Katherine W. Bauer, PhD MS Assistant Professor of Nutritional Sciences

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Presentation transcript:

Weight, Diet, and Academic Effects of a Breakfast in the Classroom Initiative Katherine W. Bauer, PhD MS Assistant Professor of Nutritional Sciences University of Michigan School of Public Health

School Breakfast Program Participation Lags Behind National School Lunch Program Participation Meals served in the National School Lunch and School Breakfast Programs, averages of daily participation during full-time school months.

Alternative Breakfast Service Strategies Heavily Promoted Grab and go breakfast Second chance breakfast Breakfast in the classroom

School Breakfast Program Participation Dietary Outcomes Weight Outcomes Academic Outcomes

79% Eligible Free/reduced-Price Meals 39% with Overweight or Obesity 18 K-8 Schools 1362 4th-6th Graders

School Breakfast Program Participation Increases with One Healthy Breakfast Polonsky HM, Bauer KW, et al. JAMA Pediatr. 2019.

No Impacts on Overweight/Obesity Polonsky HM, Bauer KW, et al. JAMA Pediatr. 2019.

Increases in Obesity Incidence and Prevalence Polonsky HM, Bauer KW, et al. JAMA Pediatr. 2019.

Impacts on Breakfast Behaviors Skipped Breakfast Ate at School Ate at Corner Store Ate at Home Ate at Multiple Locations Bauer KW, et al. Under Review.

Impacts on Dietary Intake Milk 100% Juice Sugar Sweetened Beverages Fruit Grain Products Meat/Meat Alternatives Foods High in Saturated Fat and Added Sugar Met School Breakfast Program Requirements Bauer KW, et al. Under Review.

Impacts on Academic Outcomes Attendance Math Standardized Test Scores Reading Standardized Test Scores In preparation.

Conclusions Breakfast in the Classroom, with complementary nutrition promotion, increased obesity among Philadelphia students. No effect was seen on breakfast skipping. Students shifted breakfast to school from other locations, but overall more students ate multiple breakfast. Some improvements were observed in the quality of foods students ate. No impact on academic outcomes.

Challenges and Future Research Opportunities High loss to follow-up (42%) due to student transfer Low-income, urban area with high density of corner stores “Share tables” provided some students extra food Intervention did not target types of foods served for breakfast 100% juice allowed as fruit Packaged foods easiest for classroom service Students’ taste preferences

Acknowledgements Research Team Funding Source Gary D. Foster, PhD Jennifer O. Fisher, PhD Heather Polonsky, MS Adam Davey, PhD Alexandra Hanlon, PhD Heidi M. Weeks, PhD Karen Ruth, PhD Sandy Sherman, EdD Michelle Abel, MS Funding Source AFRI 2012-68001-19616 from the US Department of Agriculture Wayne Grasela and Amy Virus from the School District of Philadelphia Gary Foster is an employee and shareholder of WW (formerly known as Weight Watchers). No other authors have a conflict of interest to report.