Nutrition knowledge and food intake of seven-year-old children in an atherosclerosis prevention project with onset in infancy: the impact of child-targeted nutrition counselling given to the parents

Räsänen, Minna; Niinikoski, Harri; Keskinen, Soili; Tuominen, Juhani; Simell, Olli; Viikari, Jorma; Rönnemaa, Tapani

doi:10.1038/sj.ejcn.1601153

Cited by 28 publications

(20 citation statements)

References 25 publications

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“…These results reveal a gap between knowledge and behaviour in Tehranian adolescents, as reported in other countries 8,19,20 . Findings from a study on Tehranian adults also indicated a sizeable gap between nutritional knowledge and behaviour 21 .…”

Section: Discussionsupporting

confidence: 70%

Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge

Mirmiran

Azadbakht

Azizi

2007

Public Health Nutr.

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Objective: To determine the nutritional behaviour of Tehranian adolescents. Subjects and methods: This study was undertaken on 7669 adolescents (4070 boys and 3599 girls) of 22 junior high schools and high schools as a representative sample of Tehranian adolescents. A validated knowledge, attitudes and practices (KAP) questionnaire and a food-frequency questionnaire (FFQ) were used. Factor analysis was used to determine the key questions. Results: The mean (^standard deviation) age and body mass index of the adolescents was 14^1 years and 27.2^11 kg m 22 . Although 82% of girls and 75% of boys had good nutritional knowledge, only 25% of boys and 15% of girls had good nutritional practice. Eighty-five per cent of adolescents knew that drinking too many soft beverages resulted in overweight or obesity, but only 4.5% of them did not drink soft beverages. Although 89% of adolescents knew that crisps and corn balls are not healthy snacks, 45% of them used such snacks during their break time. Thirty-seven per cent of adolescents preferred whole-grain biscuits to creamy wafer ones but only 10% of adolescents used whole-grain biscuits as a snack. The most frequently consumed snacks among Tehranian adolescents were sausage sandwiches, cocoa cola, crisps and corn balls, creamy wafers, cakes, chocolate and toffee. Conclusion: A low percentage of Tehranian adolescents have good nutritional behaviour and in most of them their nutritional practice does not accord with their nutritional knowledge. These results indicate the necessity of nutritional intervention in Tehranian adolescents.

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Section: Discussionsupporting

confidence: 70%

Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge

Mirmiran

Azadbakht

Azizi

2007

Public Health Nutr.

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“…This study shows that in spite of a child-targeted, repeated nutrition counselling given to the parents during the previous 6.5 y, children's nutrition knowledge and ability to explain choices in nutrition knowledge test differed only slightly between the intervention children and the control children at the age of 7 y. Indeed, this was rather unexpected, as we have previously shown that the intervention children had low saturated fat, high unsaturated fat foods readily available at home (Lagström et al, 2001;Räsänen et al, 2001), and they also had lower saturated fat and cholesterol intake (Lagström et al, 1997) and lower serum cholesterol concentrations than the control children throughout the first years of life (Niinikoski et al, 1996;Cullen et al, 2000). Also the intervention mothers have probably been excellent role models in food selection for their children.…”

Section: Discussionmentioning

confidence: 51%

“…The intervention children have continuously had lower intake of saturated fat and cholesterol than the control children (Lagström et al, 1997). Nutrition counselling resulted in an increased intake of low-fat-and high unsaturated-fat-containing foods in the 5.5-to 7-y-old children, but it failed to influence children's sodium intake as well as scores in a nutrition knowledge picture test at the age of 7 y (Räsänen et al, 2001). The difference in serum cholesterol concentration between the intervention and control children has been between 3 and 10% during the follow-up (Lapinleimu et al, 1995, Niinikoski et al, 1996Rask-Nissilä et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Impact of nutrition counselling on nutrition knowledge and nutrient intake of 7- to 9-y-old children in an atherosclerosis prevention project

et al. 2003

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Objective: To assess the impact of nutrition counselling given to 7.5-to 9-y-old children and their parents on children's nutrition knowledge and nutrient intakes. Design and subjects: The study children are participants in a prospective, randomised STRIP study (Special Turku Coronary Risk Factor Intervention Project for Children), whose aim was to decrease the intakes of saturated fat and cholesterol while increasing the intake of unsaturated fat in the intervention children from the age of 7 months onwards. Nutrition counselling was given only to the parents until the child's age of 7 y. Nutrition knowledge and nutrient intakes (total energy, total fat, saturated fat, unsaturated fat and sodium) were studied in a time-restricted cohort of 47, 7-y-old intervention and 51 control children. Thereafter, nutrition counselling was given both to the children and parents. Children's nutrition knowledge and nutrient intakes were measured again at the age of 9 y. Results: Biannual nutrition counselling given to the intervention children and the parents maintained the differences in saturated fatty acid intake attained during the intervention given to the parents alone (11.5 vs 13.3 E% (percent of energy intake), at the age of 7 y, Po0.01; 11.1 vs 13.4 E% at the age of 9 y, respectively; Po0.01). The intervention children used more polyunsaturated fatty acids at the age of 9 y than the control children (5.7 vs 5.1 E%, P ¼ 0.05). At 7 y, the intervention and control children had similar nutrition knowledge scores (total knowledge score 12.9 vs 12.0, respectively, P ¼ 0.13). After 1.5 y of nutrition intervention, at 9 y, the intervention children's nutrition knowledge was higher than that of the controls (total nutrition score 16.5 vs 13.2, respectively, Po0.001) and the ability to explain the reasons for their picture choices in the nutrition knowledge test had increased. Conclusion: This study showed that only a relatively short period of counselling with low input is needed to increase in children's nutrition knowledge and ability to explain nutrition-related subjects if advice has first been given to the parents and if the parents have received reinforcement and concrete help with parent-child communication after their children have been involved in the counselling. The differences attained in nutrient intake could also be maintained.

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“…Evidence of the association between nutritional knowledge and dietary intake has been found in several studies (6)(7)(8)(9)(10) . Moreover studies examining the effects of programmes designed to increase nutrition knowledge have found positive results (11,12) . However, other studies found no significant relationship (13,14) .…”

mentioning

confidence: 99%

Development and test–retest reliability of a nutrition knowledge questionnaire for primary-school children

Vereecken

Pauw

Cauwenbergh

et al. 2012

Public Health Nutr.

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Objective: To evaluate a web-based nutritional knowledge questionnaire for primary-school children. Design: Children's nutritional knowledge was assessed in five domains: healthy choices (twenty-seven items), estimated recommended portions/servings (eight items), nutrient content (five items), main food function (five items) and categorization of food items (eight items). Setting: The questionnaires were completed in school. Subjects: A convenience sample of 576 Belgian children (aged 7-12 years) from fourteen primary schools completed the questionnaire once, 386 completed the questionnaire twice. Results: Healthy choices could be answered correctly by 73 % of the children, nutrients by 59 %, food categorization by 49 %, main function by 38 % and portion estimation by 36 %. Children's test-retest intra-class correlations were 0?75 for healthy choices, 0?33 for nutrients, 0?61 for food categorization, 0?44 for main function, 0?47 for portion estimation and 0?76 for the total scale. The intra-class correlation was lower in the youngest age group (grade 2: 0?51, grade 4: 0?65, grade 6: 0?66). The total score was significantly lower in the retest. The instrument was in general positively evaluated by the children. Conclusions: The instrument is a promising, practical, inexpensive tool with acceptable test-retest reliability in fourth and sixth graders.

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Nutrition knowledge and food intake of seven-year-old children in an atherosclerosis prevention project with onset in infancy: the impact of child-targeted nutrition counselling given to the parents

Cited by 28 publications

References 25 publications

Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge

Dietary behaviour of Tehranian adolescents does not accord with their nutritional knowledge

Impact of nutrition counselling on nutrition knowledge and nutrient intake of 7- to 9-y-old children in an atherosclerosis prevention project

Development and test–retest reliability of a nutrition knowledge questionnaire for primary-school children

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