scholarly journals Effectiveness of a Cultural and Theory-Based Nutrition Intervention on Increasing Dietary Calcium Intake Among Vietnamese Women in Hanoi, Vietnam

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1339-1339
Author(s):  
Bong Nguyen ◽  
Mary Murimi
Keyword(s):  
Nutrition Education ◽  
Calcium Intake ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Dietary Calcium ◽  
Nutrition Intervention ◽  
Dietary Calcium Intake ◽  
Control Group ◽  
Post Intervention ◽  
Vietnamese Women

Abstract Objectives The objective of this study was to assess the effect of a nutrition education intervention (NEI) on increasing dietary calcium intake among Vietnamese women aged 30–65 years in rural Hanoi, Vietnam. Methods This study used pretest/posttest experimental and delayed nutrition intervention approach. The NEI was based on the Health Belief Model and comprised two educational and demonstrations sessions, followed by educational handouts once a week for 4 weeks. Women aged 30–65 years in six communities in a rural district in Hanoi were recruited and randomly assigned into two groups: intervention group (IG, n = 128), which received the NEI first, and a control group (DG, n = 118), that received a delayed intervention. Dietary calcium intake, knowledge, health beliefs, and self-efficacy were collected at baseline/pre-intervention and post-intervention. Linear mixed model with repeated measures and multiple regression were used to assess the effectiveness of the nutrition intervention. Results The results showed that participants in the IG had a significant higher increase in knowledge score at post intervention, compared to the DG (4.02 points larger, P < 0.05). Perceived susceptibility and barriers significantly decreased from baseline to post intervention in the IG (P ≤ 0.001). From baseline to post intervention, self-efficacy significantly increased among participants in the IG (P < 0.05) whereas the DG significantly decreased their self-efficacy (P < 0.05). While calcium intake at baseline was not significantly different between the IG and DG, at post intervention the IG reported a significant higher increase in calcium intake than the DG (P < 0.05). Regression analysis showed that knowledge and self-efficacy significantly predicted dietary calcium intake (P ≤ 0.001). Conclusions Findings of this study demonstrate the importance of nutrition education in increasing dietary calcium intake and knowledge among Vietnamese women. The findings also suggested that knowledge and self-efficacy played an important role in improving dietary calcium intake. Funding Sources This study was partially funded by the Graduate School at Texas Tech University.

scholarly journals The Effects of an Educational Self-Efficacy Intervention on Osteoporosis Prevention and Diabetes Self-Management Among Adults With Type 2 Diabetes Mellitus

2014 ◽  
Vol 16 (4) ◽  
pp. 357-367 ◽  
Author(s):  
Mei Ha ◽  
Jie Hu ◽  
Marcia A. Petrini ◽  
Thomas P. McCoy
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Calcium Intake ◽  
Self Efficacy ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Control Group ◽  
Chinese Adults

Background: Prevalence of osteoporosis (OP) is high among Chinese adults with diabetes. Assessment of OP and fracture risk as well as patient education should be included as part of the management of diabetes. Purpose: The purpose of this pilot study was to test the effectiveness of an educational self-efficacy intervention on knowledge about OP, dietary calcium intake, the importance of physical activity (PA), and glycemic control among Chinese adults with type 2 diabetes residing in Wuhan, China. Method: A quasi-experimental design with repeated measures was employed. Participants were assigned to either the intervention ( n = 23) or the control group ( n = 23). Intervention participants attended 6 weekly 1-hr educational sessions comprising presentations, demonstration, and discussions. Control participants received standard care. Data were collected via questionnaires at pre- and postintervention and at 3-month follow-up, and blood was drawn at preintervention and 3-month follow-up. Results: Participants in the intervention group had significant improvement in OP knowledge, F(2, 43) = 11.504, p < .001; OP self-efficacy, F(2, 43) = 6.915, p = .003; dietary calcium intake, F(2, 43) = 7.856, p = .002; level of PA, F(2, 43) = 4.787, p = .011; diabetes self-care activities, F(2, 43) = 14.009, p < .001; diabetes self-efficacy, F(2, 43) = 19.722, p < .001; and glycemic control (A1C level; t = 2.809, p = .010) compared to the control group at the 3-month follow-up. Conclusion: The results demonstrate the effectiveness of OP prevention education based on self-efficacy theory among Chinese adults with type 2 diabetes.

An Exploration of Milk Product Health Beliefs and Dietary Calcium Intake in Young Adults

2019 ◽  
Vol 80 (4) ◽  
pp. 179-185
Author(s):  
Michelle L. Marcinow ◽  
Janis A. Randall Simpson ◽  
Susan J. Whiting ◽  
Andrea C. Buchholz
Keyword(s):  
Young Adults ◽  
Nutrition Education ◽  
Health Beliefs ◽  
Calcium Intake ◽  
Health Belief ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Milk Product ◽  
Food Record ◽  
Milk Products

