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Titre : | Journal of the academy of nutrition and dietetics |
Auteurs : | Academy of nutrition and dietetics, Auteur |
Type de document : | Périodique |
Langues: | Anglais |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/journal-of-the-academy-of-nutrition-and-dietetics |
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Vol. 123, n° 6 (June 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n° 6Paru le : 01/06/2023 |
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Titre : Preparing Registered Dietitian Nutritionists for Leadership in Culinary Medicine: Opportunities, Barriers, and Alternatives in Registered Dietitian Nutritionist Education and Training (2023) Auteurs : Catherine R. McManus ; Hope D. Barkoukis ; Ann C. Burns ; Olivia Ricelli ; John Wesley McWhorter ; Stephanie R. Harris Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 865-870 Note générale : https://doi.org/10.1016/j.jand.2023.01.015 Langues: Anglais Descripteurs : HE Vinci
Didactique ; Diététicien ; Education ; Leadership ; Stage de formationMots-clés: Médecine culinaire Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000564
Titre : Food Additives in Ultra-Processed Packaged Foods: An Examination of US Household Grocery Store Purchases (2023) Auteurs : Elizabeth K. Dunford ; Donna R. Miles ; Barry Popkin Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 889-901 Note générale : https://doi.org/10.1016/j.jand.2022.11.007 Langues: Anglais Descripteurs : HE Vinci
Additif ; Additifs alimentaires ; Aliment du nourrisson au cours de la première année ; Boissons ; Boissons sucrées ; Caractéristiques familiales ; Comportement du consommateur ; Conditionnement des aliments ; Edulcorant ; Supermarchés ; Valeur nutritiveRésumé : Background : Food additives have been used mainly in the past century to perform specific functions in foods. Some types of food additives have been linked to adverse health outcomes, yet there is little research examining food additives in the US food supply.
Objective : To examine the proportion of products purchased by US households containing four common technical food additives using time-specific food composition data and examine whether purchases have changed over time.
Participants/setting : Nielsen Homescan Consumer Panels, 2001 and 2019.
Main outcome measures : The proportion of packaged food products containing common types of food additives purchased by US households was determined overall and by food category.
Statistical analysis : performed Differences were examined using Student t test; P value Results : Between 2001 and 2019, the proportion of food products purchased by US households that contained additives increased from 49.6% to 59.5% (P 15% increase in the proportion of purchases containing three or more additives.
Conclusions : There is convincing evidence that US household purchases of common types of technical food additives are increasing. Despite some positive changes such as a decrease in the use of added flavors in carbonated soft drinks, across most food categories an increase in purchases of all types of products containing additives was observed. In particular the finding that purchases of baby food products containing additives have increased substantially is crucial in informing future research in this area and warrants further investigation.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011935
Titre : Dietary Patterns and Practices and Leucocyte Telomere Length: Findings from the UK Biobank (2023) Auteurs : Vasiliki Bountziouka ; Christopher P. Nelson ; Qingning Wang ; Crispin Musicha ; Veryan Codd ; Nilesh J. Samani Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 912-922.e26 Note générale : https://doi.org/10.1016/j.jand.2023.01.008 Langues: Anglais Descripteurs : HE Vinci
Biobanques ; Études transversales ; Leucocyte ; Régime méditerranéen ; Royaume-Uni ; TélomèreRésumé : Background : Shorter telomere length (TL) is associated with risk of several age-related diseases and decreased life span, but the extent to which dietary patterns and practices associate with TL is uncertain.
Objective : This study aimed to investigate the association of dietary patterns and practices and leucocyte TL (LTL).
Design : This was a cross-sectional study.
Participants and setting : Data collected voluntarily from up to 422,797 UK Biobank participants, during 2006-2010.
Main outcome measures : LTL was measured as a ratio of the telomere repeat number to a single-copy gene and was loge-transformed and standardized (z-LTL).
Statistical analyses performed : Adherence a priori to a Mediterranean-style diet was assessed through the MedDietScore. Principal component analysis was used to a posteriori extract the Meat and Prudent dietary patterns. Additional dietary practices considered were the self-reported adherence to Vegetarian diet, Eating 5-a-day of fruit and vegetables and Abstaining from eggs/dairy/wheat/sugar. Associations between quintiles of dietary patterns or adherence to dietary practices with z-LTL were investigated through multivariable linear regression models (adjusted for demographic, lifestyle, and clinical characteristics).
Results : Adherence to the Mediterranean and the Prudent patterns, was positively associated with LTL, with an effect magnitude in z-LTL of 0.020 SD and 0.014 SD, respectively, for the highest vs the lowest quintile of adherence to the pattern (both P values Conclusions : Several dietary patterns and practices associated with beneficial health effects are significantly associated with longer LTL. However, the magnitude of the association was small, and any clinical relevance is uncertain.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000175
Titre : Food Additive Use in Ultraprocessed Foods: Can Processing Use of Industrial Additives Contribute to Adverse Health Outcomes in Children? [Editorial] (2023) Auteurs : Mona S. Calvo ; Jaime Uribarri Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 861-864 Note générale : https://doi.org/10.1016/j.jand.2023.01.010 Langues: Anglais Descripteurs : HE Vinci
Additifs alimentaires ; Alimentation de l'enfant ; Aliments de restauration rapide ; Aliments ultra-transformés ; Classification ; Effets indésirables ; Enfant (6-12 ans) ; Manipulation des alimentsMots-clés: NOVA system ; Nielsen IQ Homescan Consumer Panels Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000394
Titre : The Effect of Microbiome Therapies on Waist Circumference, a Measure of Central Obesity, in Patients with Type 2 Diabetes: A Systematic Review and Meta-analysis of Randomized Controlled Trials (2023) Auteurs : Gabriela Vazquez-Marroquin ; Renata Ochoa-Précoma ; Leonardo M. Porchia ; Ricardo Pérez-Fuentes ; Leticia Nicolás-Toledo ; Jorge Rodríguez-Antolín ; M. Elba Gonzalez-Mejia Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 933-952.e1 Langues: Anglais Descripteurs : HE Vinci
Diabète de type 2 ; Glucose ; Hémoglobine A glycosylée ; Insuline ; Microbiote ; Obésité ; Obésité abdominale ; Prébiotique ; Probiotiques ; Synbiotiques ; Tour de tailleMots-clés: HOMA1-IR Résumé : Background : Microbiome therapies (probiotic, prebiotic, and synbiotics) have been proposed as adjuvants in the control of central obesity; however, their results for patients with type 2 diabetes (T2D) remain inconclusive.
Objective : The aim of this systematic review and meta-analysis was to evaluate the effect of microbiome therapies on central obesity as measured by waist circumference (WC), and to evaluate the effect of microbiome therapies for glycemic parameters (fasting glucose [FPG], fasting insulin [FPI], hemoglobin A1c [HbA1c], and insulin resistance [HOMA1-IR]) in patients with T2D.
Methods : SCOPUS, Pubmed, EBSCO, and LILACS databases were searched for studies that investigated the effect of microbiome therapies on WC up to June 1, 2022. Heterogeneity was determined using Cochran's Q test and quantified using the inconsistency index. The random effects model was used to calculate the pooled difference in means (DM) and 95% confidence intervals (95%CI). Egger's test and Beggs-Muzamar's test were used to assess publication bias.
Results : Fifteen reports were included (443 treated and 387 controls). Overall, a significant decrease in WC was found (DM = −0.97 cm; 95% confidence interval [95%CI] = −1.74 to −0.20; P = 0.014); however, when stratified by type of microbiome therapy, only probiotics significantly decreased WC (DM = −0.62 cm; 95%CI = −1.00 to −0.24; P = 0.002). No effect was observed for prebiotics and synbiotics. With respect to glycemic parameters, HbA1c, FPG, and HOMA1-IR significantly decrease with microbiome therapies (P ≤ 0.001). When stratified by the type of therapy, for probiotic treatments, HbA1c, FPG, and HOMA1-IR scores decrease (P Conclusion : Findings indicate that using probiotics alone improved WC in patients with T2D. Both probiotics and prebiotics decreased HbA1c and FPG; however, prebiotics and synbiotics resulted in an increase in FPI. The formulation of the therapy (single vs multi) had no difference on the effect.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000060
Titre : Chocolate Consumption in Relation to All-Cause and Cause-Specific Mortality in Women: The Women's Health Initiative (2023) Auteurs : Yangbo Sun ; Buyun Liu ; Linda G. Snetselaar ; Robert B. Wallace ; Aladdin H. Shadyab ; Guo-Chong Chen ; James M. Shikany ; JoAnn E. Manson ; Wei Bao Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 902-911.e3 Note générale : https://doi.org/10.1016/j.jand.2022.12.007 Langues: Anglais Descripteurs : HE Vinci
Cause de décès ; Chocolat ; Démence ; Etudes prospectives ; Facteurs de risque ; Femmes ; Maladies cardiovasculaires ; Modèles des risques proportionnels ; Santé des femmes ; TumeursRésumé : Background : Chocolate contains both potentially harmful components (ie, stearic acid and added sugar) and beneficial components (ie, phenolics and flavonoids). Despite its popularity, the long-term health effects of chocolate consumption remain unclear.
Objective : The aim of this study was to examine the association of chocolate consumption with all-cause and cause-specific mortality.
Design : This was a prospective cohort study.
Participants/setting : This study included 84,709 postmenopausal women free of cardiovascular disease (CVD) and cancer at baseline in the observational study and clinical trials control arms of the prospective Women's Health Initiative cohort who were enrolled during 1993 through 1998. These women were followed through March 2018.
Main outcome measures : The outcomes included all-cause mortality and cause-specific mortality from CVD, cancer, and dementia.
Statistical analyses performed : Multivariable Cox proportional hazards models were used to estimate adjusted hazard ratios (HRs) of all-cause mortality and cause-specific mortality.
Results : During 1,608,856 person-years of follow-up (mean [SD] of 19.0 [4.2] years), 25,388 deaths occurred, including 7,069 deaths from CVD, 7,030 deaths from cancer, and 3,279 deaths from dementia. After adjustment for a variety of covariates, compared with no chocolate consumption, the HRs (95% CI) for all-cause mortality were 0.95 (0.92 to 0.98), 0.93 (0.89 to 0.96), 0.97 (0.90 to 1.04), and 0.90 (0.84 to 0.97) for Conclusions : The results suggest a modest inverse association of chocolate consumption with mortality from all causes, CVD, or dementia, specifically for moderate chocolate consumption of 1 to 3 servings/wk.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222012564
Titre : Nutrition Assessment and Management of Late-Onset Tay-Sachs Disease: A Clinical Case Report (2023) Auteurs : Juliana Maria Faccioli Sicchieri ; Beatriz Miranda Campos Gracia ; Isabela Laurencio Schiavoni ; Ana Paula Pagano ; Anderson Marliere Navarro Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 871-875 Note générale : https://doi.org/10.1016/j.jand.2022.12.006 Langues: Anglais Descripteurs : HE Vinci
Diétothérapie ; Évaluation de l'état nutritionnel ; Maladie de Tay-Sachs ; Présentations de casDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222012552
Titre : Modeling Behavioral Economics Strategies in Social Marketing Messages to Promote Vegetable Consumption to Low-Resource Louisiana Residents: A Conjoint Analysis (2023) Auteurs : Linda Fergus ; Andrew R. Long ; Denise Holston Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 876-888.e1 Note générale : https://doi.org/10.1016/j.jand.2023.01.011 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; Économie comportementale ; Enquêtes et questionnaires ; Fruit ; Légumes ; Louisiane ; Marketing social ; Revenus modesteRésumé : Background : Behavioral economics strategies implemented within social marketing campaigns improve eating behavior.
Objective : To identify which behavioral economics strategies in social marketing messages particularly messengers, norms, and commitments will promote low-income Louisiana residents to add more vegetables to meals.
Design : Full profile traditional conjoint analysis survey with single concept ratings.
Participants : Purposive sample of low-resource Louisiana residents (N = 213).
Setting : Online survey.
Intervention : Participants rated randomized concepts that featured a messenger and a message. Main outcome measure Ratings (one to nine) of likelihood to add vegetables to meals.
Statistical analysis : A model of ratings was generated using mixed-effects multiple regression, which accounted for repeated measurement of participants. Interactions of variables and covariates were modeled.
Results : There was a significant main effect of the messenger variable (P = 0.02) and main effect of the message variable (P = 0.008). Pairwise comparisons demonstrated differences between friend (μ (predicted mean) = 6.80) and mother (μ = 7.06; P = 0.03) as well as friend and normal-weight doctor (μ = 7.03; P = 0.04). Pairwise comparisons demonstrated differences between descriptive norm (μ = 6.79) and grocery list precommitment (μ = 7.02; P = 0.05) along with descriptive norm and injunctive norm (μ = 6.98; P = 0.04). Covariate models demonstrated main effects of race (P = 0.006) and sex (P = 0.0001). There was significant variation in the message variable and frequency of vegetable intake interaction (P = 0.01).
Conclusions : Both message and messenger variables predicted the likelihood to add vegetables to meals. Race and sex influenced ratings to add vegetables. As reported vegetable consumption increased, behavioral economics messages improved the likelihood to add vegetables to meals. Behavioral economic approaches are well suited to social marketing messages that aim to promote healthy eating behavior in low-income LA residents.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000400
Titre : Trends in Quick-Service Restaurants near Public Schools in the United States: Differences by Community, School, and Student Characteristics (2023) Auteurs : Deborah A. Olarte ; Joshua Petimar ; Peter James ; Kristen Cooksey-Stowers ; Sean B. Cash ; Eric B. Rimm ; Christina D. Economos ; Marlaina Rohmann ; Jeffrey C. Blossom ; Yuting Chen ; Rinki Deo ; Juliana F.W. Cohen Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 6, June 2023) Article en page(s) : p. 923-932.e1 Note générale : https://doi.org/10.1016/j.jand.2023.01.016 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Aliments de restauration rapide ; Élève (système éducatif) ; Enfant (6-12 ans) ; Établissements scolaires ; Etats-Unis ; Ethnicité ; Etudes longitudinales ; Minorités ; RestaurantsRésumé : Background : More than one-third of children and adolescents consume foods from quick-service restaurants (QSRs) daily, which is associated with an increased risk of diet-related adverse health conditions.
Objective : To examine trends in the proximity of top-selling QSR chains to all public schools across the United States between 2006 and 2018 by community-, school-, and student-level characteristics.
Design : This longitudinal study examined changes in the number QSRs between the 2006-2007 and 2017-2018 school years using data from National Center for Education Statistics, Infogroup US Historical Business Data, and the US Department of Agriculture's Economic Research Service. Statistical analysis A mixed-model analysis of variance using census tract as a random effect and accounting for repeated measures by school was used to examine the proximity of QSRs near schools. Models adjusted for demographic characteristics and census tract population density. Data were analyzed in 2021.
Results : During 2006, 9% of schools had QSRs within 400 m, and 25% of schools in the most populated areas had at least one QSR within 400 m. There were more QSRs near schools with a high percentage of poverty (12%), and near schools with high school students with the highest population of Black or African American (16%) and Hispanic or Latino (18%) students. By 2018, the percent of all public schools within 400 m of QSRs increased to 12%. The increase over time was greater near schools with a high percentage of poverty (16%) and near schools with high school students with the highest population of Black or African American students (22%) and Hispanic or Latino (23%) students.
Conclusions : This is the first nationwide study to examine trends in QSR proximity to all public schools. QSRs were most likely to be located near schools with high school students, near schools with a high percentage of poverty, and near schools with a higher proportion of racial and ethnic minority students. Over time, there were greater increases in QSRs near these schools which may have important implications for children's health and diet-related disparities.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000576
Vol. 123, n°5 (May 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n°5Paru le : 01/05/2023 |
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Titre : Environmental and Climate Impact Perceptions in University Students: Sustainability Motivations and Perceptions Correspond With Lower Red Meat Intake (2023) Auteurs : Melissa J. Slotnick ; Jennifer Falbe ; Juliana F.W. Cohen ; Ashley N. Gearhardt ; Julia A. Wolfson ; Cindy W. Leung Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 740-750 Note générale : https://doi.org/10.1016/j.jand.2022.09.015 Langues: Anglais Descripteurs : HE Vinci
Changement climatique ; Jeune adulte (19-24 ans) ; Motivation ; Régime végétarien ; Viande rougeRésumé : Background Red meat production is a leading contributor to food-related greenhouse gas emissions. Decreasing red meat intake can mitigate climate change and lower risk of diet-related diseases. Objective The goal of this study is to evaluate university students? perceptions of climate-friendly behaviors and to assess how these perceptions are associated with the frequency of red meat intake. Design Cross-sectional survey Setting A large, public California university and a large, public Michigan university Participants Undergraduate students from a California university (n = 721) and a Michigan university (n = 568) Main Outcome Measures Perceptions of climate-friendly behaviors and frequency of red meat intake Statistical Analysis Differences in perceptions by student characteristics were compared using t-tests and one-way analysis of variance. Associations between perceptions of climate-friendly behaviors and red meat intake frequency were examined using generalized linear models, adjusted for sociodemographic covariates. Results Across both universities, students rated reducing meat intake as less effective than other climate change mitigation behaviors such as recycling and using less plastic. However, students who reported (1) making food and beverage choices that ?are good for the environment,? (2) making food and beverage choices that ?reduce climate change impact,? or (3) agreeing that ?eating less meat is an effective way to combat climate change? reported 10% to 25% lower frequency of red meat intake for each point higher on the agreement scale. In contrast, making food and beverage choices motivated by health was not associated with frequency of red meat intake. Conclusions Sustainability motivations and perceptions of meat?s climate impact were associated with lower frequency of red meat intake, despite the overall moderate rating of eating less meat as an effective climate change mitigator. This research lends support to behavioral interventions, public education campaigns, and policies aiming to reinforce sustainable dietary patterns in young adults. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222010206
Titre : Parent Weight, Diet, Active Living, and Food-Related Outcomes of the Family-Focused:NU-HOME Randomized Controlled Trial: NU-HOME Randomized Controlled Trial (2023) Auteurs : Melissa L. Horning ; Sarah Friend ; Rebecca L. Freese ; Daheia J. Barr-Anderson ; Jennifer A. Linde ; Abbey Sidebottom ; Samantha A. Sommerness ; Jayne A. Fulkerson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 751-760.e1 Note générale : https://doi.org/10.1016/j.jand.2022.10.009 Langues: Anglais Descripteurs : HE Vinci
Enfant (6-12 ans) ; Exercice ; Intervention ; Milieu rural ; Obésité pédiatrique ; Parents ; Régime alimentaire ; RepasRésumé : Background Little is known about parent outcomes of rural, family-focused childhood obesity prevention trials. Objective Our aim was to evaluate parent outcomes of the rural, family-focused NU-HOME (New Ulm at HOME [Healthy Offerings via the Mealtime Environment]) randomized controlled trial designed to prevent obesity in children aged 7 through 10 years. Design Families were randomized to the intervention or wait-list control group after baseline data collection. Staff measured parent height, weight, and percent body fat. Surveys measured parent cognitive and behavioral outcomes (eg, portion-size confidence, dietary intake, total and moderate-to-vigorous physical activity, and screen time). Post-intervention data were collected 8 to 10 months after baseline. Participants/setting The randomized controlled trial took place in rural, south central Minnesota, and enrolled parent and child dyads (N = 114; 2017-2018); 98 parents provided data at post intervention (2018-2019) and comprise the analytic sample. Parent inclusion criteria were being the primary meal preparer, living with the child most of the time, and being willing to attend intervention sessions. Exclusion criteria were planning to move or having a medical condition that would contraindicate participation. Intervention The theory-guided intervention (7 sessions and 4 goal-setting calls) focused on family eating and active living behaviors. Main outcome measures Height, weight, and percent body fat were measured and the survey assessed diet, active living, and food-related outcomes. Statistical analyses performed Multiple linear regression models tested change in parent outcomes from baseline to post intervention by treatment group adjusted for demographic characteristics and baseline values. Results In the intervention group vs control group, parent total weekly hours of physical activity was 1.73 hours higher (95% CI 0.11 to 3.35 hours) and portion-size confidence was 1.49 points higher (95% CI 0.78 to 2.19). No other statistically significant changes were observed by treatment group. Conclusions Findings indicate that parent cognitive and behavioral outcomes are amenable to change in family-focused childhood obesity prevention programs. Parent increases in portion-size confidence and total physical activity hours may support long-term parent health and provide positive context for child health. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222010735
Titre : Approaches to Ethical Decision-Making: Ethics in Practice 2023 Update (2023) Auteurs : Mindy Nelkin ; Alice Fornari Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 824-830 Note générale : https://doi.org/10.1016/j.jand.2023.03.002 Langues: Anglais Descripteurs : HE Vinci
Diététique ; Ethique ; Prise de décisionNote de contenu : Contient :
- What Is the Ethics Requirement?
- Approach to Ethical Decision-Making
- Application of Ethical Decision-MakingDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223001211
Titre : Dairy Food Intake Is Not Associated With Frailty in Adults From the Framingham Heart Study (2023) Auteurs : Anna C. Siefkas ; Courtney L. Millar ; Alyssa B. Dufour ; Douglas P. Kiel ; Paul F. Jacques ; Marian T. Hannan ; Shivani Sahni Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 729-739.e1 Note générale : https://doi.org/10.1016/j.jand.2022.09.012 Langues: Anglais Descripteurs : HE Vinci
Consommation alimentaire ; Fragilité ; Lait ; Nutrition ; Produits laitiers ; VieillissementRésumé : Background
Nutrients, including protein, calcium, and fat may be associated with risk of frailty, yet specific contributions from whole dairy foods rich in these nutrients remain understudied.
Objective
To determine associations between dairy intake (milk, yogurt, cheese, total (milk + yogurt + cheese), low-fat and high-fat dairy, and servings per week) and frailty onset and frailty phenotype components.
Design Prospective cohort study. All dairy intake exposures (servings per week) were assessed via a food frequency questionnaire. Participants and setting Participants (aged 33 to 86 years) from the Framingham Offspring Study who were not frail at baseline (1998-2001) completed a food frequency questionnaire and had 1 or 2 follow-up frailty assessments (2005-2008 and 2011-2014) were included.
Main outcome
measures Frailty was defined as the presence of ?3 Fried frailty phenotype components: unintentional weight-loss, exhaustion, slowness (gait speed), weakness (grip strength), and low physical activity. Individuals with zero to two components were considered nonfrail. Statistical analyses performed Repeated measures logistic regression estimated odds ratios and 95% CIs for frailty onset. Logistic (exhaustion and weight loss) and linear regression (gait speed, grip strength, and physical activity) estimated the association between baseline dairy intake and each frailty component at follow-up, adjusting for baseline values for age, sex, energy intake (residual analysis), current smoking, and multivitamin use. Models were further adjusted for health status in a secondary analysis.
Results
Mean baseline age + SD was 61 + 9 years (range = 33 to 87 years), and 54% were women. Of 2,550 nonfrail individuals at baseline, 8.8% (2005-2008) and 13.5% (2011-2014) became frail. Higher yogurt intake was associated with decreased odds of frailty (odds ratio 0.96, 95% CI 0.93 to 0.99; P = 0.02). Each additional serving of yogurt (? + SE) .004 + .001; PDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009893
Titre : Effect of Oat Consumption on Blood Pressure: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2023) Auteurs : Huihui Xi ; Wei Zhou ; Yirou Niu ; Ruiting Zhu ; Saikun Wang ; Yingze Guo ; Wenqing Liu ; Xuance Xiong ; Lirong Guo Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 809-823 Note générale : https://doi.org/10.1016/j.jand.2022.11.010 Langues: Anglais Descripteurs : HE Vinci
Avoine ; Hypertension artérielle ; Pression sanguine ; Ration caloriqueRésumé : Background Current clinical trials have had controversial results regarding the effects of oat consumption on blood pressure (BP) in adults. Objective The meta-analysis was conducted to systematically evaluate the effects of oat consumption on BP in adults. Methods Electronic databases including PubMed, Web of Science, Scopus, Cochrane Library, and Embase were searched until December 13, 2021 for eligible randomized controlled trials (RCTs). RCTs published in English and that explored the effects of oat consumption on BP in adults under matched total energy intake were included. Meta-analysis using a random-effects model was performed. The pooled effect size was expressed as mean difference and 95% CI. I2 statistics were used to quantify heterogeneity. The risk of bias was assessed using the Cochrane Risk-of-Bias Tool, version 2. Results Twenty-one RCTs involving 1,569 participants were included. The pooled results indicated that consuming oats reduced systolic blood pressure (SBP) significantly (mean difference = ?2.82 mm Hg; 95% CI ?4.72 to ?0.93 mm Hg; P = .004). Subgroup analyses indicated that oat consumption reduced SBP significantly in hypertensive participants, or when compared with control group participants who consumed refined grains. No significant reduction in diastolic blood pressure (DBP) was observed after oat consumption (mean difference = ?1.16 mm Hg; 95% CI ?2.37 to 0.04 mm Hg; P = .060). However, the sensitivity analysis of DBP, removal of individual studies, or "leave one out meta-analysis," showed a significant reduction in DBP, suggesting that the pooled result in the main analysis was not robust. Subgroup analyses showed that oat consumption did significantly reduce DBP in participants with baseline BP in the prehypertensive range. Both SBP and DBP were significantly reduced when the dosage of oat consumption was ?5 g/day ?-glucan, or the oat consumption duration was ?8 weeks. Conclusions Oat consumption is effective in reducing SBP levels, particularly in individuals whose baseline BP is in the hypertensive range or when compared with control group participants consuming refined grains at matched total energy intake. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011960
Titre : Increased Adherence to a Mediterranean Diet Is Associated With Reduced Low-Grade Inflammation after a 12.7-Year Period: Results From the Moli-sani Study (2023) Auteurs : Marialaura Bonaccio ; Simona Costanzo ; Augusto Di Castelnuovo ; Alessandro Gialluisi ; Emilia Ruggiero ; Amalia De Curtis ; Mariarosaria Persichillo ; Chiara Cerletti ; Maria Benedetta Donati ; Giovanni de Gaetano ; Licia Iacoviello Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 783-795.e7 Note générale : https://doi.org/10.1016/j.jand.2022.12.005 Langues: Anglais Descripteurs : HE Vinci
Enquêtes et questionnaires ; Facteurs de risque ; Inflammation ; Maladies cardiovasculaires ; Régime méditerranéenRésumé : Background There is little knowledge on the association of changes over time in adherence to a Mediterranean diet (MD) with changes in modifiable cardiovascular disease (CVD) risk factors and of markers of low-grade inflammation. Objective To evaluate the association between long-term changes in MD adherence and concurrent changes in established CVD risk factors and in markers of low-grade inflammation among adult Italians. Design A prospective cohort study was conducted. Dietary and health data were obtained both at baseline (2005-2010) and at follow-up (2017-2020). Adherence to the MD was estimated by a Mediterranean Diet Score ranging from zero to nine points, and the exposure was change in this score measured after a median 12.7-year period. Participants/setting This study included a subgroup of 897 men and 1,126 women aged ?35 years at enrolment in the Moli-sani Study (n = 24,325). Main outcome measures Changes in two composite z scores, including nine established CVD risk factors (eg, serum lipid levels and blood pressure) and four inflammatory markers (including C-reactive protein), respectively, were measured both at enrolment and after the same 12.7-year period. Statistical analyses performed Multivariable-adjusted linear regression models were used. Results In a multivariable-adjusted analysis, an increased Mediterranean Diet Score over time was associated with decreased levels in the Inflammatory score (? = ?0.372, 95% CI ?0.720 to ?0.025), but had little or no influence on the CVD risk score (? = ?0.200, 95% CI ?0.752 to 0.351), compared with individuals who had decreased their MD adherence. Among individual food groups/nutrients included in the Mediterranean Diet Score, an increased intake of monounsaturated over saturated fats over time was associated with lower CVD Risk Score, whereas increased consumption of cereals was inversely linked to the Inflammatory Score, compared with the reduced consumption group. Conclusions An increased adherence to a traditional MD over time was associated with reduced low-grade inflammation. These findings suggest the potential of a traditional Mediterranean eating pattern to help reduce the long-term risk of inflammation-related chronic diseases in an ageing population. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222012540
Titre : Association Between County-Level Food Retail and Socioeconomic Environment and Nutritional Quality of Household Food Purchases, 2015 (2023) Auteurs : Armen Ghazaryan ; Andrea C. Carlson ; Alana Rhone ; Kakoli Roy Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 796-808 Note générale : https://doi.org/10.1016/j.jand.2022.10.015 Langues: Anglais Descripteurs : HE Vinci
Aliments ; Aliments de restauration rapide ; Approvisionnement en nourriture ; Caractéristiques familiales ; Comportement du consommateur ; Facteurs socioéconomiques ; Valeur nutritiveMots-clés: Healthy Eating Index ; Retail environment ; IRI Consumer Network ; Purchase to Plate Crosswalk ; ERS Food Environment Atlas ; County Health Rankings Résumé : Background About 40 million Americans do not have easy access to affordable nutritious foods. Healthier foods are less likely to be available to those living in rural and/or lower-income communities. Objective The objective of this study was to analyze the association between nutritional quality of household food purchases and county-level food retail environment; county-level demographic, health, and socioeconomic indicators; and household composition, demographic characteristics, and socioeconomic characteristics. Design This study is a secondary analysis of the 2015 Information Resources Inc Consumer Network panel; Purchase-to-Plate Crosswalk, which links US Department of Agriculture nutrition databases to Information Resources Inc scanner data; County Health Rankings; and the Food Environment Atlas data. Participants and settings A total of 63,285 households, representative of the contiguous US population, consistently provided food purchase scanner data from retail stores throughout 2015. Main outcome measures Nutritional quality of retail food purchases was assessed using the Healthy Eating Index 2015 (HEI-2015). Statistical analysis Multivariate linear regression analysis was used to simultaneously test the relationship between the main outcome and household-level demographic and socioeconomic characteristics as well as the county-level demographic, health, socioeconomic, and retail food environment. Results Household heads who had higher education and households with higher incomes purchased food of better nutritional quality (ie, higher HEI-2015 scores). Also, the association between retail food purchase HEI-2015 scores and the food environment was weak. Higher density of convenience stores was associated with lower retail food purchase nutritional quality for higher-income households and households living in urban counties, whereas low-income households in counties with higher specialty (including ethnic) store density purchased higher nutritional quality food. Both in the full sample and when stratified by household income or county rural vs urban status, no association was found between grocery store, supercenters, fast-food outlets, and full-service restaurant densities and retail food purchase HEI-2015 scores. HEI-2015 scores were negatively correlated with the county average number of mental health days for higher income and urban households. Conclusions The study findings suggest that availability of healthier food alone may not improve healthfulness of retail food purchases. Future studies examining the influence of demand-side factors/interventions, such as habits, cultural preferences, nutrition education, and cost/affordability, on household purchasing patterns could provide complementary evidence to inform effective intervention strategies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011285
Titre : Gardening Is Associated With Better Cardiovascular Health Status Among Older Adults in the United States: Analysis of the 2019 Behavioral Risk Factor Surveillance System Survey (2023) Auteurs : Susan Veldheer ; Wen-Jan Tuan ; Laila Al-Shaar ; Martha Wadsworth ; Lawrence Sinoway ; Kathryn H. Schmitz ; Christopher Sciamanna ; Xiang Gao Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 761-769.e3 Note générale : https://doi.org/10.1016/j.jand.2022.10.018 Langues: Anglais Descripteurs : HE Vinci
Consommation alimentaire ; Diabète ; État de santé ; Etats-Unis ; Exercice physique ; Hypertension artérielle ; Jardinage ; Sujet âgéMots-clés: système de surveillance des facteurs de risques comportementaux Résumé : Background Gardening benefits health in older adults, but previous studies have limited generalizability or do not adequately adjust for sociodemographic factors or physical activity (PA). Objective We examined health outcomes, fruits and vegetables (F&V) intake, and 10-year mortality risk among gardeners and exercisers compared with nonexercisers. Design Cross-sectional data of noninstitutionalized US adults in the 2019 Behavioral Risk Factor Surveillance System was collected via landline and cellular phone survey. Participants/setting Adults 65 years and older reporting any PA (n = 146,047) were grouped as gardeners, exercisers, or nonexercisers. Main outcome measures Outcomes included cardiovascular disease (CVD) risk factors, mental and physical health, F&V intake, and 10-year mortality risk. Statistical analyses Summary statistics were calculated and adjusted logistic regression models were conducted to calculate adjusted odds ratios (aORs) and 95% CIs, accounting for the complex survey design. Results The sample included gardeners (10.2%), exercisers (60.0%), and nonexercisers (30.8%). Gardeners, compared with nonexercisers, had significantly lower odds of reporting all studied health outcomes and higher odds of consuming 5 or more F&V per day (CVD: aOR 0.60, 95% CI 0.53 to 0.68; stroke: aOR 0.55, 95% CI 0.47 to 0.64; heart attack: aOR 0.63, 95% CI 0.55 to 0.73, high cholesterol: aOR 0.86, 95% CI 0.79 to 0.93; high blood pressure: aOR 0.74, 95% CI 0.68 to 0.81; diabetes: aOR 0.51, 95% CI 0.46 to 0.56; body mass index ?25: aOR 0.74, 95% CI 0.68 to 0.80; poor mental health status: aOR 0.50, 95% CI 0.43 to 0.59; poor physical health status: aOR 0.35, 95% CI 0.31 to 0.39; 5 or more F&V per day: aOR 1.56, 95% CI 1.40 to 1.57; high 10-year mortality risk: aOR 0.39, 95% CI 0.36 to 0.42). Male and female gardeners had significantly lower odds of reporting diabetes even when compared with exercisers. Conclusions Among adults 65 years and older, gardening is associated with better CVD health status, including lower odds of diabetes. Future longitudinal or interventional studies are warranted to determine whether promoting gardening activities can be a CVD risk reduction strategy. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011261
Titre : Impact of Training on Employees? Handwashing Behaviors in School Nutrition Programs (2023) Auteurs : Kevin R. Roberts ; Paola Paez ; Kevin Sauer ; Michelle Alcorn ; Dallas E. Johnson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°5, May 2023) Article en page(s) : p. 770-782.e4 Note générale : https://doi.org/10.1016/j.jand.2022.11.009 Langues: Anglais Descripteurs : HE Vinci
Comportement en matière de santé ; Désinfection des mains ; Enfant (6-12 ans) ; Établissements scolaires ; Etats-Unis ; Sécurité alimentaire ; Thérapie comportementaleMots-clés: School nutrition ; Realistic-event video ; Training ; Theory of Planned Behavior Résumé : Background School nutrition employee behavior plays an important role in preventing foodborne outbreaks and protecting the almost 30 million children who partake in daily school lunch. Objective The study aim was to compare the impact of using a food safety training program with or without using a realistic-event video on handwashing behavior modification for school nutrition employees. Design A 2-group (control and experimental) pretest with 2 post-tests design was used. The control group received training without the video and the experimental group received the food safety training with a realistic-event video. Measurements used to address the purpose and objectives of this study included questionnaires and direct observations. Participants/setting The sample consisted of 443 school nutrition employees responsible for food preparation and service affiliated with 21 school districts in 18 states. Approximately half of the sample attended the original unmodified training and the other half attended the modified training. Data were collected in the United States during 2017. A total of 338 employees participated in the observations and 443 participants completed the questionnaires during the 3 phases; 935 questionnaires were used for the analysis. Intervention The intervention involved a food safety training program embedded with a realistic-event video related to handwashing. The video used previous research to target antecedents to handwashing behavior among participants. Main outcome measures Actual behavior was observed across 3 phases?pretraining, post training, and final?for both the control and experimental groups. In addition, indirect and direct measures of behavioral intentions for handwashing were measured. Statistical analysis performed For the observation data, a 2-way, fixed-effects, mixed-model procedure was used to analyze the data. Simple and multiple linear regression and contingency table analyses looking for differences among phases and treatments were used for questionnaire data analysis. Results Most practices were reported as in compliance (51.3% to 80.6%) for both the control and experimental groups during all phases. The experimental group had a higher behavioral intention of properly washing their hands than participants in the control group. Conclusions The results showed that handwashing practices were in compliance most of the time for both the control and experimental groups during all 3 observation periods. Differences among the data collection periods on the theory of planned behavior constructs indicated no statistical effect of the treatment (exposure to the video) between the control and intervention groups. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011959
Vol. 123, n° 4 (April 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n° 4Paru le : 01/04/2023 |
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Titre : An Exploratory Mixed Method Cross-Sectional Study to Identify Opportunities to Increase Enrollment and Retention of Native Hawaiian Students in an Undergraduate Dietetic Program (2023) Auteurs : Marie K. Fialkowski ; M'Randa R. Sandlin ; Jessie Kai ; Jacqueline Ng-Osorio ; Ricardo C. Custodio ; Sharon Ka'iulani Odom ; Jamie Kamailani Boyd ; Candi Medina ; Dayna Takahashi ; Monica K. Esquivel Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 577-592.e5 Langues: Anglais Descripteurs : HE Vinci
Diététique ; Enseignement ; Études transversales ; Étudiants ; Hawaï ; Population d'origine océanique ; Recherche qualitativeRésumé : Background: Native Hawaiians (NH) are underrepresented in dietetics, contributing to less than 1% of the profession nationally. Increasing the number of NH Registered Dietitian Nutritionists (RDN) is one mechanism to facilitate improved health outcomes in disparate populations.
Objectives: 1) Identify and summarize NH student interests in the field of nutrition and dietetics; 2) Identify and contextualize factors that support and prohibit achievement of academic goals and aspirations; 3) Identify NH students' responsibility to the community; 4) Explore the context around NH alumni enrollment in nutrition and dietetics and their perceived impact of RDNs in the community; 5) Identify and describe supporting agencies that foster academic and professional success.
Design: This exploratory mixed-methods cross-sectional study surveyed all levels of NH nutrition and dietetics students in the University of Hawai'i (UH) System. In addition, in-depth interviews were conducted with NH students, NH alumni, and supporting agencies to identify supports and barriers, explore the context of NH enrollment in nutrition and dietetics, and the contribution of dietetics to the NH community.
Participants/setting: Eighty-one NH students enrolled in a nutrition course across the UH system were surveyed. Nine of the 81 NH students surveyed, eight NH alumni, and persons from 15 identified supporting agencies were interviewed.
Analysis: Survey responses were descriptively analyzed. Open-ended survey questions and interviews were analyzed through content analysis. To ensure findings were guided by NH perspective, data were triangulated by researchers and a NH dietetics advisory council.
Results: Food and chronic disease prevention and management were topics that drew NH students to the field. Bridge/scholarship programs supported NH academic achievement. Education-related cost was a perceived barrier. Alumni and students shared varying degrees of responsibility to serve the NH community. Increasing the connection between NH values and the nutrition and dietetics curriculum are an identified need.
Conclusion: Findings illuminate opportunities to drive future programmatic efforts. The framework used in this study should be adaptable to other programs to support overall dietetics diversity initiatives.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009339
Titre : The Exploration of the Eating Experience in Adults with Celiac Disease: A Phenomenological Qualitative Study (2023) Auteurs : Jennifer Dalton ; Diana Cuy Castellanos Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 593-601 Langues: Anglais Descripteurs : HE Vinci
Adhésion et observance thérapeutiques ; Émotions ; Maladie coeliaque ; Observance par le patient ; Qualité de vie ; Recherche qualitative ; Régime alimentaire ; Régime sans glutenRésumé : Background: The adjustment to a strict gluten-free diet for adults diagnosed with celiac disease (CD) may lead to changes in the eating experience affecting the physical, social, and emotional states.
Objective: Through the application of the Social Cognitive Transition Model of Adjustment, the aim of the study was to explore the adjustment in the eating experience in adults recently diagnosed with CD and transitioning to a gluten-free diet.
Design: This was a qualitative phenomenological study conducted using semistructured interviews.
Participants and Setting: Seventeen adults from the midwestern United States who were diagnosed with CD between 6 months and 5 years before the study were recruited using social media CD sites and snowball sampling. Participants completed a semistructured interview on Zoom and the Celiac Disease Adherence Test and CeliacQ-7 questionnaires from May to November 2020.
Statistica Analyses Performed: Two trained qualitative researchers engaged in four steps to reduce and contextualize the data: horizontilization, reduction and elimination, clustering and thematizing, and composition of textural description. During analysis, the Social Cognitive Transition Model of Adjustment was incorporated for organization of themes and text description.
Results: There was moderate to high dietary adherence in 14 of 17 participants and quality of life scores ranged from 19 to 43 (median = 33). Five themes emerged aligning with Social Cognitive Transition Model of Adjustment, describing the adjustment in pre- and postdiagnosis eating experience and the coping and behaviors enacted during adjustment to a gluten-free diet.
Conclusions: In individuals with CD, moving beyond problem solving and identifying psychosocial and emotional attributes in the adoption of a gluten-free diet need to be considered to promote maintenance of quality of life and dietary adherence.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009364
Titre : A Qualitative Study of Factors Influencing Food Choices and Food Sources Among Adults Aged 50 Years and Older During the Coronavirus Disease 2019 Pandemic (2023) Auteurs : Patrick J. Brady ; Natoshia M. Askelson ; Helaina Thompson ; Sarah Kersten ; Haley Hopkins ; Sato Ashida ; Faryle Nothwehr ; Brandi Janssen ; David Frisvold Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 602-613.e5 Langues: Anglais Descripteurs : HE Vinci
Adulte ; Approvisionnement en nourriture ; COVID-19 ; Insécurité alimentaire ; Pandémies ; Préférences alimentaires ; Recherche qualitative ; Sujet âgéRésumé : Background: The coronavirus disease 2019 pandemic affected food availability and accessibility for many older adults, especially those experiencing food insecurity. Food citizenship is a theoretical framework that encourages the use of alternate over industrial food sources and can characterize where foods are acquired and how food choices are made.
Objective: The purpose of this study is to explore how Iowans aged 50 years and older made choices about what foods to acquire and where to acquire foods during the coronavirus disease 2019 pandemic using food citizenship as a theoretical framework.
Design: We used in-depth interviews with Iowans aged 50 years and older (N = 60).
Participants: We recruited respondents through Area Agencies on Aging, food banks, and food pantries. Individuals who contacted the research team, were aged 50 years and older, and spoke English were eligible. Half of the sample screened as food insecure.
Statistical Analysis: We conducted a thematic analysis to identify recurring themes.
Results: Food costs, personal preferences, and the healthfulness of food were cited as the most influential factors. Respondents said that the pandemic had not changed how they make choices, but increased prices had made costs more salient. Respondents primarily got their food from industrial food retailers, government programs, or food pantries. More than half of the respondents also acquired food from an alternate food source, such as a farmers' market. Reasons for not using alternate food sources included cost and transportation barriers.
Conclusions: It is essential to ensure that older adults have access to affordable, healthy foods, especially during crises such as the coronavirus disease 2019 pandemic. Alternate food sources provided supplementary, healthy food for many respondents, but there are opportunities to expand the use of these food sources. Incentivizing the use of alternate food sources through government programs and connecting the emergency food system to local producers could increase the consumption of healthy food.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009376
Titre : Validity and Educational Impact of Clinical Entrustable Professional Activities Linked to the Nutrition Care Process for Work-Based Assessment of Entry-Level Dietetics Students: Evaluation of a 3-Year Implementation Study in Australia (2023) Auteurs : Andrea Bramley ; Adrienne Forsyth ; Lisa Mckenna Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 614-625.e7 Langues: Anglais Descripteurs : HE Vinci
Australie ; Compétence clinique ; Diététique ; Étudiants ; Évaluation des acquis scolaires ; Internat et résidence ; Modèle de compétence attendue ; Programme d'étudesRésumé : Background: Entrustable professional activities (EPAs) describe key workplace activities and are increasingly being used for student work-based assessment. An EPA-based work-based assessment tool offers potential to increase understanding of dietetics student skill development and opportunity for standardised work-based student assessment.
Objective: To determine construct validity and educational impact of an EPA work-based assessment tool for dietetics placement students in clinical settings.
Design: Using a time series design, supervisor and student self-assessment data collected from an EPA-based assessment tool from three cohorts of dietetics students and supervisors from 2017-2019 was analyzed.
Participants and Setting: Dietetics students (n = 145) from an accredited dietetic training program in Australia and affiliated metropolitan and rural hospitals.
Main Outcome Measures: Construct validity was determined through analysis of supervisor evaluation of student performance against EPAs over time. Educational impact was determined through comparing student performance across EPAs to predicted milestones to identify areas of least entrustment.
Statistical Analyses Performed: Student performance over time and differences between student self-assessment and supervisor assessment for each EPA were investigated using Wilcoxon signed-rank tests and linear mixed-model analysis. Descriptive statistics summarised student performance against each EPA.
Results: Performance significantly increased over time in 35 out of 37 EPAs. Significant differences between supervisor and student self-assessment were evident in 9 out of 37 EPAs. Dietetics student performance varied across EPAs with 88.2% of students achieving entrustment for nutrition management EPAs compared with 100% for professionalism EPAs.
Conclusions: The tool's construct validity was established. EPAs identified areas of Nutrition Care Process skills development requiring additional support. Data collected by the tool can inform teaching.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009832
Titre : A Descriptive Analysis of Redemption Patterns by Vendor Type Among: WIC Participants in Massachusetts (2023) Auteurs : Kelsey A. Vercammen ; Anna H. Grummon ; Laura Zatz ; Cristina M. Gago ; Mary Blocksidge ; Sophia V. Hua ; Sara N. Bleich ; Sarah Stone ; Erica L. Kenney ; Rachel Colchamiro ; Eric B. Rimm Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 626-636.e2 Langues: Anglais Descripteurs : HE Vinci
Assistance alimentaire ; Caractéristiques familiales ; Enfant (6-12 ans) ; Enfant d'âge préscolaire (2-5 ans) ; Femmes ; Nourrisson ; PauvretéRésumé : Background: The retail environment is an important determinant of food package redemption in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC).
Objective: The objectives of this study were to describe where Massachusetts WIC households redeemed their food benefits each month and monthly variations in benefit redemption depending on a household's most frequently used vendor type each month.
Design: These were cross-sectional and longitudinal analyses of administrative data provided by Massachusetts WIC.
Participants/setting: Monthly redemption data for 209,973 households shopping at approximately 1,000 unique vendors between January 2015 and August 2019 were analyzed.
Main Outcome Measures: Outcomes were mean monthly percentage of households that relied on each vendor type when redeeming benefits and mean monthly percent redemption for each benefit category.
Statistical Analyses Performed: For each month, households were classified as using 1 of 8 vendor types. The monthly percentage of households redeeming at each vendor type was calculated, as well as the monthly percent redemption for each benefit category by vendor type. The averages of these monthly percentages were computed for 2015 and 2019. Data from months when households did not redeem any benefits were excluded from primary analyses because it was not possible to determine their vendor type for that month.
Results: On average across months in 2019, the majority of Massachusetts WIC households (63%) relied on large vendors only (ie, superstores, supermarkets, and large grocery stores) when redeeming benefits, and 5% relied on small grocery or convenience stores only. Between 2015 and 2019, mean monthly reliance on small grocery and convenience stores decreased by 3.1 and 0.7 percentage points, respectively. Compared with other vendor types, households that redeemed benefits at superstores only had, in an average month, lower redemption levels for most benefit categories. For example, in the 2019 mean across months, percent redemption of breakfast cereal was 53% among households redeeming at superstores only compared with 74% for those redeeming at small grocery stores only. By contrast, households that relied on small grocery stores only had, in an average month, lower redemption levels for yogurt and cash value benefit compared with other vendor types; for example, in the 2019 mean across months, percent redemption of yogurt was 34% among households redeeming at small grocery stores only compared with 62% among those redeeming at supermarkets only.
Conclusions: Results suggest that retail-based efforts to increase redemption should consider vendor-type reliance. Strategies to increase redemption may be especially important for WIC shoppers relying on superstores.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009856
Titre : Effects of a School-Based Garden Program on Academic Performance: A Cluster Randomized Controlled Trial (2023) Auteurs : Jaimie N. Davis ; Katie Nikah ; Matthew J. Landry ; Sarvenaz Vandyousefi ; Reem Ghaddar ; Matthew R. Jeans ; Michele Hocket Cooper ; Bonnie Martin ; Lyndsey Waugh ; Shreela V. Sharma ; Alexandra E. van den Berg Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 637-642 Langues: Anglais Descripteurs : HE Vinci
Cuisine (activité) ; Enfant (6-12 ans) ; Établissements scolaires ; Hispano-américain ; Jardinage ; Jardins ; Nutrition ; Promotion de la santé ; Résultat scolaire ; Revenus modesteRésumé : Background: School gardening programs have consistently been found to improve dietary behaviors in children. Although several quasi-experimental studies have also reported that school gardens can enhance academic performance, to date, no randomized controlled trial has been conducted to substantiate this.
Objective: The objective of the study was to examine the effects of Texas Sprouts (TX Sprouts), a gardening, nutrition, and cooking program vs control on academic performance in primarily low-income, Hispanic children.
