The association between parental views on dietary quality and physical activity levels

2019 ◽  
Vol 79 (2) ◽  
pp. 237-249
Author(s):  
Dawn S Earnesty ◽  
Getrude Mphwanthe ◽  
Gayle M Shipp ◽  
Deanne Kelleher ◽  
Julie Plasencia ◽  
...  
Keyword(s):  
Physical Activity ◽  
Linear Regression ◽  
Health Care Professionals ◽  
Saturated Fat ◽  
Healthy Eating Index ◽  
Child Behaviour ◽  
Dietary Quality ◽  
Linear Regression Models ◽  
Added Sugars ◽  
Parental Views

Introduction: Numerous external factors, including parental influences, impact the dietary quality and physical activity of children. In this study, we examined if parental views were associated with the dietary quality and physical activity of children. Design: A cross-sectional observational study was used to recruit and collect data from a purposive sample of 176 parents and their children, 4–11 years of age. Setting: A suburban school district in Michigan, USA. Methods: Healthy Eating Index (HEI) 2005 scores were calculated from child food frequency data, and bivariate linear regression was used to test associations between the total HEI 2005 and fruit, total vegetable, solid fats and added sugars (SoFAAs) and saturated fat dietary components, as well as relative to the parent’s views of raising children. Multivariate linear regression models were used to evaluate the relationship between the HEI score and the parental views. Multinomial linear regression was used to test associations between physical activity and parental views on their children’s behaviours related to health outcomes. Results: Children whose parents had firm parenting views were significantly more likely to eat vegetables and foods and beverages that were lower in saturated fat and added sugars. Parental views on child behaviour were not associated with physical activity of children. Conclusion: Parental views on child behaviour and other influences on child dietary quality are complex. As a result, health care professionals including dieticians should use a multifaceted approach to assess how parental views shape guidance regarding children’s dietary quality and subsequent health.

scholarly journals Daily Snacking Occasions, Snack Size, and Snack Energy Density as Predictors of Diet Quality among US Children Aged 2 to 5 Years

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1440 ◽  
Author(s):  
Alexandria Kachurak ◽  
Regan L. Bailey ◽  
Adam Davey ◽  
Lauren Dabritz ◽  
Jennifer Orlet Fisher
Keyword(s):  
Energy Density ◽  
Diet Quality ◽  
Saturated Fat ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Health Examination ◽  
Added Sugars ◽  
The Mean ◽  
Nationally Representative ◽  
Daily Intakes

Whether snacks help young children meet nutritional needs or merely contribute to excessive intakes is debated. This research evaluated associations of snacking with dietary quality among US preschoolers (two to five years, n = 4217) in the 2005–2016 National Health Examination Survey (NHANES). Snacking occasions, size, and energy density (ED) were estimated from two 24-hr dietary recalls. Diet quality indices included the 2015 Healthy Eating Index (HEI-2015, 0–100), the mean adequacy ratio (MAR, 0–100) for five shortfall nutrients (vitamin D, calcium, fiber, potassium, and iron), and the mean % of recommended limits for added sugars, saturated fat, and sodium. Linear regressions included snacking parameters, demographics, and dietary reporting accuracy. Children had a mean HEI-2015 of 53.0, a MAR of 67.7, and intake of 121.4% of nutrients to limit. Daily snacking occasions were positively associated with HEI-2015 scores, whereas mean snack size and ED were negatively associated with HEI-2015 and MAR scores (all p < 0.05). Snack ED was positively associated with daily intakes of added sugar, saturated fat, and sodium (p < 0.001). These nationally representative findings reveal that more frequent, smaller, and less energy-dense snacks are associated with higher diet quality among US preschoolers.

