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Omaha, NE, United States

Bertmann F.M.W.,University of Vermont | Yaroch A.L.,Gretchen Swanson Center for Nutrition
Journal of Hunger and Environmental Nutrition | Year: 2016

Although sustainable food system literature is increasing, a minimal amount of published work addresses the role of breast milk and breastfeeding in these systems. The paper includes: (1) use of Food Regime Theory (FRT) to understand the historical, political, and economic changes contributing to infant feeding practices; (2) an investigation of artificial infant milks as a commodity in the industrial food system; and (3) the exploration of how breastfeeding could be applied to a sustainability framework. By addressing these perspectives, nutrition policy experts and community health practitioners can increase awareness of the association between human lactation and sustainable, resilient food systems. © 2016 Taylor & Francis.

Pinard C.A.,Gretchen Swanson Center for Nutrition | Davy B.M.,Virginia Polytechnic Institute and State University | Estabrooks P.A.,Virginia Polytechnic Institute and State University
Eating Behaviors | Year: 2011

Beverage consumption adds to daily energy intake and often exceeds the recommended amount for discretionary energy. Previous research has shown that children are consuming sugar-sweetened beverages (SSB) in greater frequency and the relationship between parent-child dyads in beverage consumption is meaningful due to the parental influence on the development of beverage consumption behaviors. In particular, low-income families are at greater risk for obesity and higher levels of SSB consumption. The current investigation assessed habitual beverage intake among low-income parent-child dyads (N=95) with children between the ages of 9-17years. The sample (46% African American; 45% Caucasian) had a mean body mass index (BMI) for the parents of 31.8±8.9kg/m 2, while the mean BMI percentile for age and gender for the children was 70.3±31.3. Both parents and children consumed fewer nutrient-dense beverages and more energy-dense beverages than the recommended amount. The mean daily energy intake from beverages was 451±236kcal for the parents and 457±237kcal for the children. Correlations between parent-child dyad intake was also evident, identifying parents as potential role models and gatekeepers of the home food environment. Future interventions to prevent childhood obesity in low-income populations should address beverage intake, particularly SSB consumption, and determine the degree to which this behavior is learned behavior in the home. © 2011 Elsevier Ltd.

Pinard C.A.,Gretchen Swanson Center for Nutrition | Hart M.H.,Carilion Clinic | Hodgkins Y.,Carilion Clinic | Serrano E.L.,Virginia Polytechnic Institute and State University | And 2 more authors.
Health Education and Behavior | Year: 2012

This pre-post study used a mixed-methods approach to examine the impact of a family-based weight management program among a low-income population. Smart Choices for Healthy Families was developed through an integrated research-practice partnership and piloted with 26 children and parents (50% boys; mean age = 10.5 years; 54% Black) who were referred by their pediatrician. Smart Choices included six biweekly group sessions and six automated telephone-counseling calls over 3 months. Children displayed reduced body mass index z-scores (p < .05), increased lean muscle mass (p < .001), and increased quality of life (p < .0001). Follow-up interviews indicated that physicians valued the lay leaders' ability to provide lifestyle education, whereas lay leaders extended their reach to more community members. Parents wanted to become positive role models and found that the calls maintained focus on goals. Smart Choices shows promise to initiate weight management for children in low-income families. © 2012 Society for Public Health Education.

Grimm K.A.,Centers for Disease Control and Prevention | Kim S.A.,Centers for Disease Control and Prevention | Yaroch A.L.,Gretchen Swanson Center for Nutrition | Scanlon K.S.,Centers for Disease Control and Prevention
Pediatrics | Year: 2014

Objectives: To examine the association of timing of introduction and frequency of fruit and vegetable intake during infancy with frequency of fruit and vegetable intake at age 6 years in a cohort of US children. CopyrightMethods: We analyzed data on fruit and vegetable intake during late infancy, age of fruit and vegetable introduction, and frequency of fruit and vegetable intake at 6 years from the Infant Feeding Practices Study II and the Year 6 Follow-Up (Y6FU) Study. We determined the percent of 6-year-old children consuming fruits and vegetables less than once per day and examined associations with infant fruit and vegetable intake using logistic regression modeling, controlling for multiple covariates (n = 1078).Results: Based on maternal report, 31.9% of 6-year-old children consumed fruit less than once daily and 19.0% consumed vegetables less than once daily. In adjusted analyses, children who consumed fruits and vegetables less than once daily during late infancy had increased odds of eating fruits and vegetables less than once daily at age 6 years (fruit, adjusted odds ratio: 2.48; vegetables, adjusted odds ratio: 2.40). Age of introduction of fruits and vegetables was not associated with intake at age 6 years.Conclusions: Our study suggests that infrequent intake of fruits and vegetables during late infancy is associated with infrequent intake of these foods at 6 years of age. These findings highlight the importance of infant feeding guidance that encourages intake of fruits and vegetables and the need to examine barriers to fruit and vegetable intake during infancy. © 2014 by the American Academy of Pediatrics.

Heckman C.J.,Fox Chase Cancer Center | Darlow S.,Fox Chase Cancer Center | Kloss J.D.,Drexel University | Cohen-Filipic J.,Ithaca College | And 4 more authors.
Journal of the European Academy of Dermatology and Venereology | Year: 2014

Background: Indoor tanning has been found to be addictive. However, the most commonly used tanning dependence measures have not been well validated. Objective: The study's purpose was to explore the psychometric characteristics of and compare the modified Cut-down, Annoyed, Guilty, Eye-opener Scale (mCAGE), modified Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition - Text Revised (mDSM-IV-TR) and Tanning Pathology Scale (TAPS) measures of tanning dependence and provide recommendations for research and practice. Methods: This study was a cross-sectional online survey with 18- to 25-year-old female university students. The main outcome variable was tanning dependence measured by the mCAGE, mDSM-IV-TR and TAPS. Results: Internal consistency of the TAPS subscales was good but was poor for the mCAGE and mDSM-IV-TR, except when their items were combined. Agreement between the mCAGE and mDSM-IV-TR was fair. Factor analysis of the TAPS confirmed the current four-factor structure. All of the tanning dependence scales were significantly correlated with one another. Likewise, most of the tanning dependence scales were significantly correlated with other measures of tanning attitudes and behaviours. However, the tolerance to tanning TAPS subscale was not significantly correlated with any measure of tanning attitudes or behaviours and had the lowest subscale internal reliability and eigenvalues. Conclusion: Based on the data and existing literature, we make recommendations for the continued use of tanning dependence measures. Intervention may be needed for the approximately 5% of college women who tend to be classified as tanning dependent across measures. Monitoring of individuals reporting tanning dependence symptoms is warranted. © 2013 European Academy of Dermatology and Venereology.

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