Cited by 116Nutrition, Health and Food BehaviorObesity, Physical Activity, DietFood Security and Health in Diverse Populations

Amount of Time to Eat Lunch Is Associated with Children’s Selection and Consumption of School Meal Entrée, Fruits, Vegetables, and Milk

Open access
Cohen, Juliana F.W., Jahn, Jaquelyn L., Richardson, Scott, Cluggish, Sarah A., Parker, Ellen, Rimm, Eric B.·2016·Journal of the Academy of Nutrition and Dietetics

Abstract

Background There are currently no national standards for school lunch period length and little is known about the association between the amount of time students have to eat and school food selection and consumption. Objective Our aim was to examine plate-waste measurements from students in the control arm of the Modifying Eating and Lifestyles at School study (2011 to 2012 school year) to determine the association between amount of time to eat and school meal selection and consumption. Design We used a prospective study design using up to six repeated measures among students during the school year. Participants/setting One thousand and one students in grades 3 to 8 attending six participating elementary and middle schools in an urban, low-income school district where lunch period lengths varied from 20 to 30 minutes were included. Main outcome measures School food selection and consumption were collected using plate-waste methodology. Statistical analyses performed Logistic regression and mixed-model analysis of variance was used to examine food selection and consumption. Results Compared with meal-component selection when students had at least 25 minutes to eat, students were significantly less likely to select a fruit (44% vs 57%; P<0.0001) when they had <20 minutes to eat. There were no significant differences in entrée, milk, or vegetable selections. Among those who selected a meal component, students with <20 minutes to eat consumed 13% less of their entrée (P<0.0001), 10% less of their milk (P<0.0001), and 12% less of their vegetable (P<0.0001) compared with students who had at least 25 minutes to eat. Conclusions During the school year, a substantial number of students had insufficient time to eat, which was associated with significantly decreased entrée, milk, and vegetable consumption compared with students who had more time to eat. School policies that encourage lunches with at least 25 minutes of seated time might reduce food waste and improve dietary intake.

Integrity signals

Registry

Crossref · 10.1016/j.jand.2015.07.019

Cites

17 of 17 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

6 of 24 cited sources checked · 4 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    Previous analyses found no significant differences in food selection or consumption between students who actively consented and those who did not.

    “Previous analyses indicate that there were no significant differences in food selection or consumption between students who actively consented and those who did not.5,17”
    • Also stated in: § DISCUSSION · plain
      “However, previous analyses comparing selection and consumption among students with active and passive consents in the MEALS study found no significant differences among these two groups.5,17”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites [5] Cohen, 2014, Impact of the new US Department of Agriculture school meal standards on food selection, consumption, and waste, Am J Prev Med source
    • cites [17] Cohen, 2015, Effects of choice architecture and chef-enhanced meals on the selection and consumption of healthier school foods: A randomized clinical trial, JAMA Pediatr source
  • Findingown data

    Students with 20 to 24 minutes to eat were less likely to select fruit than students with at least 25 minutes.

    “Similarly, selection of fruits were significantly lower when students had between 20 to 24 minutes to eat compared with when students had at least 25 minutes (46.9% vs 57.3%; p<0.0001).”
    Quote in the paperSubstantial claim
  • Findingown data

    Selection of vegetables was not associated with the amount of time to eat.

    “Selection of entrées, vegetables and milk were not associated with the amount of time to eat.”
    • Also stated in: § Results · plain
      “There were no significant differences in entrée, milk, or vegetable selection.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among students who selected milk, those with fewer than 20 minutes to eat consumed less of their milk than when they had at least 25 minutes.

    “Using the same comparison group, when students had fewer than 20 minutes, they consumed significantly less of their vegetables (34.8% vs 46.6%; p<0.0001) and milk (62.3% vs. 72.6%; p<0.0001).”
    • Also stated in: § Results · plain
      “Among those who selected a meal component, students with fewer than 20 minutes to eat consumed 13% less of their entrée (p<0.0001), 10% less of their milk (p<0.0001), and 12% less of their vegetable (p=0.0002) compared to when students had at least 25 minutes to eat.”
    Quote in the paperSubstantial claim
  • Findingown data

    Among students who selected a vegetable, those with 20 to 24 minutes to eat consumed less of their vegetable than when they had at least 25 minutes.

    “Students with between 20 to 24 minutes to consume their meal also consumed significantly less of their entrée (70.3% vs. 77.2%; p<0.0001) and vegetable (42.9 % vs. 46.6; p= 0.04) compared with student with at least 25 minutes to eat.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim. 15
  • May combine two claims. 14
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingcitation

    Overall waste levels in this study were similar to those previously found in studies examining food waste in schools.

    “The overall waste levels seen in this study were similar to those previously founds in studies examining food waste in schools.5,22”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [5] Cohen, 2014, Impact of the new US Department of Agriculture school meal standards on food selection, consumption, and waste, Am J Prev Med source
    • cites [22] Cohen, 2013, School lunch waste among middle school students: Nutrients consumed and costs, Am J Prev Med source
  • May combine two claims.

    Premisecitation

    Consuming food too quickly is associated with adverse gastrointestinal hormone responses and decreased satiety, which may increase risk of overweight.

    “Consuming food too quickly is associated with adverse gastrointestinal hormone responses to the meal and with decreased perceived satiety post-consumption, which may increase the risk of overweight.14-16”
    Quote in the paperSubstantial claim2 of 3 sources checked
    • cites [14] Ford, 2009, Treatment of childhood obesity by retraining eating behaviour: Randomised controlled trial, BMJ source

      The Introduction (page not specified in our copy) says faster eating can delay satiety and lead to overeating, and notes rapid eating in obese adolescents. The paper does not report adverse gastrointestinal hormone responses to a meal, so that part of the attributed claim is unsupported. (LLM, conf=0.88)

      Experimental — accuracy not yet measured
    • cites [15] Galhardo, 2011, Normalizing eating behavior reduces body weight and improves gastrointestinal hormonal secretion in obese adolescents, J Clin Endocrinol Metab source
    • cites [16] Ioakimidis, 2009, A method for the control of eating rate: A potential intervention in eating disorders, Behav Res Methods source

      In “Effect of Decreasing or Increasing Eating Rate in Linear Eaters” (page not available), the paper reports that faster-eating linear eaters consumed more food without an increase in postmeal satiety ratings. “Additional information” describes problems of weight regulation as a hypothesis still being tested. Our copy does not report adverse gastrointestinal hormone responses or establish that faster eating decreases postmeal satiety. (LLM, conf=0.85)

      Experimental — accuracy not yet measured
  • May combine two claims.

    Premisecitation

    Research suggests waste levels of school foods have not increased, but studies indicate high levels of food waste even after new guidelines.

    “While research suggests that waste levels of school foods have not increased, studies do indicate that there were and still are high levels of food waste in school cafeterias even after implementation of the new school lunch guidelines.5,21”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites [5] Cohen, 2014, Impact of the new US Department of Agriculture school meal standards on food selection, consumption, and waste, Am J Prev Med source
    • cites [21] Schwartz, 2015, New school meal regulations increase fruit consumption and do not increase total plate waste, Child Obes source
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    In a survey of school cafeteria managers, 44% reported students did not have enough time to eat, which they felt resulted in increased plate waste.

    “In a survey of school cafeteria managers, 44% of respondents reported that students did not have enough time to eat, which they felt resulted in increased plate waste.12”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites [12] Guthrie, 2002, Several strategies may lower plate waste in school feeding programs, Food Rev source
  • May combine two claims.

    Findingown data

    Among schools with 30-minute lunch periods, on average 61% of students had less than 25 minutes of seated time to eat and 9% had under 20 minutes on any given day.

    “Among schools with 30 minute lunch periods, on average 61% of the students had less than 25 minutes of seated time to eat their meals and 9% had under 20 minutes on any given day.”
    Quote in the paperNot a substantial claim
  • May combine two claims.

    Findingown data

    In the school with a 20-minute lunch period, 100% of students had less than 25 minutes to eat, and on average 65% had under 20 minutes, with 17% having less than 15 minutes.

    “In the school with the 20 minute lunch period, the majority of students were able to arrive slightly early, but 100% still had less than 25 minutes to eat, and on average 65% of the students had under 20 minutes (17% of students had less than 15 minutes) to consume their meal.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Interpretationreasoning

    Because the study was conducted before updated school meal standards required students to select a fruit or vegetable, the decreases in fruit selection with less time to eat may no longer be observed.

    “This study was conducted prior to implementation of the updated school meal standards which requires students to select a fruit or vegetable. Therefore, it is possible that under the new guidelines, the decreases in fruit selection found in this study with less time to eat may no longer be observed.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: The updated school meal standards require students to select a fruit or vegetable.
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    Lunch period times and lengths were reported by schools and verified by research assistants on data collection days.

    “Lunch period times and lengths were reported by the schools and verified by research assistants (RAs) on data collection days.”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductcitation

    Consumption was determined using established plate waste study methods.

    “Consumption was determined using established plate waste study methods collected on randomly selected, non-consecutive days in the fall (n=2 days), winter (n=2 days), and spring (n=2 days) of the 2011-12 school year (n=6 days total).18,19”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [18] Adams, 2005, Salad bars and fruit and vegetable consumption in elementary schools: A plate waste study, J Am Diet Assoc source
    • cites [19] Nichols, 2002, Food intake may be determined by plate waste in a retirement living center, J Am Diet Assoc source
  • May combine two claims.

    Interpretationown data

    Policies that enable students to have at least 25 minutes of seated time may lead to improvements in students' diets and decrease plate waste in school cafeterias.

    “Findings from the current study suggests that policies that enable students to have at least 25 minutes of seated time may lead to improvements in students’ diets and decrease plate waste in school cafeterias.”
    • Also stated in: § Conclusions · hedged
      “School policies that encourage lunches with at least 25 minutes of seated time may reduce food waste and improve dietary intake.”
    Quote in the paperSubstantial claim
    • Rests on an assumption: The observed association between seated time to eat and food consumption reflects a causal effect of time, such that increasing seated time would improve consumption.
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Study days were randomly selected for plate waste measurements without prior knowledge of what was being served.

    “The study days were randomly selected for plate waste measurements without prior knowledge of what was being served.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductnone given

    Students' food preferences were not assessed.

    “An additional limitation is that students’ food preferences were not assessed.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Analyses adjusted for students' sex, grade, race/ethnicity, and time of the lunch period.

    “All analyses adjusted for students’ sex, grade, race/ethnicity, and time of the lunch period (morning [start time of 11am to <12pm], midday [start time of 12:00pm to < 12:30pm], or afternoon [start time of 12:30pm to 1pm]).”
    Quote in the paperSubstantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Logistic regression with multi-level modeling accounted for repeated measures of students nested within schools.

    “Logistic regression with multi-level modeling was used to examine differences in school meal component selection, accounting for the repeated measures of students nested within schools (SAS PROC GLIMMIX; version 9.4, 2013; SAS Institute, Cary NC).”
    Quote in the paperSubstantial claim
  • May combine two claims.

    Interpretationreasoning

    Almost all students in these schools received a school meal, so if some students who brought lunches from home shared school meals, it would have minimal impact on the study results.

    “However, almost all students in these schools received a school meal, and therefore if this occurred it would have a minimal impact on the study results.”
    Quote in the paperNot a substantial claim
    • Rests on an assumption: Almost all students in the participating schools received a school meal.
  • May combine two claims.

    Interpretationown data

    The participating schools were all located in an urban, low-income primarily Hispanic school district and only elementary and middle schools were involved, limiting generalizability.

    “The participating schools were all located in an urban, low-income primarily Hispanic school district and only elementary and middle schools were involved in this study.”
    Quote in the paperNot a substantial claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    Mixed-model ANOVA accounted for repeated measures of students and school as a random effect.

    “To examine consumption among students who selected a meal component, mixed-model ANOVA was used, accounting for the repeated measures of students and school as a random effect (students nested within schools), using SAS PROC MIXED.”
    Quote in the paperSubstantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The study was strengthened by six days of plate waste measurements at each school and the large sample size.

    “This study was also strengthened by the six days of plate waste measurements at each school and the large sample size.”
    Quote in the paperNot a substantial claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The Bergman et al. study examined aggregate food consumption but did not differentiate between types of foods consumed.

    “This study examined aggregate food consumption, but did not differentiate between the types of foods consumed by students (e.g. entrées, fruits, vegetables, or milk).”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [8] Bergman, 2004, The relationship between the length of the lunch period and plate waste in the elementary school lunch setting, J Child Nutr Mgt source
  • May combine two claims.

    Premisecitation

    A similar study found longer lunch periods were associated with increased odds of consuming a fruit or vegetable, but amounts consumed were not assessed.

    “A similar study found that longer lunch periods were associated with increased odds of consuming a fruit or vegetable, but the amounts consumed were not assessed.9”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites [9] Gosliner, 2014, School-level factors associated with increased fruit and vegetable consumption among students in California middle and high schools, J Sch Health source
  • Classified as probably not a substantial claim.

    Premisecitation

    A previous study by Bergman et al. found that students with 30-minute lunch periods consume more foods and nutrients than those with 20-minute lunch periods.

    “A previous study conducted by Bergman et al. examined lunch period length and found that students with 30 minute lunch periods consume more foods and nutrients than those with 20 minute lunch periods.8”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [8] Bergman, 2004, The relationship between the length of the lunch period and plate waste in the elementary school lunch setting, J Child Nutr Mgt source
  • May combine two claims.

    Premisecitation

    Students frequently have lunch periods that are 20 minutes or less, which may lead to insufficient time to eat.

    “Students frequently have lunch periods that are 20 minutes or less, which may lead to an insufficient amount of time to eat.6,7”
    Quote in the paperSubstantial claim0 of 2 sources checked
    • cites [6] Ross M, Crawford P. Evaluation of the healthy school meals project: Report of findings from ten California districts. Atkins center for weight and health. Prepared for the California endowment. http://cwh.berkeley.edu/sites/default/files/primary_pdfs/Healthy_School_Meals_Full_Report_FINAL2_small.pdf. Accessed March 4, 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [7] Conklin, 2002, How long does it take students to eat lunch? A summary of three studies, J Child Nutr Mgt

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Classified as probably not a substantial claim.

    Premisecitation

    Students require at least 20 minutes seated at a lunch table to allow enough time to socialize and consume foods.

    “Previous research documenting how students spend their time in cafeterias found that students require at least 20 minutes seated at a lunch table to allow for enough time to socialize and consume their foods.7”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [7] Conklin, 2002, How long does it take students to eat lunch? A summary of three studies, J Child Nutr Mgt

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    The Healthy Hunger-Free Kids Act of 2010 enhanced nutritional quality of school meals and set nutrition standards for competitive foods, resulting in improvements in student's school food selection and consumption.

    “Recently, the Healthy Hunger-Free Kids Act of 2010 enhanced the nutritional quality of school meals and set nutrition standards for competitive food sold in schools, which has resulted in improvements in student’s school food selection and consumption.4,5”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites [4] 2012, Nutrition standards in the National School Lunch and School Breakfast Programs, Fed Reg

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

    • cites [5] Cohen, 2014, Impact of the new US Department of Agriculture school meal standards on food selection, consumption, and waste, Am J Prev Med source
  • May combine two claims.

    Premisecitation

    Surveys of students found that a high percentage felt rushed at lunch and reported insufficient time to eat.

    “Similarly, surveys of students have found that a high percentage felt rushed at lunch and report insufficient time to eat their meal.13”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites [13] Perry Undem Research/Communication. California students’ voices on school meal time: Results from a survey of California middle and high school students. http://cfpa.net/ChildNutrition/ChildNutrition_CFPAPublications/Student%20Meal%20Time-%20Final%20Report-2013.pdf. Accessed March 4, 2015.

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

25 of 25
  • The paper relies on this without support.

    This study is the first to examine the association between the amount of time students have to eat and school food selection and consumption.

    “To our knowledge, this study is the first to examine the association between the amount of time students have to eat on school food selection and consumption.”
  • The paper relies on this without support.

    Current national standards do not address lunch period length.

    “However, current national standards do not address lunch period length, which may result in many students having insufficient time to eat their meals.”
  • The paper relies on this without support.

    The observed association between seated time to eat and food consumption reflects a causal effect of time, such that increasing seated time would improve consumption.

    “Findings from the current study suggests that policies that enable students to have at least 25 minutes of seated time may lead to improvements in students’ diets and decrease plate waste in school cafeterias.”
  • The paper relies on this without support.

    Almost all students in the participating schools received a school meal.

    “However, almost all students in these schools received a school meal, and therefore if this occurred it would have a minimal impact on the study results.”
  • The paper relies on this without support.

    The updated school meal standards require students to select a fruit or vegetable.

    “This study was conducted prior to implementation of the updated school meal standards which requires students to select a fruit or vegetable.”
5 of 5

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • Vegetable-consumption p-values disagree

    Minor

    For students with fewer than 20 minutes versus at least 25 minutes to eat, the abstract reports p=0.0002 for vegetable consumption, while the Results report p<0.0001 for the same comparison.

  • Overall meal-eligibility figure falls below every school's reported rate

    Minor

    The paper gives an 88-94% eligibility range for the participating schools but later says approximately 85% of students in those schools were eligible. An overall rate cannot be below every school's rate.

2 of 2

Cites

Flagged first, then by citations

2 of the 19 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Conklin, 2002, How long does it take students to eat lunch? A summary of three studies, J Child Nutr Mgt, 26
  2. Bergman, 2004, The relationship between the length of the lunch period and plate waste in the elementary school lunch setting, J Child Nutr Mgt, 28

Cited by

Sorted by citations

Authors
Cohen, J. F. W., Jahn, J. L., Richardson, S., Cluggish, S. A., Parker, E., & Rimm, E. B.
Affiliations
  • Harvard University (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Cohen, Juliana F.W.
Venue
Journal of the Academy of Nutrition and Dietetics
Publisher
Elsevier BV
Published
2016-01
Volume
116
Issue
1
Pages
123-128
ISSN
2212-2672 (ISSN-L)
OpenAlex
W1451987894
Cited by
116
References
19
Citations by year
2026: 10 · 2025: 11 · 2024: 12 · 2023: 4 · 2022: 9 · 2021: 14 · 2020: 10 · 2019: 16 · 2018: 14 · 2017: 10 · 2016: 6
FWCI
9.62
Type
journal article
Language
en
Open access
Locations
  • Journal of the Academy of Nutrition and Dietetics (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (R25CA098566)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › General Health Professions › Food Security and Health in Diverse Populations
Keywords
school meals, food choice, dietary intake, plate waste, entrees, fruits, vegetables, milk, children, school nutrition policy
MeSH terms
Animals, Child, Diet, Eating, Ethnicity, Female, Food Preferences, Food Services, Fruit, Humans, Male, Milk, Prospective Studies, Schools, Students, Time Factors, Vegetables, Lunch

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