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Public Health. 2016 Jul;136:94-100. doi: 10.1016/j.puhe.2016.03.013. Epub 2016 Apr 18.

Impact of a school-based intervention to promote fruit intake: a cluster randomized controlled trial.

Author information

1
University of Minho, School of Nursing, Largo do Paço, 4704-553 Braga, Portugal; University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal. Electronic address: rrosario@ese.uminho.pt.
2
University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal. Electronic address: anam_araujo@iol.pt.
3
University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal. Electronic address: patriciapadrao@fcna.up.pt.
4
Erdal Association, Guimarães, Portugal. Electronic address: oscar.lopes@erdal.pt.
5
University of Porto, Faculty of Medicine, Al. Prof. Hernâni Monteiro, 4200 - 319 Porto, Portugal. Electronic address: andremoreira@med.up.pt.
6
University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal. Electronic address: sandramrabreu@gmail.com.
7
University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal. Electronic address: susanavale@hotmail.com.
8
University of Minho, School of Education, Research Centre in Child Studies, Campus de Gualtar, 4710-057 Braga, Portugal. Electronic address: beatriz@ie.uminho.pt.
9
University of Porto, Faculty of Nutrition and Food Sciences, Rua Roberto Frias, 4200-465 Porto, Portugal; University of Porto, Research Centre in Physical Activity, Health and Leisure, Rua Dr. Plácido Costa, 91, 4200-450 Porto, Portugal. Electronic address: pedromoreira@fcna.up.pt.

Abstract

OBJECTIVE:

There is evidence that fruit consumption among school children is below the recommended levels. This study aims to examine the effects of a dietary education intervention program me, held by teachers previously trained in nutrition, on the consumption of fruit as a dessert at lunch and dinner, among children 6-12 years old.

STUDY DESIGN:

This is a randomized trial with the schools as the unit of randomisation.

METHODS:

A total of 464 children (239 female, 6-12years) from seven elementary schools participated in this cluster randomized controlled trial. Three schools were allocated to the intervention and four to the control group. For the intervention schools, we delivered professional development training to school teachers (12 sessions of 3 h each). The training provided information about nutrition, healthy eating, the importance of drinking water and healthy cooking activities. After each session, teachers were encouraged to develop classroom activities focused on the learned topics. Sociodemographic was assessed at baseline and anthropometric, dietary intake and physical activity assessments were performed at baseline and at the end of the intervention. Dietary intake was evaluated by a 24-h dietary recall and fruit consumption as a dessert was gathered at lunch and dinner.

RESULTS:

Intervened children reported a significant higher intake in the consumption of fruit compared to the controlled children at lunch (P = 0.001) and at dinner (P = 0.012), after adjusting for confounders.

CONCLUSIONS:

Our study provides further support for the success of intervention programmes aimed at improving the consumption of fruit as a dessert in children.

KEYWORDS:

Children; Fruit for dessert; Intervention programme; Public health

PMID:
27101881
DOI:
10.1016/j.puhe.2016.03.013
[Indexed for MEDLINE]

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