4318.0: Tuesday, October 23, 2001 - Board 4

Abstract #27785

Meta-analysis of school-based nutrition programs that focus on increasing consumption of fruits and vegetables

Mollie W. Howerton, PhD, MPH1, Linda Nebeling, PhD, MPH, RD, Julie Legler, ScD, David Berrigan, PhD MPH4, and Rachel Stolzenberg-Solomon, PhD, MPH, RD5. (1) HPRB, DCCPS, NCI, National Cancer Institute, 6130 Executive Blvd, MSC 7335, EPN, Rm. 4051C, Bethesda, MD 20892-7335, 301-594-6690, howertom@mail.nih.gov, (2) Cancer Prevention Fellowship Program, National Cancer Institute, 6130 Executive Blvd, MSC 7335, Bethesda, MD 20892, (3) Nutrition Epidemiology Branch, Division of Cancer Epidemiology and Genetics, NCI, 6120 Executive Blvd, Executive Plaza South, Rm 7039, Rockville, MD 20852

Approximately one-third of all cancer deaths in the United States can be attributed to poor diet (Doll & Peto, 1981). Eating a diet low in fat and rich in fruits and vegetables can decrease the risk of developing certain cancers. Nutrition education is particularly pertinent to school-aged children since proper nutrition is crucial to promoting health, intellectual and physical development (MMWR, 1996). If children and adolescents can learn to make healthy food choices, maintain dietary fat to 30% or less of their recommended daily allowance, eat diets rich in fruits, vegetables and dietary fiber, then they can reduce their risks not only for cancer, but also heart disease and diabetes.

A meta-analysis on the outcomes of total fruit and vegetable consumption among healthy school-aged children (quantified in servings per day) was conducted with the purpose of eventually developing a school-based nutrition "kit," comprised of evidence based "best practices," for dissemination to schools and communities across the US. Studies included had measured fruit and vegetable intake at pretest and posttest, used control groups, and were school-based interventions. Data were abstracted on articles that met inclusion criteria and authors were contacted, if necessary, to obtain additional information. The data were sorted and analyzed to determine the effect sizes of the studies, pooled effects if studies were homogeneous, and degree of heterogeneity between studies (Blettner et al., 1999). A sensitivity analysis was conducted. Finally, the importance of using evidence-based interventions cannot be overemphasized when developing effective school-based "kits" of this scope.

See www.5aday.gov

Learning Objectives: To discuss the results and implications of a meta-analysis on school-based nutrition interventions that focus on increasing consumption of fruits and vegetables among children in grades K-12.

Keywords: Nutrition, School-Based Programs

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: National Cancer Institute
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 129th Annual Meeting of APHA