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Weight-Inclusive Approaches to Nutrition and Dietetics: A Needed Paradigm Shift. 营养与饮食学中的体重包容性方法:必要的范式转变。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-30 DOI: 10.1016/j.jneb.2024.07.007
Jordan A Levinson, Dawn Clifford, Emma M Laing, Cristen L Harris, Nicholas Slagel, Nikole D Squires, Jeffrey M Hunger

This Perspective article encourages the field of nutrition and dietetics to move away from a weight-centric paradigm that emphasizes weight loss and weight management as primary health outcomes. This approach can perpetuate weight stigma, which is associated with poorer health behaviors, poorer mental health, disordered eating, and even increased mortality risk. We propose an alternative approach-adopting a weight-inclusive paradigm-that focuses on providing care across the weight spectrum by centering health behaviors rather than weight. This approach allows individuals of all sizes to have equitable access to high-quality nutrition and dietetics care.

这篇 "视角 "文章鼓励营养与饮食学界摒弃以体重为中心的模式,这种模式强调减肥和体重管理是主要的健康结果。这种方法会使体重污名化永久化,而体重污名化与较差的健康行为、较差的心理健康、饮食紊乱甚至增加的死亡风险有关。我们提出了另一种方法--采用体重包容性范式,通过以健康行为而非体重为中心,提供跨体重范围的护理。这种方法使各种体型的人都能公平地获得高质量的营养和饮食护理。
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引用次数: 0
Standardizing Dietary Recall: A Necessity for the Expanded Food and Nutrition Education Program. 膳食回收标准化:扩大食品和营养教育计划的必要性。
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-06 DOI: 10.1016/j.jneb.2024.07.006
Dawn Earnesty, Karen Franck, Susan Baker, Annie J Roe, Michael Puglisi, Kavitha Sankavaram

This report explores the 24-hour dietary recall (24HDR) form used for the Expanded Food and Nutrition Education Program (EFNEP). Dietary supplement use, amount of money spent on food, time being physically active, portion size consumed, foods reported by meals, and preparation of the meal were common components collected among 61 EFNEP programs. Components not included were instructions for the peer educator, use of food models/measuring cups, examples of foods/beverages, time food/beverages were consumed, color coding, and a prompt to review what was written. A standardized 24-hour dietary recall form with training protocols is recommended to uphold the integrity of data collection.

本报告探讨了食品与营养教育扩展计划 (EFNEP) 使用的 24 小时膳食回忆表 (24HDR)。在 61 个 EFNEP 计划中,膳食补充剂的使用、在食物上花费的金额、体育锻炼的时间、消耗的份量、膳食报告的食物以及膳食的准备是收集到的共同内容。不包括的内容有:对同伴教育者的指导、食物模型/量杯的使用、食物/饮料的示例、食物/饮料的食用时间、颜色编码以及对所写内容进行复查的提示。建议使用带有培训协议的标准化 24 小时饮食回忆表,以确保数据收集的完整性。
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引用次数: 0
Utah Food Security Council First Year Evaluation 犹他州食品安全委员会第一年评估
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.084
Palak Gupta PhD, Heidi LeBlanc MS

Objective

The Utah Food Security Council (UFSC) developed from a legislative bill, embarked on its inaugural year with a mission to eliminate hunger, and promote equitable access to nutritious food for all Utah residents. This process evaluation aimed to assess the council's operational effectiveness, achievements, challenges, and areas for improvement as it works towards its mission. Use of Theory: Informed by the FAO's definition of food security and insights from public health literature, the UFSC's initiatives are designed to address the multifaceted dimensions of food insecurity through research-informed strategies and collaborative efforts.

Target Audience

The evaluation targeted participants of the UFSC, including representatives from government agencies, non-profit organizations, community groups, universities, and other stakeholders involved in food security initiatives across Utah.

Program Description

The UFSC operates as a collaborative platform to develop comprehensive strategies, policies, and initiatives aimed at enhancing food security statewide. Through research, advocacy, education, and community engagement, the council identifies barriers to food access, implements effective solutions, and fosters partnerships to address food insecurity at local and statewide levels.

Evaluation Methods

A cross-sectional study design was employed, inviting all council participants to partake in a survey assessing their involvement, perceptions, and impact of the council's activities. Primary data was collected via a Qualtrics survey, supplemented by secondary data on community reach from the council's online platforms. Qualitative data analysis was conducted to identify themes and insights from open-ended responses.

Results

The evaluation revealed active participation from 85 council members, with representation from various organizations. Key outcomes included the development of subcommittees, creation of factsheets, dissemination of press releases, and engagement through social media channels. Partnerships were cultivated, and community outreach efforts demonstrated substantial reach and impact.

Conclusions

Participants expressed a commitment to addressing food insecurity through targeted interventions, policy advocacy, collaboration, and community engagement. The evaluation underscores council's role as a catalyst for collective action, providing insights to guide strategic planning, resource allocation, and future initiatives in advancing food security across Utah.

Funding

None

目标犹他州食品安全委员会(UFSC)是根据一项立法议案成立的,成立伊始的使命是消除饥饿,促进犹他州所有居民公平地获得营养食品。此次过程评估旨在评估该委员会在完成其使命过程中的运作效率、成就、挑战和需要改进的地方。使用理论:根据联合国粮农组织对粮食安全的定义和公共卫生文献的见解,犹他州粮食与安全理事会的各项举措旨在通过研究为基础的战略和协作努力来解决粮食不安全的多方面问题。项目描述犹他州粮食与安全理事会是一个协作平台,旨在制定全面的战略、政策和举措,以加强全州的粮食安全。通过研究、宣传、教育和社区参与,该委员会确定了获得食物的障碍,实施了有效的解决方案,并促进了合作伙伴关系,以解决地方和全州范围内的粮食不安全问题。评估方法采用横向研究设计,邀请所有委员会参与者参与调查,评估他们的参与情况、对委员会活动的看法和影响。主要数据通过 Qualtrics 调查收集,并通过理事会在线平台上有关社区影响力的二手数据进行补充。对定性数据进行了分析,以确定开放式回答中的主题和见解。评估结果显示,85 名理事会成员积极参与,他们来自不同的组织。主要成果包括成立了小组委员会、制作了概况介绍、发布了新闻稿并通过社交媒体渠道进行了宣传。参与者表示致力于通过有针对性的干预、政策宣传、合作和社区参与来解决粮食不安全问题。评估强调了理事会作为集体行动催化剂的作用,为指导战略规划、资源分配和未来在犹他州推进粮食安全的举措提供了见解。
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引用次数: 0
Virginia Fresh Match (VFM) Redemptions Remain Strong Despite the End of Emergency SNAP Allotments 尽管紧急营养补助计划(SNAP)拨款结束,弗吉尼亚州新鲜配料(VFM)的兑换情况依然强劲
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.085
Stephanie Reichert BS, Rebecca Hagedorn-Hatfield PhD, RDN, LD, Maryfrances Porter PhD, Elizabeth Borst, Sam Hedges, Lanae Hood PhD

Objective

To evaluate the redemption rates of Virginia Fresh Match (VFM) Supplemental Nutrition Assistance Program (SNAP) nutrition incentives in 2023, despite reduced benefits due to the cessation of emergency SNAP allotments.

Use of Theory or Research

During the pandemic, SNAP benefits were temporarily increased but these were terminated in March of 2023. Little is known about SNAP nutrition incentive program redemption rates following the reduction in SNAP benefits. Target Audience: The target audiences of this process evaluation were Virginian SNAP recipients shopping with VFM nutrition incentives and over 120 partner outlets offering VFM at their local markets (farmer's markets and small format retail stores).

Program Description

Virginia Fresh Match (VFM) is a network of farmers markets and community food outlets that offer nutrition incentives to double the value of Supplemental Nutrition Assistance Program (SNAP) benefits for fruits and vegetables. With VFM, SNAP recipients can afford more fruits and vegetables, local farmers earn more income, and more dollars stay in the local economy.

Evaluation Methods

Smartsheet was used to track outlet participation and SNAP incentive redemptions. Participating outlets completed a monthly report to provide SNAP sales and VFM redemption data with supporting documentation. The economic impact of VFM was calculated using the Nutrition Incentive Program Training, Technical Assistance, Evaluation, and Information Center's economic impact calculator.

Results

SNAP use remained stable at VFM outlets between 2022 ($5.5M) and 2023 ($5.3M). There was a 30% increase in VFM incentive redemptions between 2021 ($633,000) and 2022 ($822,000). In 2023 the rate of redemption stabilized ($812,000) and decreased less than 1% despite the steep cuts in SNAP benefits across the state. VFM's total economic impact in 2023 was $1.3M.

Conclusions

Stability is the key to VFM's impact and the program remained resilient despite the reduction in SNAP benefits. VFM customers continued to stretch their limited food budgets through participation in nutrition incentive programming, further impacting local community retail stores and farmer's markets.

Funding

NIFA, Virginia Department of Agriculture and Consumer Services

目标评估 2023 年弗吉尼亚州新鲜匹配(VFM)补充营养援助计划(SNAP)营养奖励的兑换率,尽管由于紧急 SNAP 拨款停止而导致福利减少。理论或研究的应用在大流行病期间,SNAP 福利暂时增加,但在 2023 年 3 月终止。人们对 SNAP 福利减少后的 SNAP 营养激励计划兑换率知之甚少。目标受众:本过程评估的目标受众是使用 VFM 营养激励措施购物的弗吉尼亚 SNAP 受助人,以及在当地市场(农贸市场和小型零售店)提供 VFM 的 120 多个合作网点。项目简介弗吉尼亚新鲜匹配(VFM)是一个由农贸市场和社区食品店组成的网络,提供营养激励措施,使补充营养援助计划(SNAP)福利的价值翻倍,用于购买水果和蔬菜。有了 VFM,SNAP 受益人可以买得起更多的水果和蔬菜,当地农民获得更多收入,更多资金留在当地经济中。参与网点填写月度报告,提供 SNAP 销售额和 VFM 兑换数据及证明文件。使用营养激励计划培训、技术援助、评估和信息中心的经济影响计算器计算 VFM 的经济影响。2021 年(633,000 美元)至 2022 年(822,000 美元)期间,VFM 奖励兑换增加了 30%。2023 年,尽管全州的 SNAP 福利大幅削减,但奖励兑现率保持稳定(81.2 万美元),降幅不到 1%。结论稳定是 VFM 影响的关键,尽管 SNAP 福利减少,但该计划仍保持了弹性。VFM 的客户通过参与营养激励计划继续扩大其有限的食品预算,进一步影响了当地社区零售商店和农贸市场。
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引用次数: 0
Food Insecurity Prevalence and Related Health Outcomes Among Asian Americans: A Scoping Review 美籍亚裔美国人的粮食不安全流行率及相关健康结果:范围审查
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.024
Lawrence Li BS, Angel Chen, Michele Nicolo PhD, RDN, CDCES, Giselle Pignotti PhD, RD, Susan Chen PhD

Background

Food insecurity (FI) is a risk factor for many negative health outcomes. While 12.8% of United States (U.S.) residents experience FI, less is known about the prevalence rate and related experiences among Asian Americans (AA) and AA ethnicities.

Objective

This scoping review examines the evidence on FI and health outcomes among AA and disaggregated AA ethnicities.

Study Design, Settings, Participants

The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The inclusion criteria were peer-reviewed, original research studies that examined FI prevalence and health outcomes for aggregated and disaggregated AA groups; published in English between 1975-November 2023; and conducted in the U.S. All age groups and research designs were included. Search terms focused on FI, health outcomes, and AA. Four databases (Pubmed, EBSCOhost, Wiley, ScienceDirect) and the first ten pages of Google Scholar were scanned.

Measurable Outcome/Analysis

Descriptive information from the research articles, FI prevalence rate, and health outcomes among AA, were extracted. When available, disaggregated AA ethnicity data were included.

Results

Of the included articles (n=12), most (n=8) utilized cross-sectional research designs. Most studies (n= 9) examined AA as an aggregated racial group and FI rates ranged between 2.3%-31.0%. Of the reported health outcomes, significant associations between FI and low whole fruit intake, high body mass index (BMI), and poor diet, sleep, and physical activity among AA adults were observed. Of the studies that examined differences between AA ethnicities (n=3), FI prevalence varied inconsistently (Southeast Asians=24.6-63.3%; South Asians=3.14-38.2%; East Asians=16.45-71.7%). Within this group, FI was significantly associated only with the diagnosis of depression.

Conclusions

FI was associated with diet outcomes and BMI, but not diet-related chronic disease prevalence within AA. Due to the large fluctuation of FI prevalence within individual AA ethnicities, more research is warranted to examine the extent to which FI and other risk factors contribute to diet-related health outcomes.

Funding

San Jose State University Circle of Friends Research Assistance Award

背景食物无保障(FI)是导致许多不良健康后果的风险因素。虽然有 12.8% 的美国居民经历过食物不安全,但人们对亚裔美国人(AA)和 AA 族群的食物不安全发生率和相关经历知之甚少。研究设计、设置、参与者该综述遵循了系统综述和元分析首选报告项目清单。纳入标准为经同行评审的原创性研究,这些研究考察了AA总群体和细分群体的FI患病率和健康结果;研究发表于1975年至2023年11月之间的英文刊物;研究在美国进行。搜索关键词主要集中在 FI、健康结果和 AA。扫描了四个数据库(Pubmed、EBSCOhost、Wiley、ScienceDirect)和 Google Scholar 的前十页。可衡量的结果/分析从研究文章、FI 流行率和 AA 中的健康结果中提取描述性信息。结果在收录的文章(12 篇)中,大多数(8 篇)采用了横断面研究设计。大多数研究(9 篇)将 AA 作为一个综合种族群体进行研究,FI 率介于 2.3%-31.0% 之间。在报告的健康结果中,观察到 AA 族成年人的 FI 与全水果摄入量低、体重指数(BMI)高以及饮食、睡眠和体育锻炼不良之间存在显著关联。在研究 AA 族群间差异的研究中(n=3),FI 患病率的差异并不一致(东南亚人=24.6-63.3%;南亚人=3.14-38.2%;东亚人=16.45-71.7%)。在这一群体中,FI 仅与抑郁症的诊断有显著相关性。结论FI 与饮食结果和体重指数相关,但与 AA 族中与饮食相关的慢性病患病率无关。由于 FI 在个别 AA 族群中的流行率波动较大,因此有必要开展更多研究,以探讨 FI 和其他风险因素对饮食相关健康结果的影响程度。
{"title":"Food Insecurity Prevalence and Related Health Outcomes Among Asian Americans: A Scoping Review","authors":"Lawrence Li BS,&nbsp;Angel Chen,&nbsp;Michele Nicolo PhD, RDN, CDCES,&nbsp;Giselle Pignotti PhD, RD,&nbsp;Susan Chen PhD","doi":"10.1016/j.jneb.2024.05.024","DOIUrl":"10.1016/j.jneb.2024.05.024","url":null,"abstract":"<div><h3>Background</h3><p>Food insecurity (FI) is a risk factor for many negative health outcomes. While 12.8% of United States (U.S.) residents experience FI, less is known about the prevalence rate and related experiences among Asian Americans (AA) and AA ethnicities.</p></div><div><h3>Objective</h3><p>This scoping review examines the evidence on FI and health outcomes among AA and disaggregated AA ethnicities.</p></div><div><h3>Study Design, Settings, Participants</h3><p>The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. The inclusion criteria were peer-reviewed, original research studies that examined FI prevalence and health outcomes for aggregated and disaggregated AA groups; published in English between 1975-November 2023; and conducted in the U.S. All age groups and research designs were included. Search terms focused on FI, health outcomes, and AA. Four databases (Pubmed, EBSCOhost, Wiley, ScienceDirect) and the first ten pages of Google Scholar were scanned.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Descriptive information from the research articles, FI prevalence rate, and health outcomes among AA, were extracted. When available, disaggregated AA ethnicity data were included.</p></div><div><h3>Results</h3><p>Of the included articles (n=12), most (n=8) utilized cross-sectional research designs. Most studies (n= 9) examined AA as an aggregated racial group and FI rates ranged between 2.3%-31.0%. Of the reported health outcomes, significant associations between FI and low whole fruit intake, high body mass index (BMI), and poor diet, sleep, and physical activity among AA adults were observed. Of the studies that examined differences between AA ethnicities (n=3), FI prevalence varied inconsistently (Southeast Asians=24.6-63.3%; South Asians=3.14-38.2%; East Asians=16.45-71.7%). Within this group, FI was significantly associated only with the diagnosis of depression.</p></div><div><h3>Conclusions</h3><p>FI was associated with diet outcomes and BMI, but not diet-related chronic disease prevalence within AA. Due to the large fluctuation of FI prevalence within individual AA ethnicities, more research is warranted to examine the extent to which FI and other risk factors contribute to diet-related health outcomes.</p></div><div><h3>Funding</h3><p>San Jose State University Circle of Friends Research Assistance Award</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S9"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Working Towards a Participatory and Just Food System: A Community Designed Extension Workshop Series 努力实现参与性和公正的粮食系统:社区设计的推广系列研讨会
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.014
Laura Vollmer RD, MPH, Lucy Diekmann PhD

Objective

The workshop series sought to support food justice and sovereignty by educating food systems professionals about the root causes of inequities in the food system.

