- Email: [email protected]
Influences of Physical and Social Landscapes on the Health of Rural Communities
S86 USDA NIFA Poster Abstracts
Journal of Nutrition Education and Behavior Volume 44, Number 4S, 2012
UP19 Influences of Physical and Social Landscapes on the Health of Rural Communities M. C. Wimberly, PhD, MS, [email protected], South Dakota State University, Wecota Hall Box 506B, Brookings, SD 57007; A. Michimi, PhD, MA; B. L. Specker, PhD, MS Objective: Our objective is to characterize geographic patterns of obesity and associated risk factors within the conterminous United States and test hypotheses about the environmental drivers of these patterns in nonmetropolitan areas. Description: The high prevalence of obesity in rural areas highlights a need for research focused outside of major metropolitan regions. Evaluation: We analyzed county-level health surveillance and environmental data, using a variety of spatial statistical methods. The resulting maps were disseminated via a Web-based atlas. Conclusions and Implications: In nonmetropolitan areas, distance from supermarkets is not linked to obesity, whereas natural amenities and associated recreational opportunities are associated with lower rates of obesity and higher rates of physical activity. Funding: USDA, National Institute of Food and Agriculture, Grant #2008-35215-18814.
UP20 Children’s Healthy Living Program (CHL) for Remote Underserved Minority Populations of the Pacific Region R. Novotny, PhD, RD, [email protected], University of Hawaii at Manoa, 1955 East-West Road, Honolulu, HI 96822; J. Deenik, PhD; R. Leon-Guerrero, PhD, RD, University of Guam; B. Luick, PhD, University of Alaska at Fairbanks; J. Ho Kim, PhD, Northern Marianas College; D. Vargo, PhD, American Samoa Community College Objective: A comprehensive program to build capacity and catalyze policy change to prevent young child obesity. Description: Investigators from United States–affiliated Pacific land grant colleges used community-based processes to select 4 communities in 5 jurisdictions for a randomized controlled intervention program, developed a training program from existing degree programs, and developed local advisory committees and a program Web site for outreach. Evaluation: Data systems will monitor and evaluate the intervention and training activities and provide data for outreach and policy development. Conclusions and Implications: Alignment of program goals with local community programs, resources, and attributes is vital. Funding: USDA, National Institute of Food and Agriculture, Grant #2011-68001-30335.
UP21 Pacific Kids DASH for Health (PacDASH) R. Novotny, PhD, RD, [email protected], Kaiser Permanente Hawaii and University of Hawaii, 1955 EastWest Road, Honolulu, HI 96822; C. Nigg, PhD Objective: Evaluate physician-delivered intervention and ecologic factors for overweight and obesity. Description: Randomized, controlled intervention (n ¼ 85) and cross-sectional study of electronic medical data (n ¼ 4,608); children aged 5 to 8 years. Evaluation: Baseline dietary intakes were high in saturated fat (19.9 + 8.2 [female] and 24.2 + 9.7 [male] g/d vs < 9.3 g/d recommended) (n ¼ 85). Mean overweight and obesity prevalence was 30%; however, sex- and age-adjusted native Hawaiian, Samoan, and Hawaiian-Asian children were more overweight and obese compared with white children (P < .001; n ¼ 4,608). Conclusions and Implications: The PacDASH intervention program will provide valuable information on integrating child, family, and physician approaches to childhood obesity prevention. Funding: USDA, National Institute of Food and Agriculture, Grant #2007-04557.
UP22 Mobilizing Rural Low-Income Communities to Assess and Improve the Ecological Environment to Prevent Childhood Obesity P. Peters, PhD, [email protected], Kansas State University, 340 Justin Hall, Manhattan, KS 66503; A. R. Mobley, PhD, Purdue University; S. Procter, PhD, RD, Kansas State University; D. Contreras, PhD, Michigan State University; A. L. Gold, PhD, North Dakota State University; K. Bruns, PhD, Ohio State University; R. Oscarson, PhD, South Dakota State University; A. Keim, PhD, University of Wisconsin; V. Remig, PhD, RD, FADA, Kansas State University Objective: Enhance capacity of rural, low-income communities to prevent childhood obesity. Description: Using an ecological model, 14 communities (7 intervention, 7 control), working with community coalitions, will complete assessment of their communities, choose interventions from a ‘‘menu’’ of approaches, and implement interventions to prevent childhood obesity. Intervention communities alone will receive training and ongoing support in community coaching to build capacity in their communities. Evaluation: Compare effectiveness of community coaching with change environments and policies to prevent childhood obesity. Conclusions and Implications: Community coaching will promote the ability to address identified needs and result in greater behavior change in nutrition and physical activity among those caring for 4-year-olds. Funding: USDA, National Institute of Food and Agriculture, Grant #2011-68001-30100.
