scholarly journals School-Based Nutrition Interventions in Children Aged 6 to 18 Years: An Umbrella Review of Systematic Reviews

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4113
Author(s):  
Kate M. O’Brien ◽  
Courtney Barnes ◽  
Serene Yoong ◽  
Elizabeth Campbell ◽  
Rebecca Wyse ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Nutrition Education ◽  
Systematic Reviews ◽  
Food Environment ◽  
Grey Literature ◽  
World Health Organisation ◽  
World Health ◽  
Umbrella Review ◽  
Nutrition Interventions ◽  
School Based

Schools are identified as a key setting to influence children’s and adolescents’ healthy eating. This umbrella review synthesised evidence from systematic reviews of school-based nutrition interventions designed to improve dietary intake outcomes in children aged 6 to 18 years. We undertook a systematic search of six electronic databases and grey literature to identify relevant reviews of randomized controlled trials. The review findings were categorised for synthesis by intervention type according to the World Health Organisation Health Promoting Schools (HPS) framework domains: nutrition education; food environment; all three HPS framework domains; or other (not aligned to HPS framework domain). Thirteen systematic reviews were included. Overall, the findings suggest that school-based nutrition interventions, including nutrition education, food environment, those based on all three domains of the HPS framework, and eHealth interventions, can have a positive effect on some dietary outcomes, including fruit, fruit and vegetables combined, and fat intake. These results should be interpreted with caution, however, as the quality of the reviews was poor. Though these results support continued public health investment in school-based nutrition interventions to improve child dietary intake, the limitations of this umbrella review also highlight the need for a comprehensive and high quality systematic review of primary studies.

School-Based Nutrition Programs for Adolescents in Dodoma, Tanzania: A Situation Analysis

2021 ◽  
pp. 037957212110207
Author(s):  
Colette Rector ◽  
Nadhira Nuraini Afifa ◽  
Varun Gupta ◽  
Abbas Ismail ◽  
Dominic Mosha ◽  
...  
Keyword(s):  
Nutrition Education ◽  
Ad Hoc ◽  
School Administrators ◽  
School Nutrition ◽  
Overweight And Obesity ◽  
School Meals ◽  
Nutrition Interventions ◽  
Double Burden ◽  
School Based ◽  
Sanitation And Hygiene

Background: Tanzania has a double burden of malnutrition, including a high prevalence of undernutrition and an increasing prevalence of overweight and obesity among adolescents. Schools present a valuable opportunity to reach a large section of the country’s adolescent population with nutrition-oriented interventions. Objective: The objective of this study was to assess the current state of adolescent school nutrition interventions in Dodoma, Tanzania, with emphases on 3 potential school-based nutrition interventions, school vegetable gardens, school meals, and education (on nutrition, agriculture, and water, sanitation, and hygiene). Methods: Focus group discussions were conducted with several regional and district-level governmental stakeholders, including health, education, and agricultural officers. Ten public secondary schools were visited, and interviews with school administrators, teachers, students, and parents were conducted. Results: All stakeholders interviewed supported interventions to improve school-based nutrition, including school gardens, school feeding, and nutrition education. All 10 schools visited had some experience providing school meals, but parents’ contributions were essential for the program’s sustainability. Most schools visited had land available for a school garden program, but water availability could be challenging during certain times of the year. The teachers interviewed expressed that the curriculum on nutrition education was highly theoretical and did not allow students to practice the knowledge and skills they learned in the classroom. Conclusions: The current school-based approach to tackling the double burden of adolescent malnutrition in Dodoma is localized and ad hoc. To leverage the potential of schools as a platform for nutrition interventions, integrated and policy-mandated interventions are needed.

scholarly journals Pengalaman ibu dengan riwayat preeklamsia dalam kehamilan: scooping review

2020 ◽  
Vol 3 (2) ◽  
pp. 56-68
Author(s):  
Antika Maulida Rahayu ◽  
Andari Wuri Astuti ◽  
Fitria Siswi Utami
Keyword(s):  
Study Design ◽  
Systematic Reviews ◽  
Critical Appraisal ◽  
World Health Organisation ◽  
World Health ◽  
Population Exposure ◽  
Literature Searching ◽  
Meta Analyses

Latar belakang: Preeklamsia merupakan komplikasi kehamilan yang meningkatkan risiko 3-8% dari semua morbiditas ibu. Berdasarkan data World Health Organisation (WHO), angka kejadian preeklamsia di seluruh dunia berkisar 0,51%-38,4%, kejadian preeklamsia 7 kali lebih tinggi di negara berkembang. Frekuensi kejadian preeklampsia di Indonesia adalah 3-10% dari seluruh kehamilan. Tujuan Penelitian: untuk memberikan bukti terkini tentang pengalaman ibu dengan riwayat preeklamsia dalam kehamilan. Metode: Metode yang digunakan adalah scooping review yang terdiri dari tahapan-tahapan, yaitu: melakukan fokusing review dengan framework PEOS (Population, Exposure, Outcome dan Study Design), melakukan literature searching menggunakan databases yang relevan. Menyeleksi studi yang relevan menggunakan kriteria inklusi dan ekslusi; melakukan critical appraisal untuk menilai kualitas literature, melakukan data ekstraksi, menganalisis dan melaporkan hasil. PRISMA Flowchart (Preferred Reporting Items for Systematic reviews and Meta-Analyses), digunakan untuk menggambarkan alur pencarian literature. Hasil: sebanyak 7 artikel masuk dalam kriteria inklusi dan kemudian dengan Grade A dan B di lanjutkan proses review. Analisis tematik digunakan untuk mengidentifikasi konsep-konsep kunci yang menghasilkan 4 tema yaitu: faktor penyebab preeklamsia, dampak preeklamsia, budaya masyarakat terkait preeklamsia, dan respon ibu yang mengalami preeklamsia. Simpulan: kelainan dalam kehamilan seperti preeklamsia yang sering terjadi di negara maju maupun di negara berkembang, di dalam penelitian di sebutkan bahwa mayoritas ibu dengan riwayat preeklamsia cenderung beresiko alami kelahiran prematur hingga perdarahan pasca melahirkan dan dapat menyebabkan kematian apabila terlambat penanganan pelayanan kesehatan.

scholarly journals An Umbrella Review of Systematic Reviews on Food Choice and Nutrition Published between 2017 and-2019

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2398 ◽  
Author(s):  
Perez-Cueto
Keyword(s):  
Nutrition Education ◽  
Systematic Reviews ◽  
Food Choice ◽  
Age Groups ◽  
Population Group ◽  
Food Choices ◽  
Healthy Food ◽  
Umbrella Review ◽  
Food Purchases ◽  
Good Nutrition

The objective of this umbrella review was to provide an update on the latest knowledge in the field of food choice and nutrition. Databases Scopus and ISI-Web of Science were searched for “food choice” AND nutrition. Papers were included if they were systematic reviews published between January 2017 and August 2019 on any subpopulation group. In total, 26 systematic reviews were kept. Data were extracted with a predetermined grid including first author, publication year, country, population group, explanatory constructs (intervention focus) and reported outcomes. Common indicators for outcome measures on food choice and nutrition studies are nutrition knowledge, healthy food choices, food purchases and food and nutrient intake. The most common strategy implemented to alter food choice with a nutritional aim is nutrition education, followed by provision of information through labels. Among children, parent modelling is key to achieving healthy food choices. In general, combining strategies seems to be the most effective way to achieve healthier food consumption and to maintain good nutrition in all age groups.

scholarly journals Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review

2020 ◽  
Vol 23 (14) ◽  
pp. 2626-2636
Author(s):  
Paul Kyere ◽  
J Lennert Veerman ◽  
Patricia Lee ◽  
Donald E Stewart
Keyword(s):  
Nutrition Education ◽  
School Nutrition ◽  
Nutrition Knowledge ◽  
Sub Saharan Africa ◽  
Nutrition Status ◽  
Food Supplementation ◽  
Micronutrient Deficiencies ◽  
Nutrition Interventions ◽  
School Based ◽  
Sub Saharan

