Harton Anna, Myszkowska-Ryciak Joanna
Department of Dietetics, Institute of Human Nutrition Sciences, Warsaw University of Life Sciences (WULS), 02-776 Warsaw, Poland.
Healthcare (Basel). 2021 Mar 3;9(3):274. doi: 10.3390/healthcare9030274.
The aim of the study was to assess the impact of education on improving the assortment of beverages served in nurseries in Poland. This analysis focused on beverages served to children with meals and between meals. We examined: water, tea, juices, soft/fruit drinks, compote, milk, cocoa, and coffee substitute. The study involved 93 nurseries enrolled in the Eating Healthy, Growing Healthy project and was conducted from 2015 to 2017. Nutritional education was carried out by dieticians or nutritionists and included 24 h of lectures given to the staff of nurseries. Training was conducted in a form of workshops that were divided into 12 topics. Additionally, consultations regarding infants and young children nutrition were available to the staff. Typically, education training was completed within 1-2 months in each nursery. The effectiveness of education was verified based on data on beverage supply in 186 ten-day menus, 1860 daily inventory reports before (at baseline), and 3-6 months after staff training (post baseline). Data were analyzed in a total group, and separately for public and non-public nurseries. Statistical analyses for categorical variables were done with Chi Pearson test. The differences were considered significant at < 0.05. After education, a significant increase in the supply of water as a beverage served with meals was observed in all nurseries (68% vs. 87%; = 0.002), both in public (72% vs. 90%, = 0.036) and non-public (62% vs. 84%, = 0.017) ones. Moreover, a decrease in served tea was noted: in all nurseries (71% vs. 44%, < 0.001) and in public nurseries (77% vs. 42%, < 0.001). Water was available between meals in almost all nurseries. Nutritional education for staff is an important tool for improving adherence to the nutritional recommendation in the case of core beverage supply in Polish nurseries.
该研究的目的是评估教育对改善波兰托儿所提供的饮料种类的影响。该分析聚焦于儿童用餐时和两餐之间提供的饮料。我们考察了：水、茶、果汁、软饮料/水果饮料、蜜饯果汁、牛奶、可可和咖啡替代品。该研究涉及93家参与“健康饮食，茁壮成长”项目的托儿所，研究时间为2015年至2017年。营养教育由营养师或营养学家开展，包括为托儿所工作人员提供24小时的讲座。培训以研讨会的形式进行，分为12个主题。此外，还为工作人员提供有关婴幼儿营养的咨询服务。通常，每个托儿所的教育培训在1至2个月内完成。根据186份十日菜单中的饮料供应数据、工作人员培训前（基线时）的1860份每日库存报告以及培训后3至6个月（基线后）的数据，对教育效果进行了验证。数据在总体组中进行分析，并分别针对公立和非公立托儿所进行分析。对分类变量的统计分析采用卡方皮尔逊检验。差异在<0.05时被认为具有统计学意义。教育后，所有托儿所中作为用餐时提供的饮料的水的供应量显著增加（68%对87%；P = 0.002），公立托儿所（72%对90%，P = 0.036）和非公立托儿所（62%对84%，P = 0.017）均如此。此外，发现提供的茶有所减少：在所有托儿所（71%对44%，P<0.001）以及公立托儿所（77%对42%，P<0.001）中都是如此。几乎所有托儿所两餐之间都提供水。在波兰托儿所核心饮料供应方面，对工作人员的营养教育是提高对营养建议依从性的重要工具。
