Mexican Americans, one of the fastest growing segments of the population, have been identified as having above-average rates of obesity. Yet, among this group, obesity rates seem to differ by immigrant status: recent immigrants, immigrants who have lived in the United States more than 15 years, and U.S.-born Mexican Americans. Guided by the acculturation phenomenon and the social ecological model, the current study assessed all 1,732 Mexican American children 12-19 years old who participated in the National Health and Nutrition Examination Survey between 2003 and 2008 to determine the association between body mass index (BMI) and language, years living in the United States, citizenship, birth country, household income and size, and school attendance. Analysis of variance and linear regression were used for statistical analysis. All of these variables were significantly associated with BMI in both the bivariate and linear regression analysis, although the R-squared value was small at .138, indicating that additional factors not included in this study also influence BMI. Measuring obesity and the correlated acculturation variables with currently available data sets will provide insight in the planning and administering effective interventions for Mexican American children 12-19 years of age and promote the global social change goal of healthy weights for all children.

Master of Science / Department of Hospitality Management and Dietetics / Kevin Sauer / Registered Dietitians (RDs) attribute the success of their careers to a variety of factors, including formal education, influential mentors, specific skill sets, flexibility, and even having a supportive spouse. RDs with strong management skills are increasingly in demand in order to coordinate nutrition care and services in a cost effective manner. Clinical Nutrition Managers (CNMs) specifically coordinate medical nutrition therapy across the continuum of patient care. To aid in the career development of CNMs, research is necessary to determine the factors that have positive and negative effects on their career paths. This study examined intrinsic and extrinsic factors that impact the career paths of CNMs in addition to perceived career satisfaction. A five-part online survey was disseminated to members of the Clinical Nutrition Management Dietetic Practice Group (CNM DPG). CNMs were also defined as RDs who coordinate medical nutrition therapy and who manage personnel, finances, or both. Results (n=146) of both quantitative and qualitative analyses identified key intrinsic factors that demonstrated a positive effect on CNMs’ career paths including self-motivation, communication skills, teamwork, and leadership skills. The study also examined CNMs’ perceptions about the extrinsic factors on their career paths. Support from upper-level management and administration was identified as a crucial factor in career advancement. Having support from family was shown to be a positive influence, while many CNMs also reported that family needs and expectations, unforeseen life circumstances, and the economic climate had limited their career paths. Social service motivation had a slightly positive influence on career paths. Perceptions about career satisfaction indicated that CNMs were moderately satisfied with overall career success but less satisfied with income and career ladders. This study serves as an important precursor to future research which could explore CNMs’ perceptions regarding pay equity as well as the intrinsic and extrinsic factors that are more critical at various junctures in their career paths. Results from the study also help to fill an existing gap in the dietetics and career path literature and will also assist the Academy of Nutrition and Dietetics and others in developing strategies to foster the career development of CNMs.

Metabolic syndrome is a grouping of criteria that includes hypertension, glucose intolerance, truncal obesity and/or a high body mass index (BMI), insulin resistance, high very-low-density lipoproteins, high triglycerides, and low high-density lipoproteins. Metabolic syndrome is a problem in Hispanic children due to increasing obesity rates and a predisposition for insulin resistance in the Hispanic population. Omega-3 fatty acid supplementation has been shown to decrease triglycerides, body mass, insulin resistance, and hypertension while increasing HDL. Inflammatory markers are also reduced after omega-3 supplementation. More research is needed on the supplementation of omega-3 fatty acids in children before guidelines are written. Supplementation and overall intake levels of EPA and DHA can be determined through food frequency questionnaires. Research at this time indicates that supplementation with omega-3 fatty acids could be beneficial for Hispanic children who already partially met the criteria for metabolic syndrome, and is probably not harmful.

Abstract available in The FASEB Journal.

Abstract available in Journal of the Academy of Nutrition and Dietetics.

Abstract available in The Journal of Nutrition, Health, and Aging.

No description available.

No description available.

The American population is aging; by 2030, people over the age of 65 may comprise as much as 20% of the population (Niedert, 2006). As many as 80% of the people in this age group live with at least one chronic illness, and 4.5% of elderly persons in the United States live in nursing homes (Boyle & Holben, 2006). As individuals age into late adulthood, they may experience lessening abilities to think clearly and to move as dexterously as well as a decline in bodily functions that may inhibit their ability to perform tasks of daily living (Boyle & Holben, 2006). These experiences also hinder nutrient intake.

The federal government established nutrition assistance programs such as the School Breakfast Program and school districts have implemented Breakfast in the Classroom (BIC) to improve participation rates, yet millions of low-income children do not partake in these programs. Thus, many school districts are failing to meet the nutritional needs of the low-income population, which can have negative effects on a child's healthy development. The purpose of this qualitative case study was to observe and explore teachers' perspectives regarding school breakfast implementation in a small school district in the Mid-Atlantic region of the United States. Research questions examined experiences with implementation, benefits and challenges to the program, and how children's needs are impacted based on Maslow's hierarchy of needs, the theoretical framework for this study. Data from the research participants' interviews, journals, and classroom observations were coded, themes were identified, and triangulation occurred to answer the research questions. Findings indicated changes need to be made with food portions, food options, food quality, the logistics of implementation, and outreach efforts. Recommendations included changing equipment, providing equal amounts of food, evaluating food options and quality, providing clean up supplies, and educating parents on BIC. Stakeholders addressing these challenges can increase support and participation rates in the program, leading to positive social change. Implications for positive social change include reduced state costs associated with hunger, decreased food insecurity for low-income families, improved behaviors in the classroom, and improved support of the physiological, safety, and socialization needs of children.