Use of Theory or Research

Residents who are knowledgeable about food systems and active about food and agricultural issues are critical for the long-term success of efforts to develop an equitable food system. Education about food and agriculture can equip residents with the knowledge and skills to transform their food system and make positive changes in their communities. We sought to train food system stakeholders to help their communities affect those positive changes.

Target Audience

The series reached a broad range of food system stakeholders, including community nutrition and garden educators, local government officials, producers, etc.

Program Description

Building Equity in the Silicon Valley Food Systems was a professional development series co-designed by community partners and cooperative extension advisors. Four webinars covered topics across the food system, including agricultural land access and housing, culture and power, and community-led approaches to food system work. A concluding in-person convening offered participants the opportunity to reflect on the series and develop a shared action plan to carry learnings from the series into their work.

Evaluation Methods

Surveys were administered at registration, after each workshop, and at the conclusion of the series.

Results

Respondents reported increased knowledge of equitable food systems (81%), the historical roots of inequity in land access and housing in Silicon Valley (81%), diverse cultural food traditions (80%), and strategies for promoting equity and community-led solutions (82%). 98% of respondents indicated they would take action – or had already taken action – as a result of the series. Those actions included increased collaboration, implementing values-based procurement, including more community voice in programming, and finally, a willingness to advocate for systems-level change.

Conclusions

Co-designing a workshop series with community partners led to positive increased knowledge and intention of food system professionals to work towards a more participatory food system.

Funding

NIFA

理论或研究的应用了解粮食系统并积极关注粮食和农业问题的居民对于发展公平粮食系统的长期成功至关重要。有关粮食和农业的教育可以使居民掌握改造粮食系统和积极改变社区的知识和技能。我们力求培训粮食系统的利益相关者,帮助他们的社区实现这些积极的变化。目标受众该系列讲座面向广大粮食系统利益相关者,包括社区营养和花园教育工作者、地方政府官员、生产者等。四场网络研讨会涵盖了整个食品系统的主题,包括农业用地和住房、文化和权力,以及社区主导的食品系统工作方法。最后一次面对面的会议为参与者提供了反思该系列活动并制定共同行动计划的机会,以便将从该系列活动中学到的知识应用到他们的工作中。结果受访者表示对公平的粮食系统(81%)、硅谷土地使用和住房不公平的历史根源(81%)、多样化的文化饮食传统(80%)以及促进公平和社区主导的解决方案的策略(82%)有了更多的了解。98% 的受访者表示,他们将根据系列活动的结果采取行动,或者已经采取了行动。这些行动包括加强合作、实施以价值观为基础的采购、在计划编制中纳入更多的社区声音,最后是愿意倡导系统层面的变革。
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引用次数: 0
Caregivers’ Thoughts and Questions Related to the Complementary Feeding Period 护理人员对辅食添加期的看法和疑问
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.090
Mackenzie J. Ferrante PhD, RDN, Catherine A. Forestell PhD, Kameron J. Moding PhD, Susan L. Johnson PhD

Background

The period of transition from milk to complementary feeding (CF) is a time of rapid development and learning for young children and their parents. During this period, caregivers must make numerous decisions regarding what and how to feed their children. The Spoonfuls of Nutrition Study sought to understand caregiver approaches to and attitudes about CF.

Objective

The present study seeks to understand questions caregivers have regarding child feeding during the complementary feeding period.

Study Design, Settings, Participants

Caregivers (n=418) of 6-to-24-month-old children participated in a national survey (111 items) in June 2023. The survey asked about food parenting practices, promoting self-feeding, nutrition literacy, demographics and, relevant to the current analysis, included a short answer item asking participants to share their comments or questions about feeding infants and toddlers.

Measurable Outcome/Analysis

A content analysis of short-answer responses (n=146) was independently undertaken by 2 trained investigators to summarize participants’ top-of-mind thoughts and queries related to CF.

