Journal of Nutrition Education and Behavior最新文献

{"title":"Greater Pulse Consumption in Children is Associated With a Higher Diet Quality and Improved Shortfall Nutrient Intakes","authors":"Yanni Papanikolaou MPH, BA, BS,&nbsp;Sofia Papanikolaou,&nbsp;Joanne Slavin PhD, RD,&nbsp;Victor Fulgoni PhD","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&lt;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&lt;0.0001), potassium ((2643±84 mg vs. 2155±13 mg, p&lt;0.0001) and choline intake (345±11 mg vs. 248±2.2 mg, p&lt;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 &amp; 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}

{"title":"The Happy Kitchen/La Cocina Alegre®: Improving Nutrition Outcomes Through a Culturally Sustaining, Interactive Cooking Class","authors":"J. Lauren Butler PhD, RDN,&nbsp;Vanessa Beltran MPH, RDN, LD,&nbsp;Cassandra M. Johnson PhD, MSPH,&nbsp;Gloria Adriana Botello de Prioleau BS,&nbsp;Hannah Thornton RD, MS","doi":"10.1016/j.jneb.2024.05.053","DOIUrl":"10.1016/j.jneb.2024.05.053","url":null,"abstract":"<div><h3>Objective</h3><p>To determine the efficacy of The Happy Kitchen/La Cocina Alegre® (THK/LCA) program to improve nutrition outcomes of low-income Texans.</p></div><div><h3>Use of Theory or Research</h3><p>The THK/LCA program draws from established health promotion and nutrition education models, including the Social-Ecological Model, the Health Belief Model, and Social Cognitive Theory. Additionally, this culturally sustaining education program incorporates insights from scholars like Drs. Gloria Ladson-Billings, Django Paris, and H. Samy Alim. Central to the curriculum is the Hispanic tradition of sobremesa, emphasizing connections and information sharing around the table after a meal.</p></div><div><h3>Target Audience</h3><p>THK/LCA primarily aims to serve low-income Texans facing systemic barriers to food access. THK/LCA classes are held in community spaces like libraries, health clinics, and schools, and recruitment is conducted in collaboration with community organizations. The service population is defined as individuals or families with income less than 185% of the poverty line or who live in an area designated as low-income/low-access by USDA's Food Access Research Atlas.</p></div><div><h3>Program Description</h3><p>THK/LCA is a community-engaged, peer-facilitated, interactive 6-week cooking and nutrition class series that emphasizes the selection and preparation of fresh, nutritious, and economical foods in alignment with traditional foodways.</p></div><div><h3>Evaluation Methods</h3><p>Pre-, post-, and 3-month follow-up surveys were administered to obtain information on program completion, meals provided, changes in fruit and vegetable intake, nutrition knowledge, cooking skills, and home-cooked meal preparation. Counts and percentages were determined using Tableau data analysis software.</p></div><div><h3>Results</h3><p>Three hundred and sixty-five Texans participated in THK/LCA classes, with 196 participants completing all 6 classes in a series. The equivalent of 4,851 meals were provided to participants. Most participants reported increases in fruit and vegetable consumption (80%), nutrition knowledge (89%), cooking skills (86%), and cooking more meals at home (80%).</p></div><div><h3>Conclusions</h3><p>THK/LCA has demonstrated success in improving access to fresh and nutritious foods among low-income people living in Texas. Next steps will include an evaluation of program expansion efforts.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953771","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}

{"title":"Understanding Foodways: Reflecting on the 2024 SNEB International Conference","authors":"Sarah Colby PhD, RD (President)","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}

{"title":"Factors Associated With the Use of Community Food Resources: Andersen Model Application for Future Interventions","authors":"Abiodun Atoloye PhD,&nbsp;Oluyemisi Akinsola MS,&nbsp;Melissa Murillo BS","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 &lt; 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}

