What is Nutrition Education Why is Nutrition Education necessary Studies on the Effectiveness of Nutrition Education Nutrition Education Programs Why

Transcription

1 Where can Dietitians work as Educators 1

2 Outline 2 What is Nutrition Education Why is Nutrition Education necessary Studies on the Effectiveness of Nutrition Education Nutrition Education Programs Why is Nutrition Education Important in Schools Dietitians/Nutritionists as Educators Nutrition Education in different Educational Systems Where Dietitians/Nutritionists can work as Nutrition Educators Characteristics of an Effective Nutrition Educator 2

3 Nutrition Education 3 Shaping lifelong positive behaviors of people and students, leading to actively promoting and maintaining health. 3

4 Definition of nutrition education 4 Nutrition education is any combination of educational strategies, accompanied by environmental support. It is designed in such a way to facilitatevoluntary adoption of food choices and other nutrition-related behaviours. 4

5 Is nutrition education effective? 5 5

6 Key elements of effectiveness in nutrition education 6 Focuses on: specific behaviours actions practices and others 6

7 Why is nutrition education important? 7 It provides people with the knowledge, skills and motivation to make wise dietary and lifestyle choices, building thus a strong basis for a healthy and active life. 7

8 Why is nutrition education important? 8 The yearly average health expenditure per capita in the European Member States has doubled in the last 15 years. Prevention is less expensive than treatment, and changes in diet and lifestyle remain the most effective way to reduce the financial health care costs. European health systems are primarily treatment systems, not preventive systems. Critical Factors for overweight and obesity contributing to pandemic Improper diet Lack of physical activity Heavy alcohol consumption Smoking Most critical factors Chronic non-communicable diseases. These diseases kill more than 36 million people worldwide annually, with more than 9,000,000 deaths occurring before the sixtieth year of life. 8

9 OBESITY 9 Facts about overweight and obesity Some recent WHO global estimates follow. o In 2014, more than 1.9 billion adults aged 18 years and older were overweight. Of these over 600 million adults were obese. o Overall, about 13% of the world s adult population (11% of men and 15% of women) were obese in o In 2014, 39% of adults aged 18 years and over (38% of men and 40% of women) were overweight. o The worldwide prevalence of obesity more than doubled between 1980 and World Health Organization, June

10 Strategy: Users and Uses 10 10

11 Is nutrition education effective? 11 Studies with young people and adults 11

12 Effectiveness of school-based nutrition education interventions to prevent and reduce excessive weight gain in children and 12 adolescents: a systematic review. Systematicsearch 14 databases + 5 systematic reviews Schools to reduce overweight in children and adolescents SUMMARY OF THE FINDNGS: The extracted data show that there is evidence of positive effects on anthropometry and increase in fruit and vegetable consumption. Characteristics of the interventions that demonstrated effectiveness are: duration > 1 year, introduction into the regular activities of the school, parental involvement, introduction of nutrition education into the regular curriculum, and provision of fruits and vegetables CONCLUSION: by school food services. Interventions in schools to reduce overweight and obesity, as well as to increase fruits and vegetable consumption, have demonstrated effectiveness in the best-conducted studies Silveira, Taddei, Guerra, Nobre. J Pediatr(Rio J)

13 The effect of participation in school-based nutrition education interventions on body mass index: a meta-analysis analysis of randomized controlled community trials. 13 Systematic search of 14 databases until May 2010 and cross-reference check in 8 systematic reviews (SRs) for studies published that described randomized controlled trials conducted in schools to reduce or prevent overweight in children and adolescents. RESULTS: The total population consisted of 8722 children and adolescents. Across the studies, there was an average treatment effect of kg/m(2) (- 0.55, % CI) on BMI, with84% of this effect explained by the highest quality studies. CONCLUSION: This systematic review provides evidence that school-based nutrition education interventions are effective in reducing the BMI of children and adolescents. Silveira, Taddei, Guerra, Nobre. PrevMed

