Discussion
obesity
OBESITY, SECONDARY
Schools provide ideal settings to reach large amounts of children, and most states mandate that elementary schools implement programs to enhance nutrition and child health.Although numerous nutrition intervention studiesThere are several mechanisms to consider in the current study. As previously reported,Children in the Texas Sprouts intervention schools and control schools both had an increase in added sugar intake but to a lesser extent within the Texas Sprouts group (0.3 vs 2.6 g per day).The Dietary Reference Intakes for fiber recommend that children aged 8 to 11 years consume 20 g per dayMost nutrition interventions delivered in schools have only examined the effects of the intervention on changes in dietary intake and anthropometrics, such as BMI parameters, with moderate success in improving diet and little to no success at reducing obesity. The current intervention resulted in reductions in LDL cholesterol and improvements in HbAIt is important to note that there were no intervention effects on glucose, insulin, HOMA-IR, or other lipid parameters, such as triglycerides, total cholesterol, non-HDL cholesterol, and HDL cholesterol. The study was powered on the primary outcome of FPG, which did not significantly change between groups, whereas the other metabolic parameters were secondary outcomes. One possible explanation for the null effects on glucose and insulin is that collection of glucose and insulin at a single time point may not have been representative of that child’s usual blood glucose and insulin secretion response. Collecting multiple glucose and insulin samples from a frequently sampled IV glucose tolerance test, or during an oral glucose test or meal challenge test, are more accurate ways of assessing glucose control than a single-time-point collection,