School meal provision, health, and cognitive function in a Nordic setting – the ProMeal-study: description of methodology and the Nordic context
Engelsk titel: School meal provision, health, and cognitive function in a Nordic setting – the ProMeal-study: description of methodology and the Nordic context
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Författare:
Waling, Maria
;
Olafsdottir, Anna S
;
Lagström, Hanna
;
Wergedahl, Heg
;
Jonsson, Bert
;
Olsson, Cecilia
;
Fossgard, Eldbjörg
;
Holthe, Asle
;
Talvia, Sanna
;
Gunnarsdottir, Ingibjorg
;
Hörnell, Agneta
Email: maria.waling@umu.se
Språk: Eng
Antal referenser: 42
Dokumenttyp:
Artikel
UI-nummer: 17050019
Sammanfattning
Background: School meals, if both nutritious and attractive, provide a unique opportunity to improve health
equality and public health.
Objective: To describe the study rationale, data collection, and background of participants in the study
‘Prospects for promoting health and performance by school meals in Nordic countries’ (ProMeal). The
general aim was to determine whether overall healthiness of the diet and learning conditions in children can
be improved by school lunches, and to capture the main concerns regarding school lunches among children in
a Nordic context.
Design: A cross-sectional, multidisciplinary study was performed in Finland, Iceland, Norway, and Sweden
on pupils (n837) born in 2003.
Results: In total 3,928 pictures of school lunches were taken to capture pupils’ school lunch intake. A mean of
85% of all parents responded to a questionnaire about socioeconomic background, dietary intake, and
habitual physical activity at home. Cognitive function was measured on one occasion on 93% of the pupils
during optimal conditions with a Stroop and a Child Operation Span test. A mean of 169 pupils also did an
Integrated Visual and Auditory Continuous Performance Test after lunch over 3 days. In total, 37,413 10-sec
observations of classroom learning behavior were performed. In addition, 753 empathy-based stories were
written and 78 focus groups were conducted. The pupils had high socioeconomic status.
Conclusions: This study will give new insights into which future interventions are needed to improve pupils’
school lunch intake and learning. The study will provide valuable information for policy making, not least in
countries where the history of school meals is shorter than in some of the Nordic countries.