Sarah A. Stotz PhD, RDN, CDCES , Luciana E. Hebert PhD , Lisa Scarton PhD, RN , Kelli Begay MS, MBA, RDN , Kelly Gonzales PhD, MPH , Heather Garrow BS, CHES , Spero M. Manson PhD , Susan M. Sereika PhD , Denise Charron-Prochownik PhD, RN, CNCP, FAAN
{"title":"Relationship Between Food Insecurity and Healthy Eating Behavior for Gestational Diabetes Risk Reduction Among American Indian and Alaska Native Adolescent and Young Adult Females: A Qualitative Exploration","authors":"Sarah A. Stotz PhD, RDN, CDCES , Luciana E. Hebert PhD , Lisa Scarton PhD, RN , Kelli Begay MS, MBA, RDN , Kelly Gonzales PhD, MPH , Heather Garrow BS, CHES , Spero M. Manson PhD , Susan M. Sereika PhD , Denise Charron-Prochownik PhD, RN, CNCP, FAAN","doi":"10.1016/j.jneb.2024.06.004","DOIUrl":"10.1016/j.jneb.2024.06.004","url":null,"abstract":"<div><h3>Objective</h3><p>To understand the perspectives of key informant experts regarding the relationship between food insecurity and gestational diabetes mellitus risk reduction behaviors among young American Indian and Alaska Native females.</p></div><div><h3>Methods</h3><p>Participants were adult key informants with expertise in food/nutrition and health within Tribal communities (N = 58) across the US. Data were collected through 1:1 interviews using a semistructured moderator guide and analyzed using thematic content analysis methods.</p></div><div><h3>Results</h3><p>Three themes included (1) diet and nutrition habits are formed through intergenerational food preferences and are driven by lasting implications of colonization; (2) young people are influenced by what their peers eat and the food environment, including outside of the home; and (3) the methods used to understand household food insecurity and nutrition habits in the parent study were likely limited.</p></div><div><h3>Conclusions and Implications</h3><p>Findings provide guidance as to where nutrition education and interventions may best support young Native females.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 622-630"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003543/pdfft?md5=1990fe1b01d60ade095c4713b22c802e&pid=1-s2.0-S1499404624003543-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"US Navy Sailors Modify Their Eating Behaviors to Pass Cyclic Physical Readiness Tests","authors":"","doi":"10.1016/j.jneb.2024.05.232","DOIUrl":"10.1016/j.jneb.2024.05.232","url":null,"abstract":"<div><h3>Objective</h3><p>Investigate the influence of physical readiness tests (PRTs) on eating behaviors among US Navy Sailors.</p></div><div><h3>Design</h3><p>Focused ethnography using interviews and military policies.</p></div><div><h3>Setting</h3><p>Three US Naval installations.</p></div><div><h3>Participants</h3><p>Active-duty enlisted Sailors (n = 32).</p></div><div><h3>Phenomenon of Interest</h3><p>Eating behaviors.</p></div><div><h3>Analysis</h3><p>Authors analyzed data iteratively with data collection using domain, taxonomy, and thematic analysis to identify culturally relevant codes, domains, and themes.</p></div><div><h3>Results</h3><p>Five themes corresponded with PRT timing and Sailors’ perceived ability to meet standards: (1) maintain usual eating habits, (2) get ready and switch it up, (3) make weight—damage control, (4) return to baseline—PRT is over, and (5) eat whatever—PRT is canceled. In contrast to the PRT policy's goal for Sailors to maintain standards and a healthy lifestyle, many Sailors modified their usual eating behaviors to pass the test.</p></div><div><h3>Conclusion and Implications</h3><p>Changes in eating behaviors during PRT cycles highlight a culture of getting ready vs staying ready, suggesting many Sailors do not eat a nutrient-dense diet to maintain the minimum physical fitness and body composition standards. There is a need for nutrition education for healthy weight maintenance, weight gain prevention, and healthy weight loss among military personnel.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 611-621"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472017","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":"Incorporating Halal Into Healthy and Equitable Dietary Patterns to Address Food and Nutrition Security Among K-12 and University Students: A Perspective","authors":"","doi":"10.1016/j.jneb.2024.04.010","DOIUrl":"10.1016/j.jneb.2024.04.010","url":null,"abstract":"<div><p>Food and nutrition insecurity exist at an alarming rate in the US educational system, ranging from 17% among K-12 students up to 58.8% among university students. Many Muslim American students face food and nutrition insecurity due, in part, to a lack of acknowledgment of student adherence to halal dietary guidelines and the availability of certified halal options at school. This has implications for health, learning, and social outcomes. In this perspective paper, we provide short-term, mid-term, and long-term recommendations to address food and nutrition insecurity among halal-observant students to advance healthy dietary patterns.