scholarly journals Influence of pre-schooler and parent nutrition education on carotenoid levels of Mexican-heritage children

2020 ◽  
Vol 23 (13) ◽  
pp. 2336-2344
Author(s):  
Marcel Horowitz ◽  
Lucia L. Kaiser ◽  
Rosa D Manzo ◽  
Albert Aguilera ◽  
L. Karina Diaz Rios ◽  
...  
Keyword(s):  
School Districts ◽  
Nutrition Education ◽  
Low Income ◽  
Comparison Group ◽  
Vegetable Consumption ◽  
Resonance Raman Spectroscopy ◽  
Intervention Group ◽  
Mediating Effect ◽  
Significant Difference ◽  
Mexican Heritage

AbstractObjective:To determine the mediating effect of direct preschool and parent nutrition education on changes in skin carotenoids scores over 2 years in children of Mexican heritage.Design:In a quasi-experimental, community-based study, two school districts were randomly assigned to either a comparison group (parent workshops unrelated to nutrition) or a childhood obesity prevention intervention group which included nutrition education at family nights for parents and at school for children. Changes in skin carotenoid intensity scores (diffCAROT, year 2015 minus 2013) were measured in children as a proxy for fruit and vegetable consumption using Resonance Raman Spectroscopy.Setting:Two rural, low-income, school districts from a county in California’s Central Valley.Participants:316 Mexican heritage families with children aged 3–8 years.Results:Intervention group children improved over 2 years in skin carotenoid scores relative to comparison group children (diffCAROT mean +1419 (sd 9540) v. –3473 (sd 9272), P = 0·0001). Parent attendance at nutrition education classes partially mediated the intervention effect on diffCAROT (P = 0·02). Controlling for child’s age and other covariates, participation in preschool during the study had a significant positive effect on diffCAROT among intervention children compared with controls (P < 0·03), whereas no significant difference by group was observed among those not enrolled in preschool or already enrolled in elementary school.Conclusions:Programmes that combine direct parent and preschool nutrition education may be effective in low-income Mexican heritage families to improve children’s intake of fruit and vegetables.

scholarly journals Impact of a nutrition education programme on preschool children’s willingness to consume fruits and vegetables

2020 ◽  
Vol 23 (10) ◽  
pp. 1846-1853
Author(s):  
Emily M Melnick ◽  
Karen Thomas ◽  
Charlotte Farewell ◽  
Jennie Quinlan ◽  
Deanna LaFlamme ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Comparison Group ◽  
Intervention Group ◽  
Education Programme ◽  
Change Over Time ◽  
School Year ◽  
Preschool Classrooms ◽  
Over Time

AbstractObjective:To evaluate the impact of a preschool-based nutrition education programme consisting of twelve ‘hands on’ nutrition education lessons delivered during the school year on young children’s willingness to consume fruits and vegetables.Design:Quasi-experimental, pre-post design including the collection of plate waste evaluation data at the start and end of the 2015–2016 school year within two groups: (1) randomly selected classrooms receiving the intervention and (2) within conveniently sampled preschool classrooms not receiving the intervention serving as a comparison group.Setting:Centre-based preschool programmes serving low-income families in the Denver metro area.Participants:Three- to five-year-old children in preschool classrooms participating in the intervention during the 2015–2016 school year (n 308) and children enrolled in comparison classrooms (n 215).Results:Repeated-measures logit models assessed whether increases in the odds of consuming small samples of fruits and vegetables between Time 1 (pre-intervention) and Time 2 (post-intervention) were different for children within the intervention group compared with the comparison group. Analyses showed that the change over time in consumption of the three vegetable samples varied by intervention status with greater change occurring among children within the intervention group (edamame: P = 0·001; cauliflower: P ≤ 0·0001 and red pepper: P ≤ 0·0001). Unlike vegetables, the change over time in consumption of the two fruit samples was not different between children within the intervention and comparison groups.Conclusions:An experiential-learning nutrition education programme can positively influence eating behaviours of low-income preschoolers in a centre-based setting by increasing willingness to consume vegetables.

