Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’

Abstract Objective: To evaluate the effectiveness of the multicomponent intervention trial ‘Are You Too Sweet?’ in reducing discretionary foods and drinks intake among young schoolchildren. Design: The study was a 3·5-month two-arm cluster-randomised controlled trial among primary schoolchildren...

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Main Authors: Sidse Marie Sidenius Bestle, Anne Dahl Lassen, Anja Pia Biltoft-Jensen, Jeppe Matthiessen, Sarah Jegsmark Gibbons, Bodil Just Christensen, Bjarne Kjær Ersbøll, Ellen Trolle
Format: Article
Language:English
Published: Cambridge University Press 2024-01-01
Series:Public Health Nutrition
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S1368980024000740/type/journal_article
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author Sidse Marie Sidenius Bestle
Anne Dahl Lassen
Anja Pia Biltoft-Jensen
Jeppe Matthiessen
Sarah Jegsmark Gibbons
Bodil Just Christensen
Bjarne Kjær Ersbøll
Ellen Trolle
author_facet Sidse Marie Sidenius Bestle
Anne Dahl Lassen
Anja Pia Biltoft-Jensen
Jeppe Matthiessen
Sarah Jegsmark Gibbons
Bodil Just Christensen
Bjarne Kjær Ersbøll
Ellen Trolle
author_sort Sidse Marie Sidenius Bestle
collection DOAJ
description Abstract Objective: To evaluate the effectiveness of the multicomponent intervention trial ‘Are You Too Sweet?’ in reducing discretionary foods and drinks intake among young schoolchildren. Design: The study was a 3·5-month two-arm cluster-randomised controlled trial among primary schoolchildren and their families. School health nurses provided guidance to families regarding discretionary foods and drinks for the children. Moreover, families were given a variety of knowledge- and capability-building materials to utilise at home. Dietary intake was assessed using a web-based 7-d dietary record. Linear mixed regression models were used to estimate intervention effects as changes in child intake of discretionary foods and drinks and sugar between groups. Setting: Six schools from a Danish municipality were randomised to the intervention group (n 4) or the control group (n 2). Participants: A total of 153 children aged 5–7 years. Results: No significant reduction in the children’s intake of total discretionary foods and drinks or discretionary foods alone was observed between the intervention and control group, while a decreased intake of discretionary drinks of 40·9 % (P = 0·045) was observed compared with control. Secondary subgroup analysis showed that children of parents with shorter educational level significantly reduced their intake of added sugar by 2·9 E% (P = 0·002). Conclusion: The results of this study indicate that multicomponent interventions involving school health nurses may have some effects in reducing, especially, discretionary drinks.
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spelling doaj.art-223d608701c04b078eb72133a64952022024-04-18T09:11:06ZengCambridge University PressPublic Health Nutrition1368-98001475-27272024-01-012710.1017/S1368980024000740Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’Sidse Marie Sidenius Bestle0https://orcid.org/0000-0002-1465-6954Anne Dahl Lassen1Anja Pia Biltoft-Jensen2Jeppe Matthiessen3Sarah Jegsmark Gibbons4Bodil Just Christensen5Bjarne Kjær Ersbøll6Ellen Trolle7Division of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, DenmarkDivision of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, DenmarkDivision of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, DenmarkDivision of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, DenmarkDivision of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, DenmarkDepartment of Biomedical Sciences, University of Copenhagen, Copenhagen, DenmarkDepartment of Applied Mathematics and Computer Science, Technical University of Denmark, Lyngby, DenmarkDivision of Food Technology, National Food Institute, Technical University of Denmark, Henrik Dams Allé, Building 202, Lyngby, Denmark Abstract Objective: To evaluate the effectiveness of the multicomponent intervention trial ‘Are You Too Sweet?’ in reducing discretionary foods and drinks intake among young schoolchildren. Design: The study was a 3·5-month two-arm cluster-randomised controlled trial among primary schoolchildren and their families. School health nurses provided guidance to families regarding discretionary foods and drinks for the children. Moreover, families were given a variety of knowledge- and capability-building materials to utilise at home. Dietary intake was assessed using a web-based 7-d dietary record. Linear mixed regression models were used to estimate intervention effects as changes in child intake of discretionary foods and drinks and sugar between groups. Setting: Six schools from a Danish municipality were randomised to the intervention group (n 4) or the control group (n 2). Participants: A total of 153 children aged 5–7 years. Results: No significant reduction in the children’s intake of total discretionary foods and drinks or discretionary foods alone was observed between the intervention and control group, while a decreased intake of discretionary drinks of 40·9 % (P = 0·045) was observed compared with control. Secondary subgroup analysis showed that children of parents with shorter educational level significantly reduced their intake of added sugar by 2·9 E% (P = 0·002). Conclusion: The results of this study indicate that multicomponent interventions involving school health nurses may have some effects in reducing, especially, discretionary drinks. https://www.cambridge.org/core/product/identifier/S1368980024000740/type/journal_articleChild nutritionFamily-based interventionDiscretionary foodsSchool health nurseDietary guidelines
spellingShingle Sidse Marie Sidenius Bestle
Anne Dahl Lassen
Anja Pia Biltoft-Jensen
Jeppe Matthiessen
Sarah Jegsmark Gibbons
Bodil Just Christensen
Bjarne Kjær Ersbøll
Ellen Trolle
Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
Public Health Nutrition
Child nutrition
Family-based intervention
Discretionary foods
School health nurse
Dietary guidelines
title Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
title_full Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
title_fullStr Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
title_full_unstemmed Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
title_short Reduction in intake of discretionary foods and drinks among Danish schoolchildren: dietary results from the real-life cluster-randomised controlled trial ‘Are You Too Sweet?’
title_sort reduction in intake of discretionary foods and drinks among danish schoolchildren dietary results from the real life cluster randomised controlled trial are you too sweet
topic Child nutrition
Family-based intervention
Discretionary foods
School health nurse
Dietary guidelines
url https://www.cambridge.org/core/product/identifier/S1368980024000740/type/journal_article
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