{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:45:36Z","timestamp":1760147136402,"version":"build-2065373602"},"reference-count":26,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T00:00:00Z","timestamp":1673568000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>(1) Background: Refugees are a population group at imminent risk of death, being forced to migrate to countries with different cultures. Many of the refugees are at great risk of malnutrition, especially adolescent orphans. The aim of the study was to establish a nutritional and food education program to improve the integration process of young orphan refugees newly arrived in Portugal. (2) Methods: A nutrition and food education program with nine sessions of food and nutrition education over 12 weeks was carried out by a nutritionist from March to June 2016, in 15 young residents of the Reception Center for Refugee Children. The program included the application of a nutritional knowledge questionnaire, an anthropometric assessment, and the collection of data on food habits and lifestyle. The evaluation of the program was carried out by comparing the initial and final scores of the nutritional knowledge questionnaire. (3) Results: There was an improvement in nutritional knowledge among the adolescents, and a direct relationship between attendance at the sessions and improvement of this knowledge was found. Non-significant changes were observed in some anthropometric measurements between the beginning and the ending of the program. (4) Conclusions: This food education program contributed to a better understanding by young orphan refugees newly arrived in Portugal of the foods available in Portugal and of the Portuguese gastronomy.<\/jats:p>","DOI":"10.3390\/nu15020408","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T02:29:57Z","timestamp":1673576997000},"page":"408","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Development and Implementation of a Nutritional Education Program Aimed at Improving the Integration Process of Young Orphan Refugees Newly Arrived in Portugal"],"prefix":"10.3390","volume":"15","author":[{"given":"B\u00e1rbara","family":"Oliveira","sequence":"first","affiliation":[{"name":"ATLANTICA\u2014University Institute, 2730-036 Barcarena, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5773-5687","authenticated-orcid":false,"given":"Manuel","family":"Bicho","sequence":"additional","affiliation":[{"name":"Ecogenetics and Human Health Research Group, Environmental Health Institute (ISAMB), Faculty of Medicine (FMUL), University of Lisbon, 1649-028 Lisbon, Portugal"},{"name":"Scientific Research Institute Bento da Rocha Cabral (IICBRC), 1250-047 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4039-4326","authenticated-orcid":false,"given":"Ana","family":"Valente","sequence":"additional","affiliation":[{"name":"ATLANTICA\u2014University Institute, 2730-036 Barcarena, Portugal"},{"name":"Ecogenetics and Human Health Research Group, Environmental Health Institute (ISAMB), Faculty of Medicine (FMUL), University of Lisbon, 1649-028 Lisbon, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2022, November 22). Available online: http:\/\/www.who.int\/maternal_child_adolescent\/topics\/adolescence\/dev\/en\/."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Medeiros, G.C.B.S., de Azevedo, K.P.M., Garcia, D., Segundo, V.H.O., Mata, \u00c1.N.S., Anny Karoliny Fernandes, P., Dos Santos, R.P., Trindade, D.D.B.B., Moreno, M., and Guill\u00e9n Mart\u00ednez, D. (2022). Effect of School-Based Food and Nutrition Education Interventions on the Food Consumption of Adolescents: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph191710522"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10648-018-9457-3","article-title":"The Role of School in Adolescents\u2019 Identity Development. A Literature Review Monique","volume":"31","author":"Verhoeven","year":"2019","journal-title":"Educ. Psychol. Rev."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Hoorani, B.H., Krishnakumar, J., and Anand, P. (2022). Adolescent\u2019s time use and skills development: Do cognitive and non-cognitive skills differ?. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0271374"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"27","DOI":"10.18869\/acadpub.nfsr.3.1.27","article-title":"Effect of a School-based Nutrition Education Program on the Nutritional Status of Primary School Children","volume":"3","author":"Keshani","year":"2016","journal-title":"Nutr. Food Sci. Res."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Scaglioni, S., De Cosmi, V., Ciappolino, V., Parazzini, F., Brambilla, P., and Agostoni, C. (2018). Factors Influencing Children\u2019s Eating Behaviours. Nutrients, 10.","DOI":"10.3390\/nu10060706"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1108\/00346651211228469","article-title":"Impact of nutrition education on the nutritional status","volume":"42","author":"Sachithananthan","year":"2012","journal-title":"Nutr. Food Sci."},{"key":"ref_8","unstructured":"Conselho Portugu\u00eas Para os Refugiados (2022, September 19). Available online: http:\/\/www.refugiados.net\/_novosite\/cacr.html."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/1479-5868-11-63","article-title":"A focus group study of healthy eating knowledge, practices, and barriers among adult and adolescent immigrants and refugees in the United States","volume":"11","author":"Tiedje","year":"2014","journal-title":"Int. J. Behav. Nutr. Phys. Act"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"14","DOI":"10.3390\/epidemiologia2010002","article-title":"Management of Diabetes Mellitus in Refugee and Migrant Patients in a Primary Healthcare Setting in Greece: A Pilot Intervention","volume":"2","author":"Kolomvotsou","year":"2021","journal-title":"Epidemiologia"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"4499","DOI":"10.1590\/1413-812320182412.23382019","article-title":"Forced international migration for refugee food: A scoping review","volume":"24","author":"Guerra","year":"2019","journal-title":"Cien. Saude Colet."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"9202","DOI":"10.3390\/ijerph110909202","article-title":"Refugees Connecting with a New Country through Community Food Gardening","volume":"11","author":"Harris","year":"2014","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1017\/S1368980021003943","article-title":"Food environment interactions after migration: A scoping review on low- and middle-income country immigrants in high-income countries","volume":"25","author":"Pha","year":"2022","journal-title":"Public Health Nutr."},{"key":"ref_14","unstructured":"(2022, November 22). Conven\u00e7\u00e3o de 1951 sobre o Estatuto dos Refugiados. Available online: https:\/\/www.acnur.org\/fileadmin\/Documentos\/portugues\/BDL\/Convencao_relativa_ao_Estatuto_dos_Refugiados.pdf?view=1."},{"key":"ref_15","unstructured":"World Medical Association (2022, November 22). Declaration of Helsinki\u2014Ethical Principles for Medical Research Involving Human Subjects\u201464th WMA General Assembly. Available online: https:\/\/www.wma.net\/policies-post\/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects\/."},{"key":"ref_16","unstructured":"(2022, November 22). Guia de Avalia\u00e7\u00e3o de Estado Nutricional Infantil e Juvenil, Publica\u00e7\u00e3o conjunta DGA-INSA no \u00e2mbito do Conselho Cient\u00edfico da Plataforma contra a Obesidade da Dire\u00e7\u00e3o Geral de Sa\u00fade. Available online: https:\/\/www.insa.min-saude.pt\/wp-content\/uploads\/2017\/11\/GuiaAvaliacaoEstadoNutricional.pdf."},{"key":"ref_17","unstructured":"World Health Organization (2022, November 22). Growth Reference Data for 5\u201319 Years, Available online: https:\/\/www.who.int\/toolkits\/growth-reference-data-for-5to19-years."},{"key":"ref_18","unstructured":"Food and Agriculture Organization of the United Nations (2022, November 22). Eating Well for Good Health. Available online: https:\/\/www.fao.org\/3\/i3261e\/i3261e.pdf."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s13643-020-01339-0","article-title":"School-based interventions for promoting food and nutrition literacy (FNLIT) inelementary school children: A systematic review protocol","volume":"9","author":"Doustmohammadian","year":"2020","journal-title":"Syst. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"El Harake, M.D., Kharroubi, S., Hamadeh, S.K., and Jomaa, L. (2018). Impact of a Pilot School-Based Nutrition Intervention on Dietary Knowledge, Attitudes, Behavior and Nutritional Status of Syrian Refugee Children in the Bekaa, Lebanon. Nutrients, 10.","DOI":"10.3390\/nu10070913"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"101247","DOI":"10.1016\/j.pmedr.2020.101247","article-title":"Long-term impact of a school-based nutrition intervention on home nutrition environment and family fruit and vegetable intake: A two-year follow-up study","volume":"20","author":"Marshall","year":"2020","journal-title":"Prev. Med. Rep."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1017\/S1368980008002644","article-title":"School randomised trial on prevention of excessive weight gain by discouraging students from drinking sodas","volume":"12","author":"Sichieri","year":"2009","journal-title":"Public Health Nutr."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Pereira, A.R., and Oliveira, A. (2021). Dietary Interventions to Prevent, Childhood Obesity: A Literature Review. Nutrients, 13.","DOI":"10.3390\/nu13103447"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.clnu.2021.12.015","article-title":"Association between dairy protein and body composition in middle-aged and older women: A community-based, 12-year, prospective cohort study","volume":"41","author":"Leea","year":"2022","journal-title":"Clin. Nutr."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1093\/ajcn\/84.4.789","article-title":"Intake of macronutrients as predictors of 5-y changes in waist circumference 13","volume":"84","author":"Tjonneland","year":"2006","journal-title":"Am. J. Clin. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1017\/S1368980009991030","article-title":"Food intake of young people with a migration background living in Germany","volume":"13","author":"Kleiser","year":"2009","journal-title":"Public Health Nutr."}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/2\/408\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:04:58Z","timestamp":1760119498000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/15\/2\/408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,13]]},"references-count":26,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,1]]}},"alternative-id":["nu15020408"],"URL":"https:\/\/doi.org\/10.3390\/nu15020408","relation":{},"ISSN":["2072-6643"],"issn-type":[{"type":"electronic","value":"2072-6643"}],"subject":[],"published":{"date-parts":[[2023,1,13]]}}}