Distributing Free Fresh Fruit and Vegetables at School: Results of a Pilot Outcome Evaluation
Open accessAbstract
Objectives.: Consumption of fruit and vegetables among children is generally below recommended levels. This evaluation addressed two questions: ( 1) To what extent did children's attitudes toward, familiarity with, and preferences for fruit and vegetables change during the school year? and ( 2) To what extent did children's consumption of fruit and vegetables change during the school year? Methods.: During the 2004–2005 school year, the Mississippi Department of Education, Child Nutrition Programs initiated a pilot program to distribute free fruit and vegetables to students (kindergarten through 12th grade) during the school day. Data were collected in 2004–2005 within a one-group pretest/posttest design using a self-report questionnaire ( n=725) and 24-hour dietary recalls ( n=207) with a sample of students from five schools in Mississippi. Data were analyzed in 2006–2007. Results.: Results showed greater familiarity with fruit and vegetables at all grade levels ( p<0.05) and increased preferences for fruit among eighth- and 10th-grade students ( p<0.01). Eighth-grade students also reported more positive attitudes toward eating fruit and vegetables ( p<0.01), increased perceived self-efficacy to eat more fruit ( p<0.01), and increased willingness to try new fruit. Finally, results showed increased consumption of fruit, but not vegetables, among eighth- and 10th-grade students ( p<0.001). Conclusions.: Distributing free fruit and vegetables at school may be a viable component of a more comprehensive approach for improving students' nutrition attitudes and behaviors. More program emphasis is needed on ways to promote vegetable consumption.
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Two studies of a fresh fruit and vegetable program demonstrated significant increases in fruit consumption; greater familiarity with and preferences for fruits and vegetables were demonstrated in at least some age groups in 1 study.
“Greater familiarity with and preferences for fruits and vegetables were demonstrated in at least some age groups in 1 study,239 and both studies demonstrated significant increases in fruit consumption.”
From Population Approaches to Improve Diet, Physical Activity, and Smoking Habits: A Scientific Statement From the American Heart Association (2012) · cites this paper as [239]
Cites
Development of eating behaviors among children and adolescents.
Birch, L. L., & Fisher, J. O. (1998) · Pediatrics · doi:10.1542/peds.101.s2.539 · Cited by 2,282 · see citing works
Childhood overweight: a contextual model and recommendations for future research
Davison, K. K., & Birch, L. (2001) · Obesity Reviews · doi:10.1046/j.1467-789x.2001.00036.x · Cited by 1,431 · see citing works
Dietary Guidelines for Americans 2005
SKOLNIK, N., & King, M. (2005) · Family Practice News · doi:10.1016/s0300-7073(05)71075-6 · Cited by 1,071 · see citing works
Luepker, R. V. (1996) · JAMA · doi:10.1001/jama.1996.03530340032026 · Cited by 1,023 · see citing works
Dietary Guidelines for Americans, 2005
Mosocco, D. J. (2006) · Home Healthcare Now · doi:10.1097/00004045-200610000-00002 · Cited by 801 · see citing works
Family Dinner and Diet Quality Among Older Children and Adolescents
Gillman, M. W. (2000) · Archives of Family Medicine · doi:10.1001/archfami.9.3.235 · Cited by 772 · see citing works
Skinner, J. D., Carruth, B. R., Bounds, W., & Ziegler, P. J. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90349-4 · Cited by 771 · see citing works
Jones, G. H. (1975) · De Gruyter eBooks · doi:10.1515/9783110890594-003 · Cited by 749 · see citing works
Influences on adolescent eating patterns: the importance of family meals
Videon, T. M., & Manning, C. K. (2003) · Journal of Adolescent Health · doi:10.1016/s1054-139x(02)00711-5 · Cited by 684 · see citing works
Wardle, J., Herrera, M.-L., Cooke, L. J., & Gibson, E. L. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601541 · Cited by 636 · see citing works
Parental influences on young girls’ fruit and vegetable, micronutrient, and fat intakes
Fisher, J. O., Mitchell, D. C., Smiciklas‐Wright, H., & Birch, L. L. (2002) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(02)90017-9 · Cited by 611 · see citing works
Correlates of fruit and vegetable intake among adolescents
Neumark‐Sztainer, D., Wall, M. M., Perry, C. L., & Story, M. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00114-2 · Cited by 528 · see citing works
Cullen, K. W., Baranowski, T., Owens, E. W., Marsh, T., Rittenberry, L., & de Moor, C. (2003) · Health Education & Behavior · doi:10.1177/1090198103257254 · Cited by 484 · see citing works
Johnson, R. K., Driscoll, P. A., & Goran, M. I. (1996) · Journal of the American Dietetic Association · doi:10.1016/s0002-8223(96)00293-3 · Cited by 470 · see citing works
Pass the sugar, pass the salt: experience dictates preference.
