Impact of the Nutritional Educational Program to the Healthy Food Behaviour, Knowledge, Attitude and Environment for Obese Children
Overweightness and obesity is a problem that has been rising in the Malaysian suburban environment. This study is conducted to evaluate the healthy food behavior, attitudes, knowledge and healthy environment of obese school children aged 10-11 years old. Obese school children received the nutritional educational program (NEP) comprised of a video, a comic reading session and a food selection game. The intervention resulted in a significant increase for healthy food behaviour, attitude and knowledge. However, there is an only minimal impact for a healthy environment. Overall, the results indicate that the nutritional educational program has positive impact in preventing obesity.
Keywords: obesity, healthy food behavior, knowledge, nutritional educational program (NEP)
ISSN: 2398-4287© 2017. The Authors. Published for AMER ABRA by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.
Abdullah, N. N., Mokhtar, M. M., Bakar, M. H. A., & Al-Kubaisy, W. (2015). Trend on Fast Food Consumption in Relation to Obesity among Selangor Urban Community. Procedia - Social and Behavioral Sciences, 202(December 2014), 505–513.
Akar, & Sanlier, N. (2011). Compliance with Mediterranean Diet Quality Index ( KIDMED) and nutrition knowledge levels in adolescents . A case study from Turkey. Appetite, 57(1), 272–277.
Başkale, H., & Bahar, Z. (2011). Outcomes of nutrition knowledge and healthy food choices in 5- to 6-year-old children who received a nutrition intervention based on Piaget’s theory. Journal for Specialists in Pediatric Nursing, 16(4), 263–279. doi:10.1111/j.1744-6155.2011.00300.x
Baskova, M., Baska, T., & Banovcinova, L. (2014). Selected Aspects of Dietary Habits in School-aged Youth in the Slovak Republic. Procedia - Social and Behavioral Sciences, 132, 129–134. doi:10.1016/j.sbspro.2014.04.288
Binkiewicz-Glińska, A., Bakuła, S., Kusiak-Kaczmarek, M., Kowalski, I. M., Zaborowska-Sapeta, K., Protasiewicz-Fałdowska, H., … Białkowska, M. (2012). Obesity prevention in children and adolescents – Current recommendations. Polish Annals of Medicine, 19(2), 158–162. doi:10.1016/j.poamed.2012.07.003
Contento, I. R. (2011). Nutrition education. In Nutrition Education (2nd Edition., p. 9). United States of Amerika.
Danis, A., Bahar, N. M., Isa, K. A. M., & Adilin, H. (2014). Body Image Perspectives among Obese Adolescents in Rural Environment Setting. Procedia - Social and Behavioral Sciences, 153, 436–442. doi:10.1016/j.sbspro.2014.10.077
Demirozu, B. E., Pehlivan, A., & Camliguney, A. F. (2012). Nutrition Knowledge and Behaviours of Children Aged 8-12 Who Attend Sport Schools. Procedia - Social and Behavioral Sciences, 46, 4713–4717. doi:10.1016/j.sbspro.2012.06.324
Etelson, Brand, Patrick, & Shirali, A. (2003). Childhood obesity: do parents recognize this health risk? Obesity Research, 11(11), 1362–8.
Erturgut, P., & Erturgut, R. (2010). An analysis of nutrition level of adolescent school children with respect to the educational levels and child-raising attitudes of their parents. Procedia - Social and Behavioral Sciences, 2(2), 1238–1243. doi:10.1016/j.sbspro.2010.03.180
Firouzi, S., Poh, B. K., Ismail, M. N., & Sadeghilar, A. (2014). Sleep habits, food intake, and physical activity levels in normal and overweight and obese Malaysian children. Obesity Research Clinical Practise, 8, e1–e114.
Francis, M., Nichols, S. S. D., & Dalrymple, N. (2010). The effects of a school-based intervention programme on dietary intakes and physical activity among primary-school children in Trinidad and Tobago. Public Health Nutrition, 13(5), 738–747.
Garipaǧaoǧlu, M., Sahip, Y., Budak, N., Akdikmen, O., Altan, T., & Baban, M. (2008). Food types in the diet and the nutrient intake of obese and non-obese children. Journal of Clinical Research in Pediatric Endocrinology, 1, 21–29.
