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A Nutrition and Psychosocial Profile of Early Adolescent Girls
TUESDAY, OCTOBER 21
Poster Session: Wellness and Public Health Medical Nutrition Therapy Compliance Rates at a Midsized, New England Community Health Center
Feasibility and Reliability of a General Nutrition Knowledge Questionnaire in College Students
Author(s): J.S. Chelm1, D.W. Brock2; 1Clinical Services, Community Hlth. Ctr.s of Burlington, Burlington, VT, 2Department of Rehabilitation and Movement Science, Univ. of Vermont, Burlington, VT
Author(s): C. Hedges1, K. Ringwald-Smith2, R. Williams-Hooker1, H. Surprise2, G. Relyea3; 1Clinical Nutrition, Univ. of Memphis, Memphis, TN, 2Clinical Nutrition, St. Jude Children’s Res. Hosp., Memphis, TN, 3Public Health, Univ. of Memphis, Memphis, TN
Learning Outcome: After reading the abstract, participants will be able to list attendance rates of scheduled medical nutrition therapy counseling sessions at a mid-sided, New England Community Health Center. Introduction: In 2013, the Community Health Centers of Burlington provided health care to w 18,000 people, regardless of ability to pay. Patients at the facility experience a disproportionate amount of chronic disease related to diet and other lifestyle factors. A registered dietitian was hired to provide medical nutrition therapy free of cost. Attendance rates for this population have not been previously reported. Methods: Primary care referrals for dietitian services were compiled and analyzed from October 2013 to January 2014. If a patient failed to show for a scheduled appointment, a “no-show” was automatically entered into their Electronic Medical Record, and if a patient cancelled an appointment beforehand, a patient services representative would manually enter a “cancelled” appointment. Results: During the 4-month observation period, 430 patient encounters were scheduled as a result of primary care referral. Twenty-six percent of scheduled patients failed to show for their nutrition counseling appointments and 23% canceled without rescheduling. Conclusion: To the authors knowledge, this is the first report of compliance rates with medical nutrition therapy at a community based health center that predominately serves high-risk, vulnerable populations. Despite a considerable empirical base to support the efficacy of medical nutrition therapy, low socio-economic status, language barriers, unemployment, and disability, to name a few, may create unique challenges that limit the effectiveness in this population. Intervention strategies should be explored to improve compliance rates.
Learning Outcome: The objectives of this study were to gather feasibility and reliability data of a nutrition knowledge questionnaire and to gather preliminary data on nutrition knowledge of college students. Background: Good nutrition is crucial for achieving and maintaining a healthy body weight, particularly among college students. With the increased incidence of obesity and the likelihood of the development of weight related chronic diseases, further research is warranted in this at-risk population. Methods: Data was collected via a nutrition knowledge survey, based on a nutrition survey used by St. Jude Children’s Research Hospital in 2010. The descriptive survey was emailed via Qualtrics to University of Memphis professors, who were asked to send the survey to their current students. Results: The survey was completed from July 17 - August 9, 2013 by 85 participants. Major results include: eighty-two participants (96.5%) stated that the questionnaire tested their knowledge about healthy diets and nutrition; seventy-nine respondents (93%) stated that the questionnaire did not take too long to complete. Forty percent of total questions (n¼15) in the survey were answered correctly. Of note, greater than 50% of participants did not know how many servings of fruit, dairy, or grains they needed each day, and participants had low nutrition knowledge of saturated fat, luncheon meats, cheeses, cholesterol, and fiber’s association with health. Conclusion: The survey was feasible to complete within 5 minutes. This nutrition knowledge questionnaire was reliable, with a few clarifications that are currently being made. Funding Disclosure: None
Funding Disclosure: None
A Nutrition and Psychosocial Profile of Early Adolescent Girls 1
2
3
2 1
Author(s): K. Taylor , D. Reed , K. Harris , M. Boylan ; School Nutrition, Ector County Independent Sch. District, Odessa, TX, 2Nutritional Sciences, Texas Tech Univ., Lubbock, TX, 3Human Sciences, Texas Tech Univ., Lubbock, TX
Changes in the Nutritional Status of Adults With HIV / AIDS Participating of Bill’s Kitchen: A Community Based Nutritional Organization in San Juan, Puerto Rico Author: A.M. Marrero Gonzalez; Nutrition Department, Bill’s Kitchen Inc, san Juan, Puerto Rico
Learning Outcome: The participant will be able to discuss oportunities for potential research related to nutrition, anthropometric, and psychosocial parameters.
Learning Outcome: Participant will be able to understand nutrition medical therapy for people living with AIDS. Recommended nutrition assesment for this population and posible changes in the nutritional status of the people living with this condition.
Disordered eating and obesity have become more prominent in youth today. This exploratory study examined the relationships among nutrition, anthropometric, and psychosocial measures using baseline data from the BodyMind Initiative program. Measures included body mass index percentiles for age and gender (BMI%), the Healthy Eating Index (HEI), and surveys related to self-esteem, body image, resilience, eating attitudes, and depression. Data were obtained from 6th grade female students (n¼125) attending four Texas schools. The sample was primarily Hispanic/Mexican-American (28.8%), African-American/Black (23.2%), and Caucasian/White (16.8%). Comparisons and relationships were analyzed using the student’s t-test, analysis of variance, and Pearson’s correlations. Overall, the nutrition intake of this sample was poor with a mean HEI score of 48.912.6 out of 100. Those with an above average HEI score and a healthy BMI% also had a significantly better body image score (0.70.8 vs. 1.31.0, p<0.05), ate more whole fruit (3.42.2 vs. 2.02.2, p<0.05), and ate fewer solid fats and added sugars (14.94.3 vs. 9.26.7, p<0.001) than those with a below average HEI score and/or an unhealthy BMI. African-American/Black participants had significantly higher BMI-for-Age Percentiles (77.824.1 vs. 55.831.0, p<0.05) and ate significantly more kilocalories (2416.3778.8 vs. 1879.5427.3, p<0.01) than Caucasian/White participants. Milk intake was negatively correlated with weight, BMI, and BMI-for-age (-0.210, -0.196, -0.189, respectively; p<0.05). No significant racial differences in body image were found. Findings prompt research collaboration between nutrition and psychology professionals to further illuminate these relationships and design educational interventions.
Background: There are approximately 33 million people around the world living with AIDS/ HIV. People living with HIV/AIDS face many nutritional difficulties. Some of these are metabolic changes, decreased appetite, and digestive difficulties from medication sideeffects. Studies have shown that a proper nutrition is needed to increase absorption of medication, reduce side-effects, and maintain a healthy body weight. People living in Puerto Rico already face nutritional challenges such as a cultural diet high in simple carbohydrates, protein, fats and sodium. Bill’s Kitchen Inc, provides a secure access to food, individualized nutrition interventions, and quality health care to more than 5,000 participants. Methodology: Bill’s Kitchen Inc offers a unique opportunity for HIV/AIDS patients as well as to public health nutritionist. The organization responsibility entails overseeing that quality standards are met for the food service operation, tailoring therapeutic meals for HIV/AIDS patients, designing culturally competent nutrition education materials, and conducting nutrition needs assessment.
Funding Disclosure: Covenant Health System BodyMind Initiative, Texas Tech University
Funding Disclosure: None
September 2014 Suppl 2—Abstracts Volume 114 Number 9
Results: After participating in our program most of the participants have showed improvements in achieving healthy body weight, body composition, and adequate lab values. The program also helped enhance the antiviral therapy compliance. Other goals achieved include reductions in nutrition related side effects and complications, enhanced quality of life, and expanded access to nutrition services. Conclusions: Nutrition is critical to managing HIV/AIDS since it helps by reducing complications and extending quality years of life. Nutrition service agencies like Bill’s Kitchen bring medically appropriate meals to individuals with HIV/AIDS and with the end result of improved nutrition status and overall health.
