A Cafeteria Personnel Intervention to Improve the School Food EnvironmentMost children do not consume the recommended number of fruits and vegetables, and their sugar intake from both foods and beverages far exceeds recommendations.1-3 These dietary patterns place children at risk for multiple medical problems, including obesity, certain cancers, type 2 diabetes, and cardiovascular disease. Children from low-income and racial and ethnic minority backgrounds face disproportionately high rates of obesity and often live in food deserts with limited fruit and vegetable access. They are also most likely to participate in the National School Lunch Program (NSLP) and consume both breakfast and lunch at school. More than 30 million children in the United States receive school meals daily through the federally funded NSLP. School meals offer superior nutrition, compared with meals brought from home, particularly for low-income children. Yet, despite improved NSLP meal standards implemented under the Healthy Hunger Free Kids Act, children’s overall dietary intake remains suboptimal.