A School-Based Intervention to Reduce Excess Weight in Overweight and Obese Primary School Students

2016 ◽  
Vol 18 (5) ◽  
pp. 531-540 ◽  
Author(s):  
Maryam Amini ◽  
Abolghassem Djazayery ◽  
Reza Majdzadeh ◽  
Mohammad-Hossein Taghdisi ◽  
Haleh Sadrzadeh-Yeganeh ◽  
...  
Keyword(s):  
Primary School ◽  
Nutrition Education ◽  
Primary Schools ◽  
Comparison Group ◽  
Controlled Trial ◽  
Intervention Group ◽  
Excess Weight ◽  
World Health ◽  
Moderate Activity ◽  
Significant Difference

Background: This study evaluated the effect of an intervention for reducing excess weight gain in primary school-age children in Tehran. Methods: A cluster-randomized controlled trial was conducted in 12 primary schools in Tehran. Three hundred thirty-four pupils, 167 in the intervention and 167 in the comparison group, determined to be overweight or obese based on World Health Organization standards, were recruited for the study. The intervention included nutrition education and increased physical activity (PA) for the pupils, lifestyle modification for parents, and a change in food items sold at the schools’ canteens. The entire intervention lasted approximately 18 weeks. Measures were taken before and immediately after the intervention. Results: The intervention significantly reduced body mass index Z-score and hip circumference ( p = .003 and p < .001, respectively). Waist circumference increased in both groups, but the increase was higher in the comparison group ( p = .001). No significant difference was seen in time spent on TV viewing between groups ( p = .08). Vigorous PA increased in the intervention group ( p < .001), while the comparison group showed an increase in moderate activity only ( p < .001). Energy intake increased significantly in the intervention group ( p < .001). Neither triceps skinfold thickness nor time spent on the computer changed in the intervention group ( p = .51 and p = .1, respectively), while they increased in the comparison group ( p < .001 and p = .004, respectively). Conclusion: The study provides a successful model for the implementation of similar interventions throughout the country.

scholarly journals Body composition outcomes of Healthy Fit and the role of acculturation among low-income Hispanics on the US-Mexico border

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Diane I. Lopez ◽  
Lauren Chacon ◽  
Denise Vasquez ◽  
Louis D. Brown
Keyword(s):  
Physical Activity ◽  
Body Composition ◽  
Nutrition Education ◽  
Low Income ◽  
Vegetable Consumption ◽  
Overweight And Obesity ◽  
Foreign Born ◽  
Exercise Interventions ◽  
Mexico Border

Abstract Background Hispanic immigrants continue to experience higher rates of overweight and obesity compared to their non-Hispanic counterparts. Acculturation may contribute to unhealthy weight gain among immigrant populations by shifting dietary patterns from high fruit and vegetable consumption to unhealthier high fat diets. Healthy Fit, a culturally tailored community health worker (CHW) intervention, aims to reduce obesity related outcomes by providing physical activity and nutrition education and resources in a low-income Hispanic population. This study aims to evaluate outcomes of Healthy Fit participants and examine changes in body composition in relation to level of acculturation at baseline and follow-up. Method In this longitudinal observational study, CHWs recruited 514 participants from community events and agencies serving low-income Hispanic populations in El Paso, Texas from 2015 to 2016. Following an in-person health screening, eligible participants received nutrition and physical activity education guided by fotonovelas, comic-like educational books. Telephone follow-ups made at 1, 3, and 6 months by CHWs encouraged follow-through on referrals. 288 participants completed the screening again during the 12-month follow-up. Results The sample was predominantly Hispanic (96%), female (82%), uninsured (79%), had a household income of less than $19,999 (70%), foreign-born (79%), preferred Spanish (86%) and few rated themselves as good or excellent for English proficiency (27%). Overall, Healthy Fit participants significantly improved (i.e., decreased) BFP by 0.71% (t = 2.47, p = 0.01) but not BMI (b = .01, t = − 0.14, p = .89). Contrary to expectations, acculturation was not associated with lower BMI (b = 0.09, p = 0.84) or BFP (b = 0.13, p = 0.85) at baseline. However, acculturation predicted changes in both BMI (b = 0.30, p = 0.03) and BFP (b = 1.33, p = 0 .01) from baseline to follow-up. Specifically, the low acculturation group improved in body composition measures over time and the high acculturation group did not improve in either measure. Conclusion Findings suggest Healthy Fit was most effective among less acculturated individuals. The influence of acculturation on the efficacy of nutrition and exercise interventions suggests that Hispanics should not be treated as a homogenous subgroup.

