Evidence map›Paper›PMID 40114496›Full record

Observational studyPublic health nutrition2025

Food provision and healthy eating environments in before school care: an observational study.

Andrew J Woods, Yasmine C Probst, Jennifer Norman, Karen Wardle, Sarah T Ryan, Ruth K Crowe, Linda Patel, Megan Hammersley, Kurt Morton, Rebecca M Stanley and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Development and Testing of an Out-of-School Hours Care Professional Development Program: A Pilot Cluster Randomised Controlled Trial.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Trial
  2. A Cross-Organisational Collaboration to Promote Healthy Eating and Active Living in Children: A Critical Reflection.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
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

12 authors.

Andrew J WoodsSchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.ORCID 0000-0003-2853-8809
Yasmine C ProbstSchool of Medical, Indigenous and Health Sciences, Faculty of Science Medicine and Health, University of Wollongong, Wollongong, NSW, Australia.ORCID 0000-0002-1971-173X
Jennifer NormanSchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Karen WardleHealth Promotion Service, South Western Sydney Local Health District, Liverpool, NSW, Australia.
Sarah T RyanSchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Ruth K CroweEarly Start, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Linda PatelSchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Megan HammersleySchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Kurt MortonCentre for Population Health, NSW Ministry of Health, St Leonards, NSW, Australia.
Rebecca M StanleySchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.
Lauren TaylorHealth Promotion Service, South Western Sydney Local Health District, Liverpool, NSW, Australia.
Anthony D OkelySchool of Social Sciences, Faculty of the Arts, Social Sciences and Humanities, University of Wollongong, Wollongong, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAustralian children fall short of national dietary guidelines with only 63 % consuming adequate fruit and 10 % enough vegetables. Before school care operates as part of Out of School Hours Care (OSHC) services and provides opportunities to address poor dietary habits in children. The aim of this study was to describe the food and beverages provided in before school care and to explore how service-level factors influence food provision.

designA cross-sectional study was conducted in OSHC services. Services had their before school care visited twice between March and June 2021. Direct observation was used to capture food and beverage provision and child and staff behaviour during breakfast. Interviews with staff collected information on service characteristics. Foods were categorised using the Australian Dietary Guidelines, and frequencies were calculated. Fisher's exact test was used to compare food provision with service characteristics.

settingThe before school care of OSHC services in New South Wales, Australia.

participantsTwenty-five OSHC services.

resultsFruit was provided on 22 % (

conclusionsBefore school care can be supported to improve food provision through staff professional development and advocating to regulatory bodies for increased specificity requirements in the nutrition policies of service providers.

Indexed as

Diet, HealthyFood ServicesSchool Health ServicesSchoolsAustraliaChildCross-Sectional StudiesFeeding BehaviorFemaleFruitHumansMaleNew South WalesNutrition PolicyVegetablesBefore school careChild careHealthy eatingNutritionOut of school hours carePrimary-school children

Identifiers

PMID40114496
PMCPMC12100552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.