Sullivan, S. A., & Birch, L. L. (1990) · Developmental Psychology · doi:10.1037/0012-1649.26.4.546 · Cited by 450 · see citing works
Neumark-Sztainer, D., Story, M., Hannan, P. J., & Croll, J. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.5.844 · Cited by 440 · see citing works
Gimme 5 Fruit, Juice, and Vegetables for Fun and Health: Outcome Evaluation
Baranowski, T., Davis, M. A., Resnicow, K., Baranowski, J. C., Doyle, C., Lin, L. S., Smith, M. J., & Wang, D. T. (2000) · Health Education & Behavior · doi:10.1177/109019810002700109 · Cited by 356 · see citing works
Perry, C. L., Bishop, D., Taylor, G., Murray, D. M., Mays, R. W., Dudovitz, B., Smyth, M., & Story, M. T. (1998) · American Journal of Public Health · doi:10.2105/ajph.88.4.603 · Cited by 339 · see citing works
Elementary school-aged children's reports of their health: A cognitive interviewing study
Rebok, G. W., Riley, A. G., Forrest, C. B., Starfield, B. H., Green, B. F., Robertson, J., & Tambor, E. S. (2001) · Quality of Life Research · doi:10.1023/a:1016693417166 · Cited by 330 · see citing works
Validation of 24-hour recalls assisted by food records in third-grade children
Lytle, L. A., Nichaman, M. Z., Obarzanek, E., Glovsky, E., Hoelscher, D. M., Nicklas, T. A., ZIVE, M. M., & Feldman, H. A. (1993) · Journal of the American Dietetic Association · doi:10.1016/0002-8223(93)92247-u · Cited by 299 · see citing works
Social-cognitive predictors of fruit and vegetable intake in children.
Resnicow, K., Davis-Hearn, M., Smith, M. J., Baranowski, T., Lin, L. S., Baranowski, J., Doyle, C., & Wang, D. T. (1997) · Health Psychology · doi:10.1037//0278-6133.16.3.272 · Cited by 277 · see citing works
Trends in Adolescent Fruit and Vegetable Consumption, 1999–2004
Larson, N. I., Neumark-Sztainer, D., Hannan, P. J., & Story, M. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2006.10.011 · Cited by 239 · see citing works
Social-cognitive predictors of fruit and vegetable intake in children.
Resnicow, K., Davis-Hearn, M., Smith, M. J., et al. (1997) · Health Psychology · doi:10.1037/0278-6133.16.3.272 · Cited by 188 · see citing works
Nicklas, T., Johnson, C. C., Myers, L., Farris, R., & Cunningham, A. (1998) · Journal of School Health · doi:10.1111/j.1746-1561.1998.tb06348.x · Cited by 171 · see citing works
Measuring Fruit and Vegetable Preferences Among 4th- and 5th-Grade Students
Domel, S. B., Baranowski, T., Davis, H., Leonard, S. B., Riley, P. L., & Baranowski, J. C. (1993) · Preventive Medicine · doi:10.1006/pmed.1993.1078 · Cited by 153 · see citing works
“Healthy-Start”: Outcome of an Intervention to Promote a Heart Healthy Diet in Preschool Children
Williams, C. L., Bollella, M. C., Strobino, B. A., Spark, A., Nicklas, T. A., Tolosi, L. B., & Pittman, B. P. (2002) · Journal of the American College of Nutrition · doi:10.1080/07315724.2002.10719195 · Cited by 112 · see citing works
Sensory control of energy density at different life stages.
