Nutrition Education Activity Research Articles

Risk Factors for Central Obesity in Women 45-54 Years of Age in Indonesia (Riskesdas 2018 Analysis)

The prevalence of central obesity in Indonesia, especially in women aged 45-54 years, has increased according to the results of the Basic Health Research (Riskesdas, Riset Kesehatan Dasar). Central obesity is associated with a higher risk of diseases such as diabetes, cardiovascular disease, dyslipidemia, and hypertension. This study aimed to identify factors associated with the incidence of central obesity in women aged 45-54 years in Indonesia using the 2018 Riskesdas data with a cross-sectional study design. The study sample consisted of 60,557 individuals, with 64.54% having central obesity. Marital status (PR=1.12; 95%CI 1.09-1.15), low physical activity (PR=1.18; 95%CI 1.14-1.21), and consumption of high-risk foods (PR=1.03; 95%CI 1.01-1.05) were found to be associated with an increased risk of central obesity. In contrast, primary education (PR=0.86; 95%CI 0.83-0.89), employment status (PR=0.91; 95%CI 0.90-0.93), and smoking status (PR=0.89; 95%CI 0.84-0.95) acted as protective factors against central obesity. The results of this study suggest the need for increased nutrition education and physical activity in women aged 45-54 years as well as health support programs for married women.

A survey of nutritional education within the Holiday Activities and Food programme across England.

Nutritional education is a mandatory component of the Holiday Activities and Food (HAF) programme in England, yet there is a paucity of literature exploring how this component is delivered. The aim of this study was therefore to explore the delivery, content, dose and perceived impacts of nutritional education, at the HAF club level, across England. A self-completion, cross-sectional online survey design was adopted. Non-probability purposive sampling was used to collect data from HAF club leads (n = 147) from across England. Data were analysed using descriptive statistics and frequencies. Face-to-face nutritional education was the most common mode of delivery, with sessions mostly comprising of discussing food and nutrition. However, whilst the majority of clubs delivered the required number of nutritional education sessions per week, according to the Department for Education's guidelines, the time spent delivering individual nutritional education activities may not be sufficient to drive change in related skills and behaviours. Moreover, many clubs did not adopt a whole-family approach, and some did not deliver any nutritional education activities at all, which club leads attributed to a lack of material resources and ambiguity in the national HAF guidance. Nutritional education is delivered in a variety of ways across HAF clubs, based upon available local assets, resources and venues. Policy and practice recommendations include increased HAF funding to support clubs that lack material resources, national training in nutritional education, and evidence-informed guidance and practice.

Bridging oral health and nutrition: Assessing produce prescription programs in pediatric dental clinics serving low-income communities.

This study assesses the needs and feasibility of conducting a produce prescription (produce Rx) program in a pediatric dental clinic setting serving low-income patients. We conducted a cross-sectional quantitative survey examining several household characteristics including demographics, benefits received, fruit and vegetable intake patterns, food security, feasibility of a produce Rx program, and respondents' answers to questions based on social cognitive theory constructs. The survey was administered at the University of Nebraska Medical Center (UNMC) pediatric dental clinic, a pediatric dental residency clinical training site. One hundred adult respondents with low income completed a 36-item questionnaire during their child's dental appointment. Almost half of respondents reported experiencing food insecurity (45%). Respondents who were food insecure experienced higher levels of nutrition insecurity (p = 0.012), less confidence in choosing fruits and vegetables (FVs) (p = 0.026), difficulty in purchasing FVs in their neighborhood (p = 0.012), and more concern that FVs cost too much (p < 0.001) when compared to respondents who were food secure. Notwithstanding the barriers they face, almost all respondents reported that they eat FVs because of health benefits (95%) and to set a good example for their family (91%). Additionally, most respondents expressed an interest in produce Rx programs (80%) and nutrition education activities (81%). This study demonstrated the potential for produce Rx program uptake in a pediatric dental clinic setting through positive caregiver-reported need and interest. Future studies should explore how produce Rx programs can be adapted most effectively in this novel setting.

Conference on Sustainable Health and Nutrition During the Life Cycle: Poster Presentations

The 1st International Conference on Sustainable Health and Nutrition during the Life Cycle, hosted by Rio de Janeiro State University in March 2024, convened diverse attendees from various disciplines. The conference aimed to democratize knowledge on sustainable health and nutrition while fostering networking opportunities. Abstract submissions came from students, healthcare professionals, educators, and researchers, leading to a rigorous selection process for oral and poster presentations. Embracing sustainability, the conference adopted a paperless approach with digital poster presentations. Keynote sessions addressed pressing issues like childhood obesity prevention and the intricate links between agroecology and nutrition. Discussions highlighted community action initiatives, including Afro-ancestral perspectives on healthy eating and the promotion of urban gardens. The launch of a book on non-conventional edible plants underscored the importance of food sovereignty and security. Engaging coffee breaks showcased products from family farming, featuring nutritional and gastronomic education activities. The conference's success paves the way for future events, signaling a strong likelihood of future editions. Overall, it provided a vital platform for dialogue, community building, and inclusivity in sustainable health and nutrition, setting a high standard for future endeavors. diverse attendees from various disciplines, the conference aimed to democratize knowledge on sustainable health and nutrition while fostering networking opportunities. Abstract submissions came from students, healthcare professionals, educators, and researchers, leading to a rigorous selection process for oral and poster presentations. Embracing sustainability, the conference adopted a paperless approach with digital poster presentations. Keynote sessions addressed pressing issues like childhood obesity prevention and the intricate links between agroecology and nutrition. Discussions highlighted community action initiatives, including Afro-ancestral perspectives on healthy eating and the promotion of urban gardens. The launch of a book on non-conventional edible plants underscored the importance of food sovereignty and security. Engaging coffee breaks showcased products from family farming, featuring nutritional and gastronomic education activities. The conference's success paves the way for future events, signalling a strong likelihood of future editions. Overall, it provided a vital platform for dialogue, community building, and inclusivity in sustainable health and nutrition, setting a high standard for future endeavours.

Conference on Sustainable Health and Nutrition During the Life Cycle: Keynote Sessions and Oral Presentations

The 1st International Conference on Sustainable Health and Nutrition during the Life Cycle, hosted by Rio de Janeiro State University, convened diverse attendees from various disciplines in March 2024. The conference aimed to democratise knowledge on sustainable health and nutrition while fostering networking opportunities. Abstract submissions came from students, healthcare professionals, educators, and researchers, leading to a rigorous selection process for oral and poster presentations. Embracing sustainability, the conference adopted a paperless approach with digital poster presentations. Keynote sessions addressed pressing issues like childhood obesity prevention and the intricate links between agroecology and nutrition. Discussions highlighted community action initiatives, including Afro-ancestral perspectives on healthy eating and the promotion of urban gardens. The launch of a book on non-conventional edible plants underscored the importance of food sovereignty and security. Engaging coffee breaks showcased products from family farming, featuring nutritional and gastronomic education activities. The conference's success paves the way for future events, signalling a strong likelihood of future editions. Overall, it provided a vital platform for dialogue, community building, and inclusivity in sustainable health and nutrition, setting a high standard for future endeavours.

Sociodemographic, nutritional and anthropometric factors determining overweight and obesity in an adult moroccan population

BACKGROUND: Knowledge of the determinants of the weight status of a population is important to be considered in actions aimed at improving public health. OBJECTIVE: The aim was to study the sociodemographic, nutritional and anthropometric factors associated with overweight and obesity in an adult Moroccan population. METHODS: This study focused on 507 adult subjects from the Rabat-Salé-Kénitra region in Morocco, according to a validated conceptual and methodological framework. Sociodemographic data were collected using a questionnaire, physical activity (PA) was assessed by the Marshal questionnaire, dietary intakes were estimated by a “dietary history” type survey. Anthropometric parameters were also measured using impedancemetry and a tape measure. RESULTS: The majority of the study population was 20 to 29 years old, females, urban and had an medium socio-economic level (SEL). The population’s dietary intake was high in calories, proteins, carbohydrates, fats, sugars, and sodium; and low in vitamin C, vitamin A, vitamin E, folic acid, iron, calcium and zinc. Univariate analysis revealed that overweight and obesity are associated with the 30–39 yrs age group, average SEL, insufficient PA, high intakes of calories, proteins, carbohydrates and lipids, as well as with high waist circumference and excessive body fat percentage. CONCLUSION: Factors associated with overweight and obesity were identified in the study population, revealing a coexistence of high intakes of energy and macronutrient and low intake of several micronutrients. The prevalence of deficiencies and excesses of these intakes testifys of a double burden of malnutrition in this population. The results are very relevant for guiding nutritional education actions among this population.