scholarly journals COMMUNITY BELONGING THROUGH THEATER: CREATIVE ARTS INTERVENTION FOR LOW-INCOME OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S198-S198
Author(s):  
Ruth E Dunkle ◽  
Laura Sutherland ◽  
Garrett T Pace ◽  
Ariel Kennedy ◽  
Patricia Baldwin
Keyword(s):  
Older Adults ◽  
Treatment Group ◽  
Social Exclusion ◽  
Social Isolation ◽  
Sense Of Community ◽  
Low Income ◽  
Comparison Group ◽  
Creative Arts ◽  
Significant Difference ◽  
Community Belonging

Abstract Creative arts can promote social contact and possibly reduce isolation. A professionally run theater group comprised of low-income older adults met for 12 weeks to learn basic skills and perform a play. Using a pre-post questionnaire, data were gathered from the treatment group (n=14) who participated in the class and a non-participating comparison group (n=5) to identify potential program effects on measures of social isolation, community belonging, and social exclusion. Participants were African American living in low-income housing in an urban area. The average age of the sample was 65 years, 21% were men, 83% had at least high school degree, 71% reported good to excellent health, and 58% reported at least one ADL. Regression analyses showed that a sense of community belonging was significantly greater for the treatment group than the comparison group at time 2.This was not the case when considering social isolation or social exclusion. When controls were added (age, health, and previous theater experience), the significant difference remained with higher age predicting a sense of community belonging. The greater number of class sessions attended was also associated with a greater sense of community belonging for the treatment group. Through the shared experience of theater, participants can gain a sense of community, but this activity does not seem to be related to social isolation or social exclusion. It could be that theater participation fosters a sense of belonging due to group dynamics but is not a significant enough activity to reduce a sense of isolation or exclusion.

scholarly journals What are the effects of supporting early parenting by newborn behavioral observations (NBO)? A cluster randomised trial

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Ingeborg Hedegaard Kristensen ◽  
Svend Juul ◽  
Hanne Kronborg
Keyword(s):  
Comparison Group ◽  
Intervention Group ◽  
Link Type ◽  
Early Parenting ◽  
Behavioral Observations ◽  
Cluster Randomised ◽  
Health Visitors ◽  
Significant Difference ◽  
Early Parent

Abstract Background Professional support to enhance the early parent-infant relationship in the first months after birth is recommended, but little is known about the effect of universal interventions. The objective was to investigate the effect of health visitors’ use of the Newborn Behavioral Observations system in new families. Methods A cluster-randomised study was conducted in four Danish municipalities. Health visitors’ geographical districts constituted the units for randomisation (n = 17). In the intervention group, 1332 families received NBO from 3 weeks after birth; in the comparison group, 1234 received usual care. Self-administered questionnaires were collected at baseline one to two weeks after birth, and at follow-up three and nine months postpartum. The outcomes were change over time measured by The Karitane Parenting Confidence Scale (KPCS), The Major Depression Inventory (MDI), The Ages and Stages Questionnaire: social-emotional (ASQ:SE) and The Mother and Baby Interaction Scale (MABIC). Data were analysed with mixed-effects linear regression using the intention-to-treat approach. Results At baseline, no significant differences between the two groups were seen regarding maternal and infant factors. At follow-up three and nine months after birth, the change in maternal confidence and mood, infant’s socio-emotional behaviour, and early parent-infant relationship moved in a slightly more positive direction in the intervention group than in the comparison group, though not statistically significant. The only significant effect was that the intervention mothers reported higher level of knowledge about infant’s communication skills, response to cues, and how to sooth and establish a relation with the infant, compared to the comparison group. Conclusions We found no effect of the NBO system delivered in a universal context to all families in a community setting. The only significant difference between groups was a higher maternal degree of knowledge regarding early parenting in the intervention group. Trial registration ClinicalTrials.gov ID: NCT03070652. Registrated February 22, 2017.

