ArticleThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2011
Preliminary healthy eating outcomes of SNaX, a pilot community-based intervention for adolescents.
Article in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 10 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
31 citing papers in PubMed, 10 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Pooled it
- Pooled it
- Themes in Train-the-Trainer Nutrition Education Interventions Targeting Middle School Students: A Systematic Review.Nutrients · 2021Pooled it
- Interventions to Promote Healthy Meals in Full-Service Restaurants and Canteens: A Systematic Review and Meta-Analysis.Nutrients · 2021Pooled it
- Environmental interventions to reduce the consumption of sugar-sweetened beverages and their effects on health.The Cochrane database of systematic reviews · 2019Pooled it
- A Systematic Review of Digital Interventions for Improving the Diet and Physical Activity Behaviors of Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017Pooled it
- Efficacy of school-based interventions aimed at decreasing sugar-sweetened beverage consumption among adolescents: a systematic review.Public health nutrition · 2017Pooled it
- Child and youth participatory interventions for addressing lifestyle-related childhood obesity: a systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2016Pooled it
- A Systematic Review to Assess Sugar-Sweetened Beverage Interventions for Children and Adolescents across the Socioecological Model.Journal of the Academy of Nutrition and Dietetics · 2016Pooled it
- Peer-led nutrition education programs for school-aged youth: a systematic review of the literature.Health education research · 2016Pooled it
- Camp NERF: methods of a theory-based nutrition education recreation and fitness program aimed at preventing unhealthy weight gain in underserved elementary children during summer months.BMC public health · 2016Trial
- A randomized controlled trial of students for nutrition and eXercise: a community-based participatory research study.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2014Trial
- The dilemma of sweet temptation: How sugar perception confusion in sweetened beverages shapes consumer avoidance behavior.PloS one · 2025Article
- Implementation outcomes of peer education programme comparing state-led and NGO-facilitated models in two Indian states: qualitative findings.Frontiers in public health · 2024Article
- Use of Focus Groups to Inform a New Community-Based Youth Diabetes Prevention Program.International journal of environmental research and public health · 2022Article
- Water Wins, Communication Matters: School-Based Intervention to Reduce Intake of Sugar-Sweetened Beverages and Increase Intake of Water.Nutrients · 2022Article
- Shifting From Tokenism to Meaningful Adolescent Participation in Research for Obesity Prevention: A Systematic Scoping Review.Frontiers in public health · 2021Article
- Perceptions and Impact of a Youth-led Childhood Obesity Prevention Intervention among Youth-leaders.Journal of hunger & environmental nutrition · 2021Article
- Participatory Approaches to Understand Dietary Behaviours of Adolescents in the Secondary School Setting.Nutrients · 2020Article
- Youth Participatory Action Research for Health Equity: Increasing Youth Empowerment and Decreasing Physical Activity Access Inequities in Under-resourced Programs and Schools.American journal of community psychology · 2020Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
purposeWe used principles of community-based participatory research to develop and pilot test a 5-week intervention for middle school students, Students for Nutrition and eXercise (SNaX). SNaX aimed to translate school obesity-prevention policies into practice with peer advocacy of healthy eating and school cafeteria changes.
methodsA total 425 seventh graders (63% of all seventh graders) in the intervention school were surveyed at baseline regarding cafeteria attitudes and sugar-sweetened beverage consumption; of the 425 students, 399 (94%) were surveyed again at 1-month post-intervention. School cafeteria records were obtained from two schools: the intervention school and a nonrandomized selected comparison school with similar student socio-demographic characteristics.
resultsA total of 140 students in the intervention school were trained as peer advocates. In the intervention school, cafeteria attitudes among peer advocates significantly improved over time (approximately one-third of a standard deviation), whereas cafeteria attitudes of non-peer advocates remained stable; the improvement among peer advocates was significantly greater than the pre-post-change for non-peer advocates (b = .71, p < .001). Peer advocates significantly reduced their sugar-sweetened beverage intake (sports and fruit drinks), from 33% before intervention to 21% after intervention (p = .03). Cafeteria records indicated that servings of fruit and healthier entrées (salads, sandwiches, and yogurt parfaits) significantly decreased in the comparison school and significantly increased in the intervention school; the magnitude of changes differed significantly between the schools (p < .001).
conclusionsAs compared with the non-peer advocates, peer advocates appeared to benefit more from the intervention. Future research should consider engaging parents, students, and other key community stakeholders to determine acceptable and sustainable cafeteria changes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.