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1.
Emily Rogers Lucinda Bell Kaye Mehta 《Journal of nutrition education and behavior》2019,51(3):300-306
Objective
Early childhood is a crucial time for the development of eating behaviors and food preferences. With increased labor force participation by Australian mothers of young children, grandparents are acting as the main informal carers of grandchildren. Therefore, grandparents have the capacity to influence the feeding of young children and thus their eating behaviors.Design
Eleven semistructured qualitative interviews.Setting
Suburban Adelaide, South Australia.Participants
Grandparents (n?=?11; 9 grandmothers and 2 grandfathers).Phenomenon of Interest
To gain insight into grandparental perspectives, beliefs, and opinions regarding the feeding of grandchildren aged 1–5 years.Analysis
Interviews were manually transcribed and coded, and codes were synthesized into common themes.Results
Four major themes emerged: (1) intergenerational differences (between grandparents and parents); (2) maintaining familial relationships; (3) treating grandchildren with food, and (4) nutritional efficacy. Grandparents thoughtfully managed familial relations, including intergenerational differences, in relation to feeding grandchildren. They showed some cognitive dissonance with regard to provision of treat foods (defined as discretionary foods) in which grandparents simultaneously prioritized healthy foods and treats.Conclusions and Implications
Grandparents’ social role in the complex psychosocial space of child feeding warrants serious recognition and deeper understanding to engage them fully as stakeholders in children's nutritional health. 相似文献2.
Nathalie Michels Karen Van den Bussche Johan Vande Walle Stefaan De Henauw 《Journal of nutrition education and behavior》2019,51(1):32-40
Objective
To investigate school policies and practices related to drinking fluids and toileting and test their association with children's hydration status and toilet behaviors.Design
Cross-sectional study in 2014.Setting
Seventeen Belgian primary schools.Participants
A total of 416 children (aged 7–13 years).Main Outcome Measures
Hydration was measured by urinary osmolality in a pooled school-day sample and by impedance-based body water percentage. Children reported how much they liked school toilets. School policy and practices were reported by schools on 59 items over 10 policy components.Analysis
Multilevel logistic regression analyses adjusted for age, sex, region and socioeconomic status.Results
School's weaknesses were the lack of policy participation by parents and children; official agreements (only in 11%); organizing education on drinking and toilet visits; and toilet infrastructure. Children's hydration was higher in schools that (1) made water available, (2) organized toilet and drinking related education, (3) had formal agreements on drinking and toilet visits, and (4) had good toilet maintenance. Children liked school toilets more in schools that (1) organized toilet and drinking related education, (2) had an official policy on drinking, (3) had good toilet infrastructure, and (4) allowed policy participation by parents and children.Conclusions and Implications
Specific action points for school management and government to improve children's hydration at school were detected by focusing on both drinking and toilet practices/infrastructure. 相似文献3.
4.
The Role of Self-Identity in Predicting College Students’ Intention to Consume Fruits and Vegetables
Objective
To identify factors influencing intention to consume fruits and vegetables (F&V) among college students by applying the Theory of Planned Behavior with the inclusion of self-identity and past behavior.Design
Cross-sectional study conducted in 2017.Setting
Undergraduate classes at the University of Alabama.Participants
A total of 343 undergraduate students, mean age 20.3 years, participated in the study.Main Outcome Measure(s)
Participants completed validated instruments measuring Theory of Planned Behavior variables, past behavior, and self-identity.Analysis
Structural equation modeling was used to analyze the data. Overall chi-square goodness of fit, comparative fit index, root mean square error of approximation, and Tucker-Lewis Index were used to assess model fit.Results
Model fit indices showed that the hypothesized structural equation modeling model provided a good fit to the data (χ2?=?306.35; degrees of freedom?=?104, root mean square error of approximation?=?0.08; comparative fit index =0.95; Tucker-Lewis Index?=?0.94). Self-identity was the most significant predictor of intention to consume fruits and vegetables, followed by attitude, past behavior, perceived behavioral control, and subjective norm among college students.Conclusions and Implications
Nutrition education advocating the role of increased F&V consumption in positive self-identity, such as handouts incorporating images relatable to college students, may increase college students’ intention to consume F&V. 相似文献5.
Alyssa J. Moran Neha Khandpur Michele Polacsek Anne N. Thorndike Rebecca L. Franckle Rebecca Boulos Sally Sampson Julie C. Greene Dan G. Blue Eric B. Rimm 《Journal of nutrition education and behavior》2019,51(4):400-408
Objective
To evaluate the effects of a supermarket meal bundling and electronic reminder intervention on food choices of families with children.Design
Quasi-experimental (meal bundling) and randomized, controlled trial (electronic reminders).Setting
Large supermarket in Maine during 40-week baseline and 16-week intervention periods in 2015–2016.Participants
English-speaking adults living with at least 1 child aged ≤18 years (n?=?300) with 25% of households participating in the Supplemental Nutrition Assistance Program.Intervention(s)
(1) Four bundles of ingredients needed to make 8 low-cost healthful meals were promoted in the store through displays and point-of-purchase messaging for 4 weeks each; (2) weekly electronic messages based on principles from behavioral psychology were sent to study participants reminding them to look for meal bundles in the store.Main Outcome Measures
(1) Difference in storewide sales and individual purchases of bundled items (measured using supermarket loyalty card data) from baseline to intervention in intervention vs control groups.Analysis
Regressions controlling for total food spending and accounting for repeated measures.Results
There were no differences in spending on bundled items resulting from the meal bundling intervention or the electronic reminders.Conclusions and Implications
Overall, there was little impact of healthful meal bundles and electronic reminders on storewide sales or purchases of promoted items in a large supermarket. 相似文献6.
Karla L. Hanson Jennifer Garner Leah M. Connor Stephanie B. Jilcott Pitts Jared McGuirt Raiven Harris Jane Kolodinsky Weiwei Wang Marilyn Sitaker Alice Ammerman Rebecca A. Seguin 《Journal of nutrition education and behavior》2019,51(1):57-67
Objective
Describe fruit and vegetable (FV) preferences and other factors that may influence participation in community-supported agriculture (CSA).Design
In-depth, semi-structured interviews.Setting
Eight rural/micropolitan communities in 4 US states.Participants
There were 41 caregivers and 20 children (8–12 years of age) from low-income, English-speaking households.Phenomena of Interest
Knowledge, attitudes, and behaviors regarding FVs; perceived barriers to CSA participation.Analysis
Transcribed verbatim and iteratively coded.Results
Caregivers and children believed FVs were important to health, yet FVs were not featured in dinners or snacks and consumption was challenged by limited preferences and neophobia. Few caregivers and children knew about the seasonality of FV. Most caregivers were unfamiliar with CSA and had concerns about CSA cost, accessibility, produce quality, and selection.Conclusions and Implications
These qualitative data support improvements in: 1) CSA distribution practices to offer flexible payment and pick-up options, more fruits, and self-selection of FV; 2) public awareness of produce seasonality and the CSA distribution model as necessary precursors to participation, and lower cost for low-income families who highlighted this barrier; and 3) capacity to prepare FV by enhancing skills and providing time-saving kitchen tools. Approaches to aligning CSA practices with the needs and preferences of low-income families warrant further research. 相似文献7.
8.
Rosanna P. Watowicz Randell K. Wexler Rick Weiss Sarah E. Anderson Amy R. Darragh Christopher A. Taylor 《Journal of nutrition education and behavior》2019,51(2):129-137.e1
Objective
To evaluate the effectiveness of nutrition counseling for patients with hypertension, provided in a grocery store setting.Design
Single-arm pretest–posttest design implementing a 12-week dietary intervention.Setting
Grocery store.Participants
Thirty adults with hypertension recruited from a primary care practice.Intervention
Registered dietitian nutritionists provided counseling based on the Dietary Approaches to Stop Hypertension diet.Main Outcome Measures
Dietary intake patterns and Healthy Eating Index-2010 (HEI-2010) scores measured via food-frequency questionnaire. Change in systolic blood pressure (SBP) was a secondary outcome.Analysis
Paired t tests were used to test for differences between HEI-2010 scores, intake of key food pattern components, and SBP at baseline compared with follow-up. Statistical significance was established at P ≤ .05.Results
Eight HEI-2010 component scores increased significantly from baseline to follow-up (a change toward a more desirable eating pattern): total fruit, whole fruit, greens and beans, whole grains, fatty acids, refined grains, and empty calories. Sodium (P < .001), saturated fat (P < .001), discretionary solid fat (P < .001), added sugars (P?=?.01), and total fat (P < .001) all decreased significantly. The change in SBP was not significant.Conclusions and Implications
Grocery store–based counseling for patients with hypertension may be an effective strategy to provide lifestyle counseling that is not typically available within primary care. 相似文献9.
Bijou R. Hunt Maureen R. Benjamins Sabena Khan Jana L. Hirschtick 《Journal of nutrition education and behavior》2019,51(3):287-299
Objective
Examine associations between food insecurity and multiple demographic, socioeconomic, acculturation, social risk factor, and food access variables.Design
Data are from Sinai Community Health Survey 2.0, a cross-sectional, population-based probability survey of adults.Setting
Ten selected community areas in Chicago.Participants
Adults aged 18 years and over who completed the Household Food Security Scale (HFSS) portion of the survey were included in the analysis (n?=?1,041).Main Outcome Measures
Food insecurity as defined by the HFSS was the dependent variable. Independent variables included multiple demographic, socioeconomic, acculturation, social risk factor, and food access variables.Analysis
Multivariate logistic regression, along with a manual backward selection process, was used to examine predictors of food insecurity. A P of .05 was used to determine statistical significance.Results
Respondents reporting English as their primary language (odds ratio [OR]?=?0.31; P?=?.002) had significantly lower odds of experiencing food insecurity. Respondents who reported feeling lonely (OR?=?1.86; P?=?.024) had significantly higher odds of experiencing food insecurity. Emergency food use (OR?=?3.89; P?=?.001) and food stamp benefit receipt (OR?=?2.79; P?=?.001) were also associated with food insecurity. Race/ethnicity demonstrated a strong relationship with food insecurity in early models, but this relationship appeared to be mediated by language and social risk factors. In the final adjusted model, most demographic and socioeconomic variables, including race/ethnicity, gender, and education were not significantly associated with food insecurity.Conclusions and Implications
The burden of food insecurity was not shared equally across populations. This analysis sheds light on significant predictors of food insecurity in several diverse communities in Chicago. Findings can help inform tailored interventions by guiding food assistance programs to those most in need. 相似文献10.
Christine M. Olson Myla S. Strawderman Meredith L. Graham 《Journal of nutrition education and behavior》2019,51(4):391-399
Objectives
To describe (1) the use of a diet goal-setting tool in a self-directed online intervention aimed at promoting a healthy lifestyle, and (2) the association of tool use with gestational weight gain (GWG).Design
Cross-sectional analysis of data from the intervention group in a randomized effectiveness trial.Setting
An urban county in the northeastern US.Participants
A total of 898 healthy pregnant women aged 18–35 years with body mass indexes of (BMI) ≥18.5 and <35; 39.1% were low-income.Main Outcome Measures
Physical, sociodemographic, and psychosocial characteristics; use of tool features; and GWG.Analysis
Frequencies, chi-square tests of independence, and regression analysis.Results
Use of the online dietary tool was 45.1% completed the assessment, 35.3% set a goal, and 22.6% engaged in self-monitoring. Among women with normal BMI, setting ≥2 goals and engaging in self-monitoring were significantly (P < .05) associated with less GWG. Among women with higher BMI, setting ≥2 goals was significantly associated with greater GWG.Conclusions and Implications
Although online diet goal setting is a potentially effective weight management tool for pregnant women with normal BMI, findings suggest that it may not be for higher-BMI women. Additional research is needed to explain this finding. 相似文献11.
José Azevedo Patrícia Padrão Maria J. Gregório Carla Almeida Nuno Moutinho Nanna Lien Renata Barros 《Journal of nutrition education and behavior》2019,51(3):326-334
Objective
Assess the impact of a web-based gamification program on nutrition literacy of families and explore differences in impact by socioeconomic status.Design
Quasi-experimental.Setting
Thirty-seven kindergartens from Portugal.Participants
Eight hundred seventy-seven families.Intervention
Web-based social network of participants' interactions, educational materials, apps and nutritional challenges, focused on fruit, vegetables, sugar, and salt.Main Outcome Measures
Parental nutrition literacy (self-reported survey – 4 dimensions: Nutrients, Food portions, Portuguese food wheel groups, Food labeling).Analysis
General linear model – Repeated measures was used to analyze the effect on the nutrition literacy score.Results
Families uploaded 1267 items (recipes, photographs of challenges) and educators uploaded 327 items (photographs, videos) onto the interactive platform. For the intervention group (n?=?106), the final mean (SD) score of nutrition literacy was significantly higher than the baseline: 78.8% (15.6) vs 72.7% (16.2); P < .001, regardless of parental education and perceived income status. No significant differences in the scores of the control group (n?=?83) were observed (final 67.8% [16.1] vs initial 66.4% [15.6]; P?=?.364).Conclusions and Implications
Gamified digital interactive platform seems to be a useful, easily adapted educational tool for the healthy eating learning process. Future implementations of the program will benefit from longer time intervention and assessment of the eating habits of families before and after intervention. 相似文献12.
Qi Zhang Rajan Lamichhane Mia Wright Patrick W. McLaughlin Brian Stacy 《Journal of nutrition education and behavior》2019,51(2):182-189
Objective
To examine the trends in breastfeeding disparities across Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) eligibility and participation statuses in the last 2 decades.Design
Secondary analyses from multiple cross-sectional surveys.Setting
United States.Participants
The National Health and Nutrition Examination Survey 1999–2014 included 10,696 children younger than 60 months. Birth cohorts in 4-year increments were created from 1994 to 2014.Main Outcome Measures
Ever-breastfed status and breastfed-at-6-months status.Analysis
The prevalence rates of ever-breastfed and breastfed at 6 months were estimated between WIC-eligible vs non-eligible children and WIC-eligible participants vs eligible nonparticipants. Prevalence rates and their 95% confidence intervals were plotted across birth cohorts. Log-binomial regression was conducted to test the trends of breastfeeding in each subgroup.Results
Ever-breastfeeding rates increased from 52% (WIC participants) vs 57% (WIC-eligible nonparticipants) in the 1994–1997 birth cohort to 71% vs 77% in the 2010–2014 birth cohort—a 36% vs 34% relative increase for participants vs eligible nonparticipants, respectively (P < .001). Breastfeeding-at-6-month rates increased from 28% (participants) vs 30% (eligible nonparticipants) to 34% vs 49% in the same time period—a 21% vs 66% relative increase, respectively (P < .001).Conclusion and Implications
To meet the Healthy People 2020's goal for breastfeeding at 6 months, sustainable postpartum breastfeeding education and interventions may be needed among WIC participants. Future research focusing on identification of the causal relationship between WIC participation and breastfeeding outcomes is warranted. 相似文献13.
14.
Ian Yi Han Ang Randi L. Wolf Pamela A. Koch Heewon L. Gray Raynika Trent Elizabeth Tipton Isobel R. Contento 《Journal of nutrition education and behavior》2019,51(1):68-79
Objective
Assess impact of school lunch environmental factors on fruit and vegetable (F&V) consumption in second and third grade students.Design
Cross-sectional observations in 1 school year.Participants
Students from 14 elementary schools in 4 New York City boroughs (n?=?877 student-tray observations).Main Outcome Measure(s)
Dependent variables were F&V consumption collected by visual observation. Independent variables included school lunch environmental factors, and individual-level and school-level demographics.Analysis
Hierarchical linear modeling was used with F&V consumption as the outcome variable, and relevant independent variables included in each model.Results
Slicing or precutting of fruits and having lunch after recess were positively associated (P < .05) with .163- and .080-cup higher fruit consumption across all students, respectively. Preplating of vegetables on lunch trays, having 2 or more vegetable options, and having lunch after recess were positively associated (P < .05) with .024-, .009-, and .007-cup higher vegetable consumption across all students, respectively.Conclusions and Implications
Although there was a small increase in intake, results of the study support that some school lunch environmental factors affect children's F&V consumption, with some factors leading to more impactful increases than others. Slicing of fruits seems most promising in leading to greater fruit consumption and should be further tested. 相似文献15.
Alexandra L. MacMillan Uribe Kaitland R. Woelky Beth H. Olson 《Journal of nutrition education and behavior》2019,51(4):409-418
Objective
Explore current maternal and infant nutrition education practices and family medicine primary care providers' views on a group care model to deliver nutrition education to mother–infant dyads.Design
In-depth interviews.Setting
Family medicine clinics in 1 Midwestern US hospital system.Participants
Family medicine primary care providers (n?=?17) who regularly see infants during well-baby visits.Phenomenon of Interest
Current maternal and infant nutrition education practices; views on ideal way to deliver nutrition education to mother–infant dyads; feedback on group care model to deliver nutrition education to mother–infant dyads.Analysis
Audio recordings transcribed verbatim and coded using conventional content analysis.Results
Family medicine primary care providers are limited in the ability to provide maternal and infant nutrition education and desire a different approach. Group care was the preferred method; it was shared most frequently as the ideal approach to nutrition education delivery and participants reacted favorably when presented with this model. However, there were many concerns with group care (eg, moderating difficult conversations, program implementation logistics, sufficient group volume, and interruption in patient–provider relationship).Conclusion and Implications
Family medicine primary care providers desire a different approach to deliver nutrition education to mother–infant dyads in clinic. A group care model may be well-accepted among family medicine primary care providers but issues must be resolved before implementation. These results could inform future group care implementation studies and influence provider buy-in. 相似文献16.
Holly A. Harris Elena Jansen Kimberley M. Mallan Lynne Daniels Karen Thorpe 《Journal of nutrition education and behavior》2018,50(8):757-764
Objective
To examine the role of parent concern in explaining nonresponsive feeding practices in response to child fussy eating in socioeconomically disadvantaged families.Design
Mediation analysis of cross-sectional survey data.Setting
Socioeconomically disadvantaged urban community in Queensland, Australia.Participants
Cohabiting mother–father pairs (n?=?208) with children aged 2–5 years.Main Outcome Measure(s)
Two validated measures of nonresponsive feeding: persuasive feeding and reward for eating.Analysis
Mediation analysis tested concern as a mediator of the relationship between child food fussiness (independent variable) and parent nonresponsive feeding practices (dependent variables), adjusted for significant covariates and modeled separately for mothers and fathers.Results
Maternal concern fully mediated the relationship between child food fussiness and persuasive feeding (indirect effect: B [SE]?=?0.10 [0.05]; 95% confidence interval [CI], 0.01–0.20). Concern also fully mediated the relationship between child food fussiness and reward for eating for mothers (indirect effect: B [SE]?=?0.17 [0.07]; CI, 0.04–0.31) and fathers (indirect effect: B [SE]?=?0.14 [0.05]; CI, 0.04–0.24)Conclusions and Implications
Concern for fussy eating behaviors may explain mothers’ and fathers’ nonresponsive feeding practices. In addition to providing education and behavioral support, health professionals working with socioeconomically disadvantaged families can incorporate strategies that aim to alleviate parents’ concerns about fussy eating. 相似文献17.
