Amanda Linares, Kaela Plank, Sridharshi C Hewawitharana, Gail Woodward-Lopez
Journal: Public health nutrition 2023;26(6):1152-1162
PMID: 36655480
OBJECTIVE
School-based CalFresh Healthy Living (CFHL) (California's SNAP-Ed) interventions adapted to new learning environments necessitated by COVID-19. We examined the impact of these interventions on student diet and physical activity (PA) outcomes.
DESIGN
Quasi-experimental, two-group, pre-post.
SETTING
California public schools with ≥50 % of students Free and Reduced Price Meal-eligible ( = 47; = 17).
PARTICIPANTS
Fourth- and fifth-grade students who completed the online Eating and Activity Tool for Students at pre and post ( = 1087; = 846 students).
RESULTS
Intervention students reported a significantly greater increase in consumption frequency of total fruit (by 0·16 times/d; = 0·032), driven primarily by a greater increase in 100 % fruit juice (by 0·11 times/d; = 0·007). Intervention students reported a significantly greater increase in total vegetable consumption frequency (by 0·45 times/d; < 0·001) than comparison students. Specifically, intervention students reported increased, whereas comparison students reported decreased, consumption frequencies for starchy vegetables (0·05 . -0·10 times/d, < 0·001), salad/green vegetables (0·01 . -0·11 times/d, = 0·005) and beans (0·04 . -0·03 times/d, = 0·025). Consumption frequency of other vegetables decreased in both groups (-0·01 . -0·09 times/d) but decreased more among comparison students ( = 0·048). No differences in pre-post change in PA outcomes were detected.
CONCLUSIONS
Findings suggest that despite COVID-19-related challenges necessitating programme modifications, CFHL interventions played a role in protecting student consumption of fruit and vegetables during the 2020-2021 school year. Therefore, it appears that school-based CFHL interventions can be a viable means of safeguarding student nutrition at a time when access to nutritious food and PA opportunities are hindered.
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