scholarly journals Nutrition Knowledge and Dietary Intake in Pregnancy in Rural Malawi: Comparing Supplementary Nutrition Education and -Counseling With Routine Antenatal Care

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 145-145
Author(s):  
Lillian Katenga-Kaunda ◽  
Penjani Rhoda Kamudoni ◽  
Gerd Holmboe-Ottesen ◽  
Heidi Fjeld ◽  
Ibrahimu Mdala ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Low Income ◽  
Dietary Habits ◽  
Dietary Diversity ◽  
Intervention Group ◽  
Study Groups ◽  
Nutrition Knowledge ◽  
Randomised Control Trial ◽  
Control Group ◽  
End Point

Abstract Objectives To describe and compare changes in nutrition knowledge, perception and dietary habits between the intervention and control group and to evaluate the effects of nutrition knowledge on dietary diversification among the two study groups. Methods This study was a two armed randomised control trial. We recruited 257 women (gestational week 9–12) of which 195 (76%) were available for analyses: intervention 92; Control 103) the women were assessed at inclusion (baseine) and two weeks before the expected date of delivery (study end-point) for differences in nutrition knowledge, perception (using a structured questionnaire) and dietary habits (assessing dietary diversity score). We performed descriptive analyses to assess these differences between the two study groups. Three-level linear multilevel regression models with random intercept and random effect of time on participant at level 1 and village level 2 were used to expore the association between nutrition knowledge and dietary habits Results Our results show that both nutrition knowledge and dietary diversity improved in both study groups, but the improvement were significantly higher in the intervention group at study-end point. Increase in nutrition knowledge was associated with improved dietary diversity only among women in the intervention group. Moreover, women in the intervention group improved their nutrition perception and behaviour. Conclusions Our results provide evidence that poor nutrition knowledge is a barrier to consumption of healthy diet during pregnancy, thus supporting the relevance for augmenting nutrition education offered at ANC with supplementary and community-based nutrition interventions. We thus suggest that efforts should be made to strengthen the education component of ANC services as these are decentralized and locally accessible in Malawi and other low-income countries Funding Sources This project was funded by the University of Oslo, The Global Health and Vaccination Program (GLOBVAC) of the research council of Norway and by the Throne Holst foundation.

scholarly journals ASUPAN GIZI MAKRO GURU PREDIABETES MELALUI PEMBERIAN LABU SIAM DAN EDUKASI GIZI

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Jamaludin M. Sakung ◽  
Saifuddin Sirajuddin
Keyword(s):  
Randomized Trial ◽  
Nutrition Education ◽  
Intervention Group ◽  
Control Group ◽  
Education Intervention ◽  
Food Ingredients ◽  
Sechium Edule ◽  
Significant Difference ◽  
Post Test ◽  
Food Recall

