Evidence map›Paper›PMID 24520852›Full record

ArticleBMC public health2014

Elementary school children's recess schedule and dietary intake at lunch: a community-based participatory research partnership pilot study.

Monica Hunsberger, Paul McGinnis, Jamie Smith, Beth Ann Beamer, Jean O'Malley, Mountain View Community Health Improvement & Research Partnership

Abstract read
In one paragraph

Article in BMC public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  4. Food Waste in the National School Lunch Program 1978-2015: A Systematic Review.Journal of the Academy of Nutrition and Dietetics · 2017
    Pooled it
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  11. Milk Options Observation (MOO): A Mixed-Methods Study of Chocolate Milk Removal on Beverage Consumption and Student/Staff Behaviors in a Rural Elementary School.The Journal of school nursing : the official publication of the National Association of School Nurses · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Monica HunsbergerPublic Health Epidemiology, University of Gothenburg, Box 454, Gothenburg, SE 405 30, Sweden. monica.hunsberger@gu.se.
Paul McGinnis
Jamie Smith
Beth Ann Beamer
Jean O'Malley
Mountain View Community Health Improvement & Research Partnership

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSchool recess before lunch (e.g., reverse recess) has been suggested as a means to improve dietary intake and classroom behavior but limited research explores this school-based policy. This pilot study tests the impact of recess scheduling on dietary intake at school lunch.

methodsA mixed methods approach included assessment of dietary intake assessed by measured plate waste on five non-consecutive days at Madras Elementary School, Madras, Oregon, United States (n = 104 intervention; 157 controls). Subjects included primary school children in grades kindergarten, first and second. Logistic regression was used to test associations between recess timing and dietary intake. Four focus groups involving teachers and staff explored reactions to the intervention. Qualitative data was transcribed verbatim and assessed for key themes.

resultsMilk consumption was 1.3 oz greater in the intervention group (5.7 oz vs. 4.4 oz); and 20% more of the intervention participants drank the entire carton of milk (42% vs. 25%, p < 0.0001). Intervention participants were 1.5 times more likely to meet the nutritional guidelines for calcium (≥267 mg, p = 0.01) and fat (≤30% of total energy, p = 0.02). Consumption of entrees, vegetables, and fruits did not differ between groups. Teachers perceived recess before lunch beneficial to classroom behavior and readiness to concentrate following lunch.

conclusionsThe recess before lunch intervention yielded increased milk consumption; the nutritional and social benefits observed warrant policy change consideration. Future research should assess the impact of recess before lunch in larger districts.

Indexed as

DietFood PreferencesLunchSchoolsChildChild, PreschoolCommunity-Based Participatory ResearchFemaleHumansMaleMenu PlanningOregonPilot ProjectsRecreationSchool Health Services

Identifiers

PMID24520852
PMCPMC3937036

What OpenQuestion holds

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Registered trials

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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.