The effect of changes to the school food environment on eating behaviours and/or body weight in children: A systematic review

Driessen, Christine; Cameron, Adrian J.; Thornton, Lukar; Lai, Samuel K; Barnett, Lisa M.

doi:10.1016/j.orcp.2014.10.023

Cited by 29 publications

(51 citation statements)

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“…9 School-based nutrition interventions can have a positive effect on the food and nutrition environment within schools, and consequently the dietary behaviours of students. [10][11][12] Nutrition policies that regulate the availability of unhealthy foods and beverages sold to students in schools have been recommended for implementation by leading health organisations, such as the World Health Organization 13 (WHO) and the U.S. Institute of Medicine. 14 Internationally, many countries have mandated policies which aim to improve the food environment in schools.…”

Section: Introductionmentioning

confidence: 99%

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Wolfenden

Nathan

Reilly

et al. 2019

Health Prom J of Aust

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Issue addressed School‐based nutrition policies can have a positive effect on the school food environment. The primary aim of this study was to assess the primary school adherence to a mandatory state‐wide healthy canteen policy 12 months after an effective multi‐strategic implementation intervention concluded. Methods Primary schools were randomised to (a) a 12‐14 months multi‐strategic intervention or (b) no‐intervention (control). The intervention aimed to improve implementation of a state‐wide canteen policy by encouraging schools to remove unhealthy food and beverages (classified as ‘‘red’’ or ‘‘banned’’) from canteen menus and replace with healthy items (classified as ‘‘green’’). No implementation support was provided to either group by the research team between the 12 and 24 months data collection period. Results Seventy schools participated, of which 56 schools were assessed at 24‐month follow‐up. Intervention schools were less likely to have a menu which contained ‘‘red/banned’’ items at 24‐month follow‐up (RR = 2.28; 95% CI: 1.18‐4.40; P = 0.01). Intervention schools, however, were not more likely than controls to have a menu which contained >50% ‘‘green’’ items at 24‐month follow‐up (RR = 1.29; 95% CI: 0.98‐1.70; P = 0.10). Intervention schools were more likely to adhere to both policy components (no red/banned items and >50% green items on the menu) than control schools (RR = 2.61; 95% CI: 1.29‐5.29; P = 0.006). Among intervention schools that were fully adherent to the policy following implementation support (12‐month post baseline), all were also adherent at the 24‐month follow‐up. Conclusion The intervention was effective in achieving long‐term school adherence to a state‐wide canteen policy at 24‐month follow‐up. So what? The findings suggest that sustained improvements in implementation of school nutrition policies is possible following a period (12 months) of comprehensive implementation support.

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Section: Introductionmentioning

confidence: 99%

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Wolfenden

Nathan

Reilly

et al. 2019

Health Prom J of Aust

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“…[1][2][3][4]30 Schools represent an ideal setting for the promotion of PA and healthy eating behaviours, and policies can help schools realise their potential in this area. [13][14][15][16][17][18][19][20] However, there seems to be a policy gap in the area of school PA at the national/government level. Further, while most Australian states have PA and nutrition policies for government schools, these policies often do not meet expert recommendations, use vague language and/ or fail to specify detailed monitoring and accountability mechanisms, all of which can negatively affect their implementation in schools.…”

Section: Resultsmentioning

confidence: 99%

“…15,16 According to a review that examined the evaluation of school-based PA policies for youth over a period of 10 years, such policies can affect health outcomes, specifıcally by increasing levels of PA. 17 In the area of nutrition, two recent systematic reviews suggest that modifying the school food environment through policy changes can positively influence children and adolescent eating behaviours. 18,19 Reported outcomes, including reductions in the energy density of food and drinks consumed, decreases in sugar-sweetened beverage consumption, and reduced access to 'discretionary' foods, are all attributable to decreases in within-school food and/or beverage consumption, which were guided by policy changes. 18,19 Beyond influences on eating behaviours, available evidence indicates that state-wide school canteen policies can also affect the attitudes of key stakeholders, including parents.…”

