Department of Nutrition Research, National Nutrition and Food Technology Research Institute (WHO Collaborating Center), Tehran, Iran.
Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Syst Rev. 2020 Apr 22;9(1):87. doi: 10.1186/s13643-020-01339-0.
BACKGROUND: Food and nutrition literacy is a newly emerged concept to connect food-related knowledge and skills to healthy diets. Its promotion is important to protect children as they eat too many low-nutrient, high-energy foods. Food and nutrition literacy promotion needs multi-dimensional interventions. In the process of developing an intervention to promote food and nutrition literacy, the present review protocol aims to critically examine the evidence in the area of school-based interventions for promoting food and nutrition literacy (FNLIT) in elementary school children. METHODS: We will search PubMed/MEDLINE, EMBASE, Web of Science, CENTRAL, and ProQuest (from inception onwards). Additional studies will be identified through manual searching of reference lists. Quantitative studies (e.g., randomized controlled trial, quasi-randomized trials, and cluster randomized trials) evaluating the effect of interventions to promote food and nutrition literacy in elementary school children (5-12 years old) will be included. Main outcomes will be food and nutrition literacy at functional, interactive, and critical levels. Secondary outcomes will be dietary intake indicators (e.g., healthy eating index, DDS) and health outcome measures (e.g., reduction in BMI and less weight gain). Two reviewers will independently screen all citations, full-text articles, and abstract data. Potential conflicts will be resolved through discussion. The study methodological quality (or bias) will be appraised using appropriate tools. If feasible, we will conduct random effects meta-analysis. The quality of the included studies will separately evaluate using the validated Quality Assessment Tool for Quantitative Studies, developed by the Effective Public Health Practice Project (EPHPP). Data will be extracted by two reviewers from the identified relevant literature. Standard data synthesis and analysis will be used for the review. DISCUSSION: This systematic review will summarize the evidence regarding the components, implementation methods, and effectiveness of the interventions of food and nutrition literacy promotion in elementary school children. The results of this review will provide a useful reference for policymakers and curriculum developers to assess education curricula and develop practical learning and teaching strategies to improve students' food and nutrition literacy. SYSTEMATIC REVIEW REGISTRATION: PROSPERO (CRD42019135118).
背景:食品与营养素养是一个新兴概念,旨在将与食品相关的知识和技能与健康饮食联系起来。推广食品与营养素养对于保护儿童尤为重要,因为他们吃了太多低营养、高能量的食物。食品与营养素养的推广需要多维干预。在制定促进食品与营养素养的干预措施的过程中,本综述旨在批判性地审查在促进小学生食品与营养素养(FNLIT)的基于学校的干预措施领域的证据。
方法:我们将搜索 PubMed/MEDLINE、EMBASE、Web of Science、CENTRAL 和 ProQuest(从创建至今)。通过手动搜索参考文献列表,将确定其他研究。纳入评估干预措施对促进小学生(5-12 岁)食品与营养素养的影响的定量研究(例如,随机对照试验、准随机试验和整群随机试验)。主要结局将是功能性、互动性和批判性食品与营养素养水平。次要结局将是饮食摄入指标(例如,健康饮食指数、DDS)和健康结果测量(例如,BMI 降低和体重增加减少)。两名审查员将独立筛选所有引文、全文文章和摘要数据。潜在的冲突将通过讨论解决。使用适当的工具评估研究方法学质量(或偏倚)。如果可行,我们将进行随机效应荟萃分析。使用有效的公共卫生实践项目(EPHPP)开发的经过验证的定量研究质量评估工具分别评估纳入研究的质量。将由两名审查员从确定的相关文献中提取数据。将使用标准数据综合和分析方法进行综述。
讨论:本系统评价将总结关于促进小学生食品与营养素养的干预措施的组成部分、实施方法和有效性的证据。本综述的结果将为政策制定者和课程开发者提供有用的参考,以评估教育课程并制定实用的学习和教学策略,以提高学生的食品与营养素养。
系统评价注册:PROSPERO(CRD42019135118)。
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