Pub Date : 2024-08-01DOI: 10.1016/j.jneb.2024.06.006
{"title":"Understanding Foodways: Reflecting on the 2024 SNEB International Conference","authors":"","doi":"10.1016/j.jneb.2024.06.006","DOIUrl":"10.1016/j.jneb.2024.06.006","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":"141903434","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.2024.04.005
Objective
To identify factors influencing the availability and sales of healthy food and drinks in a café located in a hospital setting in a rural area.
Methods
Three online and 1 in-person group model building workshops were conducted with hospital staff members to develop a causal loop diagram.
Results
Four areas in the causal loop diagram were identified, 5 teams were created to implement 15 identified action ideas, and an action registry was created to track their progress. By May 2023, 4 actions were active, 6 inactive, 4 completed, and 1 abandoned.
Conclusions and Implications
The group model building process identified factors and actions to improve the healthiness of the hospital's café and motivated staff members to act for change. However, progress was limited by staff turnover, recruitment, and inadequate participation from decision-makers. Better leadership and support by senior management can ensure that long-term objectives are achieved and healthier hospital food environments are sustained.
{"title":"Applying Systems Thinking to Improve a Hospital Food Retail Environment","authors":"","doi":"10.1016/j.jneb.2024.04.005","DOIUrl":"10.1016/j.jneb.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>To identify factors influencing the availability and sales of healthy food and drinks in a café located in a hospital setting in a rural area.</p></div><div><h3>Methods</h3><p>Three online and 1 in-person group model building workshops were conducted with hospital staff members to develop a causal loop diagram.</p></div><div><h3>Results</h3><p>Four areas in the causal loop diagram were identified, 5 teams were created to implement 15 identified action ideas, and an action registry was created to track their progress. By May 2023, 4 actions were active, 6 inactive, 4 completed, and 1 abandoned.</p></div><div><h3>Conclusions and Implications</h3><p>The group model building process identified factors and actions to improve the healthiness of the hospital's café and motivated staff members to act for change. However, progress was limited by staff turnover, recruitment, and inadequate participation from decision-makers. Better leadership and support by senior management can ensure that long-term objectives are achieved and healthier hospital food environments are sustained.</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":"https://www.sciencedirect.com/science/article/pii/S1499404624000794/pdfft?md5=c0e5a901ee8743cbef46f2a41675ae65&pid=1-s2.0-S1499404624000794-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946409","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.2024.05.070
Objective
The study objective is to examine the factors associated with the use of different community food resources using the Andersen Model.
Target Audience
Adults
Program Description
In a cross-sectional study conducted among 1,830 adults 18 years and older on REDCap (a web-based platform) through Amazon Mechanical Turk.
Evaluation Methods
Participants were asked about their socio-demographics, motivation for shopping decisions, shopping transportation modes and estimated travel time, food security status, and perceived community-level food-related needs. This information was organized into predisposing, enabling, and need factors (predictors) that are related to food access using the Andersen Model. The outcome variables were about how they use different community food resources, such as healthy food retail stores, less healthy food retail stores, food assistance programs, food service resources, and mobile food resources. Descriptive and hierarchical regression analyses were conducted using SAS, with significance set at p < 0.05.
Results
The participants have a mean age of 37.9 ± 12.1 years; were predominantly White (87.6%), non-Hispanic (85.8%), and urban residents (56.6%). Majority use the supermarkets (66%), supercenters (55%), and friend's/relative's places (53.2%) as their food resources. Predisposing factors that were statistically associated with the use of different community food resources were age, marital status, race, ethnicity, and household size. The enabling factors included travel time, transportation mode, income, and motivator of shopping decisions such as coupons and great sales, use of WIC benefits, and delivery services. The need factors included food security and community-level food-related needs such as culturally relevant and low-price foods. However, these vary by the types of food resources.
Conclusions
Recommendations include designing multi-level initiatives that would transform food stores and programs' food offerings, distribution logistics, and transportation access into conduits for healthier food access among underserved populations.
