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Nutrient Content of Breast Milk from Over and Normal Weight Caucasian Women in Northeast Tennessee
SUNDAY, OCTOBER 16
Poster Session: Wellness and Public Health Multi-level, Multi-component Obesity Intervention Leads to Health Behavior Change in American Indian Communities
Nutrient Content of Breast Milk from Over and Normal Weight Caucasian Women in Northeast Tennessee
Author(s): L. Redmond, M. Pardilla, J. Swartz, T. Eckmann, J. Gittelsohn; Johns Hopkins University Bloomberg School of Public Health
Author(s): M. Kwon1, B. Pond1, E. Cress1, R. Hamdy1, J. Reece2, W.A. Clark1; 1 East Tennessee State University, 2BABE Breastfeeding Coalition
Learning Outcome: Participants will be able component interventions in the prevention of tive work and partnerships with tribes for American Indian communities; understand interventions.
Learning Outcome: To demonstrate the influence of diet on breast milk nutrient composition in women of normal or overweight BMI. With particular emphasis on fatty acid profile of breast milk as compared to maternal dietary fat intake.
to; describe the role of multi-level, multiobesity; explain the importance of formasustainable intervention development in appropriate evaluation tools for MLMC
Background: Obesity is a national problem, especially in American Indians (AI). Multilevel, multi-component (MLMC) interventions are being tested as a strategy for prevention. OPREVENT is a MLMC obesity intervention that aims to improve diet and physical activity habits of adult AI by increasing knowledge, building self-efficacy, and influencing intentions.
Methods: Five AI communities were randomized to intervention (n¼3) or comparison (n¼2). Store, worksite, school, and media components were implemented over one year in intervention communities. Messages targeted modifiable behavioral risk factors for obesity, such as dietary intake and physical activity, and supported environmental changes. Process evaluation data was collected continuously. Individual impact assessment occurred at baseline and follow-up and included instruments to assess diet, physical activity, food shopping, purchasing and cooking behavior, and psychosocial variables.
Results: Participants in intervention communities spent a significantly greater number of days per week engaged in vigorous physical activity at follow-up as compared to comparison communities (p¼0.001). Men in intervention communities showed a trend towards significantly lower BMI (p¼0.076). Further analyses support positive trends (p¼0.10) in improvement in knowledge, self-efficacy, and intentions among intervention participants. Dietary data is underway. Conclusion: MLMC interventions can lead to positive changes in risk factors for obesity. Utilizing this approach in AI communities provides a unique opportunity to establish lasting partnerships with tribes and to make interventions culturally acceptable and appropriate.
Many factors influence the nutrient composition of breast milk (BRM), particularly fatty acid content. Our hypothesis was that women with higher pre-pregnancy BMI’s would produce BRM with more saturated fat, less unsaturated fat, and less omega-3 fatty acids. BRM, between 2 and 14 wks of lactation, was collected from 22 Caucasian women (11 normal weight (NW, BMI 18.5 to 24.9 kg/m2) and 11 overweight (OW, BMI >25.0 kg/m2)). BRM was subjected to proximate analysis and participants completed food frequency questionnaires (FFQ) to estimate fruit, vegetable, and fat intake. BMI differed between NW and OW groups, 22.71 vs 32.2 kg/m2 (p.05) were identified for total calories (5604.3 vs 5523.7 cal/g), % fat (41.36 vs 44.32), or % protein (9.18 vs 8.06) for freeze dried BRM in NW vs OW women. No significant differences (p>.05) were identified for FFQ results for fruit and vegetable servings/day (3.93 vs 5.07), intake of fiber (17.5 vs 19.4 g/day), total fat (106.3 vs 101.3 g/day), saturated fat (28.8 vs 26.9 g/day), cholesterol (268.1 vs 251.8 g/day), vitamin C (140.9 vs 158.4 mg/day), magnesium (350.0 vs 365.3 mg/day), or potassium (3,357 vs 3,653 mg/day) for NW vs OW women. Gas chromatography (GC) of fatty acid methyl esters, generated from freeze dried BRM, are underway and will be reported. Fatty acid profile of BRM as determined by GC will provide data to prove or disprove our hypothesis. Understanding the nutrient composition of BRM from women of differing BMI’s can help to optimize neonate nutrition. Funding Disclosure: Student-Faculty Collaborative Research Grant, ETSU Honors College, supplies and breast pump from Medela
Funding Disclosure: USDA National Institute of Food and Agriculture Grant #201085215-20666
Nudging Pre-school Children’s Fruit and Vegetable Consumption During Afternoon Snack Time Using Older Child Mentors from the Live Y’ers Afterschool Program
Nutrition and Lifestyle Interventions May Help Decrease Morbidity and Mortality in Serious Mental Illness
Author(s): S. Amin1, T. Stickle2, H. Eriksen2, R.K. Johnson2; 1Tufts University, 2The University of Vermont
Author(s): C. Becker1, A. Annunziata2, J. Dwyer3; 1Tufts Medical Center, 2Nutrition Consultant, Private Practice, 3Frances Stern Nutrition Center, Tufts Medical Center
Learning Outcome: The objective of this study was to evaluate a behavioral intervention addressing pre-school aged children’s fruit and vegetable consumption during afternoon snack time using elementary school children (grades 3-5) as “FV Mentors”. FV Mentors were trained to model FV consumption and use positive verbal cues in addition to teacher verbal cues.
Learning Outcome: Participants will be able to: review the efficacy of lifestyle interventions for patients with serious mental illness; suggest ways to better tailor them to meet the special needs of this underserved population; show how dietitians play a vital role in improving nutrition and overall health in this population. Importance: Adults with serious mental illnesses (SMIs) are at increased risk for some
Background: Pre-schools represent an important environment for addressing children’s fruit and vegetable (FV) consumption. The objective of this study was to evaluate a behavioral intervention addressing pre-school aged children’s FV consumption during snack time using elementary school children (grades 3-5) as “FV Mentors”.
Methods: Pre-school aged children from two Northeast YMCA classrooms and older children who participated in the Live Y’ers afterschool program were recruited for the study. FV Mentors were trained to model FV consumption and use positive verbal cues in addition to teacher verbal cues. ANOVA with mixed design was used to assess mean changes in FV consumption across thirty consecutive weekdays for baseline, intervention, and follow-up data collection.
Results: In Classroom-A (n¼15), five children (33%) qualified for WIC. There was a significant main effect of time (study period) on FV consumption [F(2,10)¼7.89, P¼0.009]. At baseline, mean FV consumption was 0.16 cups (95% CI: 0.10-0.22) and increased during intervention (M¼0.26 cups, 95% CI: 0.17-0.36) and follow-up (M¼0.33 cups, 95% CI¼0.280.38). The main effect of time was qualified by a significant interaction with type of FV consumed [F(8,10)¼3.10, P¼0.049]. In Classroom-B (n¼16), there were no children who qualified for WIC and there was not a significant main effect of time on FV consumption [F(2,10)¼1.10, P¼0.372]. Conclusions: FV Mentors were a beneficial addition to the pre-school snack time interpersonal environment and have the potential to positively influence consumption behaviors of children, especially fruits and particularly in classrooms with children from low SES households.
chronic diseases and premature death, which can be mitigated through attention to nutrition and a healthy lifestyle tailored to their specific needs. Dietitians have much to offer in delivering lifestyle interventions, but often lack experience in dealing with SMI patients.
Objective: To review the efficacy of lifestyle interventions for patients with SMI and suggest ways to better tailor them to meet the needs of people with SMIs. Findings: Patients with SMIs would benefit from maintaining a healthy weight, eating healthier, increasing physical activity, moderating alcohol use, stopping smoking, and managing stress. These interventions must be designed with each patient’s illness and capability in mind. If patients limit their food intake and become more physically active, and if medications can be switched to those likely to cause little or no weight gain, weight loss is possible. Key elements in successful lifestyle interventions for those with SMI include realistic goals, the use of multiple components, individualization, longer duration, higher intensity physical activity, the use of multidisciplinary treatment teams, training of intervention program leaders, and face-to-face interventions.
Conclusions and Relevance: Many of the multiple health problems of patients with SMIs can be mitigated through individually tailored nutrition and lifestyle interventions while keeping the patient’s illness controlled. Caring for people with SMIs requires a team approach and dietitians have much to contribute to such efforts. Funding should be made available to put such programs into action.
Funding Disclosure: None
Funding Disclosure: Funding for the research was provided by the U.S. Department of Agriculture (USDA)/Vermont Agricultural Experiment Station and the University of Vermont Bickford Scholar Research Fund
September 2016 Suppl 1—Abstracts Volume 116 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-25
Poster Session: Wellness and Public Health Multi-level, Multi-component Obesity Intervention Leads to Health Behavior Change in American Indian Communities
Nutrient Content of Breast Milk from Over and Normal Weight Caucasian Women in Northeast Tennessee
Author(s): L. Redmond, M. Pardilla, J. Swartz, T. Eckmann, J. Gittelsohn; Johns Hopkins University Bloomberg School of Public Health
Author(s): M. Kwon1, B. Pond1, E. Cress1, R. Hamdy1, J. Reece2, W.A. Clark1; 1 East Tennessee State University, 2BABE Breastfeeding Coalition
Learning Outcome: Participants will be able component interventions in the prevention of tive work and partnerships with tribes for American Indian communities; understand interventions.
Learning Outcome: To demonstrate the influence of diet on breast milk nutrient composition in women of normal or overweight BMI. With particular emphasis on fatty acid profile of breast milk as compared to maternal dietary fat intake.
to; describe the role of multi-level, multiobesity; explain the importance of formasustainable intervention development in appropriate evaluation tools for MLMC
Background: Obesity is a national problem, especially in American Indians (AI). Multilevel, multi-component (MLMC) interventions are being tested as a strategy for prevention. OPREVENT is a MLMC obesity intervention that aims to improve diet and physical activity habits of adult AI by increasing knowledge, building self-efficacy, and influencing intentions.
Methods: Five AI communities were randomized to intervention (n¼3) or comparison (n¼2). Store, worksite, school, and media components were implemented over one year in intervention communities. Messages targeted modifiable behavioral risk factors for obesity, such as dietary intake and physical activity, and supported environmental changes. Process evaluation data was collected continuously. Individual impact assessment occurred at baseline and follow-up and included instruments to assess diet, physical activity, food shopping, purchasing and cooking behavior, and psychosocial variables.
Results: Participants in intervention communities spent a significantly greater number of days per week engaged in vigorous physical activity at follow-up as compared to comparison communities (p¼0.001). Men in intervention communities showed a trend towards significantly lower BMI (p¼0.076). Further analyses support positive trends (p¼0.10) in improvement in knowledge, self-efficacy, and intentions among intervention participants. Dietary data is underway. Conclusion: MLMC interventions can lead to positive changes in risk factors for obesity. Utilizing this approach in AI communities provides a unique opportunity to establish lasting partnerships with tribes and to make interventions culturally acceptable and appropriate.
Many factors influence the nutrient composition of breast milk (BRM), particularly fatty acid content. Our hypothesis was that women with higher pre-pregnancy BMI’s would produce BRM with more saturated fat, less unsaturated fat, and less omega-3 fatty acids. BRM, between 2 and 14 wks of lactation, was collected from 22 Caucasian women (11 normal weight (NW, BMI 18.5 to 24.9 kg/m2) and 11 overweight (OW, BMI >25.0 kg/m2)). BRM was subjected to proximate analysis and participants completed food frequency questionnaires (FFQ) to estimate fruit, vegetable, and fat intake. BMI differed between NW and OW groups, 22.71 vs 32.2 kg/m2 (p.05) were identified for total calories (5604.3 vs 5523.7 cal/g), % fat (41.36 vs 44.32), or % protein (9.18 vs 8.06) for freeze dried BRM in NW vs OW women. No significant differences (p>.05) were identified for FFQ results for fruit and vegetable servings/day (3.93 vs 5.07), intake of fiber (17.5 vs 19.4 g/day), total fat (106.3 vs 101.3 g/day), saturated fat (28.8 vs 26.9 g/day), cholesterol (268.1 vs 251.8 g/day), vitamin C (140.9 vs 158.4 mg/day), magnesium (350.0 vs 365.3 mg/day), or potassium (3,357 vs 3,653 mg/day) for NW vs OW women. Gas chromatography (GC) of fatty acid methyl esters, generated from freeze dried BRM, are underway and will be reported. Fatty acid profile of BRM as determined by GC will provide data to prove or disprove our hypothesis. Understanding the nutrient composition of BRM from women of differing BMI’s can help to optimize neonate nutrition. Funding Disclosure: Student-Faculty Collaborative Research Grant, ETSU Honors College, supplies and breast pump from Medela
Funding Disclosure: USDA National Institute of Food and Agriculture Grant #201085215-20666
Nudging Pre-school Children’s Fruit and Vegetable Consumption During Afternoon Snack Time Using Older Child Mentors from the Live Y’ers Afterschool Program
Nutrition and Lifestyle Interventions May Help Decrease Morbidity and Mortality in Serious Mental Illness
Author(s): S. Amin1, T. Stickle2, H. Eriksen2, R.K. Johnson2; 1Tufts University, 2The University of Vermont
Author(s): C. Becker1, A. Annunziata2, J. Dwyer3; 1Tufts Medical Center, 2Nutrition Consultant, Private Practice, 3Frances Stern Nutrition Center, Tufts Medical Center
Learning Outcome: The objective of this study was to evaluate a behavioral intervention addressing pre-school aged children’s fruit and vegetable consumption during afternoon snack time using elementary school children (grades 3-5) as “FV Mentors”. FV Mentors were trained to model FV consumption and use positive verbal cues in addition to teacher verbal cues.
