McKelvie-Sebileau Pippa, Gerritsen Sarah, Swinburn Boyd, D'Souza Erica, Tipene-Leach David
School of Population Health, University of Auckland, Auckland, New Zealand.
Research and Innovation Centre, Eastern Institute of Technology, Napier, New Zealand.
J R Soc N Z. 2022 May 2;52(4):357-375. doi: 10.1080/03036758.2022.2064519. eCollection 2022.
Our current food system is failing to deliver on equitable health outcomes, wellbeing and food security and the Hawke's Bay region of New Zealand has high inequities and one the highest levels of childhood obesity nationally. This articlereports baseline quantitative data from 2087 students (aged 9 or 13) from 41 primary and secondary schools, including schools participating in the Healthy School Lunch programme. Students answered an online survey covering food security, general wellbeing (WHO-5), eating behaviours and physical activity and were measured/weighed for body size. 16.8% of students experienced food insufficiency in the home and 31.3% of 13-yr-olds did not eat breakfast. Overall, only 12.9% met the national vegetable intake guidelines and 39.6% met fruit intake guidelines. Students in high advantage schools (decile 8-10) were twice as likely to meet the vegetable intake guidelines. 47.1% of 13-year old girls were at risk of reduced wellbeing. 54.6% of students had a healthy weight and 44.5% experienced overweight or obesity; in low advantage (decile 1-3) schools 64.4% experienced overweight or obesity. The data form a baseline for an evaluation of multiple public health initiatives underway in Hawke's Bay to improve food environments and nutritional wellbeing.
我们当前的食物系统未能实现公平的健康结果、福祉和食品安全，新西兰霍克湾地区存在高度不平等现象，且儿童肥胖率在全国处于最高水平之一。本文报告了来自41所中小学的2087名学生（9岁或13岁）的基线定量数据，其中包括参与“健康学校午餐”计划的学校。学生们回答了一项涵盖食品安全、总体福祉（世界卫生组织-5福祉指数）、饮食行为和体育活动的在线调查，并接受了身体尺寸测量/称重。16.8%的学生在家中经历过食物不足，13岁的学生中有31.3%不吃早餐。总体而言，只有12.9%的学生达到国家蔬菜摄入量指南，39.6%的学生达到水果摄入量指南。高优势学校（评分等级8 - 10）的学生达到蔬菜摄入量指南的可能性是其他学校的两倍。47.1%的13岁女孩存在福祉下降的风险。54.6%的学生体重健康，44.5%的学生超重或肥胖；在低优势（评分等级1 - 3）学校中，64.4%的学生超重或肥胖。这些数据为评估霍克湾正在开展的多项旨在改善食物环境和营养福祉的公共卫生举措提供了基线。
