School-Based Healthy Plate Education and Its Effect on Improving Nutritional Knowledge Among Primary School Students

Edukasi Piring Sehat Berbasis Sekolah terhadap Peningkatan Pengetahuan Gizi Siswa Sekolah Dasar

https://doi.org/10.59110/rcsd.891

Authors

  • Kismiasih Adethia STIKes Mitra Husada Medan, Medan, IndonesiaKismiasih Adethia
  • Erin Padilla Siregar STIKes Mitra Husada Medan, Medan, Indonesia
  • Marliani STIKes Mitra Husada Medan, Medan, Indonesia
  • Amelia Erawaty Siregar STIKes Mitra Husada Medan, Medan, Indonesia
  • Diah Pitaloka STIKes Mitra Husada Medan, Medan, Indonesia
  • Titis Jernih Wati Gea STIKes Mitra Husada Medan, Medan, Indonesia

Keywords:

Healthy Plate, Interactive Education, Nutritional Knowledge, Primary School Students, School-Based Intervention

Abstract

Nutritional problems among primary school children remain a significant public health concern, particularly in the context of the dual burden of malnutrition. This study aimed to examine changes in students’ nutritional knowledge following a school-based healthy plate education intervention. A quasi-experimental pre–post design without a control group was implemented among 63 students from grades IV to VI. The intervention integrated visual media, interactive instruction, and practical demonstrations based on the “My Plate” concept. Knowledge levels were assessed using structured pre-test and post-test instruments and analyzed using the Wilcoxon Signed-Rank Test. The results showed a substantial shift in knowledge distribution, with the proportion of students in the “good” category increasing from 23.8% to 71.4%. Statistical analysis revealed a significant difference between pre-test and post-test scores (Z = -5.543, p < 0.001), with a large effect size (r = 0.69). No participant experienced a decrease in score after the intervention. These findings indicate that school-based interactive nutrition education incorporating visual and experiential components can effectively enhance primary school students’ nutritional knowledge. Further longitudinal studies are recommended to assess the sustainability of behavioral changes.

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References

Aiga, H., Abe, K., Randriamampionona, E., & Razafinombana, A. R. (2021). Possible causalities between malnutrition and academic performances among primary schoolchildren: A cross-sectional study in rural Madagascar. BMJ Nutrition, Prevention & Health, 4(1), 18–29. https://doi.org/10.1136/BMJNPH-2020-000192

Alhelal, A., Alsalem, M., Alasmari, F., Alqarni, S. A., Alamri, R., Alshahrani, R. A. A., Almalki, A., Alenezi, W. H. D., Abdulrahim, N., & Abuzaid, S. O. (2024). Effectiveness of school-based interventions for preventing obesity in children: A narrative review. Cureus. https://doi.org/10.7759/cureus.75104

Amoadu, M., Abraham, S. A., Adams, A. K., Akoto-Buabeng, W., Obeng, P., & Hill, J. E. (2024). Risk factors of malnutrition among in-school children and adolescents in developing countries: A scoping review. Children, 11(4), 476. https://doi.org/10.3390/children11040476

Andueza, N., Navas-Carretero, S., & Cuervo, M. (2022). Effectiveness of nutritional strategies on improving the quality of diet of children from 6 to 12 years old: A systematic review. Nutrients, 14(2), 372. https://doi.org/10.3390/nu14020372

Antarovna, K. G. (2024). Enhancing primary education: The role of interactive methods in classroom learning. International Journal of Advances in Scientific Research. https://doi.org/10.37547/ijasr-04-04-07

Assylzhan, I., & Shamoi, P. (2024). Image-based dietary assessment: A healthy eating plate estimation system. arXiv. https://doi.org/10.48550/arxiv.2403.01310

Basilico, S., Conti, M. V., Ardoino, I., Breda, C., Loperfido, F., Klaic, E., Spialtini, L., Foresta, A., Orsini, F., Ojeda-Fernández, L., & Bonizzoni, S. (2024). LIVELY: Multidimensional school-based and family involved interventions to promote a healthy and sustainable lifestyle for childhood obesity primary prevention (Study protocol). JMIR Research Protocols. https://doi.org/10.2196/57509

Berg, G., Lundqvist, E., & Sydner, Y. M. (2024). Useful but overused? The “plate model” as a food educational tool in home economics. Food, Culture & Society. https://doi.org/10.1080/15528014.2024.2319421

Bougma, S., Hama-Ba, F., Garanet, F., Kabré, J., Guira, F., Cissé, H., Tarnagda, B., Zio, S., & Savadogo, A. (2022). Impact of health and nutrition interventions in the prevention and recovery of child malnutrition in Sub-Saharan Africa from 2010 to 2020: Review article. Health, 14(7), 810–831. https://doi.org/10.4236/health.2022.147058

