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      Improving availability, promotion and purchase of fruit and vegetable and non sugar-sweetened drink products at community sporting clubs: a randomised trial

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          Abstract

          Background

          Amateur sporting clubs represent an attractive setting for health promotion. This study assesses the impact of a multi-component intervention on the availability, promotion and purchase of fruit and vegetable and non sugar -sweetened drink products from community sporting club canteens. We also assessed the impact the intervention on sporting club revenue from the sale of food and beverages.

          Method

          A repeat cross-sectional, parallel group, cluster randomized controlled trial was undertaken with amateur community football clubs in New South Wales, Australia. The intervention was conducted over 2.5 winter sporting seasons and sought to improve the availability and promotion of fruit and vegetables and non sugar-sweetened drinks in sporting club canteens. Trial outcomes were assessed via telephone surveys of sporting club representatives and members.

          Results

          Eighty five sporting clubs and 1143 club members participated in the study. Relative to the control group, at follow-up, clubs allocated to the intervention were significantly more likely to have fruit and vegetable products available at the club canteen (OR = 5.13; 95% CI 1.70-15.38), were more likely to promote fruit and vegetable selection using reduced pricing and meal deals (OR = 34.48; 95% CI 4.18-250.00) and members of intervention clubs were more likely to report purchase of fruit and vegetable (OR = 2.58 95% CI; 1.08-6.18) and non sugar -sweetened drink (OR = 1.56; 95% CI 1.09-2.25) products. There was no significant difference between groups in the annual club revenue from food and non-alcoholic beverage sales.

          Conclusion

          The findings demonstrate that the intervention can improve the nutrition environment of sporting clubs and the purchasing behaviour of members.

          Trial registration

          Australian New Zealand Clinical Trials Registry: ACTRN12609000224224.

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          Most cited references29

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          A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010

          The Lancet, 380(9859), 2224-2260
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            Translating social ecological theory into guidelines for community health promotion.

            D Stokols (2015)
            Health promotion programs often lack a clearly specified theoretical foundation or are based on narrowly conceived conceptual models. For example, lifestyle modification programs typically emphasize individually focused behavior change strategies, while neglecting the environmental underpinnings of health and illness. This article compares three distinct, yet complementary, theoretical perspectives on health promotion: behavioral change, environmental enhancement, and social ecological models. Key strengths and limitations of each perspective are examined, and core principles of social ecological theory are used to derive practical guidelines for designing and evaluating community health promotion programs. Directions for future health promotion research are discussed, including studies examining the role of intermediaries (e.g., corporate decision-makers, legislators) in promoting the well-being of others, and those evaluating the duration and scope of intervention outcomes.
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              Consort 2010 statement: extension to cluster randomised trials.

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                Author and article information

                Contributors
                luke.wolfenden@hnehealth.nsw.gov.au
                melanie.kingsland@hnehealth.nsw.gov.au
                bosco.rowland@deakin.edu.au
                gibbins.pennie@gmail.com
                karen.gillham@hnehealth.nsw.gov.au
                serene.yoong@hnehealth.nsw.gov.au
                Maree.Sidey@adf.org.au
                john.wiggers@hnehealth.nsw.gov.au
                Journal
                Int J Behav Nutr Phys Act
                Int J Behav Nutr Phys Act
                The International Journal of Behavioral Nutrition and Physical Activity
                BioMed Central (London )
                1479-5868
                10 March 2015
                10 March 2015
                2015
                : 12
                : 35
                Affiliations
                [ ]School of Medicine and Public Health, The University of Newcastle, Callaghan, NSW 2308 Australia
                [ ]Hunter New England Population Health, Wallsend, NSW 2287 Australia
                [ ]Deakin University, Burwood, VIC 3125 Australia
                [ ]Australian Drug Foundation, Melbourne, VIC 3000 Australia
                Article
                193
                10.1186/s12966-015-0193-5
                4396565
                25886467
                ab8eb94b-17b6-4763-81c1-31b41b161eaa
                © Wolfenden et al.; licensee BioMed Central. 2015

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 2 July 2014
                : 20 February 2015
                Categories
                Research
                Custom metadata
                © The Author(s) 2015

                Nutrition & Dietetics
                sport,prevention,obesity,nutrition,diet,adult
                Nutrition & Dietetics
                sport, prevention, obesity, nutrition, diet, adult

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