Health and Nutrition Education in Elementary Schools: Changes in health knowledge, nutrient intakes and physical activity over a six year period

Μanios, Yannis; Kafatos, Anthony

doi:10.1017/s1368980099000610

Cited by 67 publications

(53 citation statements)

References 17 publications

(18 reference statements)

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“…(b) Dietary recalls and history methods Most of the surveys conducted in Greece, with the exception of the survey by Manios and Kafatos (Manios & Kafatos, 1999) and the two conducted on Crete children (Aravanis et al, 1988), were performed retrospectively. The need to validate locally these survey techniques and the inappropriateness of extrapolating food compositional data from elsewhere, such as, for example the USA, to rural Greece or Crete was recognised by national experts.…”

Section: Methodological Considerationsmentioning

confidence: 99%

“…The need to validate locally these survey techniques and the inappropriateness of extrapolating food compositional data from elsewhere, such as, for example the USA, to rural Greece or Crete was recognised by national experts. In 1990 a regionally specific validation was conducted in the context of the EPIC study (Katsouyanni et al, 1997), and the self-adminis- (1988) 2 day weighed survey USDA, 'adapted' Crete, rural school children, males Roma-Giannikou et al (1997) 3 day dietary record in household measures German (1986) þ recipes of Greek foods First national survey, school children Manios and Kafatos (1999) 3 day weighed survey Unspecified Crete, primary school children Kafatos (unpublished data) 24 h recall Cretan database with 500 food (USDA 'adapted' þ chemical analyses)…”

Section: Methodological Considerationsmentioning

confidence: 99%

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The high-fat Greek diet: a recipe for all?

2002

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Objective: To examine critically the published results of dietary surveys on the fat content of the Greek diet, and to assess its evolution and its relationship to the health of the Greeks. To consider the implications of these findings for current views on the nature and health implications of the traditional Mediterranean diet and how best to define it for use in modern policy making. Design: A systematic review of the literature on food consumption in Greece. Setting: Greece. Results: The first fully published data on the fat content of the Greek diet -the Seven Countries Survey -relates only to a small number of adult males in Crete and Corfu; the legitimacy of extrapolating these results to the rest of Greece is questioned. Earlier studies and chemical validation of intakes point to a lower fat content of the traditional diet than that inferred for Crete. Nearly all later surveys relate only to urban groups in Athens (mostly case -control hospital-based samples) and a variety of nonrepresentative Cretan groups. Only two studies are larger and more representative, but one uses FAO food balance-sheets to reflect the national diet, and the other surveyed school-age children in three out of the 52 Greek counties. Unfortunately recent dietary studies have proved unreliable, given the continuing lack of national food composition tables with survey methods which proved inaccurate for dietary fat content. A progressive upward trend in total and saturated fat intake appears to have occurred with all health indicators in relation to fat indicating remarkable increases in adult and childhood obesity with attendant progressive deterioration in cardiovascular mortality and its risk factors, ie hypertension and diabetes. These data emphasise the need to alter current nutritional advice in Greece, particularly when it focuses on the promotion of olive oil and a high-fat diet. Conclusions: The findings reaffirm low -moderate fat policies for optimum health, within which olive oil can be an important component of the diet.

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Section: Methodological Considerationsmentioning

confidence: 99%

Section: Methodological Considerationsmentioning

confidence: 99%

The high-fat Greek diet: a recipe for all?

2002

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“…Twelve of these studies had positive effects on students' health-related fitness knowledge, six studies had a positive effect on students' physical activity levels, and five studies significantly influenced students' fitness levels. Seven of these 12 studies revealed intervention effects both on health-related fitness knowledge and on physical activity (four studies: Harrell et al, 1996;Killen et al, 1989;Manios & Kafatos, 1999;Marcus, Channing Wheeler, Cullen, & Crane, 1987) or fitness levels (three studies: Bush, Zuckerman, Taggart, et al, 1989;Fardy, White, Haltiwanger-Schmitz, & Magel, 1996;Perry et al, 2002). Finally, the results concerning the one study by Caballero et al (2003) with a high methodological quality are unclear because on the one hand, positive effects on students' physical activity were revealed from the data assessed by questionnaire and on the other hand, no intervention effects were shown from the data assessed by a physical activity motion sensor.…”

Section: Y Demetriou Et Al / Educational Research Review 16 (2015) mentioning

confidence: 99%

The effects of school-based physical activity interventions on students' health-related fitness knowledge: A systematic review

Demetriou

Sudeck

Thiel

et al. 2015

Educational Research Review

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“…A random sample of 1,046 children was selected to evaluate the effectiveness of the intervention that aimed at promoting healthy dietary and lifestyle habits [20] . The cohort was reassessed during [2001][2002].…”

Section: Subjectsmentioning

confidence: 99%

Consumption of Ready-to-Eat Cereals in Relation to Health and Diet Indicators among School Adolescents in Crete, Greece

et al. 2005

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Background/Aims: We aimed at examining the intake of ready-to-eat cereals (RTEC) among adolescents in Crete, Greece, and investigate relationships with health and diet indicators. Methods: A sample of 392 adolescents (183 boys, 209 girls) aged 15 ± 0.4 years, attending high schools of two major counties in Crete, was studied to determine consumption of RTEC using a frequency questionnaire. Anthropometric measurements were performed and blood was drawn for analysis of serum lipoproteins and blood glucose (BG). The physical fitness was assessed with the 20-meter shuttle run test (SRT) and the amount of time watching television was estimated. Nutrient intakes were calculated through 24-hour dietary recalls. Results: 42% (n = 77) of boys and 43% (n = 90) of girls reported consumption of RTEC at least once per week. Approximately 40% of the male and 47% of the female consumers reported eating RTEC only at meals other than breakfast. RTEC consumption was inversely related to the obesity indices and BG levels, and positively related to the SRT (p < 0.05 in all analyses). RTEC consumers had significantly higher intakes of fibre, magnesium, calcium, iron, folate, and vitamins A, B₂ and B₆ (p < 0.05 in all analyses). Conclusion: Our results demonstrated favourable associations between RTEC intake and health and diet indicators in Greek adolescents, with potential implications for improved health status and chronic disease risk reduction.

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Health and Nutrition Education in Elementary Schools: Changes in health knowledge, nutrient intakes and physical activity over a six year period

Cited by 67 publications

References 17 publications

The high-fat Greek diet: a recipe for all?

The high-fat Greek diet: a recipe for all?

The effects of school-based physical activity interventions on students' health-related fitness knowledge: A systematic review

Consumption of Ready-to-Eat Cereals in Relation to Health and Diet Indicators among School Adolescents in Crete, Greece

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