An environmental intervention to reduce dietary fat in school lunches.

Abstract:

OBJECTIVE:To determine whether making a low-fat entree available as one of two choices in an elementary school lunch program would reduce the fat content of meals selected by children. DESIGN:In this before-after trial, students had a daily choice between two entrees, one of which was sometimes low-fat. For 93% of school days during 14 consecutive school months, daily entree choices were recorded for 619,976 student meals. The fat content of entrees was assessed with a computerized nutrient database supplemented by food manufacturer's data. SETTING:Sixteen elementary schools in the Bellevue (Washington) School District. PARTICIPANTS:The number of students eating school lunch averaged 2440 per day, of whom 25% were less than 185% of poverty. INTERVENTION:After a baseline period of 6 months, the intervention increased the number of days per month when one of the two entrees had 30% or fewer calories from fat. MAIN OUTCOME MEASURES:Data for the entire district were combined to estimate for each month the percent of students who selected low-fat entrees and the percent of calories from fat in the average meal selected by students. RESULTS:During the 6 months before the intervention, a low-fat entree was available on 23% of days; it was selected by 39% of students; and the average meal selected by students had 36% of calories from fat. By the end of the 8-month intervention, a low-fat option was available on 71% of days; it was selected by 29% of students; and the fat content of the average meal dropped from 36% to 30% of calories from fat (P = .02). CONCLUSIONS:In this school district, many students, given the choice, selected low-fat entrees. Recommendations for dietary fat were met simply by the environmental intervention of increasing the availability of low-fat foods.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Whitaker RC,Wright JA,Finch AJ,Psaty BM

subject

Has Abstract

pub_date

1993-06-01 00:00:00

pages

1107-11

issue

6

eissn

0031-4005

issn

1098-4275

journal_volume

91

pub_type

临床试验,杂志文章
  • Prevalence of household firearms and firearm-storage practices in the 50 states and the District of Columbia: findings from the Behavioral Risk Factor Surveillance System, 2002.

    abstract:OBJECTIVES:To examine the prevalence of household firearms and firearm-storage practices in the 50 states and the District of Columbia and estimate the number of children exposed to unsafe storage practices. METHODS:We analyzed data from the 2002 cross-sectional Behavioral Risk Factor Surveillance System survey of 240...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2005-0300

    authors: Okoro CA,Nelson DE,Mercy JA,Balluz LS,Crosby AE,Mokdad AH

    更新日期:2005-09-01 00:00:00

  • Prevalence of parent-reported diagnosis of autism spectrum disorder among children in the US, 2007.

    abstract:OBJECTIVES:The reported increasing prevalence of autism spectrum disorder (ASD) and attendant health and family impact make monitoring of ASD prevalence a public health priority. METHODS:The prevalence of parent-reported diagnosis of ASD among US children aged 3 to 17 years was estimated from the 2007 National Survey ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-1522

    authors: Kogan MD,Blumberg SJ,Schieve LA,Boyle CA,Perrin JM,Ghandour RM,Singh GK,Strickland BB,Trevathan E,van Dyck PC

    更新日期:2009-11-01 00:00:00

  • Evaluation and Referral for Developmental Dysplasia of the Hip in Infants.

    abstract::Developmental dysplasia of the hip (DDH) encompasses a wide spectrum of clinical severity, from mild developmental abnormalities to frank dislocation. Clinical hip instability occurs in 1% to 2% of full-term infants, and up to 15% have hip instability or hip immaturity detectable by imaging studies. Hip dysplasia is t...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-3107

    authors: Shaw BA,Segal LS,SECTION ON ORTHOPAEDICS.

    更新日期:2016-12-01 00:00:00

  • Determination of genetic predisposition to patent ductus arteriosus in preterm infants.

    abstract:OBJECTIVE:Patent ductus arteriosus is a common morbidity associated with preterm birth. The incidence of patent ductus arteriosus increases with decreasing gestational age to approximately 70% in infants born at 25 weeks' gestation. Our major goal was to determine if genetic risk factors play a role in patent ductus ar...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-0313

    authors: Dagle JM,Lepp NT,Cooper ME,Schaa KL,Kelsey KJ,Orr KL,Caprau D,Zimmerman CR,Steffen KM,Johnson KJ,Marazita ML,Murray JC

