- Email: [email protected]
Physical Activity and Weight Loss Maintenance: Practice and Perceptions
TUESDAY, OCTOBER 18
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Perceptions of Binge Eating Disorder: Differences between the Genders Author(s): V. Suha, A. Landry; University of Central Arkansas Learning Outcome: To determine differences in how each gender perceives persons with binge eating disorder, how these perceptions change depending on the gender of the person with binge eating disorder, and how these differences in perception affect accurate recognition of binge eating disorder, treatment seeking, and treatment sources. Background: In the US, men generally perceive, recognize symptoms of, attribute causality in, and view treatment methods for those with binge eating disorder (BED) differently than women. Recent findings suggest gender of the individual with BED affects these perceptions. Methods: A convenience sample was recruited via physical flyers and emails. The online survey gathered demographic information and current height and weight. One of two possible short vignettes were displayed to the participant. The first vignette depicted a female in her late- 20’s, of obese status, and described her problems with food, uncontrollable intake, guilt and shame involved with overeating, and other signs of BED. It was not specifically mentioned that she has BED, but rather focused on her behavior and symptoms. The second vignette was identical to the first, except the individual was male. After reading the vignettes, participants were asked to answer questions regarding the individual described with BED. A total of 613 participants (128 men and 485 women) responded. Chi-square was used to analyze data. Results: Highlights include: male participants were 52.5% more likely to view the female subject’s main problem as psychological (other than an eating disorder), but 13.1% less likely to say the same about the male subject; male participants were also found to be over twice as likely to view the male’s main problem as diet- or weight-related than the female subject’s main problem (10.9% vs. 5.2%). Conclusion: Further research is needed to determine stronger connections between genders and their perceptions of BED and whether these connections can be quantified.
Perceptions of Team Performance and Professional Stereotypes in Interprofessional Education among Nutrition Students, Medical Students, and Medical Residents Author(s): J. Lawrence1, L. Knol1, J.B. Clem2, M.T. Tucker2, C.S. Henson2, J. Higginbotham3, R. Streiffer4; 1The University of Alabama, 2Department of Family Medicine; University Medical Center, 3Department of Community & Rural Medicine; College of Community Health Sciences, 4University of Alabama School of Medicine; Tuscaloosa Regional Campus
Learning Outcome: The participant will be able to identify perceptions of team performance and professional stereotypes by nutrition and medical students and residents working in a team-based training environment.
Background: Interprofessional (IP) education has been mandated by health education accrediting agencies as a method to improve patient-related healthcare outcomes. This study examined perceptions of team performance and professional stereotypes in an IP group of healthcare students. Methods: Nutrition students, medical students, and residents (n¼24) randomized to IP culinary medicine teams completed surveys following initial team training. A team performance scale (TPS) was used to evaluate team interactions and a professional stereotype evaluation (PSE) was used to assess impressions of other professions. Likert scales were used (TPS 0-6, PSE 1-5) with a higher score indicating better performance/impression.
Results: Lowest TPS scores were reported for open communication (total mean¼4.8); perceived participation was scored highest (mean¼5.7). In PSE, nutrition students ranked themselves lowest on leadership (mean¼3.6) and highest on independence (mean¼4.6) while medical students/residents ranked themselves lowest on confidence (mean¼3.3) and highest on team involvement (mean¼4.3.) PSE scores of “physicians overall” were highest on independence (5.0, nutrition) and decision-making (4.6, medical); “Dietitians overall” scored highest on team involvement and interpersonal skills (4.5 and 4.8, nutrition and medical.) Each group ranked perceptions of the abilities of their own profession lower than they ranked the other healthcare profession. Conclusion: Healthcare students may have concerns with their ability to speak freely in the IP team but are supportive of the participation efforts of their peers. IP training should include methods to enhance team communication skills. Funding Disclosure: None
Funding Disclosure: None Perceptions of Healthful Eating Cues Impact Fruit and Vegetable Intake in College Students Author(s): G. Greene, J. White; University of Rhode Island Learning Outcome: Learners will be able to describe the association between perceptions of healthy cues and dietary behavior in the collect environment. Objective: The purpose of this study was to determine if perceived healthy cues occurring on a college campus influenced fruit and vegetable intake in young adults. Methods: A cross-sectional survey of young adults attending a Northeastern university a 28-item questionnaire to measure students perceptions about the healthfulness of their college environment with 5-point, anchored, response categories ranging from strongly agree to strongly disagree. The survey also included the NCI Fruit and Vegetable Screener. Analyses: One-way analyses of variance were conducted with post-hoc Tukey tests. Results: A total of 758 students completed the survey; mean age was 19.8, BMI was 23.3, 65.9% were female and 86.4% identified race as “White”. Perception of cues to encourage healthful eating behavior had a significant effect on cups/day of fruits and vegetables F(4,722)¼3.81, p¼.005. Students who strongly agreed (n¼27) that their campus encouraged students to eat healthy ate significantly more cups/day of fruits and vegetables (M¼5.17, SD¼4.04) than those who disagreed (M¼3.18, SD¼2.75). Furthermore, there was a significant effect of perceived signage on vending machines indicating which foods are healthy on fruit and vegetable intake F(4.651)¼3.21, p¼.013. Students who strongly agreed (n¼22) that there were signs present ate significantly more cups/day of fruits and vegetables (M¼4.98, SD¼4.47) than those who disagreed (M¼3.09, SD¼2.72). Conclusion and Implications: This study found that the perception of healthful cues on campus are associated with improved dietary behavior in college students. Funding Disclosure: None
