title: Exploring implementation of the 2010 Institute of Medicine's Child and Adult Food Care Program recommendations for after-school snacks.
abstract: OBJECTIVE
  The aim of the present study was to explore the implementation of nutrition recommendations made in the 2010 Institute of Medicine (IOM) report, Child and Adult Care Food Program: Aligning Dietary Guidance for All, in school-based after-school snack programmes.
  
  
  METHODS
  A descriptive study.
  
  
  METHODS
  One large suburban school district in Minneapolis, Minnesota, USA.
  
  
  METHODS
  None.
  
  
  RESULTS
  Major challenges to implementation included limited access to product labelling and specifications inconsistent with the IOM's Child and Adult Care Food Program (CACFP) recommendations, limited access to healthier foods due to current school district buying consortium agreement, and increased costs of wholegrain and lower-sodium foods and pre-packaged fruits and vegetables.
  
  
  CONCLUSIONS
  Opportunities for government and industry policy development and partnerships to support schools in their efforts to promote healthy after-school food environments remain. Several federal, state and industry leadership opportunities are proposed: provide product labelling that makes identifying snacks which comply with the 2010 IOM CACFP recommended standards easy; encourage compliance with recommendations by providing incentives to programmes; prioritize the implementation of paperwork and technology that simplifies enrollment and accountability systems; and provide support for food safety training and/or certification for non-food service personnel.
authors: Department of Family Medicine and Community Health, University of Minnesota, 717 Delaware Street SE, Minneapolis, MN 55414, USA. msnanney@umn.edu
authors: Marilyn S
authors: MS
authors: Nanney
authors: Carissa
authors: C
authors: Glatt
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D004032:Diet / Q000592:standards*; D005515:Food Labeling; D059022:Food Safety; D005522:Food Services; D005523:Food Supply; D006076:Government; D019983:Guideline Adherence; D017408:Guidelines as Topic; D006293:Health Promotion; D006801:Humans; D008910:Minnesota; D009042:Motivation; D018673:Nutrition Policy; D012574:Schools; D062410:Snacks; D012941:Social Responsibility