Effectiveness of nutrition education in improving fruit and vegetable consumption among selected college students in urban Puducherry, South India. A pre-post intervention study

Author(s):  
Namita Patel ◽  
Subitha Lakshminarayanan ◽  
Jeby Jose Olickal

AbstractObjectivesWorld Health Organization (WHO) suggests intake of five servings (400 g) of fruits and vegetables (F&V) per day to ensure an adequate dietary fibre and to reduce the risk of non-communicable diseases. Risk factor survey of Non-Communicable Diseases (2007–08), reports that only 1% population in Tamil Nadu, South India consumed more than five servings a day. So we aimed to assess the effectiveness of nutrition education in improving the daily intake of fruit and vegetable servings and stage of behaviour change among college students.MethodsA pre-post intervention study was conducted among undergraduate students from two selected women’s colleges in urban Puducherry, South India during September–October 2019. The two English departments were randomly allocated into intervention group (IG), control group (CG) and 75 students in each group were chosen by systematic random sampling. IG received 30 min of nutrition education programme; which includes importance and minimum daily intake of fruits & vegetables, local availability, cost and awareness about myths and misconceptions. CG received pamphlets regarding healthy dietary intake. Knowledge regarding portion sizes, average daily servings of fruit & vegetable intake and stage of behaviour change were assessed at baseline and after one month of intervention.ResultsThere was a significant increase in knowledge regarding portion sizes (28– 64%) after intervention in IG (p<0.001) compared to CG (24– 40%). The knowledge regarding the required number of servings of fruits (27–56%) and vegetables (15–58%) also increased significantly (p<0.001) in the IG. Intake of fruits, vegetables and juices in the last 24 h were significantly increased in IG compared to CG (p<0.001). There was a significant increase (p=0.002) in contemplation and preparation stage (13–34%) in IG after intervention.ConclusionsA well designed nutrition education programme is an effective tool in promoting healthy eating habits among adolescents. It enabled a significant increase in knowledge regarding portion sizes of F&V and daily intake of fruits and vegetables.

2020 ◽  
Vol 5 (4) ◽  
pp. 48-59
Author(s):  
Robyn M. Cafiero ◽  
Yeon Bai ◽  
Charles Feldman ◽  
Doreen Liou

Daily intake of fruits and vegetables provides the basis for healthy nutrition. Yet low consumption of fruits and vegetables (FV) persists among school-aged children. Framed by the Social Cognitive Theory, this study aimed to determine the effectiveness of nutrition lessons combined with an active choice intervention on children’s FV consumption. Using a quasi-experimental design, 89 second graders were assigned to groups. Students in the experimental group (n=46) received four nutrition lessons combined with nine active choice sessions, while those in the control group (n=43) received active choice sessions only. Responses to pre- and post-intervention surveys that inquired FV knowledge and consumption were compared within and between groups using independent and paired t-tests. Empowered by improved knowledge, self-efficacy and the positive environment created through nutrition lessons and active choice, the experimental group showed improvement in consumption behavior compared to the control group at post-intervention: bringing FV to school and finish eating (69.7 vs. 51.2, p=.05 for fruits; 43.5 vs. 39.5, p=.41 for vegetables); like choosing FV (84.8 vs. 65.1, p=.01); like to eat more FV (80.4 vs. 62.8, p=.16); FV are healthy (100 vs. 95.3, p=.14). The magnitude of improvement is small yet consistent in every aspect of outcome measures. Combining nutrition education with the active choice component showed potential for a larger impact on behavior change among study participants. Parental support and community involvement could enhance the effectiveness of nutrition education in schools.


2020 ◽  
Vol 23 (10) ◽  
pp. 1846-1853
Author(s):  
Emily M Melnick ◽  
Karen Thomas ◽  
Charlotte Farewell ◽  
Jennie Quinlan ◽  
Deanna LaFlamme ◽  
...  

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.


