Virginia Quick

Sweet and salty. An assessment of the snacks and beverages sold in vending machines on US post-secondary institution campuses.

This study assessed the nutritional quality of snacks and beverages sold in vending machines. The contents of snack and beverage vending machines in 78 buildings on 11 US post-secondary education campuses were surveyed. Of the 2607 snack machine slots surveyed, the most common snacks vended were salty snacks (e.g., chips, pretzels) and sweets (i.e., candy and candy bars). The 1650 beverage machine slots assessed contained twice as many sugar-sweetened beverages as non-calorie-containing beverages. Only two institutions sold both milk and 100% juice in vending machines. The portion of snacks and beverages sold averaged more than 200 cal. Neither snacks nor beverages were nutrient dense. The majority of snacks were low in fiber and high in calories and fat and almost half were high in sugar. Most beverages were high in calories and sugar. This studys findings suggest that vending machines provide limited healthful choices. Findings from benchmark assessments of components of the food environment, like the vending options reported here, can provide valuable input to campus administrators, health services, food service, and students who want to establish campus policies to promote healthful eating.

Self-Weighing Behaviors in Young Adults: Tipping the Scale Toward Unhealthy Eating Behaviors?

PURPOSE This study examined associations between frequency of self-weighing and healthy weight-control behaviors (WCBs), unhealthy WCBs, muscle-enhancing behaviors (e.g., steroid use, protein powders), and psychological well-being (i.e., self-esteem, depression, body satisfaction) in a community sample of young adults. METHODS Data were drawn from Project EAT-III (Eating and Activity in Teens and Young Adults), the third wave of a population-based study. Participants included young adults (n = 2,287, mean age = 25.3 years) from the Minneapolis/St. Paul metropolitan area. RESULTS Self-weighing a few times per week or more frequently was reported by 18% of young adult women and 12% of young adult men. Linear regression models, adjusted for body mass index and demographic characteristics, indicated that in both women and men, more frequent self-weighing was associated with a higher prevalence of dieting, both healthy and unhealthy WCBs, and muscle-enhancing behaviors. Additionally, young women who reported more frequent self-weighing were more likely to report binge eating. More frequent self-weighing was also associated with more depressive symptoms and lower self-esteem in women and lower body satisfaction in young men. CONCLUSIONS More frequent self-weighing is associated with healthy and unhealthy weight-control practices, muscle-enhancing behaviors, and poorer psychological well-being in young adults. Young adults engaging in self-weighing behaviors should be screened for these health indicators and counseled as appropriate. Before recommending self-weighing as a weight-monitoring tool, health care providers should ensure that young adults are not at risk for an unhealthy preoccupation with body weight or shape.

What foods are US supermarkets promoting? A content analysis of supermarket sales circulars.

This study compared the types of foods advertised in supermarket newspaper circulars across geographic region (US Census regions: northeast [n=9], midwest [n=15], south [n=14], and west [n=13]), obesity-rate region (i.e., states with CDC adult obesity rates of <25% [n=14], 25 to <30% [n=24], and ≥ 30% [n=13]), and with MyPlate recommendations. All food advertisements on the first page of each circular were measured (±0.12-in.) to determine the proportion of space occupied and categorized according to food group. Overall, ≥ 50% of the front page of supermarket sales circulars was devoted to protein foods and grains; fruits, vegetables, and dairy, combined, were allocated only about 25% of the front page. The southern geographic region and the highest obesity-rate region both devoted significantly more advertising space to sweets, particularly sugar-sweetened beverages. The lowest obesity-rate region and western geographic region allocated the most space to fruits. Vegetables were allocated the least space in the western geographic region. Grains were the only food group represented in ads in proportions approximately equal to amounts depicted in the MyPlate icon. Protein foods exceeded and fruits, dairy, and vegetables fell below comparable MyPlate proportional areas. Findings suggest supermarket ads do not consistently emphasize foods that support healthy weight and MyPlate recommendations. More research is needed to determine how supermarket newspaper circulars can be used to promote healthy dietary patterns.

Weight regulation practices of young adults. Predictors of restrictive eating.

Young adults frequently use restrictive eating (i.e., going for long periods [≥ 8h] without eating to influence their shape or weight) to control their weight. The purpose of this study was to determine the prevalence of restrictive eating in young adults, compare eating behaviors of restrictive and non-restrictive eaters, and predict restrictive eaters. A diverse (56% white, 63% female) sample of young adults (n=2449) completed an online survey that included eating behavior scales (Restraint, Eating, Shape, and Weight Concerns, and Inappropriate Compensatory Behaviors from the Eating Disorder Examination-Questionnaire, Emotional and Disinhibited Eating from the Three-Factor Eating Questionnaire, and Night Eating from the Night Eating Questionnaire) and demographics. A quarter of women and 20% of men were classified as restrictive eaters. Independent t-tests revealed restrictive eaters had significantly (p<0.001) higher BMIs than non-restrictive eaters. Restrictive eaters also had significantly higher scores on all eating behavior scales than non-restrictive eaters even after controlling for potential confounding factors (BMI, race). Stepwise binary logistic regression revealed that increased eating, shape, and weight concerns, higher BMI, endorsement of inappropriate compensatory behaviors and night eating, being female, and white increased the odds of participants being restrictive eaters. This study can help healthcare professionals become more aware of weight control practices of young adults and create appropriate interventions.

Appraising nutrient availability of household food supplies using Block Dietary Screeners for individuals

Background/Objective:The growing interest in environmental influences on obesity risk has spawned the development of tools for appraising home food availability. These tools reveal good reliability but tend to be limited in scope and burdensome to use. This cross-sectional study investigated the feasibility of using food categories and scoring algorithms from valid food frequency questionnaires for individuals (that is, Block Dietary Fat and Fruit–Vegetable–Fiber Screeners) to estimate nutrient availability in household food supplies.Subjects/Methods:Screeners were compared with household food inventories from 100 two-parent families with ⩾1 children ⩽12 years of age. Inventoried foods were coded to match Screener food groups, and amounts available were converted to total adult daily equivalent servings to express the greatest possible frequency at which each food group could be eaten/day/household. Scoring algorithms were converted to express all scores on a per-day basis. For the most conservative assessment, the highest point was used for day ranges for the Fruit–Vegetable–Fiber Screener and the lowest range point was used for the Fat Screener.Results:Spearmans rank-order correlations (r⩾0.76) showed that the Fruit–Vegetable–Fiber Screener ranked households well for fruit/vegetable servings, vitamin C and dietary fiber. The Fat Screener and household inventory were positively correlated (r⩾0.58) for total fat, saturated fat and cholesterol. Concordance of household inventories and the Fruit–Vegetable–Fiber Screener, as determined by kappa with quadratic weighting, were strong and significant. Fat Screener concordance was moderate.Conclusions:Results indicate that it is feasible to use the efficient, valid Block Dietary Screeners for individuals to appraise household food supplies.

Determinants of safe food handling behaviors among middle school youth

Purpose – The purpose of this paper is to examine key determinants (i.e. knowledge, perceived susceptibility, attitudes, confidence, behavioral intentions) associated with practicing health-protective behaviors that could inform development of programs and strategies for improving food handling behaviors of middle school youth. Design/methodology/approach – Middle schoolers (n=1,102; 50 percent boys) completed a questionnaire with the following topics: demographics, food safety knowledge, usual food safety behaviors, perceived susceptibility to foodborne illness, attitude toward food safety, confidence (self-efficacy) in practicing safe food handling procedures, and intended safe food handling behaviors. Findings – Middle schoolers had insufficient food safety knowledge ( ˜50 percent incorrect responses) even though most reported washing their hands before making a snack and washing fruits and vegetables before eating them. Spearman correlation analyses indicated that food safety knowledge and perceived s...

Disturbed Eating Severity Scale (DESS) places disturbed eating risk on a continuum

The purpose of this study was to develop a tool for assessing the severity of disturbed eating, use the tool to place disturbed eating behavior severity on a continuum, and to investigate how demographic and psychographic characteristics associated with disturbed eating differ across this continuum. Young adults (n=2438; 58% White; 63% female) from three north coast universities completed an online survey (fall 2009 to summer 2010) assessing eating behaviors and psychographic characteristics. Eating behavior scores were used to calculate the Disturbed Eating Severity Score (DESS), which placed participants along a continuum of four disturbed eating severity (non- disturbed to highly-disturbed) categories. Analysis of covariance and post hoc tests revealed significant differences among DESS categories on all eating behavior scales and nearly all psychographic characteristics. Thus, the DESS scale may help health care practitioners identify patients with varying degrees of disturbed eating behaviors and offer early interventions that could halt progress toward an eating disorder.