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Heather A. Eicher-miller - One of the best experts on this subject based on the ideXlab platform.

  • Nutritional contributions of Food pantries and other sources to the diets of rural, Midwestern Food Pantry users in the USA
    The British journal of nutrition, 2020
    Co-Authors: Yibin Liu, Nicole E Desmond, Breanne N. Wright, Regan L Bailey, Tianning Dong, Bruce A. Craig, Heather A. Eicher-miller
    Abstract:

    Food pantries provide free Food to individuals at nutritional risk given lack of available Foods. Frequent use of Food pantries is associated with higher dietary quality; however, neither the nutrient contributions of Food pantries to participant diets nor their relationship with household Food security are known. This cross-sectional analysis used secondary data from rural Food Pantry participants, including sociodemographic characteristics, household Food security and 24-h recalls. Mean intakes of selected Food groups and nutrients from Food pantries, supermarkets, other stores and restaurants, and other were compared by one-way ANCOVA. Interaction effects of household Food security with Food sources were evaluated by two-way ANCOVA. About 40 % of participants' dietary intake came from Food pantries. Mean intakes of fibre (P < 0·0001), Na (P < 0·0001), fruit (P < 0·0001), grains (P < 0·0001) and oils (P < 0·0001) were higher from Food pantries compared with all other sources, as were Ca (P = 0·004), vitamin D (P < 0·0001) and K (P < 0·0001) from Food pantries compared with two other sources. Percentage total energy intake (%TEI) from added sugars (P < 0·0001) and saturated fat (P < 0·0001) was higher from supermarkets than most other sources. Significant interaction effects were observed between Food sources and household Food security for vegetables (P = 0·01), Na (P = 0·01) and %TEI from saturated fat (P = 0·004), with Food-insecure participants having significantly higher intakes from Food pantries and/or supermarkets compared with all other sources. Future interventions may incorporate these findings by providing education on purchasing and preparing healthy meals on limited budgets, to complement Foods received from pantries, and by reducing Na in Pantry environments.

  • A review of the Food security, diet and health outcomes of Food Pantry clients and the potential for their improvement through Food Pantry interventions in the United States
    Physiology & behavior, 2020
    Co-Authors: Heather A. Eicher-miller
    Abstract:

    Food pantries are community-based organizations that provide Food to prevalently low and very low Food secure households, presenting an opportune point of contact and potential site for interventions. This review evaluates the Food security, dietary quality, dietary intake and health outcomes of U.S. adults served by Food pantries and the potential for interventions based in Food pantries to improve these outcomes. Results from the 15 included studies showed the prevalence of Food insecurity and very low Food security among Food Pantry clients was higher than national estimates at up to 89% and 52%, respectively; dietary quality was up to 20 points lower on the Healthy Eating Index compared with U.S. adults; intake for 16 nutrients did not meet the Estimated Average Requirement or exceed the Average Intake for 30% to 100% of clients; and a strikingly high prevalence of obesity, diabetes, heart disease and related conditions, and depressive symptoms were present among U.S. Food Pantry users. Interventions in Food pantries have been successful in improving Food security, weight and diabetic control but not dietary quality or intake. However, these few interventions hold promise and present a need for further research investment to address Food security, dietary intake and health outcomes among Food Pantry clients.

  • The development and use of an assessment tool to capture changes in the Food Pantry nutrition environment and system of Food distribution.
    Translational behavioral medicine, 2019
    Co-Authors: Lacey Mccormack, Dan Remley, Heather A. Eicher-miller, Lindsay Moore, Suzanne Stluka
    Abstract:

    Rural Food pantries aim to improve Food access but low-quality nutritional environments and prescribed systems of Food distribution may limit these efforts. Voices for Food (VFF) is a six-state U.S. Department of Agriculture-funded intervention, including community coaching and a VFF Food Pantry Toolkit to guide Food pantries in transitioning to a healthier nutritional environment and a Food distribution system based on client choice and support.The purpose of the article was to create a novel tool (MyChoice Scorecard) to assess the Food Pantry environment, including client choice, and to use the tool to quantify change in VFF intervention pantries compared with comparison pantries longitudinally over the 3-year study period. Food pantries in rural, high-poverty counties in six Midwestern states participated in a longitudinal, matched treatment and comparison study. Pantries were assigned to treatment (n = 12) or comparison (n = 12) group. A MyChoice Scorecard was completed pre-, mid- and post-intervention. Mixed models were generated with MyChoice Scorecard score as the outcome and included main effects for intervention group and time since pre-intervention visit. Pre-intervention, MyChoice scores did not differ significantly between intervention and comparison pantries (8.5 ± 1.5 vs. 9.1 ± 1.5, p = .19). Marginal mean values for MyChoice Scorecard score differed significantly between treatment and comparison groups at both mid-intervention (14.6 ± 1.4 vs. 10.8 ± 1.4, p = .05) and post-intervention (21.8 ± 1.2 vs. 11.8 ± 1.2, p < .001). The MyChoice Scorecard, either alone or as part of the VFF intervention, can be used by community public health professionals, such as Extension staff, to document and facilitate meaningful change in the nutritional environment of Food pantries.

  • Frequency of Food Pantry Use Is Associated with Diet Quality among Indiana Food Pantry Clients.
    Journal of the Academy of Nutrition and Dietetics, 2019
    Co-Authors: Yibin Liu, Dan Remley, Yumin Zhang, Heather A. Eicher-miller
    Abstract:

    Background Food-insecure households access Food pantries to receive supplemental Food, yet limited examination of the relationships of Food Pantry use or household Food insecurity with diet quality and health has been documented among Food Pantry users. Objective This study investigated the associations among Food Pantry use, household Food security, body mass index, self-reported chronic disease and related conditions, and diet quality among Food Pantry users. Design Food Pantry users in central Indiana were recruited for this cross-sectional study and surveyed for sociodemographic characteristics, Food Pantry use frequency, household Food security, diet quality, and chronic disease and related conditions. Measurements of height and weight were obtained. Participants/setting Data from 270 participants, aged 21 to 80 years, were collected from June 2014 to December 2015. Statistical analyses performed Healthy Eating Index-2010 (HEI-2010) total score, component scores, and body mass index were analyzed across Food Pantry use and household Food security groups using multiple linear regression. Odds of reporting chronic disease and related conditions were compared across Food Pantry use and household Food security groups using logistic regression. Results Visiting Food pantries more than once a month was associated with higher HEI-2010 total score (P=0.03) and Total Protein Foods score (P=0.05) than visiting less often. HEI-2010 scores were not significantly different across household Food security groups. Body mass index was not different across Food Pantry use groups or household Food security groups. Household Food insecurity was associated with higher odds of reporting heart disease (age- and sex-adjusted odds ratio=2.65; 95% CI, 1.05-6.69) compared with household Food security. Conclusions Food Pantry use frequency differentiates diet quality, and household Food security status differentiates chronic disease and related conditions among low-resource Food Pantry user subpopulations.

Breanne N. Wright - One of the best experts on this subject based on the ideXlab platform.

  • Nutritional contributions of Food pantries and other sources to the diets of rural, Midwestern Food Pantry users in the USA
    The British journal of nutrition, 2020
    Co-Authors: Yibin Liu, Nicole E Desmond, Breanne N. Wright, Regan L Bailey, Tianning Dong, Bruce A. Craig, Heather A. Eicher-miller
    Abstract:

    Food pantries provide free Food to individuals at nutritional risk given lack of available Foods. Frequent use of Food pantries is associated with higher dietary quality; however, neither the nutrient contributions of Food pantries to participant diets nor their relationship with household Food security are known. This cross-sectional analysis used secondary data from rural Food Pantry participants, including sociodemographic characteristics, household Food security and 24-h recalls. Mean intakes of selected Food groups and nutrients from Food pantries, supermarkets, other stores and restaurants, and other were compared by one-way ANCOVA. Interaction effects of household Food security with Food sources were evaluated by two-way ANCOVA. About 40 % of participants' dietary intake came from Food pantries. Mean intakes of fibre (P < 0·0001), Na (P < 0·0001), fruit (P < 0·0001), grains (P < 0·0001) and oils (P < 0·0001) were higher from Food pantries compared with all other sources, as were Ca (P = 0·004), vitamin D (P < 0·0001) and K (P < 0·0001) from Food pantries compared with two other sources. Percentage total energy intake (%TEI) from added sugars (P < 0·0001) and saturated fat (P < 0·0001) was higher from supermarkets than most other sources. Significant interaction effects were observed between Food sources and household Food security for vegetables (P = 0·01), Na (P = 0·01) and %TEI from saturated fat (P = 0·004), with Food-insecure participants having significantly higher intakes from Food pantries and/or supermarkets compared with all other sources. Future interventions may incorporate these findings by providing education on purchasing and preparing healthy meals on limited budgets, to complement Foods received from pantries, and by reducing Na in Pantry environments.

  • dietary quality and usual intake of underconsumed nutrients and related Food groups differ by Food security status for rural midwestern Food Pantry clients
    Journal of the Academy of Nutrition and Dietetics, 2020
    Co-Authors: Breanne N. Wright, Yibin Liu, Regan L Bailey, Lacey Mccormack, Suzanne Stluka, Janet A Tooze, Rebecca L Rivera, Lisa Franzencastle, Becky Henne, Donna Mehrle
    Abstract:

    Abstract Background Food Pantry users represent a predominantly Food insecure population, yet dietary intake may differ among Food secure (FS), low FS, and very low FS clients. Usual intake of Food groups and nutrients by Food security status has not previously been compared among Food Pantry clients. Objective This study aimed to estimate the usual intakes of underconsumed nutrients (ie, potassium; dietary fiber; choline; magnesium; calcium; vitamins A, D, E, and C; and iron) and related Food groups (ie, vegetables, fruits, whole grains, and dairy) and dietary quality, and to evaluate their relationship with Food security status. Design This cross-sectional, secondary analysis used baseline data from a prior intervention study (Clinical Trial Registry: NCT03566095). A demographic questionnaire, the US Household Food Security Survey Module, and up to three 24-hour dietary recalls on nonconsecutive days, including weekdays and weekends, were collected. Participants/setting This community-based study included a convenience sample of adult, midwestern Food Pantry clients (N=579) recruited from August to November 2014. Main outcome measures Main outcomes evaluated were Healthy Eating Index-2010 scores and usual intakes of underconsumed nutrients and related Food groups. Statistical analyses performed Linear regression models and the National Cancer Institute method, adjusting for confounders, were used to estimate associations of Food security with diet quality and usual intake, respectively. Results Being FS was associated with a higher whole grains HEI-2010 score and higher mean usual intake of whole grains compared with being low FS. Being FS was associated with higher usual intakes of iron and dairy compared with being very low FS. Being FS was associated with a higher mean usual intake of dark green vegetables compared with being low FS and very low FS. Usual intakes were below federal guidance for all subgroups of Food security. Conclusions Although Food security status may differentiate dietary intake among Food Pantry clients, improvements are needed among all clients.

  • breakfast consumption is positively associated with usual nutrient intakes among Food Pantry clients living in rural communities
    Journal of Nutrition, 2020
    Co-Authors: Dan Remley, Yibin Liu, Breanne N. Wright, Regan L Bailey, Suzanne Stluka, Yumin Zhang, Janet A Tooze, Heather J Leidy, Lacey Mccormack
    Abstract:

    Background Breakfast consumption has declined over the past 40 y and is inversely associated with obesity-related diet and health outcomes. The breakfast pattern of Food Pantry clients and its association with diet is unknown. Objective The objective is to investigate the association of breakfast consumption with diet quality and usual nutrient intakes among Food Pantry clients (n = 472) living in rural communities. Methods This was an observational study using cross-sectional analyses. English-speaking participants ≥18 y (or ≥19 y in Nebraska) were recruited from 24 Food pantries in rural high-poverty counties in Indiana, Michigan, Missouri, Nebraska, Ohio, and South Dakota. Participants were surveyed at the Pantry regarding characteristics and diet using 24-h recall. A second recall was self-completed or completed via assisted phone call within 2 wk of the Pantry visit. Participants were classified as breakfast skippers when neither recall reported breakfast ≥230 kcal consumed between 04:00 and 10:00; breakfast consumers were all other participants. The Healthy Eating Index-2010 was modeled with breakfast pattern using multiple linear regression. Mean usual intake of 16 nutrients was estimated using the National Cancer Institute Method and compared across breakfast pattern groups. Usual nutrient intake was compared with the Estimated Average Requirement (EAR) or Adequate Intake (AI) to estimate the proportion of population not meeting the EAR or exceeding the AI. Results A total of 56% of participants consumed breakfast. Compared with breakfast skippers, breakfast consumers had 10-59% significantly higher usual mean intakes of all nutrients (P ≤ 0.05), and had 12-21% lower prevalence of at-risk nutrient intakes except for vitamin D, vitamin E, and magnesium. Conclusions Adult Food Pantry clients living in rural communities experienced hardships in meeting dietary recommendations. Breakfast consumption was positively associated with usual nutrient intakes in this population. This trial was registered at clinicaltrials.gov as NCT03566095.

  • Intermediate Effects of a Social Ecological Modeled, Community-Based Intervention on the Food Security and Dietary Intake of Rural, Midwestern, Adult Food Pantry Clients
    2019
    Co-Authors: Breanne N. Wright
    Abstract:

    Food insecurity, or limited access to enough Foods for an active, healthy life, characterizes the situation of 65% of US Food Pantry clients. Food insecurity is associated with poor dietary intake of key Food groups and nutrients, diet-related chronic disease, poor physical and mental health, and reduced quality of life. Although Food Pantry clients are prevalently Food insecure, there is a sizeable proportion of clients who are classified as Food secure (FS), or report having adequate access to healthy Foods. Previous studies suggest that Food secure Pantry clients may use Pantry resources differently, and have diets that differ in quality and intake, compared to Food insecure clients (including low Food secure [LFS] and very low Food secure [VLFS] clients). Food pantries may be an important venue for interventions to improve Food security and dietary outcomes. Since dietary intake and use of Food pantries may differ by Food security status, the efficacy of such interventions may also differ by Food security status. A social ecological modeled (SEM), community-based intervention in the Food Pantry setting is promising in sustaining local change efforts and may facilitate long-term implementation of strategies to improve diet-related outcomes among Food Pantry clients. Therefore, the aims of this dissertation were to 1) characterize differences in diet quality and intake between FS, LFS and VLFS Pantry clients; 2) explore associations between the nutritional quality of the Pantry Food environment (Foods in stock and Foods distributed to clients) and client diet quality by Food security status; and 3) evaluate the intermediate effects of a SEM, community-based intervention to improve diet-related outcomes among Pantry clients with comparison by Food security status.Aim 1 was addressed by examining associations between Food security and both diet quality and usual intake (in separate mixed multiple linear regression models) in a cross-sectional analysis of adult Food Pantry clients at baseline. FS status was associated with a higher Healthy Eating Index-2010 (HEI-2010) whole grains score, as well as a higher mean usual intakes of whole grains and iron, compared to LFS status. FS status was also associated with higher mean usual intakes of dark green vegetables and total dairy compared to LFS and VLFS status.Aim 2 was addressed by evaluating the relationship between the quality of the mix of Foods in stock (Pantry inventories) and distributed (client Food bags) at Food pantries with client diet quality, and investigating how these relationships varied by Food security status, in a cross-sectional analysis of adult Food Pantry clients at baseline. Client Food bag HEI-2010 scores were positively associated with client diet scores for the total vegetables, total fruit, total protein Foods, and sodium components, while Pantry inventory HEI-2010 scores were negatively associated with client diet scores for the total score and for the total fruit and fatty acids components. VLFS clients consumed more whole grains from client Food bags compared to FS clients, and consumed more greens and beans from Pantry inventories compared to LFS clients.Aim 3 was addressed by evaluating longitudinal changes in adult Food security, diet quality and usual intake over the first two years (baseline to midpoint) of a three-year SEM, community-based Food Pantry intervention‒ Voices for Food (Clinical Trial Registry: NCT0356609). Adult Food security score improved in the intervention group, while HEI-2010 total score and several component scores improved in the comparison group. When comparing the change in main outcomes over time between the intervention and comparison groups, no favorable differences were observed at this intermediate time point. Food pantries do not comprise a homogeneous population of clients. Pantry clients have different quality diets and rely on pantries to acquire different types of Foods depending on their Food security status. Food pantries may be an important venue to target interventions that improve diet-related outcomes, with consideration for the complex interplay between Food security status, the Pantry Food environment and availability of resources to prepare healthy Foods. Evaluation of the final study time point, as well as further investigation of the dose-dependent effect of each intervention component and other individual community characteristics, may elucidate the relationship between the intervention and client outcomes.

  • daily dietary intake patterns improve after visiting a Food Pantry among Food insecure rural midwestern adults
    Nutrients, 2018
    Co-Authors: Breanne N. Wright, Regan L Bailey, Bruce A. Craig, Lacey Mccormack, Suzanne Stluka, Lisa Franzencastle, Becky Henne, Donna Mehrle, Richard D Mattes, Dan Remley
    Abstract:

    Emergency Food pantries provide Food at no cost to low-resource populations. The purpose of this study was to evaluate single-day dietary intake patterns before and after visiting a Food Pantry among Food-secure and Food-insecure Pantry clients. This observational cohort study comprised a paired, before-and-after design with a Pantry visit as the intervention. Participants (n = 455) completed a demographic and Food security assessment, and two 24-h dietary recalls. Adult Food security was measured using the U.S. Household Food Security Survey Module. Dietary intake patterns were assessed using Automated Self-Administered 24-h Recall data and classified by Healthy Eating Index (HEI-2010) scores, dietary variety, number of eating occasions, and energy intake. Paired t-tests and Wilcoxon signed-rank tests compared outcomes before and after a Pantry visit. Mean dietary variety increased after the Pantry visit among both Food-secure (p = 0.02) and Food-insecure (p < 0.0001) Pantry clients. Mean energy intake (p = 0.0003), number of eating occasions (p = 0.004), and HEI-2010 component scores for total fruit (p < 0.001) and whole fruit (p < 0.0003) increased among Food-insecure Pantry clients only. A Pantry visit may improve dietary intake patterns, especially among Food-insecure Pantry clients.

Donna Mehrle - One of the best experts on this subject based on the ideXlab platform.

  • dietary quality and usual intake of underconsumed nutrients and related Food groups differ by Food security status for rural midwestern Food Pantry clients
    Journal of the Academy of Nutrition and Dietetics, 2020
    Co-Authors: Breanne N. Wright, Yibin Liu, Regan L Bailey, Lacey Mccormack, Suzanne Stluka, Janet A Tooze, Rebecca L Rivera, Lisa Franzencastle, Becky Henne, Donna Mehrle
    Abstract:

    Abstract Background Food Pantry users represent a predominantly Food insecure population, yet dietary intake may differ among Food secure (FS), low FS, and very low FS clients. Usual intake of Food groups and nutrients by Food security status has not previously been compared among Food Pantry clients. Objective This study aimed to estimate the usual intakes of underconsumed nutrients (ie, potassium; dietary fiber; choline; magnesium; calcium; vitamins A, D, E, and C; and iron) and related Food groups (ie, vegetables, fruits, whole grains, and dairy) and dietary quality, and to evaluate their relationship with Food security status. Design This cross-sectional, secondary analysis used baseline data from a prior intervention study (Clinical Trial Registry: NCT03566095). A demographic questionnaire, the US Household Food Security Survey Module, and up to three 24-hour dietary recalls on nonconsecutive days, including weekdays and weekends, were collected. Participants/setting This community-based study included a convenience sample of adult, midwestern Food Pantry clients (N=579) recruited from August to November 2014. Main outcome measures Main outcomes evaluated were Healthy Eating Index-2010 scores and usual intakes of underconsumed nutrients and related Food groups. Statistical analyses performed Linear regression models and the National Cancer Institute method, adjusting for confounders, were used to estimate associations of Food security with diet quality and usual intake, respectively. Results Being FS was associated with a higher whole grains HEI-2010 score and higher mean usual intake of whole grains compared with being low FS. Being FS was associated with higher usual intakes of iron and dairy compared with being very low FS. Being FS was associated with a higher mean usual intake of dark green vegetables compared with being low FS and very low FS. Usual intakes were below federal guidance for all subgroups of Food security. Conclusions Although Food security status may differentiate dietary intake among Food Pantry clients, improvements are needed among all clients.

  • voices for Food methodologies for implementing a multi state community based intervention in rural high poverty communities
    BMC Public Health, 2018
    Co-Authors: Suzanne Stluka, Dan Remley, Lindsay Moore, Lisa Franzencastle, Becky Henne, Donna Mehrle, Heather A Eichermiller, Lacey Mccormack
    Abstract:

    Rural communities experience unique barriers to Food access when compared to urban areas and Food security is a public health issue in rural, high poverty communities. A multi-leveled socio-ecological intervention to develop Food policy councils (FPCs), and improve Food security in rural communities was created. Methods to carry out such an intervention were developed and are described. A longitudinal, matched treatment and comparison study was conducted in 24 rural, high poverty counties in South Dakota, Indiana, Missouri, Michigan, Nebraska and Ohio. Counties were assigned to a treatment (n = 12) or comparison (n = 12) group. Intervention activities focus on three key components that impact Food security: 1) community coaching by Extension Educators/field staff, 2) FPC development, and 3) development of a MyChoice Food Pantry. Community coaching was only provided to intervention counties. Evaluation components focus on three levels of the intervention: 1) Community (FPCs), 2) Food Pantry Organization, and 3) Pantry Client & Families. Participants in this study were community stakeholders, Food Pantry directors, staff/volunteers and Food Pantry clients. Pantry Food access/availability including Pantry Food quality and quantity, household Food security and Pantry client dietary intake are dependent variables. The results of this study will provide a framework for utilizing a multi-leveled socio-ecological intervention with the purpose of improving Food security in rural, high poverty communities. Additionally, the results of this study will yield evidence-based best practices and tools for both FPC development and the transition to a guided-client choice model of distribution in Food pantries. ClinicalTrials.gov; NCT03566095 . Retrospectively registered on June, 21, 2018.

  • daily dietary intake patterns improve after visiting a Food Pantry among Food insecure rural midwestern adults
    Nutrients, 2018
    Co-Authors: Breanne N. Wright, Regan L Bailey, Bruce A. Craig, Lacey Mccormack, Suzanne Stluka, Lisa Franzencastle, Becky Henne, Donna Mehrle, Richard D Mattes, Dan Remley
    Abstract:

    Emergency Food pantries provide Food at no cost to low-resource populations. The purpose of this study was to evaluate single-day dietary intake patterns before and after visiting a Food Pantry among Food-secure and Food-insecure Pantry clients. This observational cohort study comprised a paired, before-and-after design with a Pantry visit as the intervention. Participants (n = 455) completed a demographic and Food security assessment, and two 24-h dietary recalls. Adult Food security was measured using the U.S. Household Food Security Survey Module. Dietary intake patterns were assessed using Automated Self-Administered 24-h Recall data and classified by Healthy Eating Index (HEI-2010) scores, dietary variety, number of eating occasions, and energy intake. Paired t-tests and Wilcoxon signed-rank tests compared outcomes before and after a Pantry visit. Mean dietary variety increased after the Pantry visit among both Food-secure (p = 0.02) and Food-insecure (p < 0.0001) Pantry clients. Mean energy intake (p = 0.0003), number of eating occasions (p = 0.004), and HEI-2010 component scores for total fruit (p < 0.001) and whole fruit (p < 0.0003) increased among Food-insecure Pantry clients only. A Pantry visit may improve dietary intake patterns, especially among Food-insecure Pantry clients.

Dan Remley - One of the best experts on this subject based on the ideXlab platform.

