Download or read book A Pediatric Fruit and Vegetable Prescription Program Increases Household Food Security and Children s Fruit and Vegetable Consumption written by Ronit Adina Ridberg and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background: The intersection of health care, food insecurity and diet is increasingly a focus of policies and programs targeting the related crises of high rates of obesity and other forms of malnutrition, associated chronic disease risks, impaired performance at work and school, and soaring health care and other economic costs, specifically in low-income families. Nutrition incentive programs may mitigate the severity of food insecurity and low fruit and vegetable (FV) consumption by augmenting federal nutrition benefits and improving access to and affordability of FV with financial incentives at their point of purchase. Fruit and vegetable prescription programs, an innovative nutrition incentive model, aim to increase access to health-supporting foods for patients at risk of chronic disease. Only a few prescription program studies have been published in the peer-reviewed literature, demonstrating decreased hemoglobin A1c levels and BMI, and increased FV consumption, and important gaps remain. No prescription study analyzes pediatric prescription programs; most incentive studies focus on changes in FV purchasing or sales rather than consumption or food security; and incentive studies rarely account for measured and unmeasured confounders in the largely self-selected, convenience samples of participants. The two papers that comprise this dissertation assess changes in household food security and children’s fruit and vegetable consumption for low-income families participating in a pediatric fruit and vegetable prescription program. Methods: The Wholesome Wave FVRx program is a 4-6 month intervention offered since 2011 in select cities and states across the country. In pediatric programs during 2012-15, health care providers enrolled children and youth aged 2-18 years (one per household) who were clinically obese or overweight. Participants received nutrition education by a clinician, nutritionist, or trained health educator at each clinical visit or in a class setting (approximately monthly), including guidance on FV consumption and replacement of unhealthy foods with fresh FV. Providers distributed prescriptions allocated by household size ($0.50-$1.00/per person per day) and shared details of partnering farmers markets, where prescriptions were redeemed for produce. Change in food security was assessed among 578 households from 2013-15, using five measures from the USDA Household Food Security Supplement. Change in fruit and vegetable consumption was calculated for 1024 children between their first and last visits in the years 2012-2015 using an adapted National Cancer Institute screener. Paired t-tests and McNemars paired tests were used to compare study variables between first and last visits, and multiple linear regression analyses, including propensity dose-adjusted models, were used to model the change scores of each as a function of important socio-demographic and program-specific covariates. Results: The percentage of households experiencing very low FS was greatly reduced and those with high/marginal FS increased more than 30%, demonstrating the desired program impact, consistent with SNAP-based incentive programs. Moreover, highest program exposure (specifically, 5 or 6 clinical visits) was associated with a higher food security change score, suggesting that increased levels of participation could indicate a larger degree of change in household food security from the beginning to end of program participation. Households whose primary caretaker had attained higher than high school education also had a greater mean change score. We found both an unadjusted mean increase in children’s FV consumption of 0.33 cups between first and last visit, as well as a dose propensity-adjusted increase in the mean change score of more than a quarter-cup for each 1-unit change in total visits while holding predicted number of visits and site constant. Contrary to common findings in children’s nutrition interventions, a greater portion of the change score increase was attributed to vegetable consumption as compared to fruit consumption. In all outcomes, select clinical sites had higher change scores than those in the reference site, suggesting implications for program design and implementation. Conclusion: Fruit and vegetable prescription programs in clinical settings have the potential to increase food security and children’s fruit and vegetable consumption in low-income households. Future research should utilize a comparison group, complete validated measures, and include qualitative analysis of site-specific barriers and facilitators to success. Comparative effectiveness research could help build the business case for weaving food-based programming into usual care. Integrating food security screenings and referral to local food resources are important steps in improving food access for all and should be adopted by health care providers regardless of an accompanying fruit and vegetable prescription program.
Download or read book Correlates of Fruit and Vegetable Intakes in US Children written by Barbara Anne Lorson and published by . This book was released on 2006 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: In the United States, children are not consuming the recommended intakes for fruits and vegetables, which increases the risk for several diseases later in life. To identify factors related to low fruit and vegetable intake in U.S. children, we utilized the National Health and Nutrition Examination Survey (NHANES) 1999-2000 and 2001- 2002 examining the relationship of fruit and vegetable intake with age, gender, ethnicity, poverty level, BMI, and food security status. Data from 6,863 children ages 2-18 years were obtained from the combined NHANES data sets. The weighted sample was comprised of 50.7% males and 49.3% females. The mean age of the sample was 10.2 ± 0.08, with a mean BMI percentile of 63.4 ± 0.75, mean family poverty-income ratio of 2.4 ± 0.06, and mean energy intake of 2,057.6 ± 19.6. With regards to BMI percentile, 12-18 year olds between the 5th85th percentiles for BMI had significantly higher fruit intake (excluding citrus, melons, and berries) (0.66 ± 0.04, P= 0.032) than 12-18 year olds between the 85t95th and above the 95th BMI percentile (0.5 ± 0.06, 0.48 ± 0.04, respectively). Mean daily fruit intake also differed by poverty-income ratio status. Total mean daily fruit intake was significantly higher in children living in households above 350% of the federal poverty level (1.64 ± 0.06, P= 0.00 1) than those children living in households between 130-350% and below 130% of the federal poverty level (1.25 ± 0.06, 1.34 ± 0.07, respectively). Regarding food security status, total mean daily fruit intake was found to be significantly lower (P
Download or read book New Omnivorism and Strict Veganism written by Cheryl Abbate and published by Taylor & Francis. This book was released on 2023-10-13 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: A growing number of animal ethicists defend new omnivorism—the view that it’s permissible, if not obligatory, to consume certain kinds of animal flesh and products. This book puts defenders of new omnivorism and advocates of strict veganism into conversation with one another to further debate in food ethics in novel and meaningful ways. The book includes six chapters that defend distinct versions of new omnivorism and six critical responses from scholars who are sympathetic to strict veganism. The contributors debate whether it’s ethically permissible to eat the following: "freegan" meat; roadkill; cultured meat; genetically disenhanced animals; possibly insentient animals, such as insects; and fish. The volume concludes with two chapters that examine strict vegan and new omnivore policies. Presenting readers with clear defenses and criticisms of the various dietary proposals, this book draws attention to the most important ethical challenges facing traditional animal agriculture and alternative systems of food production. New Omnivorism and Strict Veganism will appeal to scholars and students interested in food ethics, animal ethics, and agricultural ethics.
Download or read book Promoting safe and adequate fruit and vegetable consumption to improve health written by Food and Agriculture Organization of the United Nations and published by Food & Agriculture Org.. This book was released on 2021-12-23 with total page 26 pages. Available in PDF, EPUB and Kindle. Book excerpt: FAO and the World Health Organization (WHO) recommend a daily fruit and vegetable (F&V) intake of at least 400 grams/adult. However, low F&V intake has become a global public health problem. The promotion of F&Vs in the International Year of Fruits and Vegetables emphasizes unprocessed or minimally processed F&Vs, which are highly beneficial to health. However, processing can improve food safety, especially from microbiological contamination, and reduce loss and waste. Conversely, F&Vs which are highly processed can undermine the health benefits of F&V consumption.
Download or read book Fruit and Vegetable Consumption in Preschool aged Low income Mexican American Children written by Isabel Ramos and published by . This book was released on 2012 with total page 62 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood obesity is an emerging epidemic. According to data found in the Pediatric Nutrition Surveillance System, over 12.5 million children are overweight or obese in the United States. The prevalence of obesity is higher in Mexican-American children than other ethnic groups in the US. Current research has found that higher intakes of fruits and vegetables have been shown to help prevent and reduce chronic diseases like obesity. Low fruit and vegetable consumption may also be a contributing factor to unhealthy weight gain in children. Moreover, low consumption of fruits and vegetables may reinforce the preference for other unhealthful foods like sugar-sweetened beverages and refined carbohydrates. The objective of this study was to look at fruit and vegetable consumption in Mexican-American children at ages 2 and 4, and to examine its association with their weight status. At both time points, fruits and vegetables were estimated in cups and the nutrient intake was analyzed. It was found that fruit intake met the 2010 USDA food guidelines set for these ages, but significantly lower consumption of vegetables was observed at both ages. Micronutrients found in fruits and vegetables showed that vitamin A, C, and folate met the Dietary Reference Intakes (DRI) set for 2- and 4- year old children. However, significantly low intakes in vitamin E and potassium were observed. Furthermore, dietary fiber was significantly below the DRI at both time points. A significant 12% increase in the BMI-for-age percentile from children at 2 years of age to 4 years of age was found. However, no relationship was found between fruit and vegetable consumption with BMI-for-age percentile. Nevertheless, fruit and vegetable consumption remains important because of the vital role it plays in preventing and reducing chronic diseases in the Mexican-American population.
Download or read book Fruits and vegetables enhanced federal efforts to increase consumption could yield health benefits for Americans written by and published by DIANE Publishing. This book was released on 2002 with total page 67 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Journal of the House of Representatives of the United States written by United States. Congress. House and published by . This book was released on 2010 with total page 1064 pages. Available in PDF, EPUB and Kindle. Book excerpt: Some vols. include supplemental journals of "such proceedings of the sessions, as, during the time they were depending, were ordered to be kept secret, and respecting which the injunction of secrecy was afterwards taken off by the order of the House."
