1
Promoting Locally Grown Fruit and Vegetable Consumption by Elementary School Aged Children and Their Parents Author(s): C. S. Oliveri, 1 M. Mattey, 2 L. Miller, 1 K. Jelley, 3 M. Brown, 1 S. Maggard, 4 T. Williams 5 ; 1 Ohio State University Extension, Piketon, OH, 2 Ohio State University Extension, Waverly, OH, 3 Ohio State University Extension, Georgetown, OH, 4 Ohio State University Extension, West Union, OH, 5 Ohio State University Extension, Portsmouth, OH Learning Outcome: Participants will be able to implement the Fruits and Vegetable Fact sheets program in their communities. A recent study conducted by the state Health Department found that adult residents are not consuming the recommended amounts of fruits and vegetables daily. Twenty five percent of those surveyed reported no leisure time activity and the rate of obesity in the state has increased dramatically. Regional fruit and vegetable producers have expressed an interest in educational tools that encourage residents to purchase and consume locally grown products. To address these issues, a series of thirteen fact sheets promoting locally grown fruits and vegetables was developed. Each fact sheet focuses on a seasonal fruit or vegetable and contains tips on selection, storage, nutrition information, fitness activity related to the topic, ideas for further exploration and a recipe. One or two fact sheets are sent home in the backpacks of elementary aged children each month. As documented in a program designed to reach the same target audience, parents of elementary school children are receptive to receiving information to help them as parents. Curriculum also includes a lesson plan, letter to the parents and coloring pages. Program results are measured utilizing a questionnaire that is sent home with one of the fact sheets in the spring. Initial piloting of the program indicated that new information was gained, strategies had been implemented and parents liked this method of instruction. Following the pilot program in four counties, materials were distributed statewide in December, 2008. Results of the statewide program will be shared. The state 4-H Foundation provided funding for the development of this curriculum. Funding Disclosure: Ohio 4-H Foundation Grant Examination of Pre-Diabetes and Diabetes Perceptions and Knowledge Using Focus Groups Author(s): V. Haley-Zitlin, 1 C. Carter, 1 K. Cason, 1 C. Dye, 2 A. Johnson 3 ; 1 Food Science and Human Nutrition, Clemson University, Clemson, SC, 2 Health Sciences, Clemson University, Clemson, SC, 3 Glen Raven Textiles, LLC, Anderson, SC Learning Outcome: The participant will be able to explain the value of using focus groups for examinating pre-diabetes and diabetes perceptions and knowledge. Four focus groups (FG) were held at a rural upstate South Carolina worksite. Participants were considered at risk for type 2 diabetes based on family history or lab results. Twenty-nine employees participated; each FG consisted of 6-9 men and women. Ten (33.33%) participants were 35-44 years, 26.67% were 45-54, and 30% were 55-64. Participants were Caucasian (70%), Black (26.67%), and Hispanic (3.33%). Most were nonsmokers (86.67%); 90% were married or separated/divorced with 10% never married. Average BMI was 31.58. Questionnaires determined participants’ pre-diabetes/diabetes knowledge and demographic information. The FG interview guide was developed and organized by Social Cognitive Theory constructs: personal factors, environmental factors, and behavioral factors. Content validity of the FG guide was established through a literature review of diabetes interventions and consensus. NUD*Vivo 7 was used to code, organize and analyze the data. Data was compared/contrasted by an analysis table. Key phrases were coded into a framework and themes/sub-themes identified. Focus group discussions covered eating and exercise behaviors, weight management, and diabetes knowledge. Data analysis revealed 12 major themes: desired activities, nutritional knowledge, dietary behavior, feelings about exercise, exercise barriers, thoughts about body weight, weight management behavior, barriers to successful weight management, motivations for weight management, support for weight management, knowledge about pre-diabetes and diabetes, and success of worksite diabetes prevention program. Identified barriers were time, motivation, energy, price, taste, and nutrition knowledge. Practitioner’s implications include assisting patients in behavior change strategies that are individually