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Development and evaluation of Let's Eat Smart: A pilot school-based nutrition intervention for elementry school children in Kuwait.

机译：Let's Eat Smart的开发和评估：一项针对科威特小学生的基于学校的营养试点。

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摘要

Due to nutrition transition, the prevalence of childhood obesity is increasing significantly worldwide especially in affluent developing countries such as Kuwait. Obesity is associated with adverse chronic health conditions and financial burdens which provides an incentive for prevention. The objective of the study was to examine the effectiveness of a multi-component school-based nutrition intervention designed to improve healthy eating knowledge, attitudes, self efficacy and dietary behaviors among fourth and fifth graders in Kuwait. The Let's Eat Smart program was based on the social cognitive theory and used short interactive lessons, DVD sessions, posters, food models and parental letters to promote a healthy lifestyle message among fourth and fifth graders. Let's Eat Smart was delivered to 110 students in the English Playgroup and Primary School. Surveys and 3-day food-records were collected on pre- and post-intervention. Surveys assessed nutrition knowledge, attitudes, dietary behaviors and self efficacy while diet records were analyzed to examined intake of food groups. Additionally, program evolutions were collected on post-intervention. A paired t-test was used to analyze the change from pre- to post-intervention. Eighty four students completed all requirements of the program and were included in the quantitative analysis, while 95 students were included in the qualitative analysis of the program evaluation. After the intervention, students reported high levels of knowledge (p < .0001), positive attitude toward a healthy lifestyle (p < .04) and higher levels of self efficacy toward healthy eating (p < .01). There was no significant change in dietary practices assessed in the survey except for fast food consumption where there was a significant decrease in consumption after the intervention (p < .001). Diet-records analysis showed a significant increase in fruits intake (p < .02) and vegetables intake (p < .001) after the intervention. The overall students' evaluation of the program was positive as 90.5% were satisfied and would like to have more nutrition lessons. Due to its apparent impact on children, Let's Eat Smart is an effective school-based intervention approach to address prevention of childhood obesity in Kuwaiti schools.
机译：由于营养的过渡，儿童肥胖症的患病率在世界范围内显着增加，尤其是在科威特等富裕的发展中国家。肥胖与不利的慢性健康状况和经济负担有关，这为预防提供了动力。这项研究的目的是检验一种基于学校的多成分营养干预措施的有效性，该干预措施旨在提高科威特四年级和五年级学生的健康饮食知识，态度，自我效能和饮食行为。 “让我们一起吃饭聪明”计划基于社会认知理论，并使用了简短的互动课程，DVD会议，海报，食物模型和父母的信件，以在四年级和五年级的学生中促进健康的生活方式信息。 《让我们吃饭聪明》已分发给英语游戏小组和小学的110名学生。在干预前后，收集调查和3天的食物记录。调查评估了营养知识，态度，饮食行为和自我效能，同时分析了饮食记录以检查食物组的摄入量。此外，在干预后收集了计划的进展。配对t检验用于分析干预前到干预后的变化。八十四名学生完成了该计划的所有要求，并被纳入定量分析，而95名学生被纳入了该计划评估的定性分析。干预后，学生报告了较高的知识水平（p <.0001），对健康生活方式的积极态度（p <.04）和对健康饮食的自我效能更高的水平（p <.01）。除快餐消费量外，调查中饮食习惯没有显着变化，干预后消费量显着减少（p <.001）。饮食记录分析显示，干预后水果摄入量（p <.02）和蔬菜摄入量（p <.001）显着增加。总体学生对该计划的评价是积极的，因为90.5％的学生感到满意，并希望有更多的营养课。由于对儿童的明显影响，“让我们吃饭聪明”是一种有效的基于学校的干预方法，旨在解决科威特学校预防儿童肥胖的问题。

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  • 作者

    Kalendar, Sondos A.;

  • 作者单位

    The University of Mississippi.;

  • 授予单位 The University of Mississippi.;
  • 学科 Health Sciences Nutrition.;Agriculture Food Science and Technology.
  • 学位 M.S.
  • 年度 2011
  • 页码 155 p.
  • 总页数 155
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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