A Randomized School Trial of Environmental Strategies to Encourage Fruit and Vegetable Consumption among Children

Health Education and Behavior - Tập 31 Số 1 - Trang 65-76 - 2004
Cheryl L. Perry1, Donald B. Bishop2, Gretchen Taylor2, Marsha Davis3, Mary Story1, Clifton Gray2, Susan C. Bishop2, Rita A. Warren Mays2, Leslie A. Lytle1, Lisa Harnack1
1Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis
2Center for Health Promotion, Minnesota Department of Health, St. Paul
3Department of Human and Organizational Development, Vanderbilt University, Magnolia Circle, Nashville, Tennessee

Tóm tắt

The Cafeteria Power Plus project examined whether a cafeteria-based intervention would increase the fruit and vegetable (FV) consumption of children. Twenty-six schools were randomly assigned to either an intervention or control condition. Baseline lunch observations of a sample ( N = 1668) of first- and third-grade students occurred in the spring of 2000; follow-up was in the spring of 2002. The intervention took place during two consecutive school years beginning in the fall of 2000 and consisted of daily activities (increasing the availability, attractiveness, and encouragement for FV) and special events (kick-offs, samplings, challenge weeks, theater production, and finale meal). Training of food-service staff and cook managers was ongoing throughout the intervention phase. Students in the intervention schools significantly increased their total fruit intake. Process measures indicated that verbal encouragement by food-service staff was associated with outcomes. The outcomes suggest that multicomponent interventions are more powerful than cafeteria programs alone with this age group.

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Tài liệu tham khảo

10.1016/0002-8223(94)92037-0

10.1093/ajcn/61.6.1397S

3. Foerster SB, Heimendinger J, DiSogra LK, et al: The National 5 A Day for Better Health Program: An American nutrition and cancer prevention initiative, in Wheelock V (ed.): Implementing Dietary Guidelines for Healthy Eating. London, Chapman & Hall, 1997, pp. 447-470.

4. World Cancer Research Fund. (American Institute for Cancer Research): Food Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC, American Institute for Cancer Research, 1997.

10.1007/BF00051672

6. American Heart Association: Cardiovascular Disease Statistics. http://www.amheart/org. (accessed January 29, 2002)

7. U.S. General Accounting Office: Report to Congressional Requesters: Fruits and Vegetables: Enhanced Federal Efforts to Increase Consumption Could Yield Health Benefits for Americans. GAO-02-657. Washington, DC, General Accounting Office, 2002.

8. Grumbaum J, Kann L, Kinchen SA, et al: Youth risk behavior surveillance—United States, 2001. MMWR 51(SS04): 1-64, 2002.

10.1001/archpedi.156.5.431

10.1006/pmed.2000.0682

11. Perry CL, Story M, Lytle LA: Promoting healthy dietary behaviors, in Weissberg RP, Gullotta TP, Adams GR, Hampton RL, Ryan BA (eds): Healthy Children 2010: Enhancing Children’s Wellness, Volume 8: Issues in Children’s and Families’Lives. Thousand Oaks, CA, Sage, 1995, pp. 214-249.

10.2105/AJPH.84.7.1121

10.1006/pmed.1999.0630

10.1111/j.1746-1561.1998.tb06348.x

10.2105/AJPH.88.4.603

10.1097/00003727-199804000-00007

17. Gortmaker SL, Peterson K, Wiecha J, et al: Reducing obesity via a school-based interdisciplinary intervention among youth. Arch Pediatr Adolesc Med 15: 409-418, 1999.

10.1001/archpedi.153.9.975

19. Eriksen K, Haraldsdottir J, Pederson R, et al: Effect of a fruit and vegetable subscription in Danish schools. Pub Health Nutr, in press.

10.1016/S0002-8223(97)00242-3

21. Bandura A: Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ, Prentice Hall, 1986.

22. Perry CL: Creating Health Behavior Change: How to Develop Community-Wide Programs for Youth. Thousand Oaks, CA, Sage, 1999.

23. Hearn MD, Baranowski T, Barnowski J, et al: Environmental influences on dietary behavior among children: Availability and accessibility of fruits and vegetables enable consumption. J Health Educ 19: 26-32, 1998.

10.1016/S0022-3182(99)70381-X

10.1016/S0002-8223(00)00414-4

10.2105/AJPH.78.9.1156

10.1001/jama.1996.03530340032026

10.1111/j.1746-1561.2002.tb07339.x

10.1016/0002-8223(93)92247-U

10.1007/BF00051404

10.1177/152483990100200111

10.1177/109019810202900404

10.1016/S1499-4046(06)60086-9

34. Bishop DB, Perry CL, Taylor GL, et al: The Fruit and Vegetable Card Sorting Task: A measure of food preferences for young school children. J Am Dietetic Assoc, submitted.

10.1016/S0002-8223(02)90029-5

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Health Education and Behavior

Tập 31 Số 1

65-76

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