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Published on: July 29, 2020
Do Higher-Quality Regulatory Measures Promote a Healthier School Food Environment?
Ana Carolyne Lima Lino Sandes1, Ariene Silvado Carmo2, Larissa L Mendes3
1Graduate Program in Nutrition and Health, Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, Brazil.
Stronger school food regulations are linked to healthier eating environments. High-quality regulations increased nutrition education and food prohibitions while decreasing unhealthy options in school canteens.
Area of Science:
- Public Health Nutrition
- Health Policy Research
- School Food Environment Analysis
Background:
- School canteens are critical environments influencing children's dietary habits.
- The impact of regulatory measures on school food environments requires further investigation.
Purpose of the Study:
- To analyze the association between regulatory measure presence/quality and healthy eating promotion in Brazilian school canteens.
- To evaluate the influence of regulations on food and nutrition education, commercialization, and marketing strategies.
Main Methods:
- Cross-sectional study of 2241 private elementary and secondary schools across 27 Brazilian state capitals.
- Assessment of municipal/state regulations using a quality score (≥8 indicating high quality).
- Binary logistic regression and generalized linear models used for analysis.
Main Results:
- Over half of canteens lacked regulations; only 17.8% had high-quality regulations.
- High-quality regulations correlated with increased nutrition education (OR 1.73) and food sale prohibitions (OR 2.49).
- Canteens with high-quality regulations showed lower variety of ultra-processed foods (UpCP) and higher variety of unprocessed/minimally processed foods (UMPCP).
Conclusions:
- The presence and quality of regulatory measures significantly enhance school food environments.
- Well-structured public policies, particularly high-quality regulations, positively impact healthy eating promotion in schools.
- Policy interventions are crucial for creating healthier school canteen settings.
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