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Impact of Oral Health Assessment Education Program for Nursing Staff on the Nurses Knowledge and Practice Regarding Completion of Oral Health Assessments
SUNDAY, SEPTEMBER 17
POSTER SESSION: PROFESSIONAL SKILLS/NUTRITION ASSESSMENT/MEDICAL NUTRITION THERAPY TITLE: THE ASSOCIATION BETWEEN BEVERAGE CONSUMPTION AND BODY FATNESS IN U.S. CHILDREN AUTHOR(S): R.K. Johnson, PhD, RD, C.D. Frary, MS, RD, College of Agriculture and Life Sciences, University of Vermont, Burlington, VT; M.Q. Wang, PhD, Department of Public and Community Health, University of Maryland, College Park, MD LEARNING OUTCOME: To increase awareness that U.S. children’s consumption of sugar-sweetened nonmilk-based beverages and milk-based beverages is associated with body fatness. TEXT: Sugar-sweetened beverages have been positively associated and milk-based beverages (MBBs) have been negatively associated with children’s body fatness. We examined sugar-sweetened, nonmilk- based beverage (SSB) and MBB intakes of U.S. children using the 2001-2002 NHANES; the most current nationwide food intake data available. The sample included children age 2-17 who provided one-day dietary intake data using the multiple pass recall method (total sample, n⫽3,697; age 2-5, n⫽811; age 6-11, n⫽1,159; males 12-17, n⫽850; females 12-17, n⫽877). Body mass index (BMI) by consumption levels (nonconsumer, low, moderate, high) of SSBs and MMBs were adjusted for race and hours of television and computer use as a marker for physical activity level. For the total sample, moderate (ⱖ12 ounces/day [oz/d] ⬍24 oz/d) and high (ⱖ24 oz/d) consumers of SSBs had higher BMIs in comparison with low (⬎0⬍12 oz/d) and nonconsumers (p⬍0.01). Among children 6-11, high consumers (ⱖ20 oz/day) of SSBs had higher BMIs than non, low and moderate consumers (p⬍0.05). Male teens who consumed 20 ounces or more of SSBs had higher BMIs than those who consumed ⬎0 ⬍ 20oz/d (p⬍0.01). For the total sample, all consumers of MMBs had lower BMIs than nonconsumers (p⬍0.001). Among children 2-5, high consumers (ⱖ16 oz/d) of MMBs had higher BMIs than non or low (⬍8oz/d) MMB consumers (p⬍0.05). Female teen consumers of MMBs, at all intake levels, had lower BMIs than nonconsumers (p⬍0.05). Dietetic professionals should be knowledgeable of U.S. children’s beverage consumption patterns and their associations with body fatness. FUNDING DISCLOSURE: Funded by the Northeast Dairy Promotion Board and the Vermont Dairy Promotion Council.
TITLE: PREVALENCE OF MALNUTRITION IN HIV/AIDS ORPHANS IN THE NYANZA PROVINCE OF KENYA: A COMPARISON OF CONVENTIONAL INDICES WITH A COMPOSITE INDEX OF ANTHROPOMETRIC FAILURE (CIAF) AUTHOR(S): M.R. Berger; C.B. Hollenbeck, PhD; C. Fields-Gardner, MS, RD; San Jose State University, Department of Nutrition and Food Science, San Jose, CA; and TCE Consulting Group, Inc., Cary, IL LEARNING OUTCOME: Participants will be able to compare methods for determining prevalence rates of undernutrition in children under five years old in the Nyanza Province of Kenya enrolled in a feeding trial. TEXT: Prevalence of undernutrition in children under the age of five is commonly reported through three conventional categories: stunting, underweight, and wasting. In 2005 researchers proposed an alternate composite index of anthropometric failure (CIAF) method of partitioning children into seven mutually exclusive categories including single (stunting, underweight or wasting) and multiple failures (stunting vs stunting and underweight vs stunting, underweight and wasting). This evaluation used data gathered as a subset of a feeding program trial to determine the effects of three different types of food rations against a control group as a part of services provided to orphans and vulnerable children impacted by HIV/AIDS. All children measured for this project under the age of five years were included in the analysis (n⫽178). The conventional index suggests that 29.2% were stunted, 12.4% were underweight, and 3.4% were wasted. However, the CIAF method was able to distinguish children with multiple failures. For example, of the 29.2% stunted, CIAF identified 18.8% as stunted only, 10.2% who were both stunted and underweight and 0.6% stunted, underweight and wasted. The ability to identify children with multiple nutritional failures may have profound implications for nutritional intervention and treatment. These data suggests that the complexity as well as the prevalence of undernutrition may be underestimated using conventional categories for children who experience multiple anthropometric failures. Thus, CIAF may better predict risk associated with anthropometric failure in children under five years of age and allow for prioritization of nutritional intervention strategies. FUNDING DISCLOSURE: This work was partially funded by TCE Consulting Group, Inc.
