2020, Number 3
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Revista Cubana de Salud Pública 2020; 46 (3)
Participative nutritional intervention in middle school adolescents from Habana Vieja municipality
Macías-Matos C, Basabe-Tuero B, Pita-Rodríguez G, Sanabria-González SA, Mercader-Camejo O, Herrera-Javier D
Language: Spanish
References: 28
Page: 1-28
PDF size: 517.44 Kb.
ABSTRACT
Introduction:
Non-healthy food habits boost chronic diseases that represent the main death causes in Cuba.
Objectives:
To assess the effects of a nutritional intervention on the changes in the knowledge of diet-nutrition and food habits of adolescents.
Methods:
It was carried out a participative nutritional intervention with adolescents from 12 to 15 years from Habana Vieja municipality during their 3 middle school years. From 604 adolescents that started the study, 155 formed the ´´promoter groups´´ which leadered the activities implemented. There were applied knowledge surveys on food consumption and habits before and after the intervention. For comparing the scores, it was used t-Student test for paired samples. It was used the analysis of simple variance for comparing among schools and the percentages of right answers in the knowledge questions, intake of vegetables and sugar before and after of the test for the estimation of differences among proportions. It was defined p<0,05 as the threshold of statistical signification.
Results:
The promoter groups showed significative increase of knowledge (p<0,001). There were found differences among schools for promoter groups (p<0,001) and for the rest of the students (p<0,024). In the promoter groups decreased the intake of sugar added to soft drinks (p<0,001) and to milk for all the adolescents studied (p<0,002). There were no changes in breakfast habits, liking fried food, or the consumption of soft drinks, fritters, sweets and pizzas.
Conclusions:
Nutritional education interventions are needed to reach healthier diet patterns and in this way contributing to stop the epidemic of non-communicable diseases; in addition, they allow adolescents to have an approach to food-nutrition topic.
REFERENCES
WHO. Diet, Nutrition and the Prevention of Chronic Diseases. Report of a Joint FAO/WHO Expert Consultation. Technical report Series 916. Geneva: World Health Organization; 2003
Aije WN, Chapman-Novakofski K. Impact of Computer-Mediated, Obesity-Related Nutrition Education Interventions for Adolescents: A Systematic Review. J Adoles Health 2014;54(6):631-45.
Chau MM, Burgermaster M, Mamykinal L. The use of social media in nutrition interventions for adolescents and young adults-A systematic review. Intl J Medical Informatics. 2018;120:77-91. DOI: 10.1016/j.ijmedinf.2018.10.001
Ochoa-Avilés A, Verstraeten R, Huybregts LA, Andrade S, Van Camp J, Donoso S, et al. A school-based intervention improved dietary intake outcomes and reduced waist circumference in adolescents: a cluster randomized controlled trial. Nutr J. 2017;16(1):79. DOI: 10.1186/s12937-017-0299-5
Burguera B, Colom A, Piñero E, Yanez A, Caimari M, Tur J et al. ACTYBOOS: Activity, Behavioral Therapy in Young Subjects - After-School Intervention Pilot Project on Obesity Prevention. Obes Facts. 2011;4:400-6.
do Amaral E Melo GR, de Carvalho Silva Vargas F, Dos Santos Chagas CM, Toral N. Nutritional interventions for adolescents using information and communication Technologies (ITCs): A systematic review. PLoS One 2017;12(9):e0184509 DOI: 10.1371/journal.pone.0184509
Gatto NM, Ventura EE, Cook LT, Gyllenhammer LE, Davis JN. LA Sprouts: a garden-based nutrition intervention pilot program influences motivation and preferences for fruits and vegetables in Latino youth. J Acad Nutr. 2012;112:913-20. DOI: 10.1016/j.jand.2012.01.014
Kong AS, Farnsworth S, Canaca JA, Harris A, Palley G, Sussman AL. An Adaptative Community-Based Participatory Approach to Formative Assessment with High Schools for Obesity Intervention. J Sch Health. 2012;82(3):147-54. DOI: 10.1111/j.1746-1561.2011.00678.x
Meiklejohn S, Ryan L, Palermo C. A Systematic Review of the Impact of Multi-Strategy Nutrition Education Programs on Health and Nutrition of Adolescents. J Nutr Educ Behav. 2016;48(9):631-646.e1. DOI: 10.1016/j.jneb.2016.07.015
Lassi ZS, Moin A, Das JK, Salam RA, Bhutta ZA. Systematic review on evidence-based adolescent nutrition interventions. Ann N Y Acad Sci. 2017;1393(1):34-50. DOI: 10.1111/nyas.13335
Organización Mundial de la Salud (OMS). Desarrollo en la adolescencia. Un periodo de transición de crucial importancia. Ginebra: OMS; 2017. [acceso 12/02/2019]. Disponible en: Disponible en: http://www.who.int/maternal_child_adolescent/topics/adolescence/dev/es/
Ministerio de Salud Pública. Anuario Estadístico de Salud 2018. Dirección de Registros y estadísticas en salud. La Habana: Minsap; 2019. [acceso 15/07/2019] Disponible en: Disponible en: http://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2018-ed-2019-compressed.pdf
Porrata C. Cubans´Deadly Diet: A Wakeup Call. MEDICC Rev. 2008;10(2):52.
