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1
Kafatos, Irene. "'I learned to eat not what looks nice...' : exploring the effects of an innovation aimed at pupils' diet and critical thinking on food advertising." Thesis, University of Sussex, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.288161.
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This thesis explores the effects of an innovation aimed at improving Greek primary school pupil's critical thinking on television food advertising and food choices in the context of the declining Mediterranean diet. In a review of the literature, some research demonstrated the effects of TV advertising on children while according to other studies, these effects remained doubtful. Findings were even hazier where food products were concerned. It is possible to sum up the problem as follows: whether sitting in front of the TV makes one eating snacks or eating snacks make one sit in front of the TV. Keeping in mind however, the social context in which Cretan children grow (highly touristic region, TV, working parents, more money) as well as the weaknesses of some of the above mentioned studies (small time span, laboratory settings), this thesis takes the position that advertising does playa part in this changing diet. Although there is no way to measure its exact effect on children, this position is strengthened by the fact that companies keep spending substantial amounts of money on advertising. Unfortunately the difficulty of establishing a causal connection between children's diet and television adverts affects in turn advertising regulations, which depend on the will of each particular country. It also affects the provision of consumer education in schools which is very limited. The study took place in Crete. which was selected mainly because of the researcher's origin and because of the undergoing change in the Cretan diet. During the last decades. the traditional Cretan/Mediterranean diet has shifted towards Western nutritional habits. This issue is largely ignored by the Greek educational system where teaching is fairly didactic and there are very few courses on health and none that relate to the media. Most of these are conducted on a pilot basis and are based on the commitment of individual teachers. The strengths of this research design were first that it took place in the pupil's natural environment and secondly that the education course was designed specifically for the Greek schoolchildren. The total number of children participating in this study was 190 (82 in the control and 108 in the experimental group). These children belonged to five primary schools of Iraklion city. which ranged from middle to working class and from deprived to affluent areas of the city. Data collection included a variety of tools such as questionnaires, interviews with each child, dietary records (completed by parents). classroom observations, children's work, and researcher diary. Data was collected at the start of fieldwork (baseline) after the end of the course (post intervention) and approximately 10 months after the end of fieldwork. The findings of this thesis demonstrate firstly the large differences among the four experimental teacher's teaching style. Although they had all been volunteers and expressed an interest in the programme, and had been informed and provided with the course material, only two were able to successfully implement the course. In the other two classes, the researcher felt obliged to intervene in order to substitute for teacher inadequacy, and to ensure that the pupils received an adequate course. The findings also showed that pupils and teachers were appreciative to progressive pedagogy and did not hesitate to criticize the didacticism of the Greek educational system. Although originally designed within a positivistic framework the researcher found herself increasingly drawn into the action frame of the implementation. This led in turn to participant observation, changes to the research design and new inSights for the researcher. The researcher'S personal change was another dimension of this study's findings as she learned to allow more space to her participants. Finally, the findings confirmed that children's dietary behaviour is not likely to change when addressed simply through a school based intervention. Pupil's critical thinking, though, was enhanced and it must be hoped that it will give the children the power to decide themselves the kinds of foods they wish to consume
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Campbell, Karen Jane, and karen campbell@deakin edu au. "Family food environments as determinants of children's eating: Implications for obesity prevention." Deakin University. School of Exercise and Nutrition Sciences, 2004. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20061207.120915.
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The prevalence of childhood obesity is escalating rapidly and it considered to be a major public health problem. Diet is a recognised precursor of fatness, and current evidence supports the premise that in Westernised countries, the dietary intakes of children are likely to be important in obesity genesis. However, we have a relatively poor understanding of the environments in which a childs eating is learnt and maintained. Much of the existing work in this area is based on small-scale or experimental studies, or has been derived from homogeneous populations within the USA. Despite these limitations, there is evidence that aspects of the childs family environment are likely to be important in determining obesity risk in children.
This thesis examines the impact of the family food environment on a childs eating through two related studies. The first study, titled the Children and Family Eating (CAFÉ) study comprised three phases. Phase one involved qualitative interviews with 17 parents of 5-6 year-old children to explore parental perceptions regarding those factors in a childs environment believed to influence the development of their childs eating habits. These interviews were used to inform the development of quantitative measures of the family food environment. The second phase involved the development of a Food Frequency Questionnaire (FFQ) to assess dietary intake in 5-6 year-olds. The FFQ was informed by analysis of 1995 Australian National Nutrition Survey data. In the final phase the relationships between dietary intakes of 5-6 year-old children, and potential predictors of dietary intake were examined in a cross-sectional study of 560 families. Predictors included measures of: parental perceptions of the adequacy of their childs diet; food availability and accessibility; child-feeding; the opportunities for parental modelling of food intake; a childs television exposure; maternal Body Mass Index; and maternal education. Analysis of the CAFÉ data provides unique information regarding the relationships between a childs family food environment and their food consumption. Models developed for a range of dietary outcomes considered to be predictive of increased risk for obesity, including total energy and fat intakes, vegetable variety, vegetable consumption, and high-energy (non-dairy) fluid consumption, explained between 11 and 20 percent of the variance in dietary intake. Two aspects of the family food environment, parental perception of a childs dietary adequacy, and the total minutes of television viewed per day, were frequently found to be predictive of dietary outcomes likely to promote fatness in these children.
The second study, titled the Parent Education and Support (PEAS) Feeding Intervention Study, was a prospective pre/post non-randomised intervention trial that assessed the impact of a feeding intervention to 240 first-time mothers of one-year-old children. This intervention focused on one aspect of the family food environment, child-feeding, which has been proposed as influential in the development of obesogenic eating behaviours. In this study, Maternal and Child Health Nurses (MCHNs), using a Division of Responsibility model of feeding, taught parents to provide nutritious food at regular intervals and to let children decide if to eat and how much to eat. Thus parents were encourages to food their child without exerting pressure, or employing coercion or rewards (controlling behaviours). The aim was to influence parental attitudes and beliefs regarding child-feeding. Through the use of these feeding techniques, this intervention also aimed to increase the variety of fruits and vegetables a child consumed by teaching parents to persist with offering these foods, over the year of the intervention, in non-emotive environments. Fruits and vegetables were chosen in this intervention because they are likely to be protective in the development of obesity. Analysis of the PEAS data suggests that this low-level feeding intervention, delivered through existing Maternal and Child Health services, was modestly effective in changing parental attitudes and beliefs regarding the feeding of young children. Further, the validity of fruits offered to intervention group children increased.
This thesis expands the existing knowledge base by providing a comprehensive analysis of the relative impact of aspects of the family environment on dietary intakes of 5-6 year-olds. Further, the analysis of a feeding intervention in first-time parents provides important insights regarding the potential to influence child-feeding and the impact this may have on the promotion of eating behaviours protective against obesity.
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Hill, Alma Land. "EFFECT ON CHILDRENS EATING BEHAVIOR AND SELF-EFFICACY FROM PARTICIPATION IN FUN WITH FOOD SUMMER CAMP." MSSTATE, 2009. http://sun.library.msstate.edu/ETD-db/theses/available/etd-03302009-211102/.
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The demand for nutrition professionals to develop creative programs to improve childrens eating behavior is being driven by growing numbers of overweight children and lack of food and nutrition knowledge. This study evaluated the effect on childrens eating behaviors from participation in a week-long Fun with Food camp. A survey was administered on the first day of camp and a post-survey was mailed to participants. Thirty-three participants (56%) returned a completed survey. Significant (p <.05) change was observed for seven questions which related to consumption of whole grains and vegetable and increased self-efficacy. It appears that participation in the week long Fun with Food camp was effective in changing behaviors and increasing confidence of the participants. The findings support teaching children about food from the farm to the table using hands on food experiences and exposure to new foods as an effective intervention for improving eating behaviors.
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McCarthy, Helen. "Identification of nutritional risk in children : the development and validation of a children's nutrition risk screening tool." Thesis, University of Ulster, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.529541.
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Stone, Genevieve. "A study to evaluate the nutritional habits of Year 6 children, before and after a nutrition-based intervention : the CHANGE! (Children's Health, Activity, and Nutrition: Get Educated!) Project." Thesis, Liverpool John Moores University, 2015. http://researchonline.ljmu.ac.uk/4452/.
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Poor nutrition and impaired dietary intakes are associated with certain chronic disease states such as obesity, cardiovascular disease and diabetes. There have been a number of school-based, nutrition-focused interventions which have been used to measure and determine healthy eating behaviours in UK school children but with varying degrees of success. The main aim of this thesis was to develop, pilot and evaluate the Children’s Health, Activity and Nutrition: Get Educated! (CHANGE!), a healthy eating curriculum for year 6 children. A formative study, unique in this type of intervention study, was carried out to investigate the behaviours, habits and attitudes to food of the children and the data collected used to inform the design of the intervention teaching curriculum. It revealed the diversity of the food and eating environments to which the children were exposed. Some of their perceptions about health and food, food choices and eating behaviours were inter-related. The key health messages included in the teaching curriculum were developed from these findings. At baseline, the participants’ food intakes, knowledge about food and nutrition and their attitudes to eating were measured using questionnaires. Additionally anthropometric measurements were taken and the children’s postcodes used to assess the socio-economic status of the children. The results showed that the control and intervention groups were alike at baseline. At post-intervention, the results indicated that there were some positive changes to food intakes, with a slight decrease in the consumption of negative marker foods. There was an increase in the total mean food knowledge scores, with children from the areas of lower deprivation scoring highest. There was no significant difference between control and intervention groups. The children’s eating attitudes displayed some trends with cues to eating. There was a significant increase in height in all children but this did not alter the body mass index status of the overweight or obese children. The importance of the use of CHANGE! as an intervention at the school-level is demonstrated by some of the more important findings from the study, such as the increased self-assessed ability to make certain foods, and that there was an increase in total food knowledge scores from the children who lived in areas of lower deprivation. These results could potentially be the starting point for some children to start questioning the types of food they are habitually eating and maybe looking to make some adjustments to their behaviours, as even small changes can be nutritionally significant in the longer-term for the future health of the children. Furthermore, the sustainability and long-term effects of CHANGE! need additional assessment and evaluation.
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Zhang, Nan. "Parental migration, care-giving practices and left-behind children's nutritional health in rural China : a mixed-methods approach." Thesis, University of Manchester, 2016. https://www.research.manchester.ac.uk/portal/en/theses/parental-migration-caregiving-practices-and-leftbehind-childrens-nutritional-health-in-rural-china-a-mixedmethods-approach(e902bf74-1d86-4395-b088-5529265f7941).html.
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China’s rural-urban migration has resulted in 61 million children living apart from their parent(s) in rural communities. Previous studies have failed to examine the long-term effects of parental migration on left-behind children’s nutritional health, and have not examined the gender differences (of parents and children) in those associations. This research uses a mixed-methods design that incorporates quantitative and qualitative techniques to explore links between parental migration, care-giving arrangements and left-behind children’s nutritional health in rural China. The quantitative analyses draw on a longitudinal dataset – the China Health and Nutrition Survey (CHNS) (1997, 2000, 2004, 2006, and 2009) to examine the relationships between children’s nutritional outcomes and different patterns of parental migration including being left behind in different stages of childhood, and being left behind by the father or the mother. The qualitative component consists of analyses of interviews with 32 caregivers (21 grandparents, 9 mothers, and 2 uncles/aunts), and children’s diaries (26 children aged 6-12, 21 left-behind children and 5 non-left-behind children) to explore the care-giving practices for left-behind children from the perspectives of a group of children and their caregivers in rural northern central China. Results of the quantitative analyses show negative associations between parental migration, especially maternal migration, and left-behind children’s nutritional outcomes indicated by anthropometric measures and macronutrient intakes, and this is particularly true for boys left behind during early life in rural China. The qualitative findings highlight the importance of socio-cultural factors, since there seems to be a paradox of intergenerational obligations for boys in a culture where sons are more valued than daughters. This is because parents migrate to save for their sons’ adult lives, reducing the remittances sent to support their sons who stay behind. There is less pressure to save for daughters’ adult lives and so more potential for remittances to support their nutrition. The research also recognizes the importance of grandparents as carers, and their experiences and beliefs about healthy eating for children. Grandparents, particularly on the paternal side, are expected to fulfil social obligations to care for left-behind grandchildren even without immediate financial returns. Inadequate financial support from the migrant parents of left-behind boys in rural China, in particular boys cared for by paternal grandparents, may result in greater risk of poor nutrition during the early childhood. This potentially renders such left-behind boys vulnerable to developmental delays. These findings are important for policy-makers to develop effective interventions to improve left-behind children’s nutritional well-being in rural China.
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Perry, Stephen D. "COMPARISON OF NUTRITIONAL INTAKE OF HOME SCHOOL CHILDREN AND PUBLIC SCHOOL CHILDREN: A COMPARISON STUDY." Lexington, Ky. : [University of Kentucky Libraries], 2008. http://hdl.handle.net/10225/876.
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Thesis (M.S.)--University of Kentucky, 2008.Title from document title page (viewed on November 3, 2008). Document formatted into pages; contains: vi, 33 p. Includes abstract and vita. Includes bibliographical references (p. 28-32).
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Plum, Jane Meacham Jr. "Nutrition Knowledge Assessment of Preschool Children." Thesis, Virginia Tech, 1997. http://hdl.handle.net/10919/35377.
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A game with food and nutrition related pictures was developed to provide an opportunity for a classroom teacher to interview preschool children for assessment of nutrition knowledge concepts. Specifically, knowledge of vegetable concepts which included identification of the food, the food group, the source, preparation methods and use by the body was measured. The assessment was administered to five groups of children (ages two and one-half to five years) in preschools and child care centers in Reston, VA by high school early childhood education students. The assessment was designed to meet current criteria that assessment be teacher administered, provide useful information to the teacher, reflect the typical activities of children in the classroom and be one of a variety of assessments used. The assessment was successfully administered by the high school students working as teacher aides. The assessment gave teachers useful information about each class and individual children which could be used in curriculum planning. The assessment fit into the usual classroom activities, in this case, a games and manipulatives learning center. The assessment provided more in-depth information about children's knowledge than multiple choice tests used in previous research on nutrition knowledge, because the teachers recorded children's responses to open-ended questions. Children's responses indicated elementary understanding of food and nutrition concepts suggesting that classroom teachers need to make greater use of the variety of nutrition education materials available.Master of Science
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Morais, Nádia Rodrigues. "Vitamimos: Children take control over nutrition." Master's thesis, NSBE - UNL, 2011. http://hdl.handle.net/10362/10096.
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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and EconomicsVitamimos is a social enterprise focused on making people healthier, through the promotion of healthy eating habits, cooking and exercise. This paper aims to develop a positioning strategy for the company using management skills to help Vitamimos decide on its priorities and next steps. Through an analysis of the company’s activities and development, it was possible to understand its main issues and make the necessary recommendations. The objective is to increase Vitamimos' sustainability, enabling it to succeed and potentially be replicated, while maximising its social impact.
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Slegtenhorst, Sonja. "Antioxidant intake in paediatric oncology patients." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/18050.
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Thesis (MNutr)--Stellenbosch University, 2011.ENGLISH ABSTRACT: Background: The role of antioxidants and adequate nutrition in the prevention and course of cancer treatment is globally recognised in nullifying the effects of free radicals and increasing the nutritional status of children during treatment. Objective: To investigate whether children with cancer meet their Dietary Reference Values and Safe Intakes for antioxidants, energy and protein. Design: Single centre prospective study. Setting: Children were recruited from the East of England Primary Treatment Centre using convenience sampling over 8 months. Forty-two children and adolescents diagnosed with a Solid tumour, Lymphoma or Leukaemia were eligible for data analysis (n=20 male; n=22 female). Method: Data was collected with an Estimated Food Record (EFR) in the 1st (EFR1) and 3rd month (EFR2) post-diagnosis. In the week following EFR completion, parents and/or children were contacted to complete four non-consecutive days of 24-hr food recalls. Data was categorised into diet alone, diet + food supplement (FS), tube feeding (tube) or diet + multi-vitamin-mineral supplementation (VMS). Malnutrition was determined by weight-for-age z-scores. Nutrient intake was compared to the Recommended Nutrient Intake (RNI), the Estimated Average Requirements (EAR) and the Lower Recommended Nutrient Intake (LRNI). Result: The sample consisted of 33% (n=14) diagnosed with Leukaemia, 24% (n=10) with Lymphoma and 43% (n=18) with Solid tumours. Sixty seven percent (n=28) underwent chemotherapy and 33% (n=14) a combination of therapies. Significant correlations were seen between the assessment tools in the diet alone category for both months for; vitamins A, C, E, selenium and protein and for EFR1 for zinc and energy. In both months greater numbers of children achieved ≥100% of requirements for diet + VMS (EFR 1; p<0.05; EFR2 p<0.05) than for other feeding modes. Vitamin C achieved the highest intakes compared to the RNI at 773% (EFR1) and 829% (EFR2). Intakes above 200% of the RNI were seen for vitamins A, C, E, selenium and zinc. No significant differences were seen between modes of feeding in either month for selenium or zinc. Vitamin A (EFR1≤ 100% diet alone p<0.05) and zinc (EFR1≤ 100% diet alone p=0.02) met the least of the LRNI in the 1st month compared to other antioxidants. No statistical significant difference was observed between the number of children attaining their EAR’s between the 3 modes of feeding in the 1st month and 3rd month. In the 1st month 27% (n=8) of participants consumed vitamin and/or mineral supplements, 18% in the 3rd month (n=4). In the 1st month 5% (n=2) of children were moderately malnourished and 10% (n=4) in 3rd month. Conversely in the 1st month 3% (n=1) were overweight and 3% (n=1) obese; the leukaemia group predominant. Conclusion: The research tools showed good correlation. Children using vitamin and/or mineral supplements mostly achieved their RNI’s compared to other feeding modes. Across feeding modes some children achieved antioxidant intakes above 200% RNI. LRNI’s on diet alone were not achieved for vitamin A and zinc. The study showed Leukaemics as having a higher prevalence of obesity. More research is required to determine the clinical implications of these findings.
AFRIKAANSE OPSOMMING: Agtergrond: Die rol van anti-oksidante en voldoende voeding in die voorkoming en verloop van kanker behandeling word wêreldwyd erken vir vernietiging van die effek van vry radikale en die verbetering van voedingstatus van kinders tydens behandeling. Doelwit: Om ondersoek in te stel of kinders met kanker hul Dieet Verwysingswaardes en Veilige Innames vir anti-oksidante, energie en proteïen bereik. Ontwerp: Enkel sentrum prospektiewe studie. Omgewing: Kinders was gewerf deur middel van gerieflikheidsteekproefneming oor 8 maande vanaf die “East of England Primary Treatment Centre”. Twee-en-veertig kinders en adolessente gediagnoseer met 'n Soliede tumor, Limfoom of Leukemie het in aanmerking gekom vir dataanalise (n=20 manlik, n=22 vroulik). Metode: Data was ingesamel met ‘n Geskatte Voedsel Rekord (GVR) in die eerste (GVR1) en derde maand (GVR2) na diagnose. In die week na voltooiing van die GVR is ouers en/of kinders gekontak om vier onopeenvolgende dae van 24-uur herroepe te voltooi. Data was verdeel in dieet alleen, dieet + voedsel supplement (VS), buisvoeding (buis) of dieet + multi-vitamien-mineraal supplementasie (VMS). Wanvoeding was bepaal deur middel van gewig-vir-ouderdom z-tellings. Nutriënt inname was vergelyk met die Aanbevole Nutriënt Inname (ANI), die Geskatte Gemiddelde Behoeftes (GGB) en die Laer Aanbevole Nutriënt Inname (LANI). Resultate: Die steekproef het bestaan uit 33% (n=14) gediagnoseer met Leukemie, 24% (n=10) Limfoom en 43% (n=18) Soliede tumore. Sewe-en-sestig persent (n=28) het chemoterapie ontvang en 33% (n=14) ‘n kombinasie van terapieë. Betekenisvolle korrelasies was waargeneem tussen die assesseringsinstrumente in die dieet alleen kategorie vir beide maande vir vitamiene A, C, E, selenium en proteïen en vir GVR1 ook vir sink en energie. In beide maande het ‘n groter aantal kinders ≥100% van hul behoeftes bereik vr dieet+VMS (GVR1; p<0.05; GVR2 p<0.05) as vir ander modi van voeding. Vitamien C het die hoogste innames bereik vergeleke met die ANI teen 773% (GVR1) en 829% (GVR2). Innames bo 200% van die ANI was waargeneem vir vitamiene A, C, E, selenium en sink. Geen betekenisvolle verskille was waargeneem tussen modi van voeding in enige maand vir selenium en sink nie. Vitamien A (GVR1≤100% dieet alleen p<0.05) en sink (GVR1≤100% dieet alleen p=0.02) het die minste van die LANI bereik in die eerste maand vergeleke met ander anti-oksidante. Geen statisties beduidende verskil was waargeneem tussen die aantal kinders wat hul GGB’s bereik het tussen die 3 voedingswyses in die eerste en derde maande nie. In die eerste maand het 27% (n=8) van deelnemers vitamien en/of mineraal supplemente ingeneem, en 18% (n=4) in die derde maand. In die eerste maand was 5% (n=2) van kinders matig wangevoed en 10% (n=4) in die derde maand. In die eerste maand was 3% (n=1) van kinders oorgewig en 3% (n=1) vetsugtig, die leukemie groep spesifiek. Gevolgtrekking: Die navorsingsinstrumente het goeie korrelasie getoon. Kinders wat vitamien en/of mineraal supplemente gebruik het het meestal hul ANI’s bereik vergeleke met ander modi van voeding. Oor voeding modi het sommige kinders anti-oksidant innames bo 200% ANI bereik. LANI’s op dieet alleen was nie bereik vir Vitamien A en sink nie. Hierdie studie het aangetoon dat dié met Leukemia ‘n hoër prevalensie van oorgewig/vetsug getoon het. Meer navorsing is nodig om die kliniese implikasies van die bevindinge te bepaal.
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Bekker, Francette. "The provision of healthy food in a school tuck shop : does it influence Bloemfontein primary school learners’ perceptions, attitudes and behaviour towards healthy eating." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71694.
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Thesis (MNutr)--Stellenbosch University, 2012.ENGLISH ABSTRACT: Introduction and Objectives: Schools can serve as a supportive environment for the promotion of healthy eating in order to prevent childhood overweight and obesity and the development of noncommunicable diseases such as cardiovascular diseases, type 2 diabetes mellitus, fatty liver disease, muscoskeletal disorders and some cancers. Tuck shops at schools often offer unhealthy items that are energy dense and high in fat and/or sugar with a low content of vitamins, minerals and dietary fibre. The availability of unhealthy items in tuck shops prevents learners from making healthy food choices, since children tend to choose unhealthy foods when given a choice. In addition to unhealthy items offered by tuck shops, learners also bring unhealthy items to school in their lunchboxes. The aim of the study was to investigate the influence of a nutritionally-regulated tuck shop on primary school learners’ perceptions, attitudes and behaviour towards healthy eating in a Bloemfontein, Afrikaans medium, co-education primary school, and compare it to learners of a school with a conventional tuck shop. Methods: In a cross-sectional survey with an analytical component, grade 2 to 7 learners in a school with a nutritionally-regulated tuck shop (n=116) and a school with a conventional tuck shop (n=141) completed a questionnaire. Six learners per grade also took part in focus group discussions. Questions related to lunchbox contents and perceptions, attitudes and behaviour towards the tuck shop and healthy eating. Nutritional information of the items available for purchase at each of the school tuck shops was collected. Results: The lunchboxes of learners in the school with a nutritionally-regulated tuck shop contained significantly (p<0.05) more healthy items (fruit, water and muffins), as well as significantly more unhealthy items (sweets and chips). The items offered by the nutritionally-regulated tuck shop contained approximately half the kilojoules compared to items offered by the conventional tuck shop. Learners in the school with a nutritionally-regulated tuck shop liked certain fruits and vegetables significantly (p<0.05) more than learners in the school with a conventional tuck shop. Statistical significant differences (p<0.05) between different grades and gender showed that grade 2 learners in both schools had a less positive attitude towards certain fruit and vegetables compared to the older learners, while girls in both schools were more positive towards certain fruits and vegetables compared to boys. Younger learners had a more positive attitude towards their nutritionally-regulated tuck shop than older learners. In both schools learners had similar perceptions regarding the particular school’s tuck shop and healthy eating. Conclusion: The hypothesis that learners in a school with a nutritionally-regulated tuck shop have positive attitudes, perceptions and behaviour towards healthy eating was rejected. The availability of healthier items in a school tuck shop had a positive influence on certain behaviours and attitudes of learners, but the potential value of controlling the type of items available for purchase at schools might be counteracted by lunchbox contents, certain fixed eating patterns, perceptions of learners and previous exposure to a conventional tuck shop. Recommendations include a multi-pronged approach such as the Health Promoting Schools concept.
AFRIKAANSE OPSOMMING: Inleiding en doelwitte: Skole bied ‘n omgewing waar goeie eetgewoontes bevorder kan word ten einde oorgewig en vetsug in kinders te voorkom, asook die ontwikkeling van nie-oordraagbare siektes soos kardiovaskulêre siektes, tipe-2 diabetes mellitus, lewervervetting sindroom, ortopediese komplikasies en sekere soorte kanker. Snoepies in skole voorsien meestal ongesonde items met ‘n hoë energie, vet- en/of suikerinhoud en wat laag is in vitamiene, minerale en dieetvesel. Die beskikbaarheid van ongesonde items in snoepies verhoed dat leerders gesonde voelselkeuses uitoefen, omdat kinders geneig is om voorkeur aan ongesonde kos te gee as hulle 'n keuse gebied word. Benewens die ongesonde items wat snoepies aanbied, neem leerders boonop ongesonde kos in hul kosblikke skooltoe. Die doel van die studie was om by 'n Afrikaans dubbelmedium laerskool in Bloemfontein die invloed van ‘n voedingkundig-gereguleerde snoepie op leerders se persepsies, houdings en gedrag teenoor gesonde eetgewoontes te ondersoek en te vergelyk met leerders in 'n skool met 'n konvensionele snoepie. Metodes: In ‘n deursnit-opname met ‘n analitiese komponent, het graad 2 tot 7 leerders in ‘n skool met ‘n voedingkundig-gereguleerde snoepie (n=116) en ‘n skool met ‘n konvensionele snoepie (n=141), ‘n vraelys ingevul. Ses leerders in elke graad in elk van die skole het ook aan fokusgroepbesprekings deelgeneem. Vrae het oor die inhoud van kosblikke, asook persepsies, houding en gedrag teenoor die snoepie en gesonde eetgewoontes, gehandel. Voedingsinligting rakende die items wat in elk van die skole se snoepies verkoop word, is ook ingesamel. Resultate: Die kosblikke van leerders in ‘n skool met ‘n voedingkundig-gereguleerde snoepie het statisties beduidend (p<0.05) meer gesonde items bevat (vrugte, water en muffins), maar ook beduidend meer ongesonde items (lekkergoed en aartappelskyfies). Voedsel-items wat in die voedingkundig-gereguleerde snoepie beskikbaar was, het omtrent die helfte minder energie bevat as voedsel-items wat in die konvensionele snoepie beskikbaar was. Leerders in ‘n skool met ‘n voedingkundig-gereguleerde snoepie het beduidend (p<0.05) meer van sekere groente en vrugte gehou as leerders in ‘n skool met ‘n konvensionele snoepie. Statisties beduidende (p<0.05) verskille tussen verskillende grade en die houding van verskillende geslagte dui daarop dat graad 2 leerders in albei skole minder positief gevoel het oor sekere groente en vrugte as ouer leerders, terwyl meisies in albei skole ‘n meer positiewe houding teenoor sekere groente en vrugte getoon het as seuns. Jonger leerders het ‘n meer positiewe houding teenoor hulle voedingkundig-gereguleerde snoepie getoon as ouer leerders. In albei skole het leerders soortgelyke persepsies rondom hul onderskeie skole se snoepies en gesonde eetgewoontes openbaar. Gevolgtrekking: Die hipotese dat leerders in ‘n skool met ‘n voedingkundig-gereguleerde snoepie positiewe persepsies, houding en gedrag teenoor gesonde eetgewoontes toon is nie aanvaar nie. Die beskikbaarheid van gesonder items in ‘n skoolsnoepie het 'n positiewe invloed op sekere eetgewoontes en houdings van die leerders, maar die potensiële waarde daarvan om die tipes voedsel wat by skole te koop aangebied word te reguleer mag egter teengewerk word deur kosblikke se inhoud asook sekere vaste eetpatrone, persepsies van leerders en vorige blootstelling aan ‘n konvensionele snoepie. ‘n Veelvoudige benadering soos die konsep van ‘n Gesondheidbevorderingskool word aanbeveel.
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Gummow, Maureen Theresa. "Linking children's literature with multiculturalism and nutrition." CSUSB ScholarWorks, 1995. https://scholarworks.lib.csusb.edu/etd-project/1017.
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Nhlapo, Nthabiseng. "Hygiene and nutritional content of the National School Nutrition Programme in Bloemfontein, South Africa." Thesis, [Bloemfontein?] : Central University of Technology, Free State, 2013. http://hdl.handle.net/11462/180.
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Thesis (M. Tech. (Environmental Health)) -- Central University of technology, Free State, 2013Malnutrition and concomitant infections are major contributing factors to child morbidity and mortality in developing countries such as South Africa. Globally, children benefiting from school feeding programmes are generally from communities with low socio-economic statuses. The meals provided through feeding schemes, such as the National School Nutrition Programme (NSNP) in South Africa, are aimed at significantly supplementing the beneficiaries’ daily energy and nutrient requirements. The possible nutrient deficiency of meals provided through such programmes compromises the nutritional well-being of children, promotes malnutrition and renders children more susceptible to infectious diseases. Furthermore, illness, particularly caused by diarrhoeal and infectious diseases, is a major factor contributing to child malnutrition as the human body is unable to efficiently digest foods and absorb nutrients during illness. Therefore, the microbiological safety of the foods served to children via feeding schemes is essential. In an effort to contribute towards the safety and wholesomeness of foodstuffs served through the NSNP, the present study was conducted with a view to assess the nutritional quality and safety of the foodstuffs. The knowledge, attitudes and practises (KAP) of food handlers and NSNP representatives/committee members at the schools were also investigated in order to assess origins of potential food contamination. Data collected via nutritional analyses of meals served to school children were compared to the nutrient-based standards set by the United Kingdom as guidelines for an average school lunch. The carbohydrate, energy, calcium and zinc contents of the school meals were below the standards, the majority of the meals met the protein and iron standards and all meals complied with the standards for lipid and vitamin C contents. During the microbiological analysis study, preparation surfaces yielded higher counts of all detected organisms (total coliforms, Escherichia coli, Staphylococcus aureus and yeasts and moulds) compared to the hands of food handlers. Therefore possible sources of contamination may be foodstuffs, animal pests and environmental elements such as dust. However, significant differences of surface microbial counts could not be established (P > 0.05) and thus cross-contamination may have resulted among surfaces, possibly augmented by shortfalls in cleaning regimes. The majority of the participants of the questionnaire survey reportedly washed their hands and cleaned all surfaces several times during the day with water and detergent. In addition, a disinfectant was used by some of the food preparers during cleaning. Furthermore, participants stated that their aprons were washed daily. These claims were in agreement with the findings of the surface microbial study with regards to the hands, however, they did not match the findings of the preparation surfaces which contained the highest counts of total coliforms, E. coli and S. aureus of the three surfaces analysed, and aprons responsible for the highest yeast and mould counts. Improper storage and food preparation methods, such as the application of high temperatures, excessive exposure to UV light and oxygen, and high moisture conditions, may result in the deterioration of nutrients. Storage conditions which may permit pest infestation may also increase the risk of food-related illnesses and risk could be further elevated by application of improper cleaning and sanitation practices. In order for the NSNP to operate effectively, it is essential that the national and provincial Departments of Basic Education, which are responsible for the overall administration of the NSNP, and schools’ personnel function in an integrated manner through support structures and effective communication. Infrastructural limitations (lack of proper kitchen facilities and ventilation) and shortage of resources while administering the NSNP were the main challenges observed during the present study. Due to these hurdles, adhering to food safety practices and maintaining nutritional quality of foods may be a challenge. Continuous training in personal and general hygiene is also a necessity in preserving food safety. Furthermore, nutritional quality of foodstuffs may be preserved through proper storage practices and application of preparation methods which minimize loss of nutrients.
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Jones, Charlotte A. "The effect of nutrition education on the nutrition knowledge and healthy food choices of fifth grade students." Virtual Press, 1995. http://liblink.bsu.edu/uhtbin/catkey/941358.
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The purpose of this study was to investigate the effect of a three week school-based nutrition education program on the nutrition knowledge and healthy food choices of elementary school children in the fifth grade. The nutrition education program consisted of nine, thirty minute lessons comprised of the following topics: the food pyramid guide, carbohydrates, fat, protein, vitamins (A and C), minerals (calcium, and iron), healthy snacks, and vegetarianism. Ninety-six subjects from four classes were obtained from two elementary public schools in the Muncie Community School District to participate in this study. A control group and an experimental group were assigned by the principal at each school according to the availability and interest of fifth grade teachers. Evaluation of nutrition knowledge was completed through a pre-test and post-test which consisted of twenty-five multiple choice questions. Questions on the test were developed by the researcher and the "Nutrition in a Changing World" (Contento, 1992) curriculum model. The test was found to be reliable on an Alpha Cronbach test for reliability (Alpha Coefficient = 0.71) and was validated by five registered dietitians.Results indicated that the nutrition education program significantly increased (p = .000) the nutrition knowledge of students. Mean scores for the experimental group increased significantly from 10.8 to 14.63 out of twenty-five questions, while mean scores for the control subjects increased only slightly from 10.11 to 10.74 out of twenty-five questions. Healthy food choices were defined as being in compliance with the guidelines for energy nutrients and in compliance with the guidelines for number of servings per food group. Evaluation of healthy food choices was conducted using a three-day dietary record analyzed by the Nutritionist IV computer software program prior to the nutrition education program and immediately following.Findings revealed that there was a statistically significant difference between the experimental and control groups in the mean change in compliance rate for the recommended number of servings for each food group from pre to post nutrition intervention (p = .000). The largest change that was observed in the experimental group from pre to post nutrition intervention was an 11.9% decrease in the mean number of servings for grains. There was no statistically significant difference in relation to the average change in compliance for the energy nutrients between the experimental and control groups nor was a statistical significance observed regarding compliance to the recommended number of servings per food group consumed daily. The primary investigator feels the educational program had a positive affect on the subjects and that a comprehensive nutrition education program needs to be developed to reinforce the concepts taught in order to make positive behavior changes.Fisher Institute for Wellness
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Witt, Kendra Elizabeth Marie. "Evaluation of a nutrition program targeting child care centers." To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2008. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.
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Holt, Rachel Corliss. "PARENTAL PERCEPTIONS OF NUTRITIONAL STATUS OF CHILDREN WITH AUTISM." UKnowledge, 2008. http://uknowledge.uky.edu/gradschool_theses/542.
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Literature shows that nutritional deficiency and feeding behaviors in neurodevelopmentally disabled children is secondary to an underdeveloped gastrointestinal tract. Fifty (50) parents with children with autism responded to a Nutritional Perception Assessment that they believe their children are at adequate nutritional status. They reported confidence in their nutritional knowledge, yet admitted to concern about the nutritional status of their children. The survey revealed that parents are not seeing a registered dietitian for their nutritional advice, leading to the question of soundness in nutritional information received. A marginal correlation was found between belief in adequate nutritional status of children and the use of credible sources for nutritional information, p=0.0429. Data from twenty-five 24-hour recalls was entered into the MyPyramid Food Tracker to determine nutritional status, which was compared to Daily Recommended Intakes (DRIs), showing adequate nutrient consumption.
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Zhuzhina, Polina. "The impact of a Smarter Lunchrooms Makeover on children's food choice and consumption." DigitalCommons@CalPoly, 2016. https://digitalcommons.calpoly.edu/theses/1657.
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Childhood obesity has tripled over the past three decades and poses a serious public health problem. The Smarter Lunchrooms Movement aims to increase healthy eating by incorporating low-cost to no-cost alterations to the school lunchroom in an effort to increase consumption of healthier foods, such as fruits and vegetables, by making them more attractive and convenient.
Our study implemented Smarter Lunchrooms interventions at two primarily Hispanic elementary schools in Paso Robles, CA. The interventions focused on increasing the appeal of the salad bars, including installation of age-appropriate signage highlighting fruits and vegetables, as well as branding of fruits and vegetables with fun age-appropriate characters. Fruits were also placed into decorative bowls to increase their attractiveness. To determine whether these changes had an influence on fruit and vegetable choice and consumption, we tracked student’s choice and intake prior to and following the intervention. Consumption was analyzed using a visual tray waste measurement to determine how much fruit, vegetable, and entrée the students ate during lunch.
Following the intervention, the proportion of children who selected fruits and vegetables increased at one school, but not at the other. Of the children that selected fruits and/or vegetables, the proportion eating the entire fruit or vegetable increased at both schools, while the proportion of students who did not eat any of their vegetables decreased at one school. There were few significant differences by grade level (1-3 and 4-5).
If easy-to-implement strategies such as Smarter Lunchrooms interventions are effective mitigators of obesity risk, larger scale efforts across populations may help stem the ever-increasing impact of obesity. Therefore, future research should identify targeted methods by which to approach younger vs. older children among diverse socio-demographic and geographic groups.
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Patterson, Emma. "Dietary intakes of Swedish children and adolescents." Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-837-2/.
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Badrialaily, Jutatip Sillabutra. "Nutritional status and related factors among elementary school students in Banda Aceh Municipality, Nangroe Aceh Darussalam province, Indonesia /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5037987.pdf.
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Lund, Karolina. "Nutritional quality of children’s diet and associations with parental cooking skills and nutritional awareness." Thesis, Högskolan Kristianstad, Fakulteten för naturvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-17844.
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Background: Child overweight and obesity are increasing public health problems and food habitsamong children are concerning. Healthy family food habits and basic parental nutrition and cooking skills are important for ensuring children receive an adequate diet. Objective: To explore the nutritional quality of 5-10-year-old Swedish children’s diets and associations with parental self-perceived cooking skills, awareness of nutrition guidelines, family cooking practices and demographic variables. Methods: A cross sectional online survey was responded by 72 parents. Nutritional quality was measured using The National Board of Health and Wellness’ Dietary Index. The survey also measured parental self-perceived cooking skills, awareness of nutrition guidelines, family cooking practices and demographic variables. Associations were tested with independent t-tests and Spearman rank correlations. Results: Mean Dietary Index score was 8.11, which indicates an unsatisfactory adherence to Nutrition Guidelines. Children’s food habits in this sample were better than in the national survey Riksmaten barn 2003, but intake levels of fruit, vegetables and fish was still below recommendations. Associations were found between children’s Dietary Index scores and parental cooking skills, nutritional awareness and frequency of child participating in cooking. No associations with demographic variables were found. Conclusions: Children’s diets are not in line with recommendations for 46 % of the participants, but appears to have improved since the latest national survey. Parental cooking skills, nutritional awareness and children participating in cooking more often was associated with better nutritional quality in children.The small sample size, participant heterogeneity and the recruitment method limits the generalizability of the results.
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Rasmussen, Diane. "Nutrition, physical activity and health assessment of school age children in Menomonie, Wisconsin." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007rasmussend.pdf.
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Furtado, Margaret M. "The effect of nutrition education on nutrition knowledge and body composition of Little League cheerleaders." FIU Digital Commons, 1990. http://digitalcommons.fiu.edu/etd/3428.
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The purpose of this study was to determine if a short-term nutrition education program could significantly improve the nutrition knowledge (as assessed by the .Nutrition Achievement Test (NAT)) and body composition (as measured by the weight-for-length index (WLI) and body mass index (BMI)) of female cheerleaders aged 7 to 13. Nutrition lessons were presented to the experimental group during a two month treatment period. Using a pre-test, post-test, control group design, and performing two-sample t tests on mean differences (post-test minus pre-test) in BMI, WLI and mean percent correct on the Nutrition Achievement Test (NAT), it was discovered that the experimental group (teams A,C; N=34) did not differ significantly from the control group (teams B,D; N=31) with respect to mean differences (post-test minus pre-test) in WLI (p=0.10), and BMI (p=0.49). However, the experimental and control groups differed significantly with respect to mean difference percent correct NAT scores (p=0.042), with the experimental group improving more than the control. Closer examination revealed the older experimental team (C) improved significantly (p=0.0017), while the younger experimental team (A), did not (p=0.64). Neither of the control groups improved significantly. ANCOVA was performed on the post-test percent correct on the NAT, using the pretest as a covariate, for the 15 experimental and 14 control subjects taking NAT Test 4. ANCOVA revealed that the experimental group’s adjusted post-test mean score was higher than the control's (p<.01). These results suggest that nutrition education may result in significant improvements in the nutrition knowledge of adolescent females enrolled in an extra-curricular cheerleading league and/or program.
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Rodicheva, Natalia. "Behaviorally oriented nutrition education and children’s healthy eating choices." Thesis, Kansas State University, 2015. http://hdl.handle.net/2097/19148.
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Master of Public HealthHuman Nutrition
Richard R. Rosenkranz
Purpose: Dietary habits are established in childhood and are often maintained into adulthood. Fruit and vegetable consumption contributes to prevention of several chronic diseases, but many children do not meet dietary guidelines for fruit and vegetable intake. In this study, two versions of a theoretically informed, behaviorally oriented nutrition education program were evaluated. Methods: This study used a quasi-experimental design, conducted at a summer camp in northwestern Russia. Data were collected on boys and girls (n=40), aged 8-12y (mean=10.4; SD= 1.0) with mean BMI percentile of 56.7 (SD=26.7), assigned to receive 15 sessions of enhanced nutrition education with skill-training (intervention) or classic nutrition education (comparison); both nutrition education programs were based on Social Cognitive Theory. For the intervention condition, an additional skill-training component included healthy snack preparation activities and games. Data were obtained through previously published questionnaire items and from a menu for snack selection. Independent and paired t-tests were performed to assess differences between groups and across time, respectively. Alpha was set at p < 0.05. Results: Both groups showed statistically significant differences from baseline to post-intervention in nutrition knowledge (p<0.001), healthy eating attitudes towards fruit and vegetable consumption (p=0.001), and healthy eating behavior (snack selection) (p<0.001). No statistically significant differences between time points were found, however, for children’s self-efficacy to eat fruits (p=0.822) or vegetables (p=0.118). There were no differences between intervention and comparison groups for change in nutrition knowledge (p>0.05), attitudes, self-efficacy, or behavior (snack selection). Conclusion: In this study nutrition education, with or without skill training, was associated with improved knowledge, attitudes, and behavior in a Russian camp setting. Therefore, future research should examine the long-term sustainability within different school-aged children’s environments.
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Norman, Lisa Jane. "Nutrition and growth in children with chronic renal insufficiency." Thesis, University of Nottingham, 2002. http://eprints.nottingham.ac.uk/14596/.
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Practical joint dietetic/medical guidelines are required for children with differing levels of severity of chronic renal insufficiency (CRI). This thesis describes the current dietetic/medical package of care provided within a specialised paediatric renal unit, and provides an insight into considerations for future clinical guidelines. Children were grouped at baseline following [51Cr]-labelled EDTA glomerular filtration rate (GFR, m1/min/1.73m2) estimations, into 'normal' kidney function [GFR > 75, mean 106 (SD 19.5), n=58], providing baseline data only, mild (GFR 51-75, n=27), moderate (GFR 25-50, n=21) and severe (GFR < 25, n=19) CRI. Those with CRI were followed for two years and 51 children completed the study (19 mild, 19 moderate, 13 severe CRI). Baseline and 6 monthly measurements of anthropometry, blood pressure, laboratory investigations and yearly dietary intakes (3-day semi-quantitative diaries) were obtained. EDTA GFR's were compared to estimations of GFR using serum cystatin C and plasma creatinine/height concentrations. Amongst the findings, mean standard deviation scores (SDS) for all anthropometric markers deteriorated with worsening renal function at baseline, from mean SDS for weight, height, body mass index and mid upper arm circumference in 'normal' children of O.28 (SD 1.0), 0.19 (SD 1.0),0.21 (SD 1.1) and 0.39 (SD 1.0) respectively, to values of -1.32 (SD 1.0), -1.55 (SD 1.1), -0.44 (SD 1.1) and -0.58 (SD 0.9) in severe CRI. Over two years, mean height SDS significantly increased in children with severe CRI (p=0.003) and was maintained in mild and moderate CRI, despite deterioration in renal function. Correlation between changes in energy intake and height SDS was observed in severe CRI (r2=0.5, p=0.001). From individual observations and correlation, higher phosphate and sodium intakes appeared to be associated with greater deterioration in estimated GFR in children with mild CRI. An inverse correlation between calcium intake and plasma parathyroid hormone was observed in severe CRI (r2=0.27, p=0.065). Disturbances in nutritional intakes, bone biochemistry and growth occurred early in the course of CRI and deterioration in renal function, as determined by estimated GPR, was greatest in those with mild CRI. Regular joint dietetic/medical intervention is likely to be beneficial in children with mild and moderate CRI, in addition to those with more severe CRI, to both correct initial disturbances and reduce the chances of progression.
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Chikhungu, Lana. "Modelling under-nutrition in under-five children in Malawi." Thesis, University of Southampton, 2013. https://eprints.soton.ac.uk/354348/.
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Despite numerous Government efforts to tackle the problem of child under-nutrition in Malawi, the levels of child under-nutrition remain high with stunting estimated at 47% and underweight at 12.7% . This thesis investigates whether the levels and patterns of stunting and underweight in Malawi have changed between the years 2000 and 2010 and if so how. It studies how feeding patterns and child immunisation affects child’s nutritional status in Malawi and analyses the different pathways through which household and community level socio-economic factors affect a child’s nutritional status in Malawi. The Malawi Demographic and Health Survey (MDHS) data sets of 2000, 2004 and 2010 are used in the study of levels and patterns of child under-nutrition in Malawi whilst the 2004 MDHS is used to investigate how feeding patterns and child immunisation affect a child’s nutritionals status in Malawi. The 2004 Malawi Integrated Household Survey data is merged with the 2004 Community level to analyse the pathways through which household and community level socio-economic factors affect child nutritional status in Malawi. Results of this study show that children from communities that have a daily market are less likely to be stunted compared to children from communities without a daily market. Children from communities that trace their descendants through their father have a lower likelihood of stunting compared to children from communities that trace their descendants through the mother due to being of relatively higher economic status. The levels of stunting and underweight have gone down significantly from 54.1% and 21.4% respectively in the year 2000 to 47.1% and 12.7% respectively in 2010. However, the percentage of children that are stunted but not affected with other under-nutrition problems has hardly changed, estimated at 37.2% in 2000 and 36.2% in 2010. Although generally female children are less likely to be stunted and less likely to be underweight, female children are more likely to be underweight as they get older. Contrary to what one would expect, children are more likely to be stunted during harvest time compared to the hunger season. Most of the children are fed food from the local grain, whilst in fact children aged between 7 to 36 months who consume food from animal sources are less likely to be undernourished. Children whose mothers are in possession of a child health card1 are less likely to be underweight. The Malawi Government should therefore intensify its efforts of encouraging mothers to attend under-five clinics, feed children that are undergoing weaning food from animal sources and should invest more in programmes that boost socio-economic status such as education and entrepreneurship skills.
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Davidson, Joanna K. "Nutrition and Bone Density in Children with Cystic Fibrosis." DigitalCommons@USU, 2004. https://digitalcommons.usu.edu/etd/5521.
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The purpose of these studies was to further research on bone density in children with cystic fibrosis, particularly as it pertains to nutritional parameters and care. The first paper presented a comparison of a group of 50 children with cystic fibrosis to a group of 32 control children. There were no significant differences between the groups in any of the pertinent bone density measurements. Serum 25(0H) vitamin D was positively correlated with spine density z score in the cystic fibrosis group.
The second paper, incorporating all of the information obtained from the first paper, describes an intervention study with the implementation of a fortified milk to determine the effects of additional calcium and vitamin D on bone density in the cystic fibrosis group. A follow-up bone scan was done. The fortified milk did not significantly improve bone density, but the fortified milk group did have significantly higher lung function scores on follow-up.
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Wasserfall, Estelle. "Growth patterns and nutrition-related problems of infants under one year attending Red Cross Children's Hospital's antiretroviral clinic and the knowledge, attitudes, beliefs and practices of their caregivers, concerning infant feeding." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17969.
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Thesis (MNutr)--Stellenbosch University, 2011.ENGLISH ABSTRACT: Introduction A paucity of data exists regarding growth patterns and nutrition-related problems in infants (<12 months) on antiretroviral treatment (ART) and the infant feeding knowledge, beliefs, attitude and practices of their caregivers. Aim To describe the growth and nutrition-related problems of infants (<12 months) attending the Antiretroviral (ARV) clinic at Red Cross Children’s Hospital, as well as the knowledge, attitudes, beliefs and practices of their caregivers concerning infant feeding. Methods A cross-sectional, descriptive study was conducted with census sampling. Thirty infants and 31 caregivers were included in the sample. Anthropometric measurements were performed and interviewer-administered questionnaires were utilised to obtain the knowledge, attitude, beliefs and practices of the caregivers. The mean Z-score of each measurement as well as the weight-for-age, length-for-age, weight-forlength and bodymass index-for-age for each infant were determined, analysed, interpreted and described according to the World Health Organisation (WHO) growth standards for children. Results Thirty-nine percent (n=11) of the mothers (n=28) did not receive infant feeding counselling prior to delivery, while only 9 (32%) received the minimum number of at least 4 sessions, as prescribed by the Department of Health. It was not assessed whether the counselling occurred before delivery. The mean age of the infants was 6.9 (SD 3.3) months. Eighty-three percent (n=25) had an opportunistic infection prior to data collection. Twenty-three percent (n=7) were underweight-forage and 40% (n=12) of the infants were stunted. Vomiting and diarrhoea were the most common nutrition-related problems experienced. A statistical significant positive correlation (p=0.003) was found between an infant’s duration on ART and W/A z-score. Only two caregivers were breastfeeding at the time of data collection, but 34% (n=10) of the other caregivers had at some stage breastfed their infant. Formula feeding practices were poor. Sixty-two percent (n=18) were not preparing the feeds correctly and only six (21%) were correctly cleaning and sterilising the bottles. Thirty-nine percent (n=11) of the infants were not receiving an adequate amount of milk per day. Sixty-five percent (n=11) of the infants (>six months) did not receive a diet the previous day which met the minimum WHO dietary diversity indicator and only 18% (n=3) received a minimum acceptable diet. Caregivers had an average knowledge concerning infant feeding. Thirteen percent (n=4) knew the correct definition of exclusive breast- or formula feeding. Sixty-eight percent (n=21) did not know what mixed feeding meant, or the dangers associated with it. Most caregivers (n=25, 81%) knew that oral rehydration solution had to be given when infants developed diarrhoea, but only 48% (n=15) knew how to prepare it and only 6% (n=2) knew how to administer it. Seventy-five percent (n=9) of caregivers did not know what should be done when experiencing breast problems. Sixty-four percent (n=19) of the caregivers believed that if a HIV-positive woman breastfeeds she would definitely transmit HIV to her infant. Conclusion The infant sample showed a variety of erratic growth patterns with a high prevalence of underweight and stunting. Infant feeding knowledge of caregivers was average, but not deemed sufficient to translate into appropriate, safe and optimal infant feeding practices. The breastfeeding prevalence was low. Formula preparation, feeding and hygiene practices were poor and dietary intake of infants was not optimal. The quality and quantity of HIV infant feeding counselling sessions received at antenatal clinic visits were poor and need to be addressed.
AFRIKAANSE OPSOMMING: Inleiding Daar is 'n tekort aan data oor groeipatrone en voedingsverwante probleme by babas (<12 maande) op antiretrovirale behandeling asook die babavoedingkennis, -oortuigings, -houdings en -praktyke van hul versorgers. Doelwit Om ondersoek in te stel na die groei- en voedingsverwante probleme by babas (<12 maande) in die antiretrovirale kliniek by Rooikruis-kinderhospitaal, sowel as die babavoedingkennis, - oortuigings, -houdings en -praktyke van hul versorgers. Metodes 'n Beskrywende dwarssnitstudie is met sensussteekproefneming onderneem. Dertig babas en 31 versorgers is by die steekproef ingesluit. Antropometriese metings was gedoen en onderhoude was met behulp van vraelyste gevoer ten einde inligting oor die versorgers se kennis, houdings, oortuigings en praktyke te bekom. Elke baba se gemiddelde z-telling per meting sowel as die gewig-vir-ouderdom, lengte-vir-ouderdom en liggaamsmassa-indeks-vir-ouderdom was volgens die Wêreldgesondheidsorganisasie (WGO) se groeistandaarde vir kindersbepaal, ontleed, vertolk en beskryf. Resultate Altesaam 39% (n=11) van die moeders (n=28) het nie voor die bevalling voorligting oor babavoeding ontvang nie, terwyl slegs 9 (32%) die Departement van Gesondheid se voorgeskrewe minimum 4 sessies, deurloop het. Dit was nie bepaal of hierdie sessies voor die bevalling ontvang was nie. Die gemiddelde ouderdom van die babas was 6,9 (standaardafwyking 3,3) maande. 'n Totaal van 83% (n=25) het voor data-insameling 'n opportunistiese infeksie gehad, 23% (n=7) was ondergewig-vir-ouderdom, en 40% (n=12) van die babas se lengtegroei was ingekort. Die algemeenste voedingsverwante probleme was braking en diarree. Daar blyk 'n statisties beduidende positiewe korrelasie (p=0.003) te wees tussen die duur van die baba se antiretrovirale behandeling en sy/haar gewig-vir-ouderdom-z-telling. Slegs twee versorgers het hul babas ten tyde van die studie geborsvoed, hoewel 34% (n=10) van die versorgers in 'n stadium geborsvoed het. Voedingspraktyke met die gee van melkformule was swak. Altesaam 62% (n=18) het die melkformule verkeerd aangemaak en slegs ses (21%) het die bottels behoorlik skoongemaak en gesteriliseer. Nege-en-dertig persent (n=11) van die babas het te min melk per dag ontvang. Vyf-en-sestig persent (n=11) van die babas (>6 maande) se melkinname die vorige dag het nie aan die minimum WGO aanbevole dieetdiversiteitsaanwyser voldoen nie, en slegs 18% (n=3) het 'n minimum aanvaarbare dieet gevolg. Versorgers se kennis ten opsigte van babavoeding was gemiddeld, met net 13% (n=4) wat die korrekte omskrywing van eksklusiewe bors- of formulevoeding geken het. 'n Totaal van 68% (n=21) het nie geweet wat gemengde voeding beteken of watter gevare dit inhou nie. Die meeste versorgers (n=25, 81%) het geweet dat orale rehidrasie oplossing toegedien moet word wanneer babas aan diarree ly, maar slegs 48% (n=15) het geweet hoe om dit aan te maak en 'n skrale 6% (n=2) hoe om dit toe te dien. Vyf-en-sewentig persent (n=9) van die versorgers het nie geweet wat om te doen as hulle probleme met hul borste ervaar nie. Altesaam 64% (n=19) van die versorgers het geglo dat 'n MIV-positiewe vrou definitief haar baba MIV sal gee indien sy hom/haar sou borsvoed. Samevatting Die steekproef babas het 'n verskeidenheid onreëlmatige groeipatrone getoon en baie was ondergewig of het ook dwerggroei getoon. Versorgers se kennis van babavoeding was gemiddeld, maar nie voldoende om tot toepaslike, veilige en optimale babavoedingspraktyke aanleiding te gee nie. Die voorkoms van borsvoeding was laag. Melkformulevoorbereiding, - voeding en -higiëne was swak, en babas se voedinginname was nie ideaal nie. Die gehalte van en hoeveelheid voorligting oor MIV-babavoeding met besoeke aan voorgeboorteklinieke was swak en moet aangespreek word.
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Russell, Caitlin. "The Effectiveness of a Short Food Frequency Questionnaire in Determining the Adequacy of Vitamin D Intake in Children." Digital Archive @ GSU, 2010. http://digitalarchive.gsu.edu/nutrition_theses/18.
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Background: Studies have consistently found a high prevalence of vitamin D deficiency in adolescents. Few validated dietary intake assessment tools for vitamin D exist for adolescents.
Objective: The aim of this study was to determine if a short food frequency questionnaire (SFFQ) can be used to effectively assess vitamin D intake in adolescents compared to a previously validated long food frequency questionnaire (LFFQ).
Participants/setting: 140 healthy 6-12 year old (male n=81) Caucasian and African American (n=94) children from Pittsburgh, Pennsylvania completed a SFFQ and LFFQ at two time points 6 months apart.
Main outcome measures: Reliability and validity of a SFFQ by comparison with a previously validated LFFQ for children and adolescents.
Statistical analysis: Reliability, validity, sensitivity, specificity, positive, and negative predictive values were assessed using Pearson correlation coefficients.
Results: Mean vitamin D intake from the SFFQ (range, 434 to 485 IU) was higher than the LFFQ (range, 320 to 378 IU). Overall association between the SFFQ and the LFFQ for vitamin D intake was modest (r=0.36, P<0.001). When stratified by race, the overall degree of association was weak for African Americans (r=0.26, P=0.001) and moderate for Caucasians (r=0.57, P<0.001). Overall reliability testing results were modest and significant for the LFFQ (r=0.28, P=0.002) and SFFQ (r=0.33, P<0.001). Association between mean vitamin D intake from LFFQs and SFFQs was used to determine validity. The association for validity was found to be modest (r=0.51, P<0.001). Sensitivity, specificity, positive predictive value, and negative predictive value for the SFFQ were 90%, 64%, 0.78, and 0.58, respectively.
Conclusion: The SFFQ was found to be modestly valid and reliable in an early adolescent population. Associations between African Americans were not as strong as Caucasians which may be due to errors in reporting dietary consumption related to higher body weight.
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Folta, Sara C. "Using school public address (PA) systems to deliver nutrition messages to children /." Thesis, Connect to Dissertations & Theses @ Tufts University, 2005.
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Thesis (Ph.D.)--Tufts University, 2005.Adviser: Jeanne P. Goldberg. Submitted to the School of Nutrition Science and Policy. Includes bibliographical references. Access restricted to members of the Tufts University community. Also available via the World Wide Web;
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Khanum, Parveen A. Gray Alan Noel. "Nutritional status of children in Khulna and Sylhet divisions in Bangladesh : a comparative analysis from the Bangladesh demographic and health survey 1996-97 /." Abstract, 1999. http://mulinet3.li.mahidol.ac.th/thesis/2542/42E-ParveenA.pdf.
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Kirsten, Anna Petronella. "The influence of socio-demographic factors on the nutritional intake of overweight and obese children in the Stellenbosch area, Western Cape." Thesis, Stellenbosch : Stellenbosch University, 2011. http://hdl.handle.net/10019.1/17955.
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Thesis (MNutr)--Stellenbosch University, 2011.ENGLISH ABSTRACT: Introduction: The worldwide increase in the prevalence of childhood overweight and obesity has been identified as a major threat to children’s health and South Africa has not been spared. A child’s food environment is constrained and shaped by their parents/carers who provide food based on own food preferences and food selections, which in turn are determined by the larger cultural, social and economic context. Risk factors for childhood obesity are not well established. Existing prevention strategies, focusing on late childhood and adolescence, are largely unsuccessful. There is however an increasing body of evidence that the early life environment is an important determinant of risk of obesity in later life. Aim: To determine prevalence and socio-demographic risk factors associated with childhood overweight and obesity in the Stellenbosch area, Western Cape Province. Methods: Cross-sectional, comparison study. A representative group of 638 children (aged 6- 13 years) attending three randomly selected Stellenbosch primary schools were weighed and measured to calculate body mass index (BMI) using international obesity task force (IOTF) guidelines in the screening phase of the project to determine the prevalence of overweight and obesity. The comparison study phase identified 84 overweight and obese children and 84 children of normal weight (comparison group) to comprise a sample population of 168 children. Socio-demographic data were determined with a structured questionnaire and compared between the overweight/obese group and comparison group (normal weight) to identify associated risk factors and investigate the Ho. Results: The prevalence of overweight and obesity in the sample of primary school children was 13% (n=84) as determined by BMI, of which 9% (n=57) were classified as overweight and 4% (n=27) as obese. Socio-economic factors including maternal employment hours (p=0.0462), family characteristics e.g. number of children in the household (p=0.0231), eating behaviour like consuming brown rice (p=0.0371), pork (p=0.0143), canola/olive-based margarine (p=0.0398) or poly-unsaturated margarine (p=0.0481), doughnuts (p=0.0280) and time spent doing sport (p=0.0450) were significantly associated with overweight or obesity. Ho were thus rejected. Conclusion: The results suggest that maternal working hours, the number of children in the household, poor eating habits and time spent doing sport are important predictor variables for childhood overweight and obesity. Socio-economic status, infant feeding practices and family characteristics like marital circumstances, household number, and mother’s age did not appear to play a role in the development of childhood overweight and obesity in this population. In light of this evidence, preventative initiatives should pro-actively promote healthy eating behaviour and physical activity to children at an early age, in particular girls. Involving families and schools in these initiatives is recommended as well as a national childhood obesity monitoring system to identify children at risk and tracking trends of childhood obesity in guiding evidence-based interventions to tackle this major health problem.
AFRIKAANSE OPSOMMING: Inleiding: Die wêreldwye toename in die prevalensie van kinder-oorgewig en vetsugtigheid is geïdentifiseer as 'n groot bedreiging vir kinders se gesondheid en Suid-Afrika word nie gespaar nie. 'n Kind se voedingsomgewing is beperk en word gevorm deur ouers of versorgers wat voedsel voorsien gebaseer op hul eie kos voorkeure en voedsel keuses, wat op sy beurt deur die groter kulturele, sosiale en ekonomiese konteks bepaal word. Risiko faktore vir kinder-vetsugtigheid is nie goed gevestig nie. Bestaande voorkoming strategieë, wat fokus op die laat kinderjare en vroeë adolessensie, is grootliks onsuksesvol. Daar is egter voortdurende toename in bewyse dat die vroeë lewensomgewing ‘n belangrike bepalende risiko faktor is vir vetsugtigheid in latere lewe. Doelstellings: Bepaling van prevalensie en sosio-demografiese risiko faktore wat geassosieer word met kinder-oorgewig en vetsugtigheid in die Stellenbosch area, Wes-Kaap Provinsie. Metodes: Deursnit, vergelykende studie. ‘n Verteenwoordigende groep van 638 kinders (ouderdom 6-13 jaar) skoolgaande by drie ewekansig geselekteerde Stellenbosch primêre skole was geweeg en gemeet om Liggaamsmassa Indeks (LMI), volgens die internasionale obesiteit werkgroep (IOTF) riglyne te bereken in die siftingsfase van die projek ter bepaling van prevalensie van oorgewig en vetsugtigheid. Die vergelykende fase het 84 oorgewig en vetsugtige kinders geidentifiseer en 84 kinders met normale gewig (vergelykende groep) ter samestelling van ‘n steekproef populasie van 168 kinders. Sosio-demografiese data was verkry deur ‘n gestruktureerde vraelys en vergelykings was getref tussen oorgewig/vetsugtige groep en vergelykende groep (normale gewig) ter identifisering van geassosieerde risiko faktore en ondersoek van die Ho. Resultate: Prevalensie van oorgewig en vetsugtigheid in die steekproef van primêre skool kinders was 13%(n=84) waarvan 9%(n=57) geklassifiseer was as oorgewig en 4%(n=27) as vetsugtig. Sosio-ekonomiese faktore soos moeders se werksure (p=0.0462), familie kenmerke soos aantal kinders in ‘n huishouding (p=0.0231), eetgedrag nl. bruin rys (p=0.0371), varkvleis (p=0.0143), canola/olyf-gebaseerde margarien (p=0.0398) of polionversadigde margarien (p=0.0481), oliebolle (p=0.0280) en tyd gespandeer aan sport (p=0.0450) was beduidend geassosieer met oorgewig en obesiteit. Ho was dus verwerp. Gevolgtrekking: Die resultate dui daarop dat moeders se werksure, aantal kinders in ‘n huishouding, swak eetgewoontes en tyd gespandeer aan sport, belangrike voorspellers vir kinder-oorgewig en vetsugtigheid is. Sosio-ekonomiese status, baba-voedingspraktyke en familie kenmerke soos huwelikstatus, huishoudelike getal en moeders se ouderdom blyk nie ‘n rol te speel in die ontwikkeling van kinder-oorgewig en obesiteit in hierdie populasie nie. Na aanleiding van hierdie bevindinge moet voorkoming inisiatiewe pro-aktief gesonde eetgewoontes en fisiese aktiwiteit in kinders aanmoedig reeds op 'n vroeë ouderdom, veral in meisies. Die betrekking van gesinne en skole in hierdie inisiatiewe word aanbeveel asook 'n nasionale kinder vetsugtigheids-moniteringstelsel om risiko kinders te identifiseer en die tendense van kinder-vetsugtigheid te volg in die begeleiding van navorsings-gebaseerde intervensies om hierdie belangrike gesondheidsprobleem aan te spreek.
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Despetorich, Dayna Renee. "NUTRIENT INTAKES IN CHILDREN WITH PERVASIVE DEVELOPMENTAL DISORDERS COMPARED A NATIONALLY REPRESENTATIVE SAMPLE OF UNITED STATES’ CHILDREN." The Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=osu1243882450.
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Moss, Ashley Ann. "Farm-to-School and Nutrition Education: Positively Affecting Elementary School-Aged Children's Nutrition Knowledge and Consumption Behavior." OpenSIUC, 2012. https://opensiuc.lib.siu.edu/theses/889.
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Good nutrition is crucial. School-aged children battle social issues such as poor nutrition, childhood obesity, and minimal nutrition knowledge. This study was a quasi-experimental design analyzing the effects of CATCH curriculum with a Farm-to-School program to assess nutrition knowledge of third grade students, and to increase fruit and vegetable consumption behavior. Third grade boys and girls (n=65) participated in this study. The intervention consisted of two nutrition education classes and a farm tour. Data were collected at baseline and post intervention. Surveys assessed nutrition knowledge and fruit and vegetable consumption behavior. Data were analyzed with independent sample t-tests. Significant differences were found concerning knowledge of fiber and farm exposure (p<0.001). Knowledge of vitamins and minerals and reported vegetable consumption behavior at home and school were also significant (p<0.05). These findings suggest that CATCH nutrition education and farm tours can positively affect school-aged children's nutrition knowledge and consumption behavior.
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Whittaker, Stuart. "A nutritional and socio-economic study of Philippi farm children and their mothers during November 1986." Master's thesis, University of Cape Town, 1987. http://hdl.handle.net/11427/27220.
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A community based survey to determine the nutritional status using anthropometric methods, of children and mothers and to assess certain socio-economic factors was carried out during November and December 1986 in Philippi, a predominantly vegetable farming area. Twenty-one (43%) of the 49 vegetable farms which were included in the study were selected by stratified random sampling. All children in the 0-6 year age group and their parents on the selected farms were included in the sample which consisted of 129 children and 212 parents. Questionnaires were administered and subjects' weights and heights were measured. It was found that 47% of children were below the National Centre for Health Statistics 5th percentile weight for age and 58% were under the 5th percentile height for age. There were 47 child deaths out of 279 births over a six-year period, thirty-four of which had occurred in the first year of life. Twenty eight percent of children had a birth weight of less than 2.5 kg. The number of cases of tuberculosis (10%) and severe diarrhoea (31%) contracted within the first year of life is unacceptably high. Twenty four percent of mothers were malnourished in terms of body mass index and fifty five percent of mothers were illiterate. Fifty nine percent of mothers were regular farm workers who worked for an average of 10.2 hours per day and a wage of R0.44 per hour. Grossly inadequate facilities existed for the care of children while the mothers worked. The average amount spent on food was insufficient to maintain normal nutrition. Although 91.5% of mothers breast fed their children and fed for a mean duration of 13.4 months, breast feeding was not exclusive. Supplementary feeding was introduced on average at 3 months of age. The long working hours of working mothers made it difficult for them to breast feed their children satisfactorily. Acceptance of the family planning services was high and immunisation cover was good. These statistics reflect the effects of extreme poverty and neglect of a community which is totally reliant on its employers for its livelihood. The parents poor educational level, coupled with their meagre financial and other physical resources gives them and their children little opportunity to improve their station in life and leaves them open to the scrounge of malnutrition and disease. Similarly, the dearth of educational and other child care facilities will ensure that this disastrous trend continues. A multidisciplinary approach, including active community involvement of both farmers and workers, to the many physical and social problems is urgently needed if the unacceptable human suffering is to be stopped.
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Zidron, Amy M. "The Impact of Orphanhood on Luo Children." Ohio University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1220921226.
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Longbottom, Patricia Janet. "Eating habits of children aged 5 1/2 to 8 1/2 : is there evidence of i) tracking from pre-school years? and ii) a separate 'children's diet'?" Thesis, University of Dundee, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.364573.
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Monárrez-Espino, Joel. "Health and nutrition in the Tarahumara of Northern Mexico : studies among women and children /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3987.
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Huda, Syed Nazmul. "Iodine nutrition, cognition and school achievement of Bangladeshi school children." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.286539.
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Jorgenson, Christa. "Evaluating Nutrition Recommendations from Social Media for Children with ADHD." Thesis, California State University, Long Beach, 2018. http://pqdtopen.proquest.com/#viewpdf?dispub=10784466.
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The purpose of this directed project was to create an infographic which compared nutrition recommendations made on social media to evidence-based research found in peer reviewed research. The target audience of this infographic was parents of children ages 4-17 who have been diagnosed with Attention-Deficit/Hyperactivity Disorder. The goals of this project were to conduct a literature review on the association between Attention-Deficit/Hyperactivity Disorder and nutrition and an additional literature review of common diet recommendations found on social media. The results of these literature reviewed were synthesized into an easy-toread and visually appealing infographic intended to be shared on social media websites.
Established ADHD specific nutrition recommendations are limited. As a result, a large percentage of parents of children with ADHD look on the internet to find dietary advice. Often times, the claims found on blog posts and articles found on websites are not cited and are not evidence-based. In the six topics researched and included on the infographic, five were determined to be false. Survey results indicate that both parents and nutrition professionals were satisfied with the infographic as a whole.
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Lopez, Martha Gloria. "Quarterly nutrition curriculum for California women, infants, and children participants." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2922.
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There is a lack of public awareness in regards to nutrition education because of the limited amount of visits made to the WIC office by these participants. Take home material was designed to reinforce the curriculum taught in the WIC classroom. Learning the skills provided, these WIC families will discover new ways to promote family togetherness and opportunities to discuss and implement healthy eating and living habits.
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D'Aria, Matthew Joseph. "Nutrition Composition of Snacks Offered to Young Recreational Soccer Players." Thesis, Virginia Tech, 2015. http://hdl.handle.net/10919/77534.
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Snacking behavior has changed dramatically over the past few decades, with snacking frequency reaching upwards of three times per day and comprising 27% of daily calorie intake. Research has shown that the largest food groupings from snacks are grain-based desserts, sweetened beverages, and salty snacks. Previous studies have also shown that children are influenced by their peers. Youth sports are a very popular venue for children and opportunity for physical activity, with soccer becoming one of the most popular sports among young children in the US. Youth sports, especially soccer, can be a powerful tool for promoting physical activity and healthy eating for overall health and obesity prevention. The goal of this study was to examine the nutrition composition of snacks and beverages offered to young children within a soccer league. The study utilized a cross-sectional observational study of snack foods and beverages offered to children participating in a voluntary youth soccer league in southwest Virginia. Snacks offered to children in the under-five (U5) and under-six (U6) years of age categories were observed during weekly matches using an observational checklist reflecting commonly consumed snack foods and beverages. The checklist included brand name, size of food item/beverage, and number of children (by gender) for each team observed. Undergraduate and graduate nutrition students were trained as observers to assess snacks that were offered, specifically visual item identification and portion size estimation. Food items were then classified into different food and beverage categories, including: sugar-sweetened beverages (SSBs) and 100% fruit juices; water; dairy (beverage); fruits; savory (salty) snacks; grain-based desserts; candy and dairy (food). Nutrition information was gathered for each food item and beverage and entered into a database: calories, carbohydrates, protein, fat, saturated fat, sodium, sugar, fiber, vitamin C, iron and calcium. Descriptive statistics were then computed for all nutrients by all snacks combined and by snack category across all observations. Snacks were also compared to the Smart Snacks in Schools nutrition standards. Across all teams there were a total of 687 items offered to the children: 253 beverages and 434 foods. They offered a mean of 205 calories per child. The most popular beverages were SSBs. The most popular snacks were grain-based desserts (136, 31.3% of all snack foods), followed by fruit (124, 28.5%) and savory snacks (117, 26.9%). No vegetables were served during the observations. Snacks within the savory snack item category provided the most calories per child at 63, followed by grain-based desserts, 58. When offered and served with beverages, snacks offered with fruit had a more favorable nutrition profile with lower mean kilocalories, lower sodium, and lower sugars than snacks without fruit. They were also more likely to meet the Smart Snacks in School nutrition standards: 65.4% compared to 25.6%. Only 44.4% of all snack foods and beverages taken by youth players met the smart snacks standards. Categorically, 67.6% of all grain-based deserts, 100% of all candy and 100% of all dairy beverages taken by youth players did not meet the smart snacks standards. Further research is warranted to identify motivating factors for providing unhealthy snacks and beverages to youth during sporting events. There are several limitations, including generalizability of this sample, however the study provides novel insight into snacks offered to young children during recreational soccer and can help inform future strategies and interventions to promote healthier snacks.Master of Science
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Kubisová, Petra. "Příprava přírodních doplňků stravy pro dětskou výživu." Master's thesis, Vysoké učení technické v Brně. Fakulta chemická, 2021. http://www.nusl.cz/ntk/nusl-449743.
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The presented diploma thesis is focused on complex characterization of chosen superfoods and subsequent composition of supplement suitable for children´s nutrition. Different kinds of superfoods were chosen for analyses, such as: barley grass (Hordeum vulgare), wheat grass (Triticum aestivum), moringa (Moringa oleifera), matcha tea (Camellia sinensis), microalgae chlorella (Chlorella pyrenoidosa), spirulina (Arthrospira platensis), flax seeds (Linum usitatissimum) and sesame seeds (Sesamum indicum). The theoretical part is focused on children´s nutrition issue and the most common food allergies and intolerances. Also, children food products legislation and characterization of chosen samples are included in theoretical part. Main macronutrients, such as saccharides, lipids and proteins, were analysed in the very beginning of experimental part. Fibre, fructan and -glucan, which have a high impact on intestinal microbiome and whole process of digestion, were analysed as well. However, barley grass was the best evaluated sample by containing 205,5 mg/g of insoluble fibre; 152,57 mg/g of fructans and 18,76 mg/g of -glucans. Finally, for complex nutritional profile, also samples pigments were analysed. Spectrophotometry, HPLC chromatography, gas chromatography and other analytical techniques were performed for experiments.
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Nakano, Tomoko. "Dietary intake and anthropometry of DeneMétis and Yukon children." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=80340.
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Anthropometcic measurements and 24h-recall interviews were conducted on Dene/Metis and Yukon children, and food choice questionnaire interviews were conducted on the mothers of the children. On average, 32% of the children were above the 85th percentile of BMI-for-age in the 2000 CDC Growth Charts. The dietary nutrient intakes were compared to the DRI values. Vitamin A, calcium, phosphorus, vitamin D, vitamin E, dietary fiber, omega-6 fatty acids, omega-3 fatty acids, and magnesium intakes were low. Excessive nutrient intake was not observed. Imbalance of energy intake from carbohydrate and fat and excessive energy intake from total sugar and saturated fat were observed. Market foods were a major part of the diet. Traditional food contributed 4.6% of total energy intake. Frequently mentioned factors as having an influence on food selection were cost, health, children's preference and acceptability, traditional food and market food availability, and women's preference.
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Heilmann, Sarah. "Life-chances of children in Indonesia : the links between parental resources and children's outcomes in the areas of nutrition, cognition and health." Thesis, London School of Economics and Political Science (University of London), 2013. http://etheses.lse.ac.uk/954/.
Full textAbstract:
The majority of children in the developing world are suffering from hardship and poverty, and are not able to reach their full potential. This thesis focuses on the relationship between parental resources and children’s outcomes in the areas of nutrition, cognition and physical health in Indonesia. The life-stages early childhood to young adulthood are crucial for human capital formation. Nutrition, cognition and physical health are key human capitals that are important both as a means to achieve wellbeing and as an end in their own right. They have been identified as some of the main routes for changes in well-being over the life-course and as significant pathways for breaking intergenerational poverty cycles. Disadvantages in these domains are especially salient in developing countries. Yet, evidence is still limited due to lack of appropriate data. Here, data from the Indonesian Family Life Survey (IFLS) is used, a rich panel data set consisting of four waves of data spanning a period of 14 years. I study a cohort of children who are less than three years old in the first wave of the IFLS and for whom relevant outcomes can be observed. While the availability of longitudinal data from IFLS is very important, the setup and design of the data presented an enormous challenge: unlike with longitudinal datasets from developed countries, such as the British Household Panel Survey (BHPS) or the cohort studies, the IFLS data is presented more or less in raw form. In order to facilitate a critical and careful approach to working with this kind of complicated raw data, I completed two self-organized research stays with the IFLS team in which I witnessed the data collection and interviewed IFLS team members. This helped me to understand the questionnaire and measures better and to identify the strongest parts of the IFLS: the self-collected measures for children – namely the physical health measures height and lung capacity (collected by specially trained nurses) as well as a cognitive measure – the Raven’s coloured progressive matrices. These are unique features for a general household survey in a developing country context and constitute important child outcomes. As a starting point from which to ask more specific research questions concerning the three types of children's outcomes, I synthesized research from relevant domains such as neuroscience, social science, childhood studies and economics. Chapter 1, 2 and 3 constitute the setup of the research by detailing the motivation and background for the research, the conceptual frameworks, literature reviews, data and methodology as well as the research questions. Chapter 4, 5 and 6 are the empirical chapters investigating the aforementioned child outcomes in detail. Chapter 4 entitled: “Children’s nutritional status in early life and dynamics into adolescence” investigates firstly, to what extent parental resources are associated with children experiencing stunting in early childhood and in adolescence. Results for parental resources for stunting in early childhood reveal protective factors which include mother’s height and direct measures of living standards. For stunting in adolescence the importance of parental resources as protective factors increases (mother’s height is stronger related and father’s height is now significant as is household consumption as a measure of financial resources). The association with direct living standards decreases. Secondly, I investigate if there are stunting dynamics – that is, movement in and out of stunting between early childhood and adolescence. For dynamics of stunting I use transition matrices to show that entries and exits from stunting occur over children’s entire life-course (not just in early childhood). Movements into stunted growth decrease the older children get but are still around 6% between middle childhood (7-10 years old) and adolescence (14-17 years old). Movements out of stunted growth occur over the whole life-course of children with the highest exit rates of around 19% between ages 7-10 years and 14-17 years. My results support Adair’s study for the Philippines (1999) and Schott and Crookston’s recent research for Peru (2013). In Chapter 5, I investigate children’s cognitive outcomes – i.e. Raven’s coloured progressive matrices and math scores. Firstly, I examine to what extent children’s growth status in early childhood and change in growth is associated with cognitive test results in adolescence. Secondly, to what extent parental resources are associated with children’s cognitive test results. One key result indicates a significant positive association between initial/early height-for-age (HAZ) and cognitive test scores. This could support the hypothesis on early sensitive periods for cognitive development and the important role of pre– and post natal influences up to the early childhood measure. However, I also find evidence that changes in growth into middle childhood (i.e. the residual HAZ between early and later childhood) is significant positive associated with children’s cognitive test scores. This supports the hypothesis of the plasticity of the brain beyond early years. Chapter 6 is about children’s physical health measure of lung capacity. I investigate to what extent children’s growth status in early life and growth dynamics into adolescence are associated with children’s lung capacity. Further, I examine to what extent parental resources are associated with children’s lung capacity. A key result is that in terms of parental resources there is a strong positive association between father’s and mother’s lung capacity and their children in adolescence. Also maternal years of schooling is significantly associated. I do not find a significant positive association between initial/early height-for-age (HAZ) and lung capacity. This would work against the hypothesis on early sensitive periods and rather point to the importance of changes in growth after early childhood for children’s lung capacity development. The change in growth into middle childhood (residual HAZ) is significant positively associated with children’s lung capacity. These result differ from what I find for cognitive outcomes where early growth status and changes in growth are both relevant. Chapter 7 discusses recommendations for future research; for example, how new data collection efforts in Indonesia could contribute to closing evidence gaps on children’s life chances identified in this thesis by collecting birth cohort data or extending the IFLS. I also address implications for policy covering recommendations for more holistic childhood interventions, the kind of support provided and targeting of vulnerable children. Evidence on children’s life chances from Indonesia is very limited. I set out to make a contribution in providing evidence on child outcomes that are uniquely featured in the Indonesian Family Life Survey (IFLS). My key concern is to study the intergenerational determinants of child outcomes – that is, asking to what extent parental resources are linked to the level of children’s nutrition, cognition, and health but also the intra-generational link – that is to what extent nutritional status is linked to later growth dynamics and other child outcomes such as cognitive and health outcomes. To the best of my knowledge, there are very few previous studies for Indonesia that investigate these important child outcomes, especially with the focus on the intergenerational and life-course determinants.