TITLE: IMPACT OF ORAL HEALTH ASSESSMENT EDUCATION PROGRAM FOR NURSING STAFF ON THE NURSES KNOWLEDGE AND PRACTICE REGARDING COMPLETION OF ORAL HEALTH ASSESSMENTS
TITLE: WEIGHT AND NUTRITION-RELATED BEHAVIOR CHANGES EXPERIENCED BY FIRST TIME COLLEGE STUDENTS LIVING AWAY FROM HOME
AUTHOR(S): N. Munoz, MHA, RD, LDN, Genesis HealthCare Corporation; R. Touger-Decker, PhD, RD, FADA, University of Medicine and Dentistry of New Jersey; B. Greenberg, PhD, University of Medicine and Dentistry of New Jersey; L. Byham-Gray, PhD, RD, CNSD, University of Medicine and Dentistry of New Jersey; J. O’Sullivan Maillet, PhD, RD, University of Medicine and Dentistry of New Jersey; M. Wien, DrPH, RD, CDE, University of Medicine and Dentistry of New Jersey
AUTHOR(S): C.V. Sealey-Potts, PhD, RD, LD; J.T. Bottego, MS; G.L. Lopez, MS; Sam Houston State University, Sam Houston State University Alumnus, University of Texas Medical Branch (UTMB)Women, Infant and Children
LEARNING OUTCOME: To determine the changes in nurse’s knowledge and practice regarding the completion of the nursing oral health assessment (NA) and the Minimum Data Set 2.0 (MDS) assessment in patients admitted to the long-term care (LTC) setting after receiving two one-hour nursing education programs on oral assessments. TEXT: Design: Pre and post-test scores were used to assess the change in knowledge. A retrospective medical record review was completed prior to and after the education program. Changes in practices were evaluated by assessing the completeness of the NA and MDS, and the level of agreement between the two forms. Subjects: Licensed nurses responsible for completing the NA and the MDS assessments (n⫽9) in a LTC facility. Statistical Analysis: SPSS-13.00 software was used for data entry and statistical analysis; alpha was set at 0.05. Nurses’ knowledge was described using pre and posttest scores (mean, standard deviation, and range); change in knowledge was measured by paired t-tests. Nurses’ practices and change in practice were described using frequency distributions and chi square analysis. Results: Nine nurses completed the pre and post-tests; there was no significant change in nurses’ knowledge (p⫽0.262). Two-hundred and fifty-seven patient charts were reviewed; completion level (CL) of the NA and MDS increased significantly (p⫽0.001) (pre-intervention CL⫽ 8.5%, post-intervention CL⫽21.7%) as did the level of agreement (LOA) between the NA and MDS (p⫽ 0.002) (Pre-intervention LOA⫽ 22.7%, post-intervention LOA⫽ 41.3%). Applications and Conclusions: There was a significant improvement in nursing practices following the education program; the results of this research provide pilot data on the use of education programs to change nurses’ practices. Oral health plays a major role in the nutrition of older adults. Impaired chewing function can lead to poor food selection and malnutrition. A follow up study with a larger sample is planned. FUNDING DISCLOSURE: Self funded
LEARNING OUTCOME: To provide an understanding of common nutrition-related behaviors among college-age students who are leaving home for the first time. TEXT: This descriptive study compared weight, food choices, physical activity, alcohol consumption, and feelings of homesickness in 352 college students enrolled at Sam Houston State University in Huntsville Texas. A two-part self-administered questionnaire examined a cross-section of students who completed a full academic year in college and has lived away from home for the first time. Data on nutrition-related behaviors of participants while living at home and after the first year of living away from home were obtained and analyzed using SPSS version 14.0. The average weight gain observed among these students was 10.78 pounds and of those 185 participants who reported weight gain, 69.7% were females. Several students (23%) reported an average weight loss of 12.1 pounds and a smaller percentage maintained weight after living away from home. Chi-square analysis showed highly statistically significant (p ⬍ .001) differences among frequencies of behaviors prior to leaving home and after leaving home for factors including alcohol consumption, physical activity, and specific food consumption such as vegetables and fruits. Over 60% of the participants reported feeling some degree of homesickness. The results of this study indicated a substantial amount of changes in nutrition-related behaviors among Sam Houston State University’ College students. In an effort to meet health objectives toward the adaptation of the Healthy Campus 2010 and also to reduce adverse behaviors in colleges, educators can use this data to tailor messages that are appropriate for this population. FUNDING DISCLOSURE: None
A-20 / August 2006 Suppl 2—Abstracts Volume 106 Number 8
POSTER SESSION: PROFESSIONAL SKILLS/NUTRITION ASSESSMENT/MEDICAL NUTRITION THERAPY TITLE: THE ASSOCIATION BETWEEN BEVERAGE CONSUMPTION AND BODY FATNESS IN U.S. CHILDREN AUTHOR(S): R.K. Johnson, PhD, RD, C.D. Frary, MS, RD, College of Agriculture and Life Sciences, University of Vermont, Burlington, VT; M.Q. Wang, PhD, Department of Public and Community Health, University of Maryland, College Park, MD LEARNING OUTCOME: To increase awareness that U.S. children’s consumption of sugar-sweetened nonmilk-based beverages and milk-based beverages is associated with body fatness. TEXT: Sugar-sweetened beverages have been positively associated and milk-based beverages (MBBs) have been negatively associated with children’s body fatness. We examined sugar-sweetened, nonmilk- based beverage (SSB) and MBB intakes of U.S. children using the 2001-2002 NHANES; the most current nationwide food intake data available. The sample included children age 2-17 who provided one-day dietary intake data using the multiple pass recall method (total sample, n⫽3,697; age 2-5, n⫽811; age 6-11, n⫽1,159; males 12-17, n⫽850; females 12-17, n⫽877). Body mass index (BMI) by consumption levels (nonconsumer, low, moderate, high) of SSBs and MMBs were adjusted for race and hours of television and computer use as a marker for physical activity level. For the total sample, moderate (ⱖ12 ounces/day [oz/d] ⬍24 oz/d) and high (ⱖ24 oz/d) consumers of SSBs had higher BMIs in comparison with low (⬎0⬍12 oz/d) and nonconsumers (p⬍0.01). Among children 6-11, high consumers (ⱖ20 oz/day) of SSBs had higher BMIs than non, low and moderate consumers (p⬍0.05). Male teens who consumed 20 ounces or more of SSBs had higher BMIs than those who consumed ⬎0 ⬍ 20oz/d (p⬍0.01). For the total sample, all consumers of MMBs had lower BMIs than nonconsumers (p⬍0.001). Among children 2-5, high consumers (ⱖ16 oz/d) of MMBs had higher BMIs than non or low (⬍8oz/d) MMB consumers (p⬍0.05). Female teen consumers of MMBs, at all intake levels, had lower BMIs than nonconsumers (p⬍0.05). Dietetic professionals should be knowledgeable of U.S. children’s beverage consumption patterns and their associations with body fatness. FUNDING DISCLOSURE: Funded by the Northeast Dairy Promotion Board and the Vermont Dairy Promotion Council.
TITLE: PREVALENCE OF MALNUTRITION IN HIV/AIDS ORPHANS IN THE NYANZA PROVINCE OF KENYA: A COMPARISON OF CONVENTIONAL INDICES WITH A COMPOSITE INDEX OF ANTHROPOMETRIC FAILURE (CIAF) AUTHOR(S): M.R. Berger; C.B. Hollenbeck, PhD; C. Fields-Gardner, MS, RD; San Jose State University, Department of Nutrition and Food Science, San Jose, CA; and TCE Consulting Group, Inc., Cary, IL LEARNING OUTCOME: Participants will be able to compare methods for determining prevalence rates of undernutrition in children under five years old in the Nyanza Province of Kenya enrolled in a feeding trial. TEXT: Prevalence of undernutrition in children under the age of five is commonly reported through three conventional categories: stunting, underweight, and wasting. In 2005 researchers proposed an alternate composite index of anthropometric failure (CIAF) method of partitioning children into seven mutually exclusive categories including single (stunting, underweight or wasting) and multiple failures (stunting vs stunting and underweight vs stunting, underweight and wasting). This evaluation used data gathered as a subset of a feeding program trial to determine the effects of three different types of food rations against a control group as a part of services provided to orphans and vulnerable children impacted by HIV/AIDS. All children measured for this project under the age of five years were included in the analysis (n⫽178). The conventional index suggests that 29.2% were stunted, 12.4% were underweight, and 3.4% were wasted. However, the CIAF method was able to distinguish children with multiple failures. For example, of the 29.2% stunted, CIAF identified 18.8% as stunted only, 10.2% who were both stunted and underweight and 0.6% stunted, underweight and wasted. The ability to identify children with multiple nutritional failures may have profound implications for nutritional intervention and treatment. These data suggests that the complexity as well as the prevalence of undernutrition may be underestimated using conventional categories for children who experience multiple anthropometric failures. Thus, CIAF may better predict risk associated with anthropometric failure in children under five years of age and allow for prioritization of nutritional intervention strategies. FUNDING DISCLOSURE: This work was partially funded by TCE Consulting Group, Inc.
