Дисертації з теми "Healthy Eating Pattern"
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Watson, Lorraine Anne. "Patterns of perceived hunger in healthy adults." Diss., The University of Arizona, 1991. http://hdl.handle.net/10150/185724.
Повний текст джерелаZies, Carly Rene. "Emotional Eating in the Work Place: The Eating Patterns of Mental Health Workers." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4119.
Повний текст джерелаCollinson, A. "The characterisation of eating patterns and their implications to health." Thesis, University of Reading, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.362266.
Повний текст джерелаReynolds, Susan Marie. "Eating patterns and health perceptions of shiftworkers: an exploratory study." Thesis, Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/91141.
Повний текст джерелаM.S.
Shah, Angana. "A vegetarian eating pattern curriculum to educate registered dietitians and dietetic interns." Thesis, California State University, Long Beach, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=1523057.
Повний текст джерелаThe purpose of this study was to develop an education-based curriculum comprised of three sessions, 1 hour each, to educate Registered Dietitians and Dietetic Interns about vegetarian eating patterns and the benefits of soy in vegetarian diets. Specific objectives of the study were: (a) To review the literature and depth of the problem, (b) To review existing similar curriculum, (c) To develop an education-based curriculum to educate RDs and DIs about vegetarianism and soy, and (d) To develop tools to measure learner comprehension of the information presented in the curriculum.
The nutrition curriculum was developed to help RDs and DIs understand vegetarianism and benefits of soy in a vegetarian eating pattern. An expert panel reviewed the curriculum and modifications were made based on their suggestions. PowerPoint slides, discussions and handouts were used to educate 12 DIs. An increase in knowledge and positive comments occurred.
The curriculum will help RDs and DIs educate their vegetarian clients in an evidence-based manner.
Stombaugh, Isabelle Timko. "Nutrient intakes and eating patterns of adolescents in Columbus, Ohio /." The Ohio State University, 1987. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487329662148051.
Повний текст джерелаDuBois, Megan Leatham. "Parental Attitudes and Perceptions Related to Their Children's Physical Activity and Eating Patterns." DigitalCommons@USU, 2010. https://digitalcommons.usu.edu/etd/839.
Повний текст джерелаWilliams, Brittany V. "Emotion Regulation and Eating: An Evaluation of the Relationship Between Difficulties in Emotion Regulation and Eating Patterns in Obese Patients Seeking Bariatric Surgery." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etd/3274.
Повний текст джерелаDorman, Jamie. "The Association between Dietary Patterns and Physical Functioning in Older Adults with and without a History of Cancer." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1524059729267608.
Повний текст джерелаArmentrout, Paige L. "Exploring Dietary Patterns in Inflammatory Bowel Disease." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1555379444416158.
Повний текст джерелаFanelli, Stephanie Marissa. "Differences in Diet Quality and Concurrent Chronic Diseases by Level of Glycemic Control in US Adults." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu155542411241737.
Повний текст джерелаFrye, W., William T. Dalton, Karen E. Schetzina, Deborah Pfortmiller, and Deborah L. Slawson. "Quality of Life Related to Eating and Physical Activity Patterns among Youth in Rural Appalachia: Baseline Data from the Winning with Wellness Program." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/5086.
Повний текст джерелаBux, Fathima. "Eating patterns of Indian preschool children between 1-5 years of age in Howick West (Kwa-Zulu Natal)." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53399.
Повний текст джерелаENGLISH ABSTRACT: Most of the risk factors for coronary heart disease (CHD) such as hypertension, dyslipidaemia, smoking, non-insulin dependent diabetes mellitus (NIDDM), obesity, physical inactivity and heredity are common in South African populations, with Indians ranking among those with the highest prevalence in the country. Little published literature is available on eating patterns in pre-school children in the Indian population. Therefore, this study a ims to assess the nutritional status of a group of Indian pre-school children in Howick West (a small suburb in the Kwa-Zulu Natal Midlands). Methods: This was a cross-sectional study of 50 Indian pre-school children between the ages of 1-5 years, randomly selected from a total of 632 available Indian households in Howick West. Written, informed consent was obtained from the mother/caregiver of each child that participated in the study. Standardized and validated 24-hour-recall (24-H-R) and quantitative food frequency questionnaires (QFFQ), used in the National Food Consumption Survey (NFCS) of 1999, were adapted and used to assess habitual intake and eating patterns of the 50 Indian pre-school children. Height and weight measurements using standardized methodology were used to assess the anthropometric status of the children. Results: The prevalence of underweight was 14%. Stunting affected only 8% of the children, and 2% were at risk of overweight. The mean energy intakes of the children were above that recommended for age. A high fat intake was observed, with total fat contributing 42% to the daily total energy (TE) intake. The contributions of total carbohydrate and protein to TE intake were 45% and 10%, respectively. Low mean intakes of the following micronutrients were observed (less than 67% of the RDA): Calcium (22% of the children), Vitamin D (90%), Zinc (56%) and Iodine (90%), respectively. Based on the 24-H-R, the intakes of the remaining micronutrients were either above or equivalent to that recommended for age when compared to the 1989 RDAs. Conclusions: Despite a relatively high prevalence of underweight compared to overweight in these preschoolers, dietary analysis has indicated adequate dietary intakes in terms of total energy recommended for the age groups studied. However, total fat intake which represented 42% of TE, was high, with saturated fat (SF) contributing 15% to TE intake. This finding is cause for concern as excessive consumption of dietary fat has been implicated in the aetiology of CVD, obesity and some forms of cancer, and CHD is one of the main causes of morbidity and mortality in South Africa, especially among the Indian segment of the population.
AFRIKAANSE OPSOMMING: Meeste van die risikofaktore vir koronêre hartsiektes (KHS) soos hipertensie, dislipidemie, rook, nie-insulien afhanklike diabetes (NIADM), vetsug, fisiese onaktiwiteit en oorerflikheid, kom algemeen onder Suid-Afrikaanse bevolkingsgroepe voor, met Indiërs onder dié met die hoogste voorkoms in die land. Min gepubliseerde inligting is beskikbaar oor die eetgewoontes van voorskoolse kinders onder die Indiër bevolking. Die doel van hierdie studie was dus 0 m die voedingstatus van 'n groep Indiër voorskoolse kinders in Howick Wes ('n klein voorstad in die Kwa-Zulu Natal Middellande) te bepaal. Metodes: Dit was 'n dwarssnit studie van 50 voorskoolse Indiër kinders tussen die ouderdomme van 1-5 jaar, ewekansig geselekteer uit 632 beskikbare Indiër huishoudings in Howick Wes. Geskrewe en ingeligte toestemming is ontvang van die moeder/versorger van elke kind wat aan die studie deelgeneem het. Gestandaardiseerde en gevalideerde 24-uur herroep (24-H-R) en voedsel frekwensie vraelyste (QFFQ) soos gebruik in die Nasionale Voedsel Inname Studie (NFCS) van 1999, is aangepas en gebruik om gewoontelike inname en eetgewoontes van die 50 Indiër voorskoolse kinders te bepaal. Lengte en gewig is m.b.v. standaad tegnieke bepaal om die antropometriese status van die kinders te evalueer. Resultate: Die voorkoms van ondergewig was 14%. Dwerggroei het slegs 8% van die kinders geaffekteer en 2% het 'n risiko vir oorgewig getoon. Die gemiddelde energie inname van die kinders was hoër as wat aanbeveel word vir hierdie ouderdomsgroep. 'n Hoë vetinname is gevind, met 'n totale vet bydrae van 42% tot die daaglikse totale energie (TE) inname. Die bydrae van koolhidrate en proteïen tot TE was 45% en 10% respektiewelik. Lae gemiddelde innames van die volgende mikrovoedingstowwe is gevind (minder as 67% van die RDA): kalsium (22% van die kinders), vitamien D (90%), sink (56%) en jodium (90%), respektiewelik. Gebasseer op die 24-H-R, was die inname van die oorblywende mikrovoedingstowwe óf hoër óf gelyk aan wat aanbeveel word vir die betrokke ouderdomsgroep wanneer vergelyk word met die 1989 RDA. Gevolgtrekkings: Ten spyte van 'n relatiewe hoë voorkoms van ondergewig in vergelyking met oorgewig in hierdie voorskoolse kinders, was dieetinname voldoende in terme van totale aanbevole energie vir die ouderdomsgroep. Totale vetinname, wat 42% van TE uitgemaak het, was egter hoog en versadigde vette het 15% van TE bedra. Hierdie verskynsel is 'n rede tot kommer aangesien oormatige vetinname reeds geïmpliseer is in die etiologie van KHS, vetsug en sommige vorms van kanker, en KHS is een van die belangrikste oorsake van morbiditeit en mortaliteit in Suid Afrika, veralonder die Indiër bevolking.
