scholarly journals Predictors of outcomes following a brief Portuguese parental nutrition intervention

2020 ◽  
Vol 38 (2) ◽  
pp. 167-179
Author(s):  
Ana Isabel Gomes ◽  
Luísa Barros ◽  
Ana Isabel Pereira

Early childhood is largely recognized as a critical period for shaping the child’s eating patterns.Although interventions studies that focus on first years of life are increasing, with positive impact,the moderators of treatment gains and the relative importance of each determinant of the changeprocess have been rarely explored. This study aimed to identify potential predictors of outcomesconcerning children’s healthy and unhealthy eating behaviors after a parental school-basedintervention. An intervention longitudinal study with repeated measures at baseline and afterparticipation in the Red Apple program was performed. Parents and children were recruited in publicand state-funded kindergartens near Lisbon, Portugal. A total of 44 parents of 3- to 6-year-old childrenagreed to participate in the study and 39 met the inclusion criteria. The Red Apple program includedfour parental group sessions about young children’s growth, nutritional guidelines, and positiveparental feeding strategies, and adult-child activities and newsletters delivered to caregivers. Dataregarding children’s dietary intake, food preferences, neophobia/neophilia, parental concerns aboutthe child’s weight, and self-efficacy in promoting healthy dietary patterns in children were collectedbefore (T1) and after (T2) the intervention. Higher parental concerns about weight and self-efficacyat T1 significantly predicted children’s healthy dietary intake at T2. The only significant contributionfor children’s unhealthy dietary intake at T2 was the previous consumption of those foods at T1.Interventions that focus on parental cognitive variables might effectively contribute to positive changes in children’s dietary intake. Findings also suggest that specific targets of children’s diet may pose unlike challenges that respond differently to the mechanisms of influence of the intervention.

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2518
Author(s):  
Hebah Alawi Kutbi

Children exhibiting picky eating behavior often demonstrate strong food preferences and rejection of particular foods or food texture, which may lead to limited dietary variety and possibly inadequate or unhealthy diet. Yet, the relationship between picky eating and nutrient intake in school-aged children has not been established previously. This study aimed to investigate the sociodemographic determinants of picky eating and the associations between picky eating and dietary intake in children. Data of 424 healthy Saudi children aged 6–12 years were collected from their mothers. A child’s picky eating habits were captured using a validated questionnaire. Sociodemographic characteristics of the children were assessed. Dietary data, including 24 h dietary recalls and frequency of fruit, vegetable, and milk consumption, were collected by dietetic professionals using phone-administered interviews. Compared to those of normal-weight mothers, children of mothers with obesity had higher odds of being in the highest tertile of picky eating (OR = 1.93; 95% CI 1.02, 3.63). Children exhibiting higher levels of picky eating consumed less fruits (B = −0.03; 95% CI −0.06, −0.01), vegetables (B = −0.05; 95% CI −0.07, −0.02), and protein (B = −0.21; 95% CI −0.33, −0.09), and had higher consumption of trans fatty acid intake (B = 1.10; 95% CI 0.06, 2.15). Children with higher levels of picky eating presented unhealthy dietary behaviors. Future studies are needed to examine the long-term effect of picky eating on cardiovascular health. Dietary behaviors of mothers with obesity must be taken into consideration when designing intervention programs aiming to improve eating behaviors of children.


2018 ◽  
Vol 21 (13) ◽  
pp. 2485-2496 ◽  
Author(s):  
Ana Isabel Gomes ◽  
Luisa Barros ◽  
Ana Isabel Pereira ◽  
Magda Sofia Roberto

