2004, Number 2
<< Back Next >>
Rev Biomed 2004; 15 (2)
Efficacy of a Mexican food guide: a quantitative evaluation in school-age children
Bacardí-Gascon M, Jiménez-Cruz A, Sánchez-Aguirre C, Jiménez-Moran E, Santillana-Marin E, Tellez-Amezcua M, Torres-Lee F
Language: English
References: 29
Page: 93-100
PDF size: 39.30 Kb.
ABSTRACT
Introducction. In Mexico, at national and regional levels, efforts have been conducted to design and evaluate different food guides to be used as tools to prevent undernutrition and obesity and to promote a healthy diet. The aim of this study is to determine the effectiveness of a Mexican food guide.
Material and methods. The Apple of Health, to appropriately design a 1-day menu among school-age children from different socioeconomic status (SES). There were 953 children (487 boys and 466 girls) ages 10 to 12 years, from 13 elementary schools from low SES, low SES Indian, and high SES private schools who participated in the study. The first day of the test (pre-test), after children were given a poster of the illustrated Apple of Health (post-test 1), and after 30 minutes of instructions (post-test 2), children were asked to complete a 1-day-menu plan. Scores were given to each menu according to a pre-established point system. Pretest, post-test 1 and post-test 2 were analyzed using nonparametric Wilcoxon test.
Results. Overall, 16% increase in the score was observed after looking at the illustration and 77% increase after the instruction was completed (p‹0.001). The median number of all food groups was two times higher after looking at the illustration and three times higher after the instruction (p ‹ 0.001). Improvement in the knowledge of the recommended portions of each group was also observed.
Disccusion. The significant improvement in knowledge from baseline to post-test in all groups indicates that the food guide, The Apple of Health, is a simple tool that can be effective in improving the nutrition knowledge of Mexican children from low and high SES.
REFERENCES
Aronne LJ. Obesity as a disease: etiology, treatment, and management considerations for the obese patient. Obes Res 2002; 10 (Suppl 2):95S-96S.
Consultation on obesity. Geneva, Switzerland: World Health Organization; June 3-5; 1997.
Encuesta Nacional de Nutrición 1999. Estado Nutricio de Niños y Mujeres en México. INSP, 2002.
Jiménez-Cruz A, Bacardi-Gascon M, Spindler A. Obesity and hunger among Mexican-Indian Children on the USMexico border. Int. J Obes 2003; 27:740-7.
Programa de Acción: Diabetes Mellitus. México: Secretaría de Salud; 2001.
Jimenez-Cruz A, Bacardi M, Jones E. Consumption of fruits, vegetables, soft drinks, and high-fat-containing snacks among Mexican children on the Mexico-U.S. border. Arch Med Res 2002; 33:74-80.
Chavez A, Chavez M, Riso E, Madrigal H. Guias de alimentación: conceptos practicos para alcanzar y mantener un buen estado de nutrición y salud. México: Instituto Nacional de Nutrición; 1993.
Jiménez-Cruz A, Jones E, Bacardí Gascón M. La Manzana de la Salud. Divulgare 1996;14:12-5.
Casanueva E, Duran E, Kaufer M, Plazas M, Polo E, Toussaint G, et al. Fundamentos de el plato del buen comer. Cuadernos de Nutricion 2002; 25:21-28.
Bacardí-Gascón M, Jiménez-Cruz A, Jones E. An evaluation of two Mexican Food Guides. Int J Food Sci Nutr 2002; 53:163-9.
Jiménez-Cruz A, Bacardí-Gascón M, Rosales-Garay P, Herrera-Espinoza J, Willis OW. A culturally sensitive tool for Mexican people with diabetes: La Manzana de la Salud. Rev Biomed 2003; 14:51-9.
Bacardí-Gascon M, Jiménez-Cruz A, Sánchez-Aguirre C, Jimenez E, Santillana E, Tellez M, et al. Evaluación de la comprensión de guías alimentarias mexicanas en niños de Baja California. I Congreso de la Sociedad Española de Dietistas-Nutricionistas. Barcelona, October 17; 2002.
Schuette LK, Song WO, Hoerr SL. Quantitative use of the Food Guide Pyramid to evaluate dietary intake of college students. J Am Diet Assoc 1996; 96:453-7.
Carlton DJ, Kicklighter JR, Jonnaagadda SS, Shoffner MB. Design, development, and formative evaluation of "put nutrition into practice," a multimedia nutrition education program for adults. J Am Diet Assoc 2000; 100:555-63.
Ryan CA, Wilkins JL. Using tasks to measure consumers' ability to apply food guide recommendations: lessons learned. J Nutr Educ 2001; 35:293-6.
INEGI. XII Censo General de la Población y Vivienda. 2000.
American Dietetic Association. Position of the American Dietetic Association: Total diet approach to communicating food and nutrition information. J Am Diet Assoc 2002; 102:100-9.
Munoz KA, Krebs-Smith SM, Ballard-Barbash R, Cleveland LE. Food intakes of US children and adolescents compared with recommendations. Pediatrics 1997; 100:323-30.
Reinhartdt WC, Brevard PB. Integrating the food guide pyramid and physical activity pyramid for positive dietary and physical activity behaviors in adolescents. J. Am. Diet. Assoc. 2002;102(3):S96-S100.
Jiménez-Cruz A, Bacardi-Gascon M. Aproximación al consumo de alimentos en escolares de Baja California. Tijuana: Universidad Autónoma de Baja California; 1996.
Achterberg C, McDonnell E, Bagby R. How to put the Food Guide Pyramid into practice. J Am Diet Assoc 1994; 94:1030.
Epstein LH, Myers MD, Raynor HA, Saelens BE. Treatment of pediatric obesity. Pediatrics 1998; 101:544-70.
Welsh S, Davis C, Shaw A. Development of food guide pyramid. Nutr Today 1992; 6:12-23.
Stowers SL. Development of a culturally appropriate food guide for pregnant Caribbean immigrants in the United States. J Am Diet Assoc 1992; 92:331-6.
Haddad EH, Sabate J, Whitten C G. Vegetarian food guide pyramid: a conceptual framework. Am J Clin Nutr 1999; 70 (3 Suppl):615S-619S.
Painter J, Jee-Hyun R, Yeon-Kyung L. Comparison of international food guide pictorial presentation. J Am Diet Assoc 2002; 102:483-90.
Guldan GS, Zhang Y, Huang Y, Yang X, Zeng G. Effectiveness of a worksite nutrition education activity in a factory in China. Asia Pac J Public Health 1992-1993; 6:8-14.
Shamah-Levy T, Vasquez-Resenos C, Cervantes-Turrubiates L, Chavez-Villasana A. Guides for food and nutrition. A didactic proposal. Arch Latinoam Nutr 1997; 47:256-61.
Tavelli S, Beerman K, Shultz JE, Heiss C. Sources of error and nutritional adequacy of the food guide pyramid. J Am Coll Health 1998; 47:77-83.