scholarly journals The impact of a multilevel childhood obesity prevention intervention on healthful food acquisition, preparation, and fruit and vegetable consumption on African-American adult caregivers

2018 ◽  
pp. 1-16 ◽  
Author(s):  
Angela CB Trude ◽  
Pamela J Surkan ◽  
Elizabeth Anderson Steeves ◽  
Keshia Pollack Porter ◽  
Joel Gittelsohn
Keyword(s):  
Social Media ◽  
Low Income ◽  
Vegetable Consumption ◽  
Family Members ◽  
Fruit Intake ◽  
Fruit And Vegetable ◽  
Food Acquisition ◽  
Multilevel Studies ◽  
Adult Caregivers ◽  
The Impact

AbstractObjectiveTo evaluate the secondary impact of a multilevel, child-focused, obesity intervention on food-related behaviours (acquisition, preparation, fruit and vegetable (FV) consumption) on youths’ primary caregivers.DesignB’More Healthy Communities for Kids (BHCK) group-randomized controlled trial promoted access to healthy foods and food-related behaviours through wholesaler and small store strategies, peer mentor-led nutrition education aimed at youths, and social media and text messaging targeting their adult caregivers. Measures included caregivers’ (n516) self-reported household food acquisition frequency for FV, snacks and grocery items over 30 d, and usual FV consumption in a sub-sample of 226 caregivers via the NCI FV Screener. Hierarchical models assessed average treatment effects (ATE). Treatment-on-the-treated-effect (TTE) analyses evaluated correlation between behavioural change and exposure to BHCK. Exposure scores at post-assessment were based on self-reported viewing of BHCK materials and participating in activities.SettingThirty Baltimore City low-income neighbourhoods, USA.ParticipantsAdult caregivers of youths aged 9–15 years.ResultsOf caregivers, 90·89 % were female; mean age 39·31 (sd9·31) years. Baseline mean (sd) intake (servings/d) was 1·30 (1·69) fruits and 1·35 (1·05) vegetables. In ATE, no significant intervention effect was found on caregivers’ food-related behaviours. In TTE, each point increase in BHCK exposure score (range: 0–6·9) increased caregivers’ daily fruit consumption by 0·2 servings (0·24 (se0·11); 95 % CI 0·04, 0·47). Caregivers reporting greater social media exposure tripled their daily fruit intake (3·16 (se0·92); 95 % CI 1·33, 4·99) and increased their frequency of unhealthy food purchasingv. baseline.ConclusionsChild-focused community-based nutrition interventions may also benefit family members’ fruit intake. Child-focused interventions should involve adult caregivers and intervention effects on family members should be assessed. Future multilevel studies should consider using social media to improve reach and engage caregiver participants.

Promoting Physical Activity and Fruit and Vegetable Consumption Through a Community-School Partnership: The Effects of Marathon Kids® on Low-Income Elementary School Children in Texas

2012 ◽  
Vol 9 (5) ◽  
pp. 739-753 ◽  
Author(s):  
Andrew E. Springer ◽  
Steven H. Kelder ◽  
Nalini Ranjit ◽  
Heather Hochberg-Garrett ◽  
Sherman Crow ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elementary School ◽  
Healthy Eating ◽  
School Children ◽  
Low Income ◽  
Elementary School Children ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
The Impact

Background:Marathon Kids® (MK) is a community and school-based program that promotes running, walking, and healthy eating in elementary school children. This study assessed the impact of MK on self-reported physical activity (PA), fruit and vegetable consumption (FVC), and related psycho-social factors in a sample of low-income, 4th- and 5th-grade students in Texas (n = 511). Intervention strategies included structured school running time, behavioral tracking, celebratory events, and rewards.Methods:A quasi-experimental design with 5 intervention (MK) and 3 comparison schools was employed. Students were assessed at baseline in the fall and at 3 time points during 2008 to 09. Mixed-effect regression methods were used to model pooled means, adjusting for baseline and sociodemographic variables.Results:MK students reported a higher mean time of running in past 7 days compared with non-MK students (mean = 4.38 vs. 3.83, respectively. P = .002), with a standardized effect size of 0.16. Mean times of FVC (P = .008), athletic identity self-concept (P < .001), PA outcome expectations (P = .007), and PA and FVC self-efficacy (P < .001 and P = .02, respectively) were also higher in MK students. Fewer differences in social support were observed.Conclusion:Findings provide further evidence on the importance of community and school partnerships for promoting PA and healthy eating in children.

