- Email: [email protected]
P128 Diet Quality, Food Access, Obesity and Hypertension Risk in Rural Nicaragua
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Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P127 (continued) advertisements. During the cross-sectional study, participating students completed questionnaires and anthropometric data was collected by trained researchers. Measurable Outcome/Analysis: Questionnaires assessed FI, perceived stress, diet quality, perceived health, grade point average (GPA), and financial anxiety. Anthropometric data was used to calculate Body Mass Index (BMI). Differences between secure and insecure students were assessed with student’s t-tests. Results: Among the preliminary sample of n = 74 participants, students were on average 20.2 years old (§ 1.4), predominantly male (55%), and 48.7% experienced FI. Food insecure students reported significantly greater perceived personal stress (P = .011), higher financial anxiety (P < .001), and poorer diet quality (P = .032). However, there was no significant difference between secure and insecure students related to their BMI, achieved GPA, and self-rated health. Conclusion: These preliminary findings suggest that students experiencing FI consume poorer quality diets and experience greater stress and financial anxiety when compared with secure students. These results are consistent with some of the previous findings when researchers have used the 10-item FSSM without the screening items. Further research that uses this FI assessment protocol with a larger sample of students from a variety of institutions is warranted. Funding: None.
P128 Diet Quality, Food Access, Obesity and Hypertension Risk in Rural Nicaragua Kaila Bonavire, East Carolina University; Ginger Williams, PhD, Winthrop University; Lauren Sastre, PhD, LDN, RDN, [email protected], East Carolina University, 2435 F Health Sciences Bldg, Mail Stop 668, Greenville, NC 27834 Background: Obesity rates are rising in Nicaragua, however, there is limited research on food related behavioral and environmental risk factors as well as associated health risks. Objective: Examine dietary patterns and quality, food access, obesity and related chronic disease risk (e.g. blood pressure) in rural Nicaragua. Study Design, Settings, and Participants: Cross-sectional survey (translated into Spanish), anthropometric (height, weight) and blood pressure measures were obtained with adult participants >18 years. Trained interpreters assisted with consent and data collection. Data were collected during free health clinics in two rural mountainous regions in March 2018. Measurable Outcome/Analysis: Patterns of food consumption (qualitative FFQ), food access (Household Food Insecurity Access Scale [HFIAS]), Body Mass Index (BMI), blood pressure and sociodemographic variables. Analysis were performed with SPSS 25.0 and included descriptive and bivariate analysis. Results: Participants (n = 123, 85% female) had a mean age of 32.2 § 15.7 years and included residents from La
Rocha, La Tierra Blanca (48.8%) or La Hermidad (51.2%) with a mean household size of 4.9 § 1.8. Foods most commonly consumed daily included: beans (88%), corn tortillas (84%), rice (80%). Produce mostly commonly consumed daily included: onions (67%), tomatoes (54%) and bananas (35%). 45% percent were identified as overweight and 17.4% as obese with a mean BMI of 26.2 kg/m2 § 3.9. 63% of the participants blood pressure were above normal and 36.7% within normal ranges. Mean HFIAS food access scores were 9.2 § 6.3 (range 0-27). Food access was marginally associated with blood pressure (P = .077) and location (P = .060) but not weight status (P = .97). Conclusion: Participants from rural Nicaragua reported limited daily dietary variety, high consumption of starchy foods, low consumption of fruits and vegetables and were found to be at risk for overweight, obesity and elevated blood pressure. Funding: None.
P129 How Teachers’ Childhood School Lunch Experiences Impact Their Views and Actions Related to School Lunch with Their Students Deborah A. Olarte, MS, RD, [email protected], Teachers College, Columbia University, 525 W 120th St, Box 137, New York, NY 10033; Pamela Koch, EdD, RD, Teachers College, Columbia University; Randi Wolf, PhD, MPH, Teachers College, Columbia University; Isobel Contento, PhD, CDN, Teachers College, Columbia University Background: Students who regularly consume school meals have a higher diet quality than students who do not. K-12 teachers are uniquely poised to promote and advocate for school lunch, but little is known about teachers’ personal school lunch experiences, and how those experiences impact their current students. Objective: This study explored teachers’ childhood perceptions and experiences with school lunch and how those experiences relate to their current involvement with their students’ participation in school lunch. Study Design, Settings, Participants: This was a cross-sectional qualitative study of a unique, interactive, two-hour theatrical workshop in the Smith Learning Theatre at Teachers College, Columbia University in New York City. The theater was configured to simulate a school environment for a series of performance activities and discussion among ten K-12 teachers. Measurable Outcome/Analysis: Teachers pictorially represented and discussed their school lunch experiences and memories. Observations, memos, audio and video data were thematically analyzed with inductive and deductive processes. Results: All teachers experienced eating school lunch at one time or another in their lives. Overall, their experiences focused on the social aspect of lunch, rather than the food. The lunch period was viewed as a means to interact with classmates and a springboard to recess. None of the teachers remembered interacting with their own teachers during lunch. In their professional lives, teachers value Continued on page S91
Poster Abstracts
Journal of Nutrition Education and Behavior Volume 51, Number 7S, 2019
P127 (continued) advertisements. During the cross-sectional study, participating students completed questionnaires and anthropometric data was collected by trained researchers. Measurable Outcome/Analysis: Questionnaires assessed FI, perceived stress, diet quality, perceived health, grade point average (GPA), and financial anxiety. Anthropometric data was used to calculate Body Mass Index (BMI). Differences between secure and insecure students were assessed with student’s t-tests. Results: Among the preliminary sample of n = 74 participants, students were on average 20.2 years old (§ 1.4), predominantly male (55%), and 48.7% experienced FI. Food insecure students reported significantly greater perceived personal stress (P = .011), higher financial anxiety (P < .001), and poorer diet quality (P = .032). However, there was no significant difference between secure and insecure students related to their BMI, achieved GPA, and self-rated health. Conclusion: These preliminary findings suggest that students experiencing FI consume poorer quality diets and experience greater stress and financial anxiety when compared with secure students. These results are consistent with some of the previous findings when researchers have used the 10-item FSSM without the screening items. Further research that uses this FI assessment protocol with a larger sample of students from a variety of institutions is warranted. Funding: None.
