Journal of Nutrition Education and Behavior最新文献

{"title":"Applying Systems Thinking to Improve a Hospital Food Retail Environment","authors":"","doi":"10.1016/j.jneb.2024.04.005","DOIUrl":"10.1016/j.jneb.2024.04.005","url":null,"abstract":"<div><h3>Objective</h3><p>To identify factors influencing the availability and sales of healthy food and drinks in a café located in a hospital setting in a rural area.</p></div><div><h3>Methods</h3><p>Three online and 1 in-person group model building workshops were conducted with hospital staff members to develop a causal loop diagram.</p></div><div><h3>Results</h3><p>Four areas in the causal loop diagram were identified, 5 teams were created to implement 15 identified action ideas, and an action registry was created to track their progress. By May 2023, 4 actions were active, 6 inactive, 4 completed, and 1 abandoned.</p></div><div><h3>Conclusions and Implications</h3><p>The group model building process identified factors and actions to improve the healthiness of the hospital's café and motivated staff members to act for change. However, progress was limited by staff turnover, recruitment, and inadequate participation from decision-makers. Better leadership and support by senior management can ensure that long-term objectives are achieved and healthier hospital food environments are sustained.</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages 569-578"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1499404624000794/pdfft?md5=c0e5a901ee8743cbef46f2a41675ae65&pid=1-s2.0-S1499404624000794-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140946409","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":"Understanding Foodways: Reflecting on the 2024 SNEB International Conference","authors":"Sarah Colby PhD, RD (President)","doi":"10.1016/j.jneb.2024.06.006","DOIUrl":"10.1016/j.jneb.2024.06.006","url":null,"abstract":"","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page 507"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903434","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":"Fruit and Vegetable Food Waste is Correlated With Low Skin Carotenoid Levels in Middle School Students","authors":"Lydia Roy BS,&nbsp;Amelia Sullivan MS, RDN,&nbsp;Bryn Kubinsky,&nbsp;Leigh Neptune RDN, MS,&nbsp;Jade McNamara PhD, RDN","doi":"10.1016/j.jneb.2024.05.098","DOIUrl":"10.1016/j.jneb.2024.05.098","url":null,"abstract":"<div><h3>Background</h3><p>The National School Lunch Program (NSLP) provides $14.2 billion annually to serve 4.9 billion lunches. While policies are in place to ensure students consume items from all food groups, food waste and poor diet quality remain prevalent. Qualitative photograph estimation is frequently utilized to assess food waste. The Veggie Meter® (VM) is a validated tool that objectively evaluates fruit and vegetable (FV) intake by measuring skin carotenoid levels.</p></div><div><h3>Objective</h3><p>Qualitatively assess tray waste among middle school students utilizing before and after lunch tray photographs while quantitatively comparing their VM scores to FV tray waste.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Researchers photographed 57 student lunch trays at a rural middle school. The VM assessed FV intake in a subsample of 39 students.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Trays were tracked using a non-identifiable ID code. Photographs were matched and independently coded by three coders using the Comstock indirect measurement technique, in which scores (0-5) inversely reflect intake of each food item. Inter-rater agreement was 90%. Means and standard deviations were calculated for individual food items and total lunch tray waste. VM scores range from 0-850, with higher scores indicating higher FV intake. A Pearson's correlation determined the relationship between VM score and individual food item intake on a subsample of participants. Significance was set at p&lt;0.05.</p></div><div><h3>Results</h3><p>On average, 50% of food on the lunch trays was discarded. Of all tray waste, 75% of the participants discarded uneaten fruits and vegetables. Overall, participants had low VM scores (173.5±61.1; n = 39). There was a significant negative correlation between VM scores and waste of vegetable items (r=-0.37, p=0.035) and fruit items (r=-0.38, p=0.021).</p></div><div><h3>Conclusions</h3><p>Considering the vast NSLP funding, the issue of food waste should be considered. This study revealed high tray waste, with the highest amount documented in FV items. Further, students' food waste was correlated with low FV intake. This highlights the need for programming that addresses food waste and FV consumption in rural middle school students.</p></div><div><h3>Funding</h3><p>NIFA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S42"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949561","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":"Factors Associated With the Use of Community Food Resources: Andersen Model Application for Future Interventions","authors":"Abiodun Atoloye PhD,&nbsp;Oluyemisi Akinsola MS,&nbsp;Melissa Murillo BS","doi":"10.1016/j.jneb.2024.05.070","DOIUrl":"10.1016/j.jneb.2024.05.070","url":null,"abstract":"<div><h3>Objective</h3><p>The study objective is to examine the factors associated with the use of different community food resources using the Andersen Model.</p></div><div><h3>Target Audience</h3><p>Adults</p></div><div><h3>Program Description</h3><p>In a cross-sectional study conducted among 1,830 adults 18 years and older on REDCap (a web-based platform) through Amazon Mechanical Turk.</p></div><div><h3>Evaluation Methods</h3><p>Participants were asked about their socio-demographics, motivation for shopping decisions, shopping transportation modes and estimated travel time, food security status, and perceived community-level food-related needs. This information was organized into predisposing, enabling, and need factors (predictors) that are related to food access using the Andersen Model. The outcome variables were about how they use different community food resources, such as healthy food retail stores, less healthy food retail stores, food assistance programs, food service resources, and mobile food resources. Descriptive and hierarchical regression analyses were conducted using SAS, with significance set at p &lt; 0.05.</p></div><div><h3>Results</h3><p>The participants have a mean age of 37.9 ± 12.1 years; were predominantly White (87.6%), non-Hispanic (85.8%), and urban residents (56.6%). Majority use the supermarkets (66%), supercenters (55%), and friend's/relative's places (53.2%) as their food resources. Predisposing factors that were statistically associated with the use of different community food resources were age, marital status, race, ethnicity, and household size. The enabling factors included travel time, transportation mode, income, and motivator of shopping decisions such as coupons and great sales, use of WIC benefits, and delivery services. The need factors included food security and community-level food-related needs such as culturally relevant and low-price foods. However, these vary by the types of food resources.</p></div><div><h3>Conclusions</h3><p>Recommendations include designing multi-level initiatives that would transform food stores and programs' food offerings, distribution logistics, and transportation access into conduits for healthier food access among underserved populations.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S28-S29"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141949842","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":"Scoping Review of the Relationship Between Non-Food Social Safety Net Programs and Food Security","authors":"Emily Duffy PhD, MPH, RD,&nbsp;Mary Kathryn Poole PhD, MPH,&nbsp;David Gonzalez,&nbsp;Joshua Petimar DSc,&nbsp;Eliza Kinsey PhD, MPH,&nbsp;Paul Shafer PhD, MA,&nbsp;Alice Ammerman DPH,&nbsp;Carrie Baldwin-SoRelle,&nbsp;Anna Austin PhD, MPH","doi":"10.1016/j.jneb.2024.05.081","DOIUrl":"10.1016/j.jneb.2024.05.081","url":null,"abstract":"<div><h3>Background</h3><p>Households with low incomes are more likely to experience food and nutrition insecurity due to limited financial resources for necessities. Social safety net programs may improve food and nutrition security by relieving households’ financial strain. Although the relationship between federal nutrition assistance programs and food security is well understood, to date, no reviews have been conducted on the relationship between non-food social safety net programs and food and nutrition security. This evidence is needed to inform evidence-driven policymaking, particularly in the context of increasing food insecurity in recent years.</p></div><div><h3>Objective</h3><p>Conduct a scoping review to summarize the state of the evidence on the relationship between participation in non-food social safety net programs in the US and food and nutrition security.</p></div><div><h3>Study Design, Settings, Participants</h3><p>We systematically searched 6 databases for peer-reviewed studies examining the relationship between non-food social safety net programs and food security, nutrition security, or related constructs.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-Sr)</p></div><div><h3>Results</h3><p>Sixty-five articles have been identified that examine a wide range of social safety net programs including tax credits (n=14), Temporary Assistance for Needy Families (n=11), Medicaid (n=9), housing assistance (n=5), unemployment insurance (n=9), stimulus payments (n=4), and others (n=13). Twenty-one studies focus on COVID-19 pandemic-era social safety net programs. We will synthesize across studies to describe differences in the relationship between social safety net program participation and food or nutrition security by: program type, multiple vs. single program participation, food vs. nutrition insecurity, participant demographics, and elements of program administration such as disbursement method. We will identify gaps in the existing evidence base and directions for future research. Full results are forthcoming.</p></div><div><h3>Conclusions</h3><p>A review on the relationship between non-food social safety net program participation and food and nutrition security can inform policymaking, resource allocation, and efforts to ensure the potential nutrition benefits of such programs are realized equally among participants.