Influence of school competitive food and beverage policies on obesity, consumption, and availability: a systematic review - PubMed (original) (raw)
Review
Influence of school competitive food and beverage policies on obesity, consumption, and availability: a systematic review
Jamie F Chriqui et al. JAMA Pediatr. 2014 Mar.
Abstract
Importance: The US Department of Agriculture recently issued an interim final rule governing the sale of foods and beverages sold outside of the school meal programs ("competitive foods and beverages" [CF&Bs]).
Objective: To examine the potential influence that the federal rule may have based on peer-reviewed published studies examining the relationship between state laws and/or school district policies and student body mass index (BMI) and weight outcomes, consumption, and availability of CF&Bs.
Evidence review: Keyword searches of peer-reviewed literature published between January 2005 and March 2013 were conducted using multiple databases. Titles and abstracts for 1160 nonduplicate articles were reviewed, with a full review conducted on 64 of those articles to determine their relevancy. Qualitative studies, studies of self-reported policies, or studies examining broad policies without a specific CF&B element were excluded.
Findings: Twenty-four studies were selected for inclusion. Studies focused on state laws (n = 14), district policies (n = 8), or both (n = 2), with the majority of studies (n = 18) examining foods and beverages (as opposed to food-only or beverage-only policies). Sixteen studies examined prepolicy/postpolicy changes, and 8 studies examined postpolicy changes. Study designs were cross-sectional (n = 20), longitudinal (n = 3), or a combination (n = 1). Outcomes examined included change in BMI, weight, probability of overweight or obesity (n = 4), consumption (n = 10), and availability (n = 13); 3 studies examined more than 1 outcome. The majority of studies primarily reported results in the expected direction (n = 15), with the remaining studies (n = 9) reporting primarily mixed or nonsignificant results.
Conclusions and relevance: In most cases, CF&B policies are associated with changes in consumption and/or availability in the expected direction; however, caution should be exercised, given that nearly all were cross-sectional. The influence of such policies on overall student consumption and BMI and weight outcomes was mixed. The findings hold promise for the likely influence of federal CF&B regulations on changes in student in-school consumption and in-school competitive food availability. Further research is needed to truly understand the association between these policies and overall consumption and weight outcomes.
Similar articles
- The extent to which school district competitive food and beverage policies align with the 2010 Dietary Guidelines for Americans: implications for federal regulations.
Schneider LM, Schermbeck RM, Chriqui JF, Chaloupka FJ. Schneider LM, et al. J Acad Nutr Diet. 2012 Jun;112(6):892-6. doi: 10.1016/j.jand.2012.01.025. Epub 2012 Apr 14. J Acad Nutr Diet. 2012. PMID: 22507758 - The Effect of State Competitive Food and Beverage Regulations on Childhood Overweight and Obesity.
Datar A, Nicosia N. Datar A, et al. J Adolesc Health. 2017 May;60(5):520-527. doi: 10.1016/j.jadohealth.2016.09.003. Epub 2016 Nov 9. J Adolesc Health. 2017. PMID: 27836530 Free PMC article. - Competitive food initiatives in schools and overweight in children: a review of the evidence.
Fox S, Meinen A, Pesik M, Landis M, Remington PL. Fox S, et al. WMJ. 2005 Jul;104(5):38-43. WMJ. 2005. PMID: 16138514 Review. - Behavioral and Pharmacotherapy Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: An Updated Systematic Review for the U.S. Preventive Services Task Force [Internet].
LeBlanc EL, Patnode CD, Webber EM, Redmond N, Rushkin M, O’Connor EA. LeBlanc EL, et al. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Sep. Report No.: 18-05239-EF-1. Rockville (MD): Agency for Healthcare Research and Quality (US); 2018 Sep. Report No.: 18-05239-EF-1. PMID: 30354042 Free Books & Documents. Review.
Cited by
- Association between competitive food and beverage policies in elementary schools and childhood overweight/obesity trends: differences by neighborhood socioeconomic resources.
Sanchez-Vaznaugh EV, Sánchez BN, Crawford PB, Egerter S. Sanchez-Vaznaugh EV, et al. JAMA Pediatr. 2015 May;169(5):e150781. doi: 10.1001/jamapediatrics.2015.0781. Epub 2015 May 4. JAMA Pediatr. 2015. PMID: 25938657 Free PMC article. - The impact of primary school nutrition policy on the school food environment: a systematic review.
Grigsby-Duffy L, Brooks R, Boelsen-Robinson T, Blake MR, Backholer K, Palermo C, Peeters A. Grigsby-Duffy L, et al. Health Promot Int. 2022 Oct 1;37(5):daac084. doi: 10.1093/heapro/daac084. Health Promot Int. 2022. PMID: 36166267 Free PMC article. - A Trial of the Efficacy and Cost of Water Delivery Systems in San Francisco Bay Area Middle Schools, 2013.
Patel AI, Grummon AH, Hampton KE, Oliva A, McCulloch CE, Brindis CD. Patel AI, et al. Prev Chronic Dis. 2016 Jul 7;13:E88. doi: 10.5888/pcd13.160108. Prev Chronic Dis. 2016. PMID: 27390074 Free PMC article. Clinical Trial. - School District Policies and Adolescents' Soda Consumption.
Miller GF, Sliwa S, Brener ND, Park S, Merlo CL. Miller GF, et al. J Adolesc Health. 2016 Jul;59(1):17-23. doi: 10.1016/j.jadohealth.2016.02.003. Epub 2016 Mar 23. J Adolesc Health. 2016. PMID: 27021401 Free PMC article. - The School Food Environment and Obesity Prevention: Progress Over the Last Decade.
Welker E, Lott M, Story M. Welker E, et al. Curr Obes Rep. 2016 Jun;5(2):145-55. doi: 10.1007/s13679-016-0204-0. Curr Obes Rep. 2016. PMID: 27066793 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical