This study used 2011–2016 National Health and Nutrition Examination Survey (NHANES) data to examine the relationship between estimated program participation, diet quality, indicators of nutrition and health, food consumption patterns, and nutrient intakes. 

The Special Nutrition Program Operations Study is a multiyear study designed to provide the Food and Nutrition Service with a snapshot of current state and school food authority policies and practices of the school meal programs, including information on school meal standards, competitive foods standards, professional standards, school lunch pricing and accounting, and Smarter Lunchrooms activities.