{"title":"Factors Associated With the Use of Community Food Resources: Andersen Model Application for Future Interventions","authors":"","doi":"10.1016/j.jneb.2024.05.070","DOIUrl":"10.1016/j.jneb.2024.05.070","url":null,"abstract":"<div><h3>Objective</h3><p>The study objective is to examine the factors associated with the use of different community food resources using the Andersen Model.</p></div><div><h3>Target Audience</h3><p>Adults</p></div><div><h3>Program Description</h3><p>In a cross-sectional study conducted among 1,830 adults 18 years and older on REDCap (a web-based platform) through Amazon Mechanical Turk.</p></div><div><h3>Evaluation Methods</h3><p>Participants were asked about their socio-demographics, motivation for shopping decisions, shopping transportation modes and estimated travel time, food security status, and perceived community-level food-related needs. This information was organized into predisposing, enabling, and need factors (predictors) that are related to food access using the Andersen Model. The outcome variables were about how they use different community food resources, such as healthy food retail stores, less healthy food retail stores, food assistance programs, food service resources, and mobile food resources. Descriptive and hierarchical regression analyses were conducted using SAS, with significance set at p < 0.05.</p></div><div><h3>Results</h3><p>The participants have a mean age of 37.9 ± 12.1 years; were predominantly White (87.6%), non-Hispanic (85.8%), and urban residents (56.6%). Majority use the supermarkets (66%), supercenters (55%), and friend's/relative's places (53.2%) as their food resources. Predisposing factors that were statistically associated with the use of different community food resources were age, marital status, race, ethnicity, and household size. The enabling factors included travel time, transportation mode, income, and motivator of shopping decisions such as coupons and great sales, use of WIC benefits, and delivery services. The need factors included food security and community-level food-related needs such as culturally relevant and low-price foods. However, these vary by the types of food resources.</p></div><div><h3>Conclusions</h3><p>Recommendations include designing multi-level initiatives that would transform food stores and programs' food offerings, distribution logistics, and transportation access into conduits for healthier food access among underserved populations.</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":"141949842","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.2024.05.056
{"title":"Withdrawn","authors":"","doi":"10.1016/j.jneb.2024.05.056","DOIUrl":"10.1016/j.jneb.2024.05.056","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":"141953774","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.2024.05.019
Background
Research suggests underestimation of body weight may be associated with beneficial psychological resilience against consequences of obesity, compared with accurate perception. Less is known about the comparison between those who underestimate versus those who overestimate their body weight.
Objective
To investigate differences in life satisfaction, social/emotional support, and weight change intentions between those who underestimate vs overestimate vs accurately perceive their body weight.
Study Design, Settings, Participants
Data were collected between 2008-2023 from the College Health and Nutrition Assessment Survey, a cross-sectional study of undergraduates, ages 18-24 years. After exclusions for missing data, the final sample (n=8203) was 93.9% white, 69.3% female, and had a mean age of 18.9±1.1.
Measurable Outcome/Analysis
Weight self-perception, weight change intent, life satisfaction, and social/emotional support, were measured via online survey. BMI (kg/m2) was calculated via height and weight measured by technicians, then compared with weight self-perception to determine self-perception accuracy. Chi-square analysis was used to evaluate differences between self-perception accuracy categories.
Results
About two-thirds (68.9%) perceived their weight category accurately, while one-third (31.1%) misperceived, with 19.5% underestimating and 11.6% overestimating. Women were more likely to overestimate (14.7% vs. 4.6%, p<.001), while men were more likely to underestimate their weight (37.5% vs. 11.6%, p<.001). Underestimaters were more likely to report weight maintenance intent or no weight change intent vs. overestimaters (33.2% vs. 14.2%, p<.001). Overestimaters were less likely to report high life satisfaction compared with underestimators and accurate perceivers (19.9% vs. 35.8% vs. 33.4%, p<.001). No differences in self-reported social support between groups were observed.
Conclusions
In young adults, data suggest underestimation of weight was associated with less intentional weight change behavior and higher life satisfaction. These results may help guide practitioners working with young adults by revealing differing patterns in weight misperception.
Funding
NIFA, New Hampshire Agriculture Experiment Station, USDA National Institute of Food and Agriculture Project 1010738, and the State of New Hampshire
{"title":"Do Measures of Psychological Resilience Vary With Self-Perceived Body Weight Status?","authors":"","doi":"10.1016/j.jneb.2024.05.019","DOIUrl":"10.1016/j.jneb.2024.05.019","url":null,"abstract":"<div><h3>Background</h3><p>Research suggests underestimation of body weight may be associated with beneficial psychological resilience against consequences of obesity, compared with accurate perception. Less is known about the comparison between those who underestimate versus those who overestimate their body weight.</p></div><div><h3>Objective</h3><p>To investigate differences in life satisfaction, social/emotional support, and weight change intentions between those who underestimate vs overestimate vs accurately perceive their body weight.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Data were collected between 2008-2023 from the College Health and Nutrition Assessment Survey, a cross-sectional study of undergraduates, ages 18-24 years. After exclusions for missing data, the final sample (n=8203) was 93.9% white, 69.3% female, and had a mean age of 18.9±1.1.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Weight self-perception, weight change intent, life satisfaction, and social/emotional support, were measured via online survey. BMI (kg/m2) was calculated via height and weight measured by technicians, then compared with weight self-perception to determine self-perception accuracy. Chi-square analysis was used to evaluate differences between self-perception accuracy categories.</p></div><div><h3>Results</h3><p>About two-thirds (68.9%) perceived their weight category accurately, while one-third (31.1%) misperceived, with 19.5% underestimating and 11.6% overestimating. Women were more likely to overestimate (14.7% vs. 4.6%, p<.001), while men were more likely to underestimate their weight (37.5% vs. 11.6%, p<.001). Underestimaters were more likely to report weight maintenance intent or no weight change intent vs. overestimaters (33.2% vs. 14.2%, p<.001). Overestimaters were less likely to report high life satisfaction compared with underestimators and accurate perceivers (19.9% vs. 35.8% vs. 33.4%, p<.001). No differences in self-reported social support between groups were observed.</p></div><div><h3>Conclusions</h3><p>In young adults, data suggest underestimation of weight was associated with less intentional weight change behavior and higher life satisfaction. These results may help guide practitioners working with young adults by revealing differing patterns in weight misperception.</p></div><div><h3>Funding</h3><p>NIFA, New Hampshire Agriculture Experiment Station, USDA National Institute of Food and Agriculture Project 1010738, and the State of New Hampshire</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":"141953609","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.2024.05.030
Background
The high prevalence of food insecurity in college students is a pressing issue. Increasing nutrition knowledge has potential to help improve factors related to food security. While a positive correlation between food literacy and food security status has been reported, little research has explored the impact of an existing college-level nutrition class.
Objective
To investigate how a college-level nutrition course impacts behaviors related to food-acquisition coping strategies.
Study Design, Settings, Participants
Students at the University of California, Davis were recruited from an introductory nutrition course taught both online and in-person (intervention) and other introductory courses (comparison). Students completed a pre-survey within the first two weeks of the quarter and a post-survey eight weeks later. Data were collected using a 65-item questionnaire that included several validated modules: the Money Expenditure Survey (MES), Coping Strategy Scale (CSS), Perceived Stress Scale, nutrition knowledge survey, and the USDA Adult Food Security Survey Module.
Measurable Outcome/Analysis
ANOVA with Tukey post-hoc corrections was used to assess differences across groups using STATA 13.0v. Significance was determined using p<0.05.
Results
Nutrition knowledge significantly increased within the in-person intervention group (n=282; 1.18 ± 5.24; p<0.01), and the online intervention group (n=373; 1.69 ± 5.12; p<0.01), while nutrition knowledge decreased in the comparison group (n=304; -1.41 ± 3.82 p<0.01). The CSS score significantly improved in the online intervention group (-2.62 ± 12.18; p<0.01), as compared to the other groups. In all groups, more students reported experiencing low or very low food security status from pre to post, with significant changes observed in the in-person intervention and comparison groups. Perceived stress also increased across all groups (p<0.05). There were no differences across groups in MES.
Conclusions
Although nutrition knowledge improved in the intervention groups and CSS improved in the online intervention group, food security status decreased and perceived stress increased. Further analyses will determine the importance of nutrition knowledge on MES and CSS and their relationship to temporal fluctuations in food security status.
{"title":"Understanding How a College-Level Nutrition Course Impacts Food Security Status","authors":"","doi":"10.1016/j.jneb.2024.05.030","DOIUrl":"10.1016/j.jneb.2024.05.030","url":null,"abstract":"<div><h3>Background</h3><p>The high prevalence of food insecurity in college students is a pressing issue. Increasing nutrition knowledge has potential to help improve factors related to food security. While a positive correlation between food literacy and food security status has been reported, little research has explored the impact of an existing college-level nutrition class.</p></div><div><h3>Objective</h3><p>To investigate how a college-level nutrition course impacts behaviors related to food-acquisition coping strategies.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Students at the University of California, Davis were recruited from an introductory nutrition course taught both online and in-person (intervention) and other introductory courses (comparison). Students completed a pre-survey within the first two weeks of the quarter and a post-survey eight weeks later. Data were collected using a 65-item questionnaire that included several validated modules: the Money Expenditure Survey (MES), Coping Strategy Scale (CSS), Perceived Stress Scale, nutrition knowledge survey, and the USDA Adult Food Security Survey Module.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>ANOVA with Tukey post-hoc corrections was used to assess differences across groups using STATA 13.0v. Significance was determined using p<0.05.</p></div><div><h3>Results</h3><p>Nutrition knowledge significantly increased within the in-person intervention group (n=282; 1.18 ± 5.24; p<0.01), and the online intervention group (n=373; 1.69 ± 5.12; p<0.01), while nutrition knowledge decreased in the comparison group (n=304; -1.41 ± 3.82 p<0.01). The CSS score significantly improved in the online intervention group (-2.62 ± 12.18; p<0.01), as compared to the other groups. In all groups, more students reported experiencing low or very low food security status from pre to post, with significant changes observed in the in-person intervention and comparison groups. Perceived stress also increased across all groups (p<0.05). There were no differences across groups in MES.</p></div><div><h3>Conclusions</h3><p>Although nutrition knowledge improved in the intervention groups and CSS improved in the online intervention group, food security status decreased and perceived stress increased. Further analyses will determine the importance of nutrition knowledge on MES and CSS and their relationship to temporal fluctuations in food security status.</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":"141953463","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.2024.05.006
Background
In recent years, there has been an increase in Produce Incentive Programs (PIPs) to motivate low-income families to purchase fresh produce. Research examining best practices for implementation of these program remains limited.
Objective
To examine barriers and motivators for implementing PIPs in grocery store settings.
Study Design, Settings, Participants
In depth, semi-structured interviews (via Zoom) were conducted with grocery store stakeholders involved in the Double Up Food Bucks New York (DUFBNY) PIP serving Supplemental Nutrition Assistance Program (SNAP) beneficiaries. Study participants included DUFBNY program staff who support DUFBNY grocery stores and their employees. Recruitment flyers were emailed to program staff and DUFBNY grocery stores. This study was conducted between February 2023 and September 2023.
Measurable Outcome/Analysis
Two research assistants independently coded interviews transcripts in Atlas.ti. using a mixed deductive (ie, interview questions guided some of the coding) and inductive (ie, open coding was used to allow codes to emerge from the data) approach. The outcomes assessed were program perceptions, barriers, and motivators.
Results
Participants (n=18, 5 program staff and 13 grocery store workers) underscored perceived barriers and motivators for implementation: 1) program differences (barrier), 2) staff burden (barrier), 3) community engagement (motivator) and 4) PIP recipients’ enthusiasm (motivator). In order for the program to run at different types of stores, there were several variations in the way the program was implemented. These differences often created confusion among stakeholders. The program created some burden for grocery store staff, as the transaction process was often cumbersome. Despite these challenges, both community engagement and participant enthusiasm were mentioned as a priority, and motivated interviewees’ continued support of the program.
Conclusions
Although grocery stores implementing PIPs can find these initiatives to be valuable, more research is needed into how PIPs can be implemented across multiple consumer food environments, and how to ease the burden off grocery store workers. Collaboration between different stakeholders is necessary for achieving program growth and sustainability.
