Nutrition Lessons Research Articles

The Results of the "My Challenge" Camp in Addressing Childhood Obesity.

This article presents the development, implementation and results of the project "An interdisciplinary approach to the treatment of overweight children" under the name "My Challenge" camp. It is a 2-week multidisciplinary programme involving a physician, a dietitian, a psychologist, an occupational therapist or physiotherapist and a kinesiologist. The children stay in camp for 2 weeks and are actively involved in the daily preparation of healthy meals, participate in cooking workshops and interactive nutrition lessons, and are active outdoors throughout the programme. The study included 117 overweight or obese children, aged 7-18 years, 66 girls and 51 boys from ten camps between 2017 and 2023. Completed dietary questionnaires and anthropometric measurements were compared at baseline, after 2 weeks, and after 1 month. Changes in children's diets include an increase in meal frequency, in higher vegetables, fish, and seafood consumption, lower consumption of fried food and reduced consumption of sugary drinks. Boys more frequently consume fried food than girls and less frequently consume milk and dairy products. After one month, there was a decrease in body fat percentage, waist circumference and waist-to-height ratio in both genders. The "My Challenge" camp demonstrates promising outcomes in combating childhood obesity. Through a two-week multidisciplinary programme, significant improvements in dietary habits and anthropometric measures were observed. The findings underscore the importance of preventive education programmes for children in addressing the long-term health consequences of obesity. Further research and continued implementation of such initiatives are warranted to effectively tackle this public health issue.

Healthy lifestyle interventions within the curriculum in school-age children: systematic review and meta-analysis.

Childhood obesity is a major public health challenge. Previous research has identified the impact of school-based interventions for preventing and treating obesity; we hypothesized that when curricular changes are integrated, results could be exponentiated. This study aimed to systematically review and conduct a meta-analysis of the published literature analyzing information about school-based interventions inserted in the curriculum. The Cochrane Handbook methodology was followed. An electronic search was conducted in five databases, with a specific design strategy per database. Randomized controlled trials or quasi-experimental studies of children with nutrition and physical activity (PA) interventions inserted into the school curricula were included. The risk of bias was assessed with the Risk of Bias tool. The mean differences were pooled using a fixed-effects model for the meta-analysis. The certainty of the evidence was evaluated according to the guidelines of the Grading of the Recommendations, Assessment, Development, and Evaluations working group (Protocol ID: CRD42021270557). After the screening and selection process, 12 studies were included. The interventions identified, based on the school curricula, include classroom activities and homework, among others. A meta-analysis with five intervention groups presented an overall mean difference of -0.14 body mass index (BMI) Z-score (95% CI: -0.25, -0.03) after this intervention with high certainty of the evidence. This systematic review and meta-analysis suggest that nutrition and PA lessons inserted into the curricula and supported with additional activities (i.e. homework, workshops, etc.) could increase nutrition knowledge and improve attitudes toward fruit, vegetables, and water consumption, and BMI Z-score reduction.

Impact of a School-Based Intervention on Sugar-Sweetened Beverage Intake Substitution by Water in Mexican Scholars

Introduction: The prevalence of overweight and obesity in children has increased in recent years, associated with substituting plain water intake with sugar-sweetened beverages. The aim of the study was to evaluate the impact of a school-based intervention that aimed to replace sugar-sweetened beverages with water on Mexican scholars. Methods: We included 314 children aged 9–11 from three public schools of the State of Hidalgo, Mexico, randomized to intervention (two schools from the municipality of Apan; six classes with 146 participants) or control group (one school from the municipality of Emiliano Zapata; six classes with 168 participants) and followed for 6 months. The intervention consisted of placing drinking fountains at schools and classrooms with nutritional education lessons to increase water consumption and decrease sugar-sweetened beverages. Mixed models for repeated measures were used to assess the impact of the intervention. Results: At the end of the study, water consumption was higher (200 mL/day, p = 0.005), and flavored milk consumption was lower (94 mL/day, p = 0.044) in the intervention group compared with the control group. There was also a statistically significant reduction in energy (p = 0.016) and sugar intake (p = 0.007). Conclusions: The school-based intervention favorably modified the consumption pattern of sugar-sweetened beverages and water in Mexican students.

