scholarly journals The Impact of Responsive Feeding Practice Training on Teacher Feeding Behaviors in Tribal Early Care and Education: The Food Resource Equity and Sustainability for Health (FRESH) Study

2019 ◽  
Vol 4 (Supplement_1) ◽  
pp. 23-32
Author(s):  
Kaysha Sleet ◽  
Susan B Sisson ◽  
Dipti A Dev ◽  
Charlotte Love ◽  
Mary B Williams ◽  
...  

ABSTRACT Background Establishing healthy eating habits early affects lifelong dietary intake, which has implications for many health outcomes. With children spending time in early care and education (ECE) programs, teachers establish the daytime meal environment through their feeding practices. Objective We aimed to determine the effect of a teacher-focused intervention to increase responsive feeding practices in 2 interventions, 1 focused exclusively on the teacher's feeding practices and the other focused on both the teacher's feeding practices and a nutrition classroom curriculum, in ECE teachers in a Native American (NA) community in Oklahoma. Methods Nine tribally affiliated ECE programs were randomly assigned to 1 of 2 interventions: 1) a 1.5-h teacher-focused responsive feeding practice training (TEACHER; n = 4) and 2) TEACHER plus an additional 3-h training to implement a 15-wk classroom nutrition curriculum (TEACHER + CLASS; n = 5). Feeding practice observations were conducted during lunch at 1 table in 1 classroom for 2- to 5-y-olds at each program before and 1 mo after the intervention. The Mealtime Observation in Child Care (MOCC) organizes teacher behaviors into 8 subsections. Descriptive statistics and the Shapiro–Wilk test for normality were calculated. Paired t tests were calculated to determine change in each group. Results A mean ± SD of 5.2 ± 2.0 (total n = 47) children and 1.7 ± 0.5 (total n = 14) teachers/center were observed at baseline, and 5.6 ± 1.7 (total n = 50) children and 1.7 ± 0.7 teachers (total n = 14) were observed/center postintervention. Total MOCC scores (max possible = 10) improved for TEACHER (6.1 ± 0.9 compared with 7.5 ± 0.3, t = 4.12, P = 0.026) but not for TEACHER + CLASS (6.5 ± 0.8 compared with 6.4 ± 1.0, t = −0.11, P = 0.915). No other changes were observed. Conclusions Teacher intervention–only programs demonstrated improvements in responsive feeding practices, whereas the programs receiving teacher and classroom training did not. Greater burden likely decreased capacity to make changes in multiple domains. We demonstrated the ability to implement interventions in NA ECE. Further research with larger communities is necessary. This trial was registered at clinicaltrials.gov as NCT03251950.

2019 ◽  
Vol 4 (Supplement_1) ◽  
pp. 12-22 ◽  
Author(s):  
Susan B Sisson ◽  
Kaysha Sleet ◽  
Rachel Rickman ◽  
Charlotte Love ◽  
Alexandria Bledsoe ◽  
...  

ABSTRACT Background Native American (NA) children have a high prevalence of obesity contributing to lifespan health disparities. Dietary intake is important to promote healthy weight gain, growth, and development. In 2017, the USDA enforced changes to the Child and Adult Care Food Program (CACFP). The CACFP provides reimbursement to qualifying Early Care and Education (ECE) programs that serve foods that uphold the program's nutrition requirements. Objective This study had the following 2 objectives: 1) Describe a novel index to evaluate ECE menus based on revised CACFP requirements (accounting for food substitutions) and best practices for 3- to-5-y-old children, and 2) analyze CACFP requirement and best practice compliance and nutrient changes in 9 NA ECE programs before and after enforcement of the revised CACFP requirements. Methods This longitudinal study is within a larger community-based participatory research study. Menus and meals served were evaluated for 1 wk at each of 9 programs before and after enforcement of the revised meal patterns. Nutrient analysis, CACFP requirement and best practice compliance, and substitution quality were evaluated. Differences were determined using a paired t-test or Wilcoxon matched test. This trial was registered at clinicaltrials.gov as NCT03251950. Results Total grams of fiber consumed increased (5.0 ± 1.2 compared with 5.9 ± 0.8 g, P = 0.04) and total grams of sugar consumed decreased (53.8 ± 12.6 compared with 48.4 ± 7.9 g, P = 0.024), although room for further improvement exists. Although total grams of fat remained unchanged, grams of saturated fat significantly increased (7.8 ± 1.4 compared with 10.5 ± 3.4, P = 0.041). Other nutrients remained unchanged. Overall CACFP requirement and best practice compliance scores improved, although this finding was not statistically significant. No significant changes in food quality associated with substitutions occurred. Conclusions This study provides early evidence to support the beneficial impact of the revised CACFP requirements. Understanding barriers to compliance within rural NA communities would be an important next step in enhancing the health of vulnerable children.


Author(s):  
Lynne A. Daniels ◽  
Kimberley M. Mallan ◽  
Elena Jansen ◽  
Jan M. Nicholson ◽  
Anthea M. Magarey ◽  
...  

To compare feeding practices within mother–father dyads and explore whether outcomes of an efficacious intervention for mothers generalised to fathers’ feeding practices. The NOURISH RCT evaluated an early feeding intervention that promoted positive feeding practices to support development of healthy eating habits and growth. The intervention was delivered to first-time mothers via 2 × 12 week modules commencing when children were 4 and 14 months. Mothers self-reported feeding practice outcomes at child age 2 years using validated scales (1 = low to 5 = high) from the Child Feeding Questionnaire (CFQ). Nine months later, an independent cross-sectional descriptive study to investigate fathers’ feeding practices was initiated. Fathers were recruited by contacting (via letter) mothers participating in two pre-existing studies, including the NOURISH trial. Fathers completed a feeding practices questionnaire, similar to that used for NOURISH outcome assessments. Seventy-five fathers recruited via the NOURISH cohort (21% response) returned questionnaires. Response data from this subset of fathers were then linked to the corresponding NOURISH maternal data. Complete data were available from 70 dyads. Compared with mothers, fathers self-reported higher concern about child overweight (2.2 vs. 1.3), restriction (3.6 vs. 2.9) and pressure (2.6 vs. 2.1), all p < 0.001. Fathers whose partners were allocated to the intervention group used less pressure (mean difference 0.46, p = 0.045) and were more willing to let the child decide how much to eat (−0.51, p = 0.032). Fathers’ higher concern about child weight and more frequent use of non-responsive feeding practices, when compared with mothers, identify them as potentially potent contributors to child feeding. This preliminary evidence for modest generalisation of an efficacious maternal intervention to apparent effects on some paternal feeding practices speaks to the importance and promise of including fathers in early feeding interventions.


2019 ◽  
Vol 1 ◽  
pp. 60-64
Author(s):  
M. Niczyporuk ◽  
Ł. Bacisz ◽  
B. Jankowska ◽  
M. Knaś

<b>Introduction:</b> Lipodystrophy is a skin composition disorder. One of the kinds of lipodystrophy is cellulite. Differences in fat tissue composition between woman and man are the cause that lipodystrophy affects women more often. It affects women of different ages - from maturation to menopause. Is estimated that this problem affects 85% of women above the age of 20. <br/><b>Purpose:</b> To analyse the impact of cosmetic procedures and diets on skin affected by cellulite. <br/><b>Materials and methods:</b> The study was conducted based on a survey using a proprietary questionnaire filled by 57 clients of beauty salon Health and Beauty Center “Anamed”, located in Lomza. The study was conducted between 12.2014 and 01.2015. <br/><b>Results:</b> The diet and treatments performed by the respondents were analyzed and their subjective effectiveness assessed. After analyzing the data, it was observed that one-way actions do not bring the expected results. In order to reduce cellulite, it is necessary to undertake multidirectional activities. <br/><b>Conclusions:</b> Cosmetic treatments minimize cellulite changes and improve the overall condition of the skin. Proper healthy eating habits should be promoted because they help to act in the treatment and more importantly preventive in the formation of cellulite.


2020 ◽  
Vol 1 (1) ◽  
pp. 1-2
Author(s):  
Ikechukwu C. Esobi ◽  
M. K. Lasode ◽  
M.O. Flores Barriguete

2021 ◽  
pp. 195-220
Author(s):  
Paola Savvidou

This chapter addresses nutrition and sleep as they relate to music performance and college life. These two topics are presented together because of the significant amount of research demonstrating their interconnectedness. The first part of this chapter discusses the challenges university students face in achieving a balanced diet, the components of proper nutrition, and guidelines for healthy eating habits. Eating disorders, as well as ways to support students who may be dealing with difficulties related to eating, are discussed. The second half of the chapter presents an overview of sleep. Foundational information such as sleep/wake cycles, factors that affect sleep, and the impact of sleep deprivation on nutrition are followed by descriptions of common sleep disorders and strategies for developing good sleep hygiene.


2015 ◽  
Vol 10 (1) ◽  
pp. 23-26
Author(s):  
Lamisa Saiyara Siddique ◽  
Samsun Nahar ◽  
Tanjima Parvin

Childhood obesity is highly prevalent in urban areas of Bangladesh but information is limited. The aim of this study was to find out the prevalence of obesity in children aged 9-11 years and raise awareness about obesity and its complications. The study was conducted in a Private English Medium school in Dhaka involving 140 students whose height and weight was measured. The BMI was calculated by software provided by Centre of Disease Control. In the present study, we showed that 50% of the students were either overweight or obese out of which26.4% were obese. Majority of those found obese or overweight consumed fast foods. In conclusion, prevalence of obesity was high in a private school, which houses children from mostly middle to high income families. Enforcing healthy eating habits amongst parents could yield better results in lowering the BMI. Further surveillance in this population is essential in verifying the impact of obesity.University Heart Journal Vol. 10, No. 1, January 2014; 23-26


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