Journal of Nutrition Education and Behavior最新文献

{"title":"Nutrition Knowledge Among Students in an Historically Black College and University (HBCU) Is Inadequate and Associated With Residence","authors":"Janet Antwi PhD, RPh, RD, LD,&nbsp;Yetunde Olawuyi PhD,&nbsp;Modupe Ifafore MS,&nbsp;Innocent Opara MS","doi":"10.1016/j.jneb.2024.10.013","DOIUrl":"10.1016/j.jneb.2024.10.013","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the nutrition knowledge and dietary habits of students at an Historically Black College and University.</div></div><div><h3>Methods</h3><div>A cross-sectional survey with 297 participants was conducted online using Qualtrics. An adapted questionnaire was used to obtain general nutrition knowledge. Descriptive analyses and binary logistic regression were conducted.</div></div><div><h3>Results</h3><div>The average nutrition knowledge score was 55.0% ± 46.9%, indicating inadequacy, and was significantly associated with dietary habits (<em>P</em> = 0.017). Nutrition knowledge was significantly associated with age, ethnicity, marital status, work status, and residence (<em>P</em> &lt; 0.05). Consumer and dietary habits scored 3.1 ± 1.6 out of 5, with the lowest score for choosing fat-free or low-fat milk. Residence significantly predicted nutrition knowledge; students living with family exhibited higher odds (odds ratio, 7.21; 95% confidence interval, 2.13–24.39) of adequate knowledge compared with those in the campus residence hall.</div></div><div><h3>Conclusion and Implications</h3><div>These findings can guide nutrition interventions for college students, with future research needed to explore how residence impacts nutrition knowledge and habits.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 3","pages":"Pages 225-231"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848028","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":"A Meta-Ethnography to Determine Critical Constructs of Nutrition Security","authors":"Caitlyn B. Faul MPH, RD, LDN, CDCES ,&nbsp;Stephanie Jilcott Pitts PhD ,&nbsp;Eric E. Calloway PhD, RD ,&nbsp;Hilary K. Seligman MD, MAS ,&nbsp;Heidi Reis MLIS, AHIP ,&nbsp;Cheryl Webb Cherry MAc ,&nbsp;Irene E. Hatsu PhD, RDN ,&nbsp;Oyinlola Toyin Babatunde PhD, MPH, RDN ,&nbsp;Alexandra L. MacMillan Uribe PhD, RDN ,&nbsp;Jared T. McGuirt PhD, MPH ,&nbsp;Rebecca A. Seguin-Fowler PhD, RD, LD, CSCS","doi":"10.1016/j.jneb.2024.11.004","DOIUrl":"10.1016/j.jneb.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>This meta-ethnography aimed to examine and thematically analyze relevant qualitative studies to create a nutrition security conceptual framework.</div></div><div><h3>Design</h3><div>Following the 7-step process for a meta-ethnography, we screened 6,831 studies and included eligible papers relating to nutrition security.</div></div><div><h3>Setting</h3><div>US-based studies.</div></div><div><h3>Participants</h3><div>2,709 participants in 58 qualitative papers reviewed.</div></div><div><h3>Phenomenon of Interest</h3><div>Nutrition security.</div></div><div><h3>Intervention</h3><div>Not applicable.</div></div><div><h3>Analysis</h3><div>Two researchers independently read and extracted data from each paper. This information was then combined, and 2 investigators generated themes to determine critical constructs of nutrition security. Constructs were then combined into a conceptual model.</div></div><div><h3>Results</h3><div>The final conceptual framework includes 2 primary constructs (environmental circumstances and psychosocial functioning), 16 secondary constructs, and 51 tertiary constructs of nutrition security.</div></div><div><h3>Conclusions and Implications</h3><div>This is the first meta-ethnography to focus on concepts related to nutrition security rather than food security. There is an overlap between our findings and the existing framework for food security, including the 6 pillars of food security and the 5 domains of food access. An improved understanding of nutrition security and the proposed conceptual framework established will help guide the development of improved nutrition security measures and interventions to improve diet quality and overall health.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 3","pages":"Pages 167-184"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143550404","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":"A Comparison of Dietary Intake Among Rural Americans With and Without Diabetes.","authors":"Christian A Koziatek, Melissa Rony, Carolina Quintero Arias, Tammy Flores, Matthew Heider, Molly Smith, Sadakat Chowdhury, Haley Motola, Jill Hubert-Simon, Karen Holden, David C Lee","doi":"10.1016/j.jneb.2025.01.011","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.011","url":null,"abstract":"<p><strong>Objective: </strong>To compare alternative Healthy Eating Index (aHEI) scores among residents with or without diabetes in a rural county and analyze food/drink subgroups for notable differences between the 2 groups.