Document Type : Original Article
Authors
- . Ali Esmaeili Vardanjani
- . Mahnoush Reisi 1
- . Homamodin Javadzade 1
- . Zabihollah Gharli Pour 2
- . Elahe Tavassoli 3
1 Department of Health Promotion and Education, School of Health, Bushehr University of Medical Sciences, Bushehr
2 Department of Public Health, School of Health, Qom University of Medical Sciences, Qom
3 Department of Public Health, School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
Abstract
Background: Undoubtedly, proper nutrition has important role in safeguarding the individual
from many diseases, especially chronic ones, and increasing ones physical and intellectual
efficiency. Considering the importance of nutrition education to school‑age kids, this research
was done with the purpose of determining the effect of nutrition education on the knowledge,
attitude, and performance of female students at primary school about junk food consumption.
Materials and Methods: This is an experimental intervention study in Shahr‑e‑kord city about
the reduction of junk foods consumption in 2011. Seventy‑two primary girl students were
randomly divided into 2 groups, experimental (36) and controls (36). Before of the educational
program, self‑administrative questionnaire and FFQ (Food Frequency Questionnaire)
questionnaire were filled out for both the groups. The self‑administrative questionnaire was
completed 3 times (before, immediately, and 2 months after education), and FFQ questionnaire
was completed 2 times (before and 2 months after education) by students. After pre‑test,
4 educational session classes in experimental group were performed. Finally, data were collected
and analyzed by SPSS16 computer software. Results: Demographic variables of the studied
population in 2 groups were similar. Before intervention, there were no significant differences
regarding the knowledge, attitude, and performance in 2 groups (P > 0/05). After intervention,
there were significant differences in the levels of knowledge, attitude, and performance between
experimental and control groups (P < 0.001). Conclusion: According to the results, intervention
has positive impact on pattern of nutrition, and it can be concluded that intervention is effective
on increasing or improving the knowledge, attitude, and performance of the students.
Keywords
Heart Disease Risk Factors with microscopic qualities of coronary
atherosclerosis in youth. Circulation 2000;102:374‑9.
2. McGill HC Jr, McMahan CA, Zieske AW. Associations of
coronary heart disease risk factors with the intermediate lesion
of atherosclerosis in youth. Arterioscler Thromb Vasc Biol
2000;20:1998‑2004.
3. McGill HC Jr, McMahan CA, Herderick EE. Obesity accelerates the
progression of coronary atherosclerosis in young men. Circulation
2002;105:2712‑8.
4. Labarthe DR, Eissa M, Varas C. Childhood precursors of high blood pressure and elevated cholesterol. Annu Rev Public Health
1991;12:519‑41.
5. Kelder SH, Perry CL, Klepp KI, Lytle LL. Longitudinal tracking of
adolescent smoking, physical activity, and food choice behaviors.
Am J Public Health 1994;84:1121‑6.
6. Bao W, Threefoot SA, Srinivasan SR. Essential hypertension
predicted by tracking of elevated blood pressure from childhood
to adulthood: The Bogalusa Heart Study. Am J Hypertens
1995;8:657‑65.
7. Pate RR, Baranowski T, Dowda M. Tracking of physical activity in
young children. Med Sci Sports Exerc 1996;28:92‑6.
8. Parsons TJ, Power C, Logan S, Summerbell CD. Childhood
predictors of adult obesity: A systematic review. Int J Obes Relat
Metab Disord 1999;23(Suppl 8):S1‑107.
9. Kemper HC, Post GB, Twisk JW. Lifestyle and obesity in adolescence
and young adulthood: Results from the Amsterdam Growth And
Health Longitudinal Study (AGAHLS). Int J Obes Relat Metab Disord
1999;23(Suppl 3):S34‑40.
10. Janz KF, Dawson JD, Mahoney LT. Tracking physical fitness and
physical activity from childhood to adolescence: The Muscatine
study. Med Sci Sports Exerc 2000;32:1250‑7.
11. Guo SS, Huang C, Maynard LM, Demerath E, Towne B,
Chumlea WC, et al. Body mass index during childhood, adolescence
and young adulthood in relation to adult overweight and adiposity:
The Fels Longitudinal Study. Int J Obes Relat Metab Disord
2000;24:1628‑35.
12. Rice T, Rao R, Pérusse L, Bouchard C, Rao DC. Tracking of familial
resemblance for resting blood pressure over time in the Quebec
Family Study. Hum Biol 2000;72:415‑31.
13. Fortier MD, Katzmarzyk PT, Malina RM, Bouchard C. Seven‑year
stability of physical activity and musculoskeletal fitness in the
Canadian population. Med Sci Sports Exerc 2001;33:1905‑11.
14. Williams S. Overweight at age 21: The association with body mass
index in childhood and adolescence and parents’ body mass index.
A cohort study of New Zealanders born in 1972‑ 1973. Int J Obes
Relat Metab Disord 2001;25:158‑63.
15. Nicklas TA, Von Duvillard SP, Berenson GS. Tracking of serum lipids
and lipoproteins from childhood to dyslipidemia in adults: The
Bogalusa Heart Study. Int J Sports Med 2002;23(Suppl 1):S39‑43.
16. Magarey AM, Daniels LA, Boulton TJ, Cockington RA. Predicting
obesity in early adulthood from childhood and parental obesity. Int
J Obes Relat Metab Disord 2003;27:505‑13.
17. Power C, Lake JK, Cole TJ. Body mass index and height from
childhood to adulthood in the 1958 British born cohort. Am J Clin
Nutr 1997;66:1094‑101.
18. Gunnell DJ, Frankel SJ, Nanchahal K, Peters TJ, Davey Smith G.
Childhood obesity and adult cardiovascular mortality: A 57‑y follow‑up
study based on the Boyd Orr cohort. Am J Clin Nutr 1998;67:1111‑8.
19. Must A, Strauss RS. Risks and consequences of childhood
and adolescent obesity. Int J Obes Relat Metab Disord
1999;23(Suppl 2):S2‑11.
20. Freedman DS, Khan LK, Dietz WH, Srinivasan SR, Berenson GS.
Relationship of childhood obesity to coronary heart disease
risk factors in adulthood: The Bogalusa Heart Study. Pediatr
2001;108:712‑8.
21. Reilly JJ, Methven E, McDowell ZC. Health consequences of obesity.
Arch Dis Child 2003;88:748‑52.
22. O’Loughlin JL, Tarasuk J. Smoking, physical activity, and diet in
North American youth: Where are we at? Can J Public Health
2003;94:27‑30.
23. Kimm SY, Glynn NW, Kriska AM, Barton BA, Kronsberg SS,
Daniels SR, et al. Decline in physical activity in black girls and white
girls during adolescence. N Engl J Med 2002;347:709‑15.
24. Reilly JJ, Jackson DM, Montgomery C, Kelly LA, Slater C,
Grant S, et al. Total energy expenditure and physical activity
in young Scottish children: Mixed longitudinal study. Lancet
2004;363:211‑2.
25. Ludwig DS, Peterson KE, Gortmaker SL. Relation between
consumption of sugar‑sweetened drinks and childhood obesity:
A prospective, observational analysis. Lancet 2001;357:505‑8.
26. St‑Onge MP, Keller KL, Heymsfield SB. Changes in childhood food
consumption patterns: A cause for concern in light of increasing
body weights. Am J Clin Nutr 2003;78:1068‑73.
27. Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS.
Effects of fast‑food consumption on energy intake and diet
quality among children in a national household survey. Pediatrics
2004;113:112‑8.
28. Thompson OM, Ballew C, Resnicow K, Must A, Bandini LG,
Cyr H, et al. Food purchased away from home as a predictor of
change in BMI Z‑score among girls. Int J Obes Relat Metab Disord
2004;28:282‑9.
29. Mahan LK, Escott‑Stump. Krause’s Food, Nutrition and Diet Therapy.
11th ed. Philadelphia: Pennsylvania, WB Saunders; 2004. p. 274‑5.
30. Pipes P, Trahms C. Nutrition in infancy and childhood. 5th ed.
St.louis: Mosby; 1996. p. 142‑3.
31. Pour‑Abdollahi P, Zarati M, Razavieh SV, Dastgiri S,
Ghaem Maghami SJ, Fathi Azar E. The effect of nutrition education
on the knowledge and practice of elementary school children
regarding junk food intake. Zanjan Univ Med Sci J 2004;13:13‑20.
32. Afifi M. Anemia in pregnancy at South Sharqiya health centers,
Oman. J Egypt Public Health Assoc 2003;78:39‑54.
33. Shamim S, Naz F, Jamalvi SW, Ali SS. Effect of weaning period
on nutritional status of children. J Coll Physicians Surg Pak
2006;16:529‑31.
34. Khalaj M, Mohammadi Zeidi E. Health education effects on nutritional
behavior modification in primary school student. Shahr‑e‑Kord Univ
Med Sci J 2006;8:41‑9.
35. Cuco G, Fernandez‑Ballart J, Arija V, Canals J. Effect of B1, B6 and
iron intake during pregnancy on neonatal behavior. Int J Vitam Nutr
Res 2005;75:320‑6.
36. Vakili M, Baghiani‑Moghadam MH, Pirzadeh A, Dehghani M.
Assessing the effect of education on knowledge, attitude and
practice of guidance school students about milk and dairy products.
Knowl Health J 2007;2:41‑7.
37. Choobineh MA, Hesari SN, Hossain D, Haghighizadeh MH. Study of
nutritional knowledge of Ahwaz high school girls and the education
effect. Birjand Univ Med Sci J 2009;16:23‑30.
38. Mazloomi ‑Mahmoodabad S, Moein‑Taghavi A, Barkhordari A,
Alidoosti F. Effect of role modeling through theater show in oral
health education. J Islamic Dent Assoc Iran 2009;21:138‑42.
39. Hosseini M, Shojaeizadeh D, Chaleshgar M, Pishva H. A study of
educational intervention on knowledge, attitude, practice about iron
deficiency anemia in female adolescent students. Gorgan Univ Med
Sci J 2006;8:37‑43.
40. Blom‑Hoffman J, Kelleher C, Power TJ, Leff SS. Promoting
healthy food consumption among young children: Evaluation of
a multi‑component nutrition education program. J Sch Psychol
2004;42:45‑60.
41. Heydari GH, Moslemi S, Montazeri Far F, Heydari M. Efficacy of
education on knowledge, attitude and practice of type II diabetic
patients in relation to correct nutrition. Tabib‑e‑Shargh, J Zahedan
Univ Med Sci Health Serv 2003;4:207‑13.
42. Nadia H. Demand Media. How to Reduce the Intake of Junk Food
in Children. 2013. Available from: http://www.healthyeating.sfgate.
com/reduce‑intake‑junk‑food‑children‑5768.html (2013). [Last cited
on 12 Jun 2013].
)