School Lunch Consumption Among 3 Food Service Providers in New Orleans.

BACKGROUNDLouisiana has one of the highest rates of overweight and obese children in the United States. The Healthy School Food Collaborative (HSFC) was created to allow New Orleans's schools to select their own healthy school Food Service Provider (FSP) with requirements for higher nutritional standards than traditional options. The goal of this cross-sectional study was to examine whether HSFC membership was associated with lunch consumption rates in elementary school children. METHODSAn 8-week plate waste study examining 18,070 trays of food among fourth and fifth graders was conducted. Participants included 7 schools and the 3 FSPs (2 HSFC and 1 non-HSFC member) that serviced them. Mixed models analysis examined whether consumption rates of food items differed among FSPs. RESULTSOn average, students consumed 307cal during lunch. Analyses showed significant differences in consumption rates of entree, vegetables, fruit, and milk between the 3 FSPs (p<.01). The highest consumption rate was among entrees at 65%. One HSFC provider had consumption levels consistent with the non-HSFC FSP. CONCLUSIONSOverall, students consumed less than 60% of the US Department of Agriculture recommended calories for school lunch. While overall caloric consumption was higher among the non-HSFC schools, interventions to increase lunch consumption across all schools are needed.