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Methods to encourage healthy eating in children: Review of current findings

100%
Moceviciene R., Zaborskis A.
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EN
Background: Healthy eating, especially fruit and vegetable consumption, is a major contributor to the prevention of chronic non-communicable diseases. The multiple benefits of healthy food and nutrition in childhood and adolescence reinforce the need for studies encouraging young people to healthy nutrition. The present review increases understanding of what methods (interventions) should be performed to encourage healthy eating in children and adolescents. Material/Methods: A scientific literature review of Medline (Pubmed) database was performed, a total of 615 publications were found. Of these, only 15 papers were selected for the analysis. Results: The multi-component interventions (encouraging of fruit and vegetable consumption was usually combined with physical activity promotion and overweight/obesity control, n=8) could be considered as effective in encouraging healthy nutrition. Findings showed that programs and empowering policies at schools based on scientific evidence can increase consumption of fruit and vegetables among children and adolescents and promote healthier lifestyle as significant changes in healthy eating after intervention were identified in two thirds of projects. Barriers and limitations such as possible difficulties of implementation, duration and density of intervention, however, must be considered and prevented prior to interventions when it is possible because multi-component strategies may not lead to positive eating behaviour changes as intended. Moreover, single strategies such as fruit and vegetable campaigns also appeared to have positive effects on healthy foods consumption by children. Conclusions: The multi-component interventions (combinations of methods to encourage fruit and vegetable consumption, physical activity and overweight or obesity control) can be considered as effective in healthy eating promotion of children and adolescents. However, barriers and limitations (difficulties in implementation, duration and density of an intervention) should be prevented prior the interventions
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Health behavior inequalities among Lithuanian, Polish and Russian school-aged children in Lithuania

81%
Šumskas L., Lenčiauskienė I., Zaborskis A.
Open Medicine
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2010
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vol. 5
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issue 1
97-107
EN
The aim of this study was to compare and get a deeper insight into issues of the health and health behavior inequalities among Lithuanian, Polish and Russian school-aged children in national and international contexts. Investigations were carried out in the framework of Health Behavior in School-aged Children (HBSC) study - a WHO collaborative cross-national survey. Five thousand seven hundred and seventy six randomly selected students aged 11, 13, and 15 years of age answered questionnaires in the classroom in 108 schools located in different regions in Lithuania in March–April of 2006. Questions on perceived health and health related behaviors were addressed to the respondent (response rate was 95 %). 5632 questionnaires were selected for further analysis by the international data center in Bergen. SPSS version 11.5 and multilevel analysis program MLwiN 2.0 was applied for statistical analysis of data. Relatively minor inequalities in health and health behavior were established when comparing different health and health behavior indicators in Lithuanian, Polish and Russian school-aged children in Lithuania. These disparities are lower in comparison with differences, which were established among respondents of HBSC international studies. Odds ratios to have negative self-rated health evaluation were higher in girls of Russian (OR-1.71, p<0.05) and Polish (OR-1.62, p<0.05) nationality. Therefore, Russian and Polish students were tending to have higher odds ratios for perception of happiness (p<0.05). Respondents of Russian nationality have expressed less somatic and psychological complaints. Polish boys (OR=1.38, p<0.05) were tending for higher prevalence of headache, but have expressed fewer complaints for depression (OR=0.65, p<0.05), anxiety (OR=0.71, p<0.05). Chances to be involved in risk taking behaviors (alcohol consumption, smoking, drug use) were lower among Polish and Russian respondents. In schools with Lithuanian language based-schoold, health and health behavior indicators were more negative in Polish and Russian respondents in comparisons with their Lithuanian peers However, Lithuanian students, who were enrolled in Russian and Polish schools, tending to have better perceived health evaluation and better health behavior in comparison with their peers of Polish and Russian nationality. Analysis shows, that Polish and Russian students are integrated well into Lithuanian society and being a member of the minority class is not related to poor health or negative lifestyle. Therefore, with few exceptions universal health promotion programs should be provided to school-aged children of all ethnicities and cultural backgrounds.
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