# Presentation: 030373

## Evaluating school nutrition policies:

**Tools to measure policy implementation and environmental change to **
**support healthy eating**

**Sarah Stone-Francisco, MPH**
**Samuels & Associates**
**National Prevention Summit**
**October 25, 2005**

**Notes:**
First I want to tell you a bit about who we are and how we get here. Samuels & Associates is a health policy, research and evaluation firm located in Oakland, CA. And our work involves using research and evaluation to inform and support the development, effectiveness, and sustainability of programs and policies which promote community health improvements.

## Acknowledgements

**Miriam Walter**
**Kate Schluter**
**Lisa Craypo**
**Maria Boyle**
**Sarah Samuels**

- Samuels & Associates

## School Food and Beverage Venues

**School**** ****Food and Beverage Venues**

**School Vending Machines**

**School Cafeteria**

**School Store**

- Sacramento Bee 10/21/05

- Mary Story; University of Minnesota

- Samuels & Associates

**Notes:**
There are many venues where students can buy competitive foods, but the three main locations are vending machines, which are generally run by the vending companies themselves; school stores which are often run by Associated Student Body groups, Parent Associations, or School Clubs; and snack bars and snack carts which are both usually run by food service either out of or near the school cafeteria.

## Research  Policy

**Research ******** Policy**

- The most frequently sold a la carte items were pizza (75%), chips (75%), cookies (72%), and soda (71%).

**Notes:**
In 2000 and 2001 Samuels & Associates conducted a High School Fast Food survey. This survey really helped to inform the development of statewide policy that put into place nutrition standards in California, and it did this by painting a picture of what the complete school food and beverage environment looked like.

## School Food & Beverage Environment

- Competitive foods are particularly present in middle and high schools
- Available throughout the school day
- Many vendors
- Generate revenue

- Samuels & Associates

**Notes:**
I want to start by giving you a brief picture of the school food and beverage environment.

The school meal program is the major regulated source of foods in schools, but then there’s this other source of foods and beverages that isn’t as well regulated. These foods that are sold outside of the meal program are referred to as competitive foods and beverages, and they are often the high fat, high sugar foods and sugar beverages. 
Schools make a lot of money from selling these competitive foods, and the funding from this money is generally used to support student programs in high schools and middle schools. 

## Policy efforts to improve competitive foods

- California school district beverage and nutrition policies
- Los Angeles, Oakland, San Francisco, Eureka City, Capistrano, Hemet. . .
- California state legislation (K-12)
- SB965 & SB12

- Samuels & Associates

**Notes:**
This ubiquitous availability of high sugar high fat foods on campus has driven several states and school districts to adopt policies to regulate competitive foods and beverages.

Two notable state bills that build on previous legislation were recently adopted in California: Senate Bill 965 regulating beverages and Senate Bill 12 regulating foods. This legislation stipulates that grades kindergarten through 12th grade are allowed to sell water, 100% juice with no sugar added, and milk. And Middle and High Schools are also allowed to sell sports drinks. This effectively removes all soda from being sold to students on California school campuses.

Senate Bill 12 stipulates that the only competitive foods that can be sold are those with less than 35% total fat from cal, 10% sat fat from calories, and 35% total weight from sugar. SB12 also includes new language that limits the portion sizes of snack and entrée foods.

## An Evaluation Approach: Environmental Assessments

- Observational environmental assessment instrument
- School foods nutrient database
- Stakeholder interviews
- Policy analysis

- Samuels & Associates

**Notes:**
Now I’m going to talk about an approach that we have developed for assessing the food and beverage environment in schools and  comparing those foods and beverages to state and local policies. 
The tools in this approach provide data that can be used to get a snapshot of the school environment, to monitor change in the environment over time, to measure the extent of policy implementation and to assess the nutrient profile of foods and beverages sold on campus.

## Uses of Environmental Assessment Data

- Snapshot of the school environment
- Monitor environmental change over time
- Measure extent of policy implementation
- Assess nutrient profile of foods and beverages sold on campus

- Samuels & Associates

**Notes:**
Now I’m going to talk about an approach that we have developed for assessing the food and beverage environment in schools and  comparing those foods and beverages to state and local policies. 
The tools in this approach provide data that can be used to get a snapshot of the school environment, to monitor change in the environment over time, to measure the extent of policy implementation and to assess the nutrient profile of foods and beverages sold on campus.

## Assessment process: Environmental Assessment methods

- Walk around the school
- Inventory foods and beverages in the main competitive food venues
- Observe snack and lunch periods
- Interview school administrators & staff

- Samuels & Associates

**Notes:**
When we asses the school food and beverage environment we take a comprehensive walk around the school and take an inventory of all the competitive foods and beverages. In addition to walking around the school, we also observe snack and lunch periods to ensure that we aren’t missing any inconspicuous competitive food or beverage sales. Additionally, we interview school administrators and staff to collect any additional information.

## Assessment tools: Food and Beverage Environmental Assessment Tool

- Locations and times of competitive food and beverage sales
- Marketing and advertising
- Food and beverage item name, size, selling price
- Nutrient content of foods
- Supplemental:
- presence of healthy items, water fountains, revenues, fundraisers, purchase mechanisms, concessions

- Samuels & Associates

**Notes:**
The comprehensive tool that we use collects information that is relevant to the state and/or district policy that we are evaluating. 
This includes, the locations and times of competitive food and beverage sales, the locations and types of marketing and advertising of foods and beverages, individual food and beverage item name, the serving and total size, the selling price, and the nutrient content of foods.

Some additional topics that we assess depending on the research question or the explicit content of a policy are whether or not some venues offer foods modified to be low fat or provide more fruits, vegetables or fiber, the presence of water fountains and whether or not they work, we have a section on revenues that assesses the amount generated by each venue and how revenues are controlled. We have a section on fundraisers, one on purchase mechanisms, and one on concessions or branded foods that assess whether or not a school offers McDonalds or Pizza Hut.