tailored. Participants were aware of healthy behaviors but had difficulty with behavior change. Funding Disclosure: Creative Inquiry Grant Examination of College Students’ Food Label Use on Their Selection of Portion Size Author(s): T. Tanaka, 1 J. Coker, 2 A. Gillett, 3 C. Seaborn 1 ; 1 Food and Nutrition Department, University of Wisconsin-Stout, Menomonie, WI, 2 Provost, University of Wisconsin-Stout, Menomonie, WI, 3 School of Education, University of Wisconsin-Stout, Menomonie, WI Learning Outcome: Participants will be able to discuss the inconsistency of food label use to choosing food portions for daily diet. The use of the food label is thought to create awareness of portion distortions. The purpose of this study was to examine the relationship of label use with selected portion sizes. College students (n112) were recruited and asked to select their typically consumed portion size from life-sized food photographs featuring four portions of pizza, macaroni and cheese, tortilla chips, soda, M&Ms, Cheerios, and orange juice. Students were also asked about the frequencies of reading and using labels, ability to select the picture depicting the serving size on the label, their ability to calculate the calorie content of the foods using the Nutrition Facts label, and their typical portions consumed. Most students reported frequently reading serving size (83.9%) and calorie information (78.6%) and calculated the calorie content correctly (74.2%). However, fewer students reported actually using the serving size (51.8%) and calorie information (56.2%). Only 52.8% selected the picture depicting the serving size on the label. Over 39% of the students selected pictures depicting larger daily portions compared to the reference sizes. The frequency of using serving size information was negatively correlated with the selected portions of snacks (tortilla chips, p0.031 and M&Ms, p0.047). However, no significant relationships were found between selected portions and frequency of reading labels, correct identification of serving size, and calculation of correct calories, suggesting that students did not effectively interpret the label information for selection of portion sizes. To prevent portion distortion, nutrition professionals should focus on the practical use of the label to guide portion choices. Funding Disclosure: University of Wisconsin-Stout, Graduate Research Fund Impact of Point-of-Selection Nutrition Information on Meal Choices at Restaurants Author(s): S. Sharma, 1 A. Wagle, 1 K. Sucher, 1 N. Bugwadia 2 ; 1 Nutrition, Food Science & Packaging, San Jose State University, San Jose, CA, 2 South Asian Heart Center, Mountain View, CA Learning Outcome: Participants will be able to describe the effect of point of selection nutrition information on their meal choice. South Asians are known to be at an increased risk for cardiovascular disease amongst all minority groups. The South Asian Heart Center (SAHC) provides early screening and nutrition education to South Asians living in the United States. Purpose: To study the change in meal choice of restaurant customers (especially South Asian) on being offered a healthier modification of ethnic foods and nutrition information at the point of selection (POS), and to ascertain the factors that influence the customer’s decision in making the choice. Method: Recipes for 9 items from a restaurant menu were modified as per SAHC guidelines and labeled as “Heart Healthy” on the menu. Sales data for the items was collected for 11-week pre and post- intervention periods. A survey was also conducted during the intervention period to gain insight into the attitudes and beliefs of customers regarding food choices. Results: Purchase of modified menu items were positively correlated with the customers’ education, their intention to order a healthier item on a return visit, and their belief that healthy options for a meal are nutritious and provide a good value. Sales of three modified items: Garbanzo Salad (p0.021), Salmon Masala (p0.045) and Jeera Rice (p0.001) increased significantly during intervention, while sales of the other six items remained constant. These correlations were however, not found to be significant for South Asian customers. Conclusion: Nutrition information provided at POS can be effective in influencing customer’s food choice towards healthy items in restaurants. Funding Disclosure: None TUESDAY, OCTOBER 20 POSTER SESSION: WELLNESS AND PUBLIC HEALTH A-90 / September 2009 Suppl 3—Abstracts Volume 109 Number 9

