title: Elementary school participation in the United States Department of Agriculture's Team Nutrition program is associated with more healthful school lunches.
abstract: OBJECTIVE
  To assess school-level characteristics associated with Team Nutrition (TN) program participation, and compare the availability of food items in school lunches in participating vs nonparticipating schools.
  
  
  METHODS
  Cross-sectional study with a nationally representative sample of 2,489 elementary schools in the United States. A mail-back survey was used to collect school administrator-reported annual data on availability of selected healthful and unhealthful lunch items between 2006-2007 and 2009-2010. Multivariate regression analyses was used to predict the availability of food items in school lunches based on TN participation.
  
  
  RESULTS
  Team Nutrition participation was higher among schools in the south, in rural areas, and in states with stronger nutrition policies. Program participation was higher in schools with mostly low-income students and where a dietitian was on staff. Participating schools were more likely to offer healthful items and less likely to serve unhealthful items during lunch.
  
  
  CONCLUSIONS
  The TN program has the potential to help schools offer healthier school meals.
authors: School of Nutrition and Health Promotion, Arizona State University, Phoenix, AZ. Electronic address: pohrivac@asu.edu.
authors: Punam
authors: P
authors: Ohri-Vachaspati
authors: Lindsey
authors: L
authors: Turner
authors: Frank J
authors: FJ
authors: Chaloupka
mesh_terms: D003430:Cross-Sectional Studies; D006293:Health Promotion; D006801:Humans; D016015:Logistic Models; D062409:Lunch; D018673:Nutrition Policy; D009749:Nutrition Surveys; D012574:Schools / Q000706:statistics & numerical data*; D014481:United States; D016885:United States Department of Agriculture
keywords: Team Nutrition Program; USDA Food and Nutrition Programs; school food environment