School Meal Programs In The United States
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School meal programs in the United States provide
school meals A school meal or school lunch (also known as hot lunch, a school dinner, or school breakfast) is a meal provided to students and sometimes teachers at a school, typically in the middle or beginning of the school day. Countries around the world ...
free of charge, or at a government-subsidized price, to
U.S. The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
students from low-income families. These free or subsidized meals have the potential to increase household
food security Food security speaks to the availability of food in a country (or geography) and the ability of individuals within that country (geography) to access, afford, and source adequate foodstuffs. According to the United Nations' Committee on World F ...
, which can improve children's health and expand their educational opportunities. A study of a free school meal program in the United States found that providing free meals to elementary and middle school children in areas characterized by high food insecurity led to increased school discipline among the students. The biggest school meal program in the United States is the
National School Lunch Program The Richard B. Russell National School Lunch Act (79 P.L. 396, 60 Stat. 230) is a 1946 United States federal law that created the National School Lunch Program (NSLP) to provide low-cost or free school lunch meals to qualified students through ...
(NSLP), which was signed into law by President
Harry S. Truman Harry S. Truman (May 8, 1884December 26, 1972) was the 33rd president of the United States, serving from 1945 to 1953. A leader of the Democratic Party, he previously served as the 34th vice president from January to April 1945 under Franklin ...
in 1946. Its purpose is to prevent
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is "a deficiency, excess, or imbalance of energy, protein and other nutrients" which adversely affects the body's tissues a ...
and provide a foundation for good nutritional health. The text of the National School Lunch Act, which established the program, called it a "measure of national security, to safeguard the health and well-being of the nation's children and to encourage domestic consumption of nutritious agricultural commodities". The NSLP currently operates in more than 100,000 public schools, nonprofit private schools, and residential care institutions. It provides more than 5 billion low-cost or free lunches per year to eligible students, with the goal of ensuring nutritious meals for children who might not otherwise have access to a proper diet. In 2012, it served more than 31 million children per day.


Food insecurity in children

Food insecurity includes both inadequate quantity and inadequate quality of food. Children need not just enough calories, but also enough nutrients for proper growth and development, and improper or stunted growth can have a variety of medical and developmental implications. Food insecurity and malnutrition can affect children's educational outcomes, family life, and overall health. It has been linked to worse development outcomes for children, such as impaired social and reading skills.


Prevalence

Food insecurity has risen in recent years. Between 2007 and 2008, the rate in the U.S. increased from 11.1 percent to 14.6 percent, the largest annual increase since researchers began tracking the rate in the mid-1990s. Among households with children, food insecurity increased from 15.8 percent to 21 percent during that period. Four million American children "experience prolonged periodic food insufficiency and hunger each year", which amounts to 8 percent of children under the age of 12. An additional 21 percent are at risk.


Implications

Food insecurity affects the health and well-being of children in several ways. It is a major threat to "growth, health, cognitive, and behavioral potential", and most behavioral, emotional, and academic problems are more prevalent among hungry children than non-hungry children. Food insecurity is linked to lower math scores, trouble getting along with peers, poor health, and more frequent illness. A study by researchers at the
Boston University School of Medicine The Boston University Chobanian & Avedisian School of Medicine, formerly the Boston University School of Medicine, is one of the graduate schools of Boston University. Founded in 1848, the medical school was the first institution in the world ...
found that children aged 6–11 who came from food-insecure homes had lower arithmetic scores, were more likely to have repeated a grade or seen a therapist, and had more difficulty getting along with peers than similar children in food-secure homes. Hungry children are much more likely to have clinical levels of psychosocial dysfunction, and they show more anxious, irritable, aggressive, and oppositional behaviors than peers whose families are low-income but food-secure. In addition to academic and behavioral problems, children with inadequate diets are more prone to illnesses. Researchers have found that malnutrition leads to an array of health problems that can become chronic. Underfed children may have "extreme weight loss, stunted growth, weakened resistance to infection", and even early death. Such ailments reduce the amount of time students can spend learning at school. These cognitive, behavioral, and physical problems are exacerbated in children who, in addition to being undernourished, are from impoverished backgrounds. Scientists now believe that "malnutrition alters intellectual development by interfering with overall health as well as the child's energy level, rate of motor development and rate of growth." Moreover, "low economic status can exacerbate all fthese factors, placing impoverished children at particular risk for cognitive impairment later in life". Education and food both have an effect on the " central capabilities" described by
Martha Nussbaum Martha Craven Nussbaum (; born May 6, 1947) is an American philosopher and the current Ernst Freund Distinguished Service Professor of Law and Ethics at the University of Chicago, where she is jointly appointed in the law school and the philosoph ...
, an American philosopher. These capabilities, which Nussbaum saw as integral to raising people above the poverty threshold, are: life, bodily health, bodily integrity, sense, imagination and thought, emotions, practical reason, affiliation, other species, play, and control over one's environment (both political and material).Nussbaum, Martha Craven. 2011. Creating Capabilities: The Human Development Approach. Cambridge, MA: Belknap of Harvard UP. Nutrition affects bodily health and bodily integrity, and education has broader connections to sense, imagination and thought, practical reason, and control over one's environment. Without these capabilities, according to Nussbaum, people fall into poverty traps and lack the proper opportunities to rise out of them. Government efforts such as meal programs can prevent people from falling into poverty, as well as lift them out of it.


History of school meal programs


Pre-World War II

Before the official establishment of the large-scale, government-funded food programs that are prevalent today in the United States, small, non-governmental programs existed. As early as the late 19th century, cities such as
Boston Boston (), officially the City of Boston, is the state capital and most populous city of the Commonwealth of Massachusetts, as well as the cultural and financial center of the New England region of the United States. It is the 24th- mo ...
and
Philadelphia Philadelphia, often called Philly, is the largest city in the Commonwealth of Pennsylvania, the sixth-largest city in the U.S., the second-largest city in both the Northeast megalopolis and Mid-Atlantic regions after New York City. Sinc ...
operated independent school lunch programs, with the assistance of volunteers or charities. Until the 1930s, most school lunch programs were volunteer efforts led by teachers and mothers' clubs.Levine, Susan. School Lunch Politics: The Surprising History of America's Favorite Welfare Program. Princeton: Princeton UP, 2008. These programs drew on the expertise of professional
home economics Home economics, also called domestic science or family and consumer sciences, is a subject concerning human development, personal and family finances, consumer issues, housing and interior design, nutrition and food preparation, as well as texti ...
. For the people who began these programs, school lunchrooms were the perfect setting in which to feed poor children and, more importantly, to teach immigrant and middle-class children the principles of nutrition and healthy eating. Thus, the original intent of school meal programs was not primarily to increase the food security of impoverished children and alleviate educational problems, but rather to instill cultural norms. During the
Great Depression The Great Depression (19291939) was an economic shock that impacted most countries across the world. It was a period of economic depression that became evident after a major fall in stock prices in the United States. The economic contagio ...
, the numbers of hungry children seeking food overwhelmed lunchrooms. Thus, local programs began to look to state governments, and then the national government, for resources. The national government began providing funding for school lunches on a small scale as early as 1932. This funding originated from
New Deal The New Deal was a series of programs, public work projects, financial reforms, and regulations enacted by President Franklin D. Roosevelt in the United States between 1933 and 1939. Major federal programs agencies included the Civilian Cons ...
agencies such as the
Federal Emergency Relief Administration The Federal Emergency Relief Administration (FERA) was a program established by President Franklin Roosevelt in 1933, building on the Hoover administration's Emergency Relief and Construction Act. It was replaced in 1935 by the Works Progress Adm ...
, the
Reconstruction Finance Corporation The Reconstruction Finance Corporation was a government corporation administered by the United States Federal Government between 1932 and 1957 that provided financial support to state and local governments and made loans to banks, railroads, mortgag ...
, and the
Civil Works Administration The Civil Works Administration (CWA) was a short-lived job creation program established by the New Deal during the Great Depression in the United States to rapidly create mostly manual-labor jobs for millions of unemployed workers. The jobs were ...
. The federal government monitored supplies from commercial farmers and purchased surplus commodities (Levine 6). Schools served as an outlet for federal commodity donations. In 1935, the programs expanded through the
Works Progress Administration The Works Progress Administration (WPA; renamed in 1939 as the Work Projects Administration) was an American New Deal agency that employed millions of jobseekers (mostly men who were not formally educated) to carry out public works projects, i ...
and the
National Youth Administration The National Youth Administration (NYA) was a New Deal agency sponsored by Franklin D. Roosevelt during his presidency. It focused on providing work and education for Americans between the ages of 16 and 25. It operated from June 26, 1935 to ...
, both of which provided labor for school cafeterias. During
World War II World War II or the Second World War, often abbreviated as WWII or WW2, was a world war that lasted from 1939 to 1945. It involved the vast majority of the world's countries—including all of the great powers—forming two opposin ...
, the
War Food Administration The War Food Administration was a Federal government of the United States, United States government agency that existed from 1943 to 1945. The War Food Administration was responsible for the production and distribution of food to meet war and essen ...
(1943–45) helped create school lunch programs. Eventually, the New Deal policies began to dissolve, and farm surpluses decreased. However, there was still a desire to keep school lunch programs in place, so federal cash assistance began to be appropriated on a year-to-year basis, and the National School Lunch Program was developed.


1946–2000

The
United States Congress The United States Congress is the legislature of the federal government of the United States. It is bicameral, composed of a lower body, the House of Representatives, and an upper body, the Senate. It meets in the U.S. Capitol in Washing ...
passed the
National School Lunch Act The Richard B. Russell National School Lunch Act (79 P.L. 396, 60 Stat. 230) is a 1946 United States federal law that created the National School Lunch Program (NSLP) to provide low-cost or free school lunch meals to qualified students through ...
in 1946 after an investigation found that the poor health of men rejected for the World War II draft was associated with poor nutrition in their childhood. By the end of its first year, the National School Lunch Program had helped 7.1 million children."The School Breakfast Program." N.p., n.d. Web. 24 Oct. 2012. However, from the start, the program linked children's nutrition to the priorities of agricultural and food interests, and to the agenda of the
United States Department of Agriculture The United States Department of Agriculture (USDA) is the United States federal executive departments, federal executive department responsible for developing and executing federal laws related to farming, forestry, rural economic development, ...
(USDA). In these early years, the program provided substantial welfare to commercial farmers as an outlet for surplus commodities, but provided few free meals to poor children and fed a relatively small number of schoolchildren. In the 1960s, a group of mainstream national women's organizations began focusing on the shortcomings of the NSLP. The evidence they presented became crucial to Congressional debates on race and poverty. In 1962, Congress amended the NSLP, changing it from a distributor of state-regulated grant aid to a permanently funded meal reimbursement program. In 1969, President
Richard Nixon Richard Milhous Nixon (January 9, 1913April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974. A member of the Republican Party, he previously served as a representative and senator from California and was ...
pushed Congress to provide funding for school lunches beyond the reimbursement program, declaring, "The time has come to end hunger in America." In between, in 1966, Congress passed the
Child Nutrition Act The Child Nutrition Act of 1966 (CNA) is a United States federal law ( act) signed on October 11, 1966 by President Lyndon B. Johnson. The Act was created as a result of the "years of cumulative successful experience under the National School L ...
, which stated that educational progress was an objective of school meal programs. The bill, signed by President
Lyndon B. Johnson Lyndon Baines Johnson (; August 27, 1908January 22, 1973), often referred to by his initials LBJ, was an American politician who served as the 36th president of the United States from 1963 to 1969. He had previously served as the 37th vice ...
, created the federally subsidized
School Breakfast Program The School Breakfast Program is a federally funded meal program that provides free and reduced cost breakfasts to children at public and private schools, and child care facilities in the United States. All children in participating schools and ...
(SBP), which supplemented the existing lunch program by providing low-cost or free breakfasts to students at public and nonprofit private schools. It also created the Summer Food Service Program and established National School Lunch Week. By the end of the 1970s, many advocates saw
privatization Privatization (also privatisation in British English) can mean several different things, most commonly referring to moving something from the public sector into the private sector. It is also sometimes used as a synonym for deregulation when ...
as the only way to keep school lunch programs going.
Fast food Fast food is a type of mass-produced food designed for commercial resale, with a strong priority placed on speed of service. It is a commercial term, limited to food sold in a restaurant or store with frozen, preheated or precooked ingredien ...
from private companies began to be served in cafeterias, rather than more nutritious meals. In 1994, a number of changes were made to the NSLP, primarily to standardize the nutritional quality of school meals. Dietary guidelines were proposed to take effect in 1996, and the USDA launched the Healthy School Meals Initiative to improve nutritional education for school-age children. By the end of the 20th century, the NSLP was the nation's second-largest domestic food program, after the
Supplemental Nutrition Assistance Program In the United States, the Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamp Program, is a federal program that provides food-purchasing assistance for low- and no-income people. It is a federal aid program, ad ...
(more commonly known as food stamps).


21st century

In 2004, as the
childhood obesity Childhood obesity is a condition where excess body fat negatively affects a child's health or well-being. As methods to determine body fat directly are difficult, the diagnosis of obesity is often based on BMI. Due to the rising prevalence of ...
crisis came into national focus, the USDA urged school districts to establish wellness policies and initiatives tailored to local needs. The USDA regulations were intended to strengthen nutritional education nationwide while giving schools the autonomy to decide what types of foods could be sold in their cafeterias and vending machines. In 2007, the USDA hired the Institute of Medicine (IOM; now the
National Academy of Medicine The National Academy of Medicine (NAM), formerly called the Institute of Medicine (IoM) until 2015, is an American nonprofit, non-governmental organization. The National Academy of Medicine is a part of the National Academies of Sciences, En ...
) to develop recommendations for "bringing school food up-to-date with current science". Dr. Virginia Stallings, a pediatric
gastroenterologist Gastroenterology (from the Greek gastḗr- “belly”, -énteron “intestine”, and -logía "study of") is the branch of medicine focused on the digestive system and its disorders. The digestive system consists of the gastrointestinal tract, ...
at the
Children's Hospital of Philadelphia The Children's Hospital of Philadelphia (CHOP) is a children's hospital in Philadelphia, Pennsylvania, with its primary campus located in the University City neighborhood of West Philadelphia in the campus of the University of Pennsylvania. The h ...
who led the IOM team, concluded, "Since the school meal programs were last updated, we've gained the greater understanding of children's nutritional needs and the dietary factors that contribute to obesity, heart disease, and other chronic health problems." In 2010, the Healthy, Hunger-Free Kids Act made the most sweeping changes in the history of the NSLP, putting vending-machine snacks and ''à la carte'' menu items under federal regulation for the first time. Championed by First Lady
Michelle Obama Michelle LaVaughn Robinson Obama (born January 17, 1964) is an American attorney and author who served as first lady of the United States from 2009 to 2017. She was the first African-American woman to serve in this position. She is married t ...
and directed by the USDA, the law established guidelines requiring more fruits, vegetables, and whole grains in school meals. The guidelines, which took effect in the 2012–13 school year, also limited sodium, fat, and caloric intake based on students' ages. Historically, the NSLP and other food programs have been used to improve the health of children who are food-insecure or at risk of malnutrition. More recently, however, the NSLP has made a significant shift to fight childhood obesity as well as malnutrition. Unhealthy eating patterns in overweight children—like those in underweight children—are often tied not only to individual choices, but also to social and economic circumstances such as family income and access to fresh foods. School meal programs provide an avenue by which these socioeconomic circumstances can be targeted to improve children's diets. Most students benefit from the NSLP, even if they do not receive free lunches, because the program also subsidizes full-price meals in the majority of U.S. schools. In 2021, California became the first state to have a universal school meal program for the state's public school students. Shortly after California adopted the program, Maine adopted a similar program.


Organizational structure


National School Lunch Program

The
Food and Nutrition Service The Food and Nutrition Service (FNS) is an agency of the United States Department of Agriculture (USDA). The FNS is the federal agency responsible for administering the nation’s domestic nutrition assistance programs. The service helps to add ...
(FNS), an agency of the USDA, administers the NSLP at the federal level. Within each individual state, the program is administered by a state agency, in most cases the Department of Education. (If state law prevents the state from administering the program, the appropriate FNS regional office may administer it instead.) The state official in charge of the NSLP works with individual school districts to make sure each lunchroom worker receives the necessary information and supplies. Additionally, he or she receives directions from the
United States Secretary of Agriculture The United States secretary of agriculture is the head of the United States Department of Agriculture. The position carries similar responsibilities to those of agriculture ministers in other governments. The department includes several organi ...
. School districts that choose to participate in the NSLP follow specific guidelines and receive federal subsidies for each meal they serve. The NSLP has relationships with several other federal agencies and programs. For example, the Fresh Fruit and Vegetable Program, an initiative of the
United States Department of Defense The United States Department of Defense (DoD, USDOD or DOD) is an executive branch department of the federal government charged with coordinating and supervising all agencies and functions of the government directly related to national secu ...
(DoD), allows schools to use USDA entitlement dollars to buy fresh produce. The NSLP also works closely with the
Temporary Assistance for Needy Families Temporary Assistance for Needy Families (TANF ) is a federal assistance program of the United States. It began on July 1, 1997, and succeeded the Aid to Families with Dependent Children (AFDC) program, providing cash assistance to indigent Ame ...
program and the Supplemental Nutrition Assistance Program (SNAP). Aside from its impact on public organizations, the NSLP also affects corporate vendors and local businesses. The program is designed to help local farmers by purchasing fresh fruits and vegetables, which make their way to schoolchildren. Additionally, many companies are reformulating their foods to meet federal guidelines so that they can sell their products to the government.


School Breakfast Program

The SBP began as a pilot program in 1966 and became permanent in 1975. It was developed specifically to help impoverished children; the "original legislation stipulated that first consideration for program implementation was to be given to schools located in poor areas or in areas where children had to travel a great distance to school","Program History." School Breakfast Program. N.p., 21 Feb. 2012. Web. 24 Oct. 2012. . and in 1971, "Congress directed that priority consideration for the program would include schools in which there was a special need to improve the nutrition and dietary practices of children of working mothers and children from low-income families". The SBP works in essentially the same way as the NSLP: Participating schools receive cash subsidies from the USDA for every meal they serve. They must meet federal nutrition requirements and offer free or reduced-price breakfasts to children who are eligible. The USDA provides technical training and assistance to help school workers prepare and serve healthy meals, as well as nutrition education to help children understand the links between diet and health. In 1970, before it was made permanent, the SBP served 500,000 children. In fiscal year 2011, more than 12.1 million children participated each day, 10.1 million of whom received free or reduced-price breakfasts.


Costs and funding

Both the National School Lunch Program and the School Breakfast Program give cash reimbursements for food served at participating schools. In the 2012–13 school year, the NSLP provided the following reimbursements for "non-severe-need" schools: $2.86 for free lunches, $2.46 for reduced-price lunches, $0.27 for paid lunches, $0.78 for free snacks, $0.39 for reduced-price snacks, and $0.07 for paid snacks. (Students eligible for reduced-price meals paid no more than 40 cents per meal.) A school may qualify for higher, "severe need" reimbursements if 40 percent or more of its lunches were served free or at reduced price in the second preceding year. The SBP provided the following reimbursements in 2012–13: $1.55 for free breakfasts, $1.25 for reduced-price breakfasts, and $0.27 for paid breakfasts. For fiscal year 2011, the cost of the SBP was $3 billion, compared with $10.8 million in 1970. The cost of the NSLP was $11.1 billion in 2011, compared with $70 million in 1947. Budget trends suggest that meal production costs over the last five years have been increasing faster than revenues. A report by the USDA's
Economic Research Service The Economic Research Service (ERS) is a component of the United States Department of Agriculture (USDA) and a principal agency of the Federal Statistical System of the United States. It provides information and research on agriculture and economi ...
in July 2008 suggested: "Cost pressures may be a barrier to improving school menus in some cases. The nationally representative School Lunch and Breakfast Cost Study II found that while the mean reported cost of producing lunch during 2005–06 was below the reimbursement rate, about one in four school districts reported costs above the reimbursement rate." It continued, "Further, the mean full cost of producing a lunch was higher than the reimbursement rate." The study also found that reported costs rose, but full costs fell, from 1992–2005, reflecting an increase in the number of school food authorities being charged by school districts for indirect costs in response to the districts' own budget pressures (School Nutrition Association, 2006). Other sources of financial pressure include increases in health care costs for employees (GAO, 2003; Woodward-Lopez et al., 2005) and, more recently, rising food costs (FRAC, 2008). In 2012, researchers compared the previous year's data with limited current-year data to see whether previously identified problems persisted. They found that in fiscal year 2011, the NSLP served 5.18 billion lunches at a cost of $11.1 billion, an increase of 181 percent from fiscal year 2000. In terms of cost efficiency, one can compare the costs of NSLP-compliant lunches and lunches served in schools that do not participate in the program. Constance Newman's "The Food Costs of Healthier School" (2012) compared those costs during the 2005–06 school year. Newman found that healthy meals were more expensive than meals that did not meet the new nutritional standards. She also found that the "mean reported cost for a reimbursement lunch was $2.36, while the reimbursement rate was $2.51", or 106 percent of the cost. However, revenues for non-reimbursable meals (for example, adult lunches) covered only 71 percent of the cost of those meals. To address this, the Healthy, Hunger-Free Kids Act of 2010 required gradual increases in reimbursements until 100 percent of costs were covered. In addition, the USDA increased School Food Authority (SFA) reimbursement rates by 6 cents per meal for the 2012–13 school year. Not all of the cost increases Newman found were due to food prices; nearly half were associated with overhead, such as equipment, labor, and training. Additionally, her research, which relied on data from 2005 and 2006, is now outdated, and Newman acknowledged that "another important caveat is that the foods served in schools have changed since 2005". Recently, there has been a push to privatize school meal programs because of their rising costs. Private food service companies have much greater purchasing power than school districts and are able to save money by providing fewer benefits and lower salaries to their employees.