All of this data is then entered into an SPSS database specific to that study.
As we were collecting all of this information, we quickly noticed that many of the same foods were being sold at each school, therefore, instead of needing to record the nutrient information for a product 40 times for the 40 different schools that were offering that product, we built a nutrient database so that we could record the data once, and apply to each of the 40 times we found that same product throughout each study.

## Assessment tools: School Foods Nutrient Database

- 1293 food products
- Data collection:
- Environmental assessment tool
- Tracking down manufacturers’ data
- Web searches
- Phone calls
- Convenience or grocery store visit
- School food service data
- USDA nutrient databanks
- Standard Reference (SR17)
- Food and Nutrient Database for Dietary Studies (FNDDS)

- Samuels & Associates

**Notes:**
The nutrient database that we built contains information on 1293 foods.
We’ve obtained the nutrient information for these foods products directly from packages, through contacting manufacturers, and from food service directors. It’s often that the nutrient information is not on the package and we have to go searching for it. It’s also not uncommon to essentially find no trace of a manufacturer in the yellowpages or on the web. Often this information has been nearly impossible to track down, sometimes it can take hours to find the nutrient content for one particular item, and some companies actually act like the nutrition facts are top secret information.

When locating the manufacturer information is impossible, we look to the USDA nutrient databanks.

## Assessment tools: School Foods Nutrient Database (cont.)

- For each item, the SFND contains:
- Product information
- Name of product
- Manufacturer
- Serving and product size
- Total calories
- Nutrient information
- Total fat grams per serving
- Total saturated fat grams per serving
- Total grams of sugar
- Source of data

- Samuels & Associates

**Notes:**
For each individual food item, the school foods nutrient database contains: 
Product information such as the name of the product, the manufacturer, the serving and product size, and calories.
We also have information on the nutrients that are most relevant to most nutrition standards and policies including the total fat grams per serving, total saturated fat grams per serving, and the total grams of sugar.

## Nutrient analysis

- Apply the nutrient profiles for each of the foods to the data file cataloguing the location, price, and number of times an item was found
- Calculate total calorie size, percent of total calories from fat and saturated fat, and percent of weight from sugar
- Compare the nutrient profiles to nutrition standards and policies to determine the types and proportion of foods and beverages that adhere

- Samuels & Associates

**Notes:**
We then combine the info from the snfd wit the foods found in a study, and calculate the total calorie size, percent of total calories from fat and sat fat, and the percent weight from sugar.
We use this information to them make a comparison to the particular school district or state standard or policy to determine the types of foods and beverages that are most likely to adhere to the policy, and also to calculate the percentage of foods and beverages being sold that are allowed to be sold.

