© 2006 American Public Health Association DOI: 10.2105/AJPH.2005.072124
Diana Cassady is with the Center for Advanced Studies in Nutrition and Social Marketing, Department of Public Health Sciences, University of California, Davis. Rainbow Vogt is a doctoral student in the Nutrition Department, University of California, Davis. Debbie Oto-Kent and Ramona Mosley are with the 5 a DayPower Play! program, Health Education Council, West Sacramento, Calif. Richard Lincoln is with the START Program, City of Sacramento, Sacramento, Calif. Correspondence: Requests for reprints should be sent to Diana Cassady, DrPH, Department of Public Health Sciences, University of California, PHS: Research and Outreach Programs, One Shields Ave, Davis, CA 95616 (e-mail: dlcassady{at}ucdavis.edu).
We used a case study approach to examine the nutritional effect of a policy to increase fruit and vegetable consumption in the Students Today Achieving Results for Tomorrow after-school program. The snack menu was changed in 44 after-school programs serving 8000 low-income and ethnically diverse elementary-school students. A comparison of previous and current snack menus identified a significant increase in fruit servings (83%) and no change in vegetable servings. We discuss the unintended consequences resulting from the menu changes.
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