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IJCHN-WEB

Impact of Vegetable Preparation Method and Taste-Test on Vegetable Preference for First Grade Children in the United States
Pages 316-325
Marie Veronyck Colas, Joan A. Vaccaro, Gustavo G. Zarini and Fatma G. Huffman

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.5

Published: 25 November 2013

Open Access 


Abstract: How children rate vegetables may be influenced by the preparation method. The primary objective of this study was for first grade students to be involved in a cooking demonstration and to taste and rate vegetables raw and cooked. First grade children of two classes (N= 52: 18 boys and 34 girls (approximately half Hispanic) that had assented and had signed parental consent participated in the study. The degree of liking a particular vegetable was recorded by the students using a hedonic scale of five commonly eaten vegetables tasted first raw (pre-demonstration) and then cooked (post-demonstration). A food habit questionnaire was filled out by parents to evaluate their mealtime practices and beliefs about their child’s eating habits.Paired sample t-tests revealed significant differences in preferences for vegetables in their raw and cooked states. Several mealtime characteristics were significantly associated with children’s vegetable preferences. Parents who reported being satisfied with how often the family eats evening meals together were more likely to report that their child eats adequate vegetables for their health (p=0.026). Parents who stated that they were satisfied with their child’s eating habits were more likely to report that their child was trying new foods (p<.001). Cooking demonstrations by nutrition professionals may be an important strategy that can be used by parents and teachers to promote vegetable intake. It is important that nutrition professionals provide guidance to encourage consumption of vegetables for parents so that they can model the behavior of healthy food consumption to their children.

Keywords: Children, elementary school, vegetable consumption, hedonic scale vegetables, cooking demonstration, mealtime behaviors, tasting.
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Promotion of Fruits and Vegetables Consumption: Results of a School-Based Intervention in a Sample of 13-15 Years Old Italian Students
Pages 326-334
Giacomo Lazzeri, Valentina Pilato, Andrea Pammolli, Rita Simi, Daniela Galeone, Emanuela Balocchini, Mariano Vincenzo Giacchi and the Research Group Project (See Appendix)

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.6

Published: 25 November 2013

Open Access 


Abstract: Background: The …e vai con la frutta (let’s go with fruit) project was designed to respond to the worrying low consumption of fruits and vegetable in the large portion of population, especially in youth. The main objective was to increase fruit and vegetable consumptions at school level.

Methods: In 2010/11, we randomly selected subjects from middle and high schools in five Italian regions. The subjects were randomly divided into two groups: intervention (I) and control (C). A questionnaire on fruits and vegetables consumption was administered, at the baseline as well as at end of the period. The sample size was evaluated on the expected frequency of 0.5 for a binomial random variable, of ± 1.54% with IC of 95%.

Results:These results confirmed that adolescent students at baseline survey eat less than the amount of fruits and vegetables consumption recommended by the International guidelines. After the intervention time, we observed an increment in fruits and vegetables consumptions both in middle and high school students. Regarding the impact of the intervention on the factors like knowledge, attitudes and behaviour, there was a positive change in the behaviour only in the intervention group, in coherence with the consumption variations examined.

Conclusions: This study is the first time that fruits and vegetables were offered at such a large scale through vending machines at schools in five regions. Several vending companies under this project agreed to revise the list of healthy snacks offered to eliminate those clearly classified as junk foods.

Keywords: School based intervention, Italian students, healthy vending machines, availability, accessibility.
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Association of Socio-demographic Attributes with Mothers Knowledge regarding Childhood Diarrhea
Pages 353-358
Jesmin Akter, Kazi Rumana Ahmed, Hasina Akhter Chowdhury, Sharmin Hossain and Begum Rowshan Ara

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.8

Published: 25 November 2013

 


Abstract: Background: Childhood diarrheal diseases have a major impact on morbidity and mortality and these deaths are due to dehydration and mismanagement or delayed management of the disease. The mothers’ knowledge in management of diarrhea is likely related to its mortality and morbidity. The study aimed to determine the association between socio demographic attributes and mother’s knowledge on childhood diarrhea.

Materials and Methods:In this cross sectional analytic study, 170 mothers who had at least one child aged below five years old were selected purposively from the out-patient department of ICDDR,B, Dhaka. Data were collected using a structured questionnaire by face to face interview. The level of knowledge was categorized as poor, average and good. Univariate and bivariate analysis were done with level of significance P<0.05.

Results:The mean age of the respondents was 27 (SD=±5.6) years. Among them 46.5% were educated up to primary level and 47% had average monthly income between 5001 and 10000 taka. In the case of accessibility to mass media, 20% were found who never watch TV, 75.9% participants were found who never listen to radio, and 87.6% were found who never read newspaper. Despite the level of average knowledge was 59.5% but the proportion of the level of good knowledge was 17% among the respondents. Socio-demographic characteristics such as age, education and income (p<0.001) were significantly associated with mothers knowledge.

Conclusion:The mothers had inadequate knowledge about diarrhea and their socio-demographic parameters are strongly associated with mother’s knowledge regarding diarrhea.

Keywords: Mother’s Knowledge, Diarrhea, Children, Socio-demographic attributes.
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Considering Seasonal Variations in Food Availability and Caring Capacity when Planning Complementary Feeding Interventions in Developing Countries
Pages 335-352
Ramani Wijesinha-Bettoni, Gina Kennedy, Charity Dirorimwe and Ellen Muehlhoff

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.7

Published: 25 November 2013

Open Access 


Abstract: During early childhood, adequate nutrition is critical for preventing and reducing chronic undernutrition and micronutrient deficiencies. Seasonal food availability, access to diverse food and maternal workload are among the known constraints to successful infant and young child feeding practices. In rural areas in developing countries, many populations experience seasonal food shortages, which often coincide with an increase in food prices and a peak period for agricultural labour. Seasonal pressure on women’s time can negatively impact cooking and caring practices and intra-family food distribution. These factors combine to affect the nutritional status of especially children and women. This paper shows how seasonal food availability data are collected and utilized in designing complementary feeding interventions. Examples are drawn from FAO food and nutrition security projects in Afghanistan, Cambodia, Laos and Zambia which began with formative research using Trials of Improved Practices. Methods include use of seasonal food availability calendars and development of season-specific dishes and recipes. How seasonal variations in food availability and caring capacity feature in the educational materials developed by these projects is also reported. Finally, we provide practical ideas for incorporating coping strategies for dealing with seasonal effects when planning such interventions.

Keywords: Seasonality, infant and young child feeding, complementary feeding, trials of improved practices (TIPs), developing countries.
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The Child Health Scenario in India: An Application of Bayesian Approach
Pages 359-366
Atanu Bhattacharjee, Dilip C. Nath and Dibyojyoti Bhattacharjee

DOI: http://dx.doi.org/10.6000/1929-4247.2013.02.04.9

Published: 25 November 2013

 


Abstract: Background: The child mortality rate of a place is an indication of the basic health facility prevalent there. A place with better medical facility records low child mortality. The child mortality rate reduction is not as expected in many developing countries. In last two decades the child death rate has not been reduced significantly in India. The aim of this work is to explore the child death rate in different Indian states.

Materials and Methods:The Bayesian approach has been applied to control the over dispersion due to presence of zero (i.e. no-death count) in the data set. The Zero Inflated Poisson (ZIP) has been applied to control the presence of over the Zero Inflation Distribution. The data set has been considered from Indian National Health and Family Survey (NFHS-3) conducted during 2005-2006. The women having at least one living child of age less than five years has been selected as study subjects.

Results:The state of Goa has attained the best position recording the lowest child death rate (0.03) and followed by Kerala (0.08). The Arunachal Pradesh (0.75) has attained the last rank among all states in India. In case of child death for women who have at least one living male children Tamilnadu has the lowest child death.

Conclusion:In India it has been observed that married couples accept family planning only after having sufficient number of children. This is mainly because as the child mortality rate is higher so only few of their children would survive to adulthood. Reduction in infant mortality over time and the awareness of such improvements among the people in the community may ultimately lead to lesser number of children per couple due to the removal of the fear of death to their children. It is, therefore, necessary, from the policy point of view, to estimate the actual levels of child mortality of an area under study at different period of time. Attempt shall also be made to explore the extent of changes in the levels of child mortality and its causes over time.

Keywords: NFHS 3, Infant Mortality, Child Mortality, Public Health.
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