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Tailoring Intervention Strategies to Manage Students with Diabetes on a University Campus
TUESDAY, OCTOBER 25
POSTER SESSION: WELLNESS AND PUBLIC HEALTH TITLE: YOUTH RISK BEHAVIOR SURVEY (YRBS): COMPARISONS WITHIN AND BETWEEN SURVEY YEARS FOR A MIDWEST CITY SCHOOL DISTRICT
TITLE: COMMUNITY PARTNERSHIPS AND MANAGEMENT OF PEDIATRIC OVERWEIGHT IN AN URBAN COMMUNITY HEALTH CENTER
AUTHOR(S): J.U. Edwards, PhD, LRD; R. Magel, PhD; North Dakota State University, Fargo, ND
AUTHOR(S): S. Goldsmith, MS, RD, The Children’s Health Fund; B. Faris, MS, RD, South Bronx Health Center for Children and Families; A. Shapiro, MD, South Bronx Health Center for Children and Families; M. Larkin, MD, South Bronx Health Center for Children and Families; R. Grant, The Children’s Health Fund
LEARNING OUTCOME: To describe typical changes that occurred in nutrition and physical activity behaviors when comparing middle school (MS) to high school (HS) youth in each YRBS survey year as well as the changes that occurred overtime from 1999 to 2003 in a Midwest school district. TEXT: The purpose was to assess differences in nutrition and physical activity behaviors for MS compared to HS for each survey year and to analyze changes overtime from 1999 to 2003 for a Midwest school district utilizing YRBS. Independent random samples were taken each year as follows: in 1999, 387 MS and 931 HS; in 2001, 322 MS and 367 HS; in 2003, 658 MS and 1026 HS from a district with greater than 5,000 combined students in MS and HS (total ⬃11,000). A student’s t test was utilized to analyze differences between proportions of students who met various behavior criteria. In 2003, comparing MS to HS there was an increase in consumption ⱖ25 ounces of sweetened soft drink/day (p⫽0.004) and a decrease in drinking ⱖ3 glasses of milk/day (p⫽0.000). The percentage drinking ⱖ3 glasses of milk per day decreased from 1999 to 2003 for HS (p⫽0.000) and MS (p⫽0.000). In 2003, there was a decrease from MS to HS: (1) for eating ⱖfive servings of fruits and vegetables (p⫽0.009); (2) for eating breakfast at least five days/week (p⫽0.000); (3) for eating at least one meal with the family in the last day (p⬍0.001); of meeting suggestions for minimum physical activity (p⬍0.001). The percentage of HS students who vigorously exercised 20 minutes/day for five days/week decreased from 1999 to 2003 (p⫽0.016). Additional study is needed to determine factors to increase the proportion of students who meet recommended behaviors for nutrition and physical activity in both MS and HS. FUNDING DISCLOSURE: None
LEARNING OUTCOME: To understand the importance of community partnerships in the management of pediatric overweight in an urban environment. TEXT: Obesity has become an epidemic among children and adolescents. Minority children are at greater risk for obesity and related health consequences. Starting Right, a type 2 diabetes and obesity screening and prevention program developed in a South Bronx community health center, recently piloted a 12-week, weight management group intervention targeted to adolescents (11–14 years). During its planning focus groups with adults and youth (ages 10 –18) were conducted to explore knowledge, attitudes and behaviors regarding weight, nutrition and exercise. Results showed groups were aware of health consequences of obesity and able to classify foods as healthy or unhealthy. Barriers to eating healthy foods included taste and little control over type and quantity of food served to children. Barriers to exercise included adolescent male perception of safety of community centers and preference for sedentary activities. The importance of developing linkages between health center patients and the community to combat the obesity epidemic cannot be overstated. This urban health center developed such linkages with the local Police Athletic League (PAL) and others. These partnerships enabled Starting Right to offer weekly physical activity during its weight program, fund after-school activities and support participation in local summer camp for a wider group of patients. Opportunities for physical activity tend to be limited in poor, urban areas. Patients may either be unaware of or refrain from taking advantage of opportunities that do exist. Health centers must act as a bridge between their patients and available opportunities for physical activity in the community. FUNDING DISCLOSURE: Bristol-Myers Squibb, The Picower Foundation
