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A cross-sectional study to determine the energy density and nutritional quality of primary-school children’s lunchboxes

AbstractObjective:The present study describes the energy content of primary-school children’s lunchboxes and the proportion of lunchbox foods considered discretionary. Subgroup analyses by sex, socio-economic status, age and weight status were undertaken.Design:A cross-sectional study was conducted. Mean kilojoule content, number of items and categorisation of foods and drinks in lunchboxes as ‘everyday’ (healthy) or discretionary (sometimes) foods were assessed via a valid and reliable lunchbox observational audit.Setting:Twelve Catholic primary schools (Kindergarten–Grade 6) located in the Hunter region of New South Wales, Australia.Participants:Kindergarten to Grade 6 primary-school students.Results:In total, 2143 children (57 %) had parental consent to have their lunchboxes observed. School lunchboxes contained a mean of 2748 kJ, of which 61·2 % of energy was from foods consistent with the Australian Dietary Guidelines and 38·8 % of energy was discretionary foods. The proportion of lunchboxes containing only healthy foods was 12 %. Children in Kindergarten–Grade 2 packed more servings of ‘everyday’ foods (3·32 v. 2·98, P < 0·01) compared with children in Grades 3–6. Children in Grades 3–6 had a higher percentage of energy from discretionary foods (39·1 v. 33·8 %, P < 0·01) compared with children in Kindergarten–Grade 2 and children from the most socio-economically disadvantaged areas had significantly higher total kilojoules in the school lunchbox compared with the least disadvantaged students (2842 v. 2544 kJ, P = 0·03).Conclusions:Foods packed within school lunchboxes may contribute to energy imbalance. The development of school policies and population-based strategies to support parents overcome barriers to packing healthy lunchboxes are warranted.
- University of Newcastle Australia Australia
- Swinburne University of Technology Australia
- University of Newcastle Australia Australia
- Hunter New England Local Health District Australia
- Swinburne University of Technology Australia
Male, Parents, school, 370, Diet Surveys, Nutrition Policy, children, Humans, Child, Students, Schools, lunchbox, nutrition, Cross-Sectional Studies, Lunch, school lunchboxes, Female, Diet, Healthy, New South Wales, Energy Intake, childhood obesity, energy density, Nutritive Value
Male, Parents, school, 370, Diet Surveys, Nutrition Policy, children, Humans, Child, Students, Schools, lunchbox, nutrition, Cross-Sectional Studies, Lunch, school lunchboxes, Female, Diet, Healthy, New South Wales, Energy Intake, childhood obesity, energy density, Nutritive Value
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