Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.18/2799
Título: WHO European Childhood Obesity Surveillance Initiative: School nutrition environment and body mass index in primary schools
Autor: Wijnhoven, T.A.
van Raaij, J
Sjöberg, A.
Eldin, N.
Yngve, A.
Kunešová, M.
Starc, G.
Rito, A.I.
Duleva, V.
Hassapidou, M.
Martos, E.
Pudule, I.
Petrauskiene, A.
Sant’Angelo, V.F.
Hovengen, R.
Breda, J.
Palavras-chave: School Policy
Monitoring
Healthy School Environment
Nutrition
Physical Activity
Overweight
Primary Schools
Europe
Estilos de Vida e Impacto na Saúde
Data: 30-Out-2014
Editora: MDPI
Citação: Int J Environ Res Public Health. 2014 Oct 30;11(11):11261-85. doi: 10.3390/ijerph111111261
Resumo: Background: Schools are important settings for the promotion of a healthy diet and sufficient physical activity and thus overweight prevention. Objective: To assess differences in school nutrition environment and body mass index (BMI) in primary schools between and within 12 European countries. Methods: Data from the World Health Organization (WHO) European Childhood Obesity Surveillance Initiative (COSI) were used (1831 and 2045 schools in 2007/2008 and 2009/2010, respectively). School personnel provided information on 18 school environmental characteristics on nutrition and physical activity. A school nutrition environment score was calculated using five nutrition-related characteristics whereby higher scores correspond to higher support for a healthy school nutrition environment. Trained field workers measured children’s weight and height; BMI-for-age (BMI/A) Z-scores were computed using the 2007 WHO growth reference and, for each school, the mean of the children’s BMI/A Z-scores was calculated. Results: Large between-country differences were found in the availability of food items on the premises (e.g., fresh fruit could be obtained in 12%95% of schools) and school nutrition environment scores (range: 0.300.93). Low-score countries (Bulgaria, Czech Republic, Greece, Hungary, Latvia and Lithuania) graded less than three characteristics as supportive. High-score (≥0.70) countries were Ireland, Malta, Norway, Portugal, Slovenia and Sweden. The combined absence of cold drinks containing sugar, sweet snacks and salted snacks were more observed in high-score countries than in low-score countries. Largest within-country school nutrition environment scores were found in Bulgaria, Czech Republic, Greece, Hungary, Latvia and Lithuania. All country-level BMI/A Z-scores were positive (range: 0.201.02), indicating higher BMI values than the 2007 WHO growth reference. With the exception of Norway and Sweden, a country-specific association between the school nutrition environment score and the school BMI/A Z-score was not observed. Conclusions: Some European countries have implemented more school policies that are supportive to a healthy nutrition environment than others. However, most countries with low school nutrition environment scores also host schools with supportive school environment policies, suggesting that a uniform school policy to tackle the “unhealthy” school nutrition environment has not been implemented at the same level throughout a country and may underline the need for harmonized school policies.
Peer review: yes
URI: http://hdl.handle.net/10400.18/2799
DOI: 10.3390/ijerph111111261
ISSN: 1660-4601
Versão do Editor: http://www.mdpi.com/1660-4601/11/11/11261
Aparece nas colecções:DAN - Artigos em revistas internacionais

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