Cooking with the Seasons for Health (CwS4H): An Innovative Intervention That Links Nutrition Education, Cooking Skills, and Locally Grown Produce to Increase Vegetable Intake among Limited-Resource Parent-Child Dyads in Rural Washington.

Although children from limited-resource families in rural areas are at great risk for nutrition-related chronic diseases, few hands-on programs have been implemented that simultaneously engage both parents and children and include local produce in a single program. This study reports on the development, implementation, and evaluation of Cooking with the Seasons for Health (CwS4H). Parent-child pairs participated in six sessions (two weekly sessions during each of three growing seasons), which included food tasting, a spotlight vegetable, interactive mini nutrition lesson, a child-focused cooking lesson, hands-on meal preparation, distribution of materials as family guides, and a take-home bag of fresh produce. Pre- and postprogram survey data were collected from 23 parents and 22 children. Children reported improvements in nutrition knowledge, vegetable preference, and self-efficacy in food preparation and cooking. Parents reported gains in nutrition knowledge, nutritional behaviors, vegetable preference, attitude toward food preparation/cooking, involvement of the child in food preparation/cooking, confidence in preparing vegetables, and the child's vegetable intake. Parents commented on the value children placed on food preparation and produce selection and how the program enhanced the parent-child relationship. By focusing CwS4H on a variety of fresh vegetables, this intervention helped to impact children's vegetable intake behaviors by engaging children in preparing and choosing the food they eat.

The Role of Teachers in Addressing Childhood Obesity: A School-Based Approach.

Childhood obesity is one of the most prevalent public health challenges in the United States, and although rates are declining overall, rates among children living in underserved neighborhoods are increasing. This five-year intervention project seeks to empower teachers (n = 92) to invest in their own health and then integrate nutrition concepts into core subjects' lessons in elementary schools. The professional development sessions reflect the concepts in the Whole Child, Whole School, Whole Community model. Results indicate that teachers who attended professional development sessions were more likely to implement nutrition lessons in the classroom (r = 0.54, p < 0.01), and students demonstrated a significant increase in nutrition knowledge (p < 0.001, df = 2, F = 9.66). Investing in school-based programs that ensure teacher well-being and professional development can yield positive benefits for both teachers and students.

One year results on a Spanish cardiac rehabilitation center

Abstract Funding Acknowledgements Type of funding sources: None. Background Cardiac rehabilitation programs (CRP) after myocardial infarction have an I-A recommendation level, according to European clinical guidelines, but in real life their implementation is very low. To improve secondary prevention, post-infarction CRP needs to be implemented and made it accessible to the public Spanish Health-care services. Purpose The aim of this study is to analyze the results after one year of CPR program in a tertiary Spanish hospital. Methods An observational study was performed on cardiac rehabilitation patients from October 2021 to November 2022. Patients were included in an individualized exercise program consisting in 3-days-supervised workout, self-home workout, life-style and nutrition lessons and medical treatment optimization. Demographics and analytic data were collected on the first visit and the last visit before discharge. Results One hundred patients were included (73.7% male, median age 60.9 years (SD 8.69)). Principal cardiovascular risk factors were arterial hypertension (55.5%), diabetes (29.3%), dyslipidemia (62.9%) and smoking (37.4%). ST-elevation myocardial infarction was the main prior diagnosis (47.5%) followed by non-ST myocardial infarction (39.4) and unstable angina (10.1%). Patients improved weight control - 1.67 kg (SD 2.89), abdominal circumference -2.7 cm (SD 2.6), exercise capacity 1.84 METS (SD 2.3), diet (PREDIMET scale) 1.6 points (SD 2.3) and anxiety and depression scale -1.05 points (SD 2.07). 85,7% of patient give up smoking. LDL-cholesterol reduction was -60.3 mg/dl (SD 38.58), reaching the LDL-cholesterol target by 66.3% (levels&amp;lt;55mg/dl) and on diabetic patients, glycated hemoglobin (HbA1c) achieves an 11.5% mean reduction from basal levels, reaching target levels (Hb A1c &amp;lt; 7%) on 68.2%. Conclusion CRP programs are an essential in secondary prevention and their implementation should be extensive to the majority of hospitals and primary care centers to promote life-style hacks and control cardiovascular risk factors.

