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1.
Multimedia | Recursos Multimídia | ID: multimedia-7101

RESUMO

O programa de Vitória, Estratégias para implantação, definições de agricultura orgânica, urbana e afins, Noções de cultivo, tratos culturais e cuidados na aquisição do produto orgânico.


Assuntos
Agricultura Orgânica/educação , Jardinagem/organização & administração , Jardinagem/normas , Praguicidas/classificação , Alimentos Orgânicos , Praguicidas/toxicidade
2.
Health Promot J Austr ; 30 Suppl 1: 5-8, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30742727

RESUMO

BACKGROUND: This research aimed to evaluate the benefits of the community gardening program called ''Magic Harvest (MH)" with respect to its key elements: social interaction; gardening skills; and, healthier eating. The MH program supports community participants to grow food, share produce, prepare and preserve food. METHODS: Two focus groups were conducted with participants in MH programs in the south of Adelaide, South Australia. The MH programs were located in lower socio-economic areas. Focus group interviews were recorded, transcribed verbatim, coded and analysed thematically. RESULTS: Thirteen participants took part in the focus groups and reported gains in community connectedness and shared learning, skills for growing food and healthy eating and making more sustainable food choices. CONCLUSION: This study highlights the social and nutritional benefits that can be derived from a community gardening program in low-income communities. Health practitioners and policymakers should consider community gardening as an effective health promotion strategy that can address physical and social determinants of health and nutrition for low-income communities.


Assuntos
Participação da Comunidade , Jardinagem/organização & administração , Promoção da Saúde/organização & administração , Pobreza , Grupos Focais , Humanos , Relações Interpessoais , Pesquisa Qualitativa , Austrália do Sul
3.
Contemp Clin Trials ; 77: 8-18, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30550775

RESUMO

Strategies are needed to help early care and education centers (ECEC) comply with policies to meet daily physical activity and fruit and vegetable guidelines for young children. This manuscript describes the design and methodology of Sustainability via Active Garden Education (SAGE), a 12-session cluster-randomized controlled crossover design trial using community-based participatory research (CBPR) to test a garden-based ECEC physical activity and fruit and vegetables promotion intervention for young children aged 3-5 years in 20 sites. The SAGE curriculum uses the plant lifecycle as a metaphor for human development. Children learn how to plant, water, weed, harvest, and do simple food preparation involving washing, cleaning, and sampling fruit and vegetables along with active learning songs, games, science experiments, mindful eating exercises, and interactive discussions to reinforce various healthy lifestyle topics. Parents will receive newsletters and text messages linked to the curriculum, describing local resources and events, and to remind them about activities and assessments. Children will be measured on physical activity, height, and weight and observed during meal and snack times to document dietary habits. Parents will complete measures about dietary habits outside of the ECEC, parenting practices, home physical activity resources, and home fruit and vegetable availability. SAGE fills an important void in the policy literature by employing a participatory strategy to produce a carefully crafted and engaging curriculum with the goal of meeting health policy guidelines and educational accreditation standards. If successful, SAGE may inform and inspire widespread dissemination and implementation to reduce health disparities and improve health equity.


Assuntos
Creches/organização & administração , Jardinagem/organização & administração , Promoção da Saúde/organização & administração , Serviços de Saúde Escolar/organização & administração , Arizona , Pré-Escolar , Pesquisa Participativa Baseada na Comunidade , Estudos Cross-Over , Feminino , Humanos , Masculino , Aprendizagem Baseada em Problemas , Projetos de Pesquisa , Segurança , Fatores Socioeconômicos , Capacitação de Professores
4.
Health Promot J Austr ; 30(3): 350-358, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30536663

