Kim Jieun, Kim Yoon Myung, Jang Han Byul, Lee Hye-Ja, Park Sang Ick, Park Kyung-Hee, Lim Hyunjung
Department of Medical Nutrition, Kyung Hee University, Yongin 17104, Korea.
Research Institute of Medical Nutrition, Kyung Hee University, Seoul 02447, Korea.
Clin Nutr Res. 2019 Jul 29;8(3):184-195. doi: 10.7762/cnr.2019.8.3.184. eCollection 2019 Jul.
Diet-related behavioral modification for healthy eating and lifestyle is required to improve childhood obesity. The present study aimed to develop customized nutritional intervention protocol and education program to find barriers to adhere healthy diet and lifestyle for moderate to severe obese children and adolescents and their families. Theoretical framework approaches can be used to change behavior and achieve goals. Previous studies that described the relationship between behavioral modification and nutrition education theory were reviewed. The social cognitive theory and transtheoretical model were employed with behavioral changes to target a healthful diet and lifestyle. The nutrition care process (NCP) model was adopted to customize nutrition care for the participants. Customized nutritional intervention protocol was developed following as the four steps of the NCP. Firstly, nutrition status of the participants was assessed by the nutrition expert. Nutrition problems were described as "inadequate energy intake," "overweight/obesity," or "food and nutrition-related knowledge deficit." All nutrition sessions were designed for nutrition intervention to give nutritional knowledge and a practical mission in real life for individual goal setting and self-control. Meal planning, portion control, healthy snack selection and cooking with fruits and vegetables were consisted of five components of the nutrition education session. During each session, the participants and their families were interviewed by a nutrition expert for monitoring and evaluating diet-related goal setting and achievement. A theoretical and evidence-based nutritional intervention was developed for the secondary to tertiary prevention of childhood obesity. This nutrition intervention protocol and program might be helpful for the further research on childhood obesity.
Clinical Research Information Service Identifier: KCT0002111.
为改善儿童肥胖问题，需要进行与饮食相关的行为改变以实现健康饮食和生活方式。本研究旨在制定定制化的营养干预方案和教育计划，以找出中度至重度肥胖儿童及青少年及其家庭坚持健康饮食和生活方式的障碍。理论框架方法可用于改变行为并实现目标。回顾了先前描述行为改变与营养教育理论之间关系的研究。采用社会认知理论和跨理论模型来实现行为改变，以针对健康饮食和生活方式。采用营养护理过程（NCP）模型为参与者定制营养护理。按照NCP的四个步骤制定了定制化的营养干预方案。首先，由营养专家评估参与者的营养状况。营养问题被描述为“能量摄入不足”、“超重/肥胖”或“食品与营养相关知识缺乏”。所有营养课程均设计用于营养干预，以传授营养知识，并在现实生活中为个人目标设定和自我控制提供实际任务。膳食计划、份量控制、健康零食选择以及用水果和蔬菜烹饪是营养教育课程的五个组成部分。在每个课程期间，营养专家会与参与者及其家人进行访谈，以监测和评估与饮食相关的目标设定和达成情况。为儿童肥胖的二级至三级预防制定了一种基于理论和证据的营养干预措施。这种营养干预方案和计划可能有助于进一步研究儿童肥胖问题。
临床研究信息服务标识符：KCT0002111。
