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School-based education programme to reduce salt: Scaling-up in China (EduSaltS)

校本减盐教育计划：在中国推广 (EduSaltS)

基本信息

批准号：
MR/T024399/1
负责人：
Feng He
金额：
$ 320.18万
依托单位：
Queen Mary University of London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2019
资助国家：
英国
起止时间：
2019 至无数据
项目状态：
未结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FT024399%2F1
关键词：
based education programme reduce salt

项目摘要

High salt intake increases the risk of high blood pressure, strokes, heart disease, and several other chronic diseases such as stomach cancer. Salt intake in China is very high with an average of 12-14 gram per day, more than double the WHO recommended level of 5 gram per day. Unlike the UK and other developed countries, 75%-80% of the salt in the Chinese diet is added by the consumers during cooking or in sauces. An effective strategy to reduce salt from home cooking is of great urgency and importance, not only for China, but also for many other developing countries. However, it is very difficult for individuals to change their eating habits. Our proposed research will build upon a successfully-tested pilot study entitled "School-based education programme to reduce Salt" (School-EduSalt) in China, in which primary school children were educated, during their usual health education lessons, about the effects of salt on health and how to reduce salt intake. Children then instructed their family members to reduce the amount of salt used during food preparations at home. The results of this pilot study have shown that the school-based education is very effective in reducing salt intake in children and adults. The pilot study was carried out in one city called Changzhi, in northern China.We now propose to do a study to test whether we can scale up a refined School-EduSalt programme in multiple settings, to reduce salt in larger populations in China, including the poorest population living in the remote and rural areas. This scale-up study will be carried out in three regions of China including Beijing (capital of China), Shijiazhuang (in the north) and Zhenjiang (in the south), covering a population of over 1 million school children and 2.2 million adults. The study will involve a number of important stakeholders, including governmental organisations, and the health and education authorities of the three regions. Based on WHO's Conceptual Framework for Scaling up, we will work with these stakeholders to develop, implement and evaluate a feasible scale-up package, which will be integrated into the existing school health education system to ensure sustainable scaling-up.The scale-up package will be evaluated in three aspects: effectiveness, process and health economics. We will assess whether the education programme can improve the participants' knowledge, attitudes and practices towards salt reduction. Additionally, we will assess whether the education programme can achieve a sustainable reduction in salt intake which will be measured by the gold standard method of 24-hour urine collection.Our ultimate aim is to incorporate the refined education programme into the national school curriculum, so that all schools in China will follow. A nation-wide implementation will have an enormous impact on reducing population salt intake. A reduction in salt intake across the whole population, even by a small amount, will lower population blood pressure and prevent hundreds of thousands of strokes, heart attacks and heart failure each year, and also lead to major cost-savings to individuals, their families and the health service.