2017 ◽  
Vol 1 (1) ◽  
pp. 29 ◽  
Author(s):  
Jennifer McMullen ◽  
Melinda Ickes ◽  
Melody Noland ◽  
Don Helme

Aim: Evaluate the impact of a campus-based culinary nutrition education program, the College CHEF: Cooking Healthfully Education for Life-long Change, to determine if there were significant differences preto post- intervention with participants' attitudes, behaviors, and knowledge with healthy eating/cooking.Background: College students have high rates of overweight and obesity and tend to have unhealthy dietary practices. Culinary nutrition programs may provide students a means to improve related attitudes, behaviors, and knowledge.Methods: College students residing on campus were recruited. Participants completing both pre- and post-measures were included in analysis: Control (n= 17) and intervention groups (n = 15). Quasi-experimental pre-, post- design: Surveys were administered to both groups at baseline and post-intervention in October-November 2015.Results:  There was a statistically significant improvement in fruit and vegetable consumption (p = .03) and with knowledge of cooking terms and techniques (p < .001).Conclusions:  Campus-based culinary nutrition education programming has potential to positively impact college students’ fruit and vegetable consumption and cooking knowledge. Future programs should incorporate strategies such as additional opportunities to engage in hands-on practice and building cross-campus collaborations to promote sustainability.


2006 ◽  
Vol 9 (4) ◽  
pp. 415-420 ◽  
Author(s):  
J Lennert Veerman ◽  
Jan J Barendregt ◽  
Johan P Mackenbach ◽  
Johannes Brug

AbstractObjectiveTo explore the use of epidemiological modelling for the estimation of health effects of behaviour change interventions, using the example of computer-tailored nutrition education aimed at fruit and vegetable consumption in The Netherlands.DesignThe effects of the intervention on changes in consumption were obtained from an earlier evaluation study. The effect on health outcomes was estimated using an epidemiological multi-state life table model. Input data for the model consisted of relative risk estimates for cardiovascular disease and cancers, data on disease occurrence and mortality, and survey data on the consumption of fruits and vegetables.ResultsIf the computer-tailored nutrition education reached the entire adult population and the effects were sustained, it could result in a mortality decrease of 0.4 to 0.7% and save 72 to 115 life-years per 100 000 persons aged 25 years or older. Healthy life expectancy is estimated to increase by 32.7 days for men and 25.3 days for women. The true effect is likely to lie between this theoretical maximum and zero effect, depending mostly on durability of behaviour change and reach of the intervention.ConclusionEpidemiological models can be used to estimate the health impact of health promotion interventions.


Critical Care ◽  
2019 ◽  
Vol 23 (1) ◽  
Author(s):  
Chung-Pei Wu ◽  
Yu-Juan Xu ◽  
Tyng-Guey Wang ◽  
Shih-Chi Ku ◽  
Ding-Cheng Chan ◽  
...  

Abstract Background For patients who survive a critical illness and have their oral endotracheal tube removed, dysphagia is highly prevalent, and without intervention, it may persist far beyond hospital discharge. This pre- and post-intervention study with historical controls tested the effects of a swallowing and oral care (SOC) intervention on patients’ time to resume oral intake and salivary flow following endotracheal extubation. Methods The sample comprised intensive care unit patients (≥ 50 years) successfully extubated after ≥ 48 h endotracheal intubation. Participants who received usual care (controls, n = 117) were recruited before 2015, and those who received usual care plus the intervention (n = 54) were enrolled after 2015. After extubation, all participants were assessed by a blinded nurse for daily intake status (21 days) and whole-mouth unstimulated salivary flow (2, 7, 14 days). The intervention group received the nurse-administered SOC intervention, comprising toothbrushing/salivary gland massage, oral motor exercise, and safe-swallowing education daily for 14 days or until hospital discharge. Results The intervention group received 8.3 ± 4.2 days of SOC intervention, taking 15.4 min daily with no reported adverse event (coughing, wet voice, or decreased oxygen saturation) during and immediately after intervention. Participants who received the intervention were significantly more likely than controls to resume total oral intake after extubation (aHR 1.77, 95% CI 1.08–2.91). Stratified by age group, older participants (≥ 65 years) in the SOC group were 2.47-fold more likely than their younger counterparts to resume total oral intake (aHR 2.47, 95% CI 1.31–4.67). The SOC group also had significantly higher salivary flows 14 days following extubation (β = 0.67, 95% CI 0.29–1.06). Conclusions The nurse-administered SOC is safe and effective, with greater odds of patients’ resuming total oral intake and increased salivary flows 14 days following endotracheal extubation. Age matters with SOC; it more effectively helped participants ≥ 65 years old resume total oral intake postextubation. Trial registration NCT02334774, registered on January 08, 2015