Learning Outcome: Participants will be able to: review the efficacy of lifestyle interventions for patients with serious mental illness; suggest ways to better tailor them to meet the special needs of this underserved population; show how dietitians play a vital role in improving nutrition and overall health in this population. Importance: Adults with serious mental illnesses (SMIs) are at increased risk for some
Background: Pre-schools represent an important environment for addressing children’s fruit and vegetable (FV) consumption. The objective of this study was to evaluate a behavioral intervention addressing pre-school aged children’s FV consumption during snack time using elementary school children (grades 3-5) as “FV Mentors”.
Methods: Pre-school aged children from two Northeast YMCA classrooms and older children who participated in the Live Y’ers afterschool program were recruited for the study. FV Mentors were trained to model FV consumption and use positive verbal cues in addition to teacher verbal cues. ANOVA with mixed design was used to assess mean changes in FV consumption across thirty consecutive weekdays for baseline, intervention, and follow-up data collection.
Results: In Classroom-A (n¼15), five children (33%) qualified for WIC. There was a significant main effect of time (study period) on FV consumption [F(2,10)¼7.89, P¼0.009]. At baseline, mean FV consumption was 0.16 cups (95% CI: 0.10-0.22) and increased during intervention (M¼0.26 cups, 95% CI: 0.17-0.36) and follow-up (M¼0.33 cups, 95% CI¼0.280.38). The main effect of time was qualified by a significant interaction with type of FV consumed [F(8,10)¼3.10, P¼0.049]. In Classroom-B (n¼16), there were no children who qualified for WIC and there was not a significant main effect of time on FV consumption [F(2,10)¼1.10, P¼0.372]. Conclusions: FV Mentors were a beneficial addition to the pre-school snack time interpersonal environment and have the potential to positively influence consumption behaviors of children, especially fruits and particularly in classrooms with children from low SES households.
chronic diseases and premature death, which can be mitigated through attention to nutrition and a healthy lifestyle tailored to their specific needs. Dietitians have much to offer in delivering lifestyle interventions, but often lack experience in dealing with SMI patients.
Objective: To review the efficacy of lifestyle interventions for patients with SMI and suggest ways to better tailor them to meet the needs of people with SMIs. Findings: Patients with SMIs would benefit from maintaining a healthy weight, eating healthier, increasing physical activity, moderating alcohol use, stopping smoking, and managing stress. These interventions must be designed with each patient’s illness and capability in mind. If patients limit their food intake and become more physically active, and if medications can be switched to those likely to cause little or no weight gain, weight loss is possible. Key elements in successful lifestyle interventions for those with SMI include realistic goals, the use of multiple components, individualization, longer duration, higher intensity physical activity, the use of multidisciplinary treatment teams, training of intervention program leaders, and face-to-face interventions.
Conclusions and Relevance: Many of the multiple health problems of patients with SMIs can be mitigated through individually tailored nutrition and lifestyle interventions while keeping the patient’s illness controlled. Caring for people with SMIs requires a team approach and dietitians have much to contribute to such efforts. Funding should be made available to put such programs into action.
Funding Disclosure: None
Funding Disclosure: Funding for the research was provided by the U.S. Department of Agriculture (USDA)/Vermont Agricultural Experiment Station and the University of Vermont Bickford Scholar Research Fund
September 2016 Suppl 1—Abstracts Volume 116 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-25