Journal of Nutrition Education and Behavior最新文献

英文中文

A Mixed-Methods Assessment of a Nutrition Program Targeting Childhood Undernutrition. 针对儿童营养不良的营养计划的混合方法评估。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-03 DOI: 10.1016/j.jneb.2025.12.009

Gerónimo Brunet, Alejandra Girona, Gabriela Fajardo, Gabriel Damiano, Belén Araújo, Agustina Vitola, Vanessa Gugliucci, Gastón Ares

Objective: To assess the Food Support Program (Programa de Apoyo Alimentario) implemented by the government of Montevideo to address childhood undernutrition.

Design: A mixed-methods design. Quantitative data were collected through telephone surveys and medical records and analyzed using a prepost design. Qualitative data were collected through interviews with mothers of beneficiary children.

Setting: Montevideo, Uruguay.

Participants: A total of 120 children participants of the Food Support Program and their mothers.

Main outcome measures: Household food insecurity, children's food consumption frequency of 17 categories in the week before the survey, anthropometric data (weight-for-age, length-for-age, and weight-for-length z-scores), and mothers' perceptions about the program.

Analysis: Mixed linear models and content analysis of interviews.

Results: Average household food insecurity score decreased by 1.5 points (P < 0.001) after 12 months. Average frequency of milk and cheese consumption increased by 1.3 days (P < 0.001), frequency of adding oil to meals by 1.0 days (P = 0.002), and consumption frequency of sugary foods by 1.4 days (P < 0.001). Average z-scores for weight-for-age and weight-for-length increased 0.37 (P < 0.001) and 0.31 (P = 0.001), respectively. However, length-for-age showed no significant change (P = 0.90). Mothers of beneficiary children valued economic support but highlighted gaps in program communication and education, and counseling activities.

Conclusions and implications: The program showed potential to alleviate immediate nutritional deficiencies, but additional and sustained integrated efforts are needed to address chronic undernutrition, food insecurity, and diet quality. In particular, the persistence of food insecurity in half of the households after 12 months underscores the need to reassess the adequacy of the cash transfer amount relative to the affordability of a healthy food basket in the country.

目的：评估蒙得维的亚政府为解决儿童营养不良问题而实施的粮食支持计划（Programa de Apoyo Alimentario）。设计：混合方法设计。通过电话调查和医疗记录收集定量数据，并采用前置设计进行分析。通过访谈受益儿童的母亲收集定性数据。环境：乌拉圭蒙得维的亚。参与者：食物支援计划的120名儿童和他们的母亲。主要结局指标：家庭食品不安全状况、调查前一周儿童17类食品消费频率、人体测量数据（年龄比体重、年龄比身高、体重比身高z分数）、母亲对该计划的认知。分析：混合线性模型和访谈内容分析。结果：12个月后，家庭平均粮食不安全得分下降了1.5分（P < 0.001）。牛奶和奶酪的平均消费频率增加了1.3天（P < 0.001），添加油的平均消费频率增加了1.0天（P = 0.002），含糖食品的平均消费频率增加了1.4天（P < 0.001）。体重-年龄和体重-长度的平均z分数分别增加0.37 （P < 0.001）和0.31 （P = 0.001）。然而，长度与年龄的关系没有显著变化（P = 0.90）。受益儿童的母亲重视经济支持，但强调了项目沟通、教育和咨询活动方面的差距。结论和影响：该项目显示出了立即缓解营养缺乏的潜力，但需要进一步和持续的综合努力来解决慢性营养不良、粮食不安全和饮食质量问题。特别是，有一半的家庭在12个月后仍然存在粮食不安全问题，这突出表明需要重新评估现金转移额是否足够，以衡量该国健康食品篮子的可负担性。

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引用次数: 0

Nutrition Practices Reported by Families of Children with Down Syndrome, Autism, and Without an Intellectual or Developmental Disability 唐氏综合症、自闭症和无智力或发育障碍儿童家庭的营养实践报告。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.10.009

Emily Clarke MA, RD, LDN , Phoebe P. Tchoua PhD , Kelsey Thompson PhD, CCC-SLP , Heather Wasser PhD, RDN , Seema Agrawal EdD, RD , Michaela A. Schenkelberg PhD , Sofia de Oliveira BS , Erik A. Willis PhD

Objective

To examine nutrition practices among caregivers of young children with Down syndrome (DS), autistic children, and children without an intellectual or developmental disability (CWIDD).

Methods

Caregivers of CWIDD (n = 98), with DS (n = 44), and autistic children (n = 42) completed an online survey of nutrition practices. Data were analyzed using analysis of covariance and multivariate logistic regression.

Results

Families overall met < 40% of recommended nutrition practices, with families of children with DS meeting < 15%. Compared with families of autistic children and CWIDD, families of children with DS were less likely to serve vegetables or model healthy eating, and more likely to offer fried or prefried meats.

Conclusions and Implications

Disparities in nutrition practices and education across groups highlight the need for tailored interventions to support diverse families.

目的：研究唐氏综合症（DS）儿童、自闭症儿童和无智力或发育障碍儿童（CWIDD）的护理人员的营养实践。方法：CWIDD （n = 98）、DS （n = 44）和自闭症儿童（n = 42）的护理人员完成了一项营养实践在线调查。数据分析采用协方差分析和多元逻辑回归。结果：家庭总体达到了< 40%的推荐营养做法，患有DS的儿童的家庭达到了< 15%。与自闭症儿童和慢性疾病儿童的家庭相比，患有自闭症儿童的家庭不太可能提供蔬菜或健康饮食，而更有可能提供油炸或预油炸的肉类。结论和影响：不同群体间营养实践和教育的差异突出表明，需要有针对性的干预措施来支持不同的家庭。

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引用次数: 0

In Response to “Toward Balanced Curricula: Advancing Nondiet and Weight-Neutral Education in Dietetics” 回应“迈向均衡课程：推进非饮食和体重中立的营养学教育”。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.006

Nicholas Slagel PhD, RDN, Daniel Hall PhD, Yu Wang PhD, Zoe Duran MS, RDN, Katelyn Crawley BS, Dawn Clifford PhD, RDN, Cristen Harris PhD, RDN, CD, CEDS, CSSD, ACSM-CEP, FAND, Jeffrey Hunger PhD, Emma Laing PhD, RDN, FAND

引用次数: 0

Editorial Board/Board of Directors 编辑委员会/董事会

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/S1499-4046(25)00518-4

引用次数: 0

Trends in California Child and Adult Care Food Program Participation Among Family Child Care Home Providers: The Role of Tiered Meal Reimbursements 趋势在加州儿童和成人护理食品计划参与家庭托儿服务提供者：分层膳食报销的作用

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.008

Susana L. Matias PhD , Kassandra A Bacon MPH , Danielle L. Lee MPH, RD , Samantha Kay-Daleiden Marshall MA, MAMP , Celeste Felix MPH , Elyse Homel Vitale MPH , Lorrene D. Ritchie PhD, RD

Objective

To determine whether coronavirus disease 2019-related meal reimbursement changes were related to participation in the Child and Adult Care Food Program (CACFP) among family child care homes (FCCHs).

Design

Trend analysis of administrative data.

Setting

California.

Participants

Licensed FCCHs

Variables Measured

Child and Adult Care Food Program participation status, determined using start/enrollment and closed/drop out dates, was used to calculate monthly participation rates (number of FCCHs in CACFP/number of licensed FCCHs) by meal reimbursement tier (tier 1 or 2).

Analysis

Joinpoint regression was conducted separately for each tier. Average monthly percent changes (AMPC) over 4 predetermined periods were estimated.

Results

Prepandemic-period-AMPC indicated small upward CACFP participation trends (monthly 0.2% increase for tier 1, P = 0.001; monthly 0.1% increase for tier 2, P < 0.001). Pandemic-with-tiered-reimbursement-AMPC showed small downward trends (monthly −0.1% decrease for tier 1, −0.2% for tier 2, P < 0.001 for both). Pandemic with tiers waived AMPC detected a plateau for tier 1 FCCHs (0.0% change, P = 0.08), and a small upward trend for tier 2 FCCHs (monthly 0.2% increase, P = 0.003). Postpandemic-with-tiers-reinstated-AMPC revealed significant downward trends (monthly −0.4% decrease for tier 1, −1.4% for tier 2, P < 0.001 for both).

Conclusions and Implications

Removing the tiered meal reimbursement system could increase CACFP participation among FCCHs, with likely positive impacts on young children’s access to nutritious meals.

