title: The quality of school lunch consumed reflects overall eating patterns in 11-16-year-old schoolchildren in Finland.
abstract: OBJECTIVE
  To explore how the quality of school lunch consumed reflected overall eating patterns in school-aged children.
  
  
  METHODS
  Children filled in an Internet-based questionnaire about their eating patterns. The children were then divided into balanced and imbalanced school lunch eaters on the basis of their responses in the questionnaire. A balanced school lunch consisted of, by the definition used in the present study, a main dish, salad and bread.
  
  
  METHODS
  Eleven primary schools and one middle school in eastern Finland.
  
  
  METHODS
  A total of 531 schoolchildren (247 boys and 284 girls) aged 11-16 years.
  
  
  RESULTS
  The school lunch was balanced in 46·5% of children. Eating a balanced school lunch was associated with overall healthier eating patterns outside school. Children who ate a balanced school lunch had more regular meal times and consumed healthier snacks. They ate fruit or berries and vegetables, dairy products and wholegrain foods more often, consumed fewer salty snacks, pizzas, meat pies and drank fewer soft drinks and energy drinks. Their eating patterns at home were also healthier, with vegetables being offered at every family dinner and fruit being offered daily, whereas soft drinks were offered seldom.
  
  
  CONCLUSIONS
  The choices made by children in their school lunch reflect the overall eating patterns among school-aged children. Eating a balanced school lunch is associated with more regular meal patterns, the availability of healthier foods at home and an overall healthier diet, suggesting that healthy eating patterns are learnt at home.
authors.affiliation: Department of Clinical Nutrition, Food and Health Research Centre, University of Eastern Finland, PO Box 1627, 70211 Kuopio, Finland. tanja.tilles@hotmail.com
authors.forename: Tanja
authors.initials: T
authors.lastname: Tilles-Tirkkonen
authors.forename: Saara
authors.initials: S
authors.lastname: Pentikäinen
authors.forename: Jenni
authors.initials: J
authors.lastname: Lappi
authors.forename: Leila
authors.initials: L
authors.lastname: Karhunen
authors.forename: Kaisa
authors.initials: K
authors.lastname: Poutanen
authors.forename: Hannu
authors.initials: H
authors.lastname: Mykkänen
mesh_terms: D000293:Adolescent; D001628:Beverages; D002253:Carbonated Beverages; D002648:Child; D002664:Child Nutritional Physiological Phenomena; D002755:Choice Behavior; D002149:Energy Intake; D005247:Feeding Behavior; D005260:Female; D005387:Finland; D005522:Food Services / Q000592:standards*; D005638:Fruit; D006801:Humans; D062409:Lunch; D008297:Male; D009753:Nutritive Value; D012574:Schools; D062410:Snacks; D011795:Surveys and Questionnaires; D014675:Vegetables