© 2004 American Public Health Association
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. This article has been cited by other articles:
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