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 Vol. 11 No. 6, June 2004
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AAP Grand Rounds 11:62-63 (2004)
© 2004 American Academy of Pediatrics

SCHOOL HEALTH

School Snack Bars Hamper Nutritional Health

Sources: (1) Cullen K, Zakeri I. Fruits, vegetables, milk, and sweetened beverages consumption and access to à la carte/snack bar meals at school. Am J Public Health. 2004:94;463–467.[Abstract/Free Full Text] (2) Frary CD, Johnson RK, Wang MQ. Children and adolescents’ choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. J Adolesc Health. 2004:34:56–63.[Medline]

The first 20% of the full text of this article appears below.

School snack bars often offer less healthy foods than are found in school lunches that follow the National School Lunch Program guidelines. Investigators from Baylor College of Medicine, Houston, Tex, studied the impact of access to snack bars on consumption of fruit, vegetables (regular and fried), milk, and sweetened beverages among cohorts of 4th and 5th grade students in a southeast Texas school district who were surveyed 4 times in 2 years using a validated 5-day self-reported food record. Children in 4th grade had access only to school lunches, while students in middle school (5th and 6th grades) had access to snack bars in addition to school lunches. Of 608 students, 594 completed lunch food records 4 times during the 2-year period.

Thirty-five to forty percent of the school lunches consumed by middle school children were exclusively from snack bars. During year 2, when they were in 5th grade and had . . . [Full Text of this Article]

Linda M. Grant, MD, FAAP
Pediatrics, Boston University School of Medicine, Boston, MA