Purpose: Milk products (fluid milk, cheese, yogurt) typically provide a rich source of calcium and other nutrients, yet consumption is declining in Canada. This study examined milk product health beliefs among young adults and the association between these beliefs and dietary calcium intake. Methods: Seventy-nine participants (25 ± 4 y; 40 males) completed a milk product health belief questionnaire to determine a milk product health belief score (MPHBS) and a 3-day food record to assess dietary intake. Results: Despite generally positive views, young adults were uncertain about milk products in relation to health, weight management, and ethical concerns. Females would be more likely than males to increase milk product intake if they were confident that milk products are ethically produced. There was no significant association between MPHBS and dietary calcium intake. Energy-adjusted dietary calcium intake was positively associated with intakes of vitamin A (r = 0.3, P < 0.05), riboflavin (r = 0.5, P < 0.01), vitamin B12 (r = 0.5, P = < 0.01), vitamin D (r = 0.4, P < 0.01), phosphorus (r = 0.4, P < 0.01), zinc (r = 0.3, P < 0.01), and with milk and alternatives servings (r = 0.8, P < 0.01). Conclusion: Nutrition education efforts focused on increasing calcium-rich food consumption will help consumers to be better informed when making dietary choices.

scholarly journals Consider BMI Change When Evaluating Nutrition Intervention Impact on Eating Competence: Findings from an Intervention with Eating Competence Constructs for Adults

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1326-1326
Author(s):  
Barbara Lohse ◽  
Leslie Cunningham-Sabo
Keyword(s):  
Physical Activity ◽  
Nutrition Education ◽  
Repeated Measures ◽  
Online Survey ◽  
Physical Activity Intervention ◽  
Pearson Correlation ◽  
Nutrition Intervention ◽  
Linear Modeling ◽  
Post Intervention ◽  
Eating Competence

Abstract Objectives Examine change in adult eating competence (EC) over a 12 month period following participation in a controlled 7-month nutrition education intervention with EC constructs. Methods Parents of 4th grade youth in a cluster randomized impact assessment of a 7 month school-based culinary and physical activity intervention were assigned to 1 of 4 incrementally complex treatments that included components congruent with EC tenets. An online survey included validated measures of EC (ecSI 2.0TM), physical activity, stress, diet quality, healthful modeling, self-efficacy (SE) to offer fruits and vegetables to youth, and self-reported height/weight. EC was defined as ecSI 2.0TM ≥32. Measures were completed at baseline (BL), post-intervention (FU) and 5 months later (FU2). SPSS 24.0 analyses included repeated measures general linear modeling, means testing, chi square, Pearson correlation. Results Mean age of the mostly female (86%) sample (n = 418) was 39.1 ± 6.0 y; at FU2 126 were intervention and 96 control parents. BL analyses supported EC tenets with greater ecSI 2.0TM scores associated with less stress, lower BMI, less overweight/obesity, greater physical activity, greater SE and modeling behaviors (all P &lt; 0.01). These relationships persisted at FU (n = 220) and FU2 (n = 221) for BMI, SE, modeling, and stress measures (all P &lt; 0.01) and physical activity (P = 0.001 FU and 0.09 FU2). EC was denoted for 53% and 57% at BL and FU2 respectively. BL to FU2 ecSI 2.0TM change was not significant when controlling for changes in stress or physical activity. However, compared to those with increased FU2 BMI, ecSI 2.0TM tended (P = 0.06) to increase when BMI was decreased or unchanged, even when controlling for BL BMI. BL to FU2 ecSI 2.0 change was inversely related to BMI change (P = 0.01). ecSI 2.0TM tended to decrease for control, but increase for intervention parents (P = 0.07; –0.34 vs. 1.05), but not when controlling for BMI change. Conclusions An intervention with attention to EC congruent tenets showed modest effect on ecSI 2.0TM suggesting that successful programs require attributes that directly align with EC, which may be uniquely different from traditional nutrition education. Accurate EC intervention assessment required consideration of BMI change. Funding Sources USDA, NIFA.

scholarly journals Evaluation of the Food and Agriculture Organization's global school-based nutrition education initiative, Feeding Minds, Fighting Hunger (FMFH), in schools of Hyderabad, India

2006 ◽  
Vol 9 (8) ◽  
pp. 991-995 ◽  
Author(s):  
GM Subba Rao ◽  
D Raghunatha Rao ◽  
K Venkaiah ◽  
Anil K Dube ◽  
KV Rameshwar Sarma
Keyword(s):  
Nutrition Education ◽  
Repeated Measures ◽  
Control Group ◽  
Classroom Setting ◽  
Post Intervention ◽  
Food And Agriculture ◽  
School Based ◽  
Knowledge Levels ◽  
Education Initiative ◽  
Experimental Group