Acute effects on the psychological perception of university students after participation in the "RegulACTION" workshop for the improvement of emotional health and promotion of an active lifestyle.

Prospective research in Health Sciences and Sports Sciences warns of the need to design and implement educational program at the different stages of human development, that promote emotional competences, interpersonal competences, an adequate level of healthy physical activity as well as adherence to the Mediterranean diet and a more active lifestyle on a physical and social level. The main objective of the study was to design an intervention program on intra-and interpersonal competences together with emotional education, nutritional education and healthy physical activity, called 'RegulACTION'. The preliminary study sample consisted of 11 participants aged 21-28 years (M = 5.00, SD = 8.76) (8 female and 3 males) university students. An ad hoc questionnaire was elaborated to evaluate the participant's perception of the usefulness of the 'RegulACTION' experience and a semi-structured interview of 5 questions to assess their perception, identification of their emotions, awareness of their cognitions, emotions and behaviors in the different areas of their lives. The descriptive results show that the participants are receptive to continuing training in the regulation of cognitions (thoughts) and emotions to increase their satisfaction in different areas of their lives. Regarding the qualitative results, the participants' perception, collected verbatim, is that they feel the need to apply the knowledge about personal and social emotions, as well as healthy behavior in terms of nutrition and exercise, in their daily lives. The 'RegulACTION' program is designed based on the assessment of the prevalence of mental illness in the young adult and adult population, in line with the literature review in the area of knowledge of the theory of emotions, motivational theories and on the occasion of the development of a workshop organized.

THE EFFECT OF PRE-CONCEPTIONAL NUTRITION EDUCATION ON INCREASING KNOWLEDGE IN PRE-MARRIAGE WOMEN IN GARUT DISTRICT

Introduction: Many nutritional problems are associated with high maternal and child morbidity rates. Maternal health status is a determinant of the quality of future generations, so it is important to improve the nutritional quality of women early on. Pre-marital women are a priority for health improvement because they are in the pre-conception period. This is a crucial period because it will determine the quality of the pregnancy and the welfare of the baby being born. Knowledge as a factor that determines concern for the fulfillment of balanced nutrition. Special efforts through preconception nutrition education for brides and grooms need to be made in order to achieve a healthy family and quality offspring. The purpose of this study was to determine whether there was an increase in knowledge through pre-conceptional nutrition education for women of premarital childbearing age in Garut district. Objectives: The number of respondents in this study were 30 people selected by purposive sampling method. The data analysis used is the T-dependent statistical test because the data is normally distributed. Method: This study used a pre-experimental design with one group pre-posttest design. The population in this study were women of childbearing age who had planned a wedding in Garut district. Result: The results showed that preconception nutrition education had a significant effect (p value = 0.000) on knowledge with an average increase of 1.77. Conclusion: It is recommended that the health office and the ministry of religion organize nutrition education activities for premarital women in preparing for a healthy pregnancy.

Sleep duration and consumption of ultra-processed foods among Brazilian adolescents