Journal of Nutrition Education and Behavior Volume 44, Number 4S, 2012
UP19 Influences of Physical and Social Landscapes on the Health of Rural Communities M. C. Wimberly, PhD, MS, [email protected], South Dakota State University, Wecota Hall Box 506B, Brookings, SD 57007; A. Michimi, PhD, MA; B. L. Specker, PhD, MS Objective: Our objective is to characterize geographic patterns of obesity and associated risk factors within the conterminous United States and test hypotheses about the environmental drivers of these patterns in nonmetropolitan areas. Description: The high prevalence of obesity in rural areas highlights a need for research focused outside of major metropolitan regions. Evaluation: We analyzed county-level health surveillance and environmental data, using a variety of spatial statistical methods. The resulting maps were disseminated via a Web-based atlas. Conclusions and Implications: In nonmetropolitan areas, distance from supermarkets is not linked to obesity, whereas natural amenities and associated recreational opportunities are associated with lower rates of obesity and higher rates of physical activity. Funding: USDA, National Institute of Food and Agriculture, Grant #2008-35215-18814.
UP20 Children’s Healthy Living Program (CHL) for Remote Underserved Minority Populations of the Pacific Region R. Novotny, PhD, RD, [email protected], University of Hawaii at Manoa, 1955 East-West Road, Honolulu, HI 96822; J. Deenik, PhD; R. Leon-Guerrero, PhD, RD, University of Guam; B. Luick, PhD, University of Alaska at Fairbanks; J. Ho Kim, PhD, Northern Marianas College; D. Vargo, PhD, American Samoa Community College Objective: A comprehensive program to build capacity and catalyze policy change to prevent young child obesity. Description: Investigators from United States–affiliated Pacific land grant colleges used community-based processes to select 4 communities in 5 jurisdictions for a randomized controlled intervention program, developed a training program from existing degree programs, and developed local advisory committees and a program Web site for outreach. Evaluation: Data systems will monitor and evaluate the intervention and training activities and provide data for outreach and policy development. Conclusions and Implications: Alignment of program goals with local community programs, resources, and attributes is vital. Funding: USDA, National Institute of Food and Agriculture, Grant #2011-68001-30335.
UP21 Pacific Kids DASH for Health (PacDASH) R. Novotny, PhD, RD, [email protected], Kaiser Permanente Hawaii and University of Hawaii, 1955 EastWest Road, Honolulu, HI 96822; C. Nigg, PhD Objective: Evaluate physician-delivered intervention and ecologic factors for overweight and obesity. Description: Randomized, controlled intervention (n ¼ 85) and cross-sectional study of electronic medical data (n ¼ 4,608); children aged 5 to 8 years. Evaluation: Baseline dietary intakes were high in saturated fat (19.9 + 8.2 [female] and 24.2 + 9.7 [male] g/d vs < 9.3 g/d recommended) (n ¼ 85). Mean overweight and obesity prevalence was 30%; however, sex- and age-adjusted native Hawaiian, Samoan, and Hawaiian-Asian children were more overweight and obese compared with white children (P < .001; n ¼ 4,608). Conclusions and Implications: The PacDASH intervention program will provide valuable information on integrating child, family, and physician approaches to childhood obesity prevention. Funding: USDA, National Institute of Food and Agriculture, Grant #2007-04557.
UP22 Mobilizing Rural Low-Income Communities to Assess and Improve the Ecological Environment to Prevent Childhood Obesity P. Peters, PhD, [email protected], Kansas State University, 340 Justin Hall, Manhattan, KS 66503; A. R. Mobley, PhD, Purdue University; S. Procter, PhD, RD, Kansas State University; D. Contreras, PhD, Michigan State University; A. L. Gold, PhD, North Dakota State University; K. Bruns, PhD, Ohio State University; R. Oscarson, PhD, South Dakota State University; A. Keim, PhD, University of Wisconsin; V. Remig, PhD, RD, FADA, Kansas State University Objective: Enhance capacity of rural, low-income communities to prevent childhood obesity. Description: Using an ecological model, 14 communities (7 intervention, 7 control), working with community coalitions, will complete assessment of their communities, choose interventions from a ‘‘menu’’ of approaches, and implement interventions to prevent childhood obesity. Intervention communities alone will receive training and ongoing support in community coaching to build capacity in their communities. Evaluation: Compare effectiveness of community coaching with change environments and policies to prevent childhood obesity. Conclusions and Implications: Community coaching will promote the ability to address identified needs and result in greater behavior change in nutrition and physical activity among those caring for 4-year-olds. Funding: USDA, National Institute of Food and Agriculture, Grant #2011-68001-30100.