Cited by 181Obesity, Physical Activity, DietNutrition, Health and Food BehaviorSchool Health and Nursing Education

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An Environmental Intervention to Promote Lower-Fat Food Choices in Secondary Schools: Outcomes of the TACOS Study

French, Simone A., Story, Mary, Fulkerson, Jayne A., Hannan, Peter·2004·American Journal of Public Health

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Abstract

OBJECTIVES: We evaluated an environmental intervention intended to increase sales of lower-fat foods in secondary school cafeterias. METHODS: Twenty secondary schools were randomly assigned to either an environmental intervention or a control group for a 2-year period. The intervention increased the availability of lower-fat foods and implemented student-based promotions. RESULTS: A steeper rate of increase in sales of lower-fat foods in year 1 (10% intervention vs -2.8% control, P =.002) and a higher percentage of sales of lower-fat foods in year 2 (33.6% intervention vs 22.1% control, P =.04) were observed. There were no significant changes in student self-reported food choices. CONCLUSIONS: School-based environmental interventions to increase availability and promotion of lower-fat foods can increase purchase of these foods among adolescents.

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Authors: French, S. A., Story, M., Fulkerson, J. A., & Hannan, P.
Affiliations: University of Minnesota (US)
ORCID: French, Simone A.
Fulkerson, Jayne A.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2004-09
Volume: 94
Issue: 9
Pages: 1507-1512
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.94.9.1507
OpenAlex: W2061761180
Cited by: 181
References: 27
Citations by year: 2025: 2 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 9 · 2018: 7 · 2017: 9 · 2016: 10 · 2015: 18 · 2014: 6 · 2013: 11 · 2012: 18
FWCI: 8.49
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Public Health (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r18hl061305-04)
National Heart, Lung, and Blood Institute (R18-HL61305)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Keywords: environmental interventions, school canteens, secondary schools, adolescent food choices, food availability, food sales
MeSH terms: Adolescent, Attitude to Health, Child, Dietary Fats, Dietary Services, Female, Food Preferences, Health Education, Humans, Male, Menu Planning, Minnesota, School Health Services, Schools, Time Factors, Diet, Fat-Restricted, Child Nutrition Sciences

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An Environmental Intervention to Promote Lower-Fat Food Choices in Secondary Schools: Outcomes of the TACOS Study

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