Abstract
Background/Objectives:
Previous research in the United Kingdom, where there is a school canteen system, has shown that the Food Dudes intervention substantially increases children's fruit and vegetable consumption. The current study evaluated its effectiveness in Ireland where school meals are not provided and children bring food to school in lunchboxes.
Subjects/Methods:
Participants were 4- to 11-year-old children attending two primary schools; the schools were randomly assigned to experimental or control conditions (n=228 and 207, respectively). During the 16-day intervention in the experimental school, children watched video adventures featuring the heroic Food Dudes, and received small rewards for eating fruit and vegetables provided. In both schools, parental provision and children's consumption of fruit and vegetables in the lunchboxes were assessed at baseline and 12-month follow-up (Lunchbox measures). Fruit and vegetables were provided in both schools over an 8-day baseline phase and the 16-day intervention, and children's consumption was measured (school-provided food measures).
Results:
Relative to baseline, consumption of the school-provided foods increased during the intervention in the experimental school (P<0.001), whereas in the control school it showed a significant decline. At 12-month follow-up, parents in the experimental school provided and their children consumed significantly more lunchbox fruit, vegetables and juice relative to baseline and to the control school (P<0.001 in all instances).
Conclusions:
The Food Dudes intervention was effective in changing parental provision and children's consumption of lunchbox fruit and vegetables in Ireland.
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References
Crawley H (2005). Nutrient-Based Standards for School Food. The Caroline Walker Trust and National Heart Forum: Abbots Langley, Hertfordshire, UK.
Delaney L, Kelleher C, Wall P (2006). An Updated Initial Evaluation of the Irish Food Dudes Initiative. University College Dublin: Dublin.
Department of Health (2003) 5 A Day portion information, http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/FiveADay/FiveADaygeneralinformation/DH_4001494.
Douglas L (1999). Contribution of ‘packed lunches’ to the dietary intake of 11–12-year-old children. Nutr Food Sci 4, 181–186.
Gillman MW (1996). Enjoy your fruits and vegetables. BMJ 313, 765–766.
Horne PJ, Hardman CA, Lowe CF, Rowlands AV (2007). Increasing children's physical activity: a peer-modelling, rewards and pedometer-based intervention. Eur J Clin Nutr advance online publication, 19 September 2007 (DOI: 10.1038/sj.ejcn.1602915).
Horne PJ, Lowe CF, Bowdery M, Egerton C (1998). The way to healthy eating for children. Br Food J 100, 133–140.
Horne PJ, Lowe CF, Fleming PF, Dowey AJ (1995). An effective procedure for changing food preferences in 5–7 year-old children. Proc Nutr Soc 54, 441–452.
Horne PJ, Tapper K, Lowe CF, Hardman CA, Jackson MC, Woolner J (2004). Increasing children's fruit and vegetable consumption: a peer-modelling and rewards-based intervention. Eur J Clin Nutr 58, 1649–1660.
Key TJA, Thorogood M, Appleby PN, Burr ML (1996). Dietary habits and mortality in 11 000 vegetarians and health conscious people: results of a 17 year follow up. BMJ 313, 775–779.
Lowe CF, Dowey AJ, Horne PJ (1998). Changing what children eat. In: A Murcott (ed). The Nation's Diet: The Social Science of Food Choice. Longman: London. pp 57–80.
Lowe CF, Horne PJ, Tapper K, Bowdery M, Egerton C (2004). Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children. Eur J Clin Nutr 58, 510–522.
Maloney M (2006). Food Dudes Programme in Ireland. Paper presented at the 5th International Symposium of the International Fruit and Vegetable Alliance: Ottawa, Canada.
O’Neill JL, McCarthy SN, Burke SJ, Hannon EM, Kiely M, Flynn A et al. (2007). Prevalence of overweight and obesity in Irish school children, using four different definitions. Eur J Clin Nutr 61, 743–751.
Ransley JK, Greenwood DC, Cade JE, Blenkinsop S, Schagen I, Teeman D et al. (2007). Does the school fruit and vegetable scheme improve children's diet? A non-randomised controlled trial. J Epidemiol Community Health 61, 699–703.
Rogers IS, Ness AR, Hebditch K, Jones LR, Emmett PM (2007). Quality of food eaten in English primary schools: school dinners vs packed lunches. Eur J Clin Nutr 61, 856–864.
Wells L, Nelson M (2005). The National School Fruit Scheme produces short-term but not longer-term increases in fruit consumption in primary school children. Br J Nutr 93, 537–542.
Whincup PH, Owen CG, Sattar N, Cook DG (2005). School dinners and markers of cardiovascular health and type 2 diabetes in 13–16 year olds: cross sectional study. BMJ 331, 1060–1061.
World Health Organization (2004). Young People's Health in Context: Health Behaviour in School-aged Children (HBSC) Study: International Report from the 2001/2002 Survey. WHO: Copenhagen.
Acknowledgements
We thank all the school staff, pupils and parents for their participation. The study was funded by Bord Bia, the Irish Food Board and we are particularly grateful to Michael Maloney for his support. We also thank Laurence Swan and Fyffes plc, who provided the fruit and vegetables.
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Contributors: PJH and CFL were the principal investigators; they devised the intervention, directed its implementation and contributed to data analysis and interpretation, and to the writing of the paper. CAH drafted the paper. KT, JLN, PM, PP and MD contributed to programme development and implementation; data collection, analysis and interpretation; staff training; and editing of the paper. Chris Whitaker advised on statistical analyses.
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Horne, P., Hardman, C., Lowe, C. et al. Increasing parental provision and children's consumption of lunchbox fruit and vegetables in Ireland: the Food Dudes intervention. Eur J Clin Nutr 63, 613–618 (2009). https://doi.org/10.1038/ejcn.2008.34
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DOI: https://doi.org/10.1038/ejcn.2008.34
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