Milk Options Observation (MOO)

A Mixed-Methods Study of Chocolate Milk Removal on Beverage Consumption and Student/Staff Behaviors in a Rural Elementary School

Melinda Davis, Margaret Spurlock, Katrina Ramsey, Jamie Smith, Beth Ann Beamer, Susan Aromaa, Paul B. McGinnis

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Providing flavored milk in school lunches is controversial, with conflicting evidence on its impact on nutritional intake versus added sugar consumption and excess weight gain. Nonindustry-sponsored studies using individual-level analyses are needed. Therefore, we conducted this mixed-methods study of flavored milk removal at a rural primary school between May and June 2012. We measured beverage selection/consumption pre- and post-chocolate milk removal and collected observation field notes. We used linear and logistic mixed models to assess beverage waste and identified themes in staff and student reactions. Our analysis of data from 315 unique students and 1,820 beverages choices indicated that average added sugar intake decreased by 2.8 g postremoval, while average reductions in calcium and protein consumption were negligible (12.2 mg and 0.3 g, respectively). Five thematic findings emerged, including concerns expressed by adult staff about student rebellion following removal, which did not come to fruition. Removing flavored milk from school-provided lunches may lower students’ daily added sugar consumption without considerably decreasing calcium and protein intake and may promote healthy weight.

Original languageEnglish (US)
Pages (from-to)285-298
Number of pages14
JournalJournal of School Nursing
Volume33
Issue number4
DOIs
StatePublished - Aug 1 2017

Fingerprint

Beverages
Milk
Observation
Students
Lunch
Calcium
Weight Gain
Proteins
Logistic Models
Weights and Measures
Chocolate

Keywords

  • elementary school
  • flavored milk
  • participatory research
  • rural
  • school lunch
  • school nursing

ASJC Scopus subject areas

  • Nursing (miscellaneous)

Cite this

Milk Options Observation (MOO) : A Mixed-Methods Study of Chocolate Milk Removal on Beverage Consumption and Student/Staff Behaviors in a Rural Elementary School. / Davis, Melinda; Spurlock, Margaret; Ramsey, Katrina; Smith, Jamie; Beamer, Beth Ann; Aromaa, Susan; McGinnis, Paul B.

In: Journal of School Nursing, Vol. 33, No. 4, 01.08.2017, p. 285-298.

Research output: Contribution to journalArticle

Davis, Melinda ; Spurlock, Margaret ; Ramsey, Katrina ; Smith, Jamie ; Beamer, Beth Ann ; Aromaa, Susan ; McGinnis, Paul B. / Milk Options Observation (MOO) : A Mixed-Methods Study of Chocolate Milk Removal on Beverage Consumption and Student/Staff Behaviors in a Rural Elementary School. In: Journal of School Nursing. 2017 ; Vol. 33, No. 4. pp. 285-298.
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