Document Detail

Changes in nutrient intakes of elementary school children following a school-based intervention: results from the CATCH Study.
MedLine Citation:
PMID:  8818069     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Twenty-four-hour recalls were used to assess the change in nutrient intake among elementary-age school children exposed to the Child and Adolescent Trial for Cardiovascular Health (CATCH). The purpose of this paper is to compare changes in nutrient intakes between treatment groups, sexes, ethnic groups, and the four CATCH sites. METHODS: Twenty-four-hour recalls were administered to a subsample of the CATCH cohort at baseline in third grade and following the intervention in fifth grade (n = 1,182). Changes in nutrient levels for total energy, dietary cholesterol, and dietary fiber and changes in the proportion of energy from fat, protein, carbohydrate, and fatty acids were studied looking at differences by treatment group, sex, ethnicity, and site. Mixed-model analysis of variance was used to examine the change in nutrient intake, defined as intake at follow-up minus intake at baseline. RESULTS: Students in the intervention schools showed statistically significant differences in the changes in total energy and proportion of energy from total fat, saturated fat, protein, and monounsaturated fat compared with students in the control group. Students in the intervention group decreased their total fat intake from 32.7% of energy to 30.3% of energy and saturated fat from 12.8% of energy to 11.4% of energy. There were no significant differences in intervention effects by ethnic group, sex, or site. Differences in nutrient change between the school-only and the school-plus-family intervention groups were nonsignificant. CONCLUSION: The results show that a school-based intervention can positively influence children's intakes of total fat and saturated fat, suggesting that population-based approaches for reducing cardiovascular risk factors in children are feasible and effective. The results are also important in showing that the intervention was effective in Caucasian, African-American, and Hispanic students, in boys and girls, and across four regions of the United States.
L A Lytle; E J Stone; M Z Nichaman; C L Perry; D H Montgomery; T A Nicklas; M M Zive; P Mitchell; J T Dwyer; M K Ebzery; M A Evans; T P Galati
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Preventive medicine     Volume:  25     ISSN:  0091-7435     ISO Abbreviation:  Prev Med     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-11-05     Completed Date:  1996-11-05     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0322116     Medline TA:  Prev Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  465-77     Citation Subset:  IM    
Division of Epidemiology, University of Minnesota, Minneapolis, Minnesota, 55454, USA.
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MeSH Terms
Analysis of Variance
Cardiovascular Diseases / prevention & control*
Cholesterol, Dietary
Dietary Fats
Energy Intake*
Energy Metabolism
Health Promotion / organization & administration*
Intervention Studies
Nutrition Surveys
Program Evaluation
School Health Services / organization & administration*
Sodium, Dietary
United States
Grant Support
Reg. No./Substance:
0/Cholesterol, Dietary; 0/Dietary Fats; 0/Sodium, Dietary

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