AbstractObjectiveTo assess the efficacy of the Food and Agriculture Organization's global school-based nutrition education initiative, Feeding Minds, Fighting Hunger (FMFH), in improving nutrition-related knowledge levels of schoolchildren.DesignAdopting the cluster randomisation technique, five schools each in experimental and control groups were randomly chosen from the member schools of a voluntary organisation. Repeated measures of knowledge levels were carried out at three points in time to assess pre-, post-intervention and retention of knowledge gained during the intervention. Children from experimental schools were given nutrition education by teachers in the classroom setting using FMFH material.Subjects/settingsSchoolchildren (n = 358 in the control group and n = 312 in the experimental group) of grades VIII and IX from schools in Hyderabad, India.ResultsThe classroom-based intervention resulted in a significant improvement (P < 0.01) in nutrition knowledge levels of schoolchildren in the experimental group. Significant improvement in knowledge was also observed in the control group. The effect size indicated that the improvement in knowledge levels of schoolchildren in experimental schools over control schools was medium (d = 0.40), indicating the efficacy of the FMFH programme in improving nutrition-related knowledge. No significant decrease (P>0.05) in knowledge levels was observed after 2 months, indicating retention of the knowledge acquired through the intervention.ConclusionThe FMFH programme provides an opportunity for schoolchildren to learn more about nutrition through their teachers in a classroom setting if the lesson plans are adapted to the local circumstances. Furthermore, it has the potential to make nutrition education interactive, effective and sustainable.

scholarly journals Dietary calcium intake and osteoporosis in postmenopausal women living in Sarajevo area

2012 ◽  
Vol 2 (2) ◽  
pp. 118-121
Author(s):  
Amila Kapetanović ◽  
Dijana Avdić
Keyword(s):  
Bone Density ◽  
Postmenopausal Women ◽  
Calcium Intake ◽  
Positive Impact ◽  
Daily Intake ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Control Group ◽  
Mineral Density ◽  
Mineral Bone Density

Introduction: Osteoporosis is a multifactorial polygenetic disease of which the genetic determinants are modulated by hormonal, environmental and nutritional factors. Identifi cation of the risk factors for osteoporosisrelated to nutrition is important in the prevention and treatment of this disease, considering that these factors can be modifi ed. The aim of this study was to examine infl uence of dietary calcium intake on bonemineral density in postmenopausal women who hadn’t a deficit of estrogen in their menstrual history.Methods: A total of 100 postmenopausal women living in Sarajevo area, aged 50-65 years, without estrogen deficiency in menstrual history were included in the study. Mineral bone density was measured at the lumbarspine and proximal femur by Dual–Energy X–ray Absorptiometry using Hologic QDR-4000 scanner. Examination and control group were formed based on mineral bone density values. The women in the examinationgroup had osteoporosis. The women in the control group had osteopenia or normal mineral bone density. Estimates of daily dietary calcium intake were performed based on a Food Frequency Questionnaire.Results: The average daily intake of dietary calcium among women who had osteoporosis was 967.32 mg, and in women who hadn’t osteoporosis 1195.12 mg. The difference between two groups was statistically significant (p<0.001). There was registered signifi cant correlation between intake of dietary calcium and mineral bone density in examination (p<0.01) and in control group (p<0.01).Conclusion: The results of this study have shown that adequate daily intake of dietary calcium in postmenopausal women aged 50-65 years living in Sarajevo area, which hadn’t estrogen defi ciency in their menstrualhistory (in the group of women without osteoporosis amounted to 1195.12 mg) has a positive impact on bone mineral density.

Higher Dietary Acidity is Associated with Lower Bone Mineral Density in Postmenopausal Iranian Women, Independent of Dietary Calcium Intake

2014 ◽  
Vol 84 (3-4) ◽  
pp. 0206-0217 ◽  
Author(s):  
Seyedeh-Elaheh Shariati-Bafghi ◽  
Elaheh Nosrat-Mirshekarlou ◽  
Mohsen Karamati ◽  
Bahram Rashidkhani
Keyword(s):  
Calcium Intake ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Dietary Intakes ◽  
Iranian Women ◽  
Acid Base Balance ◽  
Mineral Density ◽  
Acid Base ◽  
Base Balance ◽  
Dietary Acid

Findings of studies on the link between dietary acid-base balance and bone mass are relatively mixed. We examined the association between dietary acid-base balance and bone mineral density (BMD) in a sample of Iranian women, hypothesizing that a higher dietary acidity would be inversely associated with BMD, even when dietary calcium intake is adequate. In this cross-sectional study, lumbar spine and femoral neck BMDs of 151 postmenopausal women aged 50 - 85 years were measured using dual-energy x-ray absorptiometry. Dietary intakes were assessed using a validated food frequency questionnaire. Renal net acid excretion (RNAE), an estimate of acid-base balance, was then calculated indirectly from the diet using the formulae of Remer (based on dietary intakes of protein, phosphorus, potassium, and magnesium; RNAERemer) and Frassetto (based on dietary intakes of protein and potassium; RNAEFrassetto), and was energy adjusted by the residual method. After adjusting for potential confounders, multivariable adjusted means of the lumbar spine BMD of women in the highest tertiles of RNAERemer and RNAEFrassetto were significantly lower than those in the lowest tertiles (for RNAERemer: mean difference -0.084 g/cm2; P=0.007 and for RNAEFrassetto: mean difference - 0.088 g/cm2; P=0.004). Similar results were observed in a subgroup analysis of subjects with dietary calcium intake of >800 mg/day. In conclusion, a higher RNAE (i. e. more dietary acidity), which is associated with greater intake of acid-generating foods and lower intake of alkali-generating foods, may be involved in deteriorating the bone health of postmenopausal Iranian women, even in the context of adequate dietary calcium intake.

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