Assessment of the School Nutrition Environment

Yoong, Sze Lin; Nathan, Nicole K.; Wyse, Rebecca J.; Preece, Sarah J.; Williams, Christopher M.; Sutherland, Rachel L.; Wiggers, John H.; Delaney, Tessa M.; Wolfenden, Luke

doi:10.1016/j.amepre.2015.02.002

Cited by 63School Health and Nursing EducationObesity, Physical Activity, DietNutrition, Health and Food Behavior

Assessment of the School Nutrition Environment

Yoong, Sze Lin, Nathan, Nicole K., Wyse, Rebecca J., Preece, Sarah J., Williams, Christopher M., Sutherland, Rachel L., Wiggers, John H., Delaney, Tessa M. +1 more·2015·American Journal of Preventive Medicine

DOI 10.1016/j.amepre.2015.02.002

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Abstract

Introduction Schools represent a valuable setting for interventions to improve children's diets, as they offer structured opportunities for ongoing intervention. Modifications to the school food environment can increase purchasing of healthier foods and improve children's diets. This study examines the availability of healthy food and drinks, implementation of pricing and promotion strategies in Australian primary school canteens, and whether these varied by school characteristics.Methods In 2012 and 2013, canteen managers of primary schools in the Hunter New England region of New South Wales reported via telephone interview the pricing and promotion strategies implemented in their canteens to encourage healthier food and drink purchases. A standardized audit of canteen menus was performed to assess the availability of healthy options. Data were analyzed in 2014.Results Overall, 203 (79%) canteen managers completed the telephone interview and 170 provided menus. Twenty-nine percent of schools had menus that primarily consisted of healthier food and drinks, and 11% did not sell unhealthy foods. Less than half reported including only healthy foods in meal deals (25%), labeling menus (43%), and having a comprehensive canteen policy (22%). A significantly larger proportion of schools in high socioeconomic areas (OR=3.0) and large schools (OR=4.4) had primarily healthy options on their menus. School size and being a Government school were significantly associated with implementation of some pricing and promotion strategies.Conclusions There is a need to monitor canteen environments to inform policy development and research. Future implementation research to improve the food environments of disadvantaged schools in particular is warranted.

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Implementation of school-based healthy eating and physical activity policies, practices, and programs is poor.
“Although best practice recommendations exist regarding school-based healthy eating and physical activity policies, practices, and programs, research indicates that implementation is poor.”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [21]
Studies of Australian primary schools have found that only 5%-35% of Australian schools comply with mandated school canteen policies regarding the availability of unhealthy foods and beverages.
“Similarly, studies of Australian primary schools have found that only 5%–35% of Australian schools comply with mandated school canteen policies regarding the availability of unhealthy foods and beverages [21], whilst just 10% of middle and high schools within the USA prohibit the sale of sugar-sweetened beverages other than soda [22].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [21]

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Self-citation

Authors: Yoong, S. L., Nathan, N. K., Wyse, R. J., Preece, S. J., Williams, C. M., Sutherland, R. L., Wiggers, J. H., Delaney, T. M., & Wolfenden, L.
Affiliations: Hunter Medical Research Institute (AU)
Hunter New England Local Health District (AU)
Corresponding author: Yoong, Sze Lin
ORCID: Yoong, Sze Lin
Nathan, Nicole K.
Wyse, Rebecca J.
Williams, Christopher M.
Sutherland, Rachel L.
Wiggers, John H.
Delaney, Tessa M.
Wolfenden, Luke
Venue: American Journal of Preventive Medicine
Publisher: Elsevier BV
Published: 2015-08
Volume: 49
Issue: 2
Pages: 215-222
ISSN: 0749-3797 (ISSN-L)
DOI: 10.1016/j.amepre.2015.02.002
OpenAlex: W1850965497
Cited by: 63
References: 40
Citations by year: 2026: 3 · 2025: 6 · 2024: 11 · 2023: 7 · 2022: 3 · 2021: 10 · 2020: 6 · 2019: 5 · 2018: 6 · 2017: 2 · 2016: 4
FWCI: 8.76
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Figshare (submittedVersion)
Swinburne figshare (Swinburne University of Technology) (submittedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
Topics: Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: school food environment, healthy food availability, food promotion, socioeconomic status, school size, public schools, children's diet
MeSH terms: Child, Cross-Sectional Studies, Diet, Food Labeling, Food Services, Health Policy, Health Promotion, Humans, New South Wales, Surveys and Questionnaires, Schools, Food Quality

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