Journal of Nutrition Education and Behavior最新文献_第8页

Association of Milk Fat Intake on BMI Change and Nutrient Intake in WIC-Enrolled Toddlers. 乳脂摄入与wic幼儿体重指数变化和营养摄入的关系

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-20 DOI: 10.1016/j.jneb.2025.08.002

Rachel C Grau, Lorrene D Ritchie, Anisha Patel, Hannah R Thompson

Objective: Investigate the relationship between milk fat consumption from 24 to 36 months and (1) body mass index (BMI) z-score change from 24 to 36 months, and (2) nutrient intake at 36 months among toddlers who were Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)-eligible at study initiation.

Design: Longitudinal analysis using WIC Infant Toddler Feeding Practices Study-2 data collected from 2013 to 2020.

Setting: Eighty WIC enrollment sites across 27 US states.

Participants: Included 2,373 toddlers (27.6% Black, 57.1% White, 15.4% other race; 39.1% Hispanic ethnicity) from households with low income.

Interventions: None.

Main outcome measures: Changes in BMI z-score from 24 to 36 months and dietary intake (added sugars, saturated fat, total energy) at 36 months.

Analysis: Linear regression models analyzing relationships between average milk fat consumption from 24 to 36 months and outcome measures.

Results: Meeting milk fat consumption recommendations between 24 and 36 months (≤ 1%) associated with lower intake of saturated fat (all models) and energy intake (fully adjusted model), but not a change in BMI z-score or added sugars intake.

Conclusions and implications: Further research is needed to understand associations between milk fat consumption, BMI, and dietary patterns in toddlers from households with low income to inform dietary recommendations and nutritional assistance guidelines.

目的：研究在研究开始时符合妇女、婴儿和儿童特殊补充营养计划（WIC）条件的幼儿中，24至36个月的乳脂消耗与(1)24至36个月的体重指数（BMI） z分数变化和(2)36个月的营养摄入之间的关系。设计：采用WIC婴幼儿喂养实践研究-2 2013 - 2020年收集的数据进行纵向分析。环境：遍布美国27个州的80个WIC招生点。参与者：来自低收入家庭的2,373名幼儿（27.6%为黑人，57.1%为白人，15.4%为其他种族，39.1%为西班牙裔）。干预措施:没有。主要结局指标：24 - 36个月BMI z-score的变化和36个月时饮食摄入量（添加糖、饱和脂肪、总能量）的变化。分析：采用线性回归模型分析24 - 36个月平均乳脂摄入量与结果测量之间的关系。结果：满足24 - 36个月乳脂摄入量建议（≤1%）与较低的饱和脂肪摄入量（所有模型）和能量摄入量（完全调整模型）相关，但与BMI z-score或添加糖摄入量无关。结论和意义：需要进一步的研究来了解来自低收入家庭的幼儿的乳脂摄入量、体重指数和饮食模式之间的关系，以便为饮食建议和营养辅助指南提供信息。

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引用次数: 0

WIC Households' Participation in Multiple Nutrition Assistance Programs and Household Food Insecurity During the COVID-19 Pandemic. COVID-19大流行期间WIC家庭参与多种营养援助计划和家庭粮食不安全状况。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-19 DOI: 10.1016/j.jneb.2025.10.012

M Pia Chaparro, Shannon E Whaley, Christopher E Anderson

Objective: To investigate associations between multiple nutrition assistance program participation and household food insecurity (HFI).

Methods: Cross-sectional survey among Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) participants in Los Angeles County in 2020 (n = 5,184). We fitted covariate-adjusted Poisson regression models to investigate associations between multiple program participation and HFI.

Results: In addition to WIC, 66% of households participated in ≥ 1 other program. Compared with WIC-only households, households who participated in WIC + Supplemental Nutrition Assistance Program (SNAP, prepandemic enrollment prevalence ratio [PR] = 1.28 [95% confidence interval (CI) = 1.09-1.50]; during pandemic enrollment PR = 1.75 [95% CI, 1.47-2.08]) or in WIC + pandemic electronic benefit transfer + SNAP (prepandemic PR = 1.30 [95% CI, 1.11-1.52]; during pandemic PR = 1.51 [95% CI, 1.26-1.80]) had higher relative prevalence of HFI.

Conclusions and implications: HFI was high during the coronavirus disease 2019 pandemic, particularly among families participating in SNAP in addition to WIC, potentially from self-selection of households with HFI into multiple programs. Increases in benefits may be necessary to alleviate HFI.

目的：探讨参与多种营养援助计划与家庭粮食不安全（HFI）之间的关系。方法：对2020年洛杉矶县妇女、婴儿和儿童特殊补充营养计划（WIC）参与者进行横断面调查（n = 5184）。我们拟合了协变量调整的泊松回归模型来研究多个项目参与与HFI之间的关系。结果：除WIC外，66%的家庭参加了≥1个其他项目。与只参加WIC的家庭相比，参加WIC +补充营养援助计划（SNAP）的家庭，大流行前登记患病率[PR] = 1.28[95%可信区间(CI) = 1.09-1.50]；在大流行期间，PR = 1.75 [95% CI, 1.47-2.08])或WIC +大流行电子利益转移+ SNAP（大流行前PR = 1.30 [95% CI, 1.11-1.52]；大流行期间PR = 1.51 [95% CI, 1.26-1.80]）的HFI相对患病率较高。结论和意义：在2019年冠状病毒病大流行期间，HFI很高，特别是在除WIC外参加SNAP的家庭中，可能从有HFI的家庭自我选择到多个计划。为了减轻HFI，可能需要增加福利。

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引用次数: 0

Evaluating the Influence of Videos on Medical Professionals’ Perception of Using Herbs and Spices for Healthy Cooking and Potential Application in Patient Care 评估视频对医疗专业人员使用草药和香料进行健康烹饪的看法的影响及其在患者护理中的潜在应用。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.011

Gail C. D’Souza DrPH , Morgan Voulo BS , Alison Johnston BS , Olivia Lawler MS , Michael Flanagan MD , Penny M. Kris-Etherton PhD , Kristen Grine DO , Travis D. Masterson PhD

Objective

To assess medical students and primary care providers’ interest, knowledge, confidence, and intent to incorporate herbs and spices in cooking using nutrition education videos and evaluate their perception about using the videos for patient care.

Methods

Before the intervention, participants were surveyed on their interest, knowledge, and confidence in using herbs and spices in cooking. Participants then viewed the nutrition education videos. After, participants were surveyed on the same measures as the initial survey, their perceptions of the videos and their usability with patients in clinical settings.

Results

All participants reported an increase in interest, knowledge, confidence, and intent variables after watching the videos (P < 0.05).

Conclusions and Implications

Overall, the videos were rated highly and usable within a clinical setting. They also facilitated nutritional education among medical professionals and their patients. Future research should determine the feasibility of implementing similar materials in clinics.

目的：评估医学生和初级保健提供者使用营养教育视频将草药和香料纳入烹饪的兴趣、知识、信心和意图，并评估他们对使用视频进行患者护理的看法。方法：在干预前，对参与者在烹饪中使用草药和香料的兴趣、知识和信心进行调查。然后，参与者观看了营养教育视频。之后，参与者接受了与最初调查相同的调查，他们对视频的看法以及它们在临床环境中对患者的可用性。结果：所有参与者在观看视频后报告了兴趣、知识、信心和意图变量的增加（P < 0.05）。结论和意义：总的来说，视频评价很高，在临床环境中可用。他们还促进对医疗专业人员及其病人进行营养教育。未来的研究应确定在诊所实施类似材料的可行性。

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引用次数: 0

A Qualitative Exploration of Parent and School Staff Perceptions of Freshly Prepared Meals and Food Waste Implications in California Elementary Schools 加州小学家长和学校员工对新鲜准备的饭菜和食物浪费的看法的定性探索。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.07.006

Katharina C. Fiedler MPH , Reka Vasicsek MS , Maya Ezekiel BS , Celeste Felix MPH , Danielle L. Lee MPH, RD , Hannah Thompson PhD, MPH , Wendi Gosliner DrPH , Stephanie Willits BA , Kristine Madsen MPH, MD , Lorrene D. Ritchie PhD, RD

Objective

Explore parent and school staff perceptions of freshly prepared school lunches.

Design

Cross-sectional qualitative study, occurring May through June, 2024.

Setting

Urban California elementary schools that recently introduced freshly prepared lunches.

Participants

Parents (n = 23) participated in 5 virtual focus groups, convenience sampled; school staff (n = 19) participated in interviews, purposively sampled.

Phenomenon of Interest

Perceptions of scratch cooking.

Analysis

Verbatim transcripts were coded and analyzed using the framework method.

Results

Participants believed the freshly prepared meals transition was successful, citing new menu items, helpful foodservice staff, and universal school meals as beneficial. Freshly prepared meals were positively perceived as creating healthier options and increasing the cultural diversity of the menu. Participants were concerned about food waste implications, and identified reasons including requirements to serve all entree components and large serving sizes, limited lunch time, students changing their minds on lunch order, foods not cooked properly or served at the right temperature, and menu criticism.

Conclusions and Implications

Parents and school staff broadly endorse more freshly prepared school lunch options. Our findings support investment in on-site kitchen infrastructure and training for foodservice staff in scratch-cooking techniques to support elementary schools in providing more desirable, fresh foods and reducing waste from school lunch.

目的：探讨家长和学校工作人员对新鲜准备的学校午餐的看法。设计：横断面定性研究，于2024年5月至6月进行。环境：加州城市小学最近引进了新鲜准备的午餐。参与者：家长（n = 23）参加5个虚拟焦点小组，方便抽样；学校工作人员（n = 19）参加了访谈，有目的的抽样。兴趣现象：对scratch烹饪的感知。分析：采用框架方法对逐字记录进行编码和分析。结果：参与者认为新鲜准备的饭菜过渡是成功的，引用新的菜单项目，乐于助人的餐饮服务人员和普遍的学校膳食是有益的。新鲜准备的饭菜被积极地认为是创造了更健康的选择，增加了菜单的文化多样性。参与者对食物浪费的影响表示担忧，并指出了原因，包括要求提供所有主菜成分和大份量，午餐时间有限，学生改变了午餐点单的想法，食物烹饪不当或温度不合适，以及对菜单的批评。结论和影响：家长和学校工作人员广泛支持更多新鲜准备的学校午餐选择。我们的研究结果支持对现场厨房基础设施进行投资，并对餐饮服务人员进行刮刮烹饪技术培训，以支持小学提供更理想的新鲜食物，并减少学校午餐的浪费。

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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 : 2025-11-01 DOI: 10.1016/S1499-4046(25)00431-2

引用次数: 0

Disparities in Major Challenges Experienced With Child and Adult Care Food Program Participation Among Early Child Care Providers 幼儿保育提供者参与儿童和成人护理食品计划所面临的主要挑战的差异。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.012

Rachel Kinney Brooks MS, Alice Ann H. Gola PhD, Elizabeth Potamites PhD, Hena Matthias BIE

Objective

Examine challenges to Child and Adult Care Food Program (CACFP) participation across 2 time points by key provider characteristics.

Methods

Two nationally representative studies of CACFP early child care providers from the Study of Nutrition and Activity in Childcare Settings, collected data in program year (PY) 2016–2017, and Study of Nutrition and Activity in Childcare Settings collected in PY 2022–2023.

Results

One in 4 (26%) of providers reported meal reimbursement rates as a major challenge in PY 2016–2017, whereas 1 in 3 (36%) did in PY 2022–2023. Family child care homes, nonmetro providers, and providers in areas with high shares of minority children were significantly more likely to cite reimbursements as insufficient in PY 2022–2023 compared with PY 2016-2017.

Conclusions and Implications

Certain providers face unique challenges with meal reimbursements, which may have been exacerbated by the difficulties associated with the coronavirus disease 2019 pandemic and food price inflation. Providers could benefit from guidance on how to cover the difference between food costs and CACFP reimbursements, especially for providers whose tuition rates are lower and less likely to cover these costs.

