Document Detail

Assessing the Impact of Pilot School Snack Programs on Milk and Alternatives Intake in 2 Remote First Nation Communities in Northern Ontario, Canada.
MedLine Citation:
PMID:  23331265     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Canadian Aboriginal youth have poorer diet quality and higher rates of overweight and obesity than the general population. This research aimed to assess the impact of simple food provision programs on the intakes of milk and alternatives among youth in Kashechewan and Attawapiskat First Nations (FNs), Ontario, Canada.
METHODS: A pilot school snack program was initiated in Kashechewan in May 2009 including coordinator training and grant writing support. A supplementary milk and alternatives program was initiated in Attawapiskat in February 2010. Changes in dietary intake were assessed using Web-based 24-hour dietary recalls in grade 6 to 8 students, pre- and 1-week post-program, with a 1-year follow-up in Kashechewan. Student impressions were collected after 1 week using open-ended questions in the Web survey. Teacher and administrator impressions were collected via focus groups after 1 year in Kashechewan.
RESULTS: After 1 week, calcium intake increased in Kashechewan (805.9 ± 552.0 to 1027.6 ± 603.7 mg, p = .044); however, improvements were not sustained at 1 year; milk and alternatives (1.7 ± 1.7 servings to 2.1 ± 1.4 servings, p = .034) and vitamin D (2.5 ± 2.6 to 3.5 ± 3.4 µg, p = .022) intakes increased in Attawapiskat. Impressions of the programs were positive, though limited resources, staff, facilities, and funding were barriers to sustaining the consistent snack provision of the 1-week pilot phase.
CONCLUSION: These illustrations show the potential of snack programs to address the low intakes of milk and alternatives among youth in remote FNs. Community-level constraints must be addressed for sustained program benefits.
Michelle Gates; Rhona M Hanning; Allison Gates; Daniel D McCarthy; Leonard J S Tsuji
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of school health     Volume:  83     ISSN:  1746-1561     ISO Abbreviation:  J Sch Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376370     Medline TA:  J Sch Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  69-76     Citation Subset:  IM; N    
Copyright Information:
© 2013, American School Health Association.
Doctoral Candidate, (, University of Waterloo, School of Public Health and Health Systems, 200 University Ave. West, Waterloo, Ontario N2L 3G1, Canada.
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