    更新日期:2009-04-01 00:00:00

  • A national survey of pediatrician knowledge and attitudes regarding human papillomavirus vaccination.

    abstract:OBJECTIVE:A human papillomavirus vaccine was licensed in June 2006. The vaccine is quadrivalent, protecting against 2 human papillomavirus strains that cause cervical cancer and 2 that cause genital warts. The objective of this study was to determine physician characteristics, knowledge, and attitudes associated with a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1946

    authors: Daley MF,Liddon N,Crane LA,Beaty BL,Barrow J,Babbel C,Markowitz LE,Dunne EF,Stokley S,Dickinson LM,Berman S,Kempe A

    更新日期:2006-12-01 00:00:00

  • Safety and Immunogenicity of Sequential Rotavirus Vaccine Schedules.

    abstract:BACKGROUND AND OBJECTIVES:Although both licensed rotavirus vaccines are safe and effective, it is often not possible to complete the schedule by using the same vaccine formulation. The goal of this study was to investigate the noninferiority of the immune responses to the 2 licensed rotavirus vaccines when administered...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.2015-2603

    authors: Libster R,McNeal M,Walter EB,Shane AL,Winokur P,Cress G,Berry AA,Kotloff KL,Sarpong K,Turley CB,Harrison CJ,Pahud BA,Marbin J,Dunn J,El-Khorazaty J,Barrett J,Edwards KM,VTEU Rotavirus Vaccine Study Work Group.

    更新日期:2016-02-01 00:00:00

  • Fatal and nonfatal farm injuries to children and adolescents in the United States.

    abstract::Agriculture is the second most dangerous occupation in the United States, and unlike other occupations, children make up a significant portion of the work force. This study presents national data on the morbidity and mortality due to farm injuries to children and adolescents less than or equal to 19 years of age. Data...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rivara FP

    更新日期:1985-10-01 00:00:00

  • Relief of pain and anxiety in pediatric patients in emergency medical systems.

    abstract::Whether a component of a disease process, the result of acute injury, or a product of a diagnostic or therapeutic procedure, pain should be relieved and stress should be decreased for pediatric patients. Control of pain and stress for children who enter into the emergency medical system, from the prehospital arena to ...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章,实务指引

    doi:10.1542/peds.2004-1752

    authors: Zempsky WT,Cravero JP,American Academy of Pediatrics Committee on Pediatric Emergency Medicine and Section on Anesthesiology and Pain Medicine.

    更新日期:2004-11-01 00:00:00

  • Adenosine infusion improves oxygenation in term infants with respiratory failure.

    abstract:OBJECTIVES:Adenosine infusion causes selective pulmonary vasodilation in fetal and neonatal lambs with pulmonary hypertension. We investigated the effects of a continuous infusion of adenosine on oxygenation in term infants with persistent pulmonary hypertension of newborn (PPHN). DESIGN:A randomized, placebo-controll...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Konduri GG,Garcia DC,Kazzi NJ,Shankaran S

    更新日期:1996-03-01 00:00:00

  • Gender and uninsurance among young adults in the United States.

    abstract:OBJECTIVE:Although one third of young adults in the United States are uninsured, lack of insurance in this age group has been the subject of few published studies. Because opportunities to obtain public and private insurance are likely to differ for men and women, the objective of this study was to describe the gender-...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.113.2.291

    authors: Callahan ST,Cooper WO

    更新日期:2004-02-01 00:00:00

  • Fecal bacteriotherapy for relapsing Clostridium difficile infection in a child: a proposed treatment protocol.

    abstract::Clostridium difficile infection (CDI) is a potentially serious emerging infectious disease. The incidences of CDI in childhood and CDI cases complicated by relapses have increased by 50% or more in North America during the past 2 decades. We report here the case of a 2-year-old child with relapsing CDI caused by the e...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-3363

    authors: Russell G,Kaplan J,Ferraro M,Michelow IC

    更新日期:2010-07-01 00:00:00

  • Congenital malignant melanoma.

    abstract::A 6-week-old girl with congenital melanoma of the skin is reported and the literature is reviewed. We believe this to be the first case of congenital melanoma in a black infant who had no underlying giant melanocytic nevus. Because of the significant relationship between the early treatment and prognosis of malignant ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Prose NS,Laude TA,Heilman ER,Coren C

    更新日期:1987-06-01 00:00:00

  • Annual summary of vital statistics--1982.

