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Low-income children's access to meals decreases during the summer months due to losing the benefit of the free and reduced-price lunches they normally receive during the school year. Few studies critically examine community-based approaches to providing summer meals. This mixed methods study examined a mobile meal program implemented in a community with large economic disparities. Parents and caregivers who attended the mobile meal program with a child at one of three sites completed surveys that screened for risk of food insecurity and examined access and utilization of community food resources. Interviews with a representative subsample of English- and Spanish-speaking participants elicited an in-depth understanding of food insecurity in the community and perspectives on the mobile meal program. Surveys (n = 284) were completed in English (78%) and Spanish (22%). Participants identified primarily as Asian (32%), Latino/Hispanic (29%), and White (27%), with 26% screening positive for risk of food insecurity within the past 12 months. Qualitative interviews (n = 36) revealed widespread support for meals served in public settings as they were perceived to be welcoming, fostered social interactions, and helped the community at large. Participants described the high cost of living as a key motivation for participating and cited immigration fears as a barrier to accessing public resources. Findings from this study suggest the importance of innovative community-based approaches to serving hard-to-reach children during the summer. [ABSTRACT FROM AUTHOR]

Although social policies aimed at low-income families are thought to promote children’s educational success, little research has examined how these policies are related to children’s academic achievement. This article focuses on the Supplemental Nutrition Assistance Program (SNAP), the United States’ largest food assistance program. Using administrative data on over 148,000 SNAP-receiving public school children, we analyze the recency of SNAP benefit transfer and children’s end-of-grade math and reading achievement test scores. Results indicate differences in students’ math and reading performance based on the recency of SNAP benefit transfer. Although the relationship is stronger for reading than for math, the relationship between students’ test scores and SNAP transfer is roughly curvilinear. Test scores peak in the third week following benefit transfer. [ABSTRACT FROM AUTHOR]

Background: Despite slight decreases in obesity prevalence in children, nearly 25% of preschool-aged children are overweight or obese. Most interventions focused on promoting family meals as an obesity-prevention strategy target meal planning skills, knowledge and modeling of healthy eating without addressing the practical resources that enable implementation of family meals. There is a striking lack of evidence about what level of resources low-income parents need to implement family meals. This study will identify resources most effective in promoting family meals and, subsequently, test associations among the frequency of family meals, dietary quality and children's adiposity indices among children enrolled in Head Start.Methods: The Multiphase Optimization Strategy, employed in this study, is a cutting-edge approach to maximizing resources in behavioral interventions by identifying the most effective intervention components. We are currently testing the main, additive and interactive effects of 6 intervention components, thought to support family meals, on family meal frequency and dietary quality (Primary Outcomes) as compared to Usual Head Start Exposure in a Screening Phase (N = 512 low-income families). Components yielding the most robust effects will be bundled and evaluated in a two-group randomized controlled trial (intervention and Usual Head Start Exposure) in the Confirming Phase (N = 250), testing the effects of the bundled intervention on children's adiposity indices (Primary Outcomes; body mass index and skinfolds). The current intervention components include: (1) home delivery of pre-made healthy family meals; (2) home delivery of healthy meal ingredients; (3) community kitchens in which parents make healthy meals to cook at home; (4) healthy eating classes; (5) cooking demonstrations; and (6) cookware/flatware delivery. Secondary outcomes include cooking self-efficacy and family mealtime barriers. Moderators of the intervention include family functioning and food security. Process evaluation data includes fidelity, attendance/use of supports, and satisfaction.Discussion: Results will advance fundamental science and translational research by generating new knowledge of effective intervention components more rapidly and efficiently than the standard randomized controlled trial approach evaluating a bundled intervention alone. Study results will have implications for funding decisions within public programs to implement and disseminate effective interventions to prevent obesity in children.Trial Registration: Clincaltrials.gov Identifier NCT02487251 ; Registered June 26, 2015. [ABSTRACT FROM AUTHOR]

Objective: This qualitative study explored low-income chiIdren's food-related attitudes and behaviors, and current weight status. Design: Two researchers conducted 14 audiotaped, 60-minute focus groups. Height and weight were measured. Setting: Libraries, homeless shelters, and a community center. Participants: Ninety-two low-income children aged 9-13 years. Phenomenon of lnterest: How environmental, personal, and behavioral factors affect food choices and food-related behavior at home, in school, and at restaurants, and how these factors potentially influence weight status. Analysis: Transcripts were coded, reconciled, and analyzed of themes and subthemes. Results: At home, children's food choices were often unhealthful because of the types of food available, and some reported restricted eating styles and night eating. At school, children were largely dissatisfied with the quality of lunches provided, and some skipped the measure. Most children preferred buffets as their favorite type of restaurant, where they could eat unlimited quantities of their favorite food items. Over half of the children were overweight (19%) or obese (36%). Conclusions and Implications: Future research may examine the prevalence of night eating, meal skipping, and other irregular eating behaviors among low-income children and their long-term relationship to weight status. Increasing parents' knowledge of these behaviors, while emphasizing the importance of family mealtimes, is encouraged. [ABSTRACT FROM AUTHOR]

Objective: To determine whether nutrient intake and academic and psychosocial functioning improve after the start of a universal-free school breakfast program (USBP). Methods: Information was gathered from 97 inner city students prior to the start of a USBP and again after the program had been in place for 6 months. Students who had total energy intakes of <50% of the recommended daily allowance (RDA) and/or 2 or more micronutrients of <50% of RDA were considered to be at nutritional risk. Results: Prior to the USBP, 33% of all study children were classified as being at nutritional risk. Children who were at nutritional risk had significantly poorer attendance, punctuality, and grades at school, more behavior problems, and were less likely to eat breakfast at school than children who were not at nutritional risk. Six months after the start of the free school breakfast programs, students who decreased their nutritional risk showed significantly greater: improvements in attendance and school breakfast participation, decreases in hunger, and improvements in math grades and behavior than children who did not decrease their nutritional risk. Conclusion: Participation in a school breakfast program enhanced daily nutrient intake and improvements in nutrient intake were associated with significant improvements in student academic performance and psychosocial functioning and decreases in hunger.Copyright © 2002 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Objective To examine if gardening experience and enjoyment are associated with vegetable exposure, preferences, and consumption of vegetables among low-income third-grade children. Design Cross-sectional study design, using baseline data from the Texas! Grow! Eat! Go! study. Setting Twenty-eight Title I elementary schools located in different counties in Texas. Participants Third-grade students (n = 1,326, 42% Hispanic) Main Outcome Measures Gardening experience, gardening enjoyment, vegetable exposure, preference, and consumption. Analysis Random-effects regression models, adjusted for age, sex, ethnicity, and body mass index percentile of child, estimated means and standard errors of vegetable consumption, exposure, and preference by levels of gardening experience and enjoyment. Wald χ 2 tests evaluated the significance of differences in means of outcomes across levels of gardening experience and enjoyment. Results Children with more gardening experience had greater vegetable exposure and higher vegetable preference and consumed more vegetables compared with children who reported less gardening experience. Those who reported that they enjoyed gardening had the highest levels of vegetable exposure, preference, and consumption. Conclusions and Implications Garden-based interventions can have an important and positive effect on children's vegetable consumption by increasing exposure to fun gardening experiences. [ABSTRACT FROM AUTHOR]