September 2016 Suppl 1—Abstracts Volume 116 Number 9
Physical Activity and Weight Loss Maintenance: Practice and Perceptions Author(s): M. Kruseman, I. Carrard; School of Health Sciences, Geneva, HES-SO University of Applied Sciences and Arts Western Switzerland Learning Outcome: Participants will be aware of the perceived cost of physical activity among weight loss maintainers and of the need to offer long term support. Background: Physical activity (PA) has been identified as a key strategy among successful weight loss maintainers (WLM). However, type and duration of PA have rarely been documented. Our goal was to describe PA among WLM compared to a control group (C), as well as their perceptions about their practice of PA for weight maintenance. Methods: This cross-sectional study relied on GPAC questionnaire to assess PA levels and on one-on-one audio-recorded interviews in 15 WLM (initial BMI>25, 10% weight loss maintained for 1 year) and 17 persons (C) with lifetime normal stable weight (5 kg). Differences were assessed with Student’s t-tests (SPSS software). Descriptive coding of the transcripts was performed prior to qualitative analysis (MaxQDA software). Results: Sample consisted of 19 women and 13 men, mean (SD) age 39 (9). Weight loss of WLM was 26 (12) kg, maintained for 3.5 (3.3) years. More WLM than C reported high levels of PA (53.3% vs 23.5%) but the difference in duration was not statistically significant (9667 vs 6642 min/day). Qualitative analysis showed that WLM had the impression of practicing a lot of PA, which represented a big change in their life. They privileged structured activities and had to make conscious efforts to keep at it. In comparison, C did not consider themselves as particularly physically active, but enjoyed various sports and preferred walking or cycling than using motorized transportation. Conclusion: PA had become part of WLM’s lives, but represented a big effort compared to normal stable weight controls who practiced PA more spontaneously. Long term support in this area might be important to contribute to weight loss maintenance. Funding Disclosure: Internal research Grant, University of applied sciences HES-SO, Switzerland
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-89
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Perceptions of Binge Eating Disorder: Differences between the Genders Author(s): V. Suha, A. Landry; University of Central Arkansas Learning Outcome: To determine differences in how each gender perceives persons with binge eating disorder, how these perceptions change depending on the gender of the person with binge eating disorder, and how these differences in perception affect accurate recognition of binge eating disorder, treatment seeking, and treatment sources. Background: In the US, men generally perceive, recognize symptoms of, attribute causality in, and view treatment methods for those with binge eating disorder (BED) differently than women. Recent findings suggest gender of the individual with BED affects these perceptions. Methods: A convenience sample was recruited via physical flyers and emails. The online survey gathered demographic information and current height and weight. One of two possible short vignettes were displayed to the participant. The first vignette depicted a female in her late- 20’s, of obese status, and described her problems with food, uncontrollable intake, guilt and shame involved with overeating, and other signs of BED. It was not specifically mentioned that she has BED, but rather focused on her behavior and symptoms. The second vignette was identical to the first, except the individual was male. After reading the vignettes, participants were asked to answer questions regarding the individual described with BED. A total of 613 participants (128 men and 485 women) responded. Chi-square was used to analyze data. Results: Highlights include: male participants were 52.5% more likely to view the female subject’s main problem as psychological (other than an eating disorder), but 13.1% less likely to say the same about the male subject; male participants were also found to be over twice as likely to view the male’s main problem as diet- or weight-related than the female subject’s main problem (10.9% vs. 5.2%). Conclusion: Further research is needed to determine stronger connections between genders and their perceptions of BED and whether these connections can be quantified.
Perceptions of Team Performance and Professional Stereotypes in Interprofessional Education among Nutrition Students, Medical Students, and Medical Residents Author(s): J. Lawrence1, L. Knol1, J.B. Clem2, M.T. Tucker2, C.S. Henson2, J. Higginbotham3, R. Streiffer4; 1The University of Alabama, 2Department of Family Medicine; University Medical Center, 3Department of Community & Rural Medicine; College of Community Health Sciences, 4University of Alabama School of Medicine; Tuscaloosa Regional Campus
Learning Outcome: The participant will be able to identify perceptions of team performance and professional stereotypes by nutrition and medical students and residents working in a team-based training environment.
