Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.

<h4>Background</h4>In Mexico, 35.5% of school-age children were overweight or obese in 2018. The school food environment is important because children spend a significant part of their time at school and consume one-third to one-half of their daily meals there. In 2014, a Federal Governm...

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Autores principales:	Yazmín Hugues, Rolando G Díaz-Zavala, Trinidad Quizán-Plata, Camila Corvalán, Michelle M Haby
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/839fc2d0ed484555bc5b31238ac2ea20
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spelling	oai:doaj.org-article:839fc2d0ed484555bc5b31238ac2ea202021-12-02T20:07:35ZPoor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.1932-620310.1371/journal.pone.0259720https://doaj.org/article/839fc2d0ed484555bc5b31238ac2ea202021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0259720https://doaj.org/toc/1932-6203<h4>Background</h4>In Mexico, 35.5% of school-age children were overweight or obese in 2018. The school food environment is important because children spend a significant part of their time at school and consume one-third to one-half of their daily meals there. In 2014, a Federal Government guideline for the sale and distribution of food and beverages in Mexican schools was published (the AGREEMENT) but the extent of its implementation is not known.<h4>Methods</h4>Descriptive cross-sectional study in a representative, random sample of elementary schools, using the tools of the INFORMAS network. Data collection included: a) an interview with a school authority; b) a checklist of items available in the school canteen; c) a checklist of the school breakfast menu; and d) an evaluation of the physical environment. The main indicators were: percentage of implementation (self-report) of the AGREEMENT and percentage of compliance (researcher verified) with the AGREEMENT (based on tools b and c).<h4>Results</h4>119 schools participated (response rate 87.5%), with 15.1% (95%CI 9.2-22.8) of the schools reporting having fully implemented the AGREEMENT. However, only 1% (95%CI 0-5.3) of the school canteens and 71.4% (95%CI 57.8-82.7) of the school breakfast menus fully complied with the AGREEMENT. A variety of sugar-sweetened beverages and energy-dense, nutrient poor products were found in the school canteens. Further, only 43.7% of the water fountains in schools were functional and 23.4% were clean. In only 24.4% of schools had the school authorities received formal training related to the AGREEMENT and in 28.6% of schools had the parents received information about the AGREEMENT.<h4>Conclusion</h4>The AGREEMENT has been poorly implemented in elementary schools in Mexico. Actions are needed to encourage and support its full implementation to improve the food environment in Mexican schools.Yazmín HuguesRolando G Díaz-ZavalaTrinidad Quizán-PlataCamila CorvalánMichelle M HabyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11, p e0259720 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yazmín Hugues Rolando G Díaz-Zavala Trinidad Quizán-Plata Camila Corvalán Michelle M Haby Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
description	<h4>Background</h4>In Mexico, 35.5% of school-age children were overweight or obese in 2018. The school food environment is important because children spend a significant part of their time at school and consume one-third to one-half of their daily meals there. In 2014, a Federal Government guideline for the sale and distribution of food and beverages in Mexican schools was published (the AGREEMENT) but the extent of its implementation is not known.<h4>Methods</h4>Descriptive cross-sectional study in a representative, random sample of elementary schools, using the tools of the INFORMAS network. Data collection included: a) an interview with a school authority; b) a checklist of items available in the school canteen; c) a checklist of the school breakfast menu; and d) an evaluation of the physical environment. The main indicators were: percentage of implementation (self-report) of the AGREEMENT and percentage of compliance (researcher verified) with the AGREEMENT (based on tools b and c).<h4>Results</h4>119 schools participated (response rate 87.5%), with 15.1% (95%CI 9.2-22.8) of the schools reporting having fully implemented the AGREEMENT. However, only 1% (95%CI 0-5.3) of the school canteens and 71.4% (95%CI 57.8-82.7) of the school breakfast menus fully complied with the AGREEMENT. A variety of sugar-sweetened beverages and energy-dense, nutrient poor products were found in the school canteens. Further, only 43.7% of the water fountains in schools were functional and 23.4% were clean. In only 24.4% of schools had the school authorities received formal training related to the AGREEMENT and in 28.6% of schools had the parents received information about the AGREEMENT.<h4>Conclusion</h4>The AGREEMENT has been poorly implemented in elementary schools in Mexico. Actions are needed to encourage and support its full implementation to improve the food environment in Mexican schools.
format	article
author	Yazmín Hugues Rolando G Díaz-Zavala Trinidad Quizán-Plata Camila Corvalán Michelle M Haby
author_facet	Yazmín Hugues Rolando G Díaz-Zavala Trinidad Quizán-Plata Camila Corvalán Michelle M Haby
author_sort	Yazmín Hugues
title	Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
title_short	Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
title_full	Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
title_fullStr	Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
title_full_unstemmed	Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.
title_sort	poor compliance with school food environment guidelines in elementary schools in northwest mexico: a cross-sectional study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/839fc2d0ed484555bc5b31238ac2ea20
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Poor compliance with school food environment guidelines in elementary schools in Northwest Mexico: A cross-sectional study.

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