ArticleHealth promotion international2016
Guatemalan school food environment: impact on schoolchildren's risk of both undernutrition and overweight/obesity.
Article in Health promotion international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.
- Obesogenicity of food in the informal food retail environment of low- and middle-income countries: a systematic review.BMJ global health · 2025Pooled it
- Impact of Street Food Availability on Nutritional Intake and Diet-Related Health Outcomes: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- What's on the menu? A review of school meal quality across twenty-nine countries.Public health nutrition · 2026Review
- Benchmarking public policies to create healthy food environments compared to best practice: the Healthy Food Environment Policy Index in Guatemala.Archives of public health = Archives belges de sante publique · 2022Article
- Gaps and priorities in assessment of food environments for children and adolescents in low- and middle-income countries.Nature food · 2021Review
- Enabling Food Environment in Kindergartens and Schools in Iran for Promoting Healthy Diet: Is It on the Right Track?International journal of environmental research and public health · 2021Review
- Impact of school and work status on diet and physical activity in rural Guatemalan adolescent girls: a qualitative study.Annals of the New York Academy of Sciences · 2020Article
- Food Environment Research in Low- and Middle-Income Countries: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2020Article
- Understanding the rise of cardiometabolic diseases in low- and middle-income countries.Nature medicine · 2019Review
- The school environment and sugar-sweetened beverage consumption among Guatemalan adolescents.Public health nutrition · 2017Observational
- Nutrition status of children in Latin America.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2017Review
- Healthy casetas: A potential strategy to improve the food environment in low-income schools to reduce obesity in children in Guatemala City.Ecology of food and nutritionArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
Guatemala suffers the double burden of malnutrition with high rates of stunting alongside increasing childhood overweight/obesity. This study examines the school food environment (SFE) at low-income Guatemalan elementary schools and discusses its potential impact on undernutrition and overweight/obesity. From July through October 2013, direct observations, in-depth interviews with school principals (n = 4) and food kiosk vendors (n = 4, 2 interviews each) and also focus groups (FGs) with children (n = 48, 8 FGs) were conducted. The SFE comprises food from school food kiosks (casetas); food from home or purchased in the street; and food provided by the school (refacción). School casetas, street vendors and children's parents largely provide sandwiches, calorie-rich snacks and sugar-sweetened beverages. Refacción typically serves energy dense atol, a traditional beverage. The current school food program (refacción), the overall SFE and the roles/opinions of vendors and principals reveal persistent anxiety concerning undernutrition and insufficient concern for overweight/obesity. Predominant concern for elementary schoolchildren remains focused on undernutrition. However, by the time children reach elementary school (ages 6-12+), food environments should encourage dietary behaviors to prevent childhood overweight/obesity.
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Registered trials
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