Nutrition Education: Strategies for Improving Nutrition and Healthy Eating in Individuals and Communities

Informations

• Publié par: S. Karger AG
• Date de parution: 28 novembre 2019
• Nombre de lectures: 1
• EAN13: 9783318065282
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Nestlé Nutrition Institute Workshop Series |Vol. 92

Nutrition Education: Strategies for Improving Nutrition and Healthy Eating in Individuals and Communities

– Maureen M. Black – Helen K. Delichatsios – Mary T. Story

Nutrition Education: Strategies for Improving Nutrition and Healthy Eating in Individuals and Communities

Nestlé Nutrition Institute Workshop Series Vol. 92

Nutrition Education: Strategies for Improving Nutrition and Healthy Eating in Individuals and Communities

Editors Maureen M. Black Baltimore, MD/Triangle Park, NC Helen K. Delichatsios Boston, MA Mary T. Story Durham, NC

© 2020 Nestlé Nutrition Institute, Switzerland CH 1814 La TourdePeilz S. Karger AG, P.O. Box, CH–4009 Basel (Switzerland) www.karger.com

Library of Congress CataloginginPublication Data

Names: Nestlé Nutrition Workshop (92nd : 2018 : Lausanne, Switzerland),  author. | Black, Maureen M., editor. | Delichatsios, Helen K., editor. |  Story, Mary T., editor. | Nestlé Nutrition Institute, issuing body. Title: Nutrition education : strategies for improving nutrition and healthy  eating in individuals and communities / editors, Maureen M. Black, Helen  K. Delichatsios, Mary T. Story. Other titles: Nestlé Nutrition Institute workshop series ; v. 92.  16642147 Description: Basel ; New York : Karger ; Switzerland : Nestlé Nutrition  Institute, [2020] | Series: Nestlé Nutrition Institute workshop series,  16642147 ; vol. 92 | Includes bibliographical references and index. |  Summary: “This book explores nutrition education and how leverage it to  drive healthy food choices for a better quality of life. Nutrition  education may be defined as a combination of educational tactics  accompanied by physical or environmental supports, whose purpose is to  encourage the voluntary adoption of foods and other lifestyle behaviors  that are beneficial for health” Provided by publisher. Identifiers: LCCN 2019048188 (print) | LCCN 2019048189 (ebook) | ISBN  9783318065275 (hardcover ; alk. paper) | ISBN 9783318065282 (ebook) Subjects: MESH: Nutritional Physiological Phenomena | Health  Educationmethods | Nutritional Scienceseducation | Nutrition Policy  | Congress Classification: LCC RA784 (print) | LCC RA784 (ebook) | NLM W1 NE228D  v.92 2017 | DDC 613.2071dc23 LC record available at https://lccn.loc.gov/2019048188 LC ebook record available at https://lccn.loc.gov/2019048189

The material contained in this volume was submitted as previously unpublished material, except in the instances in which credit has been given to the source from which some of the illustrative material was derived.  Great care has been taken to maintain the accuracy of the information contained in the volume. However, neither Nestlé Nutrition Institute nor S. Karger AG can be held responsible for errors or for any consequences arising from the use of the information contained herein. © 2020 Nestlé Nutrition Institute (Switzerland) and S. Karger AG, Basel (Switzerland). All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, or recording, or otherwise, without the written permission of the publisher.

Printed on acidfree and nonaging paper (ISO 9706) ISBN 978–3–318–06527–5 eISBN 978–3–318–06528–2 ISSN 1664–2147 eISSN 1664–2155

Basel ∙ Freiburg ∙ Paris ∙ London ∙ New York ∙ Chennai ∙ New Delhi ∙ Bangkok ∙ Beijing ∙ Shanghai ∙ Tokyo ∙ Kuala Lumpur ∙ Singapore ∙ Sydney

Contents

 VII  Preface  IX  Foreword  XI  Contributors

 Nutrition Education to Optimize Healthy Growth and Development in the First 1,000 Days  1 Education: Application of Theory and Strategies during the Nutrition First 1,000 Days for Healthy Growth  Dattilo, A.M. (Switzerland); Saavedra, J.M. (USA)  19  Nutrition Education during the Preconception Period  Ramakrishnan, U. (USA)  31 Nutrition Education: Updates and Best Practices for Optimal Prenatal Diet and Weight Gain During Pregnancy  SiegaRiz, A.M.; Constantoulakis, L. (USA)  41 Appetite Cues in Infancy: A Role for Nutrition Education Reading  Hetherington, M.M.; McNally, J. (UK)  53  Nurturing Care Framework and Implementation Science: Promoting Nutrition, Health and Development among Infants and Toddlers Globally  Black, M.M. (USA)  65  Summary: Nutrition Education to Optimize Healthy Growth and Development for the First 1,000 Days  Black, M.M. (USA)

 Nutrition Education in Child Care, Schools, and Community Settings  69 Healthy Eating: Synergistic Effects of Nutrition Education Supporting Paired with Policy, Systems, and Environmental Changes  Story, M.T.; Duffy, E. (USA)  83 Opportunities to Improve Nutrition in Child Care Settings MultiLevel  Ward, D.S.; Vaughn, A.E. (USA)

V

 95 and Nutrition Education, Policy and Training in the UK Food  Ballam, R. (UK) 107 Policies Designed to Change the Food Environment to Nutrition Improve Diet and Health of the Population  Crawford, P.B. (USA) 119 Case Study: Government Policies on Nutrition Education Philippines  Capanzana, M.V.; Aguila, D.V. (Philippines) 131 Nutrition Education in Child Care, Schools and Community Summary: Settings  Story, M.T. (USA)

 Nutrition Education for Health Care Professionals 133  Counterbalancing the Uncertainties of Medical Nutrition Education with Effective Online Instruction  Kohlmeier, M. (USA) 143 NNEdPro Global Centre for Nutrition and Health: A Consolidated The Review of Global Efforts Towards Medical and HealthcareRelated Nutrition Education  Ray, S. (UK) 151  Update on Nutrition, Metabolism, and Lifestyle Curricula for Medical Education, Research, and Practice: USA  Lenders, C.M.; Twillman, G.B. (USA) 161  Culinary Medicine Basics and Applications in Medical Education in the United States  Hauser, M.E. (USA) 171  Integrating Nutrition Education into Clinical Practice  Delichatsios, H.K.; Pittas, A.G. (USA) 183  Summary: Nutrition Education of Health Professionals  Delichatsios, H.K. (USA)

185 Index Subject

For more information on related publications, please consult the NNI website: www.nestlenutrition-institute.org

VI

Contents

Preface

Nutrition education, as defined by Dr. Isobel Contento a leader in the field, is “any combination of educational strategies, accompanied by environmental supports, designed to facilitate voluntary adoption of food choices and other food and nutrition-related behaviors conducive to health and well-being. It is delivered through multiple venues and involves activities at the individual, com- 1 munity, and appropriate policy levels.” Nutrition education is an evidence- based, cost-effective way to improve health outcomes and foster healthy eating habits throughout life. In our rapidly changing world, nutrition education continues to be of para- mount importance. We all need to know how to eat well to optimize our health and prevent disease. Behavioral strategies are needed to motivate and give indi- viduals and families the capacity and food skills to adopt healthy lifestyle behav- iors. Further, individual behavior to make healthy choices requires a supportive physical environment with accessible and affordable healthy food choices. Meaningful solutions to improve diet must take into account effective behav- ioral strategies and also the need for environmental and policy support. This workshop addressed nutrition education and strategies for improving nutrition and healthy eating in 3 different contexts: nutrition education in the first 1,000 days; nutrition education in child care, schools, and community settings; and nutrition education for healthcare professionals. The first 1,000 days (from conception to age 24 months) is a foundational pe- riod that lays the groundwork for health, growth, and development throughout life. This workshop uses a developmental perspective to examine nutrition edu- cation, beginning with maternal nutrition prior to conception and extending to the prenatal period, and then encompassing the first 2 years of the postnatal pe- riod. Nutrition education has to address the rapidly changing nutritional require-

1 Contento IR. Nutrition Education: Linking Research, Theory, and Practice, Third Edition, Burlington, MA: Jones & Bartlett Learning, LLC, 2016.

VII

ments for infants and toddlers, including breast feeding and complementary feeding. In addition to nutritional requirements, children’s eating and regulatory skills are also emerging, along with their ability to signal hunger and satiety. Thus, nutrition education includes not only nutritional requirements, but also feeding behavior, mealtime patterns, and caregivers’ responses to children’s sig- nals. The workshop highlights nutrition education as a central component of the Nurturing Care Framework and the importance of ensuring supportive enabling environments, extending from the home to communities and policies. Improving dietary patterns and overall health will require a sustained multi- sector commitment beginning prior to pregnancy and continuing throughout the life course, and which addresses not only individual behaviors, but also the environmental context and conditions in which people live and make choices. Individual behavior change is difficult to achieve without addressing the context in which people make decisions. Significant steps are needed to make healthful food choices available, identifiable, and affordable to people no matter where they live. Our goals should be to structure neighborhoods, homes, and institu- tional environments so that healthy behaviors are the optimal defaults. In this workshop, we include nutrition education strategies in place-based settings where individuals and families spend much of their time – childcare centers, schools, and communities. Parallels in challenges and strategies are applicable to nutrition education of health professionals, along with nutrition’s role in prevention and healing pro- cesses. Nutrition education is one of the many topics that need to be taught to healthcare professionals. This workshop presents creative strategies to incorpo- rate nutrition education into medical school curricula, including online educa- tion, flipped classrooms, integrated longitudinal curricula, culinary skills train- ing, and nutritional assessment on boards exams. Strategies to incorporate nu- trition education into continuing education can enable practicing physicians and professionals in healthcare to integrate nutrition education into their rec- ommendations, thereby supporting the health-promoting aspects of nutrition to patients and families.

VIII

Maureen M. Black Helen K. Delichatsios Mary T. Story

Black ∙ Delichatsios ∙ Story

Foreword

There has been a tremendous shift in the quantity and quality of the human diet over the last decades. On the one hand, nutritious food is more readily available, resulting in improved nutrition and the opportunity for better health. However, on the other hand, there is a higher consumption of saturated fats, salt, and sug- ar. Despite increased overall wealth, there remains a health disparity, particu- larly in low-income populations in developing countries, giving rise to the dou- ble burden of obesity and malnutrition. Indeed, data from the latest WHO/UNI- CEF/World Bank Joint Child Malnutrition Estimates indicate that around 155 million children under the age of 5 years are stunted, 41 million are overweight, and 52 million are wasted. Furthermore, developed countries are also witnessing a dramatic rise in diet-related disorders, such as cardiovascular disease and type 2 diabetes. Despite the explosion of information on diet, health, and nutrition, changing an individual’s eating habits is a difficult task. We now have a better knowledge of the forces that shape a person’s eating behavior, and it is high time to leverage nutrition education to drive healthy food choices for a better quality of life. The importance of nutrition education as an integral part of day-to-day life was in the centerpiece of the 92nd Nestlé Nutrition Institute Workshop “Nu- trition Education: Strategies for Improving Nutrition and Healthy Eating in Individuals and Communities,” which took place in Lausanne in September 2018. Nutrition education may be defined as a combination of educational tactics accompanied by physical or environmental supports, whose purpose is to en- courage the voluntary adoption of foods and other lifestyle behaviors that are beneficial for health. The first session on Nutrition education to optimize healthy growth and development during the first 1,000 days, led by Prof. Maureen M. Black, took an in-depth look at what nutrition education really is and how it can be used to influence different target populations, including women, girls, and young children. The second session on the importance of nutrition education in

IX