RESUMO

ISSUE ADDRESSED: In addition to food, physical activity, mental health and environmental benefits, community gardens (CGs) provide opportunities for social inclusion and increased social capital. These are particularly important to the socially isolated residents of social housing developments (SHDs). This scoping study explored the feasibility of a CG program for tenants of SHD in inner eastern Melbourne by assessing their interest in, and requirements for, inclusively designed CGs. METHODS: In this phenomenological enquiry, focus group discussions, supported by photo-elicitation, were employed. Three focus groups (N = 19) were conducted with self-selected participants who consented to participate. Two focus groups were conducted with English-speaking tenants while a third focus group was conducted with Mandarin-speaking tenants. RESULTS: There was a demand for CGs by the English-speaking participants driven by desire for networking, social connectedness and inclusion; for improved access to fresh produce, connection with nature, physical activity and mental well-being. Participants expressed interest in a garden located near their SHD with supportive physical and social environments including disability access, plot autonomy, fencing, socio-cultural events, training programs and management opportunities. However, the Mandarin-speaking tenants maintained that age, language difficulty and neighbourhood insecurity posed significant barriers to their participation. CONCLUSION: Guided by the Ottawa Charter for Health Promotion, social inclusion and community development theories, the study recommends that to establish socially inclusive CGs, a dynamic relationship of the design principles of a CG and the socio-ecological determinants of health should be established to address any barriers and successfully facilitate engagement. In addition, CG programs need to be guided by community development principles. Future research could employ community-based participatory research models in the implementation and evaluation of a CG program for socially isolated population groups.


Assuntos
Jardinagem/organização & administração , Saúde Mental , Habitação Popular/organização & administração , Características de Residência , Meio Social , Populações Vulneráveis/psicologia , Feminino , Grupos Focais , Promoção da Saúde/organização & administração , Nível de Saúde , Humanos , Masculino , Pesquisa Qualitativa , Capital Social , Facilitação Social , Vitória
5.
Artigo em Inglês | MEDLINE | ID: mdl-29970838

RESUMO

This manuscript describes the development of a “learn by actively participating” curriculum for youth and their adult caregivers (dyad pair) to increase gardening skills, culinary competence, and family meal time. The curriculum was developed by integrating “iCook 4-H” and Junior Masters Gardener “Health and Nutrition from the Garden”, and “Essential Elements of 4-H Youth Development” curriculums with additional resources for gardening activities from the USDA’s My Plate and garden-based recipes. Expert reviewers (n = 11) provided feedback on the curriculum content, session structure, dosage, age appropriateness, and balance of the three focused areas. Seven family dyads (n = 14) participated in focus groups about understanding of need, interest, barriers, and potential engagement. A 10-week curriculum was developed and named: iGrow. The curriculum is a hands on, active learning program delivered through five, two-hour sessions using a family dyad model. Three main focus areas included gardening, culinary skills, and family conversation/interaction that all focused on togetherness. For the final iGrow curriculum, expert-level content review and feedback from focus group dyad pairs was used to revise the curriculum which further enhanced the approach and balance of the curriculum content. Focus group feedback supported appropriateness, dosage and learning objectives, and content depth. This curriculum has been developed to provide knowledge of gardening and culinary skills with the goal of increased consumption of fruit and vegetables.


Assuntos
Comunicação , Culinária/normas , Família , Jardinagem/organização & administração , Educação em Saúde/organização & administração , Refeições , Adulto , Idoso , Cuidadores , Criança , Feminino , Frutas , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Socioeconômicos , Verduras
6.
J Community Health ; 43(5): 944-946, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29623502

RESUMO

There have been increasing efforts in recent decades to divert institutional food waste into composting programs. As major producers of food waste who must increasingly demonstrate community benefit, hospitals have an incentive to develop such programs. In this article, we explain the emerging opportunity to link hospitals' food services to local community gardens in order to implement robust composting programs. We describe a partnership model at our hospital in central Pennsylvania, share preliminary outcomes establishing feasibility, and offer guidance for future efforts. We also demonstrate that the integration of medical students in such efforts can foster systems thinking in the development of programs to manage hospital waste streams in more ecologically-friendly ways.


Assuntos
Biodegradação Ambiental , Jardinagem/organização & administração , Jardins/organização & administração , Hospitais , Reciclagem/métodos , Gerenciamento de Resíduos/métodos , Alimentos , Humanos , Pennsylvania , Esgotos
7.
Geriatr Gerontol Int ; 18(8): 1147-1152, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29626378

