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Childhood Nutrition: A Comprehensive Approach

Childhood Nutrition: A Comprehensive Approach. Emily Whiteman H671. Scope of the issue. More than 17 million children live in poverty Emergency rooms are seeing a spike in underweight children Malnourishment occurs as a result of both under and over-nourishment

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Childhood Nutrition: A Comprehensive Approach

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  1. Childhood Nutrition: A Comprehensive Approach Emily Whiteman H671

  2. Scope of the issue • More than 17 million children live in poverty • Emergency rooms are seeing a spike in underweight children • Malnourishment occurs as a result of both under and over-nourishment • Malnourished children have compromised immune systems and are at higher risk for chronic disease • Even after nutritional deficits are addressed, developmental challenges remain

  3. A word from the surgeon general “We must also redesign our communities. Americans need to live and work in environments that help them practice healthy behaviors. Neighborhoods and communities should come together to create healthier environments. Specifically, they should consider geographic availability of supermarkets, improve residents’ access to outdoor recreational facilities, limit advertisements of less healthful foods and beverages, build and enhance infrastructures to support more walking and bicycling, and improve the safety of neighborhoods to facilitate outdoor physical activity.” Regina Benjamin

  4. Need for multilevel interventions TTI • Comprehensive framework for program planning • Systematic process for considering all influences

  5. Biology/personality stream: Family education “Everything is so stressful today. The garden is a peaceful place. “You can leave your troubles at the gate.” Glenda Garris, executive director of the Community Gardens of Henry County

  6. Family Education intervention • Community garden • Increase knowledge of growing practices • Increase self-efficacy • Source of physical activity • Provides affordable food options • Creates supportive social environment and community connections • Cooking classes • Create comfort in the kitchen • Progressive curriculum to improve skills • Social reinforcement from teacher and fellow students • Direct link to community garden • Opportunity to teach nutrition information

  7. Social stream: School lunches intervention • School based intervention • Make healthy choices fun and easy • Needs to consider cultural relevance • Focus groups or surveys of families • Needs to create a social norm of prevention • Eliminate vending machines and fast food options • Improve quality of school lunches • Reduce and eventually eliminate corporate sponsorships for athletics

  8. Cultural stream: Media & health food branding intervention • Children given vegetables with fun names ate twice as many servings as those who had not been branded (Wansink, Just, Payne & Klinger, 2012) • Inexpensive application for school lunches • Can be implemented at home • Decrease unhealthy food ads during daytime TV • Revamp school posters

  9. Conclusion • Single level interventions are not sufficient • TTI provides a framework for determining ultimate predictors of behavior change • What are the ultimate predictors of childhood nutrition? • Did the proposed interventions address those?

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