Volume 6, Issue 2 (2018)                   Health Educ Health Promot 2018, 6(2): 47-52 | Back to browse issues page


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1- Health Education & Health Promotion Department, Medical Sciences Faculty, Tarbiat Modares University, ‎Tehran, Iran
2- ‎Health Education & Health Promotion Department, Medical Sciences Faculty, Tarbiat Modares University, Tehran, Iran
3- Health Metrics Research Center, Iranian Institute for Health Sciences Research, Tehran, Iran , Tavousi@acecr.ac.ir ‎
Abstract:   (8037 Views)
Aim: One of the influential factors in maintaining health is nutritional status. As a meal that is prepared quickly and easily and sold in restaurants and eateries, fast food has been popular in many communities. The aim of this study was to assess the effect of health education on the knowledge, attitude, and practice of fast food consumption among primary students in Tehran.
Materials and Methods: In this semi-experimental study, 120 primary school students were selected by simple random sampling method during 2015-2016 academic year in Tehran and they were randomly allocated to intervention and control groups. The data were collected from schools in district 6, Tehran, using a valid and reliable questionnaire before and after the intervention in the areas of knowledge, attitude, practice, and demographic variables. The data were analyzed by SPSS 22 software, using descriptive statistics and independent & paired t-tests, Chi-square, and Mann-Whitney tests.
Findings: Regarding the knowledge, attitude, and practice scores, there were no significant differences between the two groups (intervention and control) before the intervention, but during ``3 months after education``, a significant difference in knowledge, attitude, and practice scores was seen (p<0.01). In the intervention group, the mean score for knowledge, attitude, and practice, 3 months after intervention was increased by 7.13, 12.96 and 0.87 scores, respectively (p<0.001).
Conclusion: Increasing the awareness of educational health in terms of knowledge, attitude, and practice is effectivein the reduction of fast food consumption in primary students.
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Article Type: Original Article | Subject: Health Communication
Received: 2017/04/13 | Accepted: 2018/04/30 | Published: 2018/12/4
* Corresponding Author Address: No. 118, Between Tous Street & Felestin Street, Valiasr Square, Keshavarz Boulvard, Tehran, Iran

References
1. Fazelpour SH, Baghiani Moghadam MH, Nagharzadeh A, Fallahzadeh H, Shamsi F, Khabiri F. Assessment of ‎fast food concumption among people of Yazd city. Toloo-e-Behdasht. 2011;10(2):25-34. [Persian]‎ [Link]
2. Sharifirad G, Yarmohammadi P, Azadbakht L, Morowatisharifabad MA, Hassanzadeh A. Determinants of ‎fast food consumption among Iranian high school students based on planned behavior theory. J Obes. ‎‎2013;2013:147589.‎ [Link]
3. Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS. Effects of fast food consumption on ‎energy intake and diet quality among children in a national household survey. Pediatrics. 2004;113 (1 Pt ‎‎1):112-8.‎ [Link]
4. Paeratakul S, Ferdinand DP, Champagne CM, Ryan DH, Bray GA. Fast food consumption among US adults ‎and children: Dietary and nutrient intake profile. J Am Diet Assoc. 2003;103(10):1332-8.‎ [Link] [DOI:10.1016/S0002-8223(03)01086-1]
5. Vogli RD, Kouvonen A, Gimeno D. The influence of market deregulation on fast food consumption and ‎body mass index: A cross-national time series analysis. Bull World Health Organ. 2014;92(2):99-107A.‎ [Link] [DOI:10.2471/BLT.13.120287]
