1
|
Caso G, Vecchio R. Factors influencing independent older adults (un)healthy food choices: A systematic review and research agenda. Food Res Int 2022; 158:111476. [DOI: 10.1016/j.foodres.2022.111476] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Revised: 05/17/2022] [Accepted: 06/04/2022] [Indexed: 11/25/2022]
|
2
|
Chapman-Novakofski K. Sustaining Sustainability. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2021; 53:370. [PMID: 33966761 DOI: 10.1016/j.jneb.2021.03.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
|
3
|
Timlin D, Giannantoni B, McCormack JM, Polito A, Ciarapica D, Azzini E, Giles M, Simpson EEA. Comparison of barriers and facilitators of MIND diet uptake among adults from Northern Ireland and Italy. BMC Public Health 2021; 21:265. [PMID: 33530965 PMCID: PMC7852355 DOI: 10.1186/s12889-021-10307-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2020] [Accepted: 01/21/2021] [Indexed: 02/07/2023] Open
Abstract
Background The aim of the study was to identify and compare components of the COM-B (capability, opportunity, motivation and behaviour) model, that influences behaviour to modify dietary patterns in 40–55-year olds living in Northern Ireland (NI) and Italy, in order to reduce the risk of cognitive decline in later life. Methods This was a qualitative study examining factors influencing Mediterranean-DASH (Dietary Approaches to Stop Hypertension) Intervention for Neurodegenerative Delay (MIND) diet behaviour. This study further elaborated the COM-B components into the 14 domains of the Theoretical Domains Framework to further understand behaviour. Twenty-five Northern Irish and Italian participants were recruited onto the study, to take part in either a focus group or an interview. Participants were both male and female aged between 40 and 55 years. Results Thematic analysis revealed that the main barriers to the uptake of the MIND diet were; time, work environment (opportunity), taste preference and convenience (motivation). Culture (motivation), seasonal foods and lack of family support (opportunity) to be a barrier to the Italian sample only. The main facilitators reported were; improved health, memory, planning and organisation (motivation) and access to good quality food (opportunity). Cooking skills, knowledge (capability) and heathy work lunch (opportunity) reported as a facilitator to the Italian sample only. Conclusions Cross-cultural differences in relation to psychosocial barriers and facilitators were found in both samples. More barriers than facilitators towards uptake of the MIND diet were found. There is a need for interventions that increase capability, opportunity, and motivation to aid behaviour change. The findings from this study will be used to design a behaviour change intervention using the subsequent steps from the Behaviour Change Wheel.
Collapse
Affiliation(s)
| | - Barbara Giannantoni
- CREA - Council for Agricultural Research and Economics Research Centre for Food and Nutrition, Via Ardeatina, 546, 00178, Rome, Italy
| | | | - Angela Polito
- CREA - Council for Agricultural Research and Economics Research Centre for Food and Nutrition, Via Ardeatina, 546, 00178, Rome, Italy
| | - Donatella Ciarapica
- CREA - Council for Agricultural Research and Economics Research Centre for Food and Nutrition, Via Ardeatina, 546, 00178, Rome, Italy
| | - Elena Azzini
- CREA - Council for Agricultural Research and Economics Research Centre for Food and Nutrition, Via Ardeatina, 546, 00178, Rome, Italy
| | - Melanie Giles
- Psychology Research Institute, Ulster University, Coleraine, UK
| | | |
Collapse
|
4
|
Health and Nutritional Beliefs and Practices among Rural Elderly Population: An Ethnographic Study in Western Spain. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17165923. [PMID: 32824078 PMCID: PMC7459967 DOI: 10.3390/ijerph17165923] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2020] [Revised: 08/11/2020] [Accepted: 08/13/2020] [Indexed: 12/20/2022]
Abstract
Background: Demographic transition is causing an increasingly aged society, which has a significant impact on public health strategies. Increases in the size of the elderly cohort create a wider stratification and pose specific challenges. Nutrition and diet are one key issue. This study aims to describe food-related practices, beliefs, and representations of non-institutionalized older adults in rural communities in Extremadura (Western Spain). Method: The ethnographic-based fieldwork was conducted from January to July 2019. Empirical material was collected through different research relationships (semi-structured interviews and informal conversations) and direct observation in various locations in Extremadura―involving a variety of agents associated with different aspects of the nutritional process. Results: Data analysis revealed four major themes: (1) Limitations on choice and quality of food available; (2) food preferences and cooking methods; (3) the role of nostalgia in the construction of taste preferences; and (4) perceptions of what “healthy” food is and how respondents relate to the advice provided by health professionals. Conclusions: Nutritional choices among the group studied presented significant differences from medical advice―which was seen as a series of “bans” that did not carry enough authority to alter the symbolic value attached to their traditions.
Collapse
|
5
|
Perceptions of the Food Environment and Access among Predominantly Black Low-Income Residents of Rural Louisiana Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17155340. [PMID: 32722214 PMCID: PMC7432768 DOI: 10.3390/ijerph17155340] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 07/22/2020] [Accepted: 07/23/2020] [Indexed: 12/14/2022]
Abstract
Food insecurity in rural settings is complex and not fully understood, especially from the perspective of low-income and Black residents. The goal of this study was to use qualitative methods to better understand experiences with food access and perceptions of the food environment among low-income, predominately Black rural Louisiana residents in the United States. Data were collected from focus group discussions (FGD) and focus group intake forms. Study participants were all rural residents eligible to receive at least one nutrition assistance program. FGD questions focused on perceptions of the food environment, with an emphasis on food access. Participants (n = 44) were predominately Black and female. Over half (n = 25) reported running out of food before the end of the month. Major themes included: store choice, outshopping, methods of acquiring foods other than the grocery store, and food insecurity. Concerns around price, quality, and transportation emerged as factors negatively impacting food security. Understanding residents’ perceptions and experiences is necessary to inform contextually appropriate and feasible policy and practice interventions that address the physical environment and social conditions that shape the broader physical food environment in order to achieve equitable food access and food security.
Collapse
|
6
|
Bush-Kaufman A, Barale K, Walsh M, Sero R. In-Depth Qualitative Interviews to Explore Healthy Environment Strategies in Food Pantries in the Western United States. J Acad Nutr Diet 2019; 119:1632-1643. [DOI: 10.1016/j.jand.2019.05.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2018] [Accepted: 05/14/2019] [Indexed: 11/28/2022]
|
7
|
Bush-Kaufman A, Barale K, Aragón MC, Walsh M. Development and Testing of the Healthy Food Pantry Assessment Tool. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:578-588. [PMID: 30528117 DOI: 10.1016/j.jneb.2018.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2018] [Revised: 09/12/2018] [Accepted: 10/08/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To develop and test an observational survey that quantifies food pantry environments (FPE). DESIGN Best practices in FPE were identified through key informant interviews. The tool was pilot-tested, including a content review, and then field-tested for reliability. SETTING Key informant phone interviews (n = 41); pilot and field test visits occurred at 45 pantries from multiple states. SUBJECTS Food bank/pantry staff and nutrition educators were recruited for interviews through purposive and snowball sampling. Pilot and field test survey users (n = 65) were food pantry representatives and matched community partners who both rated the FPE using the tool. VARIABLES MEASURED Pearson correlation was used to determine test-retest and interrater reliability. ANALYSIS Qualitative data were coded for healthy FPE strategies. Quantitative data were calculated using descriptive statistics (significant at P < .05). RESULTS Qualitative data were coded for observable FPE characteristics. Reliability scores were substantial to nearly perfect for 48 of 61 survey items (79%) for test-retest and 49 of 61 (80%) for interrater reliability (Pearson r = .6-1.0). CONCLUSIONS AND IMPLICATIONS The Healthy Food Pantry Assessment Tool is research-tested and can be used to evaluate and quantify the healthfulness of FPE.
