The Effects of Infant Feeding Techniques and Nutrient Intakes on Formula fed Infants
|
|
- Ambrose Haynes
- 6 years ago
- Views:
Transcription
1 The Effects of Infant Feeding Techniques and Nutrient Intakes on Formula fed Infants Misty Schwartz, PhD, RN, Barbara Synowiecki, MSN, APRN, C PNP Creighton University College of Nursing Thank You: Health Future Foundation Faculty Development Grant Background Obesity Childhood obesity epidemic well established pre stages adult obesity Racial & socioeconomic disparities influence Breast vs. Formula feeding Emphasis on breast feeding irrefutable Feeding method decisions complex based on lifestyle, socioeconomic status, education level, medical considerations of mother & infant Formula feeding parents receive less education and support Less education results in formula inaccuracies & earlier introduction of complementary foods Conflicting & inconclusive findings on infant feeding practices & outcomes 1
2 Obesity risk factors Formula Feeding Maternal BMI Formula Feeding Maternal smoking Minority race Low Maternal education Low SES Overfeeding Early introduction of complimentary foods Higher protein in formula Errors in formula preparation Lifestyle Socioeconomic Status Education Level Medical considerations Younger mothers Lower maternal education Lower socioeconomic status Lower education Feeding decision (BF vs FF) Early introduction of complimentary foods Purpose & Specific Aims: Purpose: To assess prospectively the feeding techniques and nutrient intakes of infants who are formula fed from birth to six months of age. Specific Aim # 1: To determine whether formula fed infants consume more calories and protein than amounts recommended by the NAM, NAS between birth and six months of age. Specific Aim #2: To determine the age at which formula fed infants have solid (complementary) foods introduced. Specific Aim #3: To determine skin fold thickness and height and weight velocity in FF infants and to compare these velocities to WHO growth charts. 2
3 Methods This was an exploratory prospective approach Sample = 30 exclusively formula fed infants Growth of infants was studied over a 6 month time frame. Each infant was followed for 4 months (from 2 6 months of age). Growth parameters from birth were gathered and then we assessed at 2, 4 & 6 months. Diet diaries were also collected at each visit. Demographic information Enrolled completed 2 lost to follow through (after 1 visit & 1 after 2 visits) Females N = 13 (43%) Males N = 17 (57%) Female Male Race & Ethnicity: Black/African American N = 10 White N = 10 Native American N = 2 More than one race/ethnicity identified N = 8 Hispanic/Latino N = 8 Hispanic White Black Native American Recruitment 57% 43% 33% 7% 27% January, 2014 August, % 3
4 Median Income Medican Income FFS Study Douglas Sarpy Pott Percent (%) Below Poverty Level All Age: 18 & below Age: 5 & below FFS Douglas Sarpy Pott 4
5 Symptoms per Visit Rash Restless Fussiness Fever 0 Constipation Diarrhea Gassiness Appetite Vomiting Visit 1 Visit 2 Visit 3 Visit 1 Visit 2 Visit 3 Medication Information 16 different babies were given 29 medications Time 1 10 (33%) Time 2 14 (47%) Time 3 13 (43%) Symptoms and related medications: Rash: Hydrocortosone Cream Constipation: Glycerin Supp Miralax Lactulose Reflux: Ranitidine (Zantac) Omeprazole (Prilosec) Nazitidine (Axid) Previcid Nutrition Polyvitamin Infection: Amoxicillin Albuterol Nutrition 9% Infection 14% Reflux 48% Rash 5% Constipation 24% Rash Constipation Reflux Nutrition Infection 5
6 Specific Aim # 1: To determine whether formula fed infants consume more calories and protein than amounts recommended by the IOM, NAS between birth and six months of age. Methods: Calculated individual recommendations for calories and protein for each infant based on their age, gender, and weight for each visit. Paired samples t test & one sample t test Calories Actual Calorie Intake vs Recommended Calorie Intake Protein Actual Protein Intake vs Recommended Protein Intake Statistical Results: Mean difference Time1= 112 (SE = 28), 95% CI [55, 169], t(29) = 3.99, p <.001. d =.73, representing a medium to large effect. Mean difference Time2 = 123 (SE = 40), 95% CI [41, 205], t(29) = 3.06, p =.005. d =.47, representing a medium effect. Mean difference Time 3 = 151 (SE = 50), 95% CI [49, 254], t(27) = 3.03, p =.005. d =.57, representing a medium effect. On average, infants received significantly more calories than their individual calorie recommendations. Specific Aim # 1: To determine whether formula fed infants consume more calories and protein than amounts recommended by the IOM, NAS between birth and six months of age. Methods: Calculated individual recommendations for calories and protein for each infant based on their age, gender, and weight for each visit. Paired samples t test & one sample t test Calories Actual Calorie Intake vs Recommended Calorie Intake Protein Actual Protein Intake vs Recommended Protein Intake Statistical Results: Mean difference Time1= 7 (SE =.77), 95% CI [5, 8], t(29) = 8.97, p <.001. d = 1.64, representing a large effect size. Mean difference Time2 = 6 (SE =.97), 95% CI [4, 8], t(29) = 5.73, p <.001. d = 1.05, representing a large effect size. Mean difference Time 3 = 7 (SE = 1.6), 95% CI [3, 10], t(26) = 4.22, p <.001. d =.81, representing a large effect size. On average, infants received significantly more protein than their individual calorie recommendations. 6