</p><p><strong>Methods: </strong>We performed cross-sectional surveys and validated food frequency questionnaires among rural residents in Sullivan County, New York. We compared total aHEI and component scores between participants with and without diabetes.</p><p><strong>Results: </strong>The 155 respondents with diabetes were older, less frequently non-Hispanic White, and had higher mean body mass index than the 961 respondents without diabetes. We found lower aHEI scores among participants with diabetes (54.1) than those without (56.7) (P = 0.001). Respondents with diabetes had significantly lower component scores for alcoholic beverages, red meat, nuts/legumes, and trans-fats than those without diabetes.</p><p><strong>Conclusions and implications: </strong>Our findings highlight the need for nutrition education in high-risk rural communities. We also identified specific food/drink categories among rural residents with diabetes that should be targeted to improve glycemic control.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525212","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":"Immersive Virtual Reality Dietitian Improves Portion Control Self-Efficacy and Portion Size Estimation Accuracy.","authors":"Bianca C Braga, John Long, Sara Maksi, Pejman K Sajjadi, Alexander Klippel, Travis D Masterson","doi":"10.1016/j.jneb.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.010","url":null,"abstract":"<p><strong>Objective: </strong>To compare the impact of a nutrition education program delivered in person and within an immersive virtual reality (iVR) nutrition education experience application called immersive virtual alimentation and nutrition (IVAN). To compare IVAN with its updated version, IVAN 2, and develop a portion size estimation task for use within iVR.</p><p><strong>Design: </strong>Two randomized controlled experiments.</p><p><strong>Setting: </strong>Laboratory.</p><p><strong>Participants: </strong>Ninety-two adults (aged 29 ± 14) years) enrolled. In experiment 1, 25 adults were randomized to in-person and 20 to the IVAN condition. In experiment 2, 25 adults were randomized to IVAN 1, and 22 adults were randomized to IVAN 2 conditions.</p><p><strong>Intervention: </strong>Nutrition education materials delivered in person by IVAN 1 and IVAN 2.</p><p><strong>Main outcome measures: </strong>Changes in portion control self-efficacy and portion-size overestimation.</p><p><strong>Analysis: </strong>Linear mixed-effects models and t tests.</p><p><strong>Results: </strong>In experiment 1, the portion size self-efficacy improved for both conditions (B = 2.40; SE = 0.61; P <0.001) with no difference between conditions. In experiment 2, the portion size self-efficacy improved for both conditions (B = 1.23; SE = 0.55; P = 0.03), as did the portion-size overestimation value (B = -21.51; SE = 4.97; P <0.001), with no difference between conditions.</p><p><strong>Conclusions and implications: </strong>Portion-size education material shows similar efficacy delivered through IVAN and in person. The efficacy of IVAN 2 was higher than IVAN 1. Portion size estimation tasks within iVR may be useful for the assessment of participants' ability to estimate portion sizes.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523557","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":"Children Accept Products Reformulated to be Healthier From a Mexican Food Assistance Program: A Basic Qualitative Research Study.","authors":"Vania Lara-Mejía, Yatziri Ayvar-Gama, Carlos Cruz-Casarrubias, Ana Munguía, Lizbeth Tolentino-Mayo, Simón Barquera","doi":"10.1016/j.jneb.2025.01.014","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.014","url":null,"abstract":"<p><strong>Objective: </strong>To describe children's experiences with the sensory characteristics of reformulated cereal products delivered by the School Breakfast Program (SBP) in Mexico following the implementation of package warning labeling regulations.</p><p><strong>Methods: </strong>We conducted a basic descriptive qualitative study involving focus groups of 40 SBP beneficiary children from rural schools recruited through convenience sampling. The data were transcribed verbatim and analyzed using qualitative content analysis.</p><p><strong>Results: </strong>Children presented positive experiences regarding the visual (eg, animal shapes), textural (eg, nonsticky texture), and taste (eg, peanut and amaranth combination) characteristics of reformulated SBP products. As the SBP products had no labels or warning legends, they were considered nutritious and healthy.</p><p><strong>Conclusions and implications: </strong>The results provide preliminary evidence that children accept food products reformulated to be healthier without warning labels or legends. Understanding children's sensory experiences is crucial for identifying gaps and opportunities to ensure SBP operations.