上海交通大学学报（医学版）

上海交通大学学报（医学版）

• 论著（预防医学） • 上一篇    下一篇

“儿童与儿童”模式对学龄前儿童营养教育饮食行为改变效果研究

董 媛1，王佳蕾2，吴玲玲2，蔡美琴1   

  1. 1.上海交通大学 医学院营养系， 上海 200025； 2.中国福利会托儿所， 上海 200040
  • 出版日期:2013-08-28 发布日期:2013-09-16
  • 通讯作者: 蔡美琴, 电子信箱: caimeiqin@sjtu.edu.cn。
  • 作者简介:董媛（1987—）， 女， 硕士生; 电子信箱: dongyuan0315@gmail.com。

Impact of nutrition education through Child-to-Child approach on diet behaviors among preschool children

DONG Yuan1, WANG Jia-lei2, WU Ling-ling2, CAI Mei-qin1   

  1. 1.Department of Nutrition, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China; 2.China Welfare Institute Nursery, Shanghai 200040, China
  • Online:2013-08-28 Published:2013-09-16

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摘要：

目的 评价“儿童与儿童”（CTC） 营养教育模式对学龄前儿童饮食行为改变的效果。方法 选择上海市条件相当的两所幼儿园分别作为干预幼儿园和对照幼儿园。干预幼儿园112名大班儿童为传授组，由幼儿园教师直接对其进行营养教育；195名中、小班儿童为辐射组，采用CTC模式由传授组儿童向其传播营养知识。对照幼儿园同年级儿童分别作传授组对照（74名）和辐射组对照（207名），不进行任何干预。采用自制知识、态度、行为（KAP）问卷评价干预前后儿童营养知识、对营养与食物的态度和饮食行为的变化。结果 干预后，传授组和辐射组儿童KAP评分均有不同程度提高，儿童营养知识及格率显著提高（P<0.01），对营养与食物的态度、饮食行为均得到改善。干预后，传授组和辐射组儿童挑食行为的发生率均显著低于相应对照儿童（均P<0.05），两组儿童每天喝l～2杯奶制品的发生率均显著高于其对照儿童(P<0.05，P<0.01)，辐射组儿童吃营养早餐行为的发生率显著高于其对照儿童（P<0.05）。结论 应用CTC模式进行学龄前儿童营养教育对儿童饮食行为改变具有明显效果和优势。

关键词: “儿童与儿童”模式, 学龄前儿童, 营养教育

Abstract:

Objective To investigate the impact of nutrition education through Child-to-Child （CTC）approach on the diet behaviors among preschool children. Methods Two kindergartens in Shanghai were selected as intervention kindergarten and control kindergarten respectively. One hundred and twelve children in higher grade in the intervention kindergarten were served as experiment group, who received nutrition education from kindergarten teachers, and disseminated nutrition knowledge to the other 195 children in lower grade in intervention kindergarten (affected group) through CTC approach. Children in control kindergarten in the same grade were served as experiment group controls (n=74) and affected group controls (n=207) respectively, and no nutrition education intervention was conducted. Self-designed Knowledge-Attitude-Practice (KAP) questionnaire was adopted to evaluate the changes in nutrition and healthy diet knowledge, attitude towards food and nutrition and diet behaviors before and after intervention. Results After intervention, the KAP scores in experiment group and affected group increased to some extent, the pass rates of score of nutrition and healthy diet knowledge significantly increased (P<0.01), and the attitude towards food and nutrition and diet behaviors improved. After intervention, the incidences of picky eating in experiment group and affected group were significantly lower than those in the corresponding controls (P<0.05 for both), the incidences of milk consumption every day in both groups were significantly higher than those in the corresponding controls (P<0.05, P<0.01), and the incidence of having balanced breakfast in affected group was significantly higher than that in affected group controls (P<0.05). Conclusion Application of CTC approach in nutrition education may yield favorable effect and advantage in promoting diet behaviors among preschool children.

Key words: Child-to-Child approach, preschool children, nutrition education