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Promotion of healthy nutrition among students participating in a school food aid program: a randomized trial

Author

Listed:
  • Dina Zota

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis)

  • Archontoula Dalma

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens)

  • Athanassios Petralias

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens
    Athens University of Economics and Business)

  • Anastasia Lykou

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens)

  • Christina-Maria Kastorini

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens)

  • Mary Yannakoulia

    (Harokopio University)

  • Pania Karnaki

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis)

  • Katerina Belogianni

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis)

  • Afroditi Veloudaki

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens)

  • Elena Riza

    (Medical School, National and Kapodistrian University of Athens)

  • Rhea Malik

    (Harvard University)

  • Athena Linos

    (Institute of Preventive Medicine, Environmental and Occupational Health, Prolepsis
    Medical School, National and Kapodistrian University of Athens)

Abstract

Objectives To evaluate the potential benefits on students’ eating habits, of incorporating healthy nutrition education as part of a school food aid program. Methods 146 schools participating in the DIATROFI Program in Greece during the 2013–2014 school year were randomly allocated to the environmental intervention (received a healthy daily meal) and the multicomponent intervention (MI) group (in addition to the meal, a healthy nutrition educational program was applied). The analysis, based on 3627 pre–post intervention questionnaire pairs, was stratified for children (ages 4–11 years) and adolescents (ages 12–18 years). Results Children participating in the MI group displayed 25 % higher odds of increasing the weekly consumption of milk/yoghurt and fruits, 61 % higher odds of improving BMI from overweight/obese to normal and 2.5 times higher odds of improving from underweight to normal. For adolescents in the MI group, the odds of increasing the consumption of vegetables were 40 % higher. In both intervention groups, approximately one in four overweight/obese adolescents reached normal weight. Conclusions Educational programs on healthy nutrition might be considered worth implementing in the framework of school food aid programs.

Suggested Citation

  • Dina Zota & Archontoula Dalma & Athanassios Petralias & Anastasia Lykou & Christina-Maria Kastorini & Mary Yannakoulia & Pania Karnaki & Katerina Belogianni & Afroditi Veloudaki & Elena Riza & Rhea Ma, 2016. "Promotion of healthy nutrition among students participating in a school food aid program: a randomized trial," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(5), pages 583-592, June.
    • Handle: RePEc:spr:ijphth:v:61:y:2016:i:5:d:10.1007_s00038-016-0813-0
    DOI: 10.1007/s00038-016-0813-0
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    References listed on IDEAS

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    2. Till Bärnighausen, 2017. "Population health intervention research: three important advancements," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(8), pages 841-843, November.

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