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 663-671"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S149940462400099X/pdfft?md5=8612cbc92eef8e22b7a2c5c7d3dc3cac&pid=1-s2.0-S149940462400099X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial Board/Board of Directors","authors":"","doi":"10.1016/S1499-4046(24)00405-6","DOIUrl":"10.1016/S1499-4046(24)00405-6","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Page A3"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624004056/pdfft?md5=0e6625909b16e1975df4903d6a3b34a7&pid=1-s2.0-S1499404624004056-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142164829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development of the Food-Related Control Scale for Long-Term Care","authors":"","doi":"10.1016/j.jneb.2024.05.233","DOIUrl":"10.1016/j.jneb.2024.05.233","url":null,"abstract":"<div><h3>Objective</h3><p>Develop and test a Food-Related Control Scale (FRCS) measuring resident-perceived control in long-term care food service.</p></div><div><h3>Design</h3><p>A bank of 15 initial items based on a multidimensional locus of control construct was developed initially. Expert review, cognitive interviews, a pilot study, and factor analysis were used to validate the instrument and assess reliability.</p></div><div><h3>Setting</h3><p>Individual phone-based cognitive interviews and 16 skilled nursing facilities in the US.</p></div><div><h3>Participants</h3><p>Cognitive interviews included a convenience sample of independently living adults aged ≥ 65 (n = 13), whereas the pilot study included skilled nursing facility-residing adults (n = 166).</p></div><div><h3>Variables Measured</h3><p>Perception of food-related control in a long-term care setting.</p></div><div><h3>Analysis</h3><p>Cognitive interviews were analyzed to develop items. Quantitative data from skilled nursing facility residents were analyzed using SAS software for structural equation modeling and factor analysis.</p></div><div><h3>Results</h3><p><span>A 2-dimensional construct (9 items) of the FRCS demonstrated reliability with factor analysis. Concurrent validity within the locus of control<span> construct was demonstrated with the Multidimensional Health Locus of Control Scale (standardized estimate of 0.430; </span></span><em>P</em> < 0.1).</p></div><div><h3>Conclusions and Implications</h3><p>The FRCS may be used to determine how residents in long-term care perceive control over their food experiences. Further testing is necessary to determine the appropriateness of the FRCS for different population uses.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 653-662"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443671","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":"Students’ Perspectives on the Benefits and Challenges of Universal School Meals Related to Food Accessibility, Stigma, Participation, and Waste","authors":"","doi":"10.1016/j.jneb.2024.04.011","DOIUrl":"10.1016/j.jneb.2024.04.011","url":null,"abstract":"<div><h3>Objective</h3><p>To reveal students’ experiences and perspectives related to Universal School Meals (USM) under the federal coronavirus disease 2019 waivers during school years 2021–22.</p></div><div><h3>Design</h3><p>Qualitative; 17 focus groups in June–July 2022.</p></div><div><h3>Setting</h3><p>Virtual; students from 9 California regions in public and charter schools.</p></div><div><h3>Participants</h3><p>67 students (n = 31 in high school, n = 36 in middle school) from a racially and economically diverse sample.</p></div><div><h3>Phenomenon of Interest</h3><p>Students’ perceived benefits and drawbacks of USM.</p></div><div><h3>Analysis</h3><p>Thematic analysis using an immersion-crystallization approach.</p></div><div><h3>Results</h3><p>Students appreciated USM for increasing school meals’ accessibility, promoting food security by financially supporting families, reducing the stigma associated with school meals, simplifying the payment system, and enhancing school meals convenience. An increase in school meal participation was observed. However, concerns emerged regarding a perceived decline in food quality and quantity and increased food waste.</p></div><div><h3>Conclusions and Implications</h3><p>Universal School Meals showed promise in increasing access to meals, reducing food insecurity, stigma, and increasing participation. Addressing food quality, quantity, and waste concerns is critical for its sustained success. Policymakers need to advocate for the expansion and continuous refinement of USM, prioritizing stakeholder feedback. Ensuring adequate funding to balance meal quality and quantity while minimizing waste is essential for an adequate school meal policy.