C E Byrd-Williams, E J Camp, P D Mullen, M E Briley, D M Hoelscher
{"title":"How local and state regulations affect the child care food environment: A qualitative study of child care center directors' perspectives.","authors":"C E Byrd-Williams, E J Camp, P D Mullen, M E Briley, D M Hoelscher","doi":"10.1177/1941406415575075","DOIUrl":"https://doi.org/10.1177/1941406415575075","url":null,"abstract":"<p><p>Almost one-third of preschoolers spend regular time in child care centers where they can consume the majority of their daily dietary intake. The child care setting influences children's dietary intake. Thus, it is important to examine factors, such as local and state regulations, that influence the food environment at the center. This qualitative study explored directors' perceptions of how regulations influence the foods available at child care centers. Ten directors of centers in Travis County, Texas completed semi-structured interviews. Directors reported that changes in local health department regulations (e.g., kitchen specifications) result in less-healthful foods being served (e.g., more prepackaged foods). Directors of centers that do not participate in the federal Child and Adult Care Food Program (CACFP) said the state licensing regulations clarify the portion size and nutritional requirements for preschoolers thereby improving the nutritional quality of the food served. Directors of centers participating in CACFP said they are not affected by state mandates, because the CACFP regulations are more stringent. These findings suggest that state regulations that specify and quantify nutritional standards may beneficially impact preschoolers' diets. However, local health department regulations enacted to improve food safety may negatively influence the nutritional value of food served in centers.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"7 2","pages":"99-106"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406415575075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33970370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Megan S Holden, Andrew Hopper, Laurel Slater, Yayesh Asmerom, Ijeoma Esiaba, Danilo S Boskovic, Danilyn M Angeles
{"title":"Urinary Hypoxanthine as a Measure of Increased ATP Utilization in Late Preterm Infants.","authors":"Megan S Holden, Andrew Hopper, Laurel Slater, Yayesh Asmerom, Ijeoma Esiaba, Danilo S Boskovic, Danilyn M Angeles","doi":"10.1177/1941406414526618","DOIUrl":"10.1177/1941406414526618","url":null,"abstract":"<p><strong>Objective: </strong>To examine the effect of neonatal morbidity on ATP breakdown in late preterm infants.</p><p><strong>Study design: </strong>Urinary hypoxanthine concentration, a marker of ATP breakdown, was measured from 82 late preterm infants on days of life (DOL) 3 to 6 using high-performance liquid chromatography. Infants were grouped according to the following diagnoses: poor nippling alone (n = 8), poor nippling plus hyperbilirubinemia (n = 21), poor nippling plus early respiratory disease (n = 26), and respiratory disease alone (n = 27).</p><p><strong>Results: </strong>Neonates with respiratory disease alone had significantly higher urinary hypoxanthine over DOL 3 to 6 when compared with neonates with poor nippling (<i>P</i> = .020), poor nippling plus hyperbilirubinemia (<i>P</i> < .001), and poor nippling plus early respiratory disease (<i>P</i> = .017). Neonates with poor nippling who received respiratory support for 2 to 3 days had significantly higher hypoxanthine compared with infants who received respiratory support for 1 day (<i>P</i> = .017) or no days (<i>P</i> = .007).</p><p><strong>Conclusions: </strong>These findings suggest that respiratory disorders significantly increase ATP degradation in late premature infants.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"6 4","pages":"240-249"},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4581456/pdf/nihms710924.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34039620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sebastian G Kaplan, Elizabeth Mayfield Arnold, Megan B Irby, Katherine A Boles, Joseph A Skelton