Participation and eligibility

Participation in the NSLP is voluntary. School districts and independent schools that choose to take part receive cash subsidies and donated commodities from the USDA for each meal they serve. In return, they must serve lunches that meet federal nutritional requirements, and they must offer free or reduced-price meals to eligible children. Schools can also be reimbursed for snacks served to children in after-school educational or enrichment programs. In the late 1990s, NSLP officials determined in a "Study of Direct Certification in the National School Lunch Program" that the program's paper application process was inefficient and potentially excluded eligible school districts (Jackson, Gleason, Hall and Strauss, 2000). As a result, the program switched to a direct certification process, in which schools can use documentation from local or state welfare agencies to demonstrate their eligibility. Despite a lack of cooperation between the NSLP and some welfare agencies, the Food and Nutrition Service (FNS) found that direct certification significantly increased the number of participants. In 2008, Philip Gleason, a senior researcher for
Mathematica Policy Research Mathematica, formerly Mathematica Policy Research, is an American research organization and consulting company headquartered in Princeton, New Jersey. The company provides data science, social science, and technological services for social policy ...
, wrote a paper affirming that direct certification expanded access to the NSLP. However, some researchers have identified an opposite problem: the acceptance into the program of students who are not eligible for it. A three-year study by the FNS (Gleason, 2008) found that 77.5 percent of NSLP applicants were correctly certified. However, 15 percent were certified as eligible when they did not actually qualify, and 7.5 percent were denied benefits despite being eligible. While the amount of erroneous payments during the 2005–06 school year was relatively small as a percentage of the program's total cost, they totaled more than $759 million (Ponza, 2007). Subsequent research by Molly Dahl found that the problem continued, with an estimated overpayment of $1.5 billion in 2011. David Bass wrote in 2009 that the problem was not simply an innocent one, but involved a calculated effort by school districts to commit fraud. He argued that, because "state governments dole out benefits according to free and reduced-price lunch percentages ... local school districts have a clear incentive to register as many students in the NSLP as possible". While the NSLP has a built-in verification process, only about 3 percent of applications can be reviewed to verify the reported income. Bass found that some school districts that wanted to verify higher percentages of applications were threatened with legal action from the federal government. He also identified one district that found that 70 percent of the applications it reviewed were incorrect.


