Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
To Assess the Effects of Nutritional Intervention Based on Advocacy Approach on Malnutrition Status Among School-Aged Children in Shiraz



Joulaei H1 ; Nwagwu E2 ; Nasihatkon A3 ; Azadbahkt L4, 5 ; Shenavar R6 ; Keshtkar V7 ; Ahmadi SM8
Authors
Show Affiliations
Authors Affiliations
  1. 1. HIV/AIDS Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  2. 2. Department of Health Policy and Management, School of Health Sciences, Jackson State University, United States
  3. 3. Fars NIOC, Health Organization, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  4. 4. Food Security Research Center, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Community Nutrition, School of Nutrition and Food Science, Isfahan University of Medical Sciences, Isfahan, Iran
  6. 6. Department of community Nutrition, Deputy for Health, Shiraz University of Medical Sciences, Shiraz, Iran
  7. 7. Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
  8. 8. Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

Source: Journal of Research in Medical Sciences Published:2013

Abstract

Background: The present study was carried out to assess the effects of community nutrition intervention based on advocacy approach on malnutrition status among school-aged children in Shiraz, Iran. Materials and Methods: This case-control nutritional intervention has been done between 2008 and 2009 on 2897 primary and secondary school boys and girls (7-13 years old) based on advocacy approach in Shiraz, Iran. The project provided nutritious snacks in public schools over a 2-year period along with advocacy oriented actions in order to implement and promote nutritional intervention. For evaluation of effectiveness of the intervention growth monitoring indices of pre- and post-intervention were statistically compared. Results: The frequency of subjects with body mass index lower than 5% decreased significantly after intervention among girls (P = 0.02). However, there were no significant changes among boys or total population. The mean of all anthropometric indices changed significantly after intervention both among girls and boys as well as in total population. The pre- and post-test education assessment in both groups showed that the student's average knowledge score has been significantly increased from 12.5 ± 3.2 to 16.8 ± 4.3 (P < 0.0001). Conclusion: This study demonstrates the potential success and scalability of school feeding programs in Iran. Community nutrition intervention based on the advocacy process model is effective on reducing the prevalence of underweight specifically among female school aged children.
Related Docs
View other Related Docs
1. Effects of Daily Milk Supplementation on Improving the Physical and Mental Function As Well As School Performance Among Children: Results From a School Feeding Program, Journal of Research in Medical Sciences (2011)
2. A Systematic Review on Diet Quality Among Iranian Youth: Focusing on Reports From Tehran and Isfahan, Archives of Iranian Medicine (2014)
3. The Prevalence of Childhood Underweight, Overweight, and Obesity Based on Four Different Criteria, Journal of Nutrition and Food Security (2020)
4. Nutritional Knowledge, Practice, and Dietary Habits Among School Children and Adolescents, International Journal of Preventive Medicine (2014)
5. Scrutinize of Healthy School Canteen Policy in Iran’S Primary Schools: A Mixed Method Study, BMC Public Health (2021)
6. Double Burden of Nutritional Disorders in Young Iranian Children: Findings of a Nationwide Screening Survey, Public Health Nutrition (2011)
7. Effect of a Community-Based Intervention on Nutritional Behaviour in a Developing Country Setting: The Isfahan Healthy Heart Programme, Public Health Nutrition (2009)
8. Thinness, Overweight and Obesity in a National Sample of Iranian Children and Adolescents: Caspian Study, Child: Care, Health and Development (2008)
Experts (# of related papers)
View all Related Experts
Roya Kelishadi (159)
Nizal Sarrafzadegan (33)
Other Related Docs
9. Major Dietary Patterns and Their Associations With Overweight and Obesity Among Iranian Children, International Journal of Preventive Medicine (2013)
10. Snack Consumption Among Iranian Children and Adolescents: The Caspian-Iv Study, Iranian Journal of Public Health (2015)
11. A Systematic Review and Meta-Analysis of the Prevalence of Malnutrition Among 6-14-Year-Old Children in Iran, International Journal of Preventive Medicine (2022)
12. The Relationship Between Food Insecurity and Stunting Combined With Obesity and Overweight in Children Aged 7 to 11 Years in Zabol, Iran, Iranian Journal of Epidemiology (2017)
13. Prevalence of Malnutrition Under Five Years in Chadegan (Area District City) Iran 2011, Iranian Journal of Epidemiology (2013)
14. Family-Based Intervention for Controlling Childhood Obesity: An Experience Among Iranian Children, International Journal of Preventive Medicine (2013)
15. Methodology and Early Findings of the Third Survey of Caspian Study: A National School-Based Surveillance of Students' High Risk Behaviors, International Journal of Preventive Medicine (2012)
16. First Nationwide Survey of Prevalence of Weight Disorders in Iranian Children at School Entry, World Journal of Pediatrics (2010)
17. Household Food Insecurity Is Associated With Abdominal But Not General Obesity Among Iranian Children, BMC Public Health (2017)
