Skip to main content
. Author manuscript; available in PMC: 2020 Aug 1.
Published in final edited form as: J Adolesc Health. 2019 Mar 25;65(2):216–223. doi: 10.1016/j.jadohealth.2019.01.006

Table 2.

List of item included in indices capturing food and physical activity environments in K-12 schools List of indices and items included.

Food Environment Indices
Index name and score range Items included
National School Lunch Program (NSLP) Healthy (0–9) At least Half Whole Grains
Whole Grains
Variety of Vegetables
Modified Pizza
Fat free / 1% Milk
Fat free Flavored Milk
Fresh Fruit
Raw Vegetables
Salad Bar

National School Lunch Program (NSLP) Unhealthy (0–5) Fries
Pizza
Dessert
Full fat / 2% Milk
Full / 1% Flavored Milk

Availability of vending machines (0–3) Before and after school
During school but not during lunch
During lunch time

Vending Machine Healthy (0–4) Bottled Water
100% Juice
Fat free / 1% Unflavored Milk
Fat-free Flavored Milk

Vending Machine Unhealthy (0–9) Juice Drink
Diet Soda
Soda
Energy or Sports Drinks
Full fat / 2% Unflavored Milk
Full fat / 2% / 1% Flavored Milk
Salty snacks
Cookies, cakes
Candy

A La Carte Healthy (0–9) Bottled Water
100% Juice
Fat free / 1% Unflavored Milk
Fat-free Flavored Milk
Dairy Foods, Lower in Fat
Raw FV
Salad Bar
Sandwiches
Pizza - Healthier

A La Carte Unhealthy (0–12) Juice Drinks
Diet Soda
Soda
Energy or Sports Drinks
Full fat / 2% Unflavored Milk
Full fat / 2% / 1% Flavored Milk
Salty Snacks
Fried Potatoes
Pizza
Cookies, Cakes
Frozen Desserts
Candy

Physical Activity (PA) Indices
Index name and range Items included

Indoor Facilities (0–4) Gymnasium
Indoor Pool
Weight room
Other (Cafeteria, auditorium, etc…)

Outdoor Facilities (0–6) Playground equipment
Track
Sports courts
Baseball/softball fields
General
Parking lot

PA Opportunities (0–6) Intramural sports
Extramural sports
Non-competitive, school-sponsored
Non-traditional PE activities
Recess (for 3rd grade)
Physical Education (0=0,1 days; 1=2+ days)

Health Promotion Initiatives and Programs
Index name and range Items included

School-level health promotion initiatives (0–8) Health/Wellness advisory council
Free water in cafeteria
Full service kitchen
Garden
BMI (Body Mass Index) shared with parents
School breakfast promotion program
Indoor facilities made available during non-school hours
Outdoor facilities made available during non-school hours

Federal- and state-level health promotion programs (0–5) Team Nutrition
Farm to School
FFVP (Fresh Fruit and Vegetable Program)
Alliance for a healthier generation
Safe routes to school (Program participation)