ABSTRAKAsupan gizi berperan dalam mengendalikan kadar glukosa darah pada pasien diabetes mellitus karena beberapa zat gizi bersumber dari bahan makanan yang dikonsumsi setiap hari. Penelitian ini bertujuan untuk mengevaluasi asupan gizi makro (energi, karbohidrat, lemak, protein dan serat) pada guru prediabetes melalui pemberian labu siam instan dan edukasi gizi. Jenis penelitian ini adalah quasi eksperimen dengan rancangan randomized trial, pre test post test with control group. Guru prediabetes yang memenuhi kriteria inklusi di bagi tiga kelompok secara acak. Asupan gizi makro adalah Jumlah zat gizi yang dikonsumsi dan diukur melalui pengukuran food recall 24 jam menggunakan program nutrisurvey. Analisis data menggunakan uji t dan uji anava. Hasil uji statistik menunjukkan kelompok intervensi labu siam dan kelompok intervensi edukasi gizi serta labu siam secara statistik asupan gizi makro signifikan (p<0,05) artinya terdapatnya perbedaan nyata dari asupan gizi makro sebelum dan sesudah inetervensi. Kelompok intervensi edukasi gizi secara statistik asupan gizi makro tidak signifikan (p>0,05) artinya tidak terdapatnya perbedaan nyata dari asupan gizi makro sebelum dan sesudah inetervensi. Terdapat perbedaan asupan energi, karbohidrat dan serat sesudah intervensi pada ketiga kelompok.Kata-kata kunci: Asupan gizi makro, prediabetes, labu siam, edukasi giziABSTRACTNutritional intake plays a role in controlling blood glucose levels in DM patients because some nutrients that are sourced from food ingredients consumed every day. This study aims to evaluating the intake of macro nutrients (energy, carbohydrates, fats, protein and fiber) in prediabetic teachers through the provision of instant sechium edule and nutritional education. This research type is quasi experiment with randomized trial design, pre test post test with control group. Prediabetic teachers who met the inclusion criteria in the three groups at random. Intake of macro nutrient from food to be measured through 24-hour food recall measurements using nutrisurvey program. Data analysis by using t test and anova test. statistic test result showed The gourd intervention group and nutrition education intervention group and chayote were statistically significant macro nutrient intake (p <0.05) which means there was a marked difference of macro nutrition intake. The nutrition education intervention group of intake of macro nutrition was statistically insignificant (p> 0.05), meaning there was no significant difference in intake of macro nutrition. there was a difference in energy, carbohydrate and fiber intake after intervention in all three groups.Keywords: Intake of macro nutrition, prediabetic, sechium edule, nutrition education

scholarly journals In-home Online Music Therapy for Psychological Health among Caregivers of Persons with Dementia: A Pilot Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1017-1018
Author(s):  
Hyejin Kim ◽  
Gabriella Engström ◽  
Töres Theorell ◽  
Azita Emami
Keyword(s):  
Depressive Symptoms ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Comparison Group ◽  
Intervention Group ◽  
Group Differences ◽  
Significant Difference ◽  
Online Music ◽  
Post Test ◽  
And Coping

Abstract Family caregivers who provide care to persons with dementia (PWD) in a home setting may feel greater stress, depressive symptoms, or struggle to deal with issues in their lives. Indeed, PWD often require 24-hour care that includes ensuring safety, providing emotional support, and assistance with activities of daily living and multiple instrumental activities of daily living. This study examined the short-term effects of an online music intervention on stress, coping, and depression among caregivers of PWD. We included 35 caregivers (n=24 [intervention group], n=11 [comparison group]) living at home with their family member with dementia. Mann-Whitney U test and Wilcoxon signed-ranked test were performed to examine between- and within-group differences from baseline to eight weeks after the intervention. The coping subscale yielded a significant difference between the groups at post-test (U=76.50, Z= -1.978, p=0.048), indicating the intervention group had better coping than the comparison group at post-test. Significant within-group differences in overall stress (Z= -2.200, p= 0.028) and coping subscale (Z= -1.997, p=0.046) in the comparison group at post-test suggest that overall stress and coping were maintained from baseline to post-test in the intervention group, whereas the comparison group had significantly higher overall stress and lower coping at post-test. This home-based online music program showed potential benefits for caregivers of PWD by taking into account participants’ musical preferences and ease of access to the program. A randomized controlled trial with a larger sample size and objective measurements of stress and depressive symptoms (e.g., biomarkers) should be conducted in the future.

