NUTRITION EDUCATION INTERVENTION AND FAST FOOD BEHAVIOR IN INDIA

Öz

In recent years, fast-food (FF) consumption and obesity / overweight have become more frequent. The influence of a nutrition education intervention on Indian children's and parents' use of western-style-fast-food (WFF) was studied in a community-based intervention study. Two hundred and eight children aged four to six years old, as well as their parents, were selected at random from four daycare kindergartens in Varanasi, Uttar Pradesh. The Initial (I), midterm or metaphase (M), and final (F) WFF knowledge, attitude, and practice were evaluated using statistical methods (descriptive and analytical) to identify and compare both parents' and children's knowledge, attitude, and practice. Children and their parents were divided into "case" and "control" groups as per their nutrition knowledge or educational status. During breakfast, Indian children and parents do not consume a lot of WFF. The fact that WFF is considered as a "present, i.e. gift" or "interesting" rather than a "meal" is the major cause of this among youngsters. Weekends are when young people are most likely to consume WFF. The parents' WFF were significantly influenced by nutrition education (p 0.01), but not the children's. Indians, particularly children, should be taught healthy eating practices. Families' perspectives may lead to future research and nutrition education programmes.

Anahtar Kelimeler

• Western Style Fast Food
• Nutrition Education
• Food Knowledge
• Healthy Nutrition

HINDISTAN'DA BESLENME EĞITIMI MÜDAHALESI VE FAST FOOD DAVRANIŞI

Öz

In recent years, fast-food (FF) consumption and obesity / overweight have become more frequent. The influence of a nutrition education intervention on Indian children's and parents' use of western-style-fast-food (WFF) was studied in a community-based intervention study. Two hundred and eight children aged four to six years old, as well as their parents, were selected at random from four daycare kindergartens in Varanasi, Uttar Pradesh. The Initial (I), midterm or metaphase (M), and final (F) WFF knowledge, attitude, and practise were evaluated using statistical methods (descriptive and analytical) to identify and compare both parents' and children's knowledge, attitude, and practise. Children and their parents were divided into "case" and "control" groups as per their nutrition knowdge or educational status. During breakfast, Indian children and parents do not consume a lot of WFF. The fact that WFF is considered as a "present, i.e. gift" or "interesting" rather than a "meal" is the major cause of this among youngsters. Weekends are when young people are most likely to consume WFF. The parents' WFF were significantly influenced by nutrition education (p 0.01), but not the children's. Indians, particularly children, should be taught healthy eating practises. Families' perspectives may lead to future research and nutrition education programmes.

Anahtar Kelimeler

• Western Style Fast Food (WFF)
• Nutrition Education
• Healthy Nutrition.
• Healthy Nutrition

Kaynakça

1. • Block, J.P., Condon, S.K., Kleinman, K., Mullen, J., Linakis, S., Rifas-Shiman, S., Gillman, M.W. (2013). Consumers’ Estimation of Calorie Content at Fast Food Restaurants: Cross-Sectional Observational Study. B.M.J, 346, doi:10.1136/BMJ.f2907.
2. • Bowman, S. A., Gortmaker, S. L., Ebbeling, C. B. (2004). Effects of Fast-Food Consumption on Energy Intake and Diet Quality Among Children In A National Household Survey. Paedi., 113, 112-8. www.oalib.com/references/7346963.
3. • Census, (2011). https://www.censusindia.gov.in/pca/SearchDetails.aspx?Id=225458
4. • French, S. A., Story, M., Neumark-Sztainer, D. (2001). Fast Food Restaurants Use Among Adolescents: Associations With Nutrient Intake, Food Choices, And Behavioral And Psychosocial Variables. Int. J. Obes., 25, 1823-33. https://www. researchgate.net/publication/11576005
5. • Ghafoorunissa and Krishnaswamy. (1994). Diet and Heart Disease. National Institute of Nutrition, Hyderabad, 40-51. ninindia.org/Dietary GuidelinesforNIN website.pdf
6. • Geetha R. M. (2017). NCD Risk Factor Collaboration: Worldwide Trends In Body-Mass Index, Underweight, Overweight, and Obesity From 1975 To 2016: A Pooled Analysis of 2416 Population-Based Measurement Studies In 128.9 Million Children, Adolescents, and Adults. The Lancet, 390, 2627-2642
7. • Gortmaker, S. L., Peterson, K., Wiecha, J., Sobol, A. M., Dixit, S., Fox, M. K., Laird, N. (1999). Reducing Obesity via A School-Based Interdisciplinary Intervention Among Youth: Planet Health. Arch. Pedia. Adole. Med. 153, 409–18. • Jaiswal, A. (2013). Health and Nutritional Status of a Primitive Tribe of Madhya Pradesh: Bhumia. Glo. J. Hum. Soc. Sci. Hist. Archaeol. Anthro., 13(1), 14-19.
8. • Jaiswal, A. (2012). The Changing Occupational Structure and Economic Profile of Textile Industry of Banaras, Uttar Pradesh. J. of Soci. Scien., 30 (1), 89-98.

