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An Environmental Intervention to Improve a La Carte Foods at Middle Schools

2002; Elsevier BV; Volume: 102; Issue: 3 Linguagem: Inglês

10.1016/s0002-8223(02)90427-x

1878-3570

Michelle Zive, Robin L. Pelletier, James F. Sallis, John P. Elder,

Children's Physical and Motor Development

Most school-based nutrition programs focus on classroom curriculums, but efforts to change the food environment at school have been promising ( (1) Ellison R.C. Capper A.L. Goldberg R.J. Witschi J.C. Stare F.J. The environmental component changing school food service to promote cardiovascular health. Health Educ Quart. 1989; 16: 285-297 Google Scholar , (2) Luepker R.V. Perry C.L. McKinlay S.M. Nader P.R. Parcel G.S. Stone E.J. Webber L.S. Elder J.P. Feldman H.A. Johnson C.C. Kelder S.H. Wu M. (CATCH Collaborative Group). Outcomes of a field trial to improve children's dietary patterns and physical activity: The Child and Adolescent Trial for Cardiovascular Health (CATCH). JAMA. 1996; 275: 768-776 Google Scholar , (3) National Association of State Boards of Education (NASBE). CDC guidelines for school health programs to promote lifelong healthy eating. March, 2000. MMWR. 1996; 45: 1-33 Google Scholar , (4) Jacobson M.F. Brownell K.D. Small taxes on soft drinks and snack foods to promote health. Am J Public Health. 2000; 90: 854-857 Google Scholar , (5) French S.A. Jeffrey R.W. Story M. Hannan P. Snyder M.P. A pricing strategy to promote low fat snack choices through vending machines. Am J Public Health. 1997; 87: 849-851 Google Scholar ). Because environmental interventions remain understudied, the Middle School Physical Activity and Nutrition (M-SPAN) study was designed to enhance understanding of school environmental interventions. The 2 primary goals of the M-SPAN intervention were to (a) reduce the amount of fat grams sold in all food sources, including school meals, a la carte foods, items sold in student stores, and bag lunches; and (b) increase physical activity at school.