Research Article| Volume 48, ISSUE 2, P131-137.e1, February 2016

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Effect of Nutritional Intervention on Food Choices of French Students in Middle School Cafeterias, Using an Interactive Educational Software Program (Nutri-Advice)

Published:November 05, 2015DOI:



      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).


      Quasi-experimental design; pre/post-test.


      Freestanding interactive computer terminals (kiosks) were installed in three middle schools in Toulouse, France.


      A total of 580 children were enrolled into the study (mean age, 13 ± 1 years).


      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.

      Main Outcome Measures

      Children's food choice competency changes and body mass index z-score were evaluated.


      Significance of change in food choice competencies (postintervention vs baseline) was examined using paired t test.


      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 and Implications

      Personalized nutrition counseling through an interactive device has the potential to improve the food choice competencies of children.

      Key Words

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        • Krul A.J.
        • Daanen H.A.M.
        • Choi H.
        Self-reported and measured weight, height and body mass index (BMI) in Italy, the Netherlands and North America.
        Eur J Public Health. 2001; 21: 414-419
      1. Ministère de l’Emploi et de la Solidarité; Ministère Délégué de la Santé. Programme National Nutrition Santé PNNS 2001-2015. Accessed March 13, 2015.

        • Ng M.
        • Fleming T.
        • Robinson M.
        • et al.
        Global, regional, and national prevalence of overweight and obesity in children and adults during 1980–2013: a systematic analysis for the Global Burden of Disease Study 2013.
        Lancet. 2014; 384: 766-781
        • Swinburn B.A.
        • Sacks G.
        • Hall K.D.
        • et al.
        The global obesity pandemic: shaped by global drivers and local environments.
        Lancet. 2011; 378: 804-814
        • Mladovsky P.
        • Allin S.
        • Masseria C.
        • et al.
        Health in the European Union: trends and analysis. European Observatory on Health Systems and Policies. Observatory Studies Series No. 19.
        World Health Organization, Geneva, Switzerland2009: 85-91
        • von Lengerke T.
        • Krauth C.
        Economic costs of adult obesity: a review of recent European studies with a focus on subgroup-specific costs.
        Maturitas. 2011; 3: 220-229
        • Haerens L.
        • Deforche B.
        • Maes L.
        • et al.
        Evaluation of a 2-year physical activity and healthy eating intervention in middle school children.
        Health Educ Res. 2006; 21: 911-921
        • Hung S.H.
        • Hwang S.L.
        • Su M.J.
        • et al.
        An evaluation of a weight-loss program incorporating e-learning for obese junior high school students.
        Telemedicine and e-Health. 2008; 14: 783-792
        • Turnin M.C.
        • Tauber J.P.
        • Couvaras O.
        • Buisson J.C.
        • Hanaire H.
        Evaluation of microcomputer nutritional teaching games in 1876 children at school.
        Diabetes Metab. 2001; 27: 459-464
        • Turnin M.C.
        • Bourgeois O.
        • Cathelineau G.
        • et al.
        Multicenter randomized evaluation of a nutritional education software in obese patients.
        Diabetes Metab. 2001; 27: 139-147
        • Buisson J.C.
        Nutri-Educ: a nutrition software application for balancing meals using fuzzy arithmetic and heuristic search algorithms.
        Artif Intell Med. 2008; 42: 213-227
        • Buisson J.C.
        • Garel A.
        Balancing meals using fuzzy arithmetic and heuristic search algorithms.
        IEEE Trans Fuzzy Systems. 2003; 11: 68-78
      2. ANSES table CIQUAL 2012 [French]. Accessed March 13, 2015.

        • Souci S.W.
        • Fachmann W.
        • Kraut H.
        Food Composition and Nutrition Tables.
        in: 8th ed. Medpharm Scientific Publishers, Stuttgart, Germany2008
        • Onis M.
        • Lobstein T.
        Defining obesity risk status in the general childhood population: which cut-offs should we use?.
        Int J Pediatr Obes. 2010; 5: 458-460
        • Rolland-Cachera M.F.
        Childhood obesity: current definitions and recommendations for their use.
        Int J Pediatr Obes. 2011; 6: 325-331
        • Ajie W.N.
        • Chapman-Novakofski K.M.
        Impact of computer-mediated, obesity-related nutrition education interventions for adolescents: a systematic review.
        J Adolesc Health. 2014; 6: 631-645
        • Nguyen B.
        • Kornman K.P.
        • Baur L.A.
        A review of electronic interventions for prevention and treatment of overweight and obesity in young people.
        Obes Rev. 2011; 12: e298-e314
        • Baranowski T.
        • Buday R.
        • Thompson D.I.
        • Baranowski J.
        Playing for real: video games and stories for health-related behavior change.
        Am J Prev Med. 2008; 34: 74-82
        • Oh Y.J.
        • Kim D.S.
        “Nutrition exploration” with food characters: interactive multimedia nutrition software for preschoolers.
        J Nutr Educ Behav. 2007; 39: 173-174
        • Peng W.
        Design and evaluation of a computer game to promote a healthy diet for young adults.
        Health Commun. 2009; 24: 115-127
        • Doyle A.C.
        • Goldschmidt A.
        • Huang C.
        • et al.
        Reduction of overweight and eating disorder symptoms via the internet in adolescents: a randomized controlled trial.
        J Adolesc Health. 2008; 43: 172-179
        • Janssen I.
        • Boyce W.F.
        • Simpson K.
        • Pickett W.
        Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents.
        Am J Clin Nutr. 2006; 83: 139-145