Impact of a behaviourally focused nutrition education intervention on attitudes and practices related to eating habits and activity levels in Indian adolescents

Moitra, Panchali; Madan, Jagmeet; Verma, Parul

doi:10.1017/s1368980021000203

Cited by 22 publications

(25 citation statements)

References 69 publications

(102 reference statements)

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“…To motivate healthier dietary behaviours among children, some studies that changed children's hedonic response towards fruits and vegetables (e.g., making healthy foods fun and enjoyable or used incentives, gamified healthy eating and experiential learning) have shown promising outcomes (31)(32)(33) . Similar effects have also been reported among recent Asian studies, suggesting that such activities could be adapted to interventions targeting children in Singapore (34)(35)(36) .…”

Section: Discussionsupporting

confidence: 82%

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Understanding children’s perspectives of the influences on their dietary behaviours

Chan

Tay

Kembhavi

et al. 2022

Public Health Nutr.

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Objective This study aimed to examine the intrapersonal, interpersonal, environmental and macrosystem influences on dietary behaviours among primary school children in Singapore. Design A qualitative interpretive approach was used in this study. Focus group discussions guided by the socio-ecological model (SEM), of which transcripts were analysed deductively using the SEM and inductively using thematic analysis to identify themes at each SEM level. Setting Two co-educational public primary schools in Singapore. Participants A total of 48 children (n=26 girls) took part in the semi-structured FGDs. Their mean age was 10.8 years (SD = 0.9, range 9-12 years) and the majority of the children were Chinese (n=36), along with some Indians (n=8) and Malays (n=4). Results Children’s knowledge of healthy eating did not necessarily translate into healthy dietary practices and concern for health was a low priority. Instead, food and taste preferences were pivotal influences in their food choices. Parents had a large influence on children with regards to their accessibility to food, their attitudes and values towards food. Parental food restriction led to some children eating in secrecy. Peer influence was not frequently reported by children. Competitions in school incentivised children to consume fruits and vegetables, but reinforcements from teachers were inconsistent. The proximity of fast-food chains in the neighbourhood provided children easy access to less healthy foods. Health advertisements on social media rather than posters worked better in drawing children’s attention. Conclusions Findings highlighted important factors that should be considered in future nutrition interventions targeting children.

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Section: Discussionsupporting

confidence: 82%

“…making healthy foods fun and enjoyable or used incentives, gamified healthy eating and experiential learning) have shown promising outcomes (32)(33)(34) . Similar effects have also been reported among recent Asian studies, suggesting that such activities could be adapted to interventions targeting children in Singapore (35)(36)(37) .…”

Section: Discussionsupporting

confidence: 82%

Understanding children’s perspectives of the influences on their dietary behaviours

Chan

Tay

Kembhavi

et al. 2022

Public Health Nutr.

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“…( Haines et al, 2019 ). Parental and peer support for healthy nutrition behaviours is associated with higher perception levels by adolescents and an increase in their diet quality ( Moitra et al, 2021 ). The responsibility of individuals to support the immune system during the COVID-19 pandemic is stated as choosing a healthy lifestyle, eating plenty of fruits and vegetables, exercising in their spare time, trying to maintain a healthy body weight and getting enough sleep ( Naja & Hamadeh, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

“…Increasing adolescents' nutrition knowledge is an important goal and has the potential to improve their nutritional habits and lifestyle while reducing the incidence of obesity-related throughout their whole lifespan ( Hamulka et al, 2018 ). It is stated that nutrition education in adolescents is an effective method for fostering healthy nutritional habits and for protection against chronic diseases associated with obesity ( Moitra et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

A cross-sectional study examining self-reported anthropometric measurements with adolescents' nutrition attitudes, obesity awareness and diet quality indices during the pandemic

