Deal or No Deal? The Prevalence and Nutritional Quality of Price Promotions Among U.S. Food and Beverage Purchases

This study examines trends in the prevalence of price promotions among packaged food and beverage purchases, differences in prevalence by household race/ethnicity or income, and the association between price promotions and the nutritional profile of purchases. The cross-sectional study uses a dataset of 90 million purchases from 38,744 (2008) to 45,042 (2012) U.S. households in More

Stress in Early Life and Childhood Obesity Risk

The association between stress in early life and obesity and overweight in adulthood is well established. There is also increasing evidence of a link between stress exposure in childhood (or in utero) and child and adolescent obesity. Major sources of early life stress include adverse childhood experiences (e.g., abuse), poverty, food insecurity, and poor relationships More

Evaluating Healthy Vending Policies Affecting Youth in Five Cities

The purpose of this mixed-method evaluation is to complete a series of case studies in five cities to identify best practices, barriers, recommendations, and other considerations for healthy vending policies and initiatives affecting children and youth. Vending machines that are accessible to children and adolescents will be the focus of this evaluation. Semi-structured interviews will More

Exploring the Effects of School Transformation and Redesign of Cafeterias (STARCafé)

The purpose of this project is to conduct an exploratory, pilot study with three schools to determine how school cafeteria renovations that create choice-based serving lines, a variety of inviting and comfortable seating options, and nutrition education messaging may impact school lunch consumption, seated time, attitudes, and school lunch participation rates. To measure the potential More

Improved Parental Dietary Quality is Associated with Children’s Dietary Intake Through the Home Environment

This study aimed to assess the relative impact of the home food environment on children’s diet after the introduction of a new supermarket in a food desert. This study builds upon a natural experiment to longitudinally examine the food-purchasing behaviors and diets among a randomly selected population of households in two major Pittsburgh food desert More

No Fat, No Sugar, No Salt…No Problem? Prevalence of “Low-Content” Nutrient Claims and Their Associations with the Nutritional Profile of Food and Beverage Purchases in the United States

Nutrient content claims, which characterize the level of a nutrient in a food (e.g., “low-sugar”), are a commonly used marketing tactic. The association between claims, the nutritional quality of products, and consumer purchases is unknown. This study examined low-content nutrient claims on more than 80 million packaged food and beverage purchases from a transaction-level database More

Investigating How to Align Schools’ Marketing Environments With Federal Standards for Competitive Foods

The goal of this study was to determine how to improve school marketing environments so that they align with new federal competitive food standards. The research team assessed the food marketing environments in three schools in Portland, Maine, using the food and beverage marketing in schools (FMBS) survey, and provided schools with technical assistance to More

Studying the Novel Approach of Using Electronic Health Records From Pediatric Primary Care to Measure Children’s Consumption of Sugary Beverages

Electronic health record (EHR) screening for sugar-sweetened beverage (SSB) intake may be a novel intervention for reducing SSB intake in children, and would result in longitudinal databases of individual-level consumption that could enhance the ability the evaluate local or regional SSB policies. This study aims to: 1) implement and evaluate the uptake of a single More

Examining Differences by Social and Demographic Characteristics of Schools in the Implementation of Water-Quality Practices and Water-Access Policies

Ensuring safe, accessible drinking water in schools is a national health priority. Students in schools that provide free water consume more water, potentially replacing sugar-containing beverages and promoting a healthy weight. The aims of this study are to: 1) identify whether practices related to school water quality, availability, and education are being implemented in schools More