title: Foods offered in Quebec school cafeterias: do they promote healthy eating habits? Results of a provincial survey.
abstract: OBJECTIVE
  A school environment that encourages students to opt for food with sound nutritional value is both essential and formative in ensuring that young people adopt healthy eating habits. The aim of this paper is to describe the food offered for lunch in the cafeteria service lines in Quebec schools on regular school days.
  
  
  METHODS
  A cross-sectional survey was conducted between November 2008 and June 2009 with a representative sample of 207 French-speaking schools in the province of Quebec. The response rate was 71%. The cafeteria food available from the service line was observed directly and systematically by research assistants trained in observational procedures. Bivariate and descriptive analyses were performed.
  
  
  RESULTS
  While most schools offered a vegetable side dish, only 71% of primary schools, 71% of public secondary schools, and 54% of private secondary schools did not offer cold-cut dishes, stuffed pastry, or a fried food on their daily menus. The sandwiches available were rarely made with whole-grain bread. Public secondary schools had more cookies, biscuits, muffins, and chewing gum than private primary and secondary schools. Milk was available in 85% of the primary schools. Most of the schools had eliminated sodas but were still offering fruit cocktails instead of 100% fruit juice.
  
  
  CONCLUSIONS
  The school eating environment changed significantly from 2002 to 2009, presumably as a result of the government action plan and the Framework Policy. Improvements must be made with respect to reducing added sugar in beverages and desserts and promoting baked rather than fried snacks. Vigilance is required since many new products are making their way into the market.
authors.affiliation: Faculté d'éducation physique et sportive, Université de Sherbrooke, Sherbrooke, QC. Pascale.Morin@USherbrooke.ca
authors.forename: Pascale
authors.initials: P
authors.lastname: Morin
authors.forename: Karine
authors.initials: K
authors.lastname: Demers
authors.forename: Katherine
authors.initials: K
authors.lastname: Gray-Donald
authors.forename: Lyne
authors.initials: L
authors.lastname: Mongeau
mesh_terms: D003430:Cross-Sectional Studies; D005247:Feeding Behavior; D005502:Food / Q000706:statistics & numerical data*; D005522:Food Services; D006291:Health Policy; D006801:Humans; D062409:Lunch; D009753:Nutritive Value; D011792:Quebec; D012574:Schools / Q000706:statistics & numerical data*; D012931:Social Environment
keywords: Child; Food services; Health behaviour; Nutrition; School