- Email: [email protected]
Interrelationships of Health and Emotional Indicators with Nutritional Risk among Rural Older Adults
SUNDAY, OCTOBER 16
Poster Session: Wellness and Public Health Income Status, Nutrient Intake, and Consumption of Food Away From Home among 3-5 Year Old Children in the United States
Interrelationships of Health and Emotional Indicators with Nutritional Risk among Rural Older Adults
Author(s): C. Costin, K. Tall, S. Bolyard, V. Stage; East Carolina University
Author(s): S.E. Jung1, A. Bishop2, M. Kim1, J. Hermann2, G. Kim1,3, J. Lawrence1; The University of Alabama, 2Oklahoma State University, 3Ethnicity and Health 1
Learning Outcome: As a result of this poster, readers will better understand the relationship between income level, nutrient intake, and consumption of food away from home among 3-5year old children in the US. Approximately, 30% of 3-5 year old children in the United States are classified as overweight or obese. While the prevalence of obesity appears to have plateaued, the number of young children who are overweight/obese is still higher than recommended. Further, young children from low-income families are at higher risk for overweight/obesity and related comorbidities. The purpose of this study was to compare the relationship between income levels (low, middle, high) as it related to nutrient intake, and consumption of food away from home for 3-5 year old children in the United States. Data from the 2012 National Health and Nutrition Examination Survey (NHANES) was used for this study. One-Way ANOVAs were used to analyze differences in nutrient intake (kilocalories, protein, carbohydrates, total sugars, dietary fiber, total fat, saturated fat, and cholesterol) and food away from home consumption between income levels. Findings revealed only cholesterol intake was significantly higher [F(2,322),¼4.121, p¼.017] in low-income households compared to high-income households. Additionally, intake of food not consumed at home was shown to be statistically lower [F(2,340),¼4.404, p¼.013] in low-income than in high-income households. Study findings indicated low-income children may be consuming food away from home less frequently, while having higher cholesterol intakes compared to children from high-income households. Further research is needed to explore where low-income families consume the majority of their meals, as well as, the nutritional value of meals consumed away from home. Funding Disclosure: None
Learning Outcome: Participants will be able to identify predictors of depressive affect and the influence of depressive affect on nutritional risk among rural older adults. Background: Rural older adults are frequently reported to have poor nutritional status. Depressive affect has been cited as a leading cause of poor nutritional status. Methods: A total of 171 community-dwelling older adults, 65 years of age and older, residing rural areas in Oklahoma participated in this study. Structure equation modeling was conducted to examine the contributions of health and emotional factors (perceived health status, self-care capacity, and loneliness) to depressive affect and the relationship between depressive affect and nutritional risk. Chi-square statistic, CFI, and SRMR were used to assess model fit. Results Chi-square statistic and model fit indices showed the SEM model adequately fit the data (c2 (3)¼1.83, p¼ 0.61; CFI¼1.0; SRMR¼0.03). Results: showed a significant negative relationship between perceived health status and depressive affect (g¼ -0.27, p< 0.01). A marginally significant negative relationship between self-care capacity and depressive affect was also observed (g¼ -0.14, p¼0.055). On the other hand, a significant positive relationship between loneliness and depressive affect emerged (g¼ 0.40, p< 0.01). Subsequently, a significantly negative relationship was observed between depressive affect and nutritional risk (g¼ -0.32, p<0.01). Conclusion: The results indicated perceived health status, self-care capacity and loneliness were predictors of depressive affect. In addition, depressive affect was associated with nutritional risk among rural older adults. Implications for dietitians are the influence of social and emotional conditions, in addition to physiological health indicators, on nutritional risk among rural older adults. Funding Disclosure: None
Increasing Access to Fresh Produce through a Farmer’s Market Gleaning Program: Perceptions from Farmers, Volunteers and Neighborhood Residents
Intuitive Eating Behaviors Increased While External Eating Influences Decreased in a Military Population Following a 10-Week My Body Knows When Program
Author(s): J. Schumacher, J. Lanier; Illinois State Univeristy
Author(s): R. Cole1, S. Meyer2, T. Newman2, A. Kieffer3, S. Wax4, K. Stote5, H. Madanat6; 1U.S. Army Research Institute of Environmental Medicine, 2 US Army, Madigan Army Medical Center, 3US Army, 4Moncrief Army Community Hospital, 5State Universty of New York, 6Graduate School of Public Health, San Diego State University