7 60 Overfed by Classification Mean Overfed (%) Time1 Time2 Time3 Low ( < 25%) High ( 25%) This seems to suggest that overfeeding early is related to overfeeding later or continued overfeeding. 7
8 Specific Aim #2: To determine the age at which formula fed infants have solid (complementary) foods introduced. 50% # of babies 11% 11% 28% Visit 1 Visit 2 Visit 3 NONE First introduction to complementary foods: Visit 1 3 babies Visit 2 8 babies Visit 3 14 babies No complimentary foods 5 babies Before 6 months: Early introduction 11/29 babies (38%) were receiving complementary foods. At 6 months: 25/28 babies (89%) were receiving complementary foods. Specific Aim #3: To determine skinfold thickness and height and weight velocity in formulafed infants and to compare these velocities to WHO growth charts. Growth Assessments Weight** Length Head circumference Arm circumference Triceps skinfold Subscapular skinfold 8
9 Average Weights (percentiles) Visit 1 Visit 2 Visit 3 %ile Conclusions In general, parents in this study were mixing the formula correctly and they were fairly consistent in their daily feeding patterns. We found that the parents in our study were overfeeding both in calories and protein. Many parents in this study were introducing complementary food before the AAP recommendations of around 6 months of age. Growth patterns are increasing and may be increasing at a higher rate than the WHO growth curve patterns. Also it seems that there is a fairly large number of medications and especially meds related to GI and/or other symptom related. 9
10 Recommendations for Future Research Next: Another exploratory study but externally funded Collect more demographic data Consider dual energy absorptiometry (DeXA) scan as an assessment Focus on health disparities and high risk populations in order to provide the best health outcomes possible Examine both parent and infant cues Then: Intervention Study with infants in the first year of life Focus on education to prevent overfeeding and appropriate timing of the introduction of complimentary foods Follow infants through toddler stage while introducing new foods and establishing dietary habits. 10
Nutrition and Health of Low-income Populations: Changes Over Time
Nutrition and Health of Low-income Populations: Changes Over Time Jackson P. Sekhobo, PhD, MPA Methods & Approaches to the of WIC Food Packages: IOM Phase I Data Gathering Workshop March 12 13, 2015, Washington,
More informationEvaluation of Failure to Thrive in a Young Child: Case Example of Jeff. Andrew Hsi, MD, MPH Family Medicine Pediatric Grand Rounds, 8 August 2012
Evaluation of Failure to Thrive in a Young Child: Case Example of Jeff Andrew Hsi, MD, MPH Family Medicine Pediatric Grand Rounds, 8 August 2012 Objectives for Presentation At the end of this talk; the
More informationWHO Growth Grids/ 2012 Risk Changes. Diane Traver Joyce Bryant
WHO Growth Grids/ 2012 Risk Changes Diane Traver Joyce Bryant Overview CDC vs WHO Growth Charts- Why Change? Transition from
More informationStaff Quiz. 1. Serial measurements are necessary for identification of growth trends in children. TRUE / FALSE
Staff Quiz 1. Serial measurements are necessary for identification of growth trends in children. TRUE / FALSE 2. The WHO Child Growth Standards illustrate how healthy children should grow, whereas the
More informationDr. ABDULLAH ERDİL. Pediatrician Ordu University/TURKEY
Dr. ABDULLAH ERDİL Pediatrician Ordu University/TURKEY 1 Outline Introduction /Aim Material /Methods Result Conclusions 2 Loss of appetite The unwillingness to eat Introduction Influence of children's
More informationMaternal and Infant Nutrition Briefs
Maternal and Infant Nutrition Briefs A research-based newsletter prepared by the University of California for professionals interested in maternal and infant nutrition March/April 2003 New Guidelines on
More informationWorld Health Organization Growth Standards. First Nations and Inuit Health Alberta Region: Training Module May 2011
World Health Organization Growth Standards First Nations and Inuit Health Alberta Region: Training Module May 2011 Acknowledgements First Nation and Inuit Health Alberta Region would like to thank the
More informationEveryday!!! Childhood Obesity
Childhood Obesity S O U T H W E S T C O M M U N I T Y H E A L T H C E N T E R S E A R C H P R O J E C T L A C Y B I R D S E Y E R N, B S N ( F N P S T U D E N T ) F A I R F I E L D U N I V E R S I T Y
More informationHappy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser
Dear colleagues, Happy Holidays. Below are the highlights of the articles summarized in this issue of Maternal and Infant Nutrition Briefs. Best Wishes, Lucia Kaiser Do pregnant teens need to get their
More informationBaptist Health Jacksonville Community Health Needs Assessment Implementation Plans. Health Disparities. Preventive Health Care.
