scholarly journals Effect of a community-based intervention on nutritional behaviour in a developing country setting: the Isfahan Healthy Heart Programme

2009 ◽  
Vol 12 (9) ◽  
pp. 1422-1430 ◽  
Author(s):  
Noushin Mohammadifard ◽  
Roya Kelishadi ◽  
Morteza Safavi ◽  
Nizal Sarrafzadegan ◽  
Firoozeh Sajadi ◽  
...  
Keyword(s):  
Meat Products ◽  
Dietary Behaviour ◽  
Baseline Survey ◽  
Food Groups ◽  
Reference Area ◽  
Cvd Risk ◽  
Community Based ◽  
Dietary Behaviours ◽  
Consumption Index ◽  
The Impact

AbstractObjectiveThe present study was conducted to determine the impact of a community-based intervention on the nutritional behaviour of a representative sample of Iranian adults.DesignThe Isfahan Healthy Heart Programme (IHHP), a six-year, action-oriented, integrated community-based study aimed at health promotion through the reduction of CVD risk factors, targeted the whole population living in two intervention cities, and compared outcomes with the population of a non-intervention city considered as reference. Dietary interventions were performed as educational, environmental and/or legislative strategies. A global dietary index (GDI) was calculated representing the general dietary behaviour. In addition, two consumption indices were calculated for specific food groups, i.e. meat products and major sources of fat. Univariate AVOVA was conducted to evaluate the impact of the intervention on dietary behaviours.SettingIsfahan and Najaf-Abad (intervention cities) and Arak (reference city), central Iran.SubjectsThe baseline survey was conducted among 12514 randomly selected adults aged ≥19 years in both intervention and reference areas. The survey was repeated annually among about 5000 persons (2002–2005) in the intervention and reference communities.ResultsAccording to significant year × group interactions in mean fat consumption index (FCI) and meat consumption index (MCI) in the total population, a significant improvement in FCI and MCI was found in the intervention areasv. the reference area (P< 0·001). In addition, the GDI improved significantly in the intervention areasv. the reference area (P< 0·001).ConclusionsThe IHHP interventions were effective in improving dietary behaviours at the population level. The highest effectiveness was documented in the change in the type of fat consumed. Such simple and integrated interventions can be adopted in other developing countries with limited financial resources.

scholarly journals The mixed effects of a package of multilevel interventions on the health and care of pregnant women in Zinder, Niger

2019 ◽  
Vol 4 (6) ◽  
pp. e001200 ◽  
Author(s):  
Cesaire T Ouedraogo ◽  
K Ryan Wessells ◽  
Rebecca R Young ◽  
Ibrahim Foungotin Bamba ◽  
M Thierno Faye ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Baseline Survey ◽  
Community Based ◽  
Gestational Weight ◽  
Change Communication ◽  
Quasi Experimental ◽  
Iron Folic Acid ◽  
Rural Niger ◽  
The Impact ◽  
Experimental Study Design

BackgroundAnaemia is prevalent among pregnant women in rural Niger and antenatal care (ANC) attendance is suboptimal. We designed a programmatic intervention including community-based behaviour change communication, provision of essential drugs (including iron folic acid (IFA) supplements) and quality improvement activities at selected integrated health centres (IHCs).ObjectiveTo assess the impact of the programmatic intervention on: (1) utilisation of ANC, (2) adherence to daily IFA supplementation and (3) prevalence of adequate gestational weight gain (GWG) and anaemia among pregnant women in Zinder, Niger.MethodsUsing a quasi-experimental study design comparing a cohort of women at baseline to another cohort of women at endline, 18 IHCs and surrounding villages were randomly assigned to time of enrolment over 1 year. A baseline survey was implemented among randomly selected pregnant women in 68 village clusters. Subsequently, the intervention was rolled out and an endline survey was implemented 6 months later in the same villages.ResultsMean age in the baseline (n=1385) and endline (n=922) surveys was 25.8±6.4 years. The percentage of pregnant women who reported attending any number of ANC and an adequate number of ANC for their gestational age, respectively, was not significantly different between the endline and the baseline surveys. Pregnant women in the endline survey were more likely to have received IFA (60.0% vs 45.8%, OR: 2.7 (1.2, 6.1)); and the proportion of pregnant women who reportedly consumed IFA daily in the previous 7 days was significantly higher in the endline than in the baseline survey (46.4% vs 32.8%, OR: 2.8 (1.2, 6.5)). There was no impact on the prevalence of adequate GWG or anaemia.ConclusionsThe programmatic intervention resulted in a modest increase in the number of pregnant women who reported receiving and consuming IFA supplements as recommended, but did not affect ANC attendance and nutritional status.

