Abstract
Objective
Methods
Results
Conclusions and Implications
Key Words
Introduction
US Department of Agriculture. The Healthy, Hunger-Free Kids Act of 2010. http://www.fns.usda.gov/sites/default/files/HealthyHungerFreeKidsActof2010.pdf. Accessed November 10, 2015.
US Department of Agriculture. The Healthy, Hunger-Free Kids Act of 2010. http://www.fns.usda.gov/sites/default/files/HealthyHungerFreeKidsActof2010.pdf. Accessed November 10, 2015.
Foods | |
---|---|
General standard: foods must meet 1 general standard
| Nutrient standard: foods must meet all nutrient standards
|
|
|
Beverages | |
≤12 oz as served | Unflavored low-fat, unflavored fat-free, or flavored fat-free milk; milk alternatives |
≤12 oz as served | 100% fruit or vegetable juice with or without carbonation |
No limit | Plain water, with or without carbonation |
US Department of Agriculture. The Healthy, Hunger-Free Kids Act of 2010. http://www.fns.usda.gov/sites/default/files/HealthyHungerFreeKidsActof2010.pdf. Accessed November 10, 2015.
GeoHealth Innovations, Community Health Solutions. The 2013 Virginia Atlas of Community Health. http://atlasva.org. Accessed January 15, 2015.
Economic Development Research Group, Inc. Appalachian Development Highway System Economic Analysis Study: synthesis of findings to date. https://www.arc.gov/assets/research_reports/ADHSEconomicAnalysisStudySynthesisofFindingstoDate.pdf. Accessed December 7, 2016.
Methods
Sample
Virginia Department of Education, School Nutrition Program School Year 2012-2013 National School Lunch Program (NSLP) Free and Reduced Price Eligibility Report. http://www.doe.virginia.gov/support/nutrition/statistics/. Accessed December 7, 2016.
Participants
Questionnaire
The Network for a Healthy California, California Department of Public Health. Beverage and Snack Questionnaire. https://food-hub.org/files/resources/Network-Compendium.pdf. Accessed May 22, 2017.
Data Analysis
Results
Schools
Participants
Virginia Department of Education, School Nutrition Program. School summaries by ethnicity, grade, and gender. http://www.doe.virginia.gov/statistics_reports/enrollment/fall_membership/report_data.shtml. Accessed May 22, 2017.
Self-Reported Snack Food Intake at School
Self-Reported Snack Beverage Intake at School
Self-Reported Snack Food and Beverage Intake Outside School
Discussion
Wilking C. Copycat snacks in schools. http://www.phaionline.org/wp-content/uploads/2014/05/PHAI-Copy-Cat-Snacks-Issue-Brief-FINAL.pdf. Accessed September 14, 2014.
GeoHealth Innovations, Community Health Solutions. The 2013 Virginia Atlas of Community Health. http://atlasva.org. Accessed January 15, 2015.
Snack Foods
Demissie Z, Brener N, McManus T, Shanklin S, Hawkins J, Kann L. School health profiles 2014. http://www.cdc.gov/healthyyouth/data/profiles/pdf/2014/2014_profiles_report.pdf Accessed December 16, 2015.
Snack Beverages
Food and Nutrition Service, US Department of Agriculture. National School Lunch Program: participation and lunches served. http://www.fns.usda.gov/sites/default/files/pd/slsummar.pdf. Accessed November 17, 2014.
Outside School
Implications for Research and Practice
Acknowledgments
Conflict of Interest
References
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Conflict of Interest Disclosure: The authors' conflict of interest disclosures can be found online with this article on www.jneb.org.
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- A Comment on Mann G “Smart Snacks in School Legislation Does Not Change Self-Reported Snack Food and Beverage Intake of Middle School Students in Rural Appalachian Region”: Methodological IssuesJournal of Nutrition Education and BehaviorVol. 50Issue 1
- PreviewWe enthusiastically and meticulously read the study conducted by Mann and colleagues1 that was published in JNEB. The authors aimed to assess the effect of the national Smart Snacks in School standards on student intake in low-income, rural Appalachian middle schools.1 We would like to congratulate the authors on their published results in the high-quality journal. They provide interesting data on this subject. However, we noticed that misclassification bias was a main limitation of the study not mentioned in the article.
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