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Background: Children in the United States have low diet quality scores and consume less than the recommended amounts of fruits, vegetables, whole grains, and dairy. The National School Lunch Program serves nearly 30 million children daily, and has the potential to improve the diet quality of children. However, there are

Background: Children in the United States have low diet quality scores and consume less than the recommended amounts of fruits, vegetables, whole grains, and dairy. The National School Lunch Program serves nearly 30 million children daily, and has the potential to improve the diet quality of children. However, there are high levels of food waste, particularly of fruits and vegetables. Purpose: The purpose of this study is to determine which menu items students are throwing away untouched most frequently. A secondary purpose of this study is to determine which menu items students are fully consuming most frequently. Methods: Student participants (n=2,881) in Arizona elementary, middle, and high schools who participated in school lunch were randomly selected to participate in the study. Student lunch trays were photographed before and after the student ate. Visual estimation was used to determine if menu items were untouched or fully consumed. Menu item names were standardized and categorized into menu categories. The frequency menu items were untouched or fully consumed were summarized in percentages by menu category, and stratified by school level. Results: Findings show that menu items within each menu category are untouched and fully consumed with different frequencies. Cold vegetable items were untouched with the greatest frequency, with 39% of all servings untouched. Some menu items were both untouched and fully consumed with high frequency. Conclusion: Food service managers can use these results to plan menus with food items that are more popular among their students to help increase consumption and decrease waste. Future research should explore the relationship between packaging and preparation with student consumption and waste. Researchers should also examine aspects of the high school food environment that may lead to increased student consumption.
ContributorsLiddicoat, Carina Marie (Author) / Bruening, Meg (Thesis advisor) / Adams, Marc A (Committee member) / Grgich, Traci (Committee member) / Arizona State University (Publisher)
Created2022
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Description
Objective: To conduct a content analysis of nutrition marketing in school cafeterias in Arizona to understand how nutrition concepts are currently marketed to students. This is the first study to investigate the content of nutrition marketing in school cafeterias, and also the first to compare content across elementary, middle, and

Objective: To conduct a content analysis of nutrition marketing in school cafeterias in Arizona to understand how nutrition concepts are currently marketed to students. This is the first study to investigate the content of nutrition marketing in school cafeterias, and also the first to compare content across elementary, middle, and high schools. Methods: Photographs of marketing materials on display in school cafeterias were obtained from a convenient sample of 13 elementary schools, 12 middle schools, and 12 high schools. In total, n=284 examples of nutrition marketing were collected. The photographs were sorted by grade level and then coded quantitatively and qualitatively based on their purpose, visual aspects, marketing strategies used, and language and literacy aspects. Given the multiple comparisons, statistical significance was assessed with a Bonferroni adjustment of p<0.0006. Results: The average number of nutrition marketing materials within the school cafeterias was 7.7 ± 7.2. The purpose of the marketing materials ranged from promoting selection and consumption of fruits and vegetables, promoting nutrition and physical activity together, food safety, and educating about healthy eating. The sample of nutrition marketing materials emphasized selecting F/Vs over consumption of F/Vs. However, the opposite was found in marketing that exclusively promoted fruits and vegetables. The most common type of marketing in school cafeterias were flyers and most of the materials were small in size. The sample demonstrated a lack of implementation of marketing appeals in half of the sample, but the half that did utilized techniques that are known to be appealing to child and adolescent demographics, such as use of cartoons, humor, and social media/websites. 98.9% of the nutrition marketing with text were written in English and only 1.1% of the materials (n=3) were written in Spanish. Conclusion: The nutrition marketing sample demonstrated some use of social marketing principles but does not compete with the scale and scope of the child-directed food and beverage marketing that students encounter in their environment. More research is needed to better understand how to best target nutrition marketing to child and adolescent student populations.
ContributorsXavier, Raevyn Francine (Author) / Bruening, Meg (Thesis advisor) / Adams, Marc (Committee member) / Lorts, Cori (Committee member) / Arizona State University (Publisher)
Created2021
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Description
Background: The Child and Adult Care Food Program (CACFP), as a federal nutrition assistance program, provides guidance and financial support to early childcare education centers (ECECs) who provide nutritious foods to children in care. Understanding factors that predict participating in CACFP is necessary to expanding CACFP reach. The purpose of

Background: The Child and Adult Care Food Program (CACFP), as a federal nutrition assistance program, provides guidance and financial support to early childcare education centers (ECECs) who provide nutritious foods to children in care. Understanding factors that predict participating in CACFP is necessary to expanding CACFP reach. The purpose of this study was to assess center-level predictors of ECECs participating in CACFP in Arizona to guide state-wide recruitment efforts. Methods: This study analyzed data from ECECs in Arizona in 2020 (n=2228), sourcing data from the Arizona Department of Economic Services (Quality First rating (an Arizona-based score for quality of the ECE centers), accreditation Status, highest educational attainment, enrichment center status, and total licensed capacity), Arizona Department of Education (CACFP), Arizona Department of Health and Sanitation (SNAP-Ed participation), and the US Census. Logistic regression was used to examine the association between the predictors and participating in CACFP, adjusting for SNAP-Ed eligibility by census tract. Results: Centers had a significantly greater odds of participating in CACFP if they were an enrichment site (OR=5.9; 95% CI: 4.6, 7.5), had a Quality First rating (OR=2.5; 95% CI: 2.0, 3.0), and when the highest educational attainment by staff was a bachelor’s degree or higher (OR=1.4; 95% CI: 1.1, 1.7). Discussion: The findings support indicate that certain modifiable center-level factors were related to participation in CACFP. Findings may assist possible linkages with other state-level programs to improve the recruitment and retention of ECE centers to CACFP.
ContributorsNarramore, Kala R (Author) / Bruening, Meg (Thesis advisor) / Raczynski, Erin (Committee member) / McCoy, Maureen (Committee member) / Arizona State University (Publisher)
Created2021
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Description
Background: College freshmen are exposed to a variety of environmental and social factors that can alter changes to health habits and encourage weight gain. Weight-related conversations had with friends may be related to self-perception of weight and alterations to health behaviors, but this association has yet to be assessed in

Background: College freshmen are exposed to a variety of environmental and social factors that can alter changes to health habits and encourage weight gain. Weight-related conversations had with friends may be related to self-perception of weight and alterations to health behaviors, but this association has yet to be assessed in the college population.

Objective: This study aims to examine the relationship between friend advice about weight management, self-perception of weight, and alterations to weight change intentions, physical activity, and eating habits in college freshmen over time.

Methods: College freshmen from ASU with complete data for three time points (n=321) were found to be predominantly female (72.2%) and non-white (53.2%) with a mean age of 17.5±41. Complete data included responses for items included in analysis which were related to friend encouragement about weigh management, self-perception of weight, physical activity, eating behaviors, and weight change intentions. A longitudinal multivariate mediation analysis using negative binomial regression adjusted for sociodemographics and clustering by dorm was used to assess the relationship between 1) friend encouragement about weight management at time 1 and behavioral outcomes at time 3, 2) friend encouragement about weight management at time 1 and self-perception of weight at time 2, and 3) self-perception of weight at time 2 and behavioral outcomes at time 3.

Results: A small proportion of population perceived friend encouragement about weight loss (18.3%) and weight gain (14.4%) at time 1. Half the population (50.9%) had the self-perception of overweight at time 2. At time 3, more than half (54.3%) of individuals performed at least 60 minutes of MVPA and consumed at least ½ a serving of sugar-sweetened beverages each day, while nearly half (48.6%) consumed at least 2 servings of fruits and vegetables each day. Males perceived more friend encouragement to gain weight (27.4%; p<0.01), but more females had the self-perception of overweight (54%; p=0.04) and were attempting to lose weight (59.3%; p<0.01). Individuals who perceived friend encouragement to lose weight at time 1 had a 14.8% greater prevalence (p<0.001) of overweight perception of time two, and a 9.6% and 6.9%; decreased prevalence (p<0.001) of weight change and weight loss intentions (p=0.023) at time three respectively. Individuals who perceived friend encouragement to gain weight had a 34.9% decreased prevalence of (p<0.001) of self-perception of overweight at time 1. In individuals with the self-perception of overweight at time 2, there was a 18.1% increased prevalence (p<0.001) of consuming at least ½ a serving of sugar-sweetened beverages/day and an increased prevalence of 22.8% and 24.0% for weight change intentions and weight loss intentions at time 3 (p<0.001).

Conclusion: These findings suggest that there was not a mediation effect of self-perception of overweight in the relationship between friend encouragement about weight management and behavioral outcomes in the current sample. However, the increased prevalence of overweight perception in individuals who perceived friend encouragement about weight management may inform future interventions to focus on how weight-related conversations with friends is related to overweight perception. More research about the relationship between weight-related conversations had with friends, self-perception of weight, and health behaviors is needed to confirm these findings.
ContributorsThibodeau, Tristan (Author) / Bruening, Meg (Thesis advisor) / Ohri-Vachaspati, Punam (Committee member) / Huberty, Jennifer (Committee member) / Arizona State University (Publisher)
Created2016