Abstract
Objective:
In light of the increasing prevalence of obesity in children and the potential of schools as a setting for intervention, we aimed to identify the main foods and beverages consumed at primary school and to determine differences in consumption patterns between children who used the school canteen and those who did not.
Design:
Cross-sectional survey of school foods in 1681 5–12 y old children, 2003–2004.
Setting:
Barwon South—Western region of Victoria, Australia.
Results:
The school food provided an average (±s.e.m.) of 3087±26 kJ. Bread was the most frequently consumed food and contributed 20% of total energy at school, biscuits 13%, fruit 10%, muesli/fruit bars 8%, packaged snacks 7%, and fruit juice/cordial 6%. About 10% of children used the school canteen and these children obtained more total energy and more energy from cakes, fast foods and soft drink than noncanteen users (P<0.001). In all, 68% of children had fruit in their lunchboxes, however, over 90% of children had energy-dense, micronutrient-poor snacks (‘junk food’).
Conclusions:
Fruit intake in primary schools seems reasonably high but could be targeted for further increase as part of promoting a healthy diet. Of concern, however, are the excessive amounts of energy-dense foods in school lunchboxes. These should be considered a priority for health promotion efforts along with reducing the consumption of sweetened drinks. These measures are urgently needed to improve the school-based diets of Australian children and attempt to curb the increasing prevalence of childhood obesity.
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References
Australian Bureau of Statistics (2001): Information Paper: Census of Population and Housing—Socio-Economic Indexes for Areas, Australia. Canberra: The Australian Bureau of Statistics.
Bell AC & Swinburn BA (2004): What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr 58, 258–263.
Carter MA & Swinburn B (2004): Measuring the ‘obesogenic’ food environment in New Zealand primary schools. Health Promot Int 19, 15–20.
Centers for Disease Control and Prevention (1997): Guidelines for school health programs to promote lifelong healthy eating. J School Health 67, 9–26.
Cole TJ, Bellizzi MC, Flegal KM & Dietz WH (2000): Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320, 1240–1243.
Danielzik S, Czerwinski-Mast M, Langnase K, Dilba B & Muller MJ (2004): Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obesity in 5–7 y-old children: baseline data of the Kiel Obesity Prevention Study (KOPS). Int J Obes Relat Metab Disord 28, 1494–1502.
Davies P, Roodvelt R & Marks G (2001): Standard Methods for the Collection and Collation of Anthropometric Data in Children. Canberra: National Food and Nutrition Monitoring and Surveillance Project, Commonwealth of Australia.
Dietz WH (1998): Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics 101 (Part 2), 518–525.
Kubik MY, Lytle LA, Hannan PJ, Perry CL & Story M (2003): The association of the school food environment with dietary behaviors of young adolescents. Am J Public Health 93, 1168–1173.
Lobstein T, Baur L & Uauy R (2004): Obesity in children and young people: a crisis in public health. Obes Rev 5 (Suppl 1), 4–104.
Ludwig DS, Peterson KE & Gortmaker SL (2001): Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 357, 505–508.
Magarey AM, Daniels LA & Boulton TJ (2001): Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Med J Aust 174, 561–564.
Must A & Strauss RS (1999): Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord 23 (Suppl 2), S2–11.
Sentinel Site for Obesity Prevention (2004): School Food Checklist. http://www.deakin.edu.au/hbs/who-obesity/instruments/instruments.php.
Swinburn BA, Caterson I, Seidell JC & James WP (2004): Diet, nutrition and the prevention of excess weight gain and obesity. Public Health Nutr 7, 123–146.
Tabachnick BG & Fidell LS (1989): Using Multivariate Statistics. New York: Harper & Row.
Weiss R, Dziura J, Burgert TS, Tamborlane WV, Taksali SE, Yeckel CW, Allen K, Lopes M, Savoye M, Morrison J, Sherwin RS & Caprio S (2004): Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 350, 2362–2374.
Weschler H, Devereaux RS, Davis M & Collins J (2000): Using the school environment to promote physical activity and healthy eating. Prev Med 31, S121–S137.
Acknowledgements
We thank Kerri Cuttler, Ruth Cuttler, and Anne Simmons for help with data collection and wish to acknowledge the support of the 18 schools involved in the project and the students and families who participated in the study. CB is supported by a VicHealth Public Health Research Fellowship. This research was funded by the Commonwealth Department of Health and Ageing and the Victorian Department of Human Services.
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Guarantors: BA Swinburn.
Contributors: AMS contributed to original concept, analysis, writing, and interpretation. ACB and BAS contributed to the concept and interpretation, and PJK contributed to the statistical analysis and interpretation of this paper.
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Sanigorski, A., Bell, A., Kremer, P. et al. Lunchbox contents of Australian school children: room for improvement. Eur J Clin Nutr 59, 1310–1316 (2005). https://doi.org/10.1038/sj.ejcn.1602244
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DOI: https://doi.org/10.1038/sj.ejcn.1602244
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