Effect of the nationwide free school fruit scheme in Norway
Effect of the nationwide free school fruit scheme in Norway
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DOI：
10.1017/s0007114510000814
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发表时间：
2010-08-01
影响因子：
3.6
通讯作者：
Klepp, Knut-Inge
中科院分区：
文献类型：
--
作者：
Bere, Elling;Hilsen, Marit;Klepp, Knut-Inge
在挪威，儿童和青少年的消费量仅为国家建议的每日五份的一半左右。在健康和饮食行为方面也存在相当大的社会不平等。为了增加水果和蔬菜的摄入量，1996年启动了一项订购方案，并于2003年在全国范围内实施，从2007年起在全国范围内实施了一项免费方案（无需家长付费）。本研究的目的是评估这些努力的效果。2001年（1 488人，85%）和2008年（1 339人，78%），27所学校的六年级和七年级学生（10-12岁）对调查问卷作出了答复。FV摄入量通过24小时回忆来测量。在2001年，没有一所学校有任何有组织的学校水果计划。2008年，5所学校参加了免费学校水果方案，10所学校参加了订阅方案，12所学校没有参加任何正式方案。免费水果08、订阅08和无计划08学校的水果摄入量分别增加了0.49、0.29和0.18份/上学日（时间x组P < 0.001），全天水果摄入量分别增加了0.74、0.39和0.16份/上学日（时间x组P = 0.04）。没有观察到蔬菜摄入量的组效应。2001年至2008年，挪威学生的水果摄入量有所增加，学校水果方案似乎很有效。增加蔬菜摄入量仍然是一个巨大的挑战。
In Norway, children and adolescents consume only about half of the national five-a-day recommendation. There are also rather large social inequalities in health, and in eating behaviours. In order to increase fruit and vegetable (FV) intake, a subscription programme was initiated in 1996 and made nationwide in 2003, and a free programme (without parental payment) has been implemented nationwide from 2007. The objective of the present study is to evaluate the effect of these efforts. Pupils in the sixth and seventh grades (age 10-12 years) at twenty-seven schools responded to a questionnaire in 2001 (n 1488, 85 %) and in 2008 (n 1339, 78 %). FV intake was measured by a 24-h recall. In 2001, none of the schools had any organised school fruit programme. In 2008, five schools participated in the free school fruit programme, ten schools participated in the subscription programme and twelve schools did not participate in any official programme. The increases in fruit intake at school were 0.49, 0.29 and 0.18 portions/school day, respectively, for the Free Fruit 08, Subscription 08 and No Programme 08 schools (time x group P < 0.001), and 0.74, 0.39 and 0.16 portions/d for fruit intake all day (time x group P = 0.04). No group effect was observed for vegetable intake. There has been an increase in pupils' fruit intake from 2001 to 2008 in Norway, and the school fruit programmes seem to have been effective. A great challenge remains in increasing vegetable intake.