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US Federal School Lunch Programs Linked to Child Obesity

Author: Southern Methodist University
Published: 2010/08/24 - Updated: 2026/02/08
Publication Details: Peer-Reviewed, Reports & Proceedings
Category Topic: Childhood Obesity - Related Publications

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This peer-reviewed research represents scholarly findings from a USDA-funded study examining over 13,500 elementary students across multiple grade levels, published in The Journal of Human Resources by economists from Southern Methodist University, Georgia State University, and Kuwait University. The study provides critical evidence-based insights for parents, educators, and policymakers addressing childhood obesity, particularly relevant for families with children who have disabilities or health conditions that make weight management more challenging. The research methodology tracked students from kindergarten through later grades, offering longitudinal data that strengthens the validity of findings regarding how federal nutrition programs affect body weight in school-age children, and identifies specific factors including tight school budgets, compliance gaps with USDA nutritional guidelines, and the availability of less healthy à la carte items as contributors to weight gain - Disabled World (DW).

Introduction

School Lunches Linked to Childhood Obesity

USDA-backed study finds federal school lunches linked to childhood obesity - Possible factors: Tight budgets, lack of compliance, a la carte items.

With children going back to school, parents are concerned that their youngsters are staying fit and eating right, especially those who dine in a school cafeteria.

Main Content

New research funded by the U.S. Department of Agriculture finds that children who eat school lunches that are part of the federal government's National School Lunch Program are more likely to become overweight. The same research study found, however, that children who eat both the breakfast and lunch sponsored by the federal government are less heavy than children who don't participate in either, and than children who eat only the lunch, says economist Daniel L. Millimet at Southern Methodist University in Dallas.

Millimet authored the study with economists Rusty Tchernis, Georgia State University, and Muna S. Hussain, Kuwait University.

"The fact that federally funded school lunches contribute to the childhood obesity epidemic is disconcerting, although not altogether surprising," said Millimet, whose research expertise is the economics of children, specifically topics related to schooling and health.

The new study was published in the Summer issue of The Journal of Human Resources. It is titled "School Nutrition Programs and the Incidence of Childhood Obesity."

The U.S. Department of Agriculture oversees the federal lunch and breakfast programs. Through USDA the federal government reimburses schools for a portion of school lunch costs and also donates surplus agricultural food items. While USDA does require that the meals meet certain nutritional standards, schools choose the specific foods.

A la carte items outside the guidelines Schools also can serve individual food items a la carte, which fall outside the scope of the federal guidelines and allow students to choose additional foods.

For their study, the researchers analyzed data on more than 13,500 elementary school students. Students were interviewed in kindergarten, first and third grades, and then again in later grades.

"First, it is very difficult to plan healthy but inviting school lunches at a low price," Millimet said. "Second, given the tight budgets faced by many school districts, funding from the sales of a la carte lunch items receives high priority. That said, it's comforting to know that the U.S. Department of Agriculture, which oversees the federal school nutrition programs, takes the issue very seriously. The USDA sponsors not only my research, but that of others as well, to investigate the issues and possible solutions."

The USDA is partnering with First Lady Michelle Obama to fight what experts say is a childhood obesity epidemic among America's school children. The First Lady on May 18 released the results and recommendations of The White House Task Force on Childhood Obesity report, which said that more than 30 percent of American children ages 2 to 19 are overweight or obese. The report recommends serving healthier foods in schools.

Lunches May Not be in Compliance

Judging from the results of the study, Millimet said, the food being served in school lunches may not maintain a healthy weight in children. The food in school breakfasts appears to be healthier, however.

"Technically what is going on is that the federal government establishes nutrition guidelines for lunches and breakfasts if schools wish to receive federal funding," Millimet said. "But there's evidence that school lunches are less in compliance with these guidelines than breakfasts. The other possible issue is that these days schools try to make money from a la carte items at lunch. And it's possible that even if the school lunch is healthy, kids buying lunch are more likely to tack on extra items that are not healthy."

Nutritionists strongly advocate eating breakfast for a healthy lifestyle, Millimet said, noting that "up to a point" any breakfast is better than no breakfast.

The National Student Lunch Program supplies meals to about 30 million children in 100,000 public and nonprofit private schools, according to the USDA.

The School Breakfast Program gives cash assistance to more than 80,000 schools for about 10 million children.

Obesity Among Students

The study cites data from the National Health and Nutrition Examination Survey taken between 1971 and 1974 and again from 2003 to 2004 that found the prevalence of overweight preschool children ages 2-5 jumped from 5 percent to 13.9 percent. Among school-aged children, it jumped from 4 percent to 18.8 percent for children 6-11; and 6.1 percent to 17.4 percent for those 12-19.

Millimet is a professor and director of undergraduate studies in the SMU Department of Economics. Tchernis is an associate professor in Georgia State University's Andrew Young School of Policy Studies, and Hussain is an assistant professor in Kuwait University's Department of Economics. SMU is a private university in Dallas where nearly 11,000 students benefit from the national opportunities and international reach of SMU's seven degree-granting schools.

Insights, Analysis, and Developments

Editorial Note: The findings from this study highlight a troubling paradox: while federal school nutrition programs were designed to ensure adequate nutrition for millions of children, implementation challenges may be undermining their health benefits. The research suggests that the combination of underfunded school districts, revenue pressure from à la carte sales, and inconsistent adherence to nutritional standards creates an environment where even well-intentioned programs can contribute to obesity rather than prevent it. What makes this particularly concerning for children with disabilities is that many already face additional barriers to maintaining healthy weight, including mobility limitations and certain medications that affect metabolism. The positive finding that students eating both federally sponsored breakfast and lunch showed better outcomes than those eating lunch alone points toward a potential solution: perhaps the breakfast program's apparently better compliance with guidelines could serve as a model for improving lunch standards, while stricter oversight of à la carte offerings might help schools balance their budgets without compromising student health - Disabled World (DW).

Attribution/Source(s): This peer reviewed publication was selected for publishing by the editors of Disabled World (DW) due to its relevance to the disability community. Originally authored by Southern Methodist University and published on 2010/08/24, this content may have been edited for style, clarity, or brevity.

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APA: Southern Methodist University. (2010, August 24 - Last revised: 2026, February 8). US Federal School Lunch Programs Linked to Child Obesity. Disabled World (DW). Retrieved February 10, 2026 from www.disabled-world.com/fitness/child-obesity/school-lunches.php
MLA: Southern Methodist University. "US Federal School Lunch Programs Linked to Child Obesity." Disabled World (DW), 24 Aug. 2010, revised 8 Feb. 2026. Web. 10 Feb. 2026. <www.disabled-world.com/fitness/child-obesity/school-lunches.php>.
Chicago: Southern Methodist University. "US Federal School Lunch Programs Linked to Child Obesity." Disabled World (DW). Last modified February 8, 2026. www.disabled-world.com/fitness/child-obesity/school-lunches.php.

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