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What stops healthy choices?

Published online by Cambridge University Press:  01 July 2007

Agneta Yngve*
Affiliation:
Editor-in-Chief
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Abstract

Type
Editorial
Copyright
Copyright © The Author 2007

UK school meals: no better

According to the UK National Diet and Nutrition SurveyReference Gregory, Lowe, Bates, Prentice, Jackson and Smithers1, in 1997 the contribution to the daily intake of energy and several nutrients from school lunch was around 25–30% of the total. This has meant a great deal to the three million schoolchildren in England who eat in school. Recent years have seen attempts to change the British school meals towards healthier options. From the paper in the present issue by Nelson et al. Reference Nelson, Lowes and Hwang2, it is evident that school lunch choices are now less healthy than what is eaten outside school. Apparently, we cannot expect children to do healthy choices over ‘tasty’ choices or well-known choices.

The authors conclude that limiting the range of foods to healthier options is probably essential to achieving better dietary intake among schoolchildren. But a firmer grip on what is served may lead to fewer children actually eating in school. A delicate dilemma indeed. We look forward to more results from the Nutrition Group of the UK School Meals Review Panel.

Fruit and vegetables: knowledge helps

Some suggestions on how to improve fruit and vegetable consumption are found in three other papers in this issue. The paper by Ashfield-Watt et al. Reference Ashfield-Watt, Welch, Godward and Bingham3 describes how the success of community interventions on fruit and vegetable intakes is highly predicted by other habits, such as smoking. This community intervention points out awareness of the optimal intake of fruit and vegetables as one important factor for increased intake in a community intervention.

Another factor is of course availability. The paper by Jago et al. Reference Jago, Baranowski and Baranowski4 again reveals fruit and vegetable availability being a key proximal determinant of consumption. However, Watters et al. Reference Watters, Satia and Galanko5 point to the need to focus on predisposing factors, such as knowledge, self-efficacy and attitudes.

Breastmilk substitutes: breaking the code

One-third of investigated community health-care facilitiesReference McInnes, Wright, Haq and McGranachan6 in the Glasgow area were still in 2005 displaying materials that did not comply with the World Health Organization's International Code of Marketing of Breast-milk Substitutes7. This is a disturbing finding. The experience in Sweden is that reported violations of the Code rarely lead to action from the authorities.

Renfrew and colleagues, in a critique of the evidence base of interventions to promote and support breastfeeding, conclude that more research is needed, especially on policy and practices in the UKReference Renfrew, Spiby, D'Souza, Wallace, Dyson and McCormick8.

References

1Gregory, J, Lowe, S, Bates, CJ, Prentice, A, Jackson, L, Smithers, G, et al. . National Diet and Nutrition Survey: Young People aged 4–18 years. London: The Stationery Office, 2000.Google Scholar
2Nelson, M, Lowes, K, Hwang, V. The contribution of school meals to food consumption and nutrient intakes of young people aged 4–18 years in England. Public Health Nutrition 2007; 10(7): 652662.CrossRefGoogle ScholarPubMed
3Ashfield-Watt, PAL, Welch, AA, Godward, S, Bingham, SA. Effect of a pilot community intervention on fruit and vegetable intakes: use of FACET (Five-a-day Community Evaluation Tool). Public Health Nutrition 2007; 10(7): 671680.Google Scholar
4Jago, R, Baranowski, T, Baranowski, JC. Fruit and vegetable availability: a micro environmental mediating variable? Public Health Nutrition 2007; 10(7): 681689.Google Scholar
5Watters, JL, Satia, JA, Galanko, JA. Associations of psychosocial factors with fruit and vegetable intake among African-Americans. Public Health Nutrition 2007; 10(7): 701711.CrossRefGoogle ScholarPubMed
6McInnes, RJ, Wright, C, Haq, S, McGranachan, M. Who's keeping the code? Compliance with the international code for the marketing of breast-milk substitutes in Greater Glasgow. Public Health Nutrition 2007; 10(7): 719725.Google Scholar
7WHO. International Code of Marketing of Breast-milk Substitutes [online], 1981. Available at http://www.who.int/nutrition/publications/code_english.pdf. Accessed 4 May 2007.Google Scholar
8Renfrew, M, Spiby, H, D'Souza, L, Wallace, L, Dyson, L, McCormick, F. Rethinking research in breast-feeding: a critique of the evidence base identified in a systematic review of interventions to promote and support breast-feeding. Public Health Nutrition 2007; 10(7): 726732.Google Scholar