scholarly journals Implementation of Universal Infant Free School Meals: a pilot study in NE England exploring the impact on Key Stage 1 pupil’s dietary intake

2020 ◽  
pp. 1-9
Author(s):  
Suzanne Spence ◽  
John NS Matthews ◽  
Lorraine McSweeney ◽  
Maisie K Rowland ◽  
Phoebe Orango ◽  
...  
Keyword(s):  
Primary Schools ◽  
School Level ◽  
Dietary Intakes ◽  
School Meals ◽  
Positive Health ◽  
Cross Sectional Survey ◽  
Free School ◽  
Total Diet ◽  
The Impact ◽  
Universal Infant

Abstract Objective: To consider the principal effect of an interaction between year (pre- and post-Universal Infant Free School Meals (UIFSM)) and school on pupil’s dietary intakes. Design: A repeated cross-sectional survey using dietary data from 2008 to 2009 (pre-) and 2017 to 2018 (post-UIFSM) Setting: Two primary schools, NE England. Participants: Pupils aged 4–7 years (2008–2009 n 121; 2017–2018 n 87). Results: At lunchtime, there was a statistically significant decrease in pupils non-milk extrinsic sugars intake (%E NMEs) pre- to post-UIFSM (mean change –4·6 %; 95 % CI –6·3, –2·9); this was reflected in total diet (–3·8 %; –5·2, –2·7 %). A year and school interaction was found for mean Ca intakes: post-UIFSM pupils in School 2 had a similar mean intake as pre; in School 1 intakes had increased (difference of difference: –120 mg; 95 % CI –179, –62); no reflection in total diet. Post-UIFSM mean portions of yogurt decreased in School 2 and remained similar in School 1 (–0·25; –0·46, –0·04); this was similar for ‘cake/pudding’ and fruit. Conclusions: Within the limitations, these findings highlight positives and limitations following UIFSM implementation and demonstrate the role of school-level food practices on pupil’s choices. To facilitate maximum potential of UIFSM, national levers, such as discussions on updating school food standards, including sugars, could consider removing the daily ‘pudding’ option and advocate ‘fruit only’ options 1 d/week, as some schools do currently. Small school-level changes could maximise positive health impacts by decreasing NMEs intake. A more robust evaluation is imperative to consider dietary impacts, equitability and wider effects on schools and families.

scholarly journals Free school meals and children's social and nutritional status in Trinidad and Tobago

2002 ◽  
Vol 5 (5) ◽  
pp. 625-630 ◽  
Author(s):  
MC Gulliford ◽  
D Mahabir ◽  
B Rocke ◽  
S Chinn ◽  
RJ Rona
Keyword(s):  
Nutritional Status ◽  
Trinidad And Tobago ◽  
Maternal Education ◽  
Standard Deviation Score ◽  
Social Background ◽  
School Level ◽  
School Meals ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Free School

AbstractObjective:To evaluate the provision of free school meals in Trinidad and Tobago in relation to children's social and nutritional status.Design and methods: Cross-sectional survey of a nationally representative sample of 66 government schools, including children in the admissions classes (aged 4 to 7 years) and classes for ‘rising nines’ (aged 7–10 years). Data included questionnaire details of free school meals and children's social background, and measurements of children's heights, weights and skinfold thicknesses.Results:Of 6731 eligible children, data were analysed for 5688 (85%). There were 2386 (42%) children receiving free meals provided at school. At different schools the proportion of all children receiving free meals ranged from 20% to 100%, P < 0.001. Receipt of free meals was associated with larger family size (one child, 32% received free meals; ≥6 children, 63%), lower paternal educational attainment (primary, 52% free; university, 30%), father's employment (employed, 39% free meals; unemployed <12 months, 59%) as well as maternal education and employment and household amenities. After adjusting for age, sex and ethnic group, children who received free meals were shorter (mean difference in height standard deviation score (SDS) –0.12, 95% confidence interval (CI) –0.17 to –0.06), lighter (body mass index SDS –0.21, –0.28 to –0.14) and thinner (subscapular skinfold SDS –0.13, –0.18 to –0.09).Conclusions:Free school meals were widely available, with some targeting of provision to children with less favourable social and nutritional status. Greater universality would reduce inequity, but more stringent targeting and reduction of school-level variation would increase efficiency.

scholarly journals Food and drink consumption at school lunchtime: the impact of lunch type and contribution to overall intake in British 9–10-year-old children

2011 ◽  
Vol 16 (6) ◽  
pp. 1132-1139 ◽  
Author(s):  
Flo Harrison ◽  
Amy Jennings ◽  
Andy Jones ◽  
Ailsa Welch ◽  
Esther van Sluijs ◽  
...  
Keyword(s):  
Primary Schools ◽  
Food Choices ◽  
Dietary Intakes ◽  
School Meals ◽  
School Food ◽  
Cross Sectional ◽  
School Meal ◽  
Food And Drink ◽  
Sectional Analysis ◽  
The Impact

AbstractObjectiveTo examine the differences in dietary intakes of children consuming school meals and packed lunches, the contribution of lunchtime intake to overall dietary intake, and how lunchtime intake relates to current food-based recommendations for school meals.DesignCross-sectional analysis of overall intake of macronutrients and food choice from 4 d food diaries and school lunchtime intake from the two diary days completed while at school.SettingNorfolk, UK.SubjectsOne thousand six hundred and twenty-six children (aged 9–10 years) attending ninety Norfolk primary schools.ResultsAt school, lunchtime school meal eaters consumed more vegetables, sweet snacks, chips, starchy foods and milk, and less squash/cordial, fruit, bread, confectionery and savoury snacks than packed lunch eaters. These differences were also reflected in the overall diet. On average school meal eaters met the School Food Trust (SFT) food-based standards, while food choices among packed lunch eaters were less healthy. The contribution of food consumed at school lunchtime to overall diet varied by food and lunch type, ranging from 0·8 % (milk intake in packed lunches) to 74·4 % (savoury snack intake in packed lunches).ConclusionsThere were significant differences in the foods consumed by school meal and packed lunch eaters, with food choices among school meal eaters generally in line with SFT standards. The food choices made at school lunchtime make a significant contribution to overall diet.

scholarly journals THE IMPACT OF POSITIVE SCHOOL EXPERIENCES AND SCHOOL SES ON DEPRESSIVE SYMPTOMS IN CHINESE CHILDREN: A MULTILEVEL INVESTIGATION

2017 ◽  
Vol 8 (2) ◽  
pp. 37
Author(s):  
Yang Yue
Keyword(s):  
Depressive Symptoms ◽  
Hierarchical Linear Modeling ◽  
Teacher Support ◽  
Primary Schools ◽  
School Connectedness ◽  
School Experiences ◽  
School Level ◽  
The Impact ◽  
Youth Depressive Symptoms ◽  
School Ses

The current study investigates the effects of teacher support, school connectedness, and school socioeconomic status (SES) on youth depressive symptoms. Data were collected from a sample of 881 students in Grade 6 from 10 primary schools in Northwest China. Hierarchical linear modeling indicated that higher levels of teacher support, school connectedness, and school SES were significantly associated with fewer depressive symptoms. Further, the relationships between school-level SES and youth depressive symptoms varied by the participant’s perceived level of teacher support and perceived level of school connectedness. These findings underscore the importance of positive school experiences on child psychological outcomes. Implications for future research on Chinese youth are discussed.

scholarly journals Soil Transmitted Helminths and Plasmodium falciparum Co-infections among School Children in Bugesera District, Rwanda: Implications for National Control Programs

2021 ◽  
pp. 30-36
Author(s):  
Umwanankundi Marcelline ◽  
Mazigo D. Humphrey ◽  
Tumusiime David ◽  
Mucumbitsi Joseph ◽  
Arpita Sharma ◽  
...  
Keyword(s):  
School Children ◽  
Primary Schools ◽  
Spatial Scales ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Soil Transmitted Helminths ◽  
Control Programs ◽  
Stool Samples ◽  
The Impact ◽  
National Control

Soil Transmitted Helminths and Plasmodium infections are ubiquitous with morbidity and mortality within the tropical and subtropical regions. However, the extent and consequences of STH-Plasmodium co-infection at different spatial scales are poorly understood. This study aimed at determining the prevalence of Soil Transmitted Helminths and Plasmodium coinfection, and, the impact thereof among school children in Bugesera District of Eastern Rwanda. Study Design: Cross Sectional Survey Place and Duration of Study: The survey was conducted in Bugesera district, Eastern Rwanda, between May and December 2020. Methodology: The survey was conducted among children between ages 5 and 18 years, across 21 randomly selected primary schools. Stool samples were collected and screened for soil transmitted helminths using Kato-Katz, while finger-prick blood samples were examined under the microscope to determine Plasmodium infection. Results: Overall the prevalence of A. lumbricoides, T. trichiura, Hookworm and P. falciparum was 4.43%, 0.76%, 0.16% and 3.15% respectively. On the other hand, 36.15% were co-infected with A. lumbricoides and P. falciparum. Surprisingly, the coinfection was higher 41.79%, (P<0.001) in girls than the overall coinfection prevalence. Conclusion: Helminthiasis and malaria remain dominant, in spite of the continuing and tremendous national control programs. The strikingly surprising higher prevalence of A. lumbricoides-P. falciparum co-infection in girls calls for additional investigations.

Curricular Physical Activity and Academic Performance

1997 ◽  
Vol 9 (2) ◽  
pp. 113-126 ◽  
Author(s):  
Roy J. Shephard
Keyword(s):  
Physical Activity ◽  
Academic Performance ◽  
Physical Education ◽  
Primary School ◽  
Primary Schools ◽  
Psychomotor Development ◽  
Release Time ◽  
Positive Health ◽  
School Students ◽  
The Impact

Advocates of quality daily physical education for prepubescent children frequently encounter the argument that such initiatives will harm academic progress. The impact of daily physical education upon the academic performance of primary school students is thus reviewed with particular reference to studies conducted in Vanves (France), Australia, and Trois Rivières (Québec). When a substantial proportion of curricular time (14–26%) is allocated to physical activity, learning seems to proceed more rapidly per unit of classroom time, so that academic performance matches, and may even exceed, that of control students. Children receiving additional physical education show an acceleration of their psychomotor development, and this could provide a mechanism for accelerated learning of academic skills. Other potential mechanisms include increased cerebral blood flow, greater arousal, changes in hormone levels, enhanced nutrient intake, changes in body build, and increased self esteem. Academic teachers may also favor the enhanced physical education program, creating “halo” effects, and the resulting release time may enhance their academic teaching. Irrespective of mechanisms, the implication for public policy is that daily required physical education can be introduced when a child enters primary school without compromising academic development. Given the importance of establishing positive health habits from an early age, school boards should be encouraged to follow a policy of required daily physical activity in primary schools. Evidence of specific benefit in students with learning disabilities remains less convincing.

scholarly journals Associations between deprivation, attitudes towards eating breakfast and breakfast eating behaviours in 9–11-year-olds

2007 ◽  
Vol 10 (6) ◽  
pp. 582-589 ◽  
Author(s):  
Graham F Moore ◽  
Katy Tapper ◽  
Simon Murphy ◽  
Rebecca Lynch ◽  
Larry Raisanen ◽  
...  
Keyword(s):  
Primary Schools ◽  
School Level ◽  
Eating Behaviours ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Breakfast Skipping ◽  
Breakfast Eating ◽  
Eating Breakfast ◽  
Causal Nature

AbstractObjectivesTo examine school-level relationships between deprivation and breakfast eating behaviours (breakfast skipping and the healthfulness of foods consumed) in 9–11-year-old schoolchildren and to examine whether attitudes towards eating breakfast mediated these relationships.DesignCross-sectional survey.SettingOne hundred and eleven primary schools in Wales.SubjectsYear 5 and 6 pupils within the 111 primary schools. Measures were completed by 4314 children. Analysis was conducted at the group (school) level, with each school representing one group.ResultsDeprivation was positively associated with breakfast skipping and consumption of ‘unhealthy’ items (i.e. sweet snacks, crisps) for breakfast. A significant negative association was found between deprivation and consumption of ‘healthy’ items (i.e. fruit, bread, cereal, milk). Deprivation was significantly inversely associated with attitudes towards eating breakfast. The relationships between deprivation and (1) breakfast skipping and (2) consumption of ‘healthy’ items for breakfast were mediated by attitudes towards eating breakfast. The hypothesis that attitudes mediated the relationship between deprivation and consumption of ‘unhealthy’ breakfast items was unsupported.ConclusionsDeprivation is associated with adverse breakfast eating behaviours amongst children aged 9–11 years, in terms of breakfast skipping and the quality of breakfasts consumed. Socio-economic differences in attitudes towards eating breakfast are apparent amongst this age group, and appear to relate to social gradients in breakfast eating behaviours. Research is needed to examine the causal nature of these trends and to elucidate factors underlying the development of socio-economic differences in eating-related cognitions.

scholarly journals Impact of school lunch type on nutritional quality of English children’s diets

2015 ◽  
Vol 19 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Charlotte EL Evans ◽  
Vera Mandl ◽  
Meaghan S Christian ◽  
Janet E Cade
Keyword(s):  
Primary Schools ◽  
Dietary Intakes ◽  
Evaluation Tool ◽  
Food Diary ◽  
School Lunches ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
School Meal ◽  
Food Standards ◽  
Quality Diet

AbstractObjectiveNutrient and food standards exist for school lunches in English primary schools although packed lunches brought from home are not regulated. The aim of the present study was to determine nutritional and dietary differences by lunch type.DesignA cross-sectional survey was carried out in 2007 assessing diet using the Child and Diet Evaluation Tool (CADET), a validated 24 h estimated food diary. The data were analysed to determine nutritional and dietary intakes over the whole day by school meal type: school meals and packed lunches.SettingFifty-four primary schools across England.SubjectsChildren (n 2709) aged 6–8 years.ResultsChildren having a packed lunch consumed on average 11·0 g more total sugars (95 % CI 6·6, 15·3 g) and 101 mg more Na (95 % CI 29, 173 mg) over the whole day. Conversely, children having a school meal consumed, on average, 4·0 g more protein (95 % CI 2·3, 5·7 g), 0·9 g more fibre (NSP; 95 % CI 0·5, 1·3 g) and 0·4 mg more Zn (95 % CI 0·1, 0·6 mg). There was no difference in daily energy intake by lunch type. Children having a packed lunch were more likely to consume snacks and sweetened drinks; while children having a school meal were more likely to consume different types of vegetables and drink water over the whole day.ConclusionsCompared with children having a school meal, children taking a packed lunch to school consumed a lower-quality diet over the whole day, including higher levels of sugar and Na and fewer vegetables. These findings support the introduction of policies that increase school meal uptake.

Universal versus Targeted Benefits: The Distributional Effects of Free School Meals

10.1068/c0457 ◽  
2005 ◽  
Vol 23 (4) ◽  
pp. 583-598 ◽  
Author(s):  
Carlo J Morelli ◽  
Paul T Seaman
Keyword(s):  
Low Income ◽  
Current System ◽  
Full Time ◽  
Policy Debate ◽  
School Meals ◽  
Welfare Provision ◽  
Free School ◽  
The Past ◽  
State Education ◽  
The Impact

UK government policy over the past thirty years has seen a movement away from universal provision of welfare towards the targeting of welfare. The advent of devolution in Scotland, and to a lesser degree Wales, has, however, created new policy forums in which the shift towards targeted benefits has been reversed in a number of important fields. Welfare provision in relation to children is a further key area in which this policy debate has emerged. Little evidence has been provided for the effectiveness of this shift in policy until now. We examine the effect of this divergence in welfare policy. We look at the issue of universality and targeting by examining the impact of the proposal for the introduction of universal free school meals to all children in full-time state education. The current system of free school meals is found to be the least effective method of welfare provision. Other methods of targeting are found to be more effective than the current system, but universal provision is found to be the only mechanism for consistently providing welfare to all low-income households.

