Creating health-promoting schools in China with a focus on nutrition.
Creating health-promoting schools in China with a focus on nutrition.
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在中国创建以营养为重点的健康促进学校。
DOI：
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发表时间：
2004
影响因子：
2.7
通讯作者：
P. Glasauer
中科院分区：
文献类型：
--
作者：
Shiying Xia;Xin;Shui;Shu;Sen;Carmen E. Aldinger;P. Glasauer
中国是浙江省的这一试点项目，旨在改善学生、学校工作人员和家长的营养和健康状况，并为中国健康促进学校的发展制定营养干预示范项目。三所小学和三所中学参加了这次活动。干预措施包括建立以学校为基础的工作组、对学校教职员工进行营养培训、分发营养材料、对学生进行营养教育、学生竞赛、全校范围的健康促进工作以及向家庭和社区进行宣传。干预前和干预后一年半的调查结果显示，所有目标群体的营养知识、态度和行为都有所改善。试点学校的小学生在中国饮食指南(从49.2%增加到78.0%，p<；0.01)和适量饮食原则(从42.9%增加到68.0%，p<；0.01)方面获得了最多的知识。在试点学校中，表示喜欢学校午餐的中学生的得分从17.9%上升到45.2%(p<；0.01)。对照学校的教职员工报告吃早餐的比例从81.4%下降到66.6%(p<；0.01)，而试点学校的教职员工报告在学校吃午饭的比例从基线的87.5%上升到93.9%(p<；0.01)。在所有目标人群中，营养知识的增长幅度最大的是父母和监护人。在试点学校，家长提高了他们在营养缺乏(从35.0%到66.2%，p<；0.01)和营养丰富食品(从38.8%到66.8%，p<；0.01)领域的知识。与目标群体的会谈证实了态度和行为的变化，学校访问表明学校设施和学校卫生服务得到了改善，制定了学校政策和积极的学校氛围。本研究表明，营养可以有效地作为中国建立HPS的切入点，HPS理念对改善学生、家长和学校工作人员的饮食知识、态度和行为是可行的。
This pilot project in Zhejiang Province, China, aimed at improving the nutrition and health status of students, school personnel and parents, and developing a model project for nutrition interventions for the development of health-promoting schools (HPS) in China. Three primary and three secondary schools participated. Interventions included establishing school-based working groups, nutrition training for school staff, distribution of materials on nutrition, nutrition education for students, student competitions, school-wide health promotion efforts and outreach to families and communities. Results of a pre- and post-intervention survey one and a half years apart showed improvements in nutrition knowledge, attitudes and behavior among all target groups. Primary school students at the pilot schools made the greatest knowledge gains in the areas of Chinese dietary guidelines (increased from 49.2 to 78.0%, p < 0.01) and adequate dietary principles (increased from 42.9 to 68.0%, p < 0.01). Scores of secondary school students who reported liking school lunches rose at pilot schools from 17.9 to 45.2% (p < 0.01). School staff at control schools who reported taking breakfast declined from 81.4 to 66.6% (p < 0.01), while staff who reported taking lunch at school increased in pilot schools from 87.5% at baseline to 93.9% (p < 0.01). The largest increases in nutrition knowledge among all target groups occurred among parents and guardians. At the pilot schools parents increased their knowledge in the areas of nutritional deficiencies (from 35.0 to 66.2%, p < 0.01) and nutrient-rich foods (from 38.8 to 66.8%, p < 0.01). Talks with target groups confirmed changes in attitudes and behavior, and school visits revealed improvements to school facilities and school health services, establishing of school policies and a positive school climate. This study suggests that nutrition can effectively serve as an entry point to establish HPS in China and that the HPS concept is feasible to improve the dietary knowledge, attitudes and behavior of students, parents and school personnel.
心脏健康的饮食和运动：引入并维持健康行为的改变。
影响因子：
12.7
作者：
Coates,TJ;Jeffery,RW;Slinkard,LA
通讯作者：
Slinkard,LA