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Dietary intakes, nutritional and biochemical status of 6 months to 12-year-old children before the COVID-19 pandemic era: the South East Asian Nutrition Survey II Indonesia (SEANUTS II) study in Java and Sumatera Islands, Indonesia. 2019冠状病毒病大流行前6个月至12岁儿童的膳食摄入量、营养和生化状况:印度尼西亚爪哇和苏门答腊岛东南亚营养调查II (SEANUTS II)研究。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024001654
Aria Kekalih, Dian Novita Chandra, Listya Tresnanti Mirtha, Ilse Khouw, Gerard Wong, Rini Sekartini
{"title":"Dietary intakes, nutritional and biochemical status of 6 months to 12-year-old children before the COVID-19 pandemic era: the South East Asian Nutrition Survey II Indonesia (SEANUTS II) study in Java and Sumatera Islands, Indonesia.","authors":"Aria Kekalih, Dian Novita Chandra, Listya Tresnanti Mirtha, Ilse Khouw, Gerard Wong, Rini Sekartini","doi":"10.1017/S1368980024001654","DOIUrl":"10.1017/S1368980024001654","url":null,"abstract":"<p><strong>Objective: </strong>The South East Asian Nutrition Survey II Indonesia aimed to provide up-to-date data on dietary intake, nutritional and biochemical status of children aged 0·5-12 years in Indonesia 2019-2020.</p><p><strong>Design: </strong>Multistage cluster sampling, stratified by geographical location.</p><p><strong>Setting: </strong>Out of forty-six targeted districts in Indonesia, the study only covered twenty-one districts/cities in Java and Sumatera islands, Indonesia due to COVID-19 pandemic.</p><p><strong>Participants: </strong>A total of 2475 children aged 0·5-12 years were included.</p><p><strong>Result: </strong>The growth (weight-for-age, height-for-age, weight-for-height and BMI-for-age) of Indonesian pre-school- and school-aged children was below the WHO standards. The prevalence of stunting in Java and Sumatera islands was 20·6 and 33·4 % in urban and rural areas, respectively. Stunting was higher in the 1·0-3·9-year age group, boys and rural areas. Overall, 9-12 percent of all children were overweight -obese, with 23·7 % of urban 7-12-year-olds having the highest prevalence.Anaemia was 22·8 % in < 5-year-old and highest in < 1-year-old children. Fe, Zn, vitamins A and D insufficiency was observed in 20·3 %, 11·9 %, 1·9 % and 27·1 % of the children. Dietary intakes of energy, fibre, Ca, Fe, Zn, vitamins A, B<sub>1</sub>, C and vitamin D below the Indonesian RDA were prevalent and observed in more than half of the children.</p><p><strong>Conclusion: </strong>High stunting, increasing trends of overweight/ obesity, anaemia, serum vitamin D insufficiency, inadequate energy and micronutrient intake in children highlighted the triple burden of malnutrition in Java and Sumatera, Indonesia's most populous regions in 2019-2020, shortly before COVID-19 pandemic era.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e1"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11736649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Receipt of humanitarian cash transfers, household food insecurity and the subjective wellbeing of Syrian refugee youth in Jordan. 约旦境内叙利亚难民青年接受人道主义现金转移、家庭粮食不安全和主观幸福感。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002660
Maia Sieverding, Zeina Jamaluddine
{"title":"Receipt of humanitarian cash transfers, household food insecurity and the subjective wellbeing of Syrian refugee youth in Jordan.","authors":"Maia Sieverding, Zeina Jamaluddine","doi":"10.1017/S1368980024002660","DOIUrl":"10.1017/S1368980024002660","url":null,"abstract":"<p><strong>Objective: </strong>Humanitarian aid, including food aid, has increasingly shifted towards the provision of cash assistance over in-kind benefits. This paper examines whether food security mediates the relationship between receipt of humanitarian cash transfers and subjective wellbeing among Syrian refugee youth in Jordan.</p><p><strong>Design: </strong>Secondary analysis of the 2020-21 Survey of Young People in Jordan, which is nationally representative of Syrian youth aged 16-30. We employ stepwise model building and structural equation models.</p><p><strong>Setting: </strong>Jordan.</p><p><strong>Participants: </strong>Syrian refugee youth aged 16-30 (<i>n</i> 1572).</p><p><strong>Results: </strong>While 92 % of Syrian households with youth received cash transfers from a UN agency, 78 % of households were food insecure using the Food Insecurity Experience Scale. Fifty-one percent of youth suffered from poor wellbeing using the WHO-5 subjective wellbeing scale. Household food insecurity was associated with poorer youth wellbeing. Receiving larger cash transfer amounts was associated with better wellbeing among Syrian youth in unadjusted models. The relationship between receipt of cash transfers and youth wellbeing was not mediated by food security.</p><p><strong>Conclusion: </strong>We do not find support for the hypothesis that food security is a mediator of the association between cash transfers and subjective wellbeing for this population.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e25"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Decreased frequency of sugar-sweetened beverages intake among young children following the implementation of the health promotion levy in South Africa. 在南非实施健康促进税后,幼儿摄入含糖饮料的频率下降。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002623
H Salome Kruger, Tertia van Zyl, Makama A Monyeki, Cristian Ricci, Ruan Kruger
{"title":"Decreased frequency of sugar-sweetened beverages intake among young children following the implementation of the health promotion levy in South Africa.","authors":"H Salome Kruger, Tertia van Zyl, Makama A Monyeki, Cristian Ricci, Ruan Kruger","doi":"10.1017/S1368980024002623","DOIUrl":"10.1017/S1368980024002623","url":null,"abstract":"<p><strong>Objective: </strong>This study assessed the association between baseline sociodemographic variables, body composition and 4-year changes in the intake of food groups, including sugar-sweetened beverages (SSB) among children, after the implementation of the health promotion levy.</p><p><strong>Design: </strong>Prospective cohort study.</p><p><strong>Setting: </strong>Ten schools in North West Province, South Africa.</p><p><strong>Participants: </strong>950 children aged 5-9 years at baseline and data of 672 children at follow-up. The frequency of intake from healthy and unhealthy food groups was assessed by questionnaire. Anthropometric and sociodemographic information were collected; BMI-for-age z-scores were calculated. The health promotion levy was implemented after baseline and follow-up measurements were done after 4 years. A random intercept generalised linear mixed model analysis was applied to investigate the time effect of the weekly intake of the foods adjusting for BMI-for-age z-scores and sociodemographic characteristics of the children.</p><p><strong>Results: </strong>The weekly frequency of intake from most food groups remained unchanged at follow-up. The frequency of SSB intake decreased significantly over 4 years. Decreased intake of SSB was not linked to increased intake of healthy foods. Changes in intakes from SSB were not associated with household income, parental education or BMI-for-age z-score categories. A decreased frequency of intake from SSB was observed following the implementation of the health promotion levy after baseline, in line with reports of national decreases in SSB sales in South Africa since 2017.</p><p><strong>Conclusions: </strong>The decreased frequency of SSB intakes following the implementation of the health promotion levy in South Africa may indicate that health policies can promote healthier dietary habits.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e23"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'There's a Little Bit of Tension There': perspectives of mothers and early childhood educators on breast-feeding in child care centers. “那里有一点紧张”:母亲和幼儿教育工作者对托儿中心母乳喂养的看法。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002313
Jill R Demirci, Rachel Dieterich, Melissa Glasser, Caroline Harpel, Timothy Shope
{"title":"'There's a Little Bit of Tension There': perspectives of mothers and early childhood educators on breast-feeding in child care centers.","authors":"Jill R Demirci, Rachel Dieterich, Melissa Glasser, Caroline Harpel, Timothy Shope","doi":"10.1017/S1368980024002313","DOIUrl":"10.1017/S1368980024002313","url":null,"abstract":"<p><strong>Objective: </strong>To explore mothers' and early childhood (EC) educators' experiences of breast-feeding/breast milk provision and breast-feeding support in child care centres (CCC) in the USA.</p><p><strong>Design: </strong>We conducted one-time, semi-structured phone interviews with mothers and EC educators to examine perceptions of support, accommodations and barriers to breast-feeding in CCC. We administered a background survey to assess participant characteristics and quantify perceived degree of breast-feeding support in the workplace (mothers) and CCC (mothers and EC educators).</p><p><strong>Setting: </strong>US-based CCC.</p><p><strong>Participants: </strong>Fifty working mothers using CCC for their infants and twenty-two EC educators.</p><p><strong>Results: </strong>Interview themes and background surveys reflected neutral feelings towards breast-feeding support received (mothers) and provided (EC educators) in CCC. Maternal expectations for breast-feeding support in CCC were generally low; workplace and social support for breast-feeding were perceived as the most important factors impacting breast-feeding. EC educators' capacity to offer breast-feeding support was constrained by CCC infant feeding regulations, inadequate breast-feeding training and time limitations. Tensions arose when mothers attempted to manage low milk supply at the CCC level by requesting EC educators to individualise feeding or milk storage practices for their infant.</p><p><strong>Conclusions: </strong>Breast-feeding efforts of working mothers are undermined in multiple settings, including the workplace and CCC. Improving breast-feeding outcomes for this population requires structural/policy changes that: (1) maximise opportunities for continued, direct breast-feeding and maternal/infant proximity and (2) enforce evidence-based CCC feeding protocols and standards and EC educator lactation training.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e38"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143383237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes in grocery shopping behaviour among low-income households during the COVID-19 pandemic. COVID-19 大流行期间低收入家庭购物行为的变化。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002672
Angela Cb Trude, Caitlin M Lowery, Gabriela M Vedovato, Shahmir H Ali, Josephine M Dudzik
{"title":"Changes in grocery shopping behaviour among low-income households during the COVID-19 pandemic.","authors":"Angela Cb Trude, Caitlin M Lowery, Gabriela M Vedovato, Shahmir H Ali, Josephine M Dudzik","doi":"10.1017/S1368980024002672","DOIUrl":"10.1017/S1368980024002672","url":null,"abstract":"<p><strong>Objective: </strong>The Supplemental Nutrition Assistance Program (SNAP) Online Purchasing Pilot (OPP) authorised the use of SNAP benefits online in Maryland in May 2020. We assessed shopping behaviour and intentions associated with uptake and intended future use of online grocery shopping during and after COVID-19 among SNAP-eligible households.</p><p><strong>Design: </strong>In this mixed-methods study, participants completed a survey on online grocery shopping, and a purposefully sampled subset participated in focus groups or in-depth interviews between November 2020 and March 2021.</p><p><strong>Setting: </strong>Predominantly urban households in Maryland.</p><p><strong>Participants: </strong>Primary shoppers of SNAP-eligible households with young children (<i>n</i> 310).</p><p><strong>Results: </strong>Most participants reported first shopping for groceries online after the OPP was implemented (57 %). Families who purchased groceries in-store less frequently were less likely to report ever buying groceries online (rate ratio (RR): 0·66, 95 % CI 0·46, 0·93) compared with weekly grocery shoppers. Shoppers who intended to purchase more groceries online in the next 6 months were more likely to have online shopping experience, although this differed by timing of online grocery service adoption. Participants reported more negative attitudes towards in-store grocery shopping during the pandemic than prior to its onset and cited COVID-19 as a motivator for ordering groceries online in focus groups. Most participants who had shopped online planned to continue after the pandemic (79 %).</p><p><strong>Conclusions: </strong>Most participants who shopped online started during the COVID-19 pandemic and considered the pandemic a key motivator. Findings suggest that low-income households will continue to shop online, affirming the need for policies that promote equitable access to healthy food online.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e26"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143047466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vegetable intake and major depressive disorder: insights and future directions for nutritional psychiatry. 蔬菜摄入与重度抑郁症:营养精神病学的见解和未来方向。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002714
John Patrick C Toledo
{"title":"Vegetable intake and major depressive disorder: insights and future directions for nutritional psychiatry.","authors":"John Patrick C Toledo","doi":"10.1017/S1368980024002714","DOIUrl":"10.1017/S1368980024002714","url":null,"abstract":"","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e22"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The relationship between maternal age, obesity and child mortality: a cross-sectional study using 2013-2014 Demographic and Health Survey in Democratic Republic of the Congo at national, and sub-national levels. 产妇年龄、肥胖和儿童死亡率之间的关系:利用2013-2014年刚果民主共和国国家和国家以下各级人口与健康调查进行的横断面研究。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002647
Zacharie Tsala Dimbuene, Raphaël Muanza Nzuzi, Severin Mabanza Matondo
{"title":"The relationship between maternal age, obesity and child mortality: a cross-sectional study using 2013-2014 Demographic and Health Survey in Democratic Republic of the Congo at national, and sub-national levels.","authors":"Zacharie Tsala Dimbuene, Raphaël Muanza Nzuzi, Severin Mabanza Matondo","doi":"10.1017/S1368980024002647","DOIUrl":"10.1017/S1368980024002647","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between maternal age and nutritional status, and test associations between maternal nutritional status and child mortality with a focus on maternal obesity.</p><p><strong>Design: </strong>Secondary analysis of data from nationally representative cross-sectional sample of women of reproductive ages (15-49 years) and their children under 5 years. The outcome variable for maternal nutritional status was BMI, classified into underweight (BMI < 18·50 kg/m<sup>2</sup>), normal weight (18·50-24·99 kg/m<sup>2</sup>), overweight (25·0-29·9 kg/m<sup>2</sup>) and obesity (>=30·0 kg/m<sup>2</sup>). Child mortality was captured with five binary variables measuring the risk of dying in specific age intervals (neonatal, post-neonatal, infant, childhood and under-five mortality).</p><p><strong>Setting: </strong>The most recent Demographic and Health Surveys from Democratic Republic of Congo (DRC).</p><p><strong>Participants: </strong>The final samples consisted of 7892 women of reproductive ages (15-49 years) and 19 003 children aged 0-59 months.</p><p><strong>Results: </strong>The prevalence of obesity was estimated at 3·4 %; it increased with maternal age. Furthermore, obesity unevenly affected provinces in the Democratic Republic of the Congo: Kinshasa, South Kivu, North Kivu and Maniema were most affected. Finally, maternal obesity showed mixed effects on child mortality.</p><p><strong>Conclusion: </strong>The prevalence of obesity is still low; however, provinces are unevenly affected. Therefore, interventions and programmes to improve nutrition should incorporate geographical disparities to tackle adverse child outcomes associated with maternal obesity, to limit negative consequences of maternal obesity, including non-communicable diseases which might be a strong impediment to reach Sustainable Development Goals (SDG) 2 and 3.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e20"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143029420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The healthfulness of major food brands according to Health Canada's nutrient profile model for proposed restrictions on food marketing to children. 根据加拿大卫生部提出的限制向儿童销售食品的营养概况模型,主要食品品牌的健康状况。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002659
Laura Vergeer, Christine Mulligan, Hayun Jeong, Ayesha Khan, Mary R L'Abbé
{"title":"The healthfulness of major food brands according to Health Canada's nutrient profile model for proposed restrictions on food marketing to children.","authors":"Laura Vergeer, Christine Mulligan, Hayun Jeong, Ayesha Khan, Mary R L'Abbé","doi":"10.1017/S1368980024002659","DOIUrl":"10.1017/S1368980024002659","url":null,"abstract":"<p><strong>Objective: </strong>To examine the proportion of products offered by leading food brands in Canada that are 'unhealthy' according to Health Canada's (HC) nutrient profile model for proposed restrictions on food marketing to children (M2K-NPM).</p><p><strong>Design: </strong>Nutritional information for products offered by top brands was sourced from the University of Toronto FLIP and Menu-FLIP 2020 databases, respectively. HC's M2K-NPM, which includes thresholds for Na, total sugars and saturated fat, was applied to products.</p><p><strong>Setting: </strong>Canada.