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Canadian Journal of Public Health

, Volume 101, Issue 1, pp 40–43 | Cite as

A Province-wide School Nutrition Policy and Food Consumption in Elementary School Children in Prince Edward Island

  • Megan L. Mullally
  • Jennifer P. Taylor
  • Stefan Kuhle
  • Janet Bryanton
  • Kimberley J. Hernandez
  • Debbie L. MacLellan
  • Mary L. McKenna
  • Robert J. Gray
  • Paul J. Veugelers
Quantitative Research

Abstract

Objective

Although the majority of Canadian provinces have indicated that they have adopted new school nutrition policies, there have been few if any systematic evaluations of these policies. In Prince Edward Island, a nutrition policy for elementary schools was adopted province-wide in 2006. In the present study, we assessed the nutritional benefits of the new policy by examining changes in student food consumption prior to and one year following implementation of the policy.

Methods

We surveyed fifth and sixth grade children from 11 elementary schools in Prince Edward Island in 2001/02 (pre-policy implementation) and fifth and sixth grade children from the same 11 schools in 2007 (post-policy implementation). Food consumption was assessed using a self-administered validated food frequency questionnaire. We applied multilevel logistic regression to compare pre-/post-policy implementation differences in the proportion of students meeting Canada’s Food Guide recommendations for vegetables and fruit (VF) and milk and alternatives (MA) and in the proportion of students consuming <3 servings of low nutrient dense foods (LNDF) daily.

Results

Relative to students in 2001/02, students surveyed in 2007 were 2.14 (95% CI 1.62–2.82) times more likely to report consuming less than three daily servings of LNDF and were more likely to meet recommendations for VF (OR 1.44, 95% CI 1.00–2.07) and MA (OR 1.27, 95% CI 0.98–1.64).

Conclusion

The present study is the first in Canada to show favourable changes in student food consumption that parallel the introduction of a school nutrition policy.

Keywords

Nutrition nutrition policy nutrition surveys dietary habits school health obesity 

Résumé

Objectifs

La majorité des provinces canadiennes ont adopté de nouvelles politiques nutritionnelles en milieu scolaire, mais ces politiques n’ont pas été systématiquement évaluées, ou très peu. À l’Île-du-Prince-Édouard, une politique nutritionnelle dans les écoles primaires a été adoptée à l’échelle de la province en 2006. Nous avons cherché à en évaluer les avantages nutritionnels en examinant les changements dans les aliments consommés par les élèves avant et un an après sa mise en œuvre.

Méthode

Nous avons sondé les élèves de cinquième et de sixième année de 11 écoles primaires de l’Île-du-Prince-Édouard en 2001–2002 (avant la mise en œuvre de la politique) et les élèves de cinquième et de sixième année des mêmes écoles en 2007 (après la mise en œuvre). Pour évaluer la consommation d’aliments, nous avons utilisé un questionnaire auto-administré et validé sur la fréquence de consommation des produits alimentaires. Une analyse de régression logistique multiniveaux a permis de comparer les différences, avant et après la mise en œuvre de la politique, dans la proportion d’élèves qui respectaient les recommandations du Guide alimentaire canadien pour les fruits et légumes et pour le lait et ses substituts, et dans la proportion d’élèves qui consommaient <3 portions d’aliments à faible valeur nutritive (AFVN) par jour.

Résultats

Comparativement aux élèves de 2001–2002, les élèves sondés en 2007 étaient 2,14 fois (IC 95% 1,62–2,82) plus susceptibles de dire avoir consommé moins de trois portions quotidiennes d’AFVN, et ils étaient plus susceptibles de respecter les recommandations pour les fruits et légumes (RC 1,44, IC 95% 1,00–2,07) et pour le lait et ses substituts (RC 1,27, IC 95% 0,98–1,64).

Conclusion

Notre étude est la première au Canada à faire état de changements positifs dans les aliments consommés par les élèves avec l’introduction d’une politique nutritionnelle dans les écoles.

Motsclés

nutrition politique nutritionnelle enquêtes sur la nutrition habitudes alimentaires services hygiène scolaire obésité 

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References

  1. 1.
    Anderson RE. The spread of the childhood obesity epidemic [commentary]. CMAJ 2000;163(11):1461–62.Google Scholar
  2. 2.
    Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, et al. Recommendation for the treatment of child and adolescent overweight and obesity. Pediatrics 2007;120:S254-S288.Google Scholar
  3. 3.
    Kumanyika SK, Obarzanek E, Stettler N, Bell R, Field AE, Fortmann SP, et al. Population based prevention of obesity: The need for comprehensive promotion of healthful eating, physical activity, and energy balance. J Am Heart Assoc (Circulation) 2008;118:428–64.Google Scholar
  4. 4.
    Institute of Medicine (IOM). Progress in prevention: Childhood obesity: How do we measure up? 2006. Available at: https://doi.org/www.rwjf.org/pr/product.jsp? ia=138&ID=15294 (Accessed May 15, 2008).Google Scholar
  5. 5.
    Shields M. Health Reports: Overweight and obesity among children and youth. Stat Can 2006;17(3):27–42.Google Scholar
  6. 6.
    Field AE, Cook NR, Gillman MW. Weight status in childhood as a predictor of becoming overweight or hypertensive in early adulthood. Obes Res 2005;13(1):163–69.CrossRefGoogle Scholar
  7. 7.
    Brunt H, Lester N, Davies G, Williams R. Childhood overweight and obesity: Is the gap closing the wrong way? J Public Health 2008;30:145–52.CrossRefGoogle Scholar
  8. 8.
    Weiss R, Kaufman FR. Metabolic complications of childhood obesity: Identifying and mitigating the risk. Diabetes Care 2008;31:S310-S316.Google Scholar
  9. 9.
    Cali AM, Caprio S. Obesity in children and adolescents. J Clin Endocrinol Metab 2008;93(11):S31-S36.Google Scholar
  10. 10.
    Kalin K. Energy, nutrient and food intake of eight year old children in low income communities [Unpublished master’s thesis]. Guelph, ON: University of Guelph, 2002.Google Scholar
  11. 11.
    Hanning RM, Woodruff SJ, Lambraki I, Jessup L, Driezen P, Murphy CC. Nutrient intakes and food consumption patterns among Ontario students in grade six, seven, and eight. Can J Public Health 2007;98:12–16.PubMedGoogle Scholar
  12. 12.
    Health Canada. Young People in Canada: Their Health and Well-being. Ottawa: Public Health Agency of Canada, 2004. Available at: https://doi.org/www.phac-aspc.gc.ca/dca-dea/publications/hbsc-2004/index-eng.php (Accessed March 9, 2007).Google Scholar
  13. 13.
    Drewnowski A. Concept of a nutritious food: Toward a nutrient density score. Am J Clin Nutr 2005;82:721–32.CrossRefGoogle Scholar
  14. 14.
    Evers S, Taylor J, Manske S, Midgett C. Eating and smoking behaviours of school children in Southwestern Ontario and Charlottetown, PEI. Can J Public Health 2001;92:433–36.PubMedGoogle Scholar
  15. 15.
    Raine K. Overweight and Obesity in Canada. A Population Health Perspective. Ottawa: Canadian Population Health Initiative, Canadian Institute for Health Information, 2004.Google Scholar
  16. 16.
    Budd GM, Volpe SL. School based obesity prevention: Research, challenges, and recommendations. J Sch Health 2006;76(10):485–95.CrossRefGoogle Scholar
  17. 17.
    Foster GD, Sherman S, Borradaile KE, Grundy KM, Vander Veur SS, Nach-mann J, et al. A policy-based school intervention to prevent overweight and obesity. Pediatrics 2008;121(4):794–802.CrossRefGoogle Scholar
  18. 18.
    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;96:212–16.PubMedGoogle Scholar
  19. 19.
    Lissau L, Poulson J. Nutrition policy, food and drinks at school and after school care. Int J Obes 2005;29:S58–S61. Available at: https://doi.org/www.nature.com/ijo/journal/v29/n2s/abs/0803101a.html (Accessed March 5, 2008).CrossRefGoogle Scholar
  20. 20.
    Weber Cullen K, Watson K, Zakeri I. Improvements in middle school student dietary intake after implementation of the Texas Public School Nutrition Policy. Am J Public Health 2008;98(1):111–17.CrossRefGoogle Scholar
  21. 21.
    Wojcicki JM, Heyman MB. Healthier choices and increased participation in a middle school lunch program: Effects of nutrition policy changes in San Francisco. Am J Public Health 2006;96(9):1542–47.CrossRefGoogle Scholar
  22. 22.
    Finkelstein DM, Hill EL, Whitaker RC. School food environments and policies in US public schools. Pediatrics 2008;122:e251-e259.Google Scholar
  23. 23.
    Veugelers PJ, Fitzgerald A. Effectiveness of school programs in preventing childhood obesity. Am J Public Health 2005;95:432–35.CrossRefGoogle Scholar
  24. 24.
    Dietitians of Canada. The inside story: An overview of school nutrition policies in Canada, 2008. Available at: https://doi.org/www.bitsandbytes.ca/resources/school_nutrition_policies_ Sept_08.pdf (Accessed January 2, 2009).Google Scholar
  25. 25.
    Eastern School District. School Nutrition: Administrative Regulation. Prince Edward Island, 2005. Available at: https://doi.org/www.edu.pe.ca/esd/main/poli-cies_by_title_Q_Z.htm (Accessed December 12, 2008).Google Scholar
  26. 26.
    Western School Board of Prince Edward Island. Elementary and Consolidated School Nutrition Policy, 2005. Available at: https://doi.org/www.edu.pe.ca/wsb/schoolboard/policies/policies.htm (Accessed December 12, 2008).Google Scholar
  27. 27.
    Health Canada. Eating Well with Canada’s Food Guide, 2007. Available at: https://doi.org/www.healthcanada.gc.ca/foodguide (Accessed January 8, 2008).Google Scholar
  28. 28.
    Midgett C, Evers S, Taylor J. Development of Dietary Behaviour Survey for senior elementary school students. Presented at the Fourth International Conference on Dietary Assessment Methods, Tucson, AZ, September 2000.Google Scholar
  29. 29.
    Ransley JK, Greenwood DC, Cade JE, Blenkinsop S, Schagen I, Teeman D, et al. Does the school fruit and vegetable scheme improve children’s diet? A non-randomised controlled trial. J Epidemiol Community Health 2007;61:699–703.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2010

Authors and Affiliations

  • Megan L. Mullally
    • 1
  • Jennifer P. Taylor
    • 2
  • Stefan Kuhle
    • 3
  • Janet Bryanton
    • 4
  • Kimberley J. Hernandez
    • 5
  • Debbie L. MacLellan
    • 5
  • Mary L. McKenna
    • 6
  • Robert J. Gray
    • 7
  • Paul J. Veugelers
    • 8
  1. 1.Program CoordinatorHolland CollegeCharlottetownCanada
  2. 2.Department of Family and Nutritional SciencesUniversity of Prince Edward IslandCharlottetownCanada
  3. 3.School of Public HealthUniversity of AlbertaEdmontonCanada
  4. 4.School of NursingUniversity of Prince Edward IslandCharlottetownCanada
  5. 5.Department of Family and Nutritional SciencesUniversity of Prince Edward IslandCharlottetownCanada
  6. 6.Department of KinesiologyUniversity of New BrunswickFrederictonCanada
  7. 7.Faculty of EducationUniversity of Prince Edward IslandCanada
  8. 8.School of Public HealthUniversity of AlbertaEdmontonCanada

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