Universal school lunch programme closes a socioeconomic gap in fruit and vegetable intakes among school children in Japan.
Universal school lunch programme closes a socioeconomic gap in fruit and vegetable intakes among school children in Japan.
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DOI：
10.1093/eurpub/cky041
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发表时间：
2018-08-01
影响因子：
4.4
通讯作者：
Hashimoto H
中科院分区：
文献类型：
--
作者：
Yamaguchi M;Kondo N;Hashimoto H
普遍学校午餐方案预计将平等地覆盖所有儿童，而选择性方案则可能使社会弱势儿童蒙受耻辱。然而，普遍方案在缩小饮食差距方面的有效性尚未得到经验证明。我们评估了日本的普及学校午餐计划是否有助于减少与社会经济地位（SES）相关的水果和蔬菜摄入量梯度。我们分析了719名6-12岁的学龄儿童在大东京都市区进行的人口为基础的调查数据。我们使用经验证的幼儿自我管理的简短饮食史问卷（BDHQ-10 y）测量饮食摄入量。我们评估了父母的教育程度，家庭年收入和母亲的就业状况作为儿童的SES指标。我们使用多元回归来估计平均水果和蔬菜摄入量的父母教育和家庭收入，以及学校午餐的贡献，以减少SES相关的梯度水果和蔬菜的摄入量。与母亲受教育程度高（>15年）的儿童相比，母亲受教育程度低（<13年）的儿童的蔬菜摄入量少22.3 g/1000 kcal（95%置信区间= 12.5，32.2），水果摄入量少7.5 g/1000 kcal（95%置信区间=-2.4，17.3）。然而，从学校午餐的水果和蔬菜的摄入量并没有改变社会经济地位，表明学校午餐的摄入量减轻了社会经济地位相关的梯度的总蔬菜摄入量的9.9%和水果的摄入量的3.4%。普及学校午餐计划可部分有助于减少与社会经济服务有关的饮食摄入量梯度。
Universal school lunch programmes are expected to cover all children equally, compared with selective programmes that may stigmatize socially vulnerable children. However, the effectiveness of universal programmes in closing dietary disparity has not been empirically proven. We evaluated whether Japan’s universal school lunch programmes contribute to a reduction in the socioeconomic status (SES)-related gradient in fruit and vegetable intakes. We analyzed data for 719 school children aged 6–12 years in a population-based survey conducted in the greater Tokyo metropolitan area. We measured dietary intakes using a validated self-administered brief diet history questionnaire for young children (BDHQ-10 y). We assessed parental education, annual household income and maternal employment status as SES indicators of children. We used multiple regression to estimate mean fruit and vegetable intakes by parental education and household income, and the contribution of school lunch to reducing the SES-related gradient in fruit and vegetable intakes. Compared with children with high maternal education (>15 years), those with low maternal education (<13 years) had less vegetable intake by 22.3 g/1000 kcal (95% confidence interval = 12.5, 32.2) and less fruit intake by 7.5 g/1000 kcal (95% confidence interval = −2.4, 17.3). However, fruit and vegetable intakes from school lunch did not vary by SES, indicating that school lunch intake alleviated the SES-related gradient of total vegetable intake by 9.9% and that of fruit intake by 3.4%. Universal school lunch programmes can partially contribute to a reduction in the SES-related gradient in dietary intakes.
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DOI：
10.1186/s12966-014-0113-0
发表时间：
2014-09-12
影响因子：
8.7
作者：
van Ansem, Wilke J. C.;Schrijvers, Carola T. M.;van de Mheen, Dike
通讯作者：
van de Mheen, Dike
影响因子：
5.4
作者：
Campbell, Karen J.;Abbott, Gavin;Ball, Kylie
通讯作者：
Ball, Kylie
影响因子：
4.4
作者：
Bere, Elling;van Lenthe, Frank;Brug, Johannes
通讯作者：
Brug, Johannes
影响因子：
5.1
作者：
Longacre, Meghan R.;Drake, Keith M.;Dalton, Madeline A.
通讯作者：
Dalton, Madeline A.
影响因子：
1.6
作者：
Okuda, Masayuki;Sasaki, Satoshi;Hobara, Tatsuya
通讯作者：
Hobara, Tatsuya