Bonet M, Varona P. III Encuesta Nacional de factores de riesgo y actividades preventivas de enfermedades no transmisibles. Cuba 2010-2011. La Habana: Editorial Ciencias Médicas; 2015.
Vazquez V, Gálvez JL, Díaz ME, Milagros D Overweight and obesity prevalence and tracking after 2 years follow up study in children and adolescents from Havana, Cuba. Supplement: Program of the 86th Annual Meeting of the American Association of Physical Anthropologists. April 2017. Amer J Phys Anthrop. 2017;162(S64):392.
Díaz-Sánchez ME, Rodríguez-Domínguez L, González-Sánchez R, Llapur-Milián R. Composición corporal, adiposidad abdominal y tensión arterial como predictores del riesgo cardiovascular en escolares y adolescentes cubanos. Nutr. clin. diet. hosp. 2017;37(supl. 1):87-88.
Porrata C, Monterrey P, Castro D, Rodríguez L, Martín I, Díaz ME et al. Guías alimentarias para la población cubana mayor de dos años de edad. La Habana: INHEM, 2017.
FAO. Importancia de la educación nutricional. Roma: FAO; 2011. [acceso 12/03/2016]. Disponible en: Disponible en: http://www.fao.org/ag/humannutrition/31779-02a54ce633a9507824a8e1165d4ae1d92.pdf
Martin-Calvo N, Martínez-González MA, Bes-Rastrollo M, Gea A, Ochoa MC, Marti A. Sugar-sweetened carbonated beverage consumption and childhood/adolescent obesity: a case-control study. Public Health Nutr. 2014;31:1-9.
Zanini Rde V, Muniz LC, Schneider BC, Tassitano RM, Feitosa WM, González-Chica DA. [Daily consumption of soft drinks, sweets and fried foods among adolescents in the northeast of Brazil]. Ciencia & Saude Coletiva. Dec 2013;18(12):3739-50. DOI: 10.1590/s1413-81232013001200030
Miller GF, Sliwa W, Brener ND, Park S, Merlo CL. School District Policies and Adolescents' Soda Consumption. J Adoles Health. 2016;59(1):17-23. DOI: 10.1016/j.jadohealth.2016.02.003
Katzmarzyk PT, Broyles ST, Champagne CM, Chaput JP, Fogelholm M, Hu G et al. Relationship between Soft Drink Consumption and Obesity in 9-11 Years Old Children in a Multi-National Study. Nutrients. 2016;8(12)770. DOI: 10.3390/nu8120770
Moreno LA, Rodríguez G, Fleta J, Bueno-Lozano M, Lázaro A, Bueno G. Trends of Dietary Habits un adolescents. Crit Rev Food Sc Nutr. 2010;50:106-12.
González Sánchez R, Llapur Milián R, Díaz Cuesta M, Illa Cos MR, Yee López E, Pérez Bello D. Estilos de vida, hipertensión arterial y obesidad en adolescentes. Rev Cubana Pediatr. 2015[acceso 10/02/2020];87(3):273-84. Disponible en: Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312015000300003&lng=es
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 Nutrition. 2012;16(10):1827-36.
Guerra PH, Cuce MR, Cardoso da Silveira JA, Aguiar JA. School-based physical activity and nutritional education interventions on body mass index: A meta-analysis of randomised community trials -Project PANE. Prev Med. 2014;61:81-9.
Evans CE, Christian MS, Cleghorn CL, Greenwood DC, Cade JE. Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. Am J Clin Nutr. 2012;96:889-901.
Wang D, Shi Y, Chang C, Stewart D, Ji Y, Wang Y, Harris N. Knowledge, attitudes and behaviour regarding nutrition and dietary intake of seventh-grade students in rural areas of Mi Yun County, Beijing, China. Environ Health Prev Med. May 2014;19(3):179-186.