scholarly journals Dairy Foods Intake among Female Iranian Students: A Nutrition Education Intervention Using a Health Promotion Model

2016 ◽  
Vol 8 (10) ◽  
pp. 192 ◽  
Author(s):  
Tahereh Dehdari ◽  
Fereshteh Yekehfallah ◽  
Mitra Rahimzadeh ◽  
Naheed Aryaeian ◽  
Tahereh Rahimi
Keyword(s):  
Health Promotion ◽  
Nutrition Education ◽  
Intervention Program ◽  
Comparison Group ◽  
Intervention Group ◽  
Analysis Of Covariance ◽  
Education Intervention ◽  
Health Promotion Model ◽  
Dairy Foods ◽  
Dairy Consumption

<p><strong>Introduction:</strong> This aim of this study was to increase dairy consumption in students following an education intervention based on Pender’s Health Promotion Model (Pender’s HPM) variables.</p><p><strong>Methods: </strong>The study was done during September 2014-April 2015 in Savojbolagh, Alborz, Iran. The study sample included 142<strong> </strong>middle-school female students who were allocated to either the intervention (n=71) or the comparison group (n=71). Pender’s HPM variables and the daily servings of dairy foods consumed were measured in both groups by a self-administered questionnaire and a 3 d record before the intervention and 4 weeks later. The 4-week intervention was conducted for the intervention group. The data was analyzed through analysis of covariance and paired t<em> </em>tests.</p><p><strong>Results:</strong> Compared to the comparison group, there were significant differences in Pender’s HPM variables (except for the negative feelings, perceived barriers and competing demands), the daily servings of dairy foods consumed, and intakes of Calcium, riboflavin, and vitamin A in the intervention participants following the conducted intervention program.</p><p><strong>Conclusion: </strong>Developing<strong> </strong>theory-driven nutrition education programs may increase student's dairy foods intake.</p>

scholarly journals The effect of a fresh produce incentive paired with cooking and nutrition education on healthy eating in low-income households: a pilot study

2021 ◽  
pp. 1-11
Author(s):  
Angela R Fertig ◽  
Xuyang Tang ◽  
Heather M Dahlen
Keyword(s):  
Pilot Study ◽  
Nutrition Education ◽  
Healthy Eating ◽  
Low Income ◽  
Financial Incentives ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Financial Incentive ◽  
Future Research ◽  
Control Group

Abstract Objective: This study pilot-tested combining financial incentives to purchase fruits and vegetables with nutrition education focused on cooking to increase the consumption of fruits and vegetables and improve attitudes around healthy eating on a budget among low-income adults. The goal of the pilot study was to examine implementation feasibility and fidelity, acceptability of the intervention components by participants and effectiveness. Design: The study design was a pre-post individual-level comparison without a control group. The pilot intervention included two components, a scan card providing free produce up to a weekly maximum dollar amount for use over a 2-month period, and two sessions of tailored nutrition and cooking education. Outcomes included self-reported attitudes about healthy eating and daily fruit and vegetable consumption from one 24-h dietary recall collected before and after the intervention. Setting: Greater Minneapolis/St. Paul area in Minnesota. Participants: Adults (n 120) were recruited from five community food pantries. Results: Findings indicated that the financial incentive component of the intervention was highly feasible and acceptable to participants, but attendance at the nutrition education sessions was moderate. Participants had a statistically significant increase in the consumption of fruit, from an average of 1·00 cup/d to 1·78 cups/d (P < 0·001), but no significant change in vegetable consumption or attitudes with respect to their ability to put together a healthy meal. Conclusions: While combining financial incentives with nutrition education appears to be acceptable to low-income adult participants, barriers to attend nutrition education sessions need to be addressed in future research.

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