Outside interviewed Nutrition Policy Institute researcher and physical activity expert Hannah Thompson for a March 31, 2024 article, “School Fitness Testing Is a Nightmare. Should We Get Rid of It?” In the article, Thompson addresses why cardiovascular fitness is a better predictor of children's future health than body mass index, which is commonly known as BMI. “Even in the ‘overweight' category, BMI is not necessarily predictive of poor metabolic health. Cardiovascular fitness is.” Her interview provided context to recent changes in school fitness testing in California. The California Department of Education suspended student body mass index reporting as part of FITNESSGRAM® data collection in January 2022, citing concerns about mental health, accessibility and gender equity. “PE is not supposed to impact BMI,” said Thompson. “The whole idea of physical education—apart from recess or other physical activity opportunities—is to help younger students build the foundation and skills to go on and be active later in life.”
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Outside interviews NPI’s Hannah Thompson on why cardiovascular fitness is a better predictor of children’s future health than body mass index
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New study explores Maine and California's experiences successfully passing School Meals for All policy
During the first two years of the pandemic, the federal government enacted waivers to allow school meals to be offered to all students at no cost to families. In July 2021, California and Maine became the first states to authorize permanent universal school meals, mandating free school meals to combat food insecurity and improve students' physical and academic health. In this qualitative study, semi-structured interviews were conducted with 30 key stakeholders between December 2021 and June 2022 to explore the factors contributing to the passage of school meals for all legislation in each state. The stakeholders interviewed included policymakers, state agency officials, and advocates. Researchers identified 11 themes from the interviews, including national attention on child hunger, budget surpluses, single-party political control, experienced policymakers, and the context of the ending of pandemic meal waivers. Documenting and sharing lessons from the implementation of universal school meals legislation in California, Maine, and other early adopting states can help inform the potential expansion of access to school meals in other states and nationally. This study was conducted by Nutrition Policy Institute researchers Wendi Gosliner, Kenneth Hecht, Christina Hecht, and Lorrene Ritchie, Amelie Hecht from the University of Wisconisin-Madison, Lindsey Turner from the College of Education, Boise State University, Michele Polacsek from the Center for Excellence in Public Health, University of New England, and Juliana Cohen from the Department of Public Health and Nutrition, Merrimack College.
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NPR features Nutrition Policy Institute’s collaborative research on letters home from school on childhood obesity
National Public Radio's Shots health news interviewed Nutrition Policy Institute's Hannah Thompson on a 2022 study that showed that letters home from school on childhood obesity had no effect on student weight. The interview was featured in an April 9, 2024 NPR article titled “Arkansas led the nation sending letters home from school about obesity. Did it help?” Thompson is quoted, "It's such a tiny-touch behavioral intervention,” stating that parents don't know what to do with information about their child being overweight. “You find out your child is asthmatic, and you can get an inhaler, right?" Thompson said. "You find out that your child is overweight and where do you even go from there? What do you do?” Thompson and her collaborators' study findings are timely as school districts across the nation, including in California, are eliminating measurement of students' height and weight to calculate and report body mass index, commonly known as BMI, which is used as a proxy for body fat composition to assess for overweight and obesity. This is due to recent scrutiny from the American Medical Association of using BMI alone to assess obesity, given it does not consider differences across racial and ethnic groups, sex, gender and age.
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Research Brief: School-based physical activity interventions that include policy changes together with improving physical activity opportunities may be the most effective approach for improving student fitness
A new research brief developed by the Nutrition Policy Institute highlights promising school-based CalFresh Healthy Living—California's SNAP-Ed program—physical activity interventions. The study used latent class analysis to describe the predominant combinations of CFHL physical activity interventions implemented in California public schools in partnership with local health departments. Using Fitnessgram data from over 440,000 students in nearly 4,300 schools, the researchers assessed whether intervention combinations were associated with student cardiorespiratory fitness, as measured by V02 max. The study found that students in schools with CFHL interventions focused on establishing or improving wellness policies and increasing opportunities for physical activity had better cardiorespiratory fitness than students in schools without CFHL interventions or in schools with other types of CFHL intervention combinations. The peer-reviewed study was authored by Sridharshi Hewawitharana, Gail Woodward-Lopez, and Wendi Gosliner from the Nutrition Policy Institute, Punam Ohri-Vachaspati and Francesco Acciai from Arizona State University, and John Pugliese from the California Department of Public Health. The research brief was created by NPI's CalFresh Healthy Living Evaluation Unit, including: Summer Cortez, Reka Vasicsek, Miranda Westfall, and Sridharshi Hewawitharana.
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NPI partners to develop and evaluate a marketing campaign to increase school meal participation
Increasing participation in school meal programs can improve dietary quality and reduce nutrition insecurity. School food service directors have indicated an urgent need for marketing materials encouraging school meal participation. Nutrition Policy Institute will partner with Anna Grummon of Stanford University to develop and evaluate a marketing campaign to increase school meal participation. The evaluation will help to determine the school meal messaging that most resonates with parents. The two-year project, “Developing and evaluating a marketing campaign to increase school-meal participation to improve children's dietary quality and reduce food insecurity,” was funded by the Robert Wood Johnson Foundation's Healthy Eating Research program. The project started in November 2023 and includes NPI's Christina Hecht, Ken Hecht and Reka Vasicsek.
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New Spanish podcast highlight’s NPI’s 10-year anniversary and Student Fellowship program
The Nutrition Policy Institute, founded in 2014, is celebrating a decade of impactful research. The latest episode of the Spanish-language podcast, Charla y Café al mediodía, features NPI senior researcher Ron Strochlic discussing the Institute's history and achievements. The podcast highlights NPI's origins at the University of California, Berkeley's Center for Weight and Health and its significant research on sugar-sweetened beverage taxes, the CalFresh Market Match program, and improving access to drinking water in schools and nutritious food in California prisons. Former NPI student fellow, Anna Rios, shared how the NPI Student Fellowship supported her career development. Rios is now a Harvard Medical School-trained neuroscientist. The NPI Student Fellowship, developed in honor of NPI's founding co-director Patricia Crawford, was designed to diversify and bring more equity to the field of public health nutrition, offering a unique mentoring and training experience in applied research. The podcast, produced by Ricardo Vela from UC Agriculture and Natural Resources, News and Outreach in Spanish, is available online in both video and audio. In honor of NPI's anniversary, donations to the NPI Student Fellowship are encouraged. Contributions made by June 30, 2024, will be matched up to $10,000 by an anonymous donor.
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Study reveals parent perceptions of school meals associated with student participation in school meals
School meals have been shown to be the healthiest source of food for US students on average and have been associated with multiple benefits to students. However, not all students eat school meals, even if they are eligible for free or reduced-price meals based on their family income. This study examined the association between parent perspectives about school meals and student meal participation during the school year 2021-22 in the context of the California Universal School Meals policy. NPI researchers surveyed 1,110 parents of California K-12 students and identified three groups of parental perceptions: positive perceptions (e.g. liking school meals and thinking that they are tasty and healthy), perceived benefits to families (e.g. school meals save families money, time, and stress), and negative perceptions (e.g. concerns about the amount of sugar in school meals and stigma). More positive parental perceptions about school meals and their benefits to families were associated with greater student meal participation, while more negative parental perceptions were associated with reduced student participation in school meals. Overall, study results emphasize that parent perceptions of school meals may affect student participation in school meal programs and that effective communication with parents to ensure parents are familiar with the healthfulness and quality of school meals may be critical for increasing meal participation rates. A podcast interview with researcher Monica Zuercher and a press release were published in the Journal of Nutrition Education and Behavior, further explaining the research study findings. The research study was led by NPI researchers Monica Zuercher, Christina Hecht, Kenneth Hecht, Dania Orta-Aleman, Anisha Patel, Lorrene Ritchie, and Wendi Gosliner, as well as researchers Juliana Cohen, Deborah Olarte, and Leah Chapman with Merrimack College, Margaret Read with Partnership for a Healthier America, and Marlene Schwartz with the University of Connecticut.
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New video in Spanish celebrates NPI’s ten-year anniversary
The Nutrition Policy Institute, founded in 2014, is celebrating ten years of high-impact research. A new video in Spanish highlight's NPI's accomplishments and contributions to public health in California related to universal school meals, improving the federal Special Supplemental Nutrition Program for Women, Infants and Children (commonly known as WIC), provide fresh food in correctional facilities, improving quality and access to drinking water in schools and child care, and promoting access to fresh produce for families in need by promoting CalFresh (nationally known as SNAP) benefit use at farmers Markets. The video also highlight's the NPI Student Fellowship which aims to foster diversity in the next generation of public health nutrition leaders. The Spanish video description is below:
UC ANR y NPI Celebran una década de impacto en la comunidad
Únete a nosotros para celebrar una década de logros del Instituto de Políticas de Nutrición (NPI). Descubre cómo nuestras iniciativas han transformado la salud pública en California:
- Comidas Escolares para Todos: Asegurando que cada niño tenga acceso a comidas nutritivas en la escuela.
- Mejoras al Programa WIC: Optimizando el apoyo nutricional para mujeres y niños de bajos ingresos.
- De la Granja a las Correccionales: Proporcionando alimentos frescos en instalaciones correccionales.
- Beca Estudiantil NPI: Fomentando la próxima generación de líderes en nutrición pública.
- Agua Potable en Escuelas: Garantizando la calidad del agua para una mejor salud infantil.
- Beneficios de CalFresh en Mercados de Agricultores: Promoviendo el acceso a productos frescos para familias necesitadas.
Tu apoyo es fundamental para continuar nuestra misión. Contribuye hoy y ayúdanos a seguir mejorando la nutrición en California.
The video, developed by the University of California, Agriculture and Natural Resource's News and Outreach in Spanish, and a complementary news story, "Instituto de Políticas de Nutrición: 10 años de hacer que las opciones saludables sean más accesibles para todos," are available online.
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NPI welcomes Elsa Esparza as new project policy analyst
Elsa Esparza joined the Nutrition Policy Institute at the University of California, Agriculture and Natural Resources on March 18, 2024 as a part-time project policy analyst. Elsa is a registered dietitian and received her master's degree in public health from the UC Berkeley School of Public Health. She previously worked with NPI in 2019 as a UC Global Food Initiative graduate student fellow. In addition to her current role at NPI, Elsa serves as the program director for the new Dietetic Internship at the UC Berkeley School of Public Health. Elsa is eager to contribute to research that will inform policies aimed at eliminating health disparities, especially among early childhood populations. She is also passionate about mentoring students who aspire to pursue careers in public health nutrition. Elsa has worked in many settings where public health nutrition is at the forefront, ranging from a federally qualified health center, an anti-hunger advocacy non-profit, a research institution, a family foundation, and now at the University of California. In her role at NPI, Elsa will serve as a co-project manager for the California School Meals for All evaluation.
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NPI celebrates a decade of high-impact research
The Nutrition Policy Institute was established 10 years ago to address the growing nutrition problems in the U.S., where 1 in 6 families lack consistent access to food and more suffer from a nutrition-related chronic condition than do not. Our talented team remains steadfast in our vision to ensure access to nutritious food, beverages and opportunities for physical activity for all through conducting and translating policy-relevant research. To mark our 10-year anniversary, we'd like to share some of our key achievements.
- School Meals for All - We have been dedicated to evaluating the impacts of every child, regardless of their background, having access to nutritious meals at school. Our efforts have helped to establish comprehensive school meal programs in our state. California became the first state in the nation to adopt school breakfast and lunch at no charge, providing access to better nutrition for over 6 million K-12 students annually.
- Enhancements to the WIC Program - We have worked to improve the accessibility and effectiveness of the Special Supplemental Nutrition Program for Women, Infants, and Children which provides food and nutrition counseling for low income pregnant women and children. By streamlining processes and expanding outreach, WIC services have improved. Over one million women and children receive WIC benefits annually in California – reaching nearly half of all children born in the state.
- Farm to Corrections Program - One of our innovative initiatives, involving the Farm to Corrections Program, connects correctional facilities with local farms, thus promoting more fresh fruits and vegetables for incarcerated individuals while supporting local agriculture. Within the next 2 years, all 33 of California's adult facilities will be enrolled in the Farm to Corrections Program.
We couldn't have achieved all this without our dedicated team, collaborators and funders. Special thanks also go to our past and current students, whose passion for positive change fuels our work. To continue this legacy, we established the NPI Student Fellowship in 2019 to increase diversity in the public health nutrition workforce and to honor our founding co-director, Pat Crawford. As we celebrate our 10th anniversary, we are pleased to announce a matching gift of up to $10,000 to support the NPI Student Fellowship. Any donation made between May and June 2024 will be doubled. A gift of any size will be appreciated and you can make your gift online. Your contribution will empower the next generation of nutrition research to policy leaders to continue our work toward healthier, more equitable communities. Read more about our impact over the last 10 years in this UC ANR news story—also available in Spanish—written by Mike Hsu. Watch this video in English or Spanish to learn about the history of the Fellowship and hear from students about their experiences.
- School Meals for All - We have been dedicated to evaluating the impacts of every child, regardless of their background, having access to nutritious meals at school. Our efforts have helped to establish comprehensive school meal programs in our state. California became the first state in the nation to adopt school breakfast and lunch at no charge, providing access to better nutrition for over 6 million K-12 students annually.
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NPI partners with Mathematica on USDA WIC and WIC Farmers Market Nutrition Program modernization evaluation
The Special Supplemental Nutrition Program for Women, Infants and Children—commonly known as WIC—is celebrating 50 years of improving the health of participants, including those who are pregnant, new parents, infants, and children under five. The American Rescue Plan Act of 2021 provided the US Department of Agriculture with $390 million, available through FY 2024, to carry out outreach, innovation, and program modernization efforts to increase participation and redemption of benefits for both the WIC program and the WIC Farmers' Market Nutrition Program. The USDA contracted with Mathematica and their partners, including the Nutrition Policy Institute, to design and implement an evaluation of these projects being implemented across 89 WIC State agencies and 51 Farmers Market Nutrition Program State agencies. The evaluation will assess whether the modernization projects being implemented are associated with increases in enrollment, participation, retention, and redemption of benefits; improvements in participant experience; and reduced disparities in program delivery. The five-year project began in September 2023. NPI research project team members will include Lorrene Ritchie, Danielle Lee, Celeste Felix, KC Whitsett and Reka Vasicsek.
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New infographics share culturally relevant information on school meals for Spanish-speaking California families
Nutrition Policy Institute, in collaboration with the Dolores Huerta Foundation, Cultiva La Salud, and Stanford Pediatrics, released three infographics with information on school meal programs. The cartoon-style one-pagers were developed after a PhotoVoice project suggested the need for culturally and linguistically relevant materials about school nutrition programs for Spanish-speaking families in California's San Joaquin Valley. The infographics emphasize federal nutrition requirements for school meals, factors influencing school meal offerings, and the role families and youth can play in advocating for changes.
- “What's on the menu?” promotes the benefits to student health and learning from school meals, including an overview of their nutritional components. It is available in Spanish, “¿Qué hay en el Menú de la?”, and complementary English and Spanish videos.
- “What goes into making school meals?” highlights the logistics and other factors that influence how schools provide meals. It is available in Spanish, “¿Qué se Necesita para Preparar las Comidas Escolares?” and complementary English and Spanish videos.
- “Make Your Voice Heard!” highlights avenues for parent and community involvement in advocating for policies and practices related to school meals at local, state, and federal levels. It is available in Spanish, “¡Alza tu Voz!
Parents, youth, school district officials, food service directors in the San Joaquin Valley, and other partners helped to co-create the infographics with designers at Tremendousness. The project partnership includes NPI's senior policy advisor Christina Hecht and policy director Ken Hecht. Initial investigation and infographic content development were funded by the Stanford University Office of Community Engagement, with video development and extended dissemination funded by the Thompson Family Foundation.
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New study highlights impact of increased WIC benefits for fruits and vegetables among ethnic and racial groups
The Special Supplemental Nutrition Program for Women, Infants, and Children, known as WIC, offers nutrition support to diverse populations. The Cash Value Benefit (CVB) for fruits and vegetables, is a key component of the WIC food packages that accommodates diverse cultural, racial, and ethnic preferences by offering flexibility in fruit and vegetable choices. In response to exacerbated health disparities and decreased food security during the COVID-19 pandemic, the US Department of Agriculture increased the CVB from $9 per month per child to the current amount of $26 per month per child. Study researchers assessed the impact of CVB augmentation on CVB redemption, household food security, fruit and vegetable intake, and satisfaction among participating caretakers in California's WIC program by race and ethnicity. A prospective cohort study across three survey waves from pre-augmentation to post-augementation among a diverse sample of participating caregivers was conducted. Study results demonstrated significant improvements in CVB redemption, household food security, and satisfaction across all racial and ethnic groups following the increases in CVB. Larger increases in satisfaction were found among non-Hispanic Black, and Hispanic English-speaking participants compared to other groups. Researchers suggest that continued augmentation of CVB, and further research into factors influencing CVB redemption and its effects on WIC participation could help improve health outcomes across the diverse WIC population. The study was conducted by Nutrition Policy Institute researchers Marisa Tsai and Lorrene Ritchie, Christopher Anderson, Shannon Whaley, and Catherine Yepez from Public Health Foundation Enterprises (PHFE)-WIC, and Lauren Au from the Department of Nutrition, University of California, Davis.
