Improving High School Breakfast Environments

改善高中早餐环境

基本信息

批准号：
8616395
负责人：
Marilyn S. Nanney
金额：
$ 74.4万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-02-08 至 2017-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8616395
关键词：
Address Adolescent Advocate Anthropometry Area Belief Body fat Body mass index Child Cohort Studies Communities Control Groups Data Diet Dietary Fiber Dietary intake Eating Energy Intake Environment Epidemic Evaluation Event Fatty acid glycerol esters Food Food Policy Food Services Fruit Goals Health Food Heart Atrium Height High School Student Hour Human Resources Hunger Improve Access Industry Intake Intervention Intervention Studies Life Literature Location Low income Marketing Measures Minnesota Obesity Performance Policies Randomized Relative (related person)Reporting Research Research Personnel Rural Sampling Schools Services Social support Source Students Surveys Taste Perception Testing Time Universities Visiting Nurse Weight Weight Gain Work Youth base cohort comparison group food environment group intervention high school improved neglect peer programs public health relevance satisfaction social suburb

项目摘要

DESCRIPTION (provided by applicant): Experts agree that improving the whole school food environment is an important strategy to confronting the obesity epidemic, yet the National School Breakfast Program (SBP) is a neglected area in the research literature. Unlike the school lunch program, participation in the SBP appears to uniquely protect against excessive weight gain. However, the SBP is underutilized nationally and less than half of low-income children participate. Currently, only 17.1% of students nationally participate in the SBP and participation decreases as grade levels increase with only 10.1% participation among high school students. Implementation and evaluation of strategies that expand and promote the SBP is a priority among national sponsors of school meals and anti-hunger advocates. The goals of this intervention study are to implement best practice strategies to expand and promote the SBP and test the impact upon 1) student participation rates, based on reimbursable meals served, 2) overall student caloric intake and diet quality and 3) body mass index and percent body fat in a random sample of 800 high school students in 16 rural Minnesota school districts. Best practice strategies drawn from federal and industry sources to expand SBP participation include improving access through school-wide policy and practice implementation (i.e., grab-n-go menu, service in the atrium) and promote participation by addressing normative and attitudinal beliefs through a school-wide SBP marketing campaign (i.e., foods taste good, school breakfast is for all students) and providing positive interactions that encourage eating school breakfast with social support from peers and school personnel (i.e., eating in the hallway, classroom). University Extension staff living in and serving the schools and communities will assist school food service directors with all aspects of SBP best practice implementation. This work is important because breakfast eating is positively associated with healthier weights, diet quality and academic performance among children and adolescents. The focus on rural schools is of particular importance as significantly fewer healthy food policies and practices exist in small town and rural schools than in urban or suburban schools. Furthermore, obesity rates among rural youth are as much as 50 percent higher than their urban counterparts. A team of investigators with expertise in successful implementation of multi- school trials, school-level interventions, and state of the art youth diet and anthropometry measures propose the following aims.

描述（申请人提供）：专家一致认为，改善整个学校的饮食环境是应对肥胖流行的重要策略，但全国学校早餐计划（SBP）却是研究文献中被忽视的领域。与学校午餐计划不同，参与 SBP 似乎可以独特地防止体重过度增加。然而，SBP 在全国范围内并未得到充分利用，只有不到一半的低收入儿童参与。目前，全国只有 17.1% 的学生参加 SBP，并且随着年级的提高，参与率逐渐下降，其中高中生的参与率仅为 10.1%。实施和评估扩大和促进 SBP 的战略是学校供餐的国家赞助者和反饥饿倡导者的首要任务。这项干预研究的目标是实施最佳实践策略，以扩大和促进 SBP 并测试其对 1) 学生参与率（基于可报销餐费）的影响，2) 学生总体热量摄入和饮食质量，以及 3) 体重指数明尼苏达州 16 个农村学区的 800 名高中生的随机样本的体脂百分比。来自联邦和行业来源的扩大 SBP 参与的最佳实践策略包括通过全校范围内的政策和实践实施（即即取即走菜单、中庭服务）来改善准入，并通过解决规范和态度信念来促进参与。全校范围内的 SBP 营销活动（即食物味道好，学校早餐适合所有学生），并提供积极的互动，鼓励在同龄人和学校工作人员的社会支持下吃学校早餐（即在走廊里吃饭，教室）。生活在学校和社区并为学校和社区提供服务的大学推广人员将协助学校餐饮服务主管实施 SBP 最佳实践的各个方面。这项工作很重要，因为吃早餐与儿童和青少年的健康体重、饮食质量和学业成绩呈正相关。对农村学校的关注尤为重要，因为小城镇和农村学校的健康食品政策和做法比城市或郊区学校少得多。此外，农村青少年的肥胖率比城市青少年高出 50%。一组在成功实施多学校试验、学校一级干预措施以及最先进的青少年饮食和人体测量措施方面具有专业知识的研究人员提出了以下目标。