A quantitative nutritional evaluation of a healthy eating intervention in primary school children in a socioeconomically disadvantaged area - A pilot study

O’Brien, Niamh; Roe, Caroline E.; Reeves, Sue

doi:10.1177/001789690206100405

Cited by 3 publications

(19 citation statements)

References 8 publications

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“…Mangukusumo (2007) (55) The Netherlands 3 months þ 2 weeks FV þ SS, RT þ O'Brien (2002) (72) þ United Kingdom 6 weeks 4 weeks -RT, T þ Panunzio (2007) (67) Italy 36 weeks 36 weeks -E, RT, SS, T þ Pearson (2002) (53) , Woolfe (2005) (105) United Kingdom 2 years 6 months FV E, T þ Turnin (2001) (92) France NA 5 weeks -T þ Environmental interventions (n 6) Bere (2005) (59) Norway 10 months þ 10 months FV RT, SS Bere (2007) (60) Norway 9 and 45 months 9 months FV RT, SS Eriksen (2003) (73) Denmark 7 weeks þ 5 weeks FV RT, SS Fogarty (2007) (90) 5111 3382 þ United Kingdom NA 2 years F SS Shemilt (2004) (61,75) þ United Kingdom 3 months and NA þ ? Breakfast SS Wells (2005) (91) þ United Kingdom / A few years FV SS Multicomponent interventions (n 9)…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Mangukusumo (2007) (55) þ þ O'Brien (2002) (72) þ þ þ Panunzio (2007) (67) þ Pearson (2002) (53) , Woolfe (2005) (105) þ þ þ…”

Section: Methodological Qualitymentioning

confidence: 99%

“…Inconclusive evidence of effect was found for educationonly interventions in adolescents on body composition, with only one weak cluster randomised trial (68) measuring the effect on height and weight and reporting no significant change (68) . Agozzino (2007) (47) Before -after Weak / Food intake: þþ/22 Different effects according to implementation level Angelico (1991) (66) Before -after Weak BMI: 0 Food intake at school: 0 Boaz (1998) (71) Non-RCT Weak / Food intake: 0 Bonaccorsi (2002) (48) Before -after Weak / Food intake: 0 Borys (2000) (50) , Heude (2003) (103) , Lafay (1998) (104) Prospective cohort Weak BMI and overweight, obesity prevalence: 22 Different effects according to definition of overweight and obesity, sex and age Food intake: þþ D'Addesa (2006) (51) Non-RCT Weak / Food intake: 0 Friel (1999) (81) Non-RCT Weak / Food intake: þþ Different effects according to SES James (2004, 2007) (54,88) Cluster RCT Strong BMI, prevalence of obesity and waist circumference: þþ No sustained effect Consumption of carbonated drinks: þþ Sustained effect was not measured Livingstone (2002) (52) , Woolfe (2005) (105) Non-RCT Moderate / Food intake: þþ Mangukusumo (2007) (55) Cluster RCT Strong / Fruit and vegetable intakes: 0 O'Brien (2002) (72) Before -after Weak / Intake at school: þþ/22 Panunzio (2007) (67) Cluster RCT Weak BMI and obesity prevalence: 22 Only boys and girls from the nutritionist IG Food intake: 0…”

Section: Evidence Of Effectmentioning

confidence: 99%

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Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and ‘grey’ literature

et al. 2010

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The objective of the present review was to summarise the existing European published and 'grey' literature on the effectiveness of school-based interventions to promote a healthy diet in children (6-12 years old) and adolescents (13-18 years old). Eight electronic databases, websites and contents of key journals were systematically searched, reference lists were screened, and authors and experts in the field were contacted for studies evaluating school-based interventions promoting a healthy diet and aiming at primary prevention of obesity. The studies were included if they were published between 1 January 1990 and 31 December 2007 and reported effects on dietary behaviour or on anthropometrics. Finally, forty-two studies met the inclusion criteria: twenty-nine in children and thirteen in adolescents. In children, strong evidence of effect was found for multicomponent interventions on fruit and vegetable intakes. Limited evidence of effect was found for educational interventions on behaviour, and for environmental interventions on fruit and vegetable intakes. Interventions that specifically targeted children from lower socio-economic status groups showed limited evidence of effect on behaviour. In adolescents, moderate evidence of effect was found for educational interventions on behaviour and limited evidence of effect for multicomponent programmes on behaviour. In children and adolescents, effects on anthropometrics were often not measured, and therefore evidence was lacking or delivered inconclusive evidence. To conclude, evidence was found for the effectiveness of especially multicomponent interventions promoting a healthy diet in school-aged children in European Union countries on self-reported dietary behaviour. Evidence for effectiveness on anthropometrical obesity-related measures is lacking. Systematic reviews: Europe: School-based interventions: Healthy dietA healthful diet during childhood and adolescence promotes optimal health, growth and cognitive development of the child and adolescent, and may contribute to the prevention of chronic disease in later life (1 -5) . Evidence suggests that eating habits adopted early in life track to some extent into adulthood, while the transition from childhood into adolescence is often associated with unhealthful dietary changes (6 -8) . It is therefore important to establish healthful eating behaviours early in life, and specifically focus on the transition from childhood to adolescence. Dietary recommendations for a healthful diet across Europe recommend consumption of at least five portions of fruit and vegetables a day, reduced intakes of saturated fat and salt, and increased consumption of complex carbohydrates and fibre (3,9) . However, dietary consumption surveys show that most European children and adolescents do not meet these guidelines (10 -14) . Recent figures also show alarming and increasing numbers of obese and overweight children and adolescents in Europe, indicating that energy intakes are higher than energy needs (11) . Discussion about how to...

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Section: Methodological Qualitymentioning

confidence: 99%

“…Mangukusumo (2007) (55) þ þ O'Brien (2002) (72) þ þ þ Panunzio (2007) (67) þ Pearson (2002) (53) , Woolfe (2005) (105) þ þ þ…”

Section: Methodological Qualitymentioning

confidence: 99%

Section: Evidence Of Effectmentioning

confidence: 99%

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Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and ‘grey’ literature

et al. 2010

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“…In general, the curriculum strategies included: (i) classes with an increased focus on health and nutrition; (ii) adoption of a unit on body image and healthy eating; (iii) nutrition information provided to teachers to encourage increased use in curriculum; (iv) students delivering healthy eating messages in the form of poetry and skits at assembly; (v) production of a show by the school drama club, or an educational role-model story and characters; (vi) pupil competitions to produce promotional resources for healthier choices to be displayed in the school; (vii) peer-support activities; (viii) play, poster/video presentations; (ix) visiting a health promotion exhibition; and (x) various kinds of publicity materials delivery (36)(37)(38)(39)43,(45)(46)(47)(48)(49)(50)(51)(52)(53) .…”

Section: Curriculummentioning

confidence: 99%

“…A treatment effect was found for the nutrition education and garden group for: ability to identify vegetables; willingness to taste capsicum, broccoli, tomato and pea; and student preference to eat broccoli and pea as a snack HPS, health-promoting school; CT, controlled trial; RCT, randomized controlled trial; PSE, Personal and Social Education; SES, socio-economic status. Radcliffe et al (36) Wind et al (37) Parker and Fox (38) Rana and Alvaro (39) McVey et al (45) Laurence et al (46) O'Brien et al (47) Overall rating* Mullally et al (44) Young (40) Ellis and Ellis (42) Vereecken et al (43) Overall rating* (48) Bullen and Benton (49) Kreisel (50) Vijayapushpam et al (51) Hamilton-Ekeke and Thomas (52) Morgan et al (53) Overall Nutrition promotion using health-promoting schools approach: systematic review Table 2 Continued…”

Section: Before and Aftermentioning

confidence: 99%

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

Wang

Stewart

2012

Public Health Nutr.

151

140

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Objective: To evaluate implementation and effectiveness of nutrition promotion programmes using the health-promoting schools (HPS) approach, to indicate areas where further research is needed and to make recommendations for practice in this field. Design: The searched electronic databases included: CINAHL, Cochrane Library, Health Reference Center, Informit Search, MEDLINE, ProQuest, PsycINFO, PubMed, ScienceDirect, Scopus, Social Services Abstracts and Web of Science. Inclusion criteria were: (i) controlled or before-and-after studies evaluating a nutrition intervention and involving the HPS approach, either fully or in part; (ii) provision of information about components and delivery of the intervention; and (iii) report on all evaluated outcomes. Setting: Schools. Subjects: Students, parents and school staff. Results: All included studies described intervention delivery and six reported on process evaluation. In intervention schools school environment and ethos were more supportive, appropriate curriculum was delivered and parents and/or the community were more engaged and involved. Students participated in interventions at differing levels, but the majority was satisfied with the intervention. The evidence indicates that nutrition promotion programmes using the HPS approach can increase participants' consumption of high-fibre foods, healthier snacks, water, milk, fruit and vegetables. It can also reduce participants' 'breakfast skipping', as well as reduce intakes of red food, low-nutrient dense foods, fatty and cream foods, sweet drinks consumption and eating disorders. It can help to develop hygienic habits and improved food safety behaviours. Conclusions: More professional training for teachers in the HPS approach, further qualitative studies, longer intervention periods, improved follow-up evaluations and adequate funding are required for future school-based nutrition promotion programmes.

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Is an ecological school-based nutrition intervention effective to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China?

2016

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A quantitative nutritional evaluation of a healthy eating intervention in primary school children in a socioeconomically disadvantaged area - A pilot study

Cited by 3 publications

References 8 publications

Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and ‘grey’ literature

Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and ‘grey’ literature

The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: a systematic review

Is an ecological school-based nutrition intervention effective to improve adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China?

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