Vereecken Carine, Huybrechts Inge, van Houte Hilde, Martens Veerle, Wittebroodt Isabelle, Maes Lea
Department of Public Health, Ghent University, UH bloc A, De Pintelaan 185, 9000, Ghent, Belgium.
Int J Public Health. 2009;54(3):142-9. doi: 10.1007/s00038-009-8028-2.
Applying the Intervention Mapping Protocol, an intervention was developed to assist Belgian preschools in the implementation of a healthy school food policy. In the present study the impact of the intervention on children's food consumption is investigated.
Teachers and parents from 16 schools (8 intervention; 8 control) were asked to participate in the study. Teachers registered the children's available food and beverages during the morning and afternoon breaks (data of baseline and follow-up was matched for 618 intervention and 445 control children). Parents were asked to complete a food frequency questionnaire on their children's general consumption (308 intervention and 168 control matches).Linear mixed model analyses were used to investigate the intervention effect.
Both assessment methods indicate an increased fruit consumption for intervention children in comparison with control children, although the effect was only significant for the parental reported fruit consumption. Additionally the results suggest that the change is mainly due to increased availability at school. No significant associations were found for the other food items (snacks, vegetables and different types of beverages).
The results indicate that a healthy food policy at school can improve young children's diet.
运用干预映射协议,开发了一项干预措施,以协助比利时的幼儿园实施健康的学校食品政策。在本研究中,调查了该干预措施对儿童食物消费的影响。
邀请了16所学校(8所干预学校;8所对照学校)的教师和家长参与研究。教师记录了儿童上午和下午课间可获得的食物和饮料(对618名干预组儿童和445名对照组儿童的基线和随访数据进行了匹配)。要求家长完成一份关于其子女总体食物消费情况的食物频率问卷(308名干预组匹配儿童和168名对照组匹配儿童)。采用线性混合模型分析来研究干预效果。
两种评估方法均表明,与对照组儿童相比,干预组儿童的水果消费量有所增加,尽管该效果仅在家长报告的水果消费方面具有显著性。此外,结果表明这种变化主要是由于学校水果供应量的增加。在其他食物项目(零食、蔬菜和不同类型的饮料)方面未发现显著关联。
结果表明,学校的健康食品政策可以改善幼儿的饮食。