Effects of Online Nutrition Training Program About Mediterranean Diet on Anthropometric Measurements and Diet Quality in Overweight and Obese Adolescent Girls

Year 2023, Volume: 13 Issue: 4, 815 - 822, 29.12.2023

Tuğçe Memiş , Seray Kabaran

https://doi.org/10.33808/clinexphealthsci.1056470

Cited By: 1

Abstract

Objective: This study was conducted to evaluate the effect of an online nutrition training program about the Mediterranean diet for 8 weeks in overweight and obese female high school students on anthropometric measurements and diet quality.
Methods: A total of 86 students between the ages of 14-18 years were included in the study, and they were divided into two groups as nutrition training (n=44) and control groups (n=42). The Mediterranean Diet Quality Index (KIDMED) scores were calculated and anthropometric measurements of groups were taken by the dietician at the beginning and at the end of the study.
Results: The KIDMED score of the nutrition training group was 4.59±2.40 at the beginning, later on it increased to 7.43±2.57 after the program (p= .001). After the program, it was determined that the difference between the KIDMED scores of the nutrition training and control groups were statistically significant (p= .034), however the decrease in body weight (p= .09), BMI (p= .64), and waist circumference (p= .06) were similar between groups.
Conclusion: As a result of the study, it can be said that online nutrition training program about the Mediterranean diet for 8 weeks may affect the diet quality positively of overweight and obese female adolescents, but long-term programs should be planned to determine the effects on anthropometric measurements.

Keywords

Adolescent, anthropometry, diet, mediterranean diet, obesity

References

• Fisher M. Foreword: Evaluation and management of overweight and obesity in children and adolescents. Curr Probl Pediatr Adolesc Health Care. 2020;50(9):1-3. DOI: 10.1016/j.cppeds.2020.100872
• World Health Organization (WHO). Obesity and overweight. Published [9 June 2021]. Accessed [05 October 2021]. https://www.who.int/news-room/fact-sheets/detail/obesity-andoverweight
• Türkiye Beslenme ve Sağlık Araştırması (TBSA) 2017 Beslenme durumu ve alışkanlıklarının değerlendirilmesi sonuç raporu, Halk Sağlığı Genel Müdürlüğü, Sağlık Bakanlığı Published
• Accessed [20.12.2020]. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/TBSA_RAPOR_KITAP_20.08.pdf
• Kabaran S, Gezer C. Determination of the Mediterranean diet and the obesity status of children and adolescents in Turkish Republic of Northern Cyprus. Turk J Pediat Dis. 2013;7(1):11-20. DOI: 10.12956/tjpd.2013.1.03 (Turkish)
• Gopinath B, Baur LA, Burlutsky G, Mitchell P. Adiposity adversely influences quality of life among adolescents. J Adolesc Health. 2013;52(5):649-653. DOI: 10.1016/j.jadohealth.2012.11.010
• Cheng G, Yang F, Xiong F, Zhao L, Zhang L, Wang Y. Comparison of nutrition education policies and programs for children in China and other selected developed countries. Global Health J. 2020;4(3):72-78. DOI: 10.1016/j.glohj.2020.08.002
• Hyska J, Burazeri G, Menza V, Dupouy E. Assessing nutritional status and nutrition-related knowledge, attitudes and practices of Albanian schoolchildren to support school food and nutrition policies and programmes. Food Policy. 2020;96:1-10. DOI: 10.1016/j.foodpol.2020.101888
• Hayes D, Contento IR, Weekly C. Position of the Academy of Nutrition and Dietetics, society for nutrition education and behavior, and school nutrition association: comprehensive nutrition programs and services in schools. J Acad Nutr Diet. 2018;118(5):913-919. DOI: 10.1016/j.jand.2018.03.005
• Srivastav P, Broadbent S, Vaishali K, Nayak B, Bhat V. Prevention of adolescent obesity: The global picture and an indian perspective. Diabetes Metab Syndr. 2020;14(5):1195-1204. DOI: 10.1016/j.dsx.2020.06.039
• Yabancı N. School health and nutrition programs. TAF Prev Med Bull. 2011;10(3):361-368. DOI:10.5455/pmb.201.102.15104609 (Turkish)
• Briggs M, Safaii S, Beall DL. Position of the American Dietetic Association, Society for Nutrition Education, and American School Food Service Association-Nutrition services: An essential component of comprehensive school health programs. J Am Diet Assoc. 2003;103(4):505-514. DOI:10.1016/j.jada.2010.08.035
• Medin AC, Myhre JB, Diep LM, Andersen LF. Diet quality on days without breakfast or lunch–Identifying targets to improve adolescents’ diet. Appetite. 2019;135:123-130. DOI: 10.1016/j.appet.2019.01.001
• Evans S, McKenzie J, Shannon B, Wechsler H. Guidelines for school health programs to promote lifelong healthy eating. J Sch Health. 1997;67(1):9-26. DOI: 10.1111/j.1746-1561.1997.tb06289.x
• Hayes D, Dodson L. Practice paper of the Academy of Nutrition and Dietetics: comprehensive nutrition programs and services in schools. J Acad Nutr Diet. 2018;118(5):920-931. DOI: 10.1016/j.jand.2018.02.025
• Hidalgo-Mora JJ, García-Vigara A, Sánchez-Sánchez ML, García- Pérez MÁ, Tarín J, Cano A. The Mediterranean diet: A historical perspective on food for health. Maturitas. 2020;132:65-69. DOI: 10.1016/j.maturitas.2019.12.002
• Sánchez-Sánchez ML, García-Vigara A, Hidalgo-Mora JJ, García-Pérez MÁ, Tarín J, Cano A. Mediterranean diet and health: A systematic review of epidemiological studies and intervention trials. Maturitas. 2020;136:25-37. DOI: 10.1016/j.maturitas.2020.03.008
• Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, Rametta S, Pecora G,Marranzano M. Mediterranean diet adherence and body composition among Southern Italian adolescents. Obes Res Clin Pract. 2017;11(2):215-226. DOI: 10.1016/j.orcp.2016.05.007
• Sahingoz SA, Dogan L. The implementation and evaluation of a nutrition education programme about Mediterranean diet for adolescents. Prog Nutr. 2019;21(2):316-326. DOI: 10.23751/ pn.v21i2.7529
• Burgermaster M, Wong SS, Bateson W, Qamar Z, McGuirt J, Uribe AM, El-Kour T, Spielmaker A, Stage VC. DigiTech Division: Positioning SNEB to lead the way in digital technology for nutrition education and behavior change. J Nutr Educ Behav. 2019;51(3):265-266. DOI: 10.1016/j.jneb.2019.01.016
• Roseman MG, Riddell MC, Haynes JN. A content analysis of kindergarten-12th grade school-based nutrition interventions: Taking advantage of past learning. J Nutr Educ Behav. 2011;43(1):2-18. DOI: 10.1016/j.jneb.2010.07.009
• Witt EA, Massman AJ, Jackson LA. Trends in youth’s videogame playing, overall computer use, and communication technology use: The impact of self-esteem and the Big Five personality factors. Comput Hum Behav. 2011;27(2):763-769. DOI: 10.1016/j.chb.2010.10.025
• Ajie WN, Chapman-Novakofski KM. Impact of computermediated, obesity-related nutrition education interventions for adolescents: a systematic review. J Adolesc Health. 2014;54(6):631-645. DOI: 10.1016/j.jadohealth.2013.12.019
• World Health Organization (WHO). Growth reference data for 5–19 years. Published [2007]. Accessed [05 October 2020] https://www.who.int/growthref/en/
• Vidmar AP, Wee CP, Salvy SJ. Food addiction, executive function and mood in adolescents with obesity seeking treatment. Appetite. 2020;159:1-6. DOI: 10.1016/j.appet.2020.105049
• Pekcan G. Determination of Nutritional Status. Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, editors. Diyet El Kitabı. Hatiboğlu Yayınevi: Ankara; – 2014.p108-119.
• Serra-Majem L, Ribas L, Ngo J, Ortega RM, García A, Pérez- Rodrigo C, Aranceta J. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public Health Nutr. 2004;7(7):931-935. DOI: 10.1079/phn2004556
• Idelson PI, Scalfi L, Valerio G. Adherence to the Mediterranean Diet in children and adolescents: A systematic review. Nutr Metab Cardiovasc Dis. 2017;27(4):283-299. DOI: 10.1016/j.numecd.2017.01.002
• Sahingoz SA, Sanlier N. Compliance with Mediterranean Diet Quality Index (KIDMED) and nutrition knowledge levels in adolescents. A case study from Turkey. Appetite. 2011;57(1):272-277. DOI: 10.1016/j.appet.2011.05.307
• Archero F, Ricotti R, Solito A, Carrera D, Civello F, Di Bella R, BelloneS, Prodam F. Adherence to the Mediterranean diet among school children and adolescents living in northern Italy and unhealthy food behaviors associated to overweight. Nutrients. 2018;10(9):1-13. DOI: 10.3390/nu10091322
• Bibiloni MM, Pons A, Tur JA. Compliance with the Mediterranean Diet Quality Index (KIDMED) among Balearic Islands’ adolescents and its association with socioeconomic, anthropometric and lifestyle factors. Ann Nutr Metab. 2016;68(1):42-50. DOI: 10.1159/000442302
• Aydın G, Yılmaz HO. Evaluation of the nutritional status, compliance with the Mediterranean diet, physical activity levels, and obesity prejudices of adolescents. Progr Nutr. 2021;23(2):1-14. DOI: 10.23751/pn.v23i2.10449
• Alim NE, Çalışkan G, Besler ZN. Assessment of adherence to the mediterranean diet and behaviors of fruit and vegetable consumption in adolescents. Value Health. 2022;12(1):152-159. DOI: 10.33631/sabd.1055497
• Guillamón AR, López PJC, Cantó EG, Soto JJP, Marcos LT, López PJT. Mediterranean diet, weight status and physical activity in schoolchildren of the Region of Murcia. Clín Investig Arterioscler (English Edition). 2019;31(1):1-7. DOI: 10.1016/j.arteri.2018.09.002
• Hollis JL, Collins CE, DeClerck FF, Chai LK, McColl K, Demaio AR. Defining healthy and sustainable diets for infants, children and adolescents. Glob Food Sec. 2020;27:1-47. DOI: 10.1016/j.gfs.2020.100401
• Taher AK, Ensaff H, Evans CE. Cross-sectional associations between lunch-type consumed on a school day and British adolescents’ overall diet quality. Prev Med Rep. 2020;19:1-8. DOI: 10.1016/j.pmedr.2020.101133
• Vanhelst J, Beghin L, Duhamel A, De Henauw S, Ruiz JR, Kafatos A, Androutsos O, Widhalm K, Mauro B, Sjöström M, kersting M, Gottrand F. Do adolescents accurately evaluate their diet quality? The HELENA study. Clin Nutr. 2017;36(6):1669-1673. DOI: 10.1016/j.clnu.2016.10.019
• Kundu S, Khan MSI, Bakchi J, Sayeed A, Banna M, Begum M, Hassan M. Sources of nutrition information and nutritional knowledge among school-going adolescents in Bangladesh. Public Health Prac. 2020;1:1-5. DOI 10.1016/j.puhip.2020.100030
• Morris SS, Barquera S, Sutrisna A, Izwardy D, Kupka R. Perspective: Interventions to improve the diets of children and adolescents. Glob Food Sec. 2020;27:1-5. DOI: 10.1016/j.gfs.2020.100379
• De Miguel-Etayo P, Moreno LA, Santabárbara J, Martín-Matillas M, Azcona-San Julian MC, Del Moral AM, Campoy C, Marcos A, Ma Garagorri J, EVASYON Study Group. Diet quality index as a predictor of treatment efficacy in overweight and obese adolescents: The EVASYON study. Clin Nutr. 2019;38(2):782-790. DOI: 10.1016/j.clnu.2018.02.032
• Ceraudo F, Caparello G, Galluccio A, Avolio E, Augimeri G, De Rose D, Vivacqua A, Morelli C, Barone I, Catalano S, Giordano C, Sisci D, Bonofiglio D. Impact of Mediterranean Diet food choices and physical activity on serum metabolic profile in healthy adolescents: Findings from the DIMENU Project. Nutrients. 2022;14(4):1-14. DOI: 10.3390/nu14040881.
• Ezendam NP, Brug J, Oenema A. Evaluation of the Webbased computer-tailored FATaintPHAT intervention to promote energy balance among adolescents: Results from a school cluster randomized trial. Arch Pediatr Adolesc Med. 2012;166(3):248-255. DOI: 10.1001/archpediatrics.2011.204
• Mauriello LM, Ciavatta MMH, Paiva AL, Sherman KJ, Castle PH, Johnson JL, Prochaska JM. Results of a multi-media multiple behavior obesity prevention program for adolescents. Prev Med. 2010;51(6):451-456. DOI: 10.1016/j.ypmed.2010.08.004
• Whittemore R, Jeon S, Grey M. An internet obesity prevention program for adolescents. J Adolesc Health. 2013;52(4):439- 447. DOI: 10.1016/j.jadohealth.2012.07.014
• Gonzalez-Suarez C, Worley A, Grimmer-Somers K, Dones V. School-based interventions on childhood obesity: a metaanalysis. Am J Prev Med. 2009;37(5):418-427. DOI: 10.1016/j.amepre.2009.07.012
• Kanekar A, Sharma M. Meta-analysis of school-based childhood obesity interventions in the UK and US. Int Q Community Health Educ. 2009;29(3):241-256. DOI: 10.2190/IQ.29.3.d
• Flodmark C-E, Marcus C, Britton M. Interventions to prevent obesity in children and adolescents: A systematic literature review. Int J Obes. 2006;30(4):579-589. DOI: 10.1038/sj.ijo.0803290
• Meiklejohn S, Ryan L, Palermo C. A systematic review of the impact of multi-strategy nutrition education programs on health and nutrition of adolescents. J Nutr Educ Behav. 2016;48(9):631-646. DOI: 10.1016/j.jneb.2016.07.015
• Efthymiou V, Charmandari E, Vlachakis D, Tsitsika A, Pałasz A, Chrousos G, Bacopoulou F. Adolescent self-efficacy for diet and exercise following a school-based multicomponent lifestyle intervention. Nutrients. 2021;14(1):1-14. DOI: 10.3390/nu14010097
• Lee SY, Kim J, Oh S, Kim YM, Woo S, Jang HB, Lee HJ, Park SI, Park KH, Lim H. A 24-week intervention based on nutrition care process improves diet quality, body mass index, and motivation in children and adolescents with obesity. Nutr Res. 2020;84:53-62. DOI: 10.1016/j.nutres.2020.09.005