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TUESDAY, NOVEMBER 9

POSTER SESSION: WELLNESS AND PUBLIC HEALTH

utcome Measures of a Family-Based Education Approach withexican Immigrants and Their Children in the Yakima Valley

uthor(s): C. E. Sundsmo, V. Bennett; Central Washington University,llensburg, WA

earning Outcome: Participants will recognize the effectiveness of aulturally sensitive program on outcome measures related to a healthyifestyle.

ackground: With the continued incidence of obesity and health relatedssues in the United States and especially in the Hispanic population, it ismportant to provide useful healthy lifestyle education to this population.ne of the barriers to providing this information is the lack of culture

ensitivity in the content and presentation of current programs.

ethods: This study was a pre and post intervention, with subjectscting as their own control. Pre and post tests were used to measure theffectiveness of Salsa, Sabor, y Salud, a culturally sensitive program foratinos. Adult outcome measures were dietary changes, weight, body mass

ndex, waist circumference, blood pressure, heart rate, reported physicalctivity, self-assessment score, and attendance. Diet was evaluated by4-hour diet recall for both adults and children. Children’s’ food choicesere assessed using a plate model. Difference in outcome measures wasssessed using a dependent t test. Pearson correlation coefficients weresed to assess relationships among all outcome measures and attendance.

esults: Significant decreases in weight, waist circumference, diastoliclood pressure, Calories, and grams of carbohydrates were observed.dults reported an increase in total minutes of physical activity and the

mportance of living a healthy lifestyle. Children’s food choices improvedith an increase in fruit and dairy products.

onclusions: The culturally sensitive education program, Salsa, Sabor, yalud, has a positive effect on health related outcome measures.

unding Disclosure: None

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mall Steps to Healthier Diets: Healthy Eating Index Scores at Ruralummer Day Camps

uthor(s): B. J. McCabe-Sellers,1 C. M. Champagne,2,3 D. Lovera,1,4

. Allen,2,5 S. Vadjunec,1,6 M. L. Bogle1,4; 1USDA, Agricultural Researchervice, Delta Obesity Prevention Research Unit, Little Rock, AR, 2Penningtoniomedical Research Center, Baton Rouge, LA, 3Nutritional Epidemiology,ennington Biomedical Research Center, Baton Rouge, LA, 4Agriculturalesearch Service, Delta OPRU, United States Department of Agriculture, Littleock, AR, 5Nutritional Epidemiology, Pennington Biomedical Research Center,ittle Rock, AR, 6Agricultural Research Service, Delta OPRU, United Statesepartment of Agricultural, Little Rock, AR

earning Outcome: Identify diet quality in rural summer day camp children.

iets of children living in rural and largely minority communities arearticularly vulnerable during economic downturns and rising food costs,specially if the nearest grocery store is over 15 miles away. Phillips County,R has the shortest life expectancy and the worst county health ranking in thetate of Arkansas as well as being a “food desert.”

esearch Outcome: This study examines the 2005 Healthy Eating IndexHEI) scores for six component scores, previously identified as best formproving the health of most Americans, in Delta children ages 6-14 attendingummer day camp programs in Phillips County AR.

ethods: Mean (95%CI) HEI scores were calculated from 162 24-hour dietaryecalls for 2008 (n�81) and 2009 (n�81), for six component scores.

esults: In 2008 overall HEI scores averaged 47.2 (range�22.7-70.5/100 points)ompared to 2009 overall HEI averaged score of 46.4 (range�29.6-63.3/100oints). Mean (95%Confidence Intervals(CI)), 2008 and 2009, respectively were:otal Fruit (5 points) (1.8 (1.49, 2.11); 1.64 (1.24, 2.01) points); Whole Fruit (5oints) (0.95 (0.66, 1.24); 1.42 (0.96,1.88) points); Total Vegetable (5 points)1.92 (1.69, 2.15) points); Vegetable/Orange/Green/Legumes (5 points) (0.700.46,0.94); 0.32 (0.09,0.55) points); Whole Grain (5 points) (0.46 (0.29,0.63); 1.020.69-1.35) points), Milk (10 points) 4.90 (4.33, 5.47); 4.98 (4.23, 5.73)points).

onclusion: Delta children have lower overall and component HEI scoresompared to national counterparts, but the simple addition of whole grainroducts to the 2009 camp menus improved Whole Grain scores to equal othermerican children’s scores.

unding Disclosure: USDA 5210 00000 00D

mpact of Change in School Menu on Acceptability as Measured byhe Plate Waste Method

uthor(s): N. Patel, D. J. Handu; Nutrition, Benedictine University,isle, IL

earning Outcome: Participants will be able to identify Visual Plateaste methods as a tool for assessing acceptability of menu changes in

chool children.

bjective: The aim of present study was to determine the impact ofhange in school menu on acceptability by using plate waste method.

articipants: 465, 1st - 8th grade students from one of the schoolsarticipating in nutrition intervention program.

ethod: A total of 146 trays were observed for pre-test, 229 for first post-est, and 98 trays for second post-test. Menu items included entrees,tarches, milk, whole fruit, vegetables and desserts. Visual foodonitoring tick sheets were used in this study to collect the data. Food

tems were ranked for consumption from a low (5) to high (1) five pointcales with a score of 3.0 set as the benchmark.

nalyses: The t-test for a single sample mean was used to compare theeans of the pre, first post-test and second post-test plate waste data.

esults: A significant reduction in plate waste (PW) was noticed for milk,ntrees, starches, and desserts (p � 0.05) after the menu change.owever, there was a significant increase in PW for vegetables and fruit.fter the menu change milk, chicken nuggets, corn bread, sweet peas andandwich cookies were most consumed whereas, salad, hotdog, whole fruit,lazed carrots, and fig bars were least consumed food items.

onclusions: Visual plate waste method is an appropriate method foretermining the impact of change in school menu in 1st-8th gradetudents. These conclusions are similar to those reached in many othertudies evaluating the menu changes based on visual plate waste in aide range of populations.

unding Disclosure: None

MOVE: An Incentive-Based Healthy Eating Intervention Deliveredhrough Middle School Cafeterias

uthor(s): J. A. Greece,1 A. Ozonoff,2 W. Tao,2 J. Howland,3 P. A. Quatromoni4;Epidemiology, Boston University School of Public Health, Boston, MA,Biostatistics, Boston University School of Public Health, Boston, MA,Community Health Sciences, Boston University School of Public Health,oston, MA, 4Health Sciences, Sargent College, Boston University, Boston, MA

earning Outcome: Participants will describe the successful and challengingspects of implementing a school-based cafeteria initiative to promote healthyood choices.

urpose: School foodservice is an ideal setting for promoting healthy eatingince more than half of U.S. school children participate in the school lunchrogram. There has been a dramatic increase in childhood obesity rates andiets of youth reportedly fall short of Dietary Guidelines in areas related tobesity risk. Students’ diets are typically high in fat, sugar, and calories and lown fruits, vegetables, dairy, and whole grains. School-based environmentalnterventions may effectively impact obesity risk by making healthy foodsvailable and affordable, particularly to vulnerable populations. Fewnterventions have targeted middle school foodservice, been rigorouslyvaluated, or demonstrated desirable changes in food consumption. None haveinked individual-level student characteristics to food purchase behaviors.

rogram Characteristics: IMOVE is an innovative intervention designed foriddle school cafeterias to promote healthy eating through increased access to

ffordable school lunch meals. IMOVE meals meet more rigorous nutritionaltandards than traditional school lunch. IMOVE features fresh fruit andegetable promotions along with empowering point of purchase messages.tudents are rewarded for IMOVE participation using raffle prizes.

valuation: IMOVE is evaluated using a quasi-experimental study designnvolving two urban school districts of socio-economically and racially diversehildren, with one intervention and one comparison school in each district.utcomes of interest include individual-level food purchase behaviors andietary quality. Predictors of IMOVE participation and a process evaluation arelso being studied.

onclusions: Environmental initiatives may effectively promote healthy eatingabits among school-age children. Effective implementation requires strongartnerships and strategic leadership to overcome barriers.

unding Disclosure: Charles H. Hood Foundation - Child Health Researchrant

Journal of the AMERICAN DIETETIC ASSOCIATION / A-95

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