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Clinical Trial
. 2004 Sep;94(9):1507-12.
doi: 10.2105/ajph.94.9.1507.

An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study

Affiliations
Clinical Trial

An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study

Simone A French et al. Am J Public Health. 2004 Sep.

Abstract

Objectives: We evaluated an environmental intervention intended to increase sales of lower-fat foods in secondary school cafeterias.

Methods: Twenty secondary schools were randomly assigned to either an environmental intervention or a control group for a 2-year period. The intervention increased the availability of lower-fat foods and implemented student-based promotions.

Results: A steeper rate of increase in sales of lower-fat foods in year 1 (10% intervention vs -2.8% control, P =.002) and a higher percentage of sales of lower-fat foods in year 2 (33.6% intervention vs 22.1% control, P =.04) were observed. There were no significant changes in student self-reported food choices.

Conclusions: School-based environmental interventions to increase availability and promotion of lower-fat foods can increase purchase of these foods among adolescents.

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Figures

FIGURE 1—
FIGURE 1—
Percentage low-fat à la carte sales during intervention year 1 (2000) in 2 intervention schools and 2 control schools representative of TACOS. Shown are data and slope for (a) intervention school 1, (b) intervention school 4, (c) control school 15, and (d) control school 17.

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