An Italian experience of training teachers* under the School Fruit and Vegetables Scheme

Transcription

1 An Italian experience of training teachers* under the School Fruit and Vegetables Scheme Laura Gennaro Research Centre for Food and Nutrition (CREA-AN) *Project funded by the Italian Ministero delle Politiche Agricole Alimentari e Forestali (MiPAAF), DM 21313, 30/12/2010.

2 The Council for Agricultural Research and Economics (CREA) is the institutional body of the Ministry of Agricultural Policies completely devoted to agriculture and agro-food research. It is organized in 12 research centres. The mission covers the area of agricultural practices, agronomy forest management, agroecology, plants and livestock breeding, food and nutrition, biotechnology, engineering and bioeconomy.

3 Council for agricultural research and economics The Research Centre for Food and Nutrition (CREA-AN) research activities are entirely focused on food and nutrition. 3 major areas: Food science research, Human nutrition research, and Population studies area Investigation of efficient tools for nutritional education

4 School Fruit Scheme This EU-wide voluntary scheme provides school children with fruit and vegetables, aiming thus to encourage good eating habits in young people. Besides providing fruit and vegetables the scheme requires participating Member States to set up strategies including educational and awareness-raising initiatives, concerning different issues, such as healthy eating habits.

5 Elisabetta Lupotto Coordinator

6 EUROPEAN COMMISSION In a context of declining consumption among children for these products, the aim is to address poor nutrition more effectively, to reinforce the educational elements of the Programmes and to contribute to fight against obesity.

7 The background ( )

8 The background National Survey, Ministry of Health, 4/5/2017

9 Okkio alla salute, National Survey, Ministry of Health, 4/5/2017

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12 The CREA network Educational measures 23 CREA units, coordinated by the Research Centre for Food and Nutrition in order to: -Promote fruit and vegetables daily consumption - Connect children to agriculture - -Make them aware of environmental matters - Improve products and production chains knowledge

13 Some focal points: Biodiversity Seasonality Different tastes, flavors, colors The soil value Fight the food waste

14 Two main pillars School in field - Frontal meetings dietitians-teachers, in schools - Direct interactions of children with the CREA structures to learn by doing, outdoor Fruit Olympic Games CREA-AN, Roma A national interscholastic championship, structured as a multidisciplinary educational path through different steps. Implementation in academic year 2016/2017: - Visits in teaching farms from regional networks - Participated Nutrition Education

15 Don t forget the targets! Teachers Children Families All measures involve the three main targets The teachers training Project funded by the Italian Ministero delle Politiche Agricole Alimentari e Forestali (MiPAAF), DM 21313, 30/12/2010.

16 Since the fruit and vegetables distribution is in schools, we decided to organize specific lessons To help teachers, giving them tools and scientific knowledge Lessons both by frontal seminars and e-learning

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19 Canteens/cafeteria/ school lunch providers

20 Frontal training

21 Frontal training Regions Seminars Participants Abruzzo 2 87 Basilicata 2 59 Calabria Campania Emilia Romagna 2 48 F.V. Giulia 1 14 Lazio Liguria 2 46 Lombardia 2 61 Marche 1 15 Molise 1 48 Piemonte 2 87 Puglia Sardegna Sicilia 4 92 Toscana 2 60 Umbria 2 31 Veneto

22 Training Numbers In less than 2 years 1896 teachers were fully trained by e-learning In the frame of the Regional Prevention Plan, in the Health Public System, we trained the trainers, who met teachers in frontal lessons: 197 teachers in , but meetings are going on = frontal e-learning PRP 3790 x 20 = children/families

23 Seminars (held by 2/3 researchers) take about 4 hour (1 morning or 1 afternoon)

24 Themes index 1.Introduction 2.Nutrition education 3.Nutritional requirements 4.Nutritional and organoleptic quality 5.Storage and seasonality At the end, we give teachers a pendrive with: Presentations Video from the measures Brochure of the measures Survey «Okkio alla salute» Teaching pack

25 Teaching pack: 10 modules 1. Fruttombola (Fruit BINGO) 2. Diamo tempo al tempo (Time to time) 3. Frutta in tutti i sensi (Fruit in all the senses) 4. La misura che frutta (The measure that bears fruit) 5. I cinque comangiamenti (The five comand-eating-ment) 6. La colazione: mai più senza! (Breakfast: nevermore without) 7. Una fruttuosa merenda (A fruitful snack) 8. Frutti della terra (Fruits of the earth) 9. Muoviti muoviti (Move on, move on) 10.Siamo alla frutta (We are at the end of the road) Authors: Laura Gennaro, Sibilla Berni Canani, Cristina Giannetti, Umberto Scognamiglio, Romana Roccaldo

26 Teaching pack Goal: what we want to teach Area of expertise (language, science, math, art,...) Scientific introduction, to broaden the knowledge Launch: how to give a setting to the lesson (a story, a play) What you need: materials required Activity: How to work with the pupils Conclusions: how to carry on, to have a follow up Homeworks: VERY IMPORTANT!!!

