National Healthcare Quality and Disparities Report
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- (-) Nutrition (30)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 25 of 30 Research Studies DisplayedBerge JM, Truesdale KP, Sherwood NE
Beyond the dinner table: who's having breakfast, lunch and dinner family meals and which meals are associated with better diet quality and BMI in pre-school children?.
This study examined the frequency of eating breