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International Congress of Dietetics, 1–3 September 2021, Abstract Book 国际营养学大会,2021年9月1日至3日,摘要书
IF 1.1 Q3 Medicine Pub Date : 2021-07-03 DOI: 10.1080/16070658.2021.1968126
G. Iheme, A. Adile, I. Egechizuorom, O. Kupoluyi, O. Ogbonna, L. Oláh, H. Enuka, H. Idris, N. Asouzu, E. Oyebamiji
Background and Objectives: One of the notable effects of the COVID-19 pandemic, along with the associated lockdowns is the alteration of spending patterns of consumers owing to the level of food price inflation. This study was designed to evaluate the covid-19 influenced changes in food commodity prices and estimate its impact on consumers' behaviour. Methods: The study design captured eight states across various geographical zones in Nigeria. The methodology consists of primary data collection of food price differentials from traders in 11 urban markets and the corresponding consumers purchasing behaviours. September 2019, May-June, 2020 and March 2021 were designated as the pre-covid-19 lockdown (PrCL), the peak of nationwide lockdown (PNL) and post covid-19 lockdown (PoCL) reference points. Results: Results revealed a significant increase in price of staple foods at the peak of national lockdown (PNL) and post-covid-19 lockdown in Nigeria (Rice -1.8-2.2kg;PrCL =$2.10- 3.67;PNL=$2.62-4.72;PoCL =$2.62-6.56;Wheat -1.1-1.9kg;PrCL =$0.71-1.84;PNL=$0.79-2.62;PoCL =$0.92-3.94;Maize - 1.3-1.9kg;PrCL =$0.39-1.44;PNL=$0.52-1.97;PoCL =$0.60- 2.76;Garri - 1.35-1.5kg;PrCL =$0.92-1.84;PNL=$0.92-2.36;PoCL =$0.92-2.89;Yam -0.9-3kg;PrCL =$1.97-3.94;PNL=$1.97-5.25;PoCL =$1.97-5.25;Beans -1.2-2kg;PrCL =$0.66-2.10;PNL=$1.05- 2.49;PoCL =$1.44-2.49;Groundnut -1.2-1.6kg;PrCL =$0.79-2.36;PNL=$0.92-2.36;PoCL =$1.44-2.36;common leafy vegetables - 0.2-0.4kg;PrCL =$0.13-0.31;PNL=$0.13-0.59;PoCL =$0.24- 0.52;common non-leafy vegetables 0.2-1kg;PrCL =$0.13-0.79;PNL=$0.26-2.10;PoCL =$0.26-2.10;Mackerel and Scumbia fish 0.36-1kg;PrCL =$0.79-3.67;PNL=$1.57-3.67;PoCL =$1.31-3.94;Beef -1kg;PrCL =$2.62-4.20;PNL=$2.62-6.30;PoCL =$2.49-5.25;A crate of egg -2.8-3.2kg;PrCL =$1.57-2.62;PNL=$2.62-3.94;PoCL =$3.15-3.94). About half of the consumers acknowledged the impact of these covid-19 influenced food price inflation on their purchasing behaviour which led to the adoption of several coping measures. Conclusion: Efforts should be made by government, food producers, distributors and all stakeholders to cushion the long-standing ripple effect of covid-19 pandemic lockdown on food prices and purchasing behaviour.
背景和目标:2019冠状病毒病大流行以及相关的封锁造成的显著影响之一是食品价格通胀水平改变了消费者的支出模式。本研究旨在评估受covid-19影响的粮食商品价格变化,并估计其对消费者行为的影响。方法:研究设计捕获了尼日利亚不同地理区域的八个州。该方法包括从11个城市市场的贸易商那里收集食品价格差异的原始数据以及相应的消费者购买行为。2019年9月、2020年5月至6月和2021年3月被指定为新冠肺炎疫情前、全国范围内的封锁高峰和疫情后的封锁参考点。结果:结果显示显著增加主食的价格在国家封锁的高峰期(PNL)和post-covid-19锁定在尼日利亚(大米-1.8 -2.2公斤;PrCL = 2.10 - 3.67美元;PNL = 2.62 - -4.72美元;PoCL = 2.62 - -6.56美元;小麦-1.1 -1.9公斤;PrCL = 0.71 - -1.84美元;PNL = 0.79 - -2.62美元;PoCL = 0.92 - -3.94美元;玉米- 1.3 - -1.9公斤;PrCL = 0.39 - -1.44美元;PNL = 0.52 - -1.97美元;PoCL = 0.60 - 2.76美元;加里- 1.35 - -1.5公斤;PrCL = 0.92 - -1.84美元;PNL = 0.92 - -2.36美元;PoCL = 0.92 - -2.89美元;山药-0.9 - 3公斤;PrCL = 1.97 - -3.94美元;PNL = 1.97 - -5.25美元;PoCL = 1.97 - -5.25美元;豆类-1.2 - 2公斤;PrCL= 0.66 - -2.10美元;PNL = 1.05 - 2.49美元;PoCL = 1.44 - -2.49美元;花生;-1.2 - -1.6公斤PrCL = 0.79 - -2.36美元;PNL = 0.92 - -2.36美元;PoCL = 1.44 - -2.36美元;常见的蔬菜——0.2 -0.4公斤;PrCL = 0.13 - -0.31美元;PNL = 0.13 - -0.59美元;PoCL = 0.24 - 0.52美元;常见non-leafy蔬菜0.2 1公斤;PrCL = 0.13 - -0.79美元;PNL = 0.26 - -2.10美元;PoCL = 0.26 - -2.10美元;鲭鱼和Scumbia鱼0.36 1公斤;PrCL = 0.79 - -3.67美元;PNL = 1.57 - -3.67美元;PoCL = -3.94; 1.31美元1公斤牛肉;PrCL = 2.62 - -4.20美元;PNL = 2.62 - -6.30美元;PoCL = -5.25; 2.49美元一箱鸡蛋-2.8 -3.2公斤;PrCL = 1.57 - -2.62美元;PNL = 2.62 - -3.94美元;PoCL= $ 3.15 - -3.94)。大约一半的消费者承认,受covid-19影响的食品价格通胀对他们的购买行为产生了影响,因此采取了若干应对措施。结论:政府、食品生产商、分销商和所有利益攸关方应作出努力,缓解covid-19大流行封锁对食品价格和购买行为的长期连锁反应。
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引用次数: 3
The interaction between the microbiome, diet and health 微生物组、饮食和健康之间的相互作用
IF 1.1 Q3 Medicine Pub Date : 2021-07-03 DOI: 10.1080/16070658.2021.1966226
C. Walsh, C. Haasbroek
The gut microbiome refers to the intestinal community of microbes that help to maintain and influence health. This community includes trillions of microbes from more than a thousand bacterial species. As a supraorganism vital to human well-being and survival, the microbiome has developed alongside humans. According to Velasquez-Manoff, “our intestinal community of microbes calibrates our immune and metabolic function, and its corruption or depletion can increase the risk of chronic diseases.”
肠道微生物群是指帮助维持和影响健康的肠道微生物群落。这个群落包括来自一千多种细菌的数万亿微生物。作为对人类福祉和生存至关重要的超有机体,微生物群与人类一起发展。根据Velasquez-Manoff的说法,“我们的肠道微生物群落校准了我们的免疫和代谢功能,它的腐败或消耗会增加患慢性病的风险。”
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引用次数: 0
The whole-food plant-based diet: what does it entail and what lessons can it offer South African dietitians? 全食物植物性饮食:它需要什么?它能为南非营养师提供什么教训?
IF 1.1 Q3 Medicine Pub Date : 2021-07-02 DOI: 10.1080/16070658.2021.1943165
M. Wicks, E. Wentzel-Viljoen
The global population continues to grow and unfortunately in a response to this, the food environment has changed dramatically. This change has primarily brought about an increase in the affordability, availability and acceptability of many ultraprocessed foods. Research has shown that the global obesity and non-communicable disease (NCD) pandemic can be linked to the frequent consumption of these highly processed foods, mainly due to their energy, saturated fat, sugar and/or salt content. As a result, the movement towards a diet consisting of mainly whole – and minimally processed foods – is now being motivated. Avoidance of ultra-processed foods is also the main focus of many Latin American countries’ newly released national food based dietary guidelines.
全球人口持续增长,不幸的是,粮食环境也因此发生了巨大变化。这一变化主要带来了许多超加工食品的可负担性、可获得性和可接受性的提高。研究表明,全球肥胖和非传染性疾病(NCD)大流行可能与这些高度加工食品的频繁消费有关,主要是由于它们的能量、饱和脂肪、糖和/或盐含量。因此,现在正在推动一种主要由全食品和最低限度加工食品组成的饮食运动。避免超加工食品也是许多拉丁美洲国家最新发布的国家食品膳食指南的主要关注点。
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引用次数: 2
Agreement between measured height, and height predicted from published equations, in adult South African patients 南非成年患者的测量身高和根据已发表的方程预测的身高之间的一致性
IF 1.1 Q3 Medicine Pub Date : 2021-06-15 DOI: 10.1080/16070658.2021.1932179
Hanna Williamson, C. Walsh, M. Nel, L. van den Berg
Objectives: Estimation equations based on different body segments are commonly used to predict height in patients whose height cannot be directly measured. This study aimed to assess the agreement between measured (reference) height and height predicted from published equations derived from measurement of body segments, in a South African public hospital setting. Design: A descriptive cross-sectional study was undertaken. Setting: Medical, surgical, pulmonary, orthopaedic, cardiovascular and general wards at three public hospitals in Bloemfontein. Subjects: Admitted patients, 20–50 years old; able to stand upright without assistance and without medical conditions or treatments affecting height. Outcome measures: Stadiometer height, recumbent height, arm span, demi-span, ulna length, knee height, tibia length, fibula length and foot length were measured with standardised techniques. Height, predicted by 12 published equations, was compared with stadiometer height by 95% confidence intervals (CI) and Bland–Altman analysis. Results: The median stadiometer height of the sample (n = 141; 38.3% female; median age 38.8 years, IQR 33.3–44.4 years) was 165.5 cm (males 169.3 cm; females 158.4 cm). Only a set of equations based on knee height and standardised on a large population of adults < 65 years in the United States estimated height without statistically significant deviance from the stadiometer height. Conclusions: Most standardised equations applied to hospitalised adults in a South African public health setting resulted in height estimations that differed significantly from height. Thus, equations standardised on other populations may not be suitable for the South African population, possibly due to differences in genetic and environmental factors.
目的:基于不同身体段的估计方程通常用于预测无法直接测量身高的患者的身高。这项研究旨在评估在南非公立医院环境中,测量(参考)身高和根据身体节段测量得出的已发表方程预测的身高之间的一致性。设计:进行了一项描述性的横断面研究。设置:布隆方丹三家公立医院的医疗、外科、肺部、骨科、心血管和普通病房。受试者:入院患者,20-50岁;能够在没有帮助的情况下直立,并且没有影响身高的医疗条件或治疗。结果测量:采用标准化技术测量Stadiometer身高、卧位高度、臂展、半展、尺骨长度、膝盖高度、胫骨长度、腓骨长度和脚长。通过95%置信区间(CI)和Bland–Altman分析,将12个已发表方程预测的身高与视距仪身高进行了比较。结果:样品的中位视距仪高度(n = 141;女性38.3%;中位年龄38.8岁,IQR 33.3–44.4岁)为165.5 厘米(雄性169.3 厘米女性158.4 cm)。只有一组基于膝盖高度并以美国<65岁的大量成年人为标准的方程估计了身高,而与视距仪的身高没有统计学上的显著偏差。结论:在南非公共卫生环境中,大多数适用于住院成年人的标准化方程得出的身高估计值与身高有显著差异。因此,在其他人群中标准化的方程式可能不适合南非人群,这可能是由于遗传和环境因素的差异。
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引用次数: 1
Profile of mothers whose children are treated for malnutrition at a rural district hospital in the North West province, South Africa 孩子在南非西北省一家农村地区医院接受营养不良治疗的母亲简介
IF 1.1 Q3 Medicine Pub Date : 2021-06-03 DOI: 10.1080/16070658.2021.1921899
K. Mokwena, Jim Kachabe
Objective: This study profiled mothers whose children were admitted to hospital for malnutrition in a rural hospital in the North West province. Method: A quantitative and cross-sectional design, using a researcher-developed questionnaire, was used to collect data from 94 mother and child pairs who were admitted to hospital for malnutrition. Stata statistical software was used to analyse the data. Results: The ages of the mothers ranged from 17 to 48 years. Most (83%) lived in dwellings that had electricity, and 92% had running water in their households. Some 83% were not married and 97% were unemployed. Mothers between the ages of 21 and 25 years had the highest number of children with malnutrition (37%, n = 34), followed by mothers between the ages of 26 and 30 years (28%, n = 26). Severe acute malnutrition was experienced by children whose mothers were comparatively young (age group 16–20), accounting for 44.4% of malnourished children. The association between category of malnutrition and maternal age was not statistically significant. Conclusion: Although malnutrition of the children cuts across all maternal age groups, severe acute malnutrition tends to occur among children whose mothers are either young or relatively older, which suggests a need for specific community-based interventions among these groups of mothers.
目的:本研究介绍了西北省一家农村医院因营养不良而入院的母亲。方法:采用定量和横断面设计,使用研究人员编制的问卷,收集94对因营养不良入院的母子的数据。使用Stata统计软件对数据进行分析。结果:母亲的年龄在17~48岁之间。大多数人(83%)住在有电的房子里,92%的家庭有自来水。约83%的人没有结婚,97%的人失业。21岁至25岁的母亲营养不良的儿童数量最多(37% = 34岁),其次是年龄在26岁至30岁之间的母亲(28% = 26)。母亲年龄相对较小的儿童(16-20岁)出现严重急性营养不良,占营养不良儿童的44.4%。营养不良类别与产妇年龄之间的相关性没有统计学意义。结论:尽管儿童营养不良涉及所有母亲年龄组,但母亲年龄较小或相对较大的儿童往往会出现严重急性营养不良,这表明需要在这些母亲群体中采取具体的社区干预措施。
{"title":"Profile of mothers whose children are treated for malnutrition at a rural district hospital in the North West province, South Africa","authors":"K. Mokwena, Jim Kachabe","doi":"10.1080/16070658.2021.1921899","DOIUrl":"https://doi.org/10.1080/16070658.2021.1921899","url":null,"abstract":"Objective: This study profiled mothers whose children were admitted to hospital for malnutrition in a rural hospital in the North West province. Method: A quantitative and cross-sectional design, using a researcher-developed questionnaire, was used to collect data from 94 mother and child pairs who were admitted to hospital for malnutrition. Stata statistical software was used to analyse the data. Results: The ages of the mothers ranged from 17 to 48 years. Most (83%) lived in dwellings that had electricity, and 92% had running water in their households. Some 83% were not married and 97% were unemployed. Mothers between the ages of 21 and 25 years had the highest number of children with malnutrition (37%, n = 34), followed by mothers between the ages of 26 and 30 years (28%, n = 26). Severe acute malnutrition was experienced by children whose mothers were comparatively young (age group 16–20), accounting for 44.4% of malnourished children. The association between category of malnutrition and maternal age was not statistically significant. Conclusion: Although malnutrition of the children cuts across all maternal age groups, severe acute malnutrition tends to occur among children whose mothers are either young or relatively older, which suggests a need for specific community-based interventions among these groups of mothers.","PeriodicalId":45938,"journal":{"name":"South African Journal of Clinical Nutrition","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2021-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/16070658.2021.1921899","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42811349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Field-testing of the revised, draft South African Paediatric Food-Based Dietary Guidelines among mothers/caregivers of children between the ages of 3 and 5 years in the Northern Metropole, City of Cape Town, Western Cape province, South Africa 在南非西开普省开普敦市北部大都市对3至5岁儿童的母亲/照顾者进行南非儿童食品膳食指南修订草案的现场测试
IF 1.1 Q3 Medicine Pub Date : 2021-01-15 DOI: 10.1080/16070658.2020.1831201
SH Röhrs, L. du Plessis
Objective: To assess the appropriateness and understanding of the revised, draft South African Paediatric Food-Based Dietary (SA-PFBDGs) among mothers/caregivers of children between the ages of 3 and 5 years. Exposure to similar messages, barriers and enablers were also assessed. Design: A qualitative, descriptive, cross-sectional study design was followed. Participants were purposively recruited to participate in 9 focus-group discussions (FGDs) conducted in isiXhosa, English and Afrikaans totalling 55 participants. Setting: Formal and informal urban communities along the West Coast, in the Northern Metropole, City of Cape Town, Western Cape, South Africa. Subjects: Mothers/caregivers older than 18 years who provided informed consent. Results: The majority of the participants mentioned previous exposure to messages similar to the revised, draft SA-PFBDGs mainly from healthcare workers, health facilities and the media. Cultural differences and taste preferences contributed to poor following of healthy eating guidelines, specifically regarding lean meats and chicken, dry beans, split peas, lentils and soya, salt, fat and sugar. With regard to dietary variety and fresh fruit and vegetables, availability and financial barriers existed. Understanding nutritional needs of children, supportive communities and education were strong enabling factors for following of the revised, draft SA-PFBDGs. Conclusion: Overall, the guidelines were familiar and understood. However, the comprehension of some guidelines must be clarified further, specifically those pertaining to sugar, salt and fat. The design of appropriate educational materials for the revised draft SA-PFBDGs, complementing national actions, could help to minimise inconsistent messages on young-child nutrition and create a supportive environment for improved nutritional health.
目的:评估3至5岁儿童的母亲/照顾者对修订后的南非儿童食品膳食(sa - pfbdg)草案的适当性和理解程度。还评估了接触类似信息、障碍和促成因素的情况。设计:采用定性、描述性、横断面研究设计。参与者被有意招募参加9个焦点小组讨论(fgd),共55名参与者用西班牙语、英语和南非荷兰语进行。背景:在南非西开普省开普敦市北部大都会,沿着西海岸的正式和非正式城市社区。受试者:年满18岁且提供知情同意的母亲/照顾者。结果:大多数参与者提到以前接触过与修订后的sa - pfbdg草案类似的信息,主要来自卫生保健工作者、卫生机构和媒体。文化差异和口味偏好导致人们很少遵守健康饮食指南,特别是在瘦肉和鸡肉、干豆、豌豆、扁豆和大豆、盐、脂肪和糖方面。在饮食种类和新鲜水果和蔬菜方面,存在可获得性和财政障碍。了解儿童的营养需求、支持性社区和教育是遵循修订后的sa - pfbdg草案的有力促成因素。结论:总体而言,指南是熟悉和理解的。然而,对某些指南的理解必须进一步澄清,特别是那些与糖、盐和脂肪有关的指南。为修订的《准则-方案-目标》草案设计适当的教材,补充国家行动,有助于尽量减少关于幼儿营养的不一致信息,并为改善营养健康创造有利的环境。
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引用次数: 3
Field-testing of the revised, draft South African Paediatric Food-Based Dietary Guidelines amongst mothers/caregivers of children aged 0–12 months in the Breede Valley sub-district, Western Cape province, South Africa 在南非西开普省Breede Valley街道0-12个月儿童的母亲/照料者中对修订后的《南非儿童食源性膳食指南》草案进行实地测试
IF 1.1 Q3 Medicine Pub Date : 2021-01-15 DOI: 10.1080/16070658.2020.1769335
L. du Plessis, L. Daniels, H. Koornhof, ZL Solomon, M. Loftus, LC Babajee, C. Ronquest, B. Kleingeld, CM Greener, KJ Burn
Objectives: To assess the appropriateness and understanding of the revised, draft South African Paediatric Food-Based Dietary Guidelines (SA-PFBDGs) amongst mothers/caregivers of children aged 0–12 months. Exposure to guidelines with similar messages, barriers and enablers to following of the guidelines were also assessed. Design: Qualitative data were collected from 14 focus-group discussions (FGDs), conducted in isiXhosa (n = 5), English (n = 4) and Afrikaans (n = 5), totalling 73 mother/caregiver participants. Setting: Worcester, Breede Valley sub-district, Western Cape province. Subjects: The study population included mothers/caregivers who were older than 18 years. Results: The majority of participants had previous exposure to variations of messages similar to the revised, draft SA-PFBDGs. Health platforms and practitioners (community health centres, antenatal classes, nurses, doctors) and social networks and platforms (family, magazines, radio) were mentioned as primary sources of information. Barriers to following the messages included: inconsistent messages (mainly communicated by healthcare workers), contrasting beliefs and cultural/family practices, limited physical and financial access to resources, poor social support structures and the psycho-social and physical demands of raising a child. Conclusion: The revised, draft SA-PFBDGs for the age range 0–12 months have been field-tested in English, Afrikaans and isiXhosa. The messages in some of the revised, draft SA-PFBDGs were not understood by the participants, indicating that a degree of rewording should be considered to facilitate understanding of the guidelines by the public. The National Department of Health should consider the findings of this study, and use these standardised messages to optimise infant and young child feeding.
目的:评估0-12个月儿童的母亲/照顾者对修订后的南非儿童食品膳食指南(sa - pfbdg)草案的适当性和理解。还评估了对具有类似信息的指导方针的接触情况、遵循指导方针的障碍和推动因素。设计:从14个焦点小组讨论(fgd)中收集定性数据,这些讨论以isiXhosa语(n = 5)、英语(n = 4)和南非荷兰语(n = 5)进行,共有73名母亲/照顾者参与者。环境:西开普省伍斯特,布莱德谷分区。研究对象:研究人群包括18岁以上的母亲/照顾者。结果:大多数参与者之前都接触过类似于修订后的sa - pfbdg草案的信息变化。保健平台和从业人员(社区保健中心、产前班、护士、医生)以及社会网络和平台(家庭、杂志、电台)被认为是主要的信息来源。遵循这些信息的障碍包括:不一致的信息(主要由卫生保健工作者传达)、不同的信仰和文化/家庭习俗、有限的物质和经济资源、不良的社会支持结构以及抚养孩子的心理-社会和身体需求。结论:修订后的年龄范围为0-12个月的sa - pfbgs草案已在英语、南非荷兰语和伊索萨语中进行了实地测试。一些经修订的sa - pfbdg草案中的信息没有被与会者理解,这表明应该考虑在一定程度上重新措辞,以促进公众对指南的理解。国家卫生部应该考虑这项研究的结果,并使用这些标准化的信息来优化婴幼儿喂养。
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引用次数: 1
Field-testing of the revised, draft South African Paediatric Food-Based Dietary Guidelines among Siswati-speaking mothers/caregivers of children aged 0–36 months in Kabokweni, Mpumalanga province, South Africa 在南非普马兰加省Kabokweni,对0–36个月大儿童的讲西斯瓦蒂语的母亲/照顾者进行南非儿童食品膳食指南修订草案的现场测试
IF 1.1 Q3 Medicine Pub Date : 2021-01-15 DOI: 10.1080/16070658.2020.1831200
I. Möller, L. du Plessis, L. Daniels
Objectives: To determine the appropriateness and understanding of the revised, draft South African Paediatric Food-Based Dietary Guidelines (SA-PFBDG) among siSwati speaking mothers/caregivers of children aged 0–36 months. Previous exposure to guidelines with similar messages, barriers and enablers to following the guidelines were also assessed. Design: A descriptive, cross-sectional qualitative research approach was followed. Purposive and snowball sampling were used to recruit a total of 75 participants. Data were collected by means of focus-group discussions from 12 groups. Setting: Kabokweni, Mpumalanga, South Africa. Subjects: The study population included mothers/caregivers older than 18 years who provided informed consent. Results: The participants were generally aware of messages similar to those contained in the revised, draft SA-PFBDG. They reported exposure to these messages at clinics/hospitals, radio/television, and the Road-to-Health booklet. Participants showed good understanding of guidelines on breastfeeding, complementary feeding, inclusion of protein-rich and starchy foods as well as fruit and vegetables in the diets of young children as well as hygiene practices. The guidelines on avoiding tea, coffee and sugar drinks and high-sugar, high-fat salty snacks, being active and providing five small meals were less well understood. Enablers to following the guidelines were its perceived importance and positive impact on children's health. Barriers included misinterpretation of the guidelines and lack of money and resources. Conclusion: The revised, draft SA-PFBDGs are appropriate for the age group 0–36 months. A degree of rewording is suggested to aid understanding. The guidelines can be used as an educational tool to improve the nutritional status of children in South Africa.
目的:确定0–36个月大儿童的西斯瓦蒂语母亲/照顾者对修订后的南非儿童食品膳食指南草案(SA-PFBDG)的适当性和理解程度。还评估了先前接触具有类似信息的指导方针、障碍和遵循指导方针的促成因素。设计:采用描述性、横断面的定性研究方法。采用目的抽样和滚雪球抽样的方法,共招募了75名参与者。数据是通过焦点小组讨论的方式从12个小组中收集的。背景:南非普马兰加的卡博克韦尼。受试者:研究人群包括提供知情同意书的18岁以上的母亲/照顾者。结果:与会者普遍意识到与SA-PFBDG修订草案中所载信息类似的信息。他们报告说,他们在诊所/医院、电台/电视台以及《健康之路》小册子中接触到了这些信息。参与者对母乳喂养、补充喂养、在幼儿饮食中加入富含蛋白质和淀粉的食物以及水果和蔬菜以及卫生习惯的指导方针有很好的理解。关于避免喝茶、咖啡和含糖饮料以及高糖、高脂肪的咸味零食、保持活跃和提供五顿小餐的指导方针还没有得到很好的理解。指导方针的重要性和对儿童健康的积极影响是指导方针得以实施的原因。障碍包括对指导方针的误解以及缺乏资金和资源。结论:修订后的SA PFBDG草案适用于0-36个月年龄组。建议进行一定程度的改写以帮助理解。该准则可作为改善南非儿童营养状况的教育工具。
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引用次数: 4
Overview of field-testing of the revised, draft South African Paediatric Food-Based Dietary Guidelines amongst mothers/caregivers of children aged 0–5 years in the Western Cape and Mpumalanga, South Africa 南非西开普省和普马兰加省0-5岁儿童的母亲/照顾者对修订后的南非儿童食品膳食指南草案的现场测试概述
IF 1.1 Q3 Medicine Pub Date : 2021-01-15 DOI: 10.1080/16070658.2020.1769334
L. du Plessis, L. Daniels, H. Koornhof, S. Samuels, I. Möller, S. Röhrs
Background: This paper provides an overview of a series of studies undertaken to assess the appropriateness and understanding of the revised, draft South African Paediatric Food-Based Dietary Guidelines (SA-PFBDGs) amongst mothers/caregivers of children aged 0–5 years. Previous exposure to guidelines with similar messages, barriers and enablers to following the guidelines were also assessed. Design: Qualitative methods were used to collect data from 38 focus-group discussions (isiXhosa = 11, Afrikaans = 11, English = 10 and siSwati = 6) resulting in 268 participants. Setting: Breede Valley sub-district (Worcester), Stellenbosch Municipality (Stellenbosch, Pniel and Franschhoek) and Northern Metropole (Atlantis, Witsand, Du Noon and Blouberg), City of Cape Town, Western Cape province, as well as Ehlanzeni District (Kabokweni) in Mpumalanga province. Subjects: Mothers/caregivers older than 18 years who provided informed consent to participate. Results: The majority of participants had previous exposure to guidelines with similar messages to the SA-PFBDGs. Information sources included nurses, local clinics, family, friends and media. Possible barriers to following the guidelines included limited physical and financial access to resources; cultural/family practices, poor social support and time constraints. Outdated information, misconceptions, inconsistent messages and contrasting beliefs were evident. The vocabulary of some messages was not well understood. Education on infant and young child feeding and visual portrayal of the guidelines could aid understanding. Conclusion: A degree of rewording should be considered for improved understanding of the revised, draft SA-PFBDGs. Once adopted, the guidelines can be used to educate various stakeholders, including parents, caregivers, healthcare providers and educators, on the correct nutritional advice for children aged 0–5 years ensuring the healthy growth and development of young children in South Africa.
背景:本文概述了一系列研究,旨在评估修订后的南非儿童食品膳食指南草案(SA PFBDG)在0-5岁儿童的母亲/照顾者中的适用性和理解程度。还评估了先前接触具有类似信息的指导方针、障碍和遵循指导方针的促成因素。设计:使用定性方法从38个焦点小组讨论中收集数据(西语=11,南非荷兰语=11,英语=10,西语=6),共有268名参与者。设置:布里德谷街道(伍斯特)、斯特伦博斯市(斯特伦博斯赫、普尼尔和弗兰施霍克)和北大都会(亚特兰蒂斯、威特桑、杜努恩和布隆博格)、西开普省开普敦市以及普马兰加省的埃兰泽尼区(卡博克维尼)。受试者:提供知情同意书的18岁以上的母亲/照顾者。结果:大多数参与者以前接触过与SA PFBDG信息相似的指南。信息来源包括护士、当地诊所、家人、朋友和媒体。遵守准则的可能障碍包括获得资源的物质和财政途径有限;文化/家庭习俗、较差的社会支持和时间限制。过时的信息、误解、不一致的信息和截然不同的信念显而易见。有些信息的词汇没有被很好地理解。关于婴幼儿喂养的教育和指南的视觉描绘可以帮助理解。结论:为了更好地理解修订后的SA PFBDG草案,应考虑一定程度的改写。一旦通过,该指南可用于教育各种利益相关者,包括父母、护理人员、医疗保健提供者和教育工作者,为0-5岁儿童提供正确的营养建议,确保南非幼儿的健康成长和发展。
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引用次数: 10
Field testing of the revised, draft South African Paediatric Food-Based Dietary Guidelines among mothers/caregivers of children aged 12–36 months in the Stellenbosch Municipality in the Western Cape province, South Africa 在南非西开普省Stellenbosch市,对12-36个月儿童的母亲/照顾者进行南非儿童食品膳食指南修订草案的现场测试
IF 1.1 Q3 Medicine Pub Date : 2021-01-15 DOI: 10.1080/16070658.2020.1831199
S. Strydom, L. du Plessis, L. Daniels
Objective: To assess the appropriateness and understanding of the revised, draft South African Paediatric Food-Based Dietary Guidelines (SA-PFBDGs) among mothers/caregivers of children aged 12–36 months. Exposure to guidelines with similar messages, barriers and enablers to following of the guidelines were also assessed. Design: A descriptive cross-sectional qualitative study was conducted. Data were collected from nine focus-group discussions (FGDs) conducted in isiXhosa, English and Afrikaans, resulting in 65 participants, 20 from formal areas and 45 from informal areas. Setting: Stellenbosch Municipality (Stellenbosch, Pniel and Franschhoek) Subjects: The study population included mothers/caregivers older than 18 years, who consented to participate. Results: This study revealed that participants expressed a general understanding of the core messages contained in the revised, draft SA-PFBDGs. Misinterpretation arose regarding certain guidelines as a result of ambiguity. Participants were familiar with and recognised the majority of the concepts conveyed owing to previous exposure, mostly from healthcare facilities and the media. Financial constraints were identified as the biggest barrier to following the guidelines, while perceived enablers included receiving education on the guidelines as well as visual portrayal thereof. Conclusion: Following field-testing, it is clear that the draft, revised SA-PFBDGs for the age group 12–36 months are appropriate. Minor rewording is required to enhance understanding. Effective dissemination of the guidelines through multiple communication platforms is recommended.
目的:评估修订后的南非儿童食品膳食指南草案(SA PFBDG)在12-16个月儿童的母亲/照顾者中的适用性和理解程度。还评估了接触具有类似信息的指导方针、障碍和遵循指导方针的促成因素。设计:进行描述性横断面定性研究。数据是从用伊西科萨语、英语和南非荷兰语进行的九次焦点小组讨论中收集的,共有65名参与者,20名来自正式领域,45名来自非正式领域。背景:斯泰伦博斯市(斯泰伦博斯赫、普尼尔和弗兰施霍克)受试者:研究人群包括同意参与的18岁以上的母亲/照顾者。结果:这项研究表明,参与者对修订后的SA PFBDG草案中包含的核心信息有了大致的理解。由于含糊不清,对某些准则产生了误解。参与者熟悉并认可由于之前的接触而传达的大多数概念,主要来自医疗机构和媒体。财政限制被认为是遵守指导方针的最大障碍,而被认为是推动因素包括接受有关指导方针的教育以及对指导方针的直观描述。结论:经过实地测试,很明显,修订后的SA PFBDG草案适用于12-36个月年龄组。需要进行细微的改写以增进理解。建议通过多个交流平台有效传播准则。
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引用次数: 2
期刊
South African Journal of Clinical Nutrition
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