Background: Interprofessional (IP) education has been mandated by health education accrediting agencies as a method to improve patient-related healthcare outcomes. This study examined perceptions of team performance and professional stereotypes in an IP group of healthcare students. Methods: Nutrition students, medical students, and residents (n¼24) randomized to IP culinary medicine teams completed surveys following initial team training. A team performance scale (TPS) was used to evaluate team interactions and a professional stereotype evaluation (PSE) was used to assess impressions of other professions. Likert scales were used (TPS 0-6, PSE 1-5) with a higher score indicating better performance/impression.
Results: Lowest TPS scores were reported for open communication (total mean¼4.8); perceived participation was scored highest (mean¼5.7). In PSE, nutrition students ranked themselves lowest on leadership (mean¼3.6) and highest on independence (mean¼4.6) while medical students/residents ranked themselves lowest on confidence (mean¼3.3) and highest on team involvement (mean¼4.3.) PSE scores of “physicians overall” were highest on independence (5.0, nutrition) and decision-making (4.6, medical); “Dietitians overall” scored highest on team involvement and interpersonal skills (4.5 and 4.8, nutrition and medical.) Each group ranked perceptions of the abilities of their own profession lower than they ranked the other healthcare profession. Conclusion: Healthcare students may have concerns with their ability to speak freely in the IP team but are supportive of the participation efforts of their peers. IP training should include methods to enhance team communication skills. Funding Disclosure: None
Funding Disclosure: None Perceptions of Healthful Eating Cues Impact Fruit and Vegetable Intake in College Students Author(s): G. Greene, J. White; University of Rhode Island Learning Outcome: Learners will be able to describe the association between perceptions of healthy cues and dietary behavior in the collect environment. Objective: The purpose of this study was to determine if perceived healthy cues occurring on a college campus influenced fruit and vegetable intake in young adults. Methods: A cross-sectional survey of young adults attending a Northeastern university a 28-item questionnaire to measure students perceptions about the healthfulness of their college environment with 5-point, anchored, response categories ranging from strongly agree to strongly disagree. The survey also included the NCI Fruit and Vegetable Screener. Analyses: One-way analyses of variance were conducted with post-hoc Tukey tests. Results: A total of 758 students completed the survey; mean age was 19.8, BMI was 23.3, 65.9% were female and 86.4% identified race as “White”. Perception of cues to encourage healthful eating behavior had a significant effect on cups/day of fruits and vegetables F(4,722)¼3.81, p¼.005. Students who strongly agreed (n¼27) that their campus encouraged students to eat healthy ate significantly more cups/day of fruits and vegetables (M¼5.17, SD¼4.04) than those who disagreed (M¼3.18, SD¼2.75). Furthermore, there was a significant effect of perceived signage on vending machines indicating which foods are healthy on fruit and vegetable intake F(4.651)¼3.21, p¼.013. Students who strongly agreed (n¼22) that there were signs present ate significantly more cups/day of fruits and vegetables (M¼4.98, SD¼4.47) than those who disagreed (M¼3.09, SD¼2.72). Conclusion and Implications: This study found that the perception of healthful cues on campus are associated with improved dietary behavior in college students. Funding Disclosure: None
September 2016 Suppl 1—Abstracts Volume 116 Number 9
Physical Activity and Weight Loss Maintenance: Practice and Perceptions Author(s): M. Kruseman, I. Carrard; School of Health Sciences, Geneva, HES-SO University of Applied Sciences and Arts Western Switzerland Learning Outcome: Participants will be aware of the perceived cost of physical activity among weight loss maintainers and of the need to offer long term support. Background: Physical activity (PA) has been identified as a key strategy among successful weight loss maintainers (WLM). However, type and duration of PA have rarely been documented. Our goal was to describe PA among WLM compared to a control group (C), as well as their perceptions about their practice of PA for weight maintenance. Methods: This cross-sectional study relied on GPAC questionnaire to assess PA levels and on one-on-one audio-recorded interviews in 15 WLM (initial BMI>25, 10% weight loss maintained for 1 year) and 17 persons (C) with lifetime normal stable weight (5 kg). Differences were assessed with Student’s t-tests (SPSS software). Descriptive coding of the transcripts was performed prior to qualitative analysis (MaxQDA software). Results: Sample consisted of 19 women and 13 men, mean (SD) age 39 (9). Weight loss of WLM was 26 (12) kg, maintained for 3.5 (3.3) years. More WLM than C reported high levels of PA (53.3% vs 23.5%) but the difference in duration was not statistically significant (9667 vs 6642 min/day). Qualitative analysis showed that WLM had the impression of practicing a lot of PA, which represented a big change in their life. They privileged structured activities and had to make conscious efforts to keep at it. In comparison, C did not consider themselves as particularly physically active, but enjoyed various sports and preferred walking or cycling than using motorized transportation. Conclusion: PA had become part of WLM’s lives, but represented a big effort compared to normal stable weight controls who practiced PA more spontaneously. Long term support in this area might be important to contribute to weight loss maintenance. Funding Disclosure: Internal research Grant, University of applied sciences HES-SO, Switzerland
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-89