Intervenção orientada a modificar práticas alimentares em adolescentes mexicanos
Publicado
Dec 11, 2018
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Pilar Ester Arroyo
http://orcid.org/0000-0002-6160-871X
Lorena Carrete
http://orcid.org/0000-0003-4088-013X
http://orcid.org/0000-0002-6160-871X
Lorena Carrete
http://orcid.org/0000-0003-4088-013X
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Resumo
O objetivo desta pesquisa foi avaliar a efetividade de uma intervenção educacional para promover práticas de alimentação saudável em adolescentes entre 11 e 12 anos, sob um enfoque de aprendizagem ativo. Nesta intervenção participaram adolescentes que cursavam o primeiro ano numa escola secundaria pública de renda média. A efetividade da intervenção foi avaliada em termos da alteração favorável da atitude para as refeições saudáveis, a auto-eficácia para escolher e balançar alimentos e o acréscimo do risco para a saúde que uma dieta não saudável envolve. A análise estatística dos dados indicou uma alteração significativa na atitude e risco percebido após a intervenção; no que diz respeito da auto-eficácia, a partir da aplicação de um modelo markoviano foi estimado quanto deveria durar a intervenção para maior percentagem de adolescentes se perceberem como auto eficazes na seleção da sua alimentação. Estes achados sustentam a proposta de uma modificação dos programas governamentais, para a criação de um ambiente saudável nas escolas de ensino fundamental e melhorar as competências dos alunos para seguir uma dieta balanceada, sim quebrar os padrões socioculturais e hábitos alimentares das famílias.
Keywords
obesity and overweight, government programs, public health, health behavior, adolescents, Mexicoobesidad y sobrepeso, programas de gobierno, salud pública, conductas saludables, adolescentes, Méxicoadolescents; Mexico, obesidade e sobrepeso, programas de governo, saúde pública, condutas saudáveis, adolescentes, México
References
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9. 9. Carrete-Lucero L, Arroyo-López PE, Villaseñor, R. Analysis of the socio-ecological environment to support the design of social marketing strategies to prevent overweight in children. Journal of Consumer Marketing. 2017;34(2):156-168.
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11. 11. Elsden-Clifton J, Futter-Puati D. Creating a health and sustainability nexus in food education: designing third spaces in teacher education. Australian Journal of Environmental Education. 2015;31(1):86–-98.
12. 12. Ayliffe B, Glanville NT. Achieving healthy body weight in teenagers. Evidence-based practice guidelines for community nutrition interventions. Canadian Journal of Dietetic Practice and Research. 2010;71:78-84.
13. 13. Van Cauwenberghe E, Maes L, Spittaels H, Van Lethe FJ, Brug J, Oppert JM, De Bourdeaudhuij I. Effectiveness of school-based interventions in Europe to promote healthy nutrition and adolescents: systematic review of published and grey literature. The British Journal of Nutrition. 2010;103:781-797.
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15. 15. Bandura A. Guide for constructing self-efficacy scales. En: Pajares F, Urdan T, editores. Self efficacy beliefs of adolescent. Greenwich, CT: Information Age Publishing; 1996:. p. 307–3-37.
16. 16. Ajzen I, Fishbein, M. The influence of attitudes on behavior. En: Albarracín D, Johnson BT, Zanna MP, editores. The handbook of attitudes. Mahwah, NJ: Erlbaum;2015:173-221.
17. 17. Rogers RW. A protection motivation theory of fear appeals an attitude change. The Journal of Psychology. 1975;91:93-114.
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19. 19. Schwarzer R. Self-efficacy in the adoption and maintenance of health behaviours: theoretical approaches and a new model. Self-efficacy: thought control of action. Washington DC: Hemisphere; 1992:. p. 243–2-71.
20. 20. Maddux JE, Brawley L, Boykin A. Self-efficacy and healthy behavior: Prevention, promotion and detection. Self-efficacy, adaptation and adjustment: Theory, research and application. New York NY: Plenum Press; 1995:. p. 173-202.
21. 21. Schwarzer R, Fuchs R. Self-efficacy and health behaviours. En: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. Buckingham UK: Open University Press;1995.
22. 22. Mai R, Hoffman S. Taste lovers versus nutrition fact seekers: How health consciousness and self-efficacy determine the way consumers choose food products. Journal of Consumer Behaviour. 2012;11:316–3-28.
23. 23. Rausch-Herscovici C, Kowalski’s I. Obesidad Infantilinfantil. Una revisión de las intervenciones preventivas en escuelas. Revista Mexicana de Trastornos Alimentarios. 2015;6(2):143-151, 2015.
24. 24. Chan K, Tsang L. Promote healthy eating among adolescents: a Hong Kong study. Journal of Consumer Marketing. 2011;28(5):354-362.
25. 25. Gronhoj A, Bech-Larsen T, Chan K, Tsang L. Using theory of planned behavior to predict healthy eating among Danish adolescents. Health Education. 2012;113(1):4-17.
26. 26. Martens MK, Van-Assema P, Brug J. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12-14-year-old Dutch students. Public Health Nutrition. 2005;8(8):1258-1265.
27. 27. Asociación Mexicana de Agencias de Investigación y Opinión Pública. Niveles Socioeconómicos AMAI. 2017 [Internet]. Disponible en: http://nse.amai.org/nseamai2/http://nse.amai.org/nseamai2/.
28. 28. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 months post-intervention. AIDS Behavior. 2009;13(3):499–-508.
29. 29. Lerdboon P, Pham V, Green M, Riel R, Tho LH, Ha NTV, Kaljee LM. Strategies for developing gender-specific HIV prevention for adolescents in Vietnam. Journal of HIV/AIDS prevention Prevention & education Education for adolescents Adolescents & childrenChildren. 2009;20(5):384-398.
30. 30. Godínez-López D, Mondragón Ángeles A, Carmona MA, Valencia Albarrán J. Cultura de salud en adolescentes. Reporte no publicado. Escuela de Negocios y Humanidades, Tecnológico de Monterrey campus Toluca, Toluca, Mex. 2014.
31. 31. Schüz N, Eid M. Beyond the usual suspects: target group- and behavior-specific factors add to a theory-based sun protection intervention for teenagers, Journal of Behavioral Medicine. 2013;36:508–5-19.
32. 32. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentil of body mass index (wt/ht2) and triceps skinfold thickness. American Journal of Clinical Nutrition. 1991;53(4):839-846.
33. 33. CDC: Centers for diseases control and prevention. 2015 [internet]. Disponible en: http://www.cdc.gov/growthchartshttp://www.cdc.gov/growthcharts.
34. 34. Ko KM, Wu HH, Shieh JI. A framework of a Markov chain model approach to analyze service quality. Proceedings of the 12 International Conference on ISO 9000 and TQM (12-ICIT). Best Practices in Service Industry. Taiwan, RoC: National Chin-Yi University of Technology. ; 2007;. p. 1-11.
35. 35. Floyd DL, Prentice-Dunn S, Rogers RW. A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology. 2000;30:407-429.
36. 36. Pearson N, Ball K, Crawford D. Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. The British Journal of Nutrition. 2011;105:795-803.
37. 37. Wright K, Norris K, Newman GJ, Suro Z. Improving healthy dietary behaviors, nutrition knowledge, and self-efficacy among underserved school children with parent and community involvement. Childhood Obesity. 2012;8(4):347-56.
38. 38. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 month post-intervention. AIDS Behavior. 2009;13:499–-508.
39. 39. Mispireta, ML. Determinantes del sobrepeso y la obesidad en niños en edad escolar en Perú. Revista Peruana de Medicina Experimental y Salud Pública. 2012;29(3):361-5.
40. 40. Hemar Nicolas V, Ezan P, Gollety M, Guichard N, LJ. How do children learn eating practices? Beyond the nutritional information, the importance of social eating. Young Consumers: Insight and Ideas for Responsible Marketers. 2013;1(14):5-18.
41. 41. Pedersen S, Gronhoj A, Bech-Larsen T. Family members’ role in healthy-eating socialization based on a healthy-eating intervention. Young Consumers: Insight and Ideas for Responsible Marketers. 2012;13(3):208--223.
42. 42. Moore L, Silva-Sanigorski A, Moore SN. A socio-ecological perspective on behavioural interventions to influence food choice in schools: alternative, complementary or synergistic? Public Health Nutrition. 2013;16(6):1000-1005.
43. 43. Johnston LM, Matteson CL, Finegood DT. Systems science and obesity policy: a novel framework for analyzing and rethinking population-level planning. American Journal of Public Health Research. 2014;104(7):1270-1278.
44. 44. Nyberg G, Sundblom E, Norman A, Elinder LS. A healthy school start-parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention. BMC Public Health. 2011;11:185-192.
45. 45. Flynn MA, McNeil DA, Maloff B, Mutasingwa D, Wu M, Ford C, Tough SC. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obesity Reviews: an Official Journal of the International Association for the Study of Obesity. 2006;7(1):7-66.
46. 46. Aquino-Vivanco O, Aramburu A, Munares-García O, Gómez-Guizado G, García-Torres E, Donaires-Toscano F, Fiestas F. Intervenciones para el control del sobrepeso y obesidad en niños y adolescentes. Revista Peruana de Medicina Experimental y Salud Pública. 2013;30 (2):275-282.
2. 2. Han JC, Lawlor DA, Kimm SY. Childhood obesity–-2010: progress and challenges. The Lancet. 2010;375:1737-1748.
3. 3. Agenda Ciudadana en Iberoamérica. 8 temas y retos que enfrenta México. 2018 [Internet]. Disponible en: http://agendaiberoamericana.org/mexico/.
4. 4. Shamah-Levy T, Cuevas-Nasu L, Rivera-Dommarco J, Hernández-Ávila M. , (Coord.)coordinadores. Encuesta Nacional de Salud y Nutrición de Medio Camino. Resultados Nacionales 2016. Cuernavaca, México: Instituto Nacional de Salud Pública y Secretaría de Salud de México (MX), ); 2016.
5. 5. Dávila-Torres J, Gónzalez-Izquierdo JJ, Barrera-Cruz A. Panorama de la obesidad en México. Revista Médica del Instituto Mexicano del Seguro Social. 2015;53(2):240-249.
6. 6. Secretaría de Educación Pública. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el Sobrepeso y la Obesidad. Programa de Acción en el Contexto Escolar. Comisión Nacional de Libros de Texto Gratuitos. Cd.iudad de México: Secretaría de Educación Pública; 2010.
7. 7. Secretaría de Salud. Acuerdo Nacional para la Salud Alimentaria. Estrategia contra el Sobrepeso y la Obesidad. Cd.iudad de México: Secretaría de Salud; 2010.
8. 8. Arroyo-López PE, Carrete-Lucero L . Alcance de las acciones para prevenir sobrepeso y obesidad en adolescentes. El caso de escuelas públicas mexicanas. Revista Gerencia y Políticas de Salud. 2015;14 (28): 142-160.
9. 9. Carrete-Lucero L, Arroyo-López PE, Villaseñor, R. Analysis of the socio-ecological environment to support the design of social marketing strategies to prevent overweight in children. Journal of Consumer Marketing. 2017;34(2):156-168.
10. 10. Bastos T, Barros-Bezerra, JA. Aprender a comer, comiendo: análisis socio histórico de cuadernos sobre educación alimentaria y nutricional, 1938-1946. Revista Brasileira de História da Educação. 2016;16(3):164-192.
11. 11. Elsden-Clifton J, Futter-Puati D. Creating a health and sustainability nexus in food education: designing third spaces in teacher education. Australian Journal of Environmental Education. 2015;31(1):86–-98.
12. 12. Ayliffe B, Glanville NT. Achieving healthy body weight in teenagers. Evidence-based practice guidelines for community nutrition interventions. Canadian Journal of Dietetic Practice and Research. 2010;71:78-84.
13. 13. Van Cauwenberghe E, Maes L, Spittaels H, Van Lethe FJ, Brug J, Oppert JM, De Bourdeaudhuij I. Effectiveness of school-based interventions in Europe to promote healthy nutrition and adolescents: systematic review of published and grey literature. The British Journal of Nutrition. 2010;103:781-797.
14. 14. Bandura A. Self- efficacy in changing societies. Cambridge, UK: Cambridge University Press; 1995.
15. 15. Bandura A. Guide for constructing self-efficacy scales. En: Pajares F, Urdan T, editores. Self efficacy beliefs of adolescent. Greenwich, CT: Information Age Publishing; 1996:. p. 307–3-37.
16. 16. Ajzen I, Fishbein, M. The influence of attitudes on behavior. En: Albarracín D, Johnson BT, Zanna MP, editores. The handbook of attitudes. Mahwah, NJ: Erlbaum;2015:173-221.
17. 17. Rogers RW. A protection motivation theory of fear appeals an attitude change. The Journal of Psychology. 1975;91:93-114.
18. 18. Prochaska JO, DiClemente CC, Velicer WF, Rossi JS. Criticisms and concerns of the transtheoretical model in light of recent research. British Journal of Addiction. 1992;87(6): 825–82-8.
19. 19. Schwarzer R. Self-efficacy in the adoption and maintenance of health behaviours: theoretical approaches and a new model. Self-efficacy: thought control of action. Washington DC: Hemisphere; 1992:. p. 243–2-71.
20. 20. Maddux JE, Brawley L, Boykin A. Self-efficacy and healthy behavior: Prevention, promotion and detection. Self-efficacy, adaptation and adjustment: Theory, research and application. New York NY: Plenum Press; 1995:. p. 173-202.
21. 21. Schwarzer R, Fuchs R. Self-efficacy and health behaviours. En: Conner M, Norman P, editors. Predicting health behaviour: research and practice with social cognition models. Buckingham UK: Open University Press;1995.
22. 22. Mai R, Hoffman S. Taste lovers versus nutrition fact seekers: How health consciousness and self-efficacy determine the way consumers choose food products. Journal of Consumer Behaviour. 2012;11:316–3-28.
23. 23. Rausch-Herscovici C, Kowalski’s I. Obesidad Infantilinfantil. Una revisión de las intervenciones preventivas en escuelas. Revista Mexicana de Trastornos Alimentarios. 2015;6(2):143-151, 2015.
24. 24. Chan K, Tsang L. Promote healthy eating among adolescents: a Hong Kong study. Journal of Consumer Marketing. 2011;28(5):354-362.
25. 25. Gronhoj A, Bech-Larsen T, Chan K, Tsang L. Using theory of planned behavior to predict healthy eating among Danish adolescents. Health Education. 2012;113(1):4-17.
26. 26. Martens MK, Van-Assema P, Brug J. Why do adolescents eat what they eat? Personal and social environmental predictors of fruit, snack and breakfast consumption among 12-14-year-old Dutch students. Public Health Nutrition. 2005;8(8):1258-1265.
27. 27. Asociación Mexicana de Agencias de Investigación y Opinión Pública. Niveles Socioeconómicos AMAI. 2017 [Internet]. Disponible en: http://nse.amai.org/nseamai2/http://nse.amai.org/nseamai2/.
28. 28. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 months post-intervention. AIDS Behavior. 2009;13(3):499–-508.
29. 29. Lerdboon P, Pham V, Green M, Riel R, Tho LH, Ha NTV, Kaljee LM. Strategies for developing gender-specific HIV prevention for adolescents in Vietnam. Journal of HIV/AIDS prevention Prevention & education Education for adolescents Adolescents & childrenChildren. 2009;20(5):384-398.
30. 30. Godínez-López D, Mondragón Ángeles A, Carmona MA, Valencia Albarrán J. Cultura de salud en adolescentes. Reporte no publicado. Escuela de Negocios y Humanidades, Tecnológico de Monterrey campus Toluca, Toluca, Mex. 2014.
31. 31. Schüz N, Eid M. Beyond the usual suspects: target group- and behavior-specific factors add to a theory-based sun protection intervention for teenagers, Journal of Behavioral Medicine. 2013;36:508–5-19.
32. 32. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentil of body mass index (wt/ht2) and triceps skinfold thickness. American Journal of Clinical Nutrition. 1991;53(4):839-846.
33. 33. CDC: Centers for diseases control and prevention. 2015 [internet]. Disponible en: http://www.cdc.gov/growthchartshttp://www.cdc.gov/growthcharts.
34. 34. Ko KM, Wu HH, Shieh JI. A framework of a Markov chain model approach to analyze service quality. Proceedings of the 12 International Conference on ISO 9000 and TQM (12-ICIT). Best Practices in Service Industry. Taiwan, RoC: National Chin-Yi University of Technology. ; 2007;. p. 1-11.
35. 35. Floyd DL, Prentice-Dunn S, Rogers RW. A meta-analysis of research on protection motivation theory. Journal of Applied Social Psychology. 2000;30:407-429.
36. 36. Pearson N, Ball K, Crawford D. Predictors of changes in adolescents’ consumption of fruits, vegetables and energy-dense snacks. The British Journal of Nutrition. 2011;105:795-803.
37. 37. Wright K, Norris K, Newman GJ, Suro Z. Improving healthy dietary behaviors, nutrition knowledge, and self-efficacy among underserved school children with parent and community involvement. Childhood Obesity. 2012;8(4):347-56.
38. 38. Chen X, Lunn S, Deveaux L, Li X, Brathwaite N, Cottrell L, Stanton B. A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: Effect at 12 month post-intervention. AIDS Behavior. 2009;13:499–-508.
39. 39. Mispireta, ML. Determinantes del sobrepeso y la obesidad en niños en edad escolar en Perú. Revista Peruana de Medicina Experimental y Salud Pública. 2012;29(3):361-5.
40. 40. Hemar Nicolas V, Ezan P, Gollety M, Guichard N, LJ. How do children learn eating practices? Beyond the nutritional information, the importance of social eating. Young Consumers: Insight and Ideas for Responsible Marketers. 2013;1(14):5-18.
41. 41. Pedersen S, Gronhoj A, Bech-Larsen T. Family members’ role in healthy-eating socialization based on a healthy-eating intervention. Young Consumers: Insight and Ideas for Responsible Marketers. 2012;13(3):208--223.
42. 42. Moore L, Silva-Sanigorski A, Moore SN. A socio-ecological perspective on behavioural interventions to influence food choice in schools: alternative, complementary or synergistic? Public Health Nutrition. 2013;16(6):1000-1005.
43. 43. Johnston LM, Matteson CL, Finegood DT. Systems science and obesity policy: a novel framework for analyzing and rethinking population-level planning. American Journal of Public Health Research. 2014;104(7):1270-1278.
44. 44. Nyberg G, Sundblom E, Norman A, Elinder LS. A healthy school start-parental support to promote healthy dietary habits and physical activity in children: Design and evaluation of a cluster-randomised intervention. BMC Public Health. 2011;11:185-192.
45. 45. Flynn MA, McNeil DA, Maloff B, Mutasingwa D, Wu M, Ford C, Tough SC. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obesity Reviews: an Official Journal of the International Association for the Study of Obesity. 2006;7(1):7-66.
46. 46. Aquino-Vivanco O, Aramburu A, Munares-García O, Gómez-Guizado G, García-Torres E, Donaires-Toscano F, Fiestas F. Intervenciones para el control del sobrepeso y obesidad en niños y adolescentes. Revista Peruana de Medicina Experimental y Salud Pública. 2013;30 (2):275-282.
Como Citar
Arroyo, P. E., & Carrete, L. (2018). Intervenção orientada a modificar práticas alimentares em adolescentes mexicanos. Gerencia Y Políticas De Salud, 17(35). https://doi.org/10.11144/Javeriana.rgps17-35.iomp
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