Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’

Autor: Sidse Marie Sidenius Bestle, Anne Dahl Lassen, Anja Pia Biltoft-Jensen, Jeppe Matthiessen, Sarah Jegsmark Gibbons, Bodil Just Christensen, Bjarne Kjær Ersbøll, Ellen Trolle
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Public Health Nutrition, Vol 27 (2024)
Druh dokumentu: article
ISSN: 13689800
1368-9800
1475-2727
DOI: 10.1017/S1368980024000740
Popis: Abstract Objective: To evaluate the effectiveness of the multicomponent intervention trial ‘Are You Too Sweet?’ in reducing discretionary foods and drinks intake among young schoolchildren. Design: The study was a 3·5-month two-arm cluster-randomised controlled trial among primary schoolchildren and their families. School health nurses provided guidance to families regarding discretionary foods and drinks for the children. Moreover, families were given a variety of knowledge- and capability-building materials to utilise at home. Dietary intake was assessed using a web-based 7-d dietary record. Linear mixed regression models were used to estimate intervention effects as changes in child intake of discretionary foods and drinks and sugar between groups. Setting: Six schools from a Danish municipality were randomised to the intervention group (n 4) or the control group (n 2). Participants: A total of 153 children aged 5–7 years. Results: No significant reduction in the children’s intake of total discretionary foods and drinks or discretionary foods alone was observed between the intervention and control group, while a decreased intake of discretionary drinks of 40·9 % (P = 0·045) was observed compared with control. Secondary subgroup analysis showed that children of parents with shorter educational level significantly reduced their intake of added sugar by 2·9 E% (P = 0·002). Conclusion: The results of this study indicate that multicomponent interventions involving school health nurses may have some effects in reducing, especially, discretionary drinks.
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