Evaluation of a kindergarten-based nutrition education intervention for pre-school children in China

Public Health Nutrition - Tập 13 Số 2 - Trang 253-260 - 2010
Chuanlai Hu1, Dong‐Qing Ye1, Yingchun Li1, Yongling Huang1, Li Li1, Yongqing Gao1, Sufang Wang1
1School of Public Health, Anhui Medical University, 81 Mei Shan Road, Hefei 230032, Anhui, People's Republic of China.

Tóm tắt

AbstractObjectiveTo evaluate the impact of nutrition education in kindergartens and to promote healthy dietary habits in children.DesignProspective cohort study. Four kindergartens with 1252 children were randomized to the intervention group and three with 850 children to the control group. The personal nutritional knowledge, attitudes and dietary behaviours of the parents were also investigated. Each month, children and parents in the intervention group participated in nutrition education activities. The main outcome measures were anthropometrics and diet-related behaviours of the children and the nutritional knowledge and attitudes of the parents at baseline, 6 months (mid-term) and 1 year (post-test). Baseline demographic and socio-economic characteristics were also collected.SettingSeven kindergartens from Hefei, the capital city of Anhui Province, eastern China.SubjectsTwo thousand one hundred and two 4- to 6-year-old pre-schoolers from seven kindergartens participated.ResultsThe prevalence of children’s unhealthy diet-related behaviours decreased significantly and good lifestyle behaviours increased in the group receiving nutrition education compared with controls. Parental eating habits and attitudes to planning their children’s diets also changed appreciably in the intervention group compared with the control group (P< 0·05). However, there were no statistically significant differences in children’s height, weight, height-for-ageZ-score or weight-for-ageZ-score between the two groups.ConclusionsKindergarten-based nutrition education improves pre-schoolers’ lifestyle behaviours and brings about beneficial changes in parents’ attitudes to planning their children’s diets and their own personal eating habits.

Từ khóa


Tài liệu tham khảo

10.1111/j.1525-1446.2007.00631.x

10.1177/156482650602700309

Ghoneim, 2004, An intervention programme for improving the nutritional status of children aged 2–5 years in Alexandria, East Mediterr Health J, 10, 828, 10.26719/2004.10.6.828

10.1016/S0031-3955(05)70347-3

Lohman, 1988, Anthropometric Standardization Reference Manual

10.1097/01.mpg.0000255851.30400.e7

10.1016/j.jneb.2007.01.010

Briggs, 2003, Position of the American Dietetic Association, Society for Nutrition Education, and American School Food Service Association – Nutrition services: an essential component of comprehensive school health programs, J Am Diet Assoc, 103, 505, 10.1016/S0002-8223(03)00163-9

10.1016/S0002-8223(95)00304-5

10.1111/j.1746-1561.1999.tb07223.x

10.1016/S1499-4046(06)60388-6

10.1093/jpepsy/14.2.277

10.2307/2136890

Yu, 2005, Study on undernutrition and overweight coexisting within the same household, Wei Sheng Yan Jiu, 34, 347

10.1001/archpedi.152.9.899

10.1079/PNS19980090

10.1016/S0045-9380(99)80011-5

10.1093/ajcn/35.2.277

10.1038/sj.ijo.0800914

10.1111/j.1467-789X.2006.00268.x

10.1046/j.1365-277X.2003.00429.x

10.1111/j.1746-1561.1991.tb06015.x

10.1046/j.1365-277X.2002.00374.x

Chen, 2002, Influences of diet and nutrition on obesity of pre-school children, Wei Sheng Yan Jiu, 31, 370

Ji, 2004, Geographic and population difference of BMI in Chinese school-age youth, Zhonghua Er Ke Za Zhi, 42, 328

10.1079/PHN2000108

10.1161/01.CIR.0000126599.47470.BE