Health and nutrition literacy in adults: Links with lifestyle factors and obesity

2020 ◽  
Vol 13 (4) ◽  
pp. 361-370
Author(s):  
Maria Michou ◽  
Demosthenes B. Panagiotakos ◽  
Christos Lionis ◽  
Vassiliki Costarelli
Keyword(s):  
Physical Activity ◽  
Alcohol Consumption ◽  
Linear Regression ◽  
Smoking Status ◽  
Linear Regression Analysis ◽  
Cross Sectional Study ◽  
Lifestyle Factors ◽  
Linear Regression Models ◽  
Chi Square ◽  
Cross Sectional

BACKGROUND: Low Health Literacy (HL) and Nutrition Literacy (NL) are associated with serious negative health outcomes. OBJECTIVES: The aim of this study was to investigate certain lifestyle factors and obesity, in relation to HL and NL. METHODS: This cross-sectional study was conducted in the urban area of the Attica region, in Greece. The sample consisted of 1281 individuals, aged ≥18 years. HL, NL sociodemographic characteristics and lifestyle factors (physical activity, smoking status, alcohol consumption,) were assessed. Mann-Whitney U, the Kruskall Wallis, Pearson chi-square tests and multiple linear regression models were used. RESULTS: Linear regression analysis has shown that smoking, alcohol consumption and physical activity, were associated with HL levels (–1.573 points for ex-smokers in comparison to smokers, p = 0.035, –1.349 points for alcohol consumers in comparison to non-consumers, p = 0.006 and 1.544 points for physically active individuals to non-active, p = 0.001). With respect to NL levels, it was also not associated with any of these factors. Obesity was not associated with HL and NL levels. CONCLUSIONS: Certain lifestyle factors, including physical activity, are predicting factors of HL levels, in Greek adults. The results contribute to the understanding of the relationship between lifestyle factors and HL and should be taken into account when HL policies are designed.

scholarly journals Isotonic quadriceps endurance is better associated with daily physical activity than quadriceps strength and power in COPD: an international multicentre cross-sectional trial

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Erik Frykholm ◽  
Sarah Gephine ◽  
Didier Saey ◽  
Arthur Lemson ◽  
Peter Klijn ◽  
...  
Keyword(s):  
Physical Activity ◽  
Linear Regression ◽  
Multiple Linear Regression ◽  
Regression Models ◽  
Sedentary Time ◽  
Quadriceps Strength ◽  
Linear Regression Models ◽  
Cross Sectional ◽  
Quadriceps Function ◽  
Multiple Linear Regression Models

AbstractKnowledge about modifiable determinants of daily physical activity (PA) in patients with chronic obstructive pulmonary disease (COPD) is crucial to design effective PA interventions. The present study aimed to determine the contribution of quadriceps strength, power and endurance to daily PA in COPD. Additionally, for quadriceps endurance, we also aimed to determine to what extent the association varies according to the mode of movement (isotonic, isometric, or isokinetic). Using a multicentre cross-sectional trial design we determined the contribution of quadriceps function to daily PA (steps, sedentary time and time spent doing moderate-to-very-vigorous physical activity [MVPA]) using bivariate and partial Pearson correlation analysis (r) and multiple linear regression models (ΔR2). Pre-determined controlling factors were sex, age, body mass index (BMI), COPD-assessment test, forced expiratory volume in one second in percent of the predicted value (FEV1pred), and distance walked on the 6-minute walk test. Eighty-one patients with COPD (mean ± SD: age 67 ± 8 years, FEV1pred 57 ± 19%, daily steps 4968 ± 3319, daily sedentary time 1016 ± 305 min, and MVPA time 83 ± 45 min) were included. Small to moderate bivariate correlations (r = .225 to .452, p < .05) were found between quadriceps function and measures of PA. The best multiple linear regression models explained 38–49% of the variance in the data. Isotonic endurance was the only muscle contributor that improved all PA models; daily steps (ΔR2 = .04 [relative improvement 13%] p = .026), daily sedentary time (ΔR2 = .07 [23%], p = .005) and MVPA-minutes (ΔR2 = .08 [20%], p = .001). Isotonic endurance was also independently associated with most PA variables, even when controlling for strength, power or isometric-isokinetic endurance properties of the muscle (r = .246 to .384, p < .05). In contrast, neither strength, power, isometric-or isokinetic endurance properties of the muscle was independently associated with PA measures when controlling for isotonic endurance (r = .037 to .219, p > .05). To conclude, strength, power, and endurance properties of the quadriceps were low to moderately associated with PA in patients with COPD. Isotonic quadriceps endurance was the only quadriceps property that was independently associated with the different measures of PA after controlling for a basic set of known determinants of PA, quadriceps strength or power, or isometric or isokinetic quadriceps endurance. Future longitudinal studies should investigate its potential as a modifiable determinant of PA.

Abstract MP42: Adherence To Healthy Dietary Patterns In Pregnancy And Placental Dna Methylation- An Epigenome Wide Association Study

Circulation ◽  
2021 ◽  
Vol 143 (Suppl_1) ◽  
Author(s):  
Cuilin Zhang ◽  
Jing Wu ◽  
Marion Ouidir ◽  
Stefanie Hinkle ◽  
Fasil Ayele
Keyword(s):  
Dna Methylation ◽  
Dietary Patterns ◽  
First Trimester ◽  
Healthy Eating Index ◽  
Nervous System Development ◽  
Dietary Quality ◽  
Analysis Tool ◽  
Linear Regression Models ◽  
Cpg Sites ◽  
In Pregnancy

Background: Accumulating evidence support the intergenerational impacts of diet in pregnancy. The underlying mechanisms, however, remain unclear. Placental epigenetic mechanisms may be involved although data from human epidemiological studies are sparse. We aimed to investigate associations of dietary quality in pregnancy with epigenome-wide placental DNA methylation in a multiracial pregnancy cohort. Methods: DNA methylation was measured using the Illumina Infinium Human Methylation450 Beadchip on placentas obtained at delivery from 301 pregnant women who participated in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Fetal Growth Studies-Singleton cohort. Dietary information during periconception and early first trimester was collected using food frequency questionnaires, and diet in the second and third trimester was collected using a 24-hour dietary recall during four study visits. Scores for adherence to three healthy dietary patterns, alternate Healthy Eating Index (aHEI), alternate Mediterranean Diet (aMED), and Dietary Approaches to Stop Hypertension (DASH), were calculated. For associations of each dietary pattern score with methylation, we conducted analyses using robust linear regression models after the adjustment for age, pre-pregnancy body mass index, race/ethnicity, physical activity, total energy intakes, and population stratification. Genes annotating the top significant CpG sites (false discovery rate (FDR) adjusted P<0.05) were queried for enrichment of functional pathways using the Ingenuity Pathway Analysis tool. Results: Adherence to aHEI was significantly associated with methylation of 8 CpG sites, with the most significant association manifested in cg16724319- MDH1B (P=1.9x10 -10 ). Adherence to aMED was related to methylation of 14 CpG sites, with the most significant association manifested in cg07835181- CLCN7 (P=1.7x10 -11 ). DASH was significantly related to 33 CpG sites, with the most significant association manifested in cg26292547- REV3L (P=4.4x10 -10 ). Further, genes annotating the significant CpG sites were enriched in pathways related to cardiovascular and nervous system development and function, cancer, organismal injury and abnormalities, and reproductive system diseases. Conclusion: Findings from the epigenome wide study suggest that overall dietary quality in pregnancy is associated with placental DNA methylation changes at different loci potentially related to cardiovascular, neurological, reproductive, and cancer phenotypes.

scholarly journals A Definition of “Regular Meals” Driven by Dietary Quality Supports a Pragmatic Schedule

Nutrients ◽  
2020 ◽  
Vol 12 (9) ◽  
pp. 2667
Author(s):  
Barbara Lohse ◽  
Kathryn Faulring ◽  
Diane C. Mitchell ◽  
Leslie Cunningham-Sabo
Keyword(s):  
Public Health ◽  
Linear Regression ◽  
Healthy Eating ◽  
Total Protein ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
School Based Intervention ◽  
School Based ◽  
Definition Of ◽  
Hispanic White

Public health guidelines advise eating regular meals without defining “regular.” This study constructed a meaning for “regular” meals congruent with dietary quality. Parents of 4th grade youth in a school-based intervention (Clinicaltrials.gov NCT02491294) completed three, ASA24 online 24-h dietary recalls. Differences in time of intake across days for breakfasts, lunches, dinners were categorized with consistency denoted as always, often/sometimes or rarely/never and assigned values of 3, 2 or 1, respectively. Meal-specific values were summed to form mealtime regularity scores (mReg) ranging from 3 (low) to 9. Healthy eating index (HEI) scores were compared to mReg controlling for weekday/weekend recall pattern. Linear regression predicted HEI scores from mReg. Parents (n = 142) were non-Hispanic white (92%), female (88%) and educated (73%). One mReg version, mReg1 was significantly associated with total HEI, total fruit, whole fruit, tended to correlate with total protein, seafood/plant protein subcomponents. mReg1 predicted total HEI (p = 0.001) and was inversely related to BMI (p = 0.04). A score of three (always) was awarded to breakfasts, lunches or dinners with day-to-day differences of 0–60 min; also, lunches/dinners with one interval of 60–120 min when two meals were ≤60 min apart. More rigid mReg versions were not associated with dietary quality.

scholarly journals Associations between maternal healthy lifestyle score and offspring birth outcomes and childhood obesity: results from the Lifeways Cross-Generation Cohort Study

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Pilar Navarro ◽  
John Mehegan ◽  
Celine Murrin ◽  
Cecily Kelleher ◽  
Catherine Phillips
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Birth Outcomes ◽  
Head Circumference ◽  
Alcohol Intake ◽  
Healthy Lifestyle ◽  
Lifestyle Factors ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Reduced Risk

AbstractMaternal adherence to healthy lifestyle behaviours during pregnancy has been associated with reduced risk of obesity in the offspring. Our objective is to examine the association between a composite healthy lifestyle score (HLS) derived from body mass index (BMI), dietary quality, physical activity, smoking and alcohol intake, in expectant mothers and adverse offspring birth outcomes and childhood obesity. The Lifeways Cross-Generation Study comprises 1082 mother-child pairs. We defined five healthy lifestyle factors during pregnancy including: high dietary quality (top 40% of the Healthy Eating Index (HEI)-2015), moderate to vigorous physical activity (MVPA), healthy pre-pregnancy BMI (18.5–24.9 Kg/m2), never smoker, and no/moderate alcohol intake. A composite HLS was calculated (scored 0–5). Birthweight, length and head circumference were abstracted from hospital records. Waist circumference and BMI was determined when the child was 5 and 9 years. Logistic regression analyses were used to test HLS and individual HLS component associations with offspring birth and childhood outcomes. Offspring birthweight, length and head circumference were positively associated with the number of maternal healthy lifestyle factors (p < 0.001), whereas child BMI and incidence of overweight/obesity at age 5 and 9 were negatively associated with the maternal HLS (p < 0.05). In multivariable models, a lower maternal HLS (0–2 healthy lifestyle factors) was associated with increased risk of low birthweight (LBW) (OR:1.17, 95% CI:1.01–2.69, p = 0.043) and lower likelihood of macrosomia (OR:0.73, 95% CI:0.24–0.99, p = 0.034), relative to those with 5 healthy lifestyle factors. Examination of the individual HLS components revealed that, poor maternal dietary quality, smoking and alcohol intake were associated with higher risk of LBW (OR:1.61, 95%CI:1.01–7.85, p = 0.043, OR: 2.54, 95%CI:1.26–5.12, p = 0.025 and OR:2.30, 95%CI:1.01–5.26, p = 0.031, respectively). Likelihood of macrosomia and combined overweight/obesity at age 5 and 9 years was greater among mothers with a pre-pregnancy BMI in the obese range (OR:2.18, 95%CI:1.23–3.85, p = 0.042, OR:2.19, 95%CI:1.01–5.08, p = 0.03 and OR:3.89, 95%CI:1.00–10.59, p = 0.04, respectively). Smoking during pregnancy was also linked to greater risk of childhood overweight/obesity (OR:1.91, 95%CI:1.01–3.61, p = 0.04 at age 5 and OR:2.14, 95%CI:1.01–4.11, p = 0.03 at age 9). Our findings suggest that maternal adherence to a healthy lifestyle during pregnancy, in particular having a good quality diet, not smoking and no/low alcohol intake in combination with a healthy pre-pregnancy BMI, is associated with reduced risk of adverse offspring birth outcomes and childhood obesity. These findings highlight the potential benefits of implementing maternal based multifactorial interventions to improve offspring birth outcomes and combat childhood adiposity.

scholarly journals The Relationship Between the Frequency of Meals Consumed Away-From-Home on the Total Diet Quality and Weight Status

