Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 1.195
Filtrar
1.
ABCS health sci ; 44(2): 120-130, 11 out 2019. tab, ilus
Artigo em Português | LILACS | ID: biblio-1022353

RESUMO

O número de indivíduos diagnosticados com o transtorno do espectro autista (TEA) registrou aumento evidente na última década. Os principais sintomas, apresentados pelo portador, são neurológicos e digestórios, estando às intervenções nutricionais dentre as terapêuticas mais promissoras para amenizar a sintomatologia clínica. Assim, objetivou-se revisar sistematicamente os estudos sobre distúrbios alimentares e do trato gastrointestinal apresentado pelo indivíduo portador do TEA, a fim de compreender como o comportamento alimentar influência na etiopatogênese e manifestações clínicas da doença, com foco no eixo intestinocérebro. Para isso realizou-se uma revisão sistemática, seguindo as diretrizes PRISMA. A partir de uma busca estruturada e abrangente em bases de dados eletrônicas, 23 estudos foram recuperados e incluídos na revisão. Os critérios de inclusão definiam ser artigos originais relacionando o TEA com alterações nutricionais e/ou com o eixo intestino-cérebro. Após análise da composição da microbiota intestinal, os estudos mostraram um quadro de desequilíbrio. Foram encontradas, também, alterações na barreira de muco e permeabilidade intestinal e alterações em proteínas envolvidas na digestão e absorção de alimentos. Dietas restritivas e a modulação da microbiota, com uso de probióticos e de antibióticos específicos, são apresentadas como estratégias terapêuticas adjuvantes promissoras. Conclui-se que o eixo intestino-cérebro está envolvido tanto na etiologia, quanto nas manifestações clínicas do TEA. Porém, não sendo certo se alterações intestinais são causa ou consequência das alterações neurológicas. Até o presente momento, a comunidade científica não tem conclusões suficientes para indicar o uso de dietas restritivas, e uso de probióticos e de antibióticos como terapêutica para o TEA.


The number of individuals diagnosed with autism spectrum disorder (ASD) had an evident increase in the last decade. The primary symptoms exhibited amongst these patients were mostly digestive and neurological disorders; with nutritional interventions being one of the most promising therapies to assuage this clinical symptomology. As such, following the PRISMA guidelines, we systematically reviewed the research studies apropos of the ASD patients manifesting said digestive disorders, to comprehend how dietary behavior can influence the etiopathogenesis and clinical manifestations of the disease, with primary focus on the gut-brain axis. From a comprehensive and structured search through electronic databases, 23 studies were retrieved and admitted in this review. The inclusion criteria defined that there be original articles consociating ASD with nutritional disorders and/or with the gut-brain axis. These studies analyzed the composition of the intestinal flora of diagnosed patients, subsequently discerning cases of varying imbalances. Alterations in the gene expression of the proteins involved in the digestion and absorption of food, the mucous barrier and the intestinal permeability were described. Accordingly, restrictive diets and the modulation of the microbiota by administering specific anti- & probiotics were initially identified as promissory therapies. In conclusion, the gut-brain axis was observed to be a determinant factor in both the etiology and clinical symptomology of ASD - though it is still debatable the correlation of intestinal alterations with neurological changes. At present, there is no concrete scientific proof accrediting to restrictive diets and the use of specific anti- & probiotics, as successful treatments for ASD.


Assuntos
Humanos , Pré-Escolar , Criança , Ciências da Nutrição Infantil , Cérebro , Transtorno do Espectro Autista , Intestinos , Neurotoxinas , Pediatria
3.
BMC Public Health ; 19(1): 306, 2019 Mar 14.
Artigo em Inglês | MEDLINE | ID: mdl-30866875

RESUMO

BACKGROUND: Focus on interventions for orphans and vulnerable children (OVC) in South Africa on education, quality of life (QoL) and nutrition-related matters have been reported diminutive. The risk of dropping out of school for an OVC with poor QoL and without varied food intake is very high. The problem with poor; QoL, nutritional care and academic performance (AP) of the OVC is that it sets the foundation for their adults' life. The purpose of this longitudinal study is to develop, implement and to test the efficacy of an evidence-based nutrition education programme (NEP) for OVC that will integrate their families/caregivers, schools and communities. METHODS: A longitudinal study, and a mixed-methods approach steered by action research will be used. This study will be in three phases. Phase 1 will be the needs assessment; Phase 2 will be the development of nutritional education materials, and Phase 3 is the intervention. QoL, dietary intakes, body composition, and anthropometric status, physical activities, and AP of 520 OVC in Soweto will be assessed using standard techniques. Nutrition knowledge, attitude and practices (KAP) of the caregivers will be assessed using previously validated questionnaires. Focus group discussion (FGD) will be conducted to gain an in-depth understanding of what OVC eat and factors affecting their food intakes. Data will be collected at baseline, week 12 and week 24. Generalised Least Squares (GLS) regression model will be used to test the study hypotheses. Atlas-ti and Thematic Framework Analysis (TFA) will be used for qualitative data analysis. DISCUSSION: This study will provide detailed information on the QoL, food intakes concerning academic performance and general well-being of OVC in an Africa setting. The participatory mixed methods nature of the study will provide valuable insights into the drivers and challenges to QoL, AP, and nutritional status of this group. This approach will assist the policymakers' and other stakeholders in decision making regarding the general well-being of the OVC. TRIAL REGISTRATION: ISRCTN12835783 . Date registered 14.01.2019.


Assuntos
Ciências da Nutrição Infantil/educação , Crianças Órfãs , Educação em Saúde/métodos , Educação em Saúde/organização & administração , Populações Vulneráveis , Adolescente , Criança , Crianças Órfãs/estatística & dados numéricos , Prática Clínica Baseada em Evidências , Grupos Focais , Humanos , Estudos Longitudinais , Desenvolvimento de Programas , Projetos de Pesquisa , África do Sul , Inquéritos e Questionários , Populações Vulneráveis/estatística & dados numéricos
4.
Health Promot J Austr ; 30(1): 83-87, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30175423

RESUMO

ISSUE ADDRESSED: Intakes of fruit and vegetables in children are inadequate. Our purpose was to examine national data on the proportion of Australian children meeting the fruit and vegetable recommendations in 2011-2012 and 2014-2015, assessing changes over time and differences by age, sex and socio-economic status (SES). METHODS: Secondary analysis of 2011-2012 and 2014-2015 Australian National Health Surveys of Australian children aged 2-18 years. Percentages of children meeting fruit and vegetable recommendations by survey year, age group, sex and SES tertile were calculated using population weights supplied by the Australian Bureau of Statistics (ABS). Chi-squared tests and logistic regression were used to test for the relative influence of each factor. RESULTS: In 2011-2012, 64.6%, 5.1% and 4.6% of children met the recommended intake for fruit, vegetable and fruit-vegetable combined, respectively. In 2014-2015, 68.2%, 5.3% and 5.1% of all children met the recommended intake for fruit, vegetable and fruit-vegetable combined, respectively. There was a large reduction in proportions of children meeting both the fruit and vegetable recommendations between 3 and 4 years of age, which coincides with when most Australian children start pre-school. There were consistent differences by sex for both fruit and vegetables, but we found little evidence that SES is a significant factor predicting the difference in meeting the vegetable recommendations. CONCLUSION: The proportion of Australian children meeting fruit and vegetable recommendations are sub-optimal across all SES groups which suggests that a national approach across demographic strata is warranted. SO WHAT?: Future health promotion interventions should have a refocus on vegetables instead of "fruit and vegetables," particularly in the key transition period when children start pre-school.


Assuntos
Dieta/estatística & dados numéricos , Frutas , Política Nutricional , Verduras , Adolescente , Distribuição por Idade , Austrália , Criança , Ciências da Nutrição Infantil , Pré-Escolar , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Distribuição por Sexo , Fatores Socioeconômicos
5.
BMC Med Educ ; 18(1): 232, 2018 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-30296933

RESUMO

BACKGROUND: Lack of sufficient preparation of physicians for the provision of breastfeeding support and counselling has been well-documented. The development of training in breastfeeding medicine for medical students is currently ongoing worldwide. This study was conducted to gain insights into a potential framework for a breastfeeding education curriculum. METHODS: A mixed-method design was used to evaluate the opinions of medical teachers regarding current lactation education and the applicability of the World Health Organization 'Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals' in medical colleges in Riyadh, Saudi Arabia. Twelve teachers from three medical schools were invited to participate in three rounds of research. The first round was carried out through an interview using open-ended questions under three headings: 1) The general opinion on breastfeeding medicine education in medical colleges; 2) The opinion on the contents of the chapter under investigation; and 3) The opinion on cultural points regarding Saudi Arabia and breastfeeding education in medical colleges. This was followed by a thematic analysis. Self-administered, closed-ended questionnaires were created for the second round based the results of the first round. The third round addressed areas of disagreement in opinions. To assess the degree of agreement objectively, rounds 2 and 3 were analyzed according to the 5-point Likert scale, with responses merged to a 3-point Likert scale where appropriate. A consensus was reached when greater than 70% agreement achieved. RESULTS: All participants agreed that breastfeeding education is suboptimal. Although they considered the world health organization resource on infant and young child chapter a suitable reference for the curriculum, they agreed that modifications to suit the Saudi Arabian context are necessary. The medical teachers suggested a unique curriculum for medical students, which is similar for both genders. However, disagreement existed regarding the provision of extra clinical training to female students. CONCLUSIONS: Breastfeeding medicine education in medical colleges should be developed using resources that are rich in content, are physician-specific and take into consideration the culture.


Assuntos
Atitude do Pessoal de Saúde , Aleitamento Materno , Ciências da Nutrição Infantil/educação , Currículo , Educação de Graduação em Medicina , Docentes de Medicina , Características Culturais , Educação de Graduação em Medicina/métodos , Feminino , Humanos , Lactente , Entrevistas como Assunto , Masculino , Arábia Saudita , Faculdades de Medicina
6.
J Pediatr Gastroenterol Nutr ; 67(6): 767-772, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30234757

RESUMO

OBJECTIVES: Available published advice on use of incentives is limited and generally refers to short-term studies without longer follow-up, predominantly conducted in developed countries. We aim to summarize published information related to the use of incentives in long-term nutrition studies involving infants, children, and adolescents and the views of researchers in the field, to provide guidance on acceptable incentives. We conducted a literature review and a short online survey of researchers regarding their opinions on the use of incentives in paediatric long-term (follow-up) clinical studies. Responses from 38 researchers from 14 different countries indicated that 41% had used incentives to increase participation and 29% to 73%, depending on child's age and type of procedure, thought incentives may be used to increase compliance with follow-up visits. A small number of respondents thought incentives would not be approved by national ethics boards. Based on the literature review and the survey results, and European Society for Paediatric Gastroenterology, Hepatology and Nutrition working group concluded that incentives for children and adolescents up to the value of 30 Euros, based on average EU income levels, may be offered as cash, vouchers, or age-appropriate gifts or toys, in addition to reimbursing expenses. Additional incentives may be offered if a study includes more burdening procedures, techniques that may appear frightening for younger children, or requires sustained participation (eg, dietary diaries or activity monitoring). There was agreement that it is preferable to give toys or gifts rather than money to younger children.


Assuntos
Pesquisa Biomédica/economia , Ciências da Nutrição Infantil/economia , Reembolso de Incentivo , Sujeitos da Pesquisa/psicologia , Apoio à Pesquisa como Assunto/métodos , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Motivação , Seleção de Pacientes
7.
East Mediterr Health J ; 24(6): 560-568, 2018 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-30079951

RESUMO

Background: Iron deficiency and iron-deficiency anaemia are associated with oxidative stress, but their role is largely unclear. Information is scarce on the effects of iron supplementation on biomarkers of oxidative stress in humans. Aims: This study evaluated the effectiveness of iron supplementation and nutrition education on improving the levels of haemoglobin and ferritin, and decreasing oxidative stress among iron-deficient female adolescents in Gaza, Palestine. Methods: A total 131 iron-deficient female adolescents were recruited and allocated randomly into 3 different groups. The iron supplementation group (A) received 200 mg of ferrous fumarate weekly during the 3-month intervention, the iron supplementation with nutrition education group (B) received iron supplements with nutrition education sessions, and the control group (C) did not receive any intervention. The levels of haemoglobin, ferritin and malonyl dialdehyde were measured at baseline, after 3 months (at which point the intervention was stopped), and then 3 months later. Trial registration number: ACTRN12618000960257. Results: Haemoglobin levels increased significantly after supplementation in both groups A and B. At the follow-up stage (3 months after stopping the intervention), iron and haemoglobin levels in group B continued to increase and malonyl dialdehyde decreased. In Group A, haemoglobin, ferritin and malonyl dialdehyde levels decreased after 3 months of stopping the intervention. No changes were seen in Group C. Conclusions: A nutrition programme should be adopted and integrated into comprehensive intervention programmes to target iron-deficiency anaemia among female adolescents in Palestine.


