title: Effect of Nutritional Intervention on Food Choices of French Students in Middle School Cafeterias, Using an Interactive Educational Software Program (Nutri-Advice).
abstract: OBJECTIVE
  To evaluate the impact of interactive Nutri-Advice kiosks on children's nutritional skills and their ability to apply it to food choices in a middle school cafeteria menu (food choice competencies).
  
  
  METHODS
  Quasi-experimental design; pre/post-test.
  
  
  METHODS
  Freestanding interactive computer terminals (kiosks) were installed in three middle schools in Toulouse, France.
  
  
  METHODS
  A total of 580 children were enrolled into the study (mean age, 13 ± 1 years).
  
  
  METHODS
  Each child's physiological profile was stored in a personal barcode card. During 1 school year, once a day, each child could access the kiosk with this card, trying to find the most balanced meal according to his or her profile and the food available on the cafeteria menu.
  
  
  METHODS
  Children's food choice competency changes and body mass index z-score were evaluated.
  
  
  METHODS
  Significance of change in food choice competencies (postintervention vs baseline) was examined using paired t test.
  
  
  RESULTS
  Across the study, children chose significantly less cheese and pastry or desserts, and significantly more starchy food and dairy, and tended to choose fruits and vegetables more often. Body mass index z-score decreased significantly during the period.
  
  
  CONCLUSIONS
  Personalized nutrition counseling through an interactive device has the potential to improve the food choice competencies of children.
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France. Electronic address: turnin.mc@chu-toulouse.fr.
authors.forename: Marie-Christine
authors.initials: MC
authors.lastname: Turnin
authors.affiliation: University of Toulouse, Institut National Polytechnique de Toulouse-Ecole Nationale Supérieure d'Électrotechnique, d'Électronique, d'Informatique, d'Hydraulique, et des Télécommunications, Toulouse, France.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Buisson
authors.affiliation: Department of Epidemiology and Analyses in Public Health: Risks, Chronic Diseases, Handicaps, University Hospital of Toulouse, Toulouse, France.
authors.forename: Namanjeet
authors.initials: N
authors.lastname: Ahluwalia
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Cazals
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Bolzonella-Pene
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France.
authors.forename: Caroline
authors.initials: C
authors.lastname: Fouquet-Martineau
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France.
authors.forename: Pascale
authors.initials: P
authors.lastname: Martini
authors.affiliation: Department of Paediatrics, Endocrinology, Genetics, and Medical Gynaecology, University Hospital of Toulouse, Hôpital des Enfants, Toulouse, France.
authors.forename: Maïthé
authors.initials: M
authors.lastname: Tauber
authors.affiliation: Department of Diabetology, Metabolic and Nutrition Disease, University Hospital of Toulouse, Toulouse, France.
authors.forename: Hélène
authors.initials: H
authors.lastname: Hanaire
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D005518:Food Preferences / Q000523:psychology*; D005522:Food Services; D005602:France; D006266:Health Education / Q000379:methods*; D006801:Humans; D008297:Male; D052756:Nutritional Sciences / Q000193:education*; D012574:Schools; D013334:Students / Q000523:psychology*; D014584:User-Computer Interface
keywords: cafeteria; food choices; interactive kiosk; middle school; nutrition education