Associations between food and beverage purchases and skin carotenoids among diverse small food retail store customers.

Objective: To determine if customer purchases at small food stores are associated with healthfulness of the diet as approximated by skin carotenoids.

Design: This is a cross-sectional survey of customers in small food stores regarding demographics and food purchases. Food and beverage purchases were classified as 'healthy' or 'non-healthy' and 'carotenoid' .

Creating Teams of Family Medicine Residents and High School Culinary Students Reduces Some Barriers to Implementing a Culinary Medicine Hands-On Workshop.

Background: Barriers to implementation of culinary medicine in resident training include lack of facilities, administrative support, and community engagement.

Activity: Twenty-five family medicine residents were teamed with 17 high school culinary arts students to prepare recipes aligned with the Mediterranean diet (MED) and the USDA low, moderate, and liberal cost food plans.

Results: The workshop took place in the high school teaching kitchens.

Nursing staff participation in end-of-life nutrition and hydration decision-making in a nursing home: A qualitative study.

Aim: To better understand the participation of nursing staff in end-of-life nutrition and hydration decision-making in an American nursing home.

Design: A qualitative exploration with ethnographic focus.

Methods: In April 2017, in-person, semi-structured interviews were performed with 19 nursing staff members in a nursing home located in the south-eastern United States.

Advancing Nutrition Education, Training, and Research for Medical Students, Residents, Fellows, Attending Physicians, and Other Clinicians: Building Competencies and Interdisciplinary Coordination.

Nutrition plays an important role in health promotion and disease prevention and treatment across the lifespan. Physicians and other healthcare professionals are expected to counsel patients about nutrition, but recent surveys report minimal to no improvements in medical nutrition education in US medical schools. A workshop sponsored by the National Heart, Lung, and Blood Institute addressed this gap in knowledge by convening experts in clinical and academic health professional schools.

A "Hands-On" Thread, Part of a Medical Nutrition Education Curriculum.

Required "hands-on" medical nutrition education sessions are woven through years 1-3 at the Brody School of Medicine. An elective opportunity also is available for third and fourth year students. These active learning sessions focus on diet and chronic disease, including obesity, prevention, and treatment.

Exploring the Associations Among Nutrition, Science, and Mathematics Knowledge for an Integrative, Food-Based Curriculum.

Background: Explore associations between nutrition, science, and mathematics knowledge to provide evidence that integrating food/nutrition education in the fourth-grade curriculum may support gains in academic knowledge.

Methods: Secondary analysis of a quasi-experimental study. Sample included 438 students in 34 fourth-grade classrooms across North Carolina and Ohio; mean age 10 years old; gender (I = 53.

Integrating Registered Dietitian Nutritionists Into Primary Care Practices to Work With Children With Overweight.

Despite increased reimbursement for registered dietitian nutritionists (RDNs), few studies have assessed the potential of integrating them into primary care clinics to support pediatric weight management. To assess the feasibility and effectiveness of this approach, RDNs were introduced into 8 primary care practices in North Carolina. This mixed-methods study combined (1) interviews and focus groups with RDNs and clinic personnel, (2) comparison of change in body mass index (BMI) z-score in study practices to change in historical comparison groups, and (3) analysis of behavior and BMI change for RDN utilizers.

Diet for a Healthy Lactating Woman.

The nutrient and caloric requirements for lactation are set by the Institute of Medicine. The dietary pattern to meet those needs is found in the Dietary Guidelines for Americans. Only deficiency states for selected nutrients and/or prolonged inadequate caloric intake appear to affect the volume and quality of breast milk.

Using synchronous distance-education technology to deliver a weight management intervention.

Objective: To compare the effectiveness of online delivery of a weight management program using synchronous (real-time), distance-education technology to in-person delivery.

Methods: Synchronous, distance-education technology was used to conduct weekly sessions for participants with a live instructor. Program effectiveness was indicated by changes in weight, body mass index (BMI), waist circumference, and confidence in ability to eat healthy and be physically active.

Teaching by example: educating medical students through a weight management experience.

Background And Objectives: Surgeons General, the Institute of Medicine, and others have called for physicians to be role models for meeting the obesity epidemic. There are few published reports describing undergraduate medical education obesity curriculum elements. Physician experiences, knowledge, and attitudes have been shown to affect patient counseling behavior of physicians.

Development of a movement and state plan for obesity prevention, Eat Smart, Move More North Carolina.

This report outlines the evolution of the Eat Smart, Move More North Carolina movement and publications in support of the movement, including North Carolina's Plan to Address Obesity: Healthy Weight and Healthy Communities, 2013-2020. This evidence-based plan guides the efforts of many organizations as they work to fulfill the mission of Eat Smart, Move More North Carolina: to reverse the rising tide of obesity and chronic disease among North Carolinians by helping them to eat smart, move more, and achieve a healthy weight.

Comparison of predictive equations and measured resting energy expenditure among obese youth attending a pediatric healthy weight clinic: one size does not fit all.

Background: The Academy of Nutrition and Dietetics recommends the use of indirect calorimetry for calculating caloric targets for weight loss in obese youth. Practitioners typically use predictive equations since indirect calorimetry is often not available. The objective of this study was to compare measured resting energy expenditure (MREE) with that estimated using published predictive equations in obese pediatric patients.

Delivering a behavior-change weight management program to teachers and state employees in North Carolina.

Purpose: To ascertain the effectiveness of a behavior-change weight management program offered to teachers and state employees in North Carolina (NC).

Design: Fifteen-week weight management program with premeasures and postmeasures.

Setting: State agencies and public K-12 schools in five NC counties.

Participation in community-originated interventions is associated with positive changes in weight status and health behaviors in youth.

Purpose: To assess changes in children's health behaviors and weight status after participation in community-originated interventions.

Design: Prospective cohort study following body mass index (BMI) z-score trajectory over time.

Setting: Schools and community settings in 19 locations in North Carolina.

Treating pediatric obesity in the primary care setting to prevent chronic disease: perceptions and knowledge of providers and staff.

Background: The national and international epidemic of chronic disease, including among children, is largely fueled by increasing obesity. It is recommended that primary care play a key role in the treatment of pediatric obesity.

Methods: A written survey was administered to providers and staff at 13 primary care practices across North Carolina, assessing perceptions on multiple dimensions of pediatric obesity treatment and knowledge of dietitian services.

A pilot study of training family medicine residents in procedural skills at a community health center.

Background And Objectives: There are many challenges to providing procedural skills training as well as exposure to rural practice for family medicine residents, especially within the allowed hours of training.

Methods: A curriculum for self study was developed based on a Society of Teachers of Family Medicine consensus statement on procedural skills, resident interest and faculty experience. An agreement to offer a pilot procedural clinic at a community health center staffed by a family medicine faculty and resident was negotiated and delivered.

Effects of a behavior-based weight management program delivered through a state cooperative extension and local public health department network, North Carolina, 2008-2009.

Introduction: Eat Smart, Move More, Weigh Less (ESMMWL) is an adult weight management program developed in response to North Carolina Obesity Plan recommendations to make weight management interventions accessible to underserved populations. ESMMWL was designed to be delivered through the North Carolina Cooperative Extension and North Carolina Division of Public Health. Program coursework included content on evidence-based eating and physical activity behaviors and incorporated mindful eating concepts.

Barriers to providing nutrition counseling cited by physicians: a survey of primary care practitioners.

In a 1995 pivotal study, Kushner described the attitudes, practice behaviors, and barriers to the delivery of nutrition counseling by primary care physicians. This article recognized nutrition and dietary counseling as key components in the delivery of preventive services by primary care physicians. Kushner called for a multifaceted approach to change physicians' counseling practices.

Weight loss strategies that really work.

Calculate body mass index and diagnose obesity to increase the likelihood that obese patients will take steps to lose weight. Prescribe a low-calorie diet for at least 6 months to help patients achieve a weight loss of at least 5% to 10%. Prescribe physical activity for weight loss and weight maintenance.

Medical nutrition therapy for overweight youth in their medical home: the KIDPOWER experience.

Objective: To determine the feasibility and impact of implementing a standardized medical nutrition therapy (MNT) protocol to treat overweight children in their medical home. Primary outcomes evaluated were changes in eating behaviors, television habits, and weight status.

Methods: A MNT protocol with handouts (known as KIDPOWER) was delivered by a registered dietitian (RD) to overweight children (2-20 years) in 9 primary care practices in a rural community.