An Assessment of Diet Quality and Health Related Quality of Life of Homeless Young Adults

An Assessment of Diet Quality and Health Related Quality of Life of Homeless Young Adults

SUNDAY, OCTOBER 22 Poster Session: Professional Skills; Nutrition Assessment & Diagnosis; Medical Nutrition Therapy A Qualitative and Quantitative Ev...

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SUNDAY, OCTOBER 22

Poster Session: Professional Skills; Nutrition Assessment & Diagnosis; Medical Nutrition Therapy A Qualitative and Quantitative Evaluation of Dietary Supplement Topics Prioritized by Collegiate Athletes

An Evaluation of Registered Dietitian Nutritionists’ Self-Perceived Knowledge, Skill, and Application of Islamic Dietary Laws

Author(s): S. Osterman1, M. Barrack2, V. Gray2; 2 California State University, Long Beach

Author(s): K. Isberg, A. Kazak; Bastyr University

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Center for Discovery,

Learning Outcome: To inform and direct efforts of the sports dietitian to educate collegiate athletes on dietary supplement topics of interest. Prior studies observe trends in collegiate athlete supplement use; however, there is a lack of research assessing the type of information athletes desire to learn from a sports dietitian. This study aims to explore information needs of collegiate athletes and evaluate if the type of information prioritized by NCAA collegiate athletes varies based on gender, sport-type, or self-reported knowledge regarding supplement safety. A mixed methods approach was used to evaluate the data among 307 (n¼ 154 male, n¼ 153 female) NCAA Division I collegiate athletes. Responses to open-ended questions evaluating dietary supplement information needs were read and coded independently by two investigators into six major categories and 20 subcategories. Chisquare analyses evaluated if the supplement information category varied significantly by gender, sport-type and self-reported knowledge of supplement safety. Approximately 47% of athletes reported having no questions about supplements. For those reporting questions (53.5%), responses were grouped in categories relating to supplement quality/composition (32.6%, largest subcategory on safety/side effects), general information (25%, largest subcategory representing the general benefits), nutrient content (20.1%), performance (11.8%), and body composition (10.4%, largest subcategory regarding gaining muscle mass). No significant relationships were identified for gender or sport-type, however a higher percentage of athletes with a moderate or strong self-reported awareness vs. no or minimal awareness of supplement safety reported having no questions about dietary supplements (51.3% vs. 33.3%, p¼.01). These findings may aid sports dietitians in their effort to educate and reduce risks surrounding dietary supplement use in collegiate athletes.

Learning Outcome: The goal of this study is to identify US registered dietitian nutritionists (RDN) knowledge and attitudes with regard to Islamic dietary practices and traditional foods. This study may describe the skillset of RDNs providing culturally appropriate care for Muslim individuals. This study will also address the gap in literature regarding RDN knowledge of Muslim specific dietary practices.

Objectives: The goal of this study was to identify US RDNs knowledge, skill, and application of Islamic dietary laws. The global population of Muslims is over 2 billion people; about 25% of the world population. Muslims are the fastest growing religious group in the US therefore it is relevant to understand possible barriers Muslims encounter in seeking quality nutrition care. Methods: A questionnaire was designed to assess RDN knowledge, self-perceived skills and application of Islamic dietary laws into nutrition recommendations. The questionnaire was disseminated to 5,000 RDNs currently registered, practicing in US, and who belong to AND. Data was collected from October 2016- January 2017. Statistical analysis using SPSS computed descriptive and correlational measures. Results: Of 359 responses, 90% were non-Hispanic white; 96% female; and 25% have been practicing for 6-10 years. Over half, 53%, were “Not at all” or “A little” confident in providing culturally sensitive nutrition education to Muslims. Nearly two-thirds (62%) of participants reported “Not at all” or “A little” understanding of Islamic dietary laws; however 99% correctly answered “What is Ramadan” and 68% of correctly identified foods commonly eaten to break the Ramadan fast.

Conclusions: The majority, 65% of participants, reported having had a Muslim patient or client. Interestingly, more than half of respondents reported low confidence in providing culturally sensitive nutrition education to Muslims. These results suggest a need for resources that summarize basic Islamic dietary practices and that describe how RDNs can incorporate them into nutrition recommendations.