RESUMO

AIM: Gardening has long been one of most enjoyable pastimes among older adults. Whether gardening activities contribute to the well-being of older adults is a major question. Therefore, the aim of the present study was to clarify the psychophysiological relaxing effects of gardening activities on older adults living in modern institutional care. METHODS: The study participants were 40 older women aged 79.5 ± 8.09 years (mean ± SD). A cross-over study design was used to investigate the physiological and psychological responses to environments with and without plants. Physiological evaluation was carried out using blood pressure and electroencephalography, and psychological evaluation was carried out using the State-Trait Anxiety Inventory and Semantic Differential method. RESULTS: Blood pressure was significantly lower, and changes in brainwaves were observed. Psychological responses showed that participants were more "comfortable and relaxed" after the plant task than after the control task. In addition, total anxiety levels were significantly lower after carrying out the plant task than after the control task. CONCLUSIONS: Our research suggests that gardening activities might enhance physiological and psychological relaxation in older adults. Geriatr Gerontol Int 2018; 18: 1147-1152.


Assuntos
Idoso Fragilizado/psicologia , Jardinagem/organização & administração , Qualidade de Vida , Relaxamento/psicologia , Adaptação Fisiológica , Adaptação Psicológica , Idoso , Idoso de 80 Anos ou mais , Análise de Variância , Determinação da Pressão Arterial/métodos , Estudos Cross-Over , Eletroencefalografia/métodos , Feminino , Avaliação Geriátrica/métodos , Humanos , Japão , Avaliação de Programas e Projetos de Saúde , Estatísticas não Paramétricas
8.
Health Educ Behav ; 45(6): 849-854, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-29532692

RESUMO

The purpose of this study was to determine the level of integration of school gardens and identify factors that predict integration. 211 New York City schools completed a survey that collected demographic information and utilized the School Garden Integration Scale. A mean garden integration score was calculated, and multiple regression analysis was conducted to determine independent predictors of integration and assess relationships between individual integration characteristics and budget. The average integration score was 34.1 (of 57 points) and ranged from 8 to 53. Operating budget had significant influence on integration score, controlling for all other factors ( p < .0001). Partner organizations, evaluation/feedback, planning the physical space, and characteristics of the physical space were positively and significantly related to budget. The results of this study indicate that any garden can become well integrated, as budget is a modifiable factor. When adequate funding is secured, a well-integrated garden may be established with proper planning and sound implementation.


Assuntos
Jardinagem/organização & administração , Educação em Saúde/métodos , Promoção da Saúde/métodos , Instituições Acadêmicas , Estudos Transversais , Jardins , Humanos , Cidade de Nova Iorque , Inquéritos e Questionários
9.
J Acad Nutr Diet ; 117(10): 1517-1527.e4, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28389106

RESUMO

BACKGROUND: Researchers have established the benefits of school gardens on students' academic achievement, dietary outcomes, physical activity, and psychosocial skills, yet limited research has been conducted about how school gardens become institutionalized and sustained. OBJECTIVE: Our aim was to develop a tool that captures how gardens are effectively established, integrated, and sustained in schools. DESIGN: We conducted a sequential, exploratory, mixed-methods study. Participants were identified with the help of Grow To Learn, the organization coordinating the New York City school garden initiative, and recruited via e-mail. PARTICIPANTS/SETTING: A stratified, purposeful sample of 21 New York City elementary and middle schools participated in this study throughout the 2013/2014 school year. The sample was stratified in their garden budgets and purposeful in that each of the schools' gardens were determined to be well integrated and sustained. MAIN OUTCOME MEASURES: The processes and strategies used by school gardeners to establish well-integrated school gardens were assessed via data collected from surveys, interviews, observations, and concept mapping. STATISTICAL ANALYSES PERFORMED: Descriptive statistics as well as multidimensional scaling and hierarchical cluster analysis were used to examine the survey and concept mapping data. Qualitative data analysis consisted of thematic coding, pattern matching, explanation building and cross-case synthesis. RESULTS: Nineteen components within four domains of school garden integration were found through the mixed-methods concept mapping analysis. When the analyses of other data were combined, relationships between domains and components emerged. These data resulted in the development of the GREEN (Garden Resources, Education, and Environment Nexus) Tool. CONCLUSIONS: When schools with integrated and sustained gardens were studied, patterns emerged about how gardeners achieve institutionalization through different combinations of critical components. These patterns are best described by the GREEN Tool, the first framework to identify how to operationalize school gardening components and describe an evidence-based strategy of successful school garden integration.