scholarly journals Association of Differences in Dietary Behaviours and Lifestyle with Self-Reported Weight Gain during the COVID-19 Lockdown in a University Community from Chile: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3213
Author(s):  
Addi Rhode Navarro-Cruz ◽  
Ashuin Kammar-García ◽  
Javier Mancilla-Galindo ◽  
Gladys Quezada-Figueroa ◽  
Mariana Tlalpa-Prisco ◽  
...  
Keyword(s):  
Weight Gain ◽  
Eating Habits ◽  
Emotional Health ◽  
Cross Sectional Study ◽  
Food Groups ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Dietary Behaviours ◽  
The Impact ◽  
University Community

Domiciliary confinement of people is one of the main strategies to limit the impact of COVID-19. Lockdowns have led to changes in lifestyle, emotional health, and eating habits. We aimed to evaluate the association of differences in dietary behaviours and lifestyle with self-reported weight gain during the COVID-19 lockdown in Chile. In this cross-sectional analytical study, five previously validated surveys were condensed into a single 86-item online questionnaire. The survey was sent to 1000 potential participants of the university community; it was kept online for 28 days to be answered. Of the 639 respondents, the mean self-reported weight gain during confinement was 1.99 kg (standard deviation [SE]: 0.17) and 0.7 (SE: 0.06) units of body mass index (BMI) (both p < 0.001) and the median difference in body weight during lockdown was 3.3% (interquartile range [IQR]: 0.0–6.7). The differences of intake of most food groups before and during lockdown were associated with greater self-reported weight, BMI and percentage weight gain. Differences in lifestyle (odds ratio [OR] = 14.21, 95% confidence interval [95%CI]: 2.35–85.82) worsening eating habits (OR = 3.43, 95%CI: 2.31–5.09), and more consumption of sweet or filled cookies and cakes during lockdown (OR = 2.11, 95%CI: 1.42–3.13) were associated with self-reported weight gain. In conclusion, different dietary behaviours (mainly consumption of industrialized foods) during lockdown, as well as quality of life deterioration were the main factors associated with self-reported weight gain during lockdown.

scholarly journals Role the awareness of healthy nutrition and lifestyle for improving dietary behavior and the bodily status of employees agri-food industry

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Abdelfettah Derouiche ◽  
Houria Makhlouki ◽  
Maria Elrbaoui ◽  
Younes Elkardi ◽  
Ali Jafri ◽  
...  
Keyword(s):  
Body Composition ◽  
Nutrition Education ◽  
Healthy Lifestyle ◽  
Dietary Behaviour ◽  
Food Groups ◽  
Healthy Nutrition ◽  
Dietary Choices ◽  
The Social ◽  
The Impact ◽  
Composition Changes

AbstractIntroduction:Awareness and education Nutritional contribute to the voluntary improvement of dietary behaviour and adopting healthy lifestyle. In a work environment, nutrition education falls under the social responsibility of the employer to promote healthier dietary choices. This study aims to assess the impact of nutrition education on dietary behaviour, lifestyle and body composition on a group of industry workers.Materials and Methods:A group of 44 workers have volunteered to participate to this 6 months’ trial. Participants were aged between 28 and 58 years old (43% women and 57% men). All participants have completed a cap-score questionnaire at the beginning and end of the study, the questionnaire was organised into 3 sections: food groups, dietary behaviour, and lifestyle. Anthropometric measurements (height, weight, BMI, muscle mass, fat mass, hip circumference and waist circumference) were monitored during the study. Nutrition education sessions addressed 4 topics including healthy lifestyle. Participants were free to attend to any of the workshops.Results:Only fifteen participants attended all sessions. Data showed that obesity lowered by 28.6% and overweight increased by 32.6%, body composition changes were not significant. Changes in dietary behaviour were not significant, while scores of food groups and lifestyle changed significantly (p = 0.053 and p = 0.042 respectively).Discussion:This study reveals the commitment of workers to nutrition education which could be a part in improving their dietary choices, their health and their productivity.

