Impact of the nutrition education Program Nutriamigos® on levels of awareness on healthy eating habits in school-aged children
DOI:
https://doi.org/10.7322/jhgd.v29.9538Keywords:
Food and Nutrition Education, Eating behavior Behavior, Animation, ChildAbstract
Introduction: With the increase of childhood obesity, early intervention in nutrition education becomes necessary. Therefore, during the school period, the school becomes the best place for implementation of a nutritional education program.
Objective: The current study was carried out in a public and in a private school, with the objective of evaluating and comparing the results of the "Nutriamigos®" Program on food and nutrition knowledge of children with different socioeconomic levels, sex, age and Body Mass Index (BMI).
Method: Comparative longitudinal study, before and after educational intervention. To evaluate the intervention, a public (school 1) and a private school (school 2) were selected. This was a random, convenience sample comparing students from different social and economic levels, consisting of 242 (school 1) and 99 children (school 2), respectively, totaling 341 children, from 6 to 10 years of age. The Body Mass Index was used to measure nutritional status. Knowledge about food and nutrition was evaluated through a questionnaire, applied before and after intervention. The nutritional intervention consisted of 12 classes of 50 minutes each.
Results: The improvement in knowledge on food and nutrition between the pre and post intervention stages was statistically significant.
Conclusion: The "Nutriamigos®" Program reached its goal, demonstrating that it is effective in public and private schools and should not be differentiated for boys or girls, or for children with normal or excessive weight.
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References
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2. American Academy of Pediatrics. Prevention of pediatric overweight and obesity. Pediatrics. 2003;112(2):424-30. DOI: https://doi.org/10.1542/peds.112.2.424
3. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. Lancet. 2002;10;360(9331):473-82. DOI: https://doi.org/10.1016/S0140-6736(02)09678-2
4. Fleck F. WHO challenges food industry in report on diet and health. BMJ. 2003;326(7388):515. DOI: https://doi.org/10.1136/bmj.326.7388.515
5. Brasil. Ministério da Saúde. Sistema de vigilância alimentar e nutricional (SISVAN). Módulo gerador de relatórios públicos: estado nutricional dos indivíduos acompanhados por período, fase do ciclo da vida e índice 2014. Brasília: Ministério da Saúde, 2014.
6. Zarnowiecki DM, Parletta N, Dollman J. The role of socio-economic position as a moderator of children's healthy food intake. Br J Nutr. 2014;14;112(5):830-40. DOI: https://doi.org/10.1017/S0007114514001354
7. Davison KK, Birch LL. Childhood overweight: a contextual model and recommendations for future research. Obes Rev. 2001;2(3):159-71. DOI: https://doi.org/10.1046/j.1467-789x.2001.00036.x
8. Contento IR. Nutrition education: linking research, theory, and practice. Asia Pac J Clin Nutr. 2008;17(Suppl 1):176-9.
9. DeVault N, Kennedy T, Hermann J, Mwavita M, Rask P, Jaworsky A. It's all about kids: preventing overweight in elementary school children in Tulsa, OK. J Am Diet Assoc. 2009;109(4):680-7. DOI: https://doi.org/10.1016/j.jada.2008.12.021
10. Wardle J, Parmenter K, Waller J. Nutrition knowledge and food intake. Appetite. 2000;34(3): 269-75. DOI: https://doi.org/10.1006/appe.1999.0311
11. Perez-Rodrigo C, Aranceta J. School-based nutrition education: lessons learned and new perspectives. Public Health Nutr. 2001;4(1A):131-9. DOI: https://doi.org/10.1079/phn2000108
12. Van Cauwenberghe E, Maes L, Spittaels H, van Lenthe FJ, Brug J, Oppert JM, et al. Effectiveness of school-based interventions in Europe to promote healthy nutrition in children and adolescents: systematic review of published and 'grey' literature. Br J Nutr. 2010;103(6):781-97. DOI: https://doi.org/10.1017/S0007114509993370
13. Pan American Health Organization (PAHO). World Health Organization (WHO). Plan of action for the prevention of obesityin children and adolescents. Washington: WHO, 2014.
