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September 2004, Vol 94, No. 9 | American Journal of Public Health 1507-1512
© 2004 American Public Health Association

ADDRESSING CHILDHOOD OBESITY

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

Simone A. French, PhD, Mary Story, PhD, Jayne A. Fulkerson, PhD and Peter Hannan, MStat

The authors are with the University of Minnesota, Division of Epidemiology, Minneapolis, Minn.

Correspondence: Requests for reprints should be sent to Simone A. French, PhD, University of Minnesota, Division of Epidemiology, 1300 South Second St, Suite 300, Minneapolis, MN 55454 (e-mail: french{at}epi.umn.edu).

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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