Camila Massri and Carina Källestål are with the Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. Sofía Sutherland is with the Faculty of Medicine, Universidad de los Andes, Santiago, Chile. Sofía Sutherland and Sebastián Peña are with the Santiago Sano Program, Municipality of Santiago, Santiago. Sebastián Peña is also with the Department of Public Health Solutions, National Institute for Health and Welfare, Helsinki, Finland.
Am J Public Health. 2019 Sep;109(9):1249-1254. doi: 10.2105/AJPH.2019.305159. Epub 2019 Jul 18.
To evaluate the impact of a national law banning sales of competitive food and beverages (CF&B) in schools on the availability of CF&B sold at school kiosks. This study was uncontrolled before and after study. We evaluated public schools in Santiago de Chile (n = 21; 78% response rate) in 2014 and 2016 (6 months after the law came into force). Trained personnel collected data on calories, total sugars, saturated fat, and sodium from food labels. The outcome was the percentage of foods exceeding the cutoff levels defined in the law and the mean difference between 2014 and 2016. Foods exceeding any cutoffs decreased from 90.4% in 2014 to 15.0% in 2016. Solid products had a substantial reduction in calories, sugar, saturated fat, and sodium. Liquid products had a reduction in calories, total sugar, and saturated fat, whereas sodium increased. This was a result of changes in product mix. A ban on sales of CF&B reduced the availability of CF&B at Santiago's school kiosks. Further research should examine the impact of this ban on food intake and health outcomes.
为了评估国家禁止在学校销售竞争食品和饮料(CF&B)的法律对学校售货亭销售 CF&B 的供应情况的影响。这项研究是在前后研究中进行的。我们评估了圣地亚哥(智利首都)的公立学校(n=21;回应率为 78%),评估时间分别为 2014 年和 2016 年(法律生效后 6 个月)。经过培训的人员从食品标签上收集卡路里、总糖、饱和脂肪和钠的数据。结果是超过法律规定的截止水平的食品的百分比和 2014 年至 2016 年之间的平均差异。超过任何截止值的食品从 2014 年的 90.4%下降到 2016 年的 15.0%。固体产品的卡路里、糖、饱和脂肪和钠含量大幅下降。液体产品的卡路里、总糖和饱和脂肪含量减少,而钠含量增加。这是产品组合变化的结果。禁止销售 CF&B 减少了圣地亚哥学校售货亭 CF&B 的供应。进一步的研究应该检查这项禁令对食物摄入和健康结果的影响。