Pub Date : 2024-09-01DOI: 10.1016/j.jneb.2024.05.226
Objective
Evaluate the validity of the PortionSize application.
Methods
In this pilot study, 14 adults used PortionSize to record their free-living food intake over 3 consecutive days. Digital photography was the criterion measure, and the main outcomes were estimated intake of food (grams), energy (kilocalories), and food groups. Equivalence tests with ±25% equivalence bounds and Bland-Altman analysis were performed.
Results
Estimated gram intake from PortionSize was equivalent (P < 0.001) to digital photography estimates. PortionSize and digital photography estimated energy intake, however, were not equivalent (P = 0.08), with larger estimates from PortionSize. In addition, PortionSize and digital photography were equivalent for vegetable intake (P = 0.01), but PortionSize had larger estimates of fruits, grains, dairy, and protein intake (P >0.07; error range 11% to 23%).
Conclusions and Implications
Compared with digital photography, PortionSize accurately estimated food intake and had reasonable error rates for other nutrients; however, it overestimated energy intake, indicating further application improvements are needed for free-living conditions.
{"title":"Evaluating the Validity of the PortionSize Smartphone Application for Estimating Dietary Intake in Free-Living Conditions: A Pilot Study","authors":"","doi":"10.1016/j.jneb.2024.05.226","DOIUrl":"10.1016/j.jneb.2024.05.226","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate the validity of the PortionSize application.</p></div><div><h3>Methods</h3><p>In this pilot study, 14 adults used PortionSize to record their free-living food intake over 3 consecutive days. Digital photography was the criterion measure, and the main outcomes were estimated intake of food (grams), energy (kilocalories), and food groups. Equivalence tests with ±25% equivalence bounds and Bland-Altman analysis were performed.</p></div><div><h3>Results</h3><p>Estimated gram intake from PortionSize was equivalent (<em>P</em> < 0.001) to digital photography estimates. PortionSize and digital photography estimated energy intake, however, were not equivalent (<em>P</em> = 0.08), with larger estimates from PortionSize. In addition, PortionSize and digital photography were equivalent for vegetable intake (<em>P</em> = 0.01), but PortionSize had larger estimates of fruits, grains, dairy, and protein intake (<em>P</em> >0.07; error range 11% to 23%).</p></div><div><h3>Conclusions and Implications</h3><p>Compared with digital photography, PortionSize accurately estimated food intake and had reasonable error rates for other nutrients; however, it overestimated energy intake, indicating further application improvements are needed for free-living conditions.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 643-652"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003269/pdfft?md5=6f2cba1d8e29e8e5dc686ae193abeaa0&pid=1-s2.0-S1499404624003269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jneb.2024.05.227
Objective
Test an obesity intervention for families with low incomes.
Methods
A total of 208 families were included (a parent with a body mass index [BMI] ≥ 30 and a child aged 6–12 years). A 12-month randomized controlled trial combining family health coaching (motivational interviewing) and connection to community resources. Comparison group: referrals for basic needs, written educational materials. Questionnaires, accelerometry, and anthropometrics. Intention-to-treat analysis of change in outcomes. Two-sided t test with multiple imputation.
Results
Parents were 95% female, 31% Black, and 27% Hispanic. Children had a mean BMI-Z score of 1.15. Primary outcomes did not differ between groups at 12 months. Both groups significantly (P < 0.05) improved on the Family Nutrition and Physical Activity Scale for behaviors related to childhood obesity (mean ± SE: comparison, 2.8 ± 1.0; intervention, 2.2 ± 0.9), increased child sedentary activity (comparison, 32.5 ± 12.1; intervention, 39.9 ± 12.4 min/d), and decreased child moderate-vigorous physical activity (comparison, −9.6 ± 3.3; intervention −7.0 ± 3.0 min/d). Parents had no change in BMI.
Conclusions and Implications
We successfully embedded screening and referral to address social needs within an obesity intervention. The coaching intervention did not provide additional benefits. Future research could explore ways to make these interventions more accessible, valuable, and effective for families.
{"title":"Family-Based Motivational Interviewing and Resource Mobilization to Prevent Obesity: Living Well Together Trial","authors":"","doi":"10.1016/j.jneb.2024.05.227","DOIUrl":"10.1016/j.jneb.2024.05.227","url":null,"abstract":"<div><h3>Objective</h3><p>Test an obesity intervention for families with low incomes.</p></div><div><h3>Methods</h3><p>A total of 208 families were included (a parent with a body mass index [BMI] ≥ 30 and a child aged 6–12 years). A 12-month randomized controlled trial combining family health coaching (motivational interviewing) and connection to community resources. Comparison group: referrals for basic needs, written educational materials. Questionnaires, accelerometry, and anthropometrics. Intention-to-treat analysis of change in outcomes. Two-sided t test with multiple imputation.</p></div><div><h3>Results</h3><p>Parents were 95% female, 31% Black, and 27% Hispanic. Children had a mean BMI-Z score of 1.15. Primary outcomes did not differ between groups at 12 months. Both groups significantly (<em>P</em> < 0.05) improved on the Family Nutrition and Physical Activity Scale for behaviors related to childhood obesity (mean ± SE: comparison, 2.8 ± 1.0; intervention, 2.2 ± 0.9), increased child sedentary activity (comparison, 32.5 ± 12.1; intervention, 39.9 ± 12.4 min/d), and decreased child moderate-vigorous physical activity (comparison, −9.6 ± 3.3; intervention −7.0 ± 3.0 min/d). Parents had no change in BMI.</p></div><div><h3>Conclusions and Implications</h3><p>We successfully embedded screening and referral to address social needs within an obesity intervention. The coaching intervention did not provide additional benefits. Future research could explore ways to make these interventions more accessible, valuable, and effective for families.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 631-642"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003270/pdfft?md5=f4f3146b91ee6b7addd03ebe1ae9af06&pid=1-s2.0-S1499404624003270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-09-01DOI: 10.1016/j.jneb.2024.07.010
Miriam Seidel MS, RDN (SNEB Advisory Committee on Public Policy), Laura Vollmer MPH, RD (SNEB Advisory Committee on Public Policy), Julia McCarthy JD (SNEB Advisory Committee on Public Policy)
{"title":"More than a Dollar Short: Proposed Cuts to the Thrifty Food Plan Jeopardize Long-Term Health","authors":"Miriam Seidel MS, RDN (SNEB Advisory Committee on Public Policy), Laura Vollmer MPH, RD (SNEB Advisory Committee on Public Policy), Julia McCarthy JD (SNEB Advisory Committee on Public Policy)","doi":"10.1016/j.jneb.2024.07.010","DOIUrl":"10.1016/j.jneb.2024.07.010","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Page 597"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624004019/pdfft?md5=03456c7cddb4cf0a804f1080cd236f72&pid=1-s2.0-S1499404624004019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.084
Palak Gupta PhD, Heidi LeBlanc MS
Objective
The Utah Food Security Council (UFSC) developed from a legislative bill, embarked on its inaugural year with a mission to eliminate hunger, and promote equitable access to nutritious food for all Utah residents. This process evaluation aimed to assess the council's operational effectiveness, achievements, challenges, and areas for improvement as it works towards its mission. Use of Theory: Informed by the FAO's definition of food security and insights from public health literature, the UFSC's initiatives are designed to address the multifaceted dimensions of food insecurity through research-informed strategies and collaborative efforts.
Target Audience
The evaluation targeted participants of the UFSC, including representatives from government agencies, non-profit organizations, community groups, universities, and other stakeholders involved in food security initiatives across Utah.
Program Description
The UFSC operates as a collaborative platform to develop comprehensive strategies, policies, and initiatives aimed at enhancing food security statewide. Through research, advocacy, education, and community engagement, the council identifies barriers to food access, implements effective solutions, and fosters partnerships to address food insecurity at local and statewide levels.
Evaluation Methods
A cross-sectional study design was employed, inviting all council participants to partake in a survey assessing their involvement, perceptions, and impact of the council's activities. Primary data was collected via a Qualtrics survey, supplemented by secondary data on community reach from the council's online platforms. Qualitative data analysis was conducted to identify themes and insights from open-ended responses.
Results
The evaluation revealed active participation from 85 council members, with representation from various organizations. Key outcomes included the development of subcommittees, creation of factsheets, dissemination of press releases, and engagement through social media channels. Partnerships were cultivated, and community outreach efforts demonstrated substantial reach and impact.
Conclusions
Participants expressed a commitment to addressing food insecurity through targeted interventions, policy advocacy, collaboration, and community engagement. The evaluation underscores council's role as a catalyst for collective action, providing insights to guide strategic planning, resource allocation, and future initiatives in advancing food security across Utah.
{"title":"Utah Food Security Council First Year Evaluation","authors":"Palak Gupta PhD, Heidi LeBlanc MS","doi":"10.1016/j.jneb.2024.05.084","DOIUrl":"10.1016/j.jneb.2024.05.084","url":null,"abstract":"<div><h3>Objective</h3><p>The Utah Food Security Council (UFSC) developed from a legislative bill, embarked on its inaugural year with a mission to eliminate hunger, and promote equitable access to nutritious food for all Utah residents. This process evaluation aimed to assess the council's operational effectiveness, achievements, challenges, and areas for improvement as it works towards its mission. Use of Theory: Informed by the FAO's definition of food security and insights from public health literature, the UFSC's initiatives are designed to address the multifaceted dimensions of food insecurity through research-informed strategies and collaborative efforts.</p></div><div><h3>Target Audience</h3><p>The evaluation targeted participants of the UFSC, including representatives from government agencies, non-profit organizations, community groups, universities, and other stakeholders involved in food security initiatives across Utah.</p></div><div><h3>Program Description</h3><p>The UFSC operates as a collaborative platform to develop comprehensive strategies, policies, and initiatives aimed at enhancing food security statewide. Through research, advocacy, education, and community engagement, the council identifies barriers to food access, implements effective solutions, and fosters partnerships to address food insecurity at local and statewide levels.</p></div><div><h3>Evaluation Methods</h3><p>A cross-sectional study design was employed, inviting all council participants to partake in a survey assessing their involvement, perceptions, and impact of the council's activities. Primary data was collected via a Qualtrics survey, supplemented by secondary data on community reach from the council's online platforms. Qualitative data analysis was conducted to identify themes and insights from open-ended responses.</p></div><div><h3>Results</h3><p>The evaluation revealed active participation from 85 council members, with representation from various organizations. Key outcomes included the development of subcommittees, creation of factsheets, dissemination of press releases, and engagement through social media channels. Partnerships were cultivated, and community outreach efforts demonstrated substantial reach and impact.</p></div><div><h3>Conclusions</h3><p>Participants expressed a commitment to addressing food insecurity through targeted interventions, policy advocacy, collaboration, and community engagement. The evaluation underscores council's role as a catalyst for collective action, providing insights to guide strategic planning, resource allocation, and future initiatives in advancing food security across Utah.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S35"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.085
Stephanie Reichert BS, Rebecca Hagedorn-Hatfield PhD, RDN, LD, Maryfrances Porter PhD, Elizabeth Borst, Sam Hedges, Lanae Hood PhD
Objective
To evaluate the redemption rates of Virginia Fresh Match (VFM) Supplemental Nutrition Assistance Program (SNAP) nutrition incentives in 2023, despite reduced benefits due to the cessation of emergency SNAP allotments.
Use of Theory or Research
During the pandemic, SNAP benefits were temporarily increased but these were terminated in March of 2023. Little is known about SNAP nutrition incentive program redemption rates following the reduction in SNAP benefits. Target Audience: The target audiences of this process evaluation were Virginian SNAP recipients shopping with VFM nutrition incentives and over 120 partner outlets offering VFM at their local markets (farmer's markets and small format retail stores).
Program Description
Virginia Fresh Match (VFM) is a network of farmers markets and community food outlets that offer nutrition incentives to double the value of Supplemental Nutrition Assistance Program (SNAP) benefits for fruits and vegetables. With VFM, SNAP recipients can afford more fruits and vegetables, local farmers earn more income, and more dollars stay in the local economy.
Evaluation Methods
Smartsheet was used to track outlet participation and SNAP incentive redemptions. Participating outlets completed a monthly report to provide SNAP sales and VFM redemption data with supporting documentation. The economic impact of VFM was calculated using the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Center's economic impact calculator.
Results
SNAP use remained stable at VFM outlets between 2022 ($5.5M) and 2023 ($5.3M). There was a 30% increase in VFM incentive redemptions between 2021 ($633,000) and 2022 ($822,000). In 2023 the rate of redemption stabilized ($812,000) and decreased less than 1% despite the steep cuts in SNAP benefits across the state. VFM's total economic impact in 2023 was $1.3M.
Conclusions
Stability is the key to VFM's impact and the program remained resilient despite the reduction in SNAP benefits. VFM customers continued to stretch their limited food budgets through participation in nutrition incentive programming, further impacting local community retail stores and farmer's markets.
Funding
NIFA, Virginia Department of Agriculture and Consumer Services
{"title":"Virginia Fresh Match (VFM) Redemptions Remain Strong Despite the End of Emergency SNAP Allotments","authors":"Stephanie Reichert BS, Rebecca Hagedorn-Hatfield PhD, RDN, LD, Maryfrances Porter PhD, Elizabeth Borst, Sam Hedges, Lanae Hood PhD","doi":"10.1016/j.jneb.2024.05.085","DOIUrl":"10.1016/j.jneb.2024.05.085","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the redemption rates of Virginia Fresh Match (VFM) Supplemental Nutrition Assistance Program (SNAP) nutrition incentives in 2023, despite reduced benefits due to the cessation of emergency SNAP allotments.</p></div><div><h3>Use of Theory or Research</h3><p>During the pandemic, SNAP benefits were temporarily increased but these were terminated in March of 2023. Little is known about SNAP nutrition incentive program redemption rates following the reduction in SNAP benefits. Target Audience: The target audiences of this process evaluation were Virginian SNAP recipients shopping with VFM nutrition incentives and over 120 partner outlets offering VFM at their local markets (farmer's markets and small format retail stores).</p></div><div><h3>Program Description</h3><p>Virginia Fresh Match (VFM) is a network of farmers markets and community food outlets that offer nutrition incentives to double the value of Supplemental Nutrition Assistance Program (SNAP) benefits for fruits and vegetables. With VFM, SNAP recipients can afford more fruits and vegetables, local farmers earn more income, and more dollars stay in the local economy.</p></div><div><h3>Evaluation Methods</h3><p>Smartsheet was used to track outlet participation and SNAP incentive redemptions. Participating outlets completed a monthly report to provide SNAP sales and VFM redemption data with supporting documentation. The economic impact of VFM was calculated using the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Center's economic impact calculator.</p></div><div><h3>Results</h3><p>SNAP use remained stable at VFM outlets between 2022 ($5.5M) and 2023 ($5.3M). There was a 30% increase in VFM incentive redemptions between 2021 ($633,000) and 2022 ($822,000). In 2023 the rate of redemption stabilized ($812,000) and decreased less than 1% despite the steep cuts in SNAP benefits across the state. VFM's total economic impact in 2023 was $1.3M.</p></div><div><h3>Conclusions</h3><p>Stability is the key to VFM's impact and the program remained resilient despite the reduction in SNAP benefits. VFM customers continued to stretch their limited food budgets through participation in nutrition incentive programming, further impacting local community retail stores and farmer's markets.</p></div><div><h3>Funding</h3><p>NIFA, Virginia Department of Agriculture and Consumer Services</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S35-S36"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.024
Lawrence Li BS, Angel Chen, Michele Nicolo PhD, RDN, CDCES, Giselle Pignotti PhD, RD, Susan Chen PhD
Background
Food insecurity (FI) is a risk factor for many negative health outcomes. While 12.8% of United States (U.S.) residents experience FI, less is known about the prevalence rate and related experiences among Asian Americans (AA) and AA ethnicities.
Objective
This scoping review examines the evidence on FI and health outcomes among AA and disaggregated AA ethnicities.
Study Design, Settings, Participants
The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The inclusion criteria were peer-reviewed, original research studies that examined FI prevalence and health outcomes for aggregated and disaggregated AA groups; published in English between 1975-November 2023; and conducted in the U.S. All age groups and research designs were included. Search terms focused on FI, health outcomes, and AA. Four databases (Pubmed, EBSCOhost, Wiley, ScienceDirect) and the first ten pages of Google Scholar were scanned.
Measurable Outcome/Analysis
Descriptive information from the research articles, FI prevalence rate, and health outcomes among AA, were extracted. When available, disaggregated AA ethnicity data were included.
Results
Of the included articles (n=12), most (n=8) utilized cross-sectional research designs. Most studies (n= 9) examined AA as an aggregated racial group and FI rates ranged between 2.3%-31.0%. Of the reported health outcomes, significant associations between FI and low whole fruit intake, high body mass index (BMI), and poor diet, sleep, and physical activity among AA adults were observed. Of the studies that examined differences between AA ethnicities (n=3), FI prevalence varied inconsistently (Southeast Asians=24.6-63.3%; South Asians=3.14-38.2%; East Asians=16.45-71.7%). Within this group, FI was significantly associated only with the diagnosis of depression.
Conclusions
FI was associated with diet outcomes and BMI, but not diet-related chronic disease prevalence within AA. Due to the large fluctuation of FI prevalence within individual AA ethnicities, more research is warranted to examine the extent to which FI and other risk factors contribute to diet-related health outcomes.
Funding
San Jose State University Circle of Friends Research Assistance Award
背景食物无保障（FI）是导致许多不良健康后果的风险因素。虽然有 12.8% 的美国居民经历过食物不安全，但人们对亚裔美国人（AA）和 AA 族群的食物不安全发生率和相关经历知之甚少。研究设计、设置、参与者该综述遵循了系统综述和元分析首选报告项目清单。纳入标准为经同行评审的原创性研究，这些研究考察了AA总群体和细分群体的FI患病率和健康结果；研究发表于1975年至2023年11月之间的英文刊物；研究在美国进行。搜索关键词主要集中在 FI、健康结果和 AA。扫描了四个数据库（Pubmed、EBSCOhost、Wiley、ScienceDirect）和 Google Scholar 的前十页。可衡量的结果/分析从研究文章、FI 流行率和 AA 中的健康结果中提取描述性信息。结果在收录的文章（12 篇）中，大多数（8 篇）采用了横断面研究设计。大多数研究（9 篇）将 AA 作为一个综合种族群体进行研究，FI 率介于 2.3%-31.0% 之间。在报告的健康结果中，观察到 AA 族成年人的 FI 与全水果摄入量低、体重指数（BMI）高以及饮食、睡眠和体育锻炼不良之间存在显著关联。在研究 AA 族群间差异的研究中（n=3），FI 患病率的差异并不一致（东南亚人=24.6-63.3%；南亚人=3.14-38.2%；东亚人=16.45-71.7%）。在这一群体中，FI 仅与抑郁症的诊断有显著相关性。结论FI 与饮食结果和体重指数相关，但与 AA 族中与饮食相关的慢性病患病率无关。由于 FI 在个别 AA 族群中的流行率波动较大，因此有必要开展更多研究，以探讨 FI 和其他风险因素对饮食相关健康结果的影响程度。
{"title":"Food Insecurity Prevalence and Related Health Outcomes Among Asian Americans: A Scoping Review","authors":"Lawrence Li BS, Angel Chen, Michele Nicolo PhD, RDN, CDCES, Giselle Pignotti PhD, RD, Susan Chen PhD","doi":"10.1016/j.jneb.2024.05.024","DOIUrl":"10.1016/j.jneb.2024.05.024","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity (FI) is a risk factor for many negative health outcomes. While 12.8% of United States (U.S.) residents experience FI, less is known about the prevalence rate and related experiences among Asian Americans (AA) and AA ethnicities.</p></div><div><h3>Objective</h3><p>This scoping review examines the evidence on FI and health outcomes among AA and disaggregated AA ethnicities.</p></div><div><h3>Study Design, Settings, Participants</h3><p>The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The inclusion criteria were peer-reviewed, original research studies that examined FI prevalence and health outcomes for aggregated and disaggregated AA groups; published in English between 1975-November 2023; and conducted in the U.S. All age groups and research designs were included. Search terms focused on FI, health outcomes, and AA. Four databases (Pubmed, EBSCOhost, Wiley, ScienceDirect) and the first ten pages of Google Scholar were scanned.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Descriptive information from the research articles, FI prevalence rate, and health outcomes among AA, were extracted. When available, disaggregated AA ethnicity data were included.</p></div><div><h3>Results</h3><p>Of the included articles (n=12), most (n=8) utilized cross-sectional research designs. Most studies (n= 9) examined AA as an aggregated racial group and FI rates ranged between 2.3%-31.0%. Of the reported health outcomes, significant associations between FI and low whole fruit intake, high body mass index (BMI), and poor diet, sleep, and physical activity among AA adults were observed. Of the studies that examined differences between AA ethnicities (n=3), FI prevalence varied inconsistently (Southeast Asians=24.6-63.3%; South Asians=3.14-38.2%; East Asians=16.45-71.7%). Within this group, FI was significantly associated only with the diagnosis of depression.</p></div><div><h3>Conclusions</h3><p>FI was associated with diet outcomes and BMI, but not diet-related chronic disease prevalence within AA. Due to the large fluctuation of FI prevalence within individual AA ethnicities, more research is warranted to examine the extent to which FI and other risk factors contribute to diet-related health outcomes.</p></div><div><h3>Funding</h3><p>San Jose State University Circle of Friends Research Assistance Award</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S9"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.014
Laura Vollmer RD, MPH, Lucy Diekmann PhD
Objective
The workshop series sought to support food justice and sovereignty by educating food systems professionals about the root causes of inequities in the food system.