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-83
Poster Session: Wellness and Public Health Medical Nutrition Therapy Compliance Rates at a Midsized, New England Community Health Center
Feasibility and Reliability of a General Nutrition Knowledge Questionnaire in College Students
Author(s): J.S. Chelm1, D.W. Brock2; 1Clinical Services, Community Hlth. Ctr.s of Burlington, Burlington, VT, 2Department of Rehabilitation and Movement Science, Univ. of Vermont, Burlington, VT
Author(s): C. Hedges1, K. Ringwald-Smith2, R. Williams-Hooker1, H. Surprise2, G. Relyea3; 1Clinical Nutrition, Univ. of Memphis, Memphis, TN, 2Clinical Nutrition, St. Jude Children’s Res. Hosp., Memphis, TN, 3Public Health, Univ. of Memphis, Memphis, TN
Learning Outcome: After reading the abstract, participants will be able to list attendance rates of scheduled medical nutrition therapy counseling sessions at a mid-sided, New England Community Health Center. Introduction: In 2013, the Community Health Centers of Burlington provided health care to w 18,000 people, regardless of ability to pay. Patients at the facility experience a disproportionate amount of chronic disease related to diet and other lifestyle factors. A registered dietitian was hired to provide medical nutrition therapy free of cost. Attendance rates for this population have not been previously reported. Methods: Primary care referrals for dietitian services were compiled and analyzed from October 2013 to January 2014. If a patient failed to show for a scheduled appointment, a “no-show” was automatically entered into their Electronic Medical Record, and if a patient cancelled an appointment beforehand, a patient services representative would manually enter a “cancelled” appointment. Results: During the 4-month observation period, 430 patient encounters were scheduled as a result of primary care referral. Twenty-six percent of scheduled patients failed to show for their nutrition counseling appointments and 23% canceled without rescheduling. Conclusion: To the authors knowledge, this is the first report of compliance rates with medical nutrition therapy at a community based health center that predominately serves high-risk, vulnerable populations. Despite a considerable empirical base to support the efficacy of medical nutrition therapy, low socio-economic status, language barriers, unemployment, and disability, to name a few, may create unique challenges that limit the effectiveness in this population. Intervention strategies should be explored to improve compliance rates.
Learning Outcome: The objectives of this study were to gather feasibility and reliability data of a nutrition knowledge questionnaire and to gather preliminary data on nutrition knowledge of college students. Background: Good nutrition is crucial for achieving and maintaining a healthy body weight, particularly among college students. With the increased incidence of obesity and the likelihood of the development of weight related chronic diseases, further research is warranted in this at-risk population. Methods: Data was collected via a nutrition knowledge survey, based on a nutrition survey used by St. Jude Children’s Research Hospital in 2010. The descriptive survey was emailed via Qualtrics to University of Memphis professors, who were asked to send the survey to their current students. Results: The survey was completed from July 17 - August 9, 2013 by 85 participants. Major results include: eighty-two participants (96.5%) stated that the questionnaire tested their knowledge about healthy diets and nutrition; seventy-nine respondents (93%) stated that the questionnaire did not take too long to complete. Forty percent of total questions (n¼15) in the survey were answered correctly. Of note, greater than 50% of participants did not know how many servings of fruit, dairy, or grains they needed each day, and participants had low nutrition knowledge of saturated fat, luncheon meats, cheeses, cholesterol, and fiber’s association with health. Conclusion: The survey was feasible to complete within 5 minutes. This nutrition knowledge questionnaire was reliable, with a few clarifications that are currently being made. Funding Disclosure: None
Funding Disclosure: None
A Nutrition and Psychosocial Profile of Early Adolescent Girls 1
2
3
2 1
Author(s): K. Taylor , D. Reed , K. Harris , M. Boylan ; School Nutrition, Ector County Independent Sch. District, Odessa, TX, 2Nutritional Sciences, Texas Tech Univ., Lubbock, TX, 3Human Sciences, Texas Tech Univ., Lubbock, TX
Changes in the Nutritional Status of Adults With HIV / AIDS Participating of Bill’s Kitchen: A Community Based Nutritional Organization in San Juan, Puerto Rico Author: A.M. Marrero Gonzalez; Nutrition Department, Bill’s Kitchen Inc, san Juan, Puerto Rico
Learning Outcome: The participant will be able to discuss oportunities for potential research related to nutrition, anthropometric, and psychosocial parameters.
