Impact of preconception, pregnancy, and postpartum culinary nutrition education interventions: a systematic review

Abstract Context Frequent consumption of home-prepared meals is associated with higher diet quality in children and adults. Therefore, increasing the culinary skills of women and couples during their childbearing years may be an effective strategy for the prevention of overweight and obesity. Objective To determine the impact of culinary nutrition-education interventions for women with or without their partners during preconception, pregnancy, or postpartum (PPP) on parental cooking skills, nutrition knowledge, parent/child diet quality, or health outcomes. Data sources Eligibility criteria were defined using a PICOS framework. A systematic search strategy was developed to identify eligible studies and was implemented in 11 electronic databases. Reference lists of selected systematic reviews were manually searched for additional studies. Data extraction Study characteristics and outcomes were extracted from eligible studies by 1 reviewer and checked by a second reviewer. Data analysis A narrative synthesis of the findings of eligible studies was prepared including descriptive statistics. Reporting was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and Synthesis Without Meta-Analysis in systematic reviews reporting guideline. Results A total of 6951 articles were identified from the search strategy and 31 studies during pregnancy or postpartum were included. By category, the number of studies with a favorable outcome per total number of studies measuring outcome were as follows: parental food/cooking skills (n = 5 of 5), nutrition knowledge (n = 6 of 11), parent/child diet quality (n = 10 of 19), infant feeding (n = 6 of 11), eating behavior (n = 2 of 5), maternal (n = 2 of 5) and child anthropometry (n = 6 of 10), mental health and development n = (2 of 3), and clinical indictors (n = 1 of 1). Conclusions Culinary nutrition-education interventions during pregnancy and the postpartum period show promise in improving cooking skills, diet quality, and a variety of health-related outcomes. The precise effect of these interventions during PPP is limited by the quality and heterogeneity of study designs to date. Systematic review registration PROSPERO registration number: CRD42020154966

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Effects of Nutrition Education Interventions in Team Sport Players. A Systematic Review

Nutrients ◽

10.3390/nu12123664 ◽

2020 ◽

Vol 12 (12) ◽

pp. 3664

Author(s):

Silvia Sánchez-Díaz ◽

Javier Yanci ◽

Daniel Castillo ◽

Aaron T. Scanlan ◽

Javier Raya-González

Keyword(s):

Systematic Review ◽

Body Composition ◽

Nutrition Education ◽

Physical Performance ◽

Eating Habits ◽

Team Sport ◽

Nutrition Knowledge ◽

Face To Face ◽

Competition Level ◽

Education Interventions

Considering nutrition education interventions have been frequently implemented in team sport athletes and have shown promising results, this study aimed to summarize the effects of nutrition education interventions on eating habits, nutrition knowledge, body composition, and physical performance in team sport athletes. A systematic review was conducted using the following databases: PubMed/MEDLINE, Web of Science and SPORTDiscus. A total of 14 studies met the inclusion criteria for the review. The methodological quality of included studies was evaluated, and each study was assessed according to the analyzed variables (i.e., eating habits, nutrition knowledge, body composition, and physical performance). Most studies showed improvements in or maintenance of variables used to indicate eating habits, nutrition knowledge, and body composition. However, limited studies examined the effect of nutrition education interventions on physical performance, with existing studies demonstrating disparate results. These findings suggest implementation of nutrition education interventions in team sport athletes could be an effective strategy to improve their eating habits, nutrition knowledge, and body composition. Due to the heterogeneity across the included studies regarding sport modality, competition level, age, and sex of the athletes investigated, as well as the intervention type adopted (i.e., online or face-to-face), it is difficult to establish optimal nutrition education interventions for each analyzed variable.

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Use of Apps to Promote Childhood Vaccination: Protocol for a Systematic Review

JMIR Research Protocols ◽

10.2196/16929 ◽

2020 ◽

Vol 9 (2) ◽

pp. e16929

Author(s):

Michelle Helena Van Velthoven ◽

Madison Milne-Ives ◽

Caroline de Cock ◽

Mary Mooney ◽

Edward Meinert

Keyword(s):

