Nutrition education program and knowledge, attitudes, and behavior of Iranian students: A clinical trial
,
Abstract
Background & Aim: Dietary behavior modification has an important effect on chronic disease occurrence. This study aimed to examine the effects of an education program on nutritional knowledge, attitude, and behavior among female students studying in Bojnord, Iran.
Methods & Materials: This was a clinical trial that was conducted in 2009. Of all secondary schools, 2 classes were randomly selected from which 115 students were recruited and randomly divided into intervention group (n = 55) or control group (n = 60). The intervention program was administered to the intervention group, whereas the other group just received routine education. Data were collected at baseline, and after 45 days and 360 days of follow up via a self-administered questionnaire regarding knowledge, attitude, and practice variables. Repeated measure ANOVA was used to analyze data.
Results: As the results showed, there were significant differences within each group over time in terms of knowledge, attitude, and behavior (P < 0.001). Furthermore, the two groups, regardless of time, were different in all studied variables (P < 0.001) and also the interaction between time and group were significantly different regarding the three studied scales (P < 0.001).
Conclusion: This study indicated that the designed educational program could improve the knowledge, attitude, and nutrition behavior of female students of Birdjand up to 12 months. Therefore, this program could be conducted in primary schools of Bojnord city to improve nutrition behavior of the students.
Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA 2004; 291(23): 2847-50.
Hung HC, Joshipura KJ, Jiang R, Hu FB, Hunter D, Smith-Warner SA, et al. Fruit and vegetable intake and risk of major chronic disease. J Natl Cancer Inst 2004; 96(21): 1577-84.
Rezaeipour A, Youssefi F, Mahmoudi M, Shakeri M. Relationship between Adoles- cents' Nutritional and Physical Activity Be- haviors with their Perceptions about Parents' Lifestyle Behaviors. Hayat 2007; 13(3): 17- 25. [In Persian].
Amani R. Assessment of nutrition related life style patterns of female students in Ah- vaz universities dormitories. Jundishapur Sci Med J 2004; 4(42): 54-61. [In Persian].
Ries CP, Kline K, Weaver SO. Impact of commercial eating on nutrient adequacy. J Am Diet Assoc 1987; 87(4): 463-8.
Doll R. The lessons of life: keynote address to the nutrition and cancer conference. Can- cer Res 1992; 52(7 Suppl): 2024s-9s.
Krauss RM, Eckel RH, Howard B, Appel LJ, Daniels SR, Deckelbaum RJ, et al. AHA Dietary Guidelines: revision 2000: A state- ment for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation 2000; 102(18): 2284-99.
Mayne ST. Antioxidant nutrients and chron- ic disease: use of biomarkers of exposure and oxidative stress status in epidemiologic research. J Nutr 2003; 133 (Suppl 3): 933S-40S.
Azizi F, Allahverdian S, Mirmiran P, Rah- mani M, Mohammadi F. Dietary factors and body mass index in a group of Iranian ado- lescents: Tehran lipid and glucose study--2. Int J Vitam Nutr Res 2001; 71(2): 123-7.
Stables GJ, Subar AF, Patterson BH, Dodd K, Heimendinger J, Van Duyn MA, et al. Changes in vegetable and fruit consumption and awareness among US adults: results of the 1991 and 1997 5 A Day for Better Health Program surveys. J Am Diet Assoc 2002; 102(6): 809-17.
Potter JD, Finnegan JR, Guinadr JX. 5-A- Day for better health program evaluation re- port. Bethesda MD: NIH Publication; 2000.
Maine Behavioral Risk Factor Surveillance System (BRFSS) Data Dictionary 1994- 2012 [Online]. [cited 2013 Dec]; Available from: URL: http://www.maine.gov/dhhs/mecdc/public- health-systems/data-research/brfss/ docu- ments/pdf/1994_2012_BRFSS_Data_Dictiona ry.pdf
Harvey-Berino J, Hood V, Rourke J, Ter- rance T, Dorwaldt A, Secker-Walker R. Food preferences predict eating behavior of very young Mohawk children. J Am Diet Assoc 1997; 97(7): 750-3.
O'Brien G, Davies M. Nutrition knowledge and body mass index. Health Educ Res 2007; 22(4): 571-5.
Pour Abdolahi P, Zaraghi M, Razavie V, Dastgiri S, Qaem Maqami J, Fathi Azar A. The effect of nutrition education on the knowledge and practice of elementary school children regarding junk food intake. J Zanjan Univ Med Sci 2005; 13(51): 13-20. [In Persian].
Risvas G, Panagiotakos DB, Chrysantho- poulou S, Karasouli K, Matalas AL, Zampe- las A. Factors associated with food choices among Greek primary school students: a cluster analysis in the ELPYDES study. J Public Health (Oxf ) 2008; 30(3): 266-73.
Yazdanparast B. Evaluation of the effect of health education on school students nutri- tional behaviors change in 1378 [Thesis]. Tehran, Iran: Tarbiat Modares University 2000. [In Persian].
King AC, Saylor KE, Foster S, Killen JD, Telch MJ, Farquhar JW, et al. Promoting di- etary change in adolescents: a school-based approach for modifying and maintaining healthful behavior. Am J Prev Med 1988; 4(2): 68-74.
Shankar SH, Klassen AC, Garrett-Mayer E, Houts PS, Wang T, McCarthy M, et al. Evaluation of a nutrition education interven- tion for women residents of Washington, DC, public housing communities. Health Educ Res 2007; 22(3): 425-37.
Jason LA, Gruder CL, Buckenberger L, Le- sowitz T, Belgredan I, Flay BR, et al. A 12- month follow-up of a worksite smoking ces- sation intervention. Health Educ Res 1987; 2(3): 185-94.
Moore J, Morath K, Harre N. Follow-up study of a school-based scalds prevention programme. Health Educ Res 2004; 19(4): 430-9.
Goulet J, Lamarche B, Lemieux S. Factors influencing the dietary response to a nutri- tional intervention promoting the Mediterra- nean food pattern in healthy women from the Quebec City metropolitan area. Health Educ Res 2007; 22(5): 718-26.
Espejo Garcia MP, Vazquez Garcia MD, Benedi Curiel V, Lopez Lacoma JC. Dietary habits and physical activity after one year of health intervention in the school: A pilot study. Acta Pediatrica Espanola 2009; 67(1): 21-5.
| Files | ||
| Issue | Vol 1 No 1 (2014): Winter | |
| Section | Original Article(s) | |
| Keywords | ||
| nutrition behavior health education clinical trial Iran | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