目的确定2019冠状病毒病相关膳食报销变化是否与家庭托儿之家（FCCHs）参与儿童和成人护理食品计划（CACFP）有关。管理数据的设计趋势分析。设置加州参与者持牌FCCHs变量测量儿童和成人护理食品计划的参与状态，使用开始/登记和关闭/退出日期确定，用于按膳食报销级别（1级或2级）计算每月参与率（CACFP中的FCCHs数量/持牌FCCHs数量）。AnalysisJoinpoint回归分别对每一层进行。估计了4个预定时期的平均每月百分比变化（AMPC）。结果大流行期ampc参与CACFP有小幅上升趋势（1级每月增加0.2%,P = 0.001； 2级每月增加0.1%,P < 0.001）。分级报销的流行病- ampc显示出小幅下降趋势（一级每月下降- 0.1%，二级每月下降- 0.2%，两者均下降0.001）。在放弃AMPC等级的大流行中，一级FCCHs检测到平台期（0.0%变化，P = 0.08），二级FCCHs检测到小幅上升趋势（每月增加0.2%,P = 0.003）。大流行后恢复层级的ampc显示出显著的下降趋势（一级ampc每月下降- 0.4%，二级ampc每月下降- 1.4%，两者的P <； 0.001）。结论和意义取消分层膳食补偿制度可以增加社区卫生服务中心的CACFP参与，可能对幼儿获得营养膳食产生积极影响。

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引用次数: 0

Changes in Adolescent Diet Quality During the Middle to High School Transition 初高中过渡时期青少年饮食质量的变化

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.10.015

Jessica E. Decker PhD, RD , Knashawn Morales ScD , Emily Moll , Sana Husain MPH , Mary Ellen Vajravelu MD, MSHP , Erica C. Jansen PhD, MPH , Babette S. Zemel PhD , Jonathan A. Mitchell PhD

Objective

Determine if diet quality (1) changes during the middle to high school transition and (2) is associated with sociodemographic factors.

Design

Observational.

Setting

Southeastern Pennsylvania, Southern New Jersey.

Participants

Participants (n = 112) were recruited in eighth grade and followed up in ninth grade.

Main Outcome Measure(s)

Mean Healthy Eating Index (HEI)-2015 scores (primary outcome) were calculated from 3-day 24-hour dietary recalls in eighth and ninth grade. Sociodemographic characteristics were collected through child and parent reports. Home addresses were linked to Area Deprivation Index data.

Analysis

Linear mixed-effect models determined if diet quality changed by school grade, differed by weekday vs weekend status, and was associated with sociodemographic factors.

Results

Mean HEI-2015 was 45.0 ± 11.9 in eighth grade and remained stable in ninth grade. Mean HEI-2015 was 5.5 points lower on weekend days. Some component scores declined from eighth to ninth grade on weekend days. Most sociodemographic factors did not associate with component scores. This was consistent in eighth and ninth grade.

Conclusions and Implications

Adolescent diet quality is low, especially on weekend days and for adolescents from lower socioeconomic households. Interventions to improve adolescent diet quality should target specific foods that lead to poor diet quality and account for sociodemographic context.

目的：确定饮食质量(1)是否在初高中过渡期间发生变化，(2)是否与社会人口因素有关。设计:观察。周边环境：宾夕法尼亚州东南部，新泽西州南部。参与者：参与者（n = 112）在八年级招募，并在九年级随访。主要结局指标：健康饮食指数(HEI)-2015平均得分（主要结局）是根据八年级和九年级的3天24小时饮食回顾计算的。通过儿童和家长报告收集社会人口学特征。家庭住址与地区贫困指数数据相关联。分析：线性混合效应模型确定饮食质量是否随学校年级而改变，是否因工作日和周末状态而不同，是否与社会人口因素相关。结果：八年级平均HEI-2015为45.0±11.9，九年级保持稳定。周末日均HEI-2015低5.5点。在周末，从八年级到九年级的学生的部分分数有所下降。大多数社会人口因素与成分得分无关。这在八年级和九年级是一致的。结论和意义：青少年饮食质量较低，特别是在周末和来自社会经济地位较低家庭的青少年。改善青少年饮食质量的干预措施应针对导致饮食质量差的特定食物，并考虑到社会人口背景。

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引用次数: 0

Applications of Artificial Intelligence in Nutrition Education Practice and Research: Opportunities and Considerations 人工智能在营养教育实践与研究中的应用：机遇与思考

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.015

David N. Cavallo PhD, MPH, RDN, LD (Assistant Professor), Chloe P. Lozano PhD, MHlthProm, GradDip Dietetics (Assistant Professor), Emily W. Duffy PhD, MPH, RD (Research Scientist), Basheerah Enahora PhD, MBA, RDN, LDN (Assistant Professor, Extension Specialist), Phrashiah Githinji PhD, RD (Assistant Professor)

引用次数: 0

Mentored Reviews – An Underutilized Opportunity 有指导的评论——一个未被充分利用的机会

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.018

Madeleine Sigman-Grant PhD

引用次数: 0

Toward Balanced Curricula: Advancing Nondiet and Weight-Neutral Education in Dietetics 迈向均衡课程：推进非饮食和体重中立的营养学教育。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.007