Funding Disclosure: None

Funding Disclosure: None

An Assessment of Diet Quality and Health Related Quality of Life of Homeless Young Adults

Assessing Food Availability and Diet Quality of a Vulnerable Population of Homeless Youth at a Drop-in Center

Author(s): R. Starr, K. Kane, S. Deering, S. Rusnak, I. Hatsu; The Ohio State University

Learning Outcome: Conclusion: Our findings confirm a poor diet quality among homeless youth, although, this was not associated with their health related quality of life. Gender and ethnic difference does exist with respect to homeless youth mental HRQoL and diet quality. These findings may help practitioners determine sub populations in need of more targeted interventions.

Aims: This study (1) examines the health related quality of life (HRQoL) of homeless youth and (2) determines its’ association with diet quality.

Methods: This cross-sectional study was conducted among 109 homeless youth (ages 1824 years), recruited through a drop-in center in Columbus, Ohio. After providing informed consent, each youth completed a sociodemographic and homeless experience survey. Diet quality was determined using two non-consecutive 24-hour dietary recalls, based on the 2010-Healthy Eating Index (HEI). The SF-12v2 survey was used to assess HRQoL. Correlation analysis was used in determining the relationship between diet quality and HRQoL.

Results: Participants were mostly male (67%), with 46% and 32% being African-American and Caucasian respectively. The mean physical component (PCS) and mental component (MCS) scores were also 52.75  9.50 and 43.36  12.71 respectively. MCS scores were significantly lower in females compared to males 45.95  12.06 vs. 38.02  12.50, p¼0.002. The average HEI scores were 41.64  11.20. African Americans had a significantly higher diet quality than Caucasians: 44.60  10.93 vs. 36.76  11.87. In general, diet quality correlated only with general health (r ¼ 0.19, p ¼ 0.04) and mental health (r ¼0.18, p¼0.05) of HRQoL domains. Conclusion: Our findings confirm a poor diet quality among homeless youth, although, this was not associated with their health related quality of life. Gender and ethnic difference does exist with respect to homeless youth mental HRQoL and diet quality. These findings may help practitioners determine sub populations in need of more targeted interventions.

Funding Disclosure: None

Author(s): E. Yarcusko, K. Kane, I. Hatsu, N. Slesnick; The Ohio State University, Columbus Ohio Learning Outcome: The purpose of the study is to assess the food supply of a drop-in center, located in central Ohio that specifically serves homeless youth and how this relates to the diet quality of homeless youth. Another purpose is to assess the youth’s knowledge as related to dietary intake and behavior. Background: Homeless youth have poor dietary outcomes. An important resource used by homeless youth to meet their basic and food needs are drop-in centers. This study examines the variety and quality of food available to homeless youth at a drop-in center in central Ohio. Methods: A validated home food inventory questionnaire (HFI) was used to obtain drop-in center food availability at five different time points. Multiple measures were done to account for variability in donated foods. Food category scores were computed, with higher scores indicating greater availability. Possible highest score for dairy, vegetables, fruits, meat and other non-dairy proteins categories were 21, 20, 26, and 16 respectively. A summative score (range:0-71) was also computed to assess obesogenic food availability. Results: The mean age for youth was using the drop-in center was 21.13  1.76y, while the average age of homelessness onset was 17.8  3.4y. HFI scores: Dairy: M ¼ 5.20, SD ¼ 1.48, (range 3-7); vegetables: M¼11.60, SD ¼ 2.79, (range 7-14); fruit: M ¼ 11.0, SD ¼ 2.45, (range 8-14); meat and other nondairy protein: M¼ 8.2, SD ¼1.92, (range 5-10). The mean obesogenic food availability score was 31  4.58, (range 23-34). Conclusion: Vegetables and meat, including other non-dairy proteins were respectively the most available foods, while dairy products were the least available. The low obesogenic score confirms the limited availability of unhealthy foods. Future studies are needed to confirm our findings and also explore the extent to which drop-in centers contribute to the homeless youth food environment. Funding Disclosure: None

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JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS

September 2017 Suppl 1—Abstracts Volume 117 Number 9