Dina Zota1, Archontoula Dalma1,2, Athanassios Petralias1,2,3, Anastasia Lykou1,2, Christina-Maria Kastorini1,2, Mary Yannakoulia4, Pania Karnaki1, Katerina Belogianni1, Afroditi Veloudaki1,2, Elena Riza2, Rhea Malik5, Athena Linos6,7. 1. Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis, Maroussi, Greece. 2. Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece. 3. Department of Statistics, Athens University of Economics and Business, Athens, Greece. 4. Department of Nutrition and Dietetics, Harokopio University, Athens, Greece. 5. Department of Stem Cell and Regenerative Biology, Harvard University, Cambridge, MA, USA. 6. Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis, Maroussi, Greece. a.linos@prolepsis.gr. 7. Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece. a.linos@prolepsis.gr.
Abstract
OBJECTIVES: To evaluate the potential benefits on students' eating habits, of incorporating healthy nutrition education as part of a school food aid program. METHODS:146 schools participating in the DIATROFI Program in Greece during the 2013-2014 school year were randomly allocated to the environmental intervention (received a healthy daily meal) and the multicomponent intervention (MI) group (in addition to the meal, a healthy nutrition educational program was applied). The analysis, based on 3627 pre-post intervention questionnaire pairs, was stratified for children (ages 4-11 years) and adolescents (ages 12-18 years). RESULTS: Children participating in the MI group displayed 25 % higher odds of increasing the weekly consumption of milk/yoghurt and fruits, 61 % higher odds of improving BMI from overweight/obese to normal and 2.5 times higher odds of improving from underweight to normal. For adolescents in the MI group, the odds of increasing the consumption of vegetables were 40 % higher. In both intervention groups, approximately one in four overweight/obese adolescents reached normal weight. CONCLUSIONS: Educational programs on healthy nutrition might be considered worth implementing in the framework of school food aid programs.
RCT Entities:
OBJECTIVES: To evaluate the potential benefits on students' eating habits, of incorporating healthy nutrition education as part of a school food aid program. METHODS: 146 schools participating in the DIATROFI Program in Greece during the 2013-2014 school year were randomly allocated to the environmental intervention (received a healthy daily meal) and the multicomponent intervention (MI) group (in addition to the meal, a healthy nutrition educational program was applied). The analysis, based on 3627 pre-post intervention questionnaire pairs, was stratified for children (ages 4-11 years) and adolescents (ages 12-18 years). RESULTS:Children participating in the MI group displayed 25 % higher odds of increasing the weekly consumption of milk/yoghurt and fruits, 61 % higher odds of improving BMI from overweight/obese to normal and 2.5 times higher odds of improving from underweight to normal. For adolescents in the MI group, the odds of increasing the consumption of vegetables were 40 % higher. In both intervention groups, approximately one in four overweight/obese adolescents reached normal weight. CONCLUSIONS: Educational programs on healthy nutrition might be considered worth implementing in the framework of school food aid programs.
Entities:
Keywords:
Children; Dietary habits; Educational intervention; School; School food aid program
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