Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.05.023
Kelly Lake MS, BA, Jonathan Saturay BA, Rebecca Salo BA
Objective
To evaluate the implementation of a free nutrition education resource for 4th-grade students.
Use of Theory or Research
Our curriculum increases students' knowledge of label reading and affects students' attitudes regarding food marketing (Cognitive Factors). Students gain and practice real-life skills throughout our workshop (Behavioral Factors). Because our program is administered to an entire classroom, teachers report changes in classroom norms around how students discuss food choices, and anecdotally report that students are taking their learning home to impact their family's shopping behaviors (Environmental Factors).
Target Audience
4th graders
Program Description
Our website uses a series of live-action videos, animations, and “Briefings” (A.K.A. instructions) to help keep classrooms engaged and on track. The content, 3 hours in total, is divided into six modules that can be facilitated any time during the workshop week.
Evaluation Methods
Before workshop and after workshop nutrition knowledge surveys.
Results
Our workshop results in proven learning gains. On average, students score 32% higher on our nutrition knowledge survey after they complete the workshop.
Conclusions
Even though our workshop is a little silly and tons of fun, we are serious about our mission. Equipped with the life skills of food literacy, we believe today's kids have the power to change our food system for good, and we fastidiously track results to ensure our programming leads to real behavior change.
{"title":"Food Detectives Workshop: Promoting Life Skills and Food Literacy in 4th-Grade Classrooms","authors":"Kelly Lake MS, BA, Jonathan Saturay BA, Rebecca Salo BA","doi":"10.1016/j.jneb.2024.05.023","DOIUrl":"10.1016/j.jneb.2024.05.023","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the implementation of a free nutrition education resource for 4th-grade students.</p></div><div><h3>Use of Theory or Research</h3><p>Our curriculum increases students' knowledge of label reading and affects students' attitudes regarding food marketing (Cognitive Factors). Students gain and practice real-life skills throughout our workshop (Behavioral Factors). Because our program is administered to an entire classroom, teachers report changes in classroom norms around how students discuss food choices, and anecdotally report that students are taking their learning home to impact their family's shopping behaviors (Environmental Factors).</p></div><div><h3>Target Audience</h3><p>4th graders</p></div><div><h3>Program Description</h3><p>Our website uses a series of live-action videos, animations, and “Briefings” (A.K.A. instructions) to help keep classrooms engaged and on track. The content, 3 hours in total, is divided into six modules that can be facilitated any time during the workshop week.</p></div><div><h3>Evaluation Methods</h3><p>Before workshop and after workshop nutrition knowledge surveys.</p></div><div><h3>Results</h3><p>Our workshop results in proven learning gains. On average, students score 32% higher on our nutrition knowledge survey after they complete the workshop.</p></div><div><h3>Conclusions</h3><p>Even though our workshop is a little silly and tons of fun, we are serious about our mission. Equipped with the life skills of food literacy, we believe today's kids have the power to change our food system for good, and we fastidiously track results to ensure our programming leads to real behavior change.</p></div><div><h3>Funding</h3><p>Private</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949892","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}
In Minnesota, more than 5.5 million visits to food shelves were reported in 2022. Examining the perceived availability of healthy and culturally acceptable foods among food shelf users by demographic characteristics may improve our understanding of how charitable food systems can contribute to nutrition security.
Objective
To determine if the reported availability of healthy foods at food shelves and the perceived importance of having cultural foods and cooking items (spices/oils) at the food shelf differ by sociodemographic characteristics.
Study Design, Settings, Participants
Secondary analysis of data from the 2022 Minnesota Food Shelf Survey, a cross-sectional statewide survey of food pantry shoppers, was performed. The final analytical sample consisted of 4,680 participants who visited less than monthly and who affirmed they have choice over food selection.
Measurable Outcome/Analysis
Availability of the five food categories (meat, poultry, and fish; fruit and vegetables; dairy; eggs; and cooking items) was dichotomized into 2 groups (Always vs. Often+Sometimes+Rarely+Never). Perceived importance of culturally specific foods/cooking items was assessed as a binary variable (Yes/No). Adjusted logistic regression models (ORs, 95% CI, p-values) determined associations between demographic characteristics and outcomes of interest: the probability of answering “Always” for availability for each food category and the probability of indicating that availability of culturally-specific or cooking items separately was important.
Results
Non-White participants had lower odds of reporting that meat, poultry, and fish were always available than White participants (ORs 0.4-0.8, ps <0.001-0.047). The odds of Asian participants reporting that fresh fruits and vegetables, dairy, and eggs were always available were lower than White participants (ORs 0.6-0.7, ps < 0.008-0.04). Asian, Black, Hispanic, and male participants had higher odds of indicating the importance of culturally-specific food and cooking item availability than their counterparts (ORs 1.7-6.1, ps <0.001).
Conclusions
Racial inequities exist in availability of healthy and culturally-specific foods in food pantries that could be addressed via food-sourcing policies/strategies and food bank distribution efforts.