6. Kuhi K, Mobarak Bakhshayesh M, Abdi Chaykandi R. Studing the extent of students' tendency towards ‎fast foods and effective factors thereupon. Bioeth J. 2013;3(8):157-85. [Persian]‎ [Link]
7. ALFaris NA, Al-Tamimi JZ, Al-Jobair MO, Al-Shwaiyat NM. Trends of fast food consumption among ‎adolescent and young adult Saudi girls living in Riyadh. Food Nutr Res. 2015;59:26488.‎ [Link] [DOI:10.3402/fnr.v59.26488]
8. Guthrie JF, lin BH, Frazao E. Role of food prepared away from home in the American diet, 1977-78 versus ‎‎1994-96: Changes and consequences. J Nutr Educ Behav. 2002;34(3):140–50.‎ [Link] [DOI:10.1016/S1499-4046(06)60083-3]
9. Driskell JA, Meckna BR, Scales NE. Differences exist in the eating habits of university men and women at ‎fast food restaurants. Nutr Res. 2006;26(10):524-30.‎ [Link] [DOI:10.1016/j.nutres.2006.09.003]
10. French SA, Harnack L, Jeffery RW. Fast food restaurant use among women in the Pound of Prevention ‎study: Dietary, behavioral and demographic correlates. Int J Obes Relat Metab Disord. 2000;24(10):1353-9.‎ [Link] [DOI:10.1038/sj.ijo.0801429]
11. Vikraman S, Fryar CD, Ogden CL. Caloric intake from fast food among children and adolescents in the ‎United States, 2011-2012. NCHS Data Brief. 2015;(213):1-8.‎ [Link]
12. Pereira MA, Kartashov AI, Ebbeling CB, Van Horn L, Slattery ML, Jacobs DR Jr, et al. Fast food habits, ‎weight gain, and insulin resistance (the CARDIA study): 15-year prospective analysis. Lancet. ‎‎2005;365(9453):36-42.‎ [Link]
13. Frazier DA. The link between fast food and the obesity epidemic. Health Matrix Clevel. 2007;17(2):291-‎‎317.‎ [Link]
14. Faghih A, Anoshe M. A survey on some nutritional behavior of obese people in Jenah, Hormozgan. ‎Hormozgan Med J. 2008;12(1):53-9. [Persian]‎ [Link]
15. Tobin KJ. Fast food consumption and educational test scores in the USA. Child Care Health Dev. ‎‎2013;39(1):118-24.‎ [Link] [DOI:10.1111/j.1365-2214.2011.01349.x]
16. French SA, Story M, Neumark-Sztainer D, Fulkerson JA, Hannan P. Fast food restaurant use among ‎adolescents: Associations with nutrient intake, food choices and behavioral and psychosocial variables. Int J ‎Obes Relat Metab Disord. 2001;25(12):1823-33.‎ [Link]
17. katzmarzyk PT, Ardern CI. Physical activity levels of Canadian children and youth: Current issues and ‎recommendations. Can J Diabetes. 2004;28(1):67-78.‎ [Link]
18. Eisenmann JC. Physical activity and cardiovascular disease risk factor in children and adolescents: An ‎overview. Can J Cardiol. 2004;20(3):295-301.‎ [Link]
19. Duffey KJ, Gordon-Larsen P, Jacobs DR Jr, Williams OD, Popkin BM. Differential associations of fast food ‎and restaurant food consumption with 3-y change in body mass index: The coronary artery risk development ‎in young adults study. AM J Clin Nutr. 2007;85(1):201-8.‎ [Link] [DOI:10.1093/ajcn/85.1.201]
20. James J, Kerr D. Prevention of childhood obesity by reducing soft drinks. Int J Obes (Lond). ‎‎2005;29(Suppl 2):S54-7.‎ [Link] [DOI:10.1038/sj.ijo.0803062]
21. Mirkarimi K, Mansourian M, Kabir MJ, Ozouni-Davaji RB, Eri M, Hosseini SG, et al. Fast food consumption ‎behaviors in high-school students based on the Theory of Planned Behavior (TPB). Int J Pediatr. ‎‎2016;4(7):2131-42.‎ [Link]
22. Ahmadi S, Shahsavari S, Ahmadi H, Tabatabaei far T. Prevalence of overweight, obesity and underweight ‎among high school students in Sanandaj: 2006-2007. Iran J Endocrinol Metab. 2010;12(2):153-9. [Persian]‎ [Link]
23. Pourabdelahi P, Zeraati M, Razaviieh SV, Dastgiri S, Ghaem Maghami SJ, Fathi Azar E. The effect of ‎nutrition education on the knowledge and practice of elementary school children regarding junk food intake. ‎J Zanjan Univ Med Sci Health Serv. 2005;13(51):13-20. [Persian]‎ [Link]