2017 ◽  
Vol 30 (2) ◽  
pp. 245-260
Author(s):  
Fabio da Silva GOMES ◽  
Gulnar Azevedo e SILVA ◽  
Inês Rugani Ribeiro de CASTRO

ABSTRACT Objective: Evaluate the effect of planting herb or vegetable seeds and seedlings on the household availability of fruits and vegetables through an intervention study combining various actions (educational practices, home visits, and distribution of seeds and seedlings) for the promotion of fruit and vegetable consumption in multiple settings. Methods: Data from 70 families were analyzed. Using the stratified sampling technique, the participant families were selected from a stratum within a population of 1,743 families living in three low-income communities in the city of Rio de Janeiro, Brazil. Three post-intervention groups were formed and compared: families that did not receive the seeds and seedlings during the intervention; families that received but did not plant the seeds and seedlings; families that received and planted the seeds and seedlings. Results: Among the families that did not grow their own fruits and vegetables before the intervention, those that received and planted the seeds and seedlings achieved an increase in household availability of fruits and vegetables (Δ=+5.8 percentage points) up to three times higher (p<0.05) than that achieved by the families who did not receive the seeds and seedlings (Δ=+1.8 5 percentage points) and those that received but did not plant them (Δ=+2.3 percentage points). As for the families that grew their own fruits and vegetables before the intervention, the comparison between those that did not receive the seeds and seedlings, those that received and planted them, and those that received but did not plant them showed no differences in the household availability of fruits and vegetables. Conclusion: The planting of the seeds and seedlings that they received by the families that did not grow their own fruits and vegetables before the intervention contributed to a significant increase in the household availability of fruits and vegetables.


2014 ◽  
Vol 8 (2) ◽  
pp. 103 ◽  
Author(s):  
Adhitya Aji Candra ◽  
Budi Setiawan ◽  
Rizal Damanik

The objective of this research were to analyze the effect of snack feeding, nutrition education, and iron supplementation to nutritional status, nutrition knowledge, and anemia status in elementary school students. The study was conducted in SDN Palasari 02 Kecamatan Cijeruk, Kabupaten Bogor, Jawa Barat. The design of this study was pre-post intervention study. The number of subjects were 81 students. The result showed that snacking did not give significant improvement on nutritional status (p&gt;0.05). Nutrition education was significant in improving nutrition knowledge (p&lt;0.05), while iron supplementation intake gave a significant improvement on anemia status (p&lt;0.05).<br />Keywords:


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 243-243
Author(s):  
Kelly Parker ◽  
Annika Rotvold ◽  
Kerrie Honrath ◽  
Yeong Rhee

Abstract Objectives The objective of this study was to determine whether a relationship exists between average daily intake of fruits and vegetables and mental health in college students as measured by the Depression, Anxiety, and Stress Scale-21 (DASS-21). Methods A survey was developed to assess college students’ fruit and vegetable intake and recent mental health using the Eating at America's Table Food Frequency Questionnaire (EAT) and the DASS-21. The survey was administered via Qualtrics in the initial three months after lockdown began due to COVID-19 in the area. Trained researchers coded the DASS-21 for the presence and level of depression, anxiety, and stress. The EAT was used to calculate the average number of fruits and vegetables consumed daily by each student by calculating the total number of cups of each fruit and vegetable as counted by the USDA MyPlate tool. Pearson's correlations were run between the average daily number of fruits and vegetables consumed and the severity score for depression, anxiety, and stress to determine whether relationships existed between the variables of interest. Results One hundred ninety-six students responded to the survey. Students were an average of 21.7 years of age (std dev. 4.4 years), mostly female (54.7%), freshmen (30.1%), who were enrolled full-time (69.3%). Most students identified as single (65.2%), and not in a relationship (35.6%), and as living off-campus (34.8%). Pearson's correlations revealed a slight relationship between average daily number of fruits and average daily number of vegetables consumed (r = 0.374, P &lt; 0.01). There was no significant relationship between either fruit or vegetable consumption and any of the mental health variables. There was, however, a moderate to strong relationship between depression and anxiety (r = 0.480, P &lt; 0.01) or stress (r = 0.686, P &lt; 0.01) and anxiety and stress (r = 0.627, P &lt; 0.01). Conclusions College students’ mental health at the beginning of the COVID-19 pandemic lockdown was not related to their daily fruit and vegetable intake. Funding Sources N/A


