- Email: [email protected]
'What’s Cooking?': Qualitative Evaluation of a Head Start Parent-Child Pilot Cooking Program
TUESDAY, OCTOBER 6
Poster Session: Wellness and Public Health Impact of an Educational Intervention on Female Athlete Triad Knowledge in Female Collegiate Athletes Author(s): J. Rennolds, A. Miracle, K. Gordon, T. Falcone; Kent State Univ., Kent, OH Learning Outcome: Participants will be able to describe different types of interventions that can be used to increase awareness about the female athlete triad. The female athlete triad, characterized by low energy availability, menstrual dysfunction, and low bone mass, is a serious condition that can be fatal. Prevention of the female athlete triad involves increasing knowledge through education but there are limited studies on triad knowledge among female collegiate athletes. The purpose of this study was to assess if an educational intervention would improve knowledge of the female athlete triad among female collegiate athletes at a Midwestern NCAA affiliated university. A four group pretest-posttest design was used with the four groups classified as presentation only (PO), handout only (HO), presentation and handout (PH), and control (CT). NCAA Division I female collegiate athletes (n¼49, ages 18-22) from four teams participated with each team representing one of the groups. At separate sessions, each team completed a Triad Knowledge Questionnaire (TKQ) followed by the randomly assigned interventions. All four teams were retested separately in the week following the pretest. A repeated measures ANOVA indicated a significant improvement (p < .001) between pretest and posttest scores for the intervention groups. Furthermore, the results indicated there was a significant difference (p < .001) between groups on TKQ posttest performance. Tukey post-hoc comparisons indicated a significant difference between the PO and CT groups (p < .001), and PH and CT groups (p < .001). Overall, the findings of this study revealed that an educational intervention for female collegiate athletes improved knowledge of the female athlete triad and suggests that an educational program may be beneficial. Funding Disclosure: None
Anthropometric Outcomes for Weekly Weight Management Programs Author(s): E. Lovegrove1, A. Tindall1, K. Sprau1, R. Watowicz2, I. Eneli3; 1Center for Healthy Weight and Nutrition, Nationwide Children’s Hosp., Columbus, OH, 2Center for Healthy Weight and Nutrition, Health and Rehabilitation Sciences, Nationwide Children’s Hosp. The Ohio State Univ., Columbus, OH, 3 Center for Healthy Weight and Nutrition, The Department of Pediatrics, Nationwide Children’s Hosp. The Ohio State Univ., Columbus, OH Learning Outcome: Participants will be able to evaluate how weekly weight management programs may help improve weight-related outcomes. Background: Expert recommendations for managing the obese child include weekly family based lifestyle program with a multidisciplinary team. Nationwide Children’s Hospital offers two such programs: New U Jr, an 8-week program for children ages 5-10 and New U, a 12-week program for children ages 11-20. Both include one-on-one outpatient appointments and weekly group evening classes. Methods: Chart reviews were conducted to determine weight and BMI z-score change from their initial evening visit to their last evening visit upon completion of the program. Completion rate was defined as >¼75% of visits for both programs. Results: Of the 57 participants who completed the programs, 24 attended the New U Program and 33 the New U Jr Program in 2014. Mean weight change and BMI z-score change for New U were -1.4 kg (SD:3.8) and -0.05 (SD 0.08) respectively. Mean weight and BMI z-score change for New U Jr were .4 kg (SD 2.0) abd -0.02 (SD .09). 51.5% of New U Jr participants achieved their program goal of weight loss/maintenance, and 25% of New U participants achieved their program weight loss goal of 6 pounds (2.73kg). Compared with the New U Jr group, weight loss was significantly greater for New U patients, however, there was no significant difference in BMI z-score change between groups. Conclusion: Implementation of New U program models may lead to weightrelated improvements for children with obesity. Further research on optimizing positive weight outcomes in the long term for these programs is needed. Funding Disclosure: None
’What’s Cooking?’: Qualitative Evaluation of a Head Start Parent-Child Pilot Cooking Program
Weight Teasing as a Predictor to Unhealthy Weight Behaviors: Findings from a Randomized Controlled Trial for Brazilian Adolescent Girls
Author(s): M. Miller, J. Kaesberg, V. Thompson; Kinesiology and Health, Miami Univ., Oxford, OH
Author(s): A.C. Barco Leme, S. Tucunduva Philippi, Associate Professor, E. Toassa; Nutrition, Sch. of Publ., Univ. of São Paulo, São Paulo, Brazil
Learning Outcome: After this presentation, attendees should be able to list two strategies that improved healthy eating behaviors and parental child feeding practices through the What’s Cooking program.
Learning Outcome: School-based interventions should target weight-teasing related topics on the prevention of unhealthy weight control behaviors among adolescents.
Providing access to nutritious foods is crucial for low-income populations, but increasing nutrition-related skills and attitudes such as food preparation, feeding practices, and positive perceptions around healthy foods to establish sustainable behavior change are also paramount for the development of healthy lifestyles and disease prevention. This qualitative study was designed to evaluate the What’s Cooking pilot program. A total of 15 parents/guardians were recruited from two Head Start schools through flyers, text messages, and emails. Two focus group sessions were audiorecorded to obtain information related to the program implementation and perceived outcomes and behavior change. Recordings of the sessions were transcribed and analyzed using constant comparative analysis (NVIVO, 2014). Themes included preparation of healthy foods, meals eaten at the table, children’s asking behavior for healthy foods, participant cooking and label reading skills, and engagement and interest of children in the cooking process. The qualitative analysis provided foundational information for the development of a conceptual framework for other nutrition program providers to understand the potential factors and pathways to increase healthy cooking and feeding practices in low-income populations, such as Head Start families. The study participants highly valued the What’s Cooking instructor’s culinary skills, application-focused approach, nutritional knowledge, and cultural sensitivity to connect with the low-income participants. In conclusion, the What’s Cooking program increased the implementation of sustainable food practices and healthy nutrition behaviors in Head Start families. Having highly qualified instructors will contribute to successful behavior change in participants and the success of nutrition programs like What’s Cooking.
Background: Girls and overweight individuals are victims of weight teasing. Nearly 40% of Brazilian female adolescents reported being weigh-teased. The purpose of this study was to examine the association of weight-teasing and unhealthy weight control behaviors at baseline and post-intervention assessments of adolescent girls attending a school-based intervention program. Methods: It was a 6-month randomized controlled trial with 253 adolescent girls attending 10 public schools from disadvantaged backgrounds in São Paulo, Brazil. Presence of family teasing and unhealthy weight behaviors were examined through a self-reported questionnaire at baseline and post-intervention assessments. Logistic regression was used to assess the predictors between outcomes with 0.05 significant level. Results: Girls from intervention group reported being less teased compared to baseline. Siblings were the most common source of family teasing. At baseline, fasting (p¼0.03; OR¼0.53; 95%CI 0.29-0.93), appetite inhibitors (p¼0.02; OR¼ 0.55; 95%CI 0.32-0.93), vomiting (p¼0.02; OR¼ 0.55; 95%CI 0.33-0.04); using laxatives (p¼0.03; OR¼0.56; 95%CI 0.34-0.96); using water pills (p¼0.02; OR¼ 0.54; 95%CI 0.33-0.921); food substitutes (p¼0.05; OR¼ 0.59; 95%CI 0.35-1.01); smoking (p¼0.03; OR¼0.56; 95%CI 0.33-0.95) and dieting (p¼0.02; OR¼0.36; 95%CI 0.15-0.81) were risk factors for being teased. At postintervention, fasting (p¼0.03; OR¼0.26; 95%CI 0.08-0.88), food substitutes (p¼0.04; OR¼ 0.14; 95%CI 0.02-0.91), skipping meals (p¼0.04; OR¼ 0.36; 95%CI 0.14-0.98) and dieting (p¼0.00; OR¼ 0.24; 95%CI 0.09-0.65) were risk factors for being teased. Conclusion: Predictors of unhealthy weight behaviors reduced at post-intervention assessment. Targeting weight-teasing topics in school-based interventions might be effective in reducing unhealthy weight behaviors among adolescents. Funding Disclosure: None
Funding Disclosure: Private-Cincinnati Nutrition Council
September 2015 Suppl 2—Abstracts Volume 115 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-81
Poster Session: Wellness and Public Health Impact of an Educational Intervention on Female Athlete Triad Knowledge in Female Collegiate Athletes Author(s): J. Rennolds, A. Miracle, K. Gordon, T. Falcone; Kent State Univ., Kent, OH Learning Outcome: Participants will be able to describe different types of interventions that can be used to increase awareness about the female athlete triad. The female athlete triad, characterized by low energy availability, menstrual dysfunction, and low bone mass, is a serious condition that can be fatal. Prevention of the female athlete triad involves increasing knowledge through education but there are limited studies on triad knowledge among female collegiate athletes. The purpose of this study was to assess if an educational intervention would improve knowledge of the female athlete triad among female collegiate athletes at a Midwestern NCAA affiliated university. A four group pretest-posttest design was used with the four groups classified as presentation only (PO), handout only (HO), presentation and handout (PH), and control (CT). NCAA Division I female collegiate athletes (n¼49, ages 18-22) from four teams participated with each team representing one of the groups. At separate sessions, each team completed a Triad Knowledge Questionnaire (TKQ) followed by the randomly assigned interventions. All four teams were retested separately in the week following the pretest. A repeated measures ANOVA indicated a significant improvement (p < .001) between pretest and posttest scores for the intervention groups. Furthermore, the results indicated there was a significant difference (p < .001) between groups on TKQ posttest performance. Tukey post-hoc comparisons indicated a significant difference between the PO and CT groups (p < .001), and PH and CT groups (p < .001). Overall, the findings of this study revealed that an educational intervention for female collegiate athletes improved knowledge of the female athlete triad and suggests that an educational program may be beneficial. Funding Disclosure: None
Anthropometric Outcomes for Weekly Weight Management Programs Author(s): E. Lovegrove1, A. Tindall1, K. Sprau1, R. Watowicz2, I. Eneli3; 1Center for Healthy Weight and Nutrition, Nationwide Children’s Hosp., Columbus, OH, 2Center for Healthy Weight and Nutrition, Health and Rehabilitation Sciences, Nationwide Children’s Hosp. The Ohio State Univ., Columbus, OH, 3 Center for Healthy Weight and Nutrition, The Department of Pediatrics, Nationwide Children’s Hosp. The Ohio State Univ., Columbus, OH Learning Outcome: Participants will be able to evaluate how weekly weight management programs may help improve weight-related outcomes. Background: Expert recommendations for managing the obese child include weekly family based lifestyle program with a multidisciplinary team. Nationwide Children’s Hospital offers two such programs: New U Jr, an 8-week program for children ages 5-10 and New U, a 12-week program for children ages 11-20. Both include one-on-one outpatient appointments and weekly group evening classes. Methods: Chart reviews were conducted to determine weight and BMI z-score change from their initial evening visit to their last evening visit upon completion of the program. Completion rate was defined as >¼75% of visits for both programs. Results: Of the 57 participants who completed the programs, 24 attended the New U Program and 33 the New U Jr Program in 2014. Mean weight change and BMI z-score change for New U were -1.4 kg (SD:3.8) and -0.05 (SD 0.08) respectively. Mean weight and BMI z-score change for New U Jr were .4 kg (SD 2.0) abd -0.02 (SD .09). 51.5% of New U Jr participants achieved their program goal of weight loss/maintenance, and 25% of New U participants achieved their program weight loss goal of 6 pounds (2.73kg). Compared with the New U Jr group, weight loss was significantly greater for New U patients, however, there was no significant difference in BMI z-score change between groups. Conclusion: Implementation of New U program models may lead to weightrelated improvements for children with obesity. Further research on optimizing positive weight outcomes in the long term for these programs is needed. Funding Disclosure: None
’What’s Cooking?’: Qualitative Evaluation of a Head Start Parent-Child Pilot Cooking Program
Weight Teasing as a Predictor to Unhealthy Weight Behaviors: Findings from a Randomized Controlled Trial for Brazilian Adolescent Girls
Author(s): M. Miller, J. Kaesberg, V. Thompson; Kinesiology and Health, Miami Univ., Oxford, OH
Author(s): A.C. Barco Leme, S. Tucunduva Philippi, Associate Professor, E. Toassa; Nutrition, Sch. of Publ., Univ. of São Paulo, São Paulo, Brazil
Learning Outcome: After this presentation, attendees should be able to list two strategies that improved healthy eating behaviors and parental child feeding practices through the What’s Cooking program.
