Changing fruit and vegetable consumption among children: the 5-a-Day Power Plus program in St. Paul, Minnesota

A randomized school based trial sought to increase fruit and vegetable consumption among children using a multicomponent approach. The intervention, conducted in 20 elementary schools in St. Paul, targeted a multiethnic group of children who were in the fourth grade in spring 1995 and the fifth grad...

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Bibliographic Details
Published in:American journal of public health (1971) 1998-04, Vol.88 (4), p.603-609
Main Authors: Perry, C L, Bishop, D B, Taylor, G, Murray, D M, Mays, R W, Dudovitz, B S, Smyth, M, Story, M
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Child Nutrition Sciences - education
Children & youth
Curricula
Curriculum
Diet Surveys
Elementary schools
Ethnic Groups
Female
Follow-Up Studies
Food Services
Fruit
Fruits
Health Education - organization & administration
Humans
Male
Medical sciences
Minnesota
Nutrition
Parents - education
Prevention and actions
Program Evaluation
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
School Health Services
Specific populations (family, woman, child, elderly...)
Students
Surveys and Questionnaires
Urban Health
Vegetables
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Summary:A randomized school based trial sought to increase fruit and vegetable consumption among children using a multicomponent approach. The intervention, conducted in 20 elementary schools in St. Paul, targeted a multiethnic group of children who were in the fourth grade in spring 1995 and the fifth grade in fall 1995. The intervention consisted of behavioral curricula in classrooms, parental involvement, school food service changes, and industry support and involvement. Lunchroom observations and 24-hour food recalls measured food consumption. Parent telephone surveys and a health behavior questionnaire measured psychosocial factors. The intervention increased lunchtime fruit consumption and combined fruit and vegetable consumption, lunchtime vegetable consumption among girls, and daily fruit consumption as well as the proportion of total daily calories attributable to fruits and vegetables. Multicomponent school-based programs can increase fruit and vegetable consumption among children. Greater involvement of parents and more attention to increasing vegetable consumption, especially among boys, remain challenges in future intervention research.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.88.4.603