## Foods that do not adhere

- bagel and cream cheesewaffles-cmiburrito-fernando's-red hotburrito-los cabosburrito-los cabos-bean and cheesecheese nachoschicken sandwich-tyler fully cooked hot and spicy breaded chchicken-barbeque drumstickchicken-nuggetschicken-popcorn chickenchicken-spicy pattychicken-stripschicken-wingschimichangachimichanga-fernando'schimichanga-fernando's-beefchips and salsahamburgerhamburger-pierre cn-flame broiled hamburgerhamburger-with cheesehamhamburger-don lee farmshot doghot dog-chili cheesedoghot dog-gold medal-ground beef hot dog with homestyle bunhot dog-hot linkhot dog-sysco-turkey corn doginstant soup-maruchan-beefinstant soup-maruchan-california vegetableinstant soup-maruchan-chickeninstant soup-maruchan-picanteinstant soup-maruchan-shrimpmeal-chili with chipsmeal-corn chowder with chipsmeal-philly cheese steak sandwich with potato saladnachosnachos-chili cheesenachos-chips with cheese cupsoup-campbells-chicken noodleinstant soup-maruchan-cup of noodlesinstant soup-nissin-cup noodlessoup-nong shim-picante bowl of noodle soupbrowniebrownie-buena vista-low fatbrownie-buena vista-low fat chocolate chip fudgebrownie-linda's-chocolate fudgebrownie-olde new england-pecan fudgebrownie-plantation-chocolate fudgemeal-chow mein with ricecake product-hostess-chocolate cupcakescake product-hostess-iced devils food zingerscake product-hostess-orange cupcakescake product-hostess-twinkiescake product-mrs. freshley's-chocolate cupcakescake product-mrs. freshley's-creme filled chocolate cupcakescake product-mrs. freshley's-gold crème cakecake product-mrs. freshley's-jumbo honey bun cakecake product-tina's-blueberry muffincake-coffee cakedonuts-freshley's-crunch mini donutsdonuts-freshley's-mini frosted donutsdonuts-hostess-chocolatedonuts-hostess-sugared donutsdonuts-mrs. freshley's-powdered mini donutsdonuts-pattycake gem donutsmuffin-otis spunkmeyer-chocolate chippastry-cinnamon rollpastry-cloverhill-big bear claw danishpastry-cloverhill-premium apple pocketpastry-gran tastelito-cerezas y queso danishpastry-haas-bear clawpastry-honey bunspastry-hostesspastry-mrs. freshley's-bear claw danishpastry-svenhard's-danishpie-pumpkintoaster pastry-frosted cherry pop tartstoaster pastry-frosted chocolate pop tartstoaster pastry-kelloggs-frosted strawberry pop tartstoaster pastry-Quaker-iced strawberry fruit and oatmealcandy bar-3 muskateerscandy bar-almondy joycandy bar-heath barcandy bar-hershey's-cookies and crèmecandy bar-hershey's-milk chocolatecandy bar-hershey's-milk chocolate with almondscandy bar-hershey's-smorescandy bar-hershey's-whatchamacallit barcandy bar-kit kat-42gcandy bar-kit kat-big katcandy bar-mars (Almond bar)candy bar-milky waycandy bar-mr. goodbarcandy bar-nestle-baby ruth-2.1ozcandy bar-nestle-baby ruth-65.5gcandy bar-nestle-butterfingercandy bar-nestle-crunch king size barcandy bar-nestles crunchcandy bar-nestles crunch-caramelcandy bar-nestle-toll house browniecandy bar-pay day-peanut butter caramel king size barcandy bar-paydaycandy bar-reese's-nutrageous candy barcandy bar-skorcandy bar-snickerscandy bar-snickers-almondcandy bar-snickers-crunch barcandy bar-snickers-the big onecandy bar-twixcandy bar-twix king sizecandy bar-twix-peanut buttercandy-airheads-blue raspberrycandy-airheads-cherrycandy-airheads-extremes 5 flavorscandy-airheads-extremes sour chewy candycandy-airheads-green applecandy-airheads-orangecandy-airheads-strawberrycandy-airheads-watermeloncandy-airheads-white mysterycandy-assorted types of chocolate candiescandy-caramel apple popscandy-certs-peppermintcandy-charm braceletscandy-fun dipcandy-good and plentycandy-harmony-gummi bearscandy-harmony-gummy wormscandy-harmony-sour bearscandy-harmony-sour wormscandy-heide-gummi bearscandy-hershey's-smorescandy-hot tamalescandy-jolly rancher-chewy lollipopscandy-jolly rancher-fruit chewscandy-laffy taffy-gummy strawberrycandy-laffy taffy-jerry cherrycandy-laffy taffy-watermeloncandy-life saverscandy-m&m-almondcandy-m&m-crispycandy-m&m-peanutcandy-m&m-peanut buttercandy-m&m-peanut king size candycandy-m&m-plaincandy-m&m-plain in tubecandy-mamba-18 fruit chewscandy-mamba-fruit chews selected from orange, lemong, raspbecandy-mentos fruitcandy-mentos mintcandy-mentos-berrycandy-mentos-cinnamoncandy-mike & ikecandy-mike and ike-original fruitcandy-milk dudscandy-nerds-grape and strawberrycandy-now and later-18 piece classic barcandy-now and later-18 piece radberry barcandy-now and laters-grapecandy-now and laters-limecandy-now and laters-strawberrycandy-red vines-original red barscandy-red vines-original red candycandy-red vines-red twistcandy-red whips-red licoricecandy-reese's-fast breakcandy-reese's-peanut butter cupscandy-reese's-peanut butter cups king sizecandy-reese's-reese's piecescandy-reese's-white chocolate peanut butter cupscandy-ring popcandy-rolocandy-shock tartcandy-skittles-original fruit-1.5ozcandy-skittles-original fruit-2.17ozcandy-skittles-regularcandy-skittles-sour-1.5ozcandy-skittles-sour-1.8ozcandy-skittles-sour-2.17ozcandy-skittles-tropical-2.17ozcandy-skittles-tropical-61.5gcandy-skittles-wild berry-1.5ozcandy-skittles-wild berry-2.17ozcandy-snak club-apple ringscandy-snak club-gummi bearscandy-snak club-gummy wormscandy-brand unspecified-gummy bearscandy-snak club-peach ringscandy-snak club-sour gummy bearscandy-snak club-sour licorice bitescandy-snak club-sour wormscandy-snak club-watermelon ringscandy-sour patch-soft and chewy fruitscandy-sour punch strawscandy-sour punch straws-applecandy-sour punch straws-berry blastcandy-sour punch straws-cherrycandy-sour punch straws-watermeloncandy-sourpatch-strawberry strawscandy-starburstcandy-starburst-california fruit (blue)candy-starburst-fruit and crème (pink)candy-starburst-orangecandy-starburst-originalcandy-starburst-original mega stickcandy-starburst-sourcandy-starburst-tropical fruit (green)candy-sweet tarts-chewy miniscandy-sweet tarts-shockerscandy-sweet tarts-shockers chewycandy-tootsie popscandy-warheads-rip rolls sour applecandy-warheads-rip rolls strawberrycandy-whopperscandy-wonka gobstopper-jawbreakerscandy-wonka gobstoppers-chewy and everlastingcandy-wonka-chewy runtscandy-york-peppermint pattyfruit leather-kettle valleyfruit roll-betty crocker-tropical tie dye fruit roll-upsfruit snacks-kettle valley-100% fruit strawberryfruit snacks-kettle valley-100% fruit tropical blendfruit snacks-brach's-fruitiosfruit snacks-fruit by the footfruit snacks-fruit gushers-tropicalfruit snacks-kettle valley-real fruitfruit snacks-nabisco-strawberry nonfatfruit snacks-welch's-mixed fruitfruit snacks-welch's-strawberrygum-big redgum-cinnaburstgum-doublemintgum-juicy fruitgum-wrigley's-juicy tarthard candies-minthard candy-cremesavershard candy-jolly rancherhard candy-jolly rancher-5 flavorshard candy-jolly rancher-bold fruithard candy-jolly rancher-cherry; watermelon; applehard candy-jolly rancher-intense lollipopshard candy-jolly rancher-originalhard candy-life savers-five flavorshard candy-lifesavershard candy-lifesavers-mintscereal-trix-fruity sweetened corn puffschips-andy-capps salsa frieschips-assortedchips-bugles-nacho cheesechips-cheetos-crunchychips-cheetos-crunchy dangerously cheesychips-cheetos-crunchy flaming hotchips-cheetos-crunchy flaming hot limonchips-cheetos-crunchy king sizechips-cheetos-flaming hotchips-cheetos-flaming hot crunchychips-cheetos-flaming hot crunchy

