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PubMedDate not supplied

[The consumption of commercial foods in childhood. The influence of a nutritional information program].

In order to perform an in-depth study on food standards among school children and evaluate the effect of a nutritional educational programme on eating habits, an analysis was made of the data on the intake of foods over a period of 1,890 days, in 187 school children from 2 schools in the Leganés-Fuenlabrada area. The consumption of global and stratified rations was quantified based on age, commercial foods (buns, fried foods and sweets) accounting for a large part of the children's diet, as well as dairy products, vegetables, fruit and fish, representing basic foodstuffs supposed to form part of their diet. The consumption of these was compared in two stages, before and after receiving the educational programme. It was observed that there was an excessive consumption of foodstuffs considered as lacking in nutritional value (commercial), which increased with age and a lack of natural foods evaluated in their food standards. We also observed that the applied health intervention modified the consumption of these foods recently incorporated into the children's diet, without achieving results with regard to family eating habits.

Adolescent↗
PubMed1993

Serve Our Seniors, Inc.--a demonstration program for proposed California menu guidelines for senior nutrition. California Department of Aging.

Revised menu guidelines, written by the California Department of Aging (CDA) for senior nutrition programs, were tested by Serve Our Seniors, Inc. in a demonstration program from January '91 through June '92. Results showed improved nutrient value of the meals through increasing fiber, and decreasing sugar and fat. New menus were accepted by senior participants with little resistance. Project food costs increased 4%. Guidelines were used in a variety of project kitchens, with minimal staff training. Limited storage was a problem. Vendors were encouraged to identify appropriate foods and control costs.

Aged↗
PubMed2006

Good governance for nutrition in the Philippines: elements, experiences, and lessons learned.

Malnutrition is a multifactorial problem that needs a multisectoral solution. This article reviews the role of good governance in nutrition programs, citing the Philippines as an example. In the Philippines, these efforts are reflected in the partnership between the public and private sectors in the establishment of the country's capability in research, policy-making, and program implementation. The establishment of the different public institutions engaged in research and policy-making is discussed, highlighting the role of political will through legislation. The evolving tasks of the nutrition program are discussed by citing the tasks in two eras. In the 1970s, the challenges were limited national nutrition data, man-power, tools, and health infrastructure. The public and private institutions were able to respond by legislating national nutrition surveys and dedicated nutrition workers in each village. The challenges in the current era are improved implementation of health programs, given the devolution of health services, and the gathering of an evidence base to further strengthen and refine the strategies of supplementation, fortification, breastfeeding, and food security. In responding to these challenges, multisectoral solutions and collaboration are critical in providing an evidence base to formulate policy. The role of the private sector, with the Nutrition Center of the Philippines used as an example, is that of a supportive and collaborative partner in good governance. Finally, the lessons learned from the past decades of implementing a national nutrition program, given changes in political and economic circumstances, are summarized.

Developing Countries↗
PubMed1995

The effectiveness of a nutrition education program for family practice residents conducted by a family practice resident-dietitian.

BACKGROUND AND OBJECTIVES: Despite current interest in the role of diet in disease prevention, physicians frequently lack adequate nutrition knowledge. This project sought to test family practice residents' nutrition knowledge, heighten their understanding of nutrition concepts, and implement a method of teaching nutrition in a residency program. METHODS: Following a pretest, family practice residents participated in four teaching sessions during a 5-month period conducted by a fellow resident who was also a dietitian. The residents were asked to keep a 3-day diet diary, which was analyzed with nutrition analysis software. A posttest measure changes in nutrition knowledge and interest. Pretests and posttests were also given to a control group of residents at another campus of the same university-administered program. RESULTS: The intervention group's mean scores increased from 54.7% to 70% (P<.001). Residents who kept a diet diary increased their scores by 23.5%, compared with a 7.4% increase for those who did not. Scores for control-group residents who took both pretests and posttests fell from 43.4% to 42.1%. CONCLUSIONS: Residents who attended lectures conducted by a family practice resident- dietitian and examined their diets showed remarkable improvement in posttest scores of nutrition knowledge. Factors most influential in increasing residents' nutrition knowledge include increasing residents' interest in nutrition, involving them in a longitudinal series of lectures, and providing support for their knowledge and its application.