Use of Theory or Research
Residents who are knowledgeable about food systems and active about food and agricultural issues are critical for the long-term success of efforts to develop an equitable food system. Education about food and agriculture can equip residents with the knowledge and skills to transform their food system and make positive changes in their communities. We sought to train food system stakeholders to help their communities affect those positive changes.
Target Audience
The series reached a broad range of food system stakeholders, including community nutrition and garden educators, local government officials, producers, etc.
Program Description
Building Equity in the Silicon Valley Food Systems was a professional development series co-designed by community partners and cooperative extension advisors. Four webinars covered topics across the food system, including agricultural land access and housing, culture and power, and community-led approaches to food system work. A concluding in-person convening offered participants the opportunity to reflect on the series and develop a shared action plan to carry learnings from the series into their work.
Evaluation Methods
Surveys were administered at registration, after each workshop, and at the conclusion of the series.
Results
Respondents reported increased knowledge of equitable food systems (81%), the historical roots of inequity in land access and housing in Silicon Valley (81%), diverse cultural food traditions (80%), and strategies for promoting equity and community-led solutions (82%). 98% of respondents indicated they would take action – or had already taken action – as a result of the series. Those actions included increased collaboration, implementing values-based procurement, including more community voice in programming, and finally, a willingness to advocate for systems-level change.
Conclusions
Co-designing a workshop series with community partners led to positive increased knowledge and intention of food system professionals to work towards a more participatory food system.
{"title":"Working Towards a Participatory and Just Food System: A Community Designed Extension Workshop Series","authors":"Laura Vollmer RD, MPH, Lucy Diekmann PhD","doi":"10.1016/j.jneb.2024.05.014","DOIUrl":"10.1016/j.jneb.2024.05.014","url":null,"abstract":"<div><h3>Objective</h3><p>The workshop series sought to support food justice and sovereignty by educating food systems professionals about the root causes of inequities in the food system.</p></div><div><h3>Use of Theory or Research</h3><p>Residents who are knowledgeable about food systems and active about food and agricultural issues are critical for the long-term success of efforts to develop an equitable food system. Education about food and agriculture can equip residents with the knowledge and skills to transform their food system and make positive changes in their communities. We sought to train food system stakeholders to help their communities affect those positive changes.</p></div><div><h3>Target Audience</h3><p>The series reached a broad range of food system stakeholders, including community nutrition and garden educators, local government officials, producers, etc.</p></div><div><h3>Program Description</h3><p>Building Equity in the Silicon Valley Food Systems was a professional development series co-designed by community partners and cooperative extension advisors. Four webinars covered topics across the food system, including agricultural land access and housing, culture and power, and community-led approaches to food system work. A concluding in-person convening offered participants the opportunity to reflect on the series and develop a shared action plan to carry learnings from the series into their work.</p></div><div><h3>Evaluation Methods</h3><p>Surveys were administered at registration, after each workshop, and at the conclusion of the series.</p></div><div><h3>Results</h3><p>Respondents reported increased knowledge of equitable food systems (81%), the historical roots of inequity in land access and housing in Silicon Valley (81%), diverse cultural food traditions (80%), and strategies for promoting equity and community-led solutions (82%). 98% of respondents indicated they would take action – or had already taken action – as a result of the series. Those actions included increased collaboration, implementing values-based procurement, including more community voice in programming, and finally, a willingness to advocate for systems-level change.</p></div><div><h3>Conclusions</h3><p>Co-designing a workshop series with community partners led to positive increased knowledge and intention of food system professionals to work towards a more participatory food system.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S4-S5"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.090
Mackenzie J. Ferrante PhD, RDN, Catherine A. Forestell PhD, Kameron J. Moding PhD, Susan L. Johnson PhD
Background
The period of transition from milk to complementary feeding (CF) is a time of rapid development and learning for young children and their parents. During this period, caregivers must make numerous decisions regarding what and how to feed their children. The Spoonfuls of Nutrition Study sought to understand caregiver approaches to and attitudes about CF.