Results

Caregivers’ were mainly educated (43% college degree) mothers (64%; 39% White, 21% Black; children: 51.1% female; Mage± SD=15.4 ± 5.6 mo). Queries fell into 3 categories: (1) foods/diet (n=48); (2) caregivers’ beliefs, self-efficacy, and concerns (n=51); and (3) child development (n=17). Food/diet responses focused on which foods can help build a healthful diet, how much to feed, and about specific nutrients. Comments in the second category expressed confidence (or lack thereof) in feeding, beliefs, and worries about CF, typically regarding choking or food allergies. Responses from the third category expressed interest in learning more about their children's eating development and advice on picky eating, food refusal, and growth.

Conclusions

Caregivers expressed a desire for more information related to child development and appropriate foods for their children's health and safety during this period and for assistance with feeding challenges. Future nutrition education efforts could help caregivers navigate their knowledge gaps and concerns, focusing on increasing parents’ knowledge of not only what but how to best feed their infants.

Funding

Avocado Nutrition Center

背景从母乳喂养到添加辅食(CF)的过渡时期是幼儿及其父母快速发展和学习的时期。在此期间,照顾者必须就喂养孩子的内容和方式做出许多决定。本研究旨在了解照顾者在辅食喂养期间对儿童喂养的疑问。研究设计、设置、参与者6至24个月大儿童的照顾者(人数=418)参加了2023年6月的一项全国性调查(111个项目)。该调查询问了有关食物养育方法、促进自我喂养、营养知识、人口统计学等方面的问题,其中还包括一项简答题,要求参与者分享他们对婴幼儿喂养的意见或问题。可测量的结果/分析由两名经过培训的调查人员独立对简答回答(n=146)进行内容分析,以总结参与者脑海中与 CF 相关的想法和疑问。结果照顾者主要是受过教育(43% 有大学学位)的母亲(64%;39% 白人,21% 黑人;孩子:51.1% 女性;Mage± SD=15.4 ± 5.6 个月)。询问分为三类:(1)食物/饮食(48 人);(2)照顾者的信念、自我效能和担忧(51 人);(3)儿童发展(17 人)。食物/饮食方面的回答主要集中在哪些食物有助于建立健康的饮食习惯、喂食多少以及具体的营养成分。第二类中的评论表达了对喂养的信心(或缺乏信心)、信念以及对 CF 的担忧,通常与窒息或食物过敏有关。结论照护者表示希望获得更多有关儿童发育的信息,以及在此期间为儿童的健康和安全提供适当食物的信息,并希望获得有关喂养挑战的帮助。未来的营养教育工作可以帮助照顾者了解他们的知识差距和顾虑,重点是增加父母的知识,让他们不仅知道喂养婴儿的最佳方式,而且知道如何喂养婴儿。
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引用次数: 0
Exploring Diet Quality, Food Insecurity, and Health Status Among Utah Residents 探索犹他州居民的饮食质量、食品不安全和健康状况
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.097
Palak Gupta PhD, Lendel Narine PhD

Background

Poor diet quality and food insecurity are significant public health challenges associated with adverse health outcomes. Understanding the relationship between diet quality, food insecurity, and overall health status is crucial for developing effective interventions to improve public health.

Objective

This research aimed to explore the associations between diet quality, food insecurity, and overall health status among Utahns.

Study Design, Settings, Participants

A cross-sectional survey was conducted among 1,522 residents of Utah in 2023. Data on household characteristics, diet quality, health status, and food security were collected using an online survey over a two-month period. Diet quality was measured using a modified Rapid Eating Assessment for Participants-Shortened Version (REAP-S), while food insecurity was assessed using a validated 6-item food security scale.

Measurable Outcome/Analysis

Data was analyzed using SPSS. Descriptive statistics, k-means cluster analysis, chi-square, logistic regression, and crosstabulations were employed to analyze the data. Measurable outcome diet quality.

Results

The study identified two distinct clusters based on diet quality, with significant differences observed in fruit, vegetable, dairy, and whole grain consumption between the clusters. Logistic regression revealed that education, percentage of total expenditure on food, self-reported health status, body mass index, barriers to eating healthy, symptoms from lack of food, and food security status significantly influenced diet quality. Individuals experiencing very low food security were found to have significantly lower diet quality.

Conclusions

Poor diet quality, influenced by factors such as food insecurity and barriers to healthy eating, is associated with adverse health outcomes. Educational programs, policy advocacy, support for local food initiatives, and collaborative approaches are recommended to address these challenges and improve overall health outcomes in Utah residents.

Implications for Research and Practice

Targeted interventions addressing food insecurity and barriers to healthy eating can contribute to improved diet quality and overall health outcomes. Collaborative efforts among healthcare professionals, community organizations, policymakers, and researchers are essential for developing effective strategies to promote healthier eating habits and reduce the burden of diet-related chronic diseases.

Funding

None

背景不良饮食质量和粮食不安全是与不良健康后果相关的重大公共卫生挑战。了解饮食质量、食品不安全和总体健康状况之间的关系对于制定有效的干预措施以改善公众健康状况至关重要。研究设计、地点、参与者在 2023 年对犹他州的 1522 名居民进行了横断面调查。通过为期两个月的在线调查收集了有关家庭特征、饮食质量、健康状况和食品安全的数据。饮食质量采用修改后的 "参与者快速进食评估简易版"(REAP-S)进行测量,而食物不安全则采用经过验证的 6 项食物安全量表进行评估。数据分析采用了描述性统计、k-均值聚类分析、卡方检验、逻辑回归和交叉分析等方法。结果该研究根据饮食质量确定了两个不同的聚类,观察到聚类之间在水果、蔬菜、奶制品和全谷物消费方面存在显著差异。逻辑回归显示,教育程度、食品支出占总支出的百分比、自我报告的健康状况、体重指数、健康饮食的障碍、缺乏食物引起的症状以及食品安全状况对饮食质量有显著影响。结论受粮食不安全和健康饮食障碍等因素的影响,饮食质量差与不良健康结果有关。建议通过教育计划、政策宣传、支持当地食品倡议以及合作方法来应对这些挑战,并改善犹他州居民的整体健康结果。研究与实践的意义针对食品不安全和健康饮食障碍的针对性干预措施有助于改善饮食质量和整体健康结果。医疗保健专业人员、社区组织、政策制定者和研究人员之间的合作对于制定有效策略以促进更健康的饮食习惯和减少与饮食相关的慢性疾病负担至关重要。
{"title":"Exploring Diet Quality, Food Insecurity, and Health Status Among Utah Residents","authors":"Palak Gupta PhD,&nbsp;Lendel Narine PhD","doi":"10.1016/j.jneb.2024.05.097","DOIUrl":"10.1016/j.jneb.2024.05.097","url":null,"abstract":"<div><h3>Background</h3><p>Poor diet quality and food insecurity are significant public health challenges associated with adverse health outcomes. Understanding the relationship between diet quality, food insecurity, and overall health status is crucial for developing effective interventions to improve public health.</p></div><div><h3>Objective</h3><p>This research aimed to explore the associations between diet quality, food insecurity, and overall health status among Utahns.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A cross-sectional survey was conducted among 1,522 residents of Utah in 2023. Data on household characteristics, diet quality, health status, and food security were collected using an online survey over a two-month period. Diet quality was measured using a modified Rapid Eating Assessment for Participants-Shortened Version (REAP-S), while food insecurity was assessed using a validated 6-item food security scale.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Data was analyzed using SPSS. Descriptive statistics, k-means cluster analysis, chi-square, logistic regression, and crosstabulations were employed to analyze the data. Measurable outcome diet quality.</p></div><div><h3>Results</h3><p>The study identified two distinct clusters based on diet quality, with significant differences observed in fruit, vegetable, dairy, and whole grain consumption between the clusters. Logistic regression revealed that education, percentage of total expenditure on food, self-reported health status, body mass index, barriers to eating healthy, symptoms from lack of food, and food security status significantly influenced diet quality. Individuals experiencing very low food security were found to have significantly lower diet quality.</p></div><div><h3>Conclusions</h3><p>Poor diet quality, influenced by factors such as food insecurity and barriers to healthy eating, is associated with adverse health outcomes. Educational programs, policy advocacy, support for local food initiatives, and collaborative approaches are recommended to address these challenges and improve overall health outcomes in Utah residents.</p></div><div><h3>Implications for Research and Practice</h3><p>Targeted interventions addressing food insecurity and barriers to healthy eating can contribute to improved diet quality and overall health outcomes. Collaborative efforts among healthcare professionals, community organizations, policymakers, and researchers are essential for developing effective strategies to promote healthier eating habits and reduce the burden of diet-related chronic diseases.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S41"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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 Pub Date : 2024-08-01 DOI: 10.1016/S1499-4046(24)00358-0
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引用次数: 0
Meal Distribution Methods and Safety Measures During COVID-19 School Closures COVID-19 学校关闭期间的配餐方法和安全措施
IF 2.3 3区 医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1016/j.jneb.2024.05.075
Samantha Ouellette, Kritika Gupta PhD, PMP, Laurel Lambert PhD, RD, Georgianna Mann PhD