Assuntos
Árabes/educação , Ciências da Nutrição Infantil/educação , Suplementos Nutricionais , Ferritinas/sangue , Hemoglobinas/análise , Ferro/administração & dosagem , Estresse Oxidativo/efeitos dos fármacos , Adolescente , Árabes/estatística & dados numéricos , Feminino , Educação em Saúde/métodos , Humanos , Ferro/deficiência , Ferro/uso terapêutico
8.
Rev Gaucha Enferm ; 39: e20170152, 2018 Aug 02.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-30088605

RESUMO

OBJECTIVE: Describe and analyze the attributes of the nurse competencies in caring of students since the manager look of educational institutions. METHOD: Qualitative descriptive-exploratory study. Seven principals of educational institutions of Trujillo (Peru) participates in a non-structured interview during the first semester of 2016 and the analysis of oral discourse was used. RESULTS: Empirical categories: The nurse in the promotion of educational community health; The nurse in the prevention of the educational community illness; The student nurse articulating health - education in the everyday life of students. FINAL CONSIDERATIONS: This study contributes to the conceptual support of the competencies of the student nurse for the intersectoral health - education action and the setting-up of health with students in the educational institutions.


Assuntos
Educação em Saúde , Papel do Profissional de Enfermagem , Serviços de Enfermagem Escolar/organização & administração , Prevenção de Acidentes , Adolescente , Brasil , Criança , Transtornos da Nutrição Infantil/prevenção & controle , Ciências da Nutrição Infantil/educação , Competência Clínica , Feminino , Necessidades e Demandas de Serviços de Saúde , Desenvolvimento Humano , Humanos , Masculino , Gravidez , Gravidez na Adolescência/prevenção & controle , Serviços de Saúde Escolar , Prevenção do Hábito de Fumar , Transtornos Relacionados ao Uso de Substâncias/enfermagem , Transtornos Relacionados ao Uso de Substâncias/prevenção & controle
9.
Clin Nutr ESPEN ; 27: 75-78, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30144896

RESUMO

BACKGROUND & AIMS: At the 38th annual ESPEN congress in The Hague, the Netherlands, the Special Interest Group (SIG) in Paediatrics presented data about current research activities in the field of paediatric nutrition which are performed worldwide and translated this to future research perspectives. METHODS: Extensive search of all registered observational and interventional clinical trials in the database ClinicalTrials.gov using the search terms: children nutrition, paediatrics nutrition and children feeding. RESULTS: A total of 717 studies were found; 173 were duplicates and 114 included adult participants and were therefore excluded. Hence, 430 remained for analysis, of which 69% were randomized controlled trials. The most investigated research topic was nutrition in specific diseases (n = 98), followed by obesity (n = 92), and studies including premature infants (n = 48). The overall median estimated enrolment of children in the trials was 150 children [IQR 50-365]. There were 44 studies in which >1000 participants will be enrolled and six studies with >10,000 participants. Studies including >1000 participants were primarily performed in North America (39%), Africa (27%), and Europe (16%). CONCLUSIONS: This SIG report showed that 430 clinical nutrition trials in paediatrics are registered and current research focusses primarily on specific diseases and obesity. The SIG paediatrics encourages future research to invest in well-controlled interventional trials.


Assuntos
Ciências da Nutrição Infantil , Ensaios Clínicos como Assunto , Desnutrição/prevenção & controle , Pediatria , Sociedades Científicas , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Medicina Baseada em Evidências , Humanos , Países Baixos/epidemiologia , Inquéritos Nutricionais , Estudos Observacionais como Assunto
12.
Nutrients ; 10(7)2018 Jul 17.
Artigo em Inglês | MEDLINE | ID: mdl-30018221

