How United States Newspapers Framed Weight-Loss Drugs

How United States Newspapers Framed Weight-Loss Drugs

SUNDAY, OCTOBER 20 Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy How United States Newspapers Framed Weight-Lo...

55KB Sizes 3 Downloads 33 Views

SUNDAY, OCTOBER 20

Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy How United States Newspapers Framed Weight-Loss Drugs Author(s): J.S. Hampl, J. Lehmann, E.G. Fielder; Nutrition Program, Arizona State Univ., Phoenix, AZ Learning Outcome: Weight-loss drugs available by prescription or over-thecounter are framed differently to resonate with newspaper readers. This study explored how United States newspaper articles framed the weightloss drugs orlistat, available as Xenical (prescription) and Alli (over-thecounter), from three months prior to each drug's approval by the U.S. Food and Drug Administration (FDA) till 12 months after each medication's introduction to the market. To conduct a content analysis, researchers first developed a codebook containing variables that described the sources of attribution and the features of each drug and tested the codebook in a series of pilot tests to ensure inter-rater reliability (kappa  0.70). A search using LexisNexis Academic yielded 85 Xenical articles and 98 Alli articles. Newspapers with the greatest circulation were frequent publishers of orlistat-related articles. Articles were published most frequently in the month of or after FDA approval and market release. Their newsworthiness was short-lived, however. Physicians and scientists were most frequently quoted in Xenical articles, whereas two thirds of Alli articles included quotes from the drug manufacturer. Laypeople were the second most quoted group for Alli articles. Differences in article incidence and framing were heavily influenced by the manufacturer's multi-media public relations campaign in the months prior to the market-release date and access to the drugs with or without a prescription. Funding Disclosure: None

Level of Education Is Related to Body Mass Index and Body Fat Percentage in Food Subsidy Program Users in Caracas, Venezuela Author(s): M. Correa1, M. Herrera2, P. Hernández3, K. Mangia4, C. Rising5; 1Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 2Development and Health, Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 3School of Nutrition, Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 4Casa de la Mujer, Alcaldía de Sucre, Caracas, Venezuela, Bolivarian Republic of, 5George Mason Univ. Coll., Washington, VA Learning Outcome: To understand the relationship between level of education and nutritional status. Background: Nutritional status of individuals is the result of a complex interaction of factors, including the influence of social history. The aim of this study was to determine whether or not level of education is related to obesity in participants of a subsidized food program. Methods: A sample of 113 participants was evaluated. Weight, height, BMI and body fat percentage (BFP) by BIA were obtained and compared to WHO cut-off points for BMI and NIH/WHO guidelines for BFP. Descriptive statistics and frequency and contingency tables were obtained. Results: 65.5% (n¼74) of the sample were literate or had an elementary education. Of these, 40.5% (n¼30) were overweight by BMI and 81.9% (n¼59) were obese. Stratified by level of education, 27.4% (n¼31) had a high school degree, 4.4% had a technical degree and 5 participants had a university degree. Among the high school educated, 51.6% (n¼16) were obese by BMI and 74.2% (n¼23) were obese by BFP. Among those with a technical degree, 60% (n¼3) were obese by BMI and BFP. Two of the participants with a university degree were obese according to BMI and BFP. Conclusions: Obesity by BMI and BFP was found in 42.1% and 81.9% of participants, respectively. Obesity was found among all groups regardless of education level, however the greatest degree of overweight was found in the less educated. People with lack of acquisitive power partially due to poor education might be using this program due to the economic crisis in Venezuela. Further research is needed. Funding Disclosure: Grant from UCV/CDCH

Relationship among Body Mass Index, Adiposity Level and Blood Glucose Levels in a Populations Benefited by a Food Subsidy Program (Red Mercal) in Venezuela

Food Security and Nutritional Status: An Analysis of a Population Benefited by a Food Subsidy Program in Venezuela

Author(s): K. Mangia1, M. Herrera2, P. Hernández3, M. Correa2, C. Rising4; 1Casa de la Mujer, Alcaldía de Sucre, Caracas, Venezuela, Bolivarian Republic of, 2Development and Health, Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 3School of Nutrition, Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 4Food & Nutrition Services, George Mason Univ. Coll., Washington, VA

Author(s): P. Hernández1, M. Herrera2, K. Mangia3, M. Correa1, C. Rising4; 1 Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 2 Development and Health, Univ. Central de Venezuela, Caracas, Venezuela, Bolivarian Republic of, 3Casa de la Mujer, Alcaldía de Sucre, Caracas, Venezuela, Bolivarian Republic of, 4George Mason Univ. Coll., Washington, VA

Learning Outcome: Participants will able to discuss the relationship among adiposity variables and capillary glucose levels status in a population benefited by a subsidy food program, whether or not this program is promoting adiposity should be discussed.

Learning Outcome: How food security is related to obesity in user of food subsidy programs

Background: The aim of food subsidy programs is to promote nutritional adequacy. The purpose of this research is to establish a nutrition diagnosis and determine the relationship between anthropometric variables and capillary glucose of Mercal participants in Venezuela. Methods: BMI, body fat percentage (BFP) by BIA, waist circumference (WC) and capillary glucose were measured in a sample of 126 participants. Comparative standards included WHO cutoffs (2000) for BMI; NIH/WHO guidelines (2000) for BFP; and ATP III guidelines (2002) for WC and capillary glucose. Descriptive statistics and Spearman correlation analysis (p <0.05) were performed. Results: 44 men and 82 women were evaluated. According to BMI, 42.1% of the sample was found to be obese, 34.9% overweight and 23% normal. 82.3% had high BFP and 65.2% had abdominal obesity. 48.3% of those with normal BMI had a high BFP. Pre-diabetes was present in 18.3% and diabetes in 9.5%. BMI was significantly correlated with BFP (r ¼ 0.549, P <0.001) and WC (r ¼ 0.865, P <0.001). BFP was also significantly associated with WC (r ¼ 0.415, P <0.001). A linear relationship was found between glycemia, BMI (r ¼ 0.183, P ¼ 0.044) and WC (r ¼ 0.197, P ¼ 0.039), although weak and not associated with BFP. Conclusions: A significant relationship between anthropometric variables was expected. Further research is needed to verify the effectiveness of the program and to determine if Mercal requires specific interventions to improve obesity and type 2 diabetes risk reduction in program participants.

Background: Food security is an important component of nutritional adequacy. The aim of this study was to evaluate the association between household food security and nutritional status in beneficiaries of a food subsidy program in Venezuela. Methods: To evaluate nutritional status, weight, height and BMI were measured in a sample of 126 program beneficiaries. Household food security was measured using the USDA short questionnaire. Descriptive statistics and t-tests were performed to determine differences between males and females. Spearman correlations (p <0.05) were used to determine relationships among nutritional status indicators. Results: 36.5% of households had food insecurity. Mean BMI was 29.75.8 for females and 28.364.6 for males. 79.2% of females and 72.8% of males had a BMI >25 kg/m2. Overweight or obesity was present in 80.5% and 75.0% of beneficiaries belonging to food insecure households and food secure households, respectively. Food security was not associated with nutritional status (r¼0.043; p¼0.629) and no differences were found between sexes. Conclusions: Although no statistical significance was found between being food insecure and being obese, there was a trend toward being overweight and living in a food insecure environment. Further research is needed to clarify these findings. Funding Disclosure: Grant from UCV/CDCH

Funding Disclosure: Universidad Central de Venezuela

A-20

JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS

September 2013 Suppl 3—Abstracts Volume 113 Number 9