P128 Diet Quality, Food Access, Obesity and Hypertension Risk in Rural Nicaragua Kaila Bonavire, East Carolina University; Ginger Williams, PhD, Winthrop University; Lauren Sastre, PhD, LDN, RDN, [email protected], East Carolina University, 2435 F Health Sciences Bldg, Mail Stop 668, Greenville, NC 27834 Background: Obesity rates are rising in Nicaragua, however, there is limited research on food related behavioral and environmental risk factors as well as associated health risks. Objective: Examine dietary patterns and quality, food access, obesity and related chronic disease risk (e.g. blood pressure) in rural Nicaragua. Study Design, Settings, and Participants: Cross-sectional survey (translated into Spanish), anthropometric (height, weight) and blood pressure measures were obtained with adult participants >18 years. Trained interpreters assisted with consent and data collection. Data were collected during free health clinics in two rural mountainous regions in March 2018. Measurable Outcome/Analysis: Patterns of food consumption (qualitative FFQ), food access (Household Food Insecurity Access Scale [HFIAS]), Body Mass Index (BMI), blood pressure and sociodemographic variables. Analysis were performed with SPSS 25.0 and included descriptive and bivariate analysis. Results: Participants (n = 123, 85% female) had a mean age of 32.2 § 15.7 years and included residents from La
Rocha, La Tierra Blanca (48.8%) or La Hermidad (51.2%) with a mean household size of 4.9 § 1.8. Foods most commonly consumed daily included: beans (88%), corn tortillas (84%), rice (80%). Produce mostly commonly consumed daily included: onions (67%), tomatoes (54%) and bananas (35%). 45% percent were identified as overweight and 17.4% as obese with a mean BMI of 26.2 kg/m2 § 3.9. 63% of the participants blood pressure were above normal and 36.7% within normal ranges. Mean HFIAS food access scores were 9.2 § 6.3 (range 0-27). Food access was marginally associated with blood pressure (P = .077) and location (P = .060) but not weight status (P = .97). Conclusion: Participants from rural Nicaragua reported limited daily dietary variety, high consumption of starchy foods, low consumption of fruits and vegetables and were found to be at risk for overweight, obesity and elevated blood pressure. Funding: None.
P129 How Teachers’ Childhood School Lunch Experiences Impact Their Views and Actions Related to School Lunch with Their Students Deborah A. Olarte, MS, RD, [email protected], Teachers College, Columbia University, 525 W 120th St, Box 137, New York, NY 10033; Pamela Koch, EdD, RD, Teachers College, Columbia University; Randi Wolf, PhD, MPH, Teachers College, Columbia University; Isobel Contento, PhD, CDN, Teachers College, Columbia University Background: Students who regularly consume school meals have a higher diet quality than students who do not. K-12 teachers are uniquely poised to promote and advocate for school lunch, but little is known about teachers’ personal school lunch experiences, and how those experiences impact their current students. Objective: This study explored teachers’ childhood perceptions and experiences with school lunch and how those experiences relate to their current involvement with their students’ participation in school lunch. Study Design, Settings, Participants: This was a cross-sectional qualitative study of a unique, interactive, two-hour theatrical workshop in the Smith Learning Theatre at Teachers College, Columbia University in New York City. The theater was configured to simulate a school environment for a series of performance activities and discussion among ten K-12 teachers. Measurable Outcome/Analysis: Teachers pictorially represented and discussed their school lunch experiences and memories. Observations, memos, audio and video data were thematically analyzed with inductive and deductive processes. Results: All teachers experienced eating school lunch at one time or another in their lives. Overall, their experiences focused on the social aspect of lunch, rather than the food. The lunch period was viewed as a means to interact with classmates and a springboard to recess. None of the teachers remembered interacting with their own teachers during lunch. In their professional lives, teachers value Continued on page S91