The Impact of 1 Year of Healthier School Food Policies on Students’ Diets During and Outside of the School Day
| Autor: | Eric B. Rimm, Jessica A. Hoffman, Juliana F.W. Cohen, Lindsay Rosenfeld, Mary G. Findling, Lauren A. Smith |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Male
0301 basic medicine Program evaluation Time Factors Adolescent education Article Snack food Nutrition Policy Food Preferences 03 medical and health sciences 0302 clinical medicine Environmental health Food choice Humans 030212 general & internal medicine Child Students School Health Services Consumption (economics) Schools 030109 nutrition & dietetics Nutrition and Dietetics Competitive foods digestive oral and skin physiology Food Services Outcome measures General Medicine School meal Diet Massachusetts Female Psychology Program Evaluation Food Science Cohort study |
| Zdroj: | Journal of the Academy of Nutrition and Dietetics. 118:2296-2301 |
| ISSN: | 2212-2672 |
| Popis: | Background In 2012, Massachusetts implemented both the updated national school meal standards and comprehensive competitive food/beverage standards that closely align with current national requirements for school snacks. Objectives This study examines the impact of these combined standards on school meal and snack food selections, as well as food choices outside of school. In addition, this study examines the impact of these standards on nutrients consumed. Design The NOURISH (Nutrition Opportunities to Understand Reforms Involving Student Health) Study was an observational cohort study conducted among students from spring 2012 to spring 2013. Participants/setting One hundred sixty students in 12 middle schools and high schools in Massachusetts completed two 24-hour recalls before (spring 2012) and after implementation (spring 2013) of the updated standards. Main outcome measures Changes in school meals, competitive food, and after-school snack selection, as well as nutrients consumed outside of school were examined. Statistical analyses performed Logistic regression and mixed-model analysis of variance were used to examine food selection and consumption. Results After implementation, 13.6% more students chose a school meal (70.1% vs 56.5%; P=0.02). There were no differences in competitive food purchases but a significant decrease in the number of after-school unhealthy snacks consumed (0.69 [standard error=0.08] vs 1.02 [standard error=0.10]; P=0.009). During the entire day, students consumed, on average, 22 fewer grams of sugar daily after implementation compared with before implementation (86 g vs 108 g; P=0.002). Conclusions With the reduction in the number of unhealthy school snacks, significantly more students selected school meals. Students did not compensate for lack of unhealthy snacks in school by increased consumption of unhealthy snacks outside of school. This provides important new evidence that both national school meal and snack policies may improve daily diet quality and should remain strong. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect