Postgraduate School in Hygiene and Preventive Medicine, Department of Experimental Medicine, University of Perugia, Perugia, Italy.
Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
Minerva Pediatr (Torino). 2024 Aug;76(4):464-472. doi: 10.23736/S2724-5276.21.06249-2. Epub 2021 Apr 16.
Despite several international initiatives aimed to contrast childhood overweight and obesity, these still represent a major public health problem. Recently, the World Health Organization called for a new type of preventive action, requiring stakeholders from both governments and civil society, to play a decisive role in shaping healthy environments, especially for children.
COcONUT (Children PrOmOting Nutrition throUgh Theatre) was a nutrition education project, involving children aged 5-12 years, aimed to raise awareness on healthy eating, through theatrical and practical workshops. Within this project we conducted an observational study assessing: 1) children adherence to the Mediterranean diet, using the KIDMED questionnaire; 2) parental nutritional knowledge and families' food habits using the ZOOM8 questionnaire. The non-parametric Wilcoxon and the McNemar's Test were used. Statistical significance was fixed P<0.05.
Our data show a statistically significant improvement in Mediterranean Diet adherence among children (P=0.0004). Moreover, we found positive trends in some families' food habits, as for instance less perceived barriers in fruits/vegetables/pulses consumption, less perceived barriers in doing sports and less consumption of unhealthy snacks.
Our results confirm the important role played by funny and active learning in health promotion initiatives.
尽管有几项国际倡议旨在对抗儿童超重和肥胖问题，但这些问题仍然是一个重大的公共卫生问题。最近，世界卫生组织呼吁采取一种新型的预防行动，要求政府和民间社会的利益相关者在塑造健康环境方面发挥决定性作用，特别是针对儿童。
COcONUT（通过戏剧促进儿童营养）是一个营养教育项目，涉及 5-12 岁的儿童，旨在通过戏剧和实践工作坊提高对健康饮食的认识。在这个项目中，我们进行了一项观察性研究，评估了：1）使用 KIDMED 问卷评估儿童对地中海饮食的依从性；2）使用 ZOOM8 问卷评估父母的营养知识和家庭的饮食习惯。使用非参数 Wilcoxon 和 McNemar 检验。统计学意义固定为 P<0.05。
我们的数据显示，儿童对地中海饮食的依从性有统计学意义的改善（P=0.0004）。此外，我们发现一些家庭饮食习惯有积极的趋势，例如在水果/蔬菜/豆类消费方面感知到的障碍减少，在做运动方面感知到的障碍减少，以及不健康零食的消费减少。
我们的结果证实了有趣和积极的学习在健康促进倡议中发挥的重要作用。