Assuntos
Jardinagem/organização & administração , Educação em Saúde/métodos , Promoção da Saúde/métodos , Serviços de Saúde Escolar/organização & administração , Integração de Sistemas , Adolescente , Criança , Análise por Conglomerados , Feminino , Jardins , Humanos , Masculino , Cidade de Nova Iorque , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas
10.
Contemp Clin Trials ; 50: 201-12, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27565830

RESUMO

BACKGROUND: Cancer survivors suffer from long-term adverse effects that reduce health-related quality of life (QOL) and physical functioning, creating an urgent need to develop effective, durable, and disseminable interventions. Harvest for Health, a home-based vegetable gardening intervention, holds promise for these domains. METHODS: This report describes the methods and recruitment experiences from two randomized controlled feasibility trials that employ a waitlist-controlled design. Delivered in partnership with Cooperative Extension Master Gardeners, this intervention provides one-on-one mentorship of cancer survivors in planning and maintaining three seasonal vegetable gardens over 12months. The primary aim is to determine intervention feasibility and acceptability; secondary aims are to explore effects on objective and subjective measures of diet, physical activity and function, and QOL and examine participant factors associated with potential effects. One trial is conducted exclusively among 82 female breast cancer survivors residing in the Birmingham, AL metropolitan area (BBCS); another broadly throughout Alabama among 46 older cancer survivors aged >60 (ASCS). RESULTS: Response rates were 32.6% (BBCS) and 52.3% (ASCS). Both trials exceeded 80% of their accrual target. Leading reasons for ineligibility were removal of >10 lymph nodes (lymphedema risk factor), lack of physician approval, and unwillingness to be randomized to the waitlist. CONCLUSION: To date, recruitment and implementation of Harvest for Health appears feasible. DISCUSSION: Although both studies encountered recruitment challenges, lessons learned can inform future larger-scale studies. Vegetable gardening interventions are of interest to cancer survivors and may provide opportunities to gain life skills leading to improvements in overall health and QOL.


Assuntos
Sobreviventes de Câncer , Exercício Físico , Jardinagem/organização & administração , Projetos de Pesquisa , Verduras , Adulto , Idoso , Neoplasias da Mama/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida
11.
HERD ; 10(1): 144-54, 2016 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27053578

RESUMO

AIM: This article outlines preliminary findings of a 3-year project that explored on-site food production on institutional properties, primarily healthcare facilities. BACKGROUND: There are growing pressures on healthcare facilities to improve their food offerings and incorporate food gardens into their health programs. While several healthcare facilities produce food on-site, there are few studies that explore opportunities, capacities, and institutional barriers related to on-site food production. METHODS: The study employed mixed methods including historical review, case studies, surveys, interviews, pilot garden projects, and Geographic Information System mapping. The number of participating institutions varied by method. RESULTS: Benefits associated with on-site food production can be health, economic, environmental, and social. There are also institutional barriers including administrative roadblocks, perceived obstacles, and the difficulty in quantitatively, measuring the qualitatively documented benefits. CONCLUSIONS: The benefits of food gardens far outweigh the challenges. On-site food production has tremendous potential to improve nutrition for staff and patients, offer healing spaces, better connect institutions with the communities in which they are located, and provide the long-professed benefits of gardening for all involved-from therapeutic benefits and outdoor physical activities to developing skills and social relationships in ways that few other activities do.


Assuntos
Abastecimento de Alimentos/métodos , Jardinagem/organização & administração , Instalações de Saúde , Instituições Acadêmicas , Participação da Comunidade , Jardinagem/economia , Jardinagem/estatística & dados numéricos , Sistemas de Informação Geográfica , Humanos , Ontário , Projetos Piloto , Inquéritos e Questionários
12.
BMC Public Health ; 16: 286, 2016 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-27015672