14. Brasil. Ministério da Educação. Fundo Nacional de Desenvolvimento da Educação (FNDE). Programa Nacional de Alimentação Escilar (PNAE). Alimentação escolar. [cited 2018 feb 02]. Availabe from: https://www.fnde.gov.br/index.php/programas/pnae/pnae-sobre-o-programa/pnae-sobre-o-pnae
15. Fahlman MM, Dake JA, McCaughtry N, Martin J. A pilot study to examine the effects of a nutrition intervention on nutrition knowledge, behaviors, and efficacy expectations in middle school children. J Sch Health. 2008;78(4):216-22. DOI: https://doi.org/10.1111/j.1746-1561.2008.00289.x
16. Powers AR, Struempler BJ, Guarino A, Parmer SM. Effects of a nutrition education program on the dietary behavior and nutrition knowledge of second-grade and third-grade students. J Sch Health. 2005;75(4):129-33. https://doi.org/10.1111/j.1746-1561.2005.00010.x
17. Ransley JK, Taylor EF, Radwan Y, Kitchen MS, Greenwood DC, Cade JE. Does nutrition education in primary schools make a difference to children's fruit and vegetable consumption? Public Health Nutr. 2010;13(11):1898-904. DOI: https://doi.org/10.1017/S1368980010000595
18. Warren JM, Henry CJ, Lightowler HJ, Bradshaw SM, Perwaiz S. Evaluation of a pilot school programme aimed at the prevention of obesity in children. Health Promot Int. 2003;18(4):287-96. DOI: https://doi.org/10.1093/heapro/dag402
19. Contento IR, Randell JS, Basch CE. Review and analysis of evaluation measures used in nutrition education intervention research. J Nutr Educ Behav. 2002;34(1):2-25. DOI: https://doi.org/10.1016/s1499-4046(06)60220-0
20. Perez-Lizaur AB, Kaufer-Horwitz M, Plazas M. Environmental and personal correlates of fruit and vegetable consumption in low income, urban Mexican children. J Hum Nutr Diet. 2008;21(1):63-71. DOI: https://doi.org/10.1111/j.1365-277X.2007.00839.x
21. Prelip M, Kinsler J, Thai CL, Erausquin JT, Slusser W. Evaluation of a school-based multicomponent nutrition education program to improve young children's fruit and vegetable consumption. J Nutr Educ Behav. 2012;44(4):310-8. DOI: https://doi.org/10.1016/j.jneb.2011.10.005
22. Veugelers PJ, Fitzgerald AL. Effectiveness of school programs in preventing childhood obesity: a multilevel comparison. Am J Public Health. 2005;95(3):432-35. DOI: https://doi.org/10.2105/AJPH.2004.045898
23. Viggiano A, Viggiano E, Di Costanzo A, Viggiano A, Andreozzi E, Romano V, et al. Kaledo, a board game for nutrition education of children and adolescents at school: cluster randomized controlled trial of healthy lifestyle promotion. Eur J Pediatr. 2015;174(2):217-28. DOI: https://doi.org/10.1007/s00431-014-2381-8
24. Ranjit N, Wilkinson AV, Lytle LM, Evans AE, Saxton D, Hoelscher DM. Socioeconomic inequalities in children's diet: the role of the home food environment. Int J Behav Nutr Phys Act. 2015; 12(Suppl 1):S4. DOI: https://doi.org/10.1186/1479-5868-12-S1-S4
25. Skardal M, Western IM, Ask AM, Overby NC. Socioeconomic differences in selected dietary habits among Norwegian 13-14 year-olds: a cross-sectional study. Food Nutrit Res. 2014;58. DOI: https://doi.org/10.3402/fnr.v58.23590
26. Connell DB, Turner RR, Mason EF. Summary of findings of the School Health Education Evaluation: health promotion effectiveness, implementation, and costs. J Sch Health. 1985;55(8):316-21. DOI: https://doi.org/10.1111/j.1746-1561.1985.tb05656.x
27. Preventive Services Task Force. Screening for obesity in children and adolescents: recommendation statement. Am Fam Physician. 2017;96(8):528A-E.
28. Janson G, Franciscato SJ, Fisberg M. Desenvolvimento do programa de educação nutricional “Nutriamigos®” – uma Ferramenta lúdica para ensinar às crianças o valor dos alimentos. [cited 2018 Feb 02. Available from: http://www.nutricaoempauta.com.br/lista_artigo.php?cod=2812
29. Anderson AS, Porteous LE, Foster E, Higgins C, Stead M, Hetherington M, et al. The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public Health Nutr. 2005;8(6):650-6. DOI: https://doi.org/10.1079/phn2004721
30. Baranowski T, Baranowski J, Cullen KW, Marsh T, Islam N, Zakeri I, et al. Squire's Quest! Dietary outcome evaluation of a multimedia game. Am J Prev Med. 2003;24(1):52-61.
DOI: https://doi.org/10.1016/S0749-3797(02)00570-6
31. Rosi A, Scazzina F, Ingrosso L, Morandi A, Del Rio D, Sanna A. The "5 a day" game: a nutritional intervention utilising innovative methodologies with primary school children. Int J Food Sci Nutr. 2015;66(6):713-7. DOI: https://doi.org/10.3109/09637486.2015.1077793
32. Franciscato SJ. Programa Nutriamigos. [cited 2018 Feb 02]. Available from: https://http://www.youtube.com/ channel/UCHOgvbNmDdj4JRZOITgfh1A
33. Franciscato SJ. Programa Nutriamigos. [cited 2018 Feb 02]. Available from: http://www.nutriamigos.com.br
34. Critério de Classificação Econômica Brasil (ABEP). Critério Brasil 2015 e atualização da distribuição de classes para 2016. [cited 2018 Feb 02]. Available from: http://www.abep.org/criterio-brasil
35. World Health Organization (WHO). Growth reference data for 5-19 years. [cited 2018 Feb 02]. Available from: https://www.who.int/growthref/en/
36. Amaro S, Viggiano A, Di Costanzo A, Madeo I, Baccari ME, Marchitelli E, et al. Kaledo, a new educational board-game, gives nutritional rudiments and encourages healthy eating in children: a pilot cluster randomized trial. Eur J Pediatr. 2006;165(9):630-5. DOI: https://doi.org/10.1007/s00431-006-0153-9
37. Anderson AS, Bell A, Adamson A, Moynihan P. A questionnaire assessment of nutrition knowledge--validity and reliability issues. Public Health Nutr. 2002;5(3):497-503. DOI: https://doi.org/10.1079/PHNPHN2001307
38. Caballero B, Clay T, Davis SM, Ethelbah B, Rock BH, Lohman T, et al. Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr. 2003;78(5):1030-8. DOI: https://doi.org/10.1093/ajcn/78.5.1030
39. Rosi A, Brighenti F, Finistrella V, Ingrosso L, Monti G, Vanelli M, et al. Giocampus school: a "learning through playing" approach to deliver nutritional education to children. Int J Food Sci Nutr. 2016;67(2):207-15. DOI: https://doi.org/10.3109/09637486.2016.1144720
40. Stevens J, Cornell CE, Story M, French SA, Levin S, Becenti A, et al. Development of a questionnaire to assess knowledge, attitudes, and behaviors in American Indian children. Am J Clin Nutr. 1999;69(4 Suppl):773S-81. DOI: https://doi.org/10.1093/ajcn/69.4.773S
41. Vereecken C, De Pauw A, Van Cauwenbergh S, Maes L. Development and test-retest reliability of a nutrition knowledge questionnaire for primary-school children. Public Health Nutr. 2012;15(9):1630-8. DOI: https://doi.org/10.1017/S1368980012002959
42. Brasil. Ministério da Saúde. Secretaria de Assistência à Saúde. Departamento de Atenção Básica. Guia alimentar para a populac?a?o brasileira: promovendo a alimentac?a?o sauda?vel Brasília: Ministério da Saúde, 2006.
43. Banchonhattakit P, Duangsong R, Muangsom N, Kamsong T, Phangwan K. Effectiveness of brain-based learning and animated cartoons for enhancing healthy habits among school children in Khon Kaen, Thailand. Asia Pac J Public Health. 2015;27(2):NP2028-39. DOI: https://doi.org/10.1177/1010539512466425
44. Tallarini A, Zabeo A, Ferraretto A. Nutritional knowledge in an Italian population of children, pre-adolescents and adolescents. Public Health Nutr. 2014;17(3):708-14. DOI: https://doi.org/10.1017/S1368980013000311
45. Falter RA, Pignotti-Dumas K, Popish SJ, Petrelli HM, Best MA, Wilkinson JJ. A service learning program in providing nutrition education to children. Am J Pharm Educ. 2011;10;75(5):85. DOI: https://doi.org/10.5688/ajpe75585
46. Cervato-Mancuso AM, Vincha KRR, Santiago DA. Educação Alimentar e Nutricional como prática de intervenção: reflexão e possibilidades de fortalecimento. Physis. 2016;26(1):225-49. DOI: http://dx.doi.org/10.1590/S0103-73312016000100013
47. Grosso G, Mistretta A, Turconi G, Cena H, Roggi C, Galvano F. Nutrition knowledge and other determinants of food intake and lifestyle habits in children and young adolescents living in a rural area of Sicily, South Italy. Public Health Nutr. 2013;16(10):1827-36. DOI: http://dx.doi.org/10.1017/S1368980012003965
48. Pirouznia M. The association between nutrition knowledge and eating behavior in male and female adolescents in the US. Int J Food Sci Nutr. 2001;52(2):127-32. DOI: http://dx.doi.org/10.1080/713671772
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2019-12-12
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