This article talks about the School Nutrition Association's 2008 Back to School Nutrition Trends Report that was released on August 19. According to the report, the trend towards more healthful school meal choices continues this fall with district nutrition programs emphasizing whole grains, fruits, and vegetables while cutting back on trans fats, added sugar, and sodium. The 10th annual report found that although rising food, labor, and indirect costs are significant challenges for school nutrition programs, healthy food and beverage items continue to increase in popularity and participation is increasing; nearly half of respondents reported increased overall lunch and breakfast average daily participation in the 2007-2008 school year. The 2008 Back to School Nutrition Trends Report is based on a July 2008 survey completed online by 358 school nutrition directors from 43 states balanced regionally and reflecting small, medium, and large sized districts. The survey has been conducted annually since 1998 and explores trends, issues, and factors impacting school nutrition professionals.