{"title":"Scoping Review of the Relationship Between Non-Food Social Safety Net Programs and Food Security","authors":"Emily Duffy PhD, MPH, RD,&nbsp;Mary Kathryn Poole PhD, MPH,&nbsp;David Gonzalez,&nbsp;Joshua Petimar DSc,&nbsp;Eliza Kinsey PhD, MPH,&nbsp;Paul Shafer PhD, MA,&nbsp;Alice Ammerman DPH,&nbsp;Carrie Baldwin-SoRelle,&nbsp;Anna Austin PhD, MPH","doi":"10.1016/j.jneb.2024.05.081","DOIUrl":"10.1016/j.jneb.2024.05.081","url":null,"abstract":"<div><h3>Background</h3><p>Households with low incomes are more likely to experience food and nutrition insecurity due to limited financial resources for necessities. Social safety net programs may improve food and nutrition security by relieving households’ financial strain. Although the relationship between federal nutrition assistance programs and food security is well understood, to date, no reviews have been conducted on the relationship between non-food social safety net programs and food and nutrition security. This evidence is needed to inform evidence-driven policymaking, particularly in the context of increasing food insecurity in recent years.</p></div><div><h3>Objective</h3><p>Conduct a scoping review to summarize the state of the evidence on the relationship between participation in non-food social safety net programs in the US and food and nutrition security.</p></div><div><h3>Study Design, Settings, Participants</h3><p>We systematically searched 6 databases for peer-reviewed studies examining the relationship between non-food social safety net programs and food security, nutrition security, or related constructs.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-Sr)</p></div><div><h3>Results</h3><p>Sixty-five articles have been identified that examine a wide range of social safety net programs including tax credits (n=14), Temporary Assistance for Needy Families (n=11), Medicaid (n=9), housing assistance (n=5), unemployment insurance (n=9), stimulus payments (n=4), and others (n=13). Twenty-one studies focus on COVID-19 pandemic-era social safety net programs. We will synthesize across studies to describe differences in the relationship between social safety net program participation and food or nutrition security by: program type, multiple vs. single program participation, food vs. nutrition insecurity, participant demographics, and elements of program administration such as disbursement method. We will identify gaps in the existing evidence base and directions for future research. Full results are forthcoming.</p></div><div><h3>Conclusions</h3><p>A review on the relationship between non-food social safety net program participation and food and nutrition security can inform policymaking, resource allocation, and efforts to ensure the potential nutrition benefits of such programs are realized equally among participants.</p></div><div><h3>Funding</h3><p>Robert Wood Johnson Foundation</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950000","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}

{"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}

{"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}

{"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}

{"title":"Fruit and Vegetable Food Waste is Correlated With Low Skin Carotenoid Levels in Middle School Students","authors":"Lydia Roy BS,&nbsp;Amelia Sullivan MS, RDN,&nbsp;Bryn Kubinsky,&nbsp;Leigh Neptune RDN, MS,&nbsp;Jade McNamara PhD, RDN","doi":"10.1016/j.jneb.2024.05.098","DOIUrl":"10.1016/j.jneb.2024.05.098","url":null,"abstract":"<div><h3>Background</h3><p>The National School Lunch Program (NSLP) provides $14.2 billion annually to serve 4.9 billion lunches. While policies are in place to ensure students consume items from all food groups, food waste and poor diet quality remain prevalent. Qualitative photograph estimation is frequently utilized to assess food waste. The Veggie Meter® (VM) is a validated tool that objectively evaluates fruit and vegetable (FV) intake by measuring skin carotenoid levels.</p></div><div><h3>Objective</h3><p>Qualitatively assess tray waste among middle school students utilizing before and after lunch tray photographs while quantitatively comparing their VM scores to FV tray waste.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Researchers photographed 57 student lunch trays at a rural middle school. The VM assessed FV intake in a subsample of 39 students.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Trays were tracked using a non-identifiable ID code. Photographs were matched and independently coded by three coders using the Comstock indirect measurement technique, in which scores (0-5) inversely reflect intake of each food item. Inter-rater agreement was 90%. Means and standard deviations were calculated for individual food items and total lunch tray waste. VM scores range from 0-850, with higher scores indicating higher FV intake. A Pearson's correlation determined the relationship between VM score and individual food item intake on a subsample of participants. Significance was set at p&lt;0.05.</p></div><div><h3>Results</h3><p>On average, 50% of food on the lunch trays was discarded. Of all tray waste, 75% of the participants discarded uneaten fruits and vegetables. Overall, participants had low VM scores (173.5±61.1; n = 39). There was a significant negative correlation between VM scores and waste of vegetable items (r=-0.37, p=0.035) and fruit items (r=-0.38, p=0.021).</p></div><div><h3>Conclusions</h3><p>Considering the vast NSLP funding, the issue of food waste should be considered. This study revealed high tray waste, with the highest amount documented in FV items. Further, students' food waste was correlated with low FV intake. This highlights the need for programming that addresses food waste and FV consumption in rural middle school students.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949561","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}

{"title":"Revisiting the Use of Storytelling as a Tool for Nutrition Educators","authors":"Jamie Zeldman MS, RD, CHES®,&nbsp;Amy R. Mobley PhD, RD, FAND","doi":"10.1016/j.jneb.2024.06.007","DOIUrl":"10.1016/j.jneb.2024.06.007","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}