- Email: [email protected]
Validation of the Remote Food Photography Method among Preschool Children
TUESDAY, OCTOBER 18
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Using the Visual Analog Scale (VAS) to Measure Perceived Hunger and Satiety at Various Mealtimes and Environments
Weight-Related Cognitions and Behaviors of Latino Parents of Preschool-aged Children
Author(s): A. Lindeman1, M. Huang1, E. Dawkins2; 2 Eskenazi Health
Indiana University,
Author(s): C. Delaney, V. Quick, C. Byrd-Bredbenner; Rutgers, The State University of New Jersey
Learning Outcome: Participants will identify mealtime environments in which the Visual Analog Scale could identify triggers to altered eating behavior.
Learning Outcome: To describe weight-related cognitions and behaviors of Latino parents of preschool-aged children, specifically behaviors related to physical activity (PA), sleep, and feeding practices.
1
Visual analog scales (VAS) are reliable tools to evaluate hunger and satiety at point of food consumption. The purpose of this study was to evaluate relationships among eating environment and perceived hunger and satiety at various mealtimes (breakfast, lunch, dinner e BLD). DESIGN: Hospital employees (n¼241; 11% men, 89% women) completed instrument including: VAS, mealtime environment, and demographics; anthropometrics were measured. T-tests, chi-squares, and correlations were used to assess environmental associations with hunger and appetite. RESULTS: BMI calculated, with 54% of subjects obese; BMI was not associated with perceived hunger or satiety at BLD. No difference in satiety was found when BLD was distractionfree (alone, no electronics/driving) compared to conditions that would distract from satiety cues. Both obese and non-obese subjects reported eating beyond their normal daily (average BLD, VAS¼73) satiety when eating at such social situations as Thanksgiving (VAS¼91, p<.001), ordering out pizza (VAS¼81, p<.001), and all-you-can-eat buffet (VAS¼73, p<.001). At a friend’s party, satiety was reported as less (VAS¼ 64, p<.001). No difference in fullness was reported when eating at a fast-food restaurant (VAS¼ 71) for either obese or non-obese, which may be associated with subjects including this environ as part of habit. CONCLUSIONS: VAS can be a helpful tool to assess satiety in social environments that may affect overall food consumption. Funding Disclosure: None
Latino parents (n¼137, 30.535.58 years, 93% female, 88% U.S. born,BMI¼29.306.98) completed a survey on weight-related cognitions and behaviors using 5-point scales, unless otherwise indicated. Parents somewhat agreed that it was important to model PA (3.770.82) and not sedentary behaviors (3.730.86); however, they engaged in PA with kids only 3.241.87 days/week, modeled sedentary behaviors often (4.002.19 days/week), and had low PA levels (13.108.65, 42-point scale). Parents tended to not limit kids’ screentime (2.021.06) and exposure to TV ads (2.971.15), but did limit kids to children’s TV shows (4.021.03). Parents valued family meals (4.340.73), but found them stressful (3.990.77). They were somewhat willing to put effort into meal preparation (3.480.87), and had moderate self-efficacy for preparing (3.660.95) and planning family meals (3.350.99). Parents somewhat agreed they modeled healthy eating (3.470.77), but tended to not engage in restraint (2.330.68, 4-points), disinhibited (2.090.77, 4-points), or emotional (2.190.94, 4-points) eating. Parents tended to not reward kids with food (2.480.78) or non-food rewards (2.870.90), or pressure their children to eat (2.530.93). They somewhat controlled kids’ food intake with covert (3.641.19) and overt (3.250.76) methods. Parents barely met sleep recommendations (7.021.31 hours/day), and reported moderate sleep quality (3.110.84). Findings point to culturally indicated nutrition education content that could benefit Latino families, such as promoting more PA and less screentime, modeling healthy behaviors to children, positive child-feeding practices, and greater sleep duration. Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170
Validation of the Remote Food Photography Method among Preschool Children 1
1
1
2
2
1
1
Author(s): N. Islam , R. Saab , Y. Liu , J. Apolzan , C. Martin , N. Butte , T. Nicklas ; 1Baylor College of Medicine, 2Pennington Biomedical Research Center
Learning Outcome: To validate the Remote Food Photography Method for assessing dietary intake by preschool children. Background: The Remote Food Photography Method (RFPM) has been validated as a dietary assessment method, but its accuracy in young children is not well documented. Objective: We aimed to determine the validity of intake estimations made by human raters using the RFPM (rater method) compared with those obtained by weighing all foods and beverages consumed by the children (weighed method). Design: Fifty four three to five year old child/caregiver dyads from HispanicAmerican and African-American descent participated in this validation study. Children were observed during a 12-hour period, and photos of the foods/ beverages offered and left-over were captured and wirelessly transmitted to trained raters who estimated grams and the NDSR was used to estimate energy intake. Concurrently, all foods/beverages served and all leftovers were weighed by independent observers to provide a reference against which to compare the estimations made using the RFPM. Paired Student’s t-test, mean differences, and Bland-Altman limits of agreement were used to compare the rater method with the reference weighed method. Results: Compared to the weighed method, the rater method overestimated intake grams by 6.5 % and energy by 11.3 %; the mean SD for the differences in grams consumed and energy intake were statistically significant: 34 +/71g (p <0.0001), and 75 +/- 102 kcal (p<0.0001), respectively. Bland-Altman plots indicated a bias for the rater’s estimations. Conclusions: The rater method systematically overestimated grams consumed and energy intake among preschool children. Funding Disclosure: National Cancer Institute, National Institutes of Health (H-29112)
September 2016 Suppl 1—Abstracts Volume 116 Number 9
What is the Relationship between Dairy Intake, Vitamin D Status and Systolic Blood Pressure in a Cohort of Children with Metabolic Syndrome? Author(s): D. DellaValle1, J. Carter2,3, M. Jones3, M. Howard Henshaw4; 1 Marywood University, 2Sodexo, 3The Medical University of South Carolina, 4 Children’s Hospital of South Carolina Learning Outcome: To explain the differential effects of dairy servings and vitamin D status on blood pressure in black and white children. Background: The Dietary Approaches to Stop Hypertension (DASH) trials and other studies have shown a relationship between diet and blood pressure outcomes in adults, yet little is known of this relationship in children. The purpose of this cross-sectional study was to examine the relationships between dairy intake, vitamin D status and systolic blood pressure (SBP) in a cohort of children and adolescents (n¼112, ages 4-20y) enrolled in the Pediatric Metabolic Syndrome Study (PMSS) at MUSC Children’s Hospital. Methods: Dietary intake was assessed using the Block Kids 2004 Food Frequency Questionnaire (FFQ), and SBP and anthropometrics were obtained at baseline. Vitamin D status (25 (OH) D3) was measured using liquid chromatography/tandem mass spectrometry. Associations between dairy intake, vitamin D status and SBP were examined by race using ANOVA and Pearson correlations. Linear regression models were controlled for body size. Results: In the total sample, there was a significant inverse relationship between the intake of dairy and SBP (r¼-0.23, p¼0.02). While dairy intake and SBP were correlated in white (r¼-0.45, p¼0.003) but not black children, Vitamin D status and SBP were related in black (r¼-0.30, p¼0.01) but not white children. In white children, their SBP benefited from consuming dairy, but the benefits were not via Vitamin D. In black children, their SBP did not benefit from dairy servings, but did benefit from higher vitamin D status. Conclusions: Nutrition professionals must consider all factors contributing to childhood hypertension, as current dietary recommendations appear to have differential outcomes across racial groups. Funding Disclosure: South Carolina Clinical and Translational Research Institute (SCTR) at MUSC, UL1 TR000062 from the National Center for Advancing Translational Sciences
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-99
Poster Session: Professional Skills; Nutrition Assessment; Medical Nutrition Therapy Using the Visual Analog Scale (VAS) to Measure Perceived Hunger and Satiety at Various Mealtimes and Environments
Weight-Related Cognitions and Behaviors of Latino Parents of Preschool-aged Children
Author(s): A. Lindeman1, M. Huang1, E. Dawkins2; 2 Eskenazi Health
Indiana University,
Author(s): C. Delaney, V. Quick, C. Byrd-Bredbenner; Rutgers, The State University of New Jersey
Learning Outcome: Participants will identify mealtime environments in which the Visual Analog Scale could identify triggers to altered eating behavior.
