SAES-422 Multistate Research Activity Accomplishments Report

Sections

Basic Information
Additional Info

Status: Approved

Basic Information

Project No. and Title: W2003 : How to motivate parents to promote intake of calcium rich foods among early adolescents
Period Covered: 10/01/2009 to 09/01/2010
Date of Report: 11/29/2010
Annual Meeting Dates: 10/06/2010 to 10/09/2010

Carol Boushey-Purdue; Christine Bruhn-UC-Davis; Marla Reicks-UMN; Mary Clusky-Oregon State; Carolyn Gunther-OSU; Susan Welsh-USDA NIFA; Siew Sun Wong-USU; Latha Devareddy-UAR; Scottie Misner-UAZ; Rickelle Richards-BYU; Deborah Maddy, Oregon State-Project Administrator.

Brief Summary of Minutes of Annual Meeting

A major focus of this annual meeting was discussing the review of analysis of the survey data collection from the previous project and the finalization of the methods and instruments for the new project for the multi-state research group. Discussion included segmentation results based on final data for the parent motivator-barrier questionnaire and food frequency data from parent child pairs and the acculturation paper. Suggestions were given for finalizing and submitting these two papers. This analysis was completed at Purdue University. The findings included mean scores on psychosocial scales and correlations between parent and child responses and relationships to calcium consumption. Representatives from states discussed their efforts (successful and unsuccessful) from pilot test focus groups using newly developed recruitment tools, screening forms, nominal group technique and focus group procedures for the new project. New methodologies for exploring and understanding what motivates behaviors for the consumption of calcium rich food (CRF) intakes were discussed. Future paper topics were discussed and working groups assigned. Action Items for members were outlined. They included: Protocol changes, NGT/FG Data Analysis Protocol, Assigned Numbers for each participating state, and the Revised Timeline. All working documents will be uploaded onto the Basecamp website for members and will be maintained by OSU. The Chair and Reporter of W2003 for next year are Carolyn Gunther and Rickelle Richards, respectively. The date for next years meeting is Oct. 12-15, 2011 in Corvalis, OR.

Accomplishments

Inadequate calcium intake is the single most recognizable health issue identified with osteoporosis. Ten million Americans have been diagnosed with osteoporosis, with almost 34 million individuals having low bone mass. Each year, bone fractures result from osteoporosis and over half of Americans over 50 years of age are expected to experience osteoporotic-related bone fractures in their lifetime. Hip fractures are more likely than heart attacks, stroke or cancer to lead to functional impairment and related morbidities. The economic burden of these fractures exceeds $20 billion annually. Early adolescence (ages 10-13 years) is a critical period in the lifecycle for bone mineralization. Peak bone density can occur as early as 16 years of age for the hip, and mid-20s for other bones. Adequate calcium intake during this time of growth is crucial to ensure bone health in later life. However, studies indicate that early adolescent children consume only 60 to 80% of the 1300 mg Adequate Intake level of calcium recommended by the Institute of Medicine. These data indicate that American children are at risk for osteoporosis later in life, with its associated health risks. Asian, Hispanic and non-Hispanic White populations face a higher risk of developing osteoporosis, and thus prevention is key for these groups. The W-2003 project is focused through messaging parents helping motivate the intake of calcium rich food among their children from race/ethnic groups most at risk for osteoporosis. The project will also develop new novel techniques tools looking specifically at things parents can do to motivate intake of calcium-rich foods in their early adolescents. Researchers in all participating states submitted IRB and consent forms from their institutions. Some participated in recruiting subjects from various groups within their communities to practice using newly developed tools. In addition to data analysis, two additional articles have been submitted to peer-reviewed journals for publication, based on data from the qualitative interviews. Other articles for publication based on the finalized quantitative data from the surveys were determined and participants were assigned to leading or supportive roles in getting the papers submitted.

Impacts

" New scripts for focus groups, data collection procedures (blended approach of focus groups and nominal group technique), materials to be used in parent sessions (e.g., pictures of calcium rich foods and beverages), and recruitment and survey tools were developed.
" Some pilot test data were collected on parents using practice groups that potentially influence calcium intake of Asian, Hispanic and non-Hispanic White early adolescents. These factors may also be applicable to other health-related behaviors, such as the development of overweight and obesity, and intake of fruits and vegetables. Most studies have overlooked race/ethnic differences in calcium intake among minority youth and their families. This study seeks to more accurately assess ways parents influence calcium intake, by taking into consideration similarities and differences among these three racial/ethnic groups.
" The information from this project may be used to design more effective osteoporosis prevention programs, tailored to Asian, Hispanic, and non-Hispanic White families with early adolescents. Early adolescents in these racial/ethnic groups are at higher risk for osteoporosis, and a critical period during the lifecycle for bone growth is early adolescence.
" The data from this project will serve as the basis for future research, which will seek to explore novel approaches to positively influence families in encouraging, role modeling and providing access to healthy, calcium-rich foods for adolescents.

Publications

Manuscripts: 1.Reicks M, Ballejos M, Goodell LS, Gunther C, Richards R, Wong SS, Auld G, Boushey C, Bruhn C, Cluskey M, Misner S, Olson B. Zaghhoul S. Individual and family correlates of calcium-rich food intake among parents of early adolescent children. J Am Diet Assoc. In press. Accepted Sept 2010. 2.Cluskey M, Auld G, Edlefsen M, Zaghoul S, et al. Parental knowledge, concern, and expectations for calcium intake of Asian, Hispanic, and non-Hispanic White early adolescents. Journal of Community Nutrition (in progress) 3. Landon R. Jones, Hal L. Black, Clayton M. White, N. Paul Johnston, Meghan E. McGee, Seth W. Donahue, and Dennis L. Eggett. 2010. Effects of Calcium-Loading on Egg Production in Ring-Necked Pheasants. Journal of Wildlife Management 74,(6):1295-1300. 4. Janette L. Smith, N. Paul Johnston, Kirk A. Dearden, Dennis L. Eggett, Alison K. Campbell. 2010. The Impact of Altitude and Diet on Anemia in School-Aged Children in Lago San Pablo, Ecuador ICAN: Infant, Child, & Adolescent Nutrition October 2010 2: 288-293. Abstracts: Reicks M, Ballejos M, Wong SS, Boushey C, Bruhn C, Cluskey M, Misner S, Olson B. Individual and family correlates of calcium intake in parents of early adolescent children. International Society for Behavioral Nutrition and Physical Activity Annual Meeting, Minneapolis, MN, June 2010.

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