Objective
The present study seeks to understand questions caregivers have regarding child feeding during the complementary feeding period.
Study Design, Settings, Participants
Caregivers (n=418) of 6-to-24-month-old children participated in a national survey (111 items) in June 2023. The survey asked about food parenting practices, promoting self-feeding, nutrition literacy, demographics and, relevant to the current analysis, included a short answer item asking participants to share their comments or questions about feeding infants and toddlers.
Measurable Outcome/Analysis
A content analysis of short-answer responses (n=146) was independently undertaken by 2 trained investigators to summarize participants’ top-of-mind thoughts and queries related to CF.
Results
Caregivers’ were mainly educated (43% college degree) mothers (64%; 39% White, 21% Black; children: 51.1% female; Mage± SD=15.4 ± 5.6 mo). Queries fell into 3 categories: (1) foods/diet (n=48); (2) caregivers’ beliefs, self-efficacy, and concerns (n=51); and (3) child development (n=17). Food/diet responses focused on which foods can help build a healthful diet, how much to feed, and about specific nutrients. Comments in the second category expressed confidence (or lack thereof) in feeding, beliefs, and worries about CF, typically regarding choking or food allergies. Responses from the third category expressed interest in learning more about their children's eating development and advice on picky eating, food refusal, and growth.
Conclusions
Caregivers expressed a desire for more information related to child development and appropriate foods for their children's health and safety during this period and for assistance with feeding challenges. Future nutrition education efforts could help caregivers navigate their knowledge gaps and concerns, focusing on increasing parents’ knowledge of not only what but how to best feed their infants.
{"title":"Caregivers’ Thoughts and Questions Related to the Complementary Feeding Period","authors":"Mackenzie J. Ferrante PhD, RDN, Catherine A. Forestell PhD, Kameron J. Moding PhD, Susan L. Johnson PhD","doi":"10.1016/j.jneb.2024.05.090","DOIUrl":"10.1016/j.jneb.2024.05.090","url":null,"abstract":"<div><h3>Background</h3><p>The period of transition from milk to complementary feeding (CF) is a time of rapid development and learning for young children and their parents. During this period, caregivers must make numerous decisions regarding what and how to feed their children. The Spoonfuls of Nutrition Study sought to understand caregiver approaches to and attitudes about CF.</p></div><div><h3>Objective</h3><p>The present study seeks to understand questions caregivers have regarding child feeding during the complementary feeding period.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Caregivers (n=418) of 6-to-24-month-old children participated in a national survey (111 items) in June 2023. The survey asked about food parenting practices, promoting self-feeding, nutrition literacy, demographics and, relevant to the current analysis, included a short answer item asking participants to share their comments or questions about feeding infants and toddlers.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>A content analysis of short-answer responses (n=146) was independently undertaken by 2 trained investigators to summarize participants’ top-of-mind thoughts and queries related to CF.</p></div><div><h3>Results</h3><p>Caregivers’ were mainly educated (43% college degree) mothers (64%; 39% White, 21% Black; children: 51.1% female; Mage± SD=15.4 ± 5.6 mo). Queries fell into 3 categories: (1) foods/diet (n=48); (2) caregivers’ beliefs, self-efficacy, and concerns (n=51); and (3) child development (n=17). Food/diet responses focused on which foods can help build a healthful diet, how much to feed, and about specific nutrients. Comments in the second category expressed confidence (or lack thereof) in feeding, beliefs, and worries about CF, typically regarding choking or food allergies. Responses from the third category expressed interest in learning more about their children's eating development and advice on picky eating, food refusal, and growth.</p></div><div><h3>Conclusions</h3><p>Caregivers expressed a desire for more information related to child development and appropriate foods for their children's health and safety during this period and for assistance with feeding challenges. Future nutrition education efforts could help caregivers navigate their knowledge gaps and concerns, focusing on increasing parents’ knowledge of not only what but how to best feed their infants.</p></div><div><h3>Funding</h3><p>Avocado Nutrition Center</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S38"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.097
Palak Gupta PhD, Lendel Narine PhD
Background
Poor diet quality and food insecurity are significant public health challenges associated with adverse health outcomes. Understanding the relationship between diet quality, food insecurity, and overall health status is crucial for developing effective interventions to improve public health.
