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Cited by 111Nutrition, Health and Food BehaviorSchool Health and Nursing EducationObesity, Physical Activity, Diet

Community-wide youth nutrition education: long-term outcomes of the Minnesota Heart Health Program

Kelder, Steven H., Perry, Cheryl L., Lytle, Leslie A., Klepp, Knut-Inge·1995·Health Education Research
DOI 10.1093/her/10.2.119-a
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Abstract

The Class of 1989 was part of the Minnesota Heart Health Program, a research and demonstration project designed to reduce cardiovascular disease in three intervention communities. This paper describes the long-term outcomes of a school- and community-based intervention on healthy eating behaviors in one intervention and matched reference community. Beginning in the sixth grade (1983), seven annual waves of behavioral measurements were taken from both communities (baseline N = 2376). Self-reported data were collected at each time period including measures of knowledge and preferences for certain foods, and food salting behavior. Data were analyzed using an ANCOVA model adjusting for baseline dependent variable differences, with the school as the unit of analysis. Knowledge, healthy food choices and restraint in food salting behavior variables were significantly higher throughout most of the follow-up period in the intervention community for females. Males also indicated greater knowledge of healthier choices in the intervention community and greater restraint in salting behavior but results are less conclusive for healthy food choices. These results suggest that multiple intervention components such as behavioral education in schools coupled with community-wide health promotion strategies can produce modest but lasting improvement in adolescent knowledge and choices of heart healthy foods and less frequent food salting practices, and that this improvement is most notable among females.

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  • Community- and school-based long-term media and education campaigns have been effective in improving dietary habits of adults, school-age children, and younger children, as well as reducing adiposity and cardiovascular risk factors in adults.

    “Community- and school-based long-term media and education campaigns have also been effective in improving dietary habits of adults, school-age children, and younger children,45–48 as well as reducing adiposity and cardiovascular risk factors in adults.49”

    From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [46]

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Authors
Kelder, S. H., Perry, C. L., Lytle, L. A., & Klepp, K.-I.
Affiliations
  • The University of Texas Health Science Center at Houston (US)
  • University of Minnesota (US)
  • University of Bergen (NO)
ORCID
Venue
Health Education Research
Publisher
Oxford University Press (OUP)
Published
1995
Volume
10
Issue
2
Pages
119-131
ISSN
  • 0268-1153 (ISSN-L)
  • 1465-3648
DOI
10.1093/her/10.2.119-a
OpenAlex
W2103495334
Cited by
110
References
0
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 6 · 2012: 6
FWCI
7.56
Type
journal article
Language
en
Open access
closed
Locations
  • Health Education Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5r01hl025523-13)
  • National Heart, Lung, and Blood Institute (R01-HL 25523)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • 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
Keywords
youth nutrition education, cardiovascular disease prevention, healthy eating habits, school-based intervention, food preferences, dietary restraint, gender differences
MeSH terms
Adolescent, Adult, Cardiovascular Diseases, Child, Curriculum, Feeding Behavior, Female, Follow-Up Studies, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Minnesota, North Dakota, Risk Factors, Cohort Studies, Program Evaluation, Treatment Outcome, Nutritional Sciences

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