The School Food Environment in Ghana is Associated With Dietary Diversity and Anemia: Findings From the 2022 National Nutrition and Health Survey of In-School Adolescents.

IF 1.8 4区 医学 Q3 FOOD SCIENCE & TECHNOLOGY
Mica Jenkins, Esi Foriwa Amoaful, Mutala Abdulai, Veronica Quartey, Porbilla Ofosu-Apea, Jevaise Aballo, Maku E Demuyakor, Maria Elena D Jefferds, Nancy J Aburto, Usha Ramakrishnan, Reynaldo Martorell, O Yaw Addo
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引用次数: 0

Abstract

BackgroundSchool food environments may play an important role in shaping children's dietary habits, health, and nutrition.ObjectivesThis study aimed to evaluate associations between the school food environment and nutrition among in-school adolescents in Ghana.MethodsData were collected in Ghana in 2022 in a national nutrition and health survey of adolescents attending junior (JHS) and senior high schools (SHS). Foods observed on campus or reported in the dietary recall were aggregated, a composite Adolescent Dietary Diversity Score (ADDS) was derived, and the proportion achieving minimum dietary diversity was estimated. Multi-level regression models were used to assess associations between a ranked school food environment score (FES) and nutrition outcomes.ResultsThe number of food groups served or available for purchase was 6.2 in JHS and 8.1 in SHS (P-value <.0001). The mean (95% CI) FES was 10.9 (10.1, 11.7) at JHS and 14.3 (13.6, 14.9) at SHS. ADDS ranged from 4.1 to 4.8 across strata. Higher FES was positively associated with ADDS and minimum dietary diversity among SHS students and negatively associated with anemia in girls and boys. Girls from high FES schools had 24% lower odds of anemia (OR: 0.76, 95% CI: 0.63, 0.93) while boys had 46% lower odds (OR: 0.54, 95% CI: 0.34, 0.84) compared to students in low FES schools.ConclusionsHigher FES was associated with greater dietary diversity among SHS students and lower odds of anemia in girls and boys, suggesting that the school food environment may play a role in determining nutrition outcomes.

加纳的学校食物环境与饮食多样性和贫血有关:来自2022年全国在校青少年营养和健康调查的结果。
学校饮食环境可能在塑造儿童的饮食习惯、健康和营养方面发挥重要作用。目的本研究旨在评估加纳在校青少年的学校食物环境与营养之间的关系。方法收集加纳2022年初中和高中青少年营养与健康调查数据。将在校园里观察到的或在膳食召回中报告的食物进行汇总,得出青少年膳食多样性评分(add),并估计达到最低膳食多样性的比例。采用多级回归模型评估学校食品环境评分(FES)与营养结果之间的关系。结果JHS为6.2种,SHS为8.1种(p值)
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来源期刊
Food and Nutrition Bulletin
Food and Nutrition Bulletin 工程技术-食品科技
CiteScore
4.10
自引率
0.00%
发文量
31
审稿时长
18-36 weeks
期刊介绍: The Food and Nutrition Bulletin (FNB,) is a peer-reviewed, academic journal published quarterly by the Nevin Scrimshaw International Nutrition Foundation. The Journal is one of the leading resources used by researchers, academics, nutrition policy makers and planners in over 125 countries to obtain the most current research and policy information related to nutrition in developing countries.
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