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Acculturation and Adiposity Parameters in Young Hispanic Children
SUNDAY, NOVEMBER 7
POSTER SESSION: PROFESSIONAL SKILLS; NUTRITION ASSESSMENT; MEDICAL NUTRITION THERAPY Motivators and Barriers to Home Food Preparation 1
2
2
1
Author(s): J. M. Walter, L. Soliah, S. Weems ; Baylor University, Waco, TX, 2Family and Consumer Sciences, Baylor University, Waco, TX Learning Outcome: At the end of this presentation the learner should be able to identify barriers and motivators to home food preparation as expressed by a select group of preprofessionals. The U.S. Department of Health and Human Services and the Center for Disease Control and Prevention cite the continual increase in adult obesity as a health risk. Habits of eating outside the home and decreased physical activity have both been identified as life style practices to be modified. The purpose of this research was to explore and identify motivators and barriers to home food preparation with pre-professionals. Ten focus groups using students from a private university in central Texas were conducted. Two sessions were held with each group (N ⫽ 144) and were audio and video taped. Sessions were transcribed and coded by researchers for common themes. Motivators identified were having familiarity with food preparation (via modeling), possessing necessary equipment, having a kitchen stocked with basic ingredients, and saving money. Barriers identified were a non familiarity with cooking (via having no models), a lack of time which was broken down to a distaste for grocery shopping, preparation and clean up. Those who had no interest in cooking clearly had the pattern of eating out as a solution to meals and had no habit for home food preparation and had no model of it in their background. The most unexpected and novel findings of the sessions was the feeling that home food preparation was too overwhelming to begin and the complete aversion to grocery shopping. Plans are to replicate these focus groups with young professionals in additional collegiate settings. Funding Disclosure: None
Acculturation and Adiposity Parameters in Young Hispanic Children Author(s): M. Boylan,1 M. Smith,1 J. Borrego,2 D. Reed,1 D. Feng,3 M. Chyu,4 C. Esperat5; 1Nutritional Sciences, Texas Tech University, Lubbock, TX, 2 Psychology, Texas Tech University, Lubbock, TX, 3Human Development and Family Studies, Texas Tech University, Lubbock, TX, 4Healthcare Engineering, Texas Tech University, Lubbock, TX, 5School of Nursing, Texas Tech University Health Sciences Center, Lubbock, TX Learning Outcome: After reading this poster, the participant will be able to discuss acculturation as a factor in childhood obesity in young Hispanic children. Purpose: Acculturation by immigrants has been reported to impact health related parameters. The purpose of this study was to evaluate differences in adiposity related parameters in children as they relate to parental acculturation. Methods: Subjects were boys (n⫽231) and girls (n⫽275) aged 5-8 years old whose parents identified their race as Hispanic. Acculturation was assessed using the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II). Weight (Wt) was measured on an electronic scale. Height (Ht) was measured on a stadiometer and waist circumference (WC) was measure using a non-stretch tape. The BMI [Wt (kg) ⫼ Ht2 (m2)] was calculated. A questionnaire was used to collect information on lifestyle parameters. Analysis of variance, t test, and chi square analyses were used to evaluate significant differences (p⬍0.05) for ARSMA-II and BMI group means. Results: As compared to the normal BMI group score (-0.22⫾2.2), the overweight/obese subject group (BMI percentile ⱕ85) had a significantly (p⬍0.02) more negative ARSMA-II score (-0.89⫾2.2) indicating that they were more Hispanic in acculturation. Children in the ARSMA-II group indicating high Hispanic acculturation had significantly higher mean WC values (60.33⫾9.72 cm) than did the subject group (57.08⫾8.16 cm) with high Anglo acculturation. There was not a significant difference in mean ARSMA-II scores by fast food meals per week, eating family meals, or activity level. Conclusions: The ARSMA-II scores of parents of overweight and obese young Hispanic children indicate that they are culturally and socially more Hispanicoriented than those of the normal weight Hispanic children. Funding Disclosure: USDA