- Samuels & Associates

## Foods that do not adhere (cont.)

- king sizechips-cheetos-flaming hot crunchy limonchips-cheetos-hotchips-cheetos-puffschips-cheetos-regularchips-cheetos-twistedchips-chester's-extra hot friedchips-chesters-flaming hot frieschips-doritoschips-doritos-cooler ranchchips-doritos-cooler ranch king sizechips-doritos-guacamolechips-doritos-limechips-doritos-nachochips-doritos-nacho cheesechips-doritos-nacho cheesierchips-doritos-rancherochips-doritos-salsachips-doritos-salsa verdechips-doritos-spicier nachochips-doritos-spicier nacho king sizechips-doritos-spicier nacho tortillachips-el sabroso-guacachipchips-el sabroso-salsitas chipschips-fritoschips-fritos-barbeque flavor twistschips-fritos-chili cheesechips-fritos-chili cheese king sizechips-fritos-flaming hotchips-fritos-flavor twists honey barbequechips-fritos-honey barbequechips-fritos-honey barbeque flavored twistschips-fritos-lime & chilechips-fritos-originalchips-funyunschips-funyuns-onion flavored ringschips-funyuns-onion rings-1.0ozchips-funyuns-onion rings-21.2gchips-layschips-lays-cheddar and sour creamchips-lays-classic potatochips-lays-cool guacamolechips-lays-extra flamin' hotchips-lays-kc masterpiece bbqchips-lays-tangy limon lime flavoredchips-lays-sour cream and onionchips-poore bros-habanerochips-pringles-cheezumschips-pringles-originalchips-pringles-pizzaliciouschips-rollitos-cooler ranchchips-ruffles-cheddar and sour creamchips-ruffles-kc masterpiece mesquite bbqchips-ruffles-originalchips-ruffles-sour cream and onionchips-sunchipschips-sunchips-french onionchips-sunchips-harvest cheddar multigrainchips-sunchips-king sizechips-sunchips-originalcracker snacks-austin-cheese crackers with peanut buttercracker snacks-austin-cheese crackers with cheddar cheesecracker snacks-handisnacks-cheese and crackerscracker snacks-ritz-peanut butter sandwichescracker snacks-ritz-ritz bits cheese sandwichescrackers with real cheese-ritzcracker snacks-austin-toasty crackers and peanut buttercrackers-cheese and peanut buttercrackers-cheez itcrackers-cheez it-originalcrackers-cheez it-white cheddarcrackers-kraft-cheddar cheese nipscrackers-fritolay-toasted crackers with peanut buttercrackers-fritolay-cheese crackers with peanut buttercrackers-goldfish-cheddarcrackers-planters-cheese and peanut butter crackerscrackers-wheat thinscrackers-wheat thins-originalpopcorn-act II-butterpopcorn-act II-butter lover's popcornpopcorn-act II-flavor unknownchips-tgi friday's-potato skinschips-tgi friday's-potato skins-cheddar and baconchips-tgi friday's-potato skins-sour cream and onionpretzels-gardettos-mixed pretzelspretzels-saltedsnack mix-gardetto's-originalsnack mix-munchies-classic mixsnack mix-munchies-flaming hotsnack mix-munchies-hotsnack mix-snak club-spicy party mixsnack sticks-tgi fridays-mozzarellasandwich-coldsandwich-delisandwich-deli with meat, cheese, tomatosandwiches-assorted coldsandwich-fresh cut subssandwich-ham and cheesesandwich-school made-delisandwich-school made-ham and cheesesandwich-school made-peanut butter and jellysandwich-tunasandwich-turkey and cheesesandwich-turkey and cheese delicookies-baked chocolate chipcookies-chocolate chipcookies-circus animalscookies-Kellogg's cookie mates-vanilla crèmecookies-famous amoscookies-famous amos-chocolate chipcookies-grandma'scookies-grandma's-chocolate chipcookies-grandma's-fudge chocolate chipcookies-grandma's-homestyle chocolate chipcookies-grandma's-homestyle fudge chocolate chipcookies-grandma's-homestyle oatmeal raisincookies-grandma's-homestyle peanut buttecookies-grandma's-homestyle soft chocolate chipcookies-grandma's-homestyle vanillacookies-grandma's-mini vanillacookies-grandma's-oatmeal raisincookies-grandma's-peanut buttercookies-grandma's-rich and chewy chocolate chip softcookies-grandma's-vanillacookies-hot chocolate chipcookies-nabisco-oreoscookies-keebler-fudge shoppecookies-knotts berry farm-raspberry shortbreadcookies-lorna doone-shortbreadcookies-mother's-circus animal cookiescookies-nabisco chips ahoycookies-nabisco oreos-double stuffcookies-nabisco-cream sandwichcookies-nabisco-mini bite size oreoscookies-nabisco-oreos-cookie vend pakcookies-nabisco-oreos-minicookies-nonni's-chocolate biscotticookies-otis spunkmeyercookies-otis spunkmeyer-chocolate chipcookies-otis spunkmeyer-oatmealcookies-otis spunkmeyer-white chocolatecookies-plantars-nutter butter bitescookies-tina's monster-chocolate chipcookies-tina's monster-extra chocolate chocolate chipcookies-tina's monster-m&mcookies-barbara's bakery-snackimals animal cookiescookies-tina's monster-snickerdoodlecookie-rice krispie treat-kellogg'scookie-rice krispie treatpasta salad-school madepotato salad-smart and finalsalad-caesarsalad-chefsalad-large chef'ssalad-school made-cheffries-regularfriesfries-garlicfries-mccain X-treme cracked black pepper fries - 3/8"hash brownfrozen yogurt-mint chocolate chipice cream-blue bunny-big vanilla sandwichice cream-blue bunny-cookies and crème sundaeice cream-blue bunny-chocolate chip cookie sundaeice cream-blue bunny-sundae cupice cream-blue bunny-the champ vanillaice cream-blue