Australian school canteens: menu guideline adherence or avoidance?
Julie Woods A D , Alex Bressan B , Corrina Langelaan C , Angela Mallon C and Claire Palermo BA School of Exercise and Nutrition Sciences, Deakin University, Burwood, Vic. 3125, Australia.
B Department of Nutrition and Dietetics, Monash University, Level 1, 264 Ferntree Gully Road, Notting Hill, Vic. 3168, Australia.
C The Parents’ Jury†, 570 Elizabeth Street, Melbourne, Vic. 3000, Australia.
D Corresponding author. Email: j.woods@deakin.edu.au
Health Promotion Journal of Australia 25(2) 110-115 https://doi.org/10.1071/HE14009
Submitted: 2 March 2014 Accepted: 10 July 2014 Published: 9 September 2014
Journal Compilation © Australian Health Promotion Association 2014
Abstract
Issue addressed: Since 2005, all states and territories across Australia have progressively introduced policy guidelines to promote nutritious food sales in school canteens. This study aimed to assess the compliance of school canteens with their state or territory canteen guidelines.
Methods: School canteen menus from a convenience sample of online government school websites were assessed for compliance with guidelines for the inclusion of foods meeting the criteria for ‘red’ (‘not recommended’ or ‘only occasional – no more than twice per term’), ‘amber’ (‘select carefully’) and ‘green’ (‘always on the menu’, ‘everyday’, ‘fill the menu’ or ‘plenty’). The costs of a salad and a regular pie were also collected where present.
Results: A total of 263 school menus were sourced and assessed (4% of government schools). Western Australia was the most compliant, with 62% of menus adhering to the state guidelines; compliance in other jurisdictions ranged from 5–35%. Compared with primary schools, a higher proportion of secondary schools offered ‘red’ items on the menu (P < 0.05). The mean cost of a regular pie (A$3.17 ± 0.51) was significantly cheaper than the cost of a salad (A$4.25 ± 0.82) (P < 0.001). A range of discretionary food items were present on a large proportion of menus.
Conclusion: This study found that the majority of school canteens were not complying with relevant state or territory guidelines, particularly those schools in which no monitoring or enforcement of the guidelines was conducted.
So what?: Monitoring and enforcement by those responsible for the policy, together with efforts to build the capacity for schools and manufacturers to improve the food supply, may increase compliance.
Key words: menu guidelines, nutrition, school canteen.
References
[1] Covic T, Roufeil L, Dziurawiec S (2007) Community beliefs about childhood obesity: its causes, consequences and potential solutions. J Public Health (Oxf) 29, 123–31.| Community beliefs about childhood obesity: its causes, consequences and potential solutions.Crossref | GoogleScholarGoogle Scholar |
[2] Waters E, de Silva-Sanigorski A, Brurford B, Brown T, Campbell KJ, Gao Y, et al (2011) Interventions for preventing obesity in children. Cochrane Database Syst Rev 12
| Interventions for preventing obesity in children.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXpt1equ7Y%3D&md5=2fb98cca04c858d76281f4391ea1f508CAS |
[3] Rangan A, Schindeler S, Hector D, Gill T, Webb K (2009) Consumption of ‘extra’ foods by Australian adults: types, quantities and contribution to energy and nutrient intake. Eur J Clin Nutr 63, 865–71.
| Consumption of ‘extra’ foods by Australian adults: types, quantities and contribution to energy and nutrient intake.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BD1MXnvVOmsb4%3D&md5=a649bca4f2dbf07f98bb64f8cea910deCAS | 18957970PubMed |
[4] Bell A, Swinburn B (2004) What are the key food groups to target for preventing obesity and improving nutrition in schools? Eur J Clin Nutr 58, 258–63.
| What are the key food groups to target for preventing obesity and improving nutrition in schools?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2c%2FkvVChsg%3D%3D&md5=fa4eb95f1b4f2a3c9e30211f49b17904CAS | 14749745PubMed |
[5] Rana L, Alvaro R (2010) Applying a Health Promoting Schools approach to nutrition interventions in schools: key factors for success. Health Promot J Austr 21, 106–13.
[6] Brady S, Bell A, Swinburn B, St Leger L, Catford J. Evaluation of quality practice in the promotion of healthy eating and physical activity in Australian schools. Melbourne, Australia: Deakin University; 2003.
[7] Silva-Sanigorski A, Breheny T, Jones L, Lacy K, Kremer P, Carpenter L, et al (2011) Government food service policies and guidelines do not create healthy school canteens. Aust N Z J Public Health 35, 117–21.
| Government food service policies and guidelines do not create healthy school canteens.Crossref | GoogleScholarGoogle Scholar | 21463405PubMed |
[8] Cleland V, Worsley A, Crawford D (2004) What are Grade 5 and 6 children buying from school canteens and what do parents and teachers think about it? Nutr Diet 61, 145–50.