Background

The COVID-19 pandemic prompted unexpected school shutdowns, but the need for nutritious meals for the nation's children persisted. Many states and school districts quickly developed plans to distribute meals to children despite the school closings.

Objective

The goal of this study was to describe school distribution methods, meal types, and food safety procedures used in three states: Alabama, Arkansas, and Florida.

Study Design, Settings, Participants

A 62-item survey was sent to child nutrition directors (N=489) in fall 2022 concerning the meal distribution methods and safety measures related challenges faced during the COVID-19 school closures (spring 2020 to spring 2021).

Results

In spring 2020, child nutrition directors reported the reduced school meal participation (70%) and changing COVID-19 protocols were significant challenges (88%). Common challenges were lack of meal preparation supplies (92%), lack of food products (88%), additional and changing COVID-19 protocols (88%) in spring 2021. Staff shortages were also reported as a significant challenge (82%) which, in conjunction with food shortages, created challenges in serving planned menus (86%). At the pandemic onset in spring 2020, frequent cleaning/sanitation (78%) was the primary food safety effort. In spring 2021, the most common food safety efforts included frequent cleaning/sanitation (88%), discontinuing self-service stations (86%), enforcing social distancing (86%), and requiring students to wash hands or use sanitizer prior to meal service (82%). Meal distribution via school pickup was used in spring 2020 (70%), classroom meals in fall 2020 (76%), and cafeteria meals in spring 2021 (76%). More than 70% of child nutrition directors noted that the pandemic highlighted the importance of school meal programs, improved teamwork among school meal program staff, and promoted creativity in menu development.

Conclusions

While the COVID-19 pandemic created significant challenges for schools to provide nutritious meals, many practices adopted by child nutrition directors and their staff could be used during future disasters. The encouraging outcomes seen emphasize the resilience of the school meal program staff even during a global pandemic.

Funding

Foodservice Systems Management Education Council

背景 COVID-19 大流行导致学校意外停课,但全国儿童对营养餐的需求依然存在。尽管学校停课,但许多州和学区仍迅速制定了向儿童分发膳食的计划:2022 年秋季,我们向儿童营养主管(N=489)发送了一份包含 62 个项目的调查问卷,内容涉及 COVID-19 学校关闭期间(2020 年春季至 2021 年春季)所面临的配餐方法和安全措施相关挑战。2021 年春季面临的共同挑战是缺乏备餐用品(92%)、缺乏食品(88%)、额外的和不断变化的 COVID-19 协议(88%)。据报告,人员短缺也是一项重大挑战(82%),再加上食品短缺,为提供计划菜单带来了挑战(86%)。在 2020 年春季大流行开始时,频繁的清洁/卫生(78%)是食品安全的主要工作。2021 年春季,最常见的食品安全工作包括经常清洁/卫生(88%)、停止自助服务站(86%)、强制执行社会隔离(86%)以及要求学生在用餐前洗手或使用消毒剂(82%)。2020 年春季(70%)通过学校接送分发膳食,2020 年秋季(76%)通过教室分发膳食,2021 年春季(76%)通过食堂分发膳食。超过 70% 的儿童营养主任指出,这次大流行凸显了学校膳食计划的重要性,改善了学校膳食计划工作人员之间的团队合作,并促进了菜单开发的创造性。结论虽然 COVID-19 大流行给学校提供营养膳食带来了巨大挑战,但儿童营养主任及其工作人员采用的许多做法可在未来的灾难中使用。令人鼓舞的成果强调了学校膳食计划工作人员即使在全球大流行病期间也能坚韧不拔。
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引用次数: 0
期刊
Journal of Nutrition Education and Behavior
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