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California Bountiful Magazine features Nutrition Policy Institute’s collaborative Farm to Correction project
Apr 16, 2024A recent Spring 2024 issue of the California Bountiful magazine, features Nutrition Policy Institute's collaborative research with Impact Justice and ChangeLab Solutions on their Farm to Corrections California project. The article titled, “Program benefits inmates, small farms and local economies,” by Linda DuBois highlights the initiative created from the project, “Harvest of the Month.” This initiative supports local agriculture and nutrition promotion, individual well-being, and equitable access to fresh, diverse food options within the California Department of Corrections and Rehabilitation state prisons. Learn more about the program in this news story.
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New report shares perspectives from over 38,000 WIC participants in 21 states
Over 38,000 participants in the federal Special Supplemental Nutrition Program for Women, Infants and Children, commonly known as WIC, completed a satisfaction survey in summer of 2023. Conducted across 21 participating WIC state agencies in all US Department of Agriculture administrative regions, the survey showed high satisfaction with the WIC program and that participants feel respected, valued and included by WIC staff. The hybrid WIC services introduced during the pandemic were successful, with two-in-three using in-person services, over half using remote services and nearly all finding it is easy to schedule appointments. The top reasons for WIC participation were the fruits and vegetables in the WIC food package followed by other foods and the education and support from WIC staff. Participants expressed interest in using WIC benefits at farmers markets and requested expanded fruit and vegetable options in states that don't authorize canned or frozen options. The survey illuminated challenges participants experience when shopping for WIC foods, reasons for not buying all their WIC foods, and their desire for expanded shopping options. Results align with the recently finalized WIC food package changes. Findings are available in the report “2023 WIC Multi-State Participant Satisfaction Survey” published online on April 9, 2024. The survey was also cited in an article in The New York Times, "Food Aid Program for Mothers and Children Will Provide More Fruits and Vegetables" and another article in NBC News, "Low-income families have more to spend on fruit and veggies thanks to new WIC rule," both published on April 9, 2024. The project was conducted by Lorrene Ritchie, Danielle Lee, Celeste Felix, Ken Hecht and Hannah Thompson from the Nutrition Policy Institute, Loan Kim, Theresa Tran, Claire Burton and Amanda Kiang from Pepperdine University and Georgia Machell from the National WIC Association. The project was funded by the National WIC Association through a grant from the Robert Wood Johnson Foundation.
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Study examines sociodemographic factors in multi-program take-up of safety net programs among California families
US safety net programs provide aid to low-income households through cash and in-kind assistance, such as food and healthcare benefits. Using data from the Assessing California Communities' Experiences with Safety Net Supports ACCESS,study researchers examined patterns of multi-program take-up, that is participation conditioned on eligibility in California. Sociodemographic factors associated with multi-program take-up were also identified. Among the four safety net programs examined (i.e., Earned Income Tax Credit or EITC, the Supplemental Nutrition Assistance Program or SNAP, the Special Supplemental Nutrition Program for Women, Infants, and Children or WIC, and Medicaid), NPI researchers found relatively low multi-program take-up of SNAP and WIC. Meanwhile, the take-up of Medicaid was high, both as an individual program and among those participating in other programs. Sociodemographic factors, including Income, age, and primary language spoken were associated with multi-program take-up. To improve multi-program participation, study researchers recommend streamlining application processes to reduce administrative burden, data sharing among safety-net programs, and targeted recruitment of under-enrolled subgroups. Increasing multi-program take-up of safety net programs among California families can contribute to improved health equity and address key social determinants of health. This study was conducted by NPI researchers Marisa Tsai and Wendi Gosliner, Joseph Yeb with Tufts University School of Medicine, Kaitlyn Jackson and Rita Hamad with Harvard School of Public Health, and Lia Fernald with the University of California Berkeley, School of Public Health.