  • breakfast consumption is positively associated with usual nutrient intakes among Food Pantry clients living in rural communities
    Journal of Nutrition, 2020
    Co-Authors: Dan Remley, Yibin Liu, Breanne N. Wright, Regan L Bailey, Suzanne Stluka, Yumin Zhang, Janet A Tooze, Heather J Leidy, Lacey Mccormack
    Abstract:

    Background Breakfast consumption has declined over the past 40 y and is inversely associated with obesity-related diet and health outcomes. The breakfast pattern of Food Pantry clients and its association with diet is unknown. Objective The objective is to investigate the association of breakfast consumption with diet quality and usual nutrient intakes among Food Pantry clients (n = 472) living in rural communities. Methods This was an observational study using cross-sectional analyses. English-speaking participants ≥18 y (or ≥19 y in Nebraska) were recruited from 24 Food pantries in rural high-poverty counties in Indiana, Michigan, Missouri, Nebraska, Ohio, and South Dakota. Participants were surveyed at the Pantry regarding characteristics and diet using 24-h recall. A second recall was self-completed or completed via assisted phone call within 2 wk of the Pantry visit. Participants were classified as breakfast skippers when neither recall reported breakfast ≥230 kcal consumed between 04:00 and 10:00; breakfast consumers were all other participants. The Healthy Eating Index-2010 was modeled with breakfast pattern using multiple linear regression. Mean usual intake of 16 nutrients was estimated using the National Cancer Institute Method and compared across breakfast pattern groups. Usual nutrient intake was compared with the Estimated Average Requirement (EAR) or Adequate Intake (AI) to estimate the proportion of population not meeting the EAR or exceeding the AI. Results A total of 56% of participants consumed breakfast. Compared with breakfast skippers, breakfast consumers had 10-59% significantly higher usual mean intakes of all nutrients (P ≤ 0.05), and had 12-21% lower prevalence of at-risk nutrient intakes except for vitamin D, vitamin E, and magnesium. Conclusions Adult Food Pantry clients living in rural communities experienced hardships in meeting dietary recommendations. Breakfast consumption was positively associated with usual nutrient intakes in this population. This trial was registered at clinicaltrials.gov as NCT03566095.

  • The development and use of an assessment tool to capture changes in the Food Pantry nutrition environment and system of Food distribution.
    Translational behavioral medicine, 2019
    Co-Authors: Lacey Mccormack, Dan Remley, Heather A. Eicher-miller, Lindsay Moore, Suzanne Stluka
    Abstract:

    Rural Food pantries aim to improve Food access but low-quality nutritional environments and prescribed systems of Food distribution may limit these efforts. Voices for Food (VFF) is a six-state U.S. Department of Agriculture-funded intervention, including community coaching and a VFF Food Pantry Toolkit to guide Food pantries in transitioning to a healthier nutritional environment and a Food distribution system based on client choice and support.The purpose of the article was to create a novel tool (MyChoice Scorecard) to assess the Food Pantry environment, including client choice, and to use the tool to quantify change in VFF intervention pantries compared with comparison pantries longitudinally over the 3-year study period. Food pantries in rural, high-poverty counties in six Midwestern states participated in a longitudinal, matched treatment and comparison study. Pantries were assigned to treatment (n = 12) or comparison (n = 12) group. A MyChoice Scorecard was completed pre-, mid- and post-intervention. Mixed models were generated with MyChoice Scorecard score as the outcome and included main effects for intervention group and time since pre-intervention visit. Pre-intervention, MyChoice scores did not differ significantly between intervention and comparison pantries (8.5 ± 1.5 vs. 9.1 ± 1.5, p = .19). Marginal mean values for MyChoice Scorecard score differed significantly between treatment and comparison groups at both mid-intervention (14.6 ± 1.4 vs. 10.8 ± 1.4, p = .05) and post-intervention (21.8 ± 1.2 vs. 11.8 ± 1.2, p < .001). The MyChoice Scorecard, either alone or as part of the VFF intervention, can be used by community public health professionals, such as Extension staff, to document and facilitate meaningful change in the nutritional environment of Food pantries.

  • Frequency of Food Pantry Use Is Associated with Diet Quality among Indiana Food Pantry Clients.
    Journal of the Academy of Nutrition and Dietetics, 2019
    Co-Authors: Yibin Liu, Dan Remley, Yumin Zhang, Heather A. Eicher-miller
    Abstract:

    Background Food-insecure households access Food pantries to receive supplemental Food, yet limited examination of the relationships of Food Pantry use or household Food insecurity with diet quality and health has been documented among Food Pantry users. Objective This study investigated the associations among Food Pantry use, household Food security, body mass index, self-reported chronic disease and related conditions, and diet quality among Food Pantry users. Design Food Pantry users in central Indiana were recruited for this cross-sectional study and surveyed for sociodemographic characteristics, Food Pantry use frequency, household Food security, diet quality, and chronic disease and related conditions. Measurements of height and weight were obtained. Participants/setting Data from 270 participants, aged 21 to 80 years, were collected from June 2014 to December 2015. Statistical analyses performed Healthy Eating Index-2010 (HEI-2010) total score, component scores, and body mass index were analyzed across Food Pantry use and household Food security groups using multiple linear regression. Odds of reporting chronic disease and related conditions were compared across Food Pantry use and household Food security groups using logistic regression. Results Visiting Food pantries more than once a month was associated with higher HEI-2010 total score (P=0.03) and Total Protein Foods score (P=0.05) than visiting less often. HEI-2010 scores were not significantly different across household Food security groups. Body mass index was not different across Food Pantry use groups or household Food security groups. Household Food insecurity was associated with higher odds of reporting heart disease (age- and sex-adjusted odds ratio=2.65; 95% CI, 1.05-6.69) compared with household Food security. Conclusions Food Pantry use frequency differentiates diet quality, and household Food security status differentiates chronic disease and related conditions among low-resource Food Pantry user subpopulations.

  • voices for Food methodologies for implementing a multi state community based intervention in rural high poverty communities
    BMC Public Health, 2018
    Co-Authors: Suzanne Stluka, Dan Remley, Lindsay Moore, Lisa Franzencastle, Becky Henne, Donna Mehrle, Heather A Eichermiller, Lacey Mccormack
    Abstract:

    Rural communities experience unique barriers to Food access when compared to urban areas and Food security is a public health issue in rural, high poverty communities. A multi-leveled socio-ecological intervention to develop Food policy councils (FPCs), and improve Food security in rural communities was created. Methods to carry out such an intervention were developed and are described. A longitudinal, matched treatment and comparison study was conducted in 24 rural, high poverty counties in South Dakota, Indiana, Missouri, Michigan, Nebraska and Ohio. Counties were assigned to a treatment (n = 12) or comparison (n = 12) group. Intervention activities focus on three key components that impact Food security: 1) community coaching by Extension Educators/field staff, 2) FPC development, and 3) development of a MyChoice Food Pantry. Community coaching was only provided to intervention counties. Evaluation components focus on three levels of the intervention: 1) Community (FPCs), 2) Food Pantry Organization, and 3) Pantry Client & Families. Participants in this study were community stakeholders, Food Pantry directors, staff/volunteers and Food Pantry clients. Pantry Food access/availability including Pantry Food quality and quantity, household Food security and Pantry client dietary intake are dependent variables. The results of this study will provide a framework for utilizing a multi-leveled socio-ecological intervention with the purpose of improving Food security in rural, high poverty communities. Additionally, the results of this study will yield evidence-based best practices and tools for both FPC development and the transition to a guided-client choice model of distribution in Food pantries. ClinicalTrials.gov; NCT03566095 . Retrospectively registered on June, 21, 2018.

  • daily dietary intake patterns improve after visiting a Food Pantry among Food insecure rural midwestern adults
    Nutrients, 2018
    Co-Authors: Breanne N. Wright, Regan L Bailey, Bruce A. Craig, Lacey Mccormack, Suzanne Stluka, Lisa Franzencastle, Becky Henne, Donna Mehrle, Richard D Mattes, Dan Remley
    Abstract:

    Emergency Food pantries provide Food at no cost to low-resource populations. The purpose of this study was to evaluate single-day dietary intake patterns before and after visiting a Food Pantry among Food-secure and Food-insecure Pantry clients. This observational cohort study comprised a paired, before-and-after design with a Pantry visit as the intervention. Participants (n = 455) completed a demographic and Food security assessment, and two 24-h dietary recalls. Adult Food security was measured using the U.S. Household Food Security Survey Module. Dietary intake patterns were assessed using Automated Self-Administered 24-h Recall data and classified by Healthy Eating Index (HEI-2010) scores, dietary variety, number of eating occasions, and energy intake. Paired t-tests and Wilcoxon signed-rank tests compared outcomes before and after a Pantry visit. Mean dietary variety increased after the Pantry visit among both Food-secure (p = 0.02) and Food-insecure (p < 0.0001) Pantry clients. Mean energy intake (p = 0.0003), number of eating occasions (p = 0.004), and HEI-2010 component scores for total fruit (p < 0.001) and whole fruit (p < 0.0003) increased among Food-insecure Pantry clients only. A Pantry visit may improve dietary intake patterns, especially among Food-insecure Pantry clients.

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  • impact of a smoking cessation program on smoking prevalence and Food security among Food Pantry users a study protocol for a pragmatic cluster randomised controlled trial
    BMC Public Health, 2020
    Co-Authors: Anja Simmet, Michael Teut, Romy Schleicher, Andreas Bschaden, Nanette Stroebelebenschop
    Abstract:

    Among Food Pantry users there is a high prevalence of both smoking and Food insecurity, which may be related to one another. This study aims to evaluate the impact of a smoking cessation program carried out in Food pantries on the smoking status and the Food security status of Food Pantry users. Before starting the cluster randomised controlled trial, stakeholders will be engaged to adapt a behavioural group counselling program for smoking cessation to the needs of the Food Pantry users in a pre study. Food Pantry users and workers as well as other experts, such as smoking cessation trainers, social workers, and psychologists, will be involved, using the world cafe technique and telephone interviews and a qualitative thematic analysis for data analysis to design the concept of the intervention program will be applied. In the second phase, the impact of the intervention on the smoking status and on Food insecurity will be investigated by a cluster randomised controlled trial. A total of 416 Food Pantry users across 32 clusters (Food pantries) in Berlin, Germany, should be recruited and randomly assigned to either the intervention group or the waiting list control group. The intervention will consist of a behavioural group counselling program for smoking cessation, specially tailored for Food Pantry users, as well as optional nicotine replacement therapy and the implementation of environmental smoking reduction measures in the Food pantries. The primary outcomes 6 months after the treatment will be self-reported continuous smoking abstinence, validated by exhaled carbon monoxide (< 10 ppm of carbon monoxide), and increased Food security level (the percentage of participants with an improved Food security level). This study will be the first long-term investigation into the effect of a smoking cessation program on smoking status and Food insecurity. The results of this study will inform the implementation of smoking cessation programs in Food pantries throughout Germany. Prospectively registered DRKS00020037 . Registered 29 April 2020

  • area characteristics associated with Food Pantry use in berlin a cross sectional ecological study
    Applied Geography, 2017
    Co-Authors: Anja Simmet, Nanette Stroebelebenschop, Peter Tinnemann
    Abstract:

    Abstract Although Food pantries have become a crucial component of the Food landscapes in many countries, so far they have rarely been included in research on the Food environment. This study aims to map and analyze the relation between the proportion of adult Food Pantry users and child Food Pantry recipients as well as compositional and structural characteristics of areas in Berlin, Germany. Publicly accessible data including the percentage of adults and children receiving welfare and those with migration background were used to characterize area composition. Investigated structural resources included the availability of discount stores, stops of the public transport as well as 44 Food pantries throughout the city. Small spatial units of two incongruent spatial area data sets were denominated to characterize the 44 Food Pantry areas and the areas within walking distance (1000 m) to a Food Pantry. Linear multiple regression models were conducted to model the proportion of Food Pantry recipients among adults and children. Results of the study showed that the proportion of child Food Pantry recipients was more than twice as high compared to the proportion of adult Food Pantry users, with large variations between pantries. The distribution of Food pantries largely mirrored the distribution of welfare recipients in Berlin. Results of multiple regression analyses suggested that the percentage of adults receiving welfare benefits and the number of stops around a Food Pantry were positively, and the percentage of adults with migration background was negatively related to the proportion of adult Food Pantry users. Among children, the percentage of children receiving welfare benefits, the number of discount grocery stores per 1000 children, and the number of stops around a Food Pantry were positively related to the proportion of Food Pantry recipients. Results of the spatial analyses can be used to improve the allocation of social and Food services to support impoverished people. Future studies could investigate whether there are unmet needs of Food assistance services among inhabitants with migration background.

  • The Dietary Quality of Food Pantry Users: A Systematic Review of Existing Literature.
    Journal of the Academy of Nutrition and Dietetics, 2016
    Co-Authors: Anja Simmet, Peter Tinnemann, Julia Depa, Nanette Stroebele-benschop
    Abstract:

    Abstract Background Users of Food pantries often have a long history of Food insecurity and may be vulnerable to nutritional deficiencies. The quality of their diets is not well researched. Objective The purpose of this systematic review was to summarize the published evidence about the dietary quality of Food Pantry users. Methods Systematic database searches of PubMed, PsycINFO, PsycARTICLES, and Psychology Behavioral Sciences Collection, and hand searches of references were conducted to identify cross-sectional, cohort, and intervention studies reporting baseline data, conducted in high-income countries and published between 1980 and 2015, which reported on the nutritional adequacy of individuals who have used a Food Pantry at least once in the previous 12 months. All identified citations were screened and independently assessed for eligibility. Results for dietary quality were summarized for overall diet quality, energy, Food groups, macro- and micronutrients separately. The risk of bias of included studies was evaluated by using criteria of an adapted Ottawa Scale. The systematic review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Results After applying predefined eligibility criteria, 16 articles were identified for inclusion. The diet quality among included Food Pantry users was low, as reflected by inadequate mean group intake of energy, fruits and vegetables, dairy products, and calcium. Even if the group mean intake was adequate, large percentages of study populations did not meet the recommendations for vitamins A, C, D, and B vitamins, or iron, magnesium, and zinc. The representativeness of the studies varied widely and none of them were nationally representative. Conclusion The current evidence suggests that the dietary intake of most Food Pantry users does not meet recommendations. Future research should draw more representative samples and investigate the impact of Food pantries on users' diet.