scholarly journals Pengaruh pendidikan gizi kepada ibu terhadap konsumsi makanan dan status gizi anak balita penderita tuberkulosis primer di rawat jalan RSUP Dr. Kariadi Semarang

2004 ◽  
Vol 1 (2) ◽  
pp. 87
Author(s):  
Tatik Mulyati ◽  
Endy Paryanto Prawirohartono ◽  
Toto Sudargo
Keyword(s):  
Food Consumption ◽  
Controlled Trial ◽  
Public Health Problem ◽  
Nutrition Status ◽  
Z Score ◽  
Nutritional Education ◽  
Primary Tuberculosis ◽  
Protein Consumption ◽  
Food Consumption Data ◽  
To Come

Background: Tuberculosis is an infectious disease that persists as a public health problem in Indonesia. The tuberculosis infected to the under 5-years old-children namely primary tuberculosis, could decrease the children’s immunity eventually causes death, which were 100.000 death rate 75% are children’s. Conditions of children’s health were deeply depending on the quality and quantity of their food consumption. An adequate consumption is needed to increase their nutrition status. To improve the maternal behavior of children’s food consumption, it is necessary to give nutritional education.Objective: The purpose of this study is to examine the effect of nutritional education on the food consumption and nutrition status of the under 5-years old-children that infected by primary tuberculosis.Methods: The research was an experimental research using randomized controlled trial method. The subject was 1 to 5- year(s) old-children those who infected by primary tuberculosis at Unit Rawat Jalan RSUP Dokter Kariadi Semarang. Two groups chosen by randomized got different treatments, i.e. availability and unavailability of nutritional education. Each group was asked to come to Poliklinik Paru Anak every two-week for two months (4 times). The food consumption data was collected by multiple recalls before treatment and after research. The nutrition status was determined by weight per age and weight per height of Z- Score WHO NCHS.Results: The result of this study showed that after the nutritional education issued, the energy consumption average of children has increase 18.18% from necessity and the protein consumption average of children has increase 21.39% from necessity. There was a significant effect of nutritional education on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05). It was also showed that the Z-Score increasing (weight per age and weight per height) of children in treatment-group was higher than the control-group.Conclusion: Nutritional education has a significant effect on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05), or there is increasing of protein consumption about 21.39%.

scholarly journals Konsumsi pangan dan skor pola pangan harapan (PPH) dengan prevalensi stunting di Provinsi Aceh (Data Susenas dan PSG tahun 2016)

2018 ◽  
Vol 3 (2) ◽  
pp. 149
Author(s):  
Suryana Suryana ◽  
Roudza Roudza ◽  
Alfridsyah Alfridsyah
Keyword(s):  
Human Resources ◽  
Food Consumption ◽  
Census Data ◽  
National Development ◽  
Average Energy ◽  
Public Health Problem ◽  
Average Score ◽  
Protein Consumption ◽  
Adequate Food ◽  
Aceh Province

Stunting in toddlers is one of the big problems that can threaten the development of the Quality of Human Resources, that can have an impact on national development. Quality human resources can be obtained by consuming adequate food, both in quantity, quality and balance. Associated with the problem of stunting food consumption in Aceh Province based on the Score Desirable Dietary Pattern as DDP is still less than DDP ideal is 70.0. This study aims to determine the association of food consumption and the Hope Food Pattern score with the prevalence of stunting in Aceh Province. This research is a descriptive analytic with the Cross-Sectional. Study design. The study used secondary data, National Census data analysis and Nutritional Status Monitoring 2016. The analysis used is a regression. The results showed that the average energy and protein consumption in households in Aceh Province was 2.276 kcal of energy and 65,21 grams of protein. The average energy and protein consumption are in the normal category of 105,8% (energy) and 114,0% (protein). The diversity of food consumption has not been varied enough based on the average score in Aceh Province is 77,8. Stunting is a public health problem with a mild problem category known from the average value of stunting prevalence of 26,3%. There was no relationship from AKE (p= 0,430), PPA (p= 0,274) and PPH score (p= 0,259) with stunting prevalence based on District / City in Aceh Province in 2016. The conclusion is There was no significant relationship between stunting and Energy Adequacy Rate (AKE), Protein Adequacy Rate (PPA), and Score DDP.Sumber daya manusia yang dapat berakibat pada pembangunan nasional. Terkait dengan masalah stunting konsumsi pangan di Provinsi Aceh berdasarkan Skor Pola Pangan Harapan (PPH) masih kurang dari ideal yaitu 70,0. Penelitian ini bertujuan untuk mengetahui keterkaitan konsumsi pangan dan skor Pola Pangan Harapan (PPH) dengan prevalensi stunting di Provinsi Aceh . Penelitian ini bersifat deskriptif analitik dengan desain Cross Secsional Study. Penelitian menggunakan data sekunder yaitu data konsumsi (Susenas) dan data stunting balita survei (PSG). Pengumpulan data dengan cara wawancara menggunakan kuesioner food list (data konsumsi pangan), sementara data status gizi dengan cara penimbangan berat badan pengukuran tinggi badan. Analisis  yang digunakan adalah  korelasi regresi. Hasil penelitian menunjukkan rata-rata konsumsi energi dan protein pada rumahtangga di Provinsi Aceh adalah sebesar 2.276 kkal energi dan 65.21 gram protein.  Rata-rata  konsumsi energi dan protein pada rumah tangga di Provinsi Aceh berada pada kategori normal 105,8% AKE dan 114,0% AKP. Keragaman pangan konsumsi pangan belum cukup beragam diketahui berdasarkan nilai rata-rata  skor PPH sebesar 77,8,  skor maksimum 92,5 dan skor minimum 64,2. Masalah stunting merupakah masalah kesehatan masyarakat dengan kategori masalah ringan diketahui dari nilai rata-rata prevalensi stunting sebesar 26,3%. Tidak terdapat hubungan AKE (P=0,430), AKP (p=0,274) dan skor PPH (p=0,259) dengan prevalensi stunting. Kesimpulan adalah tidak terdapat hubungan yang signifikan antara stunting dengan Angka kecukupan Energi (AKE), Angka Kecukupan Protein (AKP), dan Skor PPH.

scholarly journals Perilaku sadar gizi dan ketahanan pangan keluarga serta hubungannya dengan status gizi balita di Kabupaten Tanah Laut, Kalimantan Selatan

2016 ◽  
Vol 1 (1) ◽  
pp. 31
Author(s):  
Rahmadi . ◽  
Toto Sudargo ◽  
Agus Wijanarka
Keyword(s):  
Logistic Regression ◽  
Food Security ◽  
Nutritional Status ◽  
Family Income ◽  
Family Members ◽  
Nutrition Status ◽  
Z Score ◽  
Protein Consumption ◽  
The Family ◽  
Family Based

Background: Act No. 25/2000 about National Development Program and Vision Healthy Indonesia 2010 specifi ed that 80% of Indonesian families become nutrition aware families. The result of survey on nutrition aware families in indicated that in 2006 as much as 52.7% and in 2007 as much as 27.2% of families were not yet nutrition aware. The result of nutritional status monitoring of underfi ves (Z-score) showed undernourishment increased from 5.1% in 2004 to 10.1% in 2005.<br /><br />Objective: To analyze association between nutrition aware behavior and food security of the family and nutrition status of underfi ves at District of Tanah Laut, Province of Kalimantan Selatan.<br /><br />Method: The study was observational with cross sectional design. The dependentvariable was nutritional status of underfi ves (z-score for weight/length); the independent variables were nutrition aware behavior and food security of the family; and the confounding variables were characteristics of the family (parents’ education, number of the family members, knowledge of mothers about nutrition and family income). Subject consisted of underfi ves of 6–24 months with as many as 198 underfi ves. Data analysis used chi square and double logistic regression (multiple logistic regression) and qualitative analysis with indepth interview for families that were not yet nutrition aware.<br /><br />Result: There were 145 families (73.2%) that were nutrition aware and 53 (26.8%) that were not yet nutrition aware; based on energy consumption 51.1% of families had enough food and 48.9% were undernourished; based on protein consumption 52.5% of families had enough food and 47.5% were undernourished; and children with good nutrition status were 72.6% for boys and 72.8% or girls. There was signifi cant association between nutrition aware behavior and nutrition status of underfi ves (p=0.010). The result of logistic regression test showed that there was signifi cant association between the number of family members and food security of the family (p&lt;0.05) with OR=5.516 (95%CI=2.584–11.775). There was signifi cant association between knowledge of mothers about nutrition and food security of the family (p&lt;0.05) with OR=0.486 (95%CI=0.25–0.914).<br /><br />Conclusion: There was no association between nutrition aware behavior and food security of the family based on level of energy and protein consumption. There was signifi cant association (p&lt;0.05) between number of family members and food security of the family based on level of energy and protein consumption. There was signifi cant association between knowledge of mothers about nutrition and food security of the family based on energy consumption. There was no association between parents’ education and family income based on level of energy and protein consumption. There was signifi cant association between nutrition aware behavior of the family and nutrition status of underfi ves; however there was no association between food security of the family and nutrition status of underfi ves.<br /><br />KEYWORDS: nutrition aware, family characteristics, food security, nutritional status of underfi ves<br /><br />ABSTRAK<br /><br />Latar Belakang: Undang-undang nomor 25 tahun 2000 tentang Program Pembangunan Nasional dan Visi Indonesia Sehat 2010 menetapkan  80% keluarga menjadi keluarga sadar gizi (kadarzi). Hasil data survei kadarzi pada tahun 2006 dan 2007 didapatkan keluarga yang belum kadarzi 52,7% dan 27,2%. Hasil pemantauan status gizi balita (z-ScoreBB/U) didapatkan status gizi kurang menunjukkan adanya peningkatan, yaitu  tahun 2004 sebesar (5,1%),  tahun 2005 (9,8%)dan tahun 2006 (10,1%) <br /><br />Tujuan: Untuk  menganalisis hubungan antara perilaku sadar gizi  dan ketahanan pangan keluarga dengan status gizi balita di Kabupaten Tanah Laut  Provinsi  Kalimantan Selatan.<br /><br />Metode: Jenis penelitian observasional dengan rancangan cross sectional. Variabel terikat: status gizi balita (z-score BB/TB) dan variabel bebas:  perilaku sadar gizi, ketahanan pangan keluarga serta variabel pengganggu: pendidikan orang tua, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan keluarga. Subjek penelitian balita usia 6-24 bulan,  jumlah 198 balita. Analisis yang digunakan adalah uji chi-square dan regresi logistik  berganda  (multiple logistic regression)  dan didukung  analisis kualitatitf  dengan indepth interview  bagi keluarga belum kadarzi.<br /><br />Hasil: Keluarga sudah kadarzi 145 (73,2%) dan belum kadarzi 53 (26,8%). Indikator kadarzi tentang dukungan keluarga memberikan ASI eksklusif 0-6 bulan paling banyak tidak dilaksanakan. Alasannya adalah setelah melahirkan ASI tidak keluar, susu ibu bengkak dan mengeluarkan  darah, hamil lagi, dan alasan pekerjaan. Semua keluarga menggunakan garam beryodium dalam memasak makanan. Keluarga tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi energi masing-masing sebesar 47,5% dan 52,5%, keluarga yang tahan pangan dan tidak tahan pangan berdasarkan tingkat konsumsi protein masing-masing sebesar 52,5% dan 47,5% dan status gizi balita hasil z-score BB/TB didapatkan  balita gizi baik 72,7% dan gizi kurang 27,3%.  Perilaku sadar gizi berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi (p&lt;0,05). Perilaku sadar gizi dan ketahanan pangan keluargaberdasarkan tingkat konsumsi energi dan protein tidak berhubungan signifi kan dengan status gizi balita  (p&gt;0,05).<br /><br />Kesimpulan: Perilaku sadar gizi, jumlah anggota keluarga, pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifikan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi, sedangan pengetahuan gizi ibu dan pendapatan per kapita berhubungan signifi kan dengan ketahanan pangan keluarga berdasarkan tingkat konsumsi protein. Perilaku sadar gizi keluarga dan ketahanan pangan keluarga berdasarkan tingkat konsumsi energi dan protein tidak berhubungan dengan status gizi balita (z-score BB/TB).<br /><br />KATA KUNCI: keluarga sadar gizi, karakteritik keluarga, ketahanan pangan, status gizi balita

scholarly journals Associations of maternal diet quality with weight gain during pregnancy and obesity at three-year postpartum in Jakarta

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244449
Author(s):  
Lestari Octavia ◽  
Rina Agustina ◽  
Arindah Nur Sartika ◽  
Annisa Dwi Utami ◽  
Yayang Aditia Dewi ◽  
...  
Keyword(s):  
Weight Gain ◽  
Nutritional Status ◽  
Food Consumption ◽  
Diet Quality ◽  
Post Partum ◽  
Maternal Diet ◽  
Nutrition Status ◽  
Consumption Data ◽  
Food Consumption Data ◽  
Improvement Programs

Dietary changes during pregnancy (DP) and post-partum are essential for women’s nutrition status and the health of their offspring. We compared the diet quality DP and at 3-year post-partum (3YPP) and assessed the relationship between maternal diet quality and nutritional status using a prospective cohort design among women in East Jakarta. In total, 107 women were recruited from the study in 2014 and followed up at 3YPP in 2018. The mid-upper arm circumference (MUAC), weight, and height were evaluated. Food consumption data were collected from repeated 24-h recalls. The validated US Diet Quality Index-Pregnancy (DQI-P) scores with eight components were calculated using the food consumption data and compared between DP and 3YPP. Associations of the DQI-P score with the MUAC and weight gain DP and body mass index (BMI) at 3YPP were analyzed using multivariable linear and logistic regression. The median of the DQI-P score DP was significantly higher than at 3YPP [35 (27; 42) versus 27 (19; 30); p-value <0.001, respectively]. The higher DQI-P score was associated with increased weight gain DP of 3.3 kg (adjusted β = 3.30, 95% confidence interval = 1.06–5.54) after adjusting for the mother's age and household income. The DQI-P score was not associated with an increased risk of chronic energy deficiency DP and overweight–obesity at 3YPP. Thus, the diet adequacy was associated with weight gain DP but did not affect the MUAC DP and BMI at 3YPP. The DQI-P score DP was slightly better than the diet at 3YPP; however, the overall diet quality was inadequate. In conclusion, a higher DQI-P score was associated with increased weight gain DP of 3.3 kg but was not associated with other nutritional status indices in DP and 3YPP. Innovative dietary quality improvement programs are required to reduce malnutrition risk in pregnant and reproductive-age women.

The past, present and future of food consumption databases

2012 ◽  
Vol 153 (43) ◽  
pp. 1692-1700
Author(s):  
Viktória Szűcs ◽  
Erzsébet Szabó ◽  
Diána Bánáti
Keyword(s):  
Data Collection ◽  
Food Consumption ◽  
Age Groups ◽  
Collection Method ◽  
The Past ◽  
Consumption Data ◽  
Food Consumption Data ◽  
International Projects ◽  
Collection Methods ◽  
The Eu

Results of the food consumption surveys are utilized in many areas, such as for example risk assessment, cognition of consumer trends, health education and planning of prevention projects. Standardization of national consumption data for international comparison is an important task. The intention work began in the 1970s. Because of the widespread utilization of food consumption data, many international projects have been done with the aim of their harmonization. The present study shows data collection methods for groups of the food consumption data, their utilization, furthermore, the stations of the international harmonization works in details. The authors underline that for the application of the food consumption data on the international level, it is crucial to harmonize the surveys’ parameters (e.g. time of data collection, method, number of participants, number of the analysed days and the age groups). For this purpose the efforts of the EU menu project, started in 2012, are promising. Orv. Hetil., 2012, 153, 1692–1700.

FAO/WHO GIFT: increasing the availability, harmonization and use of individual quantitative food consumption data worldwide

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Ferreira de Sousa ◽  
A Balcerzak ◽  
T Bevere ◽  
V Padula de Quadros
Keyword(s):  
Food Safety ◽  
Food Consumption ◽  
Eating Habits ◽  
Geographical Area ◽  
Dietary Exposure ◽  
Evidence Based ◽  
Food Groups ◽  
Middle Income ◽  
Consumption Data ◽  
Food Consumption Data

Abstract Introduction Understanding the various eating habits of different population groups, according to the geographical area, is critical to develop evidence-based policies for nutrition and food safety. The FAO/WHO Global Individual Food consumption data Tool (FAO/WHO GIFT) is a novel open-access online platform, hosted by FAO and supported by WHO, providing access to harmonized individual quantitative food consumption (IQFC) data, especially in low- and middle-income countries (LMICs). Methods FAO/WHO GIFT disseminates IQFC data as ready-to-use food-based indicators in the form of infographics, and as microdata. The infographics intend to facilitate the use of these data by policy makers, providing an overview of key data according to population segments and food groups. The microdata is publicly available for download, and is intended for users that would like to do further analysis of the data. Results FAO/WHO GIFT is a growing repository. By June 2020, 14 datasets were available for dissemination and download, and an additional 44 datasets will be made available by 2022. FAO/WHO GIFT also provides an inventory of existing IQFC data worldwide, which currently contains detailed information on 268 surveys conducted in 105 countries. Conclusions FAO/WHO GIFT collates, harmonizes and disseminates IQFC data collected in different countries. This harmonization is aimed at enhancing the consistency and reliability of nutrient intake and dietary exposure assessments globally. FAO/WHO GIFT is developed in synergy with other global initiatives aimed at increasing the quality, availability and use of IQFC data in LMICs to enable evidence-based policy-making for better nutrition and food safety.

scholarly journals FAO/WHO GIFT platform - hands on

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Ferreira de Sousa ◽  
V Padula de Quadros ◽  
A Balcerzak ◽  
T Bevere
Keyword(s):  
Food Safety ◽  
Food Consumption ◽  
Policy Development ◽  
Middle Income ◽  
Middle Income Countries ◽  
Consumption Data ◽  
Hands On ◽  
Food Consumption Data ◽  
Inventory Map ◽  
Global Initiatives

Abstract The FAO/WHO Global Individual Food consumption data Tool (FAO/WHO GIFT) is a novel open-access online platform hosted by FAO and supported by WHO. FAO/WHO GIFT is aimed at increasing the quality, availability and use of individual quantitative food consumption (IQFC) data in low- and middle-income countries (LMIC) to enable evidence-based decision-making and policy development for better nutrition and food safety. The platform is developed in synergy with other global initiatives working with food consumption data (e.g. Intake, Global Dietary Database, FAO/WHO FOSCOLLAB). The main objective of the session is to give the opportunity to participants to apply the knowledge gained over the previous sessions. Participants will be divided in small groups to do hands-on exercises using the features of the platform. Participants will learn how to identify existing IQFC surveys worldwide using the FAO/WHO GIFT inventory map. Participants will also explore the potential of the Indicators section of the platform according to the needs of different fields of work (food consumption, food safety and nutrition). Expert users will learn how to download dietary microdata and how to take advantage of other data sources using the same food classification and description system - FoodEx2. The workshop will close with a brainstorm session on how the FAO/WHO GIFT platform can be improved to support participants work.

scholarly journals Child Nutrition Among Circular Migrant Families Working in the Brick Kilns of Bihar, India (P10-052-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Reshma Roshania ◽  
Rakesh Giri ◽  
Melissa Fox Young ◽  
G Sai Mala ◽  
Amy Webb Girard ◽  
...  
Keyword(s):  
Immunization Coverage ◽  
Wealth Index ◽  
Household Wealth ◽  
Nutrition Status ◽  
Cluster Sampling ◽  
Z Score ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Brick Kilns ◽  
Migrant Families

Abstract Objectives The objective of this study was to estimate the prevalence of child malnutrition and the determinants of nutrition status among circular migrant families working in the brick industry in Bihar, India, focusing on differences by origin. Methods We used a stratified, cluster sampling design consisting of a cross-sectional survey in 552 randomly selected brick kilns (clusters) throughout Bihar. Circular migration was defined as residence outside the home block for at least 60 days for employment plus at least one home return in the previous year. Per kiln, three circular migrant households with children 0–35 months of age were randomly selected. We collected kiln, household and child-level data including anthropometric measurements for each selected child (n = 1198). Descriptive, bivariate and logistic regression analyses were conducted in SAS. The primary outcomes were stunting (<-2 SD height-for-age z score) and wasting (<-2 SD weight-for-height z score). The primary exposure of interest was intrastate vs. interstate origin; covariates included household wealth index, parity of the mother, and child age and gender. Results Prevalence of stunting was lower among interstate migrants (47%) compared to intrastate migrants (55%, aOR: 0.66, 95%CI: 0.50–0.88). Wasting was higher among interstate migrants (43%) compared to intrastate migrants (34%, aOR:1.51, 95%CI: 1.17–1.94). Among children 6–23 months, 13% had a minimum acceptable diet; MAD was higher among interstate migrants (17%), compared to intrastate migrants (10%) (P = 0.014). Full immunization coverage among circular migrants was 39%, lower than the overall state (62%, NFHS IV). Open defecation was reported by over 90% of circular migrants. Conclusions Our results are likely to inform the ongoing policy discourse on circular migrants’ access to health and nutrition benefits. State of origin emerged as an important predictor of nutrition status, operating differently for acute and chronic malnutrition; we will further explore pathways of nutrition by origin in future analyses. Funding Sources Bill & Melinda Gates Foundation.

scholarly journals Changes of Physical Activity and Ultra-Processed Food Consumption in Adolescents from Different Countries during Covid-19 Pandemic: An Observational Study

Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2289 ◽  
Author(s):  
María Belén Ruíz-Roso ◽  
Patricia de Carvalho Padilha ◽  
Diana C. Matilla-Escalante ◽  
Paola Brun ◽  
Natalia Ulloa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Latin America ◽  
Food Consumption ◽  
Healthy Lifestyle ◽  
Cross Sectional Study ◽  
Processed Foods ◽  
Processed Food ◽  
Cross Sectional ◽  
Consumption Data ◽  
Food Consumption Data

Aim: to describe physical activity and ultra-processed foods consumption, their changes and sociodemographic predictors among adolescents from countries in Europe (Italy and Spain) and Latin America (Brazil, Chile, and Colombia) during the SARS-CoV-2-pandemic period. Methods: Cross-sectional study via web survey. International Physical Activity Questionnaire (IPAQ) and weekly ultra-processed food consumption data were used. To compare the frequencies of physical activity status with sociodemographic variables, a multinomial logistic and a multiple logistic regression for habitual ultra-processed foods was performed. In final models, p < 0.05 was considered significant. Results: Sample of 726 adolescents, mostly females (59.6%) aged 16–19 years old (54.3%). Adolescents from Latin America presented odds ratio (OR) 2.98 (CI 95% 1.80–4.94) of being inactive and those whose mothers had higher level of education were less active during lockdown [OR 0.40 (CI 95% 0.20–0.84)]. The habitual ultra-processed consumption was also high during this period in all countries, and more prevalent in Latin America. Conclusion: A higher prevalence of inactivity was observed in this population, but reductions of physical activity and habitual ultra-processed consumption during the pandemic were more pronounced in Latin America. Our findings reinforce the importance of promoting a healthy lifestyle, i.e., exercise and diet, during periods of social isolation.

