A pilot study to improve sugar and water consumption in Maltese school children

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
C. Copperstone ◽  
G. McNeill ◽  
L. Aucott ◽  
D.M. Jackson
Keyword(s):  
Water Consumption ◽  
School Children ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
School Setting ◽  
Overweight And Obesity ◽  
Dietary Factors ◽  
Post Intervention ◽  
Face To Face ◽  
Pilot Intervention

AbstractBackgroundExcessive sugar consumption remains implicated as one of the key dietary factors that has been linked to overweight and obesity in children. Schools have been identified as an important setting for health promotion interventions in children and can be successful in bringing about dietary behavioral change when well designed.ObjectiveThe main aim of the study was to conduct a pilot intervention study and assess the possible effects of educational and environmental methodological components on sugar intake and water consumption in Maltese school children.Subjects and methodsFace-to-face educational sessions for children and parents were supported by written materials and provision of free drinking water for children for a 12 week period in the school setting. Two main dietary outcomes were measured: non-milk extrinsic sugars(NMES) intake (measured as g/day) and water consumption (measured as servings/day), measured in the pre- and post-intervention periods. The dietary outcomes were measured at school using the novel online dietary assessment tool, REALITYMALTA™.Results55 children, aged 10-11 years, were recruited, and 48 provided diet data at baseline and end. A reduction in mean energy intakes was noted from 7733 kJ/day (SD 2046) to 6809 (SD 2224) kJ/day (p = 0.03), with water servings intake increased and NMES intake decreased but results not statistically significant. Parent attendance at the educational sessions was low.ConclusionsA larger scale study, including multi-level analysis is recommended. Modifying the content of the intervention and finding ways to increase parent engagement should be considered in future.

scholarly journals Health status of adolescent school going children with special reference to waist hip ratio

2020 ◽  
Vol 7 (4) ◽  
pp. 938
Author(s):  
Halak J. Vasavada ◽  
Snehal V. Patel ◽  
Purvi R. Patel ◽  
Heli S. Mehta
Keyword(s):  
School Children ◽  
Private School ◽  
Assessment Tool ◽  
Nutritional Assessment ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Cross Sectional ◽  
Municipal Schools ◽  
The Difference

Background: A school is a key location for educating adolescents about health, hygiene and nutrition. Adolescence is period of critical development and transition. These changes have important implications for health. Aims and objectives of the stud was to study the role of WHR in nutritional assessment in adolescent school children and compare it with BMI as an assessment tool and to study nutritional status of municipal and private school.Methods: It was a cross sectional study conducted in 10-17-year-old school children in Ahmedabad, Gujarat. There were 2 private and 2 municipal schools selected randomly by purposive sampling. Child absent or not well on the day of study were excluded.Results: Incidence of obesity is 42.9% and 57.1% in municipal and private school respectively. Incidence of overweight is 47.2% and 52.8% in municipal and private schools respectively. (2.9%) adolescents had BMI range of 25-29.9 which is considered to be overweight. However, the percentage of overweight and obese was raised at 28% and 23.5% respectively when classified as per WHR.Conclusions: The difference between incidence of overweight and obesity in private and municipal schools were not statistically significant. A combination of increase BMI with increase WHR is a stronger indicator of increase health risk.

scholarly journals Development and Feasibility of an Obesity Prevention Intervention for Adolescent African American Daughters and Their Mothers

2021 ◽  
Vol 1 (2) ◽  
pp. 84-97
Author(s):  
Monique Reed ◽  
JoEllen Wilbur ◽  
Christy Tangney ◽  
Michael Schoeny ◽  
Arlene Miller ◽  
...  
Keyword(s):  
African American ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Black Girls ◽  
Overweight And Obesity ◽  
Self Monitoring ◽  
Entire Study ◽  
Program Satisfaction ◽  
Healthy Behaviors ◽  
Middle Adolescence

African American (AA) girls and women having disproportionately higher rates of obesity than their racial/ethnic counterparts. There is an urgent need to address overweight and obesity in AA girls through preventive interventions that enhance lifestyle physical activity (PA) and improve dietary behaviors in middle adolescence. Middle adolescence represents a unique and important opportunity to strengthen the daughter/mother bond and improve healthy behaviors such as PA and dietary intake. Because of the developmental and cultural complexities of adolescence, it is essential to include mothers, however, this approach is understudied in the literature. This pre-pilot study--- Black Girls Move was conducted using a 12-week pre-post within-subjects design to assess a) feasibility of conducting the study b) feasibility of delivering the intervention and c) program satisfaction by AA 9th and 10th grade daughters and their mothers.  Twenty-two dyads were recruited, 14 dyads completed baseline assessments, however, only eight daughters and their mothers attended the first session and were retained for the entire study. All dyads had valid objective and self-reported PA data, however, two of eight daughters and one mother provided  self-reported dietary data that were considered invalid. All individual sessions were rated highly.  Excellent attendance, retention, and satisfaction among participants suggest that we succeeded in conveying the importance of healthy PA and dietary behavior change. This lifestyle intervention would be strengthened by modifications to recruitment and retention as well as incorporation of a computerized dietary assessment tool, a tailored dietary app for self-monitoring, and increased photo-based and group homework activities.

Diet Quality Is Lower for Those Who Skip Lunch Among a Sample of Predominantly Black Adolescents

2020 ◽  
pp. 089011712098137
Author(s):  
Lori Andersen Spruance ◽  
Spencer Clason ◽  
Jordyn Hansen Burton ◽  
Leann Myers ◽  
Keelia O’Malley ◽  
...  
Keyword(s):  
Public Schools ◽  
Diet Quality ◽  
School Environment ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
School Setting ◽  
Healthy Eating Index ◽  
School Level ◽  
Dietary Quality ◽  
Cross Sectional

Purpose: To compare the dietary quality among adolescents who skip lunch and those who do not and explore associations between school-level variables, demographic variables and lunch skipping. Design: Cross-sectional Setting: Public schools in New Orleans, Louisiana (n = 21) Participants: 718 adolescents Methods: Adolescents participated in a 24-hour dietary recall using the Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool early in 2013. Data were converted into Healthy Eating Index (HEI-2010) scores. Mean scores were compared between students who skipped lunch and those who did not. A multilevel analysis was conducted to assess relationships between school environment, demographics, and lunch skipping. Results: Of the 718 respondents, 88.3% were Black and 15.3% skipped lunch. Students who ate lunch had a mean HEI score of 46.6 compared to a mean score of 41.7 for students who skipped lunch (p < .001). Students who skipped lunch also had significantly lower intake of total vegetables (p = .02), whole fruits (p < .001), total dairy (p = .003), total protein (p < .001). Conclusions: Skipping lunch was associated with lower quality diet, though diet quality was low among all students. Considering over 15% of the sample did not eat lunch in a closed-campus school setting, further research should consider how to encourage students to participate in the National School Lunch Program, which has the ability to increase diet quality in adolescents.

Abstract P206: Diet Quality is Lower Among Adolescents Who Skip Lunch

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Spencer M Clason ◽  
Lori Spruance ◽  
Leann Myers ◽  
Keelia O'Malley ◽  
Carolyn Johnson
Keyword(s):  
Diet Quality ◽  
Dietary Habits ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
School Setting ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Added Sugars ◽  
Dietary Recall ◽  
Quality Diet

Introduction: A healthy diet is key in preventing chronic diseases and black adults have higher rates of hypertension, obesity, and heart disease death rates compared to their white counterparts. Because dietary habits track from adolescence to adulthood, it is important to understand dietary habits of adolescents. This study aimed to examine the dietary quality among adolescents who skip lunch compared to those who do not. Methods: Data were collected in 2012 from 718 adolescents attending schools in New Orleans, Louisiana. Schools were high-poverty and closed-campus. Adolescents participated in a 24-hour dietary recall using the Automated Self-Administered 24-Hour (ASA24) Dietary Assessment Tool and data were converted into Healthy Eating Index (HEI-10) scores (range 0-100; higher scores reflect higher quality diet). Mean scores were compared between students who skipped lunch and those who did not. Results: Of the 718 respondents, 88.3% were black and 15.3% of students skipped lunch. Students who ate lunch had a mean HEI score of 46.6 compared to a mean score of 41.7 for students who skipped lunch (p<0.001). Students who skipped lunch also had significantly lower intake of total vegetables, whole fruits, total dairy, total protein, and higher intake of empty calories (Solid fats, alcohols, and added sugars (SoFASS)). Conclusions: Skipping lunch was associated with lower quality diet, though diet quality was low among all students. Students who skip lunch are less likely to consume vegetables, whole fruits, whole grains, and proteins and have higher intake of SoFASS. Considering over 15% of the sample did not eat lunch in a closed-campus school setting, further research should consider how to encourage students to participate in the National School Lunch Program. Table 1. HEI score comparisons between those who skip and do not skip lunch.

scholarly journals Agreement between an online dietary assessment tool (myfood24) and an interviewer-administered 24-h dietary recall in British adolescents aged 11–18 years

2016 ◽  
Vol 115 (9) ◽  
pp. 1678-1686 ◽  
Author(s):  
Salwa A. Albar ◽  
Nisreen A. Alwan ◽  
Charlotte E. L. Evans ◽  
Darren C. Greenwood ◽  
Janet E. Cade
Keyword(s):  
Assessment Tool ◽  
New Technology ◽  
Dietary Assessment ◽  
Intraclass Correlation ◽  
Correlation Coefficients ◽  
Limited Information ◽  
Dietary Recall ◽  
Face To Face ◽  
Intraclass Correlation Coefficients ◽  
Adolescents And Adults

Abstractmyfood24 Is an online 24-h dietary assessment tool developed for use among British adolescents and adults. Limited information is available regarding the validity of using new technology in assessing nutritional intake among adolescents. Thus, a relative validation of myfood24 against a face-to-face interviewer-administered 24-h multiple-pass recall (MPR) was conducted among seventy-five British adolescents aged 11–18 years. Participants were asked to complete myfood24 and an interviewer-administered MPR on the same day for 2 non-consecutive days at school. Total energy intake (EI) and nutrients recorded by the two methods were compared using intraclass correlation coefficients (ICC), Bland–Altman plots (using between and within-individual information) and weighted κ to assess the agreement. Energy, macronutrients and other reported nutrients from myfood24 demonstrated strong agreement with the interview MPR data, and ICC ranged from 0·46 for Na to 0·88 for EI. There was no significant bias between the two methods for EI, macronutrients and most reported nutrients. The mean difference between myfood24 and the interviewer-administered MPR for EI was −230 kJ (−55 kcal) (95 % CI −490, 30 kJ (−117, 7 kcal); P=0·4) with limits of agreement ranging between 39 % (3336 kJ (−797 kcal)) lower and 34 % (2874 kJ (687 kcal)) higher than the interviewer-administered MPR. There was good agreement in terms of classifying adolescents into tertiles of EI (κw=0·64). The agreement between day 1 and day 2 was as good for myfood24 as for the interviewer-administered MPR, reflecting the reliability of myfood24. myfood24 Has the potential to collect dietary data of comparable quality with that of an interviewer-administered MPR.

scholarly journals Feasibility of Beans/Bran Enriching Nutritional Eating For Intestinal Health & Cancer Including Activity for Longevity: A Pilot Trial to Improve Healthy Lifestyles among Individuals at High Risk for Colorectal Cancer

2020 ◽  
Vol 19 ◽  
pp. 153473542096710
Author(s):  
Heather J. Leach ◽  
Bridget A. Baxter ◽  
Melanie N. Beale ◽  
Hillary V. Smith ◽  
Sangeeta Rao ◽  
...  
Keyword(s):  
Rice Bran ◽  
Assessment Tool ◽  
Dietary Assessment ◽  
Pilot Trial ◽  
Healthy Eating Index ◽  
Retention Rates ◽  
Fiber Intake ◽  
Whole Grain ◽  
Post Intervention ◽  
Navy Bean

