- (Focus Area) Health
Outside interviewed Nutrition Policy Institute researcher and physical activity expert Hannah Thompson for a March 31, 2024 article, “School Fitness Testing Is a Nightmare. Should We Get Rid of It?” In the article, Thompson addresses why cardiovascular fitness is a better predictor of children's future health than body mass index, which is commonly known as BMI. “Even in the ‘overweight' category, BMI is not necessarily predictive of poor metabolic health. Cardiovascular fitness is.” Her interview provided context to recent changes in school fitness testing in California. The California Department of Education suspended student body mass index reporting as part of FITNESSGRAM® data collection in January 2022, citing concerns about mental health, accessibility and gender equity. “PE is not supposed to impact BMI,” said Thompson. “The whole idea of physical education—apart from recess or other physical activity opportunities—is to help younger students build the foundation and skills to go on and be active later in life.”
- Author: Brianna Aguayo Villalon
- Editor: Wendi Gosliner
- Editor: Lorrene Ritchie
During the first two years of the pandemic, the federal government enacted waivers to allow school meals to be offered to all students at no cost to families. In July 2021, California and Maine became the first states to authorize permanent universal school meals, mandating free school meals to combat food insecurity and improve students' physical and academic health. In this qualitative study, semi-structured interviews were conducted with 30 key stakeholders between December 2021 and June 2022 to explore the factors contributing to the passage of school meals for all legislation in each state. The stakeholders interviewed included policymakers, state agency officials, and advocates. Researchers identified 11 themes from the interviews, including national attention on child hunger, budget surpluses, single-party political control, experienced policymakers, and the context of the ending of pandemic meal waivers. Documenting and sharing lessons from the implementation of universal school meals legislation in California, Maine, and other early adopting states can help inform the potential expansion of access to school meals in other states and nationally. This study was conducted by Nutrition Policy Institute researchers Wendi Gosliner, Kenneth Hecht, Christina Hecht, and Lorrene Ritchie, Amelie Hecht from the University of Wisconisin-Madison, Lindsey Turner from the College of Education, Boise State University, Michele Polacsek from the Center for Excellence in Public Health, University of New England, and Juliana Cohen from the Department of Public Health and Nutrition, Merrimack College.
National Public Radio's Shots health news interviewed Nutrition Policy Institute's Hannah Thompson on a 2022 study that showed that letters home from school on childhood obesity had no effect on student weight. The interview was featured in an April 9, 2024 NPR article titled “Arkansas led the nation sending letters home from school about obesity. Did it help?” Thompson is quoted, "It's such a tiny-touch behavioral intervention,” stating that parents don't know what to do with information about their child being overweight. “You find out your child is asthmatic, and you can get an inhaler, right?" Thompson said. "You find out that your child is overweight and where do you even go from there? What do you do?” Thompson and her collaborators' study findings are timely as school districts across the nation, including in California, are eliminating measurement of students' height and weight to calculate and report body mass index, commonly known as BMI, which is used as a proxy for body fat composition to assess for overweight and obesity. This is due to recent scrutiny from the American Medical Association of using BMI alone to assess obesity, given it does not consider differences across racial and ethnic groups, sex, gender and age.
A new research brief developed by the Nutrition Policy Institute highlights promising school-based CalFresh Healthy Living—California's SNAP-Ed program—physical activity interventions. The study used latent class analysis to describe the predominant combinations of CFHL physical activity interventions implemented in California public schools in partnership with local health departments. Using Fitnessgram data from over 440,000 students in nearly 4,300 schools, the researchers assessed whether intervention combinations were associated with student cardiorespiratory fitness, as measured by V02 max. The study found that students in schools with CFHL interventions focused on establishing or improving wellness policies and increasing opportunities for physical activity had better cardiorespiratory fitness than students in schools without CFHL interventions or in schools with other types of CFHL intervention combinations. The peer-reviewed study was authored by Sridharshi Hewawitharana, Gail Woodward-Lopez, and Wendi Gosliner from the Nutrition Policy Institute, Punam Ohri-Vachaspati and Francesco Acciai from Arizona State University, and John Pugliese from the California Department of Public Health. The research brief was created by NPI's CalFresh Healthy Living Evaluation Unit, including: Summer Cortez, Reka Vasicsek, Miranda Westfall, and Sridharshi Hewawitharana.
Increasing participation in school meal programs can improve dietary quality and reduce nutrition insecurity. School food service directors have indicated an urgent need for marketing materials encouraging school meal participation. Nutrition Policy Institute will partner with Anna Grummon of Stanford University to develop and evaluate a marketing campaign to increase school meal participation. The evaluation will help to determine the school meal messaging that most resonates with parents. The two-year project, “Developing and evaluating a marketing campaign to increase school-meal participation to improve children's dietary quality and reduce food insecurity,” was funded by the Robert Wood Johnson Foundation's Healthy Eating Research program. The project started in November 2023 and includes NPI's Christina Hecht, Ken Hecht and Reka Vasicsek.