6 Citations (Scopus)

Abstract

Background: Salad bars have been promoted as a strategy for increasing fruit and vegetable consumption in schools. Objective: To examine school-level resources and programs associated with the presence of salad bars in elementary schools and to assess whether there were differential changes in salad bar prevalence based on school-level resources and programs before and after the new US Department of Agriculture schools meals standards were proposed (January 2011) and implemented (July 2012). Design: Repeated cross-sectional design. Data were collected annually between 2006-2007 and 2013. Setting: Nationally representative sample of 3,956 elementary schools participating in the National School Lunch Program. School personnel (ie, administrators and foodservice staff) provided data using a mail-back survey. Measures: Presence of salad bars in school was the primary outcome variable. School-level programs and resources were investigated as independent variables. Statistical analysis: Weighted logistic regression analyses examined associations between dependent and independent variables controlling for school demographic characteristics. Results: Prevalence of salad bars increased significantly from 17.1% in 2006-2007 to 29.6% in 2012-2013. The prevalence of salad bars was significantly higher among schools that participated in the Team Nutrition program (odds ratio [OR] 1.37, 95% CI 1.10 to 1.70), the Fresh Fruit and Vegetable Program (OR 1.48, 95% CI 1.13 to 1.95), a Farm to School program (OR 1.77, 95% CI 1.36 to 2.33), and where school meals were provided by a foodservice management company (OR 1.46, 95% CI 1.08 to 1.97). No association was found for schools with full-service kitchen, school gardens, those offering nutrition education, or those with dietitians/nutritionists on staff. Conclusions: Prevalence of salad bars increased significantly after the US Department of Agriculture school meal guidelines were proposed and implemented. It is likely that schools are using salad bars to offer a variety of fruits and vegetables to students, and schools with greater numbers of school-level resources and programs are better positioned for having salad bars.

Original languageEnglish (US)
Pages (from-to)417-426
Number of pages10
JournalJournal of the Academy of Nutrition and Dietetics
Volume116
Issue number3
DOIs
StatePublished - Mar 1 2016

Fingerprint

salad bars
school lunch
Lunch
elementary schools
school meals
odds ratio
USDA
Odds Ratio
Vegetables
food service management
National School Lunch Program
Meals
United States Department of Agriculture
Fruit
Nutritionists
high schools
kitchens
food service
sociodemographic characteristics
raw vegetables

Keywords

  • Elementary school
  • Fruit and vegetable
  • Salad bars
  • School meals

ASJC Scopus subject areas

  • Food Science
  • Nutrition and Dietetics

Cite this

@article{025840bfa1ad40f19a43e31dfa207357,
title = "School Resources and Engagement in Technical Assistance Programs Is Associated with Higher Prevalence of Salad Bars in Elementary School Lunches in the United States",
abstract = "Background: Salad bars have been promoted as a strategy for increasing fruit and vegetable consumption in schools. Objective: To examine school-level resources and programs associated with the presence of salad bars in elementary schools and to assess whether there were differential changes in salad bar prevalence based on school-level resources and programs before and after the new US Department of Agriculture schools meals standards were proposed (January 2011) and implemented (July 2012). Design: Repeated cross-sectional design. Data were collected annually between 2006-2007 and 2013. Setting: Nationally representative sample of 3,956 elementary schools participating in the National School Lunch Program. School personnel (ie, administrators and foodservice staff) provided data using a mail-back survey. Measures: Presence of salad bars in school was the primary outcome variable. School-level programs and resources were investigated as independent variables. Statistical analysis: Weighted logistic regression analyses examined associations between dependent and independent variables controlling for school demographic characteristics. Results: Prevalence of salad bars increased significantly from 17.1{\%} in 2006-2007 to 29.6{\%} in 2012-2013. The prevalence of salad bars was significantly higher among schools that participated in the Team Nutrition program (odds ratio [OR] 1.37, 95{\%} CI 1.10 to 1.70), the Fresh Fruit and Vegetable Program (OR 1.48, 95{\%} CI 1.13 to 1.95), a Farm to School program (OR 1.77, 95{\%} CI 1.36 to 2.33), and where school meals were provided by a foodservice management company (OR 1.46, 95{\%} CI 1.08 to 1.97). No association was found for schools with full-service kitchen, school gardens, those offering nutrition education, or those with dietitians/nutritionists on staff. Conclusions: Prevalence of salad bars increased significantly after the US Department of Agriculture school meal guidelines were proposed and implemented. It is likely that schools are using salad bars to offer a variety of fruits and vegetables to students, and schools with greater numbers of school-level resources and programs are better positioned for having salad bars.",
keywords = "Elementary school, Fruit and vegetable, Salad bars, School meals",
author = "Punam Ohri-Vachaspati and Lindsey Turner and Marc Adams and Meredith Bruening and Chaloupka, {Frank J.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1016/j.jand.2015.10.023",
language = "English (US)",
volume = "116",
pages = "417--426",
journal = "Journal of the Academy of Nutrition and Dietetics",
issn = "2212-2672",
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number = "3",