</p></div><div><h3>Funding</h3><p>Robert Wood Johnson Foundation</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S33-S34"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950000","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":"Understanding How a College-Level Nutrition Course Impacts Food Security Status","authors":"Emily Sklar BS,&nbsp;Marcela D. Radtke PhD,&nbsp;Rachel Scherr PhD,&nbsp;Deborah Fetter PhD","doi":"10.1016/j.jneb.2024.05.030","DOIUrl":"10.1016/j.jneb.2024.05.030","url":null,"abstract":"<div><h3>Background</h3><p>The high prevalence of food insecurity in college students is a pressing issue. Increasing nutrition knowledge has potential to help improve factors related to food security. While a positive correlation between food literacy and food security status has been reported, little research has explored the impact of an existing college-level nutrition class.</p></div><div><h3>Objective</h3><p>To investigate how a college-level nutrition course impacts behaviors related to food-acquisition coping strategies.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Students at the University of California, Davis were recruited from an introductory nutrition course taught both online and in-person (intervention) and other introductory courses (comparison). Students completed a pre-survey within the first two weeks of the quarter and a post-survey eight weeks later. Data were collected using a 65-item questionnaire that included several validated modules: the Money Expenditure Survey (MES), Coping Strategy Scale (CSS), Perceived Stress Scale, nutrition knowledge survey, and the USDA Adult Food Security Survey Module.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>ANOVA with Tukey post-hoc corrections was used to assess differences across groups using STATA 13.0v. Significance was determined using p&lt;0.05.</p></div><div><h3>Results</h3><p>Nutrition knowledge significantly increased within the in-person intervention group (n=282; 1.18 ± 5.24; p&lt;0.01), and the online intervention group (n=373; 1.69 ± 5.12; p&lt;0.01), while nutrition knowledge decreased in the comparison group (n=304; -1.41 ± 3.82 p&lt;0.01). The CSS score significantly improved in the online intervention group (-2.62 ± 12.18; p&lt;0.01), as compared to the other groups. In all groups, more students reported experiencing low or very low food security status from pre to post, with significant changes observed in the in-person intervention and comparison groups. Perceived stress also increased across all groups (p&lt;0.05). There were no differences across groups in MES.</p></div><div><h3>Conclusions</h3><p>Although nutrition knowledge improved in the intervention groups and CSS improved in the online intervention group, food security status decreased and perceived stress increased. Further analyses will determine the importance of nutrition knowledge on MES and CSS and their relationship to temporal fluctuations in food security status.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S12"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953463","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":"Barriers and Motivators for Grocery Store Stakeholders Implementing Fruit and Vegetable Incentive Programs","authors":"Ibukun Owoputi PhD, MS,&nbsp;Yuna Kwak,&nbsp;Neil Lewis Jr. PhD,&nbsp;Roger Figuerora PhD, MPH, MSc,&nbsp;Zeynab Jouzi PhD,&nbsp;Tashara Leak PhD, RD","doi":"10.1016/j.jneb.2024.05.006","DOIUrl":"10.1016/j.jneb.2024.05.006","url":null,"abstract":"<div><h3>Background</h3><p>In recent years, there has been an increase in Produce Incentive Programs (PIPs) to motivate low-income families to purchase fresh produce. Research examining best practices for implementation of these program remains limited.</p></div><div><h3>Objective</h3><p>To examine barriers and motivators for implementing PIPs in grocery store settings.</p></div><div><h3>Study Design, Settings, Participants</h3><p>In depth, semi-structured interviews (via Zoom) were conducted with grocery store stakeholders involved in the Double Up Food Bucks New York (DUFBNY) PIP serving Supplemental Nutrition Assistance Program (SNAP) beneficiaries. Study participants included DUFBNY program staff who support DUFBNY grocery stores and their employees. Recruitment flyers were emailed to program staff and DUFBNY grocery stores. This study was conducted between February 2023 and September 2023.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Two research assistants independently coded interviews transcripts in Atlas.ti. using a mixed deductive (ie, interview questions guided some of the coding) and inductive (ie, open coding was used to allow codes to emerge from the data) approach. The outcomes assessed were program perceptions, barriers, and motivators.