目的：检查儿童和成人护理食品计划（CACFP）参与的主要提供者特征在两个时间点上的挑战。方法：来自儿童保育环境营养与活动研究的两项具有全国代表性的CACFP早期儿童保育提供者研究，收集了2016-2017年项目年（PY）和2022-2023年PY收集的儿童保育环境营养与活动研究的数据。结果：四分之一（26%）的供应商表示，在2016-2017财年，餐费报销率是主要挑战，而在2022-2023财年，三分之一（36%）的供应商认为这是主要挑战。与2016-2017财年相比，家庭托儿之家、非大都市机构和少数民族儿童比例高的地区的机构更有可能认为2022-2023财年的报销不足。结论和影响：某些供应商在餐费报销方面面临着独特的挑战，而2019年冠状病毒病大流行和食品价格通胀相关的困难可能加剧了这一挑战。供应商可以从如何支付食品费用和CACFP报销之间的差额的指导中受益，特别是对于学费较低且不太可能支付这些费用的供应商。

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引用次数: 0

The Suitability, Readability, and Accuracy of Food Security Resources for Refugees Resettling in Australia 澳大利亚难民安置食品安全资源的适宜性、可读性和准确性。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.005

Julie M. Wood MHumNut, Emily Denniss PhD, Rebecca Lindberg PhD, Alison O. Booth PhD, Claire Margerison PhD

Objective

Refugees are highly susceptible to food insecurity during resettlement, a time when access to quality information is vital. This study’s objective was to analyze a national sample of food security information resources’ suitability, accuracy, and currency for refugee populations.

Methods

Resources were categorized and then analyzed using Suitability Assessment of Materials; Simple Measure of Gobbledygook; and currency, relevance, accuracy, authority, and purpose.

Results

Nearly 70% of resources were developed by government departments or agencies and topic range was limited across the 184 unique resources. Nearly all resources were suitable, accurate, and current. However, 96% were above the readability threshold recommended for refugee populations.

Conclusions and Implications

Resources rated well but were challenging to access in terms of readability. Extensive work is required to improve refugee food security resources using existing assets, in future resource development, and via further research.

目标：难民在重新安置期间极易受到粮食不安全的影响，在此期间获得高质量信息至关重要。本研究的目的是分析一个国家的粮食安全信息资源对难民人口的适用性、准确性和适用性。方法：采用材料适宜性评价法对资源进行分类分析；简单衡量官样文章；货币，相关性，准确性，权威和目的。结果：近70%的资源是由政府部门或机构开发的，184个独特资源的主题范围有限。几乎所有的资源都是合适的、准确的和最新的。然而，96%的人超过了为难民人群推荐的可读性阈值。结论和启示：资源评价良好，但在可读性方面具有挑战性。需要开展广泛的工作，利用现有资产、在未来的资源开发中以及通过进一步的研究来改善难民粮食安全资源。

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引用次数: 0

Dietary Patterns and Water Footprint Among University Students: A Comparative Analysis With Recommendations 大学生饮食模式与水足迹：与建议的比较分析。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.010

María Sol Telis MS, RDN , María Agustina Borgo MS, RDN

Objective

(1) To evaluate the quality and perception of the diet, as well as the dietary diversity (DD) of the students of the bachelor’s degree in nutrition in Argentina; (2) estimate the water footprint (WF) associated with their food consumption; (3) compare the total dietary WF of the participants with proposed recommendations, and (4) compare the scores of quality, DD, and dietary WF volume between students’ groups according to their academic progress.

Design

An observational and descriptive study with a cross-sectional quantitative design was conducted in June 2022.

Participants

Five hundred and twenty-five students (207 entrants and 318 advanced).

Variables Measured

Quality and perception of the diet, DD, and total dietary WF.

Analysis

Mann-Whitney U test.

Results

Diet quality scored 63.20 ± 11.40 points, indicating room for improvement, whereas the DD scored 4.41 ± 1.26 points, reflecting a medium level of diversity. The total dietary WF was 3652.37 ± 1943.09 L/person/d, exceeding EAT-Lancet recommendations (2933.10 L/person/d) but aligning with Dietary Guidelines for the Argentinian Population (3485.21 L/person/d).

Conclusions and Implications

Future research is essential for enhancing diet quality, diversity, and sustainability while examining the influence of academic training on dietary behaviors and environmental awareness.