Nutritional guidelines

School lunches must meet the applicable recommendations of the
Dietary Guidelines for Americans The Dietary Guidelines for Americans (DGA) provide nutritional advice for Americans who are healthy or who are at risk for chronic disease but do not currently have chronic disease. The Guidelines are published every five years by the US Department ...
, which state that no more than 30 percent of an individual's calories should come from fat, and no more than 10 percent from
saturated fat A saturated fat is a type of fat in which the fatty acid chains have all single bonds. A fat known as a glyceride is made of two kinds of smaller molecules: a short glycerol backbone and fatty acids that each contain a long linear or branched c ...
. School lunches must also provide one-third of the recommended daily allowances of calories,
protein Proteins are large biomolecules and macromolecules that comprise one or more long chains of amino acid residues. Proteins perform a vast array of functions within organisms, including catalysing metabolic reactions, DNA replication, respo ...
,
vitamin A Vitamin A is a fat-soluble vitamin and an essential nutrient for humans. It is a group of organic compounds that includes retinol, retinal (also known as retinaldehyde), retinoic acid, and several provitamin A carotenoids (most notably bet ...
,
vitamin C Vitamin C (also known as ascorbic acid and ascorbate) is a water-soluble vitamin found in citrus and other fruits and vegetables, also sold as a dietary supplement and as a topical 'serum' ingredient to treat melasma (dark pigment spots) an ...
,
iron Iron () is a chemical element with symbol Fe (from la, ferrum) and atomic number 26. It is a metal that belongs to the first transition series and group 8 of the periodic table. It is, by mass, the most common element on Earth, right in f ...
, and
calcium Calcium is a chemical element with the symbol Ca and atomic number 20. As an alkaline earth metal, calcium is a reactive metal that forms a dark oxide-nitride layer when exposed to air. Its physical and chemical properties are most similar to ...
. However, decisions about what specific foods to serve and how to prepare them are made by local school officials. Th
2007 School Nutrition Dietary Assessment Study III
based on research by the USDA during the 2004–05 school year, found that students in more than 90 percent of schools surveyed had the opportunity to select lunches that met dietary standards for fat and saturated fat. School meal programs are increasingly using more whole grains, fruits and vegetables, lean protein, and low-fat dairy. Efforts such as the Local School Wellness Policies required by the 2004 Child Nutrition and WIC Reauthorization Act have gotten parents, students, and school communities involved in efforts to promote healthy eating and increased physical activity on school campuses. In 2009, the National Academy of Medicine released ''School Meals: Building Blocks for Healthy Children'', which reviewed and recommended updates to the NSLP and SBP nutrition standards and meal requirements. It also set standards for menu planning that focus on
food group A food group is a collection of foods that share similar nutritional properties or biological classifications. List of nutrition guides typically divide foods into food groups and Recommended Dietary Allowance recommend daily servings of each gr ...
s, calories, saturated fat, and sodium, and that incorporate the Dietary Guidelines for Americans and the
Dietary Reference Intake The Dietary Reference Intake (DRI) is a system of nutrition recommendations from the National Academy of Medicine (NAM) of the National Academies (United States). It was introduced in 1997 in order to broaden the existing guidelines known as Reco ...
recommendations.


Unhealthy meals and malnutrition

Unhealthy school lunches contribute to malnutrition in both the short term and the long term. In many cases, unhealthy adult eating patterns can be traced back to unhealthy school lunches, because children learn eating habits from social settings such as school. A 2010 study of 1,003 middle-school students in
Michigan Michigan () is a state in the Great Lakes region of the upper Midwestern United States. With a population of nearly 10.12 million and an area of nearly , Michigan is the 10th-largest state by population, the 11th-largest by area, and the ...
found that those who ate school lunches were significantly more likely to be obese than those who did not. Promoting healthy eating in schools may reduce adolescent obesity by as much as 25 percent. One such effort is the Berkeley Food System, which uses vegetable gardens to promote education on healthy eating. Janet Brown, who started the project, explained that students were more likely to eat healthy foods such as fruits and vegetables when they were better introduced to them. In 2008, the Economic Research Service of the USDA issued a report titled "The National School Lunch Program: Backgrounds, Trends, and Issues", which reaffirmed that one of the main goals of the NSLP, as identified by Congress, is to "promote the health and well-being of the Nation’s children". According to the report, new challenges to this goal have emerged with increased scrutiny of high-fat commodities donated by the USDA, such as meat, cheese, and milk. The authors argue that providing high-fat USDA food subsidies contributes to childhood obesity. While NSLP participants have higher intakes of calcium and fiber—nutrients often underconsumed by children—they also have higher fat intakes. However, study results comparing weight gain among NSLP participants and nonparticipants are inconclusive. A 2011 article in the ''
Journal of Econometrics The ''Journal of Econometrics'' is a scholarly journal in econometrics. It was first published in 1973. Its current managing editors are Serena Ng and Elie Tamer, Torben Andersen and Xiaohong Chen serve as editors. The journal publishes work deal ...
,'' "The impact of the National School Lunch Program on child health: A nonparametric bounds analysis", affirmed the nutritional advantages of the Healthy, Hunger-Free Kids Act but found that "children in households reporting the receipt of free or reduced-price school meals through the National School Lunch Program are more likely to have negative health outcomes than observationally similar nonparticipants". The authors asserted that specific groups were not receiving the expected nutritional benefits from the NSLP, and put forth two possible explanations: First, children receiving free or reduced-price meals are likely to differ from their peers in ways that are not reflected in the data. Second, the households of the children most affected by reduced-price lunches may be misreporting participation in the program.


Competitive foods

The USDA report in 2008 identified the emergence of "competitive foods" as an obstacle to the NSLP's nutritional goals. Competitive foods—which may include items purchased off campus, à la carte items purchased on campus, products from vending machines, food purchased for school fundraising, food available at school parties, and treats given to students by teachers—are not included in the NSLP reimbursement plan and so are not required to meet USDA standards. Generally speaking, competitive foods are lower in key nutrients and higher in fat than NSLP-reimbursable meals. The availability of such foods in schools often undermines the nutritional goals of the NSLP. The study recommended that nutritional standards be applied to all food served or sold in schools. In addition, it noted that the
Government Accountability Office The U.S. Government Accountability Office (GAO) is a legislative branch government agency that provides auditing, evaluative, and investigative services for the United States Congress. It is the supreme audit institution of the federal govern ...
(GAO) recommended in 2005 that the USDA's authority to regulate "foods of minimal nutritional value" be extended to a wider class of foods.


Obesity

Research has shown that 36 percent of participants in reduced-price lunch programs are food-insecure and 19 percent are obese. Studies comparing NSLP participants and nonparticipants have been inconclusive on whether weight gain rates differ between the two groups. The 2008 Economic Research Service study found "similar calorie intakes for participants and nonparticipants but higher fat and sodium intakes for participants". The most obvious challenge to efforts to address such problems is that even if more nutritious foods are provided, there is no guarantee that students will eat them. Additionally, the NSLP does not take into account the physiological differences among participants: Some children are smaller than others, some are more athletic, and some have metabolisms that require more calories than the NSLP allows. Three ideas have been proposed to address obesity in schools: * Expose students only to fruits and vegetables as snacks. A 2009 ''
Journal of Nutrition ''The Journal of Nutrition'' (or shortened as '' JN'' or '' J Nutr'') is a peer-reviewed scientific journal published by the American Society for Nutrition. Established in 1928, the journal publishes experimental research on human, animal, cell ...
'' study, "Restricting Snacks in U.S. Elementary Schools Is Associated with Higher Frequency of Fruit and Vegetable Consumption", found that "children in schools with restricted snack availability had significantly higher frequency of fruit and vegetable consumption than children in schools without restricted snack availability", and suggested that a restrictive snack policy should be part of a multifaceted approach to improve children's diets. * Educate all students about nutrition. A 2007 ''
American Journal of Clinical Nutrition ''The American Journal of Clinical Nutrition'' (''AJCN'') is a monthly peer-reviewed biomedical journal in the fields of dietetics and clinical nutrition. The journal was established in 1952 as the ''Journal of Clinical Nutrition'', edited by S ...
'' article, "APPLE project: 2-y findings of a community-based obesity prevention program in primary school-age children", stated, "A relatively simple approach, providing activity coordinators and basic nutrition education in schools, significantly reduces the rate of excessive weight gain in children." * Encourage healthier meal selection without restricting choices. Researchers at
Cornell University Cornell University is a private statutory land-grant research university based in Ithaca, New York. It is a member of the Ivy League. Founded in 1865 by Ezra Cornell and Andrew Dickson White, Cornell was founded with the intention to teach an ...
have suggested techniques based on
behavioral economics Behavioral economics studies the effects of psychological, cognitive, emotional, cultural and social factors on the decisions of individuals or institutions, such as how those decisions vary from those implied by classical economic theory. ...
, such as placing white milk in front of chocolate milk in coolers, moving and highlighting fruit displays, and using appealing names for vegetables to improve palatability.


School nutrition and childhood obesity

The federal government became involved with school meals in the 1940s, responding to concerns that many children were not getting enough to eat. According to military officials at the time, a large number of young men in the United States were not fit for active duty because of undernourishment. In 1946, President Harry Truman (D, 1945–53) signed the National School Lunch Act into law, providing free school lunches for low-income students. In 1966, the Child Nutrition Act shifted control of the school lunch program from a number of government agencies to one, the USDA."Junk Food in Schools: Should schools restrict the sale of junk food?" (2007, March 23). Retrieved from http://0-icof.infobaselearning.com.libcat.sanjac.edu/recordurl.aspx?ID=2379. In the decades since then, childhood weight gain has become a major concern of health experts, as the percentage of children who are overweight has been increasing. According to the Centers for Disease Control and Prevention (CDC), for instance, the percentage of overweight children between the ages of six and eleven in 2003-04 was more than double that of the late 1970s. As the number of overweight and obese students increased, the focus of school nutrition shifted from its original concern – making sure that students had enough to eat — to its more recent preoccupation with preventing weight gain. In 1994, President Bill Clinton (1993-2001) signed the Child Nutrition Reauthorization Bill, which required schools to set limits on the fat content of school lunches. According to a 2001 USDA report, lunches became significantly healthier in the years after the law passed. However, the report also found that, besides lunches, less-healthy competitive foods were available in many schools, and that those options sometimes provided an incentive for students to skip school lunch altogether. Competitive foods have presented an obstacle to the USDA's regulation of food in schools. In 1983, a federal court overturned a USDA regulation that had prohibited the sale of junk food in schools from the beginning of the school day until the end of the last meal period. The court ruled that the USDA could ban junk food in cafeterias only during mealtimes. The USDA does place some restrictions on competitive foods, requiring them to contain at least 5 percent of the recommended daily allowance of a number of specific nutrients, including protein and certain vitamins. But those restrictions have drawn criticism for not limiting foods with ingredients that can be unhealthy, such as sugar, fat, and salt, or those exceeding a certain number of calories. As a result, schools cannot sell chewing gum or breath mints, for instance, because they do not contain the required nutrients, but can sell candy bars and french fries, because they do — even though they also contain large amounts of sugar and fat, respectively.