scholarly journals The Role of Specific Components of a Plant-Based Diet in Management of Dyslipidemia and the Impact on Cardiovascular Risk

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2671 ◽  
Author(s):  
Elke A. Trautwein ◽  
Sue McKay
Keyword(s):  
Dietary Patterns ◽  
Current Knowledge ◽  
Density Lipoprotein ◽  
Convincing Evidence ◽  
Food Groups ◽  
Cvd Risk ◽  
Eating Pattern ◽  
Diet Patterns ◽  
The Impact

Convincing evidence supports the intake of specific food components, food groups, or whole dietary patterns to positively influence dyslipidemia and to lower risk of cardiovascular diseases (CVD). Specific macro- and micro-components of a predominantly plant-based dietary pattern are vegetable fats, dietary fibers, and phytonutrients such as phytosterols. This review summarizes the current knowledge regarding effects of these components on lowering blood lipids, i.e., low-density lipoprotein cholesterol (LDL-C) and on reducing CVD risk. The beneficial role of a plant-based diet on cardiovascular (CV) health has increasingly been recognized. Plant-based dietary patterns include a Mediterranean and Nordic diet pattern, the dietary approaches to stop hypertension (DASH), and Portfolio diet, as well as vegetarian- or vegan-type diet patterns. These diets have all been found to lower CVD-related risk factors like blood LDL-C, and observational study evidence supports their role in lowering CVD risk. These diet patterns are not only beneficial for dyslipidemia management and prevention of CVD but further contribute to reducing the impact of food choices on environmental degradation. Hence, the CV health benefits of a predominantly plant-based diet as a healthy and environmentally sustainable eating pattern are today recommended by many food-based dietary as well as clinical practice guidelines.

scholarly journals Burns in Nepal: a participatory, community survey of burn cases and knowledge, attitudes and practices to burn care and prevention in three rural municipalities

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033071 ◽  
Author(s):  
Kamal Phuyal ◽  
Edna Adhiambo Ogada ◽  
Richard Bendell ◽  
Patricia E Price ◽  
Tom Potokar
Keyword(s):  
Response Rate ◽  
Tertiary Care ◽  
Local Context ◽  
Medical Attention ◽  
Baseline Survey ◽  
Community Based ◽  
Attitudes And Practices ◽  
Burn Care ◽  
Rural Municipalities ◽  
The Impact

ObjectivesAs part of an ongoing, long-term project to co-create burn prevention strategies in Nepal, we collected baseline data to share and discuss with the local community, use as a basis for a co-created prevention strategy and then monitor changes over time. This paper reports on the method and outcomes of the baseline survey and demonstrates how the data are presented back to the community.DesignA community-based survey.SettingCommunity based in three rural municipalities in Nepal.Participants1305 households were approached: the head of 1279 households participated, giving a response rate of 98%. In 90.3% of cases, the head of the household was male.ResultsWe found that 2.7% (CI 1.8 to 3.7) of 1279 households, from three representative municipalities, reported at least one serious burn in the previous 12 months: a serious burn was defined as one requiring medical attention and/or inability to work or do normal activities for 24 hours. While only 4 paediatric and 10 adult cases in the previous 12 months reached hospital care, the impact on the lives of those involved was profound. Only one patient was referred on from primary to secondary/tertiary care; the average length of hospital stay for those presenting directly to secondary/tertiary care was 21 days. A range of first-aid behaviours were used, many of which are appropriate for the local context while a few may be potentially harmful (eg, the use of dung).ConclusionThe participatory approach used in this study ensured a high response rate. We have demonstrated that infographics can link the pathway for each of the cases observed from initial incident to final location of care.

scholarly journals How expensive is a cardioprotective diet? Analysis from the CRESSIDA study

2017 ◽  
Vol 20 (8) ◽  
pp. 1423-1430 ◽  
Author(s):  
Dianne P Reidlinger ◽  
Thomas AB Sanders ◽  
Louise M Goff
Keyword(s):  
Dietary Intervention ◽  
Controlled Trial ◽  
Control Diet ◽  
Dietary Guidelines ◽  
Diet Analysis ◽  
Food Groups ◽  
Cvd Risk ◽  
Daily Food ◽  
Habitual Intake ◽  
The Impact