bunny-the champ vanilla ice cream sandwichice cream-blue bunny-the chap caramel ice cream cone ice cream-blue bunny-vanilla ice cream coneice cream-blue bunny-vanilla ice cream sandwich heath barice cream-chip wichice cream-creamsicleice cream-darigold-frozen malt chocolateice cream-darigold-frozen malt strawberryice cream-darigold-frozen malt vanillaice cream-darigold-neapolitan sandwichice cream-drum stickice cream-good humor-american glory sundae coneice cream-good humor-candy center crunchyice cream-good humor-giant sandwichice cream-good humor-oreoice cream-good humor-premium cookie sandwichice cream-good humor-premium hershey's chocolate ice cream bice cream-good humor-reeses peanut butter cup ice cream barice cream-good humor-strawberry shortcakeice cream-good humor-sundae coneice cream-hiland roberts-chocolate frosted maltice cream-king size frozen snickers barice cream-klondike-choco tacoice cream-nestle-strawberry shortcake stickice cream-nestle-vanilla caramel drumstickice cream-nestle-vanilla drumstickice cream-nestle-vanilla fudge drumstickice cream-old fashioned vanilla sundae coneice cream-popsicle colonel crunch-strawberry shortcakeice cream-popsicle colonel-crunch chocolate éclairice cream-unidentified frozen object (ufo)-chocolate smoothepopsicle-frozen fruit-chunky tropical gourmetpopsicle-frozen fruit-creamy coconutcereal bar-nutrigrain-applecereal bar-nutrigrain-blueberrycereal bar-nutrigrain-cinnamon applecereal bar-nutrigrain-raspberrycereal bar-nutrigrain-strawberrycereal bar-nutrigrain-yogurtenergy bar-balance-caramel nut blastenergy bar-balance-yogurt honey peanutfruit bar-california-coconutfruit bar-california-strawberryfruit bar-nature valleyfruit bar-sathers-fig barsgranola bar-nature valley-chewy granolagranola bar-nature valley-fruit and nut trail mix bargranola bar-nature valley-strawberrygranola bar-nature valley-strawberry yogurtgranola bar-nature valley-trail mix bargranola bar-quaker chewy-chocolate chipgranola bar-quaker-chewy barcheese-organic valley-stringles string cheesegranola bar-nature valley-chewy trail mix bar-apple cinnamonbeef jerky-pacific goldjerky product-pk ranch-beef jerkyjerky product-slim jimjerky product-werner-pepper sticksjerky product-werner-pepperoni sticksjerky product-werner-teriyaki stickssalamisalami-double barrelsalami-trails best-doublecheese-arrezzio-string cheesecheese-precious-part skim mozzerella string cheesecream cheese-28gegg-pro pacific-hard boiledcheese breadpizzapizza product-french bread pizzapizza product-hot pocket-113gpizza product-hot pocket-pepperonipizza product-max-stix with marinara saucepizza product-pizza pocketpizza-cheese with chipspizza-domino'spizza-domino's-pepperoni personal pizzapizza-pepperoni with chipspizza-round in a boxpizza-super slicenuts-snak club-toffee peanutstrail mix-cuptrail mix-karstrail mix-kars-sweet and saltytrail mix-kirkland signaturetrail mix-mr. nature-aloha mixtrail mix-mr. nature-energizer mixtrail mix-snak club-fancy mixcookies-nabisco-chocolate chips ahoy-minicookies-chocolate chip-Shorecliffs MScookies-tina's monster-oatmeal raisincookies-tina's monster-peanut buttercandy-reese's-reesesticksice cream-blue bunny-cookies and crème sandwichchips-funyuns-onion rings-king sizefruit snacks-kettle valley-100% fruit sour appleice cream-klondike-krunch barcookies-knotts berry farm-strawberry shortbreadcandy-skittles-original fruit-4.0ozgranola bar-nature valley-chewy vanilla yogurttrail mix-mr. nature-yogurt trail mixfruit bar-sunkist-fruit & grain bar-applecookies-nabisco-snackwells-crème sandwich cookiesfruit bar-nabisco-fig newton fig barcandy bar-hershey's-mounds dark chocolatecream cheese-block & barrelsandwich-hot pocket-director's choice tacosandwich-barbeque porkbagel-lender's-with cream cheesebagel-with imperial cream cheese-SFUSD-GWHSenergy bar-luna-nutz over chocolate whole nutrition barenergy bar-luna-s'mores barfruit bar-sunkist-fruit & grain bar-strawberryfruit snacks-nabisco-mixed berryfruit snacks-stretch island-organic grape fruit leatherfruit snacks-stretch island-organic strawberry 100%fruit snacks-stretch island-rare raspberry fruit leatherfruit snacks-stretch island-truly tropical 100% fruit leathegranola bar-health valley-raspberry bargranola bar-quaker-s'mores granola barpizza-tony's-cheese/cheese substitute pizza with reduced fatchicken salad-bumble bee-with crackerschicken salad-bumble bee-with crackerssandwich-salamichimichanga-ruizhot dog-foster farms-corn dogegg roll-vegetable-Galileo HSsandwich-turkey and bolognasnack mix-chex-bold party blendsnack mix-express snacks-ambrosia mixsnack mix-express snacks-tropical snack mixcandy-express snacks-yogurt raisinssnack mix-express snacks-california mixyogurt-dannon danimals-strawberrychips-tom's-tortilla chips-nacho cheese flavoredcookies-tom's-vanilla wafer snack cookiescracker snacks-tom's-cheddar cheese bites cracker sandwichescracker snacks-tom's-monterey jack and wheat cracker sandwicsnack mix-tom's-mingles premiumcracker snacks-tom's-original peanut butter sandwichescracker snacks-tom's-oven roasted peanut butter sandwiches

