effects of a nutrition education program on intake of fruits and vegetables in a population of...

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Brazil; Paula D. B. Campagnolo, MSc, pcampagnolo@ unisinos.br , Vale do Rio dos Sinos University, 950 Av Unisinos; Carlos Alberto Feldens, PhD, Lutheran University of Brazil, 8001 Farroupilha Avenue, Building 59 Canoas; Daniel Hoffman, PhD, [email protected], Rutgers University, 26 Nichol Avenue, New Brunswick, NJ Objective: To assess the effectiveness of home-based ma- ternal nutrition counseling during the first year of life on the Healthy Eating Index (HEI) of preschool-age children. Design, Setting and Participants: A randomized trial in which 500 mothers and newborns recruited at a mater- nity hospital in Sa ˜o Leopoldo, Brazil, were assigned to an intervention or control groups. Intervention: Dietary counseling was provided during 10 home visits during the first year of life by trained field- workers who provided instruction on the Ten Steps for Healthy Feeding Children from birth to 2 years of age (Bra- zilian Ministry of Health/World Health Organization). Outcome Measures and Analysis: The dietary intake of 345 children was assessed at 3 to 4 years of age, using two 24-hour food recalls on nonconsecutive days. Diet quality was determined with the HEI. c 2 Tests were used to calcu- late the relative risks between the intervention and HEI. Results: Of the 345 children examined at 3 to 4 years of age, the prevalence of ‘‘poor’’ diet in the intervention group was lower compared with that of the control group (relative risk, 0.30; 95% confidence interval, 0.13-0.71). Moreover, the HEI scores, according to dietary components, were sig- nificantly greater in the intervention group for vegetables (P ¼ .005), fruits (P ¼ .010), and variety (P ¼ .018). Conclusions and Implications: Dietary counseling during the first year of life was associated with higher HEI when children were 3 to 4 years of age. This project is funded by the National Council of Scientific and Tech- nological Development–Brazil and Capes Foundation, Ministry of Education (proc. number 2080/09-5). P94 Effects of a Nutrition Education Program on Intake of Fruits and Vegetables in a Population of Predominantly Hispanic Students in Kindergarten Through Second Grade Debra Reed, PhD, RD, LD, [email protected]; Helen DeVitt Jones; Natalie Hensarling, MS, RD, LD, natalie.hensarling@ ttu.edu; Mallory Boylan, PhD, RD, LD, mallory.boylan@ttu. edu, Texas Tech University, PO Box 41240, Lubbock, TX 79409-1240; Du Feng, PhD, [email protected], Texas Tech University, PO Box 41230, Lubbock, TX 79409-1230; Christina Esperat, PhD, RN, [email protected], Robert Wood Johnson Foundation, Texas Tech University Health Sciences Center, 3601 4th Street, Lubbock, TX 79430 Objective: To determine the effect of a nutrition educa- tion program on fruit (Fs) and vegetable (Vs) intake of pre- dominantly Hispanic children in 2 west Texas cities. Design, Setting and Participants: Children (n ¼ 203; 88% Hispanic) participated in a taste testing (TT) before and after a nutrition education program encouraging Fs/ Vs. Children were given 3 Vs and 3 Fs (served raw): 1 sugar snap pea pod, 1 baby carrot, a 1/4-in-by-2-in strip of ji- cama, 1/8 apple wedge, 2 grapes, and a 1/4-in kiwi slice. Vs were given first, followed by Fs on a separate plate. In- take was recorded as ‘‘Didn’t try it,’’ ‘‘Ate some, left some,’’ or ‘‘Ate all’’ and scored 1, 2, and 3, respectively. Children received individual scores for Fs and Vs intake, with 9 being the highest score. Intervention: Comidas Para Salud, which utilized the Bi- enestar nutrition education curriculum, was implemented after the pre-TT. Outcome Measures and Analysis: Mean comparisons, using paired t tests, between intake pre/postintervention were determined. Results: Mean pre/post Vs scores were 7.82 1.39/7.96 1.42 (t ¼ –1.938; P ¼ .054). Mean pre/post Fs scores were 8.66 0.80/8.68 0.77 (t ¼ –0.576; P ¼ .57). Conclusions and Implications: These findings support the hypothesis that nutrition education can increase in- take of Vs. Lack of significant results for Fs may be due to high prescores indicating a possible ‘‘ceiling effect.’’ This study provides evidence that children will eat Fs and Vs de- spite concerns from parents/schools that efforts to encour- age children to eat Fs and Vs are futile because ‘‘they won’t eat them.’’ This project is funded by the National Research Initiative of the USDA Cooperative State Research, Educa- tion and Extension Service, grant number 2006-55215- 16691. P95 Impact of Community Nutrition Supervised Practice in Dietetics Students’ Self- efficacy SeAnne Safaii, PhD, RD, [email protected]; Martha Raidl, PhD, RD, [email protected]; Samantha Ramsay, MS, RD, [email protected]; Laurel Branen, PhD, RD, [email protected], University of Idaho, 1000 West Hubbard, Suite 145, Couer d’ Alene, ID 83814 Objective: To determine the effects of a new community nutrition supervised practice curriculum on student self- efficacy. Use of Theory or Research: Bandura’s (1997) theoreti- cal model of self-efficacy, which is individuals’ beliefs about their capabilities to manage events in their lives, was used. Target Audience: Twelve seniors in the Coordinated Program in Dietetics at the University of Idaho participated in the study. Description: Dietetics students’ self-efficacy was mea- sured before and after implementation of a new commu- nity nutrition supervised practice curriculum involving the delivery of formal community education programs to children and also to adults, but with different methods. The setting for the experience included assigning all students to present public forums through a large P93 (continued) Journal of Nutrition Education and Behavior Volume 42, Number 4S, 2010 Poster Abstracts S123 Continued on page S124

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Page 1: Effects of a Nutrition Education Program on Intake of Fruits and Vegetables in a Population of Predominantly Hispanic Students in Kindergarten Through Second Grade

P93 (continued)

Journal of Nutrition Education and Behavior � Volume 42, Number 4S, 2010 Poster Abstracts S123

Brazil; Paula D. B. Campagnolo, MSc, [email protected], Vale do Rio dos Sinos University, 950 AvUnisinos; Carlos Alberto Feldens, PhD, Lutheran Universityof Brazil, 8001 Farroupilha Avenue, Building 59 Canoas;Daniel Hoffman, PhD, [email protected],Rutgers University, 26 Nichol Avenue, New Brunswick, NJ

Objective: To assess the effectiveness of home-based ma-ternal nutrition counseling during the first year of life onthe Healthy Eating Index (HEI) of preschool-age children.Design, Setting and Participants: A randomized trialin which 500 mothers and newborns recruited at a mater-nity hospital in Sao Leopoldo, Brazil, were assigned to anintervention or control groups.Intervention: Dietary counseling was provided during10 home visits during the first year of life by trained field-workers who provided instruction on the Ten Steps forHealthy Feeding Children from birth to 2 years of age (Bra-zilian Ministry of Health/World Health Organization).Outcome Measures and Analysis: The dietary intake of345 children was assessed at 3 to 4 years of age, using two24-hour food recalls on nonconsecutive days. Diet qualitywas determined with the HEI. c2 Tests were used to calcu-late the relative risks between the intervention and HEI.Results: Of the 345 children examined at 3 to 4 years ofage, the prevalence of ‘‘poor’’ diet in the intervention groupwas lower compared with that of the control group (relativerisk, 0.30; 95% confidence interval, 0.13-0.71). Moreover,the HEI scores, according to dietary components, were sig-nificantly greater in the intervention group for vegetables(P ¼ .005), fruits (P ¼ .010), and variety (P ¼ .018).Conclusions and Implications: Dietary counselingduring the first year of life was associated with higherHEI when children were 3 to 4 years of age. This projectis funded by the National Council of Scientific and Tech-nological Development–Brazil and Capes Foundation,Ministry of Education (proc. number 2080/09-5).

Continued on page S124

P94 Effects of a Nutrition Education Programon Intake of Fruits and Vegetables ina Population of Predominantly HispanicStudents in Kindergarten Through SecondGradeDebra Reed, PhD, RD, LD, [email protected]; Helen DeVittJones; Natalie Hensarling, MS, RD, LD, [email protected]; Mallory Boylan, PhD, RD, LD, [email protected], Texas Tech University, PO Box 41240, Lubbock, TX79409-1240; Du Feng, PhD, [email protected], Texas TechUniversity, PO Box 41230, Lubbock, TX 79409-1230;Christina Esperat, PhD, RN, [email protected],Robert Wood Johnson Foundation, Texas Tech UniversityHealth Sciences Center, 3601 4th Street, Lubbock, TX 79430

Objective: To determine the effect of a nutrition educa-tion program on fruit (Fs) and vegetable (Vs) intake of pre-dominantly Hispanic children in 2 west Texas cities.

Design, Setting and Participants: Children (n ¼ 203;88% Hispanic) participated in a taste testing (TT) beforeand after a nutrition education program encouraging Fs/Vs. Children were given 3 Vs and 3 Fs (served raw): 1 sugarsnap pea pod, 1 baby carrot, a 1/4-in-by-2-in strip of ji-cama, 1/8 apple wedge, 2 grapes, and a 1/4-in kiwi slice.Vs were given first, followed by Fs on a separate plate. In-take was recorded as ‘‘Didn’t try it,’’ ‘‘Ate some, leftsome,’’ or ‘‘Ate all’’ and scored 1, 2, and 3, respectively.Children received individual scores for Fs and Vs intake,with 9 being the highest score.Intervention: Comidas Para Salud, which utilized the Bi-enestar nutrition education curriculum, was implementedafter the pre-TT.Outcome Measures and Analysis: Mean comparisons,using paired t tests, between intake pre/postinterventionwere determined.Results: Mean pre/post Vs scores were 7.82 � 1.39/7.96 �1.42 (t ¼ –1.938; P ¼ .054). Mean pre/post Fs scores were8.66 � 0.80/8.68 � 0.77 (t ¼ –0.576; P ¼ .57).Conclusions and Implications: These findings supportthe hypothesis that nutrition education can increase in-take of Vs. Lack of significant results for Fs may be due tohigh prescores indicating a possible ‘‘ceiling effect.’’ Thisstudy provides evidence that children will eat Fs and Vs de-spite concerns from parents/schools that efforts to encour-age children to eat Fs and Vs are futile because ‘‘they won’teat them.’’ This project is funded by the National ResearchInitiative of the USDA Cooperative State Research, Educa-tion and Extension Service, grant number 2006-55215-16691.

P95 Impact of Community NutritionSupervised Practice in Dietetics Students’ Self-efficacySeAnne Safaii, PhD, RD, [email protected];Martha Raidl, PhD, RD, [email protected];Samantha Ramsay, MS, RD, [email protected];Laurel Branen, PhD, RD, [email protected], Universityof Idaho, 1000 West Hubbard, Suite 145, Couer d’ Alene,ID 83814

Objective: To determine the effects of a new communitynutrition supervised practice curriculum on student self-efficacy.Use of Theory or Research: Bandura’s (1997) theoreti-cal model of self-efficacy, which is individuals’ beliefsabout their capabilities to manage events in their lives,was used.Target Audience: Twelve seniors in the CoordinatedProgram in Dietetics at the University of Idaho participatedin the study.Description: Dietetics students’ self-efficacy was mea-sured before and after implementation of a new commu-nity nutrition supervised practice curriculum involvingthe delivery of formal community education programs tochildren and also to adults, but with different methods.The setting for the experience included assigning allstudents to present public forums through a large