14 The Impact of Nutrition Education Interventions on the Dietary Habits of College Students in Developed Nations: A Brief Review 14 Significant and beneficial changes in dietary habits have been identified for college students after the implementation of nutrition interventions via various techniques. Nutrition Education appeared to have the best methods for enhancing students eating habits and promoting healthier diets and lifestyles. The results showed that there were 3 major forms of nutrition education interventions: webbased education, lectures, and supplement provisions Pei Lin Lua and Wan Dali Putri Elena Malays. JMedSci

15 The effectiveness of nutrition education programme for primary school children. 15 Objective: To determine changes in nutrition knowledge, attitude and practice of 8-yearold school children after receiving a nutrition education package. Malaysian Journal of Nutrition, March 2007 A total of 418 school children from urban and rural areas 237 children - intervention group 181 children who did not receive the nutrition education package - controls. The nutrition education programme - 3 There were no significant changes in the weeks comprised of a video viewing session control group in knowledge, attitude and and a comic reading session followed by practice scores at pre, post and follow-up exercise questions as reinforcement In conclusion, for each this tests study but showed there was that a a significant good session, and also classroom activities. nutrition education increase programme in the had intervention a positive group impact whereby better nutrition knowledge, attitude and healthy eating habits in children were seen 15

16 Study Shows Nutrition Education Can Lead to Healthier Food Choices by Supplemental Nutrition Assistance Program (SNAP) Recipients The study, SNAP Education and Evaluation Study (Wave II), evaluated the impact of several nutrition education programs on fruit and vegetable consumption among low-income elementary school children and seniors. The study found that children participating in certain nutrition education programs increased their daily fruit and vegetable consumption at home by a quarter-to a third-cup, and were more likely to choose low-fat or fat-free milk. The results of this study restate the critical role of nutrition education 16 The Food and Nutrition Service (FNS) of the U.S. Department of Agriculture (USDA),

17 Why is Nutrition Education in Schools important (WHO): 17 Facts Provide a highly effective and efficient environmental setting for establishing healthy attitudes to food Offer a great possibility to reach large numbers of the population Health messages learnt in school can be maintained and pursued by children at home and in their surroundings Provide an ideal setting to improve eating behaviour, health and nutritional knowledge and boost the ability of children to make informed choices 17

18 Why is Nutrition Education in Schools important (WHO): Facts Provide the ideal setting for tackling the primary public health problem faced by European citizens Healthy nutrition interventions need to occur early in childhood and adolescence Childhood and adolescence is a critical period for diets of high nutritional quality Eating habits and behaviouralpatterns are developed that may persist throughout adulthood Healthy food and improved nutrition -enhanced learning ability and academic performance 18 18

19 Food and Nutrition policy for schools 19 19

20 20 Nutrition Education Programs 20

21 Nutrition Education in Elementary and Secondary Schools in USA 21 Nutrition Education in the School Curriculum Schools offer nutrition education (99 %): most common placement is within the health curriculum (84 %) nutrition through science classes (72 %) through a school health program (68 %) National Centre of Educational Statistics

22 European Youth Tackling Obesity (EYTO) EU Health Programme The program involved: partners across England, Spain, Portugal and the Czech Republic social marketing campaigns in a range of settings to promote healthy eating and physical activity amongst young people aged who are vulnerable to obesity. Conclusion: In tackling obesity it was concluded that it requires a multidisciplinary approach involving young people, parents and professionals in the community Consumer, Health, Agriculture and Food Executive Agency, European Commission,

23 HEALTHY EATING FOR YOUNG PEOPLE IN EUROPE A school-based nutrition education guide (WHO) 23 By the year 2020, all sectors should have recognized and accepted their responsibility for health (Adopted by the WHO Regional Committee for Europe at its forty- eighth session, Copenhagen, September 1998) 23

24 24 Aims To further development of nutrition education in schools. Place nutrition education in the analytical programs of schools The target age groups are from 4 to 16 years 24

