utom en drack vatten till måltiden och nästan alla ansåg att de borde ha ätit mer grönsaker, oberoende av om de åt samma som barnen eller medhavd matlåda. Samtliga hade en klar uppfattning om att de är förebilder för barnen under måltiderna och de hade förhållandevis likartade utgångspunkter i sitt arbetssätt gällande en pedagogisk måltid. Slutsatsen blev att personalen hade ett lägre intag av energigivande näringsämnen om de åt samma som barnen. Deltagarna var eniga om att den pedagogiska måltiden innebär att vara en förebild, inte bara näringstillförsel, även om det kan vara svårt att leva som de lär. / Objectives: The aim of this study was to examine whether there are differences in the preschool staff meals depending on whether they eat pedagogic meals (lunch), i.e. the same food as the children, or bring their own lunch box. Methods: The study design was descriptive and comparative in nature, and was both quantitative and qualitative. The survey took place in a medium-sized Swedish town where the staff in three preschools participated. Twelve semi-structured telephone interviews were conducted, with six women eating the same food as the children and six women who brought their own lunch box. Results: The results showed that those who brought their own lunch boxes had a higher energy content in their lunch meal, and also a higher consumption of all nutrients except carbohydrates. The major part of the respondents did not eat an adequate amount of energy to cover one third of the daily requirement. All participants had a clear understanding that they are role models for the children during the meals, and they behaved rather similar in relation to the pedagogic meal. Conclusions: The conclusion was that the staff had a lower intake of energy yielding nutrients if they ate the same food as the children did. Participants agreed that the pedagogic meal implies being a role model, not merely nutrition. However, they did not live the way they teach the children to do.

Healthy eating and food away from home expenditures are gaining increasing notoriety within the U.S. These issues are not only a concern for businesses, but governmental policy makers have also shown interest in both increasing nutrition for children and better understanding the behaviors of those consuming food away from home. For this reason, a large amount of research has been devoted to better evaluating the effects of various governmental programs on nutrition, with an equal amount of work detailing which groups are eating away from home. The methodologies employed by past research have varied, as have the results and inferences that have been drawn. For this reason, we incorporated new methodologies, consistent with theory, in order to explain the effects of an important governmental program, National School Lunch Program, on childhood nutrition. We further established consumer profiles and the effects of transactional variables, previous away from home behavior, and decision structure on food away from home expenditures. In regards to the National School Lunch Program we found that meal nutritional quality is not higher for program participants, however, overall intake for most vitamins, minerals, and other dietary components is higher compared to non-participants that attend a school which participates in the program. The reason for increased intake is due to the increased consumption of food for participants, not due to food quality. Furthermore, comparing children that participate in the program to those attending schools that do not participate indicates that both quality and quantity are insignificantly different. Examination of blood levels and healthy eating measures indicates few differences among the treatment groups. Evaluating the effect of transactional variables and previous purchase behavior on food away from home expenditures by meal occasion indicates both play a significant role. Transactional variables consist of factors that are directly related to a meal, e.g. facility type, means of ordering, and age structure of meal participants. The effect of transactional variables is highly dependent on the variable being considered. Previous purchase behavior displays expected results with regards to past participation effects, however, past expenditure effects tended to increase spending on future meals with results being somewhat consistent across large meals. Transactional variables were also evaluated to determine their effect on food away from home expenditures by facility type. A new decision structure chronology was also implemented. Past research has focused on modeling the decision process as either a two or three-step process. The two-step structure is usually defined as the "participation at facility type" and "expenditure level" decisions, whereas the three-step structure is defined by the "participation," "facility type," and "expenditure level" decisions. We, however, propose a change to the three-step decision structure which we believe more adequately defines the decision chronology. We, therefore, model the three-step decision structure in the following order: "participation," "expenditure level," and "facility type." Results showed that both the new decision structure and transactional variables are important to the expenditure amounts and who is eating away from home at each facility type.