Learning Outcome: To describe weight-related cognitions and behaviors of Latino parents of preschool-aged children, specifically behaviors related to physical activity (PA), sleep, and feeding practices.
1
Visual analog scales (VAS) are reliable tools to evaluate hunger and satiety at point of food consumption. The purpose of this study was to evaluate relationships among eating environment and perceived hunger and satiety at various mealtimes (breakfast, lunch, dinner e BLD). DESIGN: Hospital employees (n¼241; 11% men, 89% women) completed instrument including: VAS, mealtime environment, and demographics; anthropometrics were measured. T-tests, chi-squares, and correlations were used to assess environmental associations with hunger and appetite. RESULTS: BMI calculated, with 54% of subjects obese; BMI was not associated with perceived hunger or satiety at BLD. No difference in satiety was found when BLD was distractionfree (alone, no electronics/driving) compared to conditions that would distract from satiety cues. Both obese and non-obese subjects reported eating beyond their normal daily (average BLD, VAS¼73) satiety when eating at such social situations as Thanksgiving (VAS¼91, p<.001), ordering out pizza (VAS¼81, p<.001), and all-you-can-eat buffet (VAS¼73, p<.001). At a friend’s party, satiety was reported as less (VAS¼ 64, p<.001). No difference in fullness was reported when eating at a fast-food restaurant (VAS¼ 71) for either obese or non-obese, which may be associated with subjects including this environ as part of habit. CONCLUSIONS: VAS can be a helpful tool to assess satiety in social environments that may affect overall food consumption. Funding Disclosure: None
Latino parents (n¼137, 30.535.58 years, 93% female, 88% U.S. born,BMI¼29.306.98) completed a survey on weight-related cognitions and behaviors using 5-point scales, unless otherwise indicated. Parents somewhat agreed that it was important to model PA (3.770.82) and not sedentary behaviors (3.730.86); however, they engaged in PA with kids only 3.241.87 days/week, modeled sedentary behaviors often (4.002.19 days/week), and had low PA levels (13.108.65, 42-point scale). Parents tended to not limit kids’ screentime (2.021.06) and exposure to TV ads (2.971.15), but did limit kids to children’s TV shows (4.021.03). Parents valued family meals (4.340.73), but found them stressful (3.990.77). They were somewhat willing to put effort into meal preparation (3.480.87), and had moderate self-efficacy for preparing (3.660.95) and planning family meals (3.350.99). Parents somewhat agreed they modeled healthy eating (3.470.77), but tended to not engage in restraint (2.330.68, 4-points), disinhibited (2.090.77, 4-points), or emotional (2.190.94, 4-points) eating. Parents tended to not reward kids with food (2.480.78) or non-food rewards (2.870.90), or pressure their children to eat (2.530.93). They somewhat controlled kids’ food intake with covert (3.641.19) and overt (3.250.76) methods. Parents barely met sleep recommendations (7.021.31 hours/day), and reported moderate sleep quality (3.110.84). Findings point to culturally indicated nutrition education content that could benefit Latino families, such as promoting more PA and less screentime, modeling healthy behaviors to children, positive child-feeding practices, and greater sleep duration. Funding Disclosure: United States Department of Agriculture, National Institute of Food and Agriculture, Grant Number 2011-68001-30170
Validation of the Remote Food Photography Method among Preschool Children 1
1
1
2
2
1
1
Author(s): N. Islam , R. Saab , Y. Liu , J. Apolzan , C. Martin , N. Butte , T. Nicklas ; 1Baylor College of Medicine, 2Pennington Biomedical Research Center