TITLE: IMPACT OF ORAL HEALTH ASSESSMENT EDUCATION PROGRAM FOR NURSING STAFF ON THE NURSES KNOWLEDGE AND PRACTICE REGARDING COMPLETION OF ORAL HEALTH ASSESSMENTS
TITLE: WEIGHT AND NUTRITION-RELATED BEHAVIOR CHANGES EXPERIENCED BY FIRST TIME COLLEGE STUDENTS LIVING AWAY FROM HOME
AUTHOR(S): N. Munoz, MHA, RD, LDN, Genesis HealthCare Corporation; R. Touger-Decker, PhD, RD, FADA, University of Medicine and Dentistry of New Jersey; B. Greenberg, PhD, University of Medicine and Dentistry of New Jersey; L. Byham-Gray, PhD, RD, CNSD, University of Medicine and Dentistry of New Jersey; J. O’Sullivan Maillet, PhD, RD, University of Medicine and Dentistry of New Jersey; M. Wien, DrPH, RD, CDE, University of Medicine and Dentistry of New Jersey
AUTHOR(S): C.V. Sealey-Potts, PhD, RD, LD; J.T. Bottego, MS; G.L. Lopez, MS; Sam Houston State University, Sam Houston State University Alumnus, University of Texas Medical Branch (UTMB)Women, Infant and Children
LEARNING OUTCOME: To determine the changes in nurse’s knowledge and practice regarding the completion of the nursing oral health assessment (NA) and the Minimum Data Set 2.0 (MDS) assessment in patients admitted to the long-term care (LTC) setting after receiving two one-hour nursing education programs on oral assessments. TEXT: Design: Pre and post-test scores were used to assess the change in knowledge. A retrospective medical record review was completed prior to and after the education program. Changes in practices were evaluated by assessing the completeness of the NA and MDS, and the level of agreement between the two forms. Subjects: Licensed nurses responsible for completing the NA and the MDS assessments (n⫽9) in a LTC facility. Statistical Analysis: SPSS-13.00 software was used for data entry and statistical analysis; alpha was set at 0.05. Nurses’ knowledge was described using pre and posttest scores (mean, standard deviation, and range); change in knowledge was measured by paired t-tests. Nurses’ practices and change in practice were described using frequency distributions and chi square analysis. Results: Nine nurses completed the pre and post-tests; there was no significant change in nurses’ knowledge (p⫽0.262). Two-hundred and fifty-seven patient charts were reviewed; completion level (CL) of the NA and MDS increased significantly (p⫽0.001) (pre-intervention CL⫽ 8.5%, post-intervention CL⫽21.7%) as did the level of agreement (LOA) between the NA and MDS (p⫽ 0.002) (Pre-intervention LOA⫽ 22.7%, post-intervention LOA⫽ 41.3%). Applications and Conclusions: There was a significant improvement in nursing practices following the education program; the results of this research provide pilot data on the use of education programs to change nurses’ practices. Oral health plays a major role in the nutrition of older adults. Impaired chewing function can lead to poor food selection and malnutrition. A follow up study with a larger sample is planned. FUNDING DISCLOSURE: Self funded
LEARNING OUTCOME: To provide an understanding of common nutrition-related behaviors among college-age students who are leaving home for the first time. TEXT: This descriptive study compared weight, food choices, physical activity, alcohol consumption, and feelings of homesickness in 352 college students enrolled at Sam Houston State University in Huntsville Texas. A two-part self-administered questionnaire examined a cross-section of students who completed a full academic year in college and has lived away from home for the first time. Data on nutrition-related behaviors of participants while living at home and after the first year of living away from home were obtained and analyzed using SPSS version 14.0. The average weight gain observed among these students was 10.78 pounds and of those 185 participants who reported weight gain, 69.7% were females. Several students (23%) reported an average weight loss of 12.1 pounds and a smaller percentage maintained weight after living away from home. Chi-square analysis showed highly statistically significant (p ⬍ .001) differences among frequencies of behaviors prior to leaving home and after leaving home for factors including alcohol consumption, physical activity, and specific food consumption such as vegetables and fruits. Over 60% of the participants reported feeling some degree of homesickness. The results of this study indicated a substantial amount of changes in nutrition-related behaviors among Sam Houston State University’ College students. In an effort to meet health objectives toward the adaptation of the Healthy Campus 2010 and also to reduce adverse behaviors in colleges, educators can use this data to tailor messages that are appropriate for this population. FUNDING DISCLOSURE: None
A-20 / August 2006 Suppl 2—Abstracts Volume 106 Number 8