Design: This is a secondary analysis of the grade-level academic scores from schools that participated in the TX Sprouts program, a school-based cluster randomized controlled trial, consisting of 16 elementary schools that were randomly assigned to either the TX Sprouts intervention (n = 8 schools) or control (delayed intervention; n = 8 schools).
Participants/setting: Analysis included 16 schools with students in fourth and fifth grade in Austin, TX from 2016 to 2019 that had a majority Hispanic population and a majority of children participating in the free and reduced lunch program.
Intervention: The intervention consisted of 18 one-hour gardening, nutrition, and cooking lessons taught in an outdoor teaching garden by trained educators throughout the academic year.
Main Outcome Measures: Texas Education Agency grade-level data for the State of Texas Assessments of Academic Readiness were obtained via the Texas Education Agency website for the corresponding year of the intervention or control condition.
Statistical Analysis Performed: Repeated measures general linear models with pre- and post-intervention State of Texas Assessments of Academic Readiness scores as the dependent variable were run, adjusting for the percent of free and reduced lunch and school district as covariates.
Results: Schools that received the TX Sprouts intervention had a 6.5-percentage-point increase in fourth-grade reading State of Texas Assessments of Academic Readiness scores compared with control schools (P = .047). There were no significant differences in reading scores for fifth grade students or math scores for either fourth- or fifth-grade students between groups.
Conclusions: Study findings provide evidence that school gardening programs may have some modest effects on academic achievement.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009315
Titre : Current Dietetic Internship Admission Criteria and Selection Processes: Results From an Electronic Survey of Directors (2023) Auteurs : Erica Card ; Sarah Gunnell Bellini ; D. Pauline Williams ; Emily Vaterlaus Patten Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 643-654.e6 Langues: Anglais Descripteurs : HE Vinci
Diététique ; Diversité ; Enquêtes et questionnaires ; Enseignement ; Etats-Unis ; Études transversales ; Évaluation des acquis scolaires ; Femmes ; Internat et résidence ; Internat spécialité paramédicaleMots-clés: Critères d'admission ; Contrôle d'accès aux études Résumé : Background: Members of the dietetics profession have been discussing and confronting the lack of diversity within the profession. The Academy of Nutrition and Dietetics is committed to diversity and inclusion efforts.
Objective: Our aim was to determine current admission criteria and practices used by Dietetic Internships (DIs) across the United States.
Design: This was a cross-sectional study using electronic survey with open and close-ended items conducted in the fall of 2020.
Participants: The electronic survey was distributed to 261 DI directors. Statistical analysis performed Descriptive statistics were calculated for each variable using SPSS software. Six topically related open-ended items were analyzed through a qualitative thematic approach.
Results: DI directors (n = 89) were primarily female (n = 76) and White (n = 77). Most admissions process and criteria decisions were made by committees. Directors (n = 79) reported using a predefined rubric/scoring system for candidate evaluation. Many (n = 60) indicated not using Graduate Record Examination scores. All reported considering Didactic Program in Dietetics' grade point average; personal statement quality; professional interests and goals; and type and quantity of previous dietetics-related work and volunteer experience. The admission factors rated (on a 7-point scale) most important were quality of interview (mean = 6.03), Didactic Program in Dietetics' grade point average (mean = 5.67), type of work and volunteer experience (mean = 5.62), quality of personal statement (mean = 5.5), recommender comments (mean = 5.41), and quantity of work and volunteer experience (mean = 5.40). Most (n = 80) indicated that they were satisfied with their selection processes.
Conclusions: Educators should continue refining admissions processes as professional gatekeepers, consider reducing application fees, diversifying and training selection committees, re-evaluating admission criteria, and assessing how criteria weights.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009327
Titre : Validation and Comparison of Nutrient Intakes from Two Dietary Questionnaires Developed for the Multiethnic Cohort Study (2023) Auteurs : Lynne R. Wilkens ; Minji Kang ; Song-Yi Park ; Adam Sawyer ; Carol J. Boushey ; Donna Lyn M. Au ; Hee-Young Paik ; Loïc Le Marchand ; Christopher A. Haiman ; Laurence N. Kolonel ; Suzanne P. Murphy Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 655-663.e1 Langues: Anglais Descripteurs : HE Vinci
Consommation alimentaire ; Enquête alimentaire ; Enquêtes et questionnaires ; Études de cohortes ; Études de suivi ; Études transversales ; Régime alimentaire ; Reproductibilité des résultatsRésumé : Background: Quantitative food frequency questionnaires (QFFQs) are often used to measure dietary intakes in large cohort studies but the impact of updating these questionnaires over time is not often examined.
Objective: This study compared nutrient intakes estimated from two different QFFQs to each other and to intakes calculated from three 24-hour dietary recalls (24HDRs).
Design: This study used a cross-sectional design.
Participants/setting Participants: Participants (N = 352) were members of the Multiethnic Cohort Study from five racial and ethnic groups (African American, Japanese American, Latino American, Native Hawaiian, and White) who lived in Hawaii and Los Angeles. They were recruited in 2010 and asked to complete two QFFQs, two months apart, and three 24HDRs in the time between completion of the QFFQs. One questionnaire had been developed for a baseline survey (baseline QFFQ) at the start of the Multiethnic Cohort Study during 1993-1996, and the other was updated for a follow-up study 10 years later (10-year QFFQ).
Main Outcome Measures: Daily intakes of energy and nine nutrients were estimated from both QFFQs, and from the average of three 24HDRs.
Statistical Analyses Performed: Pearson's correlation coefficients were calculated between log-transformed nutrient intakes from each QFFQ and the 24HDRs and between the two QFFQs overall, by sex, and by race and ethnicity.
Results: Correlations for the 10-year QFFQ with the 24HDRs (average = 0.45) were higher than for the baseline QFFQ (average = 0.41), although the differences were not statistically significant. The increase in correlations was particularly pronounced for Native Hawaiian and African American participants. When absolute values were adjusted for energy intake, the average correlations were higher at 0.57 for the baseline QFFQ and 0.58 for the 10-year QFFQ overall and this pattern was seen in most racial and ethnic subgroups. The average correlations between the two QFFQs were 0.73 for both absolute intakes and nutrient densities overall.
Conclusions: Correlations of nutrient intakes between the two QFFQs and 24HDRs were similar, and intakes from the two QFFQs were highly correlated. QFFQs updated for changes to the food supply may provide improved assessment for cohort studies that include diverse populations.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722201036X
Titre : Distance Education in Nutrition and Dietetics Education over the Past 30 Years: A Narrative Review (2023) Auteurs : Jennifer L. Bueche ; Jennifer M. K. Jensen ; Kelly Martin ; Emily Riddle ; Kim S. Stote Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 664-672 Langues: Anglais Descripteurs : HE Vinci
COVID-19 ; Diététique ; Enseignement à distance ; Enseignement supérieur ; État nutritionnel ; Histoire ; Niveau d'instructionRésumé : The coronavirus disease 2019 pandemic necessitated the use of distance education, which sparked a technological transformation that was long overdue in higher education. The purpose of this narrative review is two-fold: to summarize the state of knowledge regarding distance education in nutrition and dietetics education over the past 30 years to inform recommendations for future education/research and implications for practice and to determine the influence that distance education has had on the knowledge, skills, and attitudes of both nutrition and dietetics educators and their students. A narrative review of 822 publications yielded 25 that met the search criteria. In the scope of 30 years, the literature shows that attitudes and perceptions of distance education have changed as barriers to online access have diminished and the availability of online nutrition and dietetics courses and Accreditation Council for Education in Nutrition and Dietetics-accredited distance education programs has expanded. However, whereas the limited results are promising, the paucity of large-sample research about the use of distance education in nutrition and dietetics education restricts educators' knowledge of and ability to evaluate the learning outcomes of distance programs and courses. Moreover, differences in how accreditors, government agencies, and institutions define distance education could have significant influence on funding and financial aid benefits for students and research. Recommendations for future research and implications for practice are provided given the relevance and importance of distance education to nutrition and dietetics education. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222011704
Titre : The Need for and Challenges of Nutrition and Dietetics Registry Studies: An Update on the Academy of Nutrition and Dietetics Health Informatics Infrastructure (2023) Auteurs : Casey R. Colin ; Lindsay Woodcock ; Lauri Wright ; Elizabeth Yakes Jimenez ; Constantina Papoutsakis Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n° 4, April 2023) Article en page(s) : p. 673-682 Langues: Anglais Descripteurs : HE Vinci
Diététique ; État nutritionnel ; Informatique médicaleDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267223000023
Vol. 123, n°3 (March 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n°3Paru le : 01/03/2023 |
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Titre : Meal Skipping and Shorter Meal Intervals Are Associated with Increased Risk of All-Cause and Cardiovascular Disease Mortality among US Adults (2023) Auteurs : Yangbo Sun ; Shuang Rong ; Buyun Liu ; Yang Du ; Yuxiao Wu ; Liangkai Chen ; Qian Xiao ; Linda Snetselaar ; Robert Wallace ; Wei Bao Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 417-426.e3 Note générale : https://doi.org/10.1016/j.jand.2022.08.119 Langues: Anglais Descripteurs : HE Vinci
Adulte ; Maladies cardiovasculaires ; Mortalité ; RepasMots-clés: Sauter des repas ; Intervalles de repas Résumé : Background Previous dietary studies and current dietary guidelines have mainly focused on dietary intake and food patterns. Little is known about the association between eating behaviors such as meal frequency, skipping and intervals, and mortality. Objective The objective was to examine the associations of meal frequency, skipping, and intervals with all-cause and cardiovascular disease (CVD) mortality. Design This was a prospective study. Participants/setting A total of 24,011 adults (aged ?40 years) who participated in the National Health and Nutrition Examination Survey 1999-2014 were included in this study. Eating behaviors were assessed using 24-hour recall. Death and underlying causes of death were ascertained by linkage to death records through December 31, 2015. Main outcome measures The outcomes were all-cause and CVD mortality. Statistical analyses performed Multivariable Cox proportional hazards models were used to estimate adjusted hazard ratios (HRs) of all-cause and CVD mortality. Results During 185,398 person-years of follow-up period, 4,175 deaths occurred, including 878 cardiovascular deaths. Most participants ate three meals per day. Compared with participants eating three meals per day, the multivariable-adjusted HRs for participants eating one meal per day were 1.30 (95% CI 1.03 to 1.64) for all-cause mortality, and 1.83 (95% CI 1.26 to 2.65) for CVD mortality. Participants who skipped breakfast have multivariable-adjusted HRs 1.40 (95% CI 1.09 to 1.78) for CVD mortality compared with those who did not. The multivariable-adjusted HRs for all-cause mortality were 1.12 (95% CI 1.01 to 1.24) for skipping lunch and 1.16 (95% CI 1.02 to 1.32) for skipping dinner compared with those who did not. Among participants eating three meals per day, the multivariable-adjusted HR for participants with an average interval of ?4.5 hours in two adjacent meals was 1.17 (95% CI 1.04 to 1.32) for all-cause mortality, comparing with those having a meal interval of 4.6 to 5.5 hours. Conclusions In this large, prospective study of US adults aged 40 years or older, eating one meal per day was associated with an increased risk of all-cause and CVD mortality. Skipping breakfast was associated with increased risk of CVD mortality, whereas skipping lunch or dinner was associated with increased risk of all-cause mortality. Among participant with three meals per day, a meal interval of ?4.5 hours in two adjacent meals was associated with higher all-cause mortality. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222008747
Titre : Service, Scholarship, and Sacrifice: A Qualitative Analysis of Food Security Barriers and Strategies among Military-Connected Students (2023) Auteurs : Kerry R. Schinkel ; Rachael Budowle ; Christine M. Porter ; Boyi Dai ; Cody Gifford ; Jill F. Keith Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 454-465 Note générale : https://doi.org/10.1016/j.jand.2022.07.002 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Étudiants ; Personnel militaire ; Recherche qualitative ; UniversitésAutres descripteurs
Hautes ecoles ; Vetéran de guerreRésumé : Background In the United States, 41% of 4-year university student veterans have reported food insecurity, but literature on food insecurity among military-connected students is limited. Objective The objective of the study was to increase knowledge of military-connected student food insecurity experiences and potential strategies to address food access. Design The study is a cross-sectional survey and nonexperimental qualitative cohort analysis. Participants and setting Military-connected students (n = 127) responded to a survey sampling all enrolled students at a Mountain West land grant university during spring 2020. Military-connected student focus group participants (n = 8) were purposively sampled from the same university during fall 2020. Main outcome measures Main outcome measures were demographic data and food insecurity rates. Qualitative measures included responses to questions about food insecurity among military-connected students, actions for improving food insecurity, and insight into food access resources on campus. Statistical analysis Descriptive statistics were used to determine food insecurity rates. Qualitative analysis included audio recording and transcription, then a step-by-step process for coding and theme development. Results Food insecurity was reported by 42.5% of military-connected student survey respondents. Qualitative analysis revealed themes about current and planned food access resources, barriers to food security, and strategies to promote military-connected student food security. Main themes related to resources were access to resources and food offerings. Main barrier themes were pride and shame. Main strategy themes included military pride and military connections and culture. Conclusions Military-connected students are at least as vulnerable to food insecurity as the student body at large. Qualitative analysis identified barriers and strategies for food security among military-connected students. Feelings of pride in identifying with the military seemed to amplify feelings of shame about food insecurity; however, this pride and sense of military community also suggest that food security efforts specifically tailored to military-connected students could be successful. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222006268
Titre : Impact of Health, Environmental, and Animal Welfare Messages Discouraging Red Meat Consumption: An Online Randomized Experiment (2023) Auteurs : Anna H. Grummon ; Aviva A. Musicus ; Meg G. Salvia ; Anne N. Thorndike ; Eric B. Rimm Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 466-476.e26 Note générale : https://doi.org/10.1016/j.jand.2022.10.007 Langues: Anglais Descripteurs : HE Vinci
Communication sur la santé ; Nutrition ; Viande rougeMots-clés: Intervention comportementale ; Expérience randomisée Résumé : Background Reducing red meat consumption is a key strategy for curbing diet-related chronic diseases and mitigating environmental harms from livestock farming. Messaging interventions aiming to reduce red meat consumption have focused on communicating the animal welfare, health, or environmental harms of red meat. Despite the popularity of these 3 approaches, it remains unknown which is most effective, as limited studies have compared them side by side. Objective Our aim was to evaluate responses to red-meat?reduction messages describing animal welfare, health, or environmental harms. Design This was an online randomized experiment. Participants In August 2021, a convenience sample of US adults was recruited via an online panel to complete a survey (n = 2,773 nonvegetarians and vegans were included in primary analyses). Intervention Participants were randomly assigned to view 1 of the 4 following messages: control (neutral, non?red meat message), animal welfare, health, or environmental red-meat?reduction messages. Main outcome measures After viewing their assigned message, participants ordered hypothetical meals from 2 restaurants (1 full service and 1 quick service) and rated message reactions, perceptions, and intentions. Statistical analyses performed Logistic and linear regressions were performed. Results Compared with the control message, exposure to the health and environmental red-meat?reduction messages reduced red meat selection from the full-service restaurant by 6.0 and 8.8 percentage points, respectively (P = .02 and P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222010711
Titre : Medical Nutrition Therapy Interventions Provided by Dietitians for Adult Overweight and Obesity Management: An Academy of Nutrition and Dietetics Evidence-Based Practice Guideline (2023) Auteurs : Maria Morgan-Bathke ; Hollie A. Raynor ; Suzanne Domel Baxter ; Tanya M. Halliday ; Amanda Lynch ; Neal Malik ; Jessica L. Garay ; Mary Rozga Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 520-545.e10 Note générale : https://doi.org/10.1016/j.jand.2022.11.014 Langues: Anglais Descripteurs : HE Vinci
Apports nutritionnels recommandés ; Diétothérapie ; Evidence-based nutrition ; Obésité ; SurpoidsRésumé : Overweight and obesity affect most adults living in the United States and are causally linked to several adverse health outcomes. Registered dietitian nutritionists or international equivalents (dietitians) collaborate with each client and other health care professionals to meet client-centered goals, informed by the best available evidence, and translated through a lens of clinical expertise and client circumstances and preferences. Since the last iteration of the Academy of Nutrition and Dietetics guideline on adult weight management in 2014, considerable research has been conducted and circumstances confronting dietitians have evolved. Thus, updated guidance is needed. The objective of this evidence-based practice guideline is to provide recommendations for dietitians who deliver medical nutrition therapy behavioral interventions for adults (18 years and older) with overweight and obesity to improve cardiometabolic outcomes, quality of life, and weight outcomes, when appropriate for and desired by the client. Recommendations in this guideline highlight the importance of considering complex contributors to overweight and obesity and individualizing interventions to client-centered goals based on specific needs and preferences and shared decision making. The described recommendations have the potential to increase access to care and decrease costs through utilization of telehealth and group counseling as effective delivery methods, and to address other barriers to overweight and obesity management interventions. It is essential for dietitians to collaborate with clients and interprofessional health care teams to provide high-quality medical nutrition therapy interventions using the nutrition care process to promote attainment of client-centered outcomes for adults with overweight or obesity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722201200X
Titre : Reliability and Validity of Digital Images to Assess Child Dietary Intake in a Quick-Service Restaurant Setting (2023) Auteurs : Eleanor T. Shonkoff ; Erin Hennessy ; Ken Chui ; Julie E. Gervis ; Emilia Matthews ; Sarah Amin ; Peter Bakun ; Susan B. Roberts ; Michelle Borges ; Jessica Martino ; Christina D. Economos Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 427-437.e2 Note générale : https://doi.org/10.1016/j.jand.2022.08.116 Langues: Anglais Descripteurs : HE Vinci
Aliments de restauration rapide ; Enfant (6-12 ans) ; Évaluation de l'état nutritionnel ; Image ; Régime alimentaireMots-clés: images numériques Résumé : Background
Development of methods to accurately measure dietary intake in free-living situationsrestaurants or otherwiseis critically needed to understand overall dietary patterns.
Objective
This study aimed to develop and test reliability and validity of digital images (DI) for measuring childrens dietary intake in quick-service restaurants (QSRs), validating against weighed plate waste (PW) and bomb calorimetry (BC).
Design
In 2016, cross-sectional data were collected at two time points within a randomized controlled trial assessing childrens leftovers in QSRs from parents of 4- to 12-year-old children.
Participants/setting
Parents (n = 640; mean age = 35.9 y; 70.8% female) consented and agreed to provide their childs PW for digital imaging, across 11 QSRs in Massachusetts in areas with low socioeconomic status and ethnically diverse populations.
Outcome measures
Outcome measures were interrater reliability for DIs, correspondence between methods for energy consumed and left over, and correspondence between methods across varying quantities of PW.
Analyses performed
Intraclass correlations, percent agreement, Spearman correlations, Wilcoxon signed rank tests, and Bland-Altman plots were used.
Results
Interrater reliability ratings for DIs had substantial intraclass correlations (ICC = 0.94) but not acceptable exact percent agreement (80.2%); DI and PW energy consumed were significantly correlated (r = 0.96, PDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200867X
Titre : Copper Deficiency Anemia Due to Low-Calorie, Blended Enteral Diet: Case Report (2023) Titre original: Anémie par carence en cuivre due à un régime entéral mixte hypocalorique Auteurs : Sarah Mandli Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 515-519 Note générale : https://doi.org/10.1016/j.jand.2022.09.010 Langues: Anglais Descripteurs : HE Vinci
Anémie ; Cuivre ; Nutrition entérale ; Présentations de cas ; Restriction caloriqueRésumé : Copper deficiency is an uncommon cause of hematologic abnormalities in children that is often overlooked or misdiagnosed. When found, specific recommendations on dose, duration, or frequency of copper repletion are lacking in the current literature. This report describes the case of a 4-year-old boy who presented to a university medical center in the midwestern United States with persistent macrocytic anemia found to be caused by copper deficiency secondary to a low-calorie, blended enteral diet. Intravenous copper supplementation was initiated at 40 ?g/kg/d for a total of 6 days, followed by enteral supplementation of 2 mg cupric oxide. This repletion regimen ultimately improved the patient?s copper deficiency and resolved anemia within 1 month. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009844
Titre : A Comparison of Experiences with Factors Related to Food Insecurity between College Students Who Are Food Secure and Food Insecure: A Qualitative Study (2023) Auteurs : Rickelle Richards ; Nathan Stokes ; Jinan Banna ; Mary Cluskey ; Makenna Bergen ; Victoria Thomas ; Melissa Bushnell ; Rebecca Christensen Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 438-453.e2 Note générale : https://doi.org/10.1016/j.jand.2022.08.001 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Étudiants ; Recherche qualitative ; Sécurité alimentaire ; UniversitésAutres descripteurs
Hautes ecolesRésumé : Background Previous research has reported negative health consequences and poor academic achievement among college students who are food insecure. It is unknown if students with food insecurity?s experiences qualitatively differ from students who are food secure. Objective To qualitatively evaluate experiences of students who are food secure and food insecure with internal and external factors related to food insecurity. Design Trained interviewers conducted in-person qualitative interviews from February to August 2018 to gain insights about eating patterns, food environment, financial situation, and ideas for addressing food insecurity on college campuses with students who are food secure and food insecure. Participants and setting Students from three universities in the western United States (N = 58) who were classified as food secure (n = 28) and food insecure (n = 30) using the US Department of Agriculture?s 6-item Food Security Module participated in this study. Statistical analyses performed Interviews were recorded and transcribed verbatim. Data were analyzed using a conventional content analysis. A random sample of transcripts were independently coded to determine interrater reliability. Researchers divided transcripts for final coding and overarching themes were discussed. Descriptive statistics were used. Results Students who were both food secure and food insecure obtained food from similar sources (eg, grocery stores); had unexpected expenses that led to financial constraints; indicated transportation barriers altered the amount or package size of food purchased; and reported similar knowledge, attitudes, use, and familial history of food assistance. Students with food insecurity uniquely reported prioritizing rent or other living expenses over food, and when funds were low, reducing food intake, experiencing a variable food supply throughout the month, or using strategies like donating plasma or selling possessions to enhance financial stability. Conclusions This study helps nutrition and dietetics practitioners better understand how college students? experiences with factors related to food insecurity differ by food security status. Future quantitative research is needed to confirm the coping strategies identified among students with food insecurity in this study. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007298
Titre : Feasibility of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention (2023) Auteurs : Jennifer C. Shrodes ; Amaris Williams ; Timiya S. Nolan ; Jessica N. Radabaugh ; Ashlea Braun ; David Kline ; Songzhu Zhao ; Guy Brock ; Jennifer A. Garner ; Colleen K. Spees ; Joshua J. Joseph Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 492-503.e5 Note générale : https://doi.org/10.1016/j.jand.2022.07.020 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Autogestion ; Contrôle glycémique ; Cuisine (activité) ; Déterminants sociaux de la santé ; Diabète de type 2Mots-clés: éducation et soutien à l'autogestion du diabète Résumé : Background Diabetes self-management education and support is the cornerstone of diabetes care, yet Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007201
Titre : Nutrition and Microbiome Interactions in Human Cancer (2023) Auteurs : Phillip J. Daschner ; Sharon Ross ; Harold Seifried ; Amit Kumar ; Roberto Flores Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 504-514 Note générale : https://doi.org/10.1016/j.jand.2022.10.004 Langues: Anglais Descripteurs : HE Vinci
Etiologie ; Microbiome gastro-intestinal ; Nutrition ; Prévention ; TumeursRésumé : Individual physiologic responses to changes in dietary patterns can vary widely to affect cancer risk, which is driven by multiple host-specific factors (eg, genetics, epigenetics, inflammatory and metabolic states, and the colonizing microbiome). Emerging evidence indicates that diet-induced microbiota alterations are key modulators of several host functions important to tumor etiology, progression, and response to cancer therapy. Thus, diet may potentially be used to target alterations of the microbiota as an effective means to improve outcomes across the cancer continuum (from cancer prevention to tumor development and progression, to effects on treatment and survivorship). This review will focus on recent examples of functional interactions between dietary components (nutrients and non-nutrients) and the gastrointestinal microbiome, which are 2 critical and malleable environmental variables in cancer risk that affect host immune, metabolic, and cell signaling functions and may provide insights for novel cancer therapeutic and preventive strategies. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222010681
Titre : Outcomes of Cooking Matters for Diabetes: A 6-week Randomized, Controlled Cooking and Diabetes Self-Management Education Intervention (2023) Auteurs : Amaris Williams ; Jennifer C. Shrodes ; Jessica N. Radabaugh ; Ashlea Braun ; David Kline ; Songzhu Zhao ; Guy Brock ; Timiya S. Nolan ; Jennifer A. Garner ; Colleen K. Spees ; Joshua J. Joseph Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 477-491 Note générale : https://doi.org/10.1016/j.jand.2022.07.021 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Autogestion ; Contrôle glycémique ; Cuisine (activité) ; Déterminants sociaux de la santé ; Diabète de type 2Mots-clés: Éducation et soutien à l'autogestion du diabète Résumé : Background Diabetes self-management education and support is the cornerstone of diabetes care, yet only 1 in 2 adults with diabetes attain hemoglobin A1c (HbA1c) targets. Food insecurity makes diabetes management and HbA1c control more difficult. Objective Our aim was to test whether a cooking intervention with food provision and diabetes self-management education and support improves HbA1c and diabetes management. Design This was a waitlist-controlled, randomized trial. Participants/setting Participants were 48 adults with type 1 or type 2 diabetes. Intervention Cooking Matters for Diabetes was adapted from Cooking Matters and the American Diabetes Association diabetes self-management education and support intervention into a 6-week program with weekly food provision (4 servings). Main outcome measures Surveys (ie, Summary of Diabetes Self-Care Activities; Medical Outcomes Study Short Form Health Survey, version 1; Diet History Questionnaire III; 10-item US Adult Food Security Survey Module; and Stanford Diabetes Self-Efficacy Scale) were administered and HbA1c was measured at baseline, post intervention, and 3-month follow-up. Statistical analysis Mixed-effects linear regression models controlling for sex and study wave were used. Results Mean (SD) age of participants was 57 (12) years; 65% identified as female, 52% identified as White, 40% identified as Black, and 19 (40%) were food insecure at baseline. Intervention participants improved Summary of Diabetes Self-Care Activities general diet score (0 to 7 scale) immediately post intervention (+1.51; P = .015) and 3 months post intervention (+1.23; P = .05), and improved Medical Outcomes Study Short Form Health Survey, version 1, mental component score (+6.7 points; P = .025) compared with controls. Healthy Eating Index 2015 total vegetable component score improved at 3 months (+0.917; P = .023) compared with controls. At baseline, food insecure participants had lower self-efficacy (5.6 vs 6.9 Stanford Diabetes Self-Efficacy Scale; P = .002) and higher HbA1c (+0.77; P = .025), and demonstrated greater improvements in both post intervention (+1.2 vs +0.4 Stanford Diabetes Self-Efficacy Scale score; P = .002, and ?0.12 vs +0.39 HbA1c; P = .25) compared with food secure participants. Conclusions Cooking Matters for Diabetes may be an effective method of improving diet-related self-care and health-related quality of life, especially among food insecure patients, and should be tested in larger randomized controlled trials. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007195
Titre : Drivers of Dietary Choice After a Diagnosis of Colorectal Cancer: A Qualitative Study (2023) Auteurs : Katherine L. Ford ; Claire F. Trottier ; Wendy V. Wismer ; Michael B. Sawyer ; Mario Siervo ; Nicolaas E.P. Deutz ; Carla M. Prado ; Helen Vallianatos Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°3, March 2023) Article en page(s) : p. 407-416 Note générale : https://doi.org/10.1016/j.jand.2022.08.128 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; Information nutritionnelle ; Préférences alimentaires ; Recherche qualitative ; TumeursRésumé : Background Dietary changes often accompany management of a cancer diagnosis, but how and why patients with colorectal cancer (CRC) make dietary decisions requires further investigation. Objective To learn about patients? food-related beliefs and understand whether and why dietary changes were made by patients starting chemotherapy after a CRC diagnosis. Design A qualitative semi-structured interview study was conducted as a secondary analysis among a subset of patients with stages II-IV CRC enrolled at baseline in a randomized controlled trial. Participants/setting Twenty-nine patients participated in the interview. Data were collected at the University of Alberta (Edmonton, Alberta, Canada) from 2016?2019 before any trial intervention. Qualitative data analysis Audio-recorded interviews were transcribed verbatim then coded inductively by two research team members. Qualitative content analysis was applied to capture emergent themes. Results Patients reported varied degrees of dietary change that stemmed from internal and external influences. Four main themes emerged to describe patients? dietary decisions after a CRC diagnosis: 1) Medical Influences: eating to live; 2) Health Beliefs: connecting lived experiences with new realities; 3) Static Diets: no changes postdiagnosis; and 4) Navigating External Influences: confluence of personal agency and social constraints. Conclusion The extent to which patients altered their dietary choices depended on perspectives and beliefs. These included the degree to which dietary decisions provided some agency (ie, feeling of control) for dealing with physical ramifications of cancer treatment, individuals' personal understandings of healthy foods, and the role of diet in managing their new physical reality postdiagnosis. This information provides registered dietitian nutritionists and health care providers with insight into dietary intentions of select patients being treated for CRC. These findings can guide future research focused on effective strategies for streamlined nutritional support that aligns with patient needs. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009340
Vol. 123, n°2 (February 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n°2Paru le : 01/02/2023 |
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Titre : Sex and Gender Data Collection in Nutrition Research: Considerations through an Inclusion, Diversity, Equity, and Access Lens (2023) Auteurs : Heather E. Schier ; Carolyn Gunther ; Matthew J. Landry ; Sarah D. Ohlhorst ; Whitney Linsenmeyer Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 247-252 Note générale : https://doi.org/10.1016/j.jand.2022.09.014 Langues: Anglais Descripteurs : HE Vinci
Collecte de données ; Identité de genre ; Inclusion ; Nutrition ; Recherche ; Sexe ; TranssexualismeDisponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009935
Titre : A Randomized Intervention of Supplemental Nutrition Assistance Program ? Education Did Not Improve Dietary Outcomes Except for Vitamin D Among Lower-Income Women in Indiana (2023) Auteurs : Yue Qin ; Rebecca L. Rivera ; Yumin Zhang ; Qi Wang ; Janet A. Tooze ; Angela R. Abbott ; Melissa K. Maulding ; Bruce A. Craig ; Regan L. Bailey ; Heather A. Eicher-Miller Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 284-298.e2 Note générale : https://doi.org/10.1016/j.jand.2022.06.030 Langues: Anglais Descripteurs : HE Vinci
Assistance alimentaire ; Consommation alimentaire ; Education nutritionnelle ; Qualité alimentaire ; Revenus modesteRésumé : Background The goal of US Department of Agriculture Supplemental Nutrition Assistance Program?Education (SNAP-Ed) is to improve the likelihood that those eligible for SNAP will make healthy choices aligned with the Dietary Guidelines for Americans, 2020-2025. Objective The objective of the study was to evaluate the long-term effects of a direct SNAP-Ed intervention in which participants actively engage in learning with educator instruction about dietary quality and usual intake of key nutrient and food groups among Indiana SNAP-Ed?eligible women participants as an example sample in the context of no similar existing evaluation. Design The study design was a parallel-arm, randomized controlled, nutrition education intervention, with follow-up at 1 year. Participants/setting Participants (18 years and older; n = 97 women) eligible for SNAP-Ed and interested in receiving nutrition education lessons were recruited from 31 Indiana counties from August 2015 to May 2016 and randomized to an intervention (n = 53) or control (n = 44) group. Intervention The intervention comprised core lessons of Indiana SNAP-Ed delivered between 4 and 10 weeks after baseline assessment. Each participant completed a baseline and 1-year follow-up assessment. Dietary intake was assessed using repeated 24-hour dietary recalls (up to 2). Main outcome measures Mean usual nutrient, food group intake, diet quality (ie, Healthy Eating Index-2010 scores), and proportion of intervention and control groups meeting Dietary Guidelines for Americans, 2020-2025 recommendations and Dietary Reference Intake indicators of requirement or adequacy, were determined using the National Cancer Institute method and the simple Healthy Eating Index-2010 scoring algorithm method. Dietary changes between intervention and control groups were examined over time using mixed linear models. Statistical analyses performed Bonferroni-corrected significance levels were applied to the results of the mixed linear models for comparisons of usual intake of nutrients and foods. Results No differences in diet quality, intake of food group components, food group intake, or nutrients were observed at 1-year follow-up, except that vitamin D intake was higher among those who received SNAP-Ed compared with the control group. Conclusions A direct SNAP-Ed intervention did not improve diet quality, food group intake, or key nutrient intake, except for vitamin D, among Indiana SNAP-Ed?eligible women up to 1 year after the nutrition education. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222004026
Titre : The Effects of Isocaloric Intermittent Fasting vs Daily Caloric Restriction on Weight Loss and Metabolic Risk Factors for Noncommunicable Chronic Diseases: A Systematic Review of Randomized Controlled or Comparative Trials (2023) Auteurs : Armin Ezzati ; Sara K. Rosenkranz ; Jessica Phelan ; Cindy Logan Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 318-329.e1 Note générale : https://doi.org/10.1016/j.jand.2022.09.013 Langues: Anglais Descripteurs : HE Vinci
Jeûne intermittent ; Maladie chronique ; Obésité ; Revue systématiqueRésumé : Background Intermittent fasting (IF) has gained favor as an alternative regimen to daily caloric restriction (DCR). Therefore, there is a need for systematic reviews of randomized controlled/comparison trials examining the effects of isocaloric IF vs DCR on metabolic risk factors for noncommunicable chronic diseases. Objective To systematically investigate the effects of isocaloric IF vs DCR on metabolic risk factors for noncommunicable chronic diseases in adults with overweight and obesity. Methods Five online databases (PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, and Google Scholar) were searched for articles published from January 2000 through April 2022. The updated Cochrane Risk of Bias Assessment tool for randomized controlled/comparison trials was used to assess risk of bias in the included studies. This review includes randomized controlled/comparison trials with matched energy intakes (isocaloric) between IF and DCR among adults with overweight and obesity with ?8-week durations, that assessed risk factors related to obesity and for diabetes, cardiovascular diseases, and cancers. Results Thirteen randomized controlled/comparison trials with matched energy intakes (isocaloric) between IF and DCR were identified. The effects of IF on weight loss and metabolic risk markers of diabetes, cardiovascular diseases, and cancers were varied but generally comparable with DCR. IF (4:3 and 5:2 diets) was superior to DCR for improving insulin sensitivity in two studies. Reductions in body fat were significantly greater with IF (5:2 diet and time-restricted eating) than DCR in two studies of isocaloric diets. Conclusions With matched energy intakes, IF interventions produced similar beneficial effects for weight loss and chronic disease risk factors compared with DCR. Very limited evidence suggests that IF may be more effective vs DCR for fat loss and insulin sensitivity, but conclusions cannot be drawn based on the current evidence. Future clinical studies with larger populations and longer durations are needed for further elucidation of any potential effects of IF regimens for prevention of noncommunicable chronic diseases. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009923
Titre : Association of Snacking Frequency, Size, and Energy Density with Weight Status among Preschool-Aged Children in the United States (2023) Auteurs : Christina M. Croce ; Gina L. Tripicchio ; Donna L. Coffman ; Jennifer Orlet Fisher Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 309-317 Note générale : https://doi.org/10.1016/j.jand.2022.07.001 Langues: Anglais Descripteurs : HE Vinci
Casse-croute ; Consommation alimentaire ; Enfant (6-12 ans) ; Enfant d'âge préscolaire (2-5 ans) ; Obésité ; Poids du corpsRésumé : Background Snacking (ie, eating between meals) is common among US preschool-aged children, but associations with weight status are unclear. Objective This research evaluated associations of snack frequency, size, and energy density as well as the percent of daily energy from snacking with weight status and sociodemographic characteristics among US children aged 2 to 5 years. Design Cross-sectional analysis of 2007-2018 National Health and Nutrition Examination Survey data using two, caregiver proxy, 24-hour dietary recalls. Participants/setting US children aged 2 to 5 years (n = 3,313) with at least one snack occasion over 2 days of intake. Main outcome measures Snacking parameters included frequency (number of occasions per day), size (kilocalories per occasion), and energy density (kilocalories per gram per occasion) as well as percent of daily energy from snacking. Statistical analyses Generalized linear regression models evaluated associations of snacking with child weight status (ie, normal weight and overweight/obesity), adjusting for survey weights, energy misreporting, mean meal size, and sociodemographic covariates. Results Children with overweight/obesity consumed more frequent snacks (2.8 [0.06] vs 2.5 [0.03] snacks/day, respectively; P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222006256
Titre : Food Security Status, WIC Participation, and Early Childhood Caries in a Nationally Representative Sample of Children (2023) Auteurs : Namrata Sanjeevi ; Jeanne H. Freeland-Graves ; Gary Joe Wright Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 276-283 Note générale : https://doi.org/10.1016/j.jand.2022.06.223 Langues: Anglais Descripteurs : HE Vinci
Caries dentaires ; NHANES (USA) ; Petite enfance ; Sécurité alimentaireMots-clés: WIC participation Résumé : Background Despite the potential role of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in mitigating the adverse effects of food insecurity on oral health, to our knowledge, no study has examined whether WIC participation could modify the association between food insecurity with caries in young children. Objective Our aim was to investigate the impact of WIC participation in modifying the association between food insecurity and early childhood caries. Design This was a cross-sectional study. Participants/setting Using 2011-2018 National Health and Nutrition Examination Survey data, children aged 2 through 5 years; with household income ?185% of the Federal Poverty Level; and with data on WIC participation, food security, and dental examinations were included (n = 1,921). Study exposures Food-security status and WIC participation were the study exposures. Main outcome measures Total and untreated dental caries were the main outcome measures. Statistical analyses Logistic regression examined associations of food security (household-level and child-level) and WIC participation with odds of caries. Interactions between food security and WIC participation were examined using multiplicative interaction terms. Results Marginal child food security was significantly related to higher odds of total caries in income-eligible WIC nonparticipants (odds ratio 1.92; 95% CI 1.07 to 3.46); however, this relationship was not observed in WIC participants. Furthermore, food insecurity was significantly associated with greater odds of untreated caries only among income-eligible WIC nonparticipants (odds ratio 1.79; 95% CI 1.12 to 2.85). Conclusions In this sample of preschool-aged children, the relationship of food insecurity with caries differed by WIC participation status. Findings suggest that WIC participation could improve the oral health of income-eligible children with lower levels of food security. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222005998
Titre : Dietary Quality and Diet-Related Factors Among Female Adults of Reproductive Age With and Without Disabilities Participating in the National Health and Nutrition Examination Surveys, 2013-2018 (2023) Auteurs : Andrea L. Deierlein ; Jaqueline Litvak ; Cheryl R. Stein Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 263-275 Note générale : https://doi.org/10.1016/j.jand.2022.07.010 Langues: Anglais Descripteurs : HE Vinci
Disparités ; Femmes ; Nutrition ; Personnes handicapées ; Qualité alimentaireRésumé : Background Female adults of reproductive age (18 to 44 years) with disabilities have higher rates of health-risk behaviors and chronic conditions compared with their counterparts without disabilities; however, there is limited examination of diet. Objective Our aim was to examine associations of self-reported disability status with diet quality and diet-related factors. Design Cross-sectional data were from the National Health and Nutrition Examination Surveys, 2013-2018. Participants/setting Female adults aged 18 through 44 years were included. Disability was defined as serious difficulty hearing, seeing, concentrating, walking, dressing, and/or running errands due to physical, mental, or emotional conditions. Main outcome measures The Healthy Eating Index-2015 assessed diet quality. Diet-related factors included self-rated diet healthfulness, meal characteristics, food security, and food assistance programs. Statistical analysis Multivariable linear regression estimated differences in Healthy Eating Index-2015 scores for a given day and multivariable Poisson regression estimated adjusted prevalence ratios and 95% CI of diet-related factors by disability status. Results Of 3,579 female adults, 557 (16%) reported any disabilities, 207 (6%) of whom reported having 2 or more types of disabilities. Differences in mean Healthy Eating Index-2015 scores for a given day were one-third to one-half a point lower for fruits, total protein foods, and seafood and plant proteins among female adults with 2 or more types of disabilities compared with those without disabilities. Female adults with any disabilities were more likely to rate their diet as poor, have low food security, participate in food-assistance programs, and consume frozen foods or pizza, compared with those without disabilities (adjusted prevalence ratio ranged from 1.35 to 1.93); they were less likely to be the main food planner or preparer or shopper for their households. Conclusions Some indicators of diet quality and diet-related factors differed between female adults with and without disabilities. Additional investigation of dietary intakes and behaviors, as well as access to and availability of healthy foods, among female adults with disabilities is necessary. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222006943
Titre : Prevalence of Food Insecurity Among Cancer Survivors in the United States: A Scoping Review (2023) Auteurs : Kim Robien ; Michelle Clausen ; Elaine Sullo ; Yvonne R. Ford ; Kathleen A. Griffith ; Daisy Le ; Karen E. Wickersham ; Sherrie Flynt Wallington Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 330-346 Note générale : https://doi.org/10.1016/j.jand.2022.07.004 Langues: Anglais Descripteurs : HE Vinci
Accessibilité des services de santé ; Déterminants sociaux de la santé ; Sécurité alimentaire ; Soins de support ; TumeursMots-clés: Difficulté financière Résumé : Background Medical financial hardship is an increasingly common consequence of cancer treatment and can lead to food insecurity. However, food security status is not routinely assessed in the health care setting, and the prevalence of food insecurity among cancer survivors is unknown. Objective This scoping review aimed to identify the prevalence of food insecurity among cancer survivors in the United States before the COVID-19 pandemic. Methods Five databases (PubMed, Scopus, CINAHL [Cumulative Index to Nursing and Allied Health Literature], Web of Science, and ProQuest Dissertations and Theses) were systematically searched for articles that reported on food security status among US patients receiving active cancer treatment or longer-term cancer survivors and were published between January 2015 and December 2020. Results Among the 15 articles meeting the inclusion criteria, overall food insecurity prevalence ranged from 4.0% among women presenting to a gynecologic oncology clinic to 83.6% among patients at Federally Qualified Health Centers. Excluding studies focused specifically on Federally Qualified Health Center patients, prevalence of food insecurity ranged from 4.0% to 26.2%, which overlaps the food insecurity prevalence in the general US population during the same time period (range, 10.5% to 14.9%). Women were more likely than men to report being food insecure, and the prevalence of food insecurity was higher among Hispanic and Black patients compared with non-Hispanic White patients. Conclusions Given significant heterogeneity in study populations and sample sizes, it was not possible to estimate an overall food insecurity prevalence among cancer survivors in the United States. Routine surveillance of food security status and other social determinants of health is needed to better detect and address these issues. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222006281
Titre : Development and Evaluation of a Diet Quality Index for Preschool-Aged Children in an Asian population: The Growing Up in Singapore Towards Healthy Outcomes cohort (2023) Auteurs : Maryann Regina Rolands ; Jia Ying Toh ; Ray Sugianto ; Wen Lun Yuan ; Yung Seng Lee ; Kok Hian Tan ; Fabian Yap ; Keith M. Godfrey ; Johan G. Eriksson ; Yap Seng Chong ; Klazine Van der Horst ; Mary Foong-Fong Chong Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 299-308.e3 Note générale : https://doi.org/10.1016/j.jand.2022.06.013 Langues: Anglais Descripteurs : HE Vinci
Asie ; Développement de l'enfant ; Enfant d'âge préscolaire (2-5 ans) ; Evaluation ; Qualité alimentaireMots-clés: Diet quality index Résumé : Background Diet quality indexes are useful tools to measure diet quality because they compare dietary intakes against recommendations. A dietary quality index for Asian preschool-aged children is lacking. Objective The aims of this study were to develop and evaluate a dietary quality index for preschool-aged children (ie, the DQI-5) based on Singapore dietary recommendations and to examine diet quality in a cohort of 5-year-old children. An additional aim was to assess associations between sociodemographic characteristics and DQI-5 scores. Design A secondary analysis was conducted using dietary intake of children from the Growing Up in Singapore Towards healthy Outcomes mother?offspring cohort assessed in 2015-2016 using a validated food frequency questionnaire. The sociodemographic data were assessed at recruitment between June 2009 and September 2010. The DQI-5 was evaluated using a construct validity approach, whereby nutrition parameters associated with diet quality were studied. Participants and setting Participants were 767 Singaporean children aged 5 years of Chinese, Malay, or Indian ethnicity. Main outcome measures The main outcome measures were the DQI-5 scores and the sociodemographic characteristics associated with diet quality. Statistical analyses performed Kruskal-Wallis tests were used to evaluate differences in adherence to dietary recommendations across DQI-5 tertiles. Linear multiple regression analysis was performed to identify sociodemographic characteristics that were associated with diet quality in the children. Results The DQI-5 consists of 12 food and nutrient components, with a minimum score of zero and a maximum score of 110 points. The higher scores indicate a healthier diet, the mean + SD DQI-5 score for the children was 61.6 + 13.2. DQI-5 components with low scores included whole grains, vegetables, and fatty acid ratio, whereas total rice and alternatives and milk and dairy products components were overconsumed by 18% and 24.4% of children, respectively. Children with higher scores were more likely to meet dietary recommendations and had higher intake of nutrients such as dietary fiber, iron, vitamin A, and beta carotene. Children whose mothers were of Malay ethnicity and whose mothers had low income, an education below university, and shared primary caregiver responsibilities were more likely to have lower DQI-5 scores. Conclusions The DQI-5 scores revealed diets to be low for several components and excessive for a few. The DQI-5 developed for preschool-aged children in Singapore had adequate construct validity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003859
Titre : Diet Quality and Cardiometabolic Risk Factors in Adolescents with Down Syndrome (2023) Auteurs : Neha S. Anand ; Babette S. Zemel ; Mary Pipan ; Andrea Kelly ; Sheela N. Magge Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°2, February 2023) Article en page(s) : p. 253-262 Note générale : https://doi.org/10.1016/j.jand.2022.07.017 Langues: Anglais Descripteurs : HE Vinci
Adolescent ; Facteurs de risque cardiométaboliques ; Obésité ; Régime alimentaire ; Syndrome de DownRésumé : Background Youth with Down syndrome (DS) have a high prevalence of obesity and dyslipidemia. Diet quality may influence cardiometabolic risk (CMR) in youth. Objective The aim of this secondary analysis was to investigate the relationship between diet quality (Healthy Eating Index [HEI-2015]) with CMR factors in youth with DS compared with age, sex, race, ethnicity, and body mass index percentile matched, typically developing controls. Design Adolescents (aged 10 to 20 years) with DS and controls of comparable age, sex, race, ethnicity, and body mass index percentile were recruited from 2012 to 2017 for a cross-sectional study from two large children?s hospitals (Children?s Hospital of Philadelphia and the Children?s National Health System in Washington, DC). Participants and setting CMRs in 143 adolescents with DS were compared with 100 controls. Exclusion criteria consisted of major organ-system illnesses. Main outcome measures The average of three 24-hour dietary recalls was used to calculate the HEI-2015. Anthropometrics, blood pressure, and fasting labs were collected. Statistical analyses performed Group differences were tested using Wilcoxon rank-sum tests. Relationships of CMR factors with HEI-2015 score within DS and controls were tested using linear regression models adjusted for sex, age, race, and body mass index z score. Results Compared with controls (n = 100, median age = 14.8 years [interquartile range = 12.2 to 17.3 years]; 41% male; 24% African American; 65% with body mass index ?85th percentile), adolescents with DS (n = 143, median age = 14.7 years [interquartile range = 11.4 to 17.4 years]; 44% male; 18% African American; 62% with body mass index ?85th percentile) had higher scores (more aligned with dietary recommendations) for total HEI-2015 (DS: 52.7 [interquartile range = 46.8 to 58.6] vs controls: 45.1 [interquartile range = 39.5 to 55.0]; P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007262
Vol. 123, n°1 (January 2023)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 123, n°1Paru le : 01/01/2023 |
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Titre : Healthy Eating Index Diet Quality in Randomized Weight Loss Trials: A Systematic Review (2023) Auteurs : Jessica Cheng ; Hai-Wei Liang ; Mary Lou Klem ; Tina Costacou ; Lora E. Burke Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 117-143 Note générale : https://doi.org/10.1016/j.jand.2022.08.114 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; Perte de poids ; Qualité alimentaire ; Revue systématiqueMots-clés: healthy eating index Résumé : Background Weight loss interventions focus on dietary and physical activity changes to induce weight loss. Both through weight loss and independent of it, diet quality is important for reducing chronic disease risk. However, whether and how diet quality changes over the course of a behavioral intervention is unclear. Objective To systematically review the evidence from randomized controlled trials on the effect of behavioral interventions on diet quality as defined by the Healthy Eating Index (HEI) among adults with overweight and obesity. Methods PubMed, Ebscohost CINAHL, Embase, OVID APA PsycInfo, Scopus, and Web of Science were searched through May 2021. Inclusion criteria comprised randomized controlled trial design, a primary or secondary aim of weight loss, a sample of US adults with overweight or obesity, measurement using the HEI-2005, 2010, or 2015, and assessment of the time by treatment effect. Interventions must have included behavioral components and lasted at least 3 months. Risk of bias was assessed using the Cochrane Risk of Bias 2 tool. The systematic review protocol was published on Open Science Framework. Results Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222008449
Titre : Changes in Adults? Eating Behaviors During the Initial Months of the COVID-19 Pandemic: A Narrative Review (2023) Auteurs : Ashlie N. Johnson ; Raeven Lynn M. Clockston ; Lindsey Fremling ; Emma Clark ; Pamela Lundeberg ; Megan Mueller ; Dan J. Graham Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 144-194.e30 Note générale : https://doi.org/10.1016/j.jand.2022.08.132 Langues: Anglais Descripteurs : HE Vinci
Comportement alimentaire ; Consommation alimentaire ; COVID-19 ; Littérature de revue comme sujet ; Régime alimentaireRésumé : Factors such as regulations and health concerns shifted daily habits, including eating behaviors, during the early months of the coronavirus disease 2019 (COVID-19) pandemic. This comprehensive narrative review synthesizes research on eating behavior changes during the early months of the pandemic (February to June 2020), including changes in amount, rate, and timing of food consumption, types and healthfulness of foods consumed, the occurrence of other specified eating behaviors (eg, restrained eating or binging), and reasons for eating (eg, stress or cravings), among adults. A literature search using three EBSCOhost databases and Google Scholar was conducted to identify relevant articles made available in 2020. A total of 71 articles representing 250,715 individuals from more than 30 countries were reviewed. Findings show eating behaviors changed little during the early COVID-19 pandemic for most participants. Among those whose eating behaviors changed, increases in both intake and frequency of eating meals and snacks were more common than decreases. Findings on timing of eating and healthfulness of food consumed showed mixed results. However, when changes occurred in the type of food consumed, increases were more common for snacks, homemade pastries, white bread/pasta, legumes, and fruits/vegetables; decreases were more common for meats, seafood/fish, frozen foods, fast food, dark breads/grains, and dark leafy green vegetables. During the pandemic, binging, uncontrolled eating, and overeating increased, meal skipping decreased, and restrictive eating had mixed findings. Changes in factors such as emotions and mood (eg, depression), cravings, and environmental factors (eg, food insecurity) were related to changes in eating behaviors. Findings can inform clinical practitioners in efforts to mitigate disruptions to normal, healthy eating patterns among adults both in and outside of global health catastrophes. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009704
Titre : Longitudinal Analyses of Diet Quality and Maternal Depressive Symptoms During Pregnancy: The Kuopio Birth Cohort Study (2023) Auteurs : Ville Airaksinen ; Aleksi Ruohomäki ; Sari Hantunen ; Leea Keski-Nisula ; Maria Katariina Luojus ; Juha Pekkanen ; Tomi-Pekka Tuomainen ; Seppo Heinonen ; Markku Pasanen ; Soili Marianne Lehto Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 77-86.e4 Note générale : https://doi.org/10.1016/j.jand.2022.05.018 Langues: Anglais Descripteurs : HE Vinci
Dépression ; Grossesse ; Période de péripartum ; Qualité alimentaireMots-clés: Healthy Eating Index 2015 Résumé : Background Depression and diet quality appear to be associated in the general population. Nevertheless, little is known about their relationship among pregnant females. Objective The aims of this study were first, to investigate longitudinally whether or not diet quality is associated with depressive symptoms during pregnancy; second, to examine whether or not variation in diet quality during pregnancy predicts variation in depressive symptoms; and third, to explore how individual dietary components are associated with depressive symptoms. Design A longitudinal secondary analysis of the Kuopio Birth Cohort Study in eastern Finland was conducted. Data were collected from pregnant females during the first and third trimesters of pregnancy. Participants/setting The participants were 1,362 pregnant females who entered the study between 2012 and 2017. Main outcome measures Depressive symptoms, as measured with the Edinburgh Postnatal Depressive Scale during the first and third trimesters of pregnancy were used as continuous variables. Statistical analyses performed The main analyses consisted of linear mixed model analyses adjusted for potential confounders to longitudinally assess the association between diet quality as measured by the Healthy Eating Index-2015, calculated using data from a food frequency questionnaire completed during the first trimester and third trimester, and depressive symptoms during the study period. An exploratory set of linear mixed models was also used to longitudinally assess the associations between selected individual food frequency questionnaire food groups and depressive symptoms. Results Descriptive analyses revealed that 12.3% of the participants had clinically relevant levels of depressive symptoms (ie, Edinburgh Postnatal Depressive Scale score ?10) during either the first or third trimester. Longitudinal modeling suggested that depressive symptoms in pregnant females tend to remain stable throughout pregnancy. Females with a poorer quality diet already displayed higher levels of depressive symptoms during the first trimester of pregnancy (? = ?.038 + .016; P = 0.022). Variation in diet quality did not predict variation in depressive symptoms over the course of pregnancy (? = ?9.741 * 10?5 + .001; P = 0.869). Conclusions Females entering pregnancy with a poorer quality diet also displayed higher levels of depressive symptoms compared with females with a higher quality diet at the beginning of pregnancy, and this association remained constant throughout pregnancy. Further research is needed to assess the direction and the potential causality of the observed associations between diet quality and depressive symptoms. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003124
Titre : Visual Cues and Optimal Defaults in Fast-Food Combo Meals Benefit Health-Concerned Consumers?A Randomized Scenario-Based Experiment (2023) Auteurs : Monica Diaz-Beltran ; Barbara Almanza ; Karen Byrd ; Carl Behnke ; Douglas Nelson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 52-64.e1 Note générale : https://doi.org/10.1016/j.jand.2022.06.004 Langues: Anglais Descripteurs : HE Vinci
Aliments de restauration rapide ; Consommation alimentaire ; MenuAutres descripteurs
designMots-clés: Repères visuels ; Valeurs par défaut ; design des menus Résumé : Background The use of low-calorie menu items as optimal defaults and visual cues may nudge consumers to healthier choices at restaurants. However, little is known regarding their effects on emotions and behavioral intentions, particularly among people with different levels of health concern. Objective Evaluate optimal defaults and visual cues? effect on anticipated pleasure and order intention depending upon consumers? health concern level. Design Between-subjects randomized scenario-based experiment. Participants/setting In all, 636 US adults recruited through an online crowdsourcing platform in July 2020. Intervention Participants saw 1 of 6 menu boards in a fast-food drive-through simulation. Half the menu boards included meal photos with (1) menu items to be arranged as a combo by choice (ie, create-your-own combo); (2) traditional combos that included high-calorie default items; or (3) optimal combos that included low-calorie default items. The remaining 3 boards were identical without photos. Main outcome measures Anticipated pleasure, order intention, and health concern were evaluated with 7-point Likert scales. Analysis Statistical tests included multiple regression, Kruskal-Wallis, ?2, and analysis of variance. Education and sex were tested as potential confounders. Results Optimal combos negatively affected anticipated pleasure (P = .003) and order intention (P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003446
Titre : Use of a Water Filter at Home Reduces Sugary Drink Consumption among Parents and Infants/Toddlers in a Predominantly Hispanic Community: Results from the Water Up!@ Home Intervention Trial (2023) Auteurs : Amanda C. Reese ; Rosalina Burgos-Gil ; Sean D. Cleary ; Karina Lora ; Ivonne Rivera ; Joel Gittelsohn ; Sara Seper ; Rafael Monge-Rojas ; Uriyoán Colón-Ramos Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 41-51 Note générale : https://doi.org/10.1016/j.jand.2022.06.006 Langues: Anglais Descripteurs : HE Vinci
Boissons sucrées ; Eau ; Intervention ; Jus de fruits et de légumesMots-clés: Eau du robinet ; Hispanique ou Latino ; 100% Jus de fruits Résumé : Background Water is recommended as an alternative for sugar-sweetened beverages (SSBs). Low-income, minority groups in the United States continue to exhibit high SSB and low water consumption, and are more likely to exceed 100% fruit juice recommendations. Objective To test the effects of a home-based intervention designed to replace SSBs with tap water and reduce excess juice consumption among parents and their infants/toddlers. Design Randomized controlled trial. Participants Parents (n = 92) of infants/toddlers who participated in three Early Head Start home-visiting programs that serve predominantly Hispanic, low-income communities during 2019-2021. Intervention The 12-week intervention (Water Up!@Home) simultaneously addressed physical barriers to tap water consumption (via a water filter) and sociocultural barriers to replacing SSBs and juice with water (via a curriculum). Comparison group received a water filter only. We hypothesized that the intervention would lead to a reduction of 6 fl oz/d in SSB and juice consumption. Main outcomes Parent-reported self and infant/toddler SSBs, water (filtered, tap, or bottled), and 100% fruit juice consumption. Statistical analyses Analysis of covariance to compare changes in consumption between experimental groups was performed. We also conducted t tests to assess changes within groups. Results Participants in both groups reported significant reductions in SSBs from baseline (parents: intervention [?11.2 fl oz/d; P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200346X
Titre : Fast-Food Optimal Defaults Reduce Calories Ordered, as Well as Dietary Autonomy: A Scenario-Based Experiment (2023) Auteurs : Monica Diaz-Beltran ; Barbara Almanza ; Karen Byrd ; Carl Behnke ; Douglas Nelson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 65-76.e2 Note générale : https://doi.org/10.1016/j.jand.2022.06.005 Langues: Anglais Descripteurs : HE Vinci
Aliments de restauration rapideMots-clés: Valeur par défaut ; Autonomie alimentaire ; Problème de santé ; Repas combiné Résumé : Background Low-calorie menu items as optimal defaults may encourage healthier choices when people eat out. Limited research has studied default effects from the restauranteurs? perspective, as well as the public health perspective. Objective To examine the effects of optimal defaults on calories ordered, dietary autonomy, and visit intention in the context of a fast-food drive-through. Design Between-subjects randomized scenario-based experiment. Participants/setting In all, 377 adults who lived in the United States were recruited through a crowdsourcing platform in July 2020. Intervention Participants were asked to visualize ordering a combo meal in a fast-food drive-through. They were randomly assigned to order from 1 of 3 menu boards: (1) menu items available for combos by customer choice, (2) combos that included traditional high-calorie default items, or (3) combos that included low-calorie optimal defaults. Main outcome measures Differences in calories ordered among groups, dietary autonomy, and restaurant visit intention. Analysis Statistical tests included multiple regression, Kruskal-Wallis, ?2, and 1-way analysis of variance. Covariates such as education and sex were tested in regression models as potential confounders. Results Compared with the choice combo meals, optimal combo meals reduced calories ordered by consumers (?337 kcal, standard error = 19, P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003458
Titre : Tap Water Avoidance Is Associated with Lower Food Security in the United States: Evidence from NHANES 2005-2018 (2023) Auteurs : Asher Y. Rosinger ; Hilary J. Bethancourt ; Sera L. Young Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 29-40.e3 Note générale : https://doi.org/10.1016/j.jand.2022.07.011 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; Eau ; Insécurité alimentaireMots-clés: eau du robinet ; Insécurité hydrique ; Eau en bouteille Résumé : Background Food insecurity has profound nutritional and public health consequences. Water insecurity may exacerbate food insecurity, yet little is known about the association between water and food insecurity in the United States or other high-income countries. Objective This study aimed to estimate how tap water avoidance, a proxy of water insecurity, covaries with food insecurity; examine how the probability of food insecurity changed by tap water avoidance between 2005 and 2018; and test how the association between tap water avoidance and food insecurity differed across income and housing statuses. Design This was a secondary analysis of the cross-sectional 2005-2018 National Health and Nutrition Examination Survey. Participants/setting Participants were 31,390 US adults 20 years and older. Main outcome measures The main outcome was food insecurity, using the US Food Security Survey Module. Statistical analyses Adjusted logistic regression models estimated how tap water avoidance was associated with the odds of food insecurity. Predicted probabilities of food insecurity over time and by income and housing status were plotted using marginal standardization. Results Adults who avoided tap water had 21% higher odds (95% CI 1.09 to 1.34) of food insecurity compared with those who drank tap water. The probability of any food insecurity doubled between 2005-2006 and 2017-2018 and was consistently higher for tap water avoiders. Food insecurity decreased across both tap water drinkers and avoiders as income increased, but was higher among tap water avoiders at all income levels. Likewise, food insecurity was higher among renters than among homeowners but was higher among tap water avoiders in both housing groups. Conclusions Tap water avoidance is positively associated with food insecurity in the United States, and both insecurities have increased over time. Efforts to mitigate food insecurity should simultaneously address water insecurity issues, including tap water availability and quality, as these may be a modifiable contributors to food insecurity. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222006955
Titre : Safety and Efficacy of Early Vitamin D Supplementation in Critically Ill Extremely Preterm Infants: An Ancillary Study of a Randomized Trial (2023) Auteurs : Natalia Aristizabal ; Mary Pat Holder ; Leandra Durham ; Ambika P. Ashraf ; Sarah Taylor ; Ariel A. Salas Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 87-94 Note générale : https://doi.org/10.1016/j.jand.2022.06.012 Langues: Anglais Descripteurs : HE Vinci
Cholécalciférol ; Compléments alimentaires ; Disparités ; Maladie chronique ; Maladies pulmonaires ; Néonatologie ; Prématuré ; Vitamine DMots-clés: Disparités raciales ; Maladie pulmonaire chronique Résumé : Background Despite substantial evidence that vitamin D deficiency is highly prevalent among infants born extremely preterm (?28 weeks? of gestation), several consensus statements do not recommend vitamin D doses >400 IU/day for these infants. Safety remains a concern. Objective The study aim was to determine safety and efficacy profiles of enteral vitamin D in Black and White infants randomized to three different vitamin D doses soon after birth. Design Ancillary study of a masked randomized clinical trial. Participants/setting Seventy-three infants born extremely preterm between 2012 and 2015 at a southern US academic neonatal unit (33? latitude) who had >90% compliance with the assigned intervention were included. Intervention Infants were randomized to receive placebo (placebo group), 200 IU/day vitamin D (200 IU group), or 800 IU/day vitamin D (800 IU group) during the first 28 days after birth. Main outcome measures Safety outcomes included serum 25-hydroxy vitamin D (25[OH]D) and calcium concentrations. Efficacy outcomes included the predictive risk of bronchopulmonary dysplasia. Statistical analysis Per-protocol analysis using unadjusted, repeated-measures mixed models. Results Mean birth weight was 815 + 199 g. Half were male and 56% were Black. Of 58 infants with 25(OH)D measurements at birth, 40 (69%) had vitamin D deficiency ( Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003847
Titre : Consumption of Foods Away from Home Is Associated with Lower Diet Quality Among Adults Living in Puerto Rico (2023) Auteurs : Nayla Bezares ; Amanda C. McClain ; Martha Tamez ; José F. Rodríguez-Orengo ; Katherine L. Tucker ; Josiemer Mattei Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 95-108.e10 Note générale : https://doi.org/10.1016/j.jand.2022.06.009 Langues: Anglais Descripteurs : HE Vinci
Antilles ; Apports nutritionnels recommandés ; Qualité alimentaire ; RepasMots-clés: Porto Rico ; repas à l'extérieur Résumé : Background
Consuming foods away from home (FAFH) is ubiquitous, yet, it is unclear how it influences diet in diverse populations.
Objective
The study aimed to evaluate the association between frequency and type of consumption of FAFH and diet quality.
Design
The study had a cross-sectional design. Participants self-reported the frequency of consuming FAFH as rarely (≤1 time per week) vs frequently (≥2 times per week) at various commercial establishments or noncommercial FAFH (ie, friends or relatives homes).
Participants/setting
Participants were adults (aged 30 through 75 years) from the PRADLAD (Puerto Rico Assessment of Diet, Lifestyle, and Diseases) study conducted in San Juan, Puerto Rico metro area (n = 239) in 2015.
Main outcome measures
A validated food frequency questionnaire captured dietary intake. The Alternate Healthy Eating Index-2010 defined diet quality. Secondary outcomes included whether participants met 2015-2020 Dietary Guidelines for Americans recommendations for sodium, added sugars, saturated fat, dietary fiber, total energy, and alcohol.
Statistical analyses performed
Linear or logistic regression models adjusted for age, sex, employment, income, education, and food insufficiency tested differences in mean Alternate Healthy Eating Index-2010 scores or odds of meeting (vs not meeting) intake recommendations by FAFH type and frequency.
Results
Overall, 54.4% and 37.2% of participants reported consuming commercial FAFH and noncommercial FAFH frequently, respectively. Consuming FAFH frequently (vs rarely) was associated with lower mean Alternate Healthy Eating Index-2010 scores for both commercial FAFH (57.92 vs 63.58; P = .001) and noncommercial FAFH (56.22 vs 62.32; P Conclusions
Frequent consumption of FAFH is associated with lower diet quality and lower adherence to dietary recommendations in Puerto Rico. Future studies should explore whether diet quality can be improved by prioritizing healthy at-home meals and reformulating the quality of commercial FAFH.Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003811
Titre : A Call for Theory to Guide Equity-Focused Federal Child Nutrition Program Policy Responses and Recovery Efforts in Times of Public Health Crisis (2023) Auteurs : Juliana F.W. Cohen ; Kristen Cooksey Stowers ; Angela Odoms-Young ; Rebecca L. Franckle Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 123, n°1, January 2023) Article en page(s) : p. 15-28 Note générale : https://doi.org/10.1016/j.jand.2022.07.016 Langues: Anglais Descripteurs : HE Vinci
Nutrition ; Politique nutritionnelle ; Santé publiqueMots-clés: Réponse d'urgence Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222007250
Vol. 122, n°12 (December 2022)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 122, n°12Paru le : 01/12/2022 |
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Titre : Oncology Registered Dietitian Nutritionists? Knowledge, Attitudes, and Practices Related to Food Insecurity among Cancer Survivors: A Qualitative Study (2022) Auteurs : Amirah A. Burton-Obanla ; Stephanie Sloane ; Brenda Koester ; Craig Gundersen ; Barbara H. Fiese ; Anna E. Arthur Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2267-2287 Langues: Anglais Descripteurs : HE Vinci
TumeursMots-clés: Food security ; Registered dietitian nutritionist ; Qualitative research ; SNAP Résumé : Background Understanding the knowledge, attitudes, and practices pertaining to food insecurity among oncology registered dietitian nutritionists (RDNs) is critical to ensuring that cancer survivors have adequate nutrition?a fundamental component of successful treatment and recovery. Objective To qualitatively assess oncology RDNs? knowledge, attitudes, and practices regarding the food access needs of their patients using a qualitative semantic approach to thematic analysis. Design The qualitative cross-sectional study was conducted from September 2018 to January 2019. Participants and setting Forty-one oncology RDNs working with cancer survivors in various clinical settings across the United States participated. Main outcome measures Participants completed a semistructured, in-depth interview via telephone, lasting an average of 49 minutes. Statistical analyses performed Two coders (primary and secondary) trained in qualitative thematic data analysis methods used a semantic approach to thematic analysis to analyze transcripts. A qualitative and mixed methods online coding program Dedoose was used to organize and analyze the data. Results Participants defined food insecurity (FI) as a lack of access to nutritious foods and a lack of resources to purchase nutritious foods. RDNs stated they believe FI is a serious problem in the United Staes, has a greater influence on cancer survivors than healthy individuals and they have specific concerns about FI among their own patients. Despite their concerns, most expressed that they do not use a validated tool to identify FI, nor were they aware that any exists. Only a small proportion of the RDNs stated that they regularly ask patients about their food access needs. Conclusions Although Oncology RDNs have heard of FI, they do not routinely assess patients? food security status with a validated tool, nor do they consistently ask patients directly about their food access needs. These findings suggest there is a need for developing education and training opportunities for oncology RDNs to enhance their ability to screen for and address FI with their patients. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221015380
Titre : Dietary Intakes of Patients with Alcohol Use Disorder During a 4-Week Protocol on an Inpatient Treatment Unit Found to Meet Dietary Reference Intakes for Macronutrients, but Have Variability in Energy Balance and Adequacy of Micronutrient Intake (2022) Auteurs : Shanna Yang ; Kelly Ratteree ; Sara A. Turner ; Ralph Thadeus Tuason ; Alyssa Brooks ; Gwenyth R. Wallen ; Jennifer J. Barb Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2311-2319 Langues: Anglais Mots-clés: Alcohol use disorder ; Energy intake ; Macronutrients ; Micronutrients ; Nutrition assessment Résumé : Background Despite literature supporting the importance of diet during rehabilitation, minimal research quantifies dietary intake during treatment for alcohol use disorder (AUD). Objective The aim was to quantify dietary intake and energy balance of patients with AUD during inpatient treatment. Design This was a secondary analysis of data from a 4-week observational protocol. Participants self-selected food from a room service menu. Dietary intake was recorded by patients and reviewed by nutrition staff. To quantify nutrient and food group intake, data were coded into Nutrition Data Systems for Research software, versions 2016 and 2017. Daily average intake was calculated for all dietary variables. Participants/setting Participants (n = 22) were adults seeking treatment for AUD at the National Institutes of Health Clinical Center (Bethesda, MD) between September 2016 and September 2017 and who were enrolled in a study examining the microbiome during AUD rehabilitation. Four participants discontinued protocol participation before study week 4 and were not included in analyses examining change over time. Main outcome measures Weight change, daily energy, and macronutrient and select micronutrient intakes were the main outcome measures included. Statistical analyses performed Mean differences in intake and weight were assessed using nonparametric tests. Results Sixty-four percent of participants were male; mean + SD age was 46.3 + 13.0 years, mean + SD body mass index (calculated as kg/m2) was 23.9 + 2.5, and mean intake was 2,665 kcal/d (consisting of 45.9% carbohydrate, 34.9% fat, and 19.1% protein). Eighty percent or more of this sample met the Estimated Average Requirement for 10 of 16 micronutrients assessed. Male participants consumed more energy than estimated needs (P = .003) and gained a mean + SD of 2.67 + 1.84 kg (P = .006) when an outlier with weight loss and acute pancreatitis was removed from analysis. Female participants did not gain weight or consume more than estimated energy needs. Conclusions Overall macronutrient intake was within recommended ranges, but intake of other dietary components and weight gain were variable, supporting the need for individualized nutrition care during AUD treatment. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003161