Learning Outcome: To validate the Remote Food Photography Method for assessing dietary intake by preschool children. Background: The Remote Food Photography Method (RFPM) has been validated as a dietary assessment method, but its accuracy in young children is not well documented. Objective: We aimed to determine the validity of intake estimations made by human raters using the RFPM (rater method) compared with those obtained by weighing all foods and beverages consumed by the children (weighed method). Design: Fifty four three to five year old child/caregiver dyads from HispanicAmerican and African-American descent participated in this validation study. Children were observed during a 12-hour period, and photos of the foods/ beverages offered and left-over were captured and wirelessly transmitted to trained raters who estimated grams and the NDSR was used to estimate energy intake. Concurrently, all foods/beverages served and all leftovers were weighed by independent observers to provide a reference against which to compare the estimations made using the RFPM. Paired Student’s t-test, mean differences, and Bland-Altman limits of agreement were used to compare the rater method with the reference weighed method. Results: Compared to the weighed method, the rater method overestimated intake grams by 6.5 % and energy by 11.3 %; the mean SD for the differences in grams consumed and energy intake were statistically significant: 34 +/71g (p <0.0001), and 75 +/- 102 kcal (p<0.0001), respectively. Bland-Altman plots indicated a bias for the rater’s estimations. Conclusions: The rater method systematically overestimated grams consumed and energy intake among preschool children. Funding Disclosure: National Cancer Institute, National Institutes of Health (H-29112)
September 2016 Suppl 1—Abstracts Volume 116 Number 9
What is the Relationship between Dairy Intake, Vitamin D Status and Systolic Blood Pressure in a Cohort of Children with Metabolic Syndrome? Author(s): D. DellaValle1, J. Carter2,3, M. Jones3, M. Howard Henshaw4; 1 Marywood University, 2Sodexo, 3The Medical University of South Carolina, 4 Children’s Hospital of South Carolina Learning Outcome: To explain the differential effects of dairy servings and vitamin D status on blood pressure in black and white children. Background: The Dietary Approaches to Stop Hypertension (DASH) trials and other studies have shown a relationship between diet and blood pressure outcomes in adults, yet little is known of this relationship in children. The purpose of this cross-sectional study was to examine the relationships between dairy intake, vitamin D status and systolic blood pressure (SBP) in a cohort of children and adolescents (n¼112, ages 4-20y) enrolled in the Pediatric Metabolic Syndrome Study (PMSS) at MUSC Children’s Hospital. Methods: Dietary intake was assessed using the Block Kids 2004 Food Frequency Questionnaire (FFQ), and SBP and anthropometrics were obtained at baseline. Vitamin D status (25 (OH) D3) was measured using liquid chromatography/tandem mass spectrometry. Associations between dairy intake, vitamin D status and SBP were examined by race using ANOVA and Pearson correlations. Linear regression models were controlled for body size. Results: In the total sample, there was a significant inverse relationship between the intake of dairy and SBP (r¼-0.23, p¼0.02). While dairy intake and SBP were correlated in white (r¼-0.45, p¼0.003) but not black children, Vitamin D status and SBP were related in black (r¼-0.30, p¼0.01) but not white children. In white children, their SBP benefited from consuming dairy, but the benefits were not via Vitamin D. In black children, their SBP did not benefit from dairy servings, but did benefit from higher vitamin D status. Conclusions: Nutrition professionals must consider all factors contributing to childhood hypertension, as current dietary recommendations appear to have differential outcomes across racial groups. Funding Disclosure: South Carolina Clinical and Translational Research Institute (SCTR) at MUSC, UL1 TR000062 from the National Center for Advancing Translational Sciences
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-99