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Healthy School Lunches: Pictures On Lunch Trays Help Students Pick And Eat Their Vegetables

School Lunch

First Posted: 02/ 1/2012 3:23 pm Updated: 02/ 1/2012 3:46 pm

Getting young children to eat their servings of fruits and veggies, particularly in school, has been a long and hard struggle for parents, schools and lawmakers over the years. But a new study suggests that a quick fix could be as simple as showing kids some pictures.

In the first move of its kind in over 15 years, the government last week announced new guidelines to ensure students are given healthier options for school meals. The new standards call for more whole grains and produce as well as less sodium and fat in school meals. While the measures mark a step forward from previous years, they still compromise amid push-back from Congress to keep pizza and french fries on the menu -- counting both the tomato paste on pizza and the potatoes that make fries as vegetables.

But children might not have to be forced by the law or school to eat their fruits and vegetables. According to research published today in the Journal of the American Medical Association, students who were given visual hints were more likely to choose and eat their vegetables.

University of Minnesota researchers studied an elementary school of about 800 students in Richfield, Minn., and compared student vegetable consumption on one day in February and one day in May -- both days served the same menu. On the May date, students went through the self-serve lunch line with trays that pictured carrots and green beans in tray compartments, suggesting that those are the foods that belong there.

"The students within the situation still make their own choices about what to do, so you don't bump into all this resistance when kids might feel like they're being forced to do something," Traci Mann, one of the researchers, told the Pioneer Press. She added that the images on the tray also likely "the impression that everyone is doing it."

On the day in May, the percentage of students who selected green beans increased to nearly 15 percent, from 6 percent in February. The proportion of those who took carrots jumped to 37 percent, from 12 percent on the earlier date. Subsequently, the amount of vegetables each student consumed also increased significantly.

"I think a lot of times they just need an example of what they're supposed to do," Deb LaBounty, nutrition services supervisor for Richfield Public Schools, told the Pioneer Press. "A lot of times, the battle is getting the kids to take the fruit or the vegetable."

The researchers note in their report that the cost to schools would be small -- just $3 per 100 trays -- to add photos, but the effects of the low-cost measures saw increases in vegetable consumption comparable to those seen after more costly intervention tactics like multiple classroom sessions with trained instructors or parent involvement.

Despite the notable increases, overall selection and consumption of vegetables remained low and did not yet meet government recommendations. The researchers add that the results can only be applied to asses short-term results based on the limited period of research. Further research is required to determine whether the change is simply associated with short-term increases in consumption from a perceived novelty of new pictures on trays, or if the images are generating long-term salience in students' minds.

Even with the researchers' low-cost idea, schools still face costly issues. For school districts to comply with new federal regulations that bring in fresh fruits and vegetables, they have seen a rise in prices, The New York Times reported. To add to that, school meals are often products of a complex web of corporate alliances among those in the food industry, in which schools pay high prices for third-party food processors to turn those products into unhealthy fried and fat-laden items.

As schools struggle to weigh and make decisions between high product and labor costs for fresher, healthier meals versus the lower overhead of processed but unhealthier foods, students are the ones who sacrifice. For a year, Chicago school teacher Sarah Wu secretly ate a school lunch every day and documented her experiences.

"That particular meal seemed barely recognizable as food," Wu told Good Morning America of her hot dog, tater tots and Jell-O lunch one day. "I was struck by the fact that the students I'm working with really rely on the school for so much, including potentially their best meal of the day."

Even in Los Angeles, where the schools have been noted for their progress toward healthier, more nutritious meals, schools still grapple with making those offerings more appealing.

"The healthier it gets, the more disgusting it is," student Kevin Albrecht told CBS News.

On Jimmy Kimmel Live last November, chef and media personality Jamie Oliver, who actively works to fight childhood obesity by promoting healthy school lunches and nutritional education, declared that "the food companies of America own you," adding that "These moron frozen food companies -- pizza industry, french-fry industry -- have basically bought, bribed, bullied Congress, who have completely let everyone down, into basically making it okay to feed [students] french fries every day."

Still, some schools -- like several in California -- have taken the matter into their own hands, and have found ways to profit from those efforts. Umpteen school districts have taken part in a decade-long initiative, supported by a philanthropic organization, that provides schools with equipments and chefs who teach cafeteria workers to cook from scratch and produce fresh meals.

A recent eport by the Centers for Disease Control and Prevention revealed that more than a third of high school students were eating vegetables less than once a day -- "considerably below" recommended levels of intake for a healthy lifestyle that supports weight management and could reduce risks for chronic diseases and some cancers.