24. Niemeier HM, Raynor HA, Lloyd-Richardson EE, Rogers ML, Wing RR. Fast food consumption and ‎breakfast skipping: Predictors of weight gain from adolescence to adulthood in a nationally representative ‎sample. J Adolesc Health. 2006;39(6):842–9.‎ [Link] [DOI:10.1016/j.jadohealth.2006.07.001]
25. Kocken PL, Eeuwijk J, Van Kesteren NM, Dusseldorp E, Buijs G, Bass-Dafesh Z, et al. Promoting the ‎purchase of low-calorie foods from school vending machines: A cluster-randomized controlled study. J Sch ‎Health. 2012;82(3):115-22.‎ [Link]
26. Fatehi Panah S, Salavati A, Shafeai R. Effect of promotional training program to reduce the consumption ‎of fast food Case study: Showing promotional Ads, brochures and Counseling to students in Sama primary ‎school. J Health Syst Res. 2015;11(2):435-43. [Persian]‎ [Link]
27. Allen KN, Taylor JS, Kuiper R. Effectiveness of nutrition education on fast food choices in adolescents. J ‎Sch Nurs. 2007;23(6):337-41.‎ [Link]
28. Sanaye S, Azar Gashb A, Derisi MM, Zamani A, Keivanfar AR. Assessing knowledge and attitudes toward ‎fast foods among students of Shahid Beheshti University of Medical Sciences in 1394. J Med Counc Iran. ‎‎2016;34(1):23-30. [Persian]‎ [Link]
29. Lee O, Chang SO, Park MJ. Comparison of nutrition knowledge, dietary attitude and dietary habit in ‎elementary school children with and without nutrition education. J Korean Soc Food Sci Nutr. ‎‎2008;37(11):1427-34. [Korean]‎ [Link] [DOI:10.3746/jkfn.2008.37.11.1427]
30. Vakili M, Baghiani Moghadam MH, Pirzadeh A, Dehghani M. Assessing the effect of education on ‎knowledge, attitude and practice of guidance school students about milk and dairy products. J Knowl Health. ‎‎2008;2(4):40-5. [Persian]‎ [Link]
31. Khalaj M, Mohammaddi Zeidi I. Health education effects on nutritional behavior modification in primary ‎school students. J Shahrekord Univ Med Sci. 2006;8(1):41-9. [Persian]‎ [Link]
32. Gabrielle La'Dale B. An examination of family nutrition programs implemented by Mississippi State ‎University Extension Service in Jackson Public Schools [Dissertation]. Mississippi: Mississippi State University; ‎‎2011. ‎ [Link]
33. Prelip M, Slusser W, Thai CL, Kinsler J, Erausquin JT. Effects of a school-based nutrition program diffused ‎throughout a large urban community on attitudes, beliefs, and behaviors related to fruit and vegetable ‎consumption. J Sch Health. 2011;81(9):520-9.‎ [Link] [DOI:10.1111/j.1746-1561.2011.00622.x]
34. Kelishadi R, Ardalan G, Gheiratmand R, Sheikholeslam R, Majdzadeh SR, Delavari AR, et al. Do the dietary ‎habits of our community warrant health of children and adolescents now and in future? CASPIAN study. Iran ‎J Pediatr. 2005;15(2):97-109. [Persian]‎ [Link]
35. Watt RG. Emerging theories into the social determinants of health: Implications for oral health promotion. ‎Community Dent Oral Epidemiol. 2002;30(4):241-7. ‎ [Link] [DOI:10.1034/j.1600-0528.2002.300401.x]
36. Kwan S, Petersen PE. WHO information series on school health [Internet]. Geneva: World Health ‎Organization; 2003 [cited 2017 Jul 15]. Available from: ‎http://www.who.int/oral_health/media/en/orh_school_doc11.pdf.‎ [Link]
37. Azizi F, Rahmani M, Madjid M, Allahverdian S, Ghanbili J, Ghanbarian A, et al. Serum lipid levels in an ‎Iranian population of children and adolescents: Tehran lipid and glucose study. Eur J Epidemiol. ‎‎2001;17(3):281-8. ‎ [Link]
38. Dehdari T, Khezeli M, Bakhtiyari M, Nilsaz M. Health education interventions on student nutrition: A ‎systematic review. J Health Hyg. 2012;3(3):62-72. [Persian]‎ [Link]

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