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Water consumption of children in Head Start classrooms.
Title
Water consumption of children in Head Start classrooms.
Creator
Zhang, Bingbing, Culp, Anne, Culp, Rex, Macy, Marisa, Hahs-Vaughn, Debbie, University of Central Florida
Abstract / Description
The Institute of Medicine (IOM) identifies the importance of water consumption and suggested that children need to consume water each day (IOM, 2011). Head Start Performance Standards requires that the children have free access to drinking water throughout the program day (DHHS, 2016a).The first goal of this study was to identify the quantity of water consumed by children during the program day (8am-2pm). This study employed a person-centered approach to explore the water consumption of the...
Show moreThe Institute of Medicine (IOM) identifies the importance of water consumption and suggested that children need to consume water each day (IOM, 2011). Head Start Performance Standards requires that the children have free access to drinking water throughout the program day (DHHS, 2016a).The first goal of this study was to identify the quantity of water consumed by children during the program day (8am-2pm). This study employed a person-centered approach to explore the water consumption of the children through observations and direct measurement to identify the amount of the water consumed during a program day. Four classrooms from a Head Start center in a southeastern school district were included in the study. A total of 80 children were observed during the program day (8am-2pm) over a period of 8 weeks. Each child was given a water bottle and instructed to drink freely from the water fountain or the water bottle. In the classroom, water intake from the water fountain and water bottles were recorded.The second goal of this study is to examine profiles of the water consumption from both the school and at home. A person-centered approach combined the individual data of water consumption, from both observation and parental reports, to deepen our understanding of the issue. The 80 parents or legal guardians completed a brief survey to provide information on water consumption at home. No statistically significant differences across demographic characteristics were found. However, large to moderate effect size were discovered.The third goal of the present study was to compare the usage of the sugary sweetened beverages (SSBs) with the national Head Start Faces data 2009 (DHHS, 2017). The current study group had statistically significant difference in consumption of those sugary sweetened beverages. The current study concluded that the water consumption of the children in Head Start classrooms are far less that recommended level. Suggestions on how to increase water consumption were made based on observed behaviors of children across four classrooms. Policy changes regarding water consumption is suggested to increase the water consumption.
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Date Issued
2018
Identifier
CFE0007270, ucf:52201
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007270
ACCULTURATION FACTORS ASSOCIATED WITH THE PREVALENCE OF OBESITY IN IMMIGRANT CHILDREN AND ADOLESCENTS
Title
ACCULTURATION FACTORS ASSOCIATED WITH THE PREVALENCE OF OBESITY IN IMMIGRANT CHILDREN AND ADOLESCENTS.
Creator
Desir, Suzeline, Quelly, Susan, University of Central Florida
Abstract / Description
Childhood obesity (CO) is a significant public health issue in the United States, including the immigrant populations. Obese children and adolescents are at increased risk for multiple preventable comorbidities that affect their physical health and psychological well-being. The perception exists that the immigrant child population may possess protection against CO, but this group also experienced an increased prevalence of CO. Acculturation, or the adaptation to American culture and...
Show moreChildhood obesity (CO) is a significant public health issue in the United States, including the immigrant populations. Obese children and adolescents are at increased risk for multiple preventable comorbidities that affect their physical health and psychological well-being. The perception exists that the immigrant child population may possess protection against CO, but this group also experienced an increased prevalence of CO. Acculturation, or the adaptation to American culture and lifestyles, has been shown to be associated with the increased obesity rate among immigrant children and adolescents. Understanding the association between acculturation factors and CO is necessary to effectively combat obesity among children and adolescents in immigrant populations. The purpose of this literature review is to analyze the association of acculturation factors on the prevalence of CO among U.S. immigrant children and adolescents. Only articles that examined CO and at least one aspect of acculturation were included in this review. Twelve articles meeting the criteria were retrieved from CINAHL, Medline, PsychInfo, Academic Search Premier, and ERIC. The review identified the following acculturation factors to be associated with CO: parental immigration factors, child immigration factors, country of birth, generational status and primary home language, parental level of acculturation, and CO related lifestyle practices. There is modest evidence to suggest that a combination of acculturation factors is associated with increasing CO rate in immigrant populations. This review enhances the knowledge and awareness of public and pediatric healthcare professionals to develop targeted interventions that promote healthy weight in immigrant children and adolescents at increased risk for obesity.
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Date Issued
2015
Identifier
CFH0004776, ucf:45357
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004776
THE EFFECT OF NURSING INTERVENTIONS AND HEALTH PROMOTION ON CHILDHOOD OBESITY: A LITERATURE REVIEW
Title
THE EFFECT OF NURSING INTERVENTIONS AND HEALTH PROMOTION ON CHILDHOOD OBESITY: A LITERATURE REVIEW.
Creator
Mageloff, Grace N, Decker, Jonathan, University of Central Florida
Abstract / Description
Childhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases,...
Show moreChildhood obesity is a growing epidemic in the United States that has short-term and long-term health consequences for the children affected. Nurses are patient advocates and are responsible for speaking up for the patient; in the pediatric population, a nurse must act as an advocate on behalf of the child. The purpose of this literature review is to look at different barriers to nursing interventions in regard to childhood obesity. A literature review was done by using different databases, with 11 articles having similar themes and interventions used. The main themes from the literature review were parental willingness and involvement in weight loss strategies with their child, a lack of training for nurses in the area of childhood obesity, and a lack of standardized assessment methods for charting and tracking children's weight status. The research suggests that the more involved a parent is, the more successful the child's weight loss will be. Additionally, an overall lack of training in health promotion was noted among nurses alone with a feeling of discomfort when speaking to parents and children about the child's weight, indicating a need for further education in health promotion techniques. Finally, articles did not commonly use a standardized assessment method to track weight status in the pediatric population, making cross-examination of different result difficult and points to a need for a standardized measure that is as objective as possible, such as a body fat percentage measure.
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Date Issued
2019
Identifier
CFH2000466, ucf:45818
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000466
Perceptions Influencing School Nurse Practices to Prevent Childhood Obesity
Title
Perceptions Influencing School Nurse Practices to Prevent Childhood Obesity.
Creator
Quelly, Susan, Covelli, Maureen, Bushy, Angeline, Norris, Anne, Lieberman, Leslie, University of Central Florida
Abstract / Description
Approximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP...
Show moreApproximately one-third of children in the United States are overweight or obese with increased risks for numerous physical and psychosocial comorbidities. Schools are ideal environments to address this serious health crisis and school nurses are uniquely positioned qualified healthcare providers to actively participate in childhood obesity prevention (COP). A review of the literature provided findings to identify a gap in the knowledge regarding the association between school nurse COP perceptions and practices. A modified theoretical framework based on Bandura's health promotion by social cognitive theory guided this study. The purpose of this study was to identify the key perceptions (self-efficacy, perceived benefits and perceived barriers) influencing school nurse participation in COP practices and determine associations between school nurse characteristics and COP perceptions and practices. Preliminary research was conducted to determine content validity for modified perception scales, clarity of instructions and questions, data collection and retrieval procedures, and refinement of recruitment strategies. Adequate reliability and validity was determined for modified scales measuring school nurse self-efficacy, perceived benefits, perceived barriers, and COP practices targeting individual children (child-level) and the entire school population (school-level). Florida RN school nurses (n = 171) completed self-administered anonymous questionnaires from an emailed weblink or a paper version offered at two Florida Association of School Nurses conferences. School nurses with characteristics reflecting more education engaged in more COP practices (p (<) .05) than those without education-related characteristics. School nurses with (>) 8 hours of COP education reported higher COP self-efficacy than those with none (p (<) .01). Linear regressions showed that a model comprised of self-efficacy, perceived benefits, and perceived barriers significantly explained 12.0% of the variance in child-level practices (p (<) .001) and 9.1% of school-level practices (p (<) .001). Self-efficacy explained the most variance of school nurse child-level and school-level practices (p (<) .001), and perceived barriers were inversely associated with child-level practices (p (<) .05). Four series of regressions showed that only perceived barriers partially mediated the influence of self-efficacy on child-level practices. Data analyses indicated self-efficacy and perceived barriers were key determinants of school nurse COP practices. Therefore, policy changes and educational interventions to increase self-efficacy and reduce perceived barriers may be effective in mobilizing school nurses to actively engage in COP practices.
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Date Issued
2012
Identifier
CFE0004585, ucf:49188
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004585
ASSOCIATIONS BETWEEN PRE-PREGNANCY WEIGHT STATUS AND/OR GESTATIONAL WEIGHT GAIN AND OBESITY IN OLDER CHILDREN
Title
ASSOCIATIONS BETWEEN PRE-PREGNANCY WEIGHT STATUS AND/OR GESTATIONAL WEIGHT GAIN AND OBESITY IN OLDER CHILDREN.
Creator
Hammond, Marisa P, Quelly, Susan, University of Central Florida
Abstract / Description
Childhood obesity is a global health concern that puts children at risk for developing serious health complications. With increasing rates worldwide, it is important to determine how to decrease its prevalence and promote prevention in future generations. Emerging evidence indicating that pre-pregnancy weight status and/or gestational weight gain (GWG) may be linked with overweight/obesity in children. Much of this body of research focused on weight status of offspring at birth and at...
Show moreChildhood obesity is a global health concern that puts children at risk for developing serious health complications. With increasing rates worldwide, it is important to determine how to decrease its prevalence and promote prevention in future generations. Emerging evidence indicating that pre-pregnancy weight status and/or gestational weight gain (GWG) may be linked with overweight/obesity in children. Much of this body of research focused on weight status of offspring at birth and at preschool age. The purpose of this study is to: (1) analyze the research findings regarding obesity in children 5 to 18 years and their mother's pre-pregnancy weight status and/or GWG, and (2) make recommendations for prevention based on a review of current research. A database search of CINAHL, Medline, ERIC and PsycInfo was conducted. A total of 14 articles were identified based on their relevance to key search terms and meeting criteria. This literature review indicated support for associations between an underweight/overweight/obese pre-pregnancy weight status combined with greater than recommended total GWG and higher overweight/obesity in older children and adolescent offspring. Findings also supported the associations between pre-pregnancy weight status with high GWG during early pregnancy and increased offspring overweight/obesity. Pre-pregnancy overweight/obese weight status of mothers was the single factor consistently found to be strongly associated with risk for overweight and obesity in children 5 to 18 years of age. Results of this review support the need for further education, interventions, and policies aimed at healthy nutrition for women during and prior to pregnancy to prevent childhood obesity.
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Date Issued
2017
Identifier
CFH2000160, ucf:46019
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000160
THE EFFECTS OF WEARABLE FITNESS DEVICES ON PEDIATRIC OBESITY: AN INTEGRATIVE LITERATURE REVIEW
Title
THE EFFECTS OF WEARABLE FITNESS DEVICES ON PEDIATRIC OBESITY: AN INTEGRATIVE LITERATURE REVIEW.
Creator
Sabina, Kevin, Decker, Jonathan, Hill, Peggy, University of Central Florida
Abstract / Description
Childhood obesity is a foremost concern throughout the health care community. Approximately 17.6% of the pediatric population meet the criteria for obesity, which can lead to health disparities later in life, such as hypertension, type 2 diabetes mellitus, and metabolic syndrome. Emerging mobile and wearable lifestyle tracking devices can be a viable solution to the challenging problem of childhood obesity through behavior changes, feasibility, and adherence. The purpose of this literature...
Show moreChildhood obesity is a foremost concern throughout the health care community. Approximately 17.6% of the pediatric population meet the criteria for obesity, which can lead to health disparities later in life, such as hypertension, type 2 diabetes mellitus, and metabolic syndrome. Emerging mobile and wearable lifestyle tracking devices can be a viable solution to the challenging problem of childhood obesity through behavior changes, feasibility, and adherence. The purpose of this literature review was to determine the effect that mobile and wearable activity tracking devices have on the obese pediatric population. A centralized review of the literature was conducted using various data basesand resulted in 19 articles. 5 articles were chosen to review in more detail. 13 other articles were hand searched through credible resource citations, rendering 14 articles that met all criteria. The three general themes found in this literature review suggest that wearable activity tracking devices can be designed and effectively used by the pediatric population. Also, wearable activity tracking devices are accurate in conveying information on physical activity, calories, and heart rate. Lastly, wearable activity tracking devices can initiate behavioral changes in children leading to an increase in physical activity, resulting in the prevention and treatment of pediatric obesity.While in a majority of the studies analyzed trails were short. The research suggests wearable activity tracking devices will produce the desired results of increased activity in pediatric populations when they are worn correctly, are adequately engaging, and when they are designed in a feasible manner that is appealing to children.
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Date Issued
2018
Identifier
CFH2000375, ucf:45824
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000375
THE EFFECT OF NUTRITION KNOWLEDGE ON FOOD CHOICES AND BODY MASS INDEX PERCENTILE RANKINGS OF ELEMENTARY SCHOOL CHILDREN: RESULTS FROM AN IN-SCHOOL NUTRITION EDUCATION PROGRAM
Title
THE EFFECT OF NUTRITION KNOWLEDGE ON FOOD CHOICES AND BODY MASS INDEX PERCENTILE RANKINGS OF ELEMENTARY SCHOOL CHILDREN: RESULTS FROM AN IN-SCHOOL NUTRITION EDUCATION PROGRAM.
Creator
Ellis, Nancy, Abel, Eileen, University of Central Florida
Abstract / Description
The prevalence of overweight and obese children has increased dramatically in the United States over the past 20 years and is a symptom of multiple systemic and cultural changes that have significantly influenced alterations in energy intake, energy expenditures, and the energy balance of children across the nation. School-based obesity prevention programs addressing nutrition and healthy eating behaviors within the school environment and cultural context provide a unique opportunity to...
Show moreThe prevalence of overweight and obese children has increased dramatically in the United States over the past 20 years and is a symptom of multiple systemic and cultural changes that have significantly influenced alterations in energy intake, energy expenditures, and the energy balance of children across the nation. School-based obesity prevention programs addressing nutrition and healthy eating behaviors within the school environment and cultural context provide a unique opportunity to educate and engage students in healthy food consumption practices. This study evaluated the effectiveness of a three-year elementary school nutrition education program for students in grades kindergarten through fifth using a longitudinal analysis of two separate data sets, a nutrition skills behavior assessment survey of self-reported eating behaviors, and body mass index (BMI) scores derived from height and weight measurements of program participants. Nutrition survey results indicated that students reported making healthier food choices from August 2001 to November 2004, with a significant decrease in reported consumption of fats/oils/sweets and significant increases in reported consumption of milk, meat, vegetables, fruit and grains. BMI results indicated a 7.8% decline in the percentage of students in the "overweight" and "at-risk for overweight" categories between August 2001 and October 2004. The combined results of both measures indicate that the nutrition education program appeared to positively affect eating behaviors and body mass index percentages. Implications of the study and strategies for further research are proposed.
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Date Issued
2007
Identifier
CFE0001745, ucf:47311
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0001745
PREVENTING CHILDHOOD OBESITY IN SCHOOL-AGED CHILDREN: RELATIONSHIPS BETWEEN READING NUTRITION LABELS AND HEALTHY DIETARY BEHAVIORS
Title
PREVENTING CHILDHOOD OBESITY IN SCHOOL-AGED CHILDREN: RELATIONSHIPS BETWEEN READING NUTRITION LABELS AND HEALTHY DIETARY BEHAVIORS.
Creator
Bogers, Kimberly S, Quelly, Susan, University of Central Florida
Abstract / Description
Childhood obesity is a prevalent problem in the United States. Obesity increases the risk for many diseases. Obese children are likely to become obese adults with additional comorbidities. Studies have reported mixed findings regarding associations between reading nutrition labels and improved dietary behaviors/healthy weight status. The purpose of this study is to determine whether the frequency of children reading nutrition labels is related to frequency of performing 12 dietary behaviors....
Show moreChildhood obesity is a prevalent problem in the United States. Obesity increases the risk for many diseases. Obese children are likely to become obese adults with additional comorbidities. Studies have reported mixed findings regarding associations between reading nutrition labels and improved dietary behaviors/healthy weight status. The purpose of this study is to determine whether the frequency of children reading nutrition labels is related to frequency of performing 12 dietary behaviors. De-identified baseline data from a previous quasiexperimental pilot study were analyzed. Data were collected from 4th and 5th graders (n = 42) at an after-school program. An adapted paper survey was administered to the children to measure the number of days (0�7) they read nutrition labels and performed 12 dietary behaviors over the preceding week. Due to non-normal distribution of data, non-parametric Spearman rho correlations were conducted to determine relationships between frequency of reading nutrition labels and dietary behaviors. Positive correlations were found between frequency of reading nutrition labels and eating fruit for breakfast; eating vegetables at lunch/dinner; eating whole grain/multigrain bread (p less than .05); eating fruit for a snack; eating vegetables for a snack (p less than .01). Frequency of reading nutrition labels was inversely related to drinking soda/sugar-sweetened beverages (p less than .05). Significant relationships were found between frequency of reading nutrition labels and several dietary behaviors associated with childhood obesity prevention. Findings are promising and support the need for further intervention research to determine potential direct influences of children reading nutrition labels on dietary behaviors.
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Date Issued
2018
Identifier
CFH2000281, ucf:45722
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000281
INTERVENTIONS FOR CHILDHOOD OBESITY: EVALUATING TECHNOLOGICAL APPLICATIONS TARGETING PHYSICAL ACTIVITY LEVEL AND DIET
Title
INTERVENTIONS FOR CHILDHOOD OBESITY: EVALUATING TECHNOLOGICAL APPLICATIONS TARGETING PHYSICAL ACTIVITY LEVEL AND DIET.
Creator
DiPietro, Jessica, Norris, Anne, University of Central Florida
Abstract / Description
Overweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent...
Show moreOverweight and obese children have increased risks for multiple preventable diseases and conditions which can impair their physiological health and significantly increases the overall cost of their healthcare. Free mobile applications and technology for weight loss, dietary tracking, and physical activity may be quite useful for monitoring nutritional intake and exercise to facilitate weight loss. If so, nurses are well positioned to recommend such tools as part of their efforts to prevent childhood obesity and help children and parents better manage childhood obesity when it is present. However, there are no guidelines that nurses can use to determine what applications or technologies are most beneficial to children and their parents. The purpose of this project is to develop such guidelines based on a review of the scientific literature published in the last 5 years. Articles regarding healthy-lifestyle promoting mobile applications and technological approaches to health and fitness interventions were identified by searching articles indexed by CINAHL, Psychinfo, Medline, ERIC, IEEE Xplore, and Academic Search Premier. Identified articles were assessed using Melnyk's hierarchy of evidence and organized into tables so that implications for research and suggestions for practice could be made.
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Date Issued
2014
Identifier
CFH0004616, ucf:45255
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH0004616
Health Literacy Intervention to Influence Choices Made by Students in a Title I School Who Receive Free Lunch
Title
Health Literacy Intervention to Influence Choices Made by Students in a Title I School Who Receive Free Lunch.
Creator
Kent, Melissa, Levin, Judith, Quelly, Susan, Szente, Judit, University of Central Florida
Abstract / Description
This study seeks to influence choices made by Kindergarten students in a Title I school who receive free breakfast and lunch through a health literacy intervention with the intent of decreasing daily added sugar consumption. Fruit and milk choices, either with naturally occurring sugar (NOS) or added sugar (AS), were recorded for 70 Kindergarten students among six classes in a Title I school for ten days before a four-week health literacy intervention. Three of the classes were randomly...
Show moreThis study seeks to influence choices made by Kindergarten students in a Title I school who receive free breakfast and lunch through a health literacy intervention with the intent of decreasing daily added sugar consumption. Fruit and milk choices, either with naturally occurring sugar (NOS) or added sugar (AS), were recorded for 70 Kindergarten students among six classes in a Title I school for ten days before a four-week health literacy intervention. Three of the classes were randomly selected to learn about 'sometimes' and 'anytime' choices through the Healthy Habits for Life curriculum delivered by representatives from Nemours Children's Hospital. Following the intervention, milk and fruit choices were recorded for ten more school days to determine differences among the control and intervention groups. Pearson Chi Square test results concluded that the health literacy intervention lead to statistically significant improvements in milk choices for the intervention group, but fruit choices were inconclusive due to inconsistencies in significance. Hierarchical loglinear analyses were run to determine if there was a difference in response to intervention between male and female students, and the results indicated that the effectiveness of the intervention was not moderated by gender. The success of this intervention for milk choices will help students who receive free school breakfast and lunch to decrease their daily consumption of added sugars, and additional research needs to be done to help students make choices that will further decrease their daily added sugar consumption.
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Date Issued
2019
Identifier
CFE0007662, ucf:52466
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007662