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• W4386779432 abstract "The National School Lunch Program (NSLP) provides healthy food to millions of children annually. To promote increased lunch consumption, policy, systems, and environmental (PSE) change strategies are being implemented in child nutrition programs. An evaluation of the current evidence supporting PSE interventions in school nutrition programs is needed to facilitate evidence-based practices across the nation for programs. This systematic review aims to determine the quality and breadth of available evidence of the effectiveness of PSE strategies on the consumption and waste of fruits, vegetables, milk, and water in the National School Lunch Program. The inclusion criteria required studies to occur in a U.S. K-12 school setting, data collection after 2012, report consumption and waste findings for fruit, vegetable, milk, or water, and be an original research article. Articles included in the review are restricted to positive or neutral quality. Thirty studies are included, policy-level (n=4), systems-level (n=8), environmental level (n=10), and multi-category (n=8). Results from positively rated policy-level studies suggest that recess before lunch may increase milk consumption, while removing flavored milk may decrease consumption. System-level studies of offering vegetables first in isolation of other meal components and offering spiced vegetables versus traditional preparations may increase vegetable consumption, and locally procuring produce may increase fruit and vegetable consumption. Environmental-level studies such as water promotion strategies such as placing cups near drinking fountains may increase water consumption. Improving the convenience, attractiveness, and palatability of fruits and vegetables may increase consumption. Future PSE research in child nutrition programs should incorporate implementation aides and metrics into their study designs to allow better understanding of how to sustain interventions from the perspective of school nutrition professionals." @default.
• W4386779432 created "2023-09-16" @default.
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• W4386779432 date "2023-09-01" @default.
• W4386779432 modified "2023-10-02" @default.
• W4386779432 title "Policy, Systems, and Environmental Changes in Child Nutrition Programs: A Systematic Literature Review" @default.
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• W4386779432 doi "https://doi.org/10.1016/j.advnut.2023.09.004" @default.
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