Learning Outcome: Participants will be able to describe the perceptions of farmers, volunteers, and neighborhood residents involved with a gleaning program. Background: Each year billions of pounds of food are thrown away in this country, while at the same time millions of Americans are at risk of going hungry. Gleaning, simply the act of collecting and donating excess foods, helps simultaneously address these important issues. This study assessed a farmer’s market gleaning program’s effects on neighborhood residents in a food desert, perceptions from farmers, and observations from volunteers. Methods: A mixed-methods approach was employed including key informant interviews analyzed using thematic analysis. Online surveys with farmers and volunteers gathered descriptive data. Results: Farmers overwhelmingly agreed the program serves a need, saves time planning donations of excess food, and promotes farm to fork. Volunteers tracked the amount of produce distributed and recorded an average of 30 residents served each week. While all residents believed it was important or very important to consume five servings of produce a day, the majority stated that cost and/or distance to the nearest grocery store hindered their access. Residents reported that they or family members consumed all the produce they took from the gleaning program and about 25% shared with neighbors. Most all residents used the recipes and preparation information for the produce served. Conclusion: The triangulated data provides evidence to support farmer’s market gleaning programs as a successful way to increase access to fruits and vegetables in food deserts. RDNs can use this information when developing their own gleaning program as a way to reduce food waste while increasing access to those in need. Funding Disclosure: None
Learning Outcome: Participants will be able to describe the components of the 10-week My Body Knows When intuitive eating weight management program and will be able to define the impact of a 10-week intuitive eating program on changing intuitive eating and motivation for eating behaviors. Weight management and obesity-related healthcare costs are concerns for the U.S. military. A 10-week My Body Knows When (MBKW) intuitive eating program study was conducted to promote improvements in motivation for eating (MFE) and intuitive eating (IE) behaviors. Participants attended 10-weekly 90-minute interactive sessions based upon 10 principles of intuitive eating and motivation for eating concepts. Anthropometric (BMI, body fat, waist circumference) and behavioral data (23-item IE and 43-item MFE scales; 5-pt Likert scale) were collected at baseline and immediately post-intervention. Descriptive, correlation and paired t-test analyses were performed pre to post-test (a¼0.05, 80% power). Fifty-seven adult military service members (20%), retirees (38%) and beneficiaries (42%) were enrolled at two military installations, with 70% being female, mean age of 5113 years, BMI of 34.15.5 kg/m2, and 42.88.0% body fat mass. At 10-weeks, participants (n¼25; 56% attrition) exhibited a significant improvement in BMI (-0.4 kg/m2; p¼0.012), environmental/social eating score (2.7 points; -0.5pts; p<0.001), emotional eating score (2.2 pts; -0.6 pts; p¼0.001), unconditional permission to eat score (3.4 pts; +0.3 pts; p¼0.017), eating for physical rather than emotional eating score (3.7 pts; +1.0 pts; p<0.001), and reliance on hunger and satiety cues (3.6pts; +0.8 pts; p¼0.001). MBKW participants lost weight, reduced external eating behavior influences and improved intuitive eating behaviors, promoting eating for physiological needs while reducing dieting-based food rules. The MBKW program is a promising program for weight gain prevention in a military population. Funding Disclosure: None
September 2016 Suppl 1—Abstracts Volume 116 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-23
Poster Session: Wellness and Public Health Income Status, Nutrient Intake, and Consumption of Food Away From Home among 3-5 Year Old Children in the United States
Interrelationships of Health and Emotional Indicators with Nutritional Risk among Rural Older Adults
Author(s): C. Costin, K. Tall, S. Bolyard, V. Stage; East Carolina University
Author(s): S.E. Jung1, A. Bishop2, M. Kim1, J. Hermann2, G. Kim1,3, J. Lawrence1; The University of Alabama, 2Oklahoma State University, 3Ethnicity and Health 1
Learning Outcome: As a result of this poster, readers will better understand the relationship between income level, nutrient intake, and consumption of food away from home among 3-5year old children in the US. Approximately, 30% of 3-5 year old children in the United States are classified as overweight or obese. While the prevalence of obesity appears to have plateaued, the number of young children who are overweight/obese is still higher than recommended. Further, young children from low-income families are at higher risk for overweight/obesity and related comorbidities. The purpose of this study was to compare the relationship between income levels (low, middle, high) as it related to nutrient intake, and consumption of food away from home for 3-5 year old children in the United States. Data from the 2012 National Health and Nutrition Examination Survey (NHANES) was used for this study. One-Way ANOVAs were used to analyze differences in nutrient intake (kilocalories, protein, carbohydrates, total sugars, dietary fiber, total fat, saturated fat, and cholesterol) and food away from home consumption between income levels. Findings revealed only cholesterol intake was significantly higher [F(2,322),¼4.121, p¼.017] in low-income households compared to high-income households. Additionally, intake of food not consumed at home was shown to be statistically lower [F(2,340),¼4.404, p¼.013] in low-income than in high-income households. Study findings indicated low-income children may be consuming food away from home less frequently, while having higher cholesterol intakes compared to children from high-income households. Further research is needed to explore where low-income families consume the majority of their meals, as well as, the nutritional value of meals consumed away from home. Funding Disclosure: None