Jun Norkaew MPH, Nathkapach Kaewpitoon Rattanapitoon PhD, MSc, BSc, Chadaporn Nuchjungreed Gordon PhD, MSc, BSc, Schawanya Kaewpitoon Rattanapitoon MD, FRCFPT

引用次数: 0

Skin Carotenoid Score Level and Race Affect Intradevice Repeatability of Veggie Meter® at a Single Time Point 皮肤类胡萝卜素评分水平和种族在单个时间点影响设备内Veggie Meter®的重复性。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2026-02-01 DOI: 10.1016/j.jneb.2025.11.003

Saima Hasnin PhD , Stephanie B. Jilcott Pitts PhD , Charlotte K. Roman BS , Naiman A. Khan PhD, RD

Objective

To compare the reliability of 2 methods (3 scan average vs average of scan 2 and 3) of skin carotenoid score (SCS) measurement and identify participant-level factors affecting intradevice repeatability of Veggie Meter® (VM).

Design

Cross-sectional study in Illinois.

Participants

The sample (N = 587) included about 36% children, 27% adolescents, and 32% adults; 67% were White, 14% Asian, 10% Black or African American, 8% mixed race, 1% Native Hawaiian, and 0.4% American Indian; 92% were non-Hispanic, and 53% female.

Variable Measured

Three consecutive SCS readings using 2 devices. Self-reported or parent-reported demographic information.

Analysis

Paired sample t-tests compared the coefficient of variation of the 3-scan average SCS with the coefficient of variation of the second and third-scan average SCS. We conducted sign tests and generated Bland-Altman plots to determine the type of errors. Kruskal-Wallis and Mann-Whitney tests assessed if repeatability coefficients of the 3 consecutive SCS readings were different across age, race, ethnicity, and SCS quartiles, where repeatability coefficients = within-subject SD × √2 × 1.96.

Results

Averaging the second and third scans of SCS produced 1.2% higher reliability in VM 1 and 0.7% higher reliability in VM 2 than averaging all 3 scans (t_{VM 1} = −7.1, P < 0.001; t_{VM 2} = −3.1, P = 0.002). Repeatability coefficients were significantly higher among participants with higher SCS than lower SCS, in both devices (H_{VM 1} = 30.2, P < 0.001; H_{VM 2} = 9.7, P = 0.02). Pairwise comparisons showed that repeatability coefficients were significantly lower for Black or African American participants than White (mean SCS difference = 22.3, P = 0.001) and Asian participants (mean SCS difference = 23.7, P = 0.005) in one device (VM 1).

Conclusion and Implications

Findings support using the average of the second and third scans as a more reliable method for assessing SCS. Reporting device-specific repeatability coefficients for the VM may enhance the interpretability of SCS, particularly for individuals with low SCS and for Black or African American participants.

目的：比较皮肤类胡萝卜素评分（SCS）测量的两种方法（3次扫描平均值与2次和3次扫描平均值）的可靠性，并确定影响Veggie Meter®（VM）设备内重复性的参与者水平因素。设计：伊利诺斯州横断面研究。参与者：样本（N = 587）包括约36%的儿童，27%的青少年和32%的成年人；67%是白人，14%是亚洲人，10%是黑人或非裔美国人，8%是混血儿，1%是夏威夷原住民，0.4%是美洲印第安人；92%是非西班牙裔，53%为女性。测量变量：使用2个设备连续三个SCS读数。自我报告或父母报告的人口统计信息。分析：配对样本t检验比较3次扫描平均SCS变异系数与第二次和第三次扫描平均SCS变异系数。我们进行符号测试并生成Bland-Altman图来确定错误的类型。Kruskal-Wallis和Mann-Whitney检验评估连续3次SCS读数的重复性系数在年龄、种族、民族和SCS四分位数之间是否存在差异，其中重复性系数=受试者内SD ×√2 × 1.96。结果：与对所有3次扫描进行平均相比，对第2次和第3次扫描进行平均可使vm1的信度提高1.2%，vm2的信度提高0.7% （tvm1 = -7.1, P < 0.001; tvm2 = -3.1, P = 0.002）。在两种设备中，高SCS受试者的重复性系数显著高于低SCS受试者（hvm1 = 30.2, P < 0.001; hvm2 = 9.7, P = 0.02）。两两比较显示，在同一设备（vm1）中，黑人或非裔美国参与者的重复性系数显著低于白人（平均SCS差异= 22.3,P = 0.001）和亚洲参与者（平均SCS差异= 23.7,P = 0.005）。结论和意义：研究结果支持使用第二次和第三次扫描的平均值作为评估SCS的更可靠的方法。报告VM特定设备的重复性系数可以提高SCS的可解释性，特别是对于低SCS的个体和黑人或非裔美国人参与者。

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