scholarly journals Effects of a workplace prevention programme for problem gambling: study protocol for a cluster randomised controlled trial

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e015963 ◽  
Author(s):  
Jonas Rafi ◽  
Ekaterina Ivanova ◽  
Alexander Rozental ◽  
Per Carlbring
Keyword(s):  
Problem Gambling ◽  
Large Scale ◽  
Controlled Trial ◽  
Public Health Problem ◽  
Cluster Randomised Controlled Trial ◽  
Severity Index ◽  
The Body ◽  
Prevention Programme ◽  
Open Access Journals ◽  
Randomised Controlled

IntroductionDespite being considered a public health problem, no prevention programme for problem gambling in workplace settings has been scientifically evaluated. This study aims to fill a critical gap in the field of problem gambling by implementing and evaluating a large-scale prevention programme in organisations.Methods and analysisTen organisations, with a total of n=549 managers and n=8572 employees, will be randomised to either receiving a prevention programme or to a waitlist control condition. Measurements will be collected at the baseline and 3, 12 and 24 months after intervention. The primary outcome of interest is the managers’ inclination to act when worried or suspicious about an employee’s problem gambling or other harmful use. Additional outcomes of interest include the Problem Gambling Severity Index and gambling habits in both managers and employees. Furthermore, qualitative analyses of the responses from semistructured interviews with managers will be performed.Ethics and disseminationThis study has been approved by the regional ethics board of Stockholm, Sweden, and it will contribute to the body of knowledge concerning prevention of problem gambling. The findings will be published in peer-reviewed, open-access journals.Trial registration numberNCT02925286; Pre-results.

Effectiveness of Silver Diamine Fluoride in Preventing Occlusal Caries in Primary Teeth of Preschool Children: a Study Protocol for a Randomized Clinical Trial (Preprint)

2021 ◽  
Author(s):  
Duangporn Duangthip ◽  
SHUYANG HE ◽  
Sherry Shiqian Gao ◽  
Chun Hung Chu ◽  
Edward Chin Man Lo
Keyword(s):  
Logistic Regression ◽  
Preschool Children ◽  
Oral Health ◽  
Primary Teeth ◽  
Controlled Trial ◽  
Public Health Problem ◽  
Placebo Control ◽  
Occlusal Caries ◽  
Silver Diamine Fluoride ◽  
Occlusal Surfaces

BACKGROUND Tooth decay is a significant public health problem globally. The caries-arrest effectiveness of 38% silver diamine fluoride (SDF) has been well documented. However, information on the caries preventive effect of SDF on primary teeth is insufficient. OBJECTIVE The aim of this trial is to investigate the effectiveness of semi-annual application of 38% SDF and that of 5% sodium fluoride (NaF) varnish when compared to placebo control in preventing occlusal caries in primary molars of preschool children over 30 months. METHODS This three-arm, parallel design, double-blind, randomised controlled trial involves 791 preschool children. Children are randomly allocated to receive one of the three interventions as follows; Group 1) 38% SDF, Group 2) 5% NaF varnish, and Group 3) placebo control with tonic water. The intervention and dental examination will be carried out every 6 months. A parent-administered questionnaire including the children’s demographic background and oral health-related behaviours has been collected at baseline. Follow-up examinations to detect new caries development will be conducted every 6 months by a masked examiner. Caries development will be diagnosed at the cavitation level. Chi-square tests and logistic regression analyses will be adopted. A two-level logistic regression analysis will be performed to investigate the effects of the study interventions and other potential confounding factors on the development of occlusal caries. RESULTS Result: To date, a total of 791 children are participating in the study. CONCLUSIONS If SDF application is more effective than NaF varnish in preventing caries on occlusal surfaces of primary teeth, it can be a preferred choice for caries prevention in a kindergarten-based program. Results of this trial will provide valuable clinical evidence for the development of oral health strategies and policy on promotion of child oral health CLINICALTRIAL ClinicalTrials.gov NCT05084001

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