Evaluation of a Collective Kitchens Program Using the Population Health Promotion

2004 ◽  
Vol 65 (2) ◽  
pp. 72-80 ◽  
Author(s):  
Tara J. Fano ◽  
Sheila M. Tyminski ◽  
Mary A. T. Flynn
Keyword(s):  
Health Promotion ◽  
Social Interactions ◽  
Population Health ◽  
Low Income ◽  
Vegetable Consumption ◽  
Health Determinants ◽  
Fruit And Vegetable ◽  
Nutritional Health ◽  
The Impact ◽  
Collective Kitchens

To evaluate the impact of the Calgary Health Region Collective Kitchen Program on various Population Health Promotion Model health determinants, data were collected through mail-in questionnaires that examined the members’ (n=331) and coordinators’ (n=58) perspectives of the program. Seventy-nine members (24%) and 26 coordinators (45%) were included in the study. Three incomplete questionnaires (from prenatal program members) were discarded. Sixty-one percent of members who reported income level and family size (n=61) had incomes below the low-income cut-off. Fifty-eight members (73%) reported improvements in their lives because of the program. Sixty-four members (81%) perceived they learned to feed their families healthier foods. The members reported their fruit and vegetable consumption before and since joining a collective kitchen, and the proportion of those consuming at least five fruit and vegetable servings a day rose from 29% to 47%. The most common reasons for joining this program concerned social interactions and support. Over 90% of the coordinators perceived that they were competent to coordinate a kitchen. The results indicate that the collective kitchens program addresses several health determinants, and may increase members’ capacity to attain food security and to achieve improved nutritional health.

scholarly journals Disparities in fresh fruit and vegetable intake by sociodemographic and behavioural factors among adults in China

2020 ◽  
pp. 1-8
Author(s):  
Li Li ◽  
Yifei Ouyang ◽  
Huijun Wang ◽  
Feifei Huang ◽  
Yun Wang ◽  
...  
Keyword(s):  
Low Income ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Income Group ◽  
Fruit And Vegetable Consumption ◽  
Fruit Intake ◽  
High Income Group ◽  
Fruit And Vegetable ◽  
Income Levels ◽  
Behavioural Factors

Abstract Objective: To measure the associations of sociodemographic and behavioural factors with fruit and vegetable consumption among adults in China. Design: A cross-sectional study. Setting: A 2015 wave of the China Health and Nutrition Survey. Participants: Totally, 11 910 adults aged 18 to 64 years. Results: Adjusted log binomial regression analyses showed that adults with higher income levels had higher fruit intake than those with low income levels (medium income group, risk ratio (RR): 1·28; 95 % CI: 1·16, 1·41; high income group, RR: 1·58; 95 % CI: 1·43, 1·74). Current smokers had lower fruit intake than non-smokers (RR: 0·86; 95 % CI: 0·77, 0·96). Adults living in southern China had higher vegetable intake (RR: 1·88; 95 % CI: 1·76, 2·01) but lower fruit intake (RR: 0·85; 95 % CI: 0·79, 0·91) than adults in northern China. With increasing age, adults had higher fruit intake (50–64 years, RR: 1·20; 95 % CI: 1·09, 1·33; reference category 18–34 years) and higher vegetable intake (35–49 years, RR: 1·13; 95 % CI: 1·05, 1·22; 50–64 years, RR: 1·22; 95 % CI: 1·13, 1·31). Conclusions: Our findings identify a range of sociodemographic and behavioural factors associated with fruit and vegetable consumption among Chinese adults. They also point to the need for public health nutrition interventions for socially disadvantaged populations in China.

Analysing capabilities and resources used to incorporate fruit and vegetables into the family diet: findings from an Australian case study

2014 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Samantha B Meyer
Keyword(s):  
Low Income ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Fruit And Vegetables ◽  
Fruit And Vegetable ◽  
Organizational Skills ◽  
Australian Case ◽  
Low Income Families ◽  
Conducting Research

Research attributes low fruit and vegetable consumption to problems of access, availability and affordability. We conducted, for the first time, a case study with three families designed and analysed using the sustainable Livelihoods Framework. The benefit of such an approach is that we moved away from identified barriers and towards identifying the capabilities and resources low-income families use to incorporate fruit and vegetables into their diets. Mitigating cost and access, we provided families with a box of fresh fruit and vegetables free of charge for up to 10 weeks and observed and recorded how/if the contents were used. Results identify the importance of social networking, organizational skills, knowledge of health benefits, and social structures. This paper demonstrates an effective methodology for understanding the capabilities of, rather than barriers to, low-income families increasing fruit and vegetable intake. Additionally, we provide a ‘how to’ and ‘lessons from the field’ for researchers interested in conducting research of this nature.

scholarly journals NP19 A Supermarket Intervention to Promote Fruit and Vegetable Consumption Among Low-Income Families

2019 ◽  
Vol 51 (7) ◽  
pp. S18-S19
Author(s):  
Michele Polacsek ◽  
Alyssa Moran ◽  
Anne Thorndike ◽  
Rebecca Franckle ◽  
Rebecca Boulos ◽  
...  
Keyword(s):  
Low Income ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Low Income Families

scholarly journals Healthy eating: a matter of prioritisation by households or policymakers?

2021 ◽  
pp. 1-3
Author(s):  
Joreintje Dingena Mackenbach
Keyword(s):  
Decision Making ◽  
Healthy Eating ◽  
Low Income ◽  
Fruits And Vegetables ◽  
Food System ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Healthy Foods ◽  
Fruit And Vegetable ◽  
Decision Making Processes

Abstract I reflect upon the potential reasons why American low-income households do not spend an optimal proportion of their food budgets on fruits and vegetables, even though this would allow them to meet the recommended levels of fruit and vegetable consumption. Other priorities than health, automatic decision-making processes and access to healthy foods play a role, but solutions for the persistent socio-economic inequalities in diet should be sought in the wider food system which promotes cheap, mass-produced foods. I argue that, ultimately, healthy eating is not a matter of prioritisation by individual households but by policymakers.

Linking a sugar-sweetened beverage tax with fruit and vegetable subsidies: A simulation analysis of the impact on the poor

2021 ◽  
Author(s):  
Pourya Valizadeh ◽  
Barry M Popkin ◽  
Shu Wen Ng
Keyword(s):  
Low Income ◽  
Simulation Analysis ◽  
Fruit And Vegetable ◽  
Sugar Sweetened Beverage ◽  
Subsidy Rate ◽  
Sweetened Beverage ◽  
Financial Gain ◽  
Households With Children ◽  
The Impact ◽  
Low Income Households

Abstract Background US individuals, particularly from low-income subpopulations, have very poor diet quality. Policies encouraging shifts from consuming unhealthy food towards healthy food consumption are needed. Objectives We simulate the differential impacts of a national sugar-sweetened beverage (SSB) tax and its combination with fruit and vegetable (FV) subsidies targeted to low-income households, on SSB and FV purchases of lower and higher SSB purchasers. Design We considered a one-cent-per-ounce SSB tax and two FV subsidy rates of 30% and 50% and used longitudinal grocery purchase data for 79,044 urban/semiurban US households from 2010-2014 Nielsen Homescan. We used demand elasticities for lower and higher SSB purchasers, estimated via longitudinal quantile regression, to simulate policies’ differential effects. Results Higher-SSB purchasing households made larger reductions (per adult equivalent) in SSB purchases than lower SSB purchasers due to the tax (e.g., 4.4 oz/day at SSB purchase percentile 90 vs. 0.5 oz/day at percentile 25; p &lt; 0.05). Our analyses by household income indicated low-income households would make larger reductions than higher-income households at all SSB purchase levels. Targeted FV subsidies induced similar, but nutritionally insignificant, increases in FV purchases of low-income households regardless of their SSB purchase levels. Subsidies, however, were effective in mitigating the tax burdens. All low-income households experienced a net financial gain when the tax was combined with a 50% FV subsidy, but net gains were smaller among higher SSB purchasers. Further, low-income households with children gained smaller net financial benefits than households without children and incurred net financial losses under a 30% subsidy rate. Conclusions SSB taxes can effectively reduce SSB consumption. FV subsidies would increase FV purchases, but nutritionally meaningful increases are limited due to low purchase levels pre-policy. Expanding taxes beyond SSBs, larger FV subsidies, or subsidies beyond FVs, particularly for low-income households with children, may be more effective.

scholarly journals Analysis of Fruit and Vegetable Consumption by Children in School Canteens Depending on Selected Sociodemographic Factors

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 397 ◽  
Author(s):  
Łuszczki ◽  
Sobek ◽  
Bartosiewicz ◽  
Baran ◽  
Weres ◽  
...  
Keyword(s):  
Fruits And Vegetables ◽  
Eating Habits ◽  
Vegetable Consumption ◽  
Body Height ◽  
Sociodemographic Factors ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Bar Code ◽  
School Canteen ◽  
The Impact

Background and Objectives: Eating habits acquired or changed during childhood are likely to track into adulthood. Due to the fact that nutritional behaviours are not so strongly formed among children, it is easier to change and develop them in children than in adults. The aim of this study was to assess the impact of selected sociodemographic factors affecting fruit and vegetable consumption (i.e., age, parents’ body mass index, parents’ level education, duration of breastfeeding, child’s time spent in front of computer/television) among children in school canteens. Materials and Methods: The sample consisted of 106 participants (52 girls, 54 boys) aged 6–12. The frequency of consuming fruits and vegetables at a school canteen was assessed using bar code cards for two weeks. Body composition estimates were obtained using a foot-to-foot bioelectrical impedance analysis, body height was measured using a stadiometer Seca 213. The questionnaire contained questions about selected factors which can have an influence on fruit and vegetable consumption. In the study group, 13.2% of participants were overweight and 17.9% were obese. Results: Our results showed a statistically significant relationship between age and fruit and vegetable consumption, and it increased with age in both sexes. Conclusions: Bearing in mind the various conditions discussed when shaping the eating habits of pre-school- and early-school-aged children, the importance of proper nutritional education should be stressed both among children and parents.

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