Joe K Gerald, Julia M Fisher, Mark A Brown, Conrad J Clemens, Melissa A Moore, Scott C Carvajal, Donna Bryson, Nikki Stefan, Dean Billheimer, Lynn B Gerald
School-supervised use of a once-daily inhaled corticosteroid regimen: A cluster randomized trial
The Journal of allergy and clinical immunology
schoolbased gardening nutrition education interventions report improvements dietary intake notably fruit vegetables however gardening cooking nutrition randomized controlled trials limited evaluating dietary quality none examined processed food consumption date study examined effects texas sprouts tx sprouts gardening cooking nutrition education intervention compared control unprocessed ultraprocessed food upf consumption predominately lowincome hispanic children tx sprouts schoolbased cluster randomized controlled trial consisted 16 elementary schools randomly assigned either tx sprouts intervention n 8 schools control delayed intervention n 8 schools 3 20162019 tx sprouts schools received outdoor teaching garden 18 1h lessons taught trained educators throughout school year dietary intake data via 2 24h dietary recalls collected random subsample n 468 baseline postintervention foods beverages categorized using nova food classification system eg unprocessed processed ultraprocessed generalized linear mixed effects modeling tested changes percent calories grams nova groups intervention control estimates schools random clusters sample 63 participated free reducedprice lunch program 57 hispanic followed nonhispanic white 21 nonhispanic black 12 intervention compared control resulted increase consumption unprocessed foods 23 compared 18 g p 001 decrease upf 24 compared 14 g p 004 addition hispanic children intervention group increase unprocessed food consumption decrease upf consumption compared nonhispanic children 34 compared 15 g p 005 study results suggest schoolbased gardening cooking nutrition education interventions improve dietary intake specifically increasing unprocessed food consumption decreasing upf consumption trial registered clinicaltrialsgov nct02668744