RESUMO

BACKGROUND: School gardening programmes are increasingly popular, with suggested benefits including healthier eating and increased physical activity. Our objectives were to understand the health and well-being impacts of school gardens and the factors that help or hinder their success. METHODS: We conducted a systematic review of quantitative and qualitative evidence (PROSPERO CRD42014007181). We searched multiple databases and used a range of supplementary approaches. Studies about school gardens were included if they reported on physical or mental health or well-being. Quantitative studies had to include a comparison group. Studies were quality appraised using appropriate tools. Findings were narratively synthesised and the qualitative evidence used to produce a conceptual framework to illustrate how benefits might be accrued. RESULTS: Evidence from 40 articles (21 quantitative studies; 16 qualitative studies; 3 mixed methods studies) was included. Generally the quantitative research was poor. Evidence for changes in fruit and vegetable intake was limited and based on self-report. The qualitative research was better quality and ascribed a range of health and well-being impacts to school gardens, with some idealistic expectations for their impact in the long term. Groups of pupils who do not excel in classroom activities were thought to particularly benefit. Lack of funding and over reliance on volunteers were thought to threaten success, while involvement with local communities and integration of gardening activities into the school curriculum were thought to support success. CONCLUSION: More robust quantitative research is needed to convincingly support the qualitative evidence suggesting wide ranging benefits from school gardens.


Assuntos
Jardinagem/organização & administração , Nível de Saúde , Saúde Mental , Instituições Acadêmicas/organização & administração , Logro , Humanos , Pesquisa Qualitativa , Voluntários
14.
Am J Public Health ; 105(4): 625-8, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25713934

RESUMO

Nutritional practices develop over the life course. Developing healthy habits at an early age can contribute to combating increasing child obesity rates. Through a range of activities that rely on the presence of an on-site food garden, North Bay Children's Center (NBCC), an early childhood education program, has enacted a "culture of health" into all aspects of the curriculum to promote healthy eating practices among children, families, teachers and staff. NBCC's garden program serves as a model in early childhood education and as a community-based intervention to improve family health and prevent child obesity.


Assuntos
Dieta , Saúde da Família , Jardinagem/organização & administração , Promoção da Saúde/organização & administração , Adulto , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade Infantil/prevenção & controle , Fatores Socioeconômicos
16.
J Nutr Educ Behav ; 45(2): 137-46, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23472931

RESUMO

OBJECTIVE: Evaluate achievement of the Stephanie Alexander Kitchen Garden Program in increasing child appreciation of diverse, healthy foods. DESIGN: Comparative 2-year study. SETTING: Six program and 6 comparison primary schools in rural and metropolitan Victoria, Australia, matched for socioeconomic status and size. PARTICIPANTS: A total of 764 children in grades 3 to 6 (8-12 years of age) and 562 parents recruited. Retention rates at follow-up included 85% children and 75% parents. INTERVENTION: Each week of the school year, children spent 45 to 60 minutes in a garden class and 90 minutes in a kitchen class. PHENOMENON OF INTEREST: Program impact on children's willingness to try new foods, capacity to describe foods, and healthy eating. ANALYSIS: Qualitative data analyzed using inductive thematic analysis. Quantitative data analyzed using random-effects linear regressions adjusted for school clustering. RESULTS: Child and parent qualitative and quantitative measures (if never tried before, odds ratio 2.0; confidence interval, 1.06-3.58) showed increases in children's reported willingness to try new foods. No differences in articulation of food descriptions (program vs comparison groups). Qualitative evidence showed that the program extended its influence to healthy eating, but this was not reflected in the quantitative evidence. CONCLUSIONS AND IMPLICATIONS: Findings indicate program success in achieving its primary objective, meriting further program research.


Assuntos
Ciências da Nutrição Infantil/educação , Culinária , Jardinagem/organização & administração , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas/organização & administração , Criança , Fenômenos Fisiológicos da Nutrição Infantil/fisiologia , Feminino , Comportamentos Relacionados com a Saúde , Humanos , Masculino , Pais/psicologia , Estudantes/psicologia , Vitória
17.
Health Aff (Millwood) ; 31(12): 2787-8, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23174808

RESUMO

The city's community gardens today supply just 2 percent of the fruit and vegetables consumed locally. Ashley Atkinson aims for "food sovereignty"-the day when most of the fresh fruits and vegetables that city residents eat are also grown there.