Titre : Insights from Washington State?s COVID-19 Response: A Mixed-Methods Evaluation of WIC Remote Services and Expanded Food Options Using the RE-AIM Framework (2022) Auteurs : Evelyn J. Morris ; Emilee L. Quinn ; Chelsea M. Rose ; Marie Spiker ; Jean O'Leary ; Jennifer J. Otten Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2228-2242.e7 Langues: Anglais Descripteurs : HE Vinci
COVID-19Mots-clés: WIC ; RE-AIM ; Mixed methods ; Public health nutrition Résumé : Background In response to the COVID-19 pandemic, Washington State?s Supplemental Nutrition Program for Women, Infants, and Children (WA WIC) adopted federal waivers to transition to remote service delivery for certification and education appointments. WA WIC also expanded the approved food list without using federal waivers, adding more than 600 new items to offset challenges participants experienced accessing foods in stores. Objective This study aimed to assess the reach and effectiveness of the programmatic changes instituted by WA WIC during the COVID-19 pandemic; the processes, facilitators, and challenges involved in their implementation; and considerations for their continuation in the future. Design A mixed-methods design, guided by the RE-AIM framework, including virtual, semi-structured focus groups and interviews with WA WIC staff and participants, and quantitative programmatic data from WIC agencies across the state. Participants/setting This study included data from 52 state and local WIC staff and 40 WIC participants across the state of Washington and from various WA WIC programmatic records (2017-2021). The research team collected data and conducted analyses between January 2021 and August 2021. Analysis An inductive thematic analysis approach with Dedoose software was used to code qualitative data, generate themes, and interpret qualitative data. Descriptive statistics were calculated for quantitative programmatic data, including total participant count, percent increase and decrease in participation, percent of food benefits redeemed monthly, and appointment completion rates. Results All WA WIC participants (n = 125,279 in May 2020) experienced the programmatic changes. Participation increased by 2% from March to December 2020 after WA WIC adopted programmatic changes in response to the COVID-19 pandemic. Certification and nutrition education completion rates increased by 5% and 18% in a comparison of June 2019 with June 2020. Food benefit redemption also increased immediately after the food list was expanded in April 2020. Staff and participants were highly satisfied with remote service delivery, predominantly via the phone, and participants appreciated the expanded food options. Staff and participants want a remote service option to continue and suggested various changes to improve service quality. Conclusions Participation in WIC and appointment completion rates increased after WA WIC implemented service changes in response to the COVID-19 pandemic. Staff and participants were highly satisfied with remote services, and both desire a continued hybrid model of remote and in-person WIC appointments. Some of the suggested changes to WIC, especially the continuation of remote services, would require federal policy change, and others could be implemented under existing federal regulations. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001691
Titre : In Patients Admitted to a Home Rehabilitation Service, Is Remote Completion of the Patient-Generated Subjective Global Assessment Physical Examination Using Still Images Captured by Allied Health Assistants a Valid Alternative to an In-Person Physical Examination? (2022) Auteurs : Jolene Thomas ; Cassandra Lawless ; Alexandra Christie ; Owen Kuhr ; Michelle Miller Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2320-2329 Langues: Anglais Mots-clés: Patient-Generated Subjective Global Assessment ; Remote ; Nutrition assessment ; Physical examination Résumé : Background There is increasing provision of telehealth services, including nutrition services. However, remote nutrition assessments are challenging due to difficulties in conducting physical assessments remotely, a crucial component of assessing nutritional status. Objective The aim of this study was to evaluate whether remote completion of the Patient-Generated Subjective Global Assessment physical examination using still images captured by allied health assistants (AHAs) is a valid alternative to an in-person physical examination in patients admitted to a home rehabilitation service. Design This study was cross-sectional in design. Participants/setting This study involved 104 adults admitted to the home rehabilitation service at Southern Adelaide Local Health Network, Adelaide, Australia, over 2 sampling periods in 2019 and 2020 who were receiving home visits by an AHA and were engaged in rehabilitation activities. Main outcome measures Validity of the still image-based physical assessment was determined using still images collected by an AHA and an in-person physical assessment completed by a dietitian from each participant. A dietitian blinded to the in-person results later assessed the de-identified still images to determine the presence and extent of deficit at each anatomical site and overall physical examination component of the Patient-Generated Subjective Global Assessment. Statistical analyses performed Percentage agreement, weighted ?, sensitivity, and specificity between the still image based and in-person physical examinations were determined to assess agreement between the 2 methods of assessment. Results The still image based physical examination achieved a percentage agreement of 75% against the in-person examination, with a weighted ? of 0.662 (95% confidence interval 0.516-0.808) and a sensitivity-specificity pair of 76.6% and 89.1%. Conclusions Physical examination using still images collected by AHAs achieved percentage agreement, ?, and sensitivity and specificity compared with an in-person physical examination that is consistent with or superior to commonly adopted nutrition screening and assessment tools. There is potential for implementation of this method to facilitate remote nutritional assessments by dietitians; however, further work is needed to ensure dietitians are able to assess still images reliably. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003033
Titre : Associations between Diet Quality and Allostatic Load in US Adults: Findings from the National Health and Nutrition Examination Survey, 2015-2018 (2022) Auteurs : Megan S. Zhou ; Rebecca E. Hasson ; Ana Baylin ; Cindy W. Leung Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2207-2217 Langues: Anglais Mots-clés: allostatic load ; cumulative biological risk ; diet quality ; diet patterns ; healthy eating index Résumé : Background Allostatic load (AL), the concept of cumulative biological risk from chronic stressful exposures, may provide a framework with which to examine the links between diet, physiological stress, and disease. Objective This study examined the associations between diet quality and AL. Design This cross-sectional study was conducted using the 2015 through 2018 cycles of the National Health and Nutrition Examination Survey. Dietary intake was assessed using two 24-hour diet recalls. Diet quality was measured using the Healthy Eating Index 2015. AL was measured by a composite score of nine biochemical markers, with three or more dysregulated values signaling elevated AL. All markers were collected during a physical examination. Participants and setting This study was conducted in a nationally representative population of 5,343 US adults aged 19 years or older who had no prior diagnosis of diabetes (except gestational diabetes), cancer (except skin cancer), or cardiovascular disease; were not pregnant; and had complete dietary intake and AL biomarker data. Main outcome measures The outcome was odds of elevated AL. Statistical analyses performed Accounting for the complex survey design of the National Health and Nutrition Examination Survey, multivariable logistic regression was used to examine the associations between Healthy Eating Index 2015 score and elevated AL, adjusting for sociodemographic variables. Results A significant inverse association between AL and diet quality was observed among adults aged 31 years and older but not among those aged 19 to 30 years. Among adults aged 31 years and older, those in higher quintiles of Healthy Eating Index 2015 score had significantly lower odds of elevated AL compared with the lowest quintile (P for trend Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002441
Titre : Research Involvement in a Group of Registered Dietitian Nutritionists Specializing in Ketogenic Diet Therapies for Epilepsy (2022) Auteurs : Jessica Lowe ; Jessica Brown ; Katie Klier ; Jennifer Doll White ; Lucia Briceno Alliegro ; Sarika Sewak ; Danine Mele-Hayes Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2330-2336.e5 Langues: Anglais Mots-clés: Dietitian Research Involvement Survey ; Research involvement ; Ketogenic diet ; Dietitian ; Research Résumé : Background There is a growing need for studies on ketogenic diet (KD) therapies. Registered dietitian nutritionists (RDNs) should lead efforts to better understand the nutritional risks and benefits of the KD to inform evidence-based practices. Objective The purpose of this study was to explore participation in research among RDNs practicing in KD therapies for epilepsy and identify barriers to participation. Design This cross-sectional study collected professional experience, research involvement and output, and perceived barriers to conducting research. Participants/setting This study surveyed 66 RDNs practicing in KD therapies for epilepsy. Main outcome measure Research involvement was assessed using the Dietitian Research Involvement Survey score. Research output was reported as type and number of publications. Barriers to research included lack of time, resources, administrative support, training, and/or skill. Statistical analyses Data were summarized using descriptive statistics, such as means and SDs, medians and interquartile ranges, counts and percentages, as appropriate. Results The median Dietitian Research Involvement Survey score was 31 out of 60 (range, 16 to 60). Thirty-two participants (48.5%) reported publishing or presenting data, and only 13.6% published an article on ketogenic diet therapies as a leading author. The main barriers to participating in research were insufficient time (83.3%), insufficient funding (81.8%), and priority of work (70.8%). Research involvement scores were not affected by lack of time and resources; however, scores were lower in RDNs reporting lack of interest, training, and skill in research. Conclusions Although ketogenic RDNs participated in research, most were not leading projects or publications. To increase research involvement among RDNs, focus should include overcoming structural barriers and facilitating knowledge acquisition for those lower on the research continuum. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003045
Titre : A Qualitative Examination of California WIC Participants? and Local Agency Directors? Experiences during the Coronavirus Disease 2019 Pandemic (2022) Auteurs : Lauren E. Au ; Shannon E. Whaley ; Christina A. Hecht ; Marisa M. Tsai ; Christopher E. Anderson ; Alana M. Chaney ; Nicole Vital ; Catherine E. Martinez ; Lorrene D. Ritchie Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2218-2227.e21 Langues: Anglais Descripteurs : HE Vinci
COVID-19Mots-clés: Pandemic ; WIC ; Staff ; Remote ; Waivers Résumé : Background The US Department of Agriculture granted waivers to allow flexibility in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) operations during the coronavirus disease 2019 (COVID-19) pandemic; however, research examining the associations between waiver introduction and changes in perceptions, practices, and challenges of WIC participants? and agency directors? experiences is limited. Objective The objective of this study was to assess California WIC participants? and agency directors? perceptions and practices of remote WIC services during the COVID-19 pandemic. A secondary aim was to understand other COVID-19 challenges related to maintaining access to healthy foods by WIC participants. Design A qualitative study that included semistructured interviews was conducted between June 2020 and March 2021. Participants and setting One hundred eighty-two WIC participants with a child aged 0 to 5 years from three regions of California (Southern, Central, and Northern) and 22 local WIC agency directors across the state were interviewed. Main outcome measures WIC participants? and agency directors? perceptions, practices, and other challenges during COVID-19. Statistical analyses performed Interviews were recorded, transcribed, and analyzed using a grounded theory approach. Results Participants shared that they valued the information received from WIC and were very satisfied with remote WIC services. Participants reported that enrolling in WIC remotely was easier than coming in person. All waivers and changes to WIC operations, namely the physical presence, remote benefit issuance, and separation of duties waivers, and remote work and remote delivery of nutrition education, were largely viewed by WIC agency directors as options that should be continued postpandemic. Further, a majority (63%) of households reported experiencing food insecurity, and half of respondents received food from a food bank or pantry during the pandemic. Conclusions Findings suggest WIC will attract and retain the most families by offering a hybrid model of services, incorporating both onsite services and remote options to work more efficiently and effectively. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200627X
Titre : An Update to Scientific Decision Making: The Academy of Nutrition and Dietetics? Scientific Integrity Principles (2022) Auteurs : Shannon L. Lennon ; Alexandra Kazaks ; Joann M. McDermid ; Margaret Murphy ; Jeannine C. Lawrence ; Gabriela V. Proaño Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2346-2355 Langues: Anglais Résumé : In 2015, the Council on Research published their vision for scientific decision making, which provided nutrition and dietetics practitioners and practitioners-in-training key information on the Academy of Nutrition and Dietetics? newly developed scientific integrity principles. Given that it has been 7 years since the original publication, it was believed the original six principles should be revisited and updated. From the Subcommittee on Scientific Integrity Principles under the Council on Research, the 2015 principles were evaluated and updated with new literature and best practices for maintaining scientific integrity principles. After this review process, four new/updated principles were approved by the Council on Research. These include: 1) the ethical conduct of research and protection of human subjects, 2) funder?s influence on the research question/methodology/education content and conflicts of interest, 3) review of research-related materials, and 4) maintain and promote a culture of scientific integrity. Moreover, it became clear that newer topics, including diversity, equity, and inclusion should be woven throughout the principles. This article presents the newly updated principles and resources related to scientific integrity principles. We envision that this document can be used by the Academy of Nutrition and Dietetics to educate members and serve as a guide to incorporate these principles into all research practices and at all levels of dietetics practice. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222009303
Titre : Dietary and Complementary Feeding Practices of US Infants, 6 to 12 Months: A Narrative Review of the Federal Nutrition Monitoring Data (2022) Auteurs : Regan L. Bailey ; Jaime S. Stang ; Teresa A. Davis ; Timothy S. Naimi ; Barbara O. Schneeman ; Kathryn G. Dewey ; Sharon M. Donovan ; Rachel Novotny ; Ronald E. Kleinman ; Elsie M. Taveras ; Lydia Bazzano ; Linda G. Snetselaar ; Janet De jesus ; Kellie O. Casavale ; Eve E. Stoody ; Joseph D. Goldman ; Alanna J. Moshfegh ; Donna G. Rhodes ; Kirsten A. Herrick ; Kristin Koegel ; Cria G. Perrine ; TusaRebecca Pannucci Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2337-2345.e1 Langues: Anglais Mots-clés: Dietary guidelines ; Birth to 24 months ; Pediatrics ; Nutrition policy ; Breastfeeding ; Complementary feeding Résumé : Complementary foods and beverages (CFBs) are key components of an infant?s diet in the second 6 months of life. This article summarizes nutrition and feeding practices examined by the 2020 Dietary Guidelines Advisory Committees during the CFB life stage. Breastfeeding initiation is high (84%), but exclusive breastfeeding at 6 months (26%) is below the Healthy People 2030 goal (42%). Most infants (51%) are introduced to CFBs sometime before 6 months. The primary mode of feeding (ie, human milk fed [HMF]; infant formula or mixed formula and human milk fed [FMF]) at the initiation of CFBs is associated with the timing of introduction and types of CFBs reported. FMF infants (42%) are more likely to be introduced to CFBs before 4 months compared with HMF infants (19%). Different dietary patterns, such as higher prevalence of consumption and mean amounts, were observed, including fruit, grains, dairy, proteins, and solid fats. Compared with HMF infants of the same age, FMF infants consume more total energy (845 vs 631 kcal) and protein (22 vs 12 g) from all sources, and more energy (345 vs 204 kcal) and protein (11 vs 6 g) from CFBs alone. HMF infants have a higher prevalence of risk of inadequate intakes of iron (77% vs 7%), zinc (54% vs Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221013848
Titre : Experiences and Perceived Outcomes of Low-Income Adults During and After Participating in the British Columbia Farmers? Market Nutrition Coupon Program: A Longitudinal Qualitative Study (2022) Auteurs : Stéphanie Caron-Roy ; Yun Yun Lee ; Sayeeda Amber Sayed ; Bonnie Lashewicz ; Katrina Milaney ; Sharlette Dunn ; Heather O'Hara ; Peter Leblanc ; Rachel J.L. Prowse ; Bonnie Fournier ; Kim D. Raine ; Charlene Elliott ; Dana Lee Olstad Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2257-2266 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourritureMots-clés: Farmers? market ; Food subsidies ; Longitudinal qualitative research ; Diet quality Résumé : Background The British Columbia Farmers? Market Nutrition Coupon Program (FMNCP) is a farmers? market food subsidy program that provides low-income households with coupons valued at $21/wk for 16 weeks to purchase healthy foods at participating BC Association of Farmers? Markets members? markets. Objective This study aimed to explore changes, differences, and similarities in participants? experiences and perceived short-term outcomes during and after participating in the FMNCP. Design A longitudinal qualitative research approach was used to conduct a recurrent cross-sectional analysis. Data generation and analysis were guided by Freedman et al?s theoretical framework of nutritious food access. Data generation occurred during 2019 FMNCP program (time 1) and 4 to 7 weeks after (time 2) the program year ended. Data at each time point were analyzed separately using directed content analysis, followed by a comparative analysis to identify changes, differences, and similarities between time points. Participants Twenty-eight adult participants were interviewed during the program; 24 were re-interviewed post program. Setting Three communities in British Columbia, Canada. Results Three themes were generated: temporary relief and engagement; lasting experiences and outcomes; enhancing participant experiences and outcomes. The first theme related to how participants? experiences and perceived outcomes, such as increased financial support and improved diet quality and health, were temporary. The second theme reflected positive lasting experiences and outcomes from participating in the FMNCP, including increased food and nutrition knowledge and enhanced social ties. The third theme focused on enhancing participants? program experiences and outcomes, including increasing the duration of food subsidies. Conclusion The FMNCP temporarily enhanced access to nutritious foods and had lasting positive effects on participants? nutrition-related knowledge and social outcomes. Nevertheless, participants struggled to maintain healthy eating practices post program due to financial constraints. Expanding farmers? market subsidy programs may improve access to nutritious foods; maintain positive dietary, social, and health outcomes for participants; and reach more low-income households. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001721
Titre : The Accuracy of Portion Size Reporting on Self-Administered Online 24-Hour Dietary Recalls Among Women With Low Incomes (2022) Auteurs : Sharon I. Kirkpatrick ; Patricia M. Guenther ; Carrie Durward ; Deirdre Douglass ; Thea Palmer Zimmerman ; Lisa L. Kahle ; Abiodun T. Atoloye ; Michelle L. Marcinow ; Mateja R. Savoie-Roskos ; Kirsten A. Herrick ; Kevin W. Dodd Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2243-2256 Langues: Anglais Descripteurs : HE Vinci
Etudes de validationMots-clés: 24-hour dietary recall ; portion size ; low income ; feeding study Résumé : Background Accurately estimating portion sizes remains a challenge in dietary assessment. Digital images used in online 24-hour dietary recalls may be conducive to accuracy. Objective The current analyses were conducted to examine the accuracy of portion size estimation by women with low incomes who completed 24-hour dietary recalls using the online Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24) in the Food and Eating Assessment Study II. Design True dietary intake was observed for 3 meals on 1 day through a controlled feeding study conducted from May through July 2016. The following day, participants completed an unannounced 24-hour dietary recall using ASA24, independently or with assistance in a small-group setting. Participants/setting Participants included 302 women aged 18 to 82 years living in the Washington, DC, area who met the income thresholds for the Supplemental Nutrition Assistance Program. Main outcome measures The accuracy of portion size estimation was assessed by comparing the weight truly consumed (observed) and the weight reported for predetermined categories of foods and beverages. Statistical analyses performed The differences between observed and reported portions were examined and linear regression tested differences by recall condition. Analyses were conducted by condition and repeated with stratification by racial/ethnic identity, education, and body mass index. Results On average across foods and beverages, reported portion sizes were 7.4 g (95% CI, 4.3-10.5) and 6.4 g (95% CI, 2.8-10.0) higher than observed portion sizes in the independent and assisted conditions, respectively. Portion sizes were overestimated for small pieces and shaped foods in both conditions, as well as for amorphous/soft foods in the assisted condition and underestimated for single-unit foods in both conditions. Misestimation was fairly consistent by participants? race/ethnicity, education, and body mass index, to varying magnitudes. Conclusions Women with low incomes overestimated the amounts of foods and beverages consumed across several categories using online 24-hour dietary recalls with digital images to support portion size estimation. Assistance with ASA24 had little impact on accuracy. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001757
Titre : Exploring Mothers? Perspectives About Why Grandparents in Appalachia Give Their Grandchildren Cariogenic Foods and Beverages: A Qualitative Study (2022) Auteurs : Kevin C. Lu ; Zelda T. Dahl ; Robert J. Weyant ; Daniel W. McNeil ; Betsy Foxman ; Mary L. Marazita ; Jacqueline M. Burgette Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2288-2294 Langues: Anglais Mots-clés: Grandparents ; Child ; Diet ; Cariogenic ; Social determinants of health ; Qualitative research Résumé : Background Dental caries is the most common chronic childhood disease. Past studies revealed that grandparents provide their grandchildren with cariogenic foods and beverages (eg, those with free sugars and/or modified starches). Qualitative research can help identify what drives this phenomenon. Objective Our aim was to examine mothers? explanations for why grandparents in north central and central Appalachia give their grandchildren cariogenic foods and beverages. Design A qualitative study on children?s oral health in Pennsylvania and West Virginia from 2018 through 2020 was performed. In-person, semi-structured interviews were conducted. Qualitative data from interviews were recorded, transcribed, and then coded using NVivo. Data analysis for this study was performed using thematic analysis with iterative theme development. Participants/setting The participants were 126 mothers of children aged 3-5 years from West Virginia (n = 66) and Pittsburgh, PA (n = 60). Main outcome measures Mothers? perspectives about why grandparents give their grandchildren cariogenic foods and beverages were analyzed. Results In the study sample, 85% of mothers (n = 107/126) named at least 1 of their children?s grandparents as a member of their social network responsible for their children?s oral health. From these interviews, 85% of mothers (n = 91/107) discussed that grandparents gave their grandchildren cariogenic foods and beverages. The mothers described the following 4 themes to explain why grandparents gave their grandchildren cariogenic foods and beverages: privilege of the grandparent role; responsibilities of the grandparent role; symbol of care and affection; and limited consideration or understanding of the detrimental impact. Conclusions Grandparents play a role in giving their grandchildren cariogenic foods and beverages, which could potentially contribute to childhood caries. Research is needed to develop effective social interventions to help some grandparents understand the implications of a cariogenic diet on their grandchildren?s oral health and/or decrease their provision of cariogenic foods and beverages. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001976
Titre : Food Marketing Practices of Major Online Grocery Retailers in the United States, 2019-2020 (2022) Auteurs : Alyssa J. Moran ; Gabby Headrick ; Crystal L. Perez ; Alexandra Greatsinger ; Lindsey Smith Taillie ; Laura Zatz ; Sara N. Bleich ; Eric B. Rimm ; Neha Khandpur Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°12, December 2022) Article en page(s) : p. 2295-2310.e2 Langues: Anglais Descripteurs : HE Vinci
MarketingMots-clés: Online retail ; Supermarket ; Food environment ; Food industry Résumé : Background Food marketing influences consumers? preferences for and selection of marketed products. Although a substantial body of research has described food-marketing practices in brick-and-mortar stores, no research has examined food marketing in online grocery retail despite its growing importance as a source of food-at-home purchases. Objective To develop and apply a coding instrument to describe food marketing and the nutritional quality of marketed products in online grocery stores. Design Quantitative content analysis and review of product Nutrition Facts labels and ingredients lists to calculate nutrient density and level of processing using the NOVA classification system. Participants/setting Foods and beverages (n = 3,473) marketed in the top revenue-generating online grocery retailers and those participating in the US Department of Agriculture Supplemental Nutrition Assistance Program Online Purchasing Pilot (n = 21) in 2019-2020. Main outcome measures Use of marketing mix strategies (ie, product, placement, promotion, and pricing) across retailers and nutritional quality of marketed products. Products were considered of poor nutritional quality in the case that they were ultraprocessed (NOVA category 4) and excessive in sodium, saturated fat, free sugars, and/or other sweeteners. Products were also classified into 13 mutually exclusive food groups. Statistical tests performed The proportion of retailers using each marketing strategy, proportion of products of poor nutritional quality, and proportion of products in each food group were calculated. Results Retailers commonly used product recommendations, search result ordering, branded website content, user-generated content, and social media engagement to market products online. Candy, sweets, and snacks made up the largest percentage of marketed products (17.3%), followed by fruit, vegetables, and legumes (16.7%). Most (62%) marketed products were of poor nutritional quality. Staple food categories such as fruits, vegetables, and grains were frequently marketed, particularly through price reductions and product recommendations. Conclusions Online grocery retailers use a variety of customizable food marketing strategies on their websites. Although most marketed products are of poor nutritional quality, there is potential for marketing of staple food categories online that is not feasible in a brick-and-mortar store. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200199X
Vol. 122, n°11 (November 2022)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 122, n°11Paru le : 01/11/2022 |
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Titre : Conceptualizing Professionalism in Dietetics: An Australasian Qualitative Study (2022) Auteurs : Janeane Dart ; Louise McCall ; Susan Ash ; Charlotte Rees Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2087-2096.e7 Langues: Anglais Descripteurs : HE Vinci