Purpose: Examine the feasibility and preliminary effects of a lifestyle intervention of rice bran plus navy bean supplementation, and physical activity (PA) education on intake of fiber and whole grains, and PA levels. Design: Randomized-controlled, single-blinded. Setting: Academic institution and free-living. Subjects: Adults >18 years, with ≥1 adenomatous polyp removed within 3 years. Intervention: Participants received powder and pre-prepared meals and snacks that contained either rice bran (30 g/day) plus navy bean (30 g/day), or Fibersol-2® (10 g/day), for 12-weeks. All participants received a 1-hour (PA) education session. Measures: Feasibility was assessed by recruitment and retention rates, and compliance to the study foods and procedures. Three-day food logs were analyzed using Nutritionist Pro™ to estimate fiber intake, and the Automated Self-Administered 24-hour (ASA24®) Dietary Assessment Tool calculated Healthy Eating Index (HEI) whole grain and total scores. PA was measured using an ActivPAL™ accelerometer. Analysis: Continuous data were summarized as median, range, and percent change from baseline to post-intervention. Results: N = 20 (86.9%) completed the intervention. Compliance was 92% in the rice bran plus navy bean versus 89% in Fibersol-2®. Navy bean consumption increased from 2 g/day to 30 g/day, and rice bran from 0 g/day to 30 g/day. Fiber intake (g/day) increased by 73% versus 82%, HEI whole grain improved by 270% versus 37%, and HEI total improved by 10% versus 9.1% in rice bran plus navy bean and Fibersol-2®, respectively. Total PA (MET-hours/day) showed minimal change for intervention (+0.04%) and control (+4%). Conclusion: Findings merit a larger trial of rice bran plus navy bean and PA to evaluate efficacy for dietary and cancer prevention-related outcomes.

scholarly journals School-Age Children Can Recall Some Foods and Beverages Consumed the Prior Day Using the Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) without Assistance

2019 ◽  
Vol 149 (6) ◽  
pp. 1019-1026 ◽  
Author(s):  
Amanda Raffoul ◽  
Erin P Hobin ◽  
Jocelyn E Sacco ◽  
Kirsten M Lee ◽  
Jess Haines ◽  
...  
Keyword(s):  
Assessment Tool ◽  
Dietary Assessment ◽  
School Setting ◽  
School Age Children ◽  
Older Children ◽  
Web Based ◽  
Plate Waste ◽  
Portion Sizes ◽  
Baby Carrots ◽  
Energy And Nutrient Intake

ABSTRACT Background Technological innovations allow for collection of 24-h recalls (24HRs) in a broader range of studies than previously possible. The web-based Automated Self-Administered 24-Hour Dietary Assessment Tool (ASA24) has been shown to be feasible and to perform well in capturing true intake among adults. However, data to inform use with children are limited. Objective This observational feeding study was conducted to evaluate children's ability to accurately report a lunchtime meal using ASA24 without assistance. Methods The study was conducted among children (n = 100) aged 10–13 y within a school setting. Students were served an individual cheese pizza, baby carrots, ranch dip, yogurt, a cookie, and 1 choice of water, juice, or milk. Plate waste was collected and weighed. The next day, participants completed ASA24 and a sociodemographic questionnaire. Descriptive statistics were generated to determine match rates by food item and age, and linear regression analyses were conducted to examine associations between sociodemographic characteristics and accuracy of reported energy and nutrient intake. Associations between true and reported energy and nutrient intakes and portion sizes were assessed with use of t tests. Results Just under half (49%) of children fully completed ASA24 (median time, 41 min). Children reported an exact, close, or far match for 58% of all foods and beverages consumed, ranging from 29% for dip to 76% for pizza, but also reported some items not consumed as part of the study meal. Older children completed the recall in a shorter time than younger children (mean 31 among 13 y compared with 52 min among 10 y). Intakes of energy (39%), protein (33%), and sodium (78%) were significantly overestimated, whereas portion sizes for cookies (53%) and juice (69%) were underestimated. Conclusions Children can report some foods and drinks consumed using ASA24, but our findings suggest challenges with independent completion, necessitating research to examine strategies, such as training and resources, to support data quality.

