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Karen Weber Cullen, DrPH, RD, LD and Issa Zakeri, PhD

The authors are with the Department of Pediatrics, Baylor College of Medicine, Houston, Tex.

Correspondence: Requests for reprints should be sent to Karen Weber Cullen, DrPH, RD, LD, Dept of Pediatrics, Baylor College of Medicine, Children’s Nutrition Research Center, 1100 Bates, Houston, TX 77030 (e-mail: kcullen{at}bcm.tmc.edu).

Objectives. We assessed the impact of access to school snack bars on middle school students’ fruit, vegetable, milk, and sweetened beverage consumption.

Methods. Five hundred ninety-four fourth- and fifth-grade students completed lunch food records 4 times during a 2-year period.

Results. The fourth-grade cohort consumed fewer fruits, regular (not fried) vegetables, and less milk and consumed more sweetened beverages and high-fat vegetables during year 2.

Conclusions. Middle school students who gained access to school snack bars consumed fewer healthy foods compared with the previous school year, when they were in elementary schools and only had access to lunch meals served at school. Healthy food choices and school policies that require healthier foods at school snack bars should be promoted.

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