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450648","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":"Pediatric Resident Nutrition Education Improves Confidence and Knowledge of Infant Formula Management.","authors":"Nicole Misner, Athanasios Tsalatsanis, Michelle Yavelow, Amber McClain, Diep Nguyen, Racha T Khalaf","doi":"10.1016/j.jneb.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.016","url":null,"abstract":"<p><strong>Objective: </strong>(1) To examine pediatric residents' knowledge, practices, and confidence in the management of infant formula; and (2) to assess whether a targeted educational intervention improves knowledge, practices, and confidence in infant formula management using a posteducation survey.</p><p><strong>Methods: </strong>A pilot educational intervention study was conducted using preeducation and posteducation questionnaires. Differences in means between variables were evaluated using Student's t tests, and differences in medians were evaluated using Mann-Whitney tests.</p><p><strong>Results: </strong>A total of 17 and 18 residents completed surveys before and after educational intervention, respectively. Resident knowledge significantly improved after the education (P = 0.002). Residents' lack of confidence improved in all categories, including infant formula preparation and safety guidelines (P < 0.001).</p><p><strong>Conclusions and implications: </strong>This pilot study suggests that pediatric residents may have knowledge gaps regarding infant formula and lack confidence in its management. Nutrition education shows promise for improving knowledge and confidence, although it needs to be replicated with a larger sample size and a more rigorous research design.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450660","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":"California Middle and High School Students Report Wanting Fresh and Healthy School Lunch in the Context of Universal School Meals.","authors":"Carolyn Chelius, Kassandra A Bacon, Dania Orta-Aleman, Monica D Zuercher, Lorrene D Ritchie, Juliana F W Cohen, Christina E Hecht, Kenneth Hecht, Wendi Gosliner","doi":"10.1016/j.jneb.2025.01.006","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.006","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate students' perceptions of school lunches served when they were offered free of charge to all students.</p><p><strong>Design: </strong>Cross-sectional qualitative study using focus groups.</p><p><strong>Setting: </strong>California students interviewed virtually.</p><p><strong>Participants: </strong>Middle school (n = 36) and high school (n = 31) students from a racially and economically diverse sample.</p><p><strong>Main outcome measure: </strong>Students' perceptions of school lunch.</p><p><strong>Analysis: </strong>Thematic analysis using immersion-crystallization methodology.</p><p><strong>Results: </strong>Students desire fresh and healthy school lunches. Students defined fresh as food prepared on-site, from scratch, and not prepackaged or frozen, and healthy as food that contains fruits and vegetables. Many students perceived the main entrees to be the least healthy and fresh part of school lunch and fruits and vegetables to be the most healthy and fresh; however, some students reported the fruits and vegetables were not always fresh or palatable.</p><p><strong>Conclusions and implications: </strong>Students value fresh and healthy free school lunches, but they have somewhat limited definitions of what constitutes healthy. Schools can better meet student preferences for fresh and healthy foods to ensure that meals served free of charge are nourishing and palatable to all students while improving nutrition education such that students understand the components of a healthy meal.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366401","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":"Development of a Digital Parent Intervention to Promote Healthy Eating and Activity in Preschoolers: The eHEROs Study.","authors":"Laura L Bellows, Shariwa Oke, Ligia I Reyes, Beatriz A Carmona, Susan L Johnson","doi":"10.1016/j.jneb.2025.01.008","DOIUrl":"10.1016/j.jneb.2025.01.008","url":null,"abstract":"<p><strong>Objective: </strong>To describe the development and testing of an electronic HEalthy EnviROnments study mobile application (app) with parents of preschoolers using a user-centered design approach.</p><p><strong>Design: </strong>An iterative, multiphase approach comprising formative research, intervention mapping, app development and testing, and pilot testing.</p><p><strong>Setting: </strong>Online.</p><p><strong>Participants: </strong>Families with limited resources who have a preschooler enrolled in Head Start in the 2 states.