EducationMots-clés: professionalism ; dietetics ; qualitative research ; healthcare Résumé : Background Professionalism is a vital aspect of health care and multidisciplinary teamwork. Although there is substantive professionalism literature in medicine and an expanding health care professions literature, there is a significant gap in understanding professionalism in dietetics. There are very few research papers in the dietetics literature on this issue compared with other health professions. Given the multidisciplinary nature of health care, it is important to understand what professionalism means within each profession to develop shared understandings across health care teams. Objective The study aim was to explore how dietetics professionalism is conceptualized by dietetic practitioners/preceptors, faculty, and new graduates. Design A constructionist exploratory qualitative interview study was conducted. Participants/setting One hundred participants (dietetics graduates, faculty, and practitioners/preceptors), associated with 17 universities across Australia and New Zealand and from diverse geographical and work settings, participated in 27 group and 24 individual interviews from March 2018 to June 2019. Statistical analyses performed Thematic framework analysis was used to examine participants? understandings of professionalism. Results Twenty-three dimensions of dietetics professionalism were identified, with the most common being communication and including four novel dimensions of professionalism (generational, emotion management, cultural capability, and advocacy) not previously described in other professions. Professionalism as emotion management and generational adds new insights to the professionalism literature, expanding understandings of this vital aspect of health care. Although high levels of consistency in professionalism understandings existed across the three stakeholder groups, some interesting differences were found. The profession of dietetics shares similarities with other professions in the ways professionalism is conceptualized. Conclusions Using these dimensions of professionalism as a framework for teaching and learning about professionalism will help in clarifying expectations and expand shared understandings about professionalism for dietitians, other health professions, and across multidisciplinary teams. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001010
Titre : ?We Are Our Own Worst Enemies?: A Qualitative Exploration of Sociocultural Factors in Dietetic Education Influencing Student-Dietitian Transitions (2022) Auteurs : Janeane Dart ; Susan Ash ; Louise McCall ; Charlotte Rees Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2036-2049.e4 Langues: Anglais Descripteurs : HE Vinci
EducationMots-clés: Professionalism ; Dietetics ; Sociocultural ; Qualitative research ; professional identity ; landscapes of practice Résumé : Background The transition from student to dietitian is an implicit expectation of dietetic education. Although there has been an expanding literature around elements of competency-based education, little attention has focused on sociocultural aspects of learning and professional identity formation in dietetic education. Objective The aim of this study was to explore sociocultural factors in dietetics education influencing the transition into the profession from the perspective of dietetics students and educators. Design An exploratory qualitative study underpinned by social constructionism. Participants/setting From March 2018 until June 2019, interviews (individual and group) with final-year students (n = 22), dietetic preceptors (n = 27), and university faculty members (n = 51) from 17 of the 18 universities in Australia and New Zealand with accredited dietetic programs were undertaken and explored sociocultural factors in dietetic education. Analysis performed Data were analyzed into key themes using framework analysis and applying the sociocultural theory of landscapes of practice. Results Sociocultural factors are powerful influences on the student-professional transition. Dietetic cultures and minicultures of cohesion, conformity, competition, and conflict aversion exist. Boundaries exist within learning environments, which can limit or pose challenges to professional identity formation and transition into the profession. Conclusion Stakeholders involved in dietetics education play pivotal roles in shaping the microcultures students learn and work within, which influence and impact socialization and transition into the profession. Opportunities exist to re-vision curriculum and foster positive learning cultures with a focus on sociocultural learning, including supporting boundary crossing and professional identity development. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200171X
Titre : Lower Dietary Calcium Intake is Associated with a Higher Risk of Mortality in Korean Adults (2022) Auteurs : Jin Young Yoo ; Hyun Jeong Cho ; Jung Eun Lee Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2072-2086 Langues: Anglais Mots-clés: Dietary calcium intake ; Mortality ; Korea National Health and Nutrition Examination Survey (KNHANES) ; Prospective cohort study Résumé : Background Calcium, one of the most abundant minerals in the human body, has a pivotal role in human physiology. However, only a few studies have examined the association of dietary calcium intake with mortality in a population with low calcium intake. Objective The aim of this study was to examine the association of dietary calcium intake with risk of all-cause and cause-specific mortality among Korean adults with low calcium intake. Design This study was a prospective cohort study. Participants/setting The analysis was conducted using data from 44,327 eligible Korean adults aged 19 years and older who participated in the Korea National Health and Nutrition Examination Survey 2007-2015. Dietary calcium intake was assessed using 1-day 24-hour recall data. Main outcome measures The main outcomes of this study were mortality from all causes, cancer, cardiovascular disease, respiratory disease, and all other causes combined. The outcome was ascertained through linkage to the death registry compiled by Statistics Korea with the use of the resident registration number. Statistical analyses performed Weighted Cox proportional hazard models were used to estimate the hazard ratios and 95% CIs of the all-cause and cause-specific mortality according to dietary calcium intake. Results During a mean follow-up of 7.28 person-years, 1,889 deaths were ascertained. After multivariable adjustment, the hazard ratios for all-cause mortality for the second quintile to the highest quintile of dietary calcium intake, respectively, compared with the first quintile were 0.86 (95% CI 0.73 to 1.00), 0.82 (95% CI 0.69 to 0.98), 0.85 (95% CI 0.69 to 1.03), and 0.78 (95% CI 0.64 to 0.96) (P for trend from the lowest to the highest quintile = .04). There were no statistically significant associations between dietary calcium intake and risk of mortality from cancer, cardiovascular, or respiratory disease. Conclusions In this large prospective cohort study of Korean adults, lower dietary calcium intake was associated with a higher risk of all-cause mortality. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001034
Titre : Retailer Marketing Strategies and Customer Purchasing of Sweetened Beverages in Convenience Stores (2022) Auteurs : Megan R. Winkler ; Kathleen Lenk ; Darin J. Erickson ; Melissa N. Laska Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2050-2059 Langues: Anglais Descripteurs : HE Vinci
Boissons sucréesMots-clés: Consumer marketing ; Customer purchases ; Convenience stores ; Store manager priorities Résumé : Background Marketing strategies for sweetened beverages (SBs) are pervasive across food retail. Yet few studies have examined how these strategies associate with planned and unplanned SB purchasing. Objective This study aimed to examine whether customers with greater exposure to SB retail marketing (eg, advertisements and product placement) were more likely to purchase an SB and whether this varied by customer characteristics. Design This was an observational, cross-sectional study using objective customer purchasing and store assessment data from convenience and other small food stores. Participants/setting Participants were 1,604 food and beverage customers at 144 randomly sampled convenience and other small food stores in Minneapolis-St Paul, MN. Exposure Marketing strategies, including SB advertisements, placement, and shelf space were included. Main outcome measures We determined the probability of customers purchasing ?4 fluid ounces of a ready-to-drink sugar and/or artificially sweetened beverage. Statistical analyses performed Associations between marketing strategies and purchasing were estimated using mixed regression models, controlling for customer characteristics and accounting for customers nested within stores. Results Fifty-six percent of customers purchased an SB; 14% also specified that it was an unplanned purchase. Customers were more likely to purchase an SB when exterior advertisements (P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001265
Titre : Comparison of Energy and Macronutrients Between a Mobile Application and a Conventional Dietary Assessment Method in Korea (2022) Auteurs : JeongSeon Kim ; Hyejin Kim ; Jeonghee Lee ; Hyunyoung Ko ; So-Youn Jung ; Hak Jin Kim ; Gyung-Ah Wie ; Youngin Kim Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2127-2133.e4 Langues: Anglais Descripteurs : HE Vinci
Applications mobiles ; Base de données ; Enquête alimentaire ; NutrimentsMots-clés: Registres alimentaires Résumé : Background The use of mobile apps for dietary evaluation avoids some of the disadvantages of costly and time-consuming traditional diet assessment. However, few studies have compared dietary intake data in smartphone apps with a conventional diet assessment. Objective This study aimed to compare the dietary data collected on energy and macronutrients (proteins, fats, and carbohydrates) consumed for 3 nonconsecutive days using both a mobile application (Noom) and a conventional dietary assessment tool (CAN Pro). Design This was a cross-sectional study. Participants/setting A total of 119 healthy adults (68 males and 51 females) aged 19 to 65 years were recruited from the National Cancer Center in Korea between May and September 2019. Main outcome measures The mean daily energy and macronutrient intake data were obtained for the dietary intakes consumed for 3 nonconsecutive days using Noom and CAN Pro. Statistical analysis performed The estimates of energy and macronutrient intake between the two tools were compared using correlation coefficients and cross-classification. Results Although mean daily fat intake and percent total energy from carbohydrate estimated by Noom were comparable with values provided by CAN Pro, mean daily estimated energy intake (kcal), protein (g, percent total energy), and carbohydrate (g) were significantly higher with Noom than with CAN Pro. The correlation coefficients ranged from 0.79 to 0.99 for crude intake and from 0.77 to 0.88 for energy-adjusted values of intake after adjustment for sex and age. The percentages of participants classified into quartiles of ?exact agreement and plus adjacent? varied between 95% and 99% for crude intake and between 93% and 97% for energy-adjusted values of intake. Conclusions The findings indicate that Noom may be useful for monitoring the dietary intake of energy and macronutrients and reducing workload compared with a traditional dietary assessment in Korea. However, further research is needed to assess the validity and usability of Noom for estimating intake of micronutrients and other dietary components. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002325
Titre : Evidence of Geospatial and Socioeconomic Disparities in Access to Online Grocery Shopping for Fresh and Frozen Produce in North Carolina (2022) Auteurs : Jared T. McGuirt ; Stephanie B. Jilcott Pitts ; Jeffrey D. Labban ; Elizabeth T. Anderson Steeves ; Lindsey Haynes-Maslow ; Savanna Henry ; Alison Gustafson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2106-2114 Langues: Anglais Descripteurs : HE Vinci
Disparités ; Epice ; Facteurs socioéconomiques ; InternetMots-clés: Épicerie en ligne ; Produits frais ; Surgelés Résumé : Background Online grocery shopping is a rapidly growing food procurement approach in the United States with the potential to improve food access. Limited research has focused on understanding differential access to online grocery shopping that provides healthier items such as fresh or frozen fruits and vegetables. Objective The study aim was to understand geospatial, socioeconomic, and racial disparities in the availability of healthy online grocery shopping and online Supplemental Nutrition Assistance Program (SNAP) acceptance in North Carolina. Design A cross-sectional study was conducted during spring 2021. Participants/setting A listing of grocery stores with online shopping was generated using a systematic search strategy. Stores were geocoded and spatially joined to relevant contextual (rural/urban [based on US Department of Agriculture Rural Urban Continuum codes]), broadband Internet availability, socioeconomic variables (ie, percent poverty and Social Vulnerability Index), and demographic variables (ie, percent racial minority) in geographic information systems software. Main outcome measures Prevalence rate ratios (PRRs) of healthy online grocery shopping (availability of curbside pickup or home delivery of fresh and frozen produce), and online SNAP acceptance (ie, availability of online SNAP), at the census tract level (n = 2,162). Statistical analyses performed PRRs for availability of healthy online grocery shopping and SNAP online acceptance at the census tract level (n = 2,162) were modeled using Poisson regression with robust standard errors. Results This study found disparities in access to healthy online grocery shopping and SNAP online shopping availability in North Carolina. Healthy online shopping availability rates were higher in urban census tracts (PRR 1.68, 95% CI 1.47 to 1.92), areas with lower Social Vulnerability Index scores (PRR 0.99, 95% CI 0.98 to 0.99), higher Internet Availability Index scores (PRR 1.21, 95% CI 1.17 to 1.25), and lower percent poverty (PRR 0.94, 95% CI 0.90 to 0.98). SNAP online shopping availability rates were higher in urban census tracts (PRR 1.41, 95% CI 1.16 to 1.65), areas with higher Social Vulnerability Index scores (PRR 1.02, 95% CI 1.01 to 1.04), higher Internet Availability Index scores (PRR 1.15, 95% CI 1.10 to 1.20), and higher percent minority (PRR 1.02, 95% CI 1.0001 to 1.03). SNAP online shopping availability rates were lower in areas with higher percent poverty (PRR 0.90, 95% CI 0.85 to 0.95). Conclusions This study found disparities in access to healthy online grocery shopping and SNAP online shopping for rural areas, and areas with higher poverty, and lower broadband Internet access in North Carolina. Further research is needed to identify effective strategies for addressing these disparities. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002714
Titre : The Contribution of Discrete Vegetables, Mixed Dishes, and Other Foods to Total Vegetable Consumption: US Ages 2 Years and Over, 2017-2018 (2022) Auteurs : Edwina A. Wambogo ; Nicholas Ansai ; Namanjeet Ahluwalia ; Cynthia L. Ogden Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2115-2126.e2 Langues: Anglais Descripteurs : HE Vinci
Adulte ; Consommation alimentaire ; Jeune adulte (19-24 ans) ; Légumes ; NHANES (USA)Résumé : Background The 2020-2025 Dietary Guidelines for Americans recommend intake of a variety of vegetables, including dark green, red, and orange vegetables and starchy and other vegetables. Objectives This study aims to describe sociodemographic differences in the contribution of different categories of vegetables and the form in which they are consumed (ie, discrete vegetables, mixed dishes, and other foods such as savory snacks to total vegetable intake on a given day). Design This is a cross-sectional, secondary analysis of the 2017-2018 National Health and Nutrition Examination Survey. Participants/setting This study included the data of 7122 persons aged 2 years with reliable day 1 24-hour dietary recalls. Main outcome measures Serving equivalents of vegetables from 20 discrete categories of vegetables and from mixed dishes and other foods as a percentage of total vegetables. Statistical analyses Pairwise differences by age, sex, race, Hispanic origin, and family income were examined using univariate t statistics, and trends by age and income were examined using orthogonal polynomials. Results Mean serving equivalents of vegetables was 1.4 cups. The serving equivalents increased with age among youth, was higher among non-Hispanic Asian (NHA) persons than other subgroups, and increased with increasing family income. Overall, discrete vegetables contributed 55.2% of total vegetable intake, and the contribution increased with age in adults and with increasing family income. The top 5 discrete vegetable contributors were other vegetables and combinations, french fries and other fried white potatoes, lettuce and lettuce salads, mashed potatoes and white potato mixtures, and baked or boiled white potatoes. Nonstarchy discrete vegetables contributed more to total vegetables for adults (37.6%) than youth (28.0%), and the contribution increased with increasing family income. On the other hand, the contribution of mixed dishes and other foods decreased with increasing family income. Conclusions Discrete vegetables only contributed 55.2% of total vegetable intake, and the top sources were not varied. Three of them potato based, which may explain the reported low vegetable intake, relative to the 2020-2025 Dietary Guidelines for Americans. More than one-third of vegetables consumed were nonstarchy discrete vegetables, many of which are high in vitamins. Nonstarchy discrete vegetable intake was higher in adults than youth and increased with family income. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002702
Titre : Evaluating a Food Pantry ? Based Intervention to Improve Food Security, Dietary Intake, and Quality in Midwestern Food Pantries (2022) Auteurs : Heather A. Eicher-Miller ; Breanne N. Wright ; Janet A. Tooze ; Bruce A. Craig ; Yibin Liu ; Regan L. Bailey ; Lacey A. McCormack ; Suzanne Stluka ; Lisa Franzen-Castle ; Becky Henne ; Donna Mehrle ; Dan Remley Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2060-2071 Langues: Anglais Descripteurs : HE Vinci
Assistance alimentaire ; Insécurité alimentaire ; Qualité alimentaireMots-clés: Aide alimentaire d'urgence ; Healthy Eating Index ; garde-manger Résumé : Background Voices for Food was a longitudinal community, food pantry?based intervention informed by the social ecological model, and designed to improve food security, dietary intake, and quality among clients, which was carried out in 24 rural food pantries across 6 Midwestern states. Objective Our objective was to evaluate changes in adult food security, dietary intake, and quality from baseline (2014) to follow-up (2016), and to assess the role of adult food security on dietary outcomes. Design A multistate, longitudinal, quasi-experimental intervention with matched treatment and comparison design was used to evaluate treatment vs comparison group changes over time and changes in both groups over time. Participants/setting Adult food pantry clients (n = 617) completed a demographic food security survey, and up to three 24-hour dietary recalls at baseline (n = 590) and follow-up (n = 160). Intervention Community coaching served as the experimental component, which only ?treatment? communities received, and a food council guide and food pantry toolkit were provided to both ?treatment? and matched ?comparison? communities. Main outcome measures Change in adult food security status, mean usual intakes of nutrients and food groups, and Healthy Eating Index-2010 scores were the main outcome measures. Statistical analyses performed Linear mixed models estimated changes in outcomes by intervention group and by adult food security status over time. Results Improvements in adult food security score (?0.7 + 0.3; P = .01), Healthy Eating Index-2010 total score (4.2 + 1.1; P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001083
Titre : Nutrition Literacy Among Latina/x People During Pregnancy Is Associated With Socioeconomic Position (2022) Auteurs : Juliana T. Camargo ; Mariana Ramirez ; Byron J. Gajewski ; Debra K. Sullivan ; Susan E. Carlson ; Heather D. Gibbs Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°11, November 2022) Article en page(s) : p. 2097-2105 Langues: Anglais Descripteurs : HE Vinci
Disparités ; Education nutritionnelle ; Facteurs socioéconomiques ; GrossesseMots-clés: Lettrisme nutritionnelle ; Hispanique ou Latino Résumé : Background During pregnancy, Latina/x people experience nutrition and nutrition-related health inequities. Nutrition literacy is a potential factor impacted by these inequities. However, the nutrition literacy level of Latina/x people during pregnancy is not well investigated. Objectives The study aimed to assess the nutrition literacy level of Latina/x people during pregnancy and explore the association of nutrition literacy with socioeconomic position. Design This was a cross-sectional study of data collected from 2016 to 2018 within the double-blinded, randomized clinical trial Assessment of Docosahexaenoic Acid on Reducing Early Preterm Birth. Participants/setting A total of 112 Latina/x people during pregnancy from the Kansas City metro area were included in this study. Main outcome measures Nutrition literacy level assessed between 12 and 20 gestational weeks using the Nutrition Literacy Assessment Instrument, both in English and Spanish. Statistical analyses performed Descriptive measures were used to describe the nutrition literacy level during pregnancy. Multiple logistic regression models were used to examine the association between low nutrition literacy and socioeconomic position, adjusting for age and race. Results In this study, most participants demonstrated low nutrition literacy during pregnancy. Those with low nutrition literacy were 2 times more likely to have low annual household income (odds ratio [OR] = 2.74, 95% confidence interval [CI]: 0.99-7.59), 3 times more likely to prefer Spanish as their primary language of communication (OR = 3.03, 95% CI: 0.95-9.67), and 7 times more likely to be uninsured (OR = 7.47; 95% CI: 1.57-35.64). Conclusions Nutrition literacy scores during pregnancy were associated with variables of socioeconomic position. Future research should focus on nutrition literacy associations with health outcomes during pregnancy and interventions to improve the nutrition literacy level of primarily Spanish-speaking people who have low household incomes and are uninsured. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003021
Vol. 122, n°10 (October 2022)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 122, n°10Paru le : 01/10/2022 |
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Titre : For 25 Years, Food Security Has Included a Nutrition Domain: Is a New Measure of Nutrition Security Needed? (2022) Auteurs : Ana Poblacion ; Stephanie Ettinger de Cuba ; John T. Cook Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1837-1840 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; NutritionMots-clés: health policy ; food systems ; inequity Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002362
Titre : Moving Dietetics Forward with Queer Pedagogy: A Post-Structural Qualitative Study Exploring the Education and Training Experiences of Canadian Dietitians for LGBTQ Care (2022) Auteurs : Phillip Joy ; Jill Marie McSweeney-Flaherty Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1876-1884 Langues: Anglais Mots-clés: Dietetic education ; Pedagogy ; Queer ; LGBTQ ; Poststructuralism Résumé : Background Lesbian, gay, bisexual, trans, and other sexually and gender diverse (LGBTQ) people often experience health disparities and disparities in accessing safe health care. Yet dietetics curriculum and training opportunities for LGBTQ care are limited. Objective The objective of this research was to explore the perspectives and professional training experiences within LGBTQ-focused topics of Canadian dietitians in order to inform future curriculum and pedagogy. Design This research is framed within poststructuralist philosophies. Semi-structured qualitative interviews were conducted. Participants/setting To be eligible, participants needed to be dietitians within Canada who had an interest in discussing gender and sexual diversity within the profession. Although the research call was open to all Canadian dietitians who wanted to discuss gender and sexual diversity within the profession, only dietitians who self-identified as allies to LGBTQ groups ended up participating in this project. Of the 16 dietitians who participated, 11 participants self-identified as members of LGBTQ groups and 5 self-identified as straight. All participants took part in online interviews done in private locations of their choosing from September 2020 to January 2021. Analysis A systematic thematic analysis was conducted. Results Three themes, including understanding the ethics of dietetics education, recognizing the cis- and hetero-normativity of dietetics education, and moving forward with queer pedagogy, were noted from the data. Conclusions Participants explored the lack of LGBTQ focus and content during their professional training and believed such gaps were problematic to the caring philosophies of dietetics. Participants offered insights into how dietetics educators can disrupt ingrained cis- hetero-normativity and rigid binary gender norms within dietetics education and curriculum. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222001022
Titre : Association of Food Insecurity and Food Addiction Symptoms: A Secondary Analysis of Two Samples of Low-Income Female Adults (2022) Auteurs : Lindsey Parnarouskis ; Ashley N. Gearhardt ; Ashley E. Mason ; Nancy E. Adler ; Barbara A. Laraia ; Elissa S. Epel ; Cindy W. Leung Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1885-1892 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourritureMots-clés: Food addiction ; Low-income ; Maternal health Résumé : Background Household food insecurity persists in the United States and has important implications for health and well-being. Food insecurity in female-identified caregivers is particularly concerning, given its association with their mental health and adverse health outcomes for their children. Food insecurity is associated with disordered eating but, to our knowledge, no prior studies have examined an association between food insecurity and food addiction. Objective Our aim was to examine whether food insecurity is associated with higher food addiction symptom endorsement in low-income female adults. Design Secondary analysis of baseline data from a quasi-experimental study of a mindfulness-based intervention on gestational weight gain among low-income pregnant individuals and an observational study of low-income families. Participants/setting Participants in study 1 (n = 208) were English-speaking, low-income pregnant individuals with overweight or obesity, recruited in California from 2011 to 2013. Participants in study 2 (n = 181) were English-speaking, low-income female caregivers for children aged 8 through 10 years, recruited in Michigan from 2018 to 2019. Both studies recruited participants from community health clinics, social service agencies, and online advertisements. Main outcome measures The primary outcome measure was food addiction symptoms, assessed by the Yale Food Addiction Scale. Statistical analysis Multivariate Poisson regression was used to examine the association between household food insecurity and food addiction symptoms in each sample, adjusted for sociodemographic characteristics. Results In study 1, pregnant individuals in food-insecure households reported 21% higher food addiction symptoms than pregnant individuals in food-secure households (incidence rate ratio 1.21; 95% CI 1.00 to 1.47; P = .047). In study 2, caregivers in food-insecure households had 56% higher food addiction symptoms than caregivers in food-secure households (incidence rate ratio 1.56; 95% CI 1.01 to 2.40; P = .045). Conclusions These findings provide preliminary support for a relationship between household food insecurity and food addiction. Future research should examine potential mechanisms and whether interventions to reduce food insecurity lower risk of food addiction. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003100
Titre : Adverse Effects Associated with Multiple Categories of Dietary Supplements: The Military Dietary Supplement Use Study (2022) Auteurs : Joseph J. Knapik ; Daniel W. Trone ; Ryan A. Steelman ; Emily K. Farina ; Harris R. Lieberman Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1851-1863 Langues: Anglais Mots-clés: Multivitamin/multimineral ; Vitamin ; Mineral ; Prohormone ; Combination products Résumé : Background About 50% of Americans and 70% of US military service members (SMs) regularly use dietary supplements (DSs) and some are associated with adverse effects (AEs). SMs are more likely to use unsafe DSs than civilians. Objective The aim of this investigation was to examine the prevalence of, and factors associated with, AEs. Design Cross-sectional. Participants A stratified random sample of 200,000 US SMs from the Air Force, Army, Marine Corps, and Navy were obtained from military workforce records. Eighteen percent (n = 26,681) of successfully contacted SMs (n = 146,365) volunteered to participate between December 2018 and August 2019. Participants completed a detailed online questionnaire on demographic characteristics, lifestyle factors, and AEs associated with DS use. Main outcome measure Prevalence of, and factors associated with, AEs among DS users. Statistical analysis Prevalence of AEs was calculated by DS categories. Linear trends, ?2 statistics, and multivariable logistic regression examined associations between AEs and demographic characteristics, lifestyle factors, and number DSs consumed. Results Proportion of DS users (? 1 time /week) reporting ?1 AE was 18% overall, 20% for combination products (ie, weight loss, muscle building, and before/after workout supplements), 8% for purported prohormones, 6% for protein/amino acid products, 6% for multivitamin/multiminerals, 6% for individual vitamins/minerals, 4% for herbal products, and 2% for joint health products. Combination products are very popular in military personnel with nearly half of SMs regularly taking them. In multivariable analysis, reporting AEs were independently associated with female gender, younger age, higher body mass index, smoking, higher alcohol intake, service in the Army, Navy, or Marine Corps (compared with Air Force), and consumption of a greater number of DSs. Conclusions A large proportion of SMs report experiencing AEs, especially users of combination products and purported prohormone supplements. This study presents contemporary data collected from a very large at-risk population on potentially hazardous categories of DSs. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222000442