Adult↗
PubMed1992

Impact of the Nutrition for Life program on junior high students in New York State.

School-based nutrition education represents an important component in a national strategy for health promotion. This study evaluated the impact of a school-based nutrition teaching program, Nutrition For Life, on the nutrition knowledge, attitudes, and self-reported behavior of seventh and eighth grade students from New York State. Some 1,863 students in 103 randomly selected classes completed a paper and pencil test covering nutrition attitudes, behavior, and knowledge. Modest use of the teaching program (median use = 3 hours) was associated with modest but significant differences in nutrition attitude, behavior, and knowledge scores. Interactions among teacher assignment, nutrition teaching, and Nutrition For Life use explained significant variations in nutrition test scores. Additional exposure to the program was associated with significantly higher nutrition attitude and behavior scores in schools with a higher proportion of low-income students.

Adolescent↗
PubMed2005

Effects of a food supplementation program on the nutritional status of pregnant women in Bangladesh.

BACKGROUND: The Government of Bangladesh implemented a comprehensive nutrition intervention in 1997 to reduce the rates of malnutrition among women and children. The pilot program, the Bangladesh Integrated Nutrition Program (BINP), adopted a multisectoral approach targeting women and children through food supplementation, home gardening, and health and nutrition education. OBJECTIVE: This paper estimates the effectiveness of BINP's food supplementation and nutrition education on the nutritional status of pregnant women. Methods. Three effectiveness measures were considered: target efficiency, improvements in the nutritional status of beneficiaries, and the persistence of nutritional effects. To isolate the effects of the intervention, the nutritional status of participants and nonparticipants was compared after controlling for various demographic and socioeconomic characteristics. Data were collected in 2000 from a random sample of 3262 households in a BINP intervention area. RESULTS: Thirty-nine percent of pregnant women were correctly targeted by the program's food supplementation activities. The nutrition program reduced the prevalence of thinness among participant pregnant women by about 3 percentage points per month of enrollment. The prevalence of thinness among program graduates was 62%, which was much higher than that of the matched (nonparticipant) group (35%). This finding is perplexing but it may simply imply that those who enrolled at the initial phase of the project were severely underweight and they fell back to their original status within a short period of time. CONCLUSIONS: The nutrition program was intended to improve the nutritional status of women in the longer run through the provision of nutrition education during the food supplementation phase. The prevalence of thinness or severe underweight in women who exited the program after completion of the enrollment period was found to be much higher than in women of similar age and socioeconomic status in the community. This apparent lack of persistence of program benefits requires careful re-evaluation of alternative mechanisms for improving the long-term nutritional status of women.

Adolescent↗
PubMed1985

Identifying patients at nutritional risk and determining clinical productivity: essentials for an effective nutrition care program.

The primary purpose of this article is to establish procedures for identifying patients at nutritional risk, determining diagnosis-related groups, and measuring clinical productivity, therefore establishing staffing needs. Two studies were done to identify patients at nutritional risk: a 1-day survey of the medical/surgical units and a prospective-retrospective chart study. These studies determined which patients were at risk and the DRG category. Thirty percent of the DRGs had documented nutrition intervention. Clinical productivity was measured during a 4-week time management study. Staffing needs were determined from the data collected, from the percent of patients deemed at risk, and from an analysis of the time study. Dietitians were assigned to those patients identified as high risk and dietetic technicians assigned to patients at moderate nutritional risk. Although there is a need for standardization of nutrition care, it must be emphasized that each institution has special requirements because of its particular patient population and the philosophies of the dietary and medical staff.

Diagnosis-Related Groups↗
PubMed2002

Effect of an integrated child nutrition intervention on the complementary food intake of young children in rural north Viet Nam.

