Nutrition Intervention Based on Health Belief Model for Promoting Dietary Calcium Intake among Adolescent Girl students

Author(s):  
Amal El-Abbassy ◽  
afaf hussein ◽  
Hanaa. Ahmed ◽  
Samar Salah Eldin Mohamed Diab ◽  
Samia Ali El-Nagar
2019 ◽  
Vol 80 (4) ◽  
pp. 179-185
Author(s):  
Michelle L. Marcinow ◽  
Janis A. Randall Simpson ◽  
Susan J. Whiting ◽  
Andrea C. Buchholz

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.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1339-1339
Author(s):  
Bong Nguyen ◽  
Mary Murimi

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 &lt; 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 &lt; 0.05) whereas the DG significantly decreased their self-efficacy (P &lt; 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 &lt; 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.


2014 ◽  
Vol 84 (3-4) ◽  
pp. 0206-0217 ◽  
Author(s):  
Seyedeh-Elaheh Shariati-Bafghi ◽  
Elaheh Nosrat-Mirshekarlou ◽  
Mohsen Karamati ◽  
Bahram Rashidkhani

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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