Gioia Vinci, Reto Stocker
[Evaluation of the role of an advanced practice dietitian in the intensive care unit]
Medizinische Klinik, Intensivmedizin und Notfallmedizin
children consume recommended amount fruit vegetable fv servings changing school food environment costefficient effective approach improving childrens dietary quality great popular support school salad bars means increase childrens fv intake within national school lunch program nslp yet empirical research limited although fv consumption facilitate healthy weight management foods replace high calorie items need enhance understanding salad bars influence childrens diet quality energy intake within nslp particularly important investigate schools communities characterized high poverty students serve particularly likely rely school meals report describes design rationale federallyfunded investigation uses validated methods evaluate school salad bars district plans install salad bars 141 elementary schools 5years facilitating conduct waitlist control cluster randomized controlled trial specifically 12 pairs matched schools randomly selected half receiving salad bar intervention half serving preportioned fvs standard nslp control thus groups different fv presentation methods however schools operate policy requiring students take least one fv serving schools matched title status percent racialethnic minoritized students intake objectively assessed lunch school pair prior baseline 46 weeks salad bars installed post yielding 14160 lunch observations throughout study duration cafeteria sales nslp participation data obtained determine salad bars impact revenues finally implementation factors cafeteria personnels perspectives assessed identify barriers facilitators salad bars use inform sustainability efforts proposed methods current status investigation due covid19 described results great potential inform school nutrition policies programs designed improve dietary quality reduce obesity retrospectively registered 102822 clinicaltrialsgov nct05605483