Collapse
Affiliation(s)
- Alexandra Bush-Kaufman
- Washington State University-Extension, Pierce County, Tacoma, WA; Regional Nutrition Education and Obesity Prevention Center of Excellence-West, Fort Collins, CO.
| | - Karen Barale
- Washington State University-Extension, Pierce County, Tacoma, WA; Regional Nutrition Education and Obesity Prevention Center of Excellence-West, Fort Collins, CO
| | - M Catalina Aragón
- Washington State University-Extension, Pierce County, Tacoma, WA; Regional Nutrition Education and Obesity Prevention Center of Excellence-West, Fort Collins, CO
| | - Marie Walsh
- Regional Nutrition Education and Obesity Prevention Center of Excellence-West, Fort Collins, CO; Larimer County Human Services, Fort Collins, CO
| |
Collapse
|
8
|
McClain AC, Dickin KL, Dollahite J. Life course influences on food provisioning among low-income, Mexican-born mothers with young children at risk of food insecurity. Appetite 2019; 132:8-17. [DOI: 10.1016/j.appet.2018.09.014] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2018] [Revised: 07/18/2018] [Accepted: 09/18/2018] [Indexed: 11/28/2022]
|
9
|
Opichka K, Smith C. Accuracy of self-reported heights and weights in a predominately low-income, diverse population living in the USA. Am J Hum Biol 2018; 30:e23184. [PMID: 30329190 DOI: 10.1002/ajhb.23184] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 07/30/2018] [Accepted: 08/28/2018] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES This study explored the accuracy of self-reported heights and weights and factors associated with self-reported bias in a diverse American sample. METHODS Demographic, self-reported, and measured height and weight data from different studies with the same PI were compiled into one SPSS file and analyzed with paired t-tests to detect differences between self-reported and actual values. Kruskal-Wallis tests followed by pairwise t-tests detected differences among age, ethnicity, sex, income, and education. Stepwise regression analyses were done using anthropometric differences as the dependent variable and age category, sex, and ethnicity as independent variables to explore which variable was most predictive of anthropometric differences. RESULTS Individuals over-reported height and under-reported weight leading to an under-calculated BMI from self-reported height and weight by 0.6-1 kg/m2 . These under-calculations of BMI led to misclassifications of obesity by 3, 6, 8, and 4% for African American, Euro-American, Native American women, and total women, and by 5, 6, 8, and 8% by African American, Euro-American, Native American men, and total men. Older individuals and males over-reported height more than younger individuals and females. African American females over-reported height to a lesser extent than other ethnicities. Asian males over-reported height to a lesser extent than other ethnicities. CONCLUSIONS Self-reported heights and weights lead to invalid results. Most individuals over-report height and under-report weight, resulting in an inaccurate underweight and obesity prevalence. Being misclassified into the incorrect BMI category could result in inappropriate healthcare treatment. Age, ethnicity, and sex appear to influence the misreporting of height and weight.
Collapse
Affiliation(s)
- Kate Opichka
- Department of Food Science and Nutrition, University of Minnesota, St. Paul, Minnesota
| | - Chery Smith
- Department of Food Science and Nutrition, University of Minnesota, St. Paul, Minnesota
| |
Collapse
|
10
|
MacNell L, Elliott S, Hardison-Moody A, Bowen S. Black and Latino Urban Food Desert Residents’ Perceptions of Their Food Environment and Factors That Influence Food Shopping Decisions. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2017. [DOI: 10.1080/19320248.2017.1284025] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Lillian MacNell
- Department of Public Health, Campbell University, Buies Creek, North Carolina, USA
| | - Sinikka Elliott
- Department of Sociology and Anthropology, North Carolina State University, Raleigh, North Carolina, USA
| | - Annie Hardison-Moody
- Department of Agricultural and Human Sciences, North Carolina State University, Raleigh, North Carolina, USA
| | - Sarah Bowen
- Department of Sociology and Anthropology, North Carolina State University, Raleigh, North Carolina, USA
| |
Collapse
|
11
|
Oemichen M, Smith C. Investigation of the Food Choice, Promoters and Barriers to Food Access Issues, and Food Insecurity Among Low-Income, Free-Living Minnesotan Seniors. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2016; 48:397-404.e1. [PMID: 27062230 DOI: 10.1016/j.jneb.2016.02.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Revised: 02/24/2016] [Accepted: 02/25/2016] [Indexed: 06/05/2023]
Abstract
OBJECTIVE Investigate food choice, food access, and food insecurity among seniors. METHODS Eight focus groups were conducted in 2 counties with high and low Supplemental Nutrition Assistance Program (SNAP) participation rates. A total of 62 seniors (aged ≥ 60 years) were recruited and each attended 1 focus group at a community center. The sample was 79% female and most were Caucasian (91%), similar to state demographics. The focus group themes of how seniors make food choices and access food, and food insecurity perceptions among this population were identified based on discussion commonalities. For quantitative data, P < .05 was significant. RESULTS Five themes emerged: (1) former experiences affecting eating behaviors; (2) financial and food security driving use of food assistance programs; (3) food access strategies: restaurants, retail markets, and alternative sources; (4) physical changes associated with aging influencing food access and intake; and (5) social influences that play a role in decision making. CONCLUSIONS AND IMPLICATIONS Both SNAP and congregate dining offer food assistance to seniors, but SNAP use was considered unacceptable by some seniors living in county 1 because of the negative stigma attached to the program or because they lacked program knowledge about income criteria. More effort needs to be made to educate seniors about SNAP. It is important to gain insight into how food insecurity affects their food choices.
Collapse
Affiliation(s)
- Megan Oemichen
- Department of Food Science and Nutrition, University of Minnesota, St Paul, MN
| | - Chery Smith
- Department of Food Science and Nutrition, University of Minnesota, St Paul, MN.
| |
Collapse
|
12
|
Carnahan LR, Zimmermann K, Peacock NR. What Rural Women Want the Public Health Community to Know About Access to Healthful Food: A Qualitative Study, 2011. Prev Chronic Dis 2016; 13:E57. [PMID: 27126555 PMCID: PMC4856481 DOI: 10.5888/pcd13.150583] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Living in a rural food desert has been linked to poor dietary habits. Understanding community perspectives about available resources and feasible solutions may inform strategies to improve food access in rural food deserts. The objective of our study was to identify resources and solutions to the food access problems of women in rural, southernmost Illinois. Methods Fourteen focus groups with women (n = 110 participants) in 4 age groups were conducted in a 7-county region as part of a community assessment focused on women’s health. We used content analysis with inductive and deductive approaches to explore food access barriers and facilitators. Results Similar to participants in previous studies, participants in our study reported insufficient local food sources, which they believe contributed to poor dietary habits, high food prices, and the need to travel for healthful food. Participants identified existing local activities and resources that help to increase access, such as home and community gardens, food pantries, and public transportation, as well as local solutions, such as improving nutrition education and public transportation options. Conclusion Multilevel and collaborative strategies and policies are needed to address food access barriers in rural communities. At the individual level, education may help residents navigate geographic and economic barriers. Community solutions include collaborative strategies to increase availability of healthful foods through traditional and nontraditional food sources. Policy change is needed to promote local agriculture and distribution of privately grown food. Understanding needs and strengths in rural communities will ensure responsive and effective strategies to improve the rural food environment.
Collapse
Affiliation(s)
- Leslie R Carnahan
- Center for Research on Women and Gender, University of Illinois at Chicago, 1640 West Roosevelt Rd, Chicago, IL 60608. . Ms Carnahan is also affiliated with the School of Public Health, University of Illinois at Chicago, Chicago, Illinois
| | - Kristine Zimmermann
- Center for Research on Women and Gender, and School of Public Health, University of Illinois at Chicago, Chicago, Illinois
| | - Nadine R Peacock
- School of Public Health, University of Illinois at Chicago, Chicago, Illinois
| |
Collapse
|
13
|
Liu F, Corkery L, Wiesel I. Choosing Healthy Food in Sydney's Inner City Neighborhoods. ACTA ACUST UNITED AC 2016. [DOI: 10.1016/j.proenv.2016.09.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
14
|
Buck-McFadyen EV. Rural food insecurity: When cooking skills, homegrown food, and perseverance aren't enough to feed a family. Canadian Journal of Public Health 2015; 106:e140-6. [PMID: 26125240 DOI: 10.17269/cjph.106.4837] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2014] [Revised: 03/12/2015] [Accepted: 01/31/2015] [Indexed: 11/17/2022]
Abstract
OBJECTIVE More than 1 in 10 Canadians experience food insecurity, and a growing number of families rely on food banks each month. This ethnographic study aimed to give voice to rural families about their experiences with food insecurity while situating the findings within the broader social, political and economic context. METHODS Semi-structured interviews were conducted with women who had children living at home, and interviewer observations within the food bank were recorded as field notes. Content analysis was combined with the constant comparison method of data analysis to identify common themes regarding the experience of living with food insecurity and the influence of public policy. RESULTS Seven female participants described the emotional toll that food insecurity had on their well-being and relationships, with stress and depression common to many women. Strategies used to stretch resources included cooking from scratch, growing produce, stocking up on sale items, hunting and fishing, and paying half-bills. Many participants described going without food so that their children could eat first, and three participants went without prescription medications. Rurality and social programs were identified as both supports and barriers to overcoming food insecurity. CONCLUSION Participants in this study were highly skilled in attempting to feed their families with limited resources, although this proved inadequate to overcome their food insecurity. This highlights the need for policy initiatives to address the root causes of food insecurity and health inequities, including access to rural employment and high-quality child care, drug benefits and guaranteed annual income programs.
Collapse
|
15
|
Abstract
Within most developed countries, rural residents are more likely to be obese and overweight compared to their urban counterparts. Studies of specific rural communities have found that the limited availability of healthy foods in the community and home as well as individual characteristics and preferences contribute to poor diet and overweight. The rural food environment is varied and may be affected by climate, regional and cultural preferences, transportation access, and remoteness among other factors. Given this diversity and the vulnerabilities of rural residents, who are more likely to have low-income, substandard housing or low educational attainment compared to their urban counterparts, policy and programmatic interventions should target specific needs and communities. This review will describe the rural community, home, and individual food environments and what is known about their roles in healthy eating.
Collapse
Affiliation(s)
- Jennifer D Lenardson
- Maine Rural Health Research Center, University of Southern Maine, 432B Wishcamper Center, 34 Bedford Street, Portland, ME, 04104, USA.
| | - Anush Y Hansen
- Maine Rural Health Research Center, University of Southern Maine, 404G Wishcamper Center, 34 Bedford Street, Portland, ME, 04104, USA.
| | - David Hartley
- Maine Rural Health Research Center, University of Southern Maine, 418 Wishcamper Center, 34 Bedford Street, Portland, ME, 04104, USA.
| |
Collapse
|
16
|
|
17
|
McMahan M, Richey EJD, Tagtow A. Cultivating Food Security: Low-Resource Iowans’ Perspectives on Food Gardening. JOURNAL OF HUNGER & ENVIRONMENTAL NUTRITION 2014. [DOI: 10.1080/19320248.2014.929548] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
18
|
Rustad C, Smith C. Nutrition knowledge and associated behavior changes in a holistic, short-term nutrition education intervention with low-income women. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2013; 45:490-498. [PMID: 24206584 DOI: 10.1016/j.jneb.2013.06.009] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2012] [Revised: 06/25/2013] [Accepted: 06/28/2013] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To assess the impact of a short-term nutrition intervention using education on a comprehensive array of nutrition and health topics in low-income women. DESIGN Pre- and postintervention surveys; 1 study condition (intervention group); experiential learning; pilot testing of education sessions. SETTING Community centers, homeless shelters, or University of Minnesota, in Minneapolis-St Paul metropolitan area. PARTICIPANTS Ethnically diverse, low-income women (n = 118), 23-45 years of age. INTERVENTION Three educational sessions providing a comprehensive curriculum of nutrition and health education via experiential and interactive lectures, activities, and demonstrations. One week to implement knowledge and behavioral changes, and pre- and postsurvey sessions to collect anthropometric data and evaluate changes in knowledge and behavior. MAIN OUTCOME MEASURES Health benefits of all food groups; identification of healthful foods; shopping, cooking, and gardening; and energy balance. ANALYSIS Paired t tests, Pearson correlations. RESULTS Postintervention increases in nutrition knowledge and favorable nutrition behavioral changes (P < .05). CONCLUSIONS AND IMPLICATIONS A short-term nutrition intervention using comprehensive nutrition and health education through experiential and interactive lessons, activities, and demonstrations has the capacity to increase nutrition knowledge and favorably change nutrition behaviors in a sample of low-income women.
