Impact of a Pilot School-Based Nutrition Intervention on Dietary Knowledge, Attitudes, Behavior and Nutritional Status of Syrian Refugee Children in the Bekaa, Lebanon

Diab-El-Harake, Marwa; Kharroubi, Samer A.; Hamadeh, S.K.; Jomaa, Lamis

doi:10.3390/nu10070913

Cited by 56 publications

(86 citation statements)

References 42 publications

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“…In another metaanalysis on physical activity and nutrition outcomes, the evidence indicated that interventions showed an average reduction in BMI of 0•11 kg/m 2 , yet the only nutrition study included in the review did not show any intervention effect on BMI (23) . As has been noted in previous reviews, the inconsistent evidence of intervention effect on anthropometry may be attributed to baseline malnutrition status or to the short duration of many of the interventions (18,33) . Thus, we might expect to see effects on outcomes such as weight gain even with shorter study durations and on height gain with longer durations (33) .…”

Section: Discussionmentioning

confidence: 92%

“…Since children spend a substantial proportion of their lives in the school setting, from a public health perspective, it makes sense to make schools as healthy as possible. Schools can offer an optimal setting to promote healthy eating habits (16)(17)(18)(19)(20) . They can provide a unique system for the delivery of cost-effective public health interventions since they have a large reach over the child population (21) .…”

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confidence: 99%

“…Several studies and reviews have evaluated the effectiveness of SHN programmes globally (16,21,(30)(31)(32)(33) . Findings appear to support the effectiveness of multi-component, school-based nutrition interventions (SBNI) in improving nutrition status and nutrition-related Knowledge, Attitude and Behaviour (KAB) (16,18,21) ; however, evidence is inconsistent in terms of the impact of SBNI (16,30,31,34) . A preliminary review indicated that no systematic review that evaluates the effectiveness of SBNI in SSA has been published.…”

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confidence: 99%

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Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review

Kyere

Veerman

Lee

et al. 2020

Public Health Nutr.

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Abstract Objective: To evaluate the effect of school-based nutrition interventions (SBNI) involving schoolchildren and adolescents in sub-Saharan Africa (SSA) on child nutrition status and nutrition-related knowledge, attitudes and behaviour. Design: A systematic review on published school nutrition intervention studies of randomised controlled trials, controlled clinical trials, controlled before-and-after studies or quasi-experimental designs with control. Nine electronic bibliographic databases were searched. To be included, interventions had to involve changes to the school’s physical and social environments, to the school’s nutrition policies, to teaching curriculum to incorporate nutrition education and/or to partnership with parents/community. Setting: Schools in SSA. Participants: School-aged children and adolescents, aged 5–19 years. Results: Fourteen studies met our inclusion criteria. While there are few existing studies of SBNI in SSA, the evidence shows that food supplementation/fortification is very effective in reducing micronutrient deficiencies and can improve nutrition status. Secondly, school nutrition education can improve nutrition knowledge, but this may not necessarily translate into healthy nutrition behaviour, indicating that nutrition knowledge may have little impact without a facilitating environment. Results regarding anthropometry were inconclusive; however, there is evidence for the effectiveness of SBNI in improving cognitive abilities. Conclusions: There is enough evidence to warrant further trials of SBNI in SSA. Future research should consider investigating the impact of SBNI on anthropometry and nutrition behaviour, focusing on the role of programme intensity and/or duration. To address the high incidence of micronutrient deficiencies in low- and middle-income countries, food supplementation strategies currently available to schoolchildren should be expanded.

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Section: Discussionmentioning

confidence: 92%

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confidence: 99%

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confidence: 99%

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Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review

Kyere

Veerman

Lee

et al. 2020

Public Health Nutr.

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“…Lastly, search terms such as: "nutrition interventions in primary schools" and "Nutrition education interventions in school" were used in the Cochrane Library database to find the articles. In addition, reference lists of all retrieved articles and review articles [34] were screened for potentially eligible articles. The search strategy was initially developed in PubMed and adapted for use in other databases.…”

Section: Literature Searchmentioning

confidence: 99%

Promoting Healthy Eating among Young People—A Review of the Evidence of the Impact of School-Based Interventions

Chaudhary¹,

Sudzina

Mikkelsen

2020

Nutrients

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Intro: Globally, the prevalence of overweight and obesity is increasing among children and younger adults and is associated with unhealthy dietary habits and lack of physical activity. School food is increasingly brought forward as a policy to address the unhealthy eating patterns among young people. Aim: This study investigated the evidence for the effectiveness of school-based food and nutrition interventions on health outcomes by reviewing scientific evidence-based intervention studies amongst children at the international level. Methods: This study was based on a systematic review using the PRISMA guidelines. Three electronic databases were systematically searched, reference lists were screened for studies evaluating school-based food and nutrition interventions that promoted children’s dietary behaviour and health aiming changes in the body composition among children. Articles dating from 2014 to 2019 were selected and reported effects on anthropometry, dietary behaviour, nutritional knowledge, and attitude. Results: The review showed that school-based interventions in general were able to affect attitudes, knowledge, behaviour and anthropometry, but that the design of the intervention affects the size of the effect. In general, food focused interventions taking an environmental approach seemed to be most effective. Conclusions: School-based interventions (including multicomponent interventions) can be an effective and promising means for promoting healthy eating, improving dietary behaviour, attitude and anthropometry among young children. Thus, schools as a system have the potential to make lasting improvements, ensuring healthy school environment around the globe for the betterment of children’s short- and long-term health.

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“…A person with a habit of eating diverse foods can maintain a normal nutritional status. Hudayani and Harake state that providing education and nutrition counselling with a comprehensive and continuous educated media can change the behaviour and habits of a person [27].…”

Section: Table II Cross Tabulation Between Knowledge Of Breakfast Andmentioning

confidence: 99%

Knowledge of Breakfast, Protein Intake of Breakfast, and Nutritional Status on Primary School Children

Mutalazimah¹,

Indrasari²

2019

Int. J. Adv. Sci. Eng. Inf. Technol.

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Nutritional status of children can be influenced by breakfast habits. One factor that influences the consumption of breakfast is knowledge of breakfast. Based on the results of a preliminary survey, 65% of students have less knowledge about the importance of breakfast. The objective of this research was to determine the correlation between knowledge of breakfast with protein intake and nutritional status on elementary school children at Madrasah Ibtida'iyah Muhammadiyah (MIM) Innovative Gonilan Kartasura Sukoharjo Indonesia. This was an observational study with a cross-sectional approach and sample size of 245 children selected by simple random sampling. The knowledge was assessed using a questionnaire containing 20 items with a true or false response. The protein intake was assessed by an interview using a 24-hour food recall form while the nutritional status was obtained using anthropometric measurements and was interpreted by Z-score of body mass index (BMI-forAge). The correlation test in this study was done by rank Spearman correlation test. The knowledge and protein intake were considered adequate with the respective values of 55.1% and 49.0%, while the nutritional status was classified as normal with the number of 65.3%. There was a correlation between knowledge with protein intake (p=0.032) and nutritional status (p=0.001). It is expected that the school can cooperate with community health centers to conduct nutrition education, especially about the breakfast behavior to improve the nutritional status of primary school students.

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Impact of a Pilot School-Based Nutrition Intervention on Dietary Knowledge, Attitudes, Behavior and Nutritional Status of Syrian Refugee Children in the Bekaa, Lebanon

Cited by 56 publications

References 42 publications

Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review

Effectiveness of school-based nutrition interventions in sub-Saharan Africa: a systematic review

Promoting Healthy Eating among Young People—A Review of the Evidence of the Impact of School-Based Interventions

Knowledge of Breakfast, Protein Intake of Breakfast, and Nutritional Status on Primary School Children

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