Drewnowski, A. (2000) · PubMed · Cited by 88 · see citing works
Free school fruit--sustained effect 1 year later
Bere, E. T. (2005) · Health Education Research · doi:10.1093/her/cyh063 · Cited by 82 · see citing works
Drewnowski, A. (2000) · Proceedings of The Nutrition Society · doi:10.1017/s0029665100000264 · Cited by 80 · see citing works
Luepker, R. V., Perry, C. L., McKinlay, S. M., Nader, P., Parcel, G., & Stone, E. (1996) · The Journal of Pediatrics · doi:10.1016/s0022-3476(96)70091-4 · Cited by 75 · see citing works
Fogarty, A., Antoniak, M. D., Venn, A. J., Davies, L., Goodwin, A. M., Salfield, N., Stocks, J., Britton, J. R., & Lewis, S. (2007) · International Journal of Epidemiology · doi:10.1093/ije/dym133 · Cited by 53 · see citing works
Jamelske, E. M., Bica, L. A., McCarty, D. J., & Meinen, A. M. (2008) · PubMed · Cited by 43 · see citing works
Encouraging consumption of fruit and vegetables by young people through school-based interventions
Acheampong, R., Woolfe, J., & Levy, L. (2003) · Journal of Biological Education · doi:10.1080/00219266.2003.9655866 · Cited by 6 · see citing works
Therapie der Weichgewebstumoren
Bruch, H.-P., & Kern, E. (2008) · DMW - Deutsche Medizinische Wochenschrift · doi:10.1055/s-2008-1069905 · Cited by 6 · see citing works
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Cited by
Sorted by citations
Mozaffarian, D., Afshin, A., Benowitz, N. L., Bittner, V., Daniels, S. R., Franch, H. A., Jacobs, D. R., Kraus, W. E., Kris-Etherton, P. M., Krummel, D. A., et al. (2012) · Circulation · doi:10.1161/cir.0b013e318260a20b · Cited by 601 · see citing works
Micha, R., Karageorgou, D., Bakogianni, I., Trichia, E., Whitsel, L. P., Story, M. T., Peñalvo, J. L., & Mozaffarian, D. (2018) · PLoS ONE · doi:10.1371/journal.pone.0194555 · Cited by 541 · see citing works
Afshin, A., Peñalvo, J. L., Gobbo, L. C. D., Kashaf, M. S., Micha, R., Morrish, K., Pearson‐Stuttard, J., Rehm, C. D., Shangguan, S., Smith, J. D., et al. (2015) · Current Cardiology Reports · doi:10.1007/s11886-015-0658-9 · Cited by 182 · see citing works
Fung, C., McIsaac, J. D., Kuhle, S., Kirk, S., & Veugelers, P. J. (2013) · Preventive Medicine · doi:10.1016/j.ypmed.2013.07.016 · Cited by 110 · see citing works
Pineda, E., Bascuñán, J., & Sassi, F. (2021) · Obesity Reviews · doi:10.1111/obr.13176 · Cited by 104 · see citing works
Nørnberg, T. R., Houlby, L., Skov, L. R., & Pérez-Cueto, F. J. A. (2015) · Perspectives in Public Health · doi:10.1177/1757913915596017 · Cited by 98 · see citing works
Rosettie, K. L., Micha, R., Cudhea, F., Peñalvo, J. L., O’Flaherty, M., Pearson‐Stuttard, J., Economos, C. D., Whitsel, L. P., & Mozaffarian, D. (2018) · PLoS ONE · doi:10.1371/journal.pone.0200378 · Cited by 72 · see citing works
Singh, R., Nisha, R., Naik, R., Upendar, K., Nickhil, C., & Deka, S. C. (2024) · Journal of Food Measurement & Characterization · doi:10.1007/s11694-024-02789-z · Cited by 72 · see citing works
Ohri‐Vachaspati, P., Turner, L. R., & Chaloupka, F. J. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.02.025 · Cited by 56 · see citing works
Dietary Monitoring Tools for Risk Assessment
Gavrieli, A., Naska, A., Konstantinidi, C., Berry, R., Roe, M. A., Harvey, L. J., Finglas, P. M., Glibetić, M., Gurinović, M. A., & Trichopoulou, A. (2014) · EFSA Supporting Publications · doi:10.2903/sp.efsa.2014.en-607 · Cited by 53 · see citing works
Goldberg, J. P., Folta, S. C., Eliasziw, M., Koch‐Weser, S., Economos, C. D., Hubbard, K. L., Tanskey, L. A., Wright, C. M., & Must, A. (2015) · Preventive Medicine · doi:10.1016/j.ypmed.2015.02.010 · Cited by 48 · see citing works
Potter, S. C., Schneider, D., Coyle, K. K., May, G., Robin, L. E., & Seymour, J. (2011) · Journal of School Health · doi:10.1111/j.1746-1561.2010.00580.x · Cited by 42 · see citing works
Self-citationGanann, R., Fitzpatrick‐Lewis, D., Ciliska, D. K., & Peirson, L. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-711 · Cited by 35 · see citing works
Food consumption in the UK: Trends, attitudes and drivers
d'Angelo, C., Gloinson, E. R., Draper, A., & Guthrie, S. (2020) · RAND Corporation eBooks · doi:10.7249/rr4379 · Cited by 33 · see citing works
Sharma, S. V., Helfman, L., Albus, K., Pomeroy, M., Chuang, R., & Markham, C. M. (2015) · The Journal of Primary Prevention · doi:10.1007/s10935-015-0395-2 · Cited by 34 · see citing works
Ismail, M. R., Seabrook, J. A., & Gilliland, J. (2020) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2020.101281 · Cited by 30 · see citing works
Paxton, A. E., Baxter, S. D., Fleming, P. L., & Ammerman, A. (2011) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2010.11.017 · Cited by 25 · see citing works
Ismail, M. R., Seabrook, J. A., & Gilliland, J. (2021) · Public Health Nutrition · doi:10.1017/s1368980021001683 · Cited by 27 · see citing works
Mohammadi, S., Su, T. T., Jalaludin, M. Y., Dahlui, M., Mohamed, M. N. A., Papadaki, A., Jago, R., Toumpakari, Z., & Majid, H. A. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.549637 · Cited by 22 · see citing works
Hector, D., Edwards, S., Gale, J., & Ryan, H. (2017) · Health Promotion Journal of Australia · doi:10.1071/he16095 · Cited by 16 · see citing works
Hovdenak, I. M., Bere, E. T., & Stea, T. H. (2019) · Nutrition Journal · doi:10.1186/s12937-019-0501-z · Cited by 10 · see citing works
Cunha, D. B., Verly, E., Paravidino, V. B., Araújo, M. C., Mediano, M. F. F., Sgambato, M. R., de Souza, B. D. S. N., Marques, E. S., Baltar, V. T., de Oliveira, A. S. D., et al. (2017) · Medicine · doi:10.1097/md.0000000000008898 · Cited by 9 · see citing works
Sharkey, J. R., & Smith, A. (2023) · Nutrients · doi:10.3390/nu15224851 · Cited by 8 · see citing works
Lin, Y., & Fly, A. D. (2016) · Journal of School Health · doi:10.1111/josh.12432 · Cited by 8 · see citing works
Lin, Y., & Fly, A. D. (2016) · Nutrition Research and Practice · doi:10.4162/nrp.2016.10.3.321 · Cited by 7 · see citing works
Martínez, S., Álvarez, S., Marín, R. M., & Delgado, M. D. M. (2022) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2022.157796 · Cited by 7 · see citing works
Masis, N., Johnson, S. L., McCaffrey, J., & Chapman‐Novakofski, K. (2017) · Journal of Nutrition Education and Behavior · doi:10.1016/j.jneb.2017.05.349 · Cited by 7 · see citing works
Kaur, S., Ng, C. M., Chin, K. H., Yap, R. W. K., Yim, H. S., & Mukhtar, F. (2020) · Jurnal Gizi dan Pangan · doi:10.25182/jgp.2020.15.3.139-148 · Cited by 6 · see citing works
Bromley, H. (2014) · Cited by 6 · see citing works
González, C. G., Isabel Zacarías, H., Alejandra Domper, R., Lilian Fonseca, M., Lera, L., & Fernando Vio del, R. (2014) · Revista chilena de nutrición · doi:10.4067/s0717-75182014000300001 · Cited by 6 · see citing works
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Crawford, P. B., Woodward-Lopez, G. M., Gosliner, W. A., & Webb, K. (2013) · California Agriculture · doi:10.3733/ca.v067n01p21 · Cited by 4 · see citing works
Kang, M., Park, J., Kim, Y., Son, K., Park, K. H., & Lim, H. (2026) · Nutrition Research · doi:10.1016/j.nutres.2026.01.006 · Cited by 3 · see citing works
Ismail, M. R., Gilliland, J., Matthews, J. I., Beverley, J., & Battram, D. S. (2023) · Canadian Journal of Dietetic Practice and Research · doi:10.3148/cjdpr-2022-042 · Cited by 3 · see citing works
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Price, M. (2023) · Advances in Social Sciences Research Journal · doi:10.14738/assrj.104.14413 · Cited by 1 · see citing works
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- Authors
- Coyle, K. K., Potter, S., Schneider, D., May, G., Robin, L. E., Seymour, J., & Debrot, K.
- Affiliations
- Education Training And Research (US)
- Mississippi Department of Education (US)
- Centers for Disease Control and Prevention (US)
- Corresponding author
- Coyle, Karin K.
- Venue
- Public Health Reports®
- Publisher
- SAGE Publications
- Published
- 2009-09
- Volume
- 124
- Issue
- 5
- Pages
- 660-669
- ISSN
- 0033-3549 (ISSN-L)
- 1468-2877
- PMC
- PMC2728658
- OpenAlex
- W120878502
- Cited by
- 48
- References
- 33
- Citations by year
- 2026: 2 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 3 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 6 · 2013: 2 · 2012: 6
- FWCI
- 2.90
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Public Health Reports (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (200-2002-00800)
- 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 › General Health Professions › Food Security and Health in Diverse Populations
- Keywords
- food preferences, food familiarity, self-efficacy, willingness to try new foods, child nutrition programs
- MeSH terms
- Adolescent, Child, Diet Surveys, Female, Food Preferences, Food Services, Fruit, Humans, Health Knowledge, Attitudes, Practice, Male, Mississippi, Nutritional Requirements, Pilot Projects, School Health Services, Vegetables, Program Evaluation, Self Efficacy
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