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Harwood, Tara M. "School Based Exercise and Nutrition Intervention: Effects on Health Measures in Rural Children." Ohio : Ohio University, 2009. http://www.ohiolink.edu/etd/view.cgi?ohiou1237215344.
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Fong, Wan-chung Brian, and 方允中. "The impact of primary school lunch nutrition on childhood obesity : a systematic review." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193757.
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Objective: To systematically review the feasibility and effectiveness of recent school lunch interventions in primary schools and whether they instil positive changes to childhood dietary habits and help prevent obesity.
Background: Childhood obesity is a growing concern affecting 42 million children (2010) and increasing daily, and may be linked to adult obesity. Lunch contributes 24% of daily energy, making school lunch interventions monumentally important in reducing consumption of high fat and/or sugar foods, and increasing fruit and vegetable (F&V) intake.
Methods: A literature search was conducted for studies with interventions in primary school environments that aimed to alter the consumption of fruits, vegetables, and unhealthy foods high in fat or sugar. Studies were only suitable if they utilized randomized controlled trial (RCT) or cluster RCT designs, and included relevant outcome measures for F&V or macronutrient consumption. Relevant studies published between January 1st 2000 and May 31st 2013 were identified through PubMed, ISI Web of Science, and Cochrane Trials, and bibliographies of relevant studies.
Results: Nine studies were included in this systematic review from the US or UK, with varied direct and indirect interventions to alter school lunch nutrition either through F&V or improved macronutrient content. Environmental changes to child attitudes towards F&V, such as verbal encouragement, classroom curriculums and audio-visual stimuli, were significantly effective in all 4 studies, whereas 2 studies with changes to F&V availability without involving students had mixed results. Direct reductions to fat content in school lunches produced significant results in 2 of 4 studies, with increased carbohydrate intake compensating for lower fat, resulting in non-significant total energy changes. One of 3 environmental interventions also had similar trends in macronutrient intake. Total energy change was only significant in 1 of 6 studies.
Conclusion: Overall interventions for childhood obesity had moderate success, and most were unable to meet primary dietary goals set out by researchers. Ineffectiveness of interventions may be due to parental influences at home, early childhood dietary habits, disproportionately low SES in study samples, among other factors. Further research on targeting calorie intakes, parental involvement, snack food reduction, and related fields is recommended.published_or_final_version
Community Medicine
Master
Master of Public Health
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Hiten, Cristina Elizabeth. "NUTRIENT AND MEDICATION INTAKE OF CHILDREN WITH NEURODEVELOPMENTAL DISORDERS." UKnowledge, 2009. http://uknowledge.uky.edu/gradschool_theses/638.
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The incidence of autism continues to rise with no cure or understanding of the cause of the disorder. Approximately one in 150 children will be diagnosed with an (ASD) Autism Spectrum Disorder although recent prevalence data suggest one in 91. The objective of the study is to assess medicinal intake regarding prescription and nonprescription medications of children with Autism Spectrum Disorders and its affect on their nutritional status compared to age, and sex matched healthy children. The study included families of children with autism in which they completed questionnaires and 24‐hour recalls. There were 26 children used within the questionnaire and 13 were utilized in the 24‐hour recall, ranging in age from 2‐11. Results demonstrated that children with autism were not deficient in relation to vital nutrients needed for neurological function. Prescription and nonprescription medications also did not pose many side effects; however, there was slight weight gain in their utilization. Information from the assessments of the child’s nutritional needs and drug nutrient interaction will allow parents, paraprofessionals and healthcare professionals to provide education to families.
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Orr, Julia E., and Anita Nucci. "The Efficacy of Short-Term Supplemental Nutrition Education on Nutrition Knowledge and Dietary Behaviors of Urban Middle School Children." Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/nutrition_theses/36.
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Background: Children and adolescents are not meeting the dietary guidelines and overweight and obesity related diseases are on the rise among youth in the United States. However, research is inconsistent with regard to the most effective method of educating urban youth.
Purpose: To determine the effect of a supplemental nutrition education on the knowledge and behaviors of urban school students.
Methods: Six nutrition lessons were provided to students attending the Boys and Girls Club of Metro Atlanta (BGCMA) in Atlanta, GA. A pre- and posttest was administered to assess differences in students’ nutrition knowledge and behaviors. Chi-square analysis compared the number of correct answers for the entire intervention population and after stratification by gender and number of classes missed. The Wilcoxon signed rank test compared the median number of correct answers in pre- vs. posttest responses for all participants and by the number of classes missed.
Results: 15 students enrolled in the study. 2 students did not complete the study. A significant but negative change in knowledge was found in 1 of 15 nutrition questions. A significant negative change in the median number of total answers correct on the pre- vs. posttest was also observed (p=0.049). Approximately 60% of the participants reported that they were more likely to make positive, nutrition-related behavior changes after the intervention.
Conclusion: We found a negative association between the nutrition education intervention and knowledge gain. This study suggests that nutrition education alone does not have a significant effect on nutrition knowledge of urban youth.
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Hamadani, J. D. "Effect of psychosocial stimulation on mental development of malnourished children attending community nutrition centres of Bangladesh Integrated Nutrition Program." Thesis, University College London (University of London), 2004. http://discovery.ucl.ac.uk/1446791/.
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This thesis concerns a randomised-controlled trial of the effects of adding psychosocial stimulation to the nutritional treatment of the malnourished children on their development and behaviour. The effect on their mothers' knowledge of parenting was also examined. Moderately and severely malnourished children attending 20 Community Nutrition Centres (CNC) of the Bangladesh Integrated Nutrition Programme (BINP) were enrolled in the study. Subsequently, the CNCs were randomly assigned to intervention and control groups and the malnourished children attending the intervention CNCs participated in an intervention for one year. Another group of adequately nourished children, matched for age (6 months), gender and village was compared with the malnourished children. Preceding the intervention, focus group discussions were held with rural mothers to determine their knowledge and attitudes about child development and the information was used in the design of the intervention. The intervened children were visited at home biweekly and then weekly and mothers attended weekly group meetings at the CNCs. The mothers were shown how to play with their child in such a way as to promote good development. They were also shown how to make toys from the waste materials. On enrolment all children had their mental (MDI) and psychomotor (PDI) development assessed using the Revised Version of Bayley Scales of Infant Development (BSID-II). Their behaviour during the test was rated using Wolke's behaviour rating scale and mothers' knowledge of parenting, health, and hygiene was assessed. All children and mothers were re-evaluated at the end. The children's growth was monitored every three months throughout the study. The intervention significantly benefited mental development of malnourished children and their behaviour compared with the control malnourished children. Their psychomotor development was not affected. The malnourished children came from poorer homes than the adequately nourished children When socioeconomic variables were controlled, the malnourished children initially had significantly poorer levels of psychomotor development than the adequately nourished children. There was no significant difference in their mental development or behaviour. By the end of the study the control malnourished children had significantly lower scores from the adequately nourished children in both their mental and motor development. They also had poorer behaviour. In contrast, the intervened malnourished children were not significantly different in mental development and behaviour from the adequately nourished children but remained behind them in motor development. The mothers of intervened children showed benefits from intervention in knowledge of child rearing. Neither malnourished group improved in nutritional status during the year and the intervention had no effect on their nutritional status It may be concluded that it is feasible to integrate child development activities into the nutrition services in Bangladesh and it is an effective means of improving the development of malnourished children.
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Gatenby, Lisa Ann. "Nutrient intakes of primary school children." Thesis, University of Hull, 2008. http://hydra.hull.ac.uk/resources/hull:761.
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Background In April 2004 Hull City Council introduced free healthy school meals for all primary and special school pupils (approximately 20,500 children from 71 primary schools and 6 special schools) in an attempt to reduce health and education inequalities. The meals were prepared to meet the Caroline Walker Trust (CWT) nutritional guidelines for primary schools. This study was carried out to assess the nutritional content of the meals and children’s actual intake from school dinners in comparison to children’s nutritional intake from packed lunches. The study then aimed to assess how food intake at lunch time impacted upon food consumed for the remainder of the day. Methods Children were recruited onto the study from two schools in Hull. The schools were selected by the number of pupils on roll and the number of children eligible for free school meals. The first phase of research assessing lunch consumption was conducted with 147 children, aged 8 – 11 years. School meals and packed lunches were weighed and photographed before and after consumption to assess actual intakes. The second phase assessed total daily food and nutrient intakes in a small sample of 20 children. All assessments were carried out over five consecutive days. Results The food provided by the schools for lunch met the majority of the CWT nutritional guidelines, however children’s intake did not. Children who ate a hot school dinner consumed only the foods they liked from the school meals provided leading to a low energy and nutrient intake. Large differences, for example 367kcal in comparison to 760kcal, in nutritional intakes were found between those children who ate a hot school dinner and those who ate a packed lunch. Children who consumed a packed lunch consumed significantly (p less than 0.05) more energy, fat, saturated fat, non-milk extrinsic (NME) sugar and sodium than children who ate a hot school dinner, but with this consumed more micronutrients. However, neither of the groups of children met the CWT guidelines for lunch time micronutrient intakes. The food diary analysis revealed that those children who ate a hot school dinner went on to consume food high in energy, fat, saturated fat, NME sugar and sodium later in the day. The significant differences in nutrient intakes between the hot dinner and packed lunch groups at lunch time disappeared when total daily intakes were compared. Differences were found between the children’s nutritional intake from the two schools, which may be due to socio economic factors. Conclusion The free healthy school dinners were not having the desired effect of improving children’s nutritional intake, children chose to eat the foods they liked and left the rest. Children who ate a free healthy school dinner went on to consume foods high in energy, fat, NME sugar and sodium later in the day and overall did not have a lower intake of these macronutrients than those children who had a packed lunch.