- Email: [email protected]
SRA Winner-Assessing the Monthly Food Abundance-Shortage Cycle in Food Insecure Overweight Women
S4 Oral Abstracts
Journal of Nutrition Education and Behavior Volume 41, Number 4S, 2009
O8 (continued) training and work experience. Six categories of change emerged from the data, including 1) development of new skills; 2) heightened community status; 3) changes in family and community relationships; 4) change in viewing others; 5) increased caring for others; and, 6) increase in positive self esteem. The second conclusion was that there were factors which caused change to occur including 1) being indigenous to the communities where they work; 2) personal identification with program work; 3) on-going training; 4) support they receive; and, 5) work experiences. Conclusions and Implications: Data indicated implications for both theory and practice. Theorical implications relate to formation of identity, social change, and transformative learning. Practice-based implications focus on hiring, training, and support of paraprofessionals.
O9 SRA Winner-Assessing the Monthly Food Abundance-Shortage Cycle in Food Insecure Overweight Women Hugo Melgar-Quinonez, MD, PhD, hmelgar-quinonez@ehe. osu.edu, Ohio State University Extension; Qian Ye, PhD, [email protected]; Ana Claudia Zubieta, PhD, azubieta@ehe. osu.edu, Ohio State University Extension; Dan Remley, MSPH, PhD, [email protected], OH State University Extension, 1810 Princeton Road, Hamilton, OH 45011; Cindy Long, [email protected], Ohio State University Extension; Deb Angell, angell.20@ osu.edu, Ohio State University Extension; Sheryl D. Mims, [email protected], Ohio State University Extension, Department of Human Nutrition, Ohio State University, 325 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210 Objective: This study aims to assess a hypothesized monthly cycle of food abundance-shortage among food insecure overweight/obese women as a possible explanation to the relationship between food insecurity and overweight/obesity. Design, Setting and Participants: Twenty-two women participating in the Ohio Family Nutrition Program (77% overweight/obese) were interviewed at the beginning and the end of the month (week1, week4). Outcome, Measures and Analysis: Overweight and obesity were determined by a Body Mass Index $ 25. A shelf-food inventory was used to determine household food availability, and dietary intake was measured by 24hour dietary recalls. Food insecurity (91%) was measured by the USDA Household Food Security Supplemental Module. Differences in the number of shelf-food items and energy/nutrient intake between week1 and week4 were determined through paired t-tests. Results: Among food insecure overweight/obese women (n¼16), the number of shelf-food items (week1: 87.3, week4: 63.2, p¼0.003) and caloric intake (week1: 2157.2 kcal, week4: 1665.9 kcal, p¼0.04) decreased significantly when comparing measures at week1 and week4. Signifi-
cant drops were observed in food availability for all food groups (p # 0.05). A significant decrease in fat intake was also observed (p¼0.02). Conclusions and Implications: These findings suggest the existence of a monthly cycle of food abundance-shortage among food insecure overweight/obese women, who might be experiencing a caloric overconsumption on week1, when food is more abundant, as a response to the food shortage on week4. Nutrition education programs are needed on how to better distribute the available resources throughout the month to avoid such variations. This project was funded by Ohio Agricultural Research and Development Center (Grant # OHOA1277).
O10 Diet Quality of Americans by SNAP (Food Stamp) Participation Status Jenny Laster Genser, [email protected], USDA Food and Nutrition Service, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302; Nancy Cole, PhD, [email protected], Abt Associates, 55 Wheeler Street, Cambridge, MA 02138; Mary Kay Fox, mkfox@ mathematica-mpr.com, Mathematica Policy Research, Incorporated, 955 Massachusetts Avenue, Suite 801, Cambridge, MA 02139 Objective: The purpose of this study was, in part, to inform nutrition education by identifying areas where the diets of program participants and other low-income individuals fall short and what changes nutrition education can target. Design, Setting and Participants: The study examined NHANES data from 1999-2004. Groups examined were Food Stamp Program (now renamed the Supplemental Nutrition Assistance Program, or SNAP) participants, income-eligible also compared children, working-aged adults, and the elderly, and males versus females. Outcome, Measures and Analysis: In this project, we wanted to get a full and rich measure of diet quality and food choices, including: Nutrient Intakes – usual daily intakes of key vitamins, minerals, and fiber. Energy intakes – mean usual daily intakes and body mass index. Meal and snack patterns – meals and snacks eaten; energy and nutrient density of meals and snacks. Food choices – ‘‘supermarket approach’’ (looking at different categories of foods as commonly understood) and nutritional quality approach. Diet Quality – Healthy Eating Index scores. Results: All Americans’ diets fell far short of the standard – the average HEI score was 58 for everyone; 52 for food stamp participants, 56 for other low-income people, and 58 for higher-income people. FS participants did not eat more sweets, soda, or alcoholic beverages. However, they consumed less fruits, vegetables, and whole grains, drank whole milk instead of nonfat or low-fat, and drank regular soda. Conclusions and Implications: Nutrition Education should focus on drinking low-fat milk, reducing consumption of regular soda, and consuming more fruits and vegetables. This project was funded by Food and Nutrition Service.
