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The National School Fruit Scheme produces short-term but not longer-term increases in fruit consumption in primary school children

Published online by Cambridge University Press:  08 March 2007

Lesley Wells
Affiliation:
Department of Nutrition and Dietetics, King's College London, 150 Stamford Street, London, SE1 9NN, UK
Michael Nelson*
Affiliation:
Department of Nutrition and Dietetics, King's College London, 150 Stamford Street, London, SE1 9NN, UK
*
*Corresponding author: Dr Michael Nelson, fax +44 20 7848 4185, email [email protected]
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Abstract

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The National School Fruit Scheme (NSFS) provides one free piece of fruit each school day to children, aged 4 to 6 years, attending state schools in England. The aims of the present study were to determine if NSFS was associated with a higher fruit consumption in infant school children (4–6 years old), and to assess whether fruit consumption was higher in junior school children (7–8 years old) who had received free fruit as infants compared with those who had not. The present cross-sectional study involved seventeen schools, eight in the NSFS (study schools) and nine not in the NSFS (control schools). Study and control schools were selected in areas of similar levels of deprivation. All schools were on the outskirts of London in Southeast England. A retrospective 24 h food tick list was given to each pupil in Reception to Year 4 to take home for their parents to complete and return. Response rate was 51 %. Median total fruit consumption (excluding fruit juice) in infants receiving free fruit was 117 g/d compared with 67 g/d in infants not receiving free fruit (P<0·001). Median consumption in juniors who had received free fruit at school as infants did not differ from those who had not (83 g/d v. 86 g/d). The NSFS has increased fruit consumption in infant school children. It does not appear to have longer-term effects in junior school children. If the scheme is to affect dietary habits and improve health in the long term, further interventions will be needed.

Type
Research Article
Copyright
Copyright © The Nutrition Society 2005

References

Adamson, AJ, Griffiths, JM, Carlin, LE, Barton, KL, Wriecken, WL, Matthews, JNS & Mathers, JC (2003) FAST: Food Assessment in Schools Tool. Proc Nutr Soc 62, 84A.Google Scholar
Department of Health (2003a) National Schools Fruit Scheme. http://www.doh.gov.uk/fiveaday/schoolfruit.htm.Google Scholar
Department of Health (2003b) The National School Fruit Scheme, evaluation summary. http://www.doh.gov.uk/fiveaday/pdfs/nationalfruitsummary.pd.Google Scholar
Department of Health (2003c) FACET questionnaire. http://www.doh.gov.uk/fiveaday/pdfs/facetquestionnaire.pdf.Google Scholar
Department of Transport (2000) Local government and the regions. Indices of deprivation 2000. http://www.neighbourhood.statistics.gov.uk/reports/eng/tableviewer/wdsview/dispviewp.asp?dsid=474.Google Scholar
Eriksen, K, Haraldsdottir, J, Pederson, R & Flyger, HV (2003) Effect of a fruit and vegetable subscription in Danish schools. Public Health Nutr 6, 5763.Google ScholarPubMed
French, SA & Stables, G (2003) Environmental interventions to promote vegetable and fruit consumption among youth in school settings. Prev Med 37, 593610.CrossRefGoogle ScholarPubMed
Gregory, J & Lowe, S (2000) National Diet and Nutrition Survey: Young People aged 4 to 18 Years London The Stationery Office.Google Scholar
Lowe, CF, Horne, PJ, Tapper, K, Bowdery, M & Egerton, C (2004) Effects of a peer modelling and rewards-based intervention to increase fruit and vegetable consumption in children. Eur J Clin Nutr 58, 510522.CrossRefGoogle ScholarPubMed
Nishida, C, Shetty, P & Uauy, R (2004) Introduction. Public Health Nutr 7, 99100.CrossRefGoogle Scholar
New Opportunities Fund (2005) Grants awarded. http://www.nof.org.uk.Google Scholar
Norwegian Directorate of Health and Social Affairs (2004) Norwegian school fruit scheme. http://www.skolefrukt.no/pdf/skolefrukt_eng.pdf.Google Scholar
Perez-Rodrigo, C & Aranceta, J (2001) School-based nutrition education; lessons learned and new perspectives. Public Health Nutr 4, 131139.CrossRefGoogle ScholarPubMed
Perry, CL, Bishop, DB, Taylor, GL, Davis, M, Story, M, Gray, C, Bishop, SC, Mays, RA, Lytle, LA & Harnack, L (2004) A randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children. Health Educ Behav 31, 6576.CrossRefGoogle ScholarPubMed
Thompson, B, Demark-Wahnefried, W & Taylor, G (1999) Baseline fruit and vegetable intake among adults in seven 5 a day study centers located in diverse geographic areas. J Am Diet Assoc 99, 12411248.CrossRefGoogle Scholar
Williams, C & Marmot, M (1997) Changing rationales, consistent advice: dietary recommendations on vegetable and fruit National Heart Forum. Preventing Coronary Heart Disease, The Role of Antioxidants, Vegetables and Fruit, 4962 [Rogers, LSharp, I, editors]. London: The Stationery Office.Google Scholar
World Health Organization (2003) Diet, Nutrition and the Prevention of Chronic Diseases. Report of a Joint WHO/FAO Expert Consultation. Technical Report Series no. 916. Geneva: WHO.Google Scholar