</p><p><strong>Intervention: </strong>Twelve-week digital intervention embedded within the social ecological model and employing the ecocultural family theory and Social Cognitive Theory.</p><p><strong>Main outcome measures: </strong>Formative research provided insights into parents' use of digital devices and potential intervention features. The findings will inform intervention mapping and wireframe (app schematic) testing to examine the app's functionality, usability, and user experience. A pilot study (n = 30) will be conducted to assess the feasibility, acceptability, and usability of the electronic HEalthy EnviROnments study mobile app, along with theoretical mediators, as well as behavioral and implementation outcomes.</p><p><strong>Analysis: </strong>The results will be interpreted iteratively to inform subsequent study phases. Quantitative and qualitative analyses will be used to assess the feasibility of a digital parent intervention to enhance parents' feeding and activity parenting practices and mindful parenting, with the long-term goal of improving preschoolers' eating and activity behaviors in their home environment.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366410","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":"Nutrition Education Across Gus Schumacher Nutrition Incentive Programs: A Landscape Analysis.","authors":"Joanna Akin, Sarah Stotz, Laurel Sanville, Amy L Yaroch, Carmen Byker Shanks","doi":"10.1016/j.jneb.2025.01.009","DOIUrl":"https://doi.org/10.1016/j.jneb.2025.01.009","url":null,"abstract":"<p><strong>Objective: </strong>To characterize the nutrition education landscape among Gus Schumacher Nutrition Incentive Program (GusNIP) projects to inform future evaluations of GusNIP.</p><p><strong>Methods: </strong>Nutrition education activities provided by GusNIP-affiliated project sites were collected through annual data reports submitted via a secure web portal. A descriptive analysis was used to calculate frequencies and percentages for all variables (e.g., project site, nutrition education activities) to explore and compare nutrition education provided by GusNIP projects and sites (n = 93).</p><p><strong>Results: </strong>Gus Schumacher Nutrition Incentive Program projects employed diverse nutrition education opportunities, including various venues, unique partnerships, and educational strategies, which differed across project and site types.</p><p><strong>Conclusions and implications: </strong>This paper characterizes the frequency and intensity of nutrition education offered within GusNIP and is an important step toward understanding, improving, and expanding nutrition education opportunities. Findings inform a future comprehensive evaluation across projects to understand the impact of reach, dose, and participant engagement in nutrition education and reveal important opportunities for program improvement.</p>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366413","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":"Mental Health and Well-Being of Didactic Program in Dietetics Students","authors":"Brett Wayne MDA,&nbsp;Kelsey Mueller Davis BS,&nbsp;Sarah G. Bellini PhD, RDN, CD,&nbsp;Emily V. Patten PhD, RDN, CD","doi":"10.1016/j.jneb.2024.10.008","DOIUrl":"10.1016/j.jneb.2024.10.008","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the levels of depression, anxiety, stress, and loneliness of Didactic Program in Dietetics (DPD) students in the spring of 2022.</div></div><div><h3>Methods</h3><div>An electronic survey was distributed to DPD students throughout the US, including the Depression Anxiety Stress Scales, stressor measure, University of California, Los Angeles 3-item loneliness measure, and an open-ended item exploring if and which mental health resources students used.</div></div><div><h3>Results</h3><div>Of respondents (n = 341), many were classified as having levels of depression (47%), anxiety (56%), and stress (52%) above the general population mean. Half (50.2%) met the criteria for experiencing loneliness. The most significant sources of stress/concern were postgraduation plans, including dietetic internships, managing time, self-imposed expectations, dietetics courses, and finances. Of responses to an open-ended item (n = 264), 141 reported using some form of mental health resources in the past year.</div></div><div><h3>Conclusions and Implications</h3><div>About half of DPD students were experiencing depression, anxiety, stress, and loneliness during the coronavirus disease 2019 pandemic. Dietetics educators may share resources DPD students have used to manage their mental health and connect students to supportive resources on campus and in their communities.</div></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"57 2","pages":"Pages 132-140"},"PeriodicalIF":2.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787012","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}