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American Journal of Public Health logoLink to American Journal of Public Health
. 1998 Mar;88(3):427–433. doi: 10.2105/ajph.88.3.427

Promoting the selection of low-fat milk in elementary school cafeterias in an inner-city Latino community: evaluation of an intervention.

H Wechsler 1, C E Basch 1, P Zybert 1, S Shea 1
PMCID: PMC1508336  PMID: 9518975

Abstract

OBJECTIVES: This study examined the effects of a school-based intervention designed to promote the consumption of low-fat white milk at lunchtime in 6 elementary schools in an inner-city, primarily Latino neighborhood. METHODS: A multifaceted intervention based on social marketing techniques was delivered at 3 randomly selected schools. The school was the unit of assignment and analysis; 6902 children were involved in the study. Milk selection and consumption were measured by sampling discarded milk and/or tallying milk carton disappearance at baseline, immediately postintervention, and at 3 to 4 months follow-up. RESULTS: Immediately postintervention, the mean proportion of sampled milk cartons that contained low-fat milk increased in the intervention schools, from 25% to 57%, but remained constant at 28% in the control schools. Differences between intervention and control schools remained significant at 3 to 4 months follow-up. The intervention was not associated with a decrease in overall milk consumption. CONCLUSIONS: A school-based intervention can lead to significant increases in student consumption of low-fat milk.

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Selected References

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  1. Bartholomew A. M., Young E. A., Martin H. W., Hazuda H. P. Food frequency intakes and sociodemographic factors of elderly Mexican Americans and non-Hispanic whites. J Am Diet Assoc. 1990 Dec;90(12):1693–1696. [PubMed] [Google Scholar]
  2. Basch C. E., Shea S., Zybert P. Food sources, dietary behavior, and the saturated fat intake of Latino children. Am J Public Health. 1992 Jun;82(6):810–815. doi: 10.2105/ajph.82.6.810. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Burghardt J. A., Gordon A. R., Fraker T. M. Meals offered in the National School Lunch Program and the School Breakfast Program. Am J Clin Nutr. 1995 Jan;61(1 Suppl):187S–198S. doi: 10.1093/ajcn/61.1.187S. [DOI] [PubMed] [Google Scholar]
  4. Butrum R. R., Clifford C. K., Lanza E. NCI dietary guidelines: rationale. Am J Clin Nutr. 1988 Sep;48(3 Suppl):888–895. doi: 10.1093/ajcn/48.3.888. [DOI] [PubMed] [Google Scholar]
  5. Chait A., Brunzell J. D., Denke M. A., Eisenberg D., Ernst N. D., Franklin F. A., Jr, Ginsberg H., Kotchen T. A., Kuller L., Mullis R. M. Rationale of the diet-heart statement of the American Heart Association. Report of the Nutrition Committee. Circulation. 1993 Dec;88(6):3008–3029. doi: 10.1161/01.cir.88.6.3008. [DOI] [PubMed] [Google Scholar]
  6. Cresanta J. L., Farris R. P., Croft J. B., Webber L. S., Frank G. C., Berenson G. S. Trends in fatty acid intakes of 10-year-old children, 1973 to 1982. J Am Diet Assoc. 1988 Feb;88(2):178–184. [PubMed] [Google Scholar]
  7. Devaney B. L., Gordon A. R., Burghardt J. A. Dietary intakes of students. Am J Clin Nutr. 1995 Jan;61(1 Suppl):205S–212S. doi: 10.1093/ajcn/61.1.205S. [DOI] [PubMed] [Google Scholar]
  8. Garey J. G., Chan M. M., Parlia S. R. Effect of fat content and chocolate flavoring of milk on meal consumption and acceptability by schoolchildren. J Am Diet Assoc. 1990 May;90(5):719–721. [PubMed] [Google Scholar]
  9. Guthrie H. A. Effect of a flavored milk option in a school lunch program. J Am Diet Assoc. 1977 Jul;71(1):35–40. [PubMed] [Google Scholar]
  10. Jansen G. R., Harper J. M. Consumption and plate waste of menu items served in the National School Lunch Program. J Am Diet Assoc. 1978 Oct;73(4):395–400. [PubMed] [Google Scholar]
  11. Martilotta M., Guthrie H. A. Impact of providing milk options and nutrient information in school lunch progams. J Am Diet Assoc. 1980 Oct;77(4):439–443. [PubMed] [Google Scholar]
  12. Shea S., Basch C. E., Lantigua R., Wechsler H. The Washington Heights-Inwood Healthy Heart Program: a third generation community-based cardiovascular disease prevention program in a disadvantaged urban setting. Prev Med. 1992 Mar;21(2):203–217. doi: 10.1016/0091-7435(92)90019-e. [DOI] [PubMed] [Google Scholar]
  13. Shea S., Basch C. E., Wechsler H., Lantigua R. The Washington Heights-Inwood Healthy Heart Program: a 6-year report from a disadvantaged urban setting. Am J Public Health. 1996 Feb;86(2):166–171. doi: 10.2105/ajph.86.2.166. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Stephenson L. S., Latham M. C., Jones D. V. Milk consumption by black and by white pupils in two primary schools. J Am Diet Assoc. 1977 Sep;71(3):258–262. [PubMed] [Google Scholar]
  15. Summary and recommendations of the Conference on Blood Lipids in Children: optimal levels for early prevention of coronary artery disease. American Heart Foundation, April 18 and 19, 1983. Prev Med. 1983 Nov;12(6):728–740. doi: 10.1016/0091-7435(83)90258-x. [DOI] [PubMed] [Google Scholar]
  16. Thompson F. E., Dennison B. A. Dietary sources of fats and cholesterol in US children aged 2 through 5 years. Am J Public Health. 1994 May;84(5):799–806. doi: 10.2105/ajph.84.5.799. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Thompson F. E., Sowers M. F., Frongillo E. A., Jr, Parpia B. J. Sources of fiber and fat in diets of US women aged 19 to 50: implications for nutrition education and policy. Am J Public Health. 1992 May;82(5):695–702. doi: 10.2105/ajph.82.5.695. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Wechsler H., Basch C. E., Zybert P., Lantigua R., Shea S. The availability of low-fat milk in an inner-city Latino community: implications for nutrition education. Am J Public Health. 1995 Dec;85(12):1690–1692. doi: 10.2105/ajph.85.12.1690. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Weinhouse S., Bal D. G., Adamson R., Dwyer J., Kleinman R. E., Kritchevsky D., Mettlin C. J., Newell G. R., Rivlin R., Wattenberg L. American Cancer Society guidelines on diet, nutrition, and cancer. The Work Study Group on Diet, Nutrition, and Cancer. CA Cancer J Clin. 1991 Nov-Dec;41(6):334–338. doi: 10.3322/canjclin.41.6.334. [DOI] [PubMed] [Google Scholar]
  20. Willett W. Challenges for public health nutrition in the 1990s. Am J Public Health. 1990 Nov;80(11):1295–1298. doi: 10.2105/ajph.80.11.1295. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Winkleby M. A., Albright C. L., Howard-Pitney B., Lin J., Fortmann S. P. Hispanic/white differences in dietary fat intake among low educated adults and children. Prev Med. 1994 Jul;23(4):465–473. doi: 10.1006/pmed.1994.1064. [DOI] [PubMed] [Google Scholar]

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