Forty-two percent of Vietnamese children are stunted by two years of age. Since 1990, Save the Children Federation/US (SC) has implemented integrated nutrition programs targeting young children. We evaluated the effect of SC's nutrition program on the complementary food intake of young rural Vietnamese children. Using a longitudinal, prospective, randomized design, we followed 238 children (119 each from intervention and comparison communes) age 5 to 25 months old for six months with a re-survey at 12 months. We gathered 24-hour recall data at baseline and at months 2, 4, 6, and 12. Dietary energy intake was calculated using the 1972 Vietnamese food composition table. Key outcomes were daily frequency of consuming intervention-promoted food and non-breastmilk liquids and food, daily quantity of non-breastmilk liquids and food consumed, daily energy intake, and proportion of children meeting daily median energy requirements. Young rural children exposed to SC's program consumed intervention-promoted, and any, foods more frequently, ate a greater quantity of any food, consumed more energy, and were more likely to meet their daily energy requirements than comparison children. Some effects were only observed during the intensive intervention period; others persisted into or were evident only at the 12-month follow-up, approximately four months after program completion. Based on the mothers' reports, the intervention did not apparently compromise breastfeeding prevalence or frequency. The intervention improved children's food and energy intake and protected them from declining as rapidly as comparison children in meeting their energy requirements.

Breast Feeding↗
PubMed1990

Effect of a nutrition education program, "learning by teaching", on adolescents' knowledge and beliefs.

The purpose of this study was to evaluate the impact of a health education program on a group of adolescents' cognition (knowledge of sugar and caries (SUCA), knowledge of sugar and nutrition (SUNU), and beliefs about susceptibility (SUSC) and self-efficacy (SELF]. The strategy used was to make 14-yr-old students learn about nutrition and dental health through teaching 10-yr-old students this topic. A pretest-posttest non-equivalent control group design was used. The experimental group consisted of four 8th grade classes from two schools and the reference group of four 8th grade classes from two comparable schools. The data was collected prior to, immediately after, and, for the experimental group, 2 months after the program implementation. Analysis of covariance with pretest measures as covariates showed no effect of the program on SUCA, SUSC, and SELF, while a significant interaction effect of study group and gender was found on SUNU. Neither social class of mother nor caries activity had a significant interaction effect on knowledge and beliefs during the course. Future health education research should focus upon the effect of different educational approaches addressing beliefs more salient to adolescents.

Adolescent↗
PubMed2000

Metabolic programming by nutrition during early development.

Incidence of obesity and diabetes is increasing at an alarming rate not only among the populations of the affluent nations but also amongst the populations of the developing nations. Understanding the mechanisms that cause the onset of these pathological conditions is a requisite to effectively tackling this problem. In this context the role of early nutritional experiences as a causative factor is being extensively investigated. This article briefly reviews the field of metabolic programming vis-a-vis an altered nutritional milieu during perinatal period and consequent adaptive metabolic patterning and metabolic imprinting in adult and/or consequent offspring.

Adaptation, Physiological↗
PubMedDate not supplied

Participation rates, weight loss, and blood pressure changes among obese women in a nutrition-exercise program.

Since 1985, a black urban community in Atlanta has planned, implemented, and evaluated a cardiovascular risk reduction project. The Community Health Assessment and Promotion Project (CHAPP) was developed to reduce the high incidence of cardiovascular risk factors in the neighborhood's predominantly black population. Based on data from a needs assessment, a community coalition designed and directed a 10-week exercise and nutrition intervention targeted to obese residents between the ages of 18 and 59 years. The intervention consists of an orientation, attitudes assessment, selection of a specific exercise class, and twice-weekly information on nutrition and community resources. The program uses a wide range of strategies, including individual consultations, reminder telephone calls, incentives, and rewards, and free transportation and child care, to encourage participation. The exercise-nutrition intervention was provided to two separate groups. A total of 70 participants completed the intervention over a 7-month period. Program evaluation has demonstrated high participation rates and significant reductions in weight and blood pressures both immediately after the intervention and on 4-month followup. Since completion of this evaluation study, over 400 additional community members have participated in this intervention.

Adult↗