Influencing healthful food choices in school and home environments: Results from the TEENS study

Lytle, Leslie A.; Kubik, Martha Y.; Perry, Cheryl; Story, Mary; Birnbaum, Amanda S.; Murray, David M.

doi:10.1016/j.ypmed.2006.03.020

Cited by 120Nutrition, Health and Food BehaviorObesity, Physical Activity, DietSchool Health and Nursing Education

Influencing healthful food choices in school and home environments: Results from the TEENS study

Lytle, Leslie A., Kubik, Martha Y., Perry, Cheryl, Story, Mary, Birnbaum, Amanda S., Murray, David M.·2006·Preventive Medicine

DOI 10.1016/j.ypmed.2006.03.020

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Abstract

Background The purpose of this research is to examine the effects of an intervention designed to increase the availability of fruits, vegetables and lower fat foods in homes and schools. This research is part of the TEENS study, a school-based intervention study.Methods Sixteen schools in Minnesota were recruited to be in the study, and approximately 3600 middle school students in the eight intervention schools were exposed to a multi-component intervention. The TEENS intervention included classroom-based curricula, family newsletters, and changes in the school food environment including increasing more healthful options on a la carte and on the school lunch line. In addition to student-level outcomes, changes in availability of fruits, vegetables, and lower fat snacks in home and school environments were evaluated. The TEENS study was conducted from 1997 to 2000.Results Parents of students in intervention schools reported making healthier choices when grocery shopping as compared to parents of students in control schools (P = 0.01). No intervention effects were evident from a home food inventory. Compared to control schools, intervention schools offered (P = 0.04) and sold (P = 0.07) a higher proportion of healthier foods on a la carte, but no effects were seen for fruit and vegetables sales as part of the regular meal pattern lunch.Conclusion Our results show mixed results for positively influencing adolescents' school and home environments.

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Among 10 studies reporting the proportion of schools implementing a targeted policy, practice, or program versus a minimal or usual practice control, the median unadjusted effect size was 16.2%, ranging from -0.2% to 66.6%.
“For example, among 10 studies reporting the proportion of schools implementing a targeted policy, practice, or program versus a minimal or usual practice control, the median unadjusted effect size was 16.2%, ranging from –0.2% to 66.6%.”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [50]
Thirteen studies, including four RCTs, were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported.
“Thirteen studies, including four RCTs were assessed as unclear risk of selection bias as methods of sequence generation and allocation were not reported [44, 46, 47, 50, 51, 54–56, 58, 64, 66, 67].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [50]
U.S. studies targeting improvements in the availability of fruits and vegetables in à la carte lines typically significantly increased the proportion of schools selling such foods by between 4% and 12%.
“or the proportion of schools selling such foods by between 4% and 12% [50].”
From Improving implementation of school-based healthy eating and physical activity policies, practices, and programs: a systematic review (2021) · cites this paper as [50]

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School-Based Approaches to Affect Adolescents’ Diets: Results From the TEENS Study
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Submitted Article Children’s Consumption of Fruits and Vegetables: Do School Environment and Policies Affect Choices at School and Away from School?
Ishdorj, A., Crepinsek, M. K., & Jensen, H. H. (2012)

Authors: Lytle, L. A., Kubik, M. Y., Perry, C., Story, M., Birnbaum, A. S., & Murray, D. M.
Affiliations: University of Minnesota (US)
Montclair State University (US)
The Ohio State University (US)
Corresponding author: Lytle, Leslie A.
ORCID: Kubik, Martha Y.
Perry, Cheryl
Birnbaum, Amanda S.
Murray, David M.
Venue: Preventive Medicine
Publisher: Elsevier BV
Published: 2006-07
Volume: 43
Issue: 1
Pages: 8-13
ISSN: 0091-7435 (ISSN-L)
DOI: 10.1016/j.ypmed.2006.03.020
OpenAlex: W1963995738
Cited by: 120
References: 39
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 9 · 2018: 7 · 2017: 5 · 2016: 9 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 9
FWCI: 7.34
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Preventive Medicine (publishedVersion)
PubMed (publishedVersion)
Funders: University of Minnesota
National Cancer Institute (R01CA071943, 5R01 CA 71943-03)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
Keywords: school-based intervention, food environment, household food availability, school meals, fruits and vegetables, low-fat snacks, junior high school students, adolescent nutrition, grocery shopping behavior, a la carte menu
MeSH terms: Choice Behavior, Data Collection, Feeding Behavior, Health Promotion, Housing, Humans, Minnesota, Schools

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Influencing healthful food choices in school and home environments: Results from the TEENS study

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