1
|
Hasan AMR, Smith G, Rashid MH, Selim MA, Rasheed S. Promoting healthy foods among urban school children in Bangladesh: a qualitative inquiry of the challenges and opportunities. BMC Public Health 2021; 21:1029. [PMID: 34074273 PMCID: PMC8168019 DOI: 10.1186/s12889-021-11085-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2021] [Accepted: 05/12/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND In Bangladesh overweight and obesity among urban school children are on the rise. Urban school children tend to consume foods dense in calories and few fruits and vegetables which is associated with overweight and obesity. The current study explored the barriers and opportunities for promoting healthy diets among school children from the perspective of teachers and parents in Dhaka, Bangladesh. METHODS We conducted 14 key informant interviews with teachers and principals, six focus group discussions with 31 mothers of school children (5 to 15 year old) and 14 structured observations of the school food environment. Inductive thematic analysis was performed manually. RESULTS Schools were important for development of food preferences of children, however, most school cafeterias provided foods based on profit rather than health considerations. A shift in food culture resulted in making eating out acquire many meanings beyond convenience. Mothers, especially those who were employed, struggled to prepare healthy foods due to time pressure. Mothers were generally concerned about chemicals added to raw foods in markets which led to limited fruit and vegetable consumption. CONCLUSIONS There were many challenges to promoting healthy foods to school children within and outside the school. It is important to formulate policies and guidance to create a supportive environment for healthy foods in and in the proximity of schools. It is also important to educate consumers about identifying and choosing healthy foods. Laws related to food safety should be adequately implemented to boost the population's confidence in safety of available healthy foods in the food system.
Collapse
Affiliation(s)
- A M Rumayan Hasan
- Universal Health Coverage, Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh
| | | | - Md Harunor Rashid
- Universal Health Coverage, Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh
| | - Mohammad Abdus Selim
- Universal Health Coverage, Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh
| | - Sabrina Rasheed
- Universal Health Coverage, Health Systems and Population Studies Division (HSPSD), International Centre for Diarrhoeal Disease Research, Bangladesh, 68 Shaheed Tajuddin Ahmed Sarani, Mohakhali, Dhaka, 1212, Bangladesh.
| |
Collapse
|
2
|
Rocha NP, Milagres LC, Novaes JFD, Franceschini SDCC. Association between food and nutrition insecurity with cardiometabolic risk factors in childhood and adolescence: a systematic review. REVISTA PAULISTA DE PEDIATRIA (ENGLISH EDITION) 2016. [PMID: 26564327 PMCID: PMC4917275 DOI: 10.1016/j.rppede.2016.01.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Objective: To address the association between food and nutrition insecurity and cardiometabolic risk factors in childhood and adolescence. Data source: Articles were selected from the Medline, Lilacs and SciELO databases with no publication date limit, involving children and adolescents, using the descriptors: food and nutrition security, diabetes mellitus, hypertension, metabolic syndrome, stress and dyslipidemia. The terms were used in Portuguese, English and Spanish. The search was carried out systematically and independently by two reviewers. Data synthesis: Exposure to food insecurity during childhood and adolescence ranged from 3.3% to 82% in the selected publications. Exposure to food insecurity was associated with stress, anxiety, greater chance of hospitalization, nutritional deficiencies, excess weight and inadequate diets with reduced intake of fruits and vegetables and increased consumption of refined carbohydrates and fats. Conclusions: Food and nutrition insecurity was associated with the presence of cardiometabolic risk factors in the assessed publications. Childhood and adolescence constitute a period of life that is vulnerable to food insecurity consequences, making it extremely important to ensure the regular and permanent access to food. Because this is a complex association, some difficulties are found, such as the synergy between risk factors, the assessment of heterogeneous groups and extrapolation of data to other populations, in addition to the influence of environmental factors.
Collapse
Affiliation(s)
- Naruna Pereira Rocha
- Departamento de Nutrição e Saúde, Universidade Federal de Viçosa (UFV), Viçosa, MG, Brasil.
| | | | | | | |
Collapse
|
3
|
Rocha NP, Milagres LC, Novaes JFD, Franceschini SDCC. Associação de insegurança alimentar e nutricional com fatores de risco cardiometabólicos na infância e adolescência: uma revisão sistemática. REVISTA PAULISTA DE PEDIATRIA 2016; 34:225-33. [DOI: 10.1016/j.rpped.2015.08.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2015] [Revised: 07/08/2015] [Accepted: 08/02/2015] [Indexed: 11/29/2022]
|
4
|
Silva CS, da Silva Junior CT, Ferreira BS, da Silva FDM, Silva PS, Xavier AR. Prevalence of underweight, overweight, and obesity among 2, 162 Brazilian school adolescents. Indian J Endocrinol Metab 2016; 20:228-232. [PMID: 27042420 PMCID: PMC4792025 DOI: 10.4103/2230-8210.176364] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION The nutritional profile of the Brazilian population has changed in recent years. Therefore, this study aimed to assess the prevalence of nutritional status among Brazilian school adolescents during the period from January 2014 to December 2014. METHODS This study employed an observational design with a cohort of school adolescents. Anthropometric measurement was assessed by nutritionists in government schools. The cut-off points for body mass index according to Brazilian criteria for adolescents of both sexes between 10 years and 19 years old were underweight (≤17.5 kg/m(2)), overweigh (≥25.0 kg/m(2)), and obesity (≥30.0 kg/m(2)). RESULTS The number of students included in the analysis was 2162, of which 71.0% were males and 29% were females (P = 0.00001). The mean age (years) was 13.14 ± 2.17 for boys and 12.66 ± 1.85 for girls (P = 0.0001). The prevalence of underweight, overweight, and obesity observed in our population of school adolescents according to the Brazilian criteria was 2.8%, 8.1%, and 2.4% for males, respectively, and 23.0%, 10.7%, and 3.6% for females, respectively. For both sexes, there was no statistically significant difference between overweight (P = 0.5469) and obesity (P = 0.7863), but there was for underweight (P = 0.001). CONCLUSIONS The occurrence of excess weight among Brazilian school adolescents is similar to the international prevalence, but the prevalence of underweight was very high among girls. The nutritional status of adolescents must be considered a public health problem in Brazil.
Collapse
Affiliation(s)
- Clarice Siqueira Silva
- Secretary of Education, Armação de Búzios, Estrada da Usina 600, Rio de Janeiro, 28950-000, State of Rio de Janeiro, Brazil
- Department of Maternal Child, Faculty of Medicine, Professional Master's Program in Mother and Child Health, Universidade Federal Fluminense, Rua Marquês do Paraná, 303, Niterói, State of Rio de Janeiro, 24030-215, Brazil
| | - Cyro Teixeira da Silva Junior
- Department of Maternal Child, Faculty of Medicine, Professional Master's Program in Mother and Child Health, Universidade Federal Fluminense, Rua Marquês do Paraná, 303, Niterói, State of Rio de Janeiro, 24030-215, Brazil
| | - Bruna Soares Ferreira
- Secretary of Education, Armação de Búzios, Estrada da Usina 600, Rio de Janeiro, 28950-000, State of Rio de Janeiro, Brazil
| | - Francielle Dal Mora da Silva
- Secretary of Education, Armação de Búzios, Estrada da Usina 600, Rio de Janeiro, 28950-000, State of Rio de Janeiro, Brazil
| | - Patricia Siqueira Silva
- Department of Maternal Child, Faculty of Medicine, Professional Master's Program in Mother and Child Health, Universidade Federal Fluminense, Rua Marquês do Paraná, 303, Niterói, State of Rio de Janeiro, 24030-215, Brazil
| | - Analúcia Rampazzo Xavier
- Department of Maternal Child, Faculty of Medicine, Professional Master's Program in Mother and Child Health, Universidade Federal Fluminense, Rua Marquês do Paraná, 303, Niterói, State of Rio de Janeiro, 24030-215, Brazil
| |
Collapse
|
6
|
Mahamed F, Parhizkar S, Shirazi AR. Impact of family planning health education on the knowledge and attitude among Yasoujian women. Glob J Health Sci 2012; 4:110-8. [PMID: 22980158 PMCID: PMC4777044 DOI: 10.5539/gjhs.v4n2p110] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2011] [Accepted: 12/27/2011] [Indexed: 11/12/2022] Open
Abstract
The aim of this study was to determine the effect of health education on the knowledge and attitude regarding family planning and contraception's method among the women who obligatory attended the Premarital Counseling Center in Yasouj city, Iran. An experimental study was carried out and a total of 200 women were selected for the study using convenience sampling method among women who attended in the health centre in order to utilize the necessary premarital actions. Respondents were divided by two experimental and control groups randomly. A pre-evaluation was done on the knowledge and attitude on family planning using a structured questionnaire. After which, the health education for experimental group was done within four educational sessions during 4 consecutive weeks and control group underwent traditional education method. Post evaluation was utilized for any changes regarding their knowledge and attitude among the respondents immediately after the intervention. Independent and paired t-test was used to evaluate the mean knowledge and attitude scores differences among both groups. RESULTS showed that there was a significant improvement in respondents' knowledge and attitude after educational program in experimental group (p<0.001), while no significant difference was observed in knowledge and attitude of control group. The finding also indicated that age was significantly associated with the level of respondents' knowledge. These results deal the effectiveness of the educational method. In conclusion, the educational method is effective in increasing the knowledge and improving the attitude of women regarding family planning in Yasouj compared to current used educational method. Future educational programs need to incorporate the features that have been associated with successful interventions in the past, as well as including their own evaluation procedures.
Collapse
Affiliation(s)
- Fariba Mahamed
- Public Health Department, Faculty of Health Yasouj University of Medical Sciences (YUMS), Iran
| | - Saadat Parhizkar
- Public Health Department, Faculty of Health Yasouj University of Medical Sciences (YUMS), Iran Tel: 98-741-222-9224 E-mail:
| | - Alireza Raygan Shirazi
- Environmental Health Department, Faculty of Health Yasouj University of Medical Sciences (YUMS), Iran
| |
Collapse
|