Skip to main content
Log in

Compliance with school nutrition policies in Ontario and Alberta: An assessment of secondary school vending machine data from the COMPASS study

  • Quantitative Research
  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

OBJECTIVES: We investigated the extent to which a sample of Ontario and Alberta secondary schools are being compliant with their respective provincial nutrition policies, in terms of the food and beverages sold in vending machines.

METHODS: This observational study used objective data on drinks and snacks from vending machines, collected over three years of the COMPASS study (2012/2013–2014/2015 school years). Drink (e.g., sugar-containing carbonated/non-carbonated soft drinks, sports drinks, etc.) and snack (e.g., chips, crackers, etc.) data were coded by number of units available, price, and location of vending machine(s) in the school. Univariate and bivariate analyses were undertaken using R version 3.2.3. In order to assess policy compliancy over time, nutritional information of products in vending machines was compared to nutrition standards set out in P/PM 150 in Ontario, and those set out in the Alberta Nutrition Guidelines for Children and Youth (2012) in Alberta.

RESULTS: Results reveal a decline over time in the proportion of schools selling sugar-containing carbonated soft drinks (9% in 2012/2013 vs. 3% in 2014/2015), crackers (26% vs. 17%) and cake products (12% vs. 5%) in vending machines, and inconsistent changes in the proportion selling chips (53%, 67% and 65% over the three school years). Conversely, results highlight increases in the proportion of vending machines selling chocolate bars (7% vs. 13%) and cookies (21% vs. 40%) between the 2012/2013 and 2014/2015 school years.

CONCLUSION: Nutritional standard policies were not adhered to in the majority of schools with respect to vending machines. There is a need for investment in formal monitoring and evaluation of school policies, and the provision of information and tools to support nutrition policy implementation.

Résumé

OBJECTIFS: Nous avons étudié la mesure dans laquelle un échantillon d’écoles secondaires de l’Ontario et de l’Alberta respectent la politique de nutrition de leur province respective en ce qui a trait aux aliments et boissons vendus dans des distributeurs automatiques.

MÉTHODE: Cette étude observationnelle a utilisé des données objectives sur les boissons et les collations des distributeurs automatiques recueillies sur une période de trois ans dans le cadre de l’étude COMPASS (années scolaires 2012–2013 à 2014–2015). Les données sur les boissons (boissons sucrées gazeuses/non gazeuses, boissons pour sportifs, etc.) et sur les collations (croustilles, craquelins, etc.) ont été codées selon le nombre d’unités en vente, leur prix, et l’emplacement du ou des distributeurs automatiques dans l’école. Nous avons mené des analyses univariées et bivariées à l’aide du logiciel R-3.2.3. Afin d’évaluer la conformité aux politiques au fil du temps, nous avons comparé l’information nutritionnelle des produits des distributeurs automatiques aux normes de nutrition établies dans la Note de politique/programme no 150 en Ontario, et dans les directives Alberta Nutrition Guidelines for Children and Youth (2012) en Alberta.

RÉSULTATS: Les résultats indiquent une baisse au fil du temps de la proportion d’écoles vendant des boissons gazeuses sucrées (9% en 2012–201 3 c. 3% en 2014–2015), des craquelins (26% c. 17%) et des gâteaux (12% c. 5%) dans les distributeurs automatiques, et des changements incohérents dans la proportions des écoles vendant des croustilles (53%, 67% et 65% sur les trois années scolaires). Par contre, les résultats indiquent des hausses de la proportion de distributeurs automatiques vendant des tablettes de chocolat (7% c. 13%) et des biscuits (21% c. 40%) entre les années scolaires 2012–2013 et 2014–2015.

CONCLUSION: Les politiques de normes nutritionnelles en ce qui a trait aux distributeurs automatiques n’ont pas été respectées dans la majorité des écoles. Il faudrait investir dans le suivi-évaluation officiel des politiques en milieu scolaire et fournir de l’information et des outils pour appuyer la mise en œuvre des politiques nutritionnelles.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Statistics Canada. Overweight and Obese Youth (Self-Reported), 2014. Ottawa, ON: Statistics Canada, 2015. Available at: http://www.statcan.gc.ca/pub/82-625-x/2015001/article/14186-eng.htm (Accessed June 2, 2016).

    Google Scholar 

  2. Janssen I. The public health burden of obesity in Canada. Can J Diabetes 2013;37(2):90–96. PMID: 24070798. doi: 10.1016/j.jcjd.2013.02.059.

    Article  PubMed  Google Scholar 

  3. Guh DP, Zhang W, Bansback N, Amarsi Z, Lair Birmingham C, Anis AH. The incidence of co-morbidities related to obesity and overweight: A systematic review and meta-analysis. BMC Public Health 2009;9:88. doi: 10.1186/1471-2458-9-88.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Leatherdale ST, Rynard V. A cross-sectional examination of modifiable risk factors for chronic disease among a nationally representative sample of youth: Are Canadian students graduating high school with a failing grade for health? BMC Public Health 2013;13(1):569. PMID: 23758659. doi: 10.1186/1471-2458-13-569.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Leatherdale ST. An examination of the co-occurrence of modifiable risk factors associated with chronic disease among youth in the COMPASS study. Cancer Causes and Control 2015;26(4):519–28. PMID: 25673505. doi: 10.1007/S10552-015-0529-0.

    Article  PubMed  Google Scholar 

  6. Roberts KC, Shields M, de Groh M, Aziz A, Gilbert JA. Overweight and obesity in children and adolescents: Results from the 2009 to 2011 Canadian Health Measures Survey. Health Rep 2012;23(3):37–41. PMID: 23061263.

    PubMed  Google Scholar 

  7. Storey KE, Forbes LE, Fraser SN, Spence JC, Plotnikoff RC, Raine KD, et al. Diet quality, nutrition and physical activity among adolescents: the Web-SPAN (Web-Survey of Physical Activity and Nutrition) project. Public Health Nutr 2009;12(11):2009–17. doi: 10.1017/S1368980009990292.

    Article  PubMed  Google Scholar 

  8. Veugelers PJ, Fitzgerald AL, Johnston E. Dietary intake and risk factors for poor diet quality among children in Nova Scotia. Can J Public Health 2005;96(3):212–16. PMID: 15913088.

    Article  PubMed  Google Scholar 

  9. Frumkin H. Introduction: safe and healthy school environments. In. Frumkin H, Geller RJ, Rubin IL, Nodvin J (Eds.), Safe and Healthy School Environments. New York: Oxford University Press, 2006; 3–12.

    Chapter  Google Scholar 

  10. Viner RM, Ozer EM, Denny S, Marmot M, Resnick M, Fatusi A, et al. Adolescence and the social determinants of health. Lancet 2012;379(9826):1641–52.

    Article  PubMed  Google Scholar 

  11. Sacks G, Swinburn B, Lawrence M. Obesity Policy Action framework and analysis grids for a comprehensive policy approach to reducing obesity. Obesity Rev 2009;10(1):76–86. doi: 10.1111/j.1467-789X.2008.00524.X.

    Article  CAS  Google Scholar 

  12. McKenna ML. Policy options to support healthy eating in schools. Can J Public Health 2010;101(Suppl 2):S14–S17. PMID: 21133196.

    Article  PubMed  Google Scholar 

  13. Story M, Nanney MS, Schwartz MB. Schools and obesity prevention: Creating school environments and policies to promote healthy eating and physical activity. Milbank Q 2009;87(1):71–100. PMID: 19298416. doi: 10.1111/j.1468-0009.2009.00548.x.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Watts AW, Mâsse LC, Naylor P-J. Changes to the school food and physical activity environment after guideline implementation in British Columbia, Canada. Int J Behavioral Nut and Phys Act 2014;11:50. PMID: 24731514. doi: 10.1186/1479-5868-11-50.

    Article  Google Scholar 

  15. Mullally ML, Taylor JP, Kuhle S, Bryanton J, Hernandez KJ, MacLellan DL, et al. A province-wide school nutrition policy and food consumption in elementary school children in Prince Edward Island. Can J Public Health 2010;101(1):40–43. PMID: 20364537.

    Article  PubMed  Google Scholar 

  16. Fung C, McIsaac J-LD, Juhle S, Kirk SFL, Veugelers PJ. The impact of a population-level school food and nutrition policy on dietary intake and body weights of Canadian children. Prev Med 2013;57(6):934–40. PMID: 23891787. doi: 10.1016/j.ypmed.2013.07.016.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Vine MM, Elliott SJ. Examining local-level factors shaping school nutrition policy implementation in Ontario, Canada. Public Health Nutr 2014;17(6):1290–98. PMID: 24050825. doi: 10.1017/S1368980013002516.

    Article  PubMed  Google Scholar 

  18. Vine MM, Elliott SJ, Raine KD. Exploring implementation of the Ontario School Food and Beverage Policy at the secondary school level: A qualitative study. Can J Diet Pract Res 2014;75(3):118–24. PMID: 26066815. doi: 10.3148/cjdpr-2014-003.

    Article  PubMed  Google Scholar 

  19. Downs SM, Farmer A, Quintanilha M, Berry TR, Mager DR, Willows ND, et al. From paper to practice: Barriers to adopting nutrition guidelines in schools. J Nutr Educ Behav 2012;44(2):114–22. PMID: 22119449. doi: 10.1016/j.jneb.2011.04.005.

    Article  PubMed  Google Scholar 

  20. Minaker LM, Storey KE, Raine KD, Spence JC, Forbes LE, Plotnikoff RC, et al. Associations between the perceived presence of vending machines and food and beverage logos in schools and adolescents’ diet and weight status. Public Health Nutr 2011;14(8):1350–56. PMID: 21450139. doi: 10.1017/S1368980011000449.

    Article  PubMed  Google Scholar 

  21. Callaghan C, Mandich G, He M. Healthier snacks in school vending machines: A pilot project in four Ontario high schools. Can J Diet Pract Res 2010;71(4):186–91. PMID: 21144135. doi: 10.3148/71.4.2010.186.

    Article  PubMed  Google Scholar 

  22. Ramanathan S, Allison KR, Faulkner G, Dwyer JJM. Challenges in assessing the implementation and effectiveness of physical activity and nutrition policy interventions as natural experiments. Health Promot Int 2008;23(3):290–97. PMID: 18728110. doi: 10.1093/heapro/dan022.

    Article  CAS  PubMed  Google Scholar 

  23. Government of Ontario. School Food and Beverage Policy, Policy/Program Memorandum No. 150. Toronto, ON: Ministry of Education, 2010. Available at: www.edu.gov.on.ca/extra/eng/ppm/ppml50.pdf (Accessed February 10, 2016).

    Google Scholar 

  24. Health Canada. Eating Well with Canada’s Food Guide. Ottawa, ON: Health Canada, 2011. Available at: http://www.hc-sc.gc.ca/fn-an/alt_formats/hpfb-dgpsa/pdf/food-guide-aliment/print_eatwell_bienmang-eng.pdf (Accessed May 25, 2016).

    Google Scholar 

  25. Government of Ontario. Policy/Program Memorandum No. 150, Appendix: Nutrition Standards for Ontario Schools. Toronto, ON: Ministry of Education, 2010. Available at: http://www.edu.gov.on.ca/extra/eng/ppm/Appendixl50. pdf (Accessed September 10, 2016).

    Google Scholar 

  26. Government of Alberta. Alberta Nutrition Guidelines for Children and Youth: A Childcare, School and Recreation/Community Centre Resource Manual. Edmonton, AB: Ministry of Health, 2012. Available at: http://www. health.alberta.ca/documents/Nutrition-Guidelines-AB-Children-Youth.pdf (Accessed February 10, 2016).

    Google Scholar 

  27. Leatherdale ST, Bredin C, Blashill J. A software application for use in handheld devices to collect school built environment data. Measurement 2014;50:331–38. doi: 10.1016/j.measurement.2014.01.008.

    Article  Google Scholar 

  28. Thompson-Haile A, Leatherdale ST. School board and school recruitment procedures. COMPASS Technical Report Series. 2013;1(3). Waterloo, ON: University of Waterloo.

    Google Scholar 

  29. Leatherdale ST, Brown KS, Carson V, Childs RA, Dubin JA, Elliott SJ, et al. The COMPASS study: A longitudinal hierarchical research platform for evaluating natural experiments related to changes in school-level programs, policies and built environment resources. BMC Public Health 2014;14:331. PMID: 24712314. doi: 10.1186/1471-2458-14-331.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med 1999;29(6 Pt 1):563–70. PMID: 10600438. doi: 10.1006/pmed.l999.0585.

    Article  CAS  PubMed  Google Scholar 

  31. Van der Horst K, Oenema A, van de Looil-Jansen P, Brug J. The ENDORSE study: Research into environmental determinants of obesity and related behaviors in Rotterdam schoolchildren. BMC Public Health 2008;8:142. PMID: 18442370. doi: 10.1186/1471-2458-8-142.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Hawe P, Potvin L. What is population health intervention research? Can J Public Health 2009;100(1): Suppl 18–14.

    Article  Google Scholar 

  33. Michie S, Fixsen D, Grimshaw JM, Eccles MP. Specifying and reporting complex behaviour change interventions: The need for a scientific method. Implement Sci 2009;4:40. PMID: 19607700. doi: 10.1186/1748-5908-4-40.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Pasch KE, Lytle LA, Samuelson AC, Farbakhsh K, Kubik MY, Patnode CD. Are school vending machines loaded with calories and fat: An assessment of 106 middle and high schools. J Sch Health 2011;81(4): 212–18. PMID: 21392013. doi: 10.1111/j.1746-1561.2010.00581.X.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Han-Markey TL, Wang L, Schlotterbeck S, Jackson EA, Gurm R, Leidal A, Eagle K. A public school district’s vending machine policy and changes over a 4-year period: Implementation of a national wellness policy. Public Health 2012;126(4): 335–37. PMID: 22342078. doi: 10.1016/j.puhe.2012.01.007.

    Article  CAS  PubMed  Google Scholar 

  36. Kubik MY, Lytle LA, Farbakhsh K. School and district wellness councils and availability of low-nutrient, energy-dense vending fare in Minnesota middle and high schools. J Am Diet Assoc 2011;111(1): 150–55. PMID: 21185978. doi: 10.1016/j.jada.2010.10.013.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Valaitis RF, Hanning RM, Herrmann IS. Programme coordinators’ perceptions of strengths, weaknesses, opportunities and threats associated with school nutrition programmes. Public Health Nutr 2014;17(6):1245–54. PMID: 23768442. doi: 10.1017/S136898001300150X.

    Article  PubMed  Google Scholar 

  38. Wang D, Stewart D. The implementation and effectiveness of school-based nutrition promotion programmes using a health-promoting schools approach: A systematic review. Public Health Nutr 2013;16(6):1082–100. doi: 10.1017/S1368980012003497.

    Article  PubMed  Google Scholar 

  39. MacLellan D, Holland A, Taylor J, McKenna M, Hernandez K. Implementing school nutrition policy: Student and parent perspectives. Can J Diet Pract Res 2010;71(4):172–77. PMID: 21144132. doi: 10.3148/71.4.2010.172.

    Article  PubMed  Google Scholar 

  40. McIsaac J-LD, Read K, Veulegers PJ, Kirk SFL. Culture matters: A case of school health promotion in Canada. Health Promotlnt 2013;1–11. PMID: 23945087. doi: 10.1093/heapro/dat055.

    Google Scholar 

  41. World Health Organization (WHO). Food and nutrition policy for schools: A tool for the development of school nutrition programmes in the European Region. Programme for Nutrition and Food Security, Copenhagen: WHO Regional Office for Europe, 2006. Available at: http://www.euro.who.int/_data/assets/pdf_file/0019/152218/E89501.pdf (Accessed September 18, 2016).

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michelle M. Vine PhD.

Additional information

Acknowledgements: The development of the COMPASS system was supported by a bridge grant from the Canadian Institutes of Health Research (CIHR), Institute of Nutrition, Metabolism, and Diabetes (OOP-110788; grant awarded to S.T. Leatherdale). The first application of the COMPASS system (the COMPASS study) was supported by an operating grant from the CIHR Institute of Population and Public Health (MOP-114875; grant awarded to S.T. Leatherdale). Dr. Leatherdale is a CIHR/Public Health Agency of Canada (PHAC) Chair in Applied Public Health. This CIHR-PHAC Research Chair supports the future capacity building of the COMPASS system.

Conflict of Interest: None to declare.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vine, M.M., Harrington, D.W., Butler, A. et al. Compliance with school nutrition policies in Ontario and Alberta: An assessment of secondary school vending machine data from the COMPASS study. Can J Public Health 108, e43–e48 (2017). https://doi.org/10.17269/CJPH.108.5701

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.17269/CJPH.108.5701

Key Words

Mots Clés

Navigation