Seizing the Moment: Experiences of School Nurses Caring for Students With Overweight and Obesity

2017 ◽  
Vol 34 (5) ◽  
pp. 380-389 ◽  
Author(s):  
Shannon Baker Powell ◽  
Martha Keehner Engelke ◽  
Janice A. Neil
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Moral Distress ◽  
School Setting ◽  
School Nurses ◽  
Overweight And Obesity ◽  
Face To Face ◽  
Low Income Children ◽  
The Moment ◽  
Successful School

School nurses are well positioned to assess, intervene, and evaluate efforts to positively impact students who are overweight or obese. The purpose of this qualitative, descriptive study was to explore the experiences of school nurses providing care to children living with overweight and obesity. Data were collected through face-to-face, tape-recorded, in-depth, open-ended interviews with 10 school nurses from rural areas of North Carolina working with minority and low-income children in the public school setting. The text of the interviews was transcribed and analyzed into codes, categories, and themes. Three themes and eight subthemes were identified. The three themes were identified as (1) “jumping hurdles,” (2) “seize the moment,” and (3) “moral distress.” The findings of this study can be used to provide a better understanding of the experiences of school nurses caring for children with overweight and obesity that is necessary for planning successful school-based interventions.

scholarly journals An Animal-Assisted Education Intervention with Dogs to Promote Emotion Comprehension in Primary School Children—The Federico II Model of Healthcare Zooanthropology

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1504
Author(s):  
Cristiano Scandurra ◽  
Antonio Santaniello ◽  
Serena Cristiano ◽  
Fabrizio Mezza ◽  
Susanne Garzillo ◽  
...  
Keyword(s):  
Primary School ◽  
School Children ◽  
Mixed Model ◽  
Peer Interactions ◽  
School Setting ◽  
Primary School Children ◽  
Control Group ◽  
Post Intervention ◽  
Experimental Group

Emotion comprehension (EC) is a crucial competence for children, as it determines the quality of peer interactions. This study assessed the efficacy of an animal-assisted education (AAE) intervention with dogs based on the Federico II Model of Healthcare Zooanthropology (FMHZ) to promote EC in a group of primary school children. One hundred and four children (48 females) aged 6–7 years took part in the study, of whom 63 participated in the AAE intervention (i.e., experimental group) and 41 did not (i.e., control group). The intervention was deployed in a school setting through a group format and consisted of five bimonthly sessions. EC was assessed pre- and post-intervention, and at a 3-month follow-up. Student’s t-test and mixed-model ANOVA were performed to analyze the effect of the intervention on EC. EC significantly improved in children of the experimental group compared to the control group. Significant time effects from pre- to post-intervention, post-intervention to follow-up, and pre-intervention to follow-up assessment were found in the experimental group only. AAE based on FMHZ was effective in improving EC in children.

The association between dietary inflammatory index and risk of central obesity in adults: An updated systematic review and meta-analysis

2020 ◽  
Vol 90 (5-6) ◽  
pp. 535-552 ◽  
Author(s):  
Mahdieh Abbasalizad Farhangi ◽  
Mahdi Vajdi
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Central Obesity ◽  
Assessment Tool ◽  
Weighted Mean Difference ◽  
Meta Analysis ◽  
Dietary Factors ◽  
Cross Sectional ◽  
Inflammatory Status ◽  
Obesity Indices

Abstract. Backgrounds: Central obesity, as a pivotal component of metabolic syndrome is associated with numerous co-morbidities. Dietary factors influence central obesity by increased inflammatory status. However, recent studies didn’t evaluate the association between central obesity and dietary inflammation index (DII®) that give score to dietary factors according to their inflammatory potential. In the current systematic review and meta-analysis, we summarized the studies that investigated the association between DII® with central obesity indices in the general populations. Methods: In a systematic search from PubMed, SCOPUS, Web of Sciences and Cochrane electronic databases, we collected relevant studies written in English and published until 30 October 2019. The population of included studies were apparently healthy subjects or individuals with obesity or obesity-related diseases. Observational studies that evaluated the association between DII® and indices of central obesity including WC or WHR were included. Results: Totally thirty-two studies were included; thirty studies were cross-sectional and two were cohort studies with 103071 participants. Meta-analysis of observational studies showed that higher DII® scores were associated with 1.81 cm increase in WC (Pooled weighted mean difference (WMD) = 1.813; CI: 0.785–2.841; p = 0.001). Also, a non-significant increase in the odds of having higher WC (OR = 1.162; CI: 0.95–1.43; p = 0.154) in the highest DII category was also observed. In subgroup analysis, the continent, dietary assessment tool and gender were the heterogeneity sources. Conclusion: The findings proposed that adherence to diets with high DII® scores was associated with increased WC. Further studies with interventional designs are necessary to elucidate the causality inference between DII® and central obesity indices.

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