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TY - JOUR

T1 - School Resources and Engagement in Technical Assistance Programs Is Associated with Higher Prevalence of Salad Bars in Elementary School Lunches in the United States

AU - Ohri-Vachaspati, Punam

AU - Turner, Lindsey

AU - Adams, Marc

AU - Bruening, Meredith

AU - Chaloupka, Frank J.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Background: Salad bars have been promoted as a strategy for increasing fruit and vegetable consumption in schools. Objective: To examine school-level resources and programs associated with the presence of salad bars in elementary schools and to assess whether there were differential changes in salad bar prevalence based on school-level resources and programs before and after the new US Department of Agriculture schools meals standards were proposed (January 2011) and implemented (July 2012). Design: Repeated cross-sectional design. Data were collected annually between 2006-2007 and 2013. Setting: Nationally representative sample of 3,956 elementary schools participating in the National School Lunch Program. School personnel (ie, administrators and foodservice staff) provided data using a mail-back survey. Measures: Presence of salad bars in school was the primary outcome variable. School-level programs and resources were investigated as independent variables. Statistical analysis: Weighted logistic regression analyses examined associations between dependent and independent variables controlling for school demographic characteristics. Results: Prevalence of salad bars increased significantly from 17.1% in 2006-2007 to 29.6% in 2012-2013. The prevalence of salad bars was significantly higher among schools that participated in the Team Nutrition program (odds ratio [OR] 1.37, 95% CI 1.10 to 1.70), the Fresh Fruit and Vegetable Program (OR 1.48, 95% CI 1.13 to 1.95), a Farm to School program (OR 1.77, 95% CI 1.36 to 2.33), and where school meals were provided by a foodservice management company (OR 1.46, 95% CI 1.08 to 1.97). No association was found for schools with full-service kitchen, school gardens, those offering nutrition education, or those with dietitians/nutritionists on staff. Conclusions: Prevalence of salad bars increased significantly after the US Department of Agriculture school meal guidelines were proposed and implemented. It is likely that schools are using salad bars to offer a variety of fruits and vegetables to students, and schools with greater numbers of school-level resources and programs are better positioned for having salad bars.

AB - Background: Salad bars have been promoted as a strategy for increasing fruit and vegetable consumption in schools. Objective: To examine school-level resources and programs associated with the presence of salad bars in elementary schools and to assess whether there were differential changes in salad bar prevalence based on school-level resources and programs before and after the new US Department of Agriculture schools meals standards were proposed (January 2011) and implemented (July 2012). Design: Repeated cross-sectional design. Data were collected annually between 2006-2007 and 2013. Setting: Nationally representative sample of 3,956 elementary schools participating in the National School Lunch Program. School personnel (ie, administrators and foodservice staff) provided data using a mail-back survey. Measures: Presence of salad bars in school was the primary outcome variable. School-level programs and resources were investigated as independent variables. Statistical analysis: Weighted logistic regression analyses examined associations between dependent and independent variables controlling for school demographic characteristics. Results: Prevalence of salad bars increased significantly from 17.1% in 2006-2007 to 29.6% in 2012-2013. The prevalence of salad bars was significantly higher among schools that participated in the Team Nutrition program (odds ratio [OR] 1.37, 95% CI 1.10 to 1.70), the Fresh Fruit and Vegetable Program (OR 1.48, 95% CI 1.13 to 1.95), a Farm to School program (OR 1.77, 95% CI 1.36 to 2.33), and where school meals were provided by a foodservice management company (OR 1.46, 95% CI 1.08 to 1.97). No association was found for schools with full-service kitchen, school gardens, those offering nutrition education, or those with dietitians/nutritionists on staff. Conclusions: Prevalence of salad bars increased significantly after the US Department of Agriculture school meal guidelines were proposed and implemented. It is likely that schools are using salad bars to offer a variety of fruits and vegetables to students, and schools with greater numbers of school-level resources and programs are better positioned for having salad bars.

KW - Elementary school

KW - Fruit and vegetable

KW - Salad bars

KW - School meals

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