Age Group: Elementary-age children (grades K to 5)

Associations Between the U.S. Department of Agriculture COVID-19 Pandemic Waivers and Summer Meal Programs Access and Participation: A Systematic Review

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The U.S. Department of Agriculture (USDA) Summer Meal Programs (SMPs) are funded to ensure children from households with low incomes continue to have access to food over the summer months when most schools are closed for instruction. However, these programs are underutilized compared with school meal programs, in part due to barriers to accessing SMPs. More

Multi-Level Health Outcomes of Local Food Procurement in United States Farm-to-School Programs: A Systematic Review

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Approximately 74% of schools in the United States participated in at least one farm-to-school (F2S) activity during the 2022 to 2023 school year. Relationships between specific F2S activities, particularly local food procurement, and health outcomes across multiple levels (individual, family, community, and population) have not been systematically reviewed and reported. This systematic review examined relationships More

Perspectives on Messaging Strategies to Increase Participation in Universal Free School Meal Programs: A Qualitative Study With Parents of Elementary School-Aged Children

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At least eight U.S. states currently offer universal free school meal programs, providing meals at no cost to all students regardless of household income. While marketing campaigns may help increase student participation, limited research has examined what message content and design most effectively motivate parents to encourage school meal use. This qualitative study explored parents’ More

Impact of Deimplementing Universal Free School Meals: School Food Authority Perspectives

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This study examined the impact of deimplementing universal free school meal (UFSM) policies compared with continuing UFSM at the state level. A cross-sectional survey was conducted in spring 2023 with 941 school food authorities (SFAs) across eight U.S. states, assessing outcomes such as meal participation, foodservice revenues, staffing needs, administrative burdens, stigma, and student meal More

Ultra-Processed Foods in School Meals: Challenges and Opportunities

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Ultra-processed foods (UPFs) are ubiquitous in the U.S. food supply, while growing evidence shows that UPFs harm children’s health. Schools offer a promising setting to introduce UPF regulation and reduce the availability of UPFs. This brief explores the issue of UPFs in school meals and identifies opportunities and challenges to replace UPFs with more fresh More

Building a National Research Agenda

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The Robert Wood Johnson Foundation’s (RWJF) commitment to child obesity ends in December 2025, marking the conclusion of a two-decade investment in Healthy Eating Research (HER). As part of our RWJF legacy, HER is developing a national research agenda for policy, systems, and environmental (PSE) interventions and strategies to promote food and nutrition security, optimal More

Universal Free School Meal Policies and Participation in the US National School Meal Programs

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This study aimed to examine the impact of federal- and state-level Universal Free School Meal (UFSM) policies and related policies on National School Lunch Program (NSLP) and School Breakfast Program (SBP) participation rates during and after the COVID-19 pandemic. This comparative effectiveness research study used a natural experiment created by the COVID-19 pandemic to analyze More

Developing Recommendations for Policies to Regulate Ultra-processed Foods in the United States

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HER is convening an expert panel—chaired by Dr. Jim Krieger and Dr. Lindsey Smith Taillie—to develop evidence-informed recommendations for policymakers and advocates to support policies regulating UPF that positively impact nutrition and health, are feasible to implement in a variety of settings, are equitable, and are easy for consumers to understand. The panel is composed More