Initiative Description: A comprehensive school competitive food and beverage standards policy that closely aligns with Institute of Medicine recommendations and Smart Snacks in School national standards.

Study Results: Improved healthy eating choice availability.

Hoffman, J. A., Rosenfeld, L., Schmidt, N., Cohen, J. F., Gorski, M., Chaffee, R., … &
Rimm, E. B. (2015). Implementation of competitive food and beverage standards in a
sample of Massachusetts schools: the NOURISH Study (Nutrition Opportunities to
Understand Reforms Involving Student Health). Journal of the Academy of Nutrition and Dietetics, 115(8), 1299-1307.

Level of Evidence:2 out of 5 stars Good