Journal of Pediatric Psychology Advance Access published online on May 13, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp041
Longitudinal Behavioral Effects of a School-Based Fruit and Vegetable Promotion Program
1Northeastern University, 2Maryland Medical Research Institute and 3Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine
All correspondence concerning this article should be addressed to Jessica A. Hoffman. E-mail: jesshoffman{at}neu.edu
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Objective This study examined the longitudinal effects of a school-based program on kindergarten and first grade children's fruit and vegetable (F&V) consumption. Methods The program included lunchroom, classroom, school-wide, and family components. The primary dependent variable, F&V consumed at lunch, was assessed using weighed plate waste. Hierarchical linear models were used to analyze the differences between intervention and control groups and to account for repeated measurements. Results Children in the experimental group consumed more F&V (F = 29 g; V = 6 g; 0.43 portions/lunch; 0.28 servings/lunch) at the end of Year 1 compared with children in the control group. At the end of Year 2, children in the experimental group consumed more fruit (21 g; 0.23 portions/lunch; 0.15 servings/lunch), but not more vegetables compared with children in the control group. Conclusions The intervention resulted in increased F&V consumption, with more pronounced and enduring effects for fruits than vegetables.
Received October 16, 2008; revision received April 7, 2009; accepted April 11, 2009