[Effects of SaludArte program in feeding and nutrition components in school children in Mexico City]

Salud Publica Mex. 2017 Nov-Dec;59(6):621-629. doi: 10.21149/8116.
[Article in Spanish]

Abstract

Objective: To assess the effect of Education in Nutrition and Food Assistance components of the SaludArte program in participant schools during 2013-2015.

Materials and methods: A three cohort comparative study was used, with two type of follow-up panel structures: a complete panel and a continuous time, with a total of consisting on 1620 scholar children from 144 schools. Information on food intake, feeding behaviors, food preservation and hygiene, physical activity (PI) and anthropometry was registered. To stablish effect estimates, a difference in difference method combined with propensity score matching was carried out; as an alternative procedure, logistic-multinomial and logistic regression models were also used.

Results: Program attributable estimated effects were as follows: an increase in personal hygiene (p=0.045), increase in nutrition knowledges (p=0.003), PI (p=0.002 2013-2014; p=0.032 2015) and increase in fiber Intake (p=0.064). Sugar intake, contrary to the expected showed a significant increase (p=0.012 continuous time and; p=0.037 complete time).

Conclusions: SaludArte shows positive effects over some components as expected. However in order to institutionalize the SaludArte program, it is necessary to consider these learned lessons, give it permanence and impulse it in the schools.

Objetivo: Evaluar el efecto del programa de servicios SaludArte en sus componentes de educación en nutrición y de asistencia alimentaria, dentro de escuelas participantes, durante 2013-2015.

Material y métodos: Se realizó un estudio comparativo de tres cohortes que consideró 1 620 escolares de 144 primarias. Se construyeron dos paneles: de tiempo continuo y de tiempo completo. Se obtuvo información de consumo y hábitos alimenticios, higiene y conservación de alimentos, actividad física (AF) y antropometría. El análisis fue por diferencia en diferencias y modelos de regresión logística dicotómica y multinomial.

Resultados: Los efectos atribuibles al programa fueron: higiene personal (p=0.045), conocimientos en nutrición (p=0.003), AF (p=0.002, 2013-2014; p=0.032, 2015) y consumo de fibra (p=0.064). El consumo de azúcar total fue significativo contrario a lo esperado (p=0.012, tiempo continuo; p=0.037, tiempo completo).

Conclusiones: SaludArte tuvo efectos positivos en algunos componentes. Sin embargo, es necesario considerar las lecciones aprendidas, a fin de institucionalizar el programa y darle permanencia y crecimiento en las escuelas.

Publication types

  • Comparative Study

MeSH terms

  • Anthropometry
  • Child
  • Child Nutrition Disorders / prevention & control
  • Cohort Studies
  • Diet
  • Exercise
  • Feeding Behavior
  • Female
  • Food Assistance
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion*
  • Humans
  • Hygiene / education
  • Male
  • Mexico
  • Nutritional Status
  • Program Evaluation