Andrew D Oxman, Laura Martínez García
Comparison of the Informed Health Choices Key Concepts Framework to other frameworks relevant to teaching and learning how to think critically about health claims and choices: a systematic review
F1000Research
study determined extent schools adhered select nutrition wellness provisions 2010 healthy hungerfree kids act examined differences us region school poverty level comparison crosssectional observational data healthy communities study 20132015 region school poverty level total 401 us elementary middle schools adherence federal nutrition standards meals competitive foods extent implementation select aspects school wellness policies descriptive statistics multivariate regression used differences examined school poverty level region adjusting school communitylevel covariates schools reported meeting reimbursable school meal nutrition standards 74 schools west met nutrition standards 82 midwest 64 grains offered lunch whole grainrich 82 competitive foods complied standards 78 required schools wellness coordinator 80 lowest levels adherence reported guidelines classroom school event foods differences observed school poverty level findings suggest healthy hungerfree kids act provisions feasible across wide variety schools schools successfully implemented reimbursable school meal nutrition standards regardless school poverty level