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      Educación alimentaria y nutricional para reducir la obesidad en escolares de Panamá: protocolo de estudio Translated title: Food and nutrition education to reduce obesity in schoolchildren in Panama: study protocol

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          Abstract

          RESUMEN El sobrepeso en escolares representa un creciente problema de salud pública en Panamá. El objetivo es desarrollar y validar un programa de intervención en educación alimentaria y nutricional (EAN) contra el sobrepeso y la obesidad en escolares de Panamá bajo la perspectiva de una política pública intersectorial de salud y educación. La intervención se basa en el cambio de conducta bajo el modelo socio-ecológico que favorezca la adopción de comportamientos alimentarios y de estilos de vida más saludables. Se trata de un estudio en 362 escolares de diseño cuasi experimental, pre-post intervención, prospectivo y sin grupo control, de tipo observacional explicativo en instituciones de educación básica general del sector público en tres Distritos de Panamá Oeste: La Chorrera, Capira y Chame. Se seleccionaron 5 escuelas: la escuela Victoria D’Spinay y La Herradura en el Distrito de La Chorrera, la escuela Hernando Bárcenas en el Distrito de Capira y las escuelas El Espavé y Berta Elida Fernández en el Distrito de Chame. El protocolo fue registrado en la plataforma internacional de ensayos Nº ISRCTN28920505. Se obtendrán datos sociodemográficos, antropométricos, nutricionales y alimentarios; de seguridad alimentaria; y de conocimiento, actitud, percepción y comportamiento sobre alimentación y estilos de vida saludables de marzo a diciembre de 2019 durante la implementación del programa intersectorial denominado “Escuelas Saludables” del Ministerio de Salud y del Ministerio de Educación de Panamá. Se describirán y compararán los datos utilizando estadística paramétrica y no paramétrica. El protocolo de estudio fue revisado y aprobado por el Comité de Bioética de la Universidad de Panamá (Ref. CBUP/Nº 075/2019), registrado en la Dirección General de Salud (DIGESA) del MINSA (Nº 881). Se solicitará consentimiento informado firmado por parte de los acudientes y asentimiento por cada niño participante. Los resultados del estudio serán difundidos ampliamente en revistas indexadas de revisión de pares y en congresos de salud y nutrición.

          Translated abstract

          ABSTRACT Overweight in school-age children represents a growing public health problem in Panama. The objective is to develop and validate an intervention program in food and nutrition education (FNE) against overweight and obesity in school-age children in Panama from the perspective of an intersectoral public policy in health and education. The intervention is based on behavior changes under the socio-ecological model that favors the adoption of healthier dietary practices and lifestyles. This is a study in 362 school-age children of quasi-experimental, pre-test and post-test, prospective and non-controlled design, in public education institutions in three districts of Panama West Province: La Chorrera, Capira and Chame. Five schools were selected: the Victoria D’Spinay and La Herradura schools in the District of La Chorrera, the Hernando Bárcenas school in the District of Capira and the El Espavé and Berta Elida Fernández schools in the Chame District. The protocol was registered in the international test platform N° ISRCTN28920505. Sociodemographic, anthropometric, nutritional and food data will be obtained; of food security; and of knowledge, attitude, perception and behavior on food and healthy lifestyles from March to December 2019 during the implementation of the intersectoral program called “Healthy Schools” of the Ministry of Health and the Ministry of Education of Panama. The data will be described and compared using parametric and non-parametric statistics. The study protocol was reviewed and approved by the Bioethics Committee of the University of Panama (Ref. CBUP/Nº075/2019), registered in the General Directorate of Health (DIGESA) of the Ministry of Health (Nº 881). Signed informed consent will be requested from the guardians and assent for each participating child. The results of the study will be widely disseminated in peer-reviewed journals and in health and nutrition congresses.

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          Most cited references31

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          Maternal and child undernutrition and overweight in low-income and middle-income countries

          The Lancet, 382(9890), 427-451
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            School feeding programs in developing countries: impacts on children's health and educational outcomes.

            School feeding programs (SFPs) are intended to alleviate short-term hunger, improve nutrition and cognition of children, and transfer income to families. The present review explores the impact of SFPs on nutritional, health, and educational outcomes of school-aged children in developing countries. Peer-reviewed journal articles and reviews published in the past 20 years were identified and screened for inclusion. Analysis of the articles revealed relatively consistent positive effects of school feeding in its different modalities on energy intake, micronutrient status, school enrollment, and attendance of the children participating in SFPs compared to non-participants. However, the positive impact of school feeding on growth, cognition, and academic achievement of school-aged children receiving SFPs compared to non-school-fed children was less conclusive. This review identifies research gaps and challenges that need to be addressed in the design and implementation of SFPs and calls for theory-based impact evaluations to strengthen the scientific evidence behind designing, funding, and implementing SFPs. © 2011 International Life Sciences Institute.
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              Impact of garden-based youth nutrition intervention programs: a review.

              Garden-based nutrition-education programs for youth are gaining in popularity and are viewed by many as a promising strategy for increasing preferences and improving dietary intake of fruits and vegetables. This review examines the scientific literature on garden-based youth nutrition intervention programs and the impact on nutrition-related outcomes. Studies published between 1990 and 2007 were identified through a library search of databases and an examination of reference lists of relevant publications. Studies were included if they involved children and adolescents in the United States and examined the impact of garden-based nutrition education on fruit and/or vegetable intake, willingness to taste fruits and vegetables, preferences for fruits and vegetables, or other nutrition-related outcomes. Only articles published in peer-reviewed journals in English were included in the review. Eleven studies were reviewed. Five studies took place on school grounds and were integrated into the school curriculum, three studies were conducted as part of an afterschool program, and three studies were conducted within the community. Studies included youth ranging in age from 5 to 15 years. Findings from this review suggest that garden-based nutrition intervention programs may have the potential to promote increased fruit and vegetable intake among youth and increased willingness to taste fruits and vegetables among younger children; however, empirical evidence in this area is relatively scant. Therefore, there is a need for well-designed, evidenced-based, peer-reviewed studies to determine program effectiveness and impact. Suggestions for future research directions, including intervention planning, study design, evaluation, and sustainability are provided.
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                Author and article information

                Journal
                renhyd
                Revista Española de Nutrición Humana y Dietética
                Rev Esp Nutr Hum Diet
                Academia Española de Nutrición y Dietética (Pamplona, Navarra, Spain )
                2173-1292
                2174-5145
                March 2020
                : 24
                : 1
                : 78-86
                Affiliations
                [5] Pachuca de Soto orgnameUniversidad Autónoma del Estado de Hidalgo orgdiv1Instituto de Ciencias Básicas e Ingeniería Mexico
                [3] University Park Pennsylvania orgnamePennsylvania State University orgdiv1Departments of Nutritional Sciences and Biobehavioral Health United States
                [1] Ciudad de Panamá orgnameOrganización de las Naciones Unidas para la Alimentación y la Agricultura (FAO) orgdiv1Oficina Subregional para Mesoamérica Panamá
                [6] Ciudad de Panamá orgnameUniversidad Especializada de las Américas (UDELAS) orgdiv1Decanato de Investigación orgdiv2Programa de Doctorado en Ciencias de la Salud, Dirección de Doctorado Panamá
                [2] Ciudad de Panamá orgnameUniversidad de Panamá orgdiv1Escuela de Nutrición y Dietética Panamá
                [4] Ciudad de Panamá orgnameUniversidad Especializada de las Américas (UDELAS) orgdiv1Vicerrectoría de Investigación orgdiv2Dirección de Doctorados Panamá
                Article
                S2174-51452020000100009 S2174-5145(20)02400100009
                10.14306/renhyd.24.1.776
                01fc71d9-2c0f-4f26-8c73-32b7758a385c

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 01 April 2019
                : 29 December 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 55, Pages: 9
                Product

                SciELO Spain

                Categories
                Protocolo

                Overweight,Obesity,Nutrition,Sobrepeso,Food and Nutrition Education,Nutrición,Educación Alimentaria y Nutricional,Obesidad

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