Background of the Problem / Overview of the Study5
Research Question6
Aims and Objectives of the Study6
Rationale7
Significance of the Study8
CHAPTER 210
LITERATURE REVIEW10
Micro Environment setting10
Macro Environment setting10
Physical Environment11
Economic Environment11
Political Environment12
Socio-cultural Environment12
Sugar consumption12
Sugar consumption and obesity14
Personal factors15
Socio - demographic charactoristics15
Gender15
BMI15
Psychological factors17
Knowledge of snacks and sweet beverages consumption17
Attitude toward snacks and sweet beverages consumption17
School Food Environment18
Physical environment Availability of snacks and sweet beverages19
Number of food shops19
Political Environment20
Food rule20
CHAPTER 323
METHODOLOGY23
Study design23
Study population23
Sample Size23
Research instrument24
Questionnaire24
Data Collection Method24
Data Analysis25
CHAPTER 426
RESULTS AND DISCUSSIONS26
CHAPTER V59
CONCLUSION AND RECOMMENDATION59
Conclusion59
Recommendation61
Recommendation for principal of the school61
REFERENCES64
Chapter 1: Introduction
Purpose of the Study
There is increasing concern that a high consumption of ready-to-eat foods such as confectionery may be associated with poor dietary quality and an increase in susceptibility to obesity in children. These concerns are reinforced by evidence that fat and sugar levels are particularly high in snacks purchased from tuck shops in schools1. In a sample of 5-16-year-old schoolchildren living in Saudi Arabia (Dammam), snacks were shown to provide one third of simple sugars and more saturated than polyunsaturated fat. Furthermore, in the absence of good oral hygiene, an increased frequency of snacking on products high in fermentable carbohydrates sugar may lead to dental caries. However, recent analyses have shown that the top five sources of sugars (68% in total) in the KSA diet contribute only 11% of dietary fat4 and snacks provide 33% of key micronutrients including iron, calcium, vitamin C, thiamine and riboflavin(Food and Nutrition Board 2002). Furthermore, the rising prevalence of obesity is most closely associated with trends in reduced physical activity rather than an increase in dietary intake. Several studies have examined patterns of confectionery consumption in a variety of population groups in relation to increasing an individual's susceptibility to obesity and encouraging a diet of 'poor quality'. Work by Gibson has shown that above-average intakes of cakes, biscuits and confectionery in British schoolchildren did not have a detrimental effect on nutrient intakes (Gibson Neate 2007 pp.445-460). The highest consumers of these foods also tended to consume more of other foods, and as a consequence had higher intakes of energy and nutrients.
Problem Statement
The children are being bombarded with candy from every direction. Chocolate bars, gum, suckers, and assorted gummy candies line the checkout lanes in grocery stores. School fundraisers sell candy bars, cookies, and brownies in the hallways during lunch hours. Every mall, skating rink, soccer complex, movie theater, and even the video store has a place to buy candy (Saris 2003 pp.850S-857S). And then there are the holidays. Eid gift boxes bulge with every kind of candy imaginable. Candy is everywhere and its presence wreaking havoc on children's teeth and waistlines.
Background of the Problem / Overview of the Study
There is reasonable evidence that a high intake of confectionary is associated with a greater risk of weight gain and obesity. A number of US studies shows a strong cross-sectional association between confectionary consumption and excess energy intake in adolescence and NZ children who consumed confectionary more than once a ...