Skip to main content Accessibility help
×
Home

Significant effects of implementation of health-promoting schools on schoolteachers’ nutrition knowledge and dietary intake in Taiwan

  • Yi-Hua Chen (a1), Ching-Ying Yeh (a1), Yu-Ming Lai (a1), Meei-Ling Shyu (a2), Kuo-Cherh Huang (a3) and Hung-Yi Chiou (a1)...

Abstract

Objective

Although teachers are the key participants in health-promoting schools (HPS) programme delivery, it is still unknown whether teachers are appropriate health information resources and role models for students with respect to healthy diets. The present study aimed to investigate the effects of implementing HPS programmes on teachers’ nutrition knowledge and diets.

Design

One HPS programme aiming at dietary intervention (HP-D) and one HPS not aiming at dietary intervention (HP-ND) were selected, along with two non-health-promoting (NHP) schools matched for school size and urbanization level with the two HPS. All 361 teachers in the four schools were invited to participate, yielding a 78·4 % overall valid response rate. A structured, self-reported questionnaire was administered, with regression models used for statistical analysis.

Results

Teachers in the HP-D group had a mean score of 21·1 on a range of 0–30 for nutrition knowledge, which was significantly higher than the mean scores of 18·5 in the HP-ND group and 19·1 in the NHP group (P < 0·001). Better dietary behaviours were also observed among HP-D teachers. Further, being a ‘health education’ course instructor was associated with significantly higher scores on nutrition knowledge (β = 2·6, P < 0·001) and vegetable and fruit consumption (β = 1·4, P = 0·02) in the HP-D group than in the NHP group. The HP-ND and NHP groups exhibited similar patterns of non-significant differences compared with the HP-D group.

Conclusions

Implementation of a coordinated HPS framework on nutrition and diet was positively correlated with schoolteachers’ nutrition knowledge and dietary intake.

    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Significant effects of implementation of health-promoting schools on schoolteachers’ nutrition knowledge and dietary intake in Taiwan
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Significant effects of implementation of health-promoting schools on schoolteachers’ nutrition knowledge and dietary intake in Taiwan
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Significant effects of implementation of health-promoting schools on schoolteachers’ nutrition knowledge and dietary intake in Taiwan
      Available formats
      ×

Copyright

Corresponding author

*Corresponding author: Email hychiou@tmu.edu.tw

References

Hide All
1.Moore, VM & Davies, MJ (2005) Diet during pregnancy, neonatal outcomes and later health. Reprod Fertil Dev 17, 341348.
2.Wright, CM, Parker, L, Lamont, D & Craft, AW (2001) Implications of childhood obesity for adult health: findings from Thousand Families Cohort Study. BMJ 323, 12801284.
3.Adams, LB (1997) An overview of adolescent eating behavior barriers to implementing dietary guidelines. Ann N Y Acad Sci 817, 3648.
4.Casagrande, SS, Wang, Y, Anderson, C & Gary, TL (2007) Have Americans increased their fruit and vegetable intake? The trends between 1988 and 2002. Am J Prev Med 32, 257263.
5.Department of Health (2006) Reports from the Nutritional Status of the Elderly and School Children in the Second Nutritional and Health Survey in Taiwan. Taiwan: Bureau of Health Promotion, Department of Health, Executive Yuan.
6.Janssen, I, Katzmarzyk, PT, Boyce, WF, Vereecken, C, Mulvihill, C, Roberts, C, Currie, C & Pickett, W; Health Behaviour in School-Aged Children Obesity Working Group (2005) Comparison of overweight and obesity prevalence in school-aged youth from 34 countries and their relationships with physical activity and dietary patterns. Obes Rev 6, 123132.
7.Starkey, LJ, Johnson-Down, L & Gray-Donald, K (2001) Food habits of Canadians: comparison of intakes in adults and adolescents to Canada’s food guide to healthy eating. Can J Diet Pract Res 62, 6169.
8.Baranowski, T, Davis, M, Resnicow, K, Baranowski, J, Doyle, C, Lin, LS, Smith, M & Wang, DT (2000) Gimme 5 fruit, juice, and vegetables for fun and health: outcome evaluation. Health Educ Behav 27, 96111.
9.Prell, HC, Berg, MC, Jonsson, LM & Lissner, L (2005) A school-based intervention to promote dietary change. J Adolesc Health 36, 529.
10.Von Post-Skagegard, M, Samuelson, G, Karlstrom, B, Mohsen, R, Berglund, L & Bratteby, LE (2002) Changes in food habits in healthy Swedish adolescents during the transition from adolescence to adulthood. Eur J Clin Nutr 56, 532538.
11.Alnasir, FA & Skerman, JH (2004) Schoolteachers’ knowledge of common health problems in Bahrain. East Mediterr Health J 10, 537546.
12.Cristina, PG (2006) Nutrition education in public elementary schools of Sao Paulo, Brazil: the Reducing Risks of Illness and Death in Adulthood project. Rev Nutr Campinas 19, 309320.
13.Kubik, MY, Lytle, LA, Hannan, PJ, Story, M & Perry, CL (2002) Food-related beliefs, eating behavior, and classroom food practices of middle school teachers. J Sch Health 72, 339345.
14.O’Dea, JA & Abraham, S (2001) Knowledge, beliefs, attitudes, and behaviors related to weight control, eating disorders, and body image in Australian trainee home economics and physical education teachers. J Nutr Educ 33, 332340.
15.Lynagh, M, Schofield, MJ & Sanson-Fisher, RW (1997) School health promotion programs over the past decade: a review of the smoking, alcohol and solar protection literature. Health Promot Int 12, 4360.
16.Nutbeam, D (1995) Exposing the myth. What schools can and cannot do to prevent tobacco use by young people. Promot Educ 2, 1114., 57.
17.Macdonald, G & Bunton, R (1992) Health Promotion: Disciplines and Diversity? London: Routledge.
18.World Health Organization (1986) The Ottawa Charter for Health Promotion. Ottawa: WHO Regional Office.
19.Levinger, B (1996) Nutrition, Health and Education For All. Newton and New York: Education Development Center, Inc. and United Nations Development Programme.
20.Pollitt, E (1990) Malnutrition and Infection in the Classroom. Paris: UNESCO.
21.Wardle, J, Haase, AM & Steptoe, A (2006) Body image and weight control in young adults: international comparisons in university students from 22 countries. Int J Obes (Lond) 30, 644651.
22.Leikas, S, Lindeman, M, Roininen, K & Lahteenmaki, L (2007) Food risk perceptions, gender, and individual differences in avoidance and approach motivation, intuitive and analytic thinking styles, and anxiety. Appetite 48, 232240.
23.Anderson, AS, Porteous, LE, Foster, E, Higgins, C, Stead, M, Hetherington, M, Ha, MA & Adamson, AJ (2005) The impact of a school-based nutrition education intervention on dietary intake and cognitive and attitudinal variables relating to fruits and vegetables. Public Health Nutr 8, 650656.
24.Moyses, ST, Moyses, SJ, Watt, RG & Sheiham, A (2003) Associations between health promoting schools’ policies and indicators of oral health in Brazil. Health Promot Int 18, 209218.
25.Schofield, MJ, Lynagh, M & Mishra, G (2003) Evaluation of a Health Promoting Schools program to reduce smoking in Australian secondary schools. Health Educ Res 18, 678692.
26.Sobczyk, W, Hazel, N, Reed, CD, Ciarroccki, B, Cohen, S & Varga, D (1995) Health Promotion Schools of Excellence: a model program for Kentucky and the nation. J Ky Med Assoc 93, 142147.
27.Turunen, H, Tossavainen, K, Jakonen, S, Salomaki, U & Vertio, H (1999) Initial results from the European Network of Health Promoting Schools program on development of health education in Finland. J Sch Health 69, 387391.
28.Shi-Chang, X, Xin-Wei, Z, Shui-Yang, X, Shu-Ming, T, Sen-Hai, Y, Aldinger, C & Glasauer, P (2004) Creating health-promoting schools in China with a focus on nutrition. Health Promot Int 19, 409418.
29.McQueen, D & Jones, C (2007) Global Perspectives on Health Promotion Effectiveness. New York: Springer Science and Business Media, LLC.
30.St Leger, L, Kobe, L, Lee, A, McCall, D & Young, I (2007) School health promotion: achievements, challenges and priorities. In Global Perspective on Health Promotion Effectiveness, pp. 107124 [D McQueen and C Jones, editors]. New York: Springer Science and Business Media, LLC.
31.Stewart-Brown, S (2006) What is the Evidence on School Health Promotion in Improving School Health or Preventing Disease and Specifically What is the Effectiveness of the Health Promoting Schools Approach? Copenhagen: WHO Regional Office for Europe.
32.Marshall, BJ, Sheehan, MM, Northfield, JR, Maher, S, Carlisle, R & Leger, LH (2000) School-based health promotion across Australia. J Sch Health 70, 251252.
33.Patton, GC, Bond, L, Carlin, JB, Thomas, L, Butler, H, Glover, S, Catalano, R & Bowes, G (2006) Promoting social inclusion in schools: a group-randomized trial of effects on student health risk behavior and well-being. Am J Public Health 96, 15821587.
34.Lin, V & Fawkes, S (2007) Health promotion in Australia: twenty years on from the Ottawa Charter. Promot Educ 14, 203208.
35.Ippolito-Shepherd, J, Cerqueira, MT & Ortega, DP (2005) Health-Promoting Schools Regional Initiative of the Americas. Promot Educ 12, 220229, 180.
36.Swart, D & Reddy, P (1999) Establishing networks for health promoting schools in South Africa. J Sch Health 69, 4750.
37.Mathee, A & Byrne, J (1996) Towards environment and health promoting South African schools. Urban Health Newsl, 4852.
38.Taylor, M, Coovadia, HM, Kvalsvig, JD, Jinabhai, CC & Reddy, P (1999) Helminth control as an entry point for health-promoting schools in KwaZulu-Natal. S Afr Med J 89, 273279.
39.Inchley, J, Muldoon, J & Currie, C (2007) Becoming a health promoting school: evaluating the process of effective implementation in Scotland. Health Promot Int 22, 6571.
40.Barnekow Rasmussen, V (2005) The European Network of Health Promoting schools – from Iceland to Kyrgyzstan. Promot Educ 12, 169172.
41.Lee, A, Cheng, FF, Yuen, H, Ho, M, Lo, A, Fung, Y & Leung, T (2007) Achieving good standards in health promoting schools: preliminary analysis one year after the implementation of the Hong Kong Healthy Schools Award scheme. Public Health 121, 752760.
42.Lee, A, St Leger, L & Moon, A (2005) Evaluating Health Promotion in Schools meeting the needs for education and health professionals: a case study of developing appropriate indictors and data collection methods in Hong Kong. Promot Educ 12, 123130.
43.Lee, A, Wong, MC, Keung, VM, Yuen, HS, Cheng, F & Mok, JS (2008) Can the concept of Health Promoting Schools help to improve students’ health knowledge and practices to combat the challenge of communicable diseases: case study in Hong Kong? BMC Public Health 8, 42.
44.Lee, A, Cheng, FF, Fung, Y & St Leger, L (2006) Can Health Promoting Schools contribute to the better health and wellbeing of young people? The Hong Kong experience. J Epidemiol Community Health 60, 530536.
45.Lee, A, St Leger, L & Cheng, FF (2007) The status of health-promoting schools in Hong Kong and implications for further development. Health Promot Int 22, 316326.
46.O’Brien, G & Davies, M (2007) Nutrition knowledge and body mass index. Health Educ Res 22, 571575.
47.Thakur, N & D’Amico, F (1999) Relationship of nutrition knowledge and obesity in adolescence. Fam Med 31, 122127.
48.Pirouznia, M (2000) The correlation between nutrition knowledge and eating behavior in an American school: the role of ethnicity. Nutr Health 14, 89107.
49.Shepherd, R & Stockley, L (1987) Nutrition knowledge, attitudes, and fat consumption. J Am Diet Assoc 87, 615619.
50.Stafleu, A, Van Staveren, WA, De Graaf, C, Burema, J & Hautvast, JG (1996) Nutrition knowledge and attitudes towards high-fat foods and low-fat alternatives in three generations of women. Eur J Clin Nutr 50, 3341.
51.Wardle, J, Parmenter, K & Waller, J (2000) Nutrition knowledge and food intake. Appetite 34, 269275.
52.Contento, IR, Basch, C & Zybert, P (2003) Body image, weight, and food choices of Latina women and their young children. J Nutr Educ Behav 35, 236248.
53.Macdonald, LA, Wearring, GA & Moase, O (1983) Factors affecting the dietary quality of adolescent girls. J Am Diet Assoc 82, 260263.
54.Worsley, A (2002) Nutrition knowledge and food consumption: can nutrition knowledge change food behaviour? Asia Pac J Clin Nutr 11, Suppl. 3, S579S585.

Keywords

Significant effects of implementation of health-promoting schools on schoolteachers’ nutrition knowledge and dietary intake in Taiwan

  • Yi-Hua Chen (a1), Ching-Ying Yeh (a1), Yu-Ming Lai (a1), Meei-Ling Shyu (a2), Kuo-Cherh Huang (a3) and Hung-Yi Chiou (a1)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed