School Lunch Entrées Before and After Implementation of the Healthy, Hunger-Free Kids Act of 2010

Background The Healthy, Hunger-Free Kids Act (HHFKA) 2010 updated standards to increase the nutritional quality of school meals. Studies of HHFKA outcomes have focused primarily on fruit and vegetables, nutrient quality of whole meals, and plate waste. Objective To examine changes in school lunch entrée nutrient quality and student selections after HHFKA implementation. Design Descriptive, longitudinal study analyzing 1.7 million...