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J Nutr Educ Behav. 2017 May;49(5):368-379.e1. doi: 10.1016/j.jneb.2016.12.007. Epub 2017 Feb 8.

A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes.

Author information

1
Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA.
2
Oregon State University Extension Service, Tillamook, OR.
3
Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA.
4
Department of Nutrition, University of California, Davis, Davis, CA.
5
University of California Cooperative Extension, Placer and Nevada Counties, University of California Agriculture and Natural Resources, Auburn, CA; University of California Agriculture and Natural Resources, Davis, CA.
6
University of California Agriculture and Natural Resources, Davis, CA; Agricultural Sustainability Institute, University of California Sustainable Agriculture Research and Education Program, University of California, Davis, Davis, CA.
7
Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA; Department of Internal Medicine, University of California, Davis, Davis, CA.
8
University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA.
9
Foods for Health Institute, University of California, Davis, Davis, CA.
10
University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA; Department of Population Health and Reproduction, University of California, Davis, Davis, CA.
11
University of California Agriculture and Natural Resources, Davis, CA; University of California Cooperative Extension, Merced and Stanislaus Counties, University of California Agriculture and Natural Resources, Modesto, CA.
12
Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA.
13
Department of Human Ecology, University of California, Davis, Davis, CA.
14
Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA. Electronic address: sazidenbergcherr@ucdavis.edu.

Erratum in

Abstract

OBJECTIVE:

To evaluate the effectiveness of the Shaping Healthy Choices Program (SHCP).

DESIGN:

A clustered, randomized, controlled intervention lasting 1 school year.

SETTING:

Schools in northern and central California.

PARTICIPANTS:

Fourth-graders (aged 9-10 years) at 2 control schools (n = 179) and 2 intervention schools (n = 230).

INTERVENTION:

Garden-enhanced education, family, and community partnerships; increased regionally procured produce in the lunchroom; and school-site wellness committees.

MAIN OUTCOME MEASURES:

Changes in body mass index (BMI) percentiles/Z-scores; nutrition knowledge, science process skills, and vegetable identification and preferences; and reported fruit and vegetable intake.

ANALYSIS:

Student t test, chi-square, ANOVA of change, and multilevel regression mixed model to evaluate change in outcomes with school as a random effect to account for cluster design effects. Statistical significance was set at P < .05.

RESULTS:

There was a greater improvement in BMI percentile (-6.08; P < 0.01), BMI Z-score (-0.28; P < .001), and waist-to-height ratio (-0.02; P < .001) in the intervention compared with the control schools.

CONCLUSIONS AND IMPLICATIONS:

The SHCP resulted in improvements in nutrition knowledge, vegetable identification, and a significant decrease in BMI percentiles. This supports the concept that the SHCP can be used to improve the health of upper elementary school students.

KEYWORDS:

body mass index percentiles; childhood obesity; multicomponent programs; nutrition education; school-based programs

PMID:
28189500
DOI:
10.1016/j.jneb.2016.12.007
[Indexed for MEDLINE]

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