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Related Experiment Videos

The Norwegian School Fruit Programme: evaluating paid vs. no-cost subscriptions.

Elling Bere1, Marit B Veierød, Knut-Inge Klepp

  • 1Department of Nutrition, Faculty of Medicine, University of Oslo, Box 1046 Blindern, 0316 Oslo, Norway. e.t.bere@medisin.uio.no

Preventive Medicine
|May 27, 2005
PubMed
Summary

Providing free fruit or vegetables in Norwegian schools significantly boosts children's intake. While a paid program increased consumption for subscribers, it also widened the gap between subscribers and non-subscribers.

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Area of Science:

  • Public Health Nutrition
  • School Health Interventions
  • Dietary Behavior Research

Background:

  • Investigating the impact of school-based fruit and vegetable programs on children's dietary habits.
  • Evaluating both free provision and a fee-based School Fruit Programme in Norway.

Purpose of the Study:

  • To assess the effectiveness of free daily fruit/vegetable provision in increasing school children's intake.
  • To examine the influence of a fee-based School Fruit Programme on fruit and vegetable consumption.

Main Methods:

  • A longitudinal study involving 795 seventh-grade pupils and their parents across 38 Norwegian schools.
  • Data collected via questionnaires at baseline (autumn 2001) and follow-up (spring 2002).
  • Schools categorized into 'Free fruit' (n=9), 'Paid fruit' (n=9), and 'No fruit' (n=20) groups.

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Main Results:

  • Pupils in 'Free fruit' schools showed significantly higher fruit and vegetable intake (1.1 portions) compared to 'Paid fruit' (0.4 portions) and 'No fruit' (0.2 portions) schools (P < 0.001).
  • Subscribers to the 'Paid fruit' program consumed significantly more fruits and vegetables than non-subscribers within the same schools.
  • The 'Free fruit' intervention demonstrated a clear positive effect on overall fruit and vegetable consumption at school.

Conclusions:

  • Free provision of fruit or vegetables is a highly effective strategy for enhancing school children's intake.
  • The existing School Fruit Programme increases consumption among subscribers but may exacerbate existing dietary disparities.
  • Policy implications suggest that universal free access is more equitable and effective for broad dietary improvement.