Changes in the nutrient content of school lunches: results from the Pathways study.

Journal Article (Clinical Trial;Journal Article)

BACKGROUND: Pathways, a randomized trial, evaluated the effectiveness of a school-based multicomponent intervention to reduce fatness in American-Indian schoolchildren. The goal of the Pathways food service intervention component was to reduce the fat in school lunches to no more than 30% of energy from fat while maintaining recommended levels of calories and key nutrients. METHODS: The intervention was implemented by school food service staff in intervention schools over a 3-year period. Five consecutive days of school lunch menu items were collected from 20 control and 21 intervention schools at four time periods, and nutrient content was analyzed. RESULTS: There was a significantly greater mean reduction in percent energy from fat and saturated fat in the intervention schools compared to the control schools. Mean percentages of energy from fat decreased from 33.1% at baseline to 28.3% at the end of the study in intervention schools compared to 33.2% at baseline and 32.2% at follow-up in the control schools (P<0.003). There were no statistically significant differences for calories or nutrients between intervention and control schools. CONCLUSIONS: The Pathways school food lunch intervention documented the feasibility of successfully lowering the percent of energy from fat, as part of a coordinated obesity prevention program for American-Indian children.

Full Text

Duke Authors

Cited Authors

  • Story, M; Snyder, MP; Anliker, J; Weber, JL; Cunningham-Sabo, L; Stone, EJ; Chamberlain, A; Ethelbah, B; Suchindran, C; Ring, K

Published Date

  • December 2003

Published In

Volume / Issue

  • 37 / 6 Pt 2

Start / End Page

  • S35 - S45

PubMed ID

  • 14636807

International Standard Serial Number (ISSN)

  • 0091-7435

Digital Object Identifier (DOI)

  • 10.1016/j.ypmed.2003.08.009


  • eng

Conference Location

  • United States