Early Effects of the Federally Mandated Local Wellness Policy on School Nutrition Environments Appear Modest in Colorado's Rural, Low-Income Elementary Schools
Early Effects of the Federally Mandated Local Wellness Policy on School Nutrition Environments Appear Modest in Colorado's Rural, Low-Income Elementary Schools
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DOI：
10.1016/j.jada.2010.08.004
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发表时间：
2010-11-01
影响因子：
--
通讯作者：
Marshall, Julie A.
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文献类型：
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作者：
Belansky, Elaine S.;Cutforth, Nick;Marshall, Julie A.
为了增加健康饮食和体育活动的机会，参加全国学校午餐计划的美国学区被要求在2006年6月之前制定一项地方健康政策（LWP）。“什么在起作用”项目描述了这一任务对营养环境和政策的初步影响。在2005年和2007年（在任务授权生效之前和之后），向45名低收入农村初级食品服务管理人员和校长随机抽样发送了一份关于与营养和体育活动有关的学校特点的调查。学校平均有204名学生，27%是西班牙裔。地区的LWP编码的强度和全面性。此外，在LWP生效近2年后，对餐饮服务管理人员进行了关键线人访谈。观察到三项改进：增加学校的百分比，其政策规定在课堂聚会中提供主要健康的物品（2005年为21.4%，2007年为48.7%），每日在餐厅供应新鲜水果（2005年有0.80个选择，2007年有1.15个选择），以及使用去皮家禽的学校比例（2005年有27%，2007年有59%）。低工作量方案的措辞软弱无力，很少涉及能源含量。最常提到的营养指南元素包括自动售货机、学校商店和点菜食品。73%的餐饮服务经理熟悉他们地区的LWP，但没有意识到它改变了午餐室的做法。虽然LWP提供了一个框架，以支持健康饮食的机会，很少有证据为基础的做法，作为一个直接的结果，任务。学校需要更多关于循证实践的信息，以及实施方面的技术和财政援助。美国饮食协会杂志2010;110：1712-1717。
To increase opportunities for healthy eating and physical activity, US school districts participating in the National School Lunch Program were required to create a Local Wellness Policy (LWP) by June 2006. The What's Working project described the initial influence of this mandate on nutrition environments and policies. In 2005 and 2007 (before and after the mandate went into effect), a survey about school features related to nutrition and physical activity was sent to a random sample of 45 low-income, rural elementary foodservice managers and principals. Schools averaged 204 students, 27% Hispanic. Districts' LWPs were coded for strength and comprehensiveness. In addition, key informant interviews were conducted with foodservice managers almost 2 years after the LWP went into effect. Three improvements were observed: increases in the percent of schools with policies stipulating predominantly healthy items be offered in classroom parties (21.4% in 2005 vs 48.7% in 2007), daily fresh fruit offerings in the lunchroom (0.80 choices in 2005 vs 1.15 choices in 2007), and the percent of schools using skinless poultry (27% in 2005 vs 59% in 2007). LWPs were weakly worded and rarely addressed energy content. Nutrition guideline elements most commonly addressed included vending machines, school stores, and a la carte food offerings. Seveny-three percent of foodservice managers were familiar with their district's LWP but did not perceive it changed lunchroom practices. Although LWPs offer a framework to support opportunities for healthy eating, few evidence-based practices were implemented as a direct result of the mandate. Schools need more information about evidence-based practices, as well as technical and financial assistance for implementation. J Am Diet Assoc. 2010;110:1712-1717.