The Pathways study: a model for lowering the fat in school meals
Open Access
- 1 April 1999
- journal article
- research article
- Published by Elsevier in The American Journal of Clinical Nutrition
- Vol. 69 (4), 810S-815S
- https://doi.org/10.1093/ajcn/69.4.810s
Abstract
We describe the development and implementation of the Pathways school food service intervention during the feasibility phase of the Pathways study. The purpose of the intervention was to lower the amount of fat in school meals to 30% of energy to promote obesity prevention in third- through fifth-grade students. The Pathways nutrition staff and the food service intervention staff worked together to develop 5 interrelated components to implement the intervention. These components were nutrient guidelines, 8 skill-building behavioral guidelines, hands-on materials, twice yearly trainings, and monthly visits to the kitchens by the Pathways nutrition staff. The components were developed and implemented over 18 mo in a pilot intervention in 4 schools. The results of an initial process evaluation showed that 3 of the 4 schools had implemented 6 of the 8 behavioral guidelines. In an analysis of 5 d of school menus from 3 control schools, the lunch menus averaged from 34% to 40% of energy from fat; when the menus were analyzed by using the food preparation and serving methods in the behavioral guidelines, they averaged 31% of energy from total fat. This unique approach of 5 interrelated food service intervention components was accepted in the schools and is now being implemented in the full-scale phase of the Pathways study in 40 schools for 5 y.Keywords
This publication has 13 references indexed in Scilit:
- Practicing participatory research in American Indian communitiesThe American Journal of Clinical Nutrition, 1999
- Multisite formative assessment for the Pathways study to prevent obesity in American Indian schoolchildrenThe American Journal of Clinical Nutrition, 1999
- Changes in the Nutrient Content of School Lunches: Results from the CATCH Eat Smart Food Service InterventionPreventive Medicine, 1996
- Outcomes of a Field Trial to Improve Children's Dietary Patterns and Physical ActivityJAMA, 1996
- Meeting the Dietary Goals for School Meals by the Year 2000: The CATCH Eat Smart School Nutrition ProgramJournal of Health Education, 1994
- Reducing fat ani sodium in school lunch programs: The LUNCHPOWER! Intervention StudyJournal of the American Dietetic Association, 1992
- Promoting physical activity and a healthful diet among children: results of a school-based intervention study.American Journal of Public Health, 1991
- School Breakfast Program and School PerformanceArchives of Pediatrics & Adolescent Medicine, 1989
- Computerized collection and analysis of dietary intake informationComputer Methods and Programs in Biomedicine, 1989
- Social Learning Theory and the Health Belief ModelHealth Education Quarterly, 1988