2019 ◽  
Author(s):  
ANN Watetu THUITA-Wambugu ◽  
Beatrice Nyanchama Kiage ◽  
Arnold N Onyango ◽  
Makokha O Anselimo

Abstract Background Type 2 diabetes mellitus; a chronic disorder characterized by poor glycemic control, is a life threatening condition of global public health concern which worsens in the presence of metabolic syndrome (MetS) and associated risks. However application of lifestyle intervention may reduce this risk. The aim of the current study was to evaluate the effect of nutrition education programme with inclusion of peer to peer support on MetS and Mets risk factors in type 2 diabetes mellitus patient. Methods This was a randomized controlled trial with two intervention groups and one control. The intervention groups included nutrition education peer to peer support group (NEP) (n=51) and nutrition education group (NE) (n=51) which participated in an eight week (2 h per week) group nutrition education sessions and follow-up sessions for six month. The NEP in addition had a peer to peer support component on weekly basis for the eight weeks of training and monthly support for six months. The control group (C) (n 51) received standard care. Outcomes were assessed at 6 months. An intention-to-treat analysis was conducted using analysis of co-variance (ANCOVA).Results: Differences in MetS were -38.1 and -31.7% (P<0.01) at 6 months in the NEP group as per Harmonized and WHO criteria respectively. Significant improvement was seen in number of participant achieving recommended waist circumference; WC (33.9 %) and high density lipoprotein; HDL (35.2%) in the NEP group and blood pressure; BP (reduction by 39.2 and 31.6) as per harmonized and WHO criteria respectively in the NE group. six month post intervention Statistical mean change was also noted six month post intervention in; weight lost (-6.26kg), BMI (-2.37 kg/m2), waist hip ratio; WHR (-0.03), WC (-14.51 cm) and HDL (+0.34mmol/l in the NEP group and diastolic blood pressure; DBP (-5.17 mmhg) in the NE group. Comparison of the NEP and NE with control showed that NEP and NE had better outcome.Conclusions: Nutrition education with inclusion of peer to peer support was of clinical benefit in reducing metabolic outcomes and MetS in Type 2 diabetes mellitus patient. Optimal goal setting and self-effective training could benefit future nutrition education programmes with peer to peer support component for people with Type 2 Diabetes and at risk of Mets.


Author(s):  
Semwal Radhika ◽  
Rehman Tanveer ◽  
S. Adinarayanan ◽  
Sonali Sarkar ◽  
Kumar Suresh ◽  
...  

Abstract Background The World Health Organization estimates that around 6 million people need palliative care in India but not even 1% of the patients have access to it. Objective To find the prevalence of knowledge on palliative care and compare the effectiveness of different methods of health education on attitude regarding palliative care among urban college students in southern India. Subjects A pre-post intervention study was conducted in three different arts, science and commerce colleges in urban Pondicherry in August 2017. Methods Data regarding attitude change towards palliative care by three different modes of intervention in the three colleges: health talk (Group A), health talk with video (Group B) and health talk and interaction with a patient’s caregiver (Group C) – before and after intervention – were collected using a predesigned pretested structured questionnaire. Results Among the 65, 75 and 67 participants in Groups A, B and C, respectively – the majority belonged to urban nuclear families; the mean age was 19.5 (0.9) years and Group C had only female students. The prevalence of knowledge about palliative care was found to be 9.2%. There was a difference in attitude scores among the three groups (p = 0.02) with Group C having the highest change of a score with a median of 2 (−1,5). Conclusion Awareness about palliative care is very low among non-medical undergraduate college students of urban Pondicherry. The best method of health education in changing the attitude towards palliative care was interaction with patient’s caregiver.


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