TITLE: USING POINT-OF-PURCHASE TASTE TESTS TO ENCOURAGE HEALTHIER FOOD CHOICES
TITLE: TAILORING INTERVENTION STRATEGIES TO MANAGE STUDENTS WITH DIABETES ON A UNIVERSITY CAMPUS
AUTHOR(S): S.H. Thompson, EdD, CHES, Professor of Health Promotion, Coastal Carolina University, Conway, SC; S.M. Digsby, RD, Prevention Task Force, South Carolina Cancer Alliance
AUTHOR(S): L.L. Kanauss, MS, Ed, RD, LD, CDE; K.R. Greathouse, PhD, RD, LD; C.S. McMillan, MS; R.E. Graham, PhD; M.R. Davey, EdD; S.M. Moore, MS, RN; Western Illinois University
LEARNING OUTCOME: To describe the influence of taste tests which were conducted to encourage lower fat milk and salad dressing purchases. TEXT: Point-of purchase programs allowing taste tests of lower fat milk and salad dressing products may change perceptions about taste. The purpose of this study was to conduct taste tests and examine attitudes toward low-fat milk and salad dressing products. One-hundred-and-two persons (68.6% female, 74.7% White) were asked six scripted questions by dieticians at seven grocery stores (40.2% rural). Participants also blindly tasted the milk product they usually purchased and a lower fat milk. Next, participants tasted a low-fat salad dressing. Data were analyzed to determine differences by gender, race (White/Black), and store location (rural/urban). Forty-four percent (44.3%) of participants said they usually purchased whole milk, followed by 2% (30%), 1% (17.1%), skim (7.1%) and 1⁄2% (1.4%). Males (p⫽.0041) and Blacks (p⫽.045) were significantly more likely to agree “I prefer the flavor of whole milk over low-fat or skim milk” than females or Whites. Females were significantly more like to agree “I would be more likely to drink lowfat milk if it had chocolate or strawberry flavor added” than males (p ⫽. 049). Females were significantly more likely than males to agree “Now that I have tried the low-fat salad dressing, I am willing to buy the low-fat dressing” (p⫽.028). After the taste tests, most participants agreed / strongly agreed they would consider purchasing lower fat milk (80%) or salad dressings (88.9%). Nutrition education programs should be sensitive to sociocultural differences and target innovative ways to change attitudes toward healthier food choices.
LEARNING OUTCOME: To increase awareness of a methodology to assist in individualizing management and care programs for students with diabetes on a university campus. TEXT: The incidence of diabetes in the United States is increasing. The increased incidence is reflected in all age groups. A multidisciplinary faculty team of dietitians, exercise scientists and community health experts received grant funding to establish a diabetes institute on a university campus. A major criterion of the institute was to involve senior level dietetic and kinesiology students as peer mentors for students with diabetes. The goals of the institute were to develop diabetes management programs involving individualized nutrition recommendations, health related fitness assessments, individualized exercise programs, and establish a diabetes support group. The institute began interventions in the fall of 2004. Although incoming freshmen with type 1 diabetes were targeted, students with both type 1 and type 2 diabetes participated in the program. Senior dietetic students interviewed participants to obtain prior treatment information. After obtaining diet histories, individualized nutrition recommendations were developed by a senior dietetic student under the direction of a faculty member who is a registered dietitian. Blood work including hemoglobin A1C, lipid panel and glucose levels were obtained by a senior kinesiology student under supervision of a faculty member. Body composition measurements using the BOD POD were also obtained. Individualized exercise programs were developed for each participant. The senior dietetic and kinesiology students formed a team to collaborate in preparation for regular mentoring meetings as well as professionally presenting information to the supervising faculty and overseeing physician. A diabetes support group received information from students in the areas of dietetics, kinesiology, and community health. FUNDING DISCLOSURE: Bella Hearst Diabetes Grant
FUNDING DISCLOSURE: None Journal of the AMERICAN DIETETIC ASSOCIATION / A-57
POSTER SESSION: WELLNESS AND PUBLIC HEALTH TITLE: YOUTH RISK BEHAVIOR SURVEY (YRBS): COMPARISONS WITHIN AND BETWEEN SURVEY YEARS FOR A MIDWEST CITY SCHOOL DISTRICT
TITLE: COMMUNITY PARTNERSHIPS AND MANAGEMENT OF PEDIATRIC OVERWEIGHT IN AN URBAN COMMUNITY HEALTH CENTER
AUTHOR(S): J.U. Edwards, PhD, LRD; R. Magel, PhD; North Dakota State University, Fargo, ND
AUTHOR(S): S. Goldsmith, MS, RD, The Children’s Health Fund; B. Faris, MS, RD, South Bronx Health Center for Children and Families; A. Shapiro, MD, South Bronx Health Center for Children and Families; M. Larkin, MD, South Bronx Health Center for Children and Families; R. Grant, The Children’s Health Fund
LEARNING OUTCOME: To describe typical changes that occurred in nutrition and physical activity behaviors when comparing middle school (MS) to high school (HS) youth in each YRBS survey year as well as the changes that occurred overtime from 1999 to 2003 in a Midwest school district. TEXT: The purpose was to assess differences in nutrition and physical activity behaviors for MS compared to HS for each survey year and to analyze changes overtime from 1999 to 2003 for a Midwest school district utilizing YRBS. Independent random samples were taken each year as follows: in 1999, 387 MS and 931 HS; in 2001, 322 MS and 367 HS; in 2003, 658 MS and 1026 HS from a district with greater than 5,000 combined students in MS and HS (total ⬃11,000). A student’s t test was utilized to analyze differences between proportions of students who met various behavior criteria. In 2003, comparing MS to HS there was an increase in consumption ⱖ25 ounces of sweetened soft drink/day (p⫽0.004) and a decrease in drinking ⱖ3 glasses of milk/day (p⫽0.000). The percentage drinking ⱖ3 glasses of milk per day decreased from 1999 to 2003 for HS (p⫽0.000) and MS (p⫽0.000). In 2003, there was a decrease from MS to HS: (1) for eating ⱖfive servings of fruits and vegetables (p⫽0.009); (2) for eating breakfast at least five days/week (p⫽0.000); (3) for eating at least one meal with the family in the last day (p⬍0.001); of meeting suggestions for minimum physical activity (p⬍0.001). The percentage of HS students who vigorously exercised 20 minutes/day for five days/week decreased from 1999 to 2003 (p⫽0.016). Additional study is needed to determine factors to increase the proportion of students who meet recommended behaviors for nutrition and physical activity in both MS and HS. FUNDING DISCLOSURE: None
LEARNING OUTCOME: To understand the importance of community partnerships in the management of pediatric overweight in an urban environment. TEXT: Obesity has become an epidemic among children and adolescents. Minority children are at greater risk for obesity and related health consequences. Starting Right, a type 2 diabetes and obesity screening and prevention program developed in a South Bronx community health center, recently piloted a 12-week, weight management group intervention targeted to adolescents (11–14 years). During its planning focus groups with adults and youth (ages 10 –18) were conducted to explore knowledge, attitudes and behaviors regarding weight, nutrition and exercise. Results showed groups were aware of health consequences of obesity and able to classify foods as healthy or unhealthy. Barriers to eating healthy foods included taste and little control over type and quantity of food served to children. Barriers to exercise included adolescent male perception of safety of community centers and preference for sedentary activities. The importance of developing linkages between health center patients and the community to combat the obesity epidemic cannot be overstated. This urban health center developed such linkages with the local Police Athletic League (PAL) and others. These partnerships enabled Starting Right to offer weekly physical activity during its weight program, fund after-school activities and support participation in local summer camp for a wider group of patients. Opportunities for physical activity tend to be limited in poor, urban areas. Patients may either be unaware of or refrain from taking advantage of opportunities that do exist. Health centers must act as a bridge between their patients and available opportunities for physical activity in the community. FUNDING DISCLOSURE: Bristol-Myers Squibb, The Picower Foundation
TITLE: USING POINT-OF-PURCHASE TASTE TESTS TO ENCOURAGE HEALTHIER FOOD CHOICES
TITLE: TAILORING INTERVENTION STRATEGIES TO MANAGE STUDENTS WITH DIABETES ON A UNIVERSITY CAMPUS
AUTHOR(S): S.H. Thompson, EdD, CHES, Professor of Health Promotion, Coastal Carolina University, Conway, SC; S.M. Digsby, RD, Prevention Task Force, South Carolina Cancer Alliance
AUTHOR(S): L.L. Kanauss, MS, Ed, RD, LD, CDE; K.R. Greathouse, PhD, RD, LD; C.S. McMillan, MS; R.E. Graham, PhD; M.R. Davey, EdD; S.M. Moore, MS, RN; Western Illinois University
LEARNING OUTCOME: To describe the influence of taste tests which were conducted to encourage lower fat milk and salad dressing purchases. TEXT: Point-of purchase programs allowing taste tests of lower fat milk and salad dressing products may change perceptions about taste. The purpose of this study was to conduct taste tests and examine attitudes toward low-fat milk and salad dressing products. One-hundred-and-two persons (68.6% female, 74.7% White) were asked six scripted questions by dieticians at seven grocery stores (40.2% rural). Participants also blindly tasted the milk product they usually purchased and a lower fat milk. Next, participants tasted a low-fat salad dressing. Data were analyzed to determine differences by gender, race (White/Black), and store location (rural/urban). Forty-four percent (44.3%) of participants said they usually purchased whole milk, followed by 2% (30%), 1% (17.1%), skim (7.1%) and 1⁄2% (1.4%). Males (p⫽.0041) and Blacks (p⫽.045) were significantly more likely to agree “I prefer the flavor of whole milk over low-fat or skim milk” than females or Whites. Females were significantly more like to agree “I would be more likely to drink lowfat milk if it had chocolate or strawberry flavor added” than males (p ⫽. 049). Females were significantly more likely than males to agree “Now that I have tried the low-fat salad dressing, I am willing to buy the low-fat dressing” (p⫽.028). After the taste tests, most participants agreed / strongly agreed they would consider purchasing lower fat milk (80%) or salad dressings (88.9%). Nutrition education programs should be sensitive to sociocultural differences and target innovative ways to change attitudes toward healthier food choices.
LEARNING OUTCOME: To increase awareness of a methodology to assist in individualizing management and care programs for students with diabetes on a university campus. TEXT: The incidence of diabetes in the United States is increasing. The increased incidence is reflected in all age groups. A multidisciplinary faculty team of dietitians, exercise scientists and community health experts received grant funding to establish a diabetes institute on a university campus. A major criterion of the institute was to involve senior level dietetic and kinesiology students as peer mentors for students with diabetes. The goals of the institute were to develop diabetes management programs involving individualized nutrition recommendations, health related fitness assessments, individualized exercise programs, and establish a diabetes support group. The institute began interventions in the fall of 2004. Although incoming freshmen with type 1 diabetes were targeted, students with both type 1 and type 2 diabetes participated in the program. Senior dietetic students interviewed participants to obtain prior treatment information. After obtaining diet histories, individualized nutrition recommendations were developed by a senior dietetic student under the direction of a faculty member who is a registered dietitian. Blood work including hemoglobin A1C, lipid panel and glucose levels were obtained by a senior kinesiology student under supervision of a faculty member. Body composition measurements using the BOD POD were also obtained. Individualized exercise programs were developed for each participant. The senior dietetic and kinesiology students formed a team to collaborate in preparation for regular mentoring meetings as well as professionally presenting information to the supervising faculty and overseeing physician. A diabetes support group received information from students in the areas of dietetics, kinesiology, and community health. FUNDING DISCLOSURE: Bella Hearst Diabetes Grant
FUNDING DISCLOSURE: None Journal of the AMERICAN DIETETIC ASSOCIATION / A-57