AbstractObjective:To evaluate the effect of school-based nutrition interventions (SBNI) involving schoolchildren and adolescents in sub-Saharan Africa (SSA) on child nutrition status and nutrition-related knowledge, attitudes and behaviour.Design:A systematic review on published school nutrition intervention studies of randomised controlled trials, controlled clinical trials, controlled before-and-after studies or quasi-experimental designs with control. Nine electronic bibliographic databases were searched. To be included, interventions had to involve changes to the school’s physical and social environments, to the school’s nutrition policies, to teaching curriculum to incorporate nutrition education and/or to partnership with parents/community.Setting:Schools in SSA.Participants:School-aged children and adolescents, aged 5–19 years.Results:Fourteen studies met our inclusion criteria. While there are few existing studies of SBNI in SSA, the evidence shows that food supplementation/fortification is very effective in reducing micronutrient deficiencies and can improve nutrition status. Secondly, school nutrition education can improve nutrition knowledge, but this may not necessarily translate into healthy nutrition behaviour, indicating that nutrition knowledge may have little impact without a facilitating environment. Results regarding anthropometry were inconclusive; however, there is evidence for the effectiveness of SBNI in improving cognitive abilities.Conclusions:There is enough evidence to warrant further trials of SBNI in SSA. Future research should consider investigating the impact of SBNI on anthropometry and nutrition behaviour, focusing on the role of programme intensity and/or duration. To address the high incidence of micronutrient deficiencies in low- and middle-income countries, food supplementation strategies currently available to schoolchildren should be expanded.

scholarly journals Potential interventions targeting adolescent nutrition in Indonesia: a literature review

2018 ◽  
Vol 22 (1) ◽  
pp. 15-27 ◽  
Author(s):  
Vanessa M Oddo ◽  
Airin Roshita ◽  
Jee Hyun Rah
Keyword(s):  
Nutrition Education ◽  
School Attendance ◽  
Grey Literature ◽  
Reproductive Health Services ◽  
Adolescent Nutrition ◽  
School Based ◽  
Folic Acid Supplements ◽  
Iron Folic Acid ◽  
Nutrition Sensitive ◽  
The Impact

AbstractObjectiveThe present study aimed to take stock of nutrition interventions that warrant consideration as a minimum package of interventions in Indonesia to improve four key nutrition indicators for adolescents: stunting, thinness, overweight and anaemia.DesignWe conducted a review of the peer-reviewed literature published between 1995 and 2017 on nutrition-specific and nutrition-sensitive interventions that target adolescents in Indonesia. The search to identify studies was conducted in PubMed, Google Scholar and EMBASE, using key search terms. We also explored programmatic and policy documents from the grey literature as they related to adolescents and/or Indonesia. Our search yielded thirty-five peer-reviewed articles and programmatic documents.SettingIndonesia.SubjectsAdolescent girls and boys.ResultsThere is very limited evidence on the impact of interventions specifically among adolescents in Indonesia. Nevertheless, findings from our review suggest the minimum package of interventions in Indonesia could include the following nutrition-specifc interventions: (i) iron–folic acid supplements, paired with antihelminths delivered at scale via school-based platforms and through health centres; and (ii) diet counselling and nutrition education provided through school-based platforms, adolescent youth centres/peer education and technology-based platforms. The minimum package could also include the following nutrition-sensitive interventions: (i) improving access to reproductive health services; and (ii) increasing the coverage of interventions designed to increase school attendance.ConclusionsProgrammes and policies targeting adolescent nutrition are relatively new and coverage is low. To improve the nutritional status of this vulnerable population, additional evaluations of adolescent programming and surveillance data on adolescents are needed.

scholarly journals Protocol for systematic reviews of school-based food and nutrition education intervention for adolescent health promotion