Theresa A. Wilson Yan Liu Anne L. Adolph Paul M. Sacher Sarah E. Barlow Stephen Pont Shreela Sharma Courtney Byrd-Williams Deanna M. Hoelscher Nancy F. Butte 《Journal of nutrition education and behavior》2019,51(2):150-161.e1
Objective
To evaluate behavior modification of diet and parent feeding practices in childhood obesity interventions.Design
Secondary analysis of randomized, controlled trial comparing Mind, Exercise, Nutrition … Do It! (MEND2-5 and MEND/Coordinated Approach to Child Health [CATCH6-12]) vs Next Steps at baseline and 3 and 12 months.Setting
Austin and Houston, TX.Participants
A total of 549 Hispanic and black children randomized to programs by age groups (2–5, 6–8, and 9–12 years)Interventions
Twelve-month MEND2-5 and MEND/CATCH6-12 vs Next Steps.Main Outcome Measure(s)
Diet (MEND-friendly/unfriendly food groups and Healthy Eating Index-2010) and parent feeding practices (parental overt control, discipline, limit setting, monitoring, reinforcement, modeling, and covert control; and food neophobia).Analysis
Mixed-effects linear regression.Results
Changes in diet quality, consumption of MEND-unfriendly foods, and parent feeding practices did not differ between programs. In both interventions, MEND-unfriendly vegetables, grains, dairy and protein, added fat and desserts/sugar-sweetened beverages declined in 2–5- and 6–8-year-olds (P < .001). Healthy Eating Index-2010 improved in 2–5- (treatment; P?=?.002) and 6–8-year-olds (P?=?.001). Parental overt control decreased and limit setting, discipline, monitoring, reinforcement, and covert control increased with both interventions in 2–5- and 6–8-year-olds (P < 0.01–0.001).Conclusions
Diet quality, consumption of MEND-unfriendly foods, and parent feeding practices were altered constructively in 2 pediatric obesity interventions, especially in 2–5- and 6–8-year-olds. 相似文献18.
Limin Buchanan Heather Yeatman Bridget Kelly Kishan Kariippanon 《Journal of nutrition education and behavior》2018,50(9):888-895
Objective
To examine whether digital marketing strategies are more strongly associated with energy drink use than other marketing and whether Theory of Planned Behavior (TPB) constructs mediated the effects of digital marketing on energy drink use.Design
A cross-sectional online survey using the TPB was administered in 2016.Setting
Illawarra region of New South Wales, Australia.Participants
A total of 359 young adults aged 18–24 years completed the survey. Participants were mainly students.Main Outcome Measures
Relative impacts of digital and other marketing on energy drink use and the mediating effects of TPB constructs: attitudes, subjective norm, and perceived behavioral control.Analysis
Stepwise regression analysis was employed to compare the effects on energy drink use from digital and other marketing. Mediation analysis was used to examine the mediating effects of the TPB constructs.Results
Digital marketing was more strongly associated than other marketing with young adults’ energy drink use. Attitudes, subjective norms, and perceived behavioral control mediated the effects of digital marketing on energy drink use.Conclusions and Implications
The marketing of unhealthy food and beverages such as energy drink products on the Internet requires greater scrutiny. Future interventions may focus on strategies to attenuate young adults’ attitudes toward energy drinks, denormalize energy drink use, and strengthening self-efficacy to reject energy drinks among this age group. 相似文献19.
Valarie K. Frigge Marilyn S. Nanney Lisa Harnack Margaret Haggenmiller Rebekah Pratt 《Journal of nutrition education and behavior》2019,51(3):277-286