Baptist Health Jacksonville Community Health Needs Assessment Implementation Plans Health Disparities Infant Mortality Prostate Cancer Heart Disease and Stroke Hypertension Diabetes Behavioral Health Preventive
More informationImpact of infant feeding on growth trajectory patterns in childhood and body composition in young adulthood
Impact of infant feeding on growth trajectory patterns in childhood and body composition in young adulthood WP10 working group of the Early Nutrition Project Peter Rzehak*, Wendy H. Oddy,* Maria Luisa
More informationMoving Forward in 2010 Health Status by Race and Ethnicity
Health Status by Race and Ethnicity 2005 Versus 2010 April Young Bennett, MPA Utah Department of Health, Center for Multicultural Health/ Office of Health Disparities Reduction Methods Analysis Years:
More informationChildhood Obesity and Type II Diabetes: A Rising Epidemic
Childhood Obesity and Type II Diabetes: A Rising Epidemic Charli Oquin, MS, APRN, PNP, NCSN, CNA Presentation Texas Association of Perianesthesia Nurses (TAPAN) September, 2010 National Initiatives Addressing
More informationPediatric Nutrition Care as a strategy to prevent hospital malnutrition. Div Pediatric Nutrition and Metabolic Diseases Dept of Child Health
Pediatric Nutrition Care as a strategy to prevent hospital malnutrition Div Pediatric Nutrition and Metabolic Diseases Dept of Child Health Child is not a miniature adult Specific for child growth and
More informationMeasuring Equitable Care to Support Quality Improvement
Measuring Equitable Care to Support Quality Improvement Berny Gould RN, MNA Sr. Director, Quality, Hospital Oversight, and Equitable Care Prepared by: Sharon Takeda Platt, PhD Center for Healthcare Analytics
More informationNutritional Assessment & Monitoring of Hospitalized Children
Nutritional Assessment & Monitoring of Hospitalized Children Kehkashan Zehra, Clinical Dietitian Sindh Institute of Urology & Transplantation, Karachi In Pakistan 42% of children aged < 5 years are stunted
More informationPrevalence, Trends and Disparities in Beverage Consumption Among Young Children aged 0-24 months from NHANES
Prevalence, Trends and Disparities in Beverage Consumption Among Young Children aged 0-24 months from NHANES Anna Maria Siega-Riz, PhD Professor of Public Health Sciences and Obstetrics and Gynecology
More informationRecords identified through database searching (n = 548): CINAHL (135), PubMed (39), Medline (190), ProQuest Nursing (39), PsyInFo (145)
Included Eligibility Screening Identification Figure S1: PRISMA 2009 flow diagram* Records identified through database searching (n = 548): CINAHL (135), PubMed (39), Medline (190), ProQuest Nursing (39),
More informationTiming of the introduction of complementary feeding and risk of childhood obesity: a systematic review
International Journal of Obesity (2013) 37, 1295 1306 & 2013 Macmillan Publishers Limited All rights reserved 0307-0565/13 www.nature.com/ijo PEDIATRIC REVIEW Timing of the introduction of complementary
More informationBroadening Course YPHY0001 Practical Session II (October 11, 2006) Assessment of Body Fat
Sheng HP - 1 Broadening Course YPHY0001 Practical Session II (October 11, 2006) Assessment of Body Fat REQUIRED FOR THIS PRACTICAL SESSION: 1. Please wear short-sleeve shirts / blouses for skin-fold measurements.
More informationDietetic Assessment of Children with Cystic Fibrosis
Dietetic Assessment of Children with Cystic Fibrosis Prepared by: Scottish CF Paediatric Dietitians Group Lead Author: Elsie Thomson, Royal Aberdeen Childrens Hospital SPCF MCN dietetic protocols co-ordinator/editor:
More informationScreening in well baby clinic
Screening in well baby clinic Dr. Abdulmoein Al-Agha, Ass. Professor & Consultant Pediatrician, KAUH & Erfan Hospital, Jeddah Well baby clinic IS Not only for vaccinations and check up for fever & URTI!!!
More informationChildhood Obesity in the UK - Dietetic Approaches
Childhood Obesity in the UK - Dietetic Approaches Julie Lanigan RD, Ph.D. Principal Research Fellow Childhood Nutrition Research Centre UCL GOS Institute of Child Health Chair, British Dietetic Association
More informationNutritional Considerations in Pediatric Oncology: An overview and multidisciplinary panel discussion
Nutritional Considerations in Pediatric Oncology: An overview and multidisciplinary panel discussion Ana K. Cárdenas, MS, RD, CLC Clinical Dietitian Celia Framson, MPH, RD Clinical Dietitian Objectives
More information220 SUBJECT INDEX. D Diarrhea and sodium balance, 74 weanling, 161,179,208,212; see also Infection
Subject Index Acid balance, see ph Allergy, food, see also Immunity and beikost, 143-144 and breast milk, 91,143 and formula, 89-90 Antidiuretic hormone, 66 67 Antigens, see also Immunity determinants,
More informationBroadening Course YPHY0001 Practical Session III (March 19, 2008) Assessment of Body Fat
Sheng HP - 1 Broadening Course YPHY0001 Practical Session III (March 19, 2008) Assessment of Body Fat REQUIRED FOR THIS PRACTICAL SESSION: 1. Please wear short-sleeve shirts / blouses. Shirts / blouses
More informationChapter 10 Lecture. Health: The Basics Tenth Edition. Reaching and Maintaining a Healthy Weight
Chapter 10 Lecture Health: The Basics Tenth Edition Reaching and Maintaining a Healthy Weight OBJECTIVES Define overweight and obesity, describe the current epidemic of overweight/obesity in the United
More informationNutritional Support in Paediatric Patients
Nutritional Support in Paediatric Patients Topic 4 Module 4.5 Nutritional Evaluation of the Hospitalized Children Learning objectives Olivier Goulet To be aware of how malnutrition presents and how to
More informationWHO Child Growth Standards
WHO Child Growth Standards Implications for everyday practice Dr Mercedes de Onis Department of Nutrition World Health Organization Geneva, Switzerland 1 year 2 years 3 years 4 years 5 years WHO Child
More informationHealthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012
Healthy Montgomery Obesity Work Group Montgomery County Obesity Profile July 19, 2012 Prepared by: Rachel Simpson, BS Colleen Ryan Smith, MPH Ruth Martin, MPH, MBA Hawa Barry, BS Executive Summary Over
More informationPrevalence of Overweight Among Anchorage Children: A Study of Anchorage School District Data:
Department of Health and Social Services Division of Public Health Section of Epidemiology Joel Gilbertson, Commissioner Richard Mandsager, MD, Director Beth Funk, MD, MPH, Editor 36 C Street, Suite 54,
More information4/15/2014. Nurses Take the Lead to Improve Overall Infant Growth. Improving early nutrition. Problem Identification
Nurses Take the Lead to Improve Overall Infant Growth Cathy Lee Leon, RN, BSN, MBA, NE-BC California Pacific Medical Center-San Francisco Improving early nutrition Standardized feeding protocol Problem
More informationStudy Exercises: 1. What special dietary needs do children <1 yr of age have and why?
Exam 3 Review: Lectures 21+ Nutrition 150 Winter 2007 Exam: Monday, March 19, 8-10am in regular classroom Strategies for Studying: 1) Go over all lectures including those given by fellow students 2) Read
More informationSports Performance 15. Section 3.2: Body Composition
Sports Performance 15 Section 3.2: Body Composition The relative percentage of muscle, fat, bone and other tissue in the body Our primary concern in this unit is body fatness and how it pertains to athletic
More informationOur Healthy Community Partnership. and the Brown/Black Coalition are. pleased to release the Douglas County Health and
Our Healthy Community Partnership and the Brown/Black Coalition are pleased to release the 2007 Douglas County Health and Disparities Report Card. This report provides a snapshot of local disparities in
More informationComplimentary Feeding
Modifiable Protective & Risk Factors Associated with Overweight and Obesity Birth through age 5 Complimentary Feeding Jose M. Saavedra, MD, Chief Medical Officer Nestlé Nutrition & Associate Professor
More informationChildhood Obesity. Examining the childhood obesity epidemic and current community intervention strategies. Whitney Lundy
Childhood Obesity Examining the childhood obesity epidemic and current community intervention strategies Whitney Lundy wmlundy@crimson.ua.edu Introduction Childhood obesity in the United States is a significant
More informationAbstract. Nutritional status and Health implication of ongoing Nutrition Transition in India
Abstract Nutritional status and Health implication of ongoing Nutrition Transition in India Vandana Bhattacharya Research Officer Department of social science, National Institute of Health and Family Welfare,
More informationMaternal and Infant Nutrition Briefs
Maternal and Infant Nutrition Briefs January/February 2004 A research-based newsletter prepared by the University of California for professionals interested in maternal and infant nutrition What are Infants
More informationIII. Health Status and Disparities
Mid-America Regional Council and REACH Healthcare Foundation Regional Health Assessment March 2015 www.marc.org/healthassessment III. Health Status and Disparities Community health outcomes are often a
More informationStudent Guide Module 8: Nutrition and Malnutrition
Student Guide Module 8: Nutrition and Malnutrition Objectives of the station Plan and develop measures to assess the nutritional status of populations displaced by disasters, and to ensure optimal nutritional
More informationNutrition Management in GI Diseases
Nutrition Management in GI Diseases Aryono Hendarto MD Nutrition & Metabolic Diseases Division Department of Child Health Cipto Mangunkusumo Hospital University of Indonesia 1 Patient s Care 1. Drugs 2.
More informationELIMINATING HEALTH DISPARITIES IN AN URBAN AREA. VIRGINIA A. CAINE, M.D., DIRECTOR MARION COUNTY HEALTH DEPARTMENT INDIANAPOLIS, INDIANA May 1, 2002
ELIMINATING HEALTH DISPARITIES IN AN URBAN AREA VIRGINIA A. CAINE, M.D., DIRECTOR MARION COUNTY HEALTH DEPARTMENT INDIANAPOLIS, INDIANA May 1, 2002 Racial and ethnic disparities in health care are unacceptable
More informationExclusive breastfeeding duration and cardiorespiratory fitness in children and adolescents
THE POWER OF PROGRAMMING 2014 International Conference on Developmental Origins of Adiposity and Long-Term Health March 13-15, Munich, Germany Exclusive breastfeeding duration and cardiorespiratory fitness
More informationLooking Toward State Health Assessment.
CONNECTICUT DEPARTMENT OF PUBLIC HEALTH Policy, Planning and Analysis. Looking Toward 2000 - State Health Assessment. Table of Contents Glossary Maps Appendices Publications Public Health Code PP&A Main
More informationMaternal and Infant Nutrition Briefs
Maternal and Infant Nutrition Briefs November/December 2002 A research-based newsletter prepared by the University of California for professionals interested in maternal and infant nutrition Recent Trends
More informationIs there an association between waist circumference and type 2 diabetes or impaired fasting glucose in US adolescents?
Is there an association between waist circumference and type 2 diabetes or impaired fasting glucose in US adolescents? Meghann M. Moore, RD, CD Masters Thesis Maternal & Child Health Track School of Public
More informationPediatric Overweight and Obesity
Pediatric Overweight and Obesity Cambria Garell, MD Assistant Clinical Professor UCLA Fit for Healthy Weight Program Associate Program Director Pediatric Residency Program Mattel Children s Hospital UCLA
More informationThe Institute of Medicine January 8, 2009
Meeting the Challenges of Generating Useful Evidence and Using it Effectively in Obesity Prevention Decision-making The January 8, 2009 Promoting Healthy Weight using The Bright Futures Guidelines Joseph
More informationASSOCIATIONS OF EARLY INFANT FEEDING AND ADIPOSITY AMONG SCHOOL- AGED CHILDREN CHRISTINA LAUREN WHITWORTH. (Under the Direction of Alex Kojo Anderson)
ASSOCIATIONS OF EARLY INFANT FEEDING AND ADIPOSITY AMONG SCHOOL- AGED CHILDREN by CHRISTINA LAUREN WHITWORTH (Under the Direction of Alex Kojo Anderson) ABSTRACT The purpose of this study was to examine
More informationDISCLOSURES: 8/27/18 USE OF A SHARED MEDICAL APPOINTMENT FOR PEDIATRIC OBESITY
DISCLOSURES: Nothing to disclose USE OF A SHARED MEDICAL APPOINTMENT FOR PEDIATRIC OBESITY Catherine Lux, DNP,RN,CPNP-PC https://encrypted-tbn0.gstatic.com/images?q=tbn:and9gcrafxzs7e6tfxm2vxdjdp9fmkun25ryuuyqimh2f4zgg2df_gs_sq
More informationPublic Health and Nutrition in Older Adults. Patricia P. Barry, MD, MPH Merck Institute of Aging & Health and George Washington University
Public Health and Nutrition in Older Adults Patricia P. Barry, MD, MPH Merck Institute of Aging & Health and George Washington University Public Health and Nutrition in Older Adults n Overview of nutrition
More informationUNIT 4 ASSESSMENT OF NUTRITIONAL STATUS
UNIT 4 ASSESSMENT OF NUTRITIONAL STATUS COMMUNITY HEALTH NUTRITION BSPH 314 CHITUNDU KASASE BACHELOR OF SCIENCE IN PUBLIC HEALTH UNIVERSITY OF LUSAKA 1. Measurement of dietary intake 2. Anthropometry 3.
More informationCommunity Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 2006
Community Health Profile: Minnesota, Wisconsin, & Michigan Tribal Communities 26 This report is produced by: The Great Lakes EpiCenter If you would like to reproduce any of the information contained in
More informationBreastfeeding comparisons between initiation, days and 6-8 weeks in
Breastfeeding comparisons between initiation, 10-14-days and 6-8 weeks in 2015-16 Breastfeeding comparisons at initiation, 10-14 days and 6-8 weeks in 2015/16 The following report includes information
More informationEmergent Issues Affecting Early Intervention/ Early Childhood. Workforce Development for Inclusion in Early Childhood November 4, 2017 Washington, DC
Emergent Issues Affecting Early Intervention/ Early Childhood Workforce Development for Inclusion in Early Childhood November 4, 2017 Washington, DC Conversation Points Changing Demographics Emergent Trends
More informationFeeding the Small for Gestational Age Infant. Feeding the Small for Gestational Age Infant
Feeding the Small for Gestational Age Infant Feeding the Small for Gestational Age Infant What s the right strategy? Infants born small-for-gestational age (SGA) are at higher risk for adult diseases.
More informationWorld Health Organization Growth Standards. BC Training Module PowerPoint Speaking Notes
World Health Organization Growth Standards BC Training Module PowerPoint Speaking Notes May 30, 2011 British Columbia WHO Growth Chart Training June 2011 Page 1 PowerPoint Speaking Notes Slide 1 Title
More informationPrinciples of Nutrition NFS 211
Principles of Nutrition NFS 211 What does it mean to you? The science of nutrition is the science of food; the nutrients and the substances therein; their action, interaction, and balance in relation to
More informationThe 2008 Feeding Infants and Toddlers Study: Data to Inform Action to Reduce Childhood Obesity
The 2008 Feeding Infants and Toddlers Study: Data to Inform Action to Reduce Childhood Obesity Ronette Briefel, Dr.P.H., R.D. Senior Fellow Mathematica Policy Research FITS 2008 Feeding Infants & Toddlers
More informationObesity Epidemiological Concerns
Obesity Epidemiological Concerns H.S. Teitelbaum, DO, PhD, MPH, FAOCOPM (dist.) Special Session, OMED 2016. Chicago, Illinois Dean Designee California Central Valley College of Osteopathic Medicine Obesity
More informationPre-Conception & Pregnancy in Ohio
Pre-Conception & Pregnancy in Ohio Elizabeth Conrey, PhD 1 January 217 1 State Maternal and Child Health Epidemiologist, Ohio Department of Health EXECUTIVE SUMMARY The primary objective of the analyses
More informationRunning Head: CLASSIFYING SMALL FOR GESTATIONAL AGE INFANTS 1
Running Head: CLASSIFYING SMALL FOR GESTATIONAL AGE INFANTS 1 Classifying Small for Gestational Age Infants with Consideration for Multiple Variables Laura Beth Cook, SN and Thelma Patrick, PhD, RN The
More information2013 DUPLIN COUNTY SOTCH REPORT
2013 DUPLIN COUNTY SOTCH REPORT December 2013 State of the County Health Report The State of the County Health Report (SOTCH) provides a snapshot of the health issues affecting the residents of Duplin
More informationNutrition & Physical Activity Profile Worksheets
Nutrition & Physical Activity Profile Worksheets In these worksheets you will consider nutrition-related and physical activity-related health indicators for your community. If you cannot find local-level
More informationMethodological issues in the use of anthropometry for evaluation of nutritional status
Methodological issues in the use of anthropometry for evaluation of nutritional status Monika Blössner WHO Department of Nutrition for Health and Development Methodological issues in the use of anthropometry?
More informationAlice Lenihan, MPH,RD,LDN Branch Head Nutrition Services NC Division of Public Health Child Obesity Task Force February 11, 2009
Access to Nutritious Foods Alice Lenihan, MPH,RD,LDN Branch Head Nutrition Services NC Division of Public Health Child Obesity Task Force February 11, 2009 1 Discussion Origins and influences on childhood
More informationPrevalence, Trends, and Disparities in Beverage Consumption Among Young Children aged 0 to 4y: Findings From FITS 2016
Prevalence, Trends, and Disparities in Beverage Consumption Among Young Children aged to 4y: Findings From FITS 216 Mary Story, PhD, RD Duke University Emily Welker MPH, RD Duke University Emma Jacquier,
More informationMultnomah County Health Department. Report Card on Racial and Ethnic Health Disparities. April 2011
Multnomah County Health Department Report Card on Racial and Ethnic Health Disparities April 2011 Lillian Shirley, Director, Multnomah County Health Department Sandy Johnson, Office of Health and Social
More information3/16/2018. Normal patterns of growth Definition and causes of FTT Medical evaluation and management Effects of FTT Early intervention
WI CAN Educational Series Hillary W. Petska, MD, MPH, FAAP Child Advocacy and Protection Services Children s Hospital of Wisconsin Normal patterns of growth Definition and causes of FTT Medical evaluation
More informationAtypical Antipsychotics and Diabetes. Henry Olders,, MD, FRCPC 11 September 2003
Atypical Antipsychotics and Diabetes Henry Olders,, MD, FRCPC 11 September 2003 1 Outline Atypical antipsychotics (AAPs)) cause weight gain and diabetes in some patients How can we identify which patients
More information34th St. and Civic Center Blvd, Philadelphia, PA 19104, phone
34th St. and Civic Center Blvd, Philadelphia, PA 19104, phone 215-590-3630 www.chop.edu/gastroenterology Please complete this form prior to your child s visit. Please fax to (215) 590-7224 or e-mail it
More informationAOHS Global Health. Unit 3, Lesson 9. Causes and Effects of Malnutrition
AOHS Global Health Unit 3, Lesson 9 Causes and Effects of Malnutrition Copyright 2012 2016 NAF. All rights reserved. Nutritional status has a major impact on health status Health of pregnant women and
More informationDiet and eating behaviour of children in Baseline - the good, the bad and the fattening? PLUS A brief update on vitamin D in BL 2-year olds
Diet and eating behaviour of children in Baseline - the good, the bad and the fattening? PLUS A brief update on vitamin D in BL 2-year olds Mairead Kiely, Elaine McCarthy & Carol Ni Chaoimh Vitamin D Research
More informationThe Rationale and Potential Consequences of The Revised WIC Food Packages. Barbara Devaney Mathematica Policy Research
The Rationale and Potential Consequences of The Revised WIC Food Packages Barbara Devaney Mathematica Policy Research Paper presented at the 29th Annual Meeting of the Association for Public Policy Analysis
More informationCHAPTER 9. Anthropometry and Body Composition
CHAPTER 9 Anthropometry and Body Composition 9.1 INTRODUCTION Ageing is characterized by reduction in fat free mass (FFM), primarily via loss of muscle mass, loss of bone mineral in women, redistribution
More information3. Factors such as race, age, sex, and a person s physiological state are all considered determinants of disease. a. True
/ False 1. Epidemiology is the basic science of public health. LEARNING OBJECTIVES: CNIA.BOYL.17.2.1 - Define epidemiology. 2. Within the field of epidemiology, the term distribution refers to the relationship
More informationThe Flavor World of Childhood: Basic Biology and Health Implications. Julie A. Mennella, PhD Monell Chemical Senses Center Philadelphia, PA
The Flavor World of Childhood: Basic Biology and Health Implications Julie A. Mennella, PhD Monell Chemical Senses Center Philadelphia, PA Julie A. Mennella, PhD Financial Disclosures No relevant financial
More informationHealth Concern. Obesity Guilford County Department of Public Health Community Health Assessment
2012-2013 Guilford County Department of Public Health Community Health Assessment 10 Health Concern The leading causes of death in Guilford County are chronic degenerative diseases, especially cancer and
More informationChildhood Obesity: A National Focus
Childhood Obesity: A National Focus Christopher Roller Director of Advocacy and State Health Alliances American Heart Association, Nevada Presentation to the WCHD Childhood Obesity Forum, September 15
More informationNeed for Early Interventions in the Prevention of Pediatric Overweight: A Review and Upcoming Directions
Need for Early Interventions in the Prevention of Pediatric Overweight: A Review and Upcoming Directions The Harvard community has made this article openly available. Please share how this access benefits
More informationAnnette s Place Inc. Nutrition & Food Safety Policy
National Quality Standard (NQS) Our Service recognises the importance of healthy eating to promote the growth and development of young children and is committed to supporting the healthy food and drink
More information69677 Bron, France 5 Rhone-Alpes Human Nutrition Research Center, Hopital Lyon Sud, F Pierre-Benite, France