目的：(1)评价阿根廷营养专业本科学生的饮食质量、饮食感知以及饮食多样性（DD）；(2)估算与食物消费相关的水足迹（WF）；(3)比较被试膳食脂肪总量与建议摄入量的差异；(4)比较不同学习进度学生组间膳食脂肪质量、DD和体积的差异。设计：采用横断面定量设计的观察性和描述性研究于2022年6月进行。参与者：525名学生（207名初中生，318名高级生）。测量的变量：饮食质量和感知、DD和总膳食WF。分析：Mann-Whitney U检验。结果：饮食质量得分为63.20±11.40分，表明有改善的空间，而DD得分为4.41±1.26分，反映了中等水平的多样性。膳食总WF为3652.37±1943.09 L/人/d，超过EAT-Lancet推荐值（2933.10 L/人/d），但与阿根廷人群膳食指南（3485.21 L/人/d）一致。结论和意义：未来的研究对于提高饮食质量、多样性和可持续性至关重要，同时研究学术培训对饮食行为和环境意识的影响。

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引用次数: 0

Facilitation of the Motivational Pathway Linking Physical Activity and Eating Behavior in Children: A Longitudinal Study Based on Self-Determination Theory 儿童体育活动与饮食行为动机通路的促进：基于自我决定理论的纵向研究。

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.06.008

Mathieu Gourlan PhD , Jordan Guéritat PhD

Objective

To address the lack of empirical studies exploring whether autonomous motivation (i.e., engaging in a behavior with a full sense of volition and choice) toward physical activity (AutMot PA) and eating behavior (AutMot Eat) are linked in children. Specifically, this study tested reciprocal and moderated cross-behavioral motivational pathways between these behaviors based on self-determination theory.

Design

A 7-month longitudinal study with 2 measurement times (T1 and T2).

Setting

Children from French primary schools.

Participants

A sample of 180 children aged 7–11 years (mean age, 9.8 ± 0.56 years).

Variables Measured

Children’s AutMot PA and AutMot Eat, eating behavior, and physical activity (PA) practice assessed by questionnaire.

Analysis

Path analyses to explore determinants of eating behavior and PA practice at T2.

Results

Analyses revealed no significant reciprocal link over time between AutMot PA and AutMot Eat (P > 0.05). However, a significant interaction between AutMot PA and AutMot Eat at T1 on AutMot Eat at T2 was found (β = 0.17, P = 0.02). AutMot PA at T1 was significantly linked to AutMot Eat at T2 (β = 0.47, P = 0.02), but only when the level of AutMot Eat at T1 was high.

Conclusions and Implications

Although motivational transfer between PA and eating behavior is not systematic in children, interventions aiming to promote both behaviors may benefit from first strengthening AutMot Eat, as it may facilitate the motivational pathway from PA to eating behavior.

目的：探讨儿童体育活动的自主动机（即以充分的意志和选择感参与一种行为）与饮食行为（AutMot Eat）之间是否存在关联的实证研究不足。具体而言，本研究基于自我决定理论，测试了这些行为之间的相互和调节的跨行为动机途径。设计：为期7个月的纵向研究，2次测量（T1和T2）。背景：来自法国小学的孩子们。对象：180名7-11岁儿童（平均年龄9.8±0.56岁）。测量变量：通过问卷评估儿童的AutMot PA和AutMot Eat、饮食行为和体育活动（PA）实践。分析：路径分析探讨T2饮食行为和PA实践的决定因素。结果：分析显示，随着时间的推移，AutMot PA和AutMot Eat之间没有显著的反向联系（P < 0.05）。然而，AutMot PA和AutMot Eat在T1时对AutMot Eat在T2时存在显著的相互作用（β = 0.17, P = 0.02）。T1时的AutMot PA与T2时的AutMot Eat呈显著相关（β = 0.47, P = 0.02），但仅在T1时AutMot Eat水平较高时呈显著相关。结论和启示：虽然儿童PA和饮食行为之间的动机转移并不是系统性的，但旨在促进这两种行为的干预措施可能会从首先加强AutMot Eat中受益，因为它可以促进PA到饮食行为的动机途径。

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引用次数: 0

Let's Eat Healthy Toolkit 让我们吃健康的工具包

IF 2.3 3区医学 Q2 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Nutrition Education and Behavior

Pub Date : 2025-11-01 DOI: 10.1016/j.jneb.2025.07.009

Sa’Nealdra T. Wiggins PhD, RDN, LDN, CHES

引用次数: 0