AbstractObjectiveTo evaluate the effectiveness of a pilot study of a parental school-based intervention to promote healthy eating behaviours in young children.DesignA quasi-experimental longitudinal design with three conditions (complete intervention (CIG), minimal intervention (MIG), control (CG)), with repeated measures at baseline, immediately after the intervention, 6 months and 1 year after intervention.SettingFourteen public and state-funded kindergartens near Lisbon, Portugal.SubjectsParents (n349) of 3- to 6-year-old children assigned to the three conditions completed the baseline protocol. The ‘Red Apple’ intervention included four parental group sessions about young children’s growth, nutritional guidelines and positive parental feeding strategies, which was combined with adult–child activities at home and in the classroom, and newsletters (CIG). MIG included only a single nutritional counselling session, whereas the CG had no intervention. At the end, thirty-eight, twenty-six and fifty-four parents in the CIG, MIG and CG, respectively, had completed all evaluation components. Data regarding parental perception of children’s weight, self-efficacy, nutritional knowledge, feeding strategies, eating behaviours and BMI were collected at the four assessment moments.ResultsThe CIG showed improvements in children’s healthy food intake, compared with the MIG and CG. Parental self-efficacy regarding the regulation of children’s eating behaviours decreased in the CG but not in both intervention groups.ConclusionsConsidering the low dosage of the intervention, the results obtained were positive. Future studies should offer additional solutions to overcome barriers to parents’ participation.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3065
Author(s):  
Norliza Ahmad ◽  
Zalilah Mohd Shariff ◽  
Firdaus Mukhtar ◽  
Munn-Sann Lye

The objective of this study was to evaluate the effect of a family-based intervention program (REDUCE) on children’s eating behaviors and dietary intake. A two-arm randomized controlled field trial was conducted among parents and children of 7 to 10 years old who were either overweight or obese. The intervention was conducted via face-to-face sessions and social media. The child eating behaviors were assessed using the child eating behaviors questionnaire (CEBQ), while their dietary consumption of vegetables and unhealthy snacks was assessed using a parental report of three days unweighted food. The generalized linear mixed modelling adjusted for covariates was used to estimate the intervention effects with alpha of 0.05. A total of 122 parents (91% response rate) completed this study. At the six-month post-training, there were statistically significant mean differences in the enjoyment of food (F(6481) = 4.653, p < 0.001), fruit and vegetable intake (F(6480) = 4.165, p < 0.001) and unhealthy snack intake (F(6480) = 5.062, p < 0.001) between the intervention and wait-list groups; however, it was not clinically meaningful. This study added to the body of knowledge of family-based intervention that utilized social media and assessed the effect in children’s eating behavior using the CEBQ and children’s dietary intake.


2018 ◽  
Vol 10 (4) ◽  
pp. 488-496
Author(s):  
F. B. Kampmann ◽  
L. G. Grunnet ◽  
T. I. Halldorsson ◽  
A. A. Bjerregaard ◽  
C. Granstrøm ◽  
...  

AbstractIndividuals born small have an increased risk for developing type 2 diabetes. Altered food preferences in these subjects seem to play a role; however, limited evidence is available on the association between being born small-for-gestational-age (SGA) at term and food intake in adolescence. Alterations in leptin, ghrelin and dopamine levels are suggested mechanisms linking SGA with later food intake. From a large prospective Danish National Birth Cohort, we compared dietary intake of adolescents being born SGA with normal-for-gestational-age (NGA) adolescents. Intake of foods and nutrients was assessed by a validated food frequency questionnaire in a subsample of 15,607 14-year-old individuals born at term. SGA was defined by birth weight (BW) <10th percentile (n = 1470) and NGA as BW between 10 and 90th percentile (n = 14,137) according to sex and gestational age-specific BW standard curves. Girls born SGA had a 7% (95% CI: 3–12%, P = 0.002) higher intake of added sugar and a 2–8% lower intake of dietary fibre, vegetables, polyunsaturated fatty acids, and total n−6, compared with NGA girls (P < 0.05). Adjusting for parental socio-occupational status, maternal smoking and diet in pregnancy did not substantially change the differences in dietary intake, except from dietary fibre, which were no longer statistically significant. No significant differences in dietary intake between SGA and NGA boys were found. In summary, girls born SGA had an unfavourable dietary intake compared with NGA girls. These differences persisted after controlling for potential confounders, thus supporting a fetal programming effect on dietary intake in girls born SGA at term. However, residual confounding by other factors operating early in childhood cannot be excluded.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1326-1326
Author(s):  
Barbara Lohse ◽  
Leslie Cunningham-Sabo

Abstract Objectives Examine change in adult eating competence (EC) over a 12 month period following participation in a controlled 7-month nutrition education intervention with EC constructs. Methods Parents of 4th grade youth in a cluster randomized impact assessment of a 7 month school-based culinary and physical activity intervention were assigned to 1 of 4 incrementally complex treatments that included components congruent with EC tenets. An online survey included validated measures of EC (ecSI 2.0TM), physical activity, stress, diet quality, healthful modeling, self-efficacy (SE) to offer fruits and vegetables to youth, and self-reported height/weight. EC was defined as ecSI 2.0TM ≥32. Measures were completed at baseline (BL), post-intervention (FU) and 5 months later (FU2). SPSS 24.0 analyses included repeated measures general linear modeling, means testing, chi square, Pearson correlation. Results Mean age of the mostly female (86%) sample (n = 418) was 39.1 ± 6.0 y; at FU2 126 were intervention and 96 control parents. BL analyses supported EC tenets with greater ecSI 2.0TM scores associated with less stress, lower BMI, less overweight/obesity, greater physical activity, greater SE and modeling behaviors (all P &lt; 0.01). These relationships persisted at FU (n = 220) and FU2 (n = 221) for BMI, SE, modeling, and stress measures (all P &lt; 0.01) and physical activity (P = 0.001 FU and 0.09 FU2). EC was denoted for 53% and 57% at BL and FU2 respectively. BL to FU2 ecSI 2.0TM change was not significant when controlling for changes in stress or physical activity. However, compared to those with increased FU2 BMI, ecSI 2.0TM tended (P = 0.06) to increase when BMI was decreased or unchanged, even when controlling for BL BMI. BL to FU2 ecSI 2.0 change was inversely related to BMI change (P = 0.01). ecSI 2.0TM tended to decrease for control, but increase for intervention parents (P = 0.07; –0.34 vs. 1.05), but not when controlling for BMI change. Conclusions An intervention with attention to EC congruent tenets showed modest effect on ecSI 2.0TM suggesting that successful programs require attributes that directly align with EC, which may be uniquely different from traditional nutrition education. Accurate EC intervention assessment required consideration of BMI change. Funding Sources USDA, NIFA.


2021 ◽  
Vol 1 (2) ◽  
pp. p32
Author(s):  
Moussa Tankari ◽  
Ayodele Adebayo Allagbé ◽  
Abdou Maiguéro

This paper aimed at measuring the impacts of using the process approach to teach second-year English major students at the English Department of Université de Zinder (henceforth, UZ) essay writing. Drawing on the pre-test-post-test repeated measures design, this study examined the written essays produced by the EFL students before and after the writing class. These pre and post tests were scored based on a criterial fair copy, and the scores were compared by means of an Analysis of Variance (ANOVA) to check whether there were any statistically significant differences between the mean scores. The findings revealed that the process approach had a positive impact on the participants’ essay writing skills. Also, employing Classroom Observation, the article attempted to qualitatively measure student engagement in the writing class. The findings further exuded that the EFL students observed were cognitively involved in the learning activities conducted in the class. Based on the foregoing findings, this study recommends that the process approach to (the teaching of) writing be adopted and used to teach writing in EFL classes across/in Niger.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Nyi Anisah ◽  
Siti Nursanti ◽  
Muhammad Ramdhani

Divorce is an event that causes separation between father, mother and child which occurs due to various factors. Separation will bring a problem, one of which is on the development of a child. The purpose of this study was to determine what factors support broken home children being able to show positive behavior and have achievements. The method in this research is qualitative with a case study approach with a multi-case design, data collection techniques by interview and literature study. The results showed the role of interpersonal communication that goes well between parents and children can have a positive impact on children's development. In addition, the role of family communication is also very important for children's behavior and achievement. Good family communication can determine a child's behavior, how the family communicates and how to educate children will affect a child. In addition to the role of interpersonal and family communication, there are interpersonal communication factors that can influence such as openness, trust, empathy and supportive attitudes. The conclusion of this study is that good interpersonal communication and family communication can be a measure of the character development of broken home children and there are other supporting factors that can influence the success of good behavior and achievement of a broken home child.


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