{"title":"Barriers and Motivators for Grocery Store Stakeholders Implementing Fruit and Vegetable Incentive Programs","authors":"","doi":"10.1016/j.jneb.2024.05.006","DOIUrl":"10.1016/j.jneb.2024.05.006","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, there has been an increase in Produce Incentive Programs (PIPs) to motivate low-income families to purchase fresh produce. Research examining best practices for implementation of these program remains limited.</p></div><div><h3>Objective</h3><p>To examine barriers and motivators for implementing PIPs in grocery store settings.</p></div><div><h3>Study Design, Settings, Participants</h3><p>In depth, semi-structured interviews (via Zoom) were conducted with grocery store stakeholders involved in the Double Up Food Bucks New York (DUFBNY) PIP serving Supplemental Nutrition Assistance Program (SNAP) beneficiaries. Study participants included DUFBNY program staff who support DUFBNY grocery stores and their employees. Recruitment flyers were emailed to program staff and DUFBNY grocery stores. This study was conducted between February 2023 and September 2023.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Two research assistants independently coded interviews transcripts in Atlas.ti. using a mixed deductive (ie, interview questions guided some of the coding) and inductive (ie, open coding was used to allow codes to emerge from the data) approach. The outcomes assessed were program perceptions, barriers, and motivators.</p></div><div><h3>Results</h3><p>Participants (n=18, 5 program staff and 13 grocery store workers) underscored perceived barriers and motivators for implementation: 1) program differences (barrier), 2) staff burden (barrier), 3) community engagement (motivator) and 4) PIP recipients’ enthusiasm (motivator). In order for the program to run at different types of stores, there were several variations in the way the program was implemented. These differences often created confusion among stakeholders. The program created some burden for grocery store staff, as the transaction process was often cumbersome. Despite these challenges, both community engagement and participant enthusiasm were mentioned as a priority, and motivated interviewees’ continued support of the program.</p></div><div><h3>Conclusions</h3><p>Although grocery stores implementing PIPs can find these initiatives to be valuable, more research is needed into how PIPs can be implemented across multiple consumer food environments, and how to ease the burden off grocery store workers. Collaboration between different stakeholders is necessary for achieving program growth and sustainability.</p></div><div><h3>Funding</h3><p>USDA</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":"141953480","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.2024.05.059
Background
National health surveys in the US indicated a higher odds of chronic health conditions, through pathways of food insecurity, financial challenges, and poor disease management. Food assistance programs offer a unique opportunity to address the nutritional needs of participants in light of their health conditions. Characterizing the challenges and opportunities in USFB would be a first step to addressing the health needs of those food insecure.
Objective
The purpose of this systematic scoping review was to characterize the challenges in the USFB and to identify areas for further research and intervention.
Study Design, Settings, Participants
Systematic scoping review.
Measurable Outcome/Analysis
Adhering to the guidelines for systematic scoping review, the search results were reported per the PRISMA guidelines. Five electronic search engines, PubMed, ScienceDirect, Google Scholar, Embase, and Cochrane Library, were searched for articles on USFB or pantries, published between 2013-2023. Intervention studies were excluded.
Results
A total of 96 articles were selected. Themes under operational challenges encompassed supply-chain, partnerships, distribution, and adherence to equity principles. Resource accrual, allocation, and infrastructure that affect food safety and waste were other challenges. Beneficiaries particularly, the elderly, people with disabilities, and refugees, and their unmet needs were documented. During the pandemic the resilience of FBs was tested by lack of trained staff, increased exposure of staff to the virus, and disruptions in the supply-chain. Despite challenges, opportunities such as meeting the health needs of vulnerable demographics, increasing awareness through pantries, testing models for supply efficiency, and inviting donations were identified. Regardless of the opportunities to improve health through USFB, our synthesis revealed a higher representation of articles on operational challenges and limited literature (5 out of 96) on the nutritional needs to manage chronic conditions.
Conclusions
The scope of USFB has evolved, and so have the challenges. Given the established association between food insecurity and the surge of chronic diseases among the poor, our findings prioritize assessment of health needs and evidence-based interventions through the robust food security program.
