Skip to main content
×
Home
    • Aa
    • Aa

Effects of a comprehensive fruit- and vegetable-promoting school-based intervention in three European countries: the Pro Children Study

  • S. J. te Velde (a1), J. Brug (a1) (a2), M. Wind (a2) (a3), C. Hildonen (a3), M. Bjelland (a3), C. Pérez-Rodrigo (a4) and K.-I. Klepp (a3)...
Abstract

The objective of the present study was to evaluate the effects of the Pro Children intervention on schoolchildren's fruit and vegetable (FV) intake after 1 and 2 years of follow-up. The intervention combined a FV curriculum with efforts to improve FV availability at schools and at home. Effects were examined in a group-randomised trial among 1472 10–11-year-old children from sixty-two schools in Norway, the Netherlands and Spain. FV intake was assessed by means of validated self-administered questionnaires completed before the intervention (September 2003), immediately after the first year of the intervention (May 2004) and 1 year later (May 2005). Data were analysed using multilevel linear regression analyses with age and sex as covariates. Significant intervention effects for FV intake were found at first follow-up in the total sample. The adjusted FV intake reported by the children from intervention schools was 20 % higher than FV intake reported by children from control schools. At 1 year later, a significant impact was only observed in Norway. Positive intervention effects on FV intake occurred both at school and outside school. We conclude that the Pro Children intervention is a promising means to promote European schoolchildren's FV intakes, but mainly fruit intake, in the short term. As shown in Norway, where the intervention was best implemented, the intervention might also result in longer-term effects. Further strategies need to be developed that can improve implementation, have an impact on vegetable intake and can secure sustained effects.

Copyright
Corresponding author
*Corresponding author: Dr Saskia J. te Velde, fax +31 20 4448181, email s.tevelde@vumc.nl
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1 MS Van Duyn & E Pivonka (2000) Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature. J Am Diet Assoc 100, 15111521.

2 M Bes-Rastrollo , MA Martinez-Gonzalez , A Sanchez-Villegas , C de la Fuente Arrillaga & JA Martinez (2006) Association of fiber intake and fruit/vegetable consumption with weight gain in a Mediterranean population. Nutrition 22, 504511.

3 AR Ness , M Maynard , S Frankel , GD Smith , C Frobisher , SD Leary , PM Emmett & D Gunnell (2005) Diet in childhood and adult cardiovascular and all cause mortality: the Boyd Orr cohort. Heart 91, 894898.

6 A Yngve , A Wolf , E Poortvliet , (2005) Fruit and vegetable intake in a sample of 11-year-old children in 9 European countries: The Pro Children Cross-Sectional Survey. Ann Nutr Metab 49, 236245.

7 AS Ammerman , CH Lindquist , KN Lohr & J Hersey (2002) The efficacy of behavioral interventions to modify dietary fat and fruit and vegetable intake: a review of the evidence. Prev Med 35, 2541.

8 L Blanchette & J Brug (2005) Determinants of fruit and vegetable consumption among 6-12-year-old children and effective interventions to increase consumption. J Hum Nutr Diet 18, 431443.

9 C Knai , J Pomerleau , K Lock & M McKee (2006) Getting children to eat more fruit and vegetables: a systematic review. Prev Med 42, 8595.

10 S Friel , C Kelleher , P Campbell & G Nolan (1999) Evaluation of the Nutrition Education at Primary School (NEAPS) programme. Public Health Nutr 2, 549555.

11 P Sahota , MC Rudolf , R Dixey , AJ Hill , JH Barth & J Cade (2001) Randomised controlled trial of primary school based intervention to reduce risk factors for obesity. BMJ 323, 10291032.

12 CF Lowe , PJ Horne , K Tapper , M Bowdery & C Egerton (2004) Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children. Eur J Clin Nutr 58, 510522.

13 E Bere , MB Veierod , M Bjelland & KI Klepp (2006) Free school fruit – sustained effect 1 year later. Health Educ Res 21, 268275.

14 E Bere , MB Veierod , M Bjelland & KI Klepp (2006) Outcome and process evaluation of a Norwegian school-randomized fruit and vegetable intervention: Fruits and Vegetables Make the Marks (FVMM). Health Educ Res 21, 258267.

15 IR Contento , SS Williams , JL Michela & AB Franklin (2006) Understanding the food choice process of adolescents in the context of family and friends. J Adolesc Health 38, 575582.

16 DM Hoelscher , A Evans , GS Parcel & SH Kelder (2002) Designing effective nutrition interventions for adolescents. J Am Diet Assoc 102, Suppl. 3, 5263.

17 K-I Klepp , C Pérez-Rodrigo , I De Bourdeaudhuij , (2005) Promoting fruit and vegetable consumption among European schoolchildren: rationale, conceptualization and design of the Pro Children Project. Ann Nutr Metab 49, 212220.

18 C Pérez-Rodrigo , M Wind , C Hildonen , M Bjelland , J Aranceta , K-I Klepp & J Brug (2005) The Pro Children Intervention: applying the intervention mapping protocol to develop a school-based fruit and vegetable promotion programme. Ann Nutr Metab 49, 267277.

20 J Brug , A Oenema & I Ferreira (2005) Theory, evidence and intervention mapping to improve behavior nutrition and physical activity interventions. Int J Behav Nutr Phys Act 2, 2.

21 M Rasmussen , R Krolner , KI Klepp , L Lytle , J Brug , E Bere & P Due (2006) Determinants of fruit and vegetable consumption among children and adolescents: a review of the literature. Part I: quantitative studies. Int J Behav Nutr Phys Act 3, 22.

22 C Sandvik , I De Bourdeaudhuij , P Due , (2005) Personal, social and environmental factors regarding fruit and vegetable intake among schoolchildren in nine European countries. Ann Nutr Met 49, 255266.

23 M Wind , I De Bourdeaudhuij , SJ te Velde , C Sandvik , KI Klepp , P Due , KI Klepp & J Brug (2006) Correlates of fruit and vegetable consumption among 11-year-old Belgian-Flemish and Dutch schoolchildren. J Nutr Educ Behav 38, 211221.

24 M Wind , K Bobelijn , I De Bourdeaudhuij , K-I Klepp & J Brug (2005) A qualitative exploration of determinants of fruit and vegetable intake among 10- and 11-year-old schoolchildren in the low countries. Ann Nutr Metab 49, 228235.

25 W Kroeze , A Werkman & J Brug (2006) A systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors. Ann Behav Med 31, 205223.

26 S Killip , Z Mahfoud & K Pearce (2004) What is an intracluster correlation coefficient? Crucial concepts for primary care researchers. Ann Fam Med 2, 204208.

27 JWR Twisk (2006) Applied Multilevel Analysis. Cambridge, UK: University Press.

28 J Haraldsdóttir , I Thórsdóttir , MDV de Almeida , L Maes , C Pérez Rodrigo , I Elmadfa & L Frost Andersen (2005) Validity and reproducibility of a precoded questionnaire to assess fruit and vegetable intake in European 11- to 12-year-old schoolchildren. Ann Nutr Metab 49, 221227.

31 J Twisk & K Proper (2004) Evaluation of the results of a randomized controlled trial: how to define changes between baseline and follow-up. J Clin Epidemiol 57, 223228.

33 JL Veerman , JJ Barendregt , JP Mackenbach & J Brug (2006) Using epidemiological models to estimate the health effects of diet behaviour change: the example of tailored fruit and vegetable promotion. Public Health Nutr 9, 415420.

34 SA French & H Wechsler (2004) School-based research and initiatives: fruit and vegetable environment, policy, and pricing workshop. Prev Med 39, Suppl. 2, 101107.

35 A Kristjansdottir , L Andersen , J Haraldsdóttir , MDV de Almeida & I Thórsdóttir (2006) Validity of a questionnaire to assess fruit and vegetable intake in adults. Eur J Clin Nutr 60, 408415.

36 KD Reynolds , FA Franklin , D Binkley , JM Raczynski , KF Harrington , KA Kirk & S Person (2000) Increasing the fruit and vegetable consumption of fourth-graders: results from the High 5 Project. Prev Med 30, 309319.

38 E Bere , MB Veierod & K-I Klepp (2005) The Norwegian School Fruit Programme: evaluating paid vs. no-cost subscriptions. Prev Med 41, 463470.

40 SA French & G Stables (2003) Environmental interventions to promote vegetable and fruit consumption among youth in school settings. Prev Med 37, 593610.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 13
Total number of PDF views: 82 *
Loading metrics...

Abstract views

Total abstract views: 284 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 30th May 2017. This data will be updated every 24 hours.