Sümen

Evgi̇n

2022

Journal of Pediatric Nursing

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“…Changing attitudes and practices to promote a healthy diet, including adequate fruit and vegetable intake and quitting smoking, have been a potential target for public health interventions to support women attempting pregnancy in adopting healthy lifestyle behaviors [22][23][24]. These interventions, preferably commencing from the periconception period, were primarily based on face-to-face counseling sessions and have shown effectiveness in improving lifestyle behaviors [23,25,26].…”

Section: Introductionmentioning

confidence: 99%

The Effect of an eHealth Coaching Program (Smarter Pregnancy) on Attitudes and Practices Toward Periconception Lifestyle Behaviors in Women Attempting Pregnancy: Prospective Study

et al. 2023

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Background Lifestyle behaviors during the periconception period contribute to achievement of a successful pregnancy. Assessment of attitudes and practices toward these modifiable behaviors can aid in identifying gaps in unhealthy lifestyle behaviors with impact on intervention effectiveness. Objective This study investigates the effectiveness of coaching by the eHealth program Smarter Pregnancy during the periconception period on improvement of attitudes and practices toward fruit and vegetable intake and smoking in women attempting pregnancy through assisted reproductive technology (ART) or natural conception. Methods Women attempting pregnancy through ART (n=1060) or natural conception (n=631) were selected during the periconception period. The intervention groups, conceived through ART or naturally, received Smarter Pregnancy coaching for 24 weeks, whereas the control group conceived through ART and did not receive coaching. Attitudes and practices at baseline and follow-up periods were obtained from self-administered online questionnaire provided by the program. Attitudes were assessed in women with unhealthy behaviors as their intention to increase their fruit and vegetable intake and to quit smoking using a yes/no question. Outcomes on practices, suggesting effectiveness, included daily fruit (pieces) and vegetable (grams) intake, and if women smoked (yes/no). Changes in attitudes and practices were compared at 12 and 24 weeks with baseline between the ART intervention and ART control groups, and within the intervention groups between ART and natural conception. Changes in practices at 12 and 24 weeks were also compared with baseline between women with negative attitude and positive attitude within the intervention groups: ART and natural conception. Analysis was performed using linear and logistic regression models adjusted for maternal confounders and baseline attitudes and practices. Results The ART intervention group showed higher vegetable intake and lower odds for negative attitudes toward vegetable intake after 12 weeks (βadj=25.72 g, P<.001; adjusted odds ratio [ORadj] 0.24, P<.001) and 24 weeks of coaching (βadj=23.84 g, P<.001; ORadj 0.28, P<.001) compared with ART controls. No statistically significant effect was observed on attitudes and practices toward fruit intake (12 weeks: P=.16 and .08, respectively; 24 weeks: P=.16 and .08, respectively) and smoking behavior (12 weeks: P=.87; 24 weeks: P=.92). No difference was observed for the studied attitudes and practices between the ART intervention and natural conception intervention groups. Women with persistent negative attitude toward fruit and vegetable intake at week 12 showed lower fruit and vegetable intake at week 24 compared with women with positive attitude (βadj=–.49, P<.001; βadj=–30.07, P<.001, respectively). Conclusions The eHealth Smarter Pregnancy program may improve vegetable intake–related attitudes and practices in women undergoing ART treatment. Women with no intention to increase fruit and vegetable intake had less improvement in their intakes. Despite small changes, this study demonstrates again that Smarter Pregnancy can be used to improve vegetable intake, which can complemented by blended care that combines face-to-face and online care to also improve fruit intake and smoking behavior.

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Impact of a behaviourally focused nutrition education intervention on attitudes and practices related to eating habits and activity levels in Indian adolescents

Cited by 22 publications

References 69 publications

Understanding children’s perspectives of the influences on their dietary behaviours

Understanding children’s perspectives of the influences on their dietary behaviours

A cross-sectional study examining self-reported anthropometric measurements with adolescents' nutrition attitudes, obesity awareness and diet quality indices during the pandemic

The Effect of an eHealth Coaching Program (Smarter Pregnancy) on Attitudes and Practices Toward Periconception Lifestyle Behaviors in Women Attempting Pregnancy: Prospective Study

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