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Journal of Health Education Research & Development
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  • Research Article   
  • J Health Edu Res Dev 2019, Vol 7(3): 306

Pilot Testing an Intervention to Promote Healthy Eating Among Puerto Rican Adolescents: Lessons Learned on Dietary Fiber Consumption

Rodríguez MC1*, Correa-Matos N2 and Rodríguez-Pérez R1
1Department of Agricultural Education, College of Agricultural Sciences, University of Puerto Rico, Mayagüez Campus, Mayagüez, Puerto Rico, USA
2Nutrition and Dietetics Program, College of Natural Sciences, University of Puerto Rico, Río Piedras Campus, USA
*Corresponding Author : Rodríguez MC, Department of Agricultural Education, College of Agricultural Sciences, University of Puerto Rico, Mayagüez Campus, Mayagüez, Puerto Rico, USA, Tel: +787-652-0065, Email: [email protected]

Received Date: Sep 03, 2019 / Accepted Date: Sep 23, 2019 / Published Date: Sep 30, 2019

Abstract

Background: Data reported in the Youth Risk Behavior Surveillance System (YRBSS) showed that 24.2% of Puerto Rican adolescents (grades 9th through 12th) were overweight or obese, 14.3% did not eat fruit, and 16.4% did not eat vegetables “during the 7 days before the survey”. The need for culturally-sensitive-age-appropriate nutrition education materials in Spanish is imperative for the success of obesity prevention initiatives.

Objective: To promote changes in dietary behaviors, among 12 to 14 years old adolescents, through the development of culturally sensitive and age-appropriate nutrition education materials for an educational intervention on healthy eating.

Design: A pretest and two post-tests design was employed to measure changes in dietary behaviors, with a Post-test II after one month to evaluate if changes were maintained.

Participants/Setting: Participants were 339 adolescents aged 12-14 years. Interventions, conducted by trained Extension educators, took place in 10 Extension’s 4-H clubs, including rural and urban settings.

Intervention: The intervention consisted of the implementation of the six lessons curriculum moving to Healthy Eating. Every lesson was taught face-to-face on a period of 45 to 60 minutes followed by experiential learning activities on the topics.

Main outcome measures: Changes in the frequency of consumption of vegetables, fruits, 100% fruit juices, whole-grain rice and cereals, low-fat milk, fried foods, sweet desserts, water and sugared beverages.

Statistical analysis performed: Data was analyzed through Analysis of Variance ANOVA using a Linear Mixed Model (P˂0.05).

Results: Pre vs. post-I comparisons showed a significant increase in the frequency of consumption of vegetables and a decrease in consumption of sweet desserts. After one month (post-II), participants showed a significant increase in the frequency of consumption of dietary fiber consumption on fruits, vegetables, fruits, whole grain rice, cereals and 100% fruit juices while decreased their consumption of sweet desserts, compared to pre-test.

Conclusion: Tailored culturally sensitive nutrition intervention promotes positive healthy eating in Puerto Rican adolescents by increasing dietary fiber consumption of fruits, vegetables and whole grain-cereals.

Keywords: Adolescents; Nutrition; Hispanic nutrition; Nutrition education; Dietary fiber; Culturally sensitive; Spanish curriculum

Citation: Rodríguez MC, Correa-Matos N, Rodríguez-Pérez R (2019) Pilot Testing an Intervention to Promote Healthy Eating Among Puerto Rican Adolescents: Lessons Learned on Dietary Fiber Consumption. J Health Educ Res 7: 306.

Copyright: © 2019 Rodríguez MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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