9. • Jaiswal, A. (2012). A Study On Factors Associated With The Deterioration Of Respiratory Function Among Male Textile Workers In Uttar Pradesh. Ind. J. of Pub. Heal. Res. & Dev., 3(3).
10. • Jaiswal, A., Kapoor, A. K., & Kapoor, S. (2011). Health Conditions of the Textiles Workers and Their Association with Breathing Condition. The Asian Man- An Inter. J., 5(1), 28-33.
11. • Jaiswal, A. (2007). Health Status of Textile Industrial Workers of Utter Pradesh, India. EAA Summ. Sch. eBook, 1, 217-223.
12. • Kumar S. and Sahu. D. (2019). Socio-economic, Demographic and Environmental factors effects on Under-five mortality in Empowered Action Group States of India: An Evidence from NFHS-4. Pub. Hea. Res., 9(2): 23-29.
13. • Li, Y., Zhai, F., Yang, X., Schouten, E.G., Hu, X., He, Y., Luan, D., Ma, G. (2007). Determinants of Childhood Overweight and Obesity. Brit. J. Nutr., 97, 210–215.
14. • Mayor, S. (2014). Children Living Near Fast Food Outlets In England Are More Likely To Be Overweight, Study Shows. B.M.J., 348, doi:10.1136/BMJ.g1557.
15. • National Dietary Guidelines for India (NIN) (2011). https://www.nin.res.in/ downloads/DietaryGuidelinesforNINwebsite .pdf • Naja, F., Hwalla, N., Itani, L., Salem, M., Azar, S.T., Zeidan, M.N., Nasreddine, L. (2012). Dietary Patterns and Odds of Type 2 Diabetes in Beirut, Lebanon: A Case-Control Study. Nutr. Metab. 9, doi: 10.1186/1743-7075-9-111.
16. • Prentice, A.M., Jebb, S.A. (2003). Fast Foods, Energy Density and Obesity: A Possible Mechanistic Link. Obes. Rev., 4, 187–194.
17. • Odegaard, A.O., Koh, W.P., Yuan, J.M., Gross, M.D., Pereira, M.A. (2012). Western-Style Fast Food Intake and Cardiometabolic Risk in an Eastern Country. Circulation, 126, 182–188.
18. • Popkin, B. M., Adair, L. S., Ng, S. W. (2012). Global Nutrition Transition and the Pandemic of Obesity In Developing Countries. Nutr. Rev., 70, 3-21. Online library. wiley.com/doi/10. 1111/j.1753-4887.2011.00456.x/abstract
19. • Poti, J. M., Slining, M. M., Popkin, B. M. (2013). Where Are Kids Getting Their Empty Calories? Stores, Schools, And Fast-Food Restaurants Each Played An Important Role In Empty Calorie Intake Among Us Children During 2009–2010. J. Acad. Nutr. Diet.114, 908–917.
20. • Poti, J. M., Popkin, B. M. (2011). Trends In Energy Intake Among Us Children By Eating Location And Food Source, 1977–2006. J. Amer. Diet. Assn. 111, 1156–1164.
21. • Reardon, T., Timmer, C. P., Barrett, C. B., Berdegue, J. (2003). The Rise of Supermarkets in Africa, Asia, and Latin America. Amer. J. Agr. Econ. 85, 1140–46.
22. • Swinburn, B., Egger, G., Raza, F. (1999). Dissecting Obesogenic Environments: The Development and Application of A Framework For Identifying And Prioritizing Environmental Interventions For Obesity. Prev. Med. 29, 563–570.
23. • Swinburn, B. A., Caterson, I., Seidell, J. C., James, W. P. T. (2004). Diet, Nutrition and the Prevention of Excess Weight Gain and Obesity. Public Health Nutr. 7, 123–146.
24. • Thawornchaisit, P., de Looze, F., Reid, C. M., Seubsman, S. A., Sleigh, A.C. (2013). Health Risk Factors and the Incidence of Hypertension: 4-Year Prospective Findings from a National Cohort of 60-69 Thai Open University Students. B.M.J Open 3, doi: 10.1136/BMJ open-2013-002826.
25. • W.H.O: Obesity: Preventing and Managing The Global Epidemic. (2000). Report of a WHO consultation. World Health Organ. Tech. Rep. S. 894, 1–253.
26. • Wang, R., Shi, L. (2012). Access to Food Outlets and Children’s Nutritional Intake in Urban Area: A Difference-In-Difference Analysis. Ital. J. Pediatr. 38, doi:10.1186/1824-7288-38-30.
27. • Whitton, C.; Ma, Y., Bastian, A..C., Chan, M. F., Chew, L. (2013). Fast-Food Consumers in Singapore: Demographic Profile, Diet Quality and Weight Status. Pub. Heal. Nutr. 2, 1–9.