We examine the impact of serving fruit smoothies during school breakfast on fruit consumption among middle school and high school students. We draw on observational plate-waste data over a 10-week period during which fruit smoothies were introduced for breakfast at two Utah schools. Our total sample includes 2,760 student-day observations. We find that the fraction of students eating a full serving of whole fruit increased from 4.3% to 45.1%. As such, school districts should consider offering fruit smoothies as part of a set of interventions designed to increase fruit consumption at school.
BlanchetteL.BrugJ. (2005). Determinants of fruit and vegetable consumption among 6-12-year-old children and effective interventions to increase consumption. Journal of Human Nutrition and Dietetics, 18, 431-443.
2.
Centers for Disease Control and Prevention. (2010, September). State-specific trends in fruit and vegetable consumption among adults: United States, 2000-2009. Weekly Morbidity and Mortality Report, 59(35). Retrieved from http://www.cdc.gov/mmwr/pdf/wk/mm5935.pdf
3.
CondonE. M.CrepinsekM. K.FoxM. K. (2009). School meals: Types of foods offered to and consumed by children at lunch and breakfast. Journal of the American Dietetic Association, 109(2), S67-S78.
4.
CullenK. W.BaranowskiT.OwensE.MarshT.RittenberryL.de MoorC. (2003). Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children’s dietary behavior. Health Education & Behavior, 30, 615-626.
Flood-ObbagyJ. E.RollsB. J. (2009). The effect of fruit in different forms on energy intake and satiety at a meal. Appetite, 52, 416-422.
7.
FrenchS. A.StablesG. (2003). Environmental interventions to promote vegetable and fruit consumption among youth in school settings. Preventive Medicine, 37, 593-610.
8.
GuentherP. M.DoddK. W.ReedyJ.Krebs-SmithS. M. (2006). Most Americans eat much less than recommended amounts of fruits and vegetables. Journal of the American Dietetic Association, 106, 1371-1379.
9.
HanksA. S.WansinkB.JustD. R. (2014). Reliability and accuracy of real-time visualization techniques for measuring school cafeteria tray waste: Validating the quarter-waste method. Journal of the Academy of Nutrition and Dietetics, 114, 470-474.
10.
HeF. J.NowsonC. A.MacGregorG. A. (2006). Fruit and vegetable consumption and stroke: Meta-analysis of cohort studies. Lancet, 367, 320-326.
11.
JansenE.MulkensS.JansenA. (2010). How to promote fruit consumption in children. Visual appeal versus restriction. Appetite, 54, 599-602.
12.
JustD. R.LundJ.PriceJ. (2012). The role of variety in increasing the consumption of fruits and vegetables among children. Agricultural and Resource Economics Review, 41(1), 72-81.
13.
JustD.PriceJ. (2013). Default options and food choices. Public Health and Nutrition, 16, 2281-2288.
14.
KimS. A.MooreL. V.GaluskaD.WrightA. P.HarrisD.Grummer-StrawnL. M.. . . RhodesD. G. (2014). Vital signs: Fruit and vegetable intake among children: United States, 2003-2010. Morbidity and Mortality Weekly Report, 63, 671-676. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6331a3.htm?s_cid=mm6331a3_w
15.
Neumark-SztainerD.StoryM.HannanP. J.CrollJ. (2002). Overweight status and eating patterns among adolescents: Where do youths stand in comparison with the healthy people 2010 objectives?American Journal of Public Health, 92, 844-851.
16.
OlsenA.RitzC.KramerL.MøllerP. (2012). Serving styles of raw snack vegetables: What do children want?Appetite, 59, 556-562.
17.
PerryC. L.BishopD. B.TaylorG. L.DavisM.StoryM.GrayC.. . . HarnackL. (2004). A randomized school trial of environmental strategies to encourage fruit and vegetable consumption among children. Health Education & Behavior, 31, 65-76.
18.
RaynorH. A.OsterholtK. M. (2012). Greater variety of fruit served in a four-course snack increases fruit consumption. Appetite, 59, 662-667.
19.
RosemanM. G.YeungW. K.NickelsenJ. (2007). Examination of weight status and dietary behaviors of middle school students in Kentucky. Journal of the American Dietetic Association, 107, 1139-1145.
20.
RuxtonC. H.GardnerE. J.WalkerD. (2006). Can pure fruit and vegetable juices protect against cancer and cardiovascular disease too? A review of the evidence. International Journal of Food Sciences and Nutrition, 57, 249-272.
21.
SchwartzM. B. (2007). The influence of a verbal prompt on school lunch fruit consumption: A pilot study. International Journal of Behavioral Nutrition and Physical Activity, 4, 6. doi:10.1186/1479-5868-4-6
22.
StoryM.MaysR. W.BishopD. B.PerryC. L.TaylorG.SmythM.GrayC. (2000). 5-a-Day Power Plus: Process evaluation of a multicomponent elementary school program to increase fruit and vegetable consumption. Health Education & Behavior, 27, 187-200.
23.
SubarA. F.HeimendingerJ.PattersonB. H.Krebs-SmithS. M.PivonkaE.KesslerR. (1995). Fruit and vegetable intake in the United States: The baseline survey of the Five a Day for Better Health Program. American Journal of Health Promotion, 9, 352-360.
24.
SwansonM.BranscumA.NakayimaP. J. (2009). Promoting consumption of fruit in elementary school cafeterias. The effects of slicing apples and oranges. Appetite, 53, 264-267.