AbstractObjectiveTo determine whether a cardioprotective dietary intervention based on UK dietary guidelines was more expensive than a conventional UK diet.DesignCost analysis of food records collected at baseline and after a 12-week dietary intervention of a cardioprotective diet v. conventional UK diet.SettingA randomized controlled dietary intervention study (CRESSIDA; ISRCTN 92382106) investigating the impact of following a diet consistent with UK dietary guidelines on CVD risk.SubjectsParticipants were healthy UK residents aged 40–70 years. A sub-sample of participants was randomly selected from those who completed the cardioprotective dietary intervention (n 20) or the conventional UK dietary intervention (n 20).ResultsBaseline diet costs did not differ between groups; mean daily food cost for all participants was £6·12 (sd £1·83). The intervention diets were not more expensive: at end point the mean daily cost of the cardioprotective diet was £6·43 (sd £2·05) v. the control diet which was £6·53 (sd £1·53; P=0·86).ConclusionsThere was no evidence that consumption of a cardioprotective diet was more expensive than a conventional dietary pattern. Despite the perception that healthier foods are less affordable, these results suggest that cost may not be a barrier when modifying habitual intake and under tightly controlled trial conditions. The identification of specific food groups that may be a cost concern for individuals may be useful for tailoring interventions for CVD prevention for individuals and populations.

scholarly journals Evaluation of Fisheries Management Techniques in Three Wetlands in Bangladesh

2020 ◽  
pp. 1-14
Author(s):  
Md Golam Mustafa
Keyword(s):  
Fisheries Management ◽  
Fishing Effort ◽  
Baseline Survey ◽  
Fish Production ◽  
Community Based ◽  
Annual Fish ◽  
Assessment Approach ◽  
The Status ◽  
Management Techniques ◽  
The Impact

Aim: To evaluate the impact of community-based co-management and fisheries management techniques on fisheries production and biodiversity in three large wetlands in Bangladesh. Study Design: A robust catch assessment approach to measure fisheries production, species composition and biodiversity in large wetlands. Place and Duration of Study: The study sites are located in three wetlands in Bangladesh, namely Hail Haor, Kangsha-Malijhee and Turag-Bangshi for a period of two years (2010 and 2011) covering MACH and IPAC working area. Methodology: Species wise catch and efforts by gear type was monitored through the regular sampling to estimate the annual total catch and fishing effort. Randomly selected samples of the catch by species and effort by gear are recorded for each gear type observed to be operated on the same day. The numbers and weight of all fish species in the catch were recorded. The study also compared results in the last years of MACH initiatives to observe the status of fisheries production (kg/ha) and biodiversity Index (H´). Results: The study indicated that the 2011 annual fish production (kg/ha) increased by 125 and 271% compared to the baseline survey in 1999 in Hail Haor and Kangsho-Malijhee respectively. The results suggested that Hail Haor and Kangsha-Malijhee wetlands showed considerably enriched biodiversity over 12 years, whilst, Turag-Bangshi showed upwards from 1999 to 2006 and decreased in 2010 and 2011. In 2010, fish production was 393, 322 and 139 kg/ha, and in 2011 fishes production was 370, 556 and 88 kg/ha in Hail Haor, Kangsho-Malijhee and Turagh-Bangshi wetlands, respectively. Conclusions: The assessment indicated that the overall fish production and biodiversity has been improved due to community-based co-management and this lesson could be replicated widely to sustain wetland resources.

scholarly journals Sustenance and sustainability: maximizing the impact of school gardens on health outcomes

2015 ◽  
Vol 18 (13) ◽  
pp. 2358-2367 ◽  
Author(s):  
Jaimie N Davis ◽  
Mackenzie R Spaniol ◽  
Shawn Somerset
Keyword(s):  
Dietary Intake ◽  
Self Efficacy ◽  
Vegetable Intake ◽  
Focal Point ◽  
Fruit And Vegetables ◽  
Dietary Behaviour ◽  
Control Group ◽  
School Gardens ◽  
Dietary Behaviours ◽  
The Impact

