Randomized Controlled Trial

. 2017 May;49(5):368-379.e1.

doi: 10.1016/j.jneb.2016.12.007. Epub 2017 Feb 8.

A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes

Rachel E Scherr¹, Jessica D Linnell², Madan Dharmar³, Lori M Beccarelli¹, Jacqueline J Bergman⁴, Marilyn Briggs¹, Kelley M Brian⁵, Gail Feenstra⁶, J Carol Hillhouse⁶, Carl L Keen⁷, Lenna L Ontai⁸, Sara E Schaefer⁹, Martin H Smith¹⁰, Theresa Spezzano¹¹, Francene M Steinberg¹², Carolyn Sutter¹³, Heather M Young³, Sheri Zidenberg-Cherr¹⁴

Affiliations

¹ Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA.
² Oregon State University Extension Service, Tillamook, OR.
³ Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA.
⁴ Department of Nutrition, University of California, Davis, Davis, CA.
⁵ University of California Cooperative Extension, Placer and Nevada Counties, University of California Agriculture and Natural Resources, Auburn, CA; University of California Agriculture and Natural Resources, Davis, CA.
⁶ University of California Agriculture and Natural Resources, Davis, CA; Agricultural Sustainability Institute, University of California Sustainable Agriculture Research and Education Program, University of California, Davis, Davis, CA.
⁷ Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA; Department of Internal Medicine, University of California, Davis, Davis, CA.
⁸ University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA.
⁹ Foods for Health Institute, University of California, Davis, Davis, CA.
¹⁰ University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA; Department of Population Health and Reproduction, University of California, Davis, Davis, CA.
¹¹ University of California Agriculture and Natural Resources, Davis, CA; University of California Cooperative Extension, Merced and Stanislaus Counties, University of California Agriculture and Natural Resources, Modesto, CA.
¹² Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA.
¹³ Department of Human Ecology, University of California, Davis, Davis, CA.
¹⁴ Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA. Electronic address: sazidenbergcherr@ucdavis.edu.

PMID: 28189500
DOI: 10.1016/j.jneb.2016.12.007

Randomized Controlled Trial

A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes

Rachel E Scherr et al. J Nutr Educ Behav. 2017 May.

. 2017 May;49(5):368-379.e1.

doi: 10.1016/j.jneb.2016.12.007. Epub 2017 Feb 8.

Authors

Affiliations

¹ Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA.
² Oregon State University Extension Service, Tillamook, OR.
³ Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA.
⁴ Department of Nutrition, University of California, Davis, Davis, CA.
⁵ University of California Cooperative Extension, Placer and Nevada Counties, University of California Agriculture and Natural Resources, Auburn, CA; University of California Agriculture and Natural Resources, Davis, CA.
⁶ University of California Agriculture and Natural Resources, Davis, CA; Agricultural Sustainability Institute, University of California Sustainable Agriculture Research and Education Program, University of California, Davis, Davis, CA.
⁷ Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA; Department of Internal Medicine, University of California, Davis, Davis, CA.
⁸ University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA.
⁹ Foods for Health Institute, University of California, Davis, Davis, CA.
¹⁰ University of California Agriculture and Natural Resources, Davis, CA; Department of Human Ecology, University of California, Davis, Davis, CA; Department of Population Health and Reproduction, University of California, Davis, Davis, CA.
¹¹ University of California Agriculture and Natural Resources, Davis, CA; University of California Cooperative Extension, Merced and Stanislaus Counties, University of California Agriculture and Natural Resources, Modesto, CA.
¹² Department of Nutrition, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA.
¹³ Department of Human Ecology, University of California, Davis, Davis, CA.
¹⁴ Department of Nutrition, University of California, Davis, Davis, CA; Center for Nutrition in Schools, University of California, Davis, Davis, CA; University of California Agriculture and Natural Resources, Davis, CA. Electronic address: sazidenbergcherr@ucdavis.edu.

