Abstract
Aim: The aim of this study was to investigate whether a free school meal every day was associated with children’s intake of healthy food during school. Methods: A non-randomized study design with an intervention and a control group was used to measure change in children’s meal habits at lunchtime. In total, 164 children participated; 55 in the intervention group and 109 in the control group. Children in the intervention group were served a free, healthy school meal every school day. Participating children completed a questionnaire at baseline and at 6 months’ follow up. Possible associations were evaluated with a healthy food score, which was calculated based on a food frequency questionnaire on lunch habits at school. Chi-square and Independent Samples t-test were used to analyse the data. Results: At baseline, there was no significant difference in the healthy food score between the intervention and the control group (p = 0.08). Children in the intervention group increased their healthy food score significantly compared with children in the control group after 6 months (p ⩽ 0.01). Change in the healthy food score was mainly due to an increase in the intake of fruit (p ⩽ 0.01), vegetables (p ⩽ 0.01) and fish spread (p = 0.02); all in favour of the intervention group.
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