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High support exists among parents of all income levels for School Meals for All in California
In a recent research brief, Nutrition Policy Institute researchers highlight the benefits of California's School Meals for All program which offers breakfast and lunch to all K-12 students at public and charter schools every instructional day, at no charge, regardless of household income. The program began in the 2022-2023 school year after temporary federal pandemic funding for universal meals ended. Prior to the pandemic, household income determined school meal charges. The brief shares findings from a 2023 NPI survey examining parents' perceptions regarding the policy's impact. Among a diverse representation of all income levels and ethnic groups, 80% of all parents were in support. Christina Hecht, NPI's senior policy advisor, presented these findings and other NPI research on School Meals for All to the California State Assembly Budget Subcommittee on Education Finance on Wednesday, March 20, 2024. In her public testimony, Hecht explained that “...65% of parents across all income levels believe the School Meals For All program reduces stigma for their child about eating a school meal.” Findings can inform further efforts to continue the expansion of California's School Meals For All program to reduce financial strain, food insecurity, stress, and stigma among families. The research was led by Dania Orta-Aleman, Christina Hecht, Monica Zuercher, Ken Hecht, Samantha Sam-Chen, Lorrene Ritchie, and Wendi Gosliner from NPI and Juliana Cohen from Merrimack College.
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NPI welcomes KC Whitsett as new project policy analyst
KC Whitsett joined the Nutrition Policy Institute at the University of California, Agriculture and Natural Resources on March 25, 2024, as a project policy analyst. Originally from Virginia, KC earned a BS in Kinesiology and Health Sciences from the College of William & Mary. KC also holds a Master of Public Health from UC Berkeley, with an interdisciplinary concentration on research and evaluation methods for food access and nutrition programs. Her previous professional experiences include program and grant management and community health education. She has expertise in the evaluation of physical activity and food access programs—healthy corner store initiatives, mobile markets, SNAP incentives—and farmworkers' access to health care services. In her role at NPI, KC will support qualitative data collection and analysis for projects related to school meals, the Child and Adult Care Food Program and the Special Supplemental Nutrition Program for Women, Infants and Children—commonly known as WIC.
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NPI receives funding to conduct a research project on milk-fat content effects on toddler health
Milk provides various nutrients such as calcium, protein, and vitamin D, which are essential for health and brain development. In the US, it is advised that children switch from the recommended whole cow's milk from ages 1-2 to low-fat or non-fat milk after age 2 to reduce saturated fat and calorie intake, however, few studies support this recommendation. Nutrition Policy Institute researchers and Anisha Patel with the Stanford Medicine Department of Pediatrics recently received funding for a research study from the National Institute of Health. The study, Milk Type in Toddlers or Milk-TOT, includes a randomized controlled trial that will investigate how whole and low-fat 1% milk affect child adiposity, dietary intake, and health outcomes, aiming to provide evidence-based recommendations for dietary guidelines. The California Dairy Research Foundation provided additional funding to include the assessment of the impacts of varying milk types on participating children's gut microbiota diversity, in collaboration with Justin Sonnenburg with the Stanford Medicine Department of Microbiology and Immunology. Parents or caregivers with children between 23-30 months old living in the San Francisco Bay Area may be eligible to participate in the study. The four-year project began in January 2024 and is estimated to end in June 2028. The project is led by Lorrene Ritchie as the principal investigator, and NPI researchers, Kassandra Bacon, Ryan Williams, Suzanne Rauzon, Celeste Felix, Hannah Thompson, Fanta Jimissa, Reka Vasicsek and Meirong Liao.
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Research brief examines benefits of Massachusetts’ Healthy School Meals for All policy on families
A recent research brief from researchers at Merrimack College and the Nutrition Policy Institute highlights the impact of the Massachusetts Healthy School Meals for All policy on families. The policy was implemented in 2022, aiming to alleviate financial burdens for families by providing free school meals for all students. A sample of 284 parents selected to be representative of the state completed a survey, revealing strong support for the policy across all income brackets. Families reported numerous benefits of the policy, including financial savings, time efficiency, and reduced stress as well as improved student behavior and academic achievement. Moreover, survey results demonstrated that if the policy ended, parents believe there would be an increase in the stigma associated with receiving meal assistance which could prevent some children from consuming school meals. This research brief helps support the continuation of the Healthy School Meals for All policy as well as future efforts to expand access to nutrition programs in schools. This research brief was developed by Juliana Cohen with Merrimack College and the Harvard T.H. Chan School of Public Health, Nutrition Policy Institute researchers Wendi Gosliner, Christina Hecht, Ken Hecht, Monica Zuercher, and Lorrene Ritchie, and Marlene Schwartz from the University of Connecticut Rudd Center for Food Policy and Health, and. This research was funded by The Robert Wood Johnson Foundation Healthy Eating Research and Project Bread.
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