Section: As Part Of Its Global Strategy On Diet Physical Activity Anmentioning

confidence: 99%

“…18,19 Reported outcomes, including reductions in the energy density of food and drinks consumed, decreases in sugar-sweetened beverage consumption, and reduced access to 'discretionary' foods, are all attributable to decreases in within-school food and/or beverage consumption, which were guided by policy changes. 18,19 Beyond influences on eating behaviours, available evidence indicates that state-wide school canteen policies can also affect the attitudes of key stakeholders, including parents. 20 Given the central role of the school setting in the promotion of healthy behaviours and the available evidence suggesting that school policies can influence school practices and student behaviours, the aim of this study was to identify and assess existing PA and nutrition policies for Australian schools.…”

Section: As Part Of Its Global Strategy On Diet Physical Activity Anmentioning

confidence: 99%

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An assessment of Australian school physical activity and nutrition policies

Stylianou

Walker

2018

Australian and New Zealand Journal of Public Health

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Objective: This study's objective was to identify and assess existing physical activity and nutrition policies for Australian schools. Methods: Policies were identified through a search of the websites of national and state/territory education departments and school associations, and were subsequently assessed against specific criteria. Results: Policies were identified for government schools, but only for one non‐government school association. Physical activity policies were identified at the national level and for six of eight state/territories. The national policy was mandated, and most state/territory physical activity policies were mandated and consistent with the national policy. Several physical activity policies did not meet expert recommendations for time and instructor qualifications. Nutrition policies were identified at the national level and all eight states/territories. The national policy was not mandated, but all state/territory nutrition policies were mandated and consistent with the national policy and relevant guidelines. Most physical activity and nutrition policies lacked information about implementation monitoring. Conclusions: To improve school practices, policies are needed that are mandated and consistent with expert recommendations, use clear language, and specify monitoring and accountability mechanisms. Implications for public health: Improvements in school policies can promote physical activity and healthy eating behaviours to positively influence student outcomes across Australia.

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“…There are a small number of articles regarding sport concession venues outside of schools but they are limited and predominantly outside of the United States. 30,31 A study of one Canadian recreation facility showed that after implementation of new healthy food guidelines, 16% of concession items offered met criteria for being healthy. Limited sales data suggested decreased sales and observational data suggested unhealthy options dominated children's choices.…”

Section: Discussionmentioning

confidence: 99%

Healthy Concessions: High School Students' Responses to Healthy Concession Stand Changes

Laroche

Hradek

Hansen

et al. 2017

Journal of School Health

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BACKGROUND A previous sales data analysis demonstrated success in selling healthier items at a concession stand. Questions remained regarding student satisfaction and whether the intervention reached non-health conscious students. METHODS Cross-sectional anonymous samples of students at a large midwestern high school were surveyed before and after an intervention improved the number of healthier items available at the concession stand. RESULTS The survey was completed by 301 students pre-intervention and 314 students post-intervention. Satisfaction remained good (3.7 pre and 3.6 post). Satisfaction with the variety and taste of foods increased. We compared students who felt having healthy items were important at the concessions to those who did not. Overall satisfaction with concessions did not differ between groups. The latter group (healthy items not important) reported improved satisfaction with food variety (2.8 to 3.1, p = .02) and the former reported improved satisfaction with healthy foods (2.5 to 2.9, p = .03) and overall taste (3.2 to 3.4, p = .02). Of the healthy items not important students 76% reported purchasing at least one new healthier food. CONCLUSIONS Adding healthier foods to school concession stands has positive effects on student satisfaction, sales and reaches all students whether or not they care about having healthy items available.

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The effect of changes to the school food environment on eating behaviours and/or body weight in children: A systematic review

Cited by 29 publications

References 0 publications

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

Two‐year follow‐up of a randomised controlled trial to assess the sustainability of a school intervention to improve the implementation of a school‐based nutrition policy

An assessment of Australian school physical activity and nutrition policies

Healthy Concessions: High School Students' Responses to Healthy Concession Stand Changes

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