This is a report of the National Academies' Institute of Medicine (Food and Nutrition Board), published here by permission. This report seeks to evaluate the use of various dietary assessment tools and to make recommendations for their use in identifying individuals who are at dietary risk.

Research conducted in the early 1990s indicated that school meals, on balance, were failing to meet certain key nutritional goals. In light of these findings, the USDA launched a far-reaching reform of the school meals programs, a reform aimed at upgrading the nutritional content of school meals. Several elements of this reform are collectively referred to as the School Meals Initiative for Healthy Children (SMI). The status of this initiative, together with an examination of selected operational issues of these programs, are the principal subjects of this report.

Fruit and vegetable consumption is an important component of a balanced diet consistent with the Dietary Guidelines for Americans and the Food Guide Pyramid. FNS promotes the increased consumption of fruits and vegetables, in all forms – fresh, frozen, canned, dried and juices, through its nutrition assistance programs.

This report fulfills a request to USDA from the Appropriations Committee Directives, FY 2002. As requested, this report compares the availability of fruits and vegetables in schools with and without salad bars using data from the School Nutrition Dietary Assessment Study, Part II, which were collected during the school year 1998-99. SNDA-II data enables us to examine the choice and variety of foods offered at salad bars, but not the quantity in a typical serving or the amount consumed.

This study was conducted within RAND's Center for the Study of Food and Nutrition Policy as part of RAND's Child Nutrition Analysis Project with the United States "Nutritional Monitoring Data". This document reports on the study of state nutritional monitoring data and should be of benefit to those interested in the operations of child nutrition programs.