Promoting school lunch fruit and vegetable intake through role modeling: a pilot study

Machado, Stephanie S.; Burton, Michael P.; Loy, Wes; Chapman, K.

doi:10.3934/publichealth.2020002

Cited by 5 publications

(6 citation statements)

References 19 publications

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“…Making changes in the lunchroom's environment is a common nudging approach used in schools. However, most interventions identified in this systematic review using cafeteria decorations, updated décor, paint, and seating options were not found to be successful in promoting vegetable selection and consumption (Hamdi et al., 2020; Hubbard et al., 2015; Machado, Burton et al., 2020). Only one intervention incorporating cafeteria decorations in combination with meal modifications (such as increased variety, serving size, and palatability) reported increased vegetable selection (Cohen et al., 2015).…”

Section: Resultsmentioning

confidence: 98%

“…Availability increasing availability and variety of vegetables and pulses (Adams et al., 2005; Bean et al., 2018; Bergamaschi et al., 2016; Birnbaum et al., 2002; Cohen et al., 2014; Machado, Burton et al., 2020; Madden et al., 2013; Perry et al., 2004; Siega‐Riz et al., 2011, Marcano‐Olivier et al., 2021), decreasing availability of unhealthy foods (Boehm et al., 2020; Wordell et al., 2012); …”

Section: Resultsmentioning

confidence: 99%

“…Placement, environmental changes, and defaults changing the placement of vegetables and pulses in the lunchroom (Ensaff et al., 2015; Hubbard et al., 2015; Marcano‐Olivier et al., 2019; Mistura et al., 2019; Perry et al., 1998; Quinn et al., 2018; Thompson et al., 2017), making environmental changes such as redesigning the cafeteria space to include signs, names, decoration, and menu boards (Cohen et al., 2015; Hamdi et al., 2020; Hubbard et al., 2015; Machado, Burton et al., 2020a; Thompson et al., 2017), changing the default (Hubbard et al., 2015); …”

Section: Resultsmentioning

confidence: 99%

“…In particular, 12 interventions were identified using such methods, with only one focusing on legumes (Siega‐Riz et al., 2011). Examples include restricting access to unhealthy foods (vending machines, mobile carts) (Boehm et al., 2020; Wordell et al., 2012), introducing a salad bar (Adams et al., 2005; Bean et al., 2020; Bean et al., 2018), providing additional options for purchasing meals (Machado, Burton et al., 2020), and increasing the availability and variety of vegetables (Bergamaschi et al., 2016; Birnbaum et al., 2002; Perry et al., 2004) and other healthy snacks (Lytle et al., 2004, Marcano‐Olivier et al., 2021).…”

Section: Resultsmentioning

confidence: 99%

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Interventions based on sensory‐hedonic strategies and on nudging to facilitate vegetable and pulses consumption in the school environment

Kokkorou,

Spinelli,

Dinnella

et al. 2024

Comp Rev Food Sci Food Safe

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Childhood and adolescence shape lifelong taste preferences and dietary habits, making them crucial periods for promoting healthy and sustainable eating. As students consume up to half of their daily energy intake at school, school interventions can have a significant impact on promoting plant‐based diets. Although the benefits of promoting plant‐based diets on children's and adolescents’ health and environmental sustainability are well established and various studies report promising effects of interventions based on sensory‐hedonic strategies and on nudging in promoting vegetables and pulses in schools, a comprehensive collection of those reports is lacking. Therefore, this systematic review aims to collect published literature on the above interventions in schools that focus on promoting the consumption of vegetables and pulses to children and adolescents. Three databases—PubMed, Scopus, and Web of Science—were searched over all years until March 2022 using pre‐specified terms. From the 10.488 studies identified, a total of 57 studies reporting sensory‐hedonic (e.g., manipulating food sensory properties or their hedonic value) or nudging (e.g., changing the presentation) interventions targeting children and/or adolescents in schools and aiming at promoting vegetables and/or pulses were included. Overall, interventions based on sensory‐hedonic strategies (either enhancing the perception of well‐accepted flavor and texture or manipulating their hedonic value) and on nudging (through incentives and prompts) are effective in promoting vegetables and pulses. A gap in the literature was identified for interventions targeting adolescents and promoting pulses. Finally, multicomponent interventions, rather than using one strategy alone, could be more successful.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions based on sensory‐hedonic strategies and on nudging to facilitate vegetable and pulses consumption in the school environment

Kokkorou,

Spinelli,

Dinnella

et al. 2024

Comp Rev Food Sci Food Safe

View full text Add to dashboard Cite

show abstract

“…Using similar consumption measures in one elementary school in Oregon, Machado and colleagues provided verbal prompts, adult role modeling, and rewarded students for consuming fruits and vegetables with a classroom party and t-shirts. They found that the proportion of students consuming all their fruits increased by 11% (p < 0.01) and the proportion eating all their vegetables increased by 8.7% (p < 0.01) [82]. Increases in fruit and vegetable consumption were also observed in the previously described multi-component study conducted by Morrill et al, and decreases in waste for fruits and vegetables were observed in the study by Mazzeo et al; both studies included taste tests as well [71,72].…”

Section: Rewardsmentioning

confidence: 99%

Strategies to Improve School Meal Consumption: A Systematic Review

et al. 2021

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School meals can play an integral role in improving children’s diets and addressing health disparities. Initiatives and policies to increase consumption have the potential to ensure students benefit from the healthy school foods available. This systematic review evaluates studies examining initiatives, interventions, and policies to increase school meal consumption. Following PRISMA guidelines, this review was conducted using four databases and resulted in a total of 96 studies. The research evidence supports the following strategies to increase school meal consumption: (1) offering students more menu choices; (2) adapting recipes to improve the palatability and/or cultural appropriateness of foods; (3) providing pre-sliced fruits; (4) rewarding students who try fruits and vegetables; (5) enabling students to have sufficient time to eat with longer (~30 minute) lunch periods; (6) having recess before lunch; and (7) limiting students’ access to competitive foods during the school day. Research findings were mixed when examining the impact of nutrition education and/or offering taste tests to students, although multiple benefits for nutrition education outside the cafeteria were documented. There is some evidence that choice architecture (i.e., “Smarter Lunchroom”) techniques increase the proportion of students who select targeted meal components; however, there is not evidence that these techniques alone increase consumption. There were limited studies of the impact of increasing portion sizes; serving vegetables before other meal components; and strengthening local district and/or school wellness policies, suggesting that further research is necessary. Additionally, longer-term studies are needed to understand the impact of policies that limit students’ access to flavored milk. Several studies found increases in students’ meal consumption following the Healthy Hunger-Free Kids Act (HHFKA) and concerns regarding an increase in food waste following the HHFKA were not supported. Overall, there are a range of effective strategies to increase school meal consumption that can be implemented by schools, districts, and policymakers at the local, state, and federal levels (PROSPERO registration: CRD42021244688).

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Policy, Systems, and Environmental Changes in Child Nutrition Programs: A Systematic Literature Review

Palmer,

Burton-Obanla,

Goon

et al. 2024

Advances in Nutrition

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Promoting school lunch fruit and vegetable intake through role modeling: a pilot study

Cited by 5 publications

References 19 publications

Interventions based on sensory‐hedonic strategies and on nudging to facilitate vegetable and pulses consumption in the school environment

Interventions based on sensory‐hedonic strategies and on nudging to facilitate vegetable and pulses consumption in the school environment

Strategies to Improve School Meal Consumption: A Systematic Review

Policy, Systems, and Environmental Changes in Child Nutrition Programs: A Systematic Literature Review

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