title: [School meals: state of the art and recommendations].
abstract: School meals contribute substantially to overall energy and nutrient intake adequacy of children, but also play an important role in the development of child food habits and the socialisation process. Evidence shows that school based environmental actions, which include changes in school meals and school food policies related to increased availability and access to healthy foods and drinks while in the school are effective to foster healthy eating practices among children. A growing number of children engage in school meals. Available information to date shows that the quality of the food on offer is not always consistent with dietary guidelines. Vegetables and fish are served less often than desirable and excess added fats are used in food preparations. Norms and regulations are very detailed regarding food safety issues and administrative management of the service, including subcontracting of catering providers and care staff. Nutrition and health promotion issues should also be included in regulations by means of nutrition recommendations for school meals along with information on food based dietary guidelines and portion sizes. School meals should be part of the educational project using a whole school approach.
authors.affiliation: Unidad de Nutrición Comunitaria, Servicio Municipal de Salud Pública, Bilbao, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Aranceta Bartrina
authors.forename: C
authors.initials: C
authors.lastname: Pérez Rodrigo
authors.forename: J
authors.initials: J
authors.lastname: Dalmau Serra
authors.forename: A
authors.initials: A
authors.lastname: Gil Hernández
authors.forename: R
authors.initials: R
authors.lastname: Lama More
authors.forename: M A
authors.initials: MA
authors.lastname: Martín Mateos
authors.forename: V
authors.initials: V
authors.lastname: Martínez Suárez
authors.forename: P
authors.initials: P
authors.lastname: Pavón Belinchón
authors.forename: L
authors.initials: L
authors.lastname: Suárez Cortina
mesh_terms: D002648:Child; D005502:Food / Q000592:standards; D005522:Food Services / Q000592:standards*; D006287:Health Planning Guidelines; D006801:Humans; D009753:Nutritive Value; D012572:School Health Services / Q000592:standards*; D012574:Schools; D013030:Spain