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Randomized Controlled Trial
. 2015 Nov 10:12:139.
doi: 10.1186/s12966-015-0301-6.

One year of free school fruit in Norway--7 years of follow-up

Elling Bere  1 , Saskia J te Velde  2 , Milada Cvancarova Småstuen  3 , Jos Twisk  4 , Knut-Inge Klepp  5
Affiliations
Randomized Controlled Trial

One year of free school fruit in Norway--7 years of follow-up

Elling Bere et al. Int J Behav Nutr Phys Act. .

Abstract

Background: It is important that health-promoting efforts result in sustained behavioural changes, preferably throughout life. However, only a very few intervention studies evaluate long term follow up.

Objective: The aim of the present study is to evaluate the overall and up to seven years effect of providing daily one piece of fruit or vegetable (FV) for free for one school year.

Methods: A total of 38 randomly drawn elementary schools from two counties in Norway participated in the Fruit and Vegetables Make the Marks project. Baseline (2001) and follow-up surveys were conducted in May 2002, 2005 and 2009 (n = 320 with complete data) to assess FV and unhealthy snack intake. Mixed models were used to analyze the data.

Results: Statistically significant adjusted overall effects of the intervention were revealed for FV intake (1.52 times/day) but this weakened over time. A significant adjusted overall effect (-1.54 consumptions/week) and a significant seven-year-follow-up effect (-2.02 consumptions/week) was found for consumption of unhealthy snacks for pupils of parents without higher education.

Conclusion: One year of free school fruit resulted in higher FV intake and lower unhealthy snack intake, however this weakened over time for FV intake and became stronger for snack intake. More follow-up studies with larger samples and lower attrition rates are needed in order to further evaluate the long-term effect.

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References

    1. WHO FAO. Diet, nutrition and the prevention of chronic diseases. Geneva: SwitzerlandWorld Health Organization; 2003. - PubMed
    1. World HO. Action Plan for implementation of the European Strategy for the Prevention and Control of Noncommunicable Diseases 2012–2016. Copenhagen: DenmarkWorld Health Organization; 2012.
    1. Øverby NC, Andersen LF. Ungkost-2000: Landsomfattende kostholdsundersøkelse blant elever i 4. og 8. klasse i Norge [translation: Fruits and vegetables at school. A calculation of social-economic profitability] Oslo: Sosial- og helsedirektoratet [translation: Ministry of Health and Social Affairs]; 2002.
    1. Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of adolescent smoking, physical activity, and food choice behaviors. Am J Public Health. 1994;84(7):1121–6. doi: 10.2105/AJPH.84.7.1121. - DOI - PMC - PubMed
    1. Lien N, Lytle LA, Klepp KI. Stability in consumption of fruit, vegetables, and sugary foods in a cohort from age 14 to age 21. Prev Med. 2001;33(3):217–26. doi: 10.1006/pmed.2001.0874. - DOI - PubMed

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