ArticleBMC public health2018
Compliance with nutrition standards in Mexican schools and their effectiveness: a repeated cross-sectional study.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Identification and Evaluation of Tools Utilised for Measuring Food Provision in Childcare Centres and Primary Schools: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- [Intervention to promote regulatory compliance in food and nutrition education in public basic education schools in the central region of Mexico].Salud colectiva · 2025Article
- A Scoping Review of School-Based Nutrition and Physical Activity Interventions Conducted in Mexico.American journal of lifestyle medicine · 2025Review
- Understanding the obesity dynamics by socioeconomic status in Colombian and Mexican cities using a system dynamics model.Heliyon · 2024Article
- Enablers and obstacles for designing and implementing intersectoral health policies: Lessons from Mexico.Public health challenges · 2024Article
- Predicted impact of banning nonessential, energy-dense food and beverages in schools in Mexico: A microsimulation study.PLoS medicine · 2024Article
- Three approaches to assessing dietary quality in Mexican adolescents from 2006 to 2018 with data from national health and nutrition surveys.Public health nutrition · 2024Article
- Associated substitution and complementation patterns of processed discretionary foods and drinks on total energy and added sugar intake.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023Article
- Perceived Availability of Healthy and Unhealthy Foods in the Community, Work, and Higher Education Settings across Five Countries: Findings from the International Food Policy Study 2018.The Journal of nutrition · 2022Article
- Childhood obesity in Mexico: Influencing factors and prevention strategies.Frontiers in public health · 2022Article
- Self-perception of dietary quality and adherence to food groups dietary recommendations among Mexican adults.Nutrition journal · 2020Article
- Mortality attributable to sugar sweetened beverages consumption in Mexico: an update.International journal of obesity (2005) · 2020Article
- Sugar consumption in schoolchildren from southern Spain and influence on the prevalence of obesity.PloS one · 2020Article
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Authors and funding
7 authors.
Funding
Abstract
backgroundMexico approved mandatory nutrient-based standards for foods sold in schools in 2011. The aim of this study was to analyse the association between compliance with nutrition standards for foods sold in schools and children's school snacks.
methodsData came from three surveys representative of Mexican elementary schools in 13 states and their students (2012, 2013 and 2015); n = 645 children from N = 99 different schools. Information on foods sold in schools and snacks consumed by children was collected through direct observation. Compliance with the standards was defined as the proportion of foods sold in school which met nutrition criteria established by the standards. Snacks were classified as healthy if they contained at least one fruit or vegetable and had no sugar-sweetened beverages. Robust logistic regression models for cross-sectional and repeated surveys aggregated at the school-level were fitted to quantify the association between school compliance with standards and healthy snacks.
resultsOn average across waves 27% of foods sold complied with nutrition standards; 18% of children consumed a healthy snack. For snacks purchased in school, a 10% increase in school compliance with the standards was associated with a 32% increase in the odds of a healthy snack (OR = 1.32; 95%CI 1.09,1.61); no association was observed for snacks brought from home. The odds of a healthy snack increased over time in schools where compliance with the standards improved (OR = 3.89; 95%CI 1.47,10.31) but not in those where compliance remained constant or decreased.
conclusionsOnly a small proportion of children are eating healthy snacks in school. School compliance with standards increases the likelihood of a healthy snack if it is bought at school. Our findings support better implementation of the standards and additional strategies to enhance the policy to achieve its aim of reducing childhood obesity.
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