Impact of Point-of-Selection Nutrition Information on Meal Choices at Restaurants

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TUESDAY, OCTOBER 20

POSTER SESSION: WELLNESS AND PUBLIC HEALTH

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romoting Locally Grown Fruit and Vegetable Consumption bylementary School Aged Children and Their Parents

uthor(s): C. S. Oliveri,1 M. Mattey,2 L. Miller,1 K. Jelley,3 M. Brown,1

. Maggard,4 T. Williams5; 1Ohio State University Extension, Piketon,H, 2Ohio State University Extension, Waverly, OH, 3Ohio Stateniversity Extension, Georgetown, OH, 4Ohio State University Extension,est Union, OH, 5Ohio State University Extension, Portsmouth, OH

earning Outcome: Participants will be able to implement the Fruitsnd Vegetable Fact sheets program in their communities.

recent study conducted by the state Health Department found thatdult residents are not consuming the recommended amounts of fruits andegetables daily. Twenty five percent of those surveyed reported no leisureime activity and the rate of obesity in the state has increasedramatically. Regional fruit and vegetable producers have expressed annterest in educational tools that encourage residents to purchase andonsume locally grown products.

o address these issues, a series of thirteen fact sheets promoting locallyrown fruits and vegetables was developed. Each fact sheet focuses on aeasonal fruit or vegetable and contains tips on selection, storage,utrition information, fitness activity related to the topic, ideas for furtherxploration and a recipe. One or two fact sheets are sent home in theackpacks of elementary aged children each month. As documented in arogram designed to reach the same target audience, parents oflementary school children are receptive to receiving information to helphem as parents. Curriculum also includes a lesson plan, letter to thearents and coloring pages.

rogram results are measured utilizing a questionnaire that is sent homeith one of the fact sheets in the spring. Initial piloting of the program

ndicated that new information was gained, strategies had beenmplemented and parents liked this method of instruction. Following theilot program in four counties, materials were distributed statewide inecember, 2008. Results of the statewide program will be shared. The

tate 4-H Foundation provided funding for the development of thisurriculum.

unding Disclosure: Ohio 4-H Foundation Grant

Research Fund

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xamination of Pre-Diabetes and Diabetes Perceptions andnowledge Using Focus Groups

uthor(s): V. Haley-Zitlin,1 C. Carter,1 K. Cason,1 C. Dye,2 A. Johnson3;Food Science and Human Nutrition, Clemson University, Clemson, SC,Health Sciences, Clemson University, Clemson, SC, 3Glen Raven Textiles,LC, Anderson, SC

earning Outcome: The participant will be able to explain the value ofsing focus groups for examinating pre-diabetes and diabetes perceptionsnd knowledge.

our focus groups (FG) were held at a rural upstate South Carolinaorksite. Participants were considered at risk for type 2 diabetes based on

amily history or lab results. Twenty-nine employees participated; each FGonsisted of 6-9 men and women. Ten (33.33%) participants were 35-44ears, 26.67% were 45-54, and 30% were 55-64. Participants wereaucasian (70%), Black (26.67%), and Hispanic (3.33%). Most wereonsmokers (86.67%); 90% were married or separated/divorced with 10%ever married. Average BMI was 31.58. Questionnaires determinedarticipants’ pre-diabetes/diabetes knowledge and demographicnformation. The FG interview guide was developed and organized byocial Cognitive Theory constructs: personal factors, environmental

actors, and behavioral factors. Content validity of the FG guide wasstablished through a literature review of diabetes interventions andonsensus. NUD*Vivo 7 was used to code, organize and analyze the data.ata was compared/contrasted by an analysis table. Key phrases were

oded into a framework and themes/sub-themes identified. Focus groupiscussions covered eating and exercise behaviors, weight management,nd diabetes knowledge. Data analysis revealed 12 major themes: desiredctivities, nutritional knowledge, dietary behavior, feelings about exercise,xercise barriers, thoughts about body weight, weight managementehavior, barriers to successful weight management, motivations foreight management, support for weight management, knowledge aboutre-diabetes and diabetes, and success of worksite diabetes preventionrogram. Identified barriers were time, motivation, energy, price, taste,nd nutrition knowledge. Practitioner’s implications include assistingatients in behavior change strategies that are individually tailored.articipants were aware of healthy behaviors but had difficulty withehavior change.

unding Disclosure: Creative Inquiry Grant

-90 / September 2009 Suppl 3—Abstracts Volume 109 Number 9

xamination of College Students’ Food Label Use on Theirelection of Portion Size

uthor(s): T. Tanaka,1 J. Coker,2 A. Gillett,3 C. Seaborn1; 1Food andutrition Department, University of Wisconsin-Stout, Menomonie,I, 2Provost, University of Wisconsin-Stout, Menomonie, WI, 3School

f Education, University of Wisconsin-Stout, Menomonie, WI

earning Outcome: Participants will be able to discuss thenconsistency of food label use to choosing food portions for daily diet.

he use of the food label is thought to create awareness of portionistortions. The purpose of this study was to examine theelationship of label use with selected portion sizes. College studentsn�112) were recruited and asked to select their typically consumedortion size from life-sized food photographs featuring four portionsf pizza, macaroni and cheese, tortilla chips, soda, M&Ms, Cheerios,nd orange juice. Students were also asked about the frequencies ofeading and using labels, ability to select the picture depicting theerving size on the label, their ability to calculate the calorie contentf the foods using the Nutrition Facts label, and their typical portionsonsumed. Most students reported frequently reading serving size83.9%) and calorie information (78.6%) and calculated the calorieontent correctly (74.2%). However, fewer students reported actuallysing the serving size (51.8%) and calorie information (56.2%). Only2.8% selected the picture depicting the serving size on the label.ver 39% of the students selected pictures depicting larger dailyortions compared to the reference sizes. The frequency of usingerving size information was negatively correlated with the selectedortions of snacks (tortilla chips, p�0.031 and M&Ms, p�0.047).owever, no significant relationships were found between selectedortions and frequency of reading labels, correct identification oferving size, and calculation of correct calories, suggesting thattudents did not effectively interpret the label information forelection of portion sizes. To prevent portion distortion, nutritionrofessionals should focus on the practical use of the label to guideortion choices.

unding Disclosure: University of Wisconsin-Stout, Graduate

mpact of Point-of-Selection Nutrition Information on Mealhoices at Restaurants

uthor(s): S. Sharma,1 A. Wagle,1 K. Sucher,1 N. Bugwadia2;Nutrition, Food Science & Packaging, San Jose State University,an Jose, CA, 2South Asian Heart Center, Mountain View, CA

earning Outcome: Participants will be able to describe the effectf point of selection nutrition information on their meal choice.

outh Asians are known to be at an increased risk for cardiovascularisease amongst all minority groups. The South Asian Heart CenterSAHC) provides early screening and nutrition education to Southsians living in the United States. Purpose: To study the change ineal choice of restaurant customers (especially South Asian) on being

ffered a healthier modification of ethnic foods and nutritionnformation at the point of selection (POS), and to ascertain theactors that influence the customer’s decision in making the choice.

ethod: Recipes for 9 items from a restaurant menu were modifieds per SAHC guidelines and labeled as “Heart Healthy” on the menu.ales data for the items was collected for 11-week pre and post-

ntervention periods. A survey was also conducted during thentervention period to gain insight into the attitudes and beliefs ofustomers regarding food choices. Results: Purchase of modified menutems were positively correlated with the customers’ education, theirntention to order a healthier item on a return visit, and their beliefhat healthy options for a meal are nutritious and provide a goodalue. Sales of three modified items: Garbanzo Salad (p�0.021),almon Masala (p�0.045) and Jeera Rice (p�0.001) increasedignificantly during intervention, while sales of the other six itemsemained constant. These correlations were however, not found to beignificant for South Asian customers. Conclusion: Nutritionnformation provided at POS can be effective in influencingustomer’s food choice towards healthy items in restaurants.

unding Disclosure: None