18. The Association of Serum Levels of Zinc and Vitamin D With Wasting Among Iranian Pre-School Children, Eating and Weight Disorders (2021)
19. School-Based Nutrition Education Intervention Using Social Cognitive Theory for Overweight and Obese Iranian Adolescent Girls: A Cluster Randomized Controlled Trial, International Quarterly of Community Health Education (2017)
20. Eating Behaviors Among Children and Adolescents, Isfahan Province, Iran, 2015, Journal of Isfahan Medical School (2018)
21. White Rice Consumption, Body Mass Index, and Waist Circumference Among Iranian Female Adolescents, Journal of the American College of Nutrition (2016)
22. Major Dietary Patterns in Relation to Stunting Among Children in Tehran, Iran, Journal of Health, Population and Nutrition (2013)
23. Snacking Behavior and Obesity Among Female Adolescents in Isfahan, Iran, Journal of the American College of Nutrition (2016)
24. Dietary Patterns and Attention Deficit Hyperactivity Disorder Among Iranian Children, Nutrition (2012)
25. Diet Quality Among Iranian Adolescents Needs Improvement, Public Health Nutrition (2015)
26. The Effect of Low Glycemic Index Diet on Body Weight Status and Blood Pressure in Overweight Adolescent Girls: A Randomized Clinical Trial, Nutrition Research and Practice (2013)
27. A Review on Determinants of Nutritional Behavior in Teenagers, Iranian Journal of Pediatrics (2017)
28. Application of Social Cognitive Theory in Predicting Childhood Obesity Prevention Behaviors in Overweight and Obese Iranian Adolescents, International Quarterly of Community Health Education (2015)
29. Association of Nutrient Patterns With Anthropometric Indices in Children and Adolescents: The Weight Disorders Survey of the Caspian-Iv Study, Mediterranean Journal of Nutrition and Metabolism (2019)
30. Determinants of Stunting in School-Aged Children of Tehran, Iran, International Journal of Preventive Medicine (2013)
31. The Prevalence of Stunting Among Children and Adolescents Living in the Middle East and North Africa Region (Mena): A Systematic Review and Meta-Analysis, Journal of Global Health (2021)
32. Effects of Tailored Health Education Program on Overweight Elementary School Students' Obesity-Related Lifestyle: A School-Based Interventional Study, Oman Medical Journal (2017)
33. Dietary Predictors of Overweight and Obesity in Iranian Adolescents, Iranian Red Crescent Medical Journal (2016)
34. Effects of the Educational Intervention on Some Health Belief Model Constructs Regarding the Prevention of Obesity in Students, International Journal of Pediatrics (2017)
35. Association Between Meal Frequency With Anthropometric Measures and Blood Pressure in Iranian Children and Adolescents, Minerva Pediatrics (2023)
36. A National Experience on Physical Activity Initiatives for Adolescent Girls and Their Mothers: Caspian Study, Iranian Journal of Pediatrics (2010)
37. Prevalence of General and Abdominal Obesity in a Nationally Representative Sample of Iranian Children and Adolescents: The Caspian-Iv Study, Iranian Journal of Pediatrics (2015)
38. Association of Physical Activity and Dietary Behaviours in Relation to the Body Mass Index in a National Sample of Iranian Children and Adolescents: Caspian Study, Bulletin of the World Health Organization (2007)
39. Association Between Parental Feeding Practices and Later Body Mass Index in Children and Adolescents: The Weight Disorder Survey of the Caspian-Iv Study, Mediterranean Journal of Nutrition and Metabolism (2019)
40. Association of Breast Feeding and Birth Weight With Anthropometric Measures and Blood Pressure in Children and Adolescents: The Caspian-Iv Study, Pediatrics and Neonatology (2015)
41. Body Mass Index, Weight-For-Age, and Stature-For-Age Indices in Iranian School Children in Relation to Weight and Growth Disorders: A Population-Based Survey, International Journal of Preventive Medicine (2014)
42. Growth Charts of Heights and Weights of Male Children and Adolescents of Isfahan, Iran, Journal of Health, Population and Nutrition (2003)
43. Short-Term Effects of a Physical Activity Intervention on Obesity and Cardiovascular Fitness of 12-14-Year-Old Boy Students, International Journal of Preventive Medicine (2014)
44. The State of Child Nutrition in Ethiopia: An Umbrella Review of Systematic Review and Meta-Analysis Reports, BMC Pediatrics (2020)
45. Lifestyle Interventions and Weight Control of Adolescents With Abdominal Obesity: A Randomized Controlled Trial Based on Health Belief Model, Iranian Red Crescent Medical Journal (2017)
46. Methodology and Early Findings of the Fourth Survey of Childhood and Adolescence Surveillance and Prevention of Adult Non-Communicable Disease in Iran: The Caspian-Iv Study, International Journal of Preventive Medicine (2013)
47. A Nutrition Education Intervention Trial for Adolescent Girls in Isfahan: Study Design and Protocol, International Journal of Pediatrics (2016)
48. The Association Between Household Food Insecurity and Childhood Obesity Among Iranian School-Aged Children in Farokhshahr, Koomesh (2012)
49. Obesity and Associated Modifiable Environmental Factors in Iranian Adolescents: Isfahan Healthy Heart Program - Heart Health Promotion From Childhood, Pediatrics International (2003)
50. Household Food Insecurity Is Associated With Nutritional Status Among Iranian Children, Ecology of Food and Nutrition (2016)