PHW206: Public Health Aspects of Maternal and Child Nutrition Course Syllabus (Summer 2017)

Transcription

1 PHW206: Public Health Aspects of Maternal and Child Nutrition Course Syllabus (Summer 2017) Table of Contents Course Description...2 Course objectives... 2 Instructor Information... 2 Course Format...3 Course Grading... 2 Course Schedule...3 Week 1: Overview and Nutritional Guidelines... 5 Week 2: Developmental Origins and Maternal Nutrition... 5 Week 3: Infant Nutrition... 6 Week 4: Toddler and Child Nutrition... 7 Week 5: Adolescent Nutrition... 7 Week 6a: Child Obesity... 8 Week 6b: Malnutrition... 8 Course Requirements...3 Required Course Materials... 3 Completion of course modules... 9 Interactive Learning Activities and Associated Deliverables:... 3 Final exam (Week 7)... 9 Policies...9 Due dates... 9 Late assignments... 9 Course Evaluations

2 Course Description Nutrition plays a vital role in human reproduction and child growth and development. This course provides an overview of the major nutritional issues facing infants, children, adolescents and reproductive age women in the United States. The course reviews programs and interventions aimed at improving MCH nutrition and builds student familiarity with evidence based MCH nutrition practice guidelines. The course demonstrates a methodology for applying this knowledge to food choices at a personal and programmatic level. Students will also be asked to engage in a hands on experience with the USA s Supplemental Nutrition Assistance Program (formerly The Food Stamp Program). Supplemental learning activities for this course are highly interactive. Course objectives By the end of this course participants will be able to: Assess nutritional needs of mothers and children at the individual and community level. Identify health disparities that correlate with gaps in maternal, infant, child and adolescent nutrition. Critically evaluate programs and interventions aimed at improving MCH nutrition. Communicate published evidence-based MCH nutrition practice guidelines to program administrators and end users. Recommend actions based on published MCH nutrition practice guidelines at a both personal and programmatic levels. Instructor Information Instructor: Cindy Leung, ScD, MPH Center for Health and Community UCSF School of Medicine Instructor and GSI bcourses mail or cindyleung@berkeley.edu (instructor) Instructional team will respond to within 48 hours of being sent, if not sooner. Office hours: Tuesdays, 4:30 5:30 pm Course Facilitators: Margot Wilk and Krisztina Hosszu Office hours with GSI will be held by appointment. Please contact Margot and Krisztina to set up times, as needed. Course Grading Activities Grade % 2

3 Activities Grade % Weekly assignments, course participation 30% Diet and Health Assessment 15% Behavior Modification Report 15% Fact Sheet Project 20% Final Exam 20% Total 100% Course Requirements Required Course Materials Required: Essentials of Nutrition: A Functional Approach, version 1.0. Maureen Zimmerman and Beth Snow. Electronic version available for purchase at: (Digital All Access Pass $49.95; Online Access $29.95) Expectations Students are expected to complete all modules, including viewing all lectures; completing all required readings and individual activities; and fully participating in class activities by the posted due dates. Check the course website and discussion boards frequently for updates on class assignments and content review. Late work will be penalized, except in documented emergencies. Students are expected to contact Dr. Leung immediately in these circumstances. All submitted assignments are expected to be written clearly. Please use grammar and spell checks, as necessary. Points may be deducted if written work has excessive grammatical or spelling errors that interfere with the readability of the overall assignment. Interactive Learning Activities and Associated Deliverables: Weekly assignments/ course participation There will be weekly Check For Understanding assignments that are meant to assess understanding of the week s learning objectives and core content. There are also weekly discussion boards that discuss topics pertinent to that week s activities and content. Participation in these assignments is expected and will contribute to the final grade. There were be few opportunities for extra credit. 3

4 Diet and health assessment (due Week 3) The objective of the Diet and Health Assessment is to evaluate your overall heart health and dietary intake, and identify areas for improvement. You will calculate your 20-year risk of cardiovascular disease using the new Harvard Healthy Heart Score calculator. You will also conduct a 2-day dietary assessment using the National Cancer Institute s Automated Self-Administered 24-Hour Recall (ASA24) tool. Prepare a three-page report that evaluates your diet and health in relation to national guidelines and comment on changes you can make to improve your overall diet and health. Fact sheet project (draft due Week 4; final project due Week 5) The objective of the Fact Sheet is to delve into the research addressing an issue or problem in the field of Maternal and Child Nutrition. Students are advised to choose a topic of interest to them that has broader public health significance. Prepare a fact sheet document (limit: 4 pages) for a professional audience, such as public health professionals, clinicians or policymakers that succinctly summarizes the state of research on your topic. Project steps: Week 2: Students will select a topic and begin selecting research articles on the topic/issue. Week 4: Students will present a working draft of the fact sheet to the teaching team and receive feedback on the structure, formatting, and content Week 5: Students will submit their written, completed Fact Sheet. Fact sheet data should include at least all of the following headings: Data that describes the relative importance of the topic Data gaps and the research challenges associated with the data gaps, if any The public health significance for the target population A feasibility assessment related to cost or sustainability Recommended next steps Behavior modification project (due Week 6) The objective of the behavior modification project is to identify a behavior that could improve your diet and/or health. These could target any modifiable health behavior, such as diet quality, physical activity, sleep, weight change, smoking, mental health, etc. Examples might include: eating the recommended servings of fruits and vegetables a day, abstaining from sugary beverages, eating the recommended servings of whole grains, getting 30 minutes of physical activity 5 days a week, meditating for 10 minutes before bedtime, etc. Your challenge is to identify a concrete behavioral modification for yourself, one that you are not already meeting and one that would be reasonably attainable with your current lifestyle, and try to adhere to it for 7 days. Please submit your identified behavior modification in Week 4. Prepare a five-page report describing your experience. Why did you select this particular behavior modification? How difficult was it to initially adapt to this new behavior? How difficult was it to maintain this new behavior for 7 days? Did you have to make other modifications to your lifestyle to accommodate this behavioral change? Do you plan to continue this behavior modification in the 4

5 future? Why or why not? How does this experience contribute to your understanding of influencing individual behavior change from a public health or clinical perspective? Course Schedule Week 1: Overview and Nutritional Guidelines 1. Identify health outcomes related to MCH nutrition 2. Describe the socioecological model for MCH nutrition 3. Review components of a healthful diet 4. Distinguish between different methods to assess dietary intake 5. Apply tools that measure diet and overall health that can be used at the population level. Essentials of Nutrition Chapter 2 Achieving a Healthy Diet Essentials of Nutrition Chapter 11 Energy Balance and Body Weight Dietary Guidelines for Americans: Executive Summary Harvard School of Public Health: Healthy Eating Plate and Healthy Eating Pyramid USDA CNPP Nutrition Insight 52: Diet quality of children 2-17 years old measured by the Healthy Eating Index-2010 Nutrition in the Prevention and Treatment of Disease Ch. 1 (Dietary Assessment Methodology), Sections 1 2, 4c Week 1 Introduction Introductory lecture (Dr. Cindy Leung) Healthy MCH nutrition lecture (Dr. Cindy Leung) Introduce yourself! Week 1 Check for Understanding Diet and Health Assessment: Complete 2-day nutritional assessment on ASA24 Week 2: Developmental Origins and Maternal Nutrition 1. Define the developmental origins of health and disease 2. Describe how events during pregnancy and early childhood affect obesity-related health outcomes over the life course 3. Discuss the nutritional needs of pregnant women 4. Compare interventions to promote healthy gestational weight gain 5

6 Essentials of Nutrition Chapter 12.2 (Pregnancy and Nutrition) Course, Semester/Year Course Syllabus Gillman MW. Developmental origins of health and disease. New Engl J Med Gillman MW et al. Developmental origins of childhood overweight. Obesity Darnton-Hill I, Nishida C, James WPT. A life course approach to diet, nutrition and the prevention of chronic diseases. Public Health Nutr IOM Weight Gain During Pregnancy: Reexamining the Guidelines Week 2 Introduction Developmental Origins of Health and Disease (Dr. Cindy Leung) Weight of the Nation: Healthy Mom, Healthy Baby Gestational weight gain lecture (Dr. Cindy Leung) Pregnancy: A Teachable Moment for Weight Control and Obesity (Dr. Suzanne Phelan) Week 2 Check for Understanding (extra credit) Fact Sheet: select a topic and begin selecting research articles on the topic/issue Week 3: Infant Nutrition 1. Discuss the nutritional needs of infants 2. Explain the benefits of breastfeeding for mother, child and society 3. Identify barriers to breastfeeding and potential resources 4. Understand the federal WIC program and WIC changes associated with the Affordable Care Act 5. Evaluate your overall diet and health and identify areas for improvement Essentials of Nutrition Chapter 12.3 (Infancy and Nutrition) Labbok MH. Breastfeeding: population-based perspectives. Pediatr Clin North Am The Surgeon General s Call to Action to Support Breastfeeding National WIC Association: How the WIC program Supports Breastfeeding. California WIC Association Policy Brief: Opportunities for Nutrition and Breastfeeding Interventions under Health Reform. Week 3 Introduction TED Talk: From Conception to Birth Emory University: Benefits of breastfeeding for mom and baby. California WIC Association: Welcome to WIC Interview with Laurie True about WIC and breastfeeding Week 3 Check for Understanding 6