AbstractObjectiveSchool garden programmes have become popular action-oriented learning environments in many countries, often driven by converging priorities of environmental sustainability and healthful diets. Many of these programmes have assessed the impact on dietary intake, specifically fruit and vegetable intake, and related dietary behaviours, such as knowledge, preference, motivation, intention and self-efficacy to eat and prepare fruit and vegetables. The objective of the present study was twofold: (i) to review published garden-based programmes conducted in schools targeting dietary intake and/or determinants of dietary behaviour in children; and (ii) to identify similar strategies and components employed by these garden-based programmes.DesignThe review included thirteen studies that have examined the impact of garden-based programmes conducted in school, either during school hours or in after-school settings, on dietary behaviours in children (kindergarten through 8th grade students).ResultsThree of the reviewed studies did not have a comparison or control group and simply evaluated within-group changes after a garden intervention. None of the reviewed studies were randomized, but were assigned based on school’s interest and timing of new school gardens being built. Out of the eleven programmes that examined dietary intake, six found that the programme resulted in increased vegetable intake, whereas four showed no effect. Seven of the eight studies that measured preference found that the programmes resulted in increased preference for vegetables. Gardening programmes also resulted in improved attitudes towards, willingness to taste, identification of and self-efficacy to prepare/cook fruit and vegetables. Similar strategies/components employed by the majority of the programmes included: ‘hands on’ curriculum, incorporation of a cooking component, providing the instructors, parental and stakeholder support, food provision and using the garden as the focal point for media promotion.ConclusionsSome of the garden programmes resulted in increased vegetable intake, which has positive implications for both environment sustainability and health-related outcomes. Further, the majority resulted in some improvement in behaviour determinants more generally. However, more research is warranted to understand how to achieve long-term improvements in dietary behaviours and how to sustain the garden-based programmes in schools.

scholarly journals Dietary behaviours and sociocultural demographics in Northern Ireland

1990 ◽  
Vol 64 (2) ◽  
pp. 319-329 ◽  
Author(s):  
M. E. Barker ◽  
S. I. McClean ◽  
K. A. Thompson ◽  
N. G. Reid
Keyword(s):  
Northern Ireland ◽  
Food Consumption ◽  
Dietary Patterns ◽  
Dietary Behaviour ◽  
Food Groups ◽  
Anthropometric Data ◽  
Dietary Behaviours ◽  
Components Analysis ◽  
Food And Drink ◽  
Weighed Record

Subjects aged 16–64 years (592; 258 men and 334 women), randomly selected from the population of Northern Ireland, kept a 7 d weighed record of all food and drink consumed. Social, personal and anthropometric data were also collected. From the weighed records food consumption was described in terms of forty-one food groups. Using principal components analysis, four distinct dietary patterns were generated which were identified as a traditional diet, a cosmopolitan diet, a convenience diet and a ‘meat and two veg’ diet. These dietary patterns were then correlated with sociocultural, lifestyle and anthropometric variables. It is clear that dietary behaviour is influenced by a number of inter-related sociocultural demographics and that identifiable population groups in Northern Ireland have different dietary behaviours.

Trends in Dietary Intake of Vitamins A, C, and E in German Children and Adolescents – Results of the DONALD Study

2003 ◽  
Vol 73 (5) ◽  
pp. 335-342 ◽  
Author(s):  
Alexy ◽  
Kersting ◽  
Sichert-Hellert
Keyword(s):  
Vitamin E ◽  
Nutrition Education ◽  
Time Trends ◽  
Nutrient Intake ◽  
Age Groups ◽  
Food Groups ◽  
Fortified Food ◽  
Vitamin Intake ◽  
Dietary Records ◽  
The Impact

Intake of vitamins A, C, and E was evaluated and age and time trends were assessed on the basis of 3-day weighed dietary records (n = 5121) of 2- to 18-year old boys (n = 417) and girls (n = 425) enrolled in the DONALD Study (Dortmund Nutritional and Anthropometric Longitudinally Designed Study) 1986–2001. Intake of vitamin A remains stable over time, intake of vitamin C increases linearly, and intake of vitamin E follows a nonlinear trend. Age trends of vitamins A and C (per MJ) were nonlinear with a minimum at the beginning adolescence, while intake of vitamin E (per MJ) increased linearly. Girls had higher nutrient densities but lower intakes expressed as percent of reference values. Fortified food in total had a higher impact on time trends of nutrient intake than other single food groups defined here. Our results point to the impact of the food industry on long-term nutrient intake, but also underline the necessity of nutrition education even in young age groups to improve vitamin intake.

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