学校综合干预对少女营养健康知识和营养状况改善的影响:一项准实验研究

S. Patimah, Sundari Sundari, H. Idrus, Reny Noviasty
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摘要

印度尼西亚的少女面临着营养不良的三重负担,这将损害下一代。本研究旨在评估学校整合干预对青春期少女营养健康知识和营养状况的影响。一项准实验研究设计涉及2021-2023年整个研究系列中的342名女性青少年。干预学校由训练有素的教师提供营养-健康教育,并在少女综合卫生站(Posyandu)提供营养-健康服务(n=262);比较者仅接受学校训练有素教师的营养健康教育(n=80)。通过人体测量和生化评估收集两组患者的营养健康知识(标准问卷)、营养素和膳食摄入量(2x24小时食品召回表和进食频率问卷)以及营养状况。营养健康知识的各个方面的平均值都有所增加。这种增加在干预组更高。干预学校的营养不良生物指标显著下降,包括贫血3.4%,慢性能量缺乏症(CED) 24.1%,严重发育迟缓0.8%,消瘦1.6%,但超重增加1.2%。在比较学校,只有CED显著下降26.2%,而贫血、严重发育不良、消瘦和超重显著增加。综上所述,在改善少女的营养健康知识和营养状况方面,学校综合干预比单独的营养教育更有效。
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Effect of School-Integrated Interventions on Improvement of Nutrition-Health Knowledge and Nutritional Status among Adolescent Girls: A Quasi-Experimental Study
Adolescent girls in Indonesia face triple burdens of malnutrition, which will harm the next generation. This study aimed to assess the efficacy of school-integrated interventions on nutrition-health knowledge and nutritional status among adolescent girls. A quasi-experimental study design involved 342 female adolescents in the entire study series from 2021-2023. The intervention school was provided nutrition-health education by trained teachers plus nutrition-health services at the Adolescent Girls’ Integrated Health Post (Posyandu) (n=262); the comparison only received nutrition-health education from trained teachers at their school (n=80). Nutrition-health knowledge (standard questionnaire), nutrients and dietary intake (food recall form 2x24 hours and food frequency questionnaire), and nutritional status were collected through anthropometric and biochemical assessments in both groups. There was an increase in the mean value of all aspects of nutrition-health knowledge. This increase was higher in the intervention group. The malnutrition biomarkers decreased significantly in the intervention school comprised of anemia was 3.4%, Chronic Energy Deficiency (CED) was 24.1%, severe stunted at 0.8%, and wasting at 1.6%, but overweight increased by 1.2%. In the comparison school, only CED decreased significantly by 26.2%, while anemia, severe stunting, wasting, and overweight increased significantly. In conclusion, school-integrated interventions were more effective than nutritional education alone in improving nutrition-health knowledge and nutritional status among adolescent girls.
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