Cross-Sectional Association between Overall Diet Quality and Body Composition among Children and Adolescents in South China

Cross-Sectional Association between Overall Diet Quality and Body Composition among Children and Adolescents in South China

TUESDAY, OCTOBER 21 Poster Session: Wellness and Public Health The Association between Access to Water and Sugary-Sweetened Beverage Consumption in 3...

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TUESDAY, OCTOBER 21

Poster Session: Wellness and Public Health The Association between Access to Water and Sugary-Sweetened Beverage Consumption in 37 Schools in King County

The Relationship between Intuitive Eating and Postpartum Weight Loss

Author: S. Dibay Moghadam; Univ. of Washington, Seattle, WA

Author(s): K. Leahy, J. Bachman; Nutrition and Dietetics, Marywood Univ., Scranton, PA

Learning Outcome: There is a need to improve access to water and quality of water stations in schools. Low access to water combined with high access to sugar-sweetened beverages could contribute to a student choosing SSBs as a source of hydration.

Learning Outcome: Learning intuitive eating characteristics through behavior change strategies may be a successful intervention for promoting postpartum weight loss and achieving a healthy weight for women during the postpartum period.

Background: Water is the ideal source of hydration with several health benefits. Increasing access to water is considered a successful strategy to decrease sugar-sweetened beverages (SSBs) consumption. The purpose of this study was to describe schools’ beverage environment and examine the associations between water access and SSB consumption.

Several studies have shown that postpartum weight retention may contribute to the current obesity epidemic. Previous research in the area of postpartum weight loss has found that structured diet and physical activity interventions during the early postpartum are not successful long-term. An alternative to these traditional weight loss methods may be found with intuitive eating. The purpose of this study was to examine the relationship between intuitive eating and postpartum weight loss. Survey data were collected from September - November, 2012 via two methods; paper surveys from participants in the WIC program in northeastern Pennsylvania and via an online Google Survey sent to members of the Birth Option Alliance. All participants completed the same questionnaires; the Intuitive Eating Scale and a demographic questionnaire. Participants had to be 12 to 18 months postpartum and between 18 -36 years old. The 50 participants who completed the survey were 28.5  4.9 years old, an average of 15.9 months postpartum, 80% Caucasian, and 66% had greater than a high school degree. Results found a positive correlation (r ¼0.28; p < 0.05) between intuitive eating and postpartum weight loss such that women who were more intuitive eaters had greater postpartum weight loss. Learning intuitive eating characteristics through behavior change strategies may be a successful intervention for promoting postpartum weight loss and achieving a healthy weight for women during the postpartum period. More research in this topic should be conducted to further assess the use of intuitive eating principles for postpartum weight loss.

Methods: Data from an inventory of water and SSB access in 37 low-income secondary schools and Washington State Healthy Youth Survey 2010 were used. As a measure of water quality, each station in schools got a score of zero to four, using the positive attributes of each station (water temperature less than 15  C, odor-free, well-maintained, fast flowing water). Descriptive analyses and linear regression models were used for the purpose of this study. Results: Access to high quality water stations was limited. The average quality scores for water stations in twenty-nine schools were less than two, and eight other schools’ scores were between 2 and 2.6; High schools had higher access to SSBs compared to middle schools. Access to water was negatively associated with SSB consumption during the past day in high schools (p<0.05), but not in middle schools. This association was no longer significant after adjusting for socioeconomic status. Conclusions: There is a need to improve access to water in schools. There is also a need to improve the quality of the water stations. Low access to water combined with high access to SSBs may contribute to a student choosing SSBs as a source of hydration, especially in low-income high schools. Funding Disclosure: Private, MPH thesis project 2013

Funding Disclosure: Marywood University Graduate Research and Creative Project Funding

Cross-Sectional Association between Overall Diet Quality and Body Composition among Children and Adolescents in South China

Dietary Intake, Physical Activity and Performance in Healthy Postmenopausal Women

Author(s): R. Duan, Y. Liu, H. Xue, M. Yang, G. Cheng; Department of Nutrition and Food Safety and Toxicology, West China Sch. of Publ. Health, Sichuan Univ., Chengdu, China

Author(s): H.L. Hutchins-Wiese1, A. Kleppinger2, B. Schuman2, A.M. Kenny2; 1 School of Health Sciences, Eastern Michigan Univ., Ypsilanti, MI, 2Center on Aging, Univ. of Connecticut Hlth. Ctr., Farmington, CT

Learning Outcome: Emphasize the importance of nutrition and achieve the goal of preventing disease and promoting health.

Learning Outcome: After reading the abstract the learner will identify a link between BMI and dietary intake, to walking speed as a measure of physical performance in postmenopausal women.

Background: The impact of overall diet quality on the body composition among Chinese children has not been extensively studied. Our aim was to examine whether overall diet quality among Chinese children, characterized by a predefined score, was associated with their body composition. Methods: 1,962 children (52.1% boys) aged 6-17 years were cross-sectionally recruited in South China. Based on the current Chinese Dietary Guidelines and Dietary Reference Intakes, dietary information from food-frequency questionnaire was used to calculate Chinese Children Diet Quality Index (CC-DQI). The total CC-DQI scores ranged from 0-99, with higher scores indicating better diet quality. Height, weight and skinfold thickness were measured to calculate body mass index, percent body fat (%BF), fat mass index (FMI) and fat-free mass index (FFMI). International Obesity Task Force (IOTF) criteria were used to define overweight/obesity. Results: The mean CC-DQI score for our participants was 55.912.4. The average CC-DQI score was higher among girls than that in boys (P¼0.02). Children aged 6-9 years had best diet quality. There were no significant associations between CC-DQI scores and overweight/obesity incidence in both genders. Girls with higher CC-DQI scores had lower %BF (P¼0.0001) and lower FMI (P¼0.0001) than those with lower scores. Similar associations were not observed among boys. However, CC-DQI was inversely associated with FFMI in both genders. Conclusion: Our data suggest that the impact of higher overall diet quality on lower fat mass appear to be more relevant for girls. However, inverse crosssectional association between overall diet quality and fat-free mass needs further analysis.

Frailty and physical performance in older adults are predictive of disability and mortality. The objective of this observational study was to determine associations between dietary intake, physical activity and body mass index (BMI) with frailty and physical performance in 47 healthy community dwelling postmenopausal women. Diet and physical activity were assessed using self-reported 3-day diet records and the Physical Activity Scale for the Elderly (PASE), respectively. Walking speed was assessed using a timed 8-foot walk. Frailty phenotype is defined as 3 or more, pre-frail as 1-2 and non-frail women possessed none of the 5 possible frailty characteristics. Women were primarily Caucasian and an average age of 77 y, 54% had a normal BMI and 33% were overweight. Twenty-three percent were non-frail while 75% were pre-frail. The pre-frail women consumed less total calories, protein, total and polyunsaturated fat compared to non-frail. Walking speed associated with BMI (r¼.398, p¼.008) indicating women with a normal BMI had the fastest walking speeds. A greater caloric intake and PASE score associated with faster walking speeds (r¼ -.356, p¼.018 and r¼ -.309, p¼.039). Women who were more active also reported greater caloric intake (r¼.412, p¼.004), without links to BMI. A regression model including BMI, caloric intake and PASE scores accounted for 30% of the variance in walking speed; BMI significantly contributed and caloric intake tended to contribute (p¼0.058) in this small sample. Adequate intake to support physical activity and a normal BMI is important to maintain physical performance in postmenopausal women and deserves further study. Funding Disclosure: Jo-Anne Smith, MD Memorial Research and Education Fund at the University of Connecticut Health Center

Funding Disclosure: Supported by Program for New Century Excellent Talents in University (NCET-12-0377)

A-100

JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS

September 2014 Suppl 2—Abstracts Volume 114 Number 9