Kubik Martha Y, Lytle Leslie A, Farbakhsh Kian
School of Nursing, University of Minnesota, Minneapolis, MN, USA.
J Am Diet Assoc. 2011 Jan;111(1):150-5. doi: 10.1016/j.jada.2010.10.013.
The Child Nutrition and WIC Reauthorization Act of 2004 required school districts participating in the federal school meals program to establish by the start of the 2006-2007 school year policies that included nutrition guidelines for all foods sold on school campus during the school day and policy development involving key stakeholders. For many schools, policy development was done by wellness councils. This study examined the association between having a wellness council and availability of low-nutrient, energy-dense foods/beverages in school vending machines following enactment of the federal legislation. In 2006-2007, Minnesota middle (n=35) and high (n=54) school principals reported whether their school and district had a wellness council. Trained research staff observed foods/beverages in vending machines accessible to students. Low-nutrient, energy-dense foods/beverages (snacks >3 g fat or >200 calories/serving, and soda, fruit/sport drinks and reduced-fat/whole milk) were grouped into seven categories (eg, high-fat baked goods) and a food score was calculated. Higher scores indicated more low-nutrient, energy-dense vending fare. Multivariate linear regression, adjusted for school characteristics, was used to examine associations between scores and a three-category council variable (district-only; district and school; no council). Among schools, 53% had district-only councils, 38% district and school councils, and 9% had no council. Schools with both a district and school council had a significantly lower mean food score than schools without councils (P=0.03). The potential of wellness councils to impact availability of low-nutrient, energy-dense vending fare is promising. There may be an added benefit to having both a school and district council.
2004年的《儿童营养与妇女、婴儿和儿童特别补充营养计划再授权法案》要求参与联邦学校供餐计划的学区在2006-2007学年开始时制定相关政策,这些政策应包括上学日期间校园内出售的所有食品的营养指南,以及涉及关键利益相关者的政策制定。对许多学校来说,政策制定由健康委员会负责。本研究调查了联邦立法颁布后,学校设有健康委员会与学校自动售货机中低营养、高能量食品/饮料供应情况之间的关联。2006-2007年,明尼苏达州初中(n = 35)和高中(n = 54)的校长报告了他们的学校和学区是否设有健康委员会。经过培训的研究人员观察了学生可使用的自动售货机中的食品/饮料。低营养、高能量食品/饮料(脂肪含量>3克或每份热量>200卡路里的零食,以及苏打水、水果/运动饮料和低脂/全脂牛奶)被分为七类(如高脂肪烘焙食品),并计算食品得分。得分越高表明自动售货机中低营养、高能量食品的种类越多。采用经学校特征调整的多元线性回归来研究得分与三类委员会变量(仅学区;学区和学校;无委员会)之间的关联。在学校中,53%设有仅学区的委员会,38%设有学区和学校委员会,9%没有委员会。同时设有学区和学校委员会的学校,其平均食品得分显著低于没有委员会的学校(P = 0.03)。健康委员会对影响低营养、高能量自动售货机食品供应的潜力是有前景的。学校和学区都设有委员会可能会带来额外的好处。