{"title":"Family Systems Theory and Obesity Treatment: Applications for Clinicians.","authors":"Sebastian G Kaplan, Elizabeth Mayfield Arnold, Megan B Irby, Katherine A Boles, Joseph A Skelton","doi":"10.1177/1941406413516001","DOIUrl":"https://doi.org/10.1177/1941406413516001","url":null,"abstract":"<p><p>Family-based approaches are recommended for the treatment of pediatric obesity, although most of the literature describes programs that only include the identified child and one parent in the treatment process. As a result, the clinical application of research protocols in nutrition settings may be inadequate; multiple representations of a \"family\" will be encountered in the clinical environment. Mental health professionals, particularly those who work with children, often engage families in psychotherapy. Developing an understanding of their methods may be beneficial to Dietitians and other clinicians who wish to follow a more family-based approach and may present new avenues for effective treatment. In our tertiary care pediatric obesity clinic, we routinely involve multiple family members throughout the treatment process. Here we discuss our experiences and introduce Bowen's Family Systems Theory as a model for translating family therapy principles into nutrition-focused treatment settings.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"6 1","pages":"24-29"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406413516001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32260153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
David E St-Jules, Corilee A Watters, Lynn M Iwamoto
{"title":"Use of Fish Oil-Based Lipid Emulsions in Infants With Intestinal Failure-Associated Liver Disease: A Case Series.","authors":"David E St-Jules, Corilee A Watters, Lynn M Iwamoto","doi":"10.1177/1941406413513461","DOIUrl":"https://doi.org/10.1177/1941406413513461","url":null,"abstract":"<p><p>The use of fish oil-based lipid emulsions (FOLE) in the treatment of intestinal failure-associated liver disease (IFALD) remains investigational. Additional evidence for safety and efficacy, particularly in the neonatal and pediatric populations, is needed. Retrospective chart review was conducted on 10 infants with short bowel syndrome who received FOLE for IFALD. Direct bilirubin concentrations normalized in surviving subjects within 4.1 to 22.7 weeks of starting treatment. Although earlier initiation of FOLE was not associated with more rapid normalization of direct bilirubin concentrations, it trended toward a significant correlation with reduced length of hospital stay (<i>P</i> = .058). The reduction in direct bilirubin levels and transition from parenteral to enteral feeding were statistically significant within 6 weeks of initiating the FOLE. Subjects did not have impaired growth and did not develop an essential fatty acid deficiency. These infants were discharged from the hospital 7.9 to 42.3 weeks after starting FOLE treatment, and 2 infants had transitioned completely off parenteral nutrition at discharge. In this study, FOLE appeared to be a safe and effective treatment for IFALD in infants with short bowel syndrome. Future studies are necessary to determine whether FOLE can help to prevent or shorten the duration of cholestasis.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"6 1","pages":"6-13"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406413513461","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32115685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Corinne A Labyak, David M Janicke, Crystal S Lim, James Colee, Anne E Mathews
{"title":"Anthropometrics to Identify Overweight Children at Most Risk for the Development of Cardiometabolic Disease.","authors":"Corinne A Labyak, David M Janicke, Crystal S Lim, James Colee, Anne E Mathews","doi":"10.1177/1941406413501379","DOIUrl":"https://doi.org/10.1177/1941406413501379","url":null,"abstract":"<p><strong>Background: </strong>Sagittal abdominal diameter (SAD) is a novel anthropometric that correlates more strongly with visceral adipose tissue (VAT) and cardiometabolic disease risk in adults compared with body mass index (BMI). However, little research has evaluated this measurement in children.</p><p><strong>Objective: </strong>To evaluate SAD as a measure of cardiometabolic risk compared with other anthropometrics in overweight/obese children.</p><p><strong>Methods: </strong>This study was a cross-sectional subset analysis of 8- to 12-year-old overweight/ obese children. SAD was compared to BMI, waist circumference (WC), BMI <i>z</i>-score, and percent body fat to determine which measurement was most closely associated with cardiometabolic risk factors. A total cardiometabolic risk score comprising all biochemical markers and blood pressure was also compared to these same anthropometrics.</p><p><strong>Results: </strong>Overweight/obese children (n = 145, mean age 10 ± 1.4 years, mean BMI percentile 97.9 ± 0.02) were included in the analysis. SAD correlated with the greatest number of biochemical markers/blood pressure values including triglycerides (<i>r</i> = .18, <i>P</i> = .03), HgbA1c (<i>r</i> = .21, <i>P</i> = .01), and systolic blood pressure (<i>r</i> = .38, <i>P</i> < .0001). SAD was more strongly correlated to total risk score (<i>r</i> = .25, <i>P</i> = .002) than WC (<i>r</i> = .22, <i>P</i> = .006), BMI (<i>r</i> = .17, <i>P</i> = .04), BMI-<i>z</i> (<i>r</i> = .18, <i>P</i> = .03), and percent body fat (<i>r</i> = .18, <i>P</i> = .03).</p><p><strong>Conclusion: </strong>This is the first study to evaluate SAD in overweight/obese American children as a marker of cardiometabolic disease risk. The results suggest a slightly stronger correlation between SAD and cardiometabolic risk factors in overweight/obese children; however, all correlations were weak. As this was a pilot study, additional research is needed prior to recommending the use of this measurement in clinical practice.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"5 6","pages":"341-346"},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406413501379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32888198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Audio-Enhanced Tablet Computers to Assess Children's Food Frequency From Migrant Farmworker Mothers.","authors":"Jill F Kilanowski, Erika S Trapl, Ryan M Kofron","doi":"10.1177/1941406413482972","DOIUrl":"https://doi.org/10.1177/1941406413482972","url":null,"abstract":"<p><p>This study sought to improve data collection in children's food frequency surveys for non-English speaking immigrant/migrant farmworker mothers using audio-enhanced tablet computers (ATCs). We hypothesized that by using technological adaptations, we would be able to improve data capture and therefore reduce lost surveys. This Food Frequency Questionnaire (FFQ), a paper-based dietary assessment tool, was adapted for ATCs and assessed consumption of 66 food items asking 3 questions for each food item: frequency, quantity of consumption, and serving size. The tablet-based survey was audio enhanced with each question \"read\" to participants, accompanied by food item images, together with an embedded short instructional video. Results indicated that respondents were able to complete the 198 questions from the 66 food item FFQ on ATCs in approximately 23 minutes. Compared with paper-based FFQs, ATC-based FFQs had less missing data. Despite overall reductions in missing data by use of ATCs, respondents still appeared to have difficulty with question 2 of the FFQ. Ability to score the FFQ was dependent on what sections missing data were located. Unlike the paper-based FFQs, no ATC-based FFQs were unscored due to amount or location of missing data. An ATC-based FFQ was feasible and increased ability to score this survey on children's food patterns from migrant farmworker mothers. This adapted technology may serve as an exemplar for other non-English speaking immigrant populations.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"5 3","pages":"163-169"},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406413482972","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32770210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lynae J Hanks, Ambika Ashraf, Jessica A Alvarez, T Mark Beasley, Jose R Fernandez, Krista Casazza
{"title":"BMI but Not Race Contributes to Vitamin D-Parathyroid Hormone Axis in Peripubertal Girls.","authors":"Lynae J Hanks, Ambika Ashraf, Jessica A Alvarez, T Mark Beasley, Jose R Fernandez, Krista Casazza","doi":"10.1177/1941406412472699","DOIUrl":"https://doi.org/10.1177/1941406412472699","url":null,"abstract":"<p><p>Currently, there is widespread interest in establishing 25-hydroxy vitamin D (25OHD) level preventing a secondary elevation in parathyroid hormone (PTH). The aim of this study was to identify the 25OHD nadir resulting in a rise of PTH and to determine if this inflection point is weight- or race-specific during growth and development in peripubertal girls. A total of 104 normal (n = 61) and overweight (n = 43) African American (AA) and European American (EA) girls, 5 to 14 years of age, were included. Though AAs had lower 25OHD levels, there was no difference in PTH compared with EAs. A 25OHD concentration of 27.2 ng/mL (P < .01) was indicated to increase PTH in normal-weight girls, although a statistically significant level was not established in overweight girls. No race difference in inflection point was observed. These data suggest a potential influence of weight status on the 25OHD-PTH inflection point in peripubertal girls. Accordingly, on determination of 25OHD level reflecting optimal health, consideration of weight status appears to be important during this critical period of growth and development.</p>","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"5 2","pages":"100-105"},"PeriodicalIF":0.0,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406412472699","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33957357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}