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Getting young children to eat their servings of fruits and veggies, particularly in school, has been a long and hard struggle for parents, schools and lawmakers over the years. But a new study suggest...
Getting young children to eat their servings of fruits and veggies, particularly in school, has been a long and hard struggle for parents, schools and lawmakers over the years. But a new study suggest...
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HUFFPOST SUPER USER
Sara Power
06:36 PM on 02/05/2012
A recent eport by the Centers for Disease Control and Prevention revealed that more than a third of high school students were eating vegetables less than once a day -- "considerably below" recommended levels of intake for a healthy lifestyle that supports weight management and could reduce risks for chronic diseases and some cancers.
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Does this include french fries (which the government calls a vegetable)? Because if it does there are major problems. These problems aren't government caused though. They're caused by indulgent parents who refuse to insist that kids eat anything besides nuggets, burgers, hot dogs and mac and cheese.
10:11 PM on 02/04/2012
How about just making good meals? Heck, throw some broccoli in the mac and cheese. Put some peppers on the pizza, blend some carrots into the tomato sauce, make a throw some carrots in the lasagna, etc.
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06:55 AM on 02/03/2012
Why is there such a push for the government to take care of this problem? They've proven themselves a faiIure--it's time for parents to start packing lunches again.
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HUFFPOST SUPER USER
Karl Wilder
Chef Stirring The Pot Harlem
04:05 PM on 02/02/2012
Why is this such an issue in America? In so many countries (Viet Nam being one) kids eat vegetable without thinking or arguing or 'not liking'. What are American parents doing that creates this problem?
04:44 PM on 02/02/2012
Junk food is more easily obtained here and its much less expensive than in other countries. We have it backwards and its all to do with our gov't.
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HUFFPOST SUPER USER
frank day
Obama cares about all of U.S.
05:06 PM on 02/02/2012
Are you joking??

You claim to be a trained chef and yet you don't understand the power the Food Industry

has in Congress???

Phenomenal.
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HUFFPOST SUPER USER
Karl Wilder
Chef Stirring The Pot Harlem
01:04 PM on 02/03/2012
...and you don't understand the power parents have....

in the home???

While I clearly see the power of Monsanto and big Agra I also see parents who do not give in to that and raise their children differently.

It is an American problem and I do blame parents. They are the ones making the choices.
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HUFFPOST SUPER USER
DavidMG
03:23 PM on 02/02/2012
Parents and teachers interested in getting kids to develop a friendly attitude towards fruits and vegetables should take a look at my new book, “The ABC’s of Fruits and Vegetables and Beyond.” Bought in quantity for class use. Suitable for kids of all ages as it is two books in one – children first learn their alphabet through produce poems and then go on to hundreds of related activities. It is coauthored by best-selling food writer David Goldbeck (me) and Jim Henson writer Steve Charney. More at http://www.healthyhighways.com/kc/index.htm
02:35 PM on 02/02/2012
Common conversation:
Student: "I have a headache and my stomach hurts."
Me: "Did you eat breakfast and lunch and drink plenty of water?"
Student: "Yes, but no water."
Me: "What did you at eat?"
Student: "A doughnut and muffin for breakfast and cheetos with nacho sauce for lunch."
Me: "Ew. Go drink some water and please eat real food tomorrow."

As a teacher of 7 years at myriad grade levels, I can tell you that if you give children the choice (especially teenagers) they will choose the unhealthy options. There are no easy solutions, but a glaring issue is allowing students to choose unhealthy foods. Forget the argument against dictating what children eat, 40% of our children are not eating at home and someone has to teach them that food can be tasty and nutritious... and most importantly provide nutrition so that they can grow and learn properly!
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HUFFPOST SUPER USER
patianneb
toothed night fury
02:21 PM on 02/02/2012
I understand the need for this, but the simple fact is that if children are given vegetables and other nutritious foods at home, they will want them and eat them at school.
Big IF.
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HUFFPOST SUPER USER
frank day
Obama cares about all of U.S.
05:07 PM on 02/02/2012
IF they get served anything that resembles edible fruits or vegetables at school.

Big IF.
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HUFFPOST SUPER USER
patianneb
toothed night fury
05:33 PM on 02/02/2012
good point.
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10:53 AM on 02/02/2012
Why are they serving chocolate milk? How many uneeded, unecessary calories is that?
11:43 AM on 02/02/2012
I think the chocolate milk would be the least of my complaints. Yes, the chocolate provides unnecesary calories but at least they are still getting the nutritional value from the milk. Its the other items on the tray that are disturbing (aside from the pear, yum). What's the orange juice or popsicle that more than likely just sugar and watch wtih artificial flavoring and coloring. Or the meal that wrapped in plastic, HELLO processed lunch. Its gross.
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11:49 AM on 02/02/2012
Just the American government poisoning its most precious citizens.
11:45 AM on 02/02/2012
Wow...sorry for the typos, hopefully you can make it out.
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10:50 AM on 02/02/2012
The reason why kids don't eat a lot of vegetables at school is presentation. Children are so creative you have to use their minds against them in order to "sell" them on vegetables. Unless their parents were good in this department. Making cafeteria food appealing, presenting it in ways that pique their interest will go a long way in getting them to eat more. I've never had a problem getting kids to try something new. Its an art form that the cafeteria people need to learn.
11:31 AM on 02/02/2012
I disagree, kids don't eat vegetables at school becuase they aren't required to eat them at home.
09:51 AM on 02/02/2012
People . . . a child's menu should be done by their parents. It is just the government once again thinking that they know better than everybody else. I will admit if they are eating free lunches at school they may be forced to confirm to at least one meal, but they will just eat lots of junk food when they go home. I know that I would simply take a few things to school that I wanted to eat for lunch if they start handing out lots of yucky food. I think schools should throw in an apple and green beans here and there, but I also know that kids just won't eat it (unless they are getting absolutely nothing at home and in that case it sounds almost like extortion . . . you will just eat healthy food).
04:47 PM on 02/02/2012
Do you not realize our obesity problem in this counrty. Its very clear the gov't and many other countries DO know better than most of our citizens. No one would be FORCING anyone to eat anything. If they don't care for what the school is serving, they are more than allowd to bring they nasty obesity creating food with them. I can't believe anyone in their right might would argue AGAINST this. You're part of the problem, and so far from the solution. I feel sick now:(
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Mailman
08:48 AM on 02/02/2012
Asians get their kids to eat vegetables, and the way they do it is the way they cook the meals. They include vegetables in stir fry, and meals like that. Don't just throw vegetables on plate and say eat them.
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frank day
Obama cares about all of U.S.
05:08 PM on 02/02/2012
Great point.

We got our kids to eat veggies by including them in casseroles.
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Boomerang101
Maybe the hokey pokey is what its all about
08:47 AM on 02/02/2012
Just recently a convert to green smoothies, it occurs to me that kids LOVE smoothies and it would be brilliant if instead of an ice cream machine or taco thing, they gave the kids an opportunity to make their own smoothie with vegetables and fruits. I would be surprised if kids didn't jump at the opportunity.
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Gem Mayers
10:45 PM on 02/01/2012
Seriously? I think not.
However, kids can and will eat fruits and vegetables. How?
1, Only have healthy food. One day, I brought with me a large bag of fresh picked oranges and began to peel it open in class, my students began to ogle my orange when I let them know I had a bag full, come and get one! They loved the oranges and some even asked for seconds. Had I offered "orange, or oreos" I'd have gone home with a bag of oranges. But with only oranges offered, they happily munched on them.
2. Offer good healthy food. When it is a plain red apple, or mushy canned peas, yuck! Maybe a fruti crumble with oatmeal and honey, or mango with chile and limon, or veggie tir fry, or veggie lasagna, they will eat it. But as a lover of fruit and veg myself, given the current state of fruit and veg in schools, I'd steer clear of them.
11:35 AM on 02/02/2012
School don't have the quality of ingredients or knowledge to cook those items. That's the bigger problem.
garystartswithg
el sueno de la razon produce republicans
10:44 PM on 02/01/2012
Parents are so negligent kids would be better off raised by dogs.
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liberalbug
do you want fries with that?
10:18 PM on 02/01/2012
newsflash--kids hate healthy food, love junk food. Thank you. May I collect my consulting fee now?
garystartswithg
el sueno de la razon produce republicans
10:49 PM on 02/01/2012
Not necessarily, if parents have taken the time to prepare quality food kids usually prefer that. in France they don't have cafeteria ladies, they have professional chefs. In the United States college graduates don't even know how to eat with a fork.
Americans are very lazy when it comes to all the hours between 6 pm and 8 am, and that desire to watch tv instead of teach your kids life skills is a big part of it.
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Mailman
08:49 AM on 02/02/2012
That's very true.
11:36 AM on 02/02/2012
That's bull. I loved vegetables as a child. My mother always had home cooked meals with fresh vegetables and I couldn't get enough. It just takes a little effort, clearly you and MANY others couldn't be bothered.