Journal: The Cochrane Database of Systematic Reviews

Article Title: Environmental interventions to reduce the consumption of sugar‐sweetened beverages and their effects on health

doi: 10.1002/14651858.CD012292.pub2

Figure Lengend Snippet: Ermetici 2016

Article Snippet: Interventions , Intervention : Healthier vending machines (as part of a multicomponent intervention). (Quote: "In the intervention group schools, all traditional vending machines were replaced with machines containing healthy foods and beverages, including fresh fruit and vegetables, dried fruit, fruit juices, smoothies without added sugar, and drinkable yogurt, all from local farms, carefully evaluated by our expert nutritionist team. On the basis of a comparative analysis of nutritional facts, the products selected for the alternative healthy vending machines contained per 100 g an average of 60 less kilocalories, 14 g less added sugars, 0.1 g less salt, 1 g less saturated fats, and 1.4 g higher fiber, compared with the traditional vending machines. An agreement was reached with the vending machine supplier to keep prices as low as possible and to dedicate part of the proceeds to childhood health promotion initiatives. No other food and drink sources were available inside the schools, except for tap water. Students were free to bring food or drinks from home. Educational posters adapted from The Healthy Eating Plate conveying messages promoting healthy diet, water consumption, and daily exercise were posted in schools. The schools were asked to create more opportunities for exercise during breaks. Pupils were allowed to leave their classrooms and walk in the corridors or outdoor play areas, for a total of one additional hour a week of movement") Behavioural co‐intervention: Nutrition education (Quote: "Sixteen health‐promoting group lessons by expert nutritionists over two‐school‐years were included in the curriculum. Students were given an easy textbook developed by our nutritionist team as a support to school lessons and as a tool for involving parents. Automated text messages promoting a healthy diet and daily exercise were sent to the students and their parents three times a week throughout the two school years including school vacations. Text messages were sent close to meal times to encourage constructive debate in each family. Students were given a pedometer (PE320‐BL, Oregon Scientific Italia Srl) to encourage them to be physically active. A re‐usable BPA‐free TRITANtm water bottle was supplied to encourage water consumption") Control : No intervention , .

Techniques: Comparison, Control, Sequencing, Selection