Learning Outcome: School-based interventions should target weight-teasing related topics on the prevention of unhealthy weight control behaviors among adolescents.
Providing access to nutritious foods is crucial for low-income populations, but increasing nutrition-related skills and attitudes such as food preparation, feeding practices, and positive perceptions around healthy foods to establish sustainable behavior change are also paramount for the development of healthy lifestyles and disease prevention. This qualitative study was designed to evaluate the What’s Cooking pilot program. A total of 15 parents/guardians were recruited from two Head Start schools through flyers, text messages, and emails. Two focus group sessions were audiorecorded to obtain information related to the program implementation and perceived outcomes and behavior change. Recordings of the sessions were transcribed and analyzed using constant comparative analysis (NVIVO, 2014). Themes included preparation of healthy foods, meals eaten at the table, children’s asking behavior for healthy foods, participant cooking and label reading skills, and engagement and interest of children in the cooking process. The qualitative analysis provided foundational information for the development of a conceptual framework for other nutrition program providers to understand the potential factors and pathways to increase healthy cooking and feeding practices in low-income populations, such as Head Start families. The study participants highly valued the What’s Cooking instructor’s culinary skills, application-focused approach, nutritional knowledge, and cultural sensitivity to connect with the low-income participants. In conclusion, the What’s Cooking program increased the implementation of sustainable food practices and healthy nutrition behaviors in Head Start families. Having highly qualified instructors will contribute to successful behavior change in participants and the success of nutrition programs like What’s Cooking.
Background: Girls and overweight individuals are victims of weight teasing. Nearly 40% of Brazilian female adolescents reported being weigh-teased. The purpose of this study was to examine the association of weight-teasing and unhealthy weight control behaviors at baseline and post-intervention assessments of adolescent girls attending a school-based intervention program. Methods: It was a 6-month randomized controlled trial with 253 adolescent girls attending 10 public schools from disadvantaged backgrounds in São Paulo, Brazil. Presence of family teasing and unhealthy weight behaviors were examined through a self-reported questionnaire at baseline and post-intervention assessments. Logistic regression was used to assess the predictors between outcomes with 0.05 significant level. Results: Girls from intervention group reported being less teased compared to baseline. Siblings were the most common source of family teasing. At baseline, fasting (p¼0.03; OR¼0.53; 95%CI 0.29-0.93), appetite inhibitors (p¼0.02; OR¼ 0.55; 95%CI 0.32-0.93), vomiting (p¼0.02; OR¼ 0.55; 95%CI 0.33-0.04); using laxatives (p¼0.03; OR¼0.56; 95%CI 0.34-0.96); using water pills (p¼0.02; OR¼ 0.54; 95%CI 0.33-0.921); food substitutes (p¼0.05; OR¼ 0.59; 95%CI 0.35-1.01); smoking (p¼0.03; OR¼0.56; 95%CI 0.33-0.95) and dieting (p¼0.02; OR¼0.36; 95%CI 0.15-0.81) were risk factors for being teased. At postintervention, fasting (p¼0.03; OR¼0.26; 95%CI 0.08-0.88), food substitutes (p¼0.04; OR¼ 0.14; 95%CI 0.02-0.91), skipping meals (p¼0.04; OR¼ 0.36; 95%CI 0.14-0.98) and dieting (p¼0.00; OR¼ 0.24; 95%CI 0.09-0.65) were risk factors for being teased. Conclusion: Predictors of unhealthy weight behaviors reduced at post-intervention assessment. Targeting weight-teasing topics in school-based interventions might be effective in reducing unhealthy weight behaviors among adolescents. Funding Disclosure: None
Funding Disclosure: Private-Cincinnati Nutrition Council
September 2015 Suppl 2—Abstracts Volume 115 Number 9
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
A-81