Table 6.
Adjusted* Odds Ratio (OR) and 95% Confidence Interval (CI) for the Associations of Usual School Lunch Choice with Healthful and Less Healthful Dietary Intake Among U.S. High School Students Who Get Lunch at School†—National Youth Physical Activity and Nutrition Study, 2010
| Outcome | Complete school lunch | A la carte | Salad bar | Fast food | Vending/canteen/school store |
|---|---|---|---|---|---|
| Female students | |||||
| Healthful dietary intake | |||||
| Fruits ≥2 times/day | 1.00 | 0.94 (0.67, 1.32) | 1.73 (1.23, 2.43) | 1.23 (0.81, 1.86) | 0.95 (0.58, 1.56) |
| Vegetables ≥3 times/day | 1.00 | 1.27 (0.87, 1.84) | 3.19 (1.92, 5.30) | 1.43 (0.77, 2.65) | 1.08 (0.57, 2.03) |
| Water ≥3 times/day | 1.00 | 1.03 (0.73, 1.47) | 1.86 (1.23, 2.82) | 1.66 (0.64, 4.31) | 0.91 (0.64, 1.29) |
| Milk ≥2 times/day | 1.00 | 0.71 (0.50, 1.01) | 0.89 (0.52, 1.53) | 0.98 (0.41, 2.33) | 0.59 (0.32, 1.09) |
| Less healthful dietary intake | |||||
| Fried potatoes ≥1 time/day | 1.00 | 1.36 (0.76, 2.43) | 1.04 (0.57, 1.90) | 3.01 (1.93, 4.69) | 1.33 (0.66, 2.69) |
| Pizza ≥1 time/day | 1.00 | 2.16 (1.30, 3.59) | 1.00 (0.44, 2.27) | 3.06 (1.84, 5.07) | 1.99 (1.27, 3.12) |
| Sugar-sweetened beverages† ≥3 times/day | 1.00 | 1.00 (0.69, 1.45) | 1.09 (0.69, 1.71) | 2.55 (1.73, 3.77) | 1.19 (0.67, 2.12) |
| Male students | |||||
| Healthful dietary intake | |||||
| Fruits ≥2 times/day | 1.00 | 0.75 (0.56, 1.00) | 1.99 (1.01, 3.90) | 1.29 (0.62, 2.70) | 0.81 (0.54, 1.22) |
| Vegetables ≥3 times/day | 1.00 | 1.03 (0.79, 1.34) | 2.41 (1.43, 4.06) | 2.04 (1.40, 2.96) | 1.09 (0.65, 1.82) |
| Water ≥3 times/day | 1.00 | 0.73 (0.58, 0.92) | 1.46 (0.92, 2.31) | 1.03 (0.60, 1.76) | 0.83 (0.53, 1.32) |
| Milk ≥2 times/day | 1.00 | 0.68 (0.49, 0.93) | 0.77 (0.40, 1.48) | 0.63 (0.47, 0.85) | 0.66 (0.38, 1.13) |
| Less healthful dietary intake | |||||
| Fried potatoes ≥1 time/day | 1.00 | 1.19 (0.85, 1.67) | 0.80 (0.39, 1.63) | 1.84 (1.09, 3.12) | 1.06 (0.57, 1.97) |
| Pizza ≥1 time/day | 1.00 | 1.36 (0.85, 2.17) | 1.53 (0.86, 2.75) | 5.26 (3.47, 7.97) | 1.61 (0.87, 2.96) |
| Sugar-sweetened beverages‡ ≥3 times/day | 1.00 | 1.22 (0.80, 1.87) | 1.36 (0.79, 2.35) | 2.67 (1.97, 3.62) | 1.31 (0.81, 2.13) |
BOLD= significant based on 95% CI.
*
Adjusted for race/ethnicity and grade.
†
A total of 73.1% of the NYPANS sample get lunch at school.
‡
Includes regular soda, fruit-flavored drinks, flavored milk, sweetened tea or coffee drinks, sports drinks, and energy drinks.