While overall prevalence of obesity improved in Massachusetts public schools between 2009 and 2014, prevalence remained unchanged for children living in poor, rural, and smaller communities. This project will identify which programs and activities have been effective in reducing childhood obesity among the successful schools, and use the information to guide future interventions for those schools that were not. Specific aims of this study are to: 1) investigate the roles of school policies, healthy eating and physical education programs, and community social and built environments in the decline in obesity prevalence among Massachusetts public school students; 2) identify necessary and sufficient conditions for significantly reducing obesity prevalence in public schools; and 3) recommend approaches to accelerate the decline and reduce socioeconomic and geographic disparities in obesity prevalence in public schools. The research team will use a mixed methods approach to identify both necessary and sufficient school and community conditions for reducing obesity prevalence in public schools using a retro- and prospective cohort design. Researchers will analyze over 2.1 million body mass index (BMI) records from 338 school districts for public school students grades 1, 4, 7, and 10 between 2009 and 2017 and correlate them with school-level administrative data on healthy eating and physical education programs and community social and built environmental data from the same period. Analytic reports and district-specific recommendations will be shared with the Massachusetts Departments of Public Health and Elementary and Secondary Education and all Massachusetts public schools.
Identifying Successful Childhood Obesity Interventions in Massachusetts Schools and Using Findings to Improve Programs at Schools Left Behind
Special Issue on School Nutrition and Meal Cost Study-I: Findings Related to Improving Diet Quality, Weight, and Disparities in U.S. Children
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 … More
Strong nutrition standards for school meals, consistent with evidence-based recommendations, position children for optimal health and wellbeing. Strong science supports the link between lowering sodium intake and better health. This new issue brief from Healthy Eating Research examines the recent history of sodium standards for school meals. It highlights current sodium intake … More
Drinking water access in California schools: Room for improvement following implementation of school water policies
This study aimed to investigate how access to free drinking water in California public schools changed after implementation of 2010 federal and state school water policies. Repeated cross-sectional surveys were conducted with administrators in a random sample of California public schools, stratified by school type and urban-centric geography, from 2010 … More