RESUMO

This study evaluated the impact of a 6-month school nutrition intervention on changes in dietary knowledge, attitude, behavior (KAB) and nutritional status of Syrian refugee children. A quasi-experimental design was followed; Syrian refuge children in grades 4 to 6 were recruited from three informal primary schools (two intervention and one control) located in the rural Bekaa region of Lebanon. The intervention consisted of two main components: classroom-based education sessions and provision of locally-prepared healthy snacks. Data on household socio-demographic characteristics, KAB, anthropometric measures and dietary intake of children were collected by trained field workers at baseline and post-intervention. Of the 296 school children enrolled, 203 (68.6%) completed post-intervention measures. Significant increases in dietary knowledge (ß = 1.22, 95% CI: 0.54, 1.89), attitude (ß = 0.69, 95% CI: 0.08, 1.30), and body mass index-for-age-z-scores (ß = 0.25, 95% CI = 0.10, 0.41) were observed among intervention vs. control groups, adjusting for covariates (p < 0.05). Compared to the control, the intervention group had, on average, significantly larger increases in daily intakes of total energy, dietary fiber, protein, saturated fat, and several key micronutrients, p < 0.05. Findings suggest a positive impact of this school-based nutrition intervention on dietary knowledge, attitude, and nutritional status of Syrian refugee children. Further studies are needed to test the feasibility and long-term impact of scaling-up such interventions.


Assuntos
Transtornos da Nutrição Infantil/dietoterapia , Ciências da Nutrição Infantil/educação , Fenômenos Fisiológicos da Nutrição Infantil , Conhecimentos, Atitudes e Prática em Saúde , Estado Nutricional , Refugiados , Índice de Massa Corporal , Criança , Comportamento Infantil/etnologia , Transtornos da Nutrição Infantil/etnologia , Transtornos da Nutrição Infantil/prevenção & controle , Fenômenos Fisiológicos da Nutrição Infantil/etnologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde/etnologia , Humanos , Líbano , Masculino , Estado Nutricional/etnologia , Projetos Piloto , Campos de Refugiados , Refugiados/educação , Saúde da População Rural/etnologia , Instituições Acadêmicas , Lanches/etnologia , Controles Informais da Sociedade , Aprendizado Social , Síria/etnologia
13.
Nestle Nutr Inst Workshop Ser ; 89: 143-154, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29991039

RESUMO

As research on clinical nutrition has become more concerned with the effects of macro- and micronutrients on cognitive and brain development, success in evaluating and interpreting those effects is critically dependent on how human cognitive development is conceptualized and measured. The body of research on neurocognitive development from the past 50 years indicates that various cognitive components are relatively independent of one another and develop at different times during infancy and early childhood. For many studies in this area, however, the choice of measures of cognitive development for inclusion in clinical trials has not been guided by a particular theory of cognition or on the hypothesized effect of the nutrient. This practice is potentially disadvantageous for the interpretation of studies in the field; studies may choose neurocognitive assessments which may either obscure the specific effects of a particular nutrient or miss such specific effects altogether because the appropriate domain was not assessed. In developmental studies, this complex scenario is further compounded by the consideration of age-appropriate assessments and domains. This chapter will describe the difficulties in choosing and interpreting cognitive assessments for this field and make recommendations for best practices in addressing this issue.


Assuntos
Encéfalo/crescimento & desenvolvimento , Desenvolvimento Infantil/fisiologia , Fenômenos Fisiológicos da Nutrição Infantil/fisiologia , Cognição/fisiologia , Atenção , Ciências da Nutrição Infantil , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Linguagem , Memória , Micronutrientes/administração & dosagem , Testes Neuropsicológicos , Nutrientes/administração & dosagem , Guias de Prática Clínica como Assunto
14.
Ecol Food Nutr ; 57(4): 346-371, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29979888

RESUMO

Despite the efforts to promote good practices in infant and young child feeding (IYCF), the adoption of such practices has been low. Using data from a sample of 665 women, and the theory of planned behavior, we examine the effect of different types of nutrition education and psychosocial factors on the use of recommended IYCF practices. Regression results show that nutrition education and psychosocial factors have strong positive effect on the extent to which IYCF practices are used, with the latter having conflicting individual but overall positive effect. Moreover, coefficients of latter were mostly less than those of the former indicating that pschosocial factors were less important in explaining variability in usage of IYCF than the nutrition education variables. It further finds that different sets of nutrition education and psychosocial factors affect different categories of women, with interactive nutrition education approaches having a greater effect. The findings also suggest need for targeting of beneficiaries with multiple nutrition education approaches.


Assuntos
Biofortificação , Ciências da Nutrição Infantil/educação , Métodos de Alimentação , Fenômenos Fisiológicos da Nutrição do Lactente , Mães/educação , Sistemas de Apoio Psicossocial , Medicina do Comportamento/métodos , Aleitamento Materno , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lactente , Recém-Nascido , Quênia , Masculino , Comportamento Materno , Inquéritos Nutricionais , Gravidez
15.
Pediatr Res ; 84(4): 509-515, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-30030503

RESUMO

BACKGROUND: Nutrient deficiencies limit the growth and turnover of intestinal mucosa, but studies assessing whether specific nutrients protect against or improve environmental enteric dysfunction (EED) are scarce. We aimed to investigate associations between nutrient intake and EED assessed by lactulose:mannitol (L:M) ratio, anti-1-antitrypsin, myeloperoxidase (MPO), and neopterin (NEO) among children 9-24 months in Bhaktapur, Nepal. METHODS: Among 231 included children, nutrient intake was assessed monthly by 24 h recalls, and 3-month usual intake was estimated using Multiple Source Method. Associations between nutrient intake and L:M ratio (measured at 15 months) were assessed using multiple linear regression, while associations between nutrient intake and fecal markers (measured quarterly) were assessed using Generalized Estimating Equations (GEE) models. RESULTS: We found that associations between nutrient intake from complementary food and L:M ratio, alpha-1-antitrypsin (AAT), MPO and NEO were generally negative but weak. The only significant associations between nutrient intake (potassium, magnesium, phosphorous, folate, and vitamin C) and markers for intestinal inflammation were found for MPO. CONCLUSION: Negative but weak associations between nutrient intake and markers of intestinal inflammation were found. Significant associations between several nutrients and MPO might merit further investigation.


Assuntos
Dieta , Enteropatias/epidemiologia , Mucosa Intestinal/patologia , Nutrientes , Biomarcadores/metabolismo , Aleitamento Materno , Ciências da Nutrição Infantil , Pré-Escolar , Estudos de Coortes , Ingestão de Energia , Fezes , Feminino , Humanos , Lactente , Inflamação , Lactulose/metabolismo , Masculino , Manitol/metabolismo , Neopterina/urina , Nepal/epidemiologia , Peroxidase/urina , Análise de Regressão , alfa 1-Antitripsina/urina
16.
Nutrients ; 10(5)2018 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-29710863

RESUMO

The role of cooking on health and wellbeing is a recent area of scientific interest. In order to investigate this role, a cooking program that is suitable for each target population is needed e.g., a program designed for American or Australian children might not be appropriate for teenagers in New Zealand. As there was no similar previously evaluated program already available, the study’s purpose was to test an intensive cooking intervention on cooking confidence and knowledge amongst a group of adolescents from Dunedin, New Zealand, and to assess its acceptability to participants. This five-day program comprised interactive cooking sessions and informal nutrition education and ran from 9 a.m. to 3:30 p.m., Monday to Friday during school holidays. Participants completed questionnaires on cooking skills and confidence at baseline and the end of intervention and took part in a group interview, which aimed to investigate the acceptability and outcome of the program. Twenty-one participants aged between 12 and 16 years old completed the program. At the end of the program, significant increases were seen in both skills and confidence levels, and feedback from the group interview indicated that the participants enjoyed the program and that it provided additional results other than those that were cooking related.


Assuntos
Comportamento do Adolescente , Ciências da Nutrição Infantil/educação , Culinária , Comportamentos Relacionados com a Saúde , Conhecimentos, Atitudes e Prática em Saúde , Adolescente , Fatores Etários , Comportamento Alimentar , Feminino , Humanos , Entrevistas como Assunto , Masculino , Nova Zelândia , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Autocuidado , Autoeficácia , Inquéritos e Questionários
17.
Nutrients ; 10(6)2018 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-29794986

RESUMO

INTRODUCTION: Eating behavior often becomes unhealthier during the transition from adolescence to young adulthood, but not much is known about the factors that drive this change. We assess the available evidence on this topic through a literature review and pay special attention to the research designs employed in the studies available as well as the modifiability of the factors investigated in previous research. METHOD: We systematically conducted a scoping review by searching literature published in or after 2000 in three databases that described one or more factors associated with eating behavior or changes in eating behavior during the transition from adolescence to adulthood in the general population. Our search identified eighteen articles meeting these inclusion criteria. The socio-ecological DONE (Determinants of Nutrition and Eating) framework, a recently developed dynamic framework of factors shaping dietary behavior, was used to structure and categorize the factors identified. RESULTS: Most factors identified in the literature were individual-level factors (67%) such as food beliefs, time constraints, and taste preferences; on the other hand, interpersonal-level factors (e.g., social support), environmental-level factors (e.g., product characteristics) and policy-level factors (e.g., market regulations) have been reported on less extensively. Furthermore, most factors discussed in the literature have been classified in the DONE framework as not easily modifiable. Moreover, previous studies largely used static research designs and focused primarily on one specific population (US freshmen). DISCUSSION: This systematic scoping review identified several gaps in the available literature that hinder insight into the drivers of eating behavior (change) during the transition from adolescence to young adulthood. There is an urgent need for research on broader populations, employing dynamic repeated-measures designs, and taking modifiability of factors into account.


