Smarter Lunchrooms Make Lunch Choices Child’s Play

Feb 22, 2013 2:05 PM ET

Cincinnati, OH, February 22, 2013 /3BL Media/ - In January 2012, the United States Department of Agriculture passed a series of regulations designed to make school lunches more nutritious, which included requiring schools to increase whole grain offerings and making students select either a fruit or vegetable with their purchased lunch.  However, children cannot be forced to eat these healthier lunches.  In a new study scheduled for publication in The Journal of Pediatrics, researchers determined that small, inexpensive changes to school cafeterias influenced the choice and consumption of healthier foods.

Andrew S. Hanks, PhD, and colleagues from the Cornell Center for Behavioral Economics in Child Nutrition Programs (B.E.N. Center) studied the effects of multiple small interventions, called the smarter lunchroom makeover, in the cafeterias of two junior-senior high schools (grades 7-12) in western New York.  In the lunchroom, changes were implemented to improve the convenience and attractiveness of fruits and vegetables (e.g., fresh fruit next to the cash register in nice bowls or tiered stands) and make the selection of fruits and vegetables seem standard through verbal cues from cafeteria staff (e.g., “Would you like to try an apple?”).  The smarter lunchroom makeover took no more than 3 hours in one afternoon and cost less than $50 to implement.  These types of changes are applications of the behavioral science principle termed “libertarian paternalism,” which promotes influencing choice through behavioral cues, while preserving choices.

To measure the impact of the smarter lunchroom makeover, researchers recorded what was left on trays after lunch, both before and after the intervention.  After the smarter lunchroom makeover, students were 13% more likely to take fruits and 23% more likely to take vegetables.  Actual fruit consumption increased by 18% and vegetable consumption increased by 25%; students were also more likely to eat the whole serving of fruit or vegetables (16% and 10%, respectively).

These low-cost, yet effective interventions could significantly influence healthier behaviors, potentially helping to offset childhood obesity trends.  Dr. Hanks notes, “This not only preserves choice, but has the potential to lead children to develop lifelong habits of selecting and consuming healthier foods even when confronted with less healthy options.”  These simple changes could also be effective in the cafeterias of other organizations, including hospitals, companies, and retirement homes.

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Notes for Editors
“Smarter Lunchrooms Can Address New School Lunchroom Guidelines and Childhood Obesity,” by Andrew S. Hanks, PhD, David R. Just, PhD, and Brian Wansink, PhD, appears in The Journal of Pediatrics (www.jpeds.com), DOI 10.1016/j.jpeds.2012.12.031, published by Elsevier.

About The Journal of Pediatrics
The Journal of Pediatrics is a primary reference for the science and practice of pediatrics and its subspecialties. This authoritative resource of original, peer-reviewed articles oriented toward clinical practice helps physicians stay abreast of the latest and ever-changing developments in pediatric medicine. The Journal of Pediatrics is ranked 4th out of 113 pediatric medical journals (2011 Journal Citation Reports®, published by Thomson Reuters). URL: www.jpeds.com

About Elsevier
Elsevier is a world-leading provider of scientific, technical and medical information products and services. The company works in partnership with the global science and health communities to publish more than 2,000 journals, including The Lancet and Cell, and close to 20,000 book titles, including major reference works from Mosby and Saunders. Elsevier’s online solutions include ScienceDirect, Scopus, Reaxys, ClinicalKey and Mosby’s Nursing Suite, which enhance the productivity of science and health professionals, and the SciVal suite and MEDai’s Pinpoint Review, which help research and health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier employs 7,000 people worldwide. The company is part of Reed Elsevier Group PLC, a world-leading provider of professional information solutions in the Science, Medical, Legal and Risk and Business sectors, which is jointly owned by Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock Exchange).

Media contact
Becky Lindeman
+1 513 636 7140
journal.pediatrics@cchmc.org