27 Fruttombola (Fruit BINGO) 1/2 Goal: to encourage tasting Scientific introduction: the importance of variety Launch: the story of a neophobic child who discovers new tastes thanks to his friend What you need: colors and a posterboard Activity: to draw a board with names of children (and teacher) and 10 boxes each, to fill in with the drawing of every fruit and vegetable eaten in front of the class

28 Conclusions: prepare a medal for the winner Homeworks: to have a family meal with all the five colors of fruit and vegetables. Children have to tell the meal to the class (a story, a picture, a drawing, etc..) Fruttombola (Fruit BINGO) 2/2

29 Diamo tempo al tempo (Time to time) Goal: to learn seasonality Scientific introduction: best tasting in the right season Activity: to draw and cut out fruit and vegetables, to paste them in a calendar to take home. Each product has to stay in the right month. Homeworks: to quiz the families on the right season of fruits and vegetables

30 Frutta in tutti i sensi (Fruit in all the senses) Goal: to use the five senses to taste fruit and enhance the linguistic skills Activity: to describe one fruit using, sense by sense, all the adjectives that they know, learning others with the help of the teachers Conclusions: to prepare a posterboard for the canteen reporting all the found adjectives for each sense Homeworks: to challenge the families on the number of adjectives they can find

31 Una fruttuosa merenda (A fruitful snack) 1/2 Goal: to discover all the possibilities to have a snack healthy but also tasty Scientific introduction: the importance of an adeguate snack Launch: the story of a boy who makes attempts over attempts to find the perfect snack to have sufficient energy to play and study, and still be hungry enough at dinner time What you need: colors, paper, glue, scissors Activity: on the base of some instructions (limit sugars, always fruit or vegetables, if bread better brown, etc ) to invent a different snack for each day of the week and draw them in a «diary» Homeworks: to prepare at home what «invented» and report to the class.

32 Una fruttuosa merenda (A fruitful snack) 2/2

33 Evaluation of the efficacy 13 schools (25 classes) from three areas of low (North Italy), medium (Centre) and high (South) prevalence of overweight and obesity. 4 grade school children. All of them partecipating to the EU program. Intervention: 395 subjects Control group: 99 subjects

34 A teachers training program accompanying the School Fruit Scheme fruit distribution improves children s adherence to the Mediterranean diet: an Italian trial. Roccaldo R, Censi L, D'Addezio L, Berni Canani S & Gennaro L. International Journal of Food Sciences and Nutrition, 2017.

35 THE KIDMED TEST ASSESSES Scoring THE MEDITERRANEAN DIET ADHERENCE +1 Takes a fruit or fruit juice every day +1 Has a second fruit every day +1 Has fresh or cooked vegetables regularly once a day +1 Has fresh or cooked vegetables more than once a day +1 Consumes fish regularly (at least 2 3 times per week) - 1 Goes more than once a week to a fast-food (hamburger) restaurant +1 Likes pulses and eats them more than once a week +1 Consumes pasta or rice almost every day (5 or more times per week) +1 Has cereals or grains (bread, etc.) for breakfast +1 Consumes nuts regularly (at least 2 3 times per week) +1 Uses olive oil at home - 1 Skips breakfast +1 Has a dairy product for breakfast (yoghurt, milk, etc.) - 1 Has commercially baked goods or pastries for breakfast +1 Takes two yoghurts and/or some cheese (40 g) daily - 1 Takes sweets and candy several times every day L. Serra- Majem et al. 2004

36 KIDMED test in the intervention group, before and after the intervention (%) 6 weeks later +12,4 +12, year later ,

37 100 % SAMPLE Levels of adherence to the MD in pre and post (%) by geographical area Low Average High PRE POST PRE POST PRE POST North Centre South Roccaldo et al., 2017

38 100 % Levels of adherence to the MD in pre and post sample by ponderal status (%) Low Average High PRE POST PRE POST PRE POST Normal weight-thinness Overweight Obesity Roccaldo et al., 2017

39 pre-intervention post-intervention Minimum Maximum Minimum Maximum SIGHT 0,0 7,0 0,0 25,0 HEARING 0,0 3,0 0,0 6,0 TOUCH 0,0 5,0 0,0 14,0 TASTE 0,0 5,0 0,0 20,0 SENSE OF SMELL 0,0 4,0 0,0 12,0 Adjectives numbers found

40 STRENGHT POINTS - Freedom of teaching - Flexibility and adaptation to local context - Integration with school daily activities - It s fun and exciting

41 Take home messages The specific training strenghtens a lot the efficacy of fruit distribution, especially in problematic contests. To be effectively integrated in the school programs, the training should be proposed at the beginning of the year. In the frame of fruit distribution, the training should be strongly recommended, if not mandatory.

42 Thanks for your attention Laura Gennaro Co-coordinator CREA Accompanying Measures Coordinator Teachers training project Researcher Research Centre for Food and Nutrition (CREA-AN) Elisabetta Lupotto Coordinator CREA Accompanying Measures Director in charge Research Centre for Food and Nutrition (CREA-AN)