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Abstract: Obesity has become a growing global concern. Evidence indicates that ecological factors are most predictive of obesity among children, and that a new strategy, referred to as emolabeling, may effectively address ecological factors, although the extent to which it can influence food choice is not yet known, but tested here. Specifically, we tested the hypothesis that children aged 3 to 11 years will use emolabels, or emotional correlates of health (i.e. healthy-happy, unhealthy-sad), to make healthy food choices. A cross-sectional design was used with two phases. In Phase 1, children were taught how to use emolabels with a “faces of health” lesson. In Phase 2, children made choices between containers that were laid out on a large table in pairs and varied by taste (tastes good, no information), social norms (popular, not popular), branding (image of a minion, no image), or preference (told what food was in each container). A control pair was labeled with only emoticons. The order and presentation of the containers were counterbalanced for each variation. Results showed that a significant proportion of children in the pre-literacy and the early literacy grades used emoticons to specifically make healthy food choices in each variation (p < .05 for all tests), except when children were told what foods were in the containers. In all, emolabeling effectively influenced food choices for healthy foods among children aged 3 to 11 years, more so than labeling for taste, social norms, and branding, but not preference. Keywords: Emoticons, Emolabeling, Food Choice, Health, Literacy, Childhood.Download Full Article |
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Abstract: Background: Food insecure children are at increased risk for medical and developmental problems. Effective screening and intervention are needed. Methods:Our purpose was to (1) evaluate the validity and stability of a single item food insecurity (FI) screen. (2) Assess whether use may lead to decreased FI. Part of a larger cluster randomized controlled trial, pediatric residents were assigned to SEEK or control groups. A single FI question (part of a larger questionnaire) was used on SEEK days. SEEK residents learned to screen, assess, and address FI. A subset of SEEK and control clinic parents was recruited for the evaluation. Parents completed the USDA Food Security Scale (“gold standard”), upon recruitment and 6-months later. Validity, positive and negative predictive values (PPV, NPV) was calculated. The proportion of screened families with initial and subsequent FI was measured. Screening effectiveness was evaluated by comparing SEEK and control screening rates and receipt of Supplemental Nutrition Assistance Program (SNAP) benefits between initial and 6-month assessments. Results:FI screen stability indicated substantial agreement (Cohen's kappa =0.69). Sensitivity and specificity was 59% and 87%, respectively. The PPV was 70%; NPV was 81%. SEEK families had a larger increase in screening rates than control families (24% vs. 4.1%, p<0.01). SEEK families were more likely to maintain SNAP enrollment (97% vs. 81%, p=0.05). FI rates remained stable at approximately 30% for both groups. Conclusions:A single question screen can identify many families with FI, and may help maintain food program enrollment. Screening may not be adequate to alleviate FI. Keywords: Hunger, children, screening, primary care, intervention, food insecurity. |
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Abstract: Objectives: to evaluate factors influencing breastfeeding duration in an integrative model, considering both the organization of medical care and the perinatal education. Methods: We conducted a cross sectional study with data collected in a face to face interview of 1,008 mothers with children aged between 9 and 14 months The questionnaire focused on the main characteristics of a Mother-Baby Friendly Hospital initiative and the type of perinatal education received by pregnant women. Correlation and partial correlation tests, non-parametric tests and classification tests were applied. Data were processed in SPSS 12.0 software. Results: The positive effects of Mother Baby Friendly Hospitals Organization initiative organization were confirmed. However, the main differentiator for breastfeeding duration was the level of formal education of pregnant mothers and the active seeking of perinatal education (r = 0.22, p< 0.001). The perinatal counseling was correlated with breastfeeding duration only for the subgroup participating to structured, dedicated time slot apart from the regular medical consultation (r = 0.079; p = 0.014), independently of mother’s age, education, residence, time to first breastfeeding contact, type of birth delivery and rooming in. Our results support a broader approach to perinatal education than medical counseling during pregnancy to increase the voluntary participation of future mothers to the perinatal educational programs. Conclusion: As mothers’ motivation to maintain the optimum duration of breastfeeding is a determinant factor, an earlier and sustained educational process, before pregnancy and after birth delivery, is necessary in order to create a general favorability for exclusive breastfeeding. Keywords: Perinatal education, rooming in, birth delivery. |
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Abstract: Background: The infancy is a time of phenomenal growth and development. Infant of working mothers have a special concern as they have less time for their infant care. Objective: The present study aims to assess length, weight and BMI of Jordanian infants in nursery in reference to WHO growth chart standard for age Z-score and to study the impact of mothers’ work on their infant’s growth. Methods: A cross-sectional observational study was conducted on 92 infants aged between 3-12 months randomly and recruited from nurseries in Amman, Jordan. All selected infants their mothers are employed and working for at least 8 hour per day. The participants were divided according to gender (male; female) and age group as the following: 3-6 months; 7-9 months; and 10-12 months. Results:The prevalence of overweight or obesity was 15.2% in all studied infants. Overweight or obesity was more prevalent among female infants aged 3-6 months and among male infants aged 7-12 months. No infant (0.00%) regardless of gender or age group was underweight, stunting nor wasting per WHO standards of BMI for age z-score. Conclusion:Most infants of Jordanian working mothers seemingly have normal growth in weight and length and few of them were overweight or obese according to WHO standard of BMI for age z-score. These indicated that Jordan work polices support working mothers and their infants to have better health and development. Keywords: Infant anthropometry, working mothers, nursery, z-score, overweight, obesity. |
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Abstract: The purpose of this study was to explore the physical activity patterns and emotional states differences among elementary school students at two private schools with differently structured school days. Students at one school received the LiiNK Project® pilot intervention, which included an additional two 15-minute recess breaks (unstructured outdoor play) throughout the school day and a 15-minute character development lesson three to four times weekly. Students at the comparison school received only one 30-minute recess daily and no additional character development curriculum. Grades K-2 children from two schools (N=262) wore pedometers for one school week and were observed for emotional expressions during recess. A univariate ANOVA revealed that intervention school students took significantly more steps on average than comparison school students, F(1, 260)=0.784, p<0.0001. Significant interactions were found for average number of steps between school and grade, F(2, 250)=4.298, p<0.05, school and gender, F(1, 250)=4.660, p<0.05, and grade and gender, F(2, 250)=6.919, p<0.001. Another univariate ANOVA revealed that during recess, intervention school students displayed significantly higher percentages of positive emotions than comparison school children, F(1, 52)=15.332, p<0.0001 and significantly lower percentages of not-positive emotions than comparison school students, F(1, 52)=13.900, p<0.0001. Overall, K-2 students who received multiple recesses and a character curriculum called Positive Action were significantly more active during the school day and displayed higher percentages of positive emotions on the playground than comparison school students. Keywords: Sedentary Behavior, Play, Positivity, Pedometers, Early Childhood. |