Granholm, Alexandra. "Den inre klockan i obalans : en kvalitativ studie om hur kostvanor och måltidsmönster påverkas av skiftarbete." Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-1780.
Повний текст джерелаAim The aim of this study was to gain insight into how the diet and meal pattern of shift working police officers is affected by an irregular daily routine. The purpose was also to illustrate how and what methods are used to create healthy eating and sleeping routines in everyday life. More specifically, the research questions were how police officers experience that their eating habits and meal patterns are affected by shift work with irregular daily routines and what life strategies are used to handle diet and sleeping habits as a shift working police officer. Method The data collection is based on interviews with four police officers, of whom two are female and two male between the ages of 26 and 37 years and work at a police station in the Stockholm area. The respondents were selected on the basis of convenience sample through an acquaintance within the police. All participants were contacted via telephone and were informed of the study’s purpose, research questions and method before an interview was booked. They were also informed of the fact that they would remain anonymous. A pilot interview was held with the contact person one week prior to the interviews. The participants received the interview questions by e-mail the day before the interview. All interviews, apart from the final one, were conducted at the police station in a private room. The last interview was held over the phone. The first three interviews were recorded with a dictaphone and were later transcribed, revised and analyzed. The fourth interview was recorded with a cellphone, after which the sound file was transferred to a computer. Results and conclusions The results highlighted individual differences in the experience of how the diet is affected by shift work and an irregular daily routine. The regularity of the meal pattern appears to suffer the most. There is a tendency that the meals are displaced and that the police officers primarily miss out on lunch in case they have worked a night shift. Instead they eat some form of breakfast twice per day. The life strategies that are used could be enhanced in order to create better regularity in the police officers’ everyday lives.
Pollard, Christina Mary. "Determinants of fruit and vegetables consumption among adults in Perth, Western Australia." Thesis, Curtin University, 2008. http://hdl.handle.net/20.500.11937/358.
Повний текст джерелаPrevidelli, Ágatha Nogueira. "Padrões da dieta de adolescentes do município de São Paulo e fatores associados: estudo de base populacional." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6138/tde-02042013-092319/.
Повний текст джерелаBackground: Adolescent dietary patterns have been associated with increased risk factors for chronic diseases, including diabetes, coronary heart disease and cancer. Objectives: To evaluate the dietary patterns among adolescents living in the municipally of São Paulo. Methods: Data of adolescents from a cross-sectional survey were analyzed. Two different approaches were used to evaluate the dietary patterns: the Brazilian Healthy Eating Index Revised (BHEI-R) and the factors analysis. To estimate the usual intake, it was collected a minimum of one and a maximum of five 24-hour dietary recall (24HR), in which the first one was obtained in the adolescents home, together with a Food Frequency Questionnaire (FFQ), and the others records were collected by phone. In the first approach, the method proposed by the American National Cancer Institute was used to estimate the distribution of the components of the BHEI-R, according to the usual intake and adjusted by the sociodemographic, anthropometric and lifestyle characteristics. To access the dietary patterns using the factor analysis, initially, the usual intake that was estimated by the Multiple Source Method. Beside the 24HR data, the FFQ was used as covariate information to improve the modeling of consumption probability and intake amount. After the factor analysis, multivariate linear regressions models identified the characteristics associated with the dietary patterns. Results: The estimated mean BHEI-R score (47.1 points), adjusted for gender and family heads schooling, was, being similar between males (46.3) and females (48.0). The results indicated lower consumption of Whole grains (0.3), Total vegetables (1.0), Total fruit (1.3) and Whole fruit (0.4); and higher intake Sodium (2.2), Saturated fat (5.8) and; SoFAAS (4.5), that comprise the calories from solid fat, alcohol intake and added sugar. The factor analysis identified two dietary patterns that together explained 17.1 per cent of the total variation in food intake. The Traditional diet, characterized by the consumption of beans, rice, coffee/tea, sugar, butter/margarine, beef and cookies, was inversely associated with be male, higher income and higher family heads schooling. The Dual diet, characterized by the consumption chocolate powder, vegetables, whole milk, salada dressings, cheeses, processed meats/cold cuts, breads/toasts/crackers, candies, juices and white meat (chicken and fish), was directly associated with higher income, family heads marital status (living with someone) and higher family heads schooling. Conclusion: The adolescents have lower dietary fiber intake, especially fruits and whole grains and higher intake of sodium, fats and sugars. Thus, the results of the two approaches provide consistent and complementary information about the adolescent dietary behavior that can be used to the development of public health programs, in order to prevent and treat dietrelated chronic diseases throughout the life course
Coimbra, Maria Ribeiro. "When healthy eating becomes problematic: a study on Orthorexia Nervosa." Master's thesis, 2020. http://hdl.handle.net/10316/94506.
