Environmental Change

Initiative Description: Changes in competitive foods (items sold in à la carte lines, vending machines, and school stores that “compete” with school meals).

Study Results: Improved healthy eating choice availability.

Reference: Gorski, M. T., Cohen, J. F., Hoffman, J. A., Rosenfeld, L., Chaffee, R., Smith, L., & Rimm,
E. B. (2016). Impact of nutrition standards on competitive food quality in Massachusetts
middle and high schools. American Journal of Public Health, 106(6), 1101-1108.

Level of Evidence: 2 out of 5 stars Good