Download or read book Examining the Association Between Children s Fruit and Vegetable Intake at and Away from School written by Velarie Yaa Ankrah Ansu and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Several school-based interventions aimed at increasing fruit and vegetables (FV) intake among children have demonstrated success in short-term interventions. The Fit Game is a school-based intervention aimed at encouraging children to consume increasing amounts of FV during a game, which is a narrative. Just as children are being encouraged to eat FV at school, so is it equally important for them to eat FV at home. Parents strongly influence the amount of FV children consume at home. The aim of this thesis is to examine associations between factors that influence consumption of fruits and vegetables at and away from school among children who are participating in a schoolbased intervention, which has been shown to increase fruit and vegetable consumption at school. Associations between factors of the home environment and FV intake of children at and away from school are also explored. The study population was 37 parent-child pairs who participated in the Fit Game intervention conducted at one elementary school in 2013 (n = 252). This study showed that there was an increase in FV intake of children at school during the period they played the Fit Game; however there was no change in fruit and vegetable intake away from school during that same period of time. In addition, though parents and children0́9s intake of FV were correlated, parents did not change their FV intake during the period of time their child participated in the Fit Game at school. There was no significance between children0́9s intake and the factors in the home environment including family meals, FV accessibility and availability as well as parental knowledge. This study used rigorous methods to assess dietary intake. It is, however, important that this study is replicated with a larger sample that is more diverse.
Download or read book Interventions to Increase Fruit and Vegetable Consumption Among Preschool aged Children written by Memorie Nichols and published by . This book was released on 2015 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Obesity among preschool-aged children is a major public health concern as obese children are more likely to be obese as adults, and obesity is a risk factor for many chronic diseases. Diets high in fruits and vegetables (FV) may decrease the risk of many chronic diseases as well as contribute to obesity prevention. However, many preschool-aged children in the US are not meeting recommended intakes of FV. Therefore, the purpose of this study is to examine previous interventions conducted to increase FV consumption among preschool-aged children. Methods: The search for published articles was conducted using PubMed through the Weill Cornell Medical College library. The search terms "fruit AND vegetable AND consumption AND intervention" with specific filters were used to find studies that had been conducted on preschool-aged children, had full-text versions available online, were published in English, and were of rigorous design. Results: Thirty-four articles resulted, but only 12 were eligible to be included and further examined in this paper. Conclusions: The studies showed promising results for interventions conducted among preschool-aged children to increase the consumption of FV at least in the short-term. One common theme of many of the interventions was repeated exposure to and tastes of FV. Increased fruit consumption was typically achieved through less rigorous strategies, which may be due to children's natural taste preference for sweet food items. Further, many of the interventions involved multiple components.
Download or read book Increasing Consumption of Fruits and Vegetables written by Rosemary Hartman and published by . This book was released on 1999 with total page 210 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book National Prevention Strategy America s Plan for Better Health and Wellness written by Regina M. Benjamin and published by DIANE Publishing. This book was released on 2011 with total page 125 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Affordable Care Act, landmark health legislation passed in 2010, called for the development of the National Prevention Strategy to realize the benefits of prevention for all Americans¿ health. This Strategy builds on the law¿s efforts to lower health care costs, improve the quality of care, and provide coverage options for the uninsured. Contents: Nat. Leadership; Partners in Prevention; Healthy and Safe Community Environ.; Clinical and Community Preventive Services; Elimination of Health Disparities; Priorities: Tobacco Free Living; Preventing Drug Abuse and Excessive Alcohol Use; Healthy Eating; Active Living; Injury and Violence Free Living; Reproductive and Sexual Health; Mental and Emotional Well-being. Illus. A print on demand report.
Download or read book Incentivizing Children s Fruit and Vegetable Consumption written by Brooke A. Jones and published by . This book was released on 2014 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Researchers in the Psychology Department and the Nutrition, Dietetics, and Food Sciences Department sought to improve elementary school children0́9s in-school fruit and vegetable (FV) consumption. To achieve this goal, a program that has proven effective in the UK called the Food Dudes (FD) program was implemented in six local schools. Schools were assigned to either experience the traditional FD program (with prize rewards, such as pencil cases and bubbles), a modified version of the FD program (with praise rewards replacing the prize rewards), or no FD program (the control group). Students who consumed a pre-specified amount of FV each day during the intervention earned a reward according to the program0́9s schedule. Results showed that students in the Prize schools were consuming more FV than students in the Praise schools and the Control schools at follow-up when the intervention had been removed for six months. While the success of the FD program with prize rewards (i.e., incentives) was encouraging, many teachers reported issues with its implementation. An incentive-based intervention may be difficult for schools to implement due to high labor and material costs, especially without outside assistance. Therefore, we aimed to reduce these costs while maintaining the use of incentives. We developed an intervention based on the principles of gamification in which students earned in-game, virtual rewards for meeting their FV consumption goals each day at school. This intervention was rated favorably by teachers and parents and showed significant increases in school-wide and individual FV consumption in two schools in Logan, UT, but long-term increases were not obtained. Improving children0́9s dietary decisions, namely FV consumption, is an important goal that can positively impact future health. Sustainable, incentive-based interventions, like the school-wide gamification model developed in this project, represent a promising step toward achieving this goal.