7 Diet and Health Assessment: Report due Week 4: Toddler and Child Nutrition 1. Discuss the nutritional needs of young children 2. Understand the development of eating behaviors Essentials of Nutrition Chapter 12.4 (Nutrition in the Toddler Years) Essentials of Nutrition Chapter 13.2 (Childhood and Nutrition) Ellyn Satter s How to Feed Children Division of Responsibility Week 4 Introduction Childhood growth and development of feeding behaviors lecture (Christine Berman) Week 4 Check for Understanding Behavior Change Project: Identify behavior change Fact Sheet draft due Week 5: Adolescent Nutrition 1. Discuss the nutritional needs of adolescents 2. Understand the unique obesity issues of adolescents Essentials of Nutrition Ch (Puberty and Nutrition) Essentials of Nutrition Ch (Older Adolescence and Nutrition) Spear BA. Adolescent Growth and Development. J Am Diet Assoc Swanson SA et al. Prevalence and Correlates of Eating Disorders in Adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry Society for Adolescent Medicine: Eating disorders in adolescence Week 5 Introduction Weight of the Nation: Children in Crisis Adolescence: A Critical Period lecture (Dr. Andrea Garber) Adolescence: Concerns in the Critical Period lecture (Dr. Andrea Garber) Adolescence: Psychosocial Barriers lecture (Dr. Andrea Garber) Week 5 Check for Understanding Fact Sheet: Report due 7

8 Week 6a: Child Obesity 1. Describe childhood obesity risks and complications 2. Propose and intervention that addresses childhood obesity Daniels SR et al. Overweight in Children and Adolescents: Pathophysiology, Consequences, Prevention, and Treatment. Circulation Hesketh KD, Campbell KJ. Interventions to prevent obesity in 0-5 year olds: an updated systematic review of the literature. Obesity Falbe J et al. Impact of the Berkeley Excise Tax on Sugar-Sweetened Beverage Consumption. Am J Pub Health IOM Accelerating Progress in Obesity Prevention. Report Brief. Listen/ Week 6 Introduction NPR: Falling Obesity Rates among Preschoolers Mark Healthful Trend. Ritchie LD. Improving child nutrition programs to reduce childhood obesity. Interview with Jen Falbe, ScD, MPH about soda taxes TedXBerkeley Talk: Dr. Karen Sokal-Guiterrez Week 6 Check for Understanding Week 6b: Malnutrition 1. Explain the link between malnutrition/food insecurity and obesity 2. Understand the federal SNAP program and associations between SNAP participation and dietary behaviors Essentials of Nutrition Chs USDA: A Short History of SNAP Listen/ Weight of the Nation: Poverty and Obesity NPR: Food Insecurity, Hunger, and Children s Health Preschool Nutrition: Public Programs and Initiatives (Christine Berman) Household Food Insecurity and SNAP lecture (Dr. Cindy Leung) SNAP: Influences on Diet-Related Health and Opportunities for Improvement lecture (Dr. Cindy Leung) Week 6 Check for Understanding Behavior Modification Project: Report due 8

9 Final exam (Week 7) An open book proctored final exam must be arranged in Week 7. This exam will test the student s grasp of the learning objectives of the course. Students will have 3 hours to complete the final. Dates of the final exam are posted in the OOMPH Student Hub Academic Calendar. Details about the on campus offering of the course are found on the Student Hub On-Campus Exam Proctoring Schedule. Details about the length of the exam and the materials you will be allowed to use during the exam are posted on the course site. Policies Due dates Please check the online course calendar for assignments and dates due. Late assignments Students are expected to communicate with instructors if you will not be able to meet due dates in advance of the deadlines. Once a deadline has passed, major assignments will be reduced by 20% per day late and minor assignments will be reduced by 50% per day late. 9