Journal of Food and Nutrition Research
ISSN (Print): 2333-1119 ISSN (Online): 2333-1240 Website: http://www.sciepub.com/journal/jfnr Editor-in-chief: Prabhat Kumar Mandal
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Journal of Food and Nutrition Research. 2018, 6(4), 250-255
DOI: 10.12691/jfnr-6-4-7
Open AccessArticle

Childhood Obesity and Quality of Meals: The Saudi School Meal and Home Meal Study SSMHMS – A Cross Sectional Study

Noura M S Eid1, , Abeer AlJahdali1, Eram Albajri1 and Manal Naseeb1

1Faculty of Applied Medical Sciences, Department of Clinical Nutrition, King Abdulaziz University, Jeddah, Saudi Arabia

Pub. Date: April 27, 2018

Cite this paper:
Noura M S Eid, Abeer AlJahdali, Eram Albajri and Manal Naseeb. Childhood Obesity and Quality of Meals: The Saudi School Meal and Home Meal Study SSMHMS – A Cross Sectional Study. Journal of Food and Nutrition Research. 2018; 6(4):250-255. doi: 10.12691/jfnr-6-4-7

Abstract

Epidemiological studies have shown a strong association between childhood obesity and quality of food consumed in schools and at home as well. The objectives of this study are to assess quality of school meals and home meals of children between the age 3 to 5 years old, and their obesity level. A cross sectional study conducted on one hundred and thirty children (3-6 years of age; 73 boys and 57 girls) of a private preschool in Jeddah city .Firstly we assessed children weights using anthropometric measurements (height, weight, BMI, IBW/Age, IHT/Age). Secondly Schools meals were analyzed using the USD super tracker (food analysis program) and dietary intakes using both FFQs and 2-day food records to be filled by mothers. We also assessed mother’s knowledge, using a questionnaire. Statistical analysis was conducted using SPSS program by applying one way ANOVA using the LSD test and univariate ANOVA test. Data have shown that the prevalence of normal weight, underweight and overweight of the subjects were 66.1%, 6.7% 26.3% respectively. Results showed a significant difference between normal weight student and overweight (p≥ 0.001) and a significant difference between underweight student (p≥ 0.001) and overweight student. Also, there was a significant difference between underweight student and normal weight student (p≥ 0.001). School meal analysis results indicated that the total calories on breakfast are slightly low (23% of total requirement) but the total calories in lunch are slightly high (40% of total requirement) comparing to RDA. Protein content was at the normal range, whereas carbohydrates and saturated fat were at the higher level at lunch (>7%). Finally, responses from mothers on child’s home meals were zero. In conclusion, the current study showed that 27% of children were overweight, and meals did not meet the RDA with carbohydrate and fat and lack of interest with mothers to be involved in child nutrition. Such data suggests an increase in the awareness of nutrition and health to staff responsible of preparing meals at schools, teachers and mothers to prevent childhood obesity.

Keywords:
obesity childhood school meals home meals mothers

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References:

[1]  Baranowski T, Taveras EM. Childhood Obesity Prevention: Changing the Focus. Childhood Obesity. 2018; 14(1): 1-3.
 
[2]  Al-Kadi A, Malik A, M.,, Mansour A, E. Rising incidence of obesity in Saudi residents. A threatening challenge for the surgeons. International Journal of Health Sciences. 2018;12(1).
 
[3]  Saklayen MG. The Global Epidemic of the Metabolic Syndrome. Current hypertension reports. 2018; 20(2): 12.
 
[4]  Greydanus DE, Agana M, Kamboj MK, Shebrain S, Soares N, Eke R, et al. Pediatric obesity: Current concepts. Disease-a-month: DM. 2018.
 
[5]  Araujo MC, Baltar VT, Yokoo EM, Sichieri R. The association between obesity and race among Brazilian adults is dependent on sex and socio-economic status. Public health nutrition. 2018: 1-7.
 
[6]  Balikcioglu P.G. NCB. Metabolomic Signatures and Metabolic Complications in Childhood Obesity. Pediatric Obesity. Contemporary Endocrinology. M. F, editor: Humana Press, Cham; 2018.
 
[7]  Pollock BD, Harville EW, Mills KT, Tang W, Chen W, Bazzano LA. Cardiovascular Risk and the American Dream: Life Course Observations From the BHS (Bogalusa Heart Study). Journal of the American Heart Association. 2018; 7(3).
 
[8]  Flint SW, Nobles J, Gately P, Sahota P. Weight stigma and discrimination: a call to the media. The lancet Diabetes & endocrinology. 2018; 6(3): 169-70.
 
[9]  Hussain Gadelkarim Ahmed IAG, Abdelbaset Mohamed Elasbali, Ibraheem M. Ashankyty, and Awdah M. Al-hazimi. Prevalence of Obesity in Hail Region, KSA: In a Comprehensive Survey Journal of Obesity,. 2014.
 
[10]  Nohair SAL, Mohaimeed AAL, Sharaf F, Naeem Z, Midhet F, Homaidan HAL, et al. Risk profile of coronary heart disease among the staff members of Qassim University, Saudi Arabia. International Journal of Health Sciences. 2017; 11(1): 1-5.
 
[11]  Williams A, de Vlieger N, Young M, Jensen ME, Burrows TL, Morgan PJ, et al. Dietary outcomes of overweight fathers and their children in the Healthy Dads, Healthy Kids community randomised controlled trial. Journal of human nutrition and dietetics: the official journal of the British Dietetic Association. 2018.
 
[12]  Harrison M, Brodribb W, Davies PSW, Hepworth J. Impact of Maternal Infant Weight Perception on Infant Feeding and Dietary Intake. Maternal and child health journal. 2018.
 
[13]  Petraviciene I, Grazuleviciene R, Andrusaityte S, Dedele A, Nieuwenhuijsen MJ. Impact of the Social and Natural Environment on Preschool-Age Children Weight. International journal of environmental research and public health. 2018; 15(3).
 
[14]  Davison KK, Kitos N, Aftosmes-Tobio A, Ash T, Agaronov A, Sepulveda M, et al. The forgotten parent: Fathers' representation in family interventions to prevent childhood obesity. Preventive Medicine. 2018.
 
[15]  Mauskopf SS, O'Leary AK, Banihashemi A, Weiner M, Cookston JT. Divorce and eating behaviors: a 5-day within-subject study of preadolescent obesity risk. Childhood obesity (Print). 2015; 11(2): 122-9.
 
[16]  Yannakoulia M, Papanikolaou K, Hatzopoulou I, Efstathiou E, Papoutsakis C, Dedoussis GV. Association between family divorce and children's BMI and meal patterns: the GENDAI Study. Obesity (Silver Spring, Md). 2008; 16(6): 1382-7.
 
[17]  Andreyeva T, Kenney EL, O'Connell M, Sun X, Henderson KE. Predictors of Nutrition Quality in Early Child Education Settings in Connecticut. Journal of nutrition education and behavior. 2018.
 
[18]  The role of school and community in obesity control. Public health nutrition. 2012;15(8A): 1522-3.
 
[19]  Vieux F, Dubois C, Duchene C, Darmon N. Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes. Nutrients. 2018; 10(2).
 
[20]  Lally P, Cooke L, McGowan L, Croker H, Bartle N, Wardle J. Parents’ misperceptions of social norms for pre-school children's snacking behaviour. Public health nutrition. 2012; 15(9): 1678-82.
 
[21]  Anderson AS, Porteous LEG, Foster E, Higgins C, Stead M, Hetherington M, et al. The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public health nutrition. 2005; 8(6): 650-6.
 
[22]  Peterson C. Investigating the historic long-term population health impact of the US National School Lunch Program. Public health nutrition. 2014; 17(12): 2783-9.
 
[23]  Berge JM, Truesdale KP, Sherwood NE, Mitchell N, Heerman WJ, Barkin S, et al. Beyond the dinner table: who's having breakfast, lunch and dinner family meals and which meals are associated with better diet quality and BMI in pre-school children? Public health nutrition. 2017; 20(18): 3275-84.
 
[24]  Krueger EB, Eggett DL, Stokes N. Teacher Perceptions and Preferences for 5 School Breakfast Program Models. Journal of nutrition education and behavior. 2018.
 
[25]  Blondin SA, Goldberg JP, Cash SB, Griffin TS, Economos CD. Factors Influencing Fluid Milk Waste in a Breakfast in the Classroom School Breakfast Program. Journal of nutrition education and behavior. 2018.
 
[26]  Kawabata M, Chua KL, Chatzisarantis NLD. A school-based intervention program in promoting leisure-time physical activity: trial protocol. BMC public health. 2018; 18(1): 433.
 
[27]  Diet and Physical Activity Program 2015 [Available from: https://www.moh.gov.sa/endepts/Non-Communicable/Depts/DPAS/Pages/Activities.aspx.
 
[28]  Statistics and Indicators: Health Information Survey: Obesity 2017.
 
[29]  Al-Jaaly E, Lawson M, Hesketh T. Overweight and its determinants in adOlescent girls in Jeddah city, saudi arabia. International Journal of Food, Nutrition and Public Health. 2011; 4(2).
 
[30]  AL-Dossary S, Sarkis, P., Hassan, A., Ezz El Regal, M., Fouda, A.,. Obesity in Saudi children: a dangerous reality. Eastern Mediterranean Health Journal. 2010; 16(9).
 
[31]  H.Holben. MABaD. Community Nutrition in Action. An Entrepreneurial Approach. edition t, editor 2013.
 
[32]  Bahaa A. Abalkhail SS, Nadia K. Soliman. Validity of self-reported weight and height among Saudi school children and adolescents. Saudi Medical Journal 2002; 23(7).
 
[33]  Almughamisi M, George T, Harding S. Prevalence of overweight and obesity among children and adolescents in Saudi Arabia. Proceedings of the Nutrition Society. 2017; 76(OCE4): E207.
 
[34]  El Mouzan MI, Foster PJ, Al Herbish AS, Al Salloum AA, Al Omer AA, Qurachi MM, et al. Prevalence of overweight and obesity in Saudi children and adolescents. Annals of Saudi Medicine. 2010; 30(3):203-8.
 
[35]  Tugault-Lafleur CN, Black JL, Barr SI. A Systematic Review of Methods to Assess Children’s Diets in the School Context. Advances in Nutrition. 2017; 8(1):63-79.
 
[36]  Ensaff H, Russell J, Barker ME. Meeting school food standards – students’ food choice and free school meals. Public health nutrition. 2013; 16(12):2162-8.
 
[37]  Nicklas TA, Liu Y, Stuff JE, Fisher JO, Mendoza JA, O'Neil CE. Characterizing lunch meals served and consumed by pre-school children in Head Start. Public health nutrition. 2013; 16(12): 2169-77.
 
[38]  Verity C, Worsley, A., Crawford, D.,. What are grade 5 and 6 children buying from school canteens and what do parents and teachers think about it? Nutrition & Dietetics. 2004; 61(3): 145-50.
 
[39]  Williams L, Campbell K, Abbott G, Crawford D, Ball K. Is maternal nutrition knowledge more strongly associated with the diets of mothers or their school-aged children? Public health nutrition. 2012; 15(8): 1396-401.
 
[40]  Michael J.Gibney BMM, Jhon M.Kearney and Lenore Arab Public Health Nutrition 10 ed. science B, editor2014.
 
[41]  Haraldsdóttir J, Holm L, Astrup AV, Halkjær J, Stender S. Monitoring of dietary changes by telephone interviews: results from Denmark. Public health nutrition. 2001; 4(6): 1287-95.
 
[42]  Taylor EaC, Diana Cuy,. The Feasibility of Using the Super Tracker Website for Behavior Changes in the Adolescent Population. Journal, Teaching, Research, and Media in Kinesiology. 2017.
 
[43]  Gorgulho BM, Pot GK, Sarti FM, Marchioni DM. Indices for the assessment of nutritional quality of meals: a systematic review. British Journal of Nutrition. 2016;115(11):2017-24.
 
[44]  Yabancı N, Kısaç İ, Karakuş SŞ. The Effects of Mother's Nutritional Knowledge on Attitudes and Behaviors of Children about Nutrition. Procedia - Social and Behavioral Sciences. 2014; 116: 4477-81.
 
[45]  Saaka M. Relationship between Mothers’ Nutritional Knowledge in Childcare Practices and the Growth of Children Living in Impoverished Rural Communities. Journal of Health, Population, and Nutrition. 2014;32(2):237-48.
 
[46]  Backholer K, Beauchamp A, Ball K, Turrell G, Martin J, Woods J, et al. A Framework for Evaluating the Impact of Obesity Prevention Strategies on Socioeconomic Inequalities in Weight. American Journal of Public Health. 2014; 104(10): e43-e50.
 
[47]  Mosli RH. Home Environment Characteristics and BMI Z-Score Among Saudi Preschool Children: A Feasibility Study. International Journal of Child Health and Nutrition. 2017.
 
[48]  Mosli RH, Lumeng JC, Kaciroti N, Peterson KE, Rosenblum K, Baylin A, et al. Higher weight status of only and last-born children. Maternal feeding and child eating behaviors as underlying processes among 4–8 year olds. Appetite. 2015; 92: 167-72.