2.1.3 Proportion of population with access to fresh fruits and vegetables in neighborhood
School Lunches and Childhood Nutrition
The National School Lunch Program began in 1946 to provide nutritional meals to students during the school day and reached over 30 million children by 2016. The program is particularly important for children from low-income households who are more likely to have poorer dietary quality, higher risk for obesity, and less access to healthy food. These childhood health risks pose poor longer-term outcomes for diet-related chronic diseases like cardiovascular disease, diabetes, and cancer. In 2010, the Healthy, Hunger-Free Kids Act (HHFKA) introduced a range of policies aimed at improving the nutritional standards of the program, including increasing the number of fruits and vegetables, increasing the amount of whole grain and grain products, and eliminating the majority of sugary beverages. A 2020 study found that after the implementation of HHFKA, the odds of youth in poverty having obesity was reduced by 9%, reducing the risk of future chronic disease and health care costs of an estimated 500,000 children.