scholarly journals A Free, Egg-based ‘Breakfast in the Classroom’ Program Improves School Breakfast Participation, Eating Habits, and Cognitive Performance in Middle-school Adolescents (OR13-02-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Morgan Braden ◽  
Steve Douglas ◽  
Michelle Kruse ◽  
Heather Leidy
Keyword(s):  
Middle School ◽  
Cognitive Performance ◽  
Kansas City ◽  
Eating Habits ◽  
Vital Signs ◽  
Breakfast Consumption ◽  
School Breakfast Program ◽  
8Th Grade ◽  
School Breakfast ◽  
At Home

Abstract Objectives This pilot, feasibility study examined the effects of implementing a free, egg-based ‘Breakfast in the Classroom’ program (BIC) on school breakfast participation, breakfast consumption, and snacking behavior compared to a Traditional School Breakfast Program (SBP) in middle-school adolescents. Cognitive performance was also assessed in a sub-set of participants based on BIC participation. Methods Ninety-two, 8th-grade students (age: 14 ± 0.1 y; BMI percentile based on weight for age: 73.1 ± 3.0%) participated in the following acute crossover study. School breakfast participation, breakfast consumption at school, and snacking behavior at home were assessed through questionnaires, at baseline, during SBP at the Center Middle School, Kansas City, MO. Following these assessments, a 2-wk BIC program was implemented that provided free, reimbursable breakfasts with the addition of two eggs/day using hallway kiosks to all students. During week 3, breakfast and snacking questionnaires were again completed. Cognitive performance using the CNS-Vital Signs program was also completed prior to lunch. Results School breakfast participation increased by approximately 57% following BIC (94.4 ± 0.8%) vs. SBP (37.2 ± 2.9%; P < 0.001). Grain (P < 0.05), dairy (P < 0.05), and protein (P < 0.001) consumption increased following BIC vs. SPB. With respect to afternoon/evening snacking behavior, BIC decreased consumption of salty snacks (P < 0.001), candy (P < 0.005), and baked sweets (P < 0.01) at home vs. SBP. Lastly, executive function (P < 0.05) and cognitive flexibility (P = 0.07, trend) improved in students who participated in BIC 3–5 times/wk vs. those who did not. Conclusions Implementation of an egg-based BIC improved school breakfast participation, consumption of higher-quality foods at school, cognitive performance, and unhealthy snacking at home in middle-school adolescents. Funding Sources American Egg Board supplied eggs.

Associations of Eating Two Breakfasts With Childhood Overweight Status, Sociodemographics, and Parental Factors Among Preschool Students

2016 ◽  
Vol 43 (6) ◽  
pp. 665-673
Author(s):  
Meg Bruening ◽  
Kevin Afuso ◽  
Maureen Mason
Keyword(s):  
Head Start ◽  
Random Effect ◽  
Estimating Equation ◽  
Parental Perceptions ◽  
Cross Sectional ◽  
Breakfast Consumption ◽  
Preschool Students ◽  
Increased Risk ◽  
School Breakfast ◽  
At Home

Background. School breakfast may contribute to increased risk for obesity because children may be consuming two breakfasts: at home and at school. The purpose of this study is to determine the prevalence of preschoolers consuming two breakfasts and to assess relationships with overweight/obesity and other factors. Method. Head Start parents ( n = 273, 84.6% Hispanic) in the southwest completed cross-sectional surveys on child breakfast patterns and parental perceptions of school breakfast and personal breakfast consumption habits. Surveys were linked with sociodemographics and body mass index in Head Start databases in 2013. General estimating equation binomial models (schools as a random effect) were used to assess the relationship between two breakfasts (at home and school) and key variables, adjusting for gender, race, ethnicity, and household income. Results. The prevalence of consuming two breakfasts was 34%. Children’s overweight/obesity status was inversely related to two-breakfast consumption, but it was significant only for the Hispanic subgroup; the odds of being overweight/obese was 60% lower among those who ate two breakfasts ( p < .05). The likelihood of consuming a second breakfast increased over twofold among children who woke up before 7 a.m. ( p = .004). Among Hispanic families, a significant association was observed between children’s two-breakfast consumption and parental perceptions about whether they perceived the breakfast at Head Start was culturally appropriate ( p = .040). Conclusions. Not only was eating two breakfast not associated with obesity, the association was in the opposite of the expected direction and significant for Hispanic participants. Factors such as earlier wake-up time were related to reports of two breakfast intake. While more research is needed, these findings provide information for policy makers and practitioners; caution should be exercised when suggesting that breakfast programs may be related to the consumption of two breakfasts and the risk for childhood obesity, particularly among the preschool students in this study.

scholarly journals The Implementation of a Higher vs. Standard-Protein ‘Breakfast in the Classroom’ Program on School Breakfast Participation, Appetite, and Mood in Middle-School Students

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1291-1291
Author(s):  
Morgan Braden ◽  
Heather Leidy
Keyword(s):  
Middle School ◽  
Middle School Students ◽  
G Protein ◽  
Diet Quality ◽  
Kansas City ◽  
Tracking System ◽  
School Students ◽  
Funding Sources ◽  
School Breakfast ◽  
Standard Protein

