Annual/Termination Reports:

[01/11/2007] [01/17/2008] [01/08/2009] [12/18/2009] [12/16/2010] [11/30/2011]

Report Information

Participants

Dickin, Kate Cornell University
Ehmke, Mariah Tanner University of Wyoming
Garasky, Steve Iowa State University
Hongu, Kay The University of Arizona
Idris, Rafida South Carolina State University
Krogstrand, Kaye Stanek University of Nebraska-Lincoln
Liang, Lily University of the District of Columbia
Lindsay, Anne University of Nevada Cooperative Extension
Loesch-Griffin, Deborah Turning Point Inc.
Lu, Shiyong Wayne State University
Luick, Bret University of Alaska Fairbanks CES
Mobley, Amy Purdue University
Morgan, Kari University of Wyoming
Olson, Beth Michigan State University
Orr, Robin University of Illinois
Pardini, Ron University of Nevada Reno
Shallcross, Leslie University of Alaska Fairbanks CES
Sigman-Grant, Madeleine University of Nevada Cooperative Extension
Spears, Karen University of Nevada Reno
Washburn, Carolyn Utah State University Extension
Welsh, Susan USDA CSREES
Wong, Siew Sun Utah State University

Brief Summary of Minutes

DAY ONE
The interim chair, Madeleine Sigman-Grant, began the meeting by welcoming all attendees. The first order of business was to request a volunteer to record the minutes. Robin Orr volunteered.


Administrative Reports

ECOP
Madeleine presented a report from Linda Fox (representing ECOP) regarding the state of CREATE-21 and new information ABOUT the integration component of NRI grants.

CSREES
" Susan Welsh (representing CSREES) reported on another new multistate project  NC1028, which is focused on preventing excessive weight gain among college students. It will be using a participatory research approach.
" The Presidents budget has called for moving research funds distributed by formula to a more competitive process. The Congress has not been in favor of this change. Support for Multistate Research Fund projects, such as this one, comes through formula funds provided to AES. The impact of a change on these projects is uncertain.
" Most multi-state projects involve working together using similar methods to reach the project goals. However, in some projects, individuals and small groups work independently of the entire group and thus, contribute to the project. Part of the intent of these projects is to provide leverage for external funding. Support for a project varies by university. At some universities, Tthe only money athe multistate projects may have is for funding travel. Susan concluded by thanking Madeleine, Beth and Britt Burton-Freeman for helping in the November 2006 writing of W1005 and making this project manageable in the allotted 5-year time frame.
" Pleased to have such a diverse group in attendance as many different approaches are needed to address the goals emphasized in the 31.5 NRI  multi-disciplinary behavioral research related to obesity by focusing on family relations; food; and physical activity.
AES
" Ron Pardini presented a history of this project that emanated from a USDA Western Region summer meeting about ways to integrate research and Extension.
" Water quality and obesity were identified as possible integrated topics.
" Writing process started in DC with lots of interested research and extension folks attending. An initial proposal was drafted and submitted to RCIC Western region. After being rejected because it was too broad, the proposal was revised and received final approval as a multi- state, multi-disciplinary project that integrates research and extension.
" One of the requirements of the project is to file an annual report on NIMSS and to report impact.
" Reported on another ECOP activity related to CREATE 21, which is to develop a strategic marketing program for Ag Experiment Stations. This will be done by a subcommittee to reach the goal of increased funding for USDA.
" As a follow-up to strategic marketing, Robin made a suggestion to prepare a one-page slick for W-1005 to be used to educate legislators and potential funders about the W1005 project.


Review of Underpinnings to W-1005
" Madeleine presented two changes to approaching childhood overweight that support this current project.
o One was that a change in our approach from the traditional research informs practice model to one where practice (e.g. Extension) helps to inform research. In particular, Extension is best positioned to help researchers learn which messages families accept or reject regarding feeding and physical activity and why they accept or reject specific messages. Extension educators know about behavior change and can inform research about how to do a better job.
o The second concept relates to the whole issue of resilience. There are many ways to define resilience. What we want to learn is if 30% of children are overweight or at risk for overweight, why 70% arent. What do families do that protects their children? One example is family meals. How and why do some families preserve family meals and others not? How do families decide what gets eaten and what doesnt?

" There are behaviors in resilient families (where children avoid risky choices such as drugs and alcohol). It is not known if these are the same behaviors that prevent overweight.
" Kate added that previous work on positive deviance  very popular in International research  also uses the approach of going to families to learn about how they face adversity. This is an asset-based approach and the direction this project wants to move.
" Beth then related that Jim Hill and Rena Wing have gone to those who have lost weight and maintained that loss long term. They asked what these people did, what works, and what doesnt work. This information now is used with others trying to lose weight.

" Madeleine then reviewed the W1005 objectives and suggested methodology.
o Amy asked for the rationale behind the 4 to 10 year old age-group?
o Madeleine shared the following: The writing committee didnt want to get into adolescents, tweens or the toddlers and infant age groups. Children around 4-5 years old are mostly past a lot of picky eating behaviors and are also entering into the adiposity (BMI) rebound stage.
o The group then discussed other issues related to the target population. It was decided that the age range should not be too small.

" Prior to designing the project, the following need to be considered:
o childrens age range;
o multiple children in a household;
o ethnicity;
o school environment;
o parent-child interaction;
o weight status within families;
o situations of adopted and foster children.

" We agreed that the study doesnt have to represent the population; rather it needs to focus on results we want to achieve. As we go through eligibility criteria, we will try to think about potential variables and selection criteria and why or why not to include them.

" As a multi-state project are we going to find some common measures and methods that all states will use? This is a decision the group needs to make. It will be helpful to use the experiences of other multi-state projects to look at commonalities and differences. Issues of ethnicity and recruitment cant always be controlled. We need to retain overarching protocols while being responsive to individual state needs.

Getting Acquainted Activity
" Sheets were distributed listing all participants signed into NIMSS and the objectives for which they signed up. Each attendee identified to the group their selected objective(s), which methodologies they have used and a little bit about their past experiences related to the goals, methods and outcomes of W1005.
" The group focused on the first four project objectives. A sheet is attached that lists the objective number and the names of those interested in working on them. Furthermore, work experiences and expertise are listed in the roster of participants.

Break out groups

In order to determine milestones and next steps, two groups were formed to meet the afternoon of Day 1: one for Objectives 1 and 3 (as they are closely tied together) and one for Objective 2. As most of the group was interested in Objective 4, all agreed that we would discuss this objective on Day 2. Prior to breaking, we decided that what we need to leave the meeting with knowing was the yearly milestones for each objective over the 5 year timeline; when and where next meeting will be; and identify potential funding sources. Notes were to be taken for presentation in the morning of Day 2.

DAY TWO
Defining resiliency
" The definition of resiliency was revisited.
" The group decided that for now we would leave the term resiliency as undefined, since it can be an outcome measurement, a behavioral process or a framework. We need to learn how different communities define resilient behaviors. Madeleine suggested everyone read Ginsbergs book: Building Resilience: Giving Your Child Roots and Wings; published by the American Academy of Pediatrics. Lily and Shiyong presented a graphic depicting how resilience could be mathematically defined. Table 1.
Table 1. Definition of Obesity Resilience

1. Obesity resilience can be viewed as a degree. Its relationship with obesity can be defined as shown in the following figure.




2. While obesity can be defined by a few variables, for example, BMI and fitness, the previous figure looks like as follows



3. When obesity is defined by more than two variables, resilience can still be defined the same way, even though it would be hard to visualize.

Note:
1) The value of each variable can be weighted, before being aggregated, to reflect level of importance.
2) These variables can be relative indices, for example, relative BMI (ratio of the child BMI to the average BMI of his family)

" Our short-term goal is to build healthy resilient children.
" The long-term goal is for these children to become healthy resilient adults. Since this concept is new, it might be beneficial to begin to use it to promote this project, along with overweight and obesity as key words to getting grants.
" Robin suggested Introducing the word resiliency into the logo/marketing materials and volunteered to find someone to help with the design. The group came up with the idea that resiliency is a familys abilities to bounce forward in times of crisis. Perhaps we could use the concept of families bouncing forward towards resilient communities as part of the logo.

Elections
The following were selected by the group as the three members of the coordinating committee for W-1005 for 2006-2007. Terms can be extended to two years.
Chair  Madeleine Sigman-Grant
Vice-Chair  Beth Olson
Recording Secretary  Robin Orr

Leaders for each Objective were identified. Karen volunteered to lead Objective 2, Mariah volunteered to lead Objective 4, and Madeleine will be temporary lead on Objective 3. Therefore, volunteers to lead Objectives 1 and 3 are needed.




Notes from Objective 1 Group
2007-2009

Objective 1: Conduct an expert field review of key behavioral measures purported to contribute to excessive weight gain in children aged 4-10 years old

Members in Attendance
NOTE: Shared leadership

Madeleine
Kaye
Kate
Leslie
Mariah
Caroline
Amy
Robin
Beth
Kari
Steve



" The conversation began with the exploration of who would be considered experts to provide a reality check of what works and doesnt work in regards to messages about obesity prevention as well as what is taught or not taught.
" A long list was generated that included not only extension personnel, but public health nutritionists, health care providers, WIC, parenting educators and others. After an in-depth discussion, it was decided to accommodate the integrated portion of W1005.
" Frontline experts will be EFNEP and FSNE educators, and extension educators at all levels.
" Experts will be asked to develop key informants in communities, involved with disseminating overweight prevention messages
" Experts will use the card sort (similar to that in Objective 3) listing targeted behaviors
" Card sort with directions will be developed by Madeline for objective 3


Output  Validate the targeted behavior list by asking field experts

Decisions regarding how this is to be done were not completed. Consideration was given whether we would use a survey or leave to more open-ended. The consensus seemed to be the use of focus group.

It was determined that we might recruit for volunteers at SNE (July 2007 or 2008) and ADA (Oct 2007 or 2008) national meetings, as well as during state meeting and trainings.

Milestones for Objective 1
" Similar to, and contingent upon, some of the results of the pilot study to be conducted for Objective 3.


Notes from Objective 2
(2007-2009)

Objective 2: Identify anthropometric and physiological (A/P) measures that could be used to differentiate families within the target population in the community setting

Members in Attendance

Leader: Karen
Bret
Annie
Karen
Kay
Rafida
Lily
Shiyong
Siew Sun
Susan
Ron


" This objective should view existing research, protocols, methods etc. through the eyes of educators, e.g. what could be useful as field measures by educators conducting interventions to use to measure impact.
" Generated lists of tools to consider for measuring
o anthropometrics,
o physical fitness and
o nutrient/dietary physiological parameters.
" The impact of genetic influence was discussed, followed by the generation of assessment tools for behavior (although it was decided that these probably would be needed for use in Objective 3.


Anthropometric Measurement Tools
Height
Weight
BMI
Somatotyping (body typing, silhouettes, etc.)
Circumference (tape measures)
Body Composition
Skin folds (Subcutaneous Fat)
Dexascan (Bone Density)
Bio-Impedance Analysis (Bioelectrical Impedance through tissue)
UW Weighing (Water Displacement)
Bod Pod (Air Displacement)

Physical Fitness Physiological Tools
Presidents Council on Physical Fitness Test
Fitness Tests (strength, endurance, cardio, flex..)
Walk Test
Step Test
Mobile Indirect Calorimeter
Direct Calorimeter
Nutrient & Dietary Physiological Tools
Glucose Test
Lipid Panel
Vitamin & Mineral Status

Genetic Influence
The role of genetics may also provide a better definition of the measurement being used to define the child. (For example, also testing the A/P parameters of the childs parents, such as BMI, may provide a clearer picture of the childs individually measured BMI. If both parents have elevated BMIs and are also found to be athletes or exercisers, the childs elevated BMI may not necessarily be an at-risk value.) There are many other similar scenarios.

Therefore we are suggesting that not only should A/P measurements be used for the child, but that the mothers BMI might also be considered as part of the childs A/P equation.

Additional studies might even suggest an algorithm that defines the entire Healthy Family as a unit, not just the child, through a number of A/P measurements taken on the child and the parents. However, this will require a paired data set. This may also include behavioral parameters as well as A/P parameters.

Behavioral Parameters to consider that may Influence A/P Parameters
Dietary Intake Assessment
24 Hour Recall (Interview-driven)
FFQ (Self-reported)
Food Diary
Physical Activity Assessment
Pedometers
Accelerometers
Indirect Calorimeter
PA Questionnaire (Self-reported or Interview-driven)
PA Diary
Environmental Influence (family, community, etc&)

Milestones & Timeline
" MARCH 2007 Define resiliency (possibly even determine a scientific measurement); contact project collaborators not present; assign literature tasks and other experts to involve in the project
" JULY 2007 Complete a literature review of widely accepted techniques in epidemiological studies
TIMELINES TBD
" Suggest recommendations based on the literature review regarding what parameters to use
" Determine a parameter(s) or develop an equation of parameters to use within the family context
" Develop a feasibility study for ease of use
" Write a protocol
" Pilot the study
" Analyze the data
" Write/publish the manuscript
*POST SESSION NOTATION*
" The need for a working definition of health has also been identified


Notes from Objective 3
2007-2010

Objective 3: To assess parent-child interactions in the target population as they relate to key behaviors identified as being associated with resilience to overweight

Members in Attendance

Madeleine
Kaye
Kate
Leslie
Mariah
Caroline
Amy
Robin
Siew Sun
Beth
Kari
Steve




" Group members discussed milestones and action plans. Madeleine informed the group of an NRI proposal she (and several others in the room) had submitted to CSRESS based on resiliency. Although the proposal was not funded, it received a high rating and encouragement to resubmit. An ensuing conversation resulted in some members of W1005 volunteering to assist with pilot testing interview protocol that would be used for that NRI and for this study.

" Discussion ensued around the specifics of the pilot study. This study will provide support for resubmission of above mentioned NRI. The group made the following decisions:


" The purpose of the pilot project is to test the use of a card sort with a variety of audiences using an iterative list of suggested behaviors targeted to prevent or reduce childhood overweight. Thus, the outcome will be how well this technique worked. Secondary outcomes will be the caregiver responses.

" The cards will contain those behaviors suggested in the current literature as ones to target. Parents will indicate which behaviors they use, why and relate their effectiveness. Start with an open question (What does your family do that works?).

" Use of silhouettes will be tested to see how child and caregiver determine weight status of children.

" Interview questions and probes will be tested

" Madeleine will coordinate the pilot study
o Design the cards for caregiver and child
o Write the interview protocol
o Develop a debriefing form for interviewers to record impressions of the protocol to determine what interviewer needed to do to get the activity effectively completed. Beth will get some forms out on the logistics of how interviews were conducted.
o Develop a model IRB form
o Train (via videoconferencing) others in using the protocol
o Debrief interviewers
Pilot study eligibility criteria
o Low-income
o Primary caregiver (one who makes decision about feeding)
o English -speaking

Pilot data to be collected
o Income and cost of living assessment
o Employment status
o Weight status of child and caregiver (? Reported or measured)
o Age 4-10 (so can determine at what age the child can handle the card sort)
o Census track (rural or urban)
o Race/Ethnicity  USDA definitions
o Age
o Family composition
o Family health history based on AMA work on health literacy
o Caregivers education level
o Transportation
o Acculturation (length of time in US)
Volunteers for pilot study (each state listed below will interview 5 families)
Michigan  African American
Illinois  urban/rural Latino
Alaska  Native
Wyoming  rural white
Utah  Asian
Nebraska  Native American
Nevada  rural white and rural Latino
New York  whomever is interested
South Carolina  Rural south
POSTCONFERENCE: Indiana: White rural and black urban
Actions for each volunteer state:
" Make sure you understand your IRB process, especially in regard to multistate projects. We also could use an external IRB under which everyone works. Beth will share a low-literacy consent form.
" Each state will be responsible for transcribing their tapes and collecting interviewer notes to send to Madeleine
" Participate in a debriefing phone conference after data collection

Milestones for Objectives 3
By February 1. Lit review
Begin with the recent reviews: Pat Nelson  University of Delaware website and UC Berkeley  Center for Health & Weight website
Establish a website where this can be available to all W1005 members
All members will continually update this
By February 2. Design website
Ron volunteered Robert Morse (UNR)
Steve will provide group an example of another multistate project site
March 3. Assist with pilot study (see details above)
September 4. Write paper describing the process









Notes for Objective 4
2007-2010

Objective 4: Determine appropriate tools to effectively measure salient behavioral difference between low-income families in the parent-child relationships identified in Objectives 1 & 2 for the community setting.

Leader: Mariah
All members attended this discussion

" Mariah gave a report on a pilot being conducted at the University of Wyoming with 45 families to measure parents time preference for short term or future rewards.
" Researchers gradually increase the long term pay off, as they look at the time preference variable based on the amount of the incentive. They wish to correlate if this strategy works with long term vs. short term planning on food stamp usage.
" Their next experiment is a risk assessment  starting with low and moving to high risk as it is associated with tradeoffs and linking with food choices.
" Family composition effects how this plays out in really interesting ways.
" They will link parenting styles around food and child weight outcomes with negotiation in households to see how different negotiations work for food and non-food items.
" This is based on game theory about bargaining in economics - self-centered vs. altruism and social norms. They are working to learn power in relationships.
" Mariah has begun to use various tools, including the
o CFSQ (Caregivers Feeding Style) developed at Baylor which has questions around TV, physical activity and parenting style.
" The term healthogenic was suggested as a positive approach rather than obesogenic which is negative. The question then becomes: How will we put together an interactive list of tools that can be ranked in terms of resiliency in measuring the healthogenic status of a community.

Outcome of this objective
A menu of tools that start to quantify and qualify resilience constructs, that fit a variety of audiences.

Milestones
1. List of available tools, who has used them, and what rationale can be used to relate each tool to obesity prevention/resiliency
a. Economics
b. Families
c. Fitness
2. Testing with audiences in the field
3. Selection of appropriate tools to measure impacts of future interventions


Next Meeting
The group decided to meet in DC in October 24-26, 2007 with legislative visits to be scheduled. Beth will be handling the meeting details.

Since many attendees are planning on going to the SNE annual meeting July 328 through August 1, 2007 in Chicago, a suggestion was made that an ad hoc meeting of W1005 be arranged at the same time. Robin and Madeleine will pursue this.

Membership in W1005.
In addition to contacting those who signed up as participants for the proposal, we wish to recruit others. Karen will try personally recruiting folks from the ARS labs. Robin will call Jim McColl from Discovery. Kellogg, RWJF and Save The Children US were mentioned as organizations from which we might recruit members.

Future Tasks
Contact non-attendees to determine their continued interest
Work out the dates for the next Annual Meeting
Objective groups appoint a lead person
Objective groups continue with their tasks
Amy will look into setting up the list serve at Purdue
Ron will investigate setting up a website at UNR

Accomplishments

Accomplishments and Impacts: <br /> During this, the first meeting of the project, the leadership team was elected. Groups then formed around each of the first four objectives of the project. Construction of a list serve and web site will be completed by February to ensure project communication. A proposed marketing strategy will include design of a logo and a one-page brochure describing the project. Participants will investigate possible funding sources as the group projects progress. The next meeting was planned for October, 2007 in Washington DC so that participants can explain the project to legislative staff. <br /> <br /> Each group discussed their goals for the coming year. Focus groups of Cooperative Extension Food and Nutrition Educators will be conducted at the 2007 Society for Nutrition Education Meeting (Group 1). A complete literature review of anthropometric and physiological measures for children will be compiled (Group 2). A pilot test of protocols to help identify what families are currently doing in terms of food and activity decision will be conducted in Michigan; Illinois; Alaska; Wyoming; Utah; Nebraska; Nevada; New York; South Carolina; and Indiana (Group 3). A minimum of 5 families in each state representing multiple ethnicities and races will be interviewed. Results will be used to apply for USDA NRI funds. Group 4 will collect and assess current tools available for determining resiliency. <br />

Publications

Impact Statements

Back to top

Report Information

Participants

Amy Mobley, Purdue University;
Ann Lindsay, University of Nevada, Reno;
Beth Olson, Michigan State University;
Carol Byrd-Bredbenner, Rutgers University;
Craig Gunderson, Iowa State University;
Heidi Wengreen, Utah State University;
Jan Scholl, Pennsylvania State University;
Jill Shultz (via phone), Washington State University;
Karen Spears, University of Nevada, Reno;
Kari Morgan (via phone), University of Wyoming;
Kay Hongu, Arizona State University;
Kaye Stanek Krogstrand, University of Nebraska-Lincoln;
Lily Liang, University of the District of Columbia;
Madeleine Sigman-Grant, University of Nevada, Reno;
Robin Orr, University of Illinois;
Rafida Idris, South Carolina State University;
Jamie Dollahite, Cornell University;
Barbour S Warren, Cornell University;

Linda Kirk Fox, Admin Advisor, Washington State University;
Susan Welsh, NPL, CSREES

Brief Summary of Minutes

ELECTIONS: The nominating committee (Beth Olson; Heidi Wengreen; Kaye Stanek Krogstrand) presented the slate, which was approved by the group. Terms begin after 2007 annual report is submitted. Chair: Robin Orr; Vice-Chair: Amy Mobley; Secretary: Rafida Idris

WEBSITE: Discussion occurred about the website. A decision to revise the draft logo and reorganize the website components was made. There will be 2 sides- one accessible by the public and one for participants only.

MANAGEMENT: The attendees agreed to several protocols to enhance communications. Website administration, email communication, and data and publication protocols were adopted. Additional discussion ensued about being proactive about the group's work at future professional and association meetings.

SUB-COMMITTEE REPORTS:
Group 1 - Much time was spent on deciding when, and how, to move this objective forward. It was decided that it would be best to determine what is happening and what is needed by those in the field now rather than waiting until results of the other objectives are gathered. It was noted that UT has surveyed 14 Extension Family and Consumer Sciences Agents about their knowledge, attitudes, and beliefs regarding the obesity prevention messages they teach. The following decisions were made to meet the milestones:

Key informants/experts will be targeted including those in CES (EFNEP & FSNE, professional & paraprofessional nutrition educators, 4H educators and parents, parent educators, early childhood/ human development educators)

Overall purpose: To support, reject or revise research-based suggestions of behaviors that influence child overweight

Details to investigate include: What behaviors do they consider important to target? What are they currently teaching? What methods are being used? What insights do they have that each behavior taught is relevant to their audience? Which components of resiliency are being taught?

Group 2 - Karen Spears presented a review of the group's work. The most significant outcome was the results of literature reviews: there is a lack of validated fitness measure for children under age 6, necessitating a revision in the original targeted age group. Two proposed outcomes will be (a) a formula could eventually be constructed to calculate a child's fitness. Included in the formula would be the child's (BMI + WC + BIA + fitness) divided by the parents' (BIA + BMI + WC + PACQ + fitness) along with assorted variables and constants; and (b) a Health Fit Home Kit that would help each family member determine her/his own fitness status.

Group 3 - Results of the pilot test were reviewed (see below). Revisions to the protocols were made to diminish participant bias in reporting. Preparations for the second pilot test were made.

LEGISLATIVE VISITS: 8 members walked to the Hill and visited 5 legislative offices to communicate about multi-state projects.

FUTURE FUNDING: Strategies were proposed for obtaining external funding for project work.

2008 MEETING: Chicago, October 28th (noon) until 5 PM October 30th.

Accomplishments

Integrated Work<p><br /> In July, an ad-hoc informal group of W-1005 investigators attending the Annual Society for Nutrition Education meeting got together to discuss the project. In the 2-hour meeting, the logo design was discussed and plans were designed for the W1005 annual meeting to be held in Washington in Oct.<p><br /> <br /> In order to help define resiliency in terms of child fitness (a Group 2 2007 milestone), Heidi Wengreen (UT), Anne Lindsay (NV), Melinda Manore (OR) and Karen Spears (NV) conducted literature reviews on physical activity surveys in children, physical fitness measurement methods for children and adults, body composition, and BMI and body composition, respectively. It was determined that there are no validated fitness measures for children under age 6, necessitating a revision in the original targeted age group of W-1005 from 4-10 to 6-10. In addition, NHANES data was selected to be used to select variables to include in a fuzzy-set-theory based model for defining obesity resiliency (a Group 2 2007 milestone).<p><br /> <br /> Under the lead of NV, 6 states (NV, MI, NY, IN, NE, UT) interviewed 44 low-income mothers to determine their familiarity and use of guidelines to prevent childhood obesity, their thoughts on what other families do and what strategies might prevent childhood obesity (a Group 3 2007 milestone). Several graduate students, along with faculty members, conducted the interviews. All states received IRB approval. Nebraska is interviewing more mothers. Preliminary results suggest low-income mothers have doubts about whether other families can follow suggested obesity prevention guidelines and even if these guidelines will actually lead to obesity prevention in children. UT pilot-tested a food frequency card sort with children. Cards were similar to those used with mothers. This protocol will be included in Pilot Study 2 to gather feedback on feasibility of collecting information from the children about food selection independent of mothers' reports.<p><br /> <br /> Nevada, along with IL, IN, MN, MI, NE, NM, NY, UT, submitted an NRI for funding work related to Group 3. Although reviewers thought the proposal was innovated, it was not funded.<p><br /> <br /> Individual State Work<p><br /> <br /> AZ - Healthy Active Kids Workshops - provides participants (teachers, parks & rec. 4-H or parent volunteers) resources for schools and communities to meet their wellness policy goals and increase physical activity and healthy food choices by youth and their families to reduce obesity.<p><br /> <br /> Healthy Active Kids Initiative - by the University of Arizona Cooperative Extension integrates healthy lifestyles concepts into youth programs and classrooms.<p><br /> <br /> DC - Variable Selection For Obesity Resilience - Professor Liang and Professor Yi Lu at the Prairie View A&M University have been working on a new methodology which is expected to help in the selection of variables from the overwhelming number of variables in the NHANES data. This new approach proposes hierarchical clustering for feature reduction and will be tested on the NHANES data. A graduate student is working as a programmer on this project. The result of this research will be brought to Group 2, for discussion and validation.<p> <br /> <br /> IA - Association Between Food Insecurity And Child Overweight Status - In a USDA funded study, ~8% of a sample of low-income children were found to be food insecure while 50% were at risk of overweight or overweight. Results indicated that the likelihood of being overweight or at-risk of overweight was not significantly different for food secure and food insecure children. However, food insecurity and overweight coexisted as about 1/4th of the food insecure children were overweight. In another study, statistical models indicted that a one unit increase in an index of economic stress leads to a 4.5% increase in a child's probability of being at-risk of overweight or overweight and a 7.4% increase in a child's probability of being overweight. This increase was primarily due to financial stressors (e.g., parents falling behind in paying bills and having to borrow money from friends or relatives) and community stressors (e.g., quality of housing in neighborhood). An examination of the role of economic stress may lead policymakers to consider ways to modify programs (e.g., TANF and the EITC) that address the economic constraints that low-income households face in securing enough food and maintaining a healthy diet.<p><br /> <br /> Type 2 Diabetes In Youth - Over one-third of 500 4th and 5th graders in rural Iowa schools were found to be overweight. These results were used to alert healthcare providers and third-party payers of the prevalence of obesity among youth in Iowa along with the corresponding risk of type 2 diabetes.<p><br /> <br /> IL - Received IRB approval for conducting pilot studies in 2008.<p><br /> <br /> IN - Conducted 11 interviews in the Pilot Study for Group 3.<p><br /> <br /> KY - Healthy Weight Task Force, a collaborative team across disciplines has been formed to address the needs of Kentuckians. All Extension agents are using local, state, regional and national trends in regard to maintaining a healthy weight for their 4-year Plans of Work. A freshman seminar course on Food, Society and a Healthy Weight was delivered to 25 students. Three tenure-track faculty have been hired to address physical fitness, nutrition, and healthy weight. Weight the Reality Series resulted in 1/3rd of participants (in 51 counties) losing e5% of body weight. Successful losers measured and controlled portions, drank more water, and walked at least 30 minutes 5 days a week.<p><br /> <br /> MI - Conducted 7 in-depth interviews as part of the Pilot study for Group 3. MI AES provided funding to 1 PhD student to assist with the interviews.<p><br /> <br /> NE - Conducted 19 in-depth interviews (8 included in the pilot study) to evaluate dietary practices used in homes, testing a card sort method for determining practices that have been connected with childhood resilience or non-resilience to obesity. All but 5 were from urban areas and all but 1 were women, including 11 Black, 7 Caucasian, I Hispanic. Two graduate students (1, PhD and 1 MS) collected the data.<p><br /> <br /> NV - In addition to leading and participating in Groups 2 and 3, NV faculty have been designing All 4 Kids, a nutrition and fitness program for preschoolers, their parents and their childcare providers, and conducting an evaluation of community-based obesity interventions and the built environment to support food intake and physical activity behavior change.<br /> OR Contributed to the literature review for Group 2, by identifying methods and terms used to define obesity in children and adults.<p><br /> <br /> NY - Interviewed 5 families for the pilot study Group 3. Additionally, the Cornell University Program on Breast Cancer and Environmental Risk Factors shared (on its website and also in a Cornell NutritionWorks course) assessment tools and procedures used in studies involving an environmental approach to obesity prevention.<p><br /> <br /> SC - In order to gather information for defining 'Resilience,' the South Carolina researcher attended the National Health and Livability Summit'07 (sponsored by National Research and Park Association), the 2007 Pediatric Nutrition Symposium organized by ADA, and the ADA Nutrition and Food Expo'07. She was interviewed by the US International Radio: Voice of America (VOA) in Washington DC about W-1005 project and its future implications on healthy living for the US and world children. One graduate and three undergraduate students are working in this project.<p><br /> <br /> UT - Four faculty members and one graduate student met bi-monthly to discuss W1005. One graduate student Interviewed 5 families for the pilot study. H. Wengreen developed a picture-sort survey method designed to help children ages 4-10 accurately report the foods and drinks that they consumed the previous day. Foods and drinks queried will include those asked of the mothers. The information provided by the children will be used to corroborate information gathered from the mothers.<p><br /> <br /> WA - Training Child Care Professionals and Parents for Prevention of Childhood Obesity - This NRI-funded project intends to develop a multi-media web site with resources and training modules to instruct child care providers in healthy eating, physical activity, and prevention of obesity in young children. Seven focus group interviews were conducted (n= 39). Among the findings, providers expressed concerns about their interaction with parents regarding children's healthy eating, and barriers to children's physical activity at child care.<p> <br /> <br /> Plans for 2008 include:<p><br /> WEBSITE: Update website using SharePoint software<p><br /> <br /> SUB-COMMITTEE WORK: all work is related to identified milestones<p><br /> <br /> GROUP 1: Design qualitative questions to be piloted at SNE in July 2008.<p><br /> <br /> GROUP 2: Conduct a survey (using the W1005 website) to determine what can be done at current CES sites; and initiate a pilot study to begin measuring variables being considered for the fuzzy-set theory modeling. AZ is taking the lead in designing the survey. All participating W1005 universities will measure body composition using DEXA; bod-pod; BMI, bioimpedence, and calipers<p><br /> <br /> GROUP 3: Interview analyses of the first pilot study will be completed, with results presented at professional meetings and a manuscript written and submitted. Second pilot testing of parent interviews will begin in Feb 2008 after modifications to protocols are approved by all IRBs. Additionally, a child card sort protocol (developed in UT) will be tested. Efforts to obtain external funding will continue. <br /> <br />

Publications

Fact Sheet: How do I know if my child has a weight problem? <br /> Nobuko Kay Hongu, Ph.D., R.D., Assistant Professor, Nutrition Extension Specialist, Department of Nutritional Sciences, Arizona Cooperative Extension, The University of Arizona, College of Agriculture and Life Sciences, Tucson, Arizona 85721<p> <br /> <br /> Garasky, S., J., Stewart, S., Gundersen, C., Lohman, B. J., & Eisenmann, (2007, November). Food insecurity, economic stressors, and childhood obesity. Paper presented at the Association for Public Policy Analysis and Management Annual Research Conference, Washington, DC.<p><br /> <br /> Gundersen, C., & Lohman, B. J., Eisenmann, J., Garasky, S., & Stewart, S. D. (in press). Lack of association between child-specific food insecurity and overweight in a sample of 10-15 year old low-income youth. Journal of Nutrition.<p><br /> <br /> Lasley, E.C.K., & Litchfield, R.E. (2007). Type 2 Diabetes Among Youth: Prevalence and Awareness. Journal of the American Dietetic Association 107(8 Supplement 3): A-32.<p><br /> <br /> Presentations<br /> Healthy Active Kids, Sharon Hoelscher Day, et al. Poster presentation at the Research Frontiers in Nutritional Sciences Conference, Tucson AZ, Oct 22-23, 2007.<p><br /> <br /> Lasley, E.C.K., & Litchfield, R.E. (2007, October). Type 2 Diabetes Among Youth: Prevalence and Awareness. Poster presentation at Food and Nutrition Conference and Exhibition of the American Dietetic Association. Philadelphia, PA.<p><br /> <br /> Lasley, E.C.K., & Litchfield, R.E. (2007, November). Type 2 Diabetes Among Youth: Prevalence and Awareness. Poster presentation at Iowa Dietetic Association Annual Meeting. Ames, IA.<p><br /> <br /> Litchfield, R.E., & Thomas, K. (2007, November). School Wellness Policies Update. Oral presentation at Iowa Dietetic Association Annual Meeting. Ames, IA.<p><br />

Impact Statements

Back to top

Report Information

Participants

Devine, Carol (cmdio@cornell.edu);
Dollahite, Jamie (jsd13@cornell.edu);
Ehmke, Mariah (emhmke@uwyo.edu);
Fox, Linda Kirk (lkfox@wsu.edu);
Garasky, Steve (sgarasky@iastate.edu);
Hongu, Kay (hongu@email.arizona.edu);
Idris, Rafida (ridris@scsu.edu);
Lindsay, Anne (lindsaya@unce.unr.edu);
Manore, Melinda (melinda.manore@oregonstate.edu);
Olson, Beth (olsonbc@msu.edu);
Orr, Robin (raorr@illinois.edu);
Orr, Barron (barron@email.arizona.edu);
Shultz, Jill (armstroj@wsu.edu);
Sigman-Grant, Madeleine (sigman-grantm@unce.unr.edu);
Spears, Karen (kspears@canbr.unr.edu);
Welsh, Susan (swelsh@csrees.usda.gov);

Brief Summary of Minutes

Tuesday, October 28, 2008(1-5p.m.)

Dr Robin Orr. Chair, W1005 Multi-State research project, initiated the meeting session with a warm welcome and introductory remarks to the participants. The meeting progressed according to the agenda set for this meeting. Rafida, project secretary collected of meeting registration fees and assisted Dr. Orr with keeping meeting minutes.
Brief self- introduction and involvement in W1005 project by the meeting attendees followed.

Dr. Linda Kirk Fox presented information on deadlines and format for reports. The Annual Report is due sixty days after this W1005 annual '08 meeting. Individual State research progress inputs and impact statements of each research objective group is required to complete this annual report. Impacts on the economic, social and environmental conditions by W1005 activities should be addressed in the statement (WAAESD Form: impact statement-two page limit); W1005 project has a midterm administrative advisors evaluation/ check up by the third year of its initiation. The project is still on the target.

Dr. Orr emphasized on increased communication via tele/ video conferences among research groups to monitor progress of activities, accomplishments, the rate at which work is progressing in a consistent pattern, each year to meet the set goals. Time lines of the project have to be closely monitored.



USDA/CSREES update

Dr. Susan Welsh reported on the USDA/ CSREES administrative updates. She discussed and shared information about USDA. She walked the group through a number of USDA/CSREES information updates on Farm Bills, funding sources, administrative structures etc. Dr. Welsh assured that the project is in the right track and encouraged the research groups to continue with their activities, Funding needs were discussed. Continued funding efforts by the subgroups will be supported by the USDA/CSREES administrative team-representatives (Dr. Linda Fox and Ron Pardini) for this project. NIH funding is the goal but alternate sources are also worth trying. Dr. Welsh shared information on the CSREES competitive funding opportunities and Multi-State research funds through HATCH in Nutrition and Food Science. There are special grants in Nutrition and Food Science administered by CSREES also.
Dr. Welsh announced that the meeting of the newly appointed 2010 Dietary Guidelines Advisory committee, appointed by USDA & HHS, is being held in Washington D.C. (October 30-31-08),

Dr. Welsh assured that the AES reports are looked at and promoted by the area administrators for W1005 project. Dr. Orr suggested doing USDA news reports on the project and post its publications in future for more visibility, publicity and support from the Secretary. Since W1005 project was originated by the Western region scientists, she encouraged representatives from the west to utilize "Best of the West" to push ideas to decision makers of that region. Extension bulletins, AES reports, integrated reports on project activities are all just as important as research publications to serve as communication vehicles to the decision makers of funding supports. USDA is still a strong supporter of multi-state, integrative approach in research.

Administrative report

Dr. Linda Fox passed around the W1005 membership list for participation verification and update. Dr.Fox would update the research membership list for W1005 on the NIMSS (National Information Management System) webite of multi-state projects. .

Dr. Key Hongu introduced her co-worker in Arizona, Dr. Barron Orr, who helped her move from bench research to community programs. Literature search shows that only 30% people at risk participate in the community education programs on obesity; therefore research target should focus on the remaining 70% non participants that are at this health risk.

Dr. Key mentioned that casual and popular communication through technology, like GPS, can be a viable media among the youngsters for nutrition science education. GPS gets kids engaged; it could serve as an interesting, non-threatening, informed and self directed educational opportunity to them. Use of technology could be an effective approach as opposed to non-formal (extension or expert led) methods. GPS and/or cellophanes with GPS receivers in them, offer lots of flexibility and convenience in an economic way to users; present generation probably would prefer these exciting technological media as their information source, more so than watching TV in a confined environment. Technologies like Google, YouTube, NavBall, GPS Drawing.com, Homeless kids, Graffiti kids etc. offer a variety of choices of informal science information to explore by this generation. Last child in the woods (book), No child left inside, Children and nature network (CN&N): http://childrenandnature.org/,http://gpsdrawing.com/, http://navaball.wardpress.com/ are other examples of modern technology resource outlets for informal education that could be considered. Three goals of this project are: to encourage increased physical activity with opportunities to go outside and facilitate outdoor activities, civic engagements (?) and informal science education.

Dr. Robin Orr emphasized that collaboration with Geospecial Extension Specialist (GPS-GIS), NASA, NOAA, USDA with W1005 project would be beneficial both for research and extension partners. They need to leverage land grant to get their information out.
Clay Shirkey (economist) stated: "Here comes everybody- organizing without organizations"- a possible positive approach.

Objective Group Reports

Objective Group 1: Developed individually by Dr. Jamie Dollahite and Dr. Siew Sun Wong. The group developed and pilot tested the interview guide with rural and county extension managers, with SNAP-Ed and EFNEP. Results are being used to further develop the guide. Study A: conducted interviews to identify most important behaviors, barriers, educational strategies and perceived effectiveness. Study B: looked at the strategies at each level of socio-ecological model to address obesity, explore how individual, organizational and community level factors associate with chosen strategies. Study C: Interviews and card sorts done with parents who are prospective participants, focus group with parents graduating from EFNEP childhood prevention class. Interviews with staff in parenting agencies carried out to determine the most salient and effective marketing messages to recruit parents for education to prevent childhood obesity. Data collected so far are incomplete and analyses are preliminary. People were found to be very focused on traditional approaches and everyone had their own education and parenting skills.

Objective 1 group needs to plan group interactions through conference calls. After data are merged from surveys and analyses completed the final review of the interview guide will be done. Cognitive pre-testing was suggested as an interactive probe to use in the interview guide. A number of people are interested to review the protocol and the interview guide (Dr Jill Shultz, Jamie and Olga). Group needs leadership. The group saw suggested to have a plan B in place, if needed, to revisit plan A

Objective Group 2: Dr. Karen Spears reported on group 2 activities.
Objective is to differentiate families by physical assessments.
Group 2 had identified assessment methods and tools in three areas: 1) Physical activity/fitness, 2) biochemical, and, 3) anthropometric/body composition. Age groups 4-10 years old children targeted. Anemia and asthma are included in biochemical assessments. Purpose is to provide effective/validated measurement methods and tools for application by extension staff and also to identify strengths and limitations of assessments, research tools and procedures. The group has started literature review of assessment techniques and tools in order to develop a list of resources and hand over to other researchers of the project who need them. Assessment outcomes would differentiate families and children with or without health issues of obesity and therefore resilience.

Dr K. Kaye Stanek reported that Extension workers are not comfortable doing anthropometric measurements. 4-H perhaps would do that. IRB permission is crucial to conduct such assessments. This is a study for a study of its acceptability and usefulness. Low cost, low invasive, high precision methods are to be identified. BMI using CDC's cutoffs, BIA measures, foot to foot/arm to arm measures are not excessively costly. There are no good standards for % body fat assessment in children; no consistency in determining % of water and lean muscle mass either. Each prediction equation used is different. Pediatricians are evaluating equations for children. Partnership with YMCA, exercise physiologists would be helpful. Skin fold or circumference measures are not recommended.

Dr. Orr indicated that physical education and fitness testing are done in schools. Secondary data could be available as information. Fitness is better for children in general, while anthropometrics works, if there is any observed change in their fitness. President's council of physical fitness program is operational. Arkansas and Illinois data are available on children's height and weight; School districts have data which could be looked at. Dr. Welsh suggested selecting measures that are easy to apply now.

Objective Group 3: Dr. Madeline-Sigman-Grant reported for the group.
Three mile stones were achieved: Dr. Grant presented the first group 3 pilot study results at SNE 2008 annual meeting. A manuscript has been drafted and distributed for comments and feedback to pilot study participants before submitting for publication.

The study applied card sort methodology in interviewing. Findings revealed that the clients did not understand connection between restriction messages and low nutrient food intake. Applying projective technique to do assessment with families was tested to determine how to not prompt message. It proved to be better than self reporting. Interviews were conducted in six states participating in group 3. A proposal has been submitted for NRI funding. Research will take a further look into resiliency and fitness.

Wednesday, October 29, 2008

Wrap-up of previous day's agenda:

Objective Group 1: Schedule conference calls for protocol review; Develop the protocol and arrange protocol training sessions; Focus will be on parent/child interaction; Follow the Social Economic(SE) model in including that aspect; Develop survey tool/method; Publications, one or two; Develop timeline.

Objective Group 2: Prepare lists on methods of assessments with references for endpoints for use by the extension agents; Determine clientele, items to measure, age groups; Detect areas missing data; Cultural issues; Adults in the study; Develop publications/ resource manual; Identify journals to publish in; Develop timeline.

Four areas identified: 1) Anthropometric/body composition; Research all methods, highlight ranges, costs and standards, 2) Physiological (PA & fitness) for family together with kids, 3) Biochemical, focused on chronic disease (diabetes, asthma, anemia etc), 4) Special population groups- cultural and pre-k.

Objective Group 3: Narrow the focus; Continue with card sort methodology and focus on the one that continues through resiliency data; Attention to family meals/dinners; Determine key factors leading families to do family meals; Investigate an equivalent practice in PA like family meals; Define family meal; Define resilience; Look for tools that clarify parent/child relationship; arrange group conference calls to resolve issues and identify a list of tools. A dose response for family meals study (Harvard and MN) has shown that five to six meals (dinner) a week decreased risk of overweight.
Dr.Steve Garasky and Dr.Carol Devine are new comers to this group.


Thursday, October 30, 2008

Timelines of Activities

Objective 1:Identify behaviors associated with overweight.

• Qualitative review of protocol tools: March '09
  
  
• Training: April '09
  
  
• Cognitive pretest: May '09
  
  
• Conduct interviews/collect data: June - fall '09
  
  
• Analyze data (Training)- December '09
  
  
• Quantitative cycle survey emerging from qualitative results- 2010
  
  
• Survey-late summer '10
  
  
• Survey analyses and papers for publications- 2011

W1005 Report: Objective 1 - Jamie Dollahite & Carol Devine

Conduct an expert field review of key behavioral measures purported to contribute to excessive weight gain in children aged 4-10 years old.

All data below are incomplete (number of informants) and analyses are preliminary

Study A: Interviews of Cooperative Extension professional nutrition staff to determine most important behaviors, barriers, educational strategies, and perceived effectiveness

(n=4; 2 rural, 2 urban; supervisors of EFNEP and SNAP-Ed; target audience white rural; African American/African, Hispanic urban).

• Behaviors most important to target

1. Portion size

2. Sugar content, especially sweetened beverages; replace with water, low fat dairy

3. Vegetables and fruits

4. Family meal time

5. Physical activity

• Issue to overcome

1. Culture (dairy farms; ethnic; chubby=healthy)

2. Habit; experience

3. Parental modeling; parental resistance to change; parenting skills

4. Expectations (e.g. poor taste)

5. Lack of awareness & skill; misinformation

6. Time/stress (includes multiple jobs, shift work, living conditions, etc)

7. Cost

8. Availability

9. Safety

• Educational strategies

1. Small steps

2. Experiential, i.e. identifying obstacles and trying alternatives

• Effectiveness: small changes with some participants; unsure of retention
  Insufficient time availability for education is important limiting factor.

Study B: Interviews of Cooperative Extension professional nutrition staff (n=7; rural and urban) regarding strategies at each level of the socio-ecological model to address obesity, to (1) understand strategies using or planning to use, and (2) explore how individual, organizational, and community level factors are associated with chosen strategies.

• Primarily focus on individual education and family/household environment
  
  
• Collaboration with community partners is primarily for recruitment and referral of participants
  
  
• Some focus on working with agency partners regarding agency-level environment (e.g. day care providers, school personnel, etc who influence children's environment

Study C: Interviews and card sorts with parents who are prospective participants (n=40); focus groups (n=5) with parents (n=32) graduating from EFNEP childhood obesity prevention class; interviews with staff in partnering agencies (n=14) to determine most salient and effective marketing messages to recruit parents for education to prevent child obesity.

• Most interest

1. Healthy role model

2. Cooking; preparing healthy meals and snacks

3. Teaching children to make healthy choices

4. Helping children feel good about themselves

5. Understanding nutrition information

6. Helping family eat healthier

• Least interest

1. Helping children drink less soda

2. Screen time (½ interested; ½ not)

• Incentives

1. recipes

2. free classes

3. food prep with tasting

4. nutrition and weight counseling

• Barriers

1. Length of classes (barrier to ½ ; not to ½ )

2. Unimportant = number of classes

Objective Group 2: Data collection- 2009

• Each section literature review- July '09
  
  
• Submission of the final listing - September '09
  
  
• Draft and outline papers (1or2) - 2010

Plans for next year:

Goal Setting: Rejuvenate the team members in each objective group!

• Promote Multi-State, integrated ideas!

Reports:

• Group minutes by Nov. 11 '08
  
  
• State reports to AES (send to Robin ASAP) by Dec. 1 '08
  
  
• Final report by Dec. 10 '08
  
  (li>Forms are available in the NIMMS site

Funding:

• Try for media and internet resources e.g. Google, a potential resource
  
  
• RFP funding - unconventional money resources
  
  
• Foundation directory
  
  
• CDC and other funders around Seattle proximity

Communication: W1005 group conference call- January 29th, 2009 at 11 a.m. Eastern Time

Annual Meeting: Next Annual meeting will be held in October 15 & 16th, 2009 in Seattle, WA

Accomplishments

Since last we met, the W1005 has accomplished many things. Each objective has narrowed the focus to better position the group for receiving grant funding. Under the leadership of Madeleine Sigman-Grant another NRI proposal was submitted and the group is much better positioned for AFRI granting in the next funding cycle. Several members have been added to the team with perspectives previously not included. Many individuals are working on projects that contribute to the greater project. The whole group communicates best when meeting face to face and the challenge for our final years will be to bring together all the objectives into one overall project that clearly contributes to the research and practice of the Land Grant System.

Publications

<b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Sydney NY Schools. 2/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Schuyler County. 1/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Delaware County.1/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in St. Lawrence, Franklin, Clinton, Lewis Counties and Advantage After School. 1/08.<br /> <br /> Grobe D, <b>Manore MM</b>, Still E. Trading off fish health and safety: Female decision-making processes toward the risk of methylmercury in fish. Journal of Consumer Affairs. 2007(Winter):41(2):250-264.<br /> <br /> <b>Gundersen, C.</b>, Lohman, B. J., <b>Garasky, S.</b>, Stewart, S., & Eisenmann, J. (2008). Food security, maternal stressors, and overweight among low-income US children: Results from National Health and Nutrition Examination Survey (1999-2002). Pediatrics, 122, 529 - 540.<br /> <br /> <b>Gundersen, C.</b>, Lohman, B. J., Eisenmann, J., <b>Garasky, S.</b>, & Stewart, S. D. (2008). Lack of association between child-specific food insecurity and overweight in a sample of 10-15 year old low-income youth. Journal of Nutrition, 138, 371 - 378.<br /> <br /> Kam, LC, <b>Manore MM</b>. The Female Athlete Triad: An Update. SCAN Pulse. 2007;26(4):5-8.<br /> <br /> Nattiv A, Loucks AB, <b>Manore MM</b>, Sanborn CF, Sundgot-Borgen J, Warren MP. American College of Sports Medicine (ACSM) Position Stand. Female Athlete Triad. Medicine and Science in Sports & Exercise. 2007;39(10):1867-1882.<br /> <br /> Sass C, Eickhoff-Shemek JM, <b>Manore MM</b>, Kruskall L. Crossing the Line: Understanding the scope of practice between registered dietitians and health/fitness professionals. ACSMs Health and Fitness Journal. 2007:11(3):12-19.<br /> <br /> Yi Lu, <b>Lily R. Liang</b>, "Hierarchical Clustering of Features on Categorical Data for Biomedical Applications", International Society for Computers and Their Applications (ISCA) 21st international conference on Computer Applications in Industry and Engineering (CAINE 2008), pp.26-31, Honolulu, November 12-14, 2008<br /> <br /> Yi Lu, <b>Lily R. Liang</b>, "Identify Feature Association on Categorical Data through Hierarchical Clustering", International Journal of Electronics and Computer Science (IJECS), Vol.10 No.2 (will be published Dec 20 2008) <b>Manore MM</b>, Kam LC, Loucks AB. The Female Athlete Triad: Components, Nutrition Issues and Health Consequences. Journal of Sport Sciences 2007;25(S2):S61-S71.<br /> <br /> <b>Books/Book Chapters:</b><br><br /> <br /> Beals K, <b>Manore MM</b>. Nutritional Considerations for the Female Athlete. IN: Spurway N, MacLaren D Eds. Advances in Sport and Exercise Science Series: Nutrition and Sport. Elsevier Publ: Philadelphia, PA, 2007, pp.185-204.<br /> <br /> Thompson JL, <b>Manore MM</b>. Nutrition for Life. San Francisco, CA: Benjamin Cummings Publishers, 2007, 485 pages. ISBN: 0-805307968-1.<br /> <br /> Woolf K, <b>Manore MM</b>. Micronutrients Important for Exercise. IN: Spurway N, MacLaren D Eds. Advances in Sport and Exercise Science Series: Nutrition and Sport. Elsevier Publ: Philadelphia, PA, 2007, pp.117-134.<p><br /> <br /> <b>Research abstracts:</b><p><br /> <br /> Ourada V, Walker A, Donatelle R, <b>Manore MM</b>, Jabson J, Pilolla K, Bryant T. How Women Negotiate Family and Personal Health Needs. Paper presented at the annual meeting of National Council on Family Relations, Pittsburgh, PA, November, 2007.<p> <br /> <br /> <b>Publications</b> (under peer review)<p><br /> <br /> <b>Garasky, S., Gundersen, C.</b>, Stewart, S., Lohman, B. J., & Eisenmann, J. (2008). Food insecurity, economic stressors, and childhood overweight.<br /> <br /> <b>Garasky, S.</b>, Stewart, S. D., <b>Gundersen, C.</b>, Lohman, B. J. & Eisenmann, J. C. (2008). Family stressors and child obesity.<br /> <br /> Lohman, B. J., Stewart, S., <b>Gundersen, C., Garasky, S.</b>, & Eisenmann, J. (2008). Adolescent overweight and obesity: Links to food insecurity, individual, maternal, and family stressors.<br /> <br /> Maley M, <b>Devine C</b>, Warren B. Perceptions of the environment for eating and exercise in a rural community (In review).<br /> <br /> Warren B, <b>Devine C</b>, Maley M. Increasing walking steps at small rural worksites using locally determined strategies and web-based reporting (In preparation).<p><br /> <br /> <br /> <b>Working Papers or Policy Briefs</b><p><br /> <br /> <b>Garasky, S.</b>, Stewart, S., <b>Gundersen, C.</b>, Lohman, B. J., & Eisenmann, J. (2008). Food insecurity, economic stressors, and childhood overweight. National Poverty Center Working Paper Series, 08-04.<br /> <br /> <b>Gundersen, C.</b>, Lohman, B. J., Eisenmann, J., <b>Garasky, S.</b>, & Stewart, S. D. (2008). Food insecurity and child overweight. College of Human Sciences Policy Brief.<br /> <br /> <b>Peer-reviewed Abstracts and Invited Presentations</b><p><br /> <br /> <b>Devine C.</b>, Fernandez, I.D. Obesity Prevention in Worksites. Community Based Interventions for the Promotion of Healthy Body Weights. International Society for Behavioral Nutrition and Physical Activity Satellite Workshop, Calgary, AB, Canada. 5/08.<br /> <br /> Warren B, <b>Devine C</b>, Maley M Small Steps are Easier Together: a community environment-based intervention to stop weight gain and decrease breast cancer risk. USDA Priester Conference, 4/08.<br /> <br /> <b>In-Service Education</b><p><br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Sydney NY Schools.2/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Schuyler County.1/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in Delaware County.1/08.<br /> <br /> <b>Devine C</b>, Warren B, Maley M. An environmental approach to obesity prevention for breast cancer risk reduction: an environmental approach. Cornell Program on Breast Cancer and Environmental Risk Factors. Electronic Conference for CCE and partners in St. Lawrence, Franklin, Clinton, Lewis Counties and Advantage After School. 1/08.<br /> <br /> <b>Orr, R.</b> For Your Family's Health - Eat 5 meals together each week. Fall, 2008. All Nutrition Program staff.<br /> <br /> <b>Research Grants:</b><p><br /> <br /> "Going, SB (PI) - U of Arizona, <b>Manore M</b> (Consultant)- Diet Assessment. (2006-2010). Exercise and Bone Development in Young Girls. NIH (Neurological, Aging and Neuroskeletal Epidemiology), $3,840,184. <br /> <br /> <b>Manore MM (PI)</b>, Widrick J, Iwaniec U, Turner R. Multidisciplinary Training in Nutrition and Physical Activity (2006-2010). USDA Food and Agriculture National Needs Graduate Fellowship Grant, $252,000 (9% time).<br /> <br /> <Grant Proposals Submitted</b><p><br /> <br /> <b>Devine C.</b> (PI) National Cancer Institute, Online Professional Education for Workplace Weight Gain Prevention (in review)<br /> <br /> <b>Devine C.</b> (PI) USDA NRI, Small Steps are Easier Together: A Worksite Environmental Intervention for Weight Gain Prevention (declined)<br /> <br /> Going, SB (PI) - U of Arizona, <b>Manore M</b> (Consultant)- Diet Assessment. (2006-2010). Exercise and Bone Development in Young Girls. NIH (Neurological, Aging and Neuroskeletal Epidemiology), $3,840,184. <br /> <br /> <b>Manore MM (PI)</b>, Widrick J, Iwaniec U, Turner R. Multidisciplinary Training in Nutrition and Physical Activity (2006-2010). USDA Food and Agriculture National Needs Graduate Fellowship Grant, $252,000 (9% time).<br /> <br /> <b>Sigman-Grant, M. (PI)</b>, <b>Olson, B.</b> USDA NRI - W1005: An Integrated Approach to Prevention of Obesity in High Risk Families - Family Resiliency (declined)<br /> <br /> <br /> <b>Presentations:</b><p><br /> <br /> <b>Garasky, S., J., Stewart, S., Gundersen,</b> C., Lohman, B. J., & Eisenmann, (2008, April). Family stress and childhood obesity. Paper presented at the Population Association of America, New Orleans, LA. <br /> <br /> <b>Gundersen, C.</b>, Lohman, B. J., <b>Garasky, S.</b>, Stewart, S., & Eisenmann, J. (2008, August). Food security, maternal stressors, and overweight among low-income U.S. children: Results from NHANES 1999-2002. Paper presented at the 48th Annual National Association for Welfare Research and Statistics Workshop. Nashville, TN. <br /> <br /> Kuku, Y., <b>Gundersen, C., & Garasky, S.</b> (2008, March). The relationship between food insecurity and childhood obesity: A non-parametric approach. Paper presented at the Midwest Economics Association 72nd Annual Meeting, Chicago, IL.<br /> <br /> <b>Sigman-Grant, M.</b> Participated in the annual 2008 meeting of the Society of Nutrition Education (SNE) in Atlanta, GA and discussed next research agenda with W1005 partners<br /> <br /> <b>Sigman-Grant, M.</b> Presented a paper introducing W1005 project at the annual 2008 joint ARD/CSREES research conference in Memphis TN, June, 2008<br />

Impact Statements

1. W1005 is adding members and making measurable progress toward achieving outcomes planned for by the team.

Back to top

Report Information

Participants

Pardini, Ron, Administrator - University of Nevada, Reno; Dickin, Kate - Cornell University; Hongu, Kay - Arizona State University; Hubbs-Tait, Laura - Oklahoma State University; Idris, Rafida - South Carolina State University; Kurzynske, Janet - University of Kentucky; Liang, Lily - University of the District of Columbia; Lindsay, Anne - University of Nevada, Reno; Manore, Melinda - Oregon State University; Orr, Robin - University of Illinois; Sigman-Grant, Madeleine - University of Nevada, Reno; Sistani, Nahid - Alabama A & M University; Spears, Karen - University of Nevada, Reno; Stanek Krogstrand, Kaye - University of Nebraska-Lincoln; Tidwell, Diane - Mississippi State University; Welsh, Susan - USDA - NIFA; Wong, Siew Sun - Utah State University

Brief Summary of Minutes

Accomplishments

AZ NRI  Geospatial study with children and physical activity..<br /> <br /> DC " Presentation: Made presentation at AES Research Seminar at UDC (University of the District of Columbia) in October, 2009. This seminar was a seminar open to the public. The presentation includes two video clips that demonstrate, respectively, two software systems that were developed for this project. (For details of the software systems, please refer to the following)<br /> " Teaching: integrated this project into my graduate data mining class. A course project on fuzzy association rule mining was conducted on NHANES data. <br /> " Publication: An abstract of the MyHealth Journal Software system is being submitted by the student who developed the software to a conference for publication. <br /> " Developed Easy-Survey software system. which can be used for collecting research data. This system synchronize local database and online database so that survey or other electronic records of research participants entered on individual computers can be integrated into one centralized online database. <br /> " Developed MyHealth Journal software system. This software system is a journal software for personal health monitoring and control. The software can be used to record body weight, amount of exercise, water intake, medicine taken etc. A user can also customize the software according to his/her own needs by adding or deleting items on the interface. A secure online database is implemented which will help users back up their information and access it from everywhere which provides better protection of the data. This software system can be integrated with the Easy-Survey software system for collecting information for obesity and nutrition research. <br /> <br /> IL Extension adopted Strive for 5  a program to encourage families in low income nutrition programs to eat 5 family meals together each week. Will participate in Group 3 project.<br /> <br /> IN Obj 3:<br /> -participated in USDA NRI grant submission with Univ of Nevada (Mad) as a subcontractor to conduct some nutrition/fitness interventions in Head Start (decision is still pending)<br /> -in the process of conducting another pilot of the card sort technique and collect data about feeding styles of mothers of young children ages 3-10 years old in Indiana in the next few months; will also participate in the multistate pilot for Obj 3 in the spring of 2010<br /> Obj 1:<br /> -participated in initial discussions of tools and techniques but decided to not participate in the testing of the tools and instead, will assist with implementing the final tool in Indiana when complete<br /> <br /> KY Healthy Weight Task Force, a collaborative team across disciplines has been formed to address the needs of Kentuckians. All Extension agents are using local, state, regional and national trends in regard to maintaining a healthy weight for their 4-year Plans of Work. A freshman seminar course on Food, Society and a Healthy Weight was delivered to 25 students. Three tenure-track faculty have been hired to address physical fitness, nutrition, and healthy weight. Weight the Reality Series resulted in 1/3rd of participants (in 51 counties) losing e5% of body weight. Successful losers measured and controlled portions, drank more water, and walked at least 30 minutes 5 days a week.<br /> <br /> MS Joined the W1005 multistate research project in September 2009 so direct contributions to the project are limited for this year. Attended and participated in the W1005 Annual Meeting, October 1516, 2009, Denver, Colorado. Assisted Group 2 with identifying specific assessment methods in the areas of physical activity/fitness, biochemical, and anthropometric/body composition. Participated in a conference call led by Madeleine Sigman-Grant on November 16, 2009. I agreed to assist Group 3 with collecting data in Mississippi targeted to begin spring 2010.<br /> Other Activities<br /> Peer-reviewed Poster Presentation: <br /> Presented a poster at the American Dietetic Association Food and Nutrition Conference & Expo on November 18, 2009, Title of Poster: Folate is inversely related to body fat in African-American Women<br /> <br /> Research Project:<br /> Investigators: Diane K. Tidwell, Chiquita A. Briley, Michael Hall, and Brian W. Trader<br /> Project: Curbing childhood obesity among preschoolers through increaseed awareness of gardening, vegetable and fruit consumption, nutrition and physical activities, January 2009  December 2009<br /> Funding Source: (Internal) Mississippi Agriculture and Forrestry Experiment Station, <br /> <br /> NE Objective 1--Our group has developed and is refining an interview we will be conducting with Extension educators (both supervisors and frontline staff) during spring, 2010. The interview will explore the connection that educators see between the nutrition/health messages they deliver and overweight/obesity in children. I have recruited 26 Extension educators in Nebraska for participation. <br /> Objective 3--We are currently in the process of refining/modifying our previous card sort method with the expectation of having it ready to use with caregivers of at risk children in the spring of 2010. In Nebraska we will aim for 25 interviews with African American caregivers. <br /> <br /> Presentations: <br /> Scales, N.E., Stanek Krogstrand, K.L., Koszewski, W.M. and Lewis, N.M. Child-feeding behaviors of caregivers, the home environment, and the dietary quality of young African American children. Food and Nutrition Conference and Expo. Denver, Colorado; October 20, 2009. <br /> <br /> Schake, M.N., Stanek Krogstrand, K.L., Mackedanz, C.E.A., Scales, N.E., Koszewski, W.M. and Lewis, N.M. A comparison of caregiver child feeding-behviors, family environment and dietary quality between young African American and white American children. Food and Nutrition Conference and Expo. Denver, Colorado; October 20, 2009. <br /> <br /> Thesis completed under my direction: <br /> Schake, M.N 2009. A comparison of caregiver child feeding-behaviors, family environment and dietary quality between young African American and white American children. <br /> <br /> Undergraduate Creative and Research Experience (UCARE) (University of Nebraska): <br /> Sarah Kvien. 2008-2010. Dietary quality Without Supplements and Selected Foods of At Risk African American and White American Residing in Low Income Households.<br /> <br /> NV In addition to leading and participating in Groups 2 and 3, NV faculty have completed designing All 4 Kids, a nutrition and fitness program for preschoolers, their parents and their childcare providers, and conducting an evaluation of community-based obesity interventions and the built environment to support food intake and physical activity behavior change. Creation of CD/DVD for All 4 Kids  completed and available for distribution.<br /> Submitted journal article to JADA.<br /> Notification in December, 2009 of AFRI funding approval.<br /> <br /> OR Outputs: <br /> OUTPUTS: We have complied a report on various nutrition and physical activity assessment parameters to be used in our project to help determine how to identify children and families at risk for obesity. We have been working on these assessments and will be meeting in October to review all aspects of the project. At this time, we should have identified all the assessment parameters to be used in the project. Each assessment parameter will be defined and assessment criteria given for various populations and age groups. This document will also include when to use the assessment parameter, who to use the parameter with, how to use and interpret the parameter correctly, and what type of summary outputs should be given. The W1005 group has had two face-to-face meetings. We have also had conference calls, email exchanges and sharing of research updates. PARTICIPANTS: Nothing significant to report during this reporting period. TARGET AUDIENCES: Nothing significant to report during this reporting period. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.<br /> Research Grants 2008 (funded). <br /> Manore MM (PI), Widrick J, Iwaniec U, Maddalozzo G. 2008. Restoring menstrual dysfunction and muscle health in active women using a supplement. Gatorade Sports Science Institute. Project goals: To determine if a diet intervention program can reverse menstrual dysfunction in active females. <br /> Manore MM (PI), Widrick J, Iwaniec U, Turner R. Multidisciplinary Training in Nutrition and Physical Activity (2006-2010). USDA Food and Agriculture National Needs Graduate Fellowship Grant, $252,000. Project Goals: Train doctoral students in the areas of nutrition/exercise and energy balance and reduction of obesity.<br /> <br /> Going, SB (PI)  U of Arizona, Manore M (Consultant)- Diet Assessment. (2006-2010). Exercise and Bone Development in Young Girls. NIH (Neurological, Aging and Nusruloskeletal Epidemiology), $3,840,184<br /> Research Presentations 2008 (Invited speaker). <br /> Manore MM. 2008. National ACSM Webinar, November. Invited Speaker: Small Steps- Big Rewards: Top 10 Nutrition Tips for People on the Go. <br /> Manore MM. 2008. University of Arizona, The Winning Edge: Sports Nutrition Workshop, October, Tucson, Arizona. Invited Speaker: Weight Loss Supplements: Where is the Evidence? <br /> Manore MM. 2008. American College of Sports Medicine Annual Meeting, June, Indianapolis, IN. Session Chair and Speaker: Working with Active Women: Nutrition, Exercise and Health Issues. <br /> Manore MM. 2008. Northwest American College of Sports Medicine Annual Meeting, Feb, Seattle, WA. Invited Speaker: Female Athlete Triad: Whats New? <br /> Manore MM. 2008 Oregon State University (OSU) Extension Annual Meeting. OSU, Corvallis, OR. December, 2008. Invited presentation: Nutrition and the 2008 Physical Activity Guidelines for Americans: Small Steps - Big Rewards!<br /> Interviews with Media for 2008. <br /> August, 2008. SupplementsChat.org, Gill Kreiter, Writer. Interview about Hcy, B-vitamins and exercise and how these are linked to heart disease. <br /> September, 2008. Youth Sports Magazine, Zacker Marker, Writer. What should active kids eat? What should parents of active kids provide for their children before, during and after exercise? <br /> November, 2008. Fitness Magazine, Janis Graham, Health & Nutrition Journalist. Micronutrient requirements of active women. Do they need a supplement? Who should supplement? (The circulation is 1,600,000. The publisher (Meredith) calculates that the audience is actually larger, over 6 million, due to pass along.) <br /> November, 2008. Health Magazine, Sarah Klein, Journalist for Health.com, the website for Health Magazine for Time, Inc. Frequently asked questions about weight loss and dieting.<br /> <br /> NY Development and testing of curriculum: <br /> Healthy Children, Healthy Families: Parents Making a Difference. (Parent Workshop Series Curriculum, Collaboration for Health, Activity, and Nutrition in Childrens Environments). Food and Nutrition Education in Communities, Division of Nutritional Sciences, Cornell University, 2009.<br /> On-going field-test of this curricula in several EFNEP sites throughout NY.<br /> New research support:<br /> Nutrition and Parenting Practices to Prevent Childhood Obesity: Translating Knowledge into Action in Low-income Families (2009-10-214) USDA 10/1/09-9/30/12 (Jamie Dollahite and Katherine Dickin, Co-PIs) <br /> Application of the Trials of Improved Practices method to assess the acceptability and feasibility of parenting and nutrition practices to prevent childhood obesity in low-income families. <br /> <br /> SC As part of objective 2, South Carolina has finished review of assessment of biochemical parameters: blood lipids, blood pressure and anemia of children, 3-10 years of age. I am processing IRB permission for objective 1& 3 activities. I attended ADA09 annual meeting in October. I recently participated in a workshop on nutritional genomics: Impact of dietary regulation of gene function on human disease, organized by California State Polytechnic University, Pomona, CA. I have participated in a Web seminar on Harnessing Nutritional Genetics in Clinical Practice to improve Weight Management and Nutritional Goals yesterday. All of them emphasized on the importance of intervention early in life.<br /> Behavioral aspect of human life is still a major critical factor to the problem of overweight and obesity management. W1005 has targeted this aspect of human life/nature which I believe will be an important contribution to solve part of the puzzle.<br /> <br /> UT Completed data collection and summaries for families with silhouettes and working on manuscript. <br /> <br /> WA Chairs group 1. Continued progress on the cognitive pretesting of our Interview Guide: I have a supervisor and staff member lined up for interviews. Finalizing the IG towards completing our bank of multi-state interviews as planned. <br />

Publications

Impact Statements

Back to top

Report Information

Participants

Kate Dickin, Jamie Dollahite, Nurgul Fitzgerald, Betty Greer, Vivian Haley-Zitlin, Melanie Hingle, Kay Hongu, Linda Houtkooper, Laura Hubbs, Rafida Idris, Lisa Jahns, Kaye Stanek Krogstrand, Janet Kurzynske, Anne Lindsay, Melinda Manore, Amy Mobley, Naima Moustaid-Moussa, Rachel Novotny, Beth Olson, Jill Shultz, Madeleine Sigman-Grant, Karen Spears, Diane Tidwell, Susan Welsh

Brief Summary of Minutes

October 27, 2010
9:30 am Janet Kurzynske, W1005 Chair, called the meeting to order. Introductions of current and new members, opening remarks by Joy Winzerling, Kay Hongu, and Linda Houtkooper

Susan Welsh provided an overview of the National Institute of Food and Agriculture (NIFA), organizational structure, key personnel of NIFA, and program area priorities. Susan Welsh provided an update of NIFA, next funding announcements should be out in December, most of the funding will be for integrated projects; the targeted age group will be 914 year olds. Dietary Guidelines for Americans will be out in December, MyPyramid out next spring and will include more materials for consumers, Healthy People 2020 will include additional dietary information, and Dietary Guidelines for Americans evidence-based library is available to everyone. There was an inquiry of the status for a 1-year extension for W1005. Linda Houtkooper stated that Ron Pardini told her the extension would probably be granted. Discussion ensued about extending W1005 for one year to complete objectives 13 and submitting a new proposal for continuing the work of W1005 to accomplish objectives 4 and possibly 5. Susan Welsh stated that the proposal for the 1-year extension is due January 15, 2011, and if approved, would extend W1005 from October 1, 2011, to September 30, 2012.

Discussion of the location for W1005 next years meeting in October 2011. The location was decided, with no objections from committee members, as Las Vegas, Nevada. Anne Lindsay and Madeleine Sigman-Grant will assist with coordinating next years meeting in Las Vegas. The meeting dates were selected as October 6-7, 2012.

Janet Kurzynske asked the groups working with W1005 Objectives 1, 2, and 3 to summarize their accomplishments for the past year. New members asked if an overview of W1005 could be provided prior to the summaries. Madeleine Sigman-Grant presented an overview of W1005. See summary in accomplishment section.
Members split into three groups for work on group Objectives 13.
5:30: Meeting ended for the day; reconvene at 8:30 in the morning.

October 28, 2010
8:30: Meeting reconvened. Janet Kurzynske announced there were requests for group work to continue for Objectives 13. She also announced that due to some members having to leave before 5:00 to catch early flights, lunch would be a working lunch with attendees purchasing food in the building (Student Union) and bringing their lunches back to the conference room to continue the meeting. There were no objections and group work continued with W1005 Objectives 13. Members reconvened about 11:15 as one group.

Officers for W1005 were decided:
Chair: Janet Kurzynske is the current Chair and agreed to continue
Co-Chair: Vivian Haley-Zitlin accepted to be Co-Chair
Secretary: Diane Tidwell is the current secretary and agreed to continue

There was much discussion about Objective 4 and if Objective 5 should be attempted. Beginning work on Objective 4 was discussed. Objective 4 is to determine appropriate tools to effectively measure salient behavioral differences between low-income families in the parent-child relationships identified in Objective 3 for the community setting. The purpose is to develop a guide to identify behaviors to be targeted in interventions and identify methods for evaluating success.

Specific work for objectives was discussed. After much discussion, the consensus was:

1. Compare and contrast perceptions and practices of frontline educators and parents related to obesity prevention. 2. Identify the match and mismatch between educators and parents practices and compare those with established national guidelines in order to identify potential training, research, programming, and policy needs. 3. Refine the characteristics of parents and families that lead to childrens healthful behaviors, BMI, and other health-related outcomes based on data collected previously.
The Chair, Janet Kurzynske, reminded everyone that she needs a report from the leaders of each group within 30 days (Obj. 1 Jill Shultz, Obj. 2 Melinda Manore, and Obj. 3 Madeleine Sigman-Grant). She also asked for the Objective 3 group to decide which part of Objective 4 they were going to work on and to report that to her.

There will be a conference call for leaders of the Objectives to develop the new proposal to continue with the work of W1005.

2:45: Janet Kurzynske asked if further business, discussion, or other matters pertaining to W1005 were needed and with no input from the members, the meeting was adjourned at 2:45, Thursday, October 28, 2010.

Minutes of the annual W1005 meeting respectfully submitted by Diane Tidwell, Secretary

Accomplishments

Objective 1: <br /> This group is conducting an expert field review of key behavioral measures purported to contribute to excessive weight gain in children 4-10 yrs of age. Experts = EFNEP/SNAP-Ed supervisors and staff.<br /> <br /> Methods document and plan written to guide collaborative data collection for two project stages (led by WA, NY members) was developed in that this will involve in-depth interviews with Extension educators, Project 2 is a survey designed on that data. Sampling frames and multistate sampling grid were determined. Data collection instruments were designed and peer reviewed (multi-state), and pre-tested. Data analysis training session was conducted and designed. Findings are centered on: 1) family behaviors associated with less healthful eating and/or sedentary lifestyle; 2) what kind of EFNEP or SNAP-Ed programming is particularly successful for helping families eat more healthfully and become or stay physically active. The group met eight times (phone conferences) and conducted expert field reviews of EFNEP and SNAP-Ed frontline staff (program assistants and classroom educators) and their supervisors. Data collected included urban and rural, Hispanic and non-Hispanic, and age group of children, all were approximately 30-minute telephone interviews. Education practices were identified in SNAP-Ed towards obesity prevention, outcomes, success stories, healthy eating and physical activity, 12 questions were opinions of front-line staff, questions 13-18 were demographics and information of the groups they were working with, IRB approved the project, training session for content analysis in August, currently collecting data in Washington state, eastern Kentucky, Nevada, Nebraska, Arizona, South Carolina, others were not present to report their data collection, about half the sample is completed. Susan Welsh noted that this is unique in regards to field-informed data or field-driven research; the field is informing the researchers versus research driving the direction of the field.<br /> <br /> Objective Group 2: <br /> This group identified anthropometric, fitness, physical activity and physiological measures that could be used to differentiate families within the target population in the community setting. We conducted an extensive literature review on the above parameters to determine, which could be used in field studies for project evaluations and in research settings. Our target populations are 4-5y olds, 6-11y olds and parents (adults), which are supportive of the other objectives in W1005. We are now compiling and condensing our literature review into a research review manuscript for publication. Our goal is to have a manuscript submitted by July 2011. Our tentative title for the manuscript is: Field assessment for obesity prevention in children and parents: Anthropometrics, physical activity, fitness and metabolic parameters. This manuscript will emphasize field assessment but also provide the community based research or educator with more in-depth assessment parameters that could be used in a research setting.<br /> <br /> Objective Group 3<br /> Pilot Test A - How Families Eat and Play<br /> Over this past year, nine members joined together to design a research project investigating underlying factors related to eating, physical activity and parenting variables. Drs. Dickin, Hubbs-Tait and Sigman-Grant identified survey instruments and compiled a survey and interview script/ protocol for data collection. Dr. Dickin and her students at Cornell were solely responsible for creating a Microsoft Access database designed to facilitate data entry and coding across sites. She demonstrated the use of the software at the Annual Meeting, collected input and is completing the final Access program. We are planning to complete data collection by January 31, 2011. Each state will enter their data into the database and send to Dr. Dickin. She has assumed responsibility for initial data analysis. Further information regarding this is found below in the Future Plans Section. Data have been collected (about 80 completed face-to-face interviews from mothers of children 310 years old, several states are participating with data collection. The interviews/ questionnaires contain 93 questions that investigate parenting styles and behaviors with seven additional questions for demographics, background information of the mothers, and included pictures of silhouettes of seven body sizes/images (very underweight to extreme obesity) that correlate with BMI in children. The mothers are asked to identify the silhouette they think most represents their child. Heights and weights are reported or measured for mothers and children but some of the interviewers are not able to obtain that data. The interview takes approximately 45 minutes to administer. The hypothesis is that mothers with young children who exhibit controlling behaviors in parenting may have tighter control over what their children eat, portion sizes of foods, how many times a day children eat/snack, etc. Data collection is ongoing. <br /> <br /> Potential Impacts:<br /> § Qualitative data that documents Extension actions and impacts, pointing to next areas for expansion in addressing obesity prevention on a community basis;<br /> <br /> § A potential survey design based on our qualitative data to explore new programming ideas quantitatively;<br /> <br /> § Success stories (part of data collection) to highlight Extensions work across 6 states;<br /> <br /> § Strong data evidence to support a USDA-AFRI grant submission<br /> <br /> § Unique field-informed data or field-driven research; the field is informing the researchers.<br /> <br /> § Manuscript that describes field assessment for obesity prevention in children and parents: Anthropometrics, physical activity, fitness and metabolic parameters. This manuscript will emphasize field assessment but also provide the community based research or educator with more in-depth assessment parameters that could be used in a research setting.<br />

Publications

*Hill TF, Dickin KL, Lent M, Wolfe W, Dollahite JS. Healthy Children, Healthy Families: Parents Making a Difference. (Parent Workshop Series Curriculum, Collaboration for Health, Activity, and Nutrition in Childrens Environments). Food and Nutrition Education in Communities, Division of Nutritional Sciences, Cornell University, 2010.<br /> <br /> *Fitzgerald, N. (in press, November 2010). Acculturation, socioeconomic status, and health among Hispanics. Anthropological Perspectives on Migration and Health. NAPA Bulletin. <br /> *Fitzgerald N, Gabriel S, Himmelgreen D. (in press, 2010). Acculturation and eating behavior. In: Colby S, ed. Ecological Model of Food Behavior. Kendall Hunt Publishing Company.<br /> <br /> *Fitzgerald, N. Parekh, N. (2009) Vegetable intake as a preventive measure against type 2 diabetes and cancer. In: Papareschi A, Eppolito H, eds. Fruit and Vegetable Consumption and Health. Nova Science Publishers, Inc.<br /> <br /> *Fitzgerald N, Morgan K, Devitt A, Rochford M, Minch D. (7/2010). Statewide wellness promotion: Get Moving  Get Healthy New Jersey. J Nutr Educ Behav. <br /> <br /> *Fitzgerald N, Czarnecki N, Mathew T, Hallman W (4/2010). Perceived barriers for consumption of fruits and vegetables. FASEB J. (24):333.8<br /> <br /> *Shriver, L. H., Harrist, A. W., Hubbs-Tait, L., Topham, G. L., Page, M. C., & Barrett, A. (in press). Weight status, physical activity, and fitness among 3rd-grade low-income rural children. Journal of School Health.<br /> <br /> *Topham, G. L., Harrist, A. W., Page, M. C., Rutledge, J. M., Kennedy, T. S., Shriver, L. H., & Hubbs-Tait, L. (2010). Maternal depression and socioeconomic status moderate the parenting style/child obesity association. Public Health Nutrition, 13, 1237-1244.<br /> <br /> *Hubbs-Tait, L. & Sommer, K. (2010, September). Parental feeding practices predict parenting styles. Retrieved from: http://fcs.okstate.edu/publications/research-update/Sept2010/<br /> <br /> *Sigman-Grant M., Strom H., Olson B., Wengreen H, Mobley A.R., Krogstrand K.S. Qualitative evidence of the disconnect between intent and interpretation of common child obesity prevention messages. Forum for Family and Consumer Issues (in press)<br /> <br /> *. S. A. Ramsay, L. K. Branen, J. Fletcher, E. Price, S. L. Johnson, M. Sigman-Grant. Are You Done? Child Care Providers Verbal Communication at Mealtimes that Reinforce or Hinder Childrens Internal Cues of Hunger and Satiation. 2010 JNEB 42 (4), 265-270. <br /> <br /> *Laudermilk M, Going S, Cussler E, Lohman T, Thomson C, Farr J, Manore M. Relationship of self-report dietary intake and bone macro-architectural structure in pre and early pubescent girls. Nutritional Sciences Research Frontiers Conference, U of Arizona, Tucson, AZ, October, 2009.<br />

Impact Statements

Back to top

Report Information

Participants

Janet Kurzynske (Chair), University of Kentucky; Diane Tidwell (Secretary), Mississippi State University; Susan Welsh (representing USDA NIFA); Kay Hongu, University of Arizona; Linda Houtkooper, University of Arizona; Laura Hubbs-Tait, Oklahoma State University; Rafida Idris, South Carolina State University; Anne Lindsay, Nevada Cooperative Extension; Melinda Manore, Oregon State University; Beth Olson, Michigan State University; Madeleine Sigman-Grant, Nevada Cooperative Extension;, Karen Spears, Nevada Cooperative Extension; and dietetic interns Michelle Konstanterakis and Julia Waibel

Brief Summary of Minutes

Meeting: Annual Meeting of W1005 - An Integrated Approach to Prevention of Obesity in High Risk Families Multistate Research Project

Meeting Date: October 5-7, 2011

Meeting Location: University of Nevada Cooperative Extension Building, Conference Room E, Las Vegas, Nevada

WEDNESDAY OCTOBER 5, 2011
1:00 Networking, introductions of those in attendance

1:15 Janet reviewed the agenda and the old objectives of W1005, and the timeline for completion of W1005 needs to be determined. Madeleine will lead the discussion today on the new proposal for new objectives 1 and 2. The new proposal is due January 15, 2012, and the new objectives need to be written now. The old objective 1 report was summarized by Madeleine for Jamie Dollahite. The data need to be transcribed and an analyst is needed to analyze the data that have been collected. We were requested to ask our AES Director for funding, i.e., $1000-$1500 per participant (those who collected data) for data analyses. Data will be analyzed at Cornell University but the results of the data will not be ready before the new objectives need to be submitted. Preliminary new objective 1: Synthesize current outcomes from W1005 and common threads in other NIFA and RWJF research for community-based prevention in ages 2-8 years but the age range can be expanded or changed. Determine what is missing for future research directions, conduct analysis of data from new and past research in child obesity prevention. Synthesize results from W1005 objective 1 with M. Townsends seminal paper/constructs. Laura agreed to spearhead the new objective 1; Diane has a meta-analysis program if a meta-analysis is to be conducted.

Madeleine gave an overview of the preliminary results for objective 3; nine states were involved in data collection at this time. Some of the sample participants were actual measured weights and some were self-reported. In general, mothers were more accurate in reporting their weights but less accurate in reporting their childrens measurements. Kate is analyzing the data and plans to send results of these data. Parenting style and how parents feed their children was discussed as this is an important area of research and publications in this area are lacking.

As a group, resilience to obesity was discussed and the difficulty of conducting research in this area as BMI for young children is not an indicator for obesity prevention. A preschooler who is overweight is not an indication that he/she will be an overweight adult. Obesity resilience was discussed and the difficulty of conducting research in this area as it is defined differently by researchers and the lack of general consensus on this topic. There was general agreement that this project had challenges as many people came on board late, many people in W1005 are not participating and this has hindered the project from quickly moving forward. Susan began a discussion of the constructs of Townsends paper which were discussed as determinants for validity.

Karen and Melinda presented an overview of work completed by objective 2. An in-depth systematic review of literature was completed focusing on what would work in the field and which parameters, measures, and techniques are the most important for field practitioners. Melinda has taken the lead on the manuscript for publication. A draft of the manuscript has been sent to the objective 2 group and is being revised and will be sent to a peer-reviewed journal; probably the Journal of Nutrition Education and Behavior. Many of the findings for objective 2 will be translated into new objective 2.

Janet read the objectives for 4 and 5. Madeleine thought objective 5 was not approachable but objective 4 has been approached. Pieces of objective 4 have been answered. For object 5, we need to rethink the construct of childhood obesity resilience and this may not be the correct construct for childhood obesity. This was discussed further. Steps on objective 5 for creating a childhood obesity prevention program were discussed. The framework is being discussed by the group members.

Janet needs the written reports for objectives 1 -3, which are due 60 days after our meeting, so everyone should send Janet the reports by Nov. 4, 2011.

Janet and Madeleine led a discussion for new objectives 1 and 2. Madeleine discussed a paper on selected contributing factors/ecological model published in Child Development Perspectives. The Six-Cs Model includes Cell (genetic/biological characteristics), child, clan (family characteristics), community, country, and cultural and societal characteristics. This gave direction for formulating new objective 1, which was discussed as synthesizing current outcomes from W1005 objectives 1 and 3 and common threads in other NIFA and RWJF research for community-based obesity prevention in 2-8 year-old children.

It was stated that expertise in nutrition and physical activity is critical for the success of any obesity prevention program. Melinda noted that this W1005 research group has the expertise in nutrition and physical activity and discussed objective 2 in regards to facilitating integration of objective 1 into community programs. Objective 2s outcome should be educational tools for Extension faculty. Review of current best practices is needed as well as addressing what is currently being used. The outcome can be a webinar or other outcome.

Janet noted that nutrition and physical activity are important but parenting styles and feeding styles need to be integrated into objective 2.

Formulating a logic model and using SMART (specific, measurable, attainable, realistic, and timeline) objectives were presented as tools to help with moving forward, such as compare seminal current articles about determinants in relation to what was heard from objective 1 participants (people in the field) and disseminate information to Extension educators. The true outcome of W1005 was discussed, and it is not ongoing education for Extension faculty. Parenting practices is the umbrella. How do parenting practices influence physical activity, nutrition and eating styles. Energy balance was discussed. Practices were discussed such as diet, sleep patterns, and other factors that are influenced by parenting styles. Is the framework the parenting style? Have parenting styles changed in the past few decades? Strategies should be developed to work with parents and their parenting style.

Susan Welsh provided a handout to group members in attendance of an overview of the National Institute of Food and Agriculture (NIFA), organizational structure, key personnel of NIFA, two new hires, program area priorities, and an update of NIFAs next funding announcements which should be out shortly.

Discussion ended a few minutes past 5:00 p.m. with instruction for all to think about writing the new objectives. The van was to arrive at 5:15 to take group members from the University of Nevada Cooperative Extension Building to the hotel. Janet and Laura stated they would work on the project tonight and everyone was welcome to join in and work on this project in the lobby of the hotel this evening.

THURSDAY OCTOBER 6, 2011
8:30 Networking, announcements, and updates on progress.

9:00 Meeting began with Janet and Laura presenting a logic model to assist with writing the objectives. The group worked on writing 2012 objective 2: Development of resources, such as journal articles used by Extension professionals; make webinars available and archive on eXtension, CYFERnet (Children, Youth and Families Education and Research Network); presentations at professional meetings, i.e., National Extension Association of FCS, Society for Nutrition Education and Behavior, Preister Conference). All of these resources would eventually facilitate the integration of objective 1 into community practice.

10:15 W1005 is scheduled to end in December 2011 and a title for the new proposed project was discussed. Direction of the new project was also discussed. After much discussion iterating energy balance, protective factors instead of resilience, parenting styles, and expected work for the new project, etc., it was decided that the best title would be, Parenting, energy dynamics, and lifestyle determinants of childhood obesity: New directions in prevention

11:30 Discussed breaking into groups or working as one group for writing. It was decided that the whole group was productive and worked well together so methodology was tackled.
(Lunch was ordered in and it was a working lunch.)

2012 Objective 1: Compare and contrast outcomes from 2006 W1005 objective 1 (field practice perspective) and objective 3 (parent-child interaction) with findings from seminal obesity-prevention research to identify successful child obesity prevention strategies, as influenced by parenting.

2012 Objective 2:
The aim of objective 2 is to translate the outcomes of objective 1 for use by community and public health professionals.

Using the results of objective 1 (above), develop resources such as translational research articles that community and public health professionals could use in implementing community programs. One avenue of dissemination will be webinars through eXtension, CYFERnet (Children, Youth and Families Education and Research Network), and professional organizations (e.g., National Extension Association of Family and Consumer Sciences, Society for Nutrition Education and Behavior, Preister Conference). All of these webinars will be archived for future use. A second avenue of dissemination will be translational presentations at professional meetings (e.g., National Extension Association of Family and Consumer Sciences, Society for Nutrition Education and Behavior, Preister Conference). (e.g., National Extension Association of Family and Consumer Sciences, Society for Nutrition Education and Behavior, Preister Conference). (e.g., National Extension Association of Family and Consumer Sciences, Society for Nutrition Education and Behavior, Preister Conference).

Outputs: Were determined

Outcomes or projected Impacts:
1. Advance the science of child obesity prevention, particularly an understanding of parenting, energy dynamics, and lifestyle determinants.

2. More effective programs resulting from the educators being more focused on those determinants of child obesity prevention, which are most effective in family- and community- based settings.

(Writing of objectives, outputs, milestones, impacts ensued until 5:10 p.m.)

FRIDAY OCTOBER 7, 2011
8:30 Networking

8:40 Janet presented the work that needed to be completed this morning. Group 2 is meeting for 1 hour. We will work under the assumption that the project will be continued. Need to elect officers. Susan Welsh advised about guidelines for multistate research projects. W1005, as is, will not meet again. A new project proposal will be submitted. Need volunteers for writing. Previous work needs to be summarized. Related, current, and previous work and also work not the same as another CRIS project needed. Melinda will do summary for Group 2, Madeleine will do summary for Group 3 and Jill will do summary report for Group 1.

The new proposal will need a justification about the importance of the proposed project. Melinda will investigate energy balance and parenting. Janet stated that this needs to be completed before the end of December. Beth Olson stated she could probably work on obesity write-up and Diane Tidwell also could help. Laura will work on parenting and feeding write-up. Janet asked how to address educators role in obesity prevention. There was discussion about writing the new proposal and sharing the workload. There was also discussion of logistics of new proposal with new people joining a multistate project. There are many people who joined W1005 but never participated. It was noted that Amy Mobley and Nahid Sistani want to volunteer and participate but were not able to travel to this years meeting. Susan discussed the guidelines for joining multistate research projects and the experiment directors role in approving individuals.

Specifics of the new proposal were discussed. Janet will work on an outreach plan. Projected participation in Appendix E was discussed. When the proposal is entered into the system (NIMSS), the core group of W1005 can request to sign up for participation on the project. Ron will upload it to NIMSS. Assuming the new proposal is approved, where should the next meeting be and volunteers are needed for chair, vice-chair, and secretary. Kay and Linda said they could host next years meeting in Tucson, Arizona, which is where it was last year.

Slate of Officers was presented: Janet Kurzynske, Chair; Laura Hubbs-Tait, Vice-Chair; Diane Tidwell, Secretary

Melinda Manore made a motion for the above named individuals to be the officers, seconded by Karen Spears, no discussion, all voted in favor, no one objected.

9:30 Group 2 convened to a separate conference room to work on old objective 2. Remainder of W1005 members worked on sections for the new proposal.

11:30 Meeting ended but work continued until 12:00 by those still in attendance.

Minutes for the annual meeting of W1005 An Integrated Approach to Prevention of Obesity in High Risk Families Multistate Research Project respectively submitted by Diane Tidwell, Secretary.

Accomplishments

OBJECTIVE ONE:<br /> *Approach: Collaborative effort of nine states to interview low-income parents (specifically mothers) of children ages 3-10 years old to assess parent-child interactions as they relate to key behaviors identified as being associated with resilience to overweight. The principal investigators agreed upon a single questionnaire and interview protocol. One principal investigator volunteered to conduct the primary analyses, with input from others. <br /> <br /> Two semi-structured qualitative interview guides were developed by the multistate team. One was for Cooperative Extension nutrition educators supervising EFNEP and/or SNAP-Ed programs that serve low-income audiences, and one was for paraprofessional frontline educators who work directly with participants; all informants had been employed in their current position for at least a year. The guides were similar but the wording was adjusted to reflect the informants responsibilities in working with program participants. Questions were designed to understand what staff believed were the most important behaviors to target with participants to prevent obesity among children 4 to 10 years old and their families, and the characteristics of the EFNEP or SNAP-Ed programming that facilitate this goal. In addition, educators were asked about their perceptions of participants beliefs about behaviors that lead to obesity, as well as barriers participants face to changing these behaviors. Item design was guided by the Socio-Ecological Model to account for potential individual, family, community, and cultural influences related to childrens healthy eating. Seven states, representing the northwestern, midwestern, southern, and northeastern United States have participated.<br /> <br /> Study design and data collection protocol were developed by the multi-state team. A purposive and convenience sample of educators was chosen. Racial/ethnic diversity among informants was sought to the extent possible. Interviews were conducted by phone, audio-recorded, and transcribed verbatim. Content analysis of the transcripts has been conducted by some individual states. In the summer of 2011, two members designed and led a workshop for conducting a consistent and systematic content analysis if members wished to analyze their own state data. However, to facilitate analysis of the multistate dataset, the group will take a different approach. In FFY 2012, all transcripts will be provided to Cornell where a single analyst will use Atlas- ti to manage the data, and code and analyze the interviews using the constant comparative method. Comparison to analyses done by individual states will provide checks on interpretation and validity. Peer debriefing will occur with the multistate team via conference call. <br /> <br /> *Progress:<br /> Input: <br /> Participants are: Cornell University, New York (Jamie Dollahite) ; University of Nebraska (Kaye Stanek Krogstrand); University of Nevada (Madeleine Sigman-Grant); South Carolina State University (Rafida Idris); University of Kentucky (Janet Kurzynske); University of Tennessee (Betty Greer, Naima Moustaid-Moussa); Washington State University (Jill Armstrong Shultz). A total of 91 Cooperative informants were interviewed  33 supervisors and 43 frontline personnel. Funding sources were: Federal Formula Funds (Hatch), State funds and Discretionary funds (personal and university) <br /> <br /> Outputs:<br /> Data analysis to date<br /> <br /> All participating states have collected data, and all but one transcribed the interviews. Four states have analyzed their data and two have partially analyzed it. Transcripts are now being submitted to Cornell for a unified analysis. <br /> <br /> Student involvement<br /> Both undergraduate (n=1) and graduate students (n=4) have been involved in collecting and analyzing data. One masters thesis with a subsequent paper will be forthcoming.<br /> <br /> OBJECTIVE TWO<br /> <br /> *Approach: Identified evidence-based field methods for anthropometric, fitness, physical activity and metabolic parameters that could be used to measure changes in risk factors for obesity and chronic disease in children and families in school and community settings. <br /> <br /> *Progress: <br /> Input: <br /> <br /> The following individuals participated in Objective 2: K. Hongu, R. Idris, A. Lindsay, M. Manore, K. Spears. No outside funding, besides that provided by the university and AES, supported our contributions to this project. Students did participate in helping to gather data and organize data and research articles.<br /> <br /> Group 2 identified evidence-based field methods for anthropometric, fitness, physical activity and metabolic parameters that could be used to measure changes in risk factors for obesity and chronic disease in children and families in school and community settings. We conducted an extensive literature review on the above parameters to determine those that could be used in the field for project and/or research evaluations and assessments. Our target populations were children, especially young children between the ages of 4-11y olds, and their parents (adults). This work is supportive of the other objectives in W1005.<br /> <br /> Outputs:<br /> <br /> Publications in Progress:<br /> We have now complied a rough draft of our paper, Field assessment for obesity prevention in children and parents: Anthropometrics, physical activity, fitness and metabolic parameters, which will be submitted the Journal of Nutrition Education and Behavior. The authors on the manuscript are Manore, Hongu, Idris, Lindsay and Spears. Our goal is to submit the manuscript by Dec 2011.<br /> Student Involvement:<br /> <br /> Teran B. (AZ/NASA Space Grant Undergraduate Research Intern, 2010-2011, Hongu, K, Mentor) Innovative Use of Smart Phones in Encouraging Healthy Lifestyles among Youth in an Environmental Education Program. <br /> <br /> Knutson N. (AZ/NASA Space Grant Undergraduate Research Intern, 2010-2011, Hongu, K, Mentor) Development of an 8-Week Program Utilizing Mobile Technologies to Promote and Maintain Physical Activity in Youth.<br /> <br /> Sweat W. (current MS student, Dept of Nutrition and Exercise Science, Manore MM, Chair). Reducing Metabolic Syndrome Risk Factors in Overweight, Premenopausal Women: Dietary and Physical Activity Behavior Modification.<br /> <br /> Pilolla K. (current PhD student, Dept of Nutrition and Exercise Science, Manore MM, Chair). Prevention of Metabolic Syndrome in Midlife Adults: Role of Nutrition and Exercise. (Recipient: USDA National Need Fellow, 2007-2010)<br /> <br /> Guebels C. (MS 2011, Dept of Nutrition and Exercise Science, Manore MM, Chair). Active Women with and without Menstrual Disorders: Comparison of Resting Metabolic Rate and Energy Availability. (Recipient: ACSM 2011 Nutrition Student Interest Group Research Award.)<br /> <br /> Ciadella L. (PhD 2011, Dept of Nutrition and Exercise Science, Manore MM, Chair). Nutrition, Exercise and Menstrual Dysfunction. (Recipient: Travel award for NIH Dietary Supplement Research Practicum, 2008; Recipient: USDA National Need Fellow, 2007-2010)<br /> <br /> Rezaei Arya S, Spears K (chair) Masters thesis: "Relationship between proximity, density, and diversity of food outlets and obesity". May 2011<br /> <br /> Lee J. (current MS student,), Spears K (chair): Examining an association between self-esteem and energy balance and risk for disordered eating and energy balance among college freshmen.<br /> <br /> OBJECTIVE THREE<br /> <br /> *Approach: Participants developed and administered a uniform research survey protocol to assess feeding styles, parenting styles, and dietary intake in relationship to perceived and actual weights of young children and their mothers.<br /> <br /> *Progress: <br /> <br /> Input: <br /> The following participants conducted a total of 213 survey interviews: Nahid Sistani, Beth Olson, Lisa Jahns, Madeleine Sigman-Grant ,Laura Hubbs-Tait ,Kaye Stanek-Kongstrand, Kate Dickin, Amy Mobley, and Rafida Idris. Additional members of the objective are: Nurgul Fitzgerald, :Janet Kurzynske, Vivian Haley-Zitlin and Diane Tidwell.<br /> <br /> Outputs:<br /> <br /> Data Analysis to date:<br /> Coordination and management of the receipt and cleaning of data from 10 states on child and parent weight and height, food and activity habits; parenting and child feeding practices; and parental perceptions of child weight. Creation of a multistate dataset on 279 mother-child dyads representing a diverse group of low-income families with children aged 3-10 years. Preliminary analysis of data and conference calls with multi-state collaborators to plan analyses and develop a manuscript. Collection of additional extensive data on participating parents in New York, in an expanded study that includes more surveys plus 3 qualitative interviews on parents reactions to and experiences with feeding and parenting practices recommended to help avoid unhealthy weight gain in children. Continued conducting training and evaluation of Healthy Children, Healthy Families: Parents making a difference!, a parent workshop series on food, active play and parenting skills to prevent childhood obesity, delivered through multiple Cooperative Extension sites in NY. Collaboration with Aidan Tait and Blanca Bojorquez on initial translation of W1005 questionnaire for Spanish-mostly speaking mothers <br /> <br /> Student Involvement: <br /> Several undergraduate and 3 graduate nutrition students have been involved in data entry, data cleaning and preliminary analysis including calculation of parent and child BMI and creation of other variables. In addition, one graduate student completed her Masters degree based on this work. <br /> <br /> Ajok Beatrice Okwonga. Mediators and moderators of the links of parenting styles and feeding practices to child weight status. Dissertation completed at Oklahoma State University, July 2011. Advisor: Laura Hubbs-Tait.<br /> <br /> Implementation and evaluation of the Snack Pack Project in Two Mississippi Head Start Centers (doctoral dissertation, August 2011). Committee: Diane K. Tidwell (chair), Chiquita A. Briley, Barry P, Hunt, A. Kathleen Ragsdale, Michelle L. Lee. Retrieved from http://sun.library.msstate.edu/ETD-db/theses/available/etd-06272011-182340/<br /> <br /> Hung, Ling-Shen. A meta-analysis of school-based childhood obesity prevention programs (doctoral dissertation, December 2010). Committee: Diane K. Tidwell (chair), Chiquita A. Briley, Barry P, Hunt, Michelle L. Lee, Michael Hall. Retrieved from http://sun.library.msstate.edu/ETD-db/theses/available/etd-11112010-120704/<br /> <br /> OBJECTIVE 4:<br /> <br /> *Approach: Determine appropriate tools to effectively measure salient behavioral differences between low-income families in the parent-relationships identified in Objective 3 for the community setting.<br /> <br /> *Progress:<br /> Input: <br /> Data analysis of Objective 2 & 3. As analysis is completed, it is anticipated that some tools will be identified that are appropriate for the community setting.<br /> <br /> OBJECTIVE 5<br /> <br /> *Approach: Design a framework for childhood obesity prevention strategies targeting the development of resilience behaviors. <br /> <br /> *Progress:<br /> Input: <br /> Input on identifying protective factors that could promote resilience to overweight obesity in 3- to 10-year-old children was provided by participants who contributed to W1005 objective 3 and also are focused on analyzing objective 3 data from a resilience perspective. In alphabetical order, participants included Katherine L. Dickin (New York), <br /> <br /> Laura Hubbs-Tait (Oklahoma), Lisa Jahns (North Dakota), Amy Mobley (formerly Indiana, now Connecticut), Madeleine Sigman-Grant (Nevada), and Nahid Sistani (Alabama). <br /> <br /> The objective 3/objective 5 group collaborated with objective 3-only members on data collection with low-income mothers and their 3- to 10-year-old children to identify patterns of maternal parenting styles, feeding styles, feeding practices, and modeling of healthy eating and activity linked to child obesity and overweight. Behaviors that were positively linked to overweight and obesity were viewed as risk factors that would not promote resilience of children in low-income families to overweight and obesity. In contrast, behaviors that were negatively linked to overweight and obesity were viewed as protective factors that would promote such resilience. Preliminary analyses reveal the possibility that, as is the case in several other studies (e.g., Rhee et al., 2006), authoritative general parenting style may be one of the protective factors against childhood overweight and obesity in the multistate data set.<br /> <br /> The decision was made to focus on parent-child interactions rather than the full range of risk and protective factors implied in the original objective 5 for several reasons. First, research-identified risk factors for and protective factors against the development of overweight and obesity in 3- to 10-year old children has greatly increased since 2006 (e.g., Harrison et al., 2011; Larson, Ward, Neelon, & Story, 2011; Townsend, Ontai, Young, Ritchie, & Williams, 2009), making an inclusive and exhaustive framework of prevention strategies unattainable. Second, for children in the 3- to 10-year-old age range, research has increasingly identified the importance of parenting as critical for childhood obesity prevention (e.g., Harrison et al., 2011; Rhee et al., 2006; Stice, Shaw, & Marti, 2006; Tabacchi, Giammanco, LaGuardia, & Giammanco, 2007; Topham et al., 2010).<br /> <br /> The focus on parenting has resulted in the merging of objective 5 into objective 3 for the final extension year of the current W1005 multistate project as well as an emphasis on parenting in the W1005 proposal for 2012-2013 to 2016-2017. <br /> <br /> References for Objective 5:<br /> Harrison K, Bost K, Jacobsohn G, et al. Toward a developmental conceptualization of contributors to overweight and obesity in childhood: The SixCs model. Child Development Perspectives. 2011;5:50-58.<br /> <br /> Larson N, Ward DS, Neelon SB, Story M. What role can child-care settings play in obesity prevention? A review of the evidence and call for research efforts. J Am Diet Assoc. 2011;111:1343-1362.<br /> <br /> Rhee KE, Lumeng JC, Appugliese DP, Kaciroti N, Bradley RH. Parenting styles and overweight status in first grade. Pediatrics. 2006;117:2047-54.<br /> <br /> Stice E, Shaw H, Marti N. A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work. Psychological Bulletin. 2006;132:667-691.<br /> <br /> Tabacchi G, Giammanco S, La Guardia M, Giammanco M. A review of the literature and a new classification of the early determinants of childhood obesity: From pregnancy to the first years of life. Nutrition Research. 2007;27:587604.<br /> <br /> Topham GL, Harrist AW, Page MC, Rutledge JM, Kennedy TS, Shriver LH, Hubbs-Tait L. Maternal depression and socioeconomic status moderate the parenting style/child obesity association. Public Health Nutrition. 2010;13:1237-1244.<br /> <br /> Townsend M, Ontai L, Young T, Ritchie L, Williams S. Guiding family-based obesity prevention efforts in low-income children in the United States. Part 2: What behaviors do we measure?. International Journal of Child and Adolescent Health. 2009;2:31-47.<br />

Publications

See attached W1005 minutes for list of publications.

Impact Statements

1. See attached W1005 minutes for impacts per objectives.

Back to top