Rainbow Diet: A new nutrition education tool

The purpose of this study was to develop a developmentally appropriate new nutrition education tool, the Rainbow Diet for Children (RDFC), to encourage and aid parents in feeding their children according to current national recommendations. In phase I of the study, the RDFC was developed. Foods were grouped based on color. ^ Phase II of the study consisted of actual testing of the RDFC with children. ^ A pre and post intervention comparison revealed three significant differences. For the FGP group cholesterol intake was significantly (p < 0.006) increased and thiamin intake was significantly (p < 0.022) decreased. For the control group there was a significant increase (p < 0.005) in the vitamin A intake. ^ For the inter group mean change scores (posttest-pretest) two significant differences were found. First, cholesterol intake in the RDFC was significantly (p < 0.045) decreased while for the other two groups it increased significantly. Furthermore, the mean monounsaturated fat intake for the RDFC group significantly decreased (p < 0.047) from pre to post, whereas in the other two groups it was increased. (Abstract shortened by UMI.) ^

Empire's children: Soviet childhood in the age of revolution

Ideas of childhood and citizenship stood at the center of the Soviet Union's empire-building project during the 1920s and 1930s. After the 1917 Revolution the Bolsheviks were faced with the challenge of establishing a new state structure and governing a vast territory inherited from its tsarist predecessor. In the early years of the Soviet project, new leaders enlisted a cadre of professionals tasked with not only creating the norms of childhood and the everyday, but also implementing policies to modernize habits and values of the empire's younger citizens. ^ To understand how children became a prime focus of Soviet imperial and ethno-cultural politics, my dissertation employs discourse analysis and compares the ways in which Soviet imperial policies were implemented in two ethnically different regions: the Buddhist Republic of Kalmykia as the colonial case study and Moscow as the Metropole. The current project examines newspapers, treatises, and inspectors' reports over the span of twenty years. It finds that the Bolsheviks' initial values and discourses in the realm of children's education, health, leisure and nutrition, all which were scientifically designed to transform children into ideal Soviet and modern citizens, changed over time as a result of the competing ideologies among local elites and the challenges they faced while intervening in children's everyday lives. ^ The most significant conclusion in this dissertation reveals that, contrary to previous scholarly arguments, the modernization projects that took place in Moscow and Kalmykia were more similar in the challenges and outcomes that local officials faced when implementing state policies.^

Impact of Vegetable Preparation Method and Taste-Test on Vegetable Preference for First Grade Children in the United States

How children rate vegetables may be influenced by the preparation method. The primary objective of this study was for first grade students to be involved in a cooking demonstration and to taste and rate vegetables raw and cooked. First grade children of two classes (N= 52: 18 boys and 34 girls (approximately half Hispanic) that had assented and had signed parental consent participated in the study. The degree of liking a particular vegetable was recorded by the students using a hedonic scale of five commonly eaten vegetables tasted first raw (pre-demonstration) and then cooked (post-demonstration). A food habit questionnaire was filled out by parents to evaluate their mealtime practices and beliefs about their child’s eating habits. Paired sample t-tests revealed significant differences in preferences for vegetables in their raw and cooked states. Several mealtime characteristics were significantly associated with children’s vegetable preferences. Parents who reported being satisfied with how often the family eats evening meals together were more likely to report that their child eats adequate vegetables for their health (p=0.026). Parents who stated that they were satisfied with their child’s eating habits were more likely to report that their child was trying new foods (p<.001). Cooking demonstrations by nutrition professionals may be an important strategy that can be used by parents and teachers to promote vegetable intake. It is important that nutrition professionals provide guidance to encourage consumption of vegetables for parents so that they can model the behavior of healthy food consumption to their children.

Social determinants of fruit and vegetable intake and validation of Pro-Children Eating Habits Questionnaire for 3rd and 5th grade children

BACKGROUND: The Pro Children Eating Habits Questionnaire has been evaluated as a valid and reliable tool in Europe to measure determinants of fruit and vegetable intake for children; however, it has not been validation for United States populations. The purpose of this study was to (1) assess the reliability and discrimination validity of fruit and vegetable correlates for the Pro Children Eating Habits Questionnaire; (2) investigate the predictive validity of determinants of fruit and vegetable consumption for multi-ethnic elementary school children; and, (3) to assess the association of social determinants with fruit and vegetable consumption. METHODS: One hundred and thirty elementary school students from the 3rd and 5th grades completed this cross-sectional study. RESULTS: Fruit and vegetable determinants, had satisfactory internal consistencies. No differences were found between the test and the retest for the individual questions with the exception of the question for mean perceived vegetable intake. The discriminatory validity indicated the questionnaire could show differences across grade and gender levels for barriers of fruit and vegetables but not for other factors. Grade together with gender explained barriers to eating fruit and vegetables. Greater availability of fruit in the home and school was associated with higher frequency of consumption. CONCLUSIONS: The results of this study indicate the Pro-Children Eating Habits Questionnaire may be a reliable and valid tool for assessing fruit and vegetable consumption of children in the United States.

Comparison of Cardiovascular Disease Risk Factors between Single and Partnered Mothers: Data from the 2006 Health Survey of Adults and Children in Bermuda

Women are a high-risk population for cardiovascular diseases (CVD); however relationships between CVD and subpopulations of mothers are sparse. A secondary data analysis of the 2006 Health Survey of Adults and Children in Bermuda was conducted to compare the prevalence of CVD risk factors in single (n=77) and partnered (n=241) mothers. A higher percentage of single mothers were Black (p25 kg/m2 (p=0.01) and reported high blood pressure (p=0.004) and high cholesterol (0.017). Single mothers were nearly three times (OR=2.66) more likely to experience high blood pressure and two times (OR= 2.22) more likely to have high cholesterol. Single mothers may benefit from nutrition education programs related to lowering CVD risk.

Does Obesity Affect Outcomes in Children Admitted from Trauma Centers?

Introduction and Research Objectives: Pediatric obesity has reached epidemic proportions in the United States. In the critical care setting, obesity has yet to be fully studied. We sought to evaluate the effects of obesity in children who are admitted to a hospital from trauma centers using Kid's Inpatient Database (KID) during 2009. Methods: The study examined inpatient admissions from pediatric trauma patients in 2009 using the Kids´ Inpatient Database (KID). Patients (n=27599) were selected from the KID based on Age (AGE>1) and Admission Type (ATYPE=5) and assessed on Race, Sex, Length of Stay (LOS), Number of Diagnoses and Procedures, Severity of Illness (SOI), Risk of Mortality (ROM), Co-morbidities, and Intubation by comparing obese and non-obese cohorts. Chi-square test and student t-test were used to analyze the data. All variables were weighted to get national estimates. Results: The overall prevalence of obesity (those coded as having obesity as co-morbidity) was 1.6% with significantly higher prevalence among Blacks (1.8%), Hispanics (2.3%), and Native Americans (4.1%; p<0.001). Obesity was more prevalent among females (2.4% vs 1.2%; p<.001). Overall mortality in the cohort was 4.8%. Obesity was significantly lower among children who died during hospitalization (0.5% vs 1.6%; p<0.002). However, obese children had significantly longer LOS, greater number of diagnoses, more procedures and greater than expected loss of function due to SOI when compared with nonobese cohort (p<.001). Deficiency anemia, diabetes, hypertension, liver disease, and fluid and electrolyte disorders are all strongly associated with the presence of obesity (p<.005). The rate of intubation is similar between obese and non-obese cohorts. Conclusion: Our study using KID national database found that obese children who are admitted from trauma centers have a higher morbidity and LOS but lower mortality. Racial and gender inequalities of obesity prevalence is consistent with previous reports.

Empire's Children: Soviet Childhood in the Age of Revolution

Ideas of childhood and citizenship stood at the center of the Soviet Union’s empire-building project during the 1920s and 1930s. After the 1917 Revolution the Bolsheviks were faced with the challenge of establishing a new state structure and governing a vast territory inherited from its tsarist predecessor. In the early years of the Soviet project, new leaders enlisted a cadre of professionals tasked with not only creating the norms of childhood and the everyday, but also implementing policies to modernize habits and values of the empire’s younger citizens. To understand how children became a prime focus of Soviet imperial and ethno-cultural politics, my dissertation employs discourse analysis and compares the ways in which Soviet imperial policies were implemented in two ethnically different regions: the Buddhist Republic of Kalmykia as the colonial case study and Moscow as the Metropole. The current project examines newspapers, treatises, and inspectors’ reports over the span of twenty years. It finds that the Bolsheviks’ initial values and discourses in the realm of children’s education, health, leisure and nutrition, all which were scientifically designed to transform children into ideal Soviet and modern citizens, changed over time as a result of the competing ideologies among local elites and the challenges they faced while intervening in children’s everyday lives. The most significant conclusion in this dissertation reveals that, contrary to previous scholarly arguments, the modernization projects that took place in Moscow and Kalmykia were more similar in the challenges and outcomes that local officials faced when implementing state policies.