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Deprecated: Implicit conversion from float 213.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 J+Acad+Nutr+Diet 2014 ; 114 (9): 1440-6 Nephropedia Template TP
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Children select unhealthy choices when given a choice among snack offerings #MMPMID24935610
Beets MW; Tilley F; Kyryliuk R; Weaver RG; Moore J; Turner-McGrievy G
J Acad Nutr Diet 2014[Sep]; 114 (9): 1440-6 PMID24935610show ga
Out-of-school-time (OST) programs serve snacks to millions of children annually. State and national snack policies endorse serving more healthful options, such as fruits, yet often allow less healthful options, such as cookies/chips, to be served simultaneously. To date, no studies have examined the choices children make when provided with disparate snack options in OST programs.. An experimental study with randomized exposures was conducted that exposed children (5?10yrs) to 3 conditions: 1) whole or sliced fruit; 2) whole/sliced fruit, sugar-sweetened snacks (e.g., cookies) and flavored-salty (e.g., nacho cheese-flavored tortilla chips) snacks; and 3) whole/sliced fruit and less processed/unflavored grain snacks (e.g., pretzels), over a two-week period representing 18 snack occasions (morning and afternoon) during summer 2013. The percentage of children who selected snacks, snack consumption, and percent of serving wasted were calculated and analyzed using repeated-measures analyses of variance with Bonferroni adjustments. A total of 1,053 observations were made. Sliced-fruit was selected more than whole-fruit across all conditions. Fruit (sliced or whole) was seldom selected when served simultaneously with sugar-sweetened (6% vs. 58%) and flavored-salty (6% vs. 38%) snacks or unflavored grain snacks (23% vs. 64%). More children consumed 100% of the sugar-sweetened (89%) and flavored-salty (82%) snacks compared to fruit (71%); 100% consumption was comparable between fruit (59%) and unflavored grain snacks (49%). Approximately 15%?47% of fruit was wasted, compared to 8%?38% of sugar-sweetened, flavored-salty, and unflavored grain snacks. Snack policies that encourage OST programs to serve fruit require clear language that limits offering less healthful snack options simultaneously.