Department of Nutritional Sciences, Pennsylvania State University, University Park, USA.
Health Aff (Millwood). 2010 Mar-Apr;29(3):447-53. doi: 10.1377/hlthaff.2009.0732.
Federal legislation aimed at tackling the nation's soaring childhood obesity rate through changes to school meals and nutrition and wellness programs has met with mixed results. An examination of Pennsylvania's response to the Child Nutrition and Women, Infants, and Children (WIC) Reauthorization Act of 2004, one of the most comprehensive state responses, found improvements to the nutritional quality of foods offered à la carte in conjunction with school meal programs. However, multiple weaknesses remain. Consistent wellness policy implementation steps were not followed, and there was inadequate statewide enforcement. Despite this, Pennsylvania can offer lessons for other states in moving forward with programs to promote good nutrition and wellness.
旨在通过改变学校膳食和营养与健康计划来解决美国儿童肥胖率飙升问题的联邦立法取得了喜忧参半的结果。对宾夕法尼亚州对 2004 年《儿童营养与妇女、婴儿和儿童（WIC）授权法案》这一最全面的州级响应之一的调查发现，与学校膳食计划一起提供的单点食品的营养质量有所改善。然而，仍存在多个弱点。没有遵循一致的健康政策实施步骤，全州范围内的执法力度不足。尽管如此，宾夕法尼亚州仍可为其他州提供在推进促进良好营养和健康的计划方面的经验教训。
