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Association between Perceived Neighborhood Food Environment, Weight and Diet of Preschool Children
SUNDAY, OCTOBER 22
Poster Session: Professional Skills; Nutrition Assessment & Diagnosis; Medical Nutrition Therapy Association between Perceived Neighborhood Food Environment, Weight and Diet of Preschool Children
Barriers Faced by Louisiana Dietitians When Counseling Overweight and Obese Patients
Author: P. Ghosh Roy; Northern Illinois University
Author(s): E. Rigby, K. Anguah, J. Rutledge, D. Erickson; Louisiana Tech University
Learning Outcome: Define the characterisitcs of food environment perception Understand how food environment perception can affect child’d dietary intake. Objective: This cross-sectional study aimed to examine the relationship between caregiver’s perception of healthy food environment, diet and weight of preschool aged children from a low income population. Method: Neighborhood food environment was characterized by self-reported a) perception of availability of healthy foods in stores where participants most frequently shopped; b) perception of affordability of healthy food options in stores; c) accessibility as measured by time taken or distance traveled to grocery stores. Caregivers of preschool children were interviewed from federal assistance programs in a sub-urban county in Illinois. Participants (N¼180) completed a demographic and food environment questionnaire. Dietary information of the child was collected through Food Frequency Questionnaire, while all anthropometric measurements were obtained from the participating sites. Logistic regression models controlling for demographic factors were used for analyses. Result: The likelihood of consuming fruits and vegetables increased significantly if caregivers perceived high availability and affordability. Moreover, a positive perception of food environment reduced the consumption of sweet foods (OR¼ 0.75; p ¼0.05) and sweetened beverage (0.82; p < 0.05). We did not find any significant association between accessibility and dietary patterns of children. Food environment perception was not associated with child’s BMI. Conclusions: These results indicate that perceived affordability and availability of fresh produce may support an increased intake of healthy food among preschool children. Although, there was no direct association with children’s BMI, healthy food environment perception is likely to increase self-efficacy of caregivers and thus impact long term health.
Learning Outcome: The purpose of the study was to investigate barriers faced by Louisiana dietitians while counseling overweight and obese patients. The purpose of the study was to investigate barriers faced by Louisiana dietitians while counseling overweight and obese patients. Survey questions were sent electronically via Survey Monkey to Louisiana registered dietitians. Dietitians without a Louisiana license and not counseling overweight or obese patients were excluded. The collected survey responses evaluated the barriers of health literacy of the patient, distance of the patient in relation to the dietitian, non-compliance, patient’s ability to afford recommended foods, patient’s lack of social support, patient’s self-efficacy, and support of other clinicians. Responses were compiled based on Louisiana Academy of Nutrition and Dietetics districts. Responses from 285 Louisiana dietitians were evaluated (96.5% female). Education levels included 48.4% with bachelor’s degrees, 49.8% with master’s degrees, and 1.8% with doctoral degrees. Dietitians practicing in rural areas perceived health literacy as a greater barrier compared to those in the micropolitan areas (4.071.09 vs. 3.461.26, p¼0.029). Furthermore, they perceived self-efficacy as a greater barrier compared to those in the metropolitan areas (4.111.07 vs. 3.671.06, p¼0.017) and also perceived support of other clinicians as a greater barrier compared to those in both micropolitan (2.931.74 vs. 2.091.67, p¼0.034) and metropolitan (2.931.74 vs. 2.111.63, p¼0.042) areas. No differences were seen in ratings in barriers between micropolitan and metropolitan areas. Louisiana dietitians face similar barriers regardless of geographical area, number of years practicing, and percentage of overweight and obese patients counseled. However, in general, for area of practice, being in a rural area presents greater barriers than metropolitan and micropolitan areas. Funding Disclosure: None
Funding Disclosure: College of Health and Human Science, NIU
Associations between Apolipoprotein B and Disease Risk Factors among Worksite Wellness Participants Author(s): A. Spencer, J. Hanson; Kansas State University Learning Outcome: Participants will be able to describe the relationship between Apolipoprotein B and disease risk factors among worksite wellness participants. Health screening programs are considered a basic tool in disease prevention and detection. Although the value of measuring traditional cardiovascular risk factors is well known, much less is known about the benefit of measuring Apolipoprotein B (ApoB). The purpose of this study was to explore the relationship between ApoB and initial screening results (i.e., lab values and reported health history) among a sample (N ¼ 219) of individuals participating in a worksite wellness program. Thirty percent (n ¼ 66) reported a history of conditions related to cardiovascular disease (CVD) risk (i.e., high cholesterol, diabetes, hypertension, or heart disease). Among those without a history of conditions related to CVD risk (n ¼ 118), individuals with an ApoB 80 mg/dl had higher total cholesterol, uric acid, insulin, hemoglobin A1c, creatinine, cystatin-c, LDL cholesterol, and c-peptide levels compared to those with an ApoB < 80 mg/dl (p 0.05). Among those in the sample with an LDL less than 100 mg/dl (n ¼ 89), those with an ApoB 80 mg/dl had a higher risk of CVD related conditions [X2 (1, N ¼ 74) ¼ 5.37, p ¼ .020] and higher uric acid, insulin, creatinine, cystatin-c, LDL cholesterol, and c-peptide levels compared to those with ApoB < 80 mg/dl (p 0.05). In this sample of worksite wellness participants, ApoB was found to be associated with disease risk among those with normal LDL levels as well as among those without a reported history of conditions related to CVD disease risk. Funding Disclosure: None
BerryCare: Blackberry Cooperative Extension Lessons to Promote Phytonutrient Intake Author(s): D. Brewer, A. Koempel, A. Hosier, J. Strang, A. Price, A. Amorese, T. Stephenson; University of Kentucky
Learning Outcome: Learners will be able to describe produce intake and physical function trends among seniors (55+) in rural Kentucky. Background: Rural Kentucky populations exhibit low produce intake, low physical activity, and high rates of chronic disease, especially among seniors. Emphasizing the strong rural tradition of gardening can increase produce intake and improve physical function, which will ultimately decrease the risk of chronic disease. Research Outcome: This study examined produce intake and physical function status among seniors attending hands-on blackberry community gardening focused lessons at a rural Kentucky senior center.