Download or read book The Fresh Fruit and Vegetable Program s Influence on the Home Food Environment and Shopping Practices written by Marina Acosta Ortiz and published by . This book was released on 2018 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the literature suggesting that fruits and vegetables (F&V) can have a protective outcome against overweight, obesity and chronic diseases, consumption is still inadequate. In order to address under consumption of F&V among children, schools have become a platform for a variety of food programs. The Fresh Fruit and Vegetable Program (FFVP), a United States Department of Agriculture (USDA) initiative, aims to increase exposure and consumption of F&V in low-income school children by providing F&V snacks. Participation in FFVP has been associated with higher preference and consumption of F&V and research also suggests that the program has the potential to decrease rates of overweight and obesity. The benefits of this program have been found to extend outside of the school setting, with higher requests for F&V at home and at the grocery store. This study aims to explore how children's participation in the FFVP influences home food environments and shopping practices through qualitative analysis focus group data. Four focus groups were held with parents (n=25) from three FFVP participating schools. The data was analyzed using an inductive thematic analysis approach to find themes within the discussions. The findings were grouped into three categories: General Perceptions of FFVP, Impact of FFVP on the Home Food Environment, and Impact of FFVP on Shopping Practices. For General Perceptions of FFVP, themes were: Children learn about and enjoy F&V, awareness of farm to school programs, and children make healthier choices. Impact of FFVP on the Home Food Environment included the themes: Choosing heathier foods and snacks, parent F&V behaviors, children request F&V at home, and children talk about or bring F&V home. Finally, Impact of FFVP on Shopping Practices included the themes: children's involvement in shopping, children request to buy F&V, children request non-produce items, and parents decline or limit unhealthy requests. This qualitative study provides valuable insights about how FFVP participation influences child and family behaviors towards F&V at home and in the grocery store. School food programs, such as the FFVP, have a positive influence on F&V related behaviors among children and should be continued and expanded.
Download or read book Bright Futures written by American Academy of Pediatrics and published by . This book was released on 2017 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This essential resource provides key background information and recommendations for 12 health promotion themes, including 3 brand-new topics : promoting lifelong health for families and communities, promoting health for children and youth with special health care needs, and promoting the healthy and safe use of social media. Also included in this essential resource are well-child supervision standards for 31 age-based visits, from newborn through 21 years. The result : more efficient visits, stronger partnerships with children and families, and enhanced ability to keep up with changes in family, communities, and society that affect a child's health."--Page 4 de la couverture.
Download or read book Effectiveness of a Parent Health Report in Increasing Fruit and Vegetable Consumption Among Preschoolers and Kindergarteners written by Sanita L. Hunsaker and published by . This book was released on 2015 with total page 47 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Raised on Veggies A Nutrition Blog for Parents Featuring Tips Nutrition Education and Recipes Featuring Fruits and Vegetables to Cook with Children written by Joanna Elizabeth Olson and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the numerous health benefits associated with the consumption of fruits and vegetables, the majority of children in the United States fall short of meeting federal recommendations. Since childhood health behaviors track into adulthood, interventions aimed at increasing fruit and vegetable consumption during childhood can maximize well being throughout the lifecycle. Study findings indicate a positive relationship between children's involvement in at-home meal preparation and overall diet quality, including an increase in fruit and vegetable consumption. However, with only one third of children currently assisting with meal preparation two or more times a week, a large opportunity for growth remains available. The purpose of this project is to increase children's fruit and vegetable consumption by encouraging parents to prepare nutrient-dense meals featuring fruits and vegetables with their child. This will be accomplished through the creation of "Raised on Veggies," a nutrition blog that includes nutrition education and provides parents with nutrient-dense recipes featuring fruits and vegetables to cook with their child. "Raised on Veggies" provides the knowledge and tools necessary to help parents increase their child's fruit and vegetable intake and set the stage for a lifetime of healthy eating habits.
Download or read book Produce Prescription FVRx Programs written by Zoe L. Harper and published by . This book was released on 2023 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Produce prescription (FVRx) programs have been established to support the consumption of fruits and vegetables (FVs), particularly among individuals at risk for diet-related chronic diseases or food insecurity through referral by a healthcare provider. To date, published literature on food prescription programs solely focused on FVs has not been synthesized. Thus, the purpose of this study was to conduct a systematic review among children and adults to examine if FVRx programs improve food security, increase FV intake, and/or improve cardiovascular disease risk factors.
