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营养教育干预对墨西哥东南部学童减少添加糖摄入量的影响:社区研究

Effect of a Nutritional Education Intervention on the Reduction of Added Sugar Consumption in Schoolchildren in Southeastern Mexico: Community Study.

作者信息

Morales-Ruán Carmen, Shamah-Levy Teresa, Valenzuela-Bravo Danae Gabriela, Uribe-Carvajal Rebeca, Hernández-Palafox Corin, Medina-Zacarías María Concepción, Gómez-Humarán Ignacio Méndez

机构信息

Instituto Nacional de Salud Pública, Centro de Investigación en Evaluación y Encuestas, Avenida Universidad 655, Colonia Santa María Ahuacatitlán, Cuernavaca 62100, Mexico.

Centro de Investigación en Matemáticas A.C., Calzada de la Plenitud 103, Fracc. José Vasconcelos Calderón, Aguascalientes 20200, Mexico.

出版信息

Foods. 2025 Jan 8;14(2):179. doi: 10.3390/foods14020179.

Abstract

Consumption of added sugars negatively affects schoolchildren's health, making it essential to promote strategies designed to reduce their intake through educational interventions. This study aimed to evaluate the effect of a nutritional education intervention, INCAI, on the consumption of added sugars among schoolchildren in southeastern Mexico. A 9-month educational intervention was designed to promote healthy eating, physical activity, and the development of socio-emotional skills among primary school children. Information on the usual intake of foods and beverages was collected from 400 schoolchildren at the beginning and end of the intervention using a semiquantitative food frequency questionnaire. For the analysis, a generalized estimating equation (GEE) model was constructed using the Poisson distribution family to estimate the effect of the intervention. The relative incidence in the final stage showed a slight increase of 4% ( = 0.093) in the percentage of added sugars compared with the baseline levels in the control group. By contrast, the intervention effect, represented by the interaction between treatment and time, showed a 10% reduction in the final stage in the intervention group ( < 0.001). Based on these findings, the INCAI educational intervention effectively reduced added sugar consumption by 10% in the intervention group, while no significant reduction was observed in the control group. These results suggest that nutritional education programs can be a useful strategy for lowering added sugar intake among schoolchildren, highlighting the importance of incorporating such interventions into public health policies targeting child populations.

摘要

添加糖的摄入对学童健康有负面影响,因此必须推行旨在通过教育干预减少其摄入量的策略。本研究旨在评估营养教育干预措施“INCAI”对墨西哥东南部学童添加糖消费的影响。一项为期9个月的教育干预旨在促进小学生的健康饮食、体育活动以及社会情感技能的发展。在干预开始和结束时,使用半定量食物频率问卷从400名学童那里收集了关于食物和饮料通常摄入量的信息。为了进行分析,构建了一个使用泊松分布族的广义估计方程(GEE)模型来估计干预效果。与对照组的基线水平相比,最后阶段添加糖百分比的相对发生率略有增加4%(P = 0.093)。相比之下,以治疗与时间之间的相互作用表示的干预效果在干预组的最后阶段显示下降了10%(P < 0.001)。基于这些发现,INCAI教育干预在干预组中有效地将添加糖的消费量降低了10%,而在对照组中未观察到显著降低。这些结果表明,营养教育计划可能是降低学童添加糖摄入量的一项有用策略,凸显了将此类干预纳入针对儿童群体的公共卫生政策的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3518/11764812/1a4d0dbdfe6e/foods-14-00179-g001.jpg

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