University of Nebraska-Lincoln, Nutrition and Health Sciences Department, 110 Ruth Leverton Hall, Lincoln, NE 68583-0806, USA.
University of Nebraska Medical Center (UNMC), College of Nursing - Western Nebraska Division, UNMC College of Nursing/Harms Center, 1601 E. 27th St. Scottsbluff, NE 69361, USA.
Appetite. 2016 Jun 1;101:163-70. doi: 10.1016/j.appet.2016.03.006. Epub 2016 Mar 9.
It is important to understand adult outcomes in childhood obesity prevention programs as parents and caregivers have a significant influence on the eating and physical activity habits of youth. Grounded in the social cognitive theory, the iCook 4-H study was centered on a dyad model (9-10 year-olds and their primary meal preparers) to teach healthy cooking skills, shopping and meal habits, and being active as a family. The program took place in five states and dyads (n = 54) were recruited through flyers, e-mails, and in-person contact. The focus of this article is to provide findings from adult program participants. Demographics and self-reported food intake, procurement, preparation and safety practices, feeding relationships, mealtime routines, and height and weight were collected through surveys at baseline and program completion, which spanned 3 months. Descriptive statistics including two-related samples tests and paired samples t tests were used to assess pre- and post-program survey data responses at p < 0.05 significance level. Most had a bachelor's degree (31%) or some college (29%), about half were white, 66% were married, about 30% of households participated in assistance programs, and 82% were female. At program conclusion, participants significantly improved meal planning, prioritizing healthy meal choices, shopping with a grocery list, and reading Nutrition Facts Labels. There were also significant, positive differences noted in cooking skill confidence (p = 0.015), desire to cook more meals at home, and fewer fast food meals. Adult-youth feeding interactions also significantly improved. There were also significant increases in fruit juice (100%), vegetable soup, and whole grain consumption. Based on results, adults reported improvements in meal planning, cooking, and purchasing skills that were taught in classes.
了解儿童期肥胖预防计划中的成人结果很重要，因为父母和看护人对青少年的饮食和身体活动习惯有重大影响。基于社会认知理论，iCook 4-H 研究以双元模型（9-10 岁儿童及其主要膳食准备者）为中心，教授健康烹饪技巧、购物和膳食习惯以及作为一个家庭进行活动。该计划在五个州进行，通过传单、电子邮件和亲自联系招募双元组（n=54）。本文的重点是提供成人计划参与者的研究结果。通过基线和项目完成时的调查收集人口统计学和自我报告的食物摄入、采购、准备和安全实践、喂养关系、进餐常规以及身高和体重数据，调查持续 3 个月。描述性统计分析包括两相关样本检验和配对样本 t 检验，用于评估计划前后调查数据的响应，p 值<0.05。大多数人拥有学士学位（31%）或大专学历（29%），约一半是白人，66%已婚，约 30%的家庭参加援助计划，82%是女性。在项目结束时，参与者在制定膳食计划、优先选择健康膳食选择、按购物清单购物和阅读营养成分标签方面有显著改善。烹饪技能信心（p=0.015）、在家多做饭和少吃快餐的愿望也有显著的积极差异。成人与青少年的喂养互动也显著改善。果汁（100%）、蔬菜汤和全谷物的摄入量也显著增加。根据结果，成年人报告在课程中教授的膳食计划、烹饪和采购技能方面有所提高。