scholarly journals Impact of a Family Economic Intervention (Bridges) on Health Functioning of Adolescents Orphaned by HIV/AIDS: A 5-Year (2012–2017) Cluster Randomized Controlled Trial in Uganda

2021 ◽  
Vol 111 (3) ◽  
pp. 504-513
Author(s):  
Fred M. Ssewamala ◽  
Julia Shu-Huah Wang ◽  
Rachel Brathwaite ◽  
Sicong Sun ◽  
Larissa Jennings Mayo-Wilson ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Primary Schools ◽  
Controlled Trial ◽  
Well Being ◽  
School Level ◽  
Self Concept ◽  
Sexual Risk Taking ◽  
Positive Health ◽  
Match Rate

Objectives. To investigate the long-term impacts of a family economic intervention on physical, mental, and sexual health of adolescents orphaned by AIDS in Uganda. Methods. Students in grades 5 and 6 from 48 primary schools in Uganda were randomly assigned at the school level (cluster randomization) to 1 of 3 conditions: (1) control (n = 487; 16 schools), (2) Bridges (1:1 savings match rate; n = 396; 16 schools), or (3) Bridges PLUS (2:1 savings match rate; n = 500; 16 schools). Results. At 24 months, compared with participants in the control condition, Bridges and Bridges PLUS participants reported higher physical health scores, lower depressive symptoms, and higher self-concept and self-efficacy. During the same period, Bridges participants reported lower sexual risk-taking intentions compared with the other 2 study conditions. At 48 months, Bridges and Bridges PLUS participants reported better self-rated health, higher savings, and lower food insecurity. During the same period, Bridges PLUS participants reported reduced hopelessness, and greater self-concept and self-efficacy. At 24 and 48 months, Bridges PLUS participants reported higher savings than Bridges participants. Conclusions. Economic interventions targeting families raising adolescents orphaned by AIDS can contribute to long-term positive health and overall well-being of these families. Trial Registration. ClinicalTrials.gov registration no. NCT01447615.

scholarly journals Associations between Second-Hand Tobacco Smoke Exposure and Cardiorespiratory Fitness, Physical Activity, and Respiratory Health in Children

2021 ◽  
Vol 18 (21) ◽  
pp. 11445
Author(s):  
Melissa Parnell ◽  
Lawrence Foweather ◽  
Greg Whyte ◽  
John Dickinson ◽  
Ivan Gee
Keyword(s):  
Physical Activity ◽  
Cardiorespiratory Fitness ◽  
Tobacco Smoke ◽  
Primary Schools ◽  
Respiratory Health ◽  
Significant Proportion ◽  
Tobacco Smoke Exposure ◽  
Positive Health ◽  
Shs Exposure ◽  
The Impact

Background: Cardiorespiratory fitness (CRF) and physical activity (PA) are associated with a plethora of positive health effects. Many UK children fail to meet the recommended level of PA, with an observed decline in CRF levels over recent decades. Second-hand tobacco smoke (SHS) is responsible for a significant proportion of the worldwide burden of disease, but little is understood regarding the impact of SHS exposure on CRF and PA in children. The aim of this study was to test the associations between SHS exposure and CRF, PA, and respiratory health in children. Method: Children (9–11 years) from UK primary schools in deprived areas participated (n = 104, 38 smoking households). Surveys determined household smoking, and exhaled carbon monoxide was used to indicate children’s recent SHS exposure. CRF (VO2peak) was assessed via maximal treadmill protocol using breath-by-breath analysis. Fractional exhaled nitric oxide and spirometry were utilised as indicators of respiratory health. Results: Linear regression models demonstrated that SHS exposure was negatively associated with allometrically scaled VO2peak (B = −3.8, p = 0.030) but not PA or respiratory health. Conclusion: The results indicate that SHS is detrimental to children’s CRF; given that approximately one-third of children are regularly exposed to SHS, this important finding has implications for both public health and the sport and exercise sciences.

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