Funding
Extension, Department of Nutrition and Experiment Station, University of Nevada, Reno
{"title":"A Systematic Scoping Review to Characterize the Challenges in US Food Banks (USFB) and Pantries","authors":"","doi":"10.1016/j.jneb.2024.05.059","DOIUrl":"10.1016/j.jneb.2024.05.059","url":null,"abstract":"<div><h3>Background</h3><p>National health surveys in the US indicated a higher odds of chronic health conditions, through pathways of food insecurity, financial challenges, and poor disease management. Food assistance programs offer a unique opportunity to address the nutritional needs of participants in light of their health conditions. Characterizing the challenges and opportunities in USFB would be a first step to addressing the health needs of those food insecure.</p></div><div><h3>Objective</h3><p>The purpose of this systematic scoping review was to characterize the challenges in the USFB and to identify areas for further research and intervention.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Systematic scoping review.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Adhering to the guidelines for systematic scoping review, the search results were reported per the PRISMA guidelines. Five electronic search engines, PubMed, ScienceDirect, Google Scholar, Embase, and Cochrane Library, were searched for articles on USFB or pantries, published between 2013-2023. Intervention studies were excluded.</p></div><div><h3>Results</h3><p>A total of 96 articles were selected. Themes under operational challenges encompassed supply-chain, partnerships, distribution, and adherence to equity principles. Resource accrual, allocation, and infrastructure that affect food safety and waste were other challenges. Beneficiaries particularly, the elderly, people with disabilities, and refugees, and their unmet needs were documented. During the pandemic the resilience of FBs was tested by lack of trained staff, increased exposure of staff to the virus, and disruptions in the supply-chain. Despite challenges, opportunities such as meeting the health needs of vulnerable demographics, increasing awareness through pantries, testing models for supply efficiency, and inviting donations were identified. Regardless of the opportunities to improve health through USFB, our synthesis revealed a higher representation of articles on operational challenges and limited literature (5 out of 96) on the nutritional needs to manage chronic conditions.</p></div><div><h3>Conclusions</h3><p>The scope of USFB has evolved, and so have the challenges. Given the established association between food insecurity and the surge of chronic diseases among the poor, our findings prioritize assessment of health needs and evidence-based interventions through the robust food security program.</p></div><div><h3>Funding</h3><p>Extension, Department of Nutrition and Experiment Station, University of Nevada, Reno</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":"141953485","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.2024.05.073
Background
Data examining pulse consumption patterns in children and associations to diet quality and nutrient intakes remains limited.
Objective
To identify commonly consumed pulse dietary patterns in American children and assess shortfall nutrient intakes and diet quality relative to children whose typical dietary pattern avoids pulses.
Study Design, Settings, Participants
A secondary analysis using data from the National Health and Nutrition Examination Survey, 2001-2018 was completed in children (N=9,578; 2-18 years-old). Cluster analysis identified pulse patterns of consumption, while the USDA food coding system defined daily pulses consumed. Five pulse dietary patterns of consumption were identified, of which four patterns included both canned beans and dried beans, while one pattern had no pulse consumption. Pulse consumption was defined as those consuming kidney beans, black beans, chickpeas, and/or pinto beans.
Measurable Outcome/Analysis
Least square means for nutrient intakes and diet quality outcomes (as measured by USDA's Healthy Eating Index-2015) were examined. Completed and reliable 24-hour recall data were considered in the analyses.
Results
Greater consumption of pulses, concurrent to lower consumption of foods from USDA's mixed dishes and sweet snacks categories, was associated with significant greater shortfall nutrient intakes relative to the no pulse dietary pattern. A dietary pattern comprised of 13% of total daily energy from pulses (∼2 servings of beans daily) was associated with significantly higher total diet quality scores compared to the no pulse dietary pattern (58.0±0.8 vs. 46.5±0.2, p<0.0001). When considering shortfall nutrient intakes, children consuming approximately 2 servings of beans daily had significantly higher dietary fiber (20.0±0.8 g vs. 12.9±0.1 g, p<0.0001), potassium ((2643±84 mg vs. 2155±13 mg, p<0.0001) and choline intake (345±11 mg vs. 248±2.2 mg, p<0.0001) relative to non-consumers of beans.
Conclusions
Dietary patterns that include pulses were associated with greater diet quality scores and higher intakes of shortfall nutrients in American children.
Funding
Cannedbeans.org on behalf of Bush's Brothers & Company and the Coalition for the Advancement of Pulses
研究设计、地点、参与者利用 2001-2018 年全国健康与营养调查（National Health and Nutrition Examination Survey，2001-2018）的数据对儿童（N=9578；2-18 岁）进行了二次分析。聚类分析确定了脉搏的消费模式，而美国农业部食品编码系统则定义了每天的脉搏消费。确定了五种豆类膳食消费模式，其中四种模式包括罐装豆和干豆，一种模式没有豆类消费。可衡量的结果/分析研究了营养素摄入量和饮食质量结果的最小平方均值（以美国农业部 2015 年健康饮食指数为衡量标准）。分析中考虑了完整可靠的 24 小时回忆数据。结果相对于无豆类膳食模式，豆类摄入量越高，同时美国农业部混合菜肴和甜点类食物摄入量越低，则营养素摄入量缺口越大。与无豆类膳食模式相比，由豆类提供的能量占每日总能量的 13%（每日 2 份豆类）的膳食模式的膳食质量总分显著更高（58.0±0.8 vs. 46.5±0.2，p<0.0001）。在考虑营养素摄入不足时，每天食用约 2 份豆类的儿童的膳食纤维（20.0±0.8 克 vs. 12.9±0.1 克，p<0.0001）、钾（（2643±84 毫克 vs. 2155±13 毫克，p<0.0001）和胆碱摄入量（345±11 毫克 vs. 248±2.2 毫克，p<0.结论包括豆类的膳食模式与美国儿童更高的膳食质量评分和更高的短缺营养素摄入量相关。
{"title":"Greater Pulse Consumption in Children is Associated With a Higher Diet Quality and Improved Shortfall Nutrient Intakes","authors":"","doi":"10.1016/j.jneb.2024.05.073","DOIUrl":"10.1016/j.jneb.2024.05.073","url":null,"abstract":"<div><h3>Background</h3><p>Data examining pulse consumption patterns in children and associations to diet quality and nutrient intakes remains limited.</p></div><div><h3>Objective</h3><p>To identify commonly consumed pulse dietary patterns in American children and assess shortfall nutrient intakes and diet quality relative to children whose typical dietary pattern avoids pulses.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A secondary analysis using data from the National Health and Nutrition Examination Survey, 2001-2018 was completed in children (N=9,578; 2-18 years-old). Cluster analysis identified pulse patterns of consumption, while the USDA food coding system defined daily pulses consumed. Five pulse dietary patterns of consumption were identified, of which four patterns included both canned beans and dried beans, while one pattern had no pulse consumption. Pulse consumption was defined as those consuming kidney beans, black beans, chickpeas, and/or pinto beans.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Least square means for nutrient intakes and diet quality outcomes (as measured by USDA's Healthy Eating Index-2015) were examined. Completed and reliable 24-hour recall data were considered in the analyses.</p></div><div><h3>Results</h3><p>Greater consumption of pulses, concurrent to lower consumption of foods from USDA's mixed dishes and sweet snacks categories, was associated with significant greater shortfall nutrient intakes relative to the no pulse dietary pattern. A dietary pattern comprised of 13% of total daily energy from pulses (∼2 servings of beans daily) was associated with significantly higher total diet quality scores compared to the no pulse dietary pattern (58.0±0.8 vs. 46.5±0.2, p<0.0001). When considering shortfall nutrient intakes, children consuming approximately 2 servings of beans daily had significantly higher dietary fiber (20.0±0.8 g vs. 12.9±0.1 g, p<0.0001), potassium ((2643±84 mg vs. 2155±13 mg, p<0.0001) and choline intake (345±11 mg vs. 248±2.2 mg, p<0.0001) relative to non-consumers of beans.</p></div><div><h3>Conclusions</h3><p>Dietary patterns that include pulses were associated with greater diet quality scores and higher intakes of shortfall nutrients in American children.</p></div><div><h3>Funding</h3><p>Cannedbeans.org on behalf of Bush's Brothers & Company and the Coalition for the Advancement of Pulses</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":"141953766","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.2024.05.061
Background
Basic needs such as housing and food security are essential in health and wellbeing among older adults. Adverse social determinants of health (SDOH) increase unmet social needs and barriers to optimal health. The adverse SDOH associated with housing, food, and dual housing-food insecurity are less understood for older adults.
Objective
Using an SDOH framework, this study examined any association between housing, food, and dual insecurity, and the SDOH among older US adults.
Study Design, Settings, Participants
This cross-sectional study used nationally representative data from the 2022 National Health Interview Survey for adults aged 65 and older (N=8,835).