Kain J, Uauy R, Vio F, Albala C. (2004). Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. European Journal Clinical Nutrient.Mar;56(3):200-4.
Keyte, J., Harris, S., Margetts, B., Robinson, S., & Baird, J. (2012). Engagement with the National Healthy Schools Programme is associated with higher fruit and vegetable consumption in primary school children. Journal of Human Nutrition and Dietetics, 25(2), 155–160.
Ma, J., Wang, Z., Song, Y., Hu, P., & Zhang, B. (2010). BMI percentile curves for Chinese children aged 7-18 years, in comparison with the WHO and the US Centers for Disease Control and Prevention references. Public Health Nutrition, 13, 1990–1996.
Micheal Preplip, Wendelin Slusser, Chan L.Thai, Janni Kinsler, J. T. E. (2011). Effects of a School-Based Nutrition Program Diffused Throughout a Large Urban Community on Attitudes , Beliefs , and Behaviors Related to Fruit and Vegetable, 81(9).
Muckelbauer, R., Libuda, L., Clausen, K., Toschke, A. M., Reinehr, T., & Kersting, M. (2009). Promotion and provision of drinking water in schools for overweight prevention: randomized, controlled cluster trial. Pediatrics, 123(4), e661–e667.
Norimah AK, Ruzita AT, Poh BK, Nurunnajiha N, Wong JE, Raduan S & Ismail MN (2009). Food habits and physical activity pattern among primary school children in Malaysia. Conference Paper. Nutrition Society of Malaysia. 24th Scientific Conference, p 38.
Poh, B. K., Ng, B. K., Siti Haslinda, M. D., Nik Shanita, S., Wong, J. E., Budin, S. B., Norimah, A. K. (2013). Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia). The British Journal of Nutrition, 110 Suppl , S21–35.
Riesch, S. K., Lyles, A., Perez, O., Brown, R. L., Kotula, K., & Sass-Deruyter, S. M. (2005). Modifiable family factors among treatment-seeking families of children with high body mass index: report of a pilot study. Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners, 27(4), 254–66.
Roman, I. (2014). The Psychology of Nutritional Behaviour and Children’s Nutrition Education. Procedia - Social and Behavioral Sciences, 149, 819–824. doi:10.1016/j.sbspro.2014.08.327
Ruzita AT, Wan Azdie MAB, I. M. (2007). The Effectiveness of NEP for Primary School Children, 13(1), 45–54.
Scaglioni, S., Salvioni, M., & Galimberti, C. (2008). Influence of parental attitudes in the development of children eating behaviour. The British Journal of Nutrition, 99 Suppl 1, S22–5. doi:10.1017/S0007114508892471
Serene, T. E. H., Shamarina, S., & Mohd, N. M. T. (2011). Familial and socio-environmental predictors of overweight and obesity among primary school children in Selangor and Kuala Lumpur. Malaysian Journal of Nutrition, 17(2), 151–62. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22303570
Sharif, M. S. M., Nor, N. M., Zahari, M. S. M., & Muhammad, R. (2015). Following Mothers to the Wet Market: The Significant Benefits Gain by Young Generations. Procedia - Social and Behavioral Sciences, 170(0), 197–205. doi:http://dx.doi.org/10.1016/j.sbspro.2015.01.029
Sumarni Mohd, G., Muhammad Amir, K., Ibrahim Md, S., Mohd Rodi, I., Izzuna Mudla, M. G., & Nurziyana, I. (2006). Obesity among schoolchildren in Kuala Selangor: a cross-sectional study. Tropical Biomedicine, 23(2), 148–54. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17322816
Wilson, A. M., Magarey, A. M., & Mastersson, N. (2008). Reliability and relative validity of a child nutrition questionnaire to simultaneously assess dietary patterns associated with positive energy balance and food behaviours , attitudes , knowledge and environments associated with healthy eating. International of Behavioral Nutrition and Physical, 12, 1–12. doi:10.1186/1479-Received
Yabancı, N., Kısaç, İ., & Karakuş, S. Ş. (2014). The Effects of Mother’s Nutritional Knowledge on Attitudes and Behaviors of Children about Nutrition. Procedia - Social and Behavioral Sciences, 116, 4477–4481. doi:10.1016/j.sbspro.2014.01.970
How to Cite
eISSN: 2398-4287 © Year. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.