Government-Industry-Academia Alliance: A multisectoral collaboration for improved nutrition of children and well-being of mothers

Introduction: Consistent with the Sustainable Development Goal 17 highlighting partnership to achieve development, this study demonstrated the convergence among government, industry and academe in carrying out a nutrition intervention to improve the nutritional status, knowledge, attitude and behaviour of school community (school children and mothers). Methods: A school-based intervention study comprising of school lunch feeding and nutrition lessons was conducted. Quasi-experimental design was used in the intervention research. Data were analysed using Stata 12.0. Descriptive statistics were generated using the survey module (svy) of Stata. The food and nutrition intervention mix composed of the governmentpartner School Feeding Programme (SFP) and the nutrition education campaign. The government-partner SFP involved lunch feeding of 7 to 9 years old students based on the standardised Pinggang Pinoy® recipes. The government-partner nutrition education component involved teaching of the developed modules to students and their mothers. Results: The intervention resulted in improvements in nutritional status, knowledge, attitude and behaviour of students. Investing an average of Php 15.00 or USD 0.29 (as of 2017) in a school feeding programme following the government-partner food and nutrition intervention mix improved nutritional status and shifted the number of underweight children to normal nutritional status by 25.3% after 120 feeding days. This intervention was implemented through a multisectoral collaboration during the pre-implementation, implementation, and post-implementation phases of the study. Conclusion: Partnerships among stakeholders provided the context towards healthier children as demonstrated by improved nutritional status, knowledge, attitude and behaviour of participants.

Effectiveness of a Behavior-and Age-Specific Nutrition Education Intervention to Promote Nutrition Knowledge and Preference for Fruits and Vegetables among Elementary School Children

ABSTRACT Background Lack of nutrition knowledge, low preference for fruits and vegetables (F&V), and underdeveloped taste are recognized as modifiable influencers of children’s F&V intake. Purpose To assess the effectiveness of a behavior-and age-specific nutrition education intervention to improve nutrition knowledge and preference for F&V among elementary school children. Methods In a quasi-experimental pre-and posttest assessment designed study, a six-week nutrition education intervention (including class-based nutrition education, hands-on activities, cooking demonstrations, and tasting) was implemented at four elementary schools. Nutrition knowledge and preference for F&V were evaluated at baseline and after the intervention. Wilcoxon signed-rank test was carried out to examine the differences between baseline and post-assessment. Results A total of 115 children (3rd- 5th grade) completed both baseline and post-assessment. After the intervention, participants showed a significant improvement in nutrition knowledge (mean [± sd] change score: 7.6 ± 3.7, P < .001). A significant improvement in F&V preference (Ps < .001) was found among the participants after the intervention. Discussion An age-and behavior-focused nutrition education intervention can improve children’s nutrition knowledge and F&V preference. Translation to Health Education Practice: This nutrition education curriculum can be implemented for the child population (age-specific groups) by adapting cultural priorities in nutrition lessons and cooking recipes. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars

From the Plate to the Mind: How Children's Eating Habits Affect Their Physical and Mental Health

This review looks at different programs and methods for getting kids to eat healthier, as well as how they might affect their mental and physical health in the long run. The focus is on how important it is for parents, schools, communities, and technology to shape kids' food decisions and general health. Nutrition education programs in schools are successful at teaching kids what they need to know about food and how it affects their health. By including nutrition lessons in the curriculum, schools can teach kids to make healthy food choices for the rest of their lives. Children's eating habits were found to be affected by how many parents helped them. When parents eat healthily, include their kids in meal planning and preparation, and create a good food situation, their kids are more likely to do the same and have better health in the long run. Community-based activities and partnerships are great ways to get kids directly involved with healthy foods. By making it easier for people to get fresh food, like through farmer's markets, community gardens, and cooking classes, we can help towns develop a good food culture and teach people how to eat well. We can't ignore how the media and marketing affect the foods that kids like to eat. By using the media and marketing to push better foods, we can counteract the effect of ads for unhealthy, processed foods and get kids to choose healthier foods. Interventions that use technology have also shown promise in getting kids interested in learning about eating. We can make learning about nutrition fun and easy by using interactive and educational apps and online tools. This will help us reach a bigger audience and give each person the knowledge and support they need. Overall, the review shows how important it is to help kids develop good eating habits early on. Setting up healthy eating habits at a young age can lower the chance of obesity, diabetes, heart disease, and mental health problems as an adult, making for a better life.

Evaluation of nutrition literacy and nutrition knowledge level in nursing students: a study from Turkey

ObjectiveThe determination of nutritional knowledge and nutrition literacy among nursing students will enable nursing departments to establish the needs and solutions to enhance nutrition education in their education programs. Therefore, this study is aimed to evaluate the nutrition literacy and nutrition knowledge level of nursing students.MethodThe study data were collected with ‘Information Form’, ‘Anthropometric Measurements’, ‘Nutrition Knowledge Level Scale for Adults’, and ‘Evaluation Instrument of Nutrition Literacy on Adults’. Analyzes were performed using descriptive and nonparametric tests.ResultsThe score of nutrition knowledge is 56.6 ± 6.8 and 50.5% of them have a good nutrition knowledge level. The total nutrition literacy score is 28.6 ± 4.4 and 91.6% of them have a sufficient nutrition literacy level. It was no significant difference between students’ characteristic features and nutrition knowledge score and nutrition literacy total score (p > 0.05). There was a statistically significant positive correlation between the nutrition knowledge score and the nutrition literacy total score and the nutrition literacy sub-sections scores (p < 0.05).ConclusionIt has been determined that the nutrition knowledge and nutrition literacy levels of nursing students correlated with each other. To improve students’ nutrition knowledge levels, as well as to improve their nutrition literacy and prevent non-communicable diseases nutrition lessons should be included in the curriculum.

Improvement of body composition in 8- to 11-year-old schoolboys: effects of a 6-months lifestyle intervention A retrospective evaluation of the “EDDY-Kids” prevention study

ABSTRACT Background Childhood obesity prevention is crucial. This study aimed to assess the effect of a 6-month intervention with nutritional training and physical activity education on body fat, BMI-SDS, and consumption of sugary drinks and sweets in a sample of 69 Viennese schoolboys aged 8–11 years. Methods The “EDDY-Kids” study was a prevention project in a Viennese elementary school aiming to prevent excessive weight gain and obesity by increasing nutrition knowledge and daily physical activity. During the school year 2018/2019, 69 boys were recruited; weight, height, fat mass, and consumption of sugary drinks and sweets were examined at the beginning (December 2018) and at the end of the project (June 2019). Only the intervention group received nutrition lessons and physical activity education once and twice weekly, respectively. Results At baseline, 19/36 boys in the intervention group had overweight/obesity and 11/33 in the control group (p = 0.14). After the intervention, no significant differences in changes in BMI-SDS between the intervention and the control group were observed (p = 0.35). Body fat percentage changed from 30.5% (25.8–31.7%) to 29.4% (24.3–30.4%) in the intervention group, and from 23.3% (22.0–27.0%) to 23.7% (21.7–26.8%) in the control group (p = 0.013). At baseline, there were no differences in the consumption of sugary drinks and sweets between the intervention and the control group. After 6-months of intervention, the median consumption of sugary drinks and sweets remained similar in the intervention and the control group, and no differences between groups (p > 0.40) were found. Conclusion A 6-month combined intervention promoting healthier dietary and physical activity habits in schoolboys from Vienna positively and modestly affected the percentage of body fat. Reduced body fat may be beneficial independently of changes in BMI-SDS.

Covid-19 Prevention Behaviors in a Cooperative Extension Audience: Findings from a Nutrition Education Study

The COVID-19 pandemic has dramatically impacted the delivery of nutrition education through Cooperative Extension. This study aimed to identify a Cooperative Extension audience’s attitudes towards virus prevention behaviors, preferred sources of information regarding COVID-19, and nutrition education preferences during the pandemic. We distributed an online survey to 477 potential nutrition education participants including questions about behaviors like mask wearing, preferences for virtual nutrition lesson delivery, and attitudes towards sources of information about COVID-19. Attitudes towards mask wearing and preferred sources of information differed significantly by race, income, and age. These differences have serious implications for future outreach and program delivery.

Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial

BackgroundPrior studies demonstrate associations between risk factors for obesity and related chronic diseases (e.g., cardiovascular disease) and features of the built environment. This is particularly true for rural populations, who have higher rates of obesity, cancer, and other chronic diseases than urban residents. There is also evidence linking health behaviors and outcomes to social factors such as social support, opposition, and norms. Thus, overlapping social networks that have a high degree of social capital and community cohesion, such as those found in rural communities, may be effective targets for introducing and maintaining healthy behaviors.MethodsThis study will evaluate the effectiveness of the Change Club (CC) intervention, a civic engagement intervention for built environment change to improve health behaviors and outcomes for residents of rural communities. The CC intervention provides small groups of community residents (approximately 10–14 people) with nutrition and physical activity lessons and stepwise built environment change planning workshops delivered by trained extension educators via in-person, virtual, or hybrid methods. We will conduct process, multilevel outcome, and cost evaluations of implementation of the CC intervention in a cluster randomized controlled trial in 10 communities across two states using a two-arm parallel design. Change in the primary outcome, American Heart Association’s Life’s Simple 7 composite cardiovascular health score, will be evaluated among CC members, their friends and family members, and other community residents and compared to comparable samples in control communities. We will also evaluate changes at the social/collective level (e.g., social cohesion, social trust) and examine costs as well as barriers and facilitators to implementation.DiscussionOur central hypothesis is the CC intervention will improve health behaviors and outcomes among engaged citizens and their family and friends within 24 months. Furthermore, we hypothesize that positive changes will catalyze critical steps in the pathway to improving longer-term health among community residents through improved healthy eating and physical activity opportunities. This study also represents a unique opportunity to evaluate process and cost-related data, which will provide key insights into the viability of this approach for widespread dissemination.Trial registrationClinicalTrials.gov: NCT05002660, Registered 12 August 2021.

Examination of Nutrition Knowledge Levels of Individuals Who Received Sports Training

The aim of this research is to determine whether the nutrition lessons taken affect the students, to what extent the students adapt the learned nutrition information to their lives, whether there is a relationship between the sports branch and nutrition information, whether there is a relationship between body mass index grouping and nutrition information. A total of 202 people, 125 (61.9%) men and 77 (38.1%) women, aged 23.21±3.31 years, participated in the study. In the first part of the data collection tool prepared in the research, the personal information of the participants was asked. In the second part, "Basic Nutrition Information" scale, in the third part "Food Preference" scale was asked. The factual questionnaire containing personal information consists of 16 questions in total. Multiple choice and open-ended questions were included in the questionnaire in which personal information was asked. The height and body weights of the participants were submitted by themselves. Body mass indexes (BMI) were calculated with the given body weight and height information ((BMI) = Body Weight (kg.) / Height squared (m2.)). The collected data were analyzed using the SPSS 22 package program. The homogeneity of the data was performed using the Scheffe and Hochberg GT2 test and the Post-Hoc multiple comparison test. Pearson Correlation test was used to determine the relationship between the nutritional knowledge levels of the individuals participating in the study and their age groups, since the data showed a normal distribution. The BMI and YETBID total scores of graduates and students were compared, a significant difference was found between graduates and students (p&lt;0.05). A significant difference in the YETBI D total score was found to be in favor of graduates. BMI was found to be higher in graduates compared to students. No significant difference was found when BT total scores were compared (p&gt;0.05). When the total scores of the participants were evaluated according to the status of taking courses, a significant difference was found in favor of those who took courses in both YETBID and BT. As a result; Nutrition education on proper nutrition (i.e. carbohydrates, protein and fluid) should be the main focus and priority, both in order to have an impact on public health, and to increase the performance of those who do sports and to aid recovery.&#x0D;

De-Implementation of Detrimental Feeding Practices in Childcare: Mixed Methods Evaluation of Community Partner Selected Strategies.

This pilot evaluated strategies to decrease detrimental feeding practices in early care and education, which are hypothesized to compete with evidence-based feeding and obesity prevention practices. This study made two key comparisons: (1) a between-site comparison of sites receiving (a) no implementation or de-implementation strategies (i.e., Basic Support; B), (b) implementation strategies only (i.e., Enhanced Support; E), and (c) implementation and de-implementation strategies (i.e., De-implementation + Enhanced Support; D + E) and (2) a within-site pre-post comparison among sites with D + E. At nutrition lessons, the D + E group had more Positive Comments (Hedege’s g = 0.60) and higher Role Model fidelity (Hedege’s g = 1.34) compared to the E group. At meals, assistant teachers in the D + E group had higher Positive Comments than in the B group (g = 0.72). For within-group comparisons, the D + E group decreased Negative Comments (t(19) = 2.842, p = 0.01), increased Positive Comments (t(20) = 2.314, p = 0.031), and improved use of the program mascot at nutrition lessons (t(21) = 3.899, p = 0.001). At meals, lead teachers’ Negative Comments decreased (t(22) = 2.73, p = 0.01). Qualitative data identified strengths and opportunities for iteration. Despite a COVID interruption, mid-point comparisons and qualitative feedback suggest promise of the de-implementation strategy package.

P044 Nutrition-Sensitive Agriculture Project Increased Bean Consumption and Improved Protein Quality of Rural Guatemalan Families

<h3>Objective</h3> To assess impact of nutrition-sensitive agricultural project on intake of beans and improved quality protein of indigenous women and their families in the Guatemalan highlands. <h3>Use of Theory</h3> Nutrition lessons were designed based on the Social Ecological Model taking into account the indigenous highland cultures and local foods grown. They were delivered across geographically dispersed communities in households using wood-burning stoves and no refrigeration. <h3>Target Audience</h3> Indigenous women and their families living in remote rural highland communities. <h3>Description</h3> Five-pound bags of improved bean seed varieties were provided to rural families coupled with training to grow them. Five group lessons with videos and activities were developed to address nutrition topics taught by cross-trained nutrition, health and agricultural extension educators: preventing chronic malnutrition; enhancing protein quality; nutrient needs in pregnancy and lactation; feeding the child 6-11 months; and feeding the child 1-3 years. Because these rural families rarely eat animal protein and had reduced bean consumption, protein complementarity was stressed. Previous assessments demonstrated that their diets were composed primarily of corn and other carbohydrates. <h3>Evaluation</h3> This was addressed two ways: by comparing the household intake of beans both before and after receiving the lessons; and using the Most Significant Change technique for qualitative assessment. <h3>Results</h3> The timeframe for the intervention was six months. Five hundred and seventy one households from 93 communities reported eating beans 1.5 x/week before receiving the bean seed and training and 2.8 x/week afterwards. Analysis of variance (ANOVA) for HH intakes showed statistically significant increases. Qualitative measurements 12 months after the intervention confirmed increased bean consumption across the study area. <h3>Conclusions</h3> This nutrition-sensitive food-based approach when coupled with seed distribution, agricultural and nutrition education resulted in an increased consumption of beans, which when combined with corn and other cereals, improved protein quality intake of women and their families in rural indigenous households. <h3>Funding</h3> USAID

Iğdır Yöresinde Organik Arıcılık ve Bal Üretimi Anla

Organic agricultural products are food products that are inspected and certified at all stages of production until they are offered for consumption by institutions that are authorized by the state. Beekeeping products made for human food are also subject to the same certification process. With this research, it was aimed to reveal the organic beekeeping and organic honey understanding of the people of Iğdır region. With the survey, the information of the local consumers about organic honey, how they got this information, their status and reasons for organic honey consumption, as well as the certification processes were collected. The obtained data were analyzed with numerical, proportional, and decision tree methods. The genders of the survey participants were 66% male, 34% female. It was also determined that 70.5% of the participants were under the age of 40, had a bachelor's degree or higher education level in the proportion of 43%, and 63% had a minimum wage or lower-income level. For the questions asked about the research topic, it was reported that participants know and eat organic honey in the proportion of 93%, buy organic honey in the proportion of 77.5%, having information about the organic honey certificate in the proportion of 67% and certification stages in the proportion of 43%. Despite these high rates, the same participants gave contradictory answers to some other questions, such as; for the question of “What is organic honey?” the answer of "Certified honey" in the proportion of only 11.5% and for the question of “How did you know that the organic honey you bought was organic honey?” the answer of " I saw its certificate” in the proportion of only 18.1%. This contradiction was noted. With this research, it was determined that the local people did not have enough information about organic beekeeping and honey understanding. In order to fill this gap, it can be suggested that healthy nutrition lessons be included in the education curricula starting from primary school, and usage of TV, radio, and internet broadcasting for this purpose. The fact that the participants' education level is high and their age is young may provide an advantage in order to get results from the training to be given on the subject.

Examination of Nutritional Knowledge Levels and Nutritional Attitudes of Badminton Athletes

Aim: This study aimed to examine the nutritional knowledge levels and nutritional attitudes of badminton athletes in Turkey. Method: The screening model was used in our research. After giving preliminary information about the survey to the participants, a total of 207 volunteer athletes (92 (44.4%) female and 115 (55.6%) male athletes) participated in the study voluntarily. In the research, a personal information form was used in the first part, and a nutrition questionnaire consisting of two main parts was applied in the nutrition-related part. The first part of the nutrition questionnaire measured the nutritional knowledge level of the participants, and the second part measured their nutritional attitudes. The data obtained for the research were first transferred to the computer environment and then analyzed through the SPSS 22.0 package program. Results: According to the results of the study, it was observed that the nutritional attitude values of the female participants were higher than the males, and this difference was found to be statistically significant (p&lt;0.05). Considering the nutritional attitudes of the national athletes according to the being national athlete status variable of the participants, it was determined that the mean scores were higher than the non-national athletes and this situation was statistically significant (p&lt;0.05). Conclusion: When the results were examined, it was observed that the athletes who took nutrition lessons had higher nutritional knowledge and attitudes than those who did not, and national athletes had higher nutritional knowledge and attitudes than non-national athletes. The fact that national athletes can be in the camp environment at an early age and work with experts was inevitably beneficial for their nutritional knowledge and attitude. Keywords: Badminton, Nutrition Knowledge and Attitude

Edible insect farming as an emerging and profitable enterprise in East Africa.

In East Africa, insect farming is a rapidly growing business providing access to 'climate-smart' protein, other nutrients, and income. With the continental drive to transform existing food systems that are becoming continuously unsustainable due to scarcity of arable land and water, and high ecological imprint, insect farming for food and feed with circular economy potential has gained remarkable interest. In this review, we report on the recent research trends on key substrates and insect species commonly farmed, map of commercial enterprises, insect nutritional values, processing techniques, marketing, regulatory framework, and lessons learnt on insect farming. These findings provide important answers to both technical and economic factors of insect farming and provide a clear roadmap for scaling these technologies in a phased approach through effective public-private partnerships offering interesting opportunities for implementing a circular food economy.

Wak\u021f\xe1\u014bye\u017ea (Little Holy One) - an intergenerational intervention for Native American parents and children: a protocol for a\xa0randomized controlled trial with embedded\xa0single-case experimental design\xa0

BackgroundTrauma within Native American communities compromises parents’ parenting capacity; thus, increasing childrens’ risk for substance use and suicide over the lifespan. The objective of this manuscript is to describe the Wakȟáŋyeža (Little Holy One) intervention and evaluation protocol, that is designed to break cycles of intergenerational trauma, suicide, and substance use among Fort Peck Assiniboine and Sioux parents and their children.MethodsA randomized controlled trial with an embedded single-case experimental design will be used to determine effectiveness of the modular prevention intervention on parent-child outcomes and the added impact of unique cultural lesson-components. Participants include 1) Fort Peck Assiniboine and Sioux parents who have had adverse childhood experiences, and 2) their children (3–5 years). Parent-child dyads are randomized (1:1) to Little Holy One or a control group that consists of 12 lessons taught by Indigenous community health workers. Lessons were developed from elements of 1) the Common Elements Treatment Approach and Family Spirit, both evidence-based interventions, and 2) newly created cultural (intervention) and nutrition (control group only) lessons. Primary outcomes are parent (primary caregiver) trauma symptoms and stress. Secondary outcomes include: Parent depression symptoms, parenting practices, parental control, family routines, substance use, historical loss, communal mastery, tribal identity, historical trauma. Child outcomes include, externalizing and internalizing behavior and school attendance. Primary analysis will follow an intent-to-treat approach, and secondary analysis will include examination of change trajectories to determine impact of cultural lessons and exploration of overall effect moderation by age and gender of child and type of caregiver (e.g., parent, grandparent).DiscussionMany Native American parents have endured adverse childhood experiences and traumas that can negatively impact capacity for positive parenting. Study results will provide insights about the potential of a culturally-based intervention to reduce parental distress – an upstream approach to reducing risk for childrens’ later substance misuse and suicidality. Intervention design features, including use of community health workers, cultural grounding, and administration in Head Start settings lend potential for feasibility, acceptability, sustainability, and scalability.Trial registrationClinicalTrials.gov: NCT04201184. Registered 11 December 2019.