RESEARCH PAPER
Nutrition and physical activity environments in primary schools in Poland – COSI study
 
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Institute of Mother and Child, Warsaw, Poland
CORRESPONDING AUTHOR
Magdalena Korzycka   

Institute of Mother and Child, Poland
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Schools are important settings for the promotion of healthy diet and sufficient physical activity to prevent civilisation diseases related to lifestyle.

Objective:
To describe school physical activity and nutrition environment in elementary schools in Poland, and to asses differences in school physical activity and nutrition environments, depending on school location and size.

Material and methods:
Data was used from the World Health Organisation European Childhood Obesity Surveillance Initiative (COSI) conducted in 2016 in 135 Polish schools. Logistic regression was used to asses association between the location and individual school environment indicator. On the basis of answers to 20 questions about school physical activity and nutrition environment, a positive school environmental assessment index was compiled.

Results:
Large, urban schools were characterised by a significantly greater availability of sweet snacks, whereas flavoured milk with added sugar was more often available in small and rural schools. The univariate logistics analysis parameters showed that an urban-rural location had a significant association for the availability of an indoor gym and existence of a canteen and a shop. Analysing the positive schools environmental assessment index, there were no statistically significant differences in mean values due to location, but statistically significant differences were found depending on the school size, with the highest level in large schools and the lowest in small schools.

Conclusions:
The factor which adversely differentiates the school environment in terms of healthy nutrition and physical activity is primarily the school size, and then the school location. Systemic and social solutions should aim at reducing the small school “exclusion syndrome”, both in rural and in urban areas, also with regard to infrastructure and availability of conditions conducive to healthy nutrition and physical activity.

 
REFERENCES (35)
1.
Pate RR, Davis MG, Thomas Robinson TN, Stone EJ, McKenzie TL, Young JC. Promoting Physical Activity in Children and Youth. A Leadership Role for Schools. A Scientific Statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Physical Activity Committee) in Collaboration with the Councils on Cardiovascular Disease in the Young and Cardiovascular Nursing. Circulation 2006; 114: 1214–1224. https://doi.org/10.1161/CIRCUL....
 
2.
Physical Activity Guidelines for Americans. 2 nd edition. Department of Health and Human Services. Washington, DC: U.S; 2018. https://health.gov/paguideline...(access: 2019.09.23).
 
3.
Haug E, Torbjørn T, Samdal O. Physical environmental characteristics and individual interests as correlates of physical activity in Norwegian secondary schools: the health behaviour in school-aged children study. IJBNPA 2008; 5: 47–56.
 
4.
Lien N, van Stralen MM, Androutsos O, Bere E, Fernandez-Alvira JM, Jan N, et al. The school nutrition environment and its association with soft drink intakes in seven countries across Europe – the ENERGY project. Health Place 2014; 30: 28–35.
 
5.
French SA. Public health strategies for dietary change: schools and workplaces. J Nutr. 2005; 135(4): 910–912.
 
6.
Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K. Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health. 2008; 29: 253–72.
 
7.
Vaitkeviˇciutė J, Aušra Petrauskienė. The Associations between Body Mass Index of Seven-and Eight-Year-Old Children, Dietary Behaviour and Nutrition-Related Parenting Practices. Medicina 2019, 55, 24; doi: 10.3390/medicina55010024.
 
8.
Bazzano LA. Dietary intake of fruit and vegetables and risk of diabetes mellitus and cardiovascular diseases. WHO; 2005: 22–32. http://www.who.int/dietphysica... (access: 2019.08.24).
 
9.
Rolls BJ, Ello-Martin JA, Tohill BC. What can intervention studies tell us about the relationship between fruit and vegetable consumption and weight management? Nutr Rev 2004; 62: 1–17.
 
10.
A tool for the development of school nutrition programmes in the European Region Programme for Nutrition and Food Security WHO Regional Office for Europe Copenhagen 2006.
 
11.
Regulation of the Minister of Health of 26 August 2015 regarding of groups of food products intended for sale to children and adolescents in educational system institutions and the requirements which food products used as part of mass nutrition for children and adolescents must meet. (J. L. item. 1256).
 
12.
Regulation of the Minister of Health of 26 July 2016 regarding of groups of food products intended for sale to children and adolescents in educational system institutions and the requirements which food products used as part of mass nutrition for children and adolescents must meet. (J. L. item. 1154).
 
13.
Fijałkowska A, Oblacińska A, Stalmach M. Overweight and obesity in Polish 8-year-olds in the light of biological, behavioral and social conditions. Report on international WHO research European Childhood Obesity Surveillance Initiative (COSI). Institute of Mother and Child, Warsaw 2017.
 
14.
Comprehensive Framework for Addressing the School Nutrition Environment and Services. Revised February 2019. Centers for Disease Control and Prevention. National Center for Chronic Disease Prevention and Health Promotion. https://www.cdc.gov/healthysch....
 
15.
Sallis JF. Measuring Physical Activity Environment. A Brief Story. Am J Prev Med 2009; 36(4): S86–92.
 
16.
Childhood Obesity Surveillance Initiative (COSI), Protocol, October 2016, World Health Organization 2017. http://www.euro.who.int/data/a....
 
17.
Regulation of the Minister of National Education of 9 August 2011 regarding acceptable forms of implementation of mandatory physical education classes. (J. L. No. 175, item. 1042).
 
18.
Young DR, Felton GM, Grieser M, Elder JP, Johnson C, Lee JS, et al. Policies and opportunities for physical activity in middle school environments. Journal of School Health 2007; 77: 4104.
 
19.
Robertson-Wilson J, Levesque L, Holden RR. Development of a questionnaire assessing school activity environment. Measurement in Physical Education and Exercise Science 2007; 11: 93–107.
 
20.
Webber LS, Johnson CC, Rose D, Rice JC. Development of ACTIONI Wellness program for elementary school personnel. Obesity 2007; 15(suppl 1): 48S-56S.
 
21.
Woynarowska B. Nutrition and healthy eating policy in health-promoting schools in Poland. Hygeia Public Health 2014, 49(3): 490–494.
 
22.
Woynarowska B, Komosińska K, Małkowska-Szkutnik A. Physical environment of primary and junior high schools in Poland as assessed by their headmasters. Probl Hig Epidemiol. 2011; 92(3): 455–460.
 
23.
Driessen CE, Cameron AJ, Thorton LE, Lai SK, Barnett LM. Effect of changes to the school food environment on eating behaviours and/or body weight in children: a systematic review. Obes Rev. 2014; 15(12): 968–982.
 
24.
Story M, Nanney MS, Schwartz B. Schools and Obesity Prevention: Creating School Environments and Polices to Promote Healthy Eating and Physical Activity. The Milbank Quarterly, 2009; 87(1): 71–100.
 
25.
Harper C, Wood L, Mitchel C. The provision of School Food in 18 Countries. London: School Food Trust, 2008.
 
26.
Menksink F, Antoinette Schwinghamme S, Smeets A. The Healthy School Canteen programme: a promising intervention to make the school food environment healthier. J Environ Public Health 2012; ID 415746.
 
27.
Ang IYH, Wolf RL, Koch PA, Gray HL,Trent R, Tipton E, et al. School Lunch Environment Factors Impacting Fruit and vegetable Consumption. J Nutr Educ Behav 2019; 51(1): 68–79.
 
28.
Hatfield DP, Chomitz VR. Increasing Children’s Physical Activity During the School Day. Curr Obes Rep. 2015; 4(2): 147–56.
 
29.
Gunter KB, Nader PA, John DH. Physical activity levels and obesity status of Oregon Rural Elementary School children. Prev Med Rep. 2015; 2: 478–82.
 
30.
Members’ parliamentary exception – response of the Minister of Agriculture to the program “Milk for Schools” http://orka2.sejm.gov.pl/INT8.... (access: 2019.08.24).
 
31.
Regulation of the Minister of Agriculture and Rural Development of 11 July 2018 on the detailed scope of tasks implemented by the National Center for Agricultural Support with the implementation of a school program on the territory of the Republic of Poland (J. L. 2018; item 1468).
 
32.
Yoong SE, Nathan NK, Wyse RJ, Preece SJ, Williams CM, Sutherland RL, et al. Assessment of the School Nutrition Environment. A Study in Australian Primary School Canteens. Am J Prev Med. 2015; 49(2): 215–222.
 
33.
Pęczkowski R. Small schools in the education system – the necessity, problem or opportunity, in: Mayerová K, editor. Education and Social Stratification, Prešovská University, Slovakia; 2014.
 
34.
Duke DL, DeRoberto T, Trautvetter S. Reducing the Negative Effects of Large Schools. In: National Clearinghouse for Educational Facilities Washington, DC; 2009. https://eric.ed.gov/?id=ED5078... (access: 2019.08.24).
 
35.
Day RE, Sahota P, Christian MS. Effective implementation on primary school-based healthy lifestyle programmes: a quality study of views of school staff. BMC Public Health 2019;19(1):1239. doi: 10.1186/S12889-019-7550-2.
 
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