In 2007, USDA introduced a new set of food packages via an Interim Rule based on recommendations from the Institute of Medicine, which were implemented by October 2009. The contents of the food packages were finalized via a Final Rule in 2014. The Final Rule clarified some provisions in the Interim Rule and allowed some additional options and substitutions.

This report includes findings from formative research undertaken to help USDA assist child care providers in following the nutrition, physical activity, and electronic media use recommendations outlined in the Healthy, Hunger-Free Kids Act of 2010.

The National School Lunch Program operates in over 94,000 schools and institutions. More than 26 million children receive meals through the program on any given day; about half of these meals are provided free of charge. The School Breakfast Program operates in approximately two-thirds of the schools and institutions that offer the NSLP, most commonly in schools that serve large numbers of economically disadvantaged children. 

The analysis conducted in this study builds on these two strands of the literature and uses three alternate definitions of breakfast: Consumption of any food or beverage. Breakfast intake of food energy greater than 10 percent of the Recommended Dietary Allowance (RDA). Consumption of foods from at least two of five main food groups and intake of food energy greater than 10 percent of the RDA.