Systematic Review ◽

Systematic Reviews ◽

Health Care Professionals ◽

English Language ◽

Search Strategy ◽

Grey Literature ◽

Information Storage ◽

Childhood Vaccination ◽

Cochrane Central Register ◽

Technical Standards

Background The decline in the uptake of routine childhood vaccinations has resulted in outbreaks of vaccine-preventable diseases. Vaccination apps can be used as a tool to promote immunization through the provision of reminders, dissemination of information, peer support, and feedback. Objective The aim of this review is to systematically review the evidence on the use of apps to support childhood vaccination uptake, information storage, and record sharing. Methods We will identify relevant papers by searching the following electronic databases: PubMed, Embase by Ovid, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), ClinicalTrials.gov, and Education Resources Information Center (ERIC). We will review the reference lists of those studies that we include to identify relevant additional papers not initially identified using our search strategy. In addition to the use of electronic databases, we will search for grey literature on the topic. The search strategy will include only terms relating to or describing the intervention, which is app use. As almost all titles and abstracts are in English, 100% of these will be reviewed, but retrieval will be confined to papers written in the English language. We will record the search outcome on a specifically designed record sheet. Two reviewers will select observational and intervention studies, appraise the quality of the studies, and extract the relevant data. All studies will involve the use of apps relating to child vaccinations. The primary outcome is the uptake of vaccinations. Secondary outcomes are as follows: (1) use of app for sharing of information and providing vaccination reminders and (2) use of app for storage of vaccination information; knowledge and decision making by parents regarding vaccination (ie, risks and benefits of vaccination); costs and cost-effectiveness of vaccination apps; use of the app and measures of usability (eg, usefulness, acceptability, and experiences of different users: parents and health care professionals); use of technical standards for development of the app; and adverse events (eg, data leaks and misinformation). We will exclude studies that do not study an app. We anticipate a limited scope for meta-analysis and will provide a narrative overview of findings and tabular summaries of extracted data. Results This project was funded by the Sir David Cooksey Fellowship in Healthcare Translation at the University of Oxford, Oxford, United Kingdom. We will submit the full systematic review for publication in the Journal of Medical Internet Research. Conclusions This review will follow, where possible, the Cochrane Collaboration and the Centre for Review and Dissemination methodologies for conducting systematic reviews. We will report our findings based on guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The review results will be used to inform the development of a vaccination app. International Registered Report Identifier (IRRID) PRR1-10.2196/16929

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Development of an efficient search filter to retrieve systematic reviews from PubMed

Journal of the Medical Library Association JMLA ◽

10.5195/jmla.2021.1223 ◽

2021 ◽

Vol 109 (4) ◽

Author(s):

José Antonio Salvador-Oliván ◽

Gonzalo Marco-Cuenca ◽

Rosario Arquero-Avilés

Keyword(s):

Systematic Review ◽

Decision Making ◽

Systematic Reviews ◽

Search Strategy ◽

Average Precision ◽

Search Filter ◽

Search Terms ◽

Mesh Terms ◽

Cochrane Database ◽

Relevant Publication

Objective: Locating systematic reviews is essential for clinicians and researchers when creating or updating reviews and for decision-making in health care. This study aimed to develop a search filter for retrieving systematic reviews that improves upon the performance of the PubMed systematic review search filter.Methods: Search terms were identified from abstracts of reviews published in Cochrane Database of Systematic Reviews and the titles of articles indexed as systematic reviews in PubMed. Both the precision of the candidate terms and the number of systematic reviews retrieved from PubMed were evaluated after excluding the subset of articles retrieved by the PubMed systematic review filter. Terms that achieved a precision greater than 70% and relevant publication types indexed with MeSH terms were included in the filter search strategy.Results: The search strategy used in our filter added specific terms not included in PubMed’s systematic review filter and achieved a 61.3% increase in the number of retrieved articles that are potential systematic reviews. Moreover, it achieved an average precision that is likely greater than 80%.Conclusions: The developed search filter will enable users to identify more systematic reviews from PubMed than the PubMed systematic review filter with high precision.

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The effectiveness of nutrition education programmes on improving dietary intake in athletes: a systematic review

British Journal Of Nutrition ◽

10.1017/s0007114520003694 ◽

2020 ◽

pp. 1-15

Author(s):

Aimee Boidin ◽

Ryan Tam ◽

Lachlan Mitchell ◽

Gregory R. Cox ◽

Helen O’Connor

Keyword(s):