Learning Outcome: Participants will be able to identify predictors of depressive affect and the influence of depressive affect on nutritional risk among rural older adults. Background: Rural older adults are frequently reported to have poor nutritional status. Depressive affect has been cited as a leading cause of poor nutritional status. Methods: A total of 171 community-dwelling older adults, 65 years of age and older, residing rural areas in Oklahoma participated in this study. Structure equation modeling was conducted to examine the contributions of health and emotional factors (perceived health status, self-care capacity, and loneliness) to depressive affect and the relationship between depressive affect and nutritional risk. Chi-square statistic, CFI, and SRMR were used to assess model fit. Results Chi-square statistic and model fit indices showed the SEM model adequately fit the data (c2 (3)¼1.83, p¼ 0.61; CFI¼1.0; SRMR¼0.03). Results: showed a significant negative relationship between perceived health status and depressive affect (g¼ -0.27, p< 0.01). A marginally significant negative relationship between self-care capacity and depressive affect was also observed (g¼ -0.14, p¼0.055). On the other hand, a significant positive relationship between loneliness and depressive affect emerged (g¼ 0.40, p< 0.01). Subsequently, a significantly negative relationship was observed between depressive affect and nutritional risk (g¼ -0.32, p<0.01). Conclusion: The results indicated perceived health status, self-care capacity and loneliness were predictors of depressive affect. In addition, depressive affect was associated with nutritional risk among rural older adults. Implications for dietitians are the influence of social and emotional conditions, in addition to physiological health indicators, on nutritional risk among rural older adults. Funding Disclosure: None
Increasing Access to Fresh Produce through a Farmer’s Market Gleaning Program: Perceptions from Farmers, Volunteers and Neighborhood Residents
Intuitive Eating Behaviors Increased While External Eating Influences Decreased in a Military Population Following a 10-Week My Body Knows When Program
Author(s): J. Schumacher, J. Lanier; Illinois State Univeristy
Author(s): R. Cole1, S. Meyer2, T. Newman2, A. Kieffer3, S. Wax4, K. Stote5, H. Madanat6; 1U.S. Army Research Institute of Environmental Medicine, 2 US Army, Madigan Army Medical Center, 3US Army, 4Moncrief Army Community Hospital, 5State Universty of New York, 6Graduate School of Public Health, San Diego State University
Learning Outcome: Participants will be able to describe the perceptions of farmers, volunteers, and neighborhood residents involved with a gleaning program. Background: Each year billions of pounds of food are thrown away in this country, while at the same time millions of Americans are at risk of going hungry. Gleaning, simply the act of collecting and donating excess foods, helps simultaneously address these important issues. This study assessed a farmer’s market gleaning program’s effects on neighborhood residents in a food desert, perceptions from farmers, and observations from volunteers. Methods: A mixed-methods approach was employed including key informant interviews analyzed using thematic analysis. Online surveys with farmers and volunteers gathered descriptive data. Results: Farmers overwhelmingly agreed the program serves a need, saves time planning donations of excess food, and promotes farm to fork. Volunteers tracked the amount of produce distributed and recorded an average of 30 residents served each week. While all residents believed it was important or very important to consume five servings of produce a day, the majority stated that cost and/or distance to the nearest grocery store hindered their access. Residents reported that they or family members consumed all the produce they took from the gleaning program and about 25% shared with neighbors. Most all residents used the recipes and preparation information for the produce served. Conclusion: The triangulated data provides evidence to support farmer’s market gleaning programs as a successful way to increase access to fruits and vegetables in food deserts. RDNs can use this information when developing their own gleaning program as a way to reduce food waste while increasing access to those in need. Funding Disclosure: None
Learning Outcome: Participants will be able to describe the components of the 10-week My Body Knows When intuitive eating weight management program and will be able to define the impact of a 10-week intuitive eating program on changing intuitive eating and motivation for eating behaviors. Weight management and obesity-related healthcare costs are concerns for the U.S. military. A 10-week My Body Knows When (MBKW) intuitive eating program study was conducted to promote improvements in motivation for eating (MFE) and intuitive eating (IE) behaviors. Participants attended 10-weekly 90-minute interactive sessions based upon 10 principles of intuitive eating and motivation for eating concepts. Anthropometric (BMI, body fat, waist circumference) and behavioral data (23-item IE and 43-item MFE scales; 5-pt Likert scale) were collected at baseline and immediately post-intervention. Descriptive, correlation and paired t-test analyses were performed pre to post-test (a¼0.05, 80% power). Fifty-seven adult military service members (20%), retirees (38%) and beneficiaries (42%) were enrolled at two military installations, with 70% being female, mean age of 5113 years, BMI of 34.15.5 kg/m2, and 42.88.0% body fat mass. At 10-weeks, participants (n¼25; 56% attrition) exhibited a significant improvement in BMI (-0.4 kg/m2; p¼0.012), environmental/social eating score (2.7 points; -0.5pts; p<0.001), emotional eating score (2.2 pts; -0.6 pts; p¼0.001), unconditional permission to eat score (3.4 pts; +0.3 pts; p¼0.017), eating for physical rather than emotional eating score (3.7 pts; +1.0 pts; p<0.001), and reliance on hunger and satiety cues (3.6pts; +0.8 pts; p¼0.001). MBKW participants lost weight, reduced external eating behavior influences and improved intuitive eating behaviors, promoting eating for physiological needs while reducing dieting-based food rules. The MBKW program is a promising program for weight gain prevention in a military population. Funding Disclosure: None
September 2016 Suppl 1—Abstracts Volume 116 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-23