Medicine ◽  
2019 ◽  
Vol 98 (35) ◽  
pp. e16977 ◽  
Author(s):  
Gidyenne Christine Bandeira Silva de Medeiros ◽  
Kesley Pablo Morais de Azevedo ◽  
Daniel Ángel Garcia ◽  
Victor Hugo de Oliveira Segundo ◽  
Ádala Nayana de Sousa Mata ◽  
...  
Keyword(s):  
Health Promotion ◽  
Nutrition Education ◽  
Adolescent Health ◽  
Systematic Reviews ◽  
Education Intervention ◽  
School Based ◽  
Food And Nutrition ◽  
Food And Nutrition Education

scholarly journals Best Practice Guidance for Digital Contact Tracing Apps: A Cross-Disciplinary Review of the Literature. (Preprint)

2021 ◽  
Author(s):  
James O'Connell ◽  
Manzar Abbas ◽  
Sarah Beecham ◽  
Jim Buckley ◽  
Muslim Chochlov ◽  
...  
Keyword(s):  
Data Protection ◽  
Best Practice ◽  
Evidence Synthesis ◽  
Grey Literature ◽  
World Health Organisation ◽  
World Health ◽  
Contact Tracing ◽  
Free Text ◽  
User Engagement ◽  
Interface Elements

BACKGROUND Digital contact tracing apps (DCTAs) have the potential to augment contact tracing systems and disrupt Coronavirus 2019 (COVID-19) transmission. Despite many countries deploying DCTAs, few have disrupted COVID-19 transmission sufficiently to avoid the most restrictive social distancing measures. OBJECTIVE Our aim was to describe and provide best practice guidance on the design considerations of the ideal digital contact tracing app (IDCTA). METHODS We identified key considerations from the literature and used a cross disciplinary approach to develop best practice guidance for the development of the IDCTA. We conducted a search of the indexed and grey literature to identify articles describing or evaluating DCTAs. We searched Ovid Medline using a combination of free text terms and MeSH search terms. We performed a search of the grey literature using the World Health Organisation (WHO) Institutional Repository for Information Sharing, the European Centre for Disease Control (ECDC) publications library and Google, including the websites of many health protection authorities. Articles which were acceptable for inclusion in our evidence synthesis were peer-reviewed publications cohort studies, randomised trials, modelling studies, technical reports, white papers and media reports which related to digital contact tracing. RESULTS Ethical, user experience, privacy and data protection, technical, clinical, societal and evaluation considerations were identified from the literature. The IDCTA should be voluntary and should be equitably available and accessible. Therefore. the IDCTA should be disseminated, free of charge and free smart-phones or monofunctional digital contact tracing devices should be deployed in parallel to groups who may not otherwise have access to DCTAs. The IDCTA interface elements should enable multi-modal interaction (e.g., supported by voice control), with comprehensive contents that are available in different languages. Dynamic, consistently updated information on confirmed cases, testing sites, vaccination sites, current government restrictions and state preventive strategies could enhance user engagement. The IDCTA should be adherent to data protection regulation and follow the principles of privacy by design. Bluetooth LE is recommended for DCTA contact event detection but combining it with ultrasound technology may improve DCTA accuracy without significant compromises on privacy preservation and availability. A decentralised privacy preserving protocol should be followed to enable DCTA users exchange and record temporary contact numbers during contact events. The IDCTA should define and risk stratify contact events according to proximity, duration of contact and the infectiousness of the case at the time of contact. Function creep should be prevented by defining at the outset the limits of the DCTA. Defining from DCTA lauch how its effectiveness will be evaluated is important from an ethical point of view. CONCLUSIONS In conclusion, we identified from the literature key considerations when developing the IDCTA and provide a best practice approach to these considerations.

scholarly journals Promoting men’s awareness, self-examination, and help-seeking for testicular disorders: a systematic review of interventions

2018 ◽  
Vol 1 ◽  
pp. 16 ◽  
Author(s):  
Mohamad M. Saab ◽  
Martin Davoren ◽  
Aileen Murphy ◽  
David Murphy ◽  
Eoghan Cooke ◽  
...  
Keyword(s):  
Systematic Review ◽  
Systematic Reviews ◽  
Help Seeking ◽  
Grey Literature ◽  
World Health ◽  
Cochrane Library ◽  
Medical Attention ◽  
Younger Men ◽  
Self Examination ◽  
The Impact