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 599-610"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624001003/pdfft?md5=ee4638c20501b2cb6318bd22c2039e38&pid=1-s2.0-S1499404624001003-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Online Nutrition Education Videos Teaching How to Use Herbs and Spices to Improve Diet Quality","authors":"","doi":"10.1016/j.jneb.2024.05.231","DOIUrl":"10.1016/j.jneb.2024.05.231","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 672-677"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460457","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":"Evaluating the Validity of the PortionSize Smartphone Application for Estimating Dietary Intake in Free-Living Conditions: A Pilot Study","authors":"","doi":"10.1016/j.jneb.2024.05.226","DOIUrl":"10.1016/j.jneb.2024.05.226","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate the validity of the PortionSize application.</p></div><div><h3>Methods</h3><p>In this pilot study, 14 adults used PortionSize to record their free-living food intake over 3 consecutive days. Digital photography was the criterion measure, and the main outcomes were estimated intake of food (grams), energy (kilocalories), and food groups. Equivalence tests with ±25% equivalence bounds and Bland-Altman analysis were performed.</p></div><div><h3>Results</h3><p>Estimated gram intake from PortionSize was equivalent (<em>P</em> < 0.001) to digital photography estimates. PortionSize and digital photography estimated energy intake, however, were not equivalent (<em>P</em> = 0.08), with larger estimates from PortionSize. In addition, PortionSize and digital photography were equivalent for vegetable intake (<em>P</em> = 0.01), but PortionSize had larger estimates of fruits, grains, dairy, and protein intake (<em>P</em> >0.07; error range 11% to 23%).</p></div><div><h3>Conclusions and Implications</h3><p>Compared with digital photography, PortionSize accurately estimated food intake and had reasonable error rates for other nutrients; however, it overestimated energy intake, indicating further application improvements are needed for free-living conditions.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 643-652"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003269/pdfft?md5=6f2cba1d8e29e8e5dc686ae193abeaa0&pid=1-s2.0-S1499404624003269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Family-Based Motivational Interviewing and Resource Mobilization to Prevent Obesity: Living Well Together Trial","authors":"","doi":"10.1016/j.jneb.2024.05.227","DOIUrl":"10.1016/j.jneb.2024.05.227","url":null,"abstract":"<div><h3>Objective</h3><p>Test an obesity intervention for families with low incomes.</p></div><div><h3>Methods</h3><p>A total of 208 families were included (a parent with a body mass index [BMI] ≥ 30 and a child aged 6–12 years). A 12-month randomized controlled trial combining family health coaching (motivational interviewing) and connection to community resources. Comparison group: referrals for basic needs, written educational materials. Questionnaires, accelerometry, and anthropometrics. Intention-to-treat analysis of change in outcomes. Two-sided t test with multiple imputation.</p></div><div><h3>Results</h3><p>Parents were 95% female, 31% Black, and 27% Hispanic. Children had a mean BMI-Z score of 1.15. Primary outcomes did not differ between groups at 12 months. Both groups significantly (<em>P</em> < 0.05) improved on the Family Nutrition and Physical Activity Scale for behaviors related to childhood obesity (mean ± SE: comparison, 2.8 ± 1.0; intervention, 2.2 ± 0.9), increased child sedentary activity (comparison, 32.5 ± 12.1; intervention, 39.9 ± 12.4 min/d), and decreased child moderate-vigorous physical activity (comparison, −9.6 ± 3.3; intervention −7.0 ± 3.0 min/d). Parents had no change in BMI.</p></div><div><h3>Conclusions and Implications</h3><p>We successfully embedded screening and referral to address social needs within an obesity intervention. The coaching intervention did not provide additional benefits. Future research could explore ways to make these interventions more accessible, valuable, and effective for families.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Pages 631-642"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624003270/pdfft?md5=f4f3146b91ee6b7addd03ebe1ae9af06&pid=1-s2.0-S1499404624003270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miriam Seidel MS, RDN (SNEB Advisory Committee on Public Policy), Laura Vollmer MPH, RD (SNEB Advisory Committee on Public Policy), Julia McCarthy JD (SNEB Advisory Committee on Public Policy)
{"title":"More than a Dollar Short: Proposed Cuts to the Thrifty Food Plan Jeopardize Long-Term Health","authors":"Miriam Seidel MS, RDN (SNEB Advisory Committee on Public Policy), Laura Vollmer MPH, RD (SNEB Advisory Committee on Public Policy), Julia McCarthy JD (SNEB Advisory Committee on Public Policy)","doi":"10.1016/j.jneb.2024.07.010","DOIUrl":"10.1016/j.jneb.2024.07.010","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 9","pages":"Page 597"},"PeriodicalIF":2.3,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624004019/pdfft?md5=03456c7cddb4cf0a804f1080cd236f72&pid=1-s2.0-S1499404624004019-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142146727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}