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 248-248
Author(s):  
Ana Moyeda Carabaza ◽  
Phrashiah Githinji ◽  
Bong Nguyen ◽  
Mary Murimi
Keyword(s):  
Fatty Acids ◽  
Dietary Fiber ◽  
Diet Quality ◽  
Trans Fatty Acids ◽  
Weight Status ◽  
Healthy Eating Index ◽  
Dietary Quality ◽  
Linear Regression Models ◽  
Saturated Fats ◽  
Total Diet

Abstract Objectives To assess factors that contribute to the total diet quality and the associated body mass index (BMI) among adults. Methods A cross-sectional study was conducted to assess dietary quality using the Healthy Eating Index (HEI)-2015 among faculty and staff (N = 152) of a public university. The Food Frequency Questionnaire from the Health and Retirement Study was administered via Qualtrics. Dietary quality was determined using the HEI-2015. Weight, height, number of meals consumed away-from-home per week were self-reported. Descriptive statistics were used to analyze demographic characteristics, number of meals consumed away-from-home, dietary intake, and associated HEI score was calculated. Linear regression models were used to measure associations between the total diet quality, nutrient intakes and the number of away-from-home meals consumed with BMI. Results The average age of participants was 34.3 ± 12.3 years. A majority were female and white Americans (74.3%) and had post-secondary education (79.6%). Approximately, one-third of participants (32.2%) reported having a BMI equal or greater than 30 kg/m2. More than half of the participants exceeded the recommended limit for the consumption of saturated fats (69.7%), and sodium (52.6%); and a majority did not meet the minimum recommended intakes of dietary fiber (96.1%). The average HEI score was 66.34 on a 100-point scale. Only 14.5% had a good dietary quality with a HEI score equal or higher than 80. The number of away-from-home meals consumed per week were associated with an increased intake of trans fatty acids (P &lt; .05), while, increased the consumption of trans fatty acids was associated with an increase in BMI (P &lt; .001) in this study. On the contrary, an increase in the HEI score was associated with a reduction in BMI (P &lt; .05). Conclusions This study found that a high percentage of participants had a low diet quality that was characterized by excessive intake of both saturated fats and sodium and inadequate intake of dietary fiber. In addition, the consumption of meals away-from-home was associated with an increase in the amount of trans fatty acids consumed. Concurrently, the consumption of trans fatty acids was associated with an increase in BMI. These results underscore the importance of eating meals prepared at home in an effort to control weight gain. Funding Sources TTU Transdisciplinary Research Academy.

scholarly journals Design and development of an instrument to measure overall lifestyle habits for epidemiological research: the Mediterranean Lifestyle (MEDLIFE) index

2014 ◽  
Vol 18 (6) ◽  
pp. 959-967 ◽  
Author(s):  
Mercedes Sotos-Prieto ◽  
Belén Moreno-Franco ◽  
Jose M Ordovás ◽  
Montse León ◽  
Jose A Casasnovas ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Interaction ◽  
Mediterranean Diet ◽  
Dietary Habits ◽  
Healthy Eating Index ◽  
Health Study ◽  
Study Cohort ◽  
Linear Regression Models ◽  
Lifestyle Habits ◽  
The Mediterranean

AbstractObjectiveTo design and develop a questionnaire that can account for an individual’s adherence to a Mediterranean lifestyle including the assessment of diet and physical activity patterns, as well as social interaction.DesignThe Mediterranean Lifestyle (MEDLIFE) index was created based on the current Spanish Mediterranean food guide pyramid. MEDLIFE is a twenty-eight-item derived index consisting of questions about food consumption (fifteen items), traditional Mediterranean dietary habits (seven items) and physical activity, rest and social interaction habits (six items). Linear regression models and Spearman rank correlation were fitted to assess content validity and internal consistency.SettingA subset of participants in the Aragon Workers’ Health Study cohort (Zaragoza, Spain) provided the data for development of MEDLIFE.SubjectsParticipants (n 988) of the Aragon Workers’ Health Study cohort in Spain.ResultsMean MEDLIFE score was 11·3 (sd 2·6; range: 0–28), and the quintile distribution of MEDLIFE score showed a significant association with each of the individual items as well as with specific nutrients and lifestyle indicators (intra-validity). We also quantified MEDLIFE correspondence with previously reported diet quality indices and found significant correlations (ρ range: 0·44–0·53; P<0·001) for the Alternate Healthy Eating Index, the Alternate Mediterranean Diet Index and Mediterranean Diet Adherence Screener.ConclusionsMEDLIFE is the first index to include an overall assessment of lifestyle habits. It is expected to be a more holistic tool to measure adherence to the Mediterranean lifestyle in epidemiological studies.

scholarly journals The Influence of Sitting, Standing, and Stepping Bouts on Cardiometabolic Health Markers in Older Adults

2021 ◽  
pp. 1-9
Author(s):  
Simone J.J.M. Verswijveren ◽  
Cormac Powell ◽  
Stephanie E. Chappel ◽  
Nicola D. Ridgers ◽  
Brian P. Carson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Body Composition ◽  
Linear Regression ◽  
Regression Models ◽  
Fasting Glucose ◽  
Cardiometabolic Health ◽  
Linear Regression Models ◽  
Cross Sectional

Aside from total time spent in physical activity behaviors, how time is accumulated is important for health. This study examined associations between sitting, standing, and stepping bouts, with cardiometabolic health markers in older adults. Participants from the Mitchelstown Cohort Rescreen Study (N = 221) provided cross-sectional data on activity behaviors (assessed via an activPAL3 Micro) and cardiometabolic health. Bouts of ≥10-, ≥30-, and ≥60-min sitting, standing, and stepping were calculated. Linear regression models were fitted to examine the associations between bouts and cardiometabolic health markers. Sitting (≥10, ≥30, and ≥60 min) and standing (≥10 and ≥30 min) bouts were detrimentally associated with body composition measures, lipid markers, and fasting glucose. The effect for time spent in ≥60-min sitting and ≥30-min standing bouts was larger than shorter bouts. Fragmenting sitting with bouts of stepping may be targeted to benefit cardiometabolic health. Further insights for the role of standing need to be elicited.

scholarly journals Greater Exposure to a Multilevel Multicomponent Obesity Prevention Intervention in Rural Native American Communities Is Associated With Improved Diet Quality Among Adults

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 122-122
Author(s):  
Michelle Estrade ◽  
Ellen J.I. van Dongen ◽  
Angela Trude ◽  
Leslie Redmond ◽  
Lisa Poirier ◽  
...  
Keyword(s):  
Physical Activity ◽  
Native American ◽  
Rural Communities ◽  
Healthy Eating ◽  
Diet Quality ◽  
Complex Interventions ◽  
Healthy Eating Index ◽  
Linear Regression Models ◽  
Total Exposure

Abstract Objectives Multilevel multicomponent (MLMC) intervention trials attempt to reach participants in many different settings in their lives to promote environmental and behavioral change; however, individual-level exposure to these complex interventions has rarely been evaluated. We examined the association between exposure to an MLMC intervention and changes in diet quality among Native American adults in rural communities in the Midwest and Southwest U.S. Methods The OPREVENT2 intervention was implemented over 18 months in three reservation-based communities, in the first round of the study. Nutrition and physical activity messages were delivered in local food stores, worksites, schools, and by social and community media, along with changes to food store and workplace environments to support increased physical activity and healthier food choices. A Block Food Frequency Questionnaire (FFQ) was used to calculate a Healthy Eating Index (HEI-2015) score at baseline and follow-up. At follow-up, 234 adults self-reported their exposure to intervention materials and activities via an 81-item questionnaire with illustrations. Exposure scores for each intervention component were calculated and weighted by level of interactiveness (e.g., taste tests were most interactive; posters least interactive), then summed yielding a total exposure score. Linear regression models assessed change in HEI score by participant exposure (component and total), controlling for baseline sociodemographic variables. Results The participants were majority female (73%) with a mean age of 44 (±14) years and mean total exposure score of 11.66 ± 6.71 on a scale of 0–28. Participants with higher total exposure scores had a greater increase in HEI scores compared to those who were least exposed to the intervention (b = 3.61 ± 1.90, P = 0.049). Improved diet quality was also positively associated with exposure to specific intervention components, including educational displays, posters, and radio announcements (P &lt; 0.01). Conclusions We found a dose-response relationship between level of exposure to the intervention and diet quality among participants in the OPREVENT2 intervention. Future MLMC interventions in NA rural communities should consider using radio announcements, posters, educational displays to engage with adults and promote healthy eating. Funding Sources NHLBI.

Sign in / Sign up

Export Citation Format

Share Document