Testing Drinking Water in California Public Schools for Lead and Other Contaminants in the Context of an Obesity-Prevention Strategy

Drinking water instead of sugar-sweetened beverages is an important obesity prevention strategy. Although schools have taken great strides to improve drinking water access, the water crisis in Flint, Mich., and its aftermath have highlighted the importance of assuring that the water provided in schools is safe to drink. This study will partner with national experts More

Examining Home-Visiting Strategies to Prevent Obesity Among American Indians, Focusing on Early Childhood Outcomes and Water Insecurity

Reservation-based American Indian (AI) children suffer the highest rates of childhood obesity in the United States. This project will provide evidence to support the integration of childhood obesity prevention modules into government-funded home-visiting programs. It will also identify the role of water insecurity in sugar-sweetened beverage (SSB) intake. The specific aims of the study are More

Using State Laws & Regulations to Promote Healthy Eating and Physical Activity in Afterschool Programs

Out-of-School time (OST) programs are a promising setting for reducing child obesity risk by promoting healthy eating and providing opportunities for physical activity. The Healthy Out-of-School Time Coalition developed the National AfterSchool Association Healthy Eating and Physical Activity standards in 2011 to provide comprehensive guidance on how to promote healthy eating and physical activity. To More

The Influence of Sugar-Sweetened Beverage Warnings: A Randomized Trial of Adolescents’ Choices and Beliefs

California, New York, and the cities of San Francisco and Baltimore have introduced bills requiring health-related warning labels for sugar-sweetened beverages. This study measured the extent to which these warning labels influence adolescents’ beliefs and hypothetical choices. Over 2,000 adolescents ages 12-18 completed an online survey in which they chose a beverage in a hypothetical More

How Do We Actually Put Smarter Snacks in Schools? NOURISH (Nutrition Opportunities to Understand Reforms Involving Student Health) Conversations with Food-Service Directors

In 2012, Massachusetts implemented a state law to establish nutrition standards for competitive foods and beverages sold or provided in public schools, similar to the federal Smart Snacks in School standards. This mixed-methods study aimed to understand food service directors’ (FSD) perspectives and experiences implementing the Massachusetts standards. The study used direct observation of foods More

A Trial of the Efficacy and Cost of Water Delivery Systems in San Francisco Bay Area Middle Schools, 2013

This study aimed to examine the efficacy and cost of two water delivery systems—water dispensers with cups and water coolers with cups—in increasing students’ lunchtime intake of water in lower-income middle schools. Twelve middle schools in the San Francisco Bay Area participated in a cluster randomized control trial in which they were assigned to one More

Evaluating Sugar-Sweetened Beverage Advertising prior to Implementation of the San Francisco Warning Label Ordinance

Starting in July 2016, San Francisco, Calif., will require prominent warning labels on most sugar-sweetened beverage (SSB) advertisements (i.e., “WARNING: Drinking beverages with added sugar(s) contributes to obesity, diabetes, and tooth decay”). The purpose of this project is to collect baseline data on the presence and types of SSB print advertising visible in a sample More

Impact of Nutrition Standards on Competitive Food Quality in Massachusetts Middle and High Schools

In 2012, Massachusetts implemented a competitive food law similar to the fully implemented version of the national Smart Snack standards. The NOURISH study (Nutrition Opportunities to Understand Reforms Involving Student Health) was created to assess the nutritional quality (compliance) and availability of competitive foods and beverages in middle and high schools before and after the More

School Fundraisers: Positive Changes in Foods Sold, but Room for Improvement Remains

This brief reviews the evidence on food-related fundraising in schools and changes to the school food environment over the past decade, providing new data from the Bridging the Gap (BTG) research program’s 2013-14 school year national survey data. In-school fundraisers can be problematic nutritionally because, historically, unhealthy foods such as baked goods, candies, and sugary More

Evaluating Healthy Fast-Food Kids’ Meal Defaults

This project will determine whether restaurants have implemented healthier kids’ meal default policies and whether healthy defaults successfully reduce calories and improve the overall nutritional quality of fast-food meals consumed by children. The team will conduct two studies to update research conducted in 2010 and 2013 and measure change over time. In the first study, More