</p></div><div><h3>Results</h3><p>Participants (n=18, 5 program staff and 13 grocery store workers) underscored perceived barriers and motivators for implementation: 1) program differences (barrier), 2) staff burden (barrier), 3) community engagement (motivator) and 4) PIP recipients’ enthusiasm (motivator). In order for the program to run at different types of stores, there were several variations in the way the program was implemented. These differences often created confusion among stakeholders. The program created some burden for grocery store staff, as the transaction process was often cumbersome. Despite these challenges, both community engagement and participant enthusiasm were mentioned as a priority, and motivated interviewees’ continued support of the program.</p></div><div><h3>Conclusions</h3><p>Although grocery stores implementing PIPs can find these initiatives to be valuable, more research is needed into how PIPs can be implemented across multiple consumer food environments, and how to ease the burden off grocery store workers. Collaboration between different stakeholders is necessary for achieving program growth and sustainability.</p></div><div><h3>Funding</h3><p>USDA</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S1"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953480","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":"A Systematic Scoping Review to Characterize the Challenges in US Food Banks (USFB) and Pantries","authors":"Angeline Jeyakumar PhD, MPhil,&nbsp;Sandra Nyarko MS,&nbsp;Jamie Benedict PhD, RD,&nbsp;Holly Gatzke PhD","doi":"10.1016/j.jneb.2024.05.059","DOIUrl":"10.1016/j.jneb.2024.05.059","url":null,"abstract":"<div><h3>Background</h3><p>National health surveys in the US indicated a higher odds of chronic health conditions, through pathways of food insecurity, financial challenges, and poor disease management. Food assistance programs offer a unique opportunity to address the nutritional needs of participants in light of their health conditions. Characterizing the challenges and opportunities in USFB would be a first step to addressing the health needs of those food insecure.</p></div><div><h3>Objective</h3><p>The purpose of this systematic scoping review was to characterize the challenges in the USFB and to identify areas for further research and intervention.</p></div><div><h3>Study Design, Settings, Participants</h3><p>Systematic scoping review.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Adhering to the guidelines for systematic scoping review, the search results were reported per the PRISMA guidelines. Five electronic search engines, PubMed, ScienceDirect, Google Scholar, Embase, and Cochrane Library, were searched for articles on USFB or pantries, published between 2013-2023. Intervention studies were excluded.</p></div><div><h3>Results</h3><p>A total of 96 articles were selected. Themes under operational challenges encompassed supply-chain, partnerships, distribution, and adherence to equity principles. Resource accrual, allocation, and infrastructure that affect food safety and waste were other challenges. Beneficiaries particularly, the elderly, people with disabilities, and refugees, and their unmet needs were documented. During the pandemic the resilience of FBs was tested by lack of trained staff, increased exposure of staff to the virus, and disruptions in the supply-chain. Despite challenges, opportunities such as meeting the health needs of vulnerable demographics, increasing awareness through pantries, testing models for supply efficiency, and inviting donations were identified. Regardless of the opportunities to improve health through USFB, our synthesis revealed a higher representation of articles on operational challenges and limited literature (5 out of 96) on the nutritional needs to manage chronic conditions.</p></div><div><h3>Conclusions</h3><p>The scope of USFB has evolved, and so have the challenges. Given the established association between food insecurity and the surge of chronic diseases among the poor, our findings prioritize assessment of health needs and evidence-based interventions through the robust food security program.</p></div><div><h3>Funding</h3><p>Extension, Department of Nutrition and Experiment Station, University of Nevada, Reno</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S24"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953485","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":"Determining Sociodemographic Factors Associated With Frozen Food Purchases Among U.S. Households","authors":"Joslyn K. Russell,&nbsp;Raveen Rani,&nbsp;Annie J. Roe RDN, PhD,&nbsp;Graham E. Bastian PhD, RDN, LN","doi":"10.1016/j.jneb.2024.05.040","DOIUrl":"10.1016/j.jneb.2024.05.040","url":null,"abstract":"<div><h3>Background</h3><p>Frozen foods can be inexpensive, easy-to-prepare options to help families meet nutritional recommendations. However, there is a dearth of data regarding the household sociodemographic variables associated with purchasing frozen foods.</p></div><div><h3>Objective</h3><p>Determine sociodemographic factors associated with buying frozen produce and meals using a nationally representative sample of U.S. households.</p></div><div><h3>Study Design, Setting, Participants</h3><p>Secondary analysis of the 2021 U.S. Bureau of Labor Statistics Consumer Expenditure Survey Public Use Microdata. This dataset includes detailed 2-week purchasing diaries from 6,028 randomly sampled American households.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>Logistic regressions were performed on the compiled data using SAS 9.4 to determine relationships between select sociodemographic variables and frozen fruit, vegetable, and meal purchases.</p></div><div><h3>Results</h3><p>Compared to the highest income quintile, households in the lowest income quintile were about 60% less likely to purchase frozen fruits, vegetables, and meals. For each child in the household, the odds of purchasing frozen fruits and vegetables increased by 16 and 20%, respectively. Supplemental Nutrition Assistance Program participation was associated with a higher likelihood of purchasing frozen vegetables (OR 1.27; CI 1.00-1.61; p=0.05). Certain racial and ethnic groups were less likely, when compared to Non-Hispanic White households, to purchase frozen foods. Notably, Asian households were less likely to purchase frozen vegetables (OR 0.70; CI 0.53-0.93; p=0.01), and Hispanic households were less likely to purchase frozen vegetables (OR 0.78; CI 0.63-0.97; p=0.02) or meals (OR 0.69; CI 0.51-0.93; p=0.01).</p></div><div><h3>Conclusions</h3><p>Our findings suggest that educational programs that target low-income adults (eg, Supplemental Nutrition Assistance Program – Education and the Expanded Food and Nutrition Education Program) could be utilized to provide further education on including frozen produce and meals as nutritious, inexpensive, easy-to-prepare options. It may be warranted for these programs to provide culturally relevant education regarding frozen foods to certain ethnic audiences, particularly Asian and Hispanic populations. Further qualitative research could elicit cultural values and beliefs prohibiting Asian and Hispanic households from purchasing more frozen foods.</p></div><div><h3>Funding</h3><p>Frozen Food Foundation</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Pages S16-S17"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953505","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 Are School Food Environments Characterised in the Literature?","authors":"Sarah Burkhart PhD,&nbsp;Pragya Singh PhD,&nbsp;Danny Hunter PhD,&nbsp;Jessica Raneri,&nbsp;Josephine Maelaua,&nbsp;Elodie Casey BNutr&Diet(Hon),&nbsp;Deana Leahy PhD,&nbsp;Belinda Christensen BNut,&nbsp;Siobhan O'Halloran PhD","doi":"10.1016/j.jneb.2024.05.026","DOIUrl":"10.1016/j.jneb.2024.05.026","url":null,"abstract":"<div><h3>Background</h3><p>The school environment can enable and support healthy behaviours in children and the wider school community. To enhance this environment, it is important to understand what constitutes a school food environment, ie, how is it defined? and the characteristics of these. Currently there are varied approaches to defining school food environments in the literature.</p></div><div><h3>Objective</h3><p>To identify and summarise how school food environments are defined in the literature and the characteristics of these.</p></div><div><h3>Study Design, Settings, Participants</h3><p>A scoping review process, utilising a protocol developed a-priori and following the JBI methodology for scoping reviews, searched for all evidence that aims to define, describe, conceptualize and measure the school food environment in early childhood, primary and secondary school communities within a global context (quantitative, qualitative and mixed methods studies published in peer-review journals, and grey literature sources like government, organisation or research reports, theses and dissertations). A timeframe of 2001–2023 was used. Summary sheets, conference abstracts and opinion papers were excluded.</p></div><div><h3>Measurable Outcome/Analysis</h3><p>10,806 sources were initially identified. After checking for duplicates and undertaking title/abstract, and full text screening by at least two independent reviewers, 276 studies were included for data extraction using Covidence. Excel and NVivo were used for analysis. Data was categorised and presented by regional characteristics, with key themes summarised.</p></div><div><h3>Results</h3><p>Of 276 studies included, 76 defined the school food environment. The majority were from North America (n=27), while n=10 used a global focus. Sources included studies that focused on internal (within the defined school grounds/boundary), external (outside of the defined school grounds/boundary), or both spaces. Definitions varied with reference to policy, formal/informal food vendors/retail, food composition, labelling, education, marketing, and buildings/facilities included. Sociocultural, political, and economic surroundings were also identified.</p></div><div><h3>Conclusions</h3><p>Varied definitions of what constitutes a school food environment exist in the literature. These findings may assist researchers and professionals to consider a broad range of opportunities to further enhance supportive food and nutrition environments within schools.</p></div><div><h3>Funding</h3><p>None</p></div>","PeriodicalId":50107,"journal":{"name":"Journal of Nutrition Education and Behavior","volume":"56 8","pages":"Page S10"},"PeriodicalIF":2.3,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141953520","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}