    abstract::Data for this article, as in previous reports, are drawn principally from the Monthly Vital Statistics Report, published by the National Center for Health Statistics. The international data come from the Demographic Yearbook and the quarterly Population and Vital Statistics Report, both published by the Statistical Of...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Wegman ME

    更新日期:1983-12-01 00:00:00

  • Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment.

    abstract:OBJECTIVES:Acquisition and maintenance of the skills necessary for successful resuscitation of the neonate are typically accomplished by a combination of completion of standardized training courses using textbooks, videotape, and manikins together with active participation in the resuscitation of human neonates in the ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.106.4.e45

    authors: Halamek LP,Kaegi DM,Gaba DM,Sowb YA,Smith BC,Smith BE,Howard SK

    更新日期:2000-10-01 00:00:00

  • Is moderate drinking during pregnancy associated with an increased risk for malformations?

    abstract::The relationship between heavy drinking during pregnancy and congenital malformations is well known; however, whether moderate or light drinking is teratogenic is controversial. This prospective birth defects study collected information from 32,870 women about alcohol consumption during the first trimester of pregnanc...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Mills JL,Graubard BI

    更新日期:1987-09-01 00:00:00

  • Hepatitis a vaccination coverage among adolescents in the United States.

    abstract:OBJECTIVE:Hepatitis A infection causes severe disease among adolescents and adults. The Advisory Committee on Immunization Practices instituted incremental recommendations for hepatitis A vaccination (HepA) at 2 years of age based on risk (1996), in selected states (1999), and universally at 1 year of age, with vaccina...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-2197

    authors: Dorell CG,Yankey D,Byrd KK,Murphy TV

    更新日期:2012-02-01 00:00:00

  • Systematic review of screening for bilirubin encephalopathy in neonates.

    abstract:CONTEXT:Severe neonatal hyperbilirubinemia is associated with chronic bilirubin encephalopathy (kernicterus). OBJECTIVE:To systematically review the effectiveness of specific screening modalities to prevent neonatal bilirubin encephalopathy. METHODS:We identified studies through Medline searches, perusing reference l...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2008-3545

    authors: Trikalinos TA,Chung M,Lau J,Ip S

    更新日期:2009-10-01 00:00:00

  • Determination of timing of brain injury in preterm infants with periventricular leukomalacia with serial neonatal electroencephalography.

    abstract:OBJECTIVE:The aim of this study was to determine the timing of brain injury in infants with periventricular leukomalacia (PVL) with serial electroencephalography (EEG) recordings during the neonatal period. PATIENTS AND METHODS:We evaluated 172 preterm infants having a gestational age <33 weeks and weighing <2000 g. I...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.104.5.1077

    authors: Hayakawa F,Okumura A,Kato T,Kuno K,Watanabe K

    更新日期:1999-11-01 00:00:00

  • Bone scintigraphy in the evaluation of children with obscure skeletal pain.

    abstract::A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten pati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: ter Meulen DC,Majd M

    更新日期:1987-04-01 00:00:00

  • Preparedness for pediatric emergencies encountered in the practitioner's office.

    abstract::Pediatricians in the Washington, DC, metropolitan area were surveyed to assess their readiness to deal with life-threatening emergencies in their offices. Information about emergency equipment, prearranged emergency plans, advanced life support training, and emergency medical services assistance was elicited. Recommen...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Altieri M,Bellet J,Scott H

    更新日期:1990-05-01 00:00:00

  • The association of consensual sexual intercourse during childhood with adolescent health risk and behaviors.

    abstract:OBJECTIVE:The association of childhood sexual intercourse, excluding sexual abuse, with adolescent health and risk behaviors was examined using the urban component of a statewide study on adolescent health, risky behaviors, and resiliency factors. METHODOLOGY:A specialized cohort design was used to derive a two-group ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Resnick MD,Blum RW

    更新日期:1994-12-01 00:00:00

  • Sleep environment and the risk of sudden infant death syndrome in an urban population: the Chicago Infant Mortality Study.

    abstract:OBJECTIVE:To examine risk factors for sudden infant death syndrome (SIDS) with the goal of reducing SIDS mortality among blacks, which continues to affect this group at twice the rate of whites. METHODS:We analyzed data from a population-based case-control study of 260 SIDS deaths that occurred in Chicago between 1993...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Hauck FR,Herman SM,Donovan M,Iyasu S,Merrick Moore C,Donoghue E,Kirschner RH,Willinger M

    更新日期:2003-05-01 00:00:00

  • Safety and efficacy of filtered sunlight in treatment of jaundice in African neonates.

    abstract:OBJECTIVES:Evaluate safety and efficacy of filtered-sunlight phototherapy (FS-PT). METHODS:Term/late preterm infants #14 days old with clinically significant jaundice, assessed by total bilirubin (TB) levels, were recruited from a maternity hospital in Lagos, Nigeria. Sunlight was filtered with commercial window-tinti...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3500

    authors: Slusher TM,Vreman HJ,Olusanya BO,Wong RJ,Brearley AM,Vaucher YE,Stevenson DK

    更新日期:2014-06-01 00:00:00

  • Implications for estimates of disability in children: a comparison of definitional components.

    abstract:OBJECTIVE:To test how prevalence estimates and characteristics of children vary by the way that disability is defined. Specifically, to determine 1) the proportions of children identified as disabled by one particular operationalization of disability based on parental reports of three types of consequences (i.e., funct...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.6.1025

    authors: Westbrook LE,Silver EJ,Stein RE

    更新日期:1998-06-01 00:00:00

  • Adolescents' beliefs about the risks involved in smoking "light" cigarettes.

    abstract:BACKGROUND:Light cigarettes have been marketed by the tobacco industry as being a healthier smoking choice, a safe alternative to cessation, and a first step toward quitting smoking altogether. Research, however, has failed to show a reduction in smoking-related health risks, an increase in rates of smoking cessation, ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-0893

    authors: Kropp RY,Halpern-Felsher BL

    更新日期:2004-10-01 00:00:00

  • Can developmental screening tests identify children who are developmentally at risk?

    abstract::Developmental screening tests are in widespread use, but few reliable and valid tests are available. The most frequently used screening instrument for detecting young children who are at risk for developmental delays is the Denver Developmental Screening Test (DDST). Although the DDST has excellent test specificity, o...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Meisels SJ

    更新日期:1989-04-01 00:00:00

  • A survey of community (out-of-hospital) sites used in pediatric training.

    abstract::A survey was completed of US pediatric residency programs about the use of community sites in training. A total of 85% of program directors responded and reported a wide use of the 21 identified survey sites. Further study is needed to determine the appropriate contribution that community sites can make to pediatric t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Alpert JJ,Blodgett FM,Gargas DC,Jenkins R,Kaplan DW,Kohrt A,Levine G,O'Hare D

    更新日期:1991-05-01 00:00:00

  • Early diagnosis of coarctation of the aorta in children: a continuing dilemma.

    abstract:UNLABELLED:Because late repair of coarctation of the aorta (COA) is associated with premature cardiovascular disease in adult life, early detection and treatment is important. OBJECTIVES:To determine the timing of referral to see whether early detection of COA has improved in the past decade, to evaluate the pattern o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Ing FF,Starc TJ,Griffiths SP,Gersony WM

    更新日期:1996-09-01 00:00:00

  • Who are the primary caretakers of children born to HIV-infected mothers? Results from a multistate surveillance project.

    abstract:OBJECTIVE:To determine the primary caretakers of children born to women with human immunodeficiency virus (HIV) infection. METHODS:We interviewed women at least 18 years of age who have been reported with HIV infection or acquired immunodeficiency syndrome to local health departments in 10 cities and states regarding ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Schable B,Diaz T,Chu SY,Caldwell MB,Conti L,Alston OM,Sorvillo F,Checko PJ,Hermann P,Davidson AJ

    更新日期:1995-04-01 00:00:00

  • Treatment of chronic childhood asthma with beclomethasone dipropionate aerosols: II. Effect on pituitary-adrenal function after substitution for oral corticosteroids.

    abstract::The effects of beclomethasone, dipropionate aerosol (DBA) (400 microgram/day) on clinical course, pulmonary function, and pituitary-adrenal function was studied in 34 steroid-dependent asthmatic children. Asthma severity was assessed by daily symptom and medication scores, peak flow measured three times a day, and wee...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: Kershnar H,Klein R,Waldman D,Berger W,Rachelefsky G,Katz R,Siegel S

    更新日期:1978-08-01 00:00:00