Gardening-cooking based intervention for improving healthy eating habits in preschool children

  • Herni Dwi Herawati Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Yulinda Kurniasari Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Herwinda Kusuma Rahayu Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Hastrin Hositanisita Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Effatul Afifah Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Anggita Isvianti Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Novaeni Sri Susilowati Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Saimarrasoki Batubara Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
  • Putri Sonia Department of Nutrition, Faculty of Health Sciences, Alma Ata University, Yogyakarta
Keywords: cooking; gardening; attitude; food preference; eating habits; preschool children

Abstract

Background Preschool children generally have inadequate fruit and vegetable intake, but a high intake of calories. Nutrition education taught from an early age might instill good eating habits and behavior, especially regarding fruit and vegetable consumption.

Objectives To compare preschoolers’ fruit and vegetable preferences, fiber intake, and consumption of high-calorie food before and after a gardening-cooking intervention.

Methods This study had a quasi-experimental, pre- and post-test design, as well as intervention and control groups. Subjects were preschool children aged 4-6, selected by purposive sampling, with 33 subjects in each group. The intervention group engaged in nutrition education, gardening, and cooking programs. While the control group was not given the programs, only given nutrition education at the end of data collection. Data were analyzed using independent T-test, paired T-Test, Wilcoxon, and Mann-Whitney tests.

Results There were significant increases in attitude score, fruit and vegetable preference, and fiber intake, as well as decreased intake of high calorie foods (P<0.05 for all) before and after treatment in the intervention group. In contrast, there were no significant changes in the control group pre- and post-test.

Conclusion Gardening-cooking based intervention for 9 sessions is effective in improving attitudes, fruit and vegetable preferences, and fiber intake, as well as reducing high-calorie food consumption in preschool children.

References

Kim SO, Park SA. Garden-based integrated intervention for improving children’s eating behavior for vegetables. Int J Environ Res Public Health; 17. Epub ahead of print 2020. DOI: https://doi.org/10.3390/ijerph17041257
2. Indira IA. Perilaku konsumsi sayur dan buah anak prasekolah di Desa Embatau Kecamatan Tikala Kabupaten Toraja Utara. J MKMI 2015; 253–262. DOI: https://doi.org/https://doi.org/10.30597/mkmi.v11i4.538.
3. WHO. Diet, nutrition and the prevention of chronic disease: report of a Join WHO/FAO expert consultation. WHO technical series, No. 916. Geneva. [cited 2023 November 20]. https://iris.who.int/bitstream/handle/10665/42665/WHO_TRS_916.pdf?sequence=1 (2003).
4. Kementerian Kesehatan RI. Laporan nasional RISKESDAS 2018. Jakarta: Lembaga Penerbitan Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2018. p. 315-6.
5. Kementerian Kesehatan RI. Studi diet total: Survei konsumsi makanan individu Indonesia 2014. Jakarta: Lembaga Penerbitan Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2014. p. 28-9.
6. Kementerian Kesehatan RI. Peraturan Menteri Kesehatan RI Nomor 41 Tahun 2014 Tentang Pedoman Gizi Seimbang. Indonesia, 2014.[cited 2023 November 18]. Available from:http://hukor.kemkes.go.id/uploads/produk_hukum/PMK%20No.%2041%20ttg%20Pedom
an%20Gizi%20Seimbang.pdf
7. Skinner JD, Carruth BR, Bounds W, Ziegler PJ. Children’s food preferences: A longitudinal analysis. Journal of the American Dietetic Association 2002; 102: 1638–47. DOI: https://doi.org/10.1016/S0002-8223(02)90349-4
8. Bere E, Klepp KI. Changes in accessibility and preferences predict children’s future fruit and vegetable intake. Int J Behav Nutr Phys Act 2005; 2: 1–8. DOI: https://doi.org /10.1186/1479-5868-2-15
9. Rasmussen M, Krølner R, Klepp K, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents?: a review of the literature . Part I?: quantitative studies. Int J Behav Nutr Phys Act 2006; 3: 1–19. DOI: https://doi.org/10.1186/1479-5868-3-22
10. Domel SB, Thompson WO, Davis HC, Baranowski T, Leonard SB, Baranowski J, et al. Psychosocial predictors of fruit and vegetable consumption among elementary school children. Health Educ Res 1996; 11: 299–308. DOI: https://doi.org/10.1093/her/11.3.299
11. Ohly H, Gentry S, Wigglesworth R, Bethel A, Lovell R, Garside R. A systematic review of the health and well-being impacts of school gardening: Synthesis of quantitative and qualitative evidence. BMC Public Health; 16. Epub ahead of print 2016. DOI:https://doi.org/10.1186/s12889-016-2941-0
12. Muzaffar H, Guenther E, Bosse O. Cooking and gardening programs in elementary schools to improve fruit and vegetable intake?: A systematic review. Nutrients 2023; 15: 1–26. DOI: https://doi.org/10.3390%2Fnu15133008
13. Gibbs L, Staiger PK, Johnson B, Block K, Macfarlane S, Gold L, et al. Expanding children’s food experiences?: The impact of a school-based kitchen garden program. J Nutr Educ Behav 2013; 45: 137–146. DOI: https://doi.org/10.1016/j.jneb.2012.09.004
14. Merrigan KA, Rogers BL, Goldberg JP. The effects of school garden experiences on middle school-aged students’ knowledge, attitudes, and behaviors associated with vegetable consumption. Health Promot Pract 2011; 12: 36–43. DOI: https://doi.org/10.1177/1524839909349182
15. Landry MJ, van den Berg AE, Hoelscher DM, Asigbee FM, Vandyousefi S, Ghaddar R, et al. Impact of a school-based gardening, cooking, nutrition intervention on diet intake and quality: The TX pprouts randomized. Nutrients 2021; 9: 1–16. DOI: https://doi.org/https://doi.org/10.3390/nu13093081
16. Kim HR, Kim SO, Park SA. The effects of horticultural activity program on vegetable preference of elementary school students. Int J Environ Res Public Health; 18. Epub ahead of print 2021. DOI: https://doi.org/10.3390/ijerph18158100
17. McAleese JD, Rankin LL. Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents. J Am Diet Assoc 2007; 107: 662–5. DOI: https://doi.org/10.1016/j.jada.2007.01.015
18. Sarti A, Dijkstra C, Seidell JC, Dedding C. ‘I Eat the vegetables because I have grown them with my own hands’: children’s perspectives on school gardening and vegetable consumption. Child Soc 2017; 31: 429–440. DOI: https://doi.org/10.1111/chso.12214
19. Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: The development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med (Baltim) 1999; 29: 563–570. DOI: https://doi.org/10.1006/pmed.1999.0585
20. Schrempft S, van Jaarsveld CHM, Fisher A, Wardle J. The obesogenic quality of the home environment: associations with diet, physical activity, TV viewing, and BMI in preschool children. PLoS One 2015; 10: 1–17. DOI: https://doi.org/10.1371%2Fjournal.pone.0134490
21. Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta: CV. Sagung Seto, 2014. p. 363-364.
22. Christian MS, Evans CEL, Nykjaer C, Hancock N, Cade JE. Evaluation of the impact of a school gardening intervention on children ’ s fruit and vegetable intake?: a randomised controlled trial. 2014; 1–15. DOI: https://doi.org/10.1186/s12966-014-0099-7
23. Smith AD, Fildes A, Cooke L, Herle M, Shakeshaft N, Plomin R, et al. Genetic and environmental influences on food preferences in adolescence. Am J Clin Nutr 2016; 104: 446–453. DOI: https://doi.org/10.3945/ajcn.116.133983
24. Supariasa IDN, Bakri B, Fajar I. Penilaian status gizi. 2nd ed. Jakarta: Penerbit Buku Kedokteran EGC, 2016. p. 350-1.
25. Kementerian Kesehatan RI. Buku foto makanan. Jakarta: Lembaga Penerbitan Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI, 2014. p. 17-250.
26. Priyoto. Teori sikap dan perilaku dalam kesehatan. Yogyakarta, Indonesia: Nuha Medika, 2014. p.32-3.
27. Nolan GA, Mcfarland AL, Zajicek JM, Waliczek TM. The effects of nutrition education and gardening on attitudes , preferences , and knowledge of minority second to fifth graders in the rio grande valley toward fruit and vegetables. Hort Technol 2012; 22: 299–304. DOI: https:// doi.org/10.21273/HORTTECH.22.3.299
28. Kuwahara M, Eum W. Effects of childhood nutrition education from school and family on eating habits of Jpanese adults. Nutrients 2022; 14: 1–11. DOI: https://doi.org/10.3390/nu14122517
29. Chu YL, Farmer AP, Fung C, Kuhle S, Veugelers P. Fruit and vegetable preferences and intake: among children in Alberta. Can J Diet Pract Res 2013; 74: 21–27. DOI: https://dx.doi.org/10.3148/74.1.2013.21
30. Kementerian Kesehatan RI. Angka kecukupan gizi yang dianjurkan untuk masyarakat Indonesia. 28, Indonesia, 2019. [cited 2022 November 1]. Available from://hukor.kemkes.go.id/uploadss/produk_hukum/PMK_28_Th_ 2019_ttg_Angka_Kecukupan_ Gizi_Yang_ Dianjurkan_Untuk_Masyarakat_Indonesia.pdf
31. Herawati HD, Anggraeni ASN, Pebriani N, Pratiwi AM, Siswati T.. Edukasi gizi menggunakan media booklet dengan atau tanpa konseling terhadap pengetahuan orangtua dan konsumsi sayur dan buah anak prasekolah di wilayah urban. Indones J Clin Nutr 2021; 18: 48–58. DOI: https://doi.org/10.22146/ijcn.63338
32. Scaglioni S, De Cosmi V, Ciappolino V, Parazzini F, Brambilla P, Agostoni C. Factors influencing children’s eating behaviours. Nutrients 2018; 10: 1–17. DOI: https://doi.org/10.3390/nu10060706
33. Draxten M, Fulkerson JA, Friend S, Flattum CF, Schow R. Parental role modeling of fruits and vegetables at meals and snacks is associated with children’s adequate consumption Michelle. Appeti 2014; 78: 1–7. DOI: https://doi.org/10.1016/j.appet.2014.02.017
34. Savage JS, Fisher JO, Birch LL. Parental influence on eating behavior. J Law, Med Ethics 2007; 35: 22–34. DOI: https://doi.org/10.1111/j.1748-720X.2007.00111.x.Parental
35. Wang MC, Rauzon S, Studer N, Martin AC, Craig L, Merlo C, et al. Exposure to a comprehensive school intervention increases vegetable consumption. J Adolesc Heal 2010; 47: 74–82. DOI: https://doi.org/10.1016/j.jadohealth.2009.12.014
36. Lally, Phillippa, Jaarsveld, CHM, Potts, HWW, Wardle J. How are habits formed: Modelling habit formation in the real world. Eur J Soc Psychol 2009; 40: 998–1009. DOI: https://doi.org/10.1002/ejsp.674
Published
2024-05-28
How to Cite
1.
Herawati H, Kurniasari Y, Rahayu H, Hositanisita H, Afifah E, Isvianti A, Susilowati N, Batubara S, Sonia P. Gardening-cooking based intervention for improving healthy eating habits in preschool children. PI [Internet]. 28May2024 [cited 3Jul.2024];64(3). Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/3654
Section
Pediatric Nutrition & Metabolic Disease
Received 2023-11-25
Accepted 2024-05-28
Published 2024-05-28