An environmental intervention to promote lower-fat food choices in secondary schools: outcomes of the TACOS Study.

Journal Article (Clinical Trial;Journal Article;Multicenter Study)

OBJECTIVES: We evaluated an environmental intervention intended to increase sales of lower-fat foods in secondary school cafeterias. METHODS: Twenty secondary schools were randomly assigned to either an environmental intervention or a control group for a 2-year period. The intervention increased the availability of lower-fat foods and implemented student-based promotions. RESULTS: A steeper rate of increase in sales of lower-fat foods in year 1 (10% intervention vs -2.8% control, P =.002) and a higher percentage of sales of lower-fat foods in year 2 (33.6% intervention vs 22.1% control, P =.04) were observed. There were no significant changes in student self-reported food choices. CONCLUSIONS: School-based environmental interventions to increase availability and promotion of lower-fat foods can increase purchase of these foods among adolescents.

Full Text

Duke Authors

Cited Authors

  • French, SA; Story, M; Fulkerson, JA; Hannan, P

Published Date

  • September 2004

Published In

Volume / Issue

  • 94 / 9

Start / End Page

  • 1507 - 1512

PubMed ID

  • 15333303

Pubmed Central ID

  • PMC1448482

International Standard Serial Number (ISSN)

  • 0090-0036

Digital Object Identifier (DOI)

  • 10.2105/ajph.94.9.1507


  • eng

Conference Location

  • United States