Collapse
Affiliation(s)
- Claire Rustad
- Department of Food Science and Nutrition, University of Minnesota-Twin Cities, St Paul, MN
| | | |
Collapse
|
19
|
Smith C. Determinants of western food adoption among hindu nepalese women living in the Kathmandu valley. Am J Hum Biol 2013; 25:205-14. [DOI: 10.1002/ajhb.22353] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2012] [Revised: 09/25/2012] [Accepted: 11/08/2012] [Indexed: 11/07/2022] Open
Affiliation(s)
- Chery Smith
- Department of Food Science and Nutrition; University of Minnesota; St. Paul; Minnesota
| |
Collapse
|
20
|
Pelletier DL, Porter CM, Aarons GA, Wuehler SE, Neufeld LM. Expanding the frontiers of population nutrition research: new questions, new methods, and new approaches. Adv Nutr 2013; 4:92-114. [PMID: 23319128 PMCID: PMC3648745 DOI: 10.3945/an.112.003160] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Nutrition research, ranging from molecular to population levels and all points along this spectrum, is exploring new frontiers as new technologies and societal changes create new possibilities and demands. This paper defines a set of frontiers at the population level that are being created by the increased societal recognition of the importance of nutrition; its connection to urgent health, social, and environmental problems; and the need for effective and sustainable solutions at the population level. The frontiers are defined in terms of why, what, who, and how we study at the population level and the disciplinary foundations for that research. The paper provides illustrations of research along some of these frontiers, an overarching framework for population nutrition research, and access to some of the literature from outside of nutrition that can enhance the intellectual coherence, practical utility, and societal benefit of population nutrition research. The frontiers defined in this paper build on earlier forward-looking efforts by the American Society for Nutrition and extend these efforts in significant ways. The American Society for Nutrition and its members can play pivotal roles in advancing these frontiers by addressing a number of well-recognized challenges associated with transdisciplinary and engaged research.
Collapse
Affiliation(s)
- David L Pelletier
- Division of Nutritional Sciences, Cornell University, Ithaca, NY, USA.
| | | | | | | | | |
Collapse
|
21
|
Comparison of the Block Kid's Food Frequency Questionnaire with a 24 h dietary recall methodology among Hmong-American children, 9-18 years of age. Br J Nutr 2012; 109:346-52. [PMID: 22716765 DOI: 10.1017/s0007114512001043] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Hmong are one of the immigrant Asian subgroups with increasing rates of obesity, type 2 diabetes and CVD. Despite their population growth in the USA and declining health status, no research has investigated the appropriateness of dietary assessment measures, including FFQ and 24 h dietary recalls among Hmong. The present study compared the nutrient information obtained through a 24 h dietary recall method with that collected using the Block Kid's Food Frequency Questionnaire (Block FFQ) among Hmong-American children (n 335) of 9-18 years of age. For this purpose, two 24 h dietary recalls were collected during non-consecutive days and averaged for comparison. The Block FFQ was administered on the day of the second 24 h recall and the two methodologies were also compared using t tests. Among all children, Block FFQ nutrient estimates for vitamin A, vitamin C and food group servings for vegetables and fruits were significantly higher than those assessed through the 24 h dietary recalls (P< 0.001). Nutrient estimates for protein and food group servings for grains and meat and beans were significantly higher among all participants when assessed through the 24 h dietary recalls than through the Block FFQ (P< 0.05). The results suggest that the Block FFQ does not appear to be a good measure of protein, grain, and meat and bean intake among Hmong children of 9-18 years of age, and the 24 h dietary recall offers a better account of the Hmong diet and is inclusive of ethnic food options otherwise missed in the Block FFQ. We recommend the modification of the current Block FFQ to appropriately reflect cultural food/beverage items of the population in interest.
Collapse
|