Charlton, K. E., Comerford, T., Deavin, N., & Walton, K. (2021). Characteristics of successful primary school-based experiential nutrition programmes: A systematic literature review. Public Health Nutrition, 24(14), 4642–4662. https://doi.org/10.1017/S1368980020004024

Effendy, D. S., Tosepu, R., Bahar, H., Rosmini, R., & Suci, W. (2023). Implementation of Pinggan Adintaku nutrition education for elementary school students. Abdi Masyarakat, 5(2), 2347. https://doi.org/10.58258/abdi.v5i2.6086

Eslahi, H., Jamalzehi, A., Mokhtari, S., Moein, A., & Mortazavi, Z. (2024). Investigating the prevalence of malnutrition and its relationship with the educational status of elementary school students in Zahedan, Iran. Journal of Nutrition and Food Security. https://doi.org/10.18502/jnfs.v9i4.16900

Fauziah, H. M., Mahmudah, M., & Amrulloh, H. (2025). Penerapan media visual berbasis papan diagram gambar untuk meningkatkan pemahaman konsep matematika siswa kelas II. Jurnal Caksana, 8(1), 249–258. https://doi.org/10.31326/jcpaud.v8i1.2269

Follong, B. M., Verdonschot, A., Prieto-Rodriguez, E., Miller, A., Collins, C. E., & Bucher, T. (2021). Nutrition across the curriculum: A scoping review exploring the integration of nutrition education within primary schools. Nutrition Research Reviews. https://doi.org/10.1017/S0954422421000111

Hidayah, A. R., Irfiah, V., Lutfi’ah, H., & Wulan, W. (2023). Edukasi gizi seimbang melalui metode Isi Piringku di sekolah dasar. https://doi.org/10.56013/jak.v3i2.2447

Hlaing, M. M., Ohnamr, M., Tun, S., Khine, T., Win, W. W., Hlaing, S. S., Linn, H. P., Phyu, K. H. W., & Win, N. N. (2021). Dual burden of malnutrition among primary school children in Myanmar. Food and Nutrition Sciences, 12(2), 115–123. https://doi.org/10.4236/fns.2021.122010

Marsigliante, S., Ciardo, V., Maglie, A. D., My, G., & Muscella, A. (2022). Efficacy of school-based intervention programs in reducing overweight: A randomized trial. Frontiers in Nutrition, 9. https://doi.org/10.3389/fnut.2022.1001934

Noordyanto, N. (2023). Poster edukasi gizi seimbang: Sarapan “Isi Piringku sekali makan” pada anak usia sekolah di Madura. Dekave: Jurnal Desain Komunikasi Visual, 16(1), 100–115. https://doi.org/10.24821/dkv.v16i1.8055

Rajan, A., Patil, B. M., Peter, R. M., Logaraj, M., & Anantharaman, V. V. (2024). Relation of dietary practices and academic achievement among school-going children in Tamil Nadu. Cureus. https://doi.org/10.7759/cureus.72882

Sa’diyah, H., Syarafina, A. L., Firdaus, D. A., & Murti, M. (2024). Stunting prevention: Balanced nutrition education and “Fill My Plate” approach. Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang, 9(2), 271–282. https://doi.org/10.26905/abdimas.v9i2.12306

Szczepańska, E., Bielaszka, A., Kiciak, A., Wanat-Kańtoch, G., Staśkiewicz, W., Białek-Dratwa, A., & Kardas, M. (2022). The project “Colourful Means Healthy” as an educational measure for the prevention of diet-related diseases. International Journal of Environmental Research and Public Health, 19(20), 13307. https://doi.org/10.3390/ijerph192013307

Varì, R., Silenzi, A., D’Amore, A., Catena, A., Masella, R., & Scazzocchio, B. (2023). MaestraNatura reveals its effectiveness in acquiring nutritional knowledge and skills. Nutrients, 15(6), 1357. https://doi.org/10.3390/nu15061357

Vastrad, P., Neelopant, S. A., Prasad, U. V., Kirte, R. C., Chandan, N., Barvaliya, M. J., Hatnoor, S., & Roy, S. (2023). Undernutrition among rural school-age children: A public health challenge. Frontiers in Nutrition. https://doi.org/10.3389/fnut.2023.1209949

Weng, Z. (2023). Interactive video application in narrative competence education of primary school children. Lecture Notes in Computer Science, 39–57. https://doi.org/10.1007/978-3-031-35708-4

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Published

2026-02-21

How to Cite

Adethia, K., Siregar, E. P., Marliani, M., Siregar, A. E., Pitaloka, D., & Gea, T. J. W. (2026). School-Based Healthy Plate Education and Its Effect on Improving Nutritional Knowledge Among Primary School Students: Edukasi Piring Sehat Berbasis Sekolah terhadap Peningkatan Pengetahuan Gizi Siswa Sekolah Dasar. Room of Civil Society Development, 5(1), 124–134. https://doi.org/10.59110/rcsd.891

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