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
In 2022, Colorado became one of the first states in the nation to pass a universal free school meal program when Proposition FF created Colorado Healthy School Meals for All (HSMA). In May 2025, the Colorado General Assembly passed HB25-1274 to fully fund the HSMA program, which has been referred to two ballot measures in More
The aim of this project is to update and synchronize two measures: the Wellness School Assessment Tool (WellSAT), which is a quantitative measure of written district wellness policies, and the Centers for Disease Control and Prevention’s School Health Index (SHI), which is a self-report measure of school-based practices. The WellSAT and SHI are the leading More
This study aimed to estimate the 10-year cost-effectiveness of school-based BMI report cards, a commonly implemented program for childhood obesity prevention in the US where student BMI is reported to parents/guardians by letter with nutrition and physical activity resources, for students in grades 3 to 7. A microsimulation model, using data inputs from evidence reviews More
Children and adolescents living in rural communities are at increased risk of obesity and food insecurity. Schools can play an essential role in addressing diet-related disparities, but multiple factors can impact the cafeteria environment and student participation in school meal programs. School nutrition professionals face unique challenges in meal operations. To develop solutions to these More
The United States Department of Agriculture (USDA) National School Lunch and Breakfast Programs are critical for the health and food security of U.S. schoolchildren, but access to these programs was disrupted by COVID-19 pandemic-related school closures in spring 2020. While temporary policy changes to the programs enabled school food authorities (SFAs) to pivot towards distributing More
School meals are important contributors to the healthy diets of our nation’s children, especially those in food insecure households, according to new papers published in a special issue of the journal Nutrients. The papers address urgent policy challenges related to food security, childhood obesity, sugar consumption, and racial and ethnic disparities when it comes to More
Few studies examine why rural public schools have weaker policies and practices related to school nutrition environments compared to their urban counterparts. It is important to understand this disparity because federal school meal standards aim for children to access health‐promoting nutrition environments. In this study, we identify challenges and opportunities for the implementation of school More
Schools play an important role in promoting student wellness. As directed by the Healthy Hunger-Free Kids Act, the US Department of Agriculture updated the requirements for written school wellness policies in 2016. The WellSAT (Wellness School Assessment Tool) is an online tool that provides a quantitative score for wellness policy comprehensiveness and strength. The WellSAT More
The Every Student Succeeds Act (ESSA) was signed into law on December 10, 2015, reauthorizing the Elementary and Secondary Education Act of 1965. ESSA created an opportunity to broaden accountability beyond traditional subjects, such as math, to potentially focus on health and wellness in schools. States could select health and wellness-related indicators, and identify strategies More
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