PROLEPSIS Civil Law Non-Profit Organization of Preventive Environmental and Occupational Medicine, 15121 Athens, Greece.
Endocrine Unit and Diabetes Center, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, 11528 Athens, Greece.
Nutrients. 2023 Dec 16;15(24):5124. doi: 10.3390/nu15245124.
The early introduction of effective nutritional educational programs is pivotal for instilling sustainable healthy behaviors. The present work aims to present a best practice example of a nutrition and overall lifestyle school-based training program, the Nutritional Adventures ("Diatrofoperipeteies"). Conducted during 2020-2022 in Greek primary schools, this synchronous, online educational initiative included two 1-school-hour activities with a nutrition instructor. Additionally, schools were randomly assigned to supplementary "at-home" supported-by-parents or "in-class" supported-by-educators educational activities. In total, = 12,451 students of 84 primary schools participated. Parent-completed questionnaires were selected in the recruitment and post-intervention phase (40% participation rate); overall, the working sample was = 1487 students. In the post-intervention phase, a significant increase in Mediterranean diet adherence was observed (KIDMED score: mean increment = 0.25 units; < 0.001), particularly fruit and vegetable consumption. Time spent on physical activity increased, while screen time decreased. Students' total quality of life significantly improved (PedsQL; mean increment = 1.35 units; < 0.001), including on all of its subscales (physical, emotional, social, and school function). Supplementary educational activities that were supported by educators rather than parents yielded a more favorable impact on students' lifestyle and quality of life. The Nutritional Adventures program can be regarded as a successful initiative in primary schools, yielding immediate advantages that extend beyond promoting healthy dietary habits.
早期引入有效的营养教育计划对于灌输可持续的健康行为至关重要。本研究旨在展示一个基于学校的营养和整体生活方式培训计划的最佳实践范例，即“营养冒险”（Diatrofoperipeteies）。该计划于 2020-2022 年在希腊小学进行，包括两次与营养指导员进行的 1 小时同步在线教育活动。此外，学校被随机分配补充的“在家”由家长支持或“在课堂”由教育工作者支持的教育活动。共有 84 所小学的 12451 名学生参与了该计划。在招募和干预后阶段选择了家长完成的问卷调查（参与率为 40%）；总体而言，有效样本为 1487 名学生。在干预后阶段，观察到地中海饮食依从性显著增加（KIDMED 评分：平均增量为 0.25 分；<0.001），特别是水果和蔬菜的摄入量增加。体育活动时间增加，而屏幕时间减少。学生的总体生活质量显著提高（PedsQL；平均增量为 1.35 分；<0.001），包括所有子量表（身体、情感、社会和学校功能）。由教育工作者而非家长支持的补充教育活动对学生的生活方式和生活质量产生了更有利的影响。“营养冒险”计划可以被视为小学的一项成功举措，其带来的即时优势不仅限于促进健康的饮食习惯。
