Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Interventions and public health nutrition

Assessment of high school learners’ familiarity with nutrition education principles

Abstract

Background/objectives

The objective of the study was to assess adolescent learners’ nutritional knowledge to suggest early intervention strategies that address knowledge deficiency gaps that have a negative impact on personal health and productivity.

Subjects/methods

A cross-sectional survey design was used in the study. One circuit was purposively selected from Pinetown District, KZN, South Africa. A representative sample of 108 learners was randomly selected from 7 of the 8 schools in the district to complete the investigator administered questionnaire between July and August 2017.

Results

Although the majority of learners were familiar with the nutrition education principles, a large proportion lacked the knowledge of essential nutrition and were in support of the incorporation of various strategies to promote nutrition education. Friedman test revealed significant differences, χ2 (3) = 192.4, p < 0.001, between the mean rank scores of familiarity to different nutrition principles. Relative to other principles, balanced diet and food groups were the most critical issues. The overall mean of 3.7 for learners’ priority level on nutrition education principles indicated the learners’ view that knowledge of all principles was necessary for the attainment of a healthy lifestyle.

Conclusions

Many learners were not familiar with nutrition education principles. Hence this paper becomes very critical as it communicates the information to the community and suggests various nutrition education intervention strategies that have to be put in place in the school system to impart the necessary knowledge and skills that promote a long-term healthy lifestyle for the learners.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Vidgen HA, Gallegos D. Defining food literacy and its components. Appetite. 2014;76:50–9.

    PubMed  Google Scholar 

  2. Gregory CA, Coleman-Jensen A. Food insecurity, chronic disease, and health among working-age adults. Washington, DC: Economic Research Service, US Department of Agriculture; 2017.

    Google Scholar 

  3. Truman E, Elliott C. Barriers to food literacy: a conceptual model to explore factors inhibiting proficiency. J Nutr Educ Behav. 2018;51:107–11.

    PubMed  Google Scholar 

  4. Pengitore D, Fusco C. Eat yourself well with the reverse food guide: a workbook and guide for healthy living. Bell Crescent: Wheatmark; 2018.

    Google Scholar 

  5. Hardman A, Gill J, Stensel D. Physical activity and health: the evidence explained. Singapore: Routledge; 2019.

    Google Scholar 

  6. Savoie-Roskos MR, Coombs C, Neid-Avila J, Chipman J, Nelson S, Rowley L, et al. Create better health: a practical approach to improving cooking skills and food security. J Nutr Educ Behav. 2019;51:116–20.

    PubMed  Google Scholar 

  7. Fernandes M, Galloway R, Gelli A, Mumuni D, Hamndani S, Kiamba L, et al. Enhancing linkages between healthy diets, local agriculture and sustainable food system: the school meals planner package in Ghana. London: SAGE; 2016.

    Google Scholar 

  8. Dansa R, Reta F, Mulualem D, Henry CJ, Whiting SJ. A nutrition education intervention to increase consumption of pulses showed improved nutritional status of adolescent girls in Halaba Special District, Southern Ethiopia. Ecol Food Nutr. 2019;58:353–65.

    PubMed  Google Scholar 

  9. Burkhart S, Craven D. Digital workbooks in flipped nutrition education: student perspectives’. Educ Sci. 2020;10:1–10.

    Google Scholar 

  10. Holli BB, Beto JA. Nutrition counselling and education skills for dietetic professionals. 6th edn. Baltimore: Lippincott Williams and Wilkins; 2014.

    Google Scholar 

  11. Van den Berg VL, Albera BMM, Nel M, Walsh CM. Nutritional status of undergraduate healthcare students at the University of the Free State. S Afr Fam Pract. 2013;55:445–51.

    Google Scholar 

  12. Lacey G. Guidebook to education in the commonwealth. London: Commonwealth Secretariat; 2012.

    Google Scholar 

  13. Mnakwe NE. Community nutrition: planning health promotion and disease prevention. 2nd edn. Burlington: Jones and Barlett Learning; 2013.

    Google Scholar 

  14. Mushapi LF, Dannhauser A, Walsh CM, Mbhenyane XG, van Rooyen FC. Effect of nutrition education programme on the nutritional status of children aged 3–5 years in Limpopo Province in South Africa. S Afr J Child Health. 2015;9:98–102.

    Google Scholar 

  15. Temple NJ, Steyn N, (Eds). Community nutrition for developing countries. Athabasca, AB: University AU Press; 2016.

    Google Scholar 

  16. Department of Basic Education. National school nutrition programme. Pretoria: Department of Basic Education; 2014.

    Google Scholar 

  17. Adamu A, Adjei NKG, Kubuga CK. Effects of dietary patterns on the nutrition status of upper primary school children in tamale metropolis. Pak J Nutr. 2012;11:689–707.

    Google Scholar 

  18. Oldewage-Theron WH, Egal A. Impact of nutrition education on nutrition knowledge of public school educators in South Africa: a pilot study. Health SA Gesondheid. 2012;17:602–10.

    Google Scholar 

  19. Langsford C. Enough on our plate? The national school nutrition programme in two schools in Katlehong, South Africa. In: a dissertation submitted in partial fulfilment of the requirements for the degree of Master of Arts (Developmental Studies). Johannesburg: University of the Witwatersrand; 2012.

  20. Saribay KA, Kirbaş S. Determination of nutrition knowledge of adolescents engaged in sports. Univ J Educ Res. 2019;7:40–47.

    Google Scholar 

  21. Ozdogan Y, Yardiminci H, Ozcelik AO. Assessment of nutrition knowledge among university students in Ankara. J Sci Res Rep. 2018;20:1–8.

    Google Scholar 

  22. Mogre V, Stevens FCJ, Aryee PA, Amalba A, Scherpbier AJJA. Why nutrition education is inadequate in the medical curriculum: a qualitative study of students’ perspectives on barriers and strategies. BMC Med Educ. 2018;18:1130–5.

    Google Scholar 

  23. Krupa R, Leema J, Liby K, Linsha K, Maria A, Maria G, et al. Balanced diet: knowledge and practice of adolescents. Indian J Public Health Res Dev. 2020;11:114–8.

    Google Scholar 

  24. Geeta A, Mishra S. Effects of junk food and beverages on adolescents’ health: a review article. J Nursing Health Sci. 2013;1:26–32.

    Google Scholar 

  25. Creswell JW. Research design: qualitative, quantitative, and mixed methods approach. 4th ed. London: SAGE Publications Ltd; 2014.

    Google Scholar 

  26. Ling L, Ling P, (Eds.). Methods and paradigms in education research. Hershey: IGI Global; 2017.

    Google Scholar 

  27. Teddlie C, Tashakkori A. Foundations of mixed method research: integrating quantitative and qualitative approaches in the social and behavioural sciences. London: Sage Publication, Inc.; 2009.

    Google Scholar 

  28. Ryan TP. Sample size determination and power. NJ: John Wiley & Sons; 2013.

    Google Scholar 

  29. Medeiros IMS, Lima SG, de Almeida Maffi B, de Lima Abadia L, Martins FA, Dalamaria T, et al. Inadequacies in good manufacturing practices and high health risks are still problems in food production in public preschools and day-cares in Rio Branco, Acre, Western Brazilian Amazonia. Adv Food Technol Nutr Sci Open J. 2015;1:S38–46.

    Google Scholar 

  30. Maijers W, Nalla VR.Analysis of supply chain studies for home grown school feeding. Procurement governance for home grown school feeding project learning series #2. Alkmaar: Netherland Development Organisation; 2014.

    Google Scholar 

  31. Okae-Adjei S, Akuffo B, Amartei C. Ghana’s school feeding programme in perspective: a case study of the Akuapem North Municipality in the Eastern Region. Int J Technol Manag Res. 2016;1:31–41.

    Google Scholar 

  32. Rendall-Mkosi K, Wenhold F, Sibanda NB. Case study of the national school nutrition programme in South Africa London: Partnership for Child Development, University of Pretoria; 2013.

    Google Scholar 

  33. Cacioppo JT, Freberg LA. Discovering psychology: the science of mind. San Luis Obispo: Cengage Learning; 2019.

    Google Scholar 

  34. Wadhera D, Capaldi-Phillips ED. A review of visual cues associated with food acceptance and consumption. Eat Behav. 2014;15:132–43.

    PubMed  Google Scholar 

  35. Hochfeld T, Graham L, Stuart L, Gent MY. Evaluation study of the national school nutrition programme and the tiger brands foundation in-school breakfast feeding programme in the Lady Frère and Qumbu Districts of the Eastern Cape. Johannesburg: Centre for Social Development in Africa, University of Johannesburg; 2015.

  36. Craigie AM, Lake AA, Kelly SA, Adamson AJ, Mathers JC. Tracking of obesity-related behaviours from childhood to adulthood: a systematic review. Maturitas. 2011;70:266–84.

    PubMed  Google Scholar 

  37. Tamiru D, Argaw A, Gerbaba M, Nigussie A, Ayana G, Belachew T. Improving dietary diversity of school adolescents through school-based nutrition education and home gardening in Jimma Zone: quasi-experimental design. Eat Behav. 2016;23:180–6.

    PubMed  Google Scholar 

  38. Cenić D, Petrović J, Cenić S. The most important motivation factors for knowledge acquisition and successful learning. Facta Univ. 2018;2:149–59.

    Google Scholar 

  39. Friend S, Flattum CF, Simpson D, Nederhoff DM, Neumark-sztainer D. The researchers have left the building: what contributes to sustaining school-based interventions following the conclusion of formal research support? J Sch Health. 2014;84:326–33.

    PubMed  PubMed Central  Google Scholar 

  40. Nayak BS, Bhat VH. School-based multicomponent intervention for obese children in Udupi district, South India—a randomised controlled trial. J Clin Diagn Res. 2016;10:SC24–8.

    PubMed  PubMed Central  Google Scholar 

  41. Bergström H, Haggård U, Norman Å, Sundblom E, Elinder LS, Nyberg G. Factors influencing the implementation of a school-based parental support programme to promote health-related behaviours-interviews with teachers and parents. BMC Public Health. 2015;15:541.

    PubMed  PubMed Central  Google Scholar 

  42. Kupolati MD, Gericke GJ, Maclntyre UE. Teachers’ perceptions of nutrition education influence on eating behaviours of learners in the Bronkhorstspruit District South Africa. S Afr J Educ. 2015;35:1–10.

    Google Scholar 

  43. Ickes S, Mahoney E, Roberts A, Dolan C. Parental involvement in a school-based child physical activity and nutrition program in Southeastern United States—a qualitative analysis of parenting capacities. Health Promot Pract. 2016;17:285–96.

    PubMed  Google Scholar 

  44. Nyberg G, Norman A, Sundblom E, Zeebari Z, Elinder LS. Effectiveness of a universal parental support programme to promote healthy behaviours and prevent overweight and obesity in 6-year-old children in disadvantaged areas, the Healthy School Start Study II, a cluster-randomised controlled trial. Int J Behav Nutr Phys Act. 2016;13:4.

    PubMed  PubMed Central  Google Scholar 

  45. Patino-Fernandez AM, Hernandez J, Villa M, Delamater A. School-based health promotion intervention: parent and school staff perspectives. J Sch Health. 2013;83:763–70.

    PubMed  Google Scholar 

  46. Wang D, Steward D, Chang C, Shi Y. Effect of a school-based nutrition education programme on adolescents’ nutrition-related knowledge, attitudes and behaviour in rural areas of China. Environ Health Prev Med. 2015;20:271–8.

    PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

The author is very grateful to Professor C. Maphosa, Dr. O. Ige and the editors Mr. F. Geel, Dr. B. Dube and Dr. S. Loot who improved several sections of the article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T. Mafugu.

Ethics declarations

Conflict of interest

The author declares no conflict of interest.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Mafugu, T. Assessment of high school learners’ familiarity with nutrition education principles. Eur J Clin Nutr 75, 392–399 (2021). https://doi.org/10.1038/s41430-020-00712-5

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-020-00712-5

Search

Quick links