BackgroundSleep duration influences the dietary pattern and quality of life of adolescents and is associated with increased ultra-processed food (UPF) consumption among those with inadequate sleep duration, which may be related to the increased prevalence of obesity, insulin resistance, and high blood pressure in this age group. Thus, the study objective was to verify the association between sleep duration and UPF intake among Brazilian adolescents participating in the Study of Cardiovascular Risks in Adolescents (ERICA). MethodsCross-sectional study using ERICA data, conducted between March 2013 and December 2014 with adolescents aged 12 to 17 years from public and private schools in Brazilian cities with more than 100,000 inhabitants. UPF consumption was obtained by recording a 24-hour food diary and was used as the outcome variable (in grams). The sleep duration was obtained through a questionnaire, stratified into recommended sleep duration (eight to 10 h) and inadequate sleep duration (less than 8 h and more than 10 h). Linear regression was performed to verify the association between sleep duration and UPF consumption. The analyses were carried out using Stata. Results66,791 adolescents were included in the study, 55.94 % of whom had inadequate sleep duration. Regardless of sleep duration, male adolescents had a higher average UPF consumption, as did adolescents in the 14–15 age group, who belong to the high socioeconomic score. Adolescents who slept less than 8 or more than 10 h a night (inadequate sleep duration) showed an increase in UPF consumption compared to adolescents who complied with the recommended hours of sleep (37.20 (22.64 – 51.76). ConclusionThe results show the importance of healthy lifestyle habits, such as adequate sleep duration and healthy eating, for health promotion. Food and Nutrition Education actions in schools are recommended to warn about the harm of inadequate sleep time and excessive UPF consumption.

Development and evaluation of a food literacy questionnaire for schoolchildren in France

Food literacy is gaining importance in nutrition education programs for children. To date, food literacy assessment tools have been developed in many countries, however, none exist in France. The objectives of this study were to develop a questionnaire and to evaluate its measurement properties among French schoolchildren aged 8–11 years. The questionnaire was developed in three phases: i) item selection (literature review and adaptation or creation of items) and content validity (submission to an expert panel), ii) questionnaire development including a pre-test in a small sample of children (n = 41) and item reduction and dimensionality based on the responses of children who completed the questionnaire in 31 schools between December 2022 and March 2023, and iii) questionnaire evaluation in terms of reliability, validity and acceptability. In total, 1187 responses were included in the analysis. The mean age of the children was 9.6 ± 0.7 years (girls: 51.2%, boys: 48.8%). The development process resulted in a 25-item questionnaire with good acceptability and satisfactory estimated reliability (McDonald omega coefficient = 0.73). Factor evaluation revealed a three-dimensional structure encompassing food and nutrition knowledge, participation in food preparation activities and food habits. To our knowledge, this study was the first to assess food literacy for schoolchildren in France. Our questionnaire can contribute to assess the factors that make food literacy vary, especially regarding socioeconomic variables to target priority populations for nutrition education actions and to describe changes in food literacy scores from a longitudinal perspective.

PENGARUH PENDIDIKAN BERBASIS MEDIA VIDEO ANIMASI TERHADAP PENGETAHUAN IBU TENTANG PROTEIN HEWAN UNTUK MENCEGAH BALITA STUNTING

Stunting cases in Girimukti village, North Sumedang sub-district, were 75 stunted toddlers (16.74%). Stunting in toddlers can be caused by the mother of toddlers having inadequate knowledge about feeding toddlers. One indirect factor that influences the incidence of stunting in children under five is the nutritional knowledge of mothers of toddlers.The study aimed to determine the effect of animated video media-based education on mothers' knowledge about food sources of animal protein to prevent stunting in toddlers. This study used a pre-experimental design and one group pre-test and post-test design. The research was conducted in July 2023, in Girimukti Village. The total sample was 46 mothers under five, consisting of 22 mothers with children under five with normal nutritional status and 24 mothers with children under five with stunting who lived in Girimukti Village. The sampling technique used purposive sampling technique. The research instrument used a knowledge questionnaire tested for validity and reliability and educational media in the form of animated videos and power points. The bivariate analysis used the Wilcoxon test. The result showed an increase in the average knowledge of mothers after being exposed to education using video-animated media; the average value of mother's knowledge during the pre-test was 70.24, and post-test was 79.04. The Wilcoxon signed rank test result is p-value&lt;0.001 (p ≤ 0.05). The study concluded that there was an effect of video media-based education on increasing mother's knowledge about food sources of animal protein to prevent stunting in toddlers. Video-based media can be considered for use by health workers in nutrition education activities.

Digital Educational Game "O Jardim do Ferro": A Tool for the Prevention of Iron Deficiency Anemia in Childhood.

Objective: To create and evaluate a digital educational game (DEG) for preschool children for the prevention of iron deficiency and iron deficiency anemia. Methodology: The DEG software was developed by a multidisciplinary team, according to Chandler's methodology, in Engine Unity. The game is a 2D platformer, for Android, with three different phases. A quiz was developed for parents/caregivers about iron absorption and anemia. The quiz content was evaluated by experts. The evaluation of the game was carried out through a questionnaire applied in the school for children from 4 to 6 years of age. Results: For the construction of the game, programming, team planning, art, and soundtrack were necessary. The game was registered at the National Institute of Industrial Property. The quiz was evaluated by 14 experts and all questions had more than 80% agreement. The questionnaire was answered by 32 children with a mean age of 5.0 ± 0.7 years, and ∼70% evaluated the game positively. Thus, the acceptability of the software was favored by most players. Conclusion: The "O Jardim do Ferro" software, from its conception to evaluation, proved to be a promising tool to contribute to food and nutrition education actions, providing opportunities for the construction of knowledge about iron-rich foods for the prevention of iron deficiency and iron deficiency anemia in childhood.

Deserts, Swamps and Food Oases: Mapping around the Schools in Bahia, Brazil and Implications for Ensuring Food and Nutritional Security.

Deserts, swamps and food oases terms have been used to characterize the food environment according to the identified food availability. Food swamps are defined as neighborhoods with a predominance of food establishments selling ultra-processed foods compared to establishments selling healthy options. In contrast, food oases are areas with easy access to healthy and nutritious foods, such as fruits, vegetables, and other fresh foods. Food deserts describe densely populated urban areas where residents face difficulty obtaining healthy food. In this context, this work aimed to map deserts, swamps, and food oases around federal schools in Bahia, Brazil, emphasizing the importance of implementing the Brazilian National School Feeding Program (PNAE) in these schools, to guarantee food security and nutrition. An ecological study was carried out in all 35 federal schools in Bahia, Brazil, using an 800 m buffer analysis, with the school as the centroid. The geographic coordinates of schools and food establishments were initially obtained using Google Maps and later confirmed onsite. To evaluate food deserts and swamps, the methodology proposed by the CDC was used and the Modified Retail Food Environment Index (mRFEI) was calculated; when the result was equal to zero, the surrounding area was considered a food desert and values between 0.01 and 20 determined food swamps; for values above 20, the neighborhood was classified as mixed. Food oases were considered regions containing at least one supermarket within the analyzed buffer. Descriptive analyses were carried out with frequency measurements, measures of central tendency (mean and median) and dispersion (standard deviation). The food environment of schools was compared considering the number of students impacted, the area where the school was located (urban or rural) and the size of the municipalities. The average number of food establishments found was 22.39 (±13.03), with the highest averages for snack bars (7.33 ± 4.43), grocery stores (5.83 ± 4.09) and restaurants (2.94 ± 2.19). Food deserts and mixed environments were identified in 40% of the sample, while swamps represented 20% and oases 65%. An association was observed between food deserts and social vulnerability, making it necessary to emphasize the importance of adequate implementation of the PNAE in these schools to reduce food and nutritional insecurity, guaranteeing the human right to adequate and healthy food and providing better nutrition and health perspectives within the school environment and impact on students' lives through food and nutrition education actions, which are also part of the context of PNAE activities.

Eficácia das atividades de educação alimentar e nutricional em crianças menores de dois anos de idade: uma revisão sistemática

Abstract Objectives: to evaluate the effectiveness of food and nutritional education on children up to the age of two. Methods: the systematic review was carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses. The research was carried out in 2022 in the Virtual Health Library/Lilacs, Pubmed/Medline and Science Direct databases. The articles were selected independently using the Microsoft Excel® program. Articles that evaluated food and nutritional education applied on children up to the age of two were included. The risk of bias was assessed using the Joanna Briggs Institute tool. Results: the research resulted in 1,523 studies and nine were included in the review. The articles presented a low risk of bias and good methodological quality. Food and nutritional education strategies were developed especially with the children’s parents. Workshops, lectures, and teaching materials were developed. In most of the studies, the activities developed helped to improve children’s health and eating patterns. Conclusion: food and nutritional education activities have therefore been effective in building healthy eating habits at childhood. Prospero registration: CRD42022325608.

Effectiveness of food and nutritional education activities in children under the age of two: a systematic review

Resumo Objetivos: avaliar a eficácia das ações de educação alimentar e nutricional (EAN) utilizadas para crianças de até dois anos de idade. Métodos: a revisão sistemática foi conduzida de acordo com o Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). A pesquisa foi realizada em 2022 nas bases de dados Biblioteca Virtual em Saúde/Lilacs, Pubmed/Medline e Science Direct. A seleção dos artigos foi realizada independentemente no programa Microsoft Excel®, sendo incluídos os artigos que avaliaram a EAN aplicada a crianças de até dois anos de idade. O risco de viés foi avaliado pela ferramenta do The Joanna Briggs Institute. Resultados: a pesquisa resultou em 1.523 estudos e nove foram incluídos na revisão. Os artigos apresentaram baixo risco de viés e boa qualidade metodológica. As estratégias de EAN foram desenvolvidas especialmente com os pais das crianças. Foram realizadas palestras, oficinas e elaborados materiais didáticos. Na maioria dos estudos, as atividades desenvolvidas ajudaram a melhorar a saúde e o padrão alimentar das crianças. Conclusão: portanto, as atividades de EAN foram eficazes para a construção de hábitos alimentares saudáveis na infância. Registro do Prospero: CRD42022325608.

누리과정 교사용 지도서 내용 분석: 신체활동과 영양교육을 중심으로

This study aimed to examine the content categories related to physical activity and nutrition education by area and analyze how much related activities are included in the early Nuri course at the national level related to physical health of young children, focusing on the Nuri course commentary by age and the teacher's guide. In order to analyze the contents and activities related to physical health in the Nuri course, the subjects of the study were the Nuri course commentary and the Nuri course teacher's guide distributed by the Ministry of Education, Science and Technology and the Ministry of Health and Welfare in 2013, and the frequency was calculated. As a result of the study, content related to physical activity was included in the physical exercise/health area and the art experience area, and the content categories directly related to physical activity and exercise were ‘body recognition’, ‘body control and basic exercise’, and ‘body control’. ‘Participating in activities’ and ‘Expressing through movement and dance’ among ‘Artistic expression’ in the field of art experience. In addition, the contents of nutrition education were covered in the physical exercise and health area, and it was related to ‘healthy living’ content category. Second, there were a total of 101 activities dealing with physical activity in the 5-year-old Nuri course, 147 activities in the 4-year-old and 120 activities in the 3-year-old, and the most physical activity-related activities were covered in the 4-year-old course. As for nutrition education activities, 24 activities were presented for 3 years old, 29 for 4 years old, and 22 activities for 5 years old. This study is significant in that it provided basic data on what parts are lacking and need to be improved to improve the physical health of young children when revising the national level curriculum for young children.

Edukasi Gizi Seimbang Melalui Metode Isi Piringku di SD Nahdlatul Wathan

Understanding balanced nutrition in children and toddlers is the key to success in efforts to prevent nutritional problems (Adriani, Kartika, 2011). Nahdlatul Wathon Elementary School is a private elementary school in the Sumberbaru area, Jember Regency which has the habit of eating lunch together with provisions from each home. From routine learning activities, it is known that the habit pattern that is instilled from the family, especially from the role of mother and family, is that healthy and nutritious food is expensive food. Children's understanding of balanced nutrition has an impact on attitudes and behavior in selecting and providing food ingredients and on children's appetite, so providing education to students about the components of balanced nutrition and providing an understanding that nutritious food is not expensive food is a solution to nutritional problems through activities community service through Balanced Nutrition Education activities using the fill my plate method at Nahdlatul Wathan Elementary School. Balanced nutrition education activities are carried out at the stage of brainstorming by asking questions about what food they consume every day. Then ask about their favorite food. The activity then continues by showing a video of the children's song "My Plate". After observing the video of the contents of my plate, students were invited to sing together. At the end of the activity, share pictures of plates and various side dishes and then ask students to arrange balanced nutrition according to what they understand.

Do Brazilian regulatory measures promote sustainable and healthy eating in the school food environment?

BackgroundRegulatory measures regarding food in the school environment aim to promote a healthier food environment in public and private schools. In Brazil, implementing regulations in the school food environment does not occur the same way across states and cities, and no national regulation covers public and private schools. The present study aims to analyze regulatory measures for school food environments in Brazilian states and cities and develop a score to evaluate them.MethodsA systematic search of the regulatory measures in force and implemented until 2021 was conducted. The score was developed based on the Model Law Project prepared by the Brazilian Institute for Consumer Protection. It considered food and nutrition education actions, restrictions on the sale and distribution of food, a ban or restriction on food advertising and marketing, and points of excellence. These points included regulations that addressed the importance of supervision and social control, laws regulated by decree, the mention of a ban on ultra-processed foods, and whether the regulatory measures covered public and private schools.ResultsSixty-five cities and states regulatory measures in force were found to be evaluated jointly by a federal entity (n = 43). Among the federal entities evaluated, only 13.95% fulfilled the function of promoting sustainable and healthy eating (8–12 points).ConclusionsBrazilian children and adolescents are exposed to a school food environment with regulations that partially fulfill the function of promoting an adequate, healthy, and sustainable diet. In this sense, it is necessary to improve regulatory measures or to encourage states and cities to develop effective legal provisions that are in line with the food guide for the Brazilian population and with the perspective of a healthy school food environment for the effective promotion of adequate, healthy and sustainable and healthy food in schools.

Education on Balanced Nutrition and Food Label Reading for Community in Cibanteng Village, Bogor District

In Indonesia, the number of people suffering from non-communicable diseases is on the rise. The leading cause is unbalanced nutrition. People must be able to choose healthy meals by reading food labels due to the growing quantity of packaged foods on the market. This Serving Lecturer is designed to teach the public about balanced nutrition and how to read nutritional information on food labels to make healthier food choices. On July 31, 2021, the community in Cibanteng Village, Ciampea District, Bogor Regency, received online balanced nutrition and food labelling education. A pre-test and post-test were used to assess public understanding of food labels. As a result, participants gained a better understanding of the principles of a balanced diet, nutritional values, and healthier choices because of this activity. Participants could also choose healthier goods based on the nutritional value information given on the packaging during the practice session. Balanced nutrition and food label education activities can help people eat healthier foods and stay healthy, active, and productive while avoiding disease.

Improvements in dietary intake, behaviors, and psychosocial measures in a community-randomized cardiovascular disease risk reduction intervention: Strong Hearts, Healthy Communities 2.0

BackgroundCardiovascular disease (CVD) prevalence has disproportionately risen among midlife and older female adults of rural communities, partly due to poor diet and diet-related behaviors and psychosocial factors that impede healthy eating. ObjectivesThis study aimed to evaluate the impact of Strong Hearts Healthy Communities 2.0 (SHHC-2.0) on secondary diet-related outcomes between intervention and control participants that align with the dietary goal and behavioral aims of the SHHC-2.0, a CVD risk reduction program. MethodsA community-randomized controlled trial was conducted in rural, medically underserved communities. Participants were female adults ≥40 y who were classified as obese or both overweight and sedentary. Communities were randomized to SHHC-2.0 intervention (n = 5 communities; n = 87 participants) or control (with delayed intervention) (n = 6 communities; n = 95 participants). SHHC-2.0 consisted of 24 wk of twice-weekly experiential nutrition education and group-based physical activity classes led by local health educators. Changes between baseline and end point (24 wk) in dietary intake (24-h recalls), dietary behaviors (e.g., Rapid Eating Assessment for Participants-Short Version [REAP-S] scores) and diet-related psychosocial measures (e.g., Three Factor Eating questionnaire) between groups were analyzed using linear mixed-effects multilevel models. ResultsAt 24 wk, participants from the 5 intervention communities, compared with controls, consumed fewer calories (mean difference [MD]= −211 kcal, 95% CI: −412, −110, P = 0.039), improved overall dietary patterns measured by REAP-S scores (MD: 3.9; 95% CI: 2.26, 5.6; P < 0.001), and improved psychosocial measures (healthy eating attitudes, uncontrolled eating, cognitive restraint, and emotional eating). ConclusionsSHHC-2.0 has strong potential to improve diet patterns and diet-related psychosocial wellbeing consistent with improved cardiovascular health.This trial was registered at www.clinicaltrials.gov as NCT03059472.