Sanitary, nutritional, and sustainable quality in food services of Brazilian early childhood education schools

Rodrigues, Chaiane Martins; Bastos, Lucas Giordani; Cantarelli, Gustavo Stangherlin; Stedefeldt, Elke; Cunha, Diogo Thimóteo da; Saccol, Ana Lúcia de Freitas

doi:10.1016/j.childyouth.2020.104920

Cited by 16 publications

(19 citation statements)

References 31 publications

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“…Table 1 summarizes the studies included in this review concerning the country and the type of instrument or method for menu evaluation. The studies included in the systematic review were conducted in Brazil ( n = 5) [ 2 , 13 , 14 , 15 , 16 ]; Spain ( n = 5) [ 17 , 18 , 19 , 20 , 21 ]; Australia ( n = 1) [ 7 ]; Germany ( n = 1) [ 22 ]; France ( n = 1) [ 23 ]; England ( n = 1) [ 24 ]; Sweden ( n = 1) [ 25 ] and Slovenia ( n = 1) [ 26 ], from 2009 to 2018 ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…The instruments used in these studies were: a dietary questionnaire (comedores escolares—COMES) [ 17 ], EQ-MEs [ 19 ], both developed in Spain, Skolmatsverige [ 25 ] from Sweden, and CheckList [ 2 ] from Brazil. Of the instruments for evaluating the school menu, only 50% ( n = 2) were identified as COMES and EQ-MEs.…”

Section: Resultsmentioning

confidence: 99%

Section: Characterization Of Studiesmentioning

confidence: 99%

“…Brazil and Spain were the countries that presented the highest number of studies (n = 5; 31.25% for each). In Brazil, the studies mainly discussed a checklist to evaluate the school menu (n = 1) [2], adequacy of serving portions meeting the premises of the national school feeding program (n = 1) [15], and the method of evaluating school menus by the Qualitative Analysis of Menu Preparations (n = 3) [13,14,16]. In Spain, a Brazilian researcher developed a study exploring a method related to the Spanish school feeding program (n = 1) [20].…”

Section: Characterization Of Studiesmentioning

confidence: 99%

“…The school has a strong influence on the students’ behavior, and when their environment is adequate, it is considered favorable for the formation and consolidation of healthy habits [ 2 ]. According to the Food and Agriculture Organization (FAO), about 40 million children under five years are overweight, and about 120 million children (ages 5 to 10) and adolescents (ages 11 to 19) are obese [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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How Are School Menus Evaluated in Different Countries? A Systematic Review

Cupertino

Maynard

Queiroz

et al. 2021

Foods

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School meals should focus on quality of life issues, particularly on reducing food shortages, overweight, obesity and its consequences. As an essential tool for quality assurance, creating the menu is an activity of great complexity and requires multidisciplinary knowledge. This activity covers the observation of countless aspects of quality, highlighting nutritional, sensory, cultural, hygienic, and sanitary issues, among others. This study aims to identify and analyze instruments and methods to evaluate school menus in different countries. The authors developed specific search strategies for Scopus, Web of Science, Science Direct, Pubmed, Lilacs, ProQuest Global, and Google Scholar. The included studies’ methodological quality was assessed using the statistical analysis and meta-analysis review tool (MASTARI). A total of 16 cross-sectional studies met the inclusion criteria and were analyzed. Brazil and Spain were the countries that presented the highest number of studies (n = 5; 31.25% for each). The majority of the studies have a qualitative approach (n = 12, 75%), and only 25% (n = 4) of the studies present quantitative assessment methods to evaluate school menus. No school menu assessment tools were found to assess all aspects of menu planning. The results show a lack of a methodology or of instruments for evaluating the menus offered for school meals that can contribute to better dietary care offered to students.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Characterization Of Studiesmentioning

confidence: 99%

Section: Characterization Of Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

How Are School Menus Evaluated in Different Countries? A Systematic Review

Cupertino

Maynard

Queiroz

et al. 2021

Foods

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What works to improve school lunch nutritional quality – legislation or self-audit?

Patterson

Andersson

Elinder

2022

Public Health Nutr.

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Objective Sweden updated its legislation on universal free school meals in 2011 and nutrition was explicitly mentioned. This study i) describes cross-sectional changes in school lunch nutritional quality during the following eight years, and ii) examines if repeated self-auditing, using a fully automated, online tool (School Food Sweden), based on the implementation strategy of audit and feedback, was associated with improvements. Design Both repeated cross-sectional and longitudinal design. Factors associated with meeting nutritional criteria were examined using variance weighted least squares regression and logistic regression. Setting Sweden. Participants Primary schools who self-selected to audit meal quality between March 2012 and July 2019. Results Almost half of all (ca 4800) primary schools signed up to use the tool, and 1500 audited nutritional quality at least once. Repeated cross-sectional analyses showed the proportion meeting the nutritional criteria increased significantly between 2012/13 (11%) and 2018/19 (34%). Longitudinally, each additional audit completed increased the odds of meeting the nutritional criteria by 1.30 (CI 1.20-1.41), controlling for region and time elapsed since the legislative change. In 774 schools with repeat audits, both number of audits and frequency of accessing feedback predicted meeting the nutritional criteria (OR 2.02, CI 1.23-3.31), even after adjusting for time since the legislative change and days elapsed since previous audit. Conclusions Both legislation and self-audit with automatic feedback appear effective in helping schools to improve school meal quality. Self-audit with feedback may be an effective complement to legislation, or a promising alternative in settings where regulation is not an option

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