Fruits and Vegetables: Get FRUVED! Sarah Colby, PhD, RD Assistant Professor The University of Tennessee

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1 Fruits and Vegetables: Get FRUVED! Sarah Colby, PhD, RD Assistant Professor The University of Tennessee

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4 (*BMI 30, or ~ 30 lbs. overweight for 5 4 person)

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9 FRUVED!

10 » A community based participatory research model Nutrition Student Association Media Arts Student Association UT Dance Team Student radio station Student television studio Student newspaper University Dining Services University housing

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38 » Convenience sample of online pre-surveys (n=329) Demographics, diet and physical activity behavior, and goal setting» ed online post-surveys (n= 101) preferences of campaign strategies and incentive giveaways» Post intervention video-taped interviews (n=48)

39 Goal % Set Goal Pre % Change Post Eat more fruits 39% 19% Eat more vegetables 34% 14% Eat less saturated fat 18% 6% Eat fewer sweets 28% 11% Eat smaller portions 20% 5% Drink fewer sugar-sweetened beverages 20% 11% Use the stairs instead of the elevator 21% 20% Walk around campus instead of using the bus 18% 15% Lose one to two pounds 23% 19%

40 73% 86% made of respondents at least one reported health focused that they behavior thought change the because of campaign the Fruved could campaign. effectively improve students health behavior.

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47 » Incorporate more interactions in the dining halls» Increase the duration of the campaign» Increasing exposure/events around campus

48 »One week period»convenience sample»one campus»response rate

49 » Expanded campaign length of time» Simultaneously implementation at multiple locations» Expanded competition» Collegiate branding and mascots» More process evaluation» Cost-effectiveness evaluation» Future research is needed to test the effectiveness of this campaign design using a randomized controlled trial model, longitudinally, and with diverse campus environments.

50 » 1. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, JAMA : the journal of the American Medical Association. Jan ;303(3): » 2. Allison DB, Faith MS, Heo M, Townsend-Butterworth D, Williamson DF. Meta-analysis of the effect of excluding early deaths on the estimated relationship between body mass index and mortality. Obesity research. Jul 1999;7(4): » 3. Calle EE, Rodriguez C, Walker-Thurmond K, Thun MJ. Overweight, obesity, and mortality from cancer in a prospectively studied cohort of U.S. adults. New England Journal of Medicine. Apr ;348(17): » 4. Shike M. Body weight and colon cancer. American Journal of Clinical Nutrition. Mar 1996;63(3 Suppl):442S-444S.» 5. Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ. Body mass index and colon cancer mortality in a large prospective study. American Journal of Epidemiology. Nov ;152(9): » 6. McTigue KM, Garrett JM, Popkin BM. The natural history of the development of obesity in a cohort of young U.S. adults between 1981 and Ann Intern Med. Jun ;136(12): » 7. Lloyd-Richardson EE, Bailey S, Fava JL, Wing R, Tern. A prospective study of weight gain during the college freshman and sophomore years. Prev. Med. Mar 2009;48(3): » 8. Racette SB, Deusinger SS, Strube MJ, Highstein GR, Deusinger RH. Weight changes, exercise, and dietary patterns during freshman and sophomore years of college. J. Am. Coll. Health. May-Jun 2005;53(6): » 9. Lewis CE, Jacobs DR, Jr., McCreath H, et al. Weight gain continues in the 1990s: 10-year trends in weight and overweight from the CARDIA study. Coronary Artery Risk Development in Young Adults. American journal of epidemiology. Jun ;151(12): » 10. Association AHC. ACHA-NCHA-II Reference Group Data Report. 2011; II_ReferenceGroup_DataReport_Spring2011.pdf. Accessed March 21, 2012.» 11. Gordon R, McDermott L, Stead M, Angus K. The effectiveness of social marketing interventions for health improvement: What's the evidence? Public health nutrition. 2006;120: » 12. McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Educ Q. Winter 1988;15(4): » 13. Israel BA, Eng E, Schulz AJ, Parker EA. Methods in Community-Based Participatory Research for Health. San Francisco, CA Jossey-Bass; 2005.» 14. Colby SE. Fruved. 2011; Accessed March 21, 2012

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