Sanigorski A M, Bell A C, Kremer P J, Swinburn B A
Centre for Physical Activity and Nutrition Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, Australia.
Eur J Clin Nutr. 2005 Nov;59(11):1310-6. doi: 10.1038/sj.ejcn.1602244.
In light of the increasing prevalence of obesity in children and the potential of schools as a setting for intervention, we aimed to identify the main foods and beverages consumed at primary school and to determine differences in consumption patterns between children who used the school canteen and those who did not.
Cross-sectional survey of school foods in 1681 5-12 y old children, 2003-2004.
Barwon South-Western region of Victoria, Australia.
The school food provided an average (+/-s.e.m.) of 3087+/-26 kJ. Bread was the most frequently consumed food and contributed 20% of total energy at school, biscuits 13%, fruit 10%, muesli/fruit bars 8%, packaged snacks 7%, and fruit juice/cordial 6%. About 10% of children used the school canteen and these children obtained more total energy and more energy from cakes, fast foods and soft drink than noncanteen users (P<0.001). In all, 68% of children had fruit in their lunchboxes, however, over 90% of children had energy-dense, micronutrient-poor snacks ('junk food').
Fruit intake in primary schools seems reasonably high but could be targeted for further increase as part of promoting a healthy diet. Of concern, however, are the excessive amounts of energy-dense foods in school lunchboxes. These should be considered a priority for health promotion efforts along with reducing the consumption of sweetened drinks. These measures are urgently needed to improve the school-based diets of Australian children and attempt to curb the increasing prevalence of childhood obesity.
鉴于儿童肥胖率日益上升以及学校作为干预场所的潜力，我们旨在确定小学阶段食用的主要食品和饮料，并确定使用学校食堂的儿童与未使用学校食堂的儿童在消费模式上的差异。
2003 - 2004年对1681名5 - 12岁儿童的学校食品进行横断面调查。
澳大利亚维多利亚州西南巴旺地区。
学校提供的食物平均（±标准误）能量为3087±26千焦。面包是最常食用的食物，占学校总能量的20%，饼干占13%，水果占10%，什锦早餐/水果棒占8%，包装零食占7%，果汁/甜饮料占6%。约10%的儿童使用学校食堂，这些儿童从蛋糕、快餐和软饮料中获取的总能量和能量比不使用食堂的儿童更多（P<0.001）。总体而言，68%的儿童午餐盒中有水果，然而，超过90%的儿童食用了能量密集、微量营养素含量低的零食（“垃圾食品”）。
小学阶段的水果摄入量似乎相当高，但作为促进健康饮食的一部分，仍可进一步提高。然而，令人担忧的是学校午餐盒中能量密集型食物的过量。这些应与减少含糖饮料的消费一起，被视为健康促进工作的重点。迫切需要采取这些措施来改善澳大利亚儿童的校内饮食，并试图遏制儿童肥胖率的不断上升。