British Journal of Nutrition (2016), 115, 271 284 The Authors 2015. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/),
More informationBREASTFEEDING TO PREVENT DOUBLE BURDEN OF MALNUTRITION
BREASTFEEDING TO PREVENT DOUBLE BURDEN OF MALNUTRITION Sirinuch Chomtho Department of Pediatrics, Chulalongkorn University, Bangkok, Thailand The double burden of malnutrition means under- and over-nutrition
More informationCommunity Health Profile: Minnesota, Wisconsin & Michigan Tribal Communities 2005
Community Health Profile: Minnesota, Wisconsin & Michigan Tribal Communities 25 This report is produced by: The Great Lakes EpiCenter If you would like to reproduce any of the information contained in
More informationStudy of Serum Hepcidin as a Potential Mediator of the Disrupted Iron Metabolism in Obese Adolescents
Study of Serum Hepcidin as a Potential Mediator of the Disrupted Iron Metabolism in Obese Adolescents Prof. Azza Abdel Shaheed Prof. of Child Health NRC National Research Centre Egypt Prevalence of childhood
More informationShould I breastfeed or keep smoking? Linked decisions by low-income Shelby County women
Should I breastfeed or keep smoking? Linked decisions by low-income Shelby County women Kenneth D. Ward, PhD Professor and Director, Division of Social and Behavioral Sciences School of Public Health The
More informationMarch 30, ASN Comments and Additions to Select, Proposed Topics and Questions are in Red Below
March 30, 2018 The American Society for Nutrition (ASN) appreciates the opportunity to comment on the proposed topics and supporting scientific questions that will be considered during the development
More informationThe Grow Clinic and the Nutrition Prescription
The Grow Clinic and the Nutrition Prescription Emily Sylvester, MS, RD, LDN, IBCLC Southeastern pediatric nutrition conference November 9 th, 2018 Disclosures Founder/Owner Breastfeeding Help @ Home Not
More informationBest Practice. Body Mass Index and Nutrition Screening. How to properly use BMI measurements for appropriate nutrition care NUTRITION CONNECTION
by Brenda Richardson, MA, RDN, LD, CD, FAND 1 HOUR CE CBDM Approved Best Practice Body Mass Index and Nutrition Screening NUTRITION CONNECTION How to properly use BMI measurements for appropriate nutrition
More informationHealth Disparities Research. Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration
Health Disparities Research Kyu Rhee, MD, MPP, FAAP, FACP Chief Public Health Officer Health Resources and Services Administration Outline on Health Disparities Research What is a health disparity? (DETECT)
More informationNutritional Status of Children Attending First Year Primary School in Derna, Libya in 2007
Nutritional Status of Children Attending First Year Primary School in Derna, Libya in 2007 Foad Al Magri*, Samia S. Aziz,** and Omar El Shourbagy,* Abstract: Background: School-age children attempt to
More informationNutrition & Food Safety Policy LDC
Nutrition & Food Safety Policy National Quality Standard (NQS) Our Service recognises the importance of healthy eating to promote the growth and development of young children and is committed to supporting
More informationWorcester County Report Card 2012
Worcester County Report Card 2012 W H Deborah Goeller, R.N., M.S. Health Officer Introduction This community health 2012 Report Card is the fourth published by the Worcester County Health Department. There
More informationHEALTH CARE DISPARITIES. Bhuvana Ramaswamy MD MRCP The Ohio State University Comprehensive Cancer Center
HEALTH CARE DISPARITIES Bhuvana Ramaswamy MD MRCP The Ohio State University Comprehensive Cancer Center Goals Understand the epidemiology of breast cancer Understand the broad management of breast cancer
More informationNUTRITION IN CHILDHOOD
NUTRITION IN CHILDHOOD Nutrient requirement Children growing & developing need more nutritious food May be at risk for malnutrition if : - poor appetite for a long period - eat a limited number of food
More informationWorking Towards Addressing Women s Health Disparities in Arizona
Working Towards Addressing Women s Health Disparities in Arizona Suncerria Tillis, MBA Arizona Health Disparities Center December 6, 2006 National Conference of State Legislatures Women s Health Pre-Conference
More informationAAP Guidelines Regarding Sugarsweetened Beverages for Children Younger than Five Years of Age
AAP Guidelines Regarding Sugarsweetened Beverages for Children Younger than Five Years of Age STEPHEN R. DANIELS, MD, PHD, FAAP CHAIR, AAP COMMITTEE ON NUTRITION University of Colorado School of Medicine
More informationPatient s Name: Birthdate: (dd/mm/yyyy) Sex: Mailing Address: Phone Number: Family Doctor or Paediatrician. How did you hear about the clinic?
Pediatric Intake Form Thank you for taking the time to fill out this form. This information is very important in order to best assess your child s needs. Patient s Name: Birthdate: (dd/mm/yyyy) Mother`s
More informationObjectives. Idea for project. Hospital-wide documentation improvement. Define Pediatric Malnutrition
Objectives Hospital-wide documentation improvement After this presentation, the attendee will be able to: Define Pediatric Malnutrition Susan Goolsby, MS, RD, LD Assistant Director Clinical Nutrition Understand
More information