Joy of gardening: a hospital-based cooking and gardening program
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BRIEF REPORT
Joy of gardening: a hospital‑based cooking and gardening program Grace Kim1 · Kirsten Thompson2 Received: 15 May 2020 / Accepted: 3 August 2020 © Children’s Hospital, Zhejiang University School of Medicine 2020
Abstract Background Nutrition interventions aid in implementing healthy eating. Garden-enhanced nutrition intervention programs have been conducted in schools. We sought to assess feasibility of a hospital-based cooking and gardening program. Methods The cohort study implemented a 3-week integrated cooking and gardening program in the United States (Seattle, WA). We recruited participants with ages 8–15 years from ambulatory clinics. We conducted three 3-week series hospitalbased cooking and gardening program. Children and parents were given pre- and post-program (1 year) surveys. The surveys assessed child participation in food preparation and gardening, strengths and weaknesses of the program, and identified parents’ opinions towards sustaining healthy behaviors. Results Eighteen children participated in the hospital-based cooking and gardening program. At 1-year follow-up, 78% of participants were gardening at home and 100% of participants were cooking at home. Conclusions Novel approaches to combat obesity are needed. A hospital-based cooking and gardening program is a novel intervention to consider for nutrition education. Keywords Child nutrition · Community health education · Health education · Healthy lifestyle · Healthy nutrition
Introduction The burden of pediatric obesity and chronic diseases including hypertension, hyperlipidemia and type 2 diabetes is a major public health issue in the United States [1]. In 2008, the estimated annual medical cost of obesity in the United States was $147 billion US dollars. The medical cost for people who have obesity was $1429 higher than those of normal weight. Obesity prevalence among children and adolescents in the United States is high. For children and adolescents, the prevalence of obesity was 18.5% (13.7 million children and adolescents). Nutrition interventions play an invaluable role in helping patients and families develop and implement healthy eating and lifestyle behaviors [2, 3]. This includes eating a variety of fruits, vegetables and whole grains, limiting intake of refined and processed foods, engaging in regular physical activity and establishing healthy eating patterns [4]. However, implementing sustainable behaviors can be a difficult task as there are many barriers to * Grace Kim [email protected] 1
Department of Pediatrics, University of Washington, Seattle, WA 98105, USA
Department of Nutrition, Seattle Children’s Hospital, OC 7.820, PO Box 5371, Seattle, WA 98105, USA
2
adherence. Lack of motivation, knowledge deficit, time, and cost are some of the most difficult to overcome [5]. Garden-enhanced nutrition intervention programs have been successfully implemented in school and community settings and have demonstrated several health benefits in a variety of populations. These include increased fr
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