Worksite Weight Management Author(s): B. Bishop, G. Woscyna; Pharmaceutical and Nutrition Care, The Nebraska Medical Center, Omaha, NE Learning Outcome: To identify and describe an economically beneficial partnership between a medical center and company to provide worksite weight management programs facilitated by Registered Dietitians. Obesity affects more than one-third of U.S. adults, negatively affecting their health and quality of life. In the workforce, it’s been estimated that an employee who is obese incurs an additional $2,152 annually in health care costs and $863 annually in decreased productivity and absenteeism costs compared to an employee with normal weight. Many companies find it economically beneficial to initiate worksite programs for obesity prevention and treatment. As the nutrition expert, Registered Dietitians (RDs) play a key role in successful weight management programs. However, reimbursement for services is limited. Partnering with local companies to deliver worksite weight management programs can be economically beneficial for both parties. Choose to Lose is a successful program partnered by The Nebraska Medical Center (TNMC) and Warren Distribution in Omaha, Nebraska. An RD from TNMC facilitates group sessions and provides individual consults for employees at the worksite. Warren Distribution pays a pre-determined fee for each employee’s participation in the program with the stipulation that employees have 100% attendance or pay a portion of costs. Outcome results for three 7- week programs held in 2009 and 2010 showed an average 3.25% weight loss and 1.1” waist circumference decrease with a total weight loss of 258 lbs for all 37 participants. The partnership will continue, as the program was financially profitable for the hospital and Warren Distribution’s leadership was satisfied with the outcomes and employee feedback for the program. This can serve as a model for a hospital and corporation partnership to address the obesity epidemic. Funding Disclosure: None
Daily Self-Monitoring of Body Weight, Physical Activity and Fruit/ Vegetable Intake as a Holiday Weight Management Strategy for Reduced-Obese Individuals Author(s): R. A. Cornett, J. D. Akers, B. M. Davy; Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA Learning Outcome: Following this presentation, participants will be familiar with the typical amount of weight gained during the winter holiday months, as well as behavioral strategies which are effective in minimizing holiday weight gain. Introduction: Weight gained during the winter holiday months may represent more than half of annual weight gain. Reduced-obese individuals are at increased risk for holiday weight gain; our purpose was to determine the feasibility and effectiveness of a weight management (WM) intervention during the winter holiday period in this population. Methods: Intervention (INT) group participants (n⫽24; aged 63⫾1 yrs; BMI 29⫾1 kg/m2; wt lost⫽8⫾1%) were enrolled in a WM intervention consisting of daily self-monitoring (body weight, step counts, fruit/vegetable intake) using tracking sheets, which were returned each week. Average weight for each INT participant was determined for three 6-wk time periods: pre-holiday (PRE: Oct 12-Nov 22), holiday (HOL: Nov 23-Jan 4), and post-holiday (Post: Jan 5-Feb 15). An age- and BMI-matched control (CON) group was recruited; weight was assessed in CON participants (nⴝ26; age 62ⴞ1 yrs; BMI 32ⴞ1 kg/m2) at these time periods. Results: Weights for PRE, HOL, and POST were as follows: INT, 82ⴞ3 kg, 82ⴞ3 kg, and 82ⴞ3 kg; CON, 88ⴞ4 kg, 88ⴞ4 kg, and 89ⴞ4 kg, respectively. There were no group differences; differences over time were detected (P>0.05). Overall weight change was 0.5ⴞ0.3 kg and 0.9ⴞ0.3 kg, INT vs. CON respectively. Compliance with returning tracking sheets among INT participants was 86% (PRE), 70% (HOL), and 74% (POST)(P⬍0.05). Conclusion: Holiday weight gain in INT participants was less than that previously reported (0.7 kg) among reduced-obese individuals. Future studies including larger sample sizes are warranted to determine if daily self-monitoring can minimize holiday weight gain. Funding Disclosure: None
A-46 / September 2010 Suppl 2—Abstracts Volume 110 Number 9
POSTER SESSION: PROFESSIONAL SKILLS; NUTRITION ASSESSMENT; MEDICAL NUTRITION THERAPY Motivators and Barriers to Home Food Preparation 1
2
2
1
Author(s): J. M. Walter, L. Soliah, S. Weems ; Baylor University, Waco, TX, 2Family and Consumer Sciences, Baylor University, Waco, TX Learning Outcome: At the end of this presentation the learner should be able to identify barriers and motivators to home food preparation as expressed by a select group of preprofessionals. The U.S. Department of Health and Human Services and the Center for Disease Control and Prevention cite the continual increase in adult obesity as a health risk. Habits of eating outside the home and decreased physical activity have both been identified as life style practices to be modified. The purpose of this research was to explore and identify motivators and barriers to home food preparation with pre-professionals. Ten focus groups using students from a private university in central Texas were conducted. Two sessions were held with each group (N ⫽ 144) and were audio and video taped. Sessions were transcribed and coded by researchers for common themes. Motivators identified were having familiarity with food preparation (via modeling), possessing necessary equipment, having a kitchen stocked with basic ingredients, and saving money. Barriers identified were a non familiarity with cooking (via having no models), a lack of time which was broken down to a distaste for grocery shopping, preparation and clean up. Those who had no interest in cooking clearly had the pattern of eating out as a solution to meals and had no habit for home food preparation and had no model of it in their background. The most unexpected and novel findings of the sessions was the feeling that home food preparation was too overwhelming to begin and the complete aversion to grocery shopping. Plans are to replicate these focus groups with young professionals in additional collegiate settings. Funding Disclosure: None
Acculturation and Adiposity Parameters in Young Hispanic Children Author(s): M. Boylan,1 M. Smith,1 J. Borrego,2 D. Reed,1 D. Feng,3 M. Chyu,4 C. Esperat5; 1Nutritional Sciences, Texas Tech University, Lubbock, TX, 2 Psychology, Texas Tech University, Lubbock, TX, 3Human Development and Family Studies, Texas Tech University, Lubbock, TX, 4Healthcare Engineering, Texas Tech University, Lubbock, TX, 5School of Nursing, Texas Tech University Health Sciences Center, Lubbock, TX Learning Outcome: After reading this poster, the participant will be able to discuss acculturation as a factor in childhood obesity in young Hispanic children. Purpose: Acculturation by immigrants has been reported to impact health related parameters. The purpose of this study was to evaluate differences in adiposity related parameters in children as they relate to parental acculturation. Methods: Subjects were boys (n⫽231) and girls (n⫽275) aged 5-8 years old whose parents identified their race as Hispanic. Acculturation was assessed using the Acculturation Rating Scale for Mexican-Americans II (ARSMA-II). Weight (Wt) was measured on an electronic scale. Height (Ht) was measured on a stadiometer and waist circumference (WC) was measure using a non-stretch tape. The BMI [Wt (kg) ⫼ Ht2 (m2)] was calculated. A questionnaire was used to collect information on lifestyle parameters. Analysis of variance, t test, and chi square analyses were used to evaluate significant differences (p⬍0.05) for ARSMA-II and BMI group means. Results: As compared to the normal BMI group score (-0.22⫾2.2), the overweight/obese subject group (BMI percentile ⱕ85) had a significantly (p⬍0.02) more negative ARSMA-II score (-0.89⫾2.2) indicating that they were more Hispanic in acculturation. Children in the ARSMA-II group indicating high Hispanic acculturation had significantly higher mean WC values (60.33⫾9.72 cm) than did the subject group (57.08⫾8.16 cm) with high Anglo acculturation. There was not a significant difference in mean ARSMA-II scores by fast food meals per week, eating family meals, or activity level. Conclusions: The ARSMA-II scores of parents of overweight and obese young Hispanic children indicate that they are culturally and socially more Hispanicoriented than those of the normal weight Hispanic children. Funding Disclosure: USDA
Worksite Weight Management Author(s): B. Bishop, G. Woscyna; Pharmaceutical and Nutrition Care, The Nebraska Medical Center, Omaha, NE Learning Outcome: To identify and describe an economically beneficial partnership between a medical center and company to provide worksite weight management programs facilitated by Registered Dietitians. Obesity affects more than one-third of U.S. adults, negatively affecting their health and quality of life. In the workforce, it’s been estimated that an employee who is obese incurs an additional $2,152 annually in health care costs and $863 annually in decreased productivity and absenteeism costs compared to an employee with normal weight. Many companies find it economically beneficial to initiate worksite programs for obesity prevention and treatment. As the nutrition expert, Registered Dietitians (RDs) play a key role in successful weight management programs. However, reimbursement for services is limited. Partnering with local companies to deliver worksite weight management programs can be economically beneficial for both parties. Choose to Lose is a successful program partnered by The Nebraska Medical Center (TNMC) and Warren Distribution in Omaha, Nebraska. An RD from TNMC facilitates group sessions and provides individual consults for employees at the worksite. Warren Distribution pays a pre-determined fee for each employee’s participation in the program with the stipulation that employees have 100% attendance or pay a portion of costs. Outcome results for three 7- week programs held in 2009 and 2010 showed an average 3.25% weight loss and 1.1” waist circumference decrease with a total weight loss of 258 lbs for all 37 participants. The partnership will continue, as the program was financially profitable for the hospital and Warren Distribution’s leadership was satisfied with the outcomes and employee feedback for the program. This can serve as a model for a hospital and corporation partnership to address the obesity epidemic. Funding Disclosure: None
Daily Self-Monitoring of Body Weight, Physical Activity and Fruit/ Vegetable Intake as a Holiday Weight Management Strategy for Reduced-Obese Individuals Author(s): R. A. Cornett, J. D. Akers, B. M. Davy; Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA Learning Outcome: Following this presentation, participants will be familiar with the typical amount of weight gained during the winter holiday months, as well as behavioral strategies which are effective in minimizing holiday weight gain. Introduction: Weight gained during the winter holiday months may represent more than half of annual weight gain. Reduced-obese individuals are at increased risk for holiday weight gain; our purpose was to determine the feasibility and effectiveness of a weight management (WM) intervention during the winter holiday period in this population. Methods: Intervention (INT) group participants (n⫽24; aged 63⫾1 yrs; BMI 29⫾1 kg/m2; wt lost⫽8⫾1%) were enrolled in a WM intervention consisting of daily self-monitoring (body weight, step counts, fruit/vegetable intake) using tracking sheets, which were returned each week. Average weight for each INT participant was determined for three 6-wk time periods: pre-holiday (PRE: Oct 12-Nov 22), holiday (HOL: Nov 23-Jan 4), and post-holiday (Post: Jan 5-Feb 15). An age- and BMI-matched control (CON) group was recruited; weight was assessed in CON participants (nⴝ26; age 62ⴞ1 yrs; BMI 32ⴞ1 kg/m2) at these time periods. Results: Weights for PRE, HOL, and POST were as follows: INT, 82ⴞ3 kg, 82ⴞ3 kg, and 82ⴞ3 kg; CON, 88ⴞ4 kg, 88ⴞ4 kg, and 89ⴞ4 kg, respectively. There were no group differences; differences over time were detected (P>0.05). Overall weight change was 0.5ⴞ0.3 kg and 0.9ⴞ0.3 kg, INT vs. CON respectively. Compliance with returning tracking sheets among INT participants was 86% (PRE), 70% (HOL), and 74% (POST)(P⬍0.05). Conclusion: Holiday weight gain in INT participants was less than that previously reported (0.7 kg) among reduced-obese individuals. Future studies including larger sample sizes are warranted to determine if daily self-monitoring can minimize holiday weight gain. Funding Disclosure: None
A-46 / September 2010 Suppl 2—Abstracts Volume 110 Number 9