Impact of nutrition counselling on nutrition knowledge and nutrient intake of 7- to 9-y-old children in an atherosclerosis prevention project
- 15 December 2003
- journal article
- Published by Springer Science and Business Media LLC in European Journal of Clinical Nutrition
- Vol. 58 (1), 162-172
- https://doi.org/10.1038/sj.ejcn.1601763
Abstract
To assess the impact of nutrition counselling given to 7.5- to 9-y-old children and their parents on children's nutrition knowledge and nutrient intakes. The study children are participants in a prospective, randomised STRIP study (Special Turku Coronary Risk Factor Intervention Project for Children), whose aim was to decrease the intakes of saturated fat and cholesterol while increasing the intake of unsaturated fat in the intervention children from the age of 7 months onwards. Nutrition counselling was given only to the parents until the child's age of 7 y. Nutrition knowledge and nutrient intakes (total energy, total fat, saturated fat, unsaturated fat and sodium) were studied in a time-restricted cohort of 47, 7-y-old intervention and 51 control children. Thereafter, nutrition counselling was given both to the children and parents. Children's nutrition knowledge and nutrient intakes were measured again at the age of 9 y. Biannual nutrition counselling given to the intervention children and the parents maintained the differences in saturated fatty acid intake attained during the intervention given to the parents alone (11.5 vs 13.3 E% (percent of energy intake), at the age of 7 y, P<0.01; 11.1 vs 13.4 E% at the age of 9 y, respectively; P<0.01). The intervention children used more polyunsaturated fatty acids at the age of 9 y than the control children (5.7 vs 5.1 E%, P=0.05). At 7 y, the intervention and control children had similar nutrition knowledge scores (total knowledge score 12.9 vs 12.0, respectively, P=0.13). After 1.5 y of nutrition intervention, at 9 y, the intervention children's nutrition knowledge was higher than that of the controls (total nutrition score 16.5 vs 13.2, respectively, P<0.001) and the ability to explain the reasons for their picture choices in the nutrition knowledge test had increased. This study showed that only a relatively short period of counselling with low input is needed to increase in children's nutrition knowledge and ability to explain nutrition-related subjects if advice has first been given to the parents and if the parents have received reinforcement and concrete help with parent-child communication after their children have been involved in the counselling. The differences attained in nutrient intake could also be maintained.Keywords
This publication has 25 references indexed in Scilit:
- Nutrition knowledge and food intake of seven-year-old children in an atherosclerosis prevention project with onset in infancy: the impact of child-targeted nutrition counselling given to the parentsEuropean Journal of Clinical Nutrition, 2001
- Nutrient intakes and cholesterol values of the parents in a prospective randomized child-targeted coronary heart disease risk factor intervention trial—the STRIP projectEuropean Journal of Clinical Nutrition, 1999
- PSYCHOSOCIAL CORRELATES OF DIETARY INTAKE: Advancing Dietary InterventionAnnual Review of Nutrition, 1999
- Research perspective on school-based nutrition educationJournal of Nutrition Education, 1992
- Evaluation of a nutrition education program for head start parentsJournal of Nutrition Education, 1992
- What do children know about fat, fiber, and cholesterol? A survey of 5,116 primary and secondary school studentsJournal of Nutrition Education, 1991
- Parental messages and the nutrition awareness of preschool childrenJournal of Nutrition Education, 1990
- A Family Approach to Cardiovascular Risk Reduction: Results from The San Diego Family Health ProjectHealth Education Quarterly, 1989
- Nutritional Understanding of Preschool Children Taught in the Home or a Child Development LaboratoryHome Economics Research Journal, 1984
- Children's thinking about food and eating—A piagetian-based studyJournal of Nutrition Education, 1981