Learning Outcome: Participant will be able to understand nutrition medical therapy for people living with AIDS. Recommended nutrition assesment for this population and posible changes in the nutritional status of the people living with this condition.
Disordered eating and obesity have become more prominent in youth today. This exploratory study examined the relationships among nutrition, anthropometric, and psychosocial measures using baseline data from the BodyMind Initiative program. Measures included body mass index percentiles for age and gender (BMI%), the Healthy Eating Index (HEI), and surveys related to self-esteem, body image, resilience, eating attitudes, and depression. Data were obtained from 6th grade female students (n¼125) attending four Texas schools. The sample was primarily Hispanic/Mexican-American (28.8%), African-American/Black (23.2%), and Caucasian/White (16.8%). Comparisons and relationships were analyzed using the student’s t-test, analysis of variance, and Pearson’s correlations. Overall, the nutrition intake of this sample was poor with a mean HEI score of 48.912.6 out of 100. Those with an above average HEI score and a healthy BMI% also had a significantly better body image score (0.70.8 vs. 1.31.0, p<0.05), ate more whole fruit (3.42.2 vs. 2.02.2, p<0.05), and ate fewer solid fats and added sugars (14.94.3 vs. 9.26.7, p<0.001) than those with a below average HEI score and/or an unhealthy BMI. African-American/Black participants had significantly higher BMI-for-Age Percentiles (77.824.1 vs. 55.831.0, p<0.05) and ate significantly more kilocalories (2416.3778.8 vs. 1879.5427.3, p<0.01) than Caucasian/White participants. Milk intake was negatively correlated with weight, BMI, and BMI-for-age (-0.210, -0.196, -0.189, respectively; p<0.05). No significant racial differences in body image were found. Findings prompt research collaboration between nutrition and psychology professionals to further illuminate these relationships and design educational interventions.
Background: There are approximately 33 million people around the world living with AIDS/ HIV. People living with HIV/AIDS face many nutritional difficulties. Some of these are metabolic changes, decreased appetite, and digestive difficulties from medication sideeffects. Studies have shown that a proper nutrition is needed to increase absorption of medication, reduce side-effects, and maintain a healthy body weight. People living in Puerto Rico already face nutritional challenges such as a cultural diet high in simple carbohydrates, protein, fats and sodium. Bill’s Kitchen Inc, provides a secure access to food, individualized nutrition interventions, and quality health care to more than 5,000 participants. Methodology: Bill’s Kitchen Inc offers a unique opportunity for HIV/AIDS patients as well as to public health nutritionist. The organization responsibility entails overseeing that quality standards are met for the food service operation, tailoring therapeutic meals for HIV/AIDS patients, designing culturally competent nutrition education materials, and conducting nutrition needs assessment.
Funding Disclosure: Covenant Health System BodyMind Initiative, Texas Tech University
Funding Disclosure: None
September 2014 Suppl 2—Abstracts Volume 114 Number 9
Results: After participating in our program most of the participants have showed improvements in achieving healthy body weight, body composition, and adequate lab values. The program also helped enhance the antiviral therapy compliance. Other goals achieved include reductions in nutrition related side effects and complications, enhanced quality of life, and expanded access to nutrition services. Conclusions: Nutrition is critical to managing HIV/AIDS since it helps by reducing complications and extending quality years of life. Nutrition service agencies like Bill’s Kitchen bring medically appropriate meals to individuals with HIV/AIDS and with the end result of improved nutrition status and overall health.
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-83