{"title":"2022 Minnesota Statewide Food Shelf Survey: Availability and Importance of Foods by Participant Characteristics","authors":"Francine Overcash PhD, MPH, Patrick Brady PhD, Abby Gold PhD, RD, Beth Labenz MPH, Marla Reicks PhD, RDN, Susannah West MPH","doi":"10.1016/j.jneb.2024.05.032","DOIUrl":"10.1016/j.jneb.2024.05.032","url":null,"abstract":"<div><h3>Background</h3><p>In Minnesota, more than 5.5 million visits to food shelves were reported in 2022. Examining the perceived availability of healthy and culturally acceptable foods among food shelf users by demographic characteristics may improve our understanding of how charitable food systems can contribute to nutrition security.</p></div><div><h3>Objective</h3><p>To determine if the reported availability of healthy foods at food shelves and the perceived importance of having cultural foods and cooking items (spices/oils) at the food shelf differ by sociodemographic characteristics.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Secondary analysis of data from the 2022 Minnesota Food Shelf Survey, a cross-sectional statewide survey of food pantry shoppers, was performed. The final analytical sample consisted of 4,680 participants who visited less than monthly and who affirmed they have choice over food selection.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Availability of the five food categories (meat, poultry, and fish; fruit and vegetables; dairy; eggs; and cooking items) was dichotomized into 2 groups (Always vs. Often+Sometimes+Rarely+Never). Perceived importance of culturally specific foods/cooking items was assessed as a binary variable (Yes/No). Adjusted logistic regression models (ORs, 95% CI, p-values) determined associations between demographic characteristics and outcomes of interest: the probability of answering “Always” for availability for each food category and the probability of indicating that availability of culturally-specific or cooking items separately was important.</p></div><div><h3>Results</h3><p>Non-White participants had lower odds of reporting that meat, poultry, and fish were always available than White participants (ORs 0.4-0.8, ps <0.001-0.047). The odds of Asian participants reporting that fresh fruits and vegetables, dairy, and eggs were always available were lower than White participants (ORs 0.6-0.7, ps < 0.008-0.04). Asian, Black, Hispanic, and male participants had higher odds of indicating the importance of culturally-specific food and cooking item availability than their counterparts (ORs 1.7-6.1, ps <0.001).</p></div><div><h3>Conclusions</h3><p>Racial inequities exist in availability of healthy and culturally-specific foods in food pantries that could be addressed via food-sourcing policies/strategies and food bank distribution efforts.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953471","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.2024.05.044
Aeneas Koosis MS, Alyssa Beavers RDN, PhD
Background
Detroit, Michigan's food environment includes a high proportion of independent grocery stores, which often have limited selections, higher prices, and lower quality compared to major supermarket chains. This may lead to difficulties accessing healthy food for people who rely solely on independent grocers. There is a need to understand the relationship between food insecurity, grocery store type used, and fruit and vegetable intake in order to design effective healthy food retail interventions in independent grocery stores.
Objective
This study examines the associations between food insecurity, type of grocery store used (chain vs. independent), and fruit and vegetable intake among Detroit residents.
Study Design, Settings, Participants
We conducted a cross-sectional survey of 656 Detroit adults from December 2021 to May 2022, to examine food security status, food purchasing behaviours, fruit and vegetable intake, and demographics.
Measurable Outcome/Analysis
The primary outcomes were type of grocery store used and fruit and vegetable intake frequency (measured via the Dietary Screener Questionnaire). Bivariate associations were tested using chi-square tests for categorical variables or rank-sum tests for ordinal or non-normal continuous variables.
Results
Our results showed 33% of food-insecure individuals shopped exclusively at independent grocers, compared to 18% of food-secure individuals (p<0.001). Frequency of fruit and vegetable consumption was significantly higher (p<0.001) among chain store shoppers (mean of 2.4 times per day) compared with independent grocery store shoppers (2.1 times per day). Additionally, chain store patronage was associated with higher income and education, and race differed between those who shopped at independent and chain grocers (p<0.001).
Conclusions
Findings highlight a link between food insecurity, reduced fruit and vegetable intake, and independent grocery store use in Detroit, as well as demographic differences between chain and independent store shoppers, highlighting the need for healthy food retail interventions in these spaces.
{"title":"Examining Associations Between Food Insecurity, Independent Grocery Store Usage, and Fresh Produce Intake in Detroit, MI","authors":"Aeneas Koosis MS, Alyssa Beavers RDN, PhD","doi":"10.1016/j.jneb.2024.05.044","DOIUrl":"10.1016/j.jneb.2024.05.044","url":null,"abstract":"<div><h3>Background</h3><p>Detroit, Michigan's food environment includes a high proportion of independent grocery stores, which often have limited selections, higher prices, and lower quality compared to major supermarket chains. This may lead to difficulties accessing healthy food for people who rely solely on independent grocers. There is a need to understand the relationship between food insecurity, grocery store type used, and fruit and vegetable intake in order to design effective healthy food retail interventions in independent grocery stores.</p></div><div><h3>Objective</h3><p>This study examines the associations between food insecurity, type of grocery store used (chain vs. independent), and fruit and vegetable intake among Detroit residents.</p></div><div><h3>Study Design, Settings, Participants</h3><p>We conducted a cross-sectional survey of 656 Detroit adults from December 2021 to May 2022, to examine food security status, food purchasing behaviours, fruit and vegetable intake, and demographics.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>The primary outcomes were type of grocery store used and fruit and vegetable intake frequency (measured via the Dietary Screener Questionnaire). Bivariate associations were tested using chi-square tests for categorical variables or rank-sum tests for ordinal or non-normal continuous variables.</p></div><div><h3>Results</h3><p>Our results showed 33% of food-insecure individuals shopped exclusively at independent grocers, compared to 18% of food-secure individuals (p<0.001). Frequency of fruit and vegetable consumption was significantly higher (p<0.001) among chain store shoppers (mean of 2.4 times per day) compared with independent grocery store shoppers (2.1 times per day). Additionally, chain store patronage was associated with higher income and education, and race differed between those who shopped at independent and chain grocers (p<0.001).</p></div><div><h3>Conclusions</h3><p>Findings highlight a link between food insecurity, reduced fruit and vegetable intake, and independent grocery store use in Detroit, as well as demographic differences between chain and independent store shoppers, highlighting the need for healthy food retail interventions in these spaces.</p></div><div><h3>Funding</h3><p>Wayne State University</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953515","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}
A vast body of research documents the need for School-Based Food and Nutrition Education (SBFNE) to help combat the poor dietary habits of K-12 students. This study aims to consolidate that research via an umbrella review to identify SBFNE components that lead to positive dietary behavior change and then use these findings to develop a theoretical framework that can be used to develop and evaluate SBFNE.
Objective
The purpose of this umbrella review is to systematically identify, integrate, and evaluate educational and programmatic components that promote positive dietary behavior changes among K-12 students, then use the results to create a theoretical framework to bridge the gap between evidence-based research and practical implementation.
Study Design, Settings, Participants
This study uses an umbrella review approach to integrate findings from literature reviews primarily conducted in K-12 educational settings. The methodology included a systematic search, selection, and evaluation of existing reviews to identify successful components and then incorporate these components into a comprehensive theoretical framework.
Measurable Outcome/Analysis
Identify consistent findings across literature reviews, pinpoint the gaps, and then combine these findings into a practical, theoretical framework.
Results
Findings reveal 20 key components essential for effective SBFNE, including cultural inclusivity, interventions tailored to student's economic status, and community involvement. These components are integrated into the socioecological model because this multi-level structured framework addresses the myriad influences on health behaviors.
Conclusions
Effective SBFNE programs require a multi-dimensional, whole-child approach beyond traditional teaching methods. Using evidence-based tools, such as the socioecological model, to integrate educational components and consider a child's environmental, cultural, and social contexts increases the likelihood that an intervention will lead to dietary behavior change. The research underscores the need for educators and policymakers to adopt a holistic approach to SBFNE, ensuring that programs bridge the gap between evidence-based research and practical implementation in K-12 SBFNE to enhance the effectiveness of school-based programs and equip students with the knowledge and skills for informed, health-promoting dietary choices.
Funding
The Laurie M Tisch Center for Food, Education & Policy
{"title":"Key Components for Effective K-12 Food and Nutrition Education: An Umbrella Review and Resulting Theoretical Framework","authors":"Natalie Greaves-Peters RDN, MS, Pamela Koch EdD, RD, CDN","doi":"10.1016/j.jneb.2024.05.048","DOIUrl":"10.1016/j.jneb.2024.05.048","url":null,"abstract":"<div><h3>Background</h3><p>A vast body of research documents the need for School-Based Food and Nutrition Education (SBFNE) to help combat the poor dietary habits of K-12 students. This study aims to consolidate that research via an umbrella review to identify SBFNE components that lead to positive dietary behavior change and then use these findings to develop a theoretical framework that can be used to develop and evaluate SBFNE.</p></div><div><h3>Objective</h3><p>The purpose of this umbrella review is to systematically identify, integrate, and evaluate educational and programmatic components that promote positive dietary behavior changes among K-12 students, then use the results to create a theoretical framework to bridge the gap between evidence-based research and practical implementation.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This study uses an umbrella review approach to integrate findings from literature reviews primarily conducted in K-12 educational settings. The methodology included a systematic search, selection, and evaluation of existing reviews to identify successful components and then incorporate these components into a comprehensive theoretical framework.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Identify consistent findings across literature reviews, pinpoint the gaps, and then combine these findings into a practical, theoretical framework.</p></div><div><h3>Results</h3><p>Findings reveal 20 key components essential for effective SBFNE, including cultural inclusivity, interventions tailored to student's economic status, and community involvement. These components are integrated into the socioecological model because this multi-level structured framework addresses the myriad influences on health behaviors.</p></div><div><h3>Conclusions</h3><p>Effective SBFNE programs require a multi-dimensional, whole-child approach beyond traditional teaching methods. Using evidence-based tools, such as the socioecological model, to integrate educational components and consider a child's environmental, cultural, and social contexts increases the likelihood that an intervention will lead to dietary behavior change. The research underscores the need for educators and policymakers to adopt a holistic approach to SBFNE, ensuring that programs bridge the gap between evidence-based research and practical implementation in K-12 SBFNE to enhance the effectiveness of school-based programs and equip students with the knowledge and skills for informed, health-promoting dietary choices.</p></div><div><h3>Funding</h3><p>The Laurie M Tisch Center for Food, Education & Policy</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953523","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}
The federal Child and Adult Care Food Program (CACFP) serves over 4.2 million U.S. children. Participating family childcare homes (FCCH) receive tiered reimbursements (I/II) to serve healthy foods to children in households with low-income. CACFP participation can improve the quality and affordability of childcare. During the COVID-19 pandemic, federal waivers eliminated tiers and increased reimbursements. Tier-I/II rates were $4.78/$2.29 before July 2021, $5.67/$5.67 July 2021-2023 with the waiver, and $5.21/$2.72 after July 2023 post-waiver.
Objective
Assess the impact of pandemic-waiver and perceived impact of post-waiver CACFP reimbursement rates on FCCH financial viability and meal/snack nutritional quality in California FCCHs.
Study Design, Settings, Participants
From a random sample of all licensed FCCH in California on CACFP (n=1,000 per tier), n=261 tier-I and n=257 tier-II completed surveys in English (86%) or Spanish (14%) in May-September 2023, and a subset (n=30) were interviewed.
Measurable Outcome/Analysis
Binary and Likert-scale responses for benefits of pandemic reimbursement rates and perceived impact upon return to tiers in July 2023 were analyzed, comparing tier results after adjusting for potential confounders using linear and logistic regression. Qualitative data were coded into themes using immersion-crystallization.
Results
More tier-II than tier-I FCCH reported the increased pandemic rates resulted in lower out-of-pocket food costs (65% vs 54%, p<0.5), allowed for increased food variety (62% vs 47%, p<0.001), improved food quality (62% vs 47%, p<0.01), and facilitated CACFP best practices for serving lean proteins (p<0.05) and limiting processed meats (p<0.05). FCCH expected decreased food variety (71% somewhat or extremely likely) and increased childcare charges to families (70%), post-waiver. Interviews indicated CACFP ensures nutritious meals/snacks, but inflation impacts costs, and FCCH advocate for increased federal reimbursements and the elimination of tiering.
Conclusions
CACFP pandemic reimbursement rates improved FCCH financial viability and meal quality. Post-waiver return to tiers and lower rates may result in decreased food variety and increased childcare charges for families, highlighting the need for sustained support to ensure quality and affordable childcare for households with low-income.
{"title":"Impact of Increased Child and Adult Care Food Program Reimbursement Rates for Family Child Care Home Providers in California","authors":"Danielle Lee MPH, RD, Kassandra Bacon MPH, Celeste Felix MPH, Samantha Marshall MA, Elyse Homel Vitale MPH, Susana Matias PhD, Lorrene Ritchie PhD, RD","doi":"10.1016/j.jneb.2024.05.074","DOIUrl":"10.1016/j.jneb.2024.05.074","url":null,"abstract":"<div><h3>Background</h3><p>The federal Child and Adult Care Food Program (CACFP) serves over 4.2 million U.S. children. Participating family childcare homes (FCCH) receive tiered reimbursements (I/II) to serve healthy foods to children in households with low-income. CACFP participation can improve the quality and affordability of childcare. During the COVID-19 pandemic, federal waivers eliminated tiers and increased reimbursements. Tier-I/II rates were $4.78/$2.29 before July 2021, $5.67/$5.67 July 2021-2023 with the waiver, and $5.21/$2.72 after July 2023 post-waiver.</p></div><div><h3>Objective</h3><p>Assess the impact of pandemic-waiver and perceived impact of post-waiver CACFP reimbursement rates on FCCH financial viability and meal/snack nutritional quality in California FCCHs.</p></div><div><h3>Study Design, Settings, Participants</h3><p>From a random sample of all licensed FCCH in California on CACFP (n=1,000 per tier), n=261 tier-I and n=257 tier-II completed surveys in English (86%) or Spanish (14%) in May-September 2023, and a subset (n=30) were interviewed.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Binary and Likert-scale responses for benefits of pandemic reimbursement rates and perceived impact upon return to tiers in July 2023 were analyzed, comparing tier results after adjusting for potential confounders using linear and logistic regression. Qualitative data were coded into themes using immersion-crystallization.</p></div><div><h3>Results</h3><p>More tier-II than tier-I FCCH reported the increased pandemic rates resulted in lower out-of-pocket food costs (65% vs 54%, p<0.5), allowed for increased food variety (62% vs 47%, p<0.001), improved food quality (62% vs 47%, p<0.01), and facilitated CACFP best practices for serving lean proteins (p<0.05) and limiting processed meats (p<0.05). FCCH expected decreased food variety (71% somewhat or extremely likely) and increased childcare charges to families (70%), post-waiver. Interviews indicated CACFP ensures nutritious meals/snacks, but inflation impacts costs, and FCCH advocate for increased federal reimbursements and the elimination of tiering.</p></div><div><h3>Conclusions</h3><p>CACFP pandemic reimbursement rates improved FCCH financial viability and meal quality. Post-waiver return to tiers and lower rates may result in decreased food variety and increased childcare charges for families, highlighting the need for sustained support to ensure quality and affordable childcare for households with low-income.</p></div><div><h3>Funding</h3><p>Robert Wood Johnson Foundation</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953530","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.2024.06.007
Jamie Zeldman MS, RD, CHES®, Amy R. Mobley PhD, RD, FAND
{"title":"Revisiting the Use of Storytelling as a Tool for Nutrition Educators","authors":"Jamie Zeldman MS, RD, CHES®, Amy R. Mobley PhD, RD, FAND","doi":"10.1016/j.jneb.2024.06.007","DOIUrl":"10.1016/j.jneb.2024.06.007","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903433","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}
Dietary-intake assessment among children is challenging due to developmental and cognitive immaturity hence, dietary recall is the preferred tool for use with school-aged children. National surveys usually use consensus or parent-child “joint recalls” among school-aged children. To advance the field of dietary assessment, and evaluate the effectiveness of nutrition education, there is a need to understand how joint recalls are reported in the literature.
Objective
To conduct a scoping review concerning the use of parent-child joint dietary recalls among children and the justifications/rationales provided to support their use.
Study Design, Settings, Participants
Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Review checklist was used.
Measurable Outcome/Analysis
Five databases were searched (PubMed, Embase, CINAHL, Web of Science, and Dietary Assessment Calibration/Validation Register) to identify articles on dietary intake assessment among children aged 6–11. All peer-reviewed studies published in English were eligible except for reviews, meta-analyses, conference abstracts, letters, guidelines, comments, editorials, and case studies/reports.
Results
Of the 5,868 articles identified, 3,652 were excluded based on title and abstract. Of the 2,216 articles that underwent full-text review, 1,415 were excluded (mean age outside >6 and ≤12, no joint recall, no diet recall, not English, duplicate publication, not research study, non-human study, other). Of the 801 articles remaining, 306 were unclear (lacked diet recall details), and 495 met inclusion criteria (with 210 national surveys, 225 cross-sectional studies, 36 cohort studies, 15 randomized controlled trials, and 9 case-control studies). Of these 495, 388 used joint recalls. Preliminary results showed that most (74%) did not cite a validation study to support using joint recalls.
Conclusions
Overall, 38% of 801 articles lacked diet recall details, and 74% of 801 articles failed to cite a reference to support using joint recalls. Results highlight a crucial gap in how the literature describes dietary recalls with school-aged children. Author guidelines to provide details concerning dietary recalls among school-aged children are needed to ensure consistency and improve diet-related nutrition research.
{"title":"A Scoping Review on the Use of Parent-Child Joint Recalls Among School-Aged Children (6–11 Years)","authors":"Yu-Chen Lin BS, Sina Gallo RDN, PhD, MS, Suzanne Baxter PhD, LD, RD, Staci Belcher MS, RD, Emmaline Peterson BS, RD, Casey Roberson, Tiolulope Popoola","doi":"10.1016/j.jneb.2024.05.088","DOIUrl":"10.1016/j.jneb.2024.05.088","url":null,"abstract":"<div><h3>Background</h3><p>Dietary-intake assessment among children is challenging due to developmental and cognitive immaturity hence, dietary recall is the preferred tool for use with school-aged children. National surveys usually use consensus or parent-child “joint recalls” among school-aged children. To advance the field of dietary assessment, and evaluate the effectiveness of nutrition education, there is a need to understand how joint recalls are reported in the literature.</p></div><div><h3>Objective</h3><p>To conduct a scoping review concerning the use of parent-child joint dietary recalls among children and the justifications/rationales provided to support their use.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for Scoping Review checklist was used.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Five databases were searched (PubMed, Embase, CINAHL, Web of Science, and Dietary Assessment Calibration/Validation Register) to identify articles on dietary intake assessment among children aged 6–11. All peer-reviewed studies published in English were eligible except for reviews, meta-analyses, conference abstracts, letters, guidelines, comments, editorials, and case studies/reports.</p></div><div><h3>Results</h3><p>Of the 5,868 articles identified, 3,652 were excluded based on title and abstract. Of the 2,216 articles that underwent full-text review, 1,415 were excluded (mean age outside >6 and ≤12, no joint recall, no diet recall, not English, duplicate publication, not research study, non-human study, other). Of the 801 articles remaining, 306 were unclear (lacked diet recall details), and 495 met inclusion criteria (with 210 national surveys, 225 cross-sectional studies, 36 cohort studies, 15 randomized controlled trials, and 9 case-control studies). Of these 495, 388 used joint recalls. Preliminary results showed that most (74%) did not cite a validation study to support using joint recalls.</p></div><div><h3>Conclusions</h3><p>Overall, 38% of 801 articles lacked diet recall details, and 74% of 801 articles failed to cite a reference to support using joint recalls. Results highlight a crucial gap in how the literature describes dietary recalls with school-aged children. Author guidelines to provide details concerning dietary recalls among school-aged children are needed to ensure consistency and improve diet-related nutrition research.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949829","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.2024.05.027
Kelli Williams PhD, LD, RDN, Mallory Mount RDN, LD, EdD, Mary Kathryn Gould EdD, RDN, LD, Eva Rhodes, Sarah McGlumphy MPH, Lauryn Poole
Background
Food insecurity is a major concern in rural Appalachia and on college campuses. To combat the problem, Marshall University Department of Dietetics operates a campus food pantry serving students and the community by providing nutrient dense foods and education in an effort to improve access to healthy food and encourage healthy behaviors.
Objective
To better understand the background and needs of pantry clients to provide the most appropriate and needed services/education.
Study Design, Settings, Participants
A 24 item pilot survey was administered over two weeks via pen/paper or electronically to clients during a pantry visit. It utilized open ended, multiple choice, and Likert scale responses to gather data related to demographics, food and nutrition attitudes and behaviors, and suggestions/concerns.
Measurable Outcome/Analysis
Qualtrics was utilized to input and analyze survey data. Descriptive statistics were calculated related to client background, pantry use, hunger and food availability issues, current nutrition knowledge and behaviors, and potential for nutrition related behavior change.
Results
Twenty-six surveys were collected and analyzed and determined the majority of users (85%) were community members, not students, and half used the pantry weekly. Major grocery distributors were the other primary source of food procurement with only one client using a local farmers’ market. Seventy-three percent reported skipping meals in the past month due to lack of food at home. Nearly all (96.0%) had access to basic cooking tools and equipment, and half had prepared recipes at home that they received from the pantry. Overall, most “agreed” or “strongly agreed” that the pantry allows them to try a wide variety of healthy foods, is accessible, and improves self-efficacy related to preparing and consuming nutrient dense foods.
Conclusions
The pantry is meeting the primary objectives of improving access to healthy foods and encouraging healthy behaviors. Additionally, survey construction provides appropriate information to collect required data for making informed decisions regarding food procurement and nutrition education programming. The pilot survey was successful and ready for further distribution.
{"title":"Investigation of Access to Healthy Food and Healthy Behaviors in a University Food Pantry","authors":"Kelli Williams PhD, LD, RDN, Mallory Mount RDN, LD, EdD, Mary Kathryn Gould EdD, RDN, LD, Eva Rhodes, Sarah McGlumphy MPH, Lauryn Poole","doi":"10.1016/j.jneb.2024.05.027","DOIUrl":"10.1016/j.jneb.2024.05.027","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity is a major concern in rural Appalachia and on college campuses. To combat the problem, Marshall University Department of Dietetics operates a campus food pantry serving students and the community by providing nutrient dense foods and education in an effort to improve access to healthy food and encourage healthy behaviors.</p></div><div><h3>Objective</h3><p>To better understand the background and needs of pantry clients to provide the most appropriate and needed services/education.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A 24 item pilot survey was administered over two weeks via pen/paper or electronically to clients during a pantry visit. It utilized open ended, multiple choice, and Likert scale responses to gather data related to demographics, food and nutrition attitudes and behaviors, and suggestions/concerns.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Qualtrics was utilized to input and analyze survey data. Descriptive statistics were calculated related to client background, pantry use, hunger and food availability issues, current nutrition knowledge and behaviors, and potential for nutrition related behavior change.</p></div><div><h3>Results</h3><p>Twenty-six surveys were collected and analyzed and determined the majority of users (85%) were community members, not students, and half used the pantry weekly. Major grocery distributors were the other primary source of food procurement with only one client using a local farmers’ market. Seventy-three percent reported skipping meals in the past month due to lack of food at home. Nearly all (96.0%) had access to basic cooking tools and equipment, and half had prepared recipes at home that they received from the pantry. Overall, most “agreed” or “strongly agreed” that the pantry allows them to try a wide variety of healthy foods, is accessible, and improves self-efficacy related to preparing and consuming nutrient dense foods.</p></div><div><h3>Conclusions</h3><p>The pantry is meeting the primary objectives of improving access to healthy foods and encouraging healthy behaviors. Additionally, survey construction provides appropriate information to collect required data for making informed decisions regarding food procurement and nutrition education programming. The pilot survey was successful and ready for further distribution.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949897","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.2024.05.029
Alanna O'Keefe BS, Jesse Stabile Morrell PhD
Background
Cancer (CA) among adolescents and young adults (AYA) presents with unique biological characteristics and histological distributions that differ from children or older adults. CA incidence among AYA (15-39 years) is on the rise despite stable rates among other patient populations, and current literature lacks a consensus as to the etiology behind this trend. Behaviors and characteristics such as tobacco use, alcohol consumption, obesity, diet quality, and sedentary lifestyles have been linked to increased CA risk.
Objective
To determine if AYA engage in these behaviors at a higher rate compared to previous years, increasing their risk for CA.
Study Design, Settings, Participants
This descriptive, cross-sectional study collected data between 2005-2023 from a convenience sample of undergraduate students ages 18-24 years enrolled in an entry-level, general education nutrition course at a large, northeastern university.
Measurable Outcome/Analysis
Alcohol/tobacco/vape use, and self/family medical history were self-reported through an online survey. Dietary intake was assessed via 3-day food records and online nutrient analysis software. Daily activity level (steps/day) was measured via research-grade pedometers. Height and weight were measured in duplicate after an overnight fast by research assistants.