[9] Finch M, Sutherland R, Harrison M, Collins C (2006) Canteen purchasing practices of Year 1–6 primary school children and association with SES and weight status. Aust N Z J Public Health 30, 247–51.
| Canteen purchasing practices of Year 1–6 primary school children and association with SES and weight status.Crossref | GoogleScholarGoogle Scholar | 16800201PubMed |
[10] National Health and Medical Research Council. Eat for health. Australian dietary guidelines summary. Canberra: Australian Government, Department of Health and Ageing; 2013. Available from: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n55a_australian_dietary_guidelines_summary_131014.pdf [Verified 17 November 2013].
[11] Pettigrew S, Pescud M, Donovan R (2012) Traffic light food labelling in schools and beyond. Health Educ J 71, 746–53.
| Traffic light food labelling in schools and beyond.Crossref | GoogleScholarGoogle Scholar |
[12] Australian Bureau of Statistics. Australian schools 2010. Canberra: Australian Bureau of Statistics; 2011.
[13] Lee A, Mhurchu C, Sacks G, Swinburn B, Snowdon W, Vandevijvere S, et al (2013) Monitoring the price and affordability of foods and diets globally. Obes Rev 14, 82–95.
[14] Xyris. FoodWorks 7. Kenmore Hills, Queensland: Xyris Software (Australia) Pty Ltd; 2012.
[15] Ardzejewska K, Tadros R, Baxter D (2013) A descriptive study on the barriers and facilitators to implementation of the NSW (Australia) Healthy School Canteen Strategy. Health Educ J 72, 136–45.
| A descriptive study on the barriers and facilitators to implementation of the NSW (Australia) Healthy School Canteen Strategy.Crossref | GoogleScholarGoogle Scholar |
[16] Pettigrew S, Donovan R, Jalleh G, Pescud M, Cowie S. Addressing childhood obesity through school canteens. Report to the WA Department of Education and Training. Perth, Western Australia: The University of Western Australia and the Centre for Behavioural Research in Cancer Control, Curtin University; 2009.
[17] Robles B, Wood M, Kimmons J, Kuo T (2013) Comparison of nutrition standards and other recommended procurement practices for improving institutional food offerings in Los Angeles county, 2010–2012. Adv Nutr 4, 191–202.
| Comparison of nutrition standards and other recommended procurement practices for improving institutional food offerings in Los Angeles county, 2010–2012.Crossref | GoogleScholarGoogle Scholar | 23493535PubMed |
[18] Moore S, Murphy S, Tapper K, Moore L (2010) From policy to plate: barriers to implementing healthy eating policies in primary schools in Wales. Health Policy 94, 239–45.
| From policy to plate: barriers to implementing healthy eating policies in primary schools in Wales.Crossref | GoogleScholarGoogle Scholar | 19896747PubMed |
[19] Jilcott S, Ammerman A, Sommers J, Glasgow R (2007) Applying the RE-AIM framework to assess the public health impact of policy change. Ann Behav Med 34, 105–14.
| Applying the RE-AIM framework to assess the public health impact of policy change.Crossref | GoogleScholarGoogle Scholar | 17927550PubMed |
[20] Innes-Hughes C, Hebden L, King L, Grunseit A, Bolger G (2012) Green and amber foods: the nutritional content of food and beverages registered for sale in New South Wales school canteens with Healthy Kids Association. Nutr Diet 69, 111–8.
| Green and amber foods: the nutritional content of food and beverages registered for sale in New South Wales school canteens with Healthy Kids Association.Crossref | GoogleScholarGoogle Scholar |
[21] National Health and Medical Research Council. Australian guide to healthy eating. Canberra: Australian Government, Department of Health and Ageing; 2013. Available from: http://www.nhmrc.gov.au/_files_nhmrc/publications/attachments/n55i_australian_guide_to_healthy_eating.pdf [Verified 29 January 2014].
[22] Mhurchu C, Blakely T, Jiang Y, Eyles H, Rodgers A (2010) Effects of price discounts and tailored nutrition education on supermarket purchases: a randomized controlled trial. Am J Clin Nutr 91, 736–47.
| Effects of price discounts and tailored nutrition education on supermarket purchases: a randomized controlled trial.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3cXisFynu78%3D&md5=290a027356d8a52b8d3e09e2fef89b4bCAS |
[23] Lee J, Ralston R, Truby H (2011) Influence of food cost on diet quality and risk factors for chronic disease: a systematic review. Nutr Diet 68, 248–61.
| Influence of food cost on diet quality and risk factors for chronic disease: a systematic review.Crossref | GoogleScholarGoogle Scholar |