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Associations between the school food environment, student consumption and body mass index of Canadian adolescents

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dc.contributor.author Mâsse, Louise C
dc.contributor.author Niet-Fitzgerald, Judith Evelyn de
dc.contributor.author Watts, Allison W
dc.contributor.author Naylor, Patti-Jean
dc.contributor.author Saewyc, Elizabeth M
dc.date.accessioned 2015-05-22T17:48:11Z
dc.date.available 2015-05-22T17:48:11Z
dc.date.copyright 2014 en_US
dc.date.issued 2014-03-26
dc.identifier.citation Mâsse et al.: Associations between the school food environment, student consumption and body mass index of Canadian adolescents. International Journal of Behavioral Nutrition and Physical Activity 2014 11:29 en_US
dc.identifier.uri http://www.ijbnpa.org/content/11/1/29
dc.identifier.uri http://dx.doi.org/10.1186/1479-5868-11-29
dc.identifier.uri http://hdl.handle.net/1828/6200
dc.description BioMed Central en_US
dc.description.abstract Background: Increasing attention has been paid to the school food environment as a strategy to reduce childhood obesity. The purpose of this study was to examine associations between the school food environment, students’ dietary intake, and obesity in British Columbia (BC), Canada. Methods: In 2007/08, principal responses about the school environment (N = 174) were linked to grades 7-12 students (N = 11,385) from corresponding schools, who participated in the BC Adolescent Health Survey. Hierarchical mixed-effect regression analyses examined the association between the school food environment and student’s intake of sugar-sweetened beverages (SSBs), food consumption, and body mass index. Analyses controlled for school setting, neighborhood education level and student’s age and sex. Results: School availability of SSBs was positively associated with moderate (Odds Ratio (OR) = 1.15, 95% Confidence Interval (CI) = 1.02-1.30) and high (OR = 1.43, 95% CI = 1.13-1.80) SSB intake as were less healthful school nutrition guidelines for moderate SSB consumers only (OR = 0.65, 95% CI = 0.48-0.88). Availability of SSBs at school and its consumption were positively associated with student obesity (OR = 1.50, 95% CI = 1.12-2.01 and OR = 1.66, 95% CI = 1.19-2.34, respectively) but not with overweight. In contrast, consumption of less healthful food was positively associated with overweight (OR = 1.03, 95% CI = 1.01-1.06). Conclusions: The results of this study provide further evidence to support the important role of schools in shaping adolescents’ dietary habits. Availability and consumption of SSBs, but not less healthful foods, at school were associated with higher adolescent obesity highlighting that other environments also contribute to adolescent obesity. en_US
dc.description.sponsorship This study was funded by the Canadian Institutes of Health Research (CIHR) Institute of Nutrition, Metabolism and the Institute of Human Development, Child and Youth Health 200905GIR-206392-GIR-CAAA-143786. Establishment funds from the Michael Smith Foundation for Health Research were used to collect some of the data. JEDNF received post-doctoral salary support from the CFRI at C&W and from the Heart and Stroke Foundation of Canada. AWW is funded through a CIHR Doctoral Research Award in partnership with the Danone Institute of Canada and through a CIHR fellowship in population interventions for chronic disease prevention in partnership with the Heart and Stroke Foundation of Canada. EMS was funded through an Applied Public Health Chair, CIHR and Public Health Agency of Canada #CPP86374 en_US
dc.language.iso en en_US
dc.publisher International Journal of Behavioral Nutrition and Physical Activity en_US
dc.rights Attribution-NonCommercial-NoDerivs 2.5 Canada *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/2.5/ca/ *
dc.subject School food environment en_US
dc.subject Diet en_US
dc.subject Body mass index en_US
dc.subject School policy en_US
dc.subject Sugar-sweetened beverages en_US
dc.subject Adolescents en_US
dc.title Associations between the school food environment, student consumption and body mass index of Canadian adolescents en_US
dc.type Article en_US
dc.description.scholarlevel Faculty en_US
dc.description.reviewstatus Reviewed en_US


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