Background: Testicular cancer (TC) is commonly diagnosed among men aged 15-40 years. The incidence of TC is on the rise. Benign testicular disorders such as testicular torsion and epididymitis can lead to testicular ischemia, sepsis, and infertility if left untreated. This systematic review aims to evaluate the effectiveness of studies promoting men’s knowledge and awareness of testicular disorders and/or self-examination, behaviours and/or intentions to examine their testes, and help-seeking behaviours and/or intentions for testicular symptoms. Methods: Academic Search Complete, Medline, CINAHL, PsychINFO, ERIC, the Cochrane Library, the World Health Organisation International Clinical Trials Registry Platform, Clinicaltrials.gov, Grey Literature Report, and Open Grey were searched for studies published between November 2014 and April 2018. The methodological quality and level of evidence per outcome were assessed.  Results: There were five papers included: two were experimental studies, two were systematic reviews, and one was an integrative review. The majority of the reviewed interventions were successful in increasing men’s awareness of TC and self-examination. Examples include a television show featuring a celebrity with TC, a university campaign, and interactive educational sessions. The impact of the reviewed interventions on health beliefs (i.e. perceived susceptibility, severity, benefits, barriers, and self-efficacy) varied across the reviewed literature. Studies promoting help-seeking for testicular symptoms and awareness of benign testicular disorders were lacking. Conclusions: This review highlights the importance of evaluating educational interventions aimed at younger men, whilst raising their awareness of testicular disorders and increasing their help-seeking intentions for testicular symptoms. Given the lack of consensus around scheduled testicular self-examination among younger men, clinicians are encouraged to instruct men to familiarise themselves with the look and feel of their own testes and to seek timely medical attention for abnormalities. Registration: The review protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) under the registration number CRD42018093671.

OP40 Effect Of Advanced Nursing Practice On Hospital Use For The Elderly

2018 ◽  
Vol 34 (S1) ◽  
pp. 15-16
Author(s):  
Marc-Olivier Trepanier ◽  
Maggy Wassef ◽  
Sylvie Beauchamp
Keyword(s):  
Systematic Reviews ◽  
Literature Search ◽  
Scientific Literature ◽  
Transitional Care ◽  
Discharge Planning ◽  
Grey Literature ◽  
The Elderly ◽  
Local Context ◽  
Umbrella Review ◽  
Services Use

Introduction:Within the local context in Montréal, the elderly population makes up more than 50% of patient hours in emergency department. To meet ministerial targets for length of stay, our health technology assessment unit was requested to conduct an umbrella review to evaluate interventions aimed at reducing health care services use for this population. Within that context, our unit was asked to further evaluate the efficacy of advance practice nurse (APN)-led interventions. The objective of this rapid response was to summarize the scientific literature for APN-led interventions on hospital services use.Methods:An umbrella review using the PRISMA statement was conducted to review the scientific literature. Systematic searches were conducted in five databases, along with a grey literature search. Two reviewers performed the study selection, quality assessment using the ROBIS, and data extraction. The primary studies within the selected systematic reviews were extracted by two reviewers and a meta-analysis was conducted to analyze the efficacy of APN-involved in discharge planning and transitional care.Results:From the twenty-seven systematic reviews identified in the literature search, four reported data on APN-led interventions. In all, sixteen primary studies were included in the four systematic reviews. While most studies focused on transitional care, there was heterogeneity in the components of the interventions implemented. At six months post-discharge, a reduction of forty-one percent in relative risk of readmission was observed with APN-led discharge planning and transitional care with patient education, follow-up and services coordination. Studies with fewer components reported less significant results than studies with comprehensive discharge planning and transitional care. The few APN-led primary care studies identified in the systematic reviews reported inconsistent results.Conclusions:APN-led comprehensive discharge planning and transitional care can reduce hospital readmission rate. Several components were identified and should be considered in the discharge planning and transitional care.

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