Systematic Review ◽

Dietary Intake ◽

Nutrition Education ◽

Well Being ◽

Assessment Method ◽

Control Group ◽

Dietary Intakes ◽

College Level ◽

Post Intervention ◽

Education Interventions

Abstract Nutrition education programmes for athletes aim to enhance nutrition knowledge and more importantly support positive dietary change to enhance performance, health and well-being. This systematic review assessed changes in the dietary intakes of athletes in response to nutrition education programmes. A search was conducted which included studies providing quantitative dietary intake assessment of athletes of any calibre aged between 12 and 65 years in response to a nutrition education programme. Standardised differences (effect sizes) were calculated (when possible) for each dietary parameter. The search yielded 6285 papers with twenty-two studies (974 participants (71·9 % female)) eligible for inclusion. Studies described athletes competing at high school (n 3) through to college level or higher (n 19). Study designs were either single arm with an intervention-only group (twelve studies; n 241) or double arm including an intervention and control group (ten studies; n 689). No control groups received an alternative or ‘sham’ intervention. Face-to-face lectures (9/22) and individual nutrition counselling (6/22) were the most common education interventions. Non-weighed, 3-d diet records (10/22) were the most frequently utilised dietary assessment method. Although 14/22 studies (n 5 single and n 9 double) reported significant change in at least one nutrition parameter, dietary changes were inconsistent. Poor study quality and heterogeneity of methods prohibit firm conclusions regarding overall intervention success or superior types of educational modalities. Of note, carbohydrate intakes ‘post-intervention’ when assessed often failed to meet recommended guidelines (12/17 studies). Given the substantial investment made in nutrition education interventions with athletes, there is a need for well-designed and rigorous research to inform future best practice.

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Effectiveness of Education Interventions Designed to Improve Nutrition Knowledge in Athletes: A Systematic Review

Sports Medicine ◽

10.1007/s40279-019-01157-y ◽

2019 ◽

Vol 49 (11) ◽

pp. 1769-1786 ◽

Cited By ~ 7

Author(s):

Ryan Tam ◽

Kathryn L. Beck ◽

Melinda M. Manore ◽

Janelle Gifford ◽

Victoria M. Flood ◽

...

Keyword(s):

Systematic Review ◽

Nutrition Knowledge ◽

Education Interventions

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The Food and Nutrition Environment at Secondary Schools in the Eastern Cape, South Africa as Reported by Learners

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17114038 ◽

2020 ◽

Vol 17 (11) ◽

pp. 4038

Author(s):

Alice P. Okeyo ◽

Eunice Seekoe ◽

Anniza de Villiers ◽

Mieke Faber ◽

Johanna H. Nel ◽

...

Keyword(s):

South Africa ◽

Secondary Schools ◽

Nutrition Education ◽

Nutrition Knowledge ◽

Overweight And Obesity ◽

Dietary Guidelines ◽

Eastern Cape ◽

Nutrition Environment ◽

Food And Nutrition ◽

The Government

Overweight and obesity are growing concerns in adolescents, particularly in females in South Africa. The aim of this study was to evaluate the food and nutrition environment in terms of government policy programs, nutrition education provided, and foods sold at secondary schools in the Eastern Cape province. Sixteen schools and grade 8–12 learners (N = 1360) were randomly selected from three health districts comprising poor disadvantaged communities. Based on age and sex specific body mass index (BMI) cut-off values, 13.3% of males and 5.5% of females were underweight, while 9.9% of males and 36.1% of females were overweight or obese. The main food items purchased at school were unhealthy energy-dense items such as fried flour dough balls, chocolates, candies, and crisps/chips. Nutrition knowledge scores based on the South African food-based dietary guidelines (FBDGs) were poor for 52% to 23.4% learners in Grades 8 to 12, respectively. Female learners generally had significantly higher nutrition knowledge scores compared to their male counterparts (p = 0.016). Questions poorly answered by more than 60% of learners, included the number of fruit and vegetable portions required daily, food to eat when overweight, foods containing fiber, and importance of legumes. It was noted that the majority of teachers who taught nutrition had no formal nutrition training and their responses to knowledge questions were poor indicating that they were not familiar with the FBDGs, which are part of the curriculum. Nutrition assessment as part of the Integrated School Health Program was done on few learners. Overall however, despite some challenges the government national school meal program provided meals daily to 96% of learners. In general, the school food and nutrition environment was not conducive for promoting healthy eating.

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Impact of a Preschool Obesity Prevention (I-POP) Program on Nutrition Knowledge Scores of Head Start Parents and Teachers

Current Developments in Nutrition ◽

10.1093/cdn/nzaa043_058 ◽

2020 ◽

Vol 4 (Supplement_2) ◽

pp. 207-207

Author(s):

Holly Huye ◽

Carol Connell ◽

Caroline Newkirk

Keyword(s):