Journal of Nutrition Education and Behavior Volume 41, Number 4S, 2009
O8 (continued) training and work experience. Six categories of change emerged from the data, including 1) development of new skills; 2) heightened community status; 3) changes in family and community relationships; 4) change in viewing others; 5) increased caring for others; and, 6) increase in positive self esteem. The second conclusion was that there were factors which caused change to occur including 1) being indigenous to the communities where they work; 2) personal identification with program work; 3) on-going training; 4) support they receive; and, 5) work experiences. Conclusions and Implications: Data indicated implications for both theory and practice. Theorical implications relate to formation of identity, social change, and transformative learning. Practice-based implications focus on hiring, training, and support of paraprofessionals.
O9 SRA Winner-Assessing the Monthly Food Abundance-Shortage Cycle in Food Insecure Overweight Women Hugo Melgar-Quinonez, MD, PhD, hmelgar-quinonez@ehe. osu.edu, Ohio State University Extension; Qian Ye, PhD, [email protected]; Ana Claudia Zubieta, PhD, azubieta@ehe. osu.edu, Ohio State University Extension; Dan Remley, MSPH, PhD, [email protected], OH State University Extension, 1810 Princeton Road, Hamilton, OH 45011; Cindy Long, [email protected], Ohio State University Extension; Deb Angell, angell.20@ osu.edu, Ohio State University Extension; Sheryl D. Mims, [email protected], Ohio State University Extension, Department of Human Nutrition, Ohio State University, 325 Campbell Hall, 1787 Neil Avenue, Columbus, OH 43210 Objective: This study aims to assess a hypothesized monthly cycle of food abundance-shortage among food insecure overweight/obese women as a possible explanation to the relationship between food insecurity and overweight/obesity. Design, Setting and Participants: Twenty-two women participating in the Ohio Family Nutrition Program (77% overweight/obese) were interviewed at the beginning and the end of the month (week1, week4). Outcome, Measures and Analysis: Overweight and obesity were determined by a Body Mass Index $ 25. A shelf-food inventory was used to determine household food availability, and dietary intake was measured by 24hour dietary recalls. Food insecurity (91%) was measured by the USDA Household Food Security Supplemental Module. Differences in the number of shelf-food items and energy/nutrient intake between week1 and week4 were determined through paired t-tests. Results: Among food insecure overweight/obese women (n¼16), the number of shelf-food items (week1: 87.3, week4: 63.2, p¼0.003) and caloric intake (week1: 2157.2 kcal, week4: 1665.9 kcal, p¼0.04) decreased significantly when comparing measures at week1 and week4. Signifi-
cant drops were observed in food availability for all food groups (p # 0.05). A significant decrease in fat intake was also observed (p¼0.02). Conclusions and Implications: These findings suggest the existence of a monthly cycle of food abundance-shortage among food insecure overweight/obese women, who might be experiencing a caloric overconsumption on week1, when food is more abundant, as a response to the food shortage on week4. Nutrition education programs are needed on how to better distribute the available resources throughout the month to avoid such variations. This project was funded by Ohio Agricultural Research and Development Center (Grant # OHOA1277).
O10 Diet Quality of Americans by SNAP (Food Stamp) Participation Status Jenny Laster Genser, [email protected], USDA Food and Nutrition Service, 3101 Park Center Drive, Room 1014, Alexandria, VA 22302; Nancy Cole, PhD, [email protected], Abt Associates, 55 Wheeler Street, Cambridge, MA 02138; Mary Kay Fox, mkfox@ mathematica-mpr.com, Mathematica Policy Research, Incorporated, 955 Massachusetts Avenue, Suite 801, Cambridge, MA 02139 Objective: The purpose of this study was, in part, to inform nutrition education by identifying areas where the diets of program participants and other low-income individuals fall short and what changes nutrition education can target. Design, Setting and Participants: The study examined NHANES data from 1999-2004. Groups examined were Food Stamp Program (now renamed the Supplemental Nutrition Assistance Program, or SNAP) participants, income-eligible also compared children, working-aged adults, and the elderly, and males versus females. Outcome, Measures and Analysis: In this project, we wanted to get a full and rich measure of diet quality and food choices, including: Nutrient Intakes – usual daily intakes of key vitamins, minerals, and fiber. Energy intakes – mean usual daily intakes and body mass index. Meal and snack patterns – meals and snacks eaten; energy and nutrient density of meals and snacks. Food choices – ‘‘supermarket approach’’ (looking at different categories of foods as commonly understood) and nutritional quality approach. Diet Quality – Healthy Eating Index scores. Results: All Americans’ diets fell far short of the standard – the average HEI score was 58 for everyone; 52 for food stamp participants, 56 for other low-income people, and 58 for higher-income people. FS participants did not eat more sweets, soda, or alcoholic beverages. However, they consumed less fruits, vegetables, and whole grains, drank whole milk instead of nonfat or low-fat, and drank regular soda. Conclusions and Implications: Nutrition Education should focus on drinking low-fat milk, reducing consumption of regular soda, and consuming more fruits and vegetables. This project was funded by Food and Nutrition Service.