Abstract Objectives The purpose of this study was to test whether the implementation of a school-wide Higher-Protein (HP) vs. Standard-Protein (SP) ‘Breakfast in the Classroom’ (BIC) program would improve school breakfast participation, appetite, and mood in middle-school students. Methods Five-hundred and eighty-one students in grades 6th–8th who attended the Center Middle School, Kansas City, MO, were offered a free, SP-BIC breakfast each morning for 8-wks. Following this program, the students then received a free, isocaloric HP-BIC for an additional 8-wks. Both breakfast programs met the USDA guidelines for reimbursable breakfast meals. However, the HP-BIC program replaced approximately 1½ servings of sugar-rich carbohydrates with 1½ servings of meat/meat alternatives. Thus, the HP-BIC breakfasts contained, on average, 24 g protein, 48 g carbohydrates, and 15 g fat, whereas the SP-BIC included, on average, 12 g protein, 77 g carbohydrates, and 10 g fat. Daily school breakfast participation was assessed using the electronic school meal tracking system. During the last week of each program, perceived appetite and mood were assessed using VAS questionnaires collected before & after breakfast and before lunch. In addition, diet quality and snacking were assessed through food frequency questionnaires. Results Prior to the start of the BIC programs, school breakfast participation was 12 ± 24%. However, the SP-BIC program increased school breakfast participation to 67 ± 30% (P &lt; 0.001), and the HP-BIC program increased school breakfast participation to 62 ± 31% (P &lt; 0.001). Between BIC programs, the HP-BIC led to greater post-breakfast perceived energy, lower pre-lunch hunger, and lower pre-lunch prospective food consumption (P &lt; 0.01). Diet quality and snacking analyses are on-going. Conclusions The implementation of universally-free ‘Breakfast in the Classroom’ programs substantially increased student participation of school breakfast in middle-school students. However, the inclusion of a higher protein (lower carbohydrate) breakfast led to additional improvements in appetite and mood. Funding Sources Egg Nutrition Center.

scholarly journals A pilot study to expand the school breakfast program in one middle school

2011 ◽  
Vol 1 (3) ◽  
pp. 436-442 ◽  
Author(s):  
Marilyn S Nanney ◽  
Temitope M Olaleye ◽  
Qi Wang ◽  
Esther Motyka ◽  
Julie Klund-Schubert
Keyword(s):  
Middle School ◽  
Pilot Study ◽  
School Breakfast Program ◽  
School Breakfast

scholarly journals Prehospital triage of patients with acute cardiac complaints: study protocol of HART-c, a multicentre prospective study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041553
Author(s):  
Enrico de Koning ◽  
Tom E Biersteker ◽  
Saskia Beeres ◽  
Jan Bosch ◽  
Barbra E Backus ◽  
...  
Keyword(s):  
Real Time ◽  
Patient Outcomes ◽  
Medical Records ◽  
Vital Signs ◽  
Hospital Data ◽  
Ed Overcrowding ◽  
Prehospital Triage ◽  
Ed Visits ◽  
Multicentre Prospective Study ◽  
At Home

IntroductionEmergency department (ED) overcrowding is a major healthcare problem associated with worse patient outcomes and increased costs. Attempts to reduce ED overcrowding of patients with cardiac complaints have so far focused on in-hospital triage and rapid risk stratification of patients with chest pain at the ED. The Hollands-Midden Acute Regional Triage—Cardiology (HART-c) study aimed to assess the amount of patients left at home in usual ambulance care as compared with the new prehospital triage method. This method combines paramedic assessment and expert cardiologist consultation using live monitoring, hospital data and real-time admission capacity.Methods and analysisPatients visited by the emergency medical services (EMS) for cardiac complaints are included. EMS consultation consists of medical history, physical examination and vital signs, and ECG measurements. All data are transferred to a newly developed platform for the triage cardiologist. Prehospital data, in-hospital medical records and real-time admission capacity are evaluated. Then a shared decision is made whether admission is necessary and, if so, which hospital is most appropriate. To evaluate safety, all patients left at home and their general practitioners (GPs) are contacted for 30-day adverse events.Ethics and disseminationThe study is approved by the LUMC’s Medical Ethics Committee. Patients are asked for consent for contacting their GPs. The main results of this trial will be disseminated in one paper.DiscussionThe HART-c study evaluates the efficacy and feasibility of a prehospital triage method that combines prehospital patient assessment and direct consultation of a cardiologist who has access to live-monitored data, hospital data and real-time hospital admission capacity. We expect this triage method to substantially reduce unnecessary ED visits.

scholarly journals Tolerability and Safety of a Novel Ketogenic Ester, Bis-Hexanoyl (R)-1,3-Butanediol: A Randomized Controlled Trial in Healthy Adults