Methods: Surveyed seniors >55 [NIH EATS quick food scan assessed produce intake; Short Performance Physical Battery assessed physical function]. SAS was used to generate descriptive statistics. Results: Participants (n¼20) were primarily white (76.9%) and female (70%), ages 55-83. Out of all participants, 52.6% reported consuming less than 3-4 servings of fruits per week and 81.25% reported consuming less than 3-4 servings of vegetables per week. Out of all participants, 15.8% reported never consuming a fruit and 12.5% reported never consuming a vegetable. Physical performance was low, with a mean score of 7.8 (3.86) (possible 12 points).
Conclusions: Preliminary results revealed that seniors attending a senior center in rural Kentucky do not consume recommended amounts of produce and score poorly on physical function tests. Future components of this study will examine specific produce intake and physical function after receiving additional education on growing and preparing their own produce as a community garden.
Funding Disclosure: Research supported by UK HES Activity Award (1012121830) and NIEHS/NIH (grantP42ES007380). Content is solely the responsibility of authors and does not necessarily represent official views of NIH.
A-18
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2017 Suppl 1—Abstracts Volume 117 Number 9
Poster Session: Professional Skills; Nutrition Assessment & Diagnosis; Medical Nutrition Therapy Association between Perceived Neighborhood Food Environment, Weight and Diet of Preschool Children
Barriers Faced by Louisiana Dietitians When Counseling Overweight and Obese Patients
Author: P. Ghosh Roy; Northern Illinois University
Author(s): E. Rigby, K. Anguah, J. Rutledge, D. Erickson; Louisiana Tech University
Learning Outcome: Define the characterisitcs of food environment perception Understand how food environment perception can affect child’d dietary intake. Objective: This cross-sectional study aimed to examine the relationship between caregiver’s perception of healthy food environment, diet and weight of preschool aged children from a low income population. Method: Neighborhood food environment was characterized by self-reported a) perception of availability of healthy foods in stores where participants most frequently shopped; b) perception of affordability of healthy food options in stores; c) accessibility as measured by time taken or distance traveled to grocery stores. Caregivers of preschool children were interviewed from federal assistance programs in a sub-urban county in Illinois. Participants (N¼180) completed a demographic and food environment questionnaire. Dietary information of the child was collected through Food Frequency Questionnaire, while all anthropometric measurements were obtained from the participating sites. Logistic regression models controlling for demographic factors were used for analyses. Result: The likelihood of consuming fruits and vegetables increased significantly if caregivers perceived high availability and affordability. Moreover, a positive perception of food environment reduced the consumption of sweet foods (OR¼ 0.75; p ¼0.05) and sweetened beverage (0.82; p < 0.05). We did not find any significant association between accessibility and dietary patterns of children. Food environment perception was not associated with child’s BMI. Conclusions: These results indicate that perceived affordability and availability of fresh produce may support an increased intake of healthy food among preschool children. Although, there was no direct association with children’s BMI, healthy food environment perception is likely to increase self-efficacy of caregivers and thus impact long term health.
