Mohit Nair, Kristin Moore, Sara Jaye Sanford, Anne McNair, Alastair Matheson, Eva Wong
Impacts of COVID-19 on Young Children and Families: A Qualitative Study Using Best Starts for Kids Health Survey Data in King County, WA
Maternal and child health journal
purpose study examine impact districtwide food best practices preparation changes elementary schools lunches implemented part livewellschool childhood obesity program funded livewell coloradokaiser permanente community health initiative longitudinal study examining school changes best practices food preparation impacted types side items offered 2009 2015 elementary school cafeterias highneed school district southern colorado specifically study examined changes side items fruits vegetables potatoes breads desserts phase 1 20092010 baseline data collected phase 2 20102011 breaded processed foods eg frozen nuggets prepackaged pizza removed school chefs trained scratch cooking methods phase 3 20112012 saw increased use freshfrozen fruits vegetables new commodity order phase 4 20132015 chef consulting training took place frequency side offerings tracked across phases analyses completed fall 2016 limited sample sizes data phases 2 4 intervention phases combined potatoes desserts descriptive statistics calculated adjusting length time phase pearson chisquare tests conducted examine changes offerings side items phase fresh fruit offerings increased canned fruit decreased phases 14 p0001 significant difference observed vegetables p0001 raw steamed vegetables increasing canned vegetables decreasing phase 1 4 fresh potatoes low sodium increased fried potatoes high sodium decreased phase 1 phases 24 p0001 breads eliminated entirely phase 2 dessert changes significant p0927 approach promoting healthier lunch sides promising paradigm improving elementary cafeteria food offerings article part supplement entitled building thriving communities comprehensive community health initiatives sponsored kaiser permanente community health