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The New school food standards and nutrition of school children: Direct and Indirect Effect Analysis

机译:新学校食品标准与学童营养:直接和间接效应分析

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The Healthy, Hunger-Free Kids Act (HHFKA) of 2010 made sweeping changes to school nutritional standards. We estimate the impacts of shifts in school nutritional standards on dietary quality as well as dietary quantity of children's food intakes from school and away-from-school food sources. We find the average effect of consuming school food, rather than away-from-school food, on children's overall dietary quality significantly increased from the preto post-HHFKA implementation period. This effect was solely driven by substantial improvements in the dietary quality of foods acquired at school, mainly among older and higher-income children. Our indirect effect analysis indicated that children shifted towards consuming lower-quality diets at home in the post-HHFKA period, thereby partially offsetting the positive effects of the HHFKA on their overall dietary quality. Indirect impacts were primarily driven by a subset of children consuming more than a third of their daily calories from school food. Additionally, we find suggestive evidence of a modest decrease in daily calorie intake, particularly among older and higher-income children. Together, our findings imply that the HHFKA, despite its unintended negative indirect effects, led children to consume more-nutritious, less-energy-dense diets. (c) 2020 Elsevier B.V. All rights reserved.
机译:2010年的健康,饥饿的儿童法案(HHFKA)对学校营养标准进行了淡化变化。我们估计学校营养标准在学校营养质量方面的影响以及儿童食物摄入量的膳食数量从学校和远离学校食物来源。我们发现消费学校食品,而不是远离学校食物的平均效果,对儿童的整体膳食质量明显增加,从Purpo-Hhfka实施期间显着增加。这种效果仅受到在学校收购的食物膳食质量的大量改善,主要是年龄较大的和高收入儿童。我们的间接效应分析表明,儿童在HHFKA后期的家中消耗低质量的饮食,从而部分抵消了HHFKA对整体膳食质量的积极影响。间接影响主要受到从学校食物中消耗超过三分之一的每日卡路里的儿童。此外,我们发现日常卡路里摄入量较为减少的暗示证据,特别是在老年人和高收入儿童中。我们的研究结果暗示了,尽管有其非预期的负面间接影响,但LED儿童消耗更多营养,较低能量密集的饮食。 (c)2020 Elsevier B.v.保留所有权利。

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