Assuntos
Agricultura/organização & administração , Jardinagem/organização & administração , Promoção da Saúde/organização & administração , Liderança , Planejamento em Saúde Comunitária/organização & administração , Abastecimento de Alimentos , Humanos , Michigan , Saúde Pública , População Urbana
18.
Geriatr Psychol Neuropsychiatr Vieil ; 10(3): 245-53, 2012 Sep.
Artigo em Francês | MEDLINE | ID: mdl-23015232

RESUMO

The French Alzheimer plan anticipates new specialized structures for cognitive rehabilitation and psycho-behavioural therapy of Alzheimer's patients: the cognitive-behavioural units as follow-care units, the units of reinforced hospitalization inside the long term care units and the adapted activities units. this plan indicates the need to make healing gardens integral parts of these units. The benefits of green space in urban environments has been demonstrated with regards to physical, psychological and sociological effects and similarly studies in hospitals have revealed objective and measurable improvements of patients well being. Although green spaces and gardens are available in many French care units, they are rarely specifically adapted to the needs of Alzheimer's patients. For the garden "art, memory and life" a specific concept guided by a neuropsychological approach was developed, complemented by an artistic vision based on cultural invariants. It is already used in the frame of non-pharmacological therapies to improve symptoms such as deambulation, sleep disorders, apathy and aggressive behaviors. Based on the literature, and our experience and research, recommendations for the design of such gardens dedicated to Alzheimer's patients can be proposed. Beyond taking into account obvious aspects relating to security, allowing for free access, a careful design of walk-ways and a conscious choice of plants is needed. A systematic analysis of the existing green spaces or garden must be conducted in order to pinpoint the weakness of the space and identify the potential for developing it into a real healing garden. Evaluation of adapted questionnaires for users and professionals allow to establish a list of requirements combining both user requests and therapeutic needs as basis for the design of the garden as well as to evaluate during the course of the project, whether the needs of the various stakeholders have been met or if adjustments are necessary.


Assuntos
Doença de Alzheimer/psicologia , Doença de Alzheimer/reabilitação , Terapia Cognitivo-Comportamental/organização & administração , Jardinagem/organização & administração , Unidades Hospitalares/organização & administração , Cura Mental , Meio Social , Idoso , Doença de Alzheimer/diagnóstico , Terapia Combinada , Comportamento Cooperativo , Planejamento Ambiental , França , Necessidades e Demandas de Serviços de Saúde/organização & administração , Humanos , Comunicação Interdisciplinar , Inquéritos e Questionários
20.
J Acad Nutr Diet ; 112(9): 1380-1389, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22673797

RESUMO

BACKGROUND: Children spend much of their day in school, and authorities have called for improvements in the school food environment. However, it is not known whether changes have occurred since the federal wellness policy mandate took effect in 2006-2007. OBJECTIVE: We examined whether the school food environment in public and private elementary schools changed over time and examined variations by school type and geographic division. DESIGN AND PARTICIPANTS: Survey data were gathered from respondents at nationally representative samples of elementary schools during the 2006-2007 and 2009-2010 school years (respectively, 578 and 680 public schools, and 259 and 313 private schools). MAIN OUTCOME MEASURES: Topics assessed included competitive foods, school meals, and other food-related practices (eg, school gardens and nutrition education). A 16-item food environment summary score was computed, with possible scores ranging from 0 (least healthy) to 100 (healthiest). ANALYSES: Multivariate regression models were used to examine changes over time in the total school food environment score and component items, and variations by US census division. RESULTS: Many practices improved, such as participation in school gardens or farm-to-school programs, and availability of whole grains and only lower-fat milks in lunches. Although the school food environment score increased significantly, the magnitude of change was small; as of 2009-2010 the average score was 53.5 for public schools (vs 50.1 in 2006-2007) and 42.2 for private schools (vs 37.2 in 2006-2007). Scores were higher in public schools than in private schools (P<0.001), but did not differ by race/ethnicity or school size. For public schools, scores were higher in the Pacific and West South Central divisions compared with the national average. CONCLUSIONS: Changes in the school food environment have been minimal, with much room remaining for improvement. Additional policy changes may be needed to speed the pace of improvement.


Assuntos
Distribuidores Automáticos de Alimentos/estatística & dados numéricos , Serviços de Alimentação/estatística & dados numéricos , Serviços de Alimentação/tendências , Jardinagem/estatística & dados numéricos , Instituições Acadêmicas , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Estudos Transversais , Feminino , Serviços de Alimentação/normas , Jardinagem/organização & administração , Humanos , Masculino , Análise Multivariada , Política Nutricional , Obesidade/prevenção & controle , Setor Privado , Setor Público , Estados Unidos
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