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26 EUROPE A school-based nutrition education guide (WHO) The most important parameter of a school-based nutrition education outlined in the guide is: 26 Children that are encouraged to eat healthily in their early life, they are most likely to avoid obesity and diet-related disease in later life. 26

27 School-based nutrition education: interactions between actors and environmental conditions 27 C Pérez-Rodrigo and J Aranceta European Journal of Clinical Nutrition(2003) 57 27

28 Nutrition Education in Cyprus Educational System Level 1 -Elementary School the subject is named Health Education/ Home Economics and for lower level is named Life Education Level 2 -High School the subject is named Home Economics 28 Level 3 - Lyceum the subject Home Economics is optional Level 4 -University Level a Bachelor of Science degree in Nutrition and Dietetics Level 5 -University level a Master Degree in Clinical Dietetics and Sports Nutrition Level 6 -PhD Level in Nutrition and Dietetics 28

29 Nutrition Education Programs promoted by the Cyprus Nutrition and Dietetics Association 29 Elementary School Breakfast Program (in collaboration with Ministries of Health and Education) Lectures and workshops to students and parents in collaboration with the Pancyprian Parents Training School (Παγκύπρια Σχολή Γονέων) Diabetes Education Program (in collaboration with the Pancyprian Diabetes Αssociation) Nutrition Education through the Program DiadromesCardias in collaboration with Cyprus Heart Association Nutrition Education Theatre performed at Elementary Schools 29

30 Nutrition Education materials promoted by the Cyprus Nutrition and Dietetics Association 30 Ad hoc publication committee for Books and Leaflets: 1. Pechnognosi(Learning Nutrition Education through games). 2. Practical Guidelines for Nutrition and Exercise through the Lifecycle for Educators and Parents (to be published in 2017) 3. Nutrition Support for Bariatric Surgery 4. Nutrition Education Leaflets (i.e. Nutrition and Pregnancy, Nutrition and Lactation, Sports Nutrition, Food Labelling, Child Nutrition etc.) 30

31 British Nutrition Foundation Nutrition Education in the UK is taught in all local authority maintain schools in primary, secondary and tertiary levels 31 Food and Nutrition is mainly taught in primary and secondary level through the following subjects: Design and technology Cooking and nutrition Science Personal, Social, Health and Economic Education (PSHE). GCE Home Economics (Food, Nutrition and Health) and Nutrition and Food Science Food and Nutrition GCE Ordinary Level information on the curriculum in England, go to: 31

32 32 Dietitians/Nutritionists as Educators 32

33 Job titles of Dietitians/Nutritionists in Education and Research 33 Professor, Associate Professor, Lecturer Senior Lecturer Associate Lecturer Senior Research Fellow Postdoctoral Researcher Postdoctoral Fellow Research Fellow Research Scientist Research Dietitian Research Nutritionist Research Assistant University Tutor Educators (Mentors) Demonstrators Elementary and High School Nutrition Educator Diabetes Educator 33

34 Where can Dietitians/Nutritionists work in Education and Research As educators in: 34 elementary high schools universities health professional schools worksite in business As program leaders in Food and Nutrition Educational Programs in various Ministries or other agencies such as: Education and Culture Health Agriculture Commerce & Industry Defense and other agencies 34

35 Characteristics of an Effective Nutrition Educator, must have the ability to: follow a lesson plan while still being flexible relate to lots of different people adapt to many teaching environments sense non-verbal cues from learners be a good listener, non-judgmental create and be willing to try new, innovative ways to teach and reach learners educate without rescuing build trusting relationships in order to foster learning and change help learners work to find some of their own answers or solutions approach individuals who may seem reluctant to interact or participate in lessons accept feedback and coaching from supervisors and others learn and adapt so mistakes or missteps are not repeated possess excellent time management 35 35

36 Dietitians/Nutritionists are educators in anyway 36 Overall, the main focus of what a dietitian does as educator, is to promote health and wellness through the education of people (whatever age they may be) on how to best enjoy fresh, tasty and nutritious food. 36

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