Will European agricultural policy for school fruit and vegetables improve public health? A review of school fruit and vegetable programmes

de, Joia; Lock, Karen

doi:10.1093/eurpub/ckn061

Cited by 116 publications

(102 citation statements)

References 45 publications

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“…School-based HE interventions, especially those that incorporate environmental strategies, have had modest positive impacts on knowledge and eating behaviours (14)(15)(16)(17)(18) .…”

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confidence: 99%

A mixed-methods exploration of implementation of a comprehensive school healthy eating model one year after scale-up

Naylor

McKay²,

Valente³

et al. 2015

Public Health Nutr.

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Objective: To study the implementation of a school-based healthy eating (HE) model one year after scale-up in British Columbia (BC). Specifically, to examine implementation of Action Schools! BC (AS! BC) and its influence on implementation of classroom HE activities, and to explore factors associated with implementation. Design: Diffusion of Innovations, Social Cognitive and Organizational Change theories guided our approach. We used a mixed-methods research design including focus group interviews (seven schools, sixty-two implementers) and a cross-sectional multistage survey to principals (n 36, 92 % response rate) and teachers of grades 4 to 7 (n 168, 70 % response rate). Self-reported implementation of classroom HE activities and reported use of specific AS! BC HE activities were primary implementation measures. Thematic analysis of focus group data and multilevel mixed-effect logistic regression analyses of survey data were conducted. Setting: Elementary schools across BC, Canada. Subjects: Thirty-nine school districts, thirty-six principals, 168 grade 4 to 7 teachers. Results: Forty-two per cent of teachers in registered schools were implementing AS! BC HE in their classrooms. Users were 6·25 times more likely to have delivered a HE lesson in the past week. Implementation facilitators were school champions, technical support and access to resources; barriers were lack of time, loss of leadership or momentum. Implementation predictors were teacher training, selfefficacy, experience with the physical activity component of AS! BC, supportive school climate and parental post-secondary education. Conclusions: Our findings reinforce that continued teacher training and support are important public health investments that contribute to successful implementation of school-based HE models after scale-up.

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“…School-based HE interventions, especially those that incorporate environmental strategies, have had modest positive impacts on knowledge and eating behaviours (14)(15)(16)(17)(18) .…”

mentioning

confidence: 99%

A mixed-methods exploration of implementation of a comprehensive school healthy eating model one year after scale-up

Naylor

McKay²,

Valente³

et al. 2015

Public Health Nutr.

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“…Nutrition education programmes in schools represent a potentially important policy tool in impacting such habit formation (3,4) . Such programmes often involve encouraging the consumption of more fruit and vegetables (F&V).…”

mentioning

confidence: 99%

“…Experiences from this last type of intervention -actual provision of F&V to the pupils -have generally been positive, although the evidence on whether it leads to sustained increases in F&V intake 2-3 years after the intervention period is both scarce and mixed (3,(8)(9)(10)(11) .…”

mentioning

confidence: 99%

Evaluating free school fruit: results from a natural experiment in Norway with representative data

Øvrum¹,

Bere

2013

Public Health Nutr.

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Objective: To assess impacts of the nationwide Norwegian School Fruit Scheme (NSFS) using nationally representative data. Design: The NSFS is organized such that primary-school children (grades 1-7) are randomly assigned to one of three school fruit arrangements: (i) the child receives one free fruit or vegetable per day; (ii) the child is given the option to subscribe to one fruit or vegetable per day at a subsidized price; and (iii) the child attends a school that has no school fruit arrangement. Setting: Data from an Internet survey are used to compare child and parental fruit and vegetable intakes across the three NSFS groups focusing mainly on groups (i) and (iii). The analysis was conducted using multivariate regression techniques. Subjects: Parents of primary-school children (n 1423) who report on behalf of themselves and their children. Results: Children who receive free school fruit eat on average 0?36 more fruit portions daily -or 25?0 % more fruits -than children who attend schools with no fruit arrangement (P , 0?001). Moreover, parents of children who receive free school fruit eat on average 0?19 more fruit portions daily -or 12?5 % more fruitsthan parents of children who attend schools with no fruit arrangement (P 5 0?040). No significant associations were found between the NSFS and the vegetable intakes of children and their parents.

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“…Intensive research efforts and nation level intervention programmes have been recently undertaken, in order to find solutions to reverse, or at least mitigate, the continuous increase of obesity worldwide (De Sa & Lock, 2008;Gordon-Larsen et al, 2010;Ogden et al, 2012). Growing evidence has been gathered indicating that antioxidant compounds may play a role in the prevention of obesity and related diseases (Peairs & Abbey, 2013).…”

Section: Introductionmentioning

confidence: 99%

Pre-meal tomato (Lycopersicon esculentum) intake can have anti-obesity effects in young women?

Vinha

Barreira

Costa

et al. 2014

International Journal of Food Sciences and Nutrition

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The effect of pre-meal tomato intake in the anthropometric indices and blood levels of triglycerides, cholesterol, glucose, and uric acid of a young women population (n ¼ 35, 19.6 ± 1.3 years) was evaluated. During 4 weeks, daily, participants ingested a raw ripe tomato ($90 g) before lunch. Their anthropometric and biochemical parameters were measured repeatedly during the follow-up time. At the end of the 4 weeks, significant reductions were observed on body weight (À1.09 ± 0.12 kg on average), % fat (À1.54 ± 0.52%), fasting blood glucose (À5.29 ± 0.80 mg/dl), triglycerides (À8.31 ± 1.34 mg/dl), cholesterol (À10.17 ± 1.21 mg/ dl), and uric acid (À0.16 ± 0.04 mg/dl) of the participants. The tomato pre-meal ingestion seemed to interfere positively in body weight, fat percentage, and blood levels of glucose, triglycerides, cholesterol, and uric acid of the young adult women that participated in this study.

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Will European agricultural policy for school fruit and vegetables improve public health? A review of school fruit and vegetable programmes

Cited by 116 publications

References 45 publications

A mixed-methods exploration of implementation of a comprehensive school healthy eating model one year after scale-up

A mixed-methods exploration of implementation of a comprehensive school healthy eating model one year after scale-up

Evaluating free school fruit: results from a natural experiment in Norway with representative data

Pre-meal tomato (Lycopersicon esculentum) intake can have anti-obesity effects in young women?

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