RTI International, Waltham, Massachusetts.
RTI International, 3040 E. Cornwallis Rd, Research Triangle Park, NC 27709. Email:
Prev Chronic Dis. 2018 May 31;15:E68. doi: 10.5888/pcd15.170396.
Most children underconsume fruit and vegetables. This study estimated the frequency and quality of fruit and vegetables offered during snack in US afterschool programs and examined program-level factors associated with offering them, including awareness and use of the National AfterSchool Association Healthy Eating and Physical Activity standards.
We conducted descriptive analyses and regression modeling by using data collected from 684 National AfterSchool Association members and their colleagues via a 2015 online survey.
At the previous snack, 63% of respondents offered fruit, a vegetable, or both, with 42% offering only fruit, 18% offering fruit and vegetables, and 3% offering only vegetables. The quality of the items offered showed that most respondents selected the healthiest options, such as fresh fruit and vegetables. Controlling for other factors, we found that factors independently associated with offering fruit, vegetables, or both were membership in the National AfterSchool Association, using the standards for menu planning, and training staff members in healthy eating more than once a year. Programs run by school districts were less likely to offer fruit than programs run by other organizations.
Membership in the National AfterSchool Association and use of its Healthy Eating and Physical Activity standards are associated with offering fruit and vegetables during snack at afterschool programs staffed by National AfterSchool Association members and their colleagues across the United States. With over a third of sites surveyed offering neither a fruit nor a vegetable at the previous snack, additional implementation of the standards is still needed.
大多数儿童水果和蔬菜摄入量不足。本研究评估了美国课后项目中提供零食时水果和蔬菜的频率和质量,并考察了与提供水果和蔬菜相关的项目层面因素,包括对全国课后协会健康饮食和体育活动标准的认识和使用。
我们使用 2015 年通过在线调查从全国课后协会的 684 名成员及其同事那里收集的数据进行描述性分析和回归建模。
在上一次零食中,63%的受访者提供了水果、蔬菜或两者兼而有之,其中 42%只提供水果,18%提供水果和蔬菜,3%只提供蔬菜。提供的食物质量表明,大多数受访者选择了最健康的选择,如新鲜水果和蔬菜。在控制其他因素的情况下,我们发现与提供水果、蔬菜或两者兼而有独立相关的因素包括全国课后协会的会员资格、使用菜单规划标准以及每年不止一次培训员工健康饮食。由学区运营的项目比由其他组织运营的项目提供水果的可能性更小。
全国课后协会的会员资格以及使用其健康饮食和体育活动标准与美国全国课后协会成员及其同事运营的课后项目在零食时间提供水果和蔬菜有关。在接受调查的三分之一以上的场所,在上一次零食中既没有提供水果也没有提供蔬菜,因此仍然需要进一步实施这些标准。