Measurable Outcome/Analysis
Outcome measures were housing insecurity (receipt of housing assistance), food insecurity (based on the USDA Adult Food Security Module), and dual insecurity. Controlling for individual heterogeneity, stratified logistic regression models were used to evaluate associations between food, housing, and dual insecurity, and the SDOH.
Results
Regression analyses showed significantly higher likelihoods of housing insecurity among Blacks (OR=3.36, CI=2.42, 4.68), individuals with less than a high school education background (OR= 2.02, CI=1.20, 3.41), and low-income earners (OR= 29.49, CI=12.94, 67.21) relative to their counterparts, but a relatively lower likelihood of housing insecurity among those in larger households (OR= 0.28, CI=0.18, 0.44). Individuals with only a high school education background (OR= 1.92, CI=1.29, 2.87), Blacks (OR=1.88, CI=1.30, 2.72), low-income earners (OR=10.38, CI=5.76, 18.69), and those without reliable transportation (OR= 2.99, CI=2.06, 4.34) were more likely to experience food insecurity. Dual insecurity was a more likely challenge among individuals without reliable transportation (OR=6.57, CI=2.82, 15.31), Blacks (OR=2.28, CI=1.07, 4.85), and low-income earners (OR=16.59, CI=2.30, 119.71), but less likely among those in larger households (OR=0.17, CI=0.05, 0.62).
Conclusions
Income, race, and limited availability of material resources are associated with housing, food, and dual insecurity. Our findings highlight the need to address unmet basic needs, specifically, housing and food insecurity challenges among low-income and racially minoritized older adults. Additional research is needed to inform the best course of mitigation.
{"title":"Associations of Housing, Food, and Dual Insecurity With the Social Determinants of Health Among Older Americans","authors":"","doi":"10.1016/j.jneb.2024.05.061","DOIUrl":"10.1016/j.jneb.2024.05.061","url":null,"abstract":"<div><h3>Background</h3><p>Basic needs such as housing and food security are essential in health and wellbeing among older adults. Adverse social determinants of health (SDOH) increase unmet social needs and barriers to optimal health. The adverse SDOH associated with housing, food, and dual housing-food insecurity are less understood for older adults.</p></div><div><h3>Objective</h3><p>Using an SDOH framework, this study examined any association between housing, food, and dual insecurity, and the SDOH among older US adults.</p></div><div><h3>Study Design, Settings, Participants</h3><p>This cross-sectional study used nationally representative data from the 2022 National Health Interview Survey for adults aged 65 and older (N=8,835).</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Outcome measures were housing insecurity (receipt of housing assistance), food insecurity (based on the USDA Adult Food Security Module), and dual insecurity. Controlling for individual heterogeneity, stratified logistic regression models were used to evaluate associations between food, housing, and dual insecurity, and the SDOH.</p></div><div><h3>Results</h3><p>Regression analyses showed significantly higher likelihoods of housing insecurity among Blacks (OR=3.36, CI=2.42, 4.68), individuals with less than a high school education background (OR= 2.02, CI=1.20, 3.41), and low-income earners (OR= 29.49, CI=12.94, 67.21) relative to their counterparts, but a relatively lower likelihood of housing insecurity among those in larger households (OR= 0.28, CI=0.18, 0.44). Individuals with only a high school education background (OR= 1.92, CI=1.29, 2.87), Blacks (OR=1.88, CI=1.30, 2.72), low-income earners (OR=10.38, CI=5.76, 18.69), and those without reliable transportation (OR= 2.99, CI=2.06, 4.34) were more likely to experience food insecurity. Dual insecurity was a more likely challenge among individuals without reliable transportation (OR=6.57, CI=2.82, 15.31), Blacks (OR=2.28, CI=1.07, 4.85), and low-income earners (OR=16.59, CI=2.30, 119.71), but less likely among those in larger households (OR=0.17, CI=0.05, 0.62).</p></div><div><h3>Conclusions</h3><p>Income, race, and limited availability of material resources are associated with housing, food, and dual insecurity. Our findings highlight the need to address unmet basic needs, specifically, housing and food insecurity challenges among low-income and racially minoritized older adults. Additional research is needed to inform the best course of mitigation.</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":"141953525","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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