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School Meals: Building Blocks for Healthy Children (2010)
Food and Nutrition Board (FNB)

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. "2 Foundation for Revising Nutrition Standards and Meal Requirements." School Meals: Building Blocks for Healthy Children. Washington, DC: The National Academies Press, 2010.

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School Meals: Building Blocks for Healthy Children

BOX 2-2

Criteria for the Nutrient Targets and Meal Requirements for the School Breakfast Program and the National School Lunch Program

Criterion 1. The Nutrient Targets and Meal Requirements are consistent with current dietary guidance and nutrition recommendations to promote health—as exemplified by the Dietary Guidelines for Americans and the Dietary Reference Intakes—with the ultimate goal of improving children’s diets by reducing the prevalence of inadequate and excessive intakes of food, nutrients, and calories.


Criterion 2. The Nutrient Targets and Meal Requirements will be considered on the basis of age-grade groups that are consistent with the current age-gender categories used for specifying reference values and with widely used school grade configurations.


Criterion 3. The Nutrient Targets and Meal Requirements will result in the simplification of the menu planning and monitoring processes, and they will be compatible with the development of menus that are practical to prepare and serve and that offer nutritious foods and beverages that appeal to students of diverse cultural backgrounds.


Criterion 4. The Nutrient Targets and Meal Requirements will be sensitive to program costs and school administrative concerns.

  1. Set key parameters including age-grade groups and total daily mean calorie requirements for each group. The methods used to set these parameters are described later in this chapter.

  2. Assessed schoolchildren’s dietary intakes and considered relevant laboratory data and health effects of inadequate or excessive intakes. Dietary intakes included food groups, food subgroups, energy, and nutrients. The purpose was to identify the food and nutrient intakes of concern for specified age-grade groups. Chapter 3 covers this topic.

  3. Examined and tested various approaches for developing the Nutrient Targets, including energy targets. The committee used methods recommended by the Institute of Medicine (IOM, 2003) when applicable. Chapter 4 covers this topic.

  4. Determined that only one approach to meal planning would be recommended and that the Nutrient Targets would be the scientific basis of the standards for menu planning, but they would be only one of the elements considered when developing these standards. Chapter 5 covers the development of the Meal Requirements.

  5. Using an iterative approach (described in Chapter 6), applied the criteria listed in Box 2-2 to finalize the committee’s recommendations for the Nutrient Targets and Meal Requirements, giving special emphasis to

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35
Front Matter (R1-R14)
Summary (1-18)
1 Introduction and Background (19-32)
2 Foundation for Revising Nutrition Standards and Meal Requirements (33-46)
3 Schoolchildren's Food and Nutrient Intakes and Related Health Concerns (47-68)
4 Process for Developing the Nutrient Targets (69-90)
5 Process for Developing the Meal Requirements (91-106)
6 Iterations - Achieving the Best Balance of Nutrition, Student Acceptance, Practicality, and Cost (107-114)
7 Recommendations for Nutrient Targets and Meal Requirements for School Meals (115-130)
8 Food Cost Implications and Market Effects (131-154)
9 Projected Impact of the Recommended Nutrient Targets and Meal Requirements (155-178)
10 Implementation, Evaluation, and Research (179-208)
11 References (209-220)
Appendix A: Acronyms, Abbreviations, and Glossary (221-228)
Appendix B: Biographical Sketches of Committee Members (229-236)
Appendix C: Critical Issues for Consideration by the Committee on Nutrition Standards for National School Lunch and Breakfast Programs, as Submitted by the U.S. Department of Agriculture (237-244)
Appendix D: January 2009 Workshop Agenda and Summary of Public Comments (245-254)
Appendix E: Standards for the Current Food- and Nutrient-Based Menu Planning Approaches (255-258)
Appendix F: Data Used to Calculate Estimated Energy Requirements (259-262)
Appendix G: Data Tables Containing Examples of New SNDA-III Analyses (263-268)
Appendix H: Uses of MyPyramid Food Groups and the MyPyramid Spreadsheet (269-284)
Appendix I: Dietary Intake Data and Calculation of the Target Median Intake for Iron (285-292)
Appendix J: Target Median Intake (TMI) Tables (293-296)
Appendix K: Use of the School Meals Menu Analysis Program (297-304)
Appendix L: Baseline Menus (305-330)
Appendix M: Sample Menus (331-362)
Appendix N: Evidence Considered Related to the Definition for Whole Grain-Rich Foods (363-366)
Appendix O: Comparison of Recommended Nutrient Targets to Various Nutrition Standards for School-Aged Children (367-372)
Appendix P: Comparison of *Dietary Guidelines for Americans* with Recommended Meal Requirements (373-378)
Appendix Q: Regulations Related to the Sodium Content of Foods Labeled "Healthy" (379-380)