Titre : Dietary Supplement and Prescription Medication Use Among US Military Service Members With Clinically Diagnosed Medical Conditions: The US Military Dietary Supplement Use Study (2022) Auteurs : Joseph J. Knapik ; Daniel W. Trone ; Ryan A. Steelman ; Emily K. Farina ; Harris R. Lieberman Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1841-1850 Langues: Anglais Mots-clés: Multivitamin/multimineral ; Vitamin ; Mineral ; Prohormone ; Combination products Résumé : Background Use of prescription medications (PMs) with dietary supplements (DSs) can be hazardous because of potential adverse interactions, but patterns of dual use in military service members (SMs) has not been examined. Objective Investigate dual use of filled PMs (FPMs) and DSs, factors associated with dual use, and dual use among SMs with clinically diagnosed medical conditions (CDMCs). Design Cross-sectional. Data on FPMs and CDMCs were obtained from medical surveillance records. Between December 2018 and August 2019, participants completed a questionnaire on DS use in the previous 6 months. Participants A stratified random sample of 26,880 SMs from all military services. Main outcome measures Prevalence of dual use of FPMs with DSs within a 6-month period, demographic/lifestyle factors associated with dual use, and prevalence of dual use among SMs with CDMCs. Statistical analysis Prevalences were calculated as percents, ?2 statistics examined differences across various strata of demographic and lifestyle characteristics, and univariable and multivariable logistic regression determined the odds of using FPMs with DSs for various CDMCs. Results About one-half (49%) of SMs had dual use of FPMs with DSs in the 6-month period. Dual use was higher among women; increased with older age, more formal education, higher body mass index, and more physical activity; was highest among American Indian SMs and lowest among Asian SMs; was higher among former tobacco users; and was highest among Army personnel and lowest among Marine Corps personnel. The overall prevalence of dual use in the 6-month period was higher among those with a CDMC than those without (62% vs 19%), and this relationship was maintained for 20 International Classification of Diseases, Revision 10, code groupings covering virtually all CDMCs. Conclusion This is the first study to document a high prevalence of dual FPMs and DSs in SMs, especially among those with CDMCs. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002696
Titre : Academy of Nutrition and Dietetics: Revised 2022 Standards of Practice and Standards of Professional Performance for Registered Dietitian Nutritionists (Competent, Proficient, and Expert) in Adult Weight Management (2022) Auteurs : Colleen Tewksbury ; Robin Nwankwo ; Janet Peterson Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1940-1954.e45 Langues: Anglais Résumé : A person?s weight is an anthropometric measure factored into assessing health risk, not a measure of worth, ability, or overall health. Adult weight management is a spectrum of lifelong care services available for persons whose goals can be achieved through evidence-based, weight-related interventions and intersects most practice areas of nutrition. An adult weight management registered dietitian nutritionist (RDN) is responsible for providing a psychologically safe, accessible, and respectful setting and empowering care to those seeking nutrition services. This requires the RDN to act as an advocate by proactively seeking to identify personal and external weight biases, understanding the influence of those predispositions, and acknowledging how weight-related prejudices are intricately connected with systems that influence nutrition both inside and outside of health care. Increases in average weight influence potentially counterproductive discussions about judgment, an individual?s body, and relationship with health. RDNs are equipped to provide dynamic care and be on the forefront of implementing weight-inclusive built environments, policies, and person-centered communications to minimize harm and maximize benefit for the individual and society. The authors, Weight Management Dietetic Practice Group, and the Academy of Nutrition and Dietetics Quality Management Committee revised the Standards of Practice and Standards of Professional Performance for RDNs in Adult Weight Management to update established criteria of competent practice, further define core values, and set direction for future areas of opportunity. The Adult Weight Management Standards of Practice and Standards of Professional Performance are complementary tools intended for RDNs to benchmark and identify progressive routes and goals for professional advancement. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003720
Titre : State and Local Healthy Kids? Meal Laws in the United States: A Review and Content Analysis (2022) Auteurs : Crystal L. Perez ; Alyssa Moran ; Gabby Headrick ; Julia McCarthy ; Angie L. Cradock ; Keshia M. Pollack Porter Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1864-1875.e19 Langues: Anglais Descripteurs : HE Vinci
RestaurantsMots-clés: Children?s meals ; Sugary drinks ; Healthy defaults ; Policy Résumé : Background To address unhealthy restaurant food intake among children, localities and states are passing healthy restaurant kids? meal laws. However, there is limited knowledge of what these policies require and how they compare with expert and industry nutrition standards. Objectives The aim of this study was to develop a research instrument to evaluate healthy kids? meal laws and assess their alignment with expert and industry nutrition standards. Design The study team conducted a content analysis of healthy kids? meal laws passed between January 2010 and August 2020 in the United States. Using a structured codebook, two researchers abstracted policy elements and implementation language from laws, regulations, fiscal notes, and policy notes. Nutritional criteria for kids? beverages and meals were compared with existing expert and industry nutrition standards for meals and beverages. Main outcome measures Measures included law characteristics, implementation characteristics, enforcement characteristics, definitions of key terms, and nutritional requirements for meals and default beverage options and alignment with expert and industry nutrition standards. Statistical analyses performed Interrater reliability of the coding tool was estimated using the Cohen kappa statistic, and researchers calculated descriptive statistics of policy elements. Results Twenty laws were identified. Eighteen were healthy default beverage policies, two were toy restriction policies, and one was a nutrition standards policy. The nutrition standards, default beverage offerings, and implementation characteristics varied by location. No law met the expert nutrition standards for kids? meals or beverages. Conclusions The variations in policy specifications may influence how restaurants implement the policies, and, consequently, the policies? influences on children?s consumption. Future policies could use expert nutrition standards to inform the standards set for kids? meals and specify supports for implementation. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221015379
Titre : Health-Related Preconception Factors: Adherence to Guidelines and Associations with Weight Status (2022) Auteurs : Audrey St-Laurent ; Claudia Savard ; Anne-Sophie Plante ; Marianne Gagnon ; Julie Robitaille ; Simone Lemieux ; Stephanie-May Ruchat ; Anne-Sophie Morisset Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1911-1921 Langues: Anglais Descripteurs : HE Vinci
Exercice physique ; NutritionMots-clés: Preconception ; Weight ; Lifestyle behaviors Résumé : Background Knowing the percentage of women planning a pregnancy who meet preconception dietary and physical activity (PA) guidelines and which health-related preconception factors are associated with body mass index (BMI) could help improve preconception care. Objectives In a study conducted in women who were planning to conceive, the aims were to describe and compare eating and PA habits to current guidelines, as well as to identify the factors associated with BMI. Design This was a cross-sectional study. Participants/setting From 2017 to 2020, women planning to conceive within the next year (n = 217) were recruited in the province of Québec (Canada) to participate in the Apports Nutritionnels durant la GrossessE ? Cohorte Contrôle study. Among them, 184 (84.8%) were included in the analyses. Main outcome measures Women completed three (90.2%) or two (9.8%) Web-based 24-hour dietary recalls and the International Physical Activity Questionnaire. Weight and height as well as the presence/absence of weight/body image concerns were self-reported. Eating and PA habits were compared with dietary reference intakes and Canadian guidelines, respectively. Statistical analyses Descriptive statistics were used to describe the sample, eating and PA habits, as well as adherence to guidelines. A multivariable regression analysis was performed to identify the factors associated with BMI. Results On average, women were aged 30.8 + 4.1 years and identified as White (94.0%). Most of them had weight/body image concerns (58.7%), 54.6% of whom had a normal body weight. Overall, 42.3% engaged in 150 minutes/week or more of moderate-to-vigorous intensity PA and 84.8% consumed Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S221226722200168X
Titre : The Psychological Distress of Food Insecurity: A Qualitative Study of the Emotional Experiences of Parents and Their Coping Strategies (2022) Auteurs : Cindy W. Leung ; Barbara A. Laraia ; Christina Feiner ; Karina Solis ; Anita L. Stewart ; Nancy E. Adler ; Elissa S. Epel Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1903-1910.e2 Langues: Anglais Descripteurs : HE Vinci
Adaptation psychologique ; Approvisionnement en nourriture ; ParentsMots-clés: Psychological distress ; Qualitative research Résumé : Background Food insecurity increases the risks of diet-related chronic disease and mental health outcomes in low-income adults; however, the pathways underlying these associations have not been clearly identified. Chronic, psychological distress may represent an important pathway between food insecurity and health. Objective To identify types of psychological distress, experiential descriptions, and the array of emotional responses and coping strategies specific to food insecurity among parents with children Design A phenomenological qualitative study using one-on-one, in-depth interviews. Participants and setting Forty-eight adults (parents) were recruited from the San Francisco Bay Area in 2016-17. Eligibility criteria included any experience of household food insecurity over the past 12 months, having a child aged 7 to 14 years, and both parent and child with the ability to speak English fluently. Statistical analyses Data were analyzed using the constant comparative method to reveal emergent themes across multiple interviews. Results Parents discussed six themes related to the psychological distress of food insecurity: stress from the logistical and financial balancing act of feeding one?s family, frustration and lack of choice associated with the high costs of healthy foods, stigma of using community resources, shame of not being able to provide for one?s family, sadness about their cyclical and chronic food situation, and guilt over their inability to adequately provide for their children. Coping responses included negative responses, such as sleeping and drinking to avoid thinking about food insecurity, and positive responses of relying on their friends and family for support, staying hopeful, and spending time with their children. Conclusions The commonality of emotional responses stemming from the experience of food insecurity can increase the risk for clinical anxiety and depression. Future development of interventions and policies to alleviate food insecurity must include social support and adequate safety systems. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003008
Titre : Food Insecurity and Less Frequent Cooking Dinner at Home Are Associated with Lower Diet Quality in a National Sample of Low-Income Adults in the United States during the Initial Months of the Coronavirus Disease 2019 Pandemic (2022) Auteurs : Julia A. Wolfson ; Hannah Posluszny ; Selma Kronsteiner-Gicevic ; Walter Willett ; Cindy W. Leung Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1893-1902.e12 Langues: Anglais Descripteurs : HE Vinci
Approvisionnement en nourriture ; COVID-19Mots-clés: Cooking frequency ; Diet quality Résumé : Background Food insecurity is a critical public health problem in the United States that has been associated with poor diet quality. Cooking dinner more frequently is associated with better diet quality. Objective This study aimed to examine how food insecurity and dinner cooking frequency are associated with diet quality during the initial months of the coronavirus disease 2019 pandemic. Design This cross-sectional study analyzed data from a national web-based survey (June 23 to July 1, 2020). Participants/setting Participants were 1,739 low-income ( Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002726
Titre : Changes in Food and Nutrient Intake and Diet Quality on a Low-Fat Vegan Diet Are Associated with Changes in Body Weight, Body Composition, and Insulin Sensitivity in Overweight Adults: A Randomized Clinical Trial (2022) Auteurs : Lelia Crosby ; Emilie Rembert ; Susan M. Levin ; Amber Green ; Zeeshan Ali ; Meghan Jardine ; Minh Nguyen ; Patrick Elliott ; Daniel Goldstein ; Amber Freeman ; Meka Bradshaw ; Danielle N. Holtz ; Richard Holubkov ; Neal D. Barnard ; Hana Kahleova Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°10, October 2022) Article en page(s) : p. 1922-1939.e0 Langues: Anglais Mots-clés: Food groups ; Diet quality ; Plant-based ; Vegan ; Weight loss Résumé : Background Consuming different food groups and nutrients can have differential effects on body weight, body composition, and insulin sensitivity. Objective The aim was to identify how food group, nutrient intake, and diet quality change relative to usual-diet controls after 16 weeks on a low-fat vegan diet and what associations those changes have with changes in body weight, body composition, and measures of metabolic health. Design Secondary analysis of a randomized clinical trial conducted between October 2016 and December 2018 in four replications. Participants/setting Participants included in this analysis were 219 healthy, community-based adults in the Washington, DC, area, with a body mass index (BMI) between 28 and 40, who were randomly assigned to either follow a low-fat vegan diet or make no diet changes. Intervention A low-fat, vegan diet deriving approximately 10% of energy from fat, with weekly classes including dietary instruction, group discussion, and education on the health effects of plant-based nutrition. Control group participants continued their usual diets. Main outcome measures Changes in food group intake, macronutrient and micronutrient intake, and dietary quality as measured by Alternate Healthy Eating Index-2010 (AHEI-2010), analyzed from 3-day diet records, and associations with changes in body weight, body composition, and insulin sensitivity were assessed. Statistical analyses performed A repeated-measure analysis of variance model that included the factors group, subject, and time was used to test the between-group differences throughout the 16-week study. Interaction between group and time was calculated for each variable. Within each diet group, paired comparison t tests were calculated to identify significant changes from baseline to 16 weeks. Spearman correlations were calculated for the relationship between changes in food group intake, nutrient intake, AHEI-2010 score, and changes in body weight, body composition, and insulin sensitivity. The relative contribution of food groups and nutrients to weight loss was evaluated using linear regression. Results Fruit, vegetable, legume, meat alternative, and whole grain intake significantly increased in the vegan group. Intake of meat, fish, and poultry; dairy products; eggs; nuts and seeds; and added fats decreased. Decreased weight was most associated with increased intake of legumes (r = ?0.38; P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002350
Vol. 122, n°9 (September 2022)
Journal of the academy of nutrition and dietetics / Academy of nutrition and dietetics . Vol. 122, n°9Paru le : 01/09/2022 |
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Titre : US Adults Fall Short of the Dietary Guidelines for Cancer Prevention Regardless of BMI Category (2022) Auteurs : Madisyn Good ; Ashlea C. Braun ; Christopher A. Taylor ; Colleen K. Spees Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1737-1743 Langues: Anglais Mots-clés: Disease risk ; Lifestyle ; Dietary patterns ; Overweight ; Obesity Résumé : Background Cancer risk is determined by specific factors, including body weight and dietary patterns. Accordingly, the World Cancer Research Fund/American Institute for Cancer Research published updated cancer prevention recommendations in 2018 based on comprehensive reviews of modifiable behaviors associated with cancer risk. Objective The objective of this study was to determine the extent to which US adults meet these evidence-based recommendations and how adherence differs by weight status. Design This was a cross-sectional study using nationally representative data from the 2005-2016 National Health and Nutrition Examination Survey (NHANES). Participants/setting Dietary intake data for 30,888 adults 18 years and older with normal body mass index (BMI), overweight, or obesity were analyzed. Main outcome measures Differences in dietary intakes and the proportion of adults meeting guidelines were compared across BMI categories. Statistical analyses performed Logistic regression and 1-way analysis of covariance were used to analyze differences in adherence to recommendations, controlling for age, sex, race/ethnicity, and family income as a percent of the federal poverty rate. Results Regarding fruit and nonstarchy vegetables, 62.8% of adults with normal BMI, 64.5% with overweight, and 70.1% with obesity fell short of recommendations. Regarding whole grains, 67.9% of adults with normal BMI, 70.2% with overweight, and 73.1% with obesity did not meet the recommendation. Regarding red meat, 36.7% of adults with normal BMI, 41.6% with overweight, and 43.5% with obesity consumed >18 oz/week, with a significant difference in mean intakes between adults with normal BMI and obesity (P Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221001209
Titre : Diet Quality as Measured by the Healthy Eating Index 2015 and Oral and Pharyngeal Cancer Risk (2022) Auteurs : Valeria Edefonti ; Matteo Di Maso ; Laura Tomaino ; Maria Parpinel ; Werner Garavello ; Diego Serraino ; Monica Ferraroni ; Anna Crispo ; Carlo La Vecchia ; Francesca Bravi Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1677-1687.e5 Langues: Anglais Descripteurs : HE Vinci
Régime alimentaireMots-clés: Oropharyngeal cancer ; Healthy Eating Index ; Healthy diet ; Dietary pattern Résumé : Background Alcohol and tobacco are the major risk factors for oral and pharyngeal cancer, but diet is likely to have a role, too. Objective The objective was to analyze the relationship between adherence to the 2015-2020 Dietary Guidelines for Americans (DGA), as measured by the Healthy Eating Index 2015 (HEI-2015), and oral and pharyngeal cancer risk. Moreover, this work aimed to quantify the number of avoidable cases under different scenarios of increased adherence to the DGA, with the use of the potential impact fraction. This estimates the proportion of cases that would occur if the distribution of the risk factor in the population followed an alternative distribution. Design A multicenter, case?control study was conducted in Italy between 1991 and 2009. Participants? usual diet for the 2 years preceding study enrolment was assessed using a food frequency questionnaire. Participants and setting Cases were 946 patients admitted to major hospitals with incident, histologically confirmed oral and pharyngeal cancer. Controls were 2,492 patients admitted to the same hospitals for acute non neoplastic conditions. Main outcome measures The adherence to the DGA was assessed using the HEI-2015 score (range = 0 to 100), based on 13 components. The outcome was oral and pharyngeal cancer. Statistical analyses performed Odds ratios and the corresponding 95% CIs were estimated using multiple logistic regression models adjusted for tobacco, alcohol, and other relevant covariates. The potential impact fraction was estimated under different scenarios of adherence to the DGA. Results In this Italian population the HEI-2015 score ranged from 33.4 to 97.5. A higher HEI-2015 score was associated with a lower risk of oral and pharyngeal cancer, with an odds ratio of 0.70 (95% CI 0.62 to 0.79) for a 10-point increment of the score. The estimated potential impact fraction was 64.8% under the maximum achievable reduction scenario, and it ranged from 9% to 27% following other more feasible scenarios. Conclusions The HEI-2015 score was inversely related to oral and pharyngeal cancer risk in this Italian population. This analysis allowed for the estimation of the fraction of preventable cases, under different feasible scenarios. A share of 9% to 27% of avoidable cases of oral and pharyngeal cancer might be obtained across real-world scenarios of adherence to the DGA as measured by the HEI-2015 score. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221003014
Titre : Self-Reported Dietary Supplement Use Is Reproducible and Relatively Valid in the Cancer Prevention Study-3 Diet Assessment Substudy (2022) Auteurs : Terryl J. Hartman ; Ying Wang ; Rebecca A. Hodge ; Diane C. Mitchell ; W. Dana Flanders ; Chengchen Li ; Laura Sampson ; Alyssa N. Troeschel ; Alpa V. Patel ; Marjorie L. McCullough Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1665-1676.e2 Langues: Anglais Descripteurs : HE Vinci
Compléments alimentairesMots-clés: Validity ; Reproducibility ; Food frequency questionnaire Résumé : Background Dietary supplement use is common, particularly among cancer survivors and those at increased risk for cancer. Objective The objectives of this study were to assess 1-year test?retest reproducibility of dietary supplement use reported via food frequency questionnaire (FFQ-1 vs FFQ-2) and relative validity in comparison to repeated 24-hour dietary recalls (FFQ-2 vs DRs). Design This ancillary study was conducted within a large prospective cohort, the American Cancer Society?s Cancer Prevention Study-3. Participants/setting Between 2015 and 2016, 684 participants in the United States (64% women; 62% non-Hispanic White, 23% non-Hispanic Black, and 15% Hispanic) completed two FFQs and up to six unannounced telephone interviewer-administered DRs over 1 year as part of the Cancer Prevention Study-3 Diet Assessment Substudy. Primary outcome measures FFQs queried current multivitamin-mineral supplement (?10 components) use, frequency and dose (range) for seven supplements taken individually or as part of a complex (individual/complex) including calcium, vitamins D, C, and E, folic acid, fish oil, and glucosamine. DRs allowed exact reporting of supplement frequency and dose. Statistical analyses Weighted ? statistics were used to evaluate reproducibility between FFQ-1 and FFQ-2 and Spearman correlation coefficients assessed agreement between supplemental nutrient amounts assessed by FFQ-2 and the average of DRs. Results Just more than half of the participants reported taking multivitamin-mineral supplements on the baseline FFQ. Kappa statistics for the comparison of categorical responses between FFQ-1 and FFQ-2 were 0.67 for multivitamin-mineral supplements. Kappas for individual/complex supplements ranged from 0.47 for folic acid to 0.74 for vitamin D, with a mean of 0.64. Results were similar between men and women. Spearman correlation coefficients comparing FFQ-2 with the average of DRs (validity) for nutrient intakes from all sources ranged from 0.65 (fish oil for women) to 0.77 (vitamin D for men and calcium for women); results were similar among men and women. Conclusions These findings suggest the FFQ used in Cancer Prevention Study-3 has good reproducibility over 1 year and yields estimates comparable to a more detailed assessment for commonly consumed dietary supplements. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267221008327
Titre : Dietary Practices After Primary Treatment for Ovarian Cancer: A Qualitative Analysis From the OPAL Study (2022) Auteurs : Elizabeth A. Johnston ; Stuart Ekberg ; Bronwyn Jennings ; Nisha Jagasia ; Jolieke C. van der Pols ; Penelope M. Webb Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1607-1628.e12 Langues: Anglais Descripteurs : HE Vinci
Nutrition ; Recherche qualitative ; Régime alimentaireMots-clés: Eating behaviors ; Cancer survivorship Résumé : Background Little is known about the dietary practices of women who have completed primary treatment for ovarian cancer, many of whom will go on to have cancer recurrence and further treatment. Knowledge of dietary practices is needed to optimize care. Objective Our aim was to identify dietary practices after primary treatment for ovarian cancer and evaluate how these practices differ by disease recurrence and treatment status. Design Women with invasive epithelial ovarian cancer were provided with the following open-ended question after completing a food frequency questionnaire: ?Is there anything we haven?t asked you about your diet in the last 1 to 2 months that you feel is important?? Participants/setting Participants were from the OPAL (Ovarian Cancer Prognosis and Lifestyle) Study in Australia. Main outcomes The main outcomes were dietary practices after primary treatment for ovarian cancer and factors affecting these practices. Analysis Participants? responses were analyzed using content analysis. Individual content codes were categorized and reported by recurrence and treatment status at questionnaire completion. Results Two hundred eighty-six women provided responses on 363 questionnaires. Those undergoing further treatment for recurrence commonly reported dietary regimens with clinical indications (eg, low fiber to avoid bowel obstructions, high energy/protein to minimize nutritional deficits). Those not undergoing further treatment frequently reported ?popular? diets (eg, organic, plant-based, and alkaline). For women with cancer recurrence, dietary practices were affected by poor appetite and late effects of treatment. For women without recurrence, other comorbidities, geographical location, family, and friends appeared to influence dietary practices. In both groups, nutrition information sources and personal beliefs informed dietary practices. Participant responses that referenced media or online sources often included misinformation. Conclusions After primary treatment for ovarian cancer, women report dietary practices that may not be captured in standard food frequency questionnaires. Dietary practices and factors affecting these practices likely differ by treatment and recurrence status. Improved access to evidence-based dietary information and support is needed. Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222003057
Titre : Rural and Urban Differences in Vegetable and Fruit Consumption Among Older Cancer Survivors in the Deep South: An Exploratory Cross-Sectional Study (2022) Auteurs : Harleen Kaur ; José R. Fernández ; Julie L. Locher ; Wendy Demark-wahnefried Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1717-1724.e4 Langues: Anglais Mots-clés: Cancer survivors ; Aged ; Rural health ; Fruits ; Vegetables Résumé : Background Cancer survivors, especially those who are older, experience increased comorbidity and risk for secondary cancers. A varied dietary pattern rich in vegetables and fruits (V&F) is recommended to improve health. However, V&F intake can differ by rural vs urban status. Objective Our objective was to assess the differences in V&F consumption among older cancer survivors residing in urban- and rural-designated areas, and to explore whether differences exist according to sex, race, and cancer type. Design This was a cross-sectional secondary analysis. Participants/setting Screening data from the Harvest for Health trial were obtained from October 2016 to November 2019 on 731 Medicare-eligible cancer survivors across Alabama. Main outcome measures V&F consumption was measured by 2 items from the National Cancer Institute?s dietary screener Eating at America?s Table. Rural and urban residence was coded at the ZIP-code level using the US Department of Agriculture?s Rural-Urban Commuting Area coding schema using 5 different classifications (A through E). Sex, race, and cancer type were dichotomized as male or female, non-Hispanic White or non-Hispanic Black, and gastrointestinal or other cancers, respectively. Statistical analyses Kruskal-Wallis rank sum and post-hoc tests were performed to detect differences in V&F consumption (? Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222000065
Titre : Harvest for Health, a Randomized Controlled Trial Testing a Home-Based, Vegetable Gardening Intervention Among Older Cancer Survivors Across Alabama: An Analysis of Accrual and Modifications Made in Intervention Delivery and Assessment During COVID-19 (2022) Auteurs : Jennifer R. Bail ; Cindy K. Blair ; Kerry P. Smith ; Robert A. Oster ; Harleen Kaur ; Julie L. Locher ; Andrew D. Frugé ; Gabrielle Rocque ; Maria Pisu ; Harvey Jay Cohen ; Wendy Demark-wahnefried Type de document : Article Dans : Journal of the academy of nutrition and dietetics (Vol. 122, n°9, September 2022) Article en page(s) : p. 1629-1643 Langues: Anglais Descripteurs : HE Vinci
Exercice physique ; Régime alimentaire ; TumeursMots-clés: Survivorship ; Older adults ; Physical function Résumé : Background Accelerated functional decline is a concern among older cancer survivors that threatens independence and quality of life. Pilot studies suggest that vegetable gardening interventions ameliorate functional decline through improved diet and physical activity. Objective The aim of this article was to describe the rationale, recruitment challenges, and enrollment for the Harvest for Health randomized controlled trial (RCT), which will test the impact of a home-based, vegetable gardening intervention on vegetable and fruit consumption, physical activity, and physical functioning among older cancer survivors. Modifications made to the intervention and assessments to assure safety and continuity of the RCT throughout the COVID-19 pandemic also are reported. Design Harvest for Health is a 2-year, 2-arm, single-blinded, wait-list controlled RCT with cross-over. Participants/setting Medicare-eligible survivors of cancers with ?60% 5-year survival were recruited across Alabama from October 1, 2016 to February 8, 2021. Intervention Participants were randomly assigned to a wait-list control or a 1-year home-based gardening intervention and individually mentored by extension-certified master gardeners to cultivate spring, summer, and fall vegetable gardens. Main outcome measures Although the RCT?s primary end point was a composite measure of vegetable and fruit consumption, physical activity, and physical functioning, this article focuses on recruitment and modifications made to the intervention and assessments during COVID-19. Statistical analyses performed ?2 and t tests (? Disponible en ligne : Oui En ligne : https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2212267222002684
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