Nutrients ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 2066
Author(s):  
Oliver Chen ◽  
Traci M. Blonquist ◽  
Eunice Mah ◽  
Kristen Sanoshy ◽  
Dawn Beckman ◽  
...  
Keyword(s):  
Clinical Laboratory ◽  
Controlled Trial ◽  
Vital Signs ◽  
Healthy Adults ◽  
Double Blind ◽  
Safety Measures ◽  
Randomized Controlled ◽  
Gastrointestinal Tolerability ◽  
Blood And Urine Samples ◽  
At Home

Nutritional ketosis is a state of mildly elevated blood ketone concentrations resulting from dietary changes (e.g., fasting or reduced carbohydrate intake) or exogenous ketone consumption. In this study, we determined the tolerability and safety of a novel exogenous ketone diester, bis-hexanoyl-(R)-1,3-butanediol (BH-BD), in a 28-day, randomized, double-blind, placebo-controlled, parallel trial (NCT04707989). Healthy adults (n = 59, mean (SD), age: 42.8 (13.4) y, body mass index: 27.8 (3.9) kg/m2) were randomized to consume a beverage containing 12.5 g (Days 0–7) and 25 g (Days 7–28) of BH-BD or a taste-matched placebo daily with breakfast. Tolerability, stimulation, and sedation were assessed daily by standardized questionnaires, and blood and urine samples were collected at Days 0, 7, 14, and 28 for safety assessment. There were no differences in at-home composite systemic and gastrointestinal tolerability scores between BH-BD and placebo at any time in the study, or in acute tolerability measured 1-h post-consumption in-clinic. Weekly at-home composite tolerability scores did not change when BH-BD servings were doubled. At-home scores for stimulation and sedation did not differ between groups. BH-BD significantly increased blood ketone concentrations 1-h post-consumption. No clinically meaningful changes in safety measures including vital signs and clinical laboratory measurements were detected within or between groups. These results support the overall tolerability and safety of consumption of up to 25 g/day BH-BD.

Consumer Behavior Changes Post Pandemic Covid-19

2020 ◽  
Vol 2 (2) ◽  
pp. 84-89
Author(s):  
Tati Maryati
Keyword(s):  
Consumer Behavior ◽  
Eating Habits ◽  
Supply And Demand ◽  
Health Economy ◽  
Behavior Changes ◽  
The World ◽  
The Stability ◽  
The Many ◽  
New Consumer ◽  
At Home

The Corona virus or Covid-19 which is unexpected will come to us, has an impact on health, economy and also humanity throughout the world and is able to fundamentally change the world. Supplements are disrupted because production is stopped, retail stores close, causing consumers to change their behavior, which had previously gone offline shopping. Not just shopping, when a pandemic, the way of thinking becomes different. Consumers around the world are looking for products and brands through new ways and new habits are formed. Online transactions focus more on basic products to make ends meet. The fact that Covid-19's anti-virus has not been found raises concerns about disrupted health and the Government's regulation to work and stay at home also raises concerns about disrupted businesses. Differences from habits and interests or preferences that are different for each person, provide different responses to the problems faced and solutions for the future. The habit of shopping offline has a tendency to continue for complementary products while food products are more directed towards offline. The rest eating habits at home can be continued because it provides more hygiene guarantees. The new habit of holding online meetings with distant relatives or colleagues will be increasingly considered given the many more positive things that can be obtained. Likewise with work problems, working from home is more interesting to consider because it is more efficient and effective and the results can be more productive. This new consumer behavior is adjusted to provide satisfaction for many parties, with the assistance of institutions or governments that oversee the security of supply and demand and maintain the stability of both. 

Step count for 7th and 8th grade students in structured and unstructured physical education classes

2021 ◽  
Vol 9 (1) ◽  
pp. 54-61
Author(s):  
Necip Demirci ◽  
Refika Yilmaz ◽  
Ayda Karaca
Keyword(s):  
Middle School ◽  
Physical Education ◽  
Middle School Students ◽  
School Type ◽  
School Students ◽  
Step Counts ◽  
Significant Difference ◽  
8Th Grade ◽  
Private And Public ◽  
Type Data

The aim of the study was to analyze step counts of middle school students in structured and unstructured physical education classes (PE) according to age, gender, and school type. Data were collected on a sample of 74 students, 40 7th and 34 8th grade students recruited from private and public middle schools. Omron HJ-112 pedometers were used in this study to obtain step counts. There were statistically significant differences between boys and girls in the step counts in both structured and unstructured PE. A significant difference was observed between school types in step counts during structured PE in both genders, while no significant difference was found for unstructured PE. Significant difference was found between step counts of only boys of different grades in unstructured PE. Boys made more steps than girls both in structured and unstructured PE. In structured PE, 7th grade boys reached a higher number of steps than 8th grade boys.

Assessment of Cognitive Performance Using CNS Vital Signs After Electroconvulsive Treatment of Schizophrenia

2014 ◽  
Vol 30 (1) ◽  
pp. e5-e6 ◽  
Author(s):  
Adam Wysokiński ◽  
Małgorzata Dzienniak ◽  
Iwona Kłoszewska
Keyword(s):  
Cognitive Performance ◽  
Vital Signs ◽  
Electroconvulsive Treatment
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