Results
Most of the final sample (n=11600) were female (68.7%) and reported self or family history of CA (69.3%). Average BMI was 23.6±3.7 kg/m2, and 6.1% of students met criteria for obesity (≥30 kg/m2). Over half (57.9%) reported binge drinking within the past 30 days. While a low proportion of students reported smoking cigarettes (6.5%), almost one in four (23.3%) of students reported using an electronic vape daily or almost daily. A low proportion of students met recommendations for fruit (21.6%), vegetable (22.3%) and fiber intake (16%). Most students (74.3%) were categorized as somewhat active, and 11.4% were sedentary-low active.
Conclusions
While most students reported family or self-history of CA, many also reported behaviors link to increased cancer risk including binge drinking, vaping, and poor dietary quality. This data has the potential to inform interventions targeting AYA aiming to reduce CA risk.
Funding
NIFA
背景青少年和年轻成年人（AYA）癌症（CA）具有不同于儿童或老年人的独特生物学特征和组织学分布。尽管其他患者群体的发病率保持稳定，但青少年和年轻人（15-39 岁）的癌症发病率却呈上升趋势，目前的文献对这一趋势背后的病因缺乏共识。烟草使用、饮酒、肥胖、饮食质量和久坐不动的生活方式等行为和特征与 CA 风险的增加有关。研究目的 确定与前几年相比，青少年参与这些行为的比例是否更高，从而增加了他们患 CA 的风险。研究设计、环境、参与者这项描述性横断面研究收集了 2005-2023 年间的数据，研究对象是东北一所大型大学中修读入门级通识教育营养课程的 18-24 岁本科生。饮食摄入量通过 3 天的食物记录和在线营养分析软件进行评估。每日活动量（步/天）通过研究级计步器进行测量。最终样本（n=11600）中大部分为女性（68.7%），并报告自己或家族有 CA 病史（69.3%）。平均体重指数为 23.6±3.7 kg/m2，6.1% 的学生符合肥胖标准（≥30 kg/m2）。半数以上（57.9%）的学生表示在过去 30 天内曾酗酒。虽然吸烟的学生比例较低（6.5%），但几乎四分之一（23.3%）的学生表示每天或几乎每天都使用电子烟。符合建议水果摄入量（21.6%）、蔬菜摄入量（22.3%）和纤维摄入量（16%）的学生比例较低。大多数学生（74.3%）被归类为有点活跃，11.4%的学生为久坐不动-低度活跃。结论虽然大多数学生报告了家族或自身的癌症病史，但许多学生也报告了与癌症风险增加有关的行为，包括酗酒、吸电子烟和不良饮食质量。这些数据有可能为针对青少年的旨在降低癌症风险的干预措施提供信息。
{"title":"Self-Reported Behaviors and Family History Associated With Cancer Risk Among College Students","authors":"Alanna O'Keefe BS, Jesse Stabile Morrell PhD","doi":"10.1016/j.jneb.2024.05.029","DOIUrl":"10.1016/j.jneb.2024.05.029","url":null,"abstract":"<div><h3>Background</h3><p>Cancer (CA) among adolescents and young adults (AYA) presents with unique biological characteristics and histological distributions that differ from children or older adults. CA incidence among AYA (15-39 years) is on the rise despite stable rates among other patient populations, and current literature lacks a consensus as to the etiology behind this trend. Behaviors and characteristics such as tobacco use, alcohol consumption, obesity, diet quality, and sedentary lifestyles have been linked to increased CA risk.</p></div><div><h3>Objective</h3><p>To determine if AYA engage in these behaviors at a higher rate compared to previous years, increasing their risk for CA.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This descriptive, cross-sectional study collected data between 2005-2023 from a convenience sample of undergraduate students ages 18-24 years enrolled in an entry-level, general education nutrition course at a large, northeastern university.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Alcohol/tobacco/vape use, and self/family medical history were self-reported through an online survey. Dietary intake was assessed via 3-day food records and online nutrient analysis software. Daily activity level (steps/day) was measured via research-grade pedometers. Height and weight were measured in duplicate after an overnight fast by research assistants.</p></div><div><h3>Results</h3><p>Most of the final sample (n=11600) were female (68.7%) and reported self or family history of CA (69.3%). Average BMI was 23.6±3.7 kg/m2, and 6.1% of students met criteria for obesity (≥30 kg/m2). Over half (57.9%) reported binge drinking within the past 30 days. While a low proportion of students reported smoking cigarettes (6.5%), almost one in four (23.3%) of students reported using an electronic vape daily or almost daily. A low proportion of students met recommendations for fruit (21.6%), vegetable (22.3%) and fiber intake (16%). Most students (74.3%) were categorized as somewhat active, and 11.4% were sedentary-low active.</p></div><div><h3>Conclusions</h3><p>While most students reported family or self-history of CA, many also reported behaviors link to increased cancer risk including binge drinking, vaping, and poor dietary quality. This data has the potential to inform interventions targeting AYA aiming to reduce CA risk.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949898","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}
Research has indicated a correlation between homelessness and adverse health effects, yet comprehensive health assessments among individuals experiencing homelessness are limited.
