Jenna Anding

Availability of healthier options in traditional and nontraditional rural fast-food outlets

BackgroundFood prepared away from home has become increasingly popular to U.S. families, and may contribute to obesity. Sales have been dominated by fast food outlets, where meals are purchased for dining away from home or in the home. Although national chain affiliated fast-food outlets are considered the main source for fast food, fast foods are increasingly available in convenience stores and supermarkets/grocery stores. In rural areas, these nontraditional fast-food outlets may provide most of the opportunities for procurement of fast foods.MethodsUsing all traditional and nontraditio nal fast-food outlets identified in six counties in rural Texas, the type and number of regular and healthiermenu options were surveyed using on-site observation in all food venues that were primarily fast food, supermarket/grocery store, and convenience store and compared with 2005 Dietary Guidelines.ResultsTraditional fast-food outlets represented 84 (41%) of the 205 opportunities for procurement of fast food; 109 (53.2%) were convenience stores and 12 (5.8%) supermarkets/grocery stores. Although a s imilar variety of regular breakfast and lunch/dinner entrées were available in traditional fast-food outlets and convenience stores, the variety of healthier breakfast and lunch/dinner entrées was significantly greater in fast food outlets. Compared with convenience stores, supermarkets/grocery stores provided a greater variety of regular and healthier entrées and lunch/dinner side dishes.ConclusionConvenience stores and supermarkets/grocery stores more than double the potential access to fast foods in this rural area than traditional fast-food outlets alone; however, traditional fast food outlets offer greater opportunity for healthier fast food options than convenience stores. A complete picture of fast food environment and the availability of healthier fast food options are essential to understand environmental influences on diet and health outcomes, and identify potential targets for intervention.

Using multiple household food inventories to measure food availability in the home over 30 days: a pilot study

BackgroundThe consumption of foods, especially by children, may be determined by the types of foods that are available in the home. Because most studies use a single point of data collection to determine the types of foods in the home, which can miss the change in availability when resources are not available, the primary objective of this study was to determine the extent to which the weekly availability of household food items changed over one month by 1) developing the methodology for the direct observation of the presence and amount of food items in the home; 2) conducting five in-home household food inventories over a thirty-day period in a small convenience sample; and 3) determining the frequency that food items were present in the participating households.MethodsAfter the development and pre-testing of the 251-item home observation guide that used direct observation to determine the presence and amount of food items in the home (refrigerator, freezer, pantry, elsewhere), two trained researchers recruited a convenience sample of 9 households (44.4% minority); administered a baseline questionnaire (personal info, shopping habits, food resources, and food security); and conducted 5 in-home assessments (7-day interval) over a 30-day period. Each in-home assessment included food-related activities since the last assessment, and an observational survey of types and amounts of foods present.ResultsComplete data were collected from all 9 women (32.8 y ± 6.0; 3 married; 4 ± 1.6 adults/children in household; 4 received food assistance; and 6 had very low food security) and their households. Weekly grocery purchases (place, amount, and purpose) varied from once (n = 1) to every week (n = 5); 4 used fast food 2-3 times/wk for 4 weeks. The weekly presence and amounts of fresh and processed fruits and vegetables and dairy varied.ConclusionsThe feasibility of conducting multiple in-home assessments was confirmed with 100% retention of participants through 5 in-home assessments, which paid particular attention to the intra-monthly changes in household availability in type and amount of foods. This study contributes to research on home food availability by identifying the importance of multiple measures, presence of certain foods in the home, and the feasibility of comprehensive in-home assessments.

The American family meal

Abstract In this chapter, the American family meal is examined. Recent trends in eating by both individuals and families are explored. Frequency of eating various meals, time spent eating, and which, if any, family members participate in these meals are studied. Effects of parental employment, income, and other characteristics indicate the frequency and time spent in some family meals are constrained by resources such as time and by parental work schedules. Foods currently consumed at family dinner tables are presented.

Risky Food Consumption Behaviors among Women Enrolled in the Expanded Food and Nutrition Education Program

Objective: Worksite wellness programs have demonstrated increased productivity, lower health care costs, and ultimately a reduction in chronic disease; however, starting a wellness program during current economic times may not be seen as feasible. The purpose of this study was to determine the effectiveness of weekly e-health messages that used the 7 dimensions of wellness. Design, Setting and Participants: Using a 38-week quasi-experimental study design, employees from a large Midwestern city were divided into 3 groups, depending on the level of information provided in the e-health message: detailed (n ¼ 45), basic (n ¼ 46), or control (n ¼ 14). Intervention: The basic group received basic e-health messages, whereas the detailed group received the basic message with additional links to supplementary information, games, or puzzles to reinforce the basic e-health message. Outcome Measures and Analysis: Blood pressure and body mass index, which was calculated from measured height and weight. Descriptive statistics and repeated times measures were used as the analysis. Results: Of the 46 participants who completed poststudy measurement, 31 had biometric measures that identified them as at risk for chronic disease (67%). Of these 31 participants, 25 (81%) improved in at least 1 risk area. There were no differences between the type of e-health messages received. Conclusions and Implications: Both basic and detailed e-health messages can be an effective approach to assist employees at risk for chronic disease when used in conjunction with current worksite wellness programs