高盐摄入会增加患高血压、中风、心脏病和其他几种慢性疾病(如胃癌)的风险。中国的食盐摄入量非常高，平均每天12-14克，是世卫组织推荐的每天5克的两倍多。与英国等发达国家不同，中国人饮食中75%-80%的盐是消费者在烹饪时或调味汁中添加的。减少家庭烹饪中的食盐的有效策略非常紧迫和重要，不仅对中国，而且对许多其他发展中国家也是如此。然而，个人很难改变自己的饮食习惯。我们建议的研究将建基於在中国进行的一项名为“以学校为本的减盐教育计划”(School-EduSalt)的试验研究，在这项研究中，小学生在日常的健康教育课程中，接受有关盐对健康的影响及如何减少盐摄入量的教育。孩子们随后指示他们的家庭成员在家里准备食物时减少盐的使用量。这项试点研究的结果表明，校本教育在减少儿童和成人盐摄入量方面非常有效。这项初步研究是在中国北方城市长治进行的。我们现在提议进行一项研究，以测试我们是否可以在多种环境下扩大精细化的学校-教育盐计划，以减少中国较大人口的盐分，包括生活在偏远和农村地区的最贫困人口。这项规模扩大的研究将在中国的三个地区进行，包括北京(中国省会)、石家庄(北部)和镇江(南部)，覆盖100多万学龄儿童和220多万成年人。这项研究将涉及一些重要的利益攸关方，包括政府组织以及三个区域的卫生和教育当局。我们会根据世界卫生组织的扩展概念架构，与这些持份者共同制订、推行和评估可行的扩展方案，并将其纳入现有的学校健康教育系统，以确保可持续的扩展。扩展方案将从成效、程序和卫生经济三方面进行评估。我们会评估教育计划能否改善参加者对减少食盐的知识、态度和做法。此外，我们会评估这项教育计划能否持续减少食盐摄入量，并以24小时采尿的黄金标准来衡量。我们的最终目标是把这项精益求精的教育计划纳入全国学校课程，让中国的所有学校都能效法。在全国范围内实施，将对减少人口食盐摄入量产生巨大影响。减少整个人口的食盐摄入量，即使是很小的量，也将降低人口血压，防止每年数十万中风、心脏病发作和心力衰竭，还可以为个人、他们的家庭和医疗服务节省大量成本。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Applying systems thinking to identify enablers and challenges to scale-up interventions for hypertension and diabetes in low-income and middle-income countries: protocol for a longitudinal mixed-methods study.

DOI：
10.1136/bmjopen-2021-053122
发表时间：
2022-04-18
期刊：
BMJ OPEN
影响因子：
2.9
作者：
Ramani-Chander, Anusha;Joshi, Rohina;van Olmen, Josefien;Wouters, Edwin;Delobelle, Peter;Vedanthan, Rajesh;Miranda, J. Jaime;Oldenburg, Brian;Sherwood, Stephen;Rawal, Lal B.;Mash, Robert James;Irazola, Vilma Edith;Martens, Monika;Lazo-Porras, Maria;Liu, Hueiming;Agarwal, Gina;Waqa, Gade;Marcolino, Milena Soriano;Esandi, Maria Eugenia;Ribeiro, Antonio Luiz Pinho;Probandari, Ari;Gonzalez-Salazar, Francisco;Shrestha, Abha;Sujarwoto, Sujarwoto;Levitt, Naomi;Paredes, Myriam;Sugishita, Tomohiko;Batal, Malek;Li, Yuan;Haghparast-Bidgoli, Hassan;Naanyu, Violet;He, Feng J.;Zhang, Puhong;Mfinanga, Sayoki Godfrey;De Neve, Jan-Walter;Daivadanam, Meena;Siddiqi, Kamran;Geldsetzer, Pascal;Klipstein-Grobusch, Kerstin;Huffman, Mark D.;Webster, Jacqui;Ojji, Dike;Beratarrechea, Andrea;Tian, Maoyi;Postma, Maarten;Owolabi, Mayowa O.;Birungi, Josephine;Antonietti, Laura;Ortiz, Zulma;Patel, Anushka;Peiris, David;Schouw, Darcelle;Koot, Jaap;Nakamura, Keiko;Tampubolon, Gindo;Thrift, Amanda G.
通讯作者：
Thrift, Amanda G.

App based education programme to reduce salt intake (AppSalt) in schoolchildren and their families in China: parallel, cluster randomised controlled trial.

DOI：
10.1136/bmj-2021-066982
发表时间：
2022-02-09
期刊：
BMJ (Clinical research ed.)
影响因子：
0
作者：
He FJ;Zhang P;Luo R;Li Y;Sun Y;Chen F;Zhao Y;Zhao W;Li D;Chen H;Wu T;Yao J;Lou C;Zhou S;Dong L;Liu Y;Li X;He J;Wang C;Tan M;Song J;MacGregor GA
通讯作者：
MacGregor GA

Dietary counseling to reduce moderate sodium intake. Concerns about the methods, evidence and feasibility of lowering sodium intake.