PMID: 28189500
DOI: 10.1016/j.jneb.2016.12.007

Erratum in

Corrigendum.
[No authors listed] [No authors listed] J Nutr Educ Behav. 2018 Sep;50(8):852. doi: 10.1016/j.jneb.2018.06.008. Epub 2018 Aug 2. J Nutr Educ Behav. 2018. PMID: 30077582 No abstract available.

Abstract

Objective: To evaluate the effectiveness of the Shaping Healthy Choices Program (SHCP).

Design: A clustered, randomized, controlled intervention lasting 1 school year.

Setting: Schools in northern and central California.

Participants: Fourth-graders (aged 9-10 years) at 2 control schools (n = 179) and 2 intervention schools (n = 230).

Intervention: Garden-enhanced education, family, and community partnerships; increased regionally procured produce in the lunchroom; and school-site wellness committees.

Main outcome measures: Changes in body mass index (BMI) percentiles/Z-scores; nutrition knowledge, science process skills, and vegetable identification and preferences; and reported fruit and vegetable intake.

Analysis: Student t test, chi-square, ANOVA of change, and multilevel regression mixed model to evaluate change in outcomes with school as a random effect to account for cluster design effects. Statistical significance was set at P < .05.

Results: There was a greater improvement in BMI percentile (-6.08; P < 0.01), BMI Z-score (-0.28; P < .001), and waist-to-height ratio (-0.02; P < .001) in the intervention compared with the control schools.

Conclusions and implications: The SHCP resulted in improvements in nutrition knowledge, vegetable identification, and a significant decrease in BMI percentiles. This supports the concept that the SHCP can be used to improve the health of upper elementary school students.

Keywords: body mass index percentiles; childhood obesity; multicomponent programs; nutrition education; school-based programs.

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Comment in

A Comment on Scherr et al "A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes".
Wood AC, Brown AW, Li P, Oakes JM, Pavela G, Thomas DM, Allison DB. Wood AC, et al. J Nutr Educ Behav. 2018 Mar;50(3):324-325. doi: 10.1016/j.jneb.2017.12.011. J Nutr Educ Behav. 2018. PMID: 29524984 No abstract available.
Response to "A Comment on Scherr et al 'A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes'".
Scherr RE, Linnell JD, Dharmar M, Beccarelli LM, Bergman JJ, Briggs M, Brian KM, Feenstra G, Hillhouse JC, Keen CL, Ontai LL, Schaefer SE, Smith MH, Spezzano T, Steinberg FM, Sutter C, Young HM, Zidenberg-Cherr S. Scherr RE, et al. J Nutr Educ Behav. 2018 Mar;50(3):326-327. doi: 10.1016/j.jneb.2018.01.011. J Nutr Educ Behav. 2018. PMID: 29524985 No abstract available.
Response to "Dramatic Decreases in BMI Percentiles, but Valid Conclusions Can Only Come From Valid Analyses".
Scherr RE, Linnell JD, Dharmar M, Beccarelli LM, Bergman JJ, Briggs M, Brian KM, Feenstra G, Hillhouse JC, Keen CL, Schaefer SE, Smith MH, Spezzano T, Steinberg FM, Young HM, Zidenberg-Cherr S. Scherr RE, et al. J Nutr Educ Behav. 2018 Sep;50(8):851. doi: 10.1016/j.jneb.2018.06.013. Epub 2018 Aug 2. J Nutr Educ Behav. 2018. PMID: 30077580 No abstract available.
Dramatic Decreases in BMI Percentiles, but Valid Conclusions Can Only Come From Valid Analyses.
Lucan SC. Lucan SC. J Nutr Educ Behav. 2018 Sep;50(8):850. doi: 10.1016/j.jneb.2018.06.012. Epub 2018 Aug 2. J Nutr Educ Behav. 2018. PMID: 30077581 No abstract available.

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A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes

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A Multicomponent, School-Based Intervention, the Shaping Healthy Choices Program, Improves Nutrition-Related Outcomes

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