Objective
This research aimed to explore the associations between diet quality, food insecurity, and overall health status among Utahns.
Study Design, Settings, Participants
A cross-sectional survey was conducted among 1,522 residents of Utah in 2023. Data on household characteristics, diet quality, health status, and food security were collected using an online survey over a two-month period. Diet quality was measured using a modified Rapid Eating Assessment for Participants-Shortened Version (REAP-S), while food insecurity was assessed using a validated 6-item food security scale.
Measurable Outcome/Analysis
Data was analyzed using SPSS. Descriptive statistics, k-means cluster analysis, chi-square, logistic regression, and crosstabulations were employed to analyze the data. Measurable outcome diet quality.
Results
The study identified two distinct clusters based on diet quality, with significant differences observed in fruit, vegetable, dairy, and whole grain consumption between the clusters. Logistic regression revealed that education, percentage of total expenditure on food, self-reported health status, body mass index, barriers to eating healthy, symptoms from lack of food, and food security status significantly influenced diet quality. Individuals experiencing very low food security were found to have significantly lower diet quality.
Conclusions
Poor diet quality, influenced by factors such as food insecurity and barriers to healthy eating, is associated with adverse health outcomes. Educational programs, policy advocacy, support for local food initiatives, and collaborative approaches are recommended to address these challenges and improve overall health outcomes in Utah residents.
Implications for Research and Practice
Targeted interventions addressing food insecurity and barriers to healthy eating can contribute to improved diet quality and overall health outcomes. Collaborative efforts among healthcare professionals, community organizations, policymakers, and researchers are essential for developing effective strategies to promote healthier eating habits and reduce the burden of diet-related chronic diseases.
{"title":"Exploring Diet Quality, Food Insecurity, and Health Status Among Utah Residents","authors":"Palak Gupta PhD, Lendel Narine PhD","doi":"10.1016/j.jneb.2024.05.097","DOIUrl":"10.1016/j.jneb.2024.05.097","url":null,"abstract":"<div><h3>Background</h3><p>Poor diet quality and food insecurity are significant public health challenges associated with adverse health outcomes. Understanding the relationship between diet quality, food insecurity, and overall health status is crucial for developing effective interventions to improve public health.</p></div><div><h3>Objective</h3><p>This research aimed to explore the associations between diet quality, food insecurity, and overall health status among Utahns.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A cross-sectional survey was conducted among 1,522 residents of Utah in 2023. Data on household characteristics, diet quality, health status, and food security were collected using an online survey over a two-month period. Diet quality was measured using a modified Rapid Eating Assessment for Participants-Shortened Version (REAP-S), while food insecurity was assessed using a validated 6-item food security scale.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Data was analyzed using SPSS. Descriptive statistics, k-means cluster analysis, chi-square, logistic regression, and crosstabulations were employed to analyze the data. Measurable outcome diet quality.</p></div><div><h3>Results</h3><p>The study identified two distinct clusters based on diet quality, with significant differences observed in fruit, vegetable, dairy, and whole grain consumption between the clusters. Logistic regression revealed that education, percentage of total expenditure on food, self-reported health status, body mass index, barriers to eating healthy, symptoms from lack of food, and food security status significantly influenced diet quality. Individuals experiencing very low food security were found to have significantly lower diet quality.</p></div><div><h3>Conclusions</h3><p>Poor diet quality, influenced by factors such as food insecurity and barriers to healthy eating, is associated with adverse health outcomes. Educational programs, policy advocacy, support for local food initiatives, and collaborative approaches are recommended to address these challenges and improve overall health outcomes in Utah residents.</p></div><div><h3>Implications for Research and Practice</h3><p>Targeted interventions addressing food insecurity and barriers to healthy eating can contribute to improved diet quality and overall health outcomes. Collaborative efforts among healthcare professionals, community organizations, policymakers, and researchers are essential for developing effective strategies to promote healthier eating habits and reduce the burden of diet-related chronic diseases.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S41"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-08-01DOI: 10.1016/S1499-4046(24)00358-0
{"title":"Editorial Board/Board of Directors","authors":"","doi":"10.1016/S1499-4046(24)00358-0","DOIUrl":"10.1016/S1499-4046(24)00358-0","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003580/pdfft?md5=e16872d5cfd49f6bd0d1f85c312afb1a&pid=1-s2.0-S1499404624003580-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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