Outcomes


Educational attainment

Studies have shown a positive correlation between school meal programs and increased food security. Among low-income children, the marginal food insecurity rate of those with access to the School Breakfast Program is lower than that of those children without access to the program. This increase in food security has not been shown to have significant long-term health benefits, but it does have a positive impact on education. Subsidized lunches appear to encourage children to attend school, and to free up food at home for other family members to consume. Public-policy researchers at
Georgetown University Georgetown University is a private university, private research university in the Georgetown (Washington, D.C.), Georgetown neighborhood of Washington, D.C. Founded by Bishop John Carroll (archbishop of Baltimore), John Carroll in 1789 as Georg ...
found in 2010 that "increasing NSLP exposure by ten percentage points results in an average increase in education of .365 years" for girls, and "increases average education by nearly a year" for boys. The researchers found that participation in grades seven through twelve "has a stronger effect on educational attainment than participating in the earlier grades does, whereas there is some evidence suggesting that participation in earlier grades is more important for the health outcomes".


Student reactions

An article in ''
The Wilson Quarterly ''The Wilson Quarterly'' is a magazine published by the Woodrow Wilson International Center for Scholars in Washington, D.C. The magazine was founded in 1976 by Peter Braestrup and James H. Billington. It is noted for its nonpartisan, non-ideolog ...
'' in 2011 described the impact of the NSLP in the Maplewood–Richmond Heights School District in the
St. Louis St. Louis () is the second-largest city in Missouri, United States. It sits near the confluence of the Mississippi and the Missouri Rivers. In 2020, the city proper had a population of 301,578, while the bi-state metropolitan area, which e ...
suburbs, where participation in the program is increasing. Linda Henke, the superintendent of the school district, said: "I was struck by the positive vibe around the revamped program. A teacher said he'd lost seven pounds by eating in the high school cafeteria every school day for the previous three months. A senior girl who had embraced the changes from the beginning observed that even she was surprised when football players started eating salads. The elementary school's cook of 14 years told me her job is now harder, but it’s rewarding." The article continued: "It takes a tough-minded school leader to assert that nutrient-rich food is the right choice for kids—and that it's an appropriate use of government dollars. Kids will complain initially but will come around. And a number of collateral benefits follow when students eat well. Anecdotal reports from schools with healthful and flavorful food indicate that teachers have started eating with students, attendance rates are higher, and fewer students fall asleep in class or commit vandalism and violence at school." Another article examined the program's effects within the
Los Angeles Unified School District Los Angeles Unified School District (LAUSD) is a public school district in Los Angeles, California, United States. It is the largest public school system in California in terms of number of students and the 2nd largest public school district in ...
. The district's food service director, David Binkle, said: "From what I see and what I hear now that students are getting used to he new menusand they have tasted it, they like it. Any time you make a change, and the major change like this, that's an evolution that we have to go through. There's going to be people now saying the meal is too healthy for the kids and it's stuff they don't know. The reality of this is the rest of the country is about to see what we've gone through hen they adopt the new meal pattern regulations We did this on purpose so that we could really get out ahead of this and start to work through it and adjust. I think the rest of the country is going to see a lot of the same impact hat we've seen this year" Binkle added, "What I keep hearing from the principals is that as we keep tweaking and teaching and encouraging the kids, more and more kids are participating." Research overwhelmingly shows an upward trend in NSLP participation. However, the ''Wilson Quarterly'' article described a challenge: "Since 2004, the USDA has administered the HealthierUS School Challenge, awarding distinction but no money, to schools that voluntarily improve the healthfulness of their meals. By last fall, only a paltry 841 of the 101,000 schools in the NSLP (less than one percent) had received awards. That leaves a lot of schools that are still promoting Tater Tot Day and reheating frozen pizzas." The HealthierUS School Challenge (HUSSC) is a voluntary certification initiative recognizing schools that have created healthier environments by promoting nutrition and physical activity. Schools that apply may be awarded HUSSC certification and monetary incentives. As of March 11, 2014, there were 6,706 schools certified, which is 6 percent of the schools participating in the NSLP.


School meal programs during Covid-19

Between March and April 2020, schools around the country abruptly closed due to the Covid-19 pandemic. In order to continue to provide students with school meals while learning remotely, the USDA was able to make temporary changes to its rules, waiving the requirement that meals must be served in a group setting in order to qualify for reimbursement. In the US, 15.2% of children are food-insecure, and 22 million out of the 30 million students who eat school lunch every day rely on free or reduced-price school meals. In response to the Covid-19 emergency, the USDA issued several other waivers to facilitate meal service outside of the cafeteria, including one which, for the duration of the public health emergency, no longer requires schools to meet meal pattern requirements for school breakfast and lunch, allowing schools for more flexibility in the event of supply chain disruptions, and another that allows schools to serve multiple meals at once, so that families can pick up a breakfast and lunch at one time. The Families First Coronavirus Response Act of 2020 authorized states to administer payment of Pandemic Electronic Benefit Transfer (P-EBT) food benefits to households with children who would have received free school lunches under the National School Lunch Act, if not for a school closure. These temporary food benefits were meant to help cover the cost of meals children would have otherwise received at school from March through June during the 2019-2020 school year.


See also

*
Summer lunch programs in public libraries Many public libraries in North America offer summer meal programs to keep kids fed throughout the day. In the summer, low-income children may require nutrition away from home. If parents are at work, and there are limited food sources at home, c ...


References

{{Contemporary social welfare programs in the United States Education in the United States Welfare in the United States