TITLE: EVALUATING IMPLEMENTATION AND IMPACT OFLOCAL SCHOOL WELLNESS POLICIES

AUTHOR(S): J.D. Watson, RD, LD, Sodexho School Services;J.A. Weber, MPH, RD, American Dietetic Association

LEARNING OUTCOME: To understand the importance ofmeasuring the implementation and effectiveness of the nutritioncomponent of local school wellness policies.

TEXT: The Child Nutrition Act of 2004 requires all localeducation agencies to establish comprehensive wellness policiesfor their districts by June 30, 2006. Establishment of the localschool wellness policy is only the first step in the school wellnessstory. One component of these policies that is particularlyimportant is the evaluation piece that will determine bestpractices and justify additional nutrition promotion measures inthe future. Dietetics professionals can play a key role in ensuringimplementation and evaluation of these local school wellnesspolicies. Dietitians at Sodexho and the American DieteticAssociation partnered to develop a pilot evaluation tool that wastested by Sodexho dietitians in 5 school districts. The evaluationtool focuses on implementation of the nutrition components ofthe local wellness policy and utilizes numerous resources,including purchase records and use of Sodexho-developednutrition education materials, as part of the ongoing impactevaluation. This presentation will focus on the lessons learnedfrom development and pilot testing of the evaluative tool.Preliminary results from the implementation evaluation will bepresented.

FUNDING DISCLOSURE: Self-funded

TITLE: EXCESS METABOLIC SYNDROME AND HYPERURICEMIA INTAIWANESE ABORIGINES: ENVIRONMENTAL OR GENETIC?

AUTHOR(S): Y.P. Chang, EdD; W.T. Yeh, MS; Y.Y. Cheng, EdD;W.H. Pan, PhD; Department of Food Science, Nutrition, and NutraceuticalBiotechnology, Shih Chien University, Taipei, Taiwan; Institute of BiomedicalSciences, Academia Sinica, Taipei, Taiwan; Department of Nutrition andHealth Sciences, Taipei Medical University, Taipei, Taiwan; Institute ofMicrobiology and Biochemistry, National Taiwan University, Taipei, Taiwan

LEARNING OUTCOME: To describe the potential genetic influence onthe increased risk of metabolic syndrome and hyperuricemia in Taiwanaborigines.

TEXT: Severe racial health disparities are one of the major challenges facedby contemporary health care system. To examine the ethnic influence onmetabolic syndrome-related disorders in Taiwan aborigines, this study useddata from 3126 subjects aged 20 years or above participating in the national“Nutrition and Health Survey in Taiwan 1993-1996,” and found that theaborigines had significantly higher prevalence of metabolic syndrome (32.1%vs. 20.2% in men, 41.3% vs. 25.5% in women) and hyperuricemia (59.5% vs.24.6% in men, 48.5% vs. 18.1% in women) than the Han Chinese in bothgenders. Among related environmental variables, the aborigines had lowereducation level, higher level of occupation labor intensiveness, leisurephysical activity, and alcohol consumption, and similar caloric intake fromfoods when compared to their Han counterpart. Multiple logistic regressionanalyses showed that aboriginal ancestral origin had significant independenteffects on presence of metabolic syndrome (OR: 2.36 [95% CI: 1.45-3.87] inmen, 3.49 [1.66-7.31] in women) in both genders when age, education level,occupation labor intensiveness, leisure physical activity, disability status, andalcohol intake were controlled. The independent ethnic effect was alsoobserved on hyperuricemia (3.16 [1.99-5.03] in men, 2.66 [1.26-5.60] inwomen) when BMI and waist circumference were additionally controlled for.For metabolic syndrome-related disorders, the genetic susceptibility is highlyimplicated. While waiting for advancement in knowledge pertinent to geneand environmental interactions, efforts should be directed to primaryprevention, screening, and aggressive treatment of metabolic syndrome-related disorders in Taiwan aborigines.

FUNDING DISCLOSURE: Grants from the Department of Health inTaiwan (DOH FN8202, DOH-83-FS-41, DOH-84-FS-11, DOH-85-FS-11,DOH-86-FS-11).

TITLE: DIET AND DENTAL CARIES IN RURAL GUATEMALANCHILDREN

AUTHOR(S): M.A. Gorman, PhD, RD, LD; A.D. VanBeber, PhD, RD,LD; L. Dart, PhD, RD, LD; S. Hampton, MS, RD, LD; G. JarmanHill, PhD, RD, LD; K. Kistler, BS; Texas Christian University, FortWorth, TX

LEARNING OUTCOME: To understand the relationship betweenoral hygiene and dietary practices that include increasedconsumption of fermentable dietary carbohydrate on the prevalenceof dental caries in children living in rural Guatemala

TEXT: Despite declines in dental caries prevalence in developed countries,a high incidence of dental disease still exists in children living in developingcountries. The major contributor in caries formation is bacterial plaquecaused by consumption of fermentable dietary carbohydrates such assucrose/starch. The objective was to examine the relationship betweendietary habits, oral-hygiene practices, and prevalence of dental caries inrural Guatemalan children. The research design/subject characteristicsincluded 34 rural Guatemalan children (0-12 years/old) from fourneighboring villages. Dental examination and dietary assessment includedincidence of baby bottle tooth decay (BBTD), dental caries incidence, anddietary intake obtained with a food frequency questionnaire designed forrural Guatemalan populations. Major findings show that in 0-3 agedchildren, BBTD averaged 3.3�1.5 caries/child even though 89% of mothersreported breast-feeding. Although tooth brushing was practiced by 81% ofall children, �75% exhibited �4 dental caries, including 33% with 7-10cavities and 15% with �10 cavities. Only 12% of children examined had nocaries. Mean total caries (8.4�1.2) was significantly higher in the 6-8 year/olds compared to 6.3�4.3 caries in the 4-5 year/olds (p�0.01) and 6.8�2.3caries in the 9-10 year/olds (p�0.01). Daily consumption of sucrose-sweetened beverages was reported by �87% of all children and dailyconsumption of high sugar:starch ratio foods (such as chewing sugar cane)was reported by �67% of children. Conclusions include dietary intake offoods/beverages with high sucrose/starch contents may contribute to BBTDand dental caries in rural Guatemalan children regardless of oral hygienepractices that include daily tooth brushing.

FUNDING DISCLOSURE: None

TITLE: CORRELATES OF OVERWEIGHT IN US CHILDRENFROM NHANES 1999-2002

AUTHOR(S): K.N. Wolf, PhD, RD, LD; J.M Chiasera, PhD;C.A. Taylor, PhD, RD, LD; Medical Dietetics Division, The Ohio StateUniversity, Columbus, OH; Medical Technology Division, The OhioState University, Columbus, OH

LEARNING OUTCOME: To assess the relationship between variousrisk factors on weight status and predictors of obesity in US children.

TEXT: Rates of overweight in U.S. children and adolescents areincreasingly carrying with them profound implications for the publichealth of the nation; therefore, identifying contributing factors tothese conditions is important. Data from the 1999-2002 NationalHealth and Nutrition Examination Survey (NHANES) wereexamined for 6,672 children stratified into age categories (5-12 years(n� 3,172) and 13-18 years (n� 3,500)) categories. Epi Info was usedto obtain body mass index (BMI)-for-age percentiles based on the2000 growth charts. BMI-for-age data were used to classify childrenas normal weight (5-85th percentile), at-risk for overweight (85-95th

percentile) and overweight (�95th percentile). Normal weight youngerchildren consumed significantly less energy than at-risk foroverweight children (P�.024), while older normal children consumedsignificantly more energy than at-risk and overweight older children.Waist circumference and skinfold measures were significantly higheracross all levels of overweight for both age groups (P�.02).Overweight older children had significantly higher blood glucose,systolic and diastolic blood pressures (P�.05). Both overweight andat-risk for overweight children (5-18 years) presented withsignificantly greater insulin, LDL and cholesterol levels than normalweight children (P�.001). Gender, age, poverty-income ratio, addedsugar, waist, calf, arm and thigh circumference, tricep skinfold,systolic and diastolic blood pressure and HDL significantly predictedBMI-for-age percentiles. The rates of obesity in children are risingand are related to metabolic abnormalities which may impact tochronic disease risk in adulthood. Future research is needed to assessthe impact of obesity and the progression toward chronic disease.

FUNDING DISCLOSURE: Self Funded

TUESDAY, SEPTEMBER 19

POSTER SESSION: WELLNESS AND PUBLIC HEALTH

A-76 / August 2006 Suppl 2—Abstracts Volume 106 Number 8