Learning Outcome: The purpose of the study was to investigate barriers faced by Louisiana dietitians while counseling overweight and obese patients. The purpose of the study was to investigate barriers faced by Louisiana dietitians while counseling overweight and obese patients. Survey questions were sent electronically via Survey Monkey to Louisiana registered dietitians. Dietitians without a Louisiana license and not counseling overweight or obese patients were excluded. The collected survey responses evaluated the barriers of health literacy of the patient, distance of the patient in relation to the dietitian, non-compliance, patient’s ability to afford recommended foods, patient’s lack of social support, patient’s self-efficacy, and support of other clinicians. Responses were compiled based on Louisiana Academy of Nutrition and Dietetics districts. Responses from 285 Louisiana dietitians were evaluated (96.5% female). Education levels included 48.4% with bachelor’s degrees, 49.8% with master’s degrees, and 1.8% with doctoral degrees. Dietitians practicing in rural areas perceived health literacy as a greater barrier compared to those in the micropolitan areas (4.071.09 vs. 3.461.26, p¼0.029). Furthermore, they perceived self-efficacy as a greater barrier compared to those in the metropolitan areas (4.111.07 vs. 3.671.06, p¼0.017) and also perceived support of other clinicians as a greater barrier compared to those in both micropolitan (2.931.74 vs. 2.091.67, p¼0.034) and metropolitan (2.931.74 vs. 2.111.63, p¼0.042) areas. No differences were seen in ratings in barriers between micropolitan and metropolitan areas. Louisiana dietitians face similar barriers regardless of geographical area, number of years practicing, and percentage of overweight and obese patients counseled. However, in general, for area of practice, being in a rural area presents greater barriers than metropolitan and micropolitan areas. Funding Disclosure: None
Funding Disclosure: College of Health and Human Science, NIU
Associations between Apolipoprotein B and Disease Risk Factors among Worksite Wellness Participants Author(s): A. Spencer, J. Hanson; Kansas State University Learning Outcome: Participants will be able to describe the relationship between Apolipoprotein B and disease risk factors among worksite wellness participants. Health screening programs are considered a basic tool in disease prevention and detection. Although the value of measuring traditional cardiovascular risk factors is well known, much less is known about the benefit of measuring Apolipoprotein B (ApoB). The purpose of this study was to explore the relationship between ApoB and initial screening results (i.e., lab values and reported health history) among a sample (N ¼ 219) of individuals participating in a worksite wellness program. Thirty percent (n ¼ 66) reported a history of conditions related to cardiovascular disease (CVD) risk (i.e., high cholesterol, diabetes, hypertension, or heart disease). Among those without a history of conditions related to CVD risk (n ¼ 118), individuals with an ApoB 80 mg/dl had higher total cholesterol, uric acid, insulin, hemoglobin A1c, creatinine, cystatin-c, LDL cholesterol, and c-peptide levels compared to those with an ApoB < 80 mg/dl (p 0.05). Among those in the sample with an LDL less than 100 mg/dl (n ¼ 89), those with an ApoB 80 mg/dl had a higher risk of CVD related conditions [X2 (1, N ¼ 74) ¼ 5.37, p ¼ .020] and higher uric acid, insulin, creatinine, cystatin-c, LDL cholesterol, and c-peptide levels compared to those with ApoB < 80 mg/dl (p 0.05). In this sample of worksite wellness participants, ApoB was found to be associated with disease risk among those with normal LDL levels as well as among those without a reported history of conditions related to CVD disease risk. Funding Disclosure: None
BerryCare: Blackberry Cooperative Extension Lessons to Promote Phytonutrient Intake Author(s): D. Brewer, A. Koempel, A. Hosier, J. Strang, A. Price, A. Amorese, T. Stephenson; University of Kentucky
Learning Outcome: Learners will be able to describe produce intake and physical function trends among seniors (55+) in rural Kentucky. Background: Rural Kentucky populations exhibit low produce intake, low physical activity, and high rates of chronic disease, especially among seniors. Emphasizing the strong rural tradition of gardening can increase produce intake and improve physical function, which will ultimately decrease the risk of chronic disease. Research Outcome: This study examined produce intake and physical function status among seniors attending hands-on blackberry community gardening focused lessons at a rural Kentucky senior center.
Methods: Surveyed seniors >55 [NIH EATS quick food scan assessed produce intake; Short Performance Physical Battery assessed physical function]. SAS was used to generate descriptive statistics. Results: Participants (n¼20) were primarily white (76.9%) and female (70%), ages 55-83. Out of all participants, 52.6% reported consuming less than 3-4 servings of fruits per week and 81.25% reported consuming less than 3-4 servings of vegetables per week. Out of all participants, 15.8% reported never consuming a fruit and 12.5% reported never consuming a vegetable. Physical performance was low, with a mean score of 7.8 (3.86) (possible 12 points).
Conclusions: Preliminary results revealed that seniors attending a senior center in rural Kentucky do not consume recommended amounts of produce and score poorly on physical function tests. Future components of this study will examine specific produce intake and physical function after receiving additional education on growing and preparing their own produce as a community garden.
Funding Disclosure: Research supported by UK HES Activity Award (1012121830) and NIEHS/NIH (grantP42ES007380). Content is solely the responsibility of authors and does not necessarily represent official views of NIH.
A-18
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
September 2017 Suppl 1—Abstracts Volume 117 Number 9