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The Impact of Salad Bars on Dietary Consumption Patterns in Elementary School Students

沙拉吧对小学生饮食消费模式的影响

基本信息

批准号：
9753434
负责人：
Melanie K Bean
金额：
$ 69.66万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-03-21 至 2022-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9753434
关键词：
Beverages Calories Child Chronic Disease Consumption County Data Diet Dietary intake Eating Empirical Research Energy Intake Environment Evaluation Face Food Fostering Fruit or Vegetable Goals Healthy Eating Human Resources Hunger Imagery Information Systems Intake Intervention Investigation Investments Link Low income Methodology Methods Modeling Nutrition Policy Obesity Pattern Policies Procedures Process Program Evaluation Proxy Randomized Controlled Trials Research Resource Allocation Risk Role Sales Schools Socioeconomic Status Source Students Time Virginia Waiting Lists Weight maintenance regimen Work base cost efficient design digital elementary school fruits and vegetables good diet healthy weight improved indexing lower income families meetings minority children minority student nutrition obesity in children obesity risk primary outcome programs prospective racial and ethnic resource guides response school district sixth grade sociodemographics sound systems research wasting

项目摘要

PROJECT SUMMARY Despite the importance of fruits and vegetables (FVs) as essential components of a healthy diet, most children do not consume the recommended number of servings of these foods. School meals account for a significant portion of children's overall dietary intake. Changing the school environment is a cost-efficient and effective method for improving dietary intake and can significantly impact the pernicious problem of pediatric obesity. The 2010 Healthy Hunger-Free Kids Act (HHFKA) mandated enhanced focus on FVs in the National School Lunch Program (NSLP), and specifically requires children to take a fruit and/or vegetable at meals (the “serve” model). However, there are significant concerns over increased FV plate waste under this mandate. Simultaneously, there is great national support for school salad bars as a means to increase FV intake within the NSLP. Salad bars might be a particularly effective approach within the “serve” model, as they foster choice, which is linked to increased FV consumption in children. However, little empirical research has investigated the impact of salad bars on FV intake in schools. Further, although FV consumption can facilitate healthy weight management if these foods replace items high in calories, there is a great need to better understand how increasing FV intake, and salad bars, relates to children's diet quality and energy intake at lunch within the NSLP. This is particularly important to investigate in low income and racial/ethnic minority children, who face disproportionate obesity risks and are most likely to be impacted by school obesity policies, such as the HHFKA, given their reliance on school meals. This time-sensitive application will use validated methods, informed by our extensive formative work, to conduct a comprehensive evaluation of salad bars in a northern Virginia school district. This district is installing salad bars into 141 elementary schools over 5-years, facilitating the conduct of a waitlist control, cluster randomized controlled trial. Specifically, 12 pairs of matched schools will be randomly selected: half receiving a salad bar (Intervention) and half serving pre-portioned FVs only, standard under the NSLP (Control). Thus groups will have different FV presentation methods; however all schools will be operating under a policy requiring students to take at least one FV serving. Schools will be matched on Title I status (a proxy for socioeconomic status) and percent of racial/ethnic minority students based on higher obesity risk. Dietary intake will be objectively assessed at lunch in each pair of schools, prior to (baseline), and 4-6 weeks after salad bars are installed (post), resulting in ~14,160 lunch observations throughout the study duration. We will also obtain cafeteria sales and NSLP participation data to examine how salad bars impact these critical revenue sources. Finally, we will assess implementation factors and cafeteria personnel's perspectives, to identify barriers and facilitators to salad bars and inform sustainability efforts. No prior RCTs have prospectively examined the effects of salad bars on FV and energy intake. As such, this study has great potential to inform school nutrition policies and programs designed to enhance dietary intake and reduce obesity.

项目总结