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基于学校的“趣味食品”干预措施评估:英国一项整群随机对照试验

Evaluation of the school-based 'PhunkyFoods' intervention: a cluster randomised controlled trial in the UK.

作者信息

Vaughan Karen L, Vidal Milca, Cade Janet E, Hetherington Marion M, Evans Charlotte E L

机构信息

School of Food Science and Nutrition, University of Leeds, Woodhouse Lane, LeedsLS2 9JT, UK.

School of Psychology, University of Leeds, Woodhouse Lane, LeedsLS2 9JT, UK.

出版信息

Public Health Nutr. 2025 Apr 14;28(1):e86. doi: 10.1017/S1368980025000552.

Abstract

OBJECTIVE

We evaluated the impact of an established nutrition education intervention, 'PhunkyFoods' on food literacy, cooking skills and fruit and vegetable intake in primary school aged children.

DESIGN

A pre-registered cluster randomised controlled trial was used; the intervention group received the 'PhunkyFoods' programme and the wait-list control group received the usual school curriculum. Primary outcomes measured were differences in food literacy and cooking skills scores between the intervention and control arms after 12 months adjusted for baseline values.

SETTING

The trial was undertaken in twenty-six primary schools in North Yorkshire, UK.

PARTICIPANTS

631 children aged 6-9 years participated (intervention 307, control 324) through assemblies, classroom activities and after-school clubs.

RESULTS

There were no significant effects of the intervention compared with control on food literacy, cooking skills, vegetable intake or fruit intake. Adjusting for baseline, the Food Literacy Total Score was 1·13 points lower in the intervention group than the control (95 % CI -2·87, 0·62, = 0·2). The Cooking Skills Total Score was 0·86 lower in the intervention group compared with the control (95 % CI = -5·17, 3·45, = 0·69). Girls scored 2·8 points higher than boys in cooking skills across the sample (95 % CI = 0·88, 4·82, < 0·01).

CONCLUSION

The intervention did not result in improved food literacy or cooking skills, though sex effects on these outcomes were observed. More practical food preparation hours are needed in primary schools to improve the likelihood of an effect on outcomes.

摘要

目的

我们评估了一项既定的营养教育干预措施“趣味食物”对小学适龄儿童的食物素养、烹饪技能以及水果和蔬菜摄入量的影响。

设计

采用预先注册的整群随机对照试验;干预组接受“趣味食物”计划,等待名单对照组接受常规学校课程。主要测量的结果是在调整基线值后,12个月后干预组和对照组在食物素养和烹饪技能得分上的差异。

背景

该试验在英国北约克郡的26所小学进行。

参与者

631名6至9岁的儿童参与(干预组307名,对照组324名),通过集会、课堂活动和课后俱乐部参与。

结果

与对照组相比,干预措施对食物素养、烹饪技能、蔬菜摄入量或水果摄入量没有显著影响。调整基线后,干预组的食物素养总分比对照组低1.13分(95%可信区间-2.87, 0.62,P = 0.2)。干预组的烹饪技能总分比对照组低0.86分(95%可信区间 = -5.17, 3.45,P = 0.69)。在整个样本中,女孩的烹饪技能得分比男孩高2.8分(95%可信区间 = 0.88, 4.82,P < 0.01)。

结论

该干预措施并未提高食物素养或烹饪技能,不过观察到了性别对这些结果的影响。小学需要增加更多实际的食物准备时间,以提高对结果产生影响的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/539e/12100561/a27fd25843ca/S1368980025000552_fig1.jpg

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