Objective
To assess various health metrics, including diet, physical activity, body composition, and quality of life, among individuals experiencing homelessness.
Study Design, Settings, Participants
This study was an 8-week health and wellness pilot intervention among transitional housing residents at a homeless resource center (n=29). For the present analysis, only the baseline data were included.
Measurable Outcome/Analysis
Baseline measurements encompassed body mass index (BMI), waist-to-hip ratio, body composition (body fat percentage, fat free mass, fat mass), handgrip strength, blood pressure, oxygen saturation, heart rate, diet quality (Healthy Eating Index 2015), and health-related quality of life. Qualitative survey data were coded independently by researchers to identify barriers, data were reconciled, and themes identified.
Results
Most participants were male (59.3%), aged 55-64 (25.9%), White (85.2%), and food insecure (70.3%). Baseline measurements exceeded recommendations for BMI (31.7 (SD 8.6) kg/m2), waist-to-hip ratio (0.97 (SD 0.093) males; 0.92 (SD 0.98) females), body fat percentage (25.8% (SD 6.1) males; 40.5% (SD 9.4) females), and blood pressure (132/85 (SD 17.9/13.3) mmHg), while handgrip strength was lower than previous studies (68.4 (SD 21.4) kg). However, blood oxygenation (96.2% (SD 2.0)) and resting heart rate (86.8 bpm (SD 13.0)) were within normal ranges. Participants consumed insufficient fiber (12.1 (SD 8.9) grams), potassium (2138.3 (SD 1401.7) mg), and vitamin D (3.9 (SD 3.9) mcg), and had lower total Healthy Eating Index score when compared to the US population (40 out of 100). Their general health score was within a normal range (52.9 (SD 29.8). Participants averaged 10552 steps per day according to accelerometer data. Barriers to healthy eating, exercise, and sleep were respectively financial constraints and limited cooking/storage facilities; physical impediments; and mental/physical health concerns.
Conclusions
Findings suggested that homeless individuals face poorer health outcomes compared to standards/recommendations, emphasizing the necessity for further wellness interventions in this population.
{"title":"Evaluation of Baseline Data From a Wellness Intervention for Individuals Living in Transitional Housing","authors":"Callie Millward BS, Kyle Lyman, Soonwye Lucero, James LeCheminant PhD, Greg Snow PhD, Cindy Jenkins MPA, Kristi Strongo MPH, CHES, Heidi LeBlanc MS, Lea Palmer MPH, RDN, LDN, Rickelle Richards PhD, MPH, RDN","doi":"10.1016/j.jneb.2024.05.021","DOIUrl":"10.1016/j.jneb.2024.05.021","url":null,"abstract":"<div><h3>Background</h3><p>Research has indicated a correlation between homelessness and adverse health effects, yet comprehensive health assessments among individuals experiencing homelessness are limited.</p></div><div><h3>Objective</h3><p>To assess various health metrics, including diet, physical activity, body composition, and quality of life, among individuals experiencing homelessness.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This study was an 8-week health and wellness pilot intervention among transitional housing residents at a homeless resource center (n=29). For the present analysis, only the baseline data were included.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Baseline measurements encompassed body mass index (BMI), waist-to-hip ratio, body composition (body fat percentage, fat free mass, fat mass), handgrip strength, blood pressure, oxygen saturation, heart rate, diet quality (Healthy Eating Index 2015), and health-related quality of life. Qualitative survey data were coded independently by researchers to identify barriers, data were reconciled, and themes identified.</p></div><div><h3>Results</h3><p>Most participants were male (59.3%), aged 55-64 (25.9%), White (85.2%), and food insecure (70.3%). Baseline measurements exceeded recommendations for BMI (31.7 (SD 8.6) kg/m2), waist-to-hip ratio (0.97 (SD 0.093) males; 0.92 (SD 0.98) females), body fat percentage (25.8% (SD 6.1) males; 40.5% (SD 9.4) females), and blood pressure (132/85 (SD 17.9/13.3) mmHg), while handgrip strength was lower than previous studies (68.4 (SD 21.4) kg). However, blood oxygenation (96.2% (SD 2.0)) and resting heart rate (86.8 bpm (SD 13.0)) were within normal ranges. Participants consumed insufficient fiber (12.1 (SD 8.9) grams), potassium (2138.3 (SD 1401.7) mg), and vitamin D (3.9 (SD 3.9) mcg), and had lower total Healthy Eating Index score when compared to the US population (40 out of 100). Their general health score was within a normal range (52.9 (SD 29.8). Participants averaged 10552 steps per day according to accelerometer data. Barriers to healthy eating, exercise, and sleep were respectively financial constraints and limited cooking/storage facilities; physical impediments; and mental/physical health concerns.</p></div><div><h3>Conclusions</h3><p>Findings suggested that homeless individuals face poorer health outcomes compared to standards/recommendations, emphasizing the necessity for further wellness interventions in this population.</p></div><div><h3>Funding</h3><p>Association for Utah Community Health</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949904","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}
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