Abstract:
OBJECTIVE:To determine the uptake of a free fruit provision to low-decile primary-school children by quantitatively assessing changes in fruit intake. DESIGN:A randomised controlled trial using a paired, cluster randomisation. SETTING:Twenty low-decile primary schools (schools attended by the most deprived children) in Auckland, New Zealand. SUBJECTS:In total 2032 children, aged 7-11 years, provided data on at least one occasion. INTERVENTION:Ten pairs of low-decile primary schools matched by roll size and location were randomly allocated to control (no free fruit) or intervention (free fruit) for a school term. Dietary assessments using the 24 h recall methodology were made at baseline, on the last week of the intervention and 6 weeks post-intervention. RESULTS:Fruit intakes in this cohort were lower than the national average with over 40 % reporting no fruit intake at baseline and did not differ between groups. After the free fruit period the intervention group increased school fruit intakes by 0.39 pieces/school d from baseline (P < or = 0.001) and the proportion of children consuming no fruit reduced to 22 %. This increase, however, was not sustained and fruit intakes fell below baseline levels at 6 weeks post-intervention. Control subjects did not significantly alter their fruit intakes throughout the study. CONCLUSIONS:Improving exposure and accessibility to fruits at school increases fruit intakes of low socio-economic group children, particularly those who do not normally eat fruit. The present pilot study demonstrates some possible negative effects of short-term free fruit interventions, but is informative for developing and evaluating sustained fruit intervention programmes.
journal_name
Public Health Nutrjournal_title
Public health nutritionauthors
Ashfield-Watt PA,Stewart EA,Scheffer JAdoi
10.1017/S1368980008002954subject
Has Abstractpub_date
2009-05-01 00:00:00pages
693-701issue
5eissn
1368-9800issn
1475-2727pii
S1368980008002954journal_volume
12pub_type
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