Assuntos
Comportamento do Adolescente , Pesquisa Biomédica/tendências , Ciências da Nutrição Infantil/tendências , Ingestão de Alimentos , Comportamento Alimentar , Adolescente , Desenvolvimento do Adolescente , Fenômenos Fisiológicos da Nutrição do Adolescente , Fatores Etários , Feminino , Previsões , Humanos , Masculino , Estado Nutricional , Adulto Jovem
18.
Nutr Rev ; 76(8): 553-580, 2018 08 01.
Artigo em Inglês | MEDLINE | ID: mdl-29800311

RESUMO

Context: Establishing healthy dietary practices at an early age is crucial, as dietary behaviors in childhood track to adulthood. Objective: The purpose of this systematic review was to identify factors associated with successful nutrition education interventions conducted in children and published between 2009 and 2016. Data Sources: Using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines, relevant studies were identified through the PubMed, Web of Science, ScienceDirect, and ERIC (Educational Resources Information Center) databases. Study Selection: Studies published in English between 2009 and 2016 that included a nutrition education intervention among children aged 2 to 19 years were included. Review articles, abstracts, qualitative or cross-sectional studies, and studies targeting children with special nutritional needs were excluded. Data Extraction: Four authors screened and determined the quality of the studies using the GRADE (Grading of Recommendations Assessment, Development, and Evaluation) system and extracted the data from the articles. Data Analysis: Forty-one studies were included: 7 targeted preschool children, 26 targeted elementary school children, and 8 targeted secondary school children. A total of 46% met their primary objectives of nutrition education intervention, while the rest either partially achieved or did not achieve their stated objectives. Results: Successful interventions targeting school children engaged parents by means of face-to-face sessions, identified specific behaviors to be modified, and assured fidelity by training teachers or recruiting trained experts to deliver the intervention. In addition, they allowed adequate dosage, with an intervention duration of at least 6 months, and used age-appropriate activities. Conclusions: Interventions with a multicomponent approach that were age appropriate and of adequate duration (≥ 6 months), that engaged parents, and that ensured fidelity and proper alignment between the stated objectives, the intervention, and the desired outcomes were more likely to succeed.


Assuntos
Ciências da Nutrição Infantil/métodos , Educação em Saúde/métodos , Avaliação de Programas e Projetos de Saúde , Serviços de Saúde Escolar/estatística & dados numéricos , Adolescente , Adulto , Criança , Pré-Escolar , Estudos Transversais , Humanos , Pais , Pesquisa Qualitativa , Instituições Acadêmicas/estatística & dados numéricos , Adulto Jovem
19.
Ann Nutr Metab ; 72 Suppl 3: 13-23, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29631266

RESUMO

Currently, it is impossible to think of modern healthcare that ignores evidence-based medicine (EBM), a concept which relies on 3 pillars: individual clinical expertise, the values and desires of the patient, and the best available research. However, EBM is not perfect. Clinical research is also far from being perfect. This article provides an overview of the basic principles, opportunities, and controversies offered by EBM. It also summarizes current discussions on clinical research. Potential solutions to the problems of EBM and clinical research are discussed as well. If there were specific issues related to pediatric nutrition, an attempt was made to discuss the basic principles and limitations in this context. However, the conclusions are applicable to EBM and clinical research in general. In the future, considering that new ways of obtaining health data will continue to emerge, the world of EBM and clinical research is likely to change. The ultimate goal, however, will remain the same: improving health outcomes for patients.


Assuntos
Pesquisa Biomédica , Medicina Baseada em Evidências , Pesquisa Biomédica/normas , Ciências da Nutrição Infantil , Conflito de Interesses , Assistência à Saúde/métodos , Medicina Baseada em Evidências/normas , Humanos , Projetos de Pesquisa/normas , Apoio à Pesquisa como Assunto
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA