Journal of Nutrition Education and Behavior最新文献

{"title":"An Exploration of the Motives Underlying the Selection of the Food Outlets in Which People Purchase Fresh Foods in Montevideo, Uruguay.","authors":"Gastón Ares, Gerónimo Brunet, Ana Giménez, Leticia Vidal","doi":"10.1016/j.jneb.2025.02.014","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.014","url":null,"abstract":"<p><strong>Objective: </strong>To explore the motives underlying the selection of the food outlets in which people purchase 2 categories of fresh foods.</p><p><strong>Design: </strong>Cross-sectional telephone survey conducted in May 2024.</p><p><strong>Setting: </strong>Montevideo, Uruguay.</p><p><strong>Participants: </strong>A total of 505 adult residents of Montevideo were involved in food purchasing for the household, recruited by a survey company.</p><p><strong>Main outcome measures: </strong>Outlet in which participants reported purchasing 2 categories of fresh foods (fruits and vegetables, and meat), and motives underlying their choice of store.</p><p><strong>Analysis: </strong>Descriptive statistics and logistic regression models to assess the associations between the likelihood of purchasing the 2 categories at each type of store and the motives underlying their choice while controlling for sociodemographic variables.</p><p><strong>Results: </strong>Farmers' markets, supermarkets, fruit and vegetable stores, and butcher shops were identified as the primary outlets for purchasing the target categories. Price, quality, convenience, and proximity were the most frequently mentioned motives underlying the choice of outlet. The likelihood of purchasing at different stores was significantly (P < 0.05) associated with motives underlying the choice of outlet and socioeconomic characteristics.</p><p><strong>Conclusions and implications: </strong>People purchase fresh foods in different types of outlets because of a wide range of factors beyond proximity. Incorporating these factors in food environment research may contribute to developing more effective interventions.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of School-based Nutrition Education Programs that Include Environmental Sustainability Components, on Fruit and Vegetable Consumption of 5-12YearOld Children: A Systematic Review.","authors":"Fay Karpouzis, Kim Anastasiou, Rebecca Lindberg, Adam Walsh, Smita Shah, Kylie Ball","doi":"10.1016/j.jneb.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.008","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review examined the effectiveness of interventions of school-based nutrition education programs that included environmental sustainability components in addressing fruit and vegetable (F&V) consumption and/or variety among children (aged 5-12 years).</p><p><strong>Methods: </strong>The systematic search included MEDLINE, CINAHL, ERIC, Global Health, PsychINFO, EMBASE, the Cochrane Library, and 3 clinical trial registries. Searches between January 1, 1987, and February 22, 2022, found 18 eligible studies. The Evidence Project risk-of-bias (RoB) tool was used for quality assessment.</p><p><strong>Results: </strong>Sixteen studies had moderate-to-high RoB, and 2 had low RoB. Eight studies reported significant increases in F&V consumption and/or variety. Programs that included environmental sustainability experiential components (i.e., gardening, tasting F&Vs, and cooking activities) and were underpinned by a theoretical framework were more likely to report significant outcomes than studies that reported no effects.</p><p><strong>Conclusions and implications: </strong>This review underscores the benefits of school-based nutrition education programs that incorporate experiential components of environmental sustainability. These findings could support future researchers in designing strategies to improve children's F&V consumption by incorporating the experiential components of environmental sustainability into nutrition programs. In addition, conducting process evaluations to gather teachers' input to overcome common implementation barriers, performing long-term follow-up assessments to monitor behavioral changes over time, and implementing school policies to support these programs could also be beneficial. This review was registered with the International Prospective Register of Systematic Reviews (CRD42020184727).</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using Digital Technology to Facilitate Choice for Food Pantry Customers: An Evaluation of a Pilot Program.","authors":"Yvette Ng, Katherine Tomaino Fraser, Aikaterini Stamou, Alyson Rosenthal, Nevin Cohen","doi":"10.1016/j.jneb.2025.02.011","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.011","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the feasibility and acceptability of a novel Digital Choice model at an urban food pantry from customer and staff perspectives.</p><p><strong>Design: </strong>Focus groups, cross-sectional survey, and in-depth interviews.</p><p><strong>Setting: </strong>New York City.</p><p><strong>Participants: </strong>Thirty Digital Choice customers participated in 3 focus groups, 326 Digital Choice and non-Digital Choice customers completed the survey, and 8 program staff were interviewed.</p><p><strong>Interventions: </strong>The Digital Choice model used text messaging/online forms to allow customers to preorder 1 of 4 pantry boxes for pickup at 1 of 3 community sites.</p><p><strong>Phenomena of interest: </strong>Feasibility, acceptability.</p><p><strong>Analysis: </strong>Themes were identified in interviews and focus groups using inductive and deductive approaches, and descriptive statistics were produced from survey and order data.</p><p><strong>Results: </strong>Digital Choice customers indicated high overall satisfaction with the program (96% rated the experience positively), and staff found the program feasible to implement at the current scale. However, among the broader population of Digital Choice and non-Digital Choice customers, 40% indicated challenges with technology.</p><p><strong>Conclusions and implications: </strong>This evaluation suggests that incorporating digital technology to facilitate customer choice and partnering with community sites in the food pantry process is feasible and acceptable for many, but not all, customers.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language Spoken at Home and Preschooler Dietary Quality at Early Care and Education Facilities that Serve Children from Families with Low Income.","authors":"Marisa Gutierrez, Meg Bruening, Michael Todd, Clare Schuchardt, Corrie Whisner, Rebecca E Lee","doi":"10.1016/j.jneb.2025.01.015","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.015","url":null,"abstract":"<p><strong>Objective: </strong>Examine the association between language spoken at home and diet quality in preschoolers with low income.</p><p><strong>Design: </strong>Cross-sectional secondary data analysis.</p><p><strong>Setting: </strong>Early care and education (ECE) (n = 26) facilities participating in the Child and Adult Care Food Program in neighborhoods with low income and a high Hispanic population.</p><p><strong>Participants: </strong>Children and their parents (n = 169 dyads).</p><p><strong>Main outcomes measures: </strong>We observed children's dietary intake for 1 full ECE day and used the National Data System for Research database to extract the following diet quality variables: daily energy intake, total fat, saturated fat, added sugars, sodium, and servings of fruits and vegetables.</p><p><strong>Analysis: </strong>Mixed-effects linear and logistic regression models treated diet quality measures as separate outcomes.</p><p><strong>Results: </strong>Children from English-speaking homes consumed 7.4 g more total fat and 2.5 g more saturated fatty acids during the ECE than those from Spanish-speaking homes. Children in English-speaking homes consumed more sodium than those in bilingual and Spanish-speaking homes (211 mg and 317 mg, respectively). Children of bilingual homes were more likely than those of Spanish-speaking homes to consume any vegetables.</p><p><strong>Conclusions and implications: </strong>Language spoken at home (an indicator of acculturation) was related to total fat, saturated fat, and sodium intake during the ECE day. Greater energy consumption at ECE facilities may indicate improved dietary quality or overeating foods high in fat and sodium, thereby contributing to later poor health outcomes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Perception, Concern, and Dissatisfaction With Preschool Children's Weight and Their Associations With Feeding Practices in a Chinese Sample: A Cross-Sectional Study.","authors":"Jian Wang, Kirsty Winkley, Xiaoxue Wei, Yang Cao, Yan-Shing Chang","doi":"10.1016/j.jneb.2025.02.012","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.012","url":null,"abstract":"<p><strong>Objective: </strong>To examine the associations between parental perception, concern, and dissatisfaction with child weight and their feeding practices among Chinese families.</p><p><strong>Design: </strong>A cross-sectional study.</p><p><strong>Setting: </strong>Four public kindergartens in Yangzhou, China.</p><p><strong>Participants: </strong>Chinese parents of preschool children (n = 1,779).</p><p><strong>Main outcome measures: </strong>Three responsive feeding practices (i.e., encouragement of healthy eating, monitoring, and modeling) and 3 nonresponsive feeding practices (i.e., pressure to eat, restriction, and use of food as a reward).</p><p><strong>Analysis: </strong>Hierarchical multiple regression analysis was performed to examine their associations. The agreement was evaluated with kappa statistics.</p><p><strong>Results: </strong>Parents who perceived children as overweight or obese reported less pressure to eat (P = 0.04); parents who were concerned about children with underweight reported more pressure to eat (P = 0.01); parents who rated children's body weight size as underweight were less likely to encourage children to eat healthy food (P = 0.04) and restrict food intake (P = 0.02); parents who desired a slimmer child's body size reported less modeling (P < 0.001) and more restriction (P = 0.04). The disagreements between parental self-reported and visual perception of child weight and actual child weight were statistically significant, respectively (P < 0.01).</p><p><strong>Conclusions and implications: </strong>The results suggested the significant influence of parental perception, concern, and dissatisfaction with child weight on feeding practices. Our findings may inform public health practitioners and primary care providers in designing interventions to enhance parental accurate weight perception and optimize feeding practices.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Healthy and Unhealthy Food and Beverages Appear in Movies and Series for Children: A Comprehensive Content Analysis.","authors":"Alice Binder, Jörg Matthes, Raffael Heiss, Ines Spielvogel, Michaela Forrai, Helena Knupfer, Melanie Saumer, Brigitte Naderer","doi":"10.1016/j.jneb.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.012","url":null,"abstract":"<p><strong>Objective: </strong>Investigate which persuasive strategies are used in audiovisual media exposures of food and beverage items to children.</p><p><strong>Design: </strong>Content analysis of movies and series based on questionnaire responses from children and their parents.</p><p><strong>Setting: </strong>Six schools in rural as well as 6 schools in urban areas in Austria.</p><p><strong>Participants: </strong>A total of 648 children (aged 5-11 years) and 559 of their parents.</p><p><strong>Main outcome measures: </strong>Food and beverage categories (healthy = high nutritional value; unhealthy = high in fat, salt and/or sugars; mixed), composition-related, evaluative (nonverbal evaluation = facial expressions or sounds; verbal evaluation), and source-related strategies.</p><p><strong>Analysis: </strong>A logistic mixed-effects regression model with random intercepts predicting nutritional classification.</p><p><strong>Results: </strong>A total of 114 movies and 133 series (n = 12,320 food and beverage presentations) were coded. The study reveals that unhealthy food items are prominently featured in media aimed at children. Branded and centrally presented items had significantly higher odds of being classified as unhealthy (vs healthy; P < 0.001). Items that were interacted with or consumed were more likely to be unhealthy (vs healthy or mixed; P < 0.001). In addition, nonverbal positive evaluations increased the likelihood of items being unhealthy (vs healthy; P < 0.001), whereas negative nonverbal evaluations decreased the likelihood of items being unhealthy (vs healthy or mixed; P < 0.05). Conversely, items evaluated positively in a verbal-cognitive manner had lower odds of being unhealthy (vs healthy; P < 0.001).</p><p><strong>Conclusions and implications: </strong>This study calls for more research on the effects of verbal and nonverbal evaluations of food depictions, particularly for diverging evaluative cues. Findings also emphasize the call to further regulate the depiction of foods and beverages in movies and series while encouraging content creators to make more mindful choices in how these items are portrayed.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cooking Matters for Diabetes: A Curriculum to Support Diabetes Self-Management Among Individuals Facing Food Insecurity.","authors":"Jennifer A Garner, Jennifer C Shrodes, Katharine Garrity, Songzhu Zhao, Emmanuella Aboagye-Mensah, Amaris Williams, Guy Brock, Jennifer Hefner, Daniel M Walker, Joshua J Joseph","doi":"10.1016/j.jneb.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.017","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feedback From Pregnant Women With Gestational Diabetes on a Proposed Lifestyle Intervention.","authors":"Molly E Waring, Katherine E McManus-Shipp, Christiana M Field, Sophia A Gaspard, Linda S Pescatello, Ock K Chun, Ava Holland, Vanessa Sena, Helen Wu, Kristen Annis-Brayne, Andrea D Shields","doi":"10.1016/j.jneb.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.003","url":null,"abstract":"<p><strong>Objective: </strong>To solicit feedback from pregnant individuals with gestational diabetes mellitus (GDM) on a proposed lifestyle intervention.</p><p><strong>Methods: </strong>We interviewed pregnant adults (n = 9) diagnosed with GDM ≥ 4 weeks at 2 obstetric clinics in the Hartford, CT, area. Participants provided feedback on a proposed intervention that included medically tailored meals, multimedia educational materials, and personalized support for physical activity. We conducted a practical thematic analysis of interview data.</p><p><strong>Results: </strong>Participants' feedback can be described using 4 themes. First, the intervention will reduce the cognitive and emotional burden associated with managing GDM. Second, participants wanted the ability to tailor the intervention to their circumstances and preferences. Third, the intervention website should offer ready access to information and resources. Finally, participants expressed a desire for relatable content from other people with GDM to normalize their experiences and foster learning.</p><p><strong>Conclusions and implications: </strong>Researchers developing lifestyle interventions for persons with GDM should consider participants' social context, including family food systems and available resources.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Federally Qualified Health Center-Based Food is Medicine Intervention Associated With Improved Health and Nutritional Outcomes.","authors":"Katelin M Alfaro Hudak, Lauren Squires, Amanda R Feighner, Dawn S Opel, Mithuna Srinivasan","doi":"10.1016/j.jneb.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.02.004","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate health outcomes associated with a Food is Medicine (FIM) intervention.</p><p><strong>Design: </strong>Single group prepost design.</p><p><strong>Participants: </strong>Patients with food insecurity at a Federally Qualified Health Center who had a nutrition-related health condition (n = 134).</p><p><strong>Intervention: </strong>Nine-month FIM program which provided medically tailored grocery boxes and one-on-one nutrition coaching.</p><p><strong>Main outcome measures: </strong>Hemoglobin A1C, body mass index, blood pressure, fruit and vegetable consumption, food insecurity, medication adherence, and overall health status.</p><p><strong>Analysis: </strong>Generalized estimating equations estimated the association between outcomes and program participation.</p><p><strong>Results: </strong>Mean hemoglobin A1C decreased from 7.4% to 7.0% (P = 0.001), body mass index declined from 40.5 to 39.6 (P < 0.01), fruit and vegetable intake increased from 10.0 to 14.6 times/wk (P < 0.001), and food insecurity decreased from 89.6% to 36.1% (P < 0.001). Medication adherence (P = 0.002) and overall health status (P < 0.001) also significantly improved post program.</p><p><strong>Conclusion and implications: </strong>Participation in a FIM intervention was associated with significant improvements in patient health outcomes, food security, and diet behaviors. Findings show potential for FIM interventions implemented in partnership between food banks and safety net providers to alleviate food insecurity and improve patients' health outcomes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Black Parents' eLearning Preferences and Expectations of an Online Beverage Program to Improve Healthy Beverage Consumption Among Young Children.","authors":"Chisom B Okoli, Sina Gallo, Jung S Lee, Jennifer J Thompson, Janani R Thapa, Sun J Grace Ahn, Caree J Cotwright","doi":"10.1016/j.jneb.2025.02.009","DOIUrl":"10.1016/j.jneb.2025.02.009","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a needs assessment to understand the expectations and eLearning preferences of Black parents of young children to inform the development of a healthy beverage education program.</p><p><strong>Methods: </strong>A convenience sample of Black parents (n = 64) completed a survey on eLearning format preferences. Individual interviews (n = 20) with survey respondents explored program expectations and motivations for participation. Descriptive statistics and qualitative content analyses were used for data analysis.</p><p><strong>Results: </strong>Videos were the preferred eLearning format. Participants' expectations of the eLearning program included representations using cultural identifiers (e.g., hair and skin color) reflective of Black culture. They also wanted videos to be engaging, concise, and short (5-10 minutes). The learning topics of interest included the sugar content of beverages, label reading, health consequences of sugar-sweetened beverages, and easy-to-make healthy beverage recipes.</p><p><strong>Conclusion and implications: </strong>The findings of this study may inform the development of healthy beverage education programs for Black families of young children. Future studies should examine the impact of these interventions on health behaviors and outcomes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}