Head Start ◽

Nutrition Education ◽

Obesity Prevention ◽

Health Benefits ◽

Nutrient Content ◽

Nutrition Knowledge ◽

Evidence Based ◽

Head Start Teachers ◽

Experimental Group ◽

Parent Child

Abstract Objectives To determine the effectiveness of an evidence-based preschool obesity prevention intervention on rural, low-income parents’ and Head Start teachers’ nutrition knowledge relative to advice from experts, nutrient content of foods, and health benefits of foods. Methods Parent-child dyads were recruited from 9 randomized Head Start centers with 5 centers in the experimental group and 4 centers in the control. The intervention consisted of 8 weekly evidence-based nutrition education sessions for children delivered by the Head Start teachers; a teacher workshop on the use of Positive Behavior Interventions and Supports (PBIS) in the classroom; and 8 parent workshops using an evidence-based behavioral intervention, Parent Child Interaction Therapy (PCIT). The PBIS and PCIT reinforced nutrition education sessions by including instruction for positive meal-time behaviors. A repeated measures design consisted of data collected at pre- (T1), post-intervention (T2), and a 6-month follow-up (T3). T1 and T2 results of a validated and reliable nutrition knowledge survey to address the sub-objective of the main study are reported here. Results 175 parents and 75 teachers participated in T1 data collection, of which 95 parents and 64 teachers completed T2. There were no significant differences in total scores within or between parent or teacher groups, scoring an average of 34% and 38% out of 100% for parents and teachers, respectively. However, there was a significant change in the knowledge of health benefits of foods survey section (31.6% to 39.5% correct) for parents in the experimental group from T1 to T2 (P < .05). Conclusions Overall, parents and teachers had poor knowledge of advice from experts, nutrient content of foods, and health benefits of foods at T1. Parents and teachers did have minimal, indirect nutrition education during PCIT and PBIS, which may have contributed to parents’ increase in awareness of health benefits of food at T2. However, there may be a lack of knowledge of how to apply nutrition principles. Nutrition education and intervention should target parents and teachers of children with a specific aim in application of nutrition principals. Funding Sources US Department of Health and Human Services, Office of Minority Health.

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The Program Niño Sano, Adulto Sano Improves Mothers’ Nutrition Knowledge and Food Practices, and Reduces Obesity in School-aged Children from a Low-income Setting in Mexico (FS16-02-19)

Current Developments in Nutrition ◽

10.1093/cdn/nzz050.fs16-02-19 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

Author(s):

Yolitzin C Hernandez ◽

Gilda Zacarias ◽

Olga García

Keyword(s):

Nutrition Education ◽

Low Income ◽

Cognitive Theory ◽

Nutrition Knowledge ◽

Overweight And Obesity ◽

Controlled Study ◽

Control Group ◽

Nutrition Program ◽

School Aged Children ◽

Food Practices

Abstract Objectives Evaluate the effect of the nutrition program Niño Sano, Adulto Sano (Healthy Child, Healthy Adult) on mother's nutrition knowledge and food practices. Also, to determine its effect on Body Mass Index (BMI) of both mothers and their children. Methods A total of 43 mothers (35 ± 5 y) and their school-aged children (9 ± 3 y) participated in a 6-month longitudinal controlled study. Participants were residents of two low income communities in Queretaro, Mexico. The program Niño Sano, Adulto Sano was developed using the Intervention Mapping Approach and Social Cognitive Theory and consisted on six nutrition education sessions (1 per month) and six cooking workshops. The control group received three sessions (1 every 2 months) of nutrition education following the Mexican Official Guidelines. Height and weight of mothers and children were taken at baseline and after 6 months to determine mother's BMI and children's BMI-for-age z-score following WHO procedures. Mothers answered a validated questionnaire that consisted of eight Likert-type questions to evaluate nutrition knowledge and food practices at the beginning and end of the study. The data was analyzed by T-student of dependent variables using SPSSv19. Results The combined prevalence of overweight and obesity at baseline was 88.3% and 51.4% for the mothers and their children, respectively. 47% of the children were girls. Mothers that participated in the nutrition program improved their nutrition related knowledge and food practices by 2.99 points (3.14, 95%CI: 1.21, 4.76; P = 0.0001) compared to the control group (1.27, 95%CI: 0.15, 2.39; P = 0.028). Children of the mothers that participated in the program significantly reduce their BMI for age by −0.27 units (0.30, 95%CI: 0.22, 0.39; P = 0.0001) compared with the control group (0.02, 95%IC: −0.11, 0.17 P = 0.70). No differences were observed between groups in the mothers’ BMI at the end of the study. Conclusions The nutrition intervention Niño Sano, Adulto Sano improved nutrition knowledge and food practices of participating mothers, it reduced BMI for age a of their children, but had no effect on mother's BMI. Funding Sources Fondo de Proyectos Especiales de Rectoría (FOPER) of the Universidad Autónoma de Querétaro.

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