We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Is Lunch From Home Better Than the School Cafeteria?  A Look at the New School Lunch Criteria

Virginia A. Stallings, MD1,2
[+] Author Affiliations
1Division of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
2Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia
JAMA Pediatr. 2015;169(1):16-17. doi:10.1001/jamapediatrics.2014.2469.
Text Size: A A A
Published online


In this issue of JAMA Pediatrics, Caruso and Cullen1 describe the nutritional quality and cost of lunch brought from home by elementary and intermediate school–aged children in Houston, Texas. As they remind us, this component of the school food environment is basically avoided by public health policy and rarely addressed by investigators. The authors conducted an observational study in 1 school district including 12 schools (8 elementary, 4 intermediate) in the fall of 2011. A total of 243 elementary and 95 intermediate school student meals from home were assessed in both low-income and middle-income schools. Foods and the amounts eaten were documented with direct observation by well-trained observers. The nutrient content and the food groups were compared with the US Department of Agriculture guidelines released in 2012 for the National School Lunch Program (NSLP).2 These new national guidelines are in a several-year implementation phase. Federal reimbursement for school lunch requires that schools adhere to these national guidelines; more than 99% of public schools and most private schools participate in this important child nutrition program.3 However, lunch brought from home is not addressed by federal guidelines; the general assumption is that home-prepared lunch will be as healthful as school lunch and possibly better.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

1 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Collections
PubMed Articles