- Samuels & Associates

## Foods that adhere

- bagel and cream cheesebagel and cream cheese-sara lee-2.3 tsp cream cheesebagel-noah's-new york bagelsbread-yeasted rollenglish muffin-williams bakerybaked chips-doritos-cooler ranchbaked chips-doritos-nachosbaked chips-lays-barbequebaked chips-lays-KC barbequebaked chips-lays-originalbaked chips-lays-sour cream and onionbaked chips-pita snax-baked pita chipsbaked chips-ruffles-cheddar and sour creamburrito-breakfast-potatoes bacon cheese and veggiesfrench toast-krusteaz-cinnamonburrito-butcher boy-beef, bean and textured vegetable proteiburrito-jose ole-fiesta bean and cheesechicken biscuitegg rollfajitas-chickenfried ricehamburger-donlee farms beef burgermeal-barbeque pork sandwich with potato saladmeal-grilled chicken sandwich with chipsrice and beanssoup-campbell-clam chowdersoup-campbell-tortillacake product-tina's-lemon banana muffincake product-tina's-muffincake product-tina's-raspberry muffinsmuffinmuffin-otis spunkmeyer-blueberrymuffin-pacific bakeries-blueberrytoaster pastry-kelloggs-chocolate chip pop tartstoaster pastry-kelloggs-strawberry pop tartscandy-breathsaver-mintscandy-sweet tartsgum-carefree-sugarlessgum-icebreakershard candy-lifesavers-sugar free mintshard candy-tic tac-orange mintshard candy-tic tacscereal-general mills-cheerioscereal-kelloggs-corn flakescereal-kelloggs-rice crispiesoatmealbagel chips-new york style mini garlic bagel chipsbagel chips-new york style cinnamon raisin mini bagel chipsbagel chips-new york style mini bagelsnack mix-gardetto's-reduced fat original recipe mixcorn nutscorn nuts-barbequecorn nuts-chilecorn nuts-chile picantecorn nuts-chile picante con limoncorn nuts-nacho cheese-48gcorn nuts-originalcorn nuts-picantecorn nuts-ranchcorn nuts-salsa jaliscopretzel snack-pretzels filled with cream cheesepretzels-rold gold classic tiny twistspretzels-combos cheddar cheesepretzels-king sizepretzels-rold gold-thinpretzels-snak clubpuffs-tumaro's gourmet-organic krispy crunchy 50% less fat cpuffs-tumaro's gourmet-organic krispy crunchy 50% less fat npuffs-tumaro's gourmet-organic krispy crunchy 50% less fat tsnack mix-chex mix originalsnack mix-chex mix-funsnack mix-chex mix-honey nutsnack mix-chex-traditional mixsnack mix-munchies-kidssnack mix-munchies-traditionalsandwich-school made-deli turkey sandwichsandwich-school made-hamcookies-goody-marshmellow crispy squares mancrackers-keebler elfin-1.2ozcrackers-keebler elfin-29gcookies-nabisco-chocolate elf grahamscookies-nabisco-original cinnamon elf grahamscookies-nabisco-original elf grahamscookies-nabisco-teddy gramscookies-health valley-low fat chocolate tartchicken salad-with crackerssalad-largesalad-vegetarianfrozen yogurt-california-nonfat jaw busters cool cupfrozen yogurt-california-nonfat squirmy wormy cool cupfrozen yogurt-california-nonfat sundae cookie dream cool cupfrozen yogurt-california-nonfat chocolate chipfrozen yogurt-california-nonfat cookie doughfrozen yogurt-california-nonfat cookies & creamfrozen yogurt-california-nonfat mint chipfrozen yogurt-california-nonfat strawberry and creamfrozen yogurt-california-nonfat strawberry mudslide cool cupice cream-cold fusion-chocolate fantasy protein popsicleice cream-fudge poppopsicle-big stick cherry pineapple swirlpopsicle-blue bunny-the original bomb cherry; lime; and bluepopsicle-breyers-strawberry fruit juice barpopsicle-darigold-cherry pineapple super poppopsicles-delecias de michoacan-bubble gumpopsicle-supersickle-firecracker red white and bluecereal bar-quaker-fruit and oatmeal very berryenergy bar-clif-crunchy peanut butterenergy bar-keebler-journey-chocolateenergy bar-keebler-journey-multigrain apple cinnamonenergy bar-keebler-journey-peanut butter with fudge chunksgranola bar-nature valleygranola bar-nature valley-brown sugargranola bar-nature valley-crunchy banana nutgranola bar-nature valley-crunchy bargranola bar-nature valley-crunchy granola honey and oatsgranola bar-nature valley-honey and oatsgranola bar-nature valley-maple brown sugargranola bar-nature valley-peanut granola barbeef jerky-enjoy-hot, teriyaki, or old fashionedgranola bar-nature valley-chewy granola bar-banana nutbeef jerky-werner-honey glazedbeef jerky-werner-jalapenobeef jerky-werner-original medallionsbeef jerky-werner-pepperbeef jerky-werner-pepper medallionsbeef jerky-werner-teriyakibeef jerky-werner-sweet and spicybeef jerky-werner-teriyaki medallionsjerky product-enjoy-beef steak kabob hotjerky product-enjoy-beef steak kebob old fashionedpizza-domino's-cheese personal pizzapizza-domino's-personal size pizzanuts-harmony-wasabi nutsnuts-kars-hot spicy peanutsnuts-kars-salted cashewsnuts-kars-salted peanutsnuts-mr. Nature-salted cashewsnuts-planters-cashewsnuts-planters-lightly salted peanutsnuts-planters-peanutsnuts-planters-salted peanutsnuts-snak club-salted cashewsnuts-snak club-unsalted cashewsseeds-david's-roasted and salted sunflower seedsseeds-fiesta-nacho sizzlin hot sunflower seedsseeds-honey roasted sunflower seedsseeds-kars-sunflower seedsseeds-sizzlin hot sunflowertrail mix-fritolay-honey flavored trail mixtrail mix-snak club-flavored trial mixdried fruit-muncheros-saladitos-dried salted plumsfruitfruit and whip cream-strawberries fresh sliced in cup largefruit-applefruit-bananafruit-freshfruit-orangefruit-peach sliced in cupfruit-pineapple sliced in cupfruit-strawberries fresh cut in cupfruit-wholepickles-jane's-dillvegetable snack-veggi cup with hot picovegetablesvegetables-broccolivegetables-carrot sticksvegetables-carrots-6 minivegetables-celery-5 piecesyogurt-rockview farms-strawberry lowfatyogurt-western family-lemonjerky product-enjoy-beef steak kabob peppercornfrozen yogurt-california-nonfat fudge browniebagel-sara leenuts-blue diamond-smokehouse almondschicken-goldkist farms chicken pattybagel-lender's-plainchips-genisoy-apple cinnamon crunch soy crispschips-genisoy-rich cheddar cheese soy crispschips-genisoy-tangy salt and vinegar soy crispschips-stacy's-sweet bbq soy thin crispschips-stacy's-white cheddar soy thin crispsenergy bar-clif-chocolate chipenergy bar-clif-chocolate chip peanut crunchenergy bar-clif-lemon poppy seedenergy bar-power bar harvest whole grain double chocolateenergy bar-power bar harvest whole grain peanut butter chocogranola bar-health valley-dutch apple granola bargranola bar-quaker-chewy peanut butter and chocolate chunkbeef jerky-oberto-thin style beef jerky-pepperednuts-beer nuts-almondsnuts-beer nuts-sweet and salty cashewsnuts-express snacks-all natural whole almondsnuts-express snacks-roasted salted pistachiosnuts-express snacks-whole roasted cashewsbreakfast bar-quaker-brown sugar and cinnamonpretzels-i.m. healthy soy nut butter pretzelseeds-azar-sunflower seeds power snackstaquito-fiesta chicken taquitosandwich-barbeque beefchicken-pierre-chicken drummettes with oven friessandwich-turkey and hamnutrition bar-nugo-chocolate nutrition barnutrition bar-nugo-peanut butter nutrition barsnack mix-chex-sweet and salty honey nutsnack mix-express snacks-all natural wasabi green peassnack mix-express snacks-oriental rice snackssoup-campbells-cream of broccolisoup-campbells-minestronesandwich-tasty nada pocket sandwich-tacosandwich-tasty nada pocket sandwich-turkey taco with cheesevegetables-perana-baby carrotsvegetables-william bolthouse farms-carrotscookies-tom's-animal crackersnuts-tom's-great american toasted salted peanutspretzels-tom's-gold rush-baked mini pretzels