Повний текст джерелаA Ortorexia Nervosa foi mencionada pela primeira vez em 1997, por Steven Bratman, e desde então, este construto tem suscitado o interesse da clínica e da investigação. Ortorexia Nervosa é melhor descrita por uma fixação patológica numa alimentação saudável. Apesar desta atual definição, os investigadores concordam que ainda há muitas incógnitas em relação à Ortorexia Nervosa, incluindo se esta deve ou não ser considerada uma perturbação psiquiátrica. A sua definição mais detalhada, ferramentas de avaliação e implicações clínicas ainda são amplamente discutidas e motivo de discordância. Dito isto, vários estudos concordam que uma parte essencial do desenvolvimento da Ortorexia Nervosa é a adoção de comportamentos associados, também denominados de comportamentos ortoréticos. Estes comportamentos têm uma característica obsessiva e podem abranger tudo, como a compra, preparação e consumo dos alimentos, a autopunição e a culpa, a restrição extrema e, até, a cor dos alimentos escolhidos. Tudo o que o indivíduo entende como uma regra, proveniente do que crê ser uma alimentação saudável, pode ser considerado um comportamento ortorético. Para além disto, a Ortorexia Nervosa e a sua associação com diferentes padrões alimentares, como Vegetariano e Vegan, têm sido exaustivamente estudados, e parece haver uma relação entre a Ortorexia Nervosa e o padrão alimentar escolhido.Em Portugal, a pesquisa centrada na Ortorexia Nervosa ainda é pouco substancial. Uma das razões para esta falta de informação é a inexistência de um instrumento de avaliação válido da Ortorexia Nervosa para a população portuguesa. Apesar de estudos recentes focarem este importante passo, as ferramentas adaptadas e traduzidas não tiveram sucesso, devido aos seus problemas de confiabilidade e validade.Assim, este estudo teve como objetivo principal explorar e contribuir para a pesquisa focada na Ortorexia Nervosa: primeiramente, adaptar uma ferramenta válida para a população portuguesa e estudar a sua prevalência e relação com diferentes indicadores psicológicos, com o sexo, com o BMI e com quatro padrões alimentares (Omnívoro, Vegetariano, Vegan e Paleo). Foi desenvolvido também um segundo estudo para explorar e compreender os processos de alimentação envolvidos no “salto” dos comportamentos ortoréticos para o comportamento alimentar perturbado. Neste estudo, foram também exploradas as diferenças nas populações omnívora e não omnívora.Os resultados foram bem-sucedidos, e uma ferramenta válida para a Ortorexia Nervosa foi traduzida e adaptada para a população portuguesa, com boas propriedades psicométricas: a Dusseldorf Orthorexie Scale (DOS). As conclusões relativamente às relações com as variáveis mencionadas anteriormente parecem estar de acordo com a literatura já existente, e contribuem para o progresso essencial do estudo da Ortorexia Nervosa. Finalmente, os resultados do segundo artigo encontraram uma relação importante na abordagem alimentar escolhida (mais intuitiva ou inflexível), em relação ao desenvolvimento dos comportamentos ortoréticos para comportamento alimentar perturbado, tanto para omnívoros como para não omnívoros. Estes resultados podem ter implicações na área clínica, incentivando os profissionais a concentrarem-se no cultivo de uma abordagem alimentar mais intuitiva, na prevenção e tratamento de indivíduos que apresentam comportamentos ortoréticos, independentemente do padrão alimentar escolhido.