</p><p><strong>Participants: </strong>Overall, 1385 products from top breakfast cereal (<i>n</i> 15 brands, <i>n</i> 222 products), beverage (<i>n</i> 21 brands, <i>n</i> 769 products) and yogurt (<i>n</i> 10 brands, <i>n</i> 394 products) brands, and 3153 menu items from seventeen chain restaurants in Canada were assessed (<i>n</i> 60 unique brands overall).</p><p><strong>Results: </strong>For 42 % of brands (<i>n</i> 21), 100 % of their products exceeded ≥1 nutrient threshold(s), with ≥50 % of the products offered by twenty-three brands (46 %) exceeding two thresholds. Specifically, one or more nutrient thresholds were exceeded by ≥50 % of the products offered by 14/15 breakfast cereal brands, 18/21 beverage brands, all ten yogurt brands and all seventeen restaurant brands. Notably, 100·0 % of the products offered by ten breakfast cereal, six beverage, two yogurt and three restaurant brands exceeded ≥1 threshold(s).</p><p><strong>Conclusions: </strong>Most products offered by top food brands in Canada exceeded HC's M2K-NPM thresholds. Nonetheless, these brands could still be marketed under the proposed regulations, which exclude brand marketing (i.e. promotions without an identifiable product) despite its contribution to marketing power. These findings reinforce the need for Canada and other countries to include brand marketing in M2K policies.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e17"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11822582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Meals, mealtimes and moments for learning: assessment of quality in early childhood education and care services. 三餐、用餐时间和学习时间:幼儿教育和照料服务质量评估。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980025000011
Bonnie Searle, Sandy Houen, Sally Staton, Karen Thorpe
{"title":"Meals, mealtimes and moments for learning: assessment of quality in early childhood education and care services.","authors":"Bonnie Searle, Sandy Houen, Sally Staton, Karen Thorpe","doi":"10.1017/S1368980025000011","DOIUrl":"https://doi.org/10.1017/S1368980025000011","url":null,"abstract":"<p><strong>Objective: </strong>Early education and care (ECEC) is part of the everyday life of most children in developed economies, presenting exceptional opportunity to support nutrition and ongoing food preferences. Yet, the degree to which such opportunity is captured in policy-driven assessment and quality ratings of ECEC services is unknown.</p><p><strong>Design: </strong>Abductive thematic analysis was conducted, guided by key domains of knowledge in nutrition literature and examining identified themes within these domains.</p><p><strong>Setting: </strong>ECEC services (<i>n</i> 38) in Queensland, Australia.</p><p><strong>Participants: </strong>Data were a random sample of field notes pertaining to mealtimes and food provision (<i>n</i> 182) collected as evidence to inform quality ratings during assessment visits to ECEC services.</p><p><strong>Results: </strong>The field notes mapped to three theory-driven domains: <i>provisions, practices and education</i>. Reflecting policy specification, health, hygiene and safety were a key focus, but food quality and quantity were not. Assessors noted the promotion of child autonomy at mealtimes, yet little evidence pertaining to characteristics of educator-child interactions.</p><p><strong>Conclusions: </strong>Despite evidence that childhood nutrition is crucial for optimal development and learning, the quality and quantity of food are not directly assessed. Relationships and interactions at mealtimes provide an environment ideal for promoting learning and development, yet the policy guiding inspection and assessment of ECEC services directs focus to a more limited lens of safety, hygiene and promotion of 'healthy foods'. Our findings identify a narrow conceptualisation of mealtimes focused on 'health' as limiting the potential to leverage mealtimes as places to support children's nutrition and attendant development and learning.</p>","PeriodicalId":20951,"journal":{"name":"Public Health Nutrition","volume":"28 1","pages":"e50"},"PeriodicalIF":3.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Equipping our public health nutrition workforce to promote planetary health: a case example of tertiary education co-designed with students. 装备我们的公共卫生营养工作人员以促进地球健康:与学生共同设计高等教育的一个案例。
IF 3 3区 医学
Public Health Nutrition Pub Date : 2025-01-07 DOI: 10.1017/S1368980024002611
Ka Po Chau, Wing Chong, Raquel Londono, Beau Cubillo, Julia McCartan, Liza Barbour
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