- Samuels & Associates

## Analysis: Comparing school foods to policies

**PERCENT OF FOODS ADHERING TO STATE NUTRITION STANDARDS**

- Samuels & Associates

**Notes:**
Excludes fruits and vegetables, which comprised only 2% of offerings, and seeds and nuts which comprised 3% of the offerings.  Overall 75% of foods did not adhere to fat and sugar standards

## Beverages found on school campuses: NOT ALLOWED under SB965

- Aquafina flavored water- wild berry
- Nestea Iced Tea
- Snapple peach ice tea
- Snapple Raspberry Iced Tea
- Lipton Brisk Iced Tea
- Nestea Cool iced tea
- Lipton's Brisk lemon iced tea
- Lipton brisk iced tea- raspberry
- Nestea Natural Lemon Flavored Iced Tea
- Nestea hot cocoa mix-dark chocolate
- Lipton brisk iced tea- pink lemonade
- Nestea Iced Tea, from soda fountain
- Glaceau Vitamin water- fruit punch
- Glaceau Vitamin water- kiwi strawberry
- Glaceau Vitamin water- tropical citrus
- Sparkling riptide fortified water-raspberry
- boost with sucralose
- Aquafina- flavor splash- raspberry
- Tropicana sugarfree orangeade
- Aquafina flavored water- citrus blend
- Slush Puppie- blue raspberry
- Slush Puppie- cherry
- Slush Puppie- Thelma's frozen lemonade
- Dole light cranberry juice
- Welch's cranberry juice cocktail
- Minute Maid lemonade, from soda fountain
- Hi-C Poppin' Pink Lemonade, from soda fountain

- Shasta Cola
- Shasta Root Beer caffeine free
- Mirinda strawberry soda
- Mirinda naranja
- Diet Coke
- Diet Dr. Pepper
- Coke C2
- Diet Coke Vanilla
- Diet Pepsi
- Diet RC Cola with Splenda
- Diet Seven Up
- Diet Sierra Mist
- Diet Coke with Lime Soda
- Diet Shasta Cola
- Hawaiian Punch Fruit Juicy Red
- Hawaiian Punch
- Cool tropics slushie-cherry
- Cool tropics slushie-blue raspberry
- Tropicana strawberry lemonade
- Fruit Works Fruit Punch Juice Drink
- Ocean Spray-kiwi strawberry
- Capri Sun pacific cooler
- Capri Sun fruit punch
- Capri Sun Wild Cherry
- Minute Maid Pink Lemonade
- Minute Maid Ruby Red Grapefruit
- Ridgefield smoothies-raspberry blue
- Ridgefield smoothies-kiwi
- Ridgefield smoothies-cherry
- Veryfine fruit2o plus citrus energy

- Snapple Kiwi Strawberry
- Snapple Mango Madness
- Minutemaid apple raspberry 25% juice
- Minute Maid Strawberry Raspberry 30% Juice
- Minute Maid Cran Apple
- Minute Maid Lemonade Juice drink
- Tropicana orangeade 3% juice
- Tropicana strawberry melon drink 5% juice
- Tropicana pink lemonade 3% juice
- Snapple Pink Lemonade
- Minute Maid cranberry raspberry apple blend
- pink lemonade, from soda fountain
- Snapple Fruit Punch
- Snapple Orange Mango
- Welch's fruit punch
- Welch's Strawberry Kiwi Drink
- Welch's lemonade
- Welch's grape juice
- Country Time Lemonade
- Tahitian Treat Fruit Punch
- Ridgefield Lemonade Slushy
- Ridgefield Strawberry Slushy
- Ridgefield Watermelon Slushy
- Ridgefield Green Apple Slushy
- Minute Maid cranberry grape juice
- Tropicana Lemonade
- Tropicana Peach Papaya
- Tropicana fruit punch
- Tropicana Strawberry Kiwi
- Sunny Delight Original

- A&W Rootbeer
- Barq's Rootbeer
- Cactus Cooler
- Coke
- Coke Cherry
- Dr. Pepper
- Fanta Orange
- Fanta strawberry
- Mountain Dew
- Mountain Dew Code Red
- Mug Root Beer
- Pepsi
- Pepsi Wild Cherry
- RC Cola
- Seven Up
- Sierra Mist
- Slice
- Slice Orange
- Sprite
- Squirt
- Sunkist Orange Soda
- Vanilla Coke
- Welch's Grape Soda
- Pepsi Vanilla
- Welch's Pineapple soda
- Hansen's- flavor unknown
- Pibb Xtra, from soda fountain
- Minute Maid Orange soda, from soda fountain
- Minute Maid Strawberry soda, from soda fountain
- Dr. Shasta

- Samuels & Associates

## Beverages found on school campuses: ALLOWED under SB965

**IN ALL SCHOOLS**
- Snapple 100% apple juice
- Snapple 100% fruit punch
- Minute Maid 100% apple juice
- Treetop 100% Apple Juice
- 100% orange juice brand unknown
- Minute Maid 100% orange juice
- Driftwood 100% real orange juice
- Driftwood apple juice
- Driftwood wild berry blend 100% juice
- Dole 100% juice- flavor unknown
- Dole 100% apple juice
- Tropicana 100% apple juice season's best
- Tropican 100% Grape Juice
- Welch's 100% white grape peach juice
- Welch's 100% white grape berry juice
- Welch's 100% white grape cherry juice
- Langer's 100% pineapple juice
- Langer's 100% tropical punch
- Welch's 100% apple juice
- Welch's 100% Orange Juice
- Langer's 100% Apple Juice
- Langer's 100% Orange Juice
- Welch's 100% Grape Juice
- Driftwood wild cherry 100% juice
- Switch 100% Tropical Punch juice
- Switch 100% Watermelon Strawberry Juice
- Dasani water
- Aquafina water
- Crystal Geyser water
- Aqua Pure Mountain Water
- water brand unknown
- Crystal Splash Drinking Water
- Arrowhead water
- Kirkland water

- Dejablue water
- Niagara water
- Dasani natural lemon flavored
- Dasani natural raspberry flavored
- Driftwood Nonfat Chocolate Milk
- Driftwood reduced fat milk 2%
- Milk 1% Chocolate
- Driftwood stawberry splash 1% flavored milk
- Driftwood Milk 1% Chocolate
**ONLY IN MIDDLE & HIGH SCHOOLS**
- Powerade fruit punch
- Powerade mountain blast
- Powerade orange
- Propel Fitness water berry
- Powerade lemon lime
- Gatorade orange
- Gatorade fruit punch
- Gatorade lemon lime
- Gatorade strawberry kiwi
- Gatorade cool blue
- Gatorade melon
- Gatorade riptide rush
- Powerade Orange with B Vitamin
- Gatorade Fierce melon
- Crystal Splash Electrolyte Replacement Beverage-wild berry
- Gatorade glacier freeze
- Gatorade ice strawberry
- Crystal Splash Electrolyte Replacement Beverage-Kiwi Strawbe
- Gatorade fierce grape
- Propel Fitness Water kiwi strawberry

- Samuels & Associates

## Analysis: Comparing school beverages to policies

**PERCENT OF BEVERAGES ADHERING TO STATE NUTRITION STANDARDS**

- Samuels & Associates

**Notes:**
Excludes fruits and vegetables, which comprised only 2% of offerings, and seeds and nuts which comprised 3% of the offerings.

## Policy  Evaluation

**Policy ******** Evaluation**

- _[http://calendow.org/reference/publications/](http://calendow.org/reference/publications/)__  _

**Notes:**
The analysis in this brief demonstrated that the beverages in high schools that had already passed a policy were much more likely to adhere to newly legislated nutrition standards than beverages in schools without a beverage policy. 

Although this presentation focused on schools, the approach is adaptable to be used in other settings like hospitals, clinics, and other worksites, for example. We’re currently exploring ways to help states and school districts with using these tools to evaluate their school food and beverage environment.

## Contact

- For more information contact:
- Sarah Stone-Francisco
- Samuels & Associates
- (510) 271-6799
- _[stone@samuelsandassociates.com](mailto:stone@samuelsandassociates.com)_
- _[www.samuelsandassociates.com](http://www.samuelsandassociates.com/)__ _

- Samuels & Associates

**Notes:**
And we would be delighted to work with you or your organization to see how this approach can be customized to fit your needs. I’m also more than happy to talk with anyone now or in the future about our work or to answer any questions.