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Abstract
Sugary drink consumption is associated with many adverse health outcomes, including weight gain, diabetes, and other chronic conditions. These beverages are widely marketed and ubiquitously available. This analysis explores sugary drink consumption across all age groups among New York City (NYC) residents using representative survey data. Three population-based representative surveys of NYC residents of different age groups were analyzed. Adult participants, youth participants, and caregivers of child participants self-reported the number of sugary drinks they consumed per day. Mean sugary drink intake per day was estimated overall and by demographic characteristics, for the 2015 cycle of each survey and the 2007-2015 cycles of the adult survey. T tests were used to determine whether means differed by demographics. Long-term trends in mean sugary drink consumption among adult participants were conducted to examine changes over time overall and by demographic characteristics. In 2015, the mean daily number of sugary drinks consumed was 0.53 (95% CI 0.45, 0.61) among children 0-5 years old, 1.05 (95% CI 0.90, 1.21) among children 6-12 years old, and 1.16 (95% CI 1.09, 1.29) among NYC high school students. Among all NYC adults, sugary drink intake decreased 36% from 1.03 (95% CI 0.99, 1.08) in 2007 to 0.66 (95% CI 0.62, 0.70) drinks per day in 2015, p < 0.01. However, at each age level, there were persistent disparities in sugary drink consumption by sex, race/ethnicity, educational attainment, and poverty level. Decreasing overall rates of sugary drink consumption are promising; however, disparities by socio-demographics are a concern. Reducing sugary drink consumption across all ages is recommended as is minimizing the introduction at an early age. Reduction of sugary drink consumption will require a collaborative, multi-sectoral approach.
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Affiliation(s)
- Tali Elfassy
- Department of Public Health Sciences, Miller School of Medicine, University of Miami, Coral Gables, FL, USA
| | - Tamar Adjoian
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, NY, USA.
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, 42-09 28th Street, 11th Floor, Long Island City, NY, 11101, USA.
| | - Megan Lent
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention and Tobacco Control, Long Island City, NY, USA
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Prasad D, Mezzacca TA, Anekwe AV, Lent M, Farley SM, Kessler K, Angell SY. Sodium, calorie, and sugary drink purchasing patterns in chain restaurants: Findings from NYC. Prev Med Rep 2020; 17:101040. [PMID: 32055437 PMCID: PMC7005460 DOI: 10.1016/j.pmedr.2019.101040] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Revised: 11/27/2019] [Accepted: 12/27/2019] [Indexed: 11/18/2022] Open
Abstract
At chain restaurants, purchases are often exceptionally high in calories and sodium. At quick-service chains, most sugary drink purchases had at least 50 g of sugar. Most participants at full-service chains purchased more than the daily sodium limit. Fostering a healthier restaurant environment would promote healthier purchases.
To understand how consumer purchases in chain restaurants relate to nutrients of public health concern, sodium, calories and sugary drinks purchased for personal consumption were assessed through a customer intercept receipt study at a sample of New York City quick- and full-service chain restaurants (QSR and FSR) in 2015. The percentages of respondents purchasing ≥2,300 mg sodium, ≥2,000 calories, and a sugary drink, respectively, were 14%, 3% and 32% at QSR, and 56%, 23%, and 22% at FSR. Sodium content of purchases averaged 1,260 mg at QSR and 2,897 mg at FSR and calories averaged 770 at QSR and 1,456 at FSR. 71% of QSR sugary drink purchases contained at least 200 calories. Purchasing patterns that are exceptionally high in sodium and calories, and that include sugary drinks, are common in chain restaurants. Because restaurant-sourced foods are a cornerstone of the American diet, fostering conditions that support healthful purchases is essential to reduce preventable disease and advance health.
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Affiliation(s)
- Divya Prasad
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
- Corresponding author.
| | - Tamar Adjoian Mezzacca
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Amaka V. Anekwe
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Megan Lent
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Shannon M. Farley
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Kimberly Kessler
- New York City Department of Health and Mental Hygiene, Bureau of Chronic Disease Prevention, 42-09 28 Street, Long Island City, NY 11101, United States
| | - Sonia Y. Angell
- New York City Department of Health and Mental Hygiene, Division of Prevention and Primary Care, 42-09 28 Street, Long Island City, NY 11101, United States
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Anekwe AV, Lent M, Farley SM, Kessler K, Kennelly MO, Angell SY. New York City's Sodium Warning Regulation: From Conception to Enforcement. Am J Public Health 2019; 109:1191-1192. [PMID: 31390247 PMCID: PMC6687254 DOI: 10.2105/ajph.2019.305228] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/08/2019] [Indexed: 11/04/2022]
Affiliation(s)
- Amaka V Anekwe
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
| | - Megan Lent
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
| | - Shannon M Farley
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
| | - Kimberly Kessler
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
| | - Maura O Kennelly
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
| | - Sonia Y Angell
- Amaka V. Anekwe, Shannon M. Farley, and Kimberly Kessler are with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene, Queens, NY. Maura O. Kennelly is with the Office of External Affairs, New York City Department of Health and Mental Hygiene. At the time of the study, Megan Lent was with the Bureau of Chronic Disease Prevention and Tobacco Control, Division of Prevention and Primary Care, and Sonia Y. Angell was with the Division of Prevention and Primary Care, New York City Department of Health and Mental Hygiene
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Veatch M, Goldstein GP, Sacks R, Lent M, Van Wye G. Institution-to-institution mentoring to build capacity in 24 local US health departments: best practices and lessons learned. Prev Chronic Dis 2014; 11:E168. [PMID: 25275805 PMCID: PMC4184087 DOI: 10.5888/pcd11.140017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Introduction Institutional mentoring may be a useful capacity-building model to support local health departments facing public health challenges. The New York City Department of Health and Mental Hygiene conducted a qualitative evaluation of an institutional mentoring program designed to increase capacity of health departments seeking to address chronic disease prevention. The mentoring program included 2 program models, a one-to-one model and a collaborative model, developed and implemented for 24 Communities Putting Prevention to Work grantee communities nationwide. Methods We conducted semi-structured telephone interviews to assess grantees’ perspectives on the effectiveness of the mentoring program in supporting their work. Two interviews were conducted with key informants from each participating community. Three evaluators coded and analyzed data using ATLAS.ti software and using grounded theory to identify emerging themes. Results We completed 90 interviews with 44 mentees. We identified 7 key program strengths: learning from the New York City health department’s experience, adapting resources to local needs, incorporating new approaches and sharing strategies, developing the mentor–mentee relationship, creating momentum for action, establishing regular communication, and encouraging peer interaction. Conclusion Participants overwhelmingly indicated that the mentoring program’s key strengths improved their capacity to address chronic disease prevention in their communities. We recommend dissemination of the results achieved, emphasizing the need to adapt the institutional mentoring model to local needs to achieve successful outcomes. We also recommend future research to consider whether a hybrid programmatic model that includes regular one-on-one communication and in-person conferences could be used as a standard framework for institutional mentoring.
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Affiliation(s)
- Maggie Veatch
- Nutrition and Physical Activity, Brooklyn District Public Health Office, New York City Department of Health and Mental Hygiene, 485 Throop Ave, Brooklyn NY 11221. E-mail:
| | - Gail P Goldstein
- Bureau of Alcohol and Drug Use Prevention, Care and Treatment, New York City Department of Health and Mental Hygiene, Queens, New York
| | - Rachel Sacks
- Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, New York
| | - Megan Lent
- Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, New York
| | - Gretchen Van Wye
- Bureau of Vital Statistics, New York City Department of Health and Mental Hygiene, New York, New York
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Lent M, Wachendorf N. Die Verbindung von beruflicher und akademischer Bildung am Beispiel des dualen Studiums nach dem Krefelder Modell. CHEM-ING-TECH 2014. [DOI: 10.1002/cite.201450562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Ken K, Shockman S, Sirichotiratana M, Lent M, Wilson M. Dermatoses associated with mites other than sarcoptes. ACTA ACUST UNITED AC 2014; 33:110-5. [DOI: 10.12788/j.sder.0104] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Rube K, Veatch M, Huang K, Sacks R, Lent M, Goldstein GP, Lee KK. Developing built environment programs in local health departments: lessons learned from a nationwide mentoring program. Am J Public Health 2014; 104:e10-8. [PMID: 24625166 DOI: 10.2105/ajph.2013.301863] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Local health departments (LHDs) have a key role to play in developing built environment policies and programs to encourage physical activity and combat obesity and related chronic diseases. However, information to guide LHDs' effective engagement in this arena is lacking. During 2011-2012, the New York City Department of Health and Mental Hygiene (DOHMH) facilitated a built environment peer mentoring program for 14 LHDs nationwide. Program objectives included supporting LHDs in their efforts to achieve built environment goals, offering examples from DOHMH's built environment work to guide LHDs, and building a healthy built environment learning network. We share lessons learned that can guide LHDs in developing successful healthy built environment agendas.
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Affiliation(s)
- Kate Rube
- At the time this article was written, Kate Rube, Maggie Veatch, Rachel Sacks, Megan Lent, Gail P. Goldstein, and Karen K. Lee were with the Bureau of Chronic Disease Prevention and Tobacco Control, New York City Department of Health and Mental Hygiene, Queens, NY. Katy Huang is with the Division of Health Care Access and Improvement, New York City Department of Health and Mental Hygiene
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Lent M, Hill TF, Dollahite JS, Wolfe WS, Dickin KL. Healthy children, healthy families: parents making a difference! A curriculum integrating key nutrition, physical activity, and parenting practices to help prevent childhood obesity. J Nutr Educ Behav 2012; 44:90-92. [PMID: 21900051 DOI: 10.1016/j.jneb.2011.02.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2010] [Revised: 02/09/2011] [Accepted: 02/21/2011] [Indexed: 05/31/2023]
Affiliation(s)
- Megan Lent
- Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA
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Dickin KL, Lent M, Lu AH, Sequeira J, Dollahite JS. Developing a measure of behavior change in a program to help low-income parents prevent unhealthful weight gain in children. J Nutr Educ Behav 2012; 44:12-21. [PMID: 21996430 DOI: 10.1016/j.jneb.2011.02.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2010] [Revised: 02/14/2011] [Accepted: 02/21/2011] [Indexed: 05/31/2023]
Abstract
OBJECTIVE To develop and test a brief measure of changes in eating, active play, and parenting practices after an intervention to help parents shape children's choices and home environments. DESIGN Sequential phases of development and testing: expert panel review, cognitive testing interviews, field testing, test-retest study, and assessment of convergence with detailed previously validated instruments. SETTING AND PARTICIPANTS Expanded Food and Nutrition Education Program (EFNEP), New York State. Low-income parents of 3- to 11-year-old children; Cooperative Extension nutrition and parenting educators. MAIN OUTCOME MEASURES Questionnaire reliability, validity, respondent comprehension, and feasibility of use in program contexts. ANALYSIS Qualitative analysis of item comprehension. Correlational analysis of test-retest reliability and convergent validity. RESULTS A behavior checklist was developed to assess change in parent-reported family eating, physical activity, and parenting practices addressed by an intervention. The checklist was feasible for use in EFNEP and questions were understood as intended. Test-retest reliability was good (r = 0.83) and scores correlated significantly (range, 0.25 to -0.60; P < .05) with detailed measures of dietary habits, parental modeling, physical activity, and home environment. CONCLUSIONS AND IMPLICATIONS Development and testing in a program context produced a tool community nutritionists can use to evaluate educational interventions aimed at helping parents promote healthful eating and activity.
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Affiliation(s)
- Katherine L Dickin
- Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA.
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Lent M, Hirshberg A, Margolis G. Systemic toxins. Signs, symptoms & management of patients in septic shock. JEMS 2001; 26:54-65; quiz 66-7. [PMID: 11771375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- M Lent
- Emergency Health Services Program, George Washington University, Washington, D.C., USA
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Lent M. The medical and legal risks of the electronic fetal monitor. Stanford Law Rev 1999; 51:807-837. [PMID: 10557629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Electronic fetal heart monitoring (EFM) is the most widely used method of monitoring the fetal heartbeat for possible signs of distress during delivery. Soon after its development in the 1960s, EFM replaced intermittent auscultation as the standard of care in the obstetrical community. However, Margaret Lent argues that the widespread use of EFM is both medically and legally unsound. Lent points to a series of clinical trials that demonstrate that EFM does not reduce fetal mortality, morbidity, or cerebral palsy rates. These studies suggest that EFM has a very high false positive rate, and that EFM usage correlates strongly with a rise in cesarean section rates. Similarly, EFM provides no protection in the courtroom. Though obstetricians believe that they should use EFM because its status as the standard of care will protect them from liability, Lent argues that it may in fact expose them to liability given its failings. Instead, she argues that auscultation is equally, if not more, safe and effective, and is more likely to protect physicians from liability. Lent concludes that obstetricians have an obligation to their patients and to themselves to adopt auscultation as the new standard of care.
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Affiliation(s)
- M Lent
- Davis Wright Tremaine, Seattle, Washington, USA
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