Orthorexia Nervosa was first mentioned in 1997, by Steven Bratman, and since then, this construct has risen the clinical and research interest of many. Orthorexia Nervosa is best described by a pathological fixation in healthy eating. Despite this current definition, researchers agree that there is still a lot of unknowns regarding Orthorexia Nervosa, including if it should be or not considered as a psychiatric disorder. Its detailed definition, assessment tools and clinical implications are still thoroughly discussed and subject of disagreements. Having said that, studies agree that an essential part of the development of Orthorexia Nervosa is the adoption of associated behaviours, known as orthorexic behaviours. These behaviours have an obsessive characteristic, and can encompass anything, from the shopping, preparation and consumption of food, the self-punishment and guilt, the extreme restriction and even the colour of the chosen foods. Everything that the individual perceives as a rule to its belief of healthy eating can be considered as an orthorexic behaviour. Additionally, Orthorexia Nervosa and its association with different dietary patterns, such as Vegetarian and Vegan, has been thoroughly studied, and there seems to be a relation with Orthorexia Nervosa and the chosen dietary pattern.In Portugal, research around Orthorexia Nervosa is still scarce. One of the reasons for this lack of information is the non-existence of a valid measuring tool of Orthorexia Nervosa for the Portuguese population. Despite recent studies focus on this important step, the adapted and translated tools have not had success, duo to its reliability and validity problems.Therefore, this study aimed to further extend the research around Orthorexia Nervosa: firstly, to adapt a valid tool for the Portuguese population and study its prevalence and its relationship with different psychological indicators, with sex, with BMI, and with four dietary patterns (Omnivore, Vegetarian, Vegan and Paleo). A second study was also developed to better understand the eating-related processes involved in the “jump” of orthorexic behaviours into disordered eating. In this study, differences in the omnivore and non-omnivore population were also explored.Results were very successful, and a valid Orthorexia Nervosa tool was translated and adapted for the Portuguese population, with good psychometric properties: the Dusseldorf Orthorexie Scale (DOS). Its finding regarding the relationships with the variables mentioned before, seem to agree with previous literature and add to the essential progress in the understanding of Orthorexia Nervosa. Finally, the second paper’s results found an important relation in the chosen eating approach (more intuitive or inflexible), regarding the development of orthorexic behaviours into disordered eating, both for omnivores and non-omnivores. These results may have a real implication in the clinical setting, showing that professionals should focus on enhancing and cultivating a more intuitive eating approach in the prevention and treatment of individuals presenting orthorexic behaviours, independently of the chosen dietary pattern.
Costa, Marta Filipa Pinto da. "Healthy Eating Patterns in Childhood: Tracking and its Related Factors." Master's thesis, 2019. https://hdl.handle.net/10216/124750.
Повний текст джерелаCosta, Marta Filipa Pinto da. "Healthy Eating Patterns in Childhood: Tracking and its Related Factors." Dissertação, 2019. https://hdl.handle.net/10216/124750.
Повний текст джерелаMa, Yunsheng. "Eating patterns in relation to body weight and blood lipids." 2002. https://scholarworks.umass.edu/dissertations/AAI3056370.
Повний текст джерелаHoude, Roxanne. "Les jardins communautaires et collectifs de Montréal : une exploration de leur place dans la réduction des iniquités de santé et de saine alimentation." Thèse, 2019. http://hdl.handle.net/1866/23588.
Повний текст джерелаTaking part in community/collective gardening has been linked to greater fruit and vegetable (FV) consumption. However, little is known regarding their impact on social health inequalities. This study aims to examine 1) the distribution of community/collective gardens in Montreal and 2) the association between residential proximity to a community garden and daily FV consumption among adults. First, the mean number of gardens within a neighbourhood was compared as a function of neighbourhood-level socio-demographic indicators. Second, a multivariable logistic regression was performed to evaluate the relationship between FV consumption and the presence of a community/collective garden. FV consumption of individuals was classified as sufficient (≥ 5 times/day) or insufficient (< 5). Presence of a community/collective garden was dichotomized as being present (≤ 500 m from residence) or absent (> 500 m). Sensitivity analyses were conducted to assess the impact of modifying the cut-point using 300 m and 1000 m. Comparative analyses revealed significantly more gardens in neighbourhoods with higher population densities, higher tenancy rates, and higher proportions of people living under the low-income threshold or without a high-school diploma. There was no trend according to immigrant proportions. Our regression results showed no association between residential proximity and the frequency of FV consumption among adults. The current distribution of community/collective gardens in Montreal favours increased access in more disadvantaged neighbourhoods and shows potential to reduce health inequities. Living close to a garden doesn’t seem to be associated with the FV consumption pattern. Additional studies are needed to assess other important dimensions of access and the impact on health inequities.
"Dietary intake and eating patterns of elementary school personnel in southeastern Louisiana." Tulane University, 2008.
Знайти повний текст джерелаMitchell, Anne-Marie. "Hyperphagie homéostatique et le profil alimentaire d’individus obèses morbides candidats à la chirurgie bariatrique." Thèse, 2018. http://hdl.handle.net/1866/22799.
Повний текст джерела(5930408), Breanne N. Wright. "Intermediate Effects of a Social Ecological Modeled, Community-Based Intervention on the Food Security and Dietary Intake of Rural, Midwestern, Adult Food Pantry Clients." Thesis, 2019.
Знайти повний текст джерелаFood insecurity, or limited access to enough foods for an active, healthy life, characterizes the situation of 65% of US food pantry clients. Food insecurity is associated with poor dietary intake of key food groups and nutrients, diet-related chronic disease, poor physical and mental health, and reduced quality of life. Although food pantry clients are prevalently food insecure, there is a sizeable proportion of clients who are classified as food secure (FS), or report having adequate access to healthy foods. Previous studies suggest that food secure pantry clients may use pantry resources differently, and have diets that differ in quality and intake, compared to food insecure clients (including low food secure [LFS] and very low food secure [VLFS] clients).
Food pantries may be an important venue for interventions to improve food security and dietary outcomes. Since dietary intake and use of food pantries may differ by food security status, the efficacy of such interventions may also differ by food security status. A social ecological modeled (SEM), community-based intervention in the food pantry setting is promising in sustaining local change efforts and may facilitate long-term implementation of strategies to improve diet-related outcomes among food pantry clients. Therefore, the aims of this dissertation were to 1) characterize differences in diet quality and intake between FS, LFS and VLFS pantry clients; 2) explore associations between the nutritional quality of the pantry food environment (foods in stock and foods distributed to clients) and client diet quality by food security status; and 3) evaluate the intermediate effects of a SEM, community-based intervention to improve diet-related outcomes among pantry clients with comparison by food security status.
Aim 1 was addressed by examining associations between food security and both diet quality and usual intake (in separate mixed multiple linear regression models) in a cross-sectional analysis of adult food pantry clients at baseline. FS status was associated with a higher Healthy Eating Index-2010 (HEI-2010) whole grains score, as well as a higher mean usual intakes of whole grains and iron, compared to LFS status. FS status was also associated with higher mean usual intakes of dark green vegetables and total dairy compared to LFS and VLFS status.
Aim 2 was addressed by evaluating the relationship between the quality of the mix of foods in stock (pantry inventories) and distributed (client food bags) at food pantries with client diet quality, and investigating how these relationships varied by food security status, in a cross-sectional analysis of adult food pantry clients at baseline. Client food bag HEI-2010 scores were positively associated with client diet scores for the total vegetables, total fruit, total protein foods, and sodium components, while pantry inventory HEI-2010 scores were negatively associated with client diet scores for the total score and for the total fruit and fatty acids components. VLFS clients consumed more whole grains from client food bags compared to FS clients, and consumed more greens and beans from pantry inventories compared to LFS clients.
Aim 3 was addressed by evaluating longitudinal changes in adult food security, diet quality and usual intake over the first two years (baseline to midpoint) of a three-year SEM, community-based food pantry intervention‒ Voices for Food (Clinical Trial Registry: NCT0356609). Adult food security score improved in the intervention group, while HEI-2010 total score and several component scores improved in the comparison group. When comparing the change in main outcomes over time between the intervention and comparison groups, no favorable differences were observed at this intermediate time point.
Food pantries do not comprise a homogeneous population of clients. Pantry clients have different quality diets and rely on pantries to acquire different types of foods depending on their food security status. Food pantries may be an important venue to target interventions that improve diet-related outcomes, with consideration for the complex interplay between food security status, the pantry food environment and availability of resources to prepare healthy foods. Evaluation of the final study time point, as well as further investigation of the dose-dependent effect of each intervention component and other individual community characteristics, may elucidate the relationship between the intervention and client outcomes.