You will generally want to use this when adjusting the medium and large size in the WP settings. Otherwise a much larger image will be used, bogging down the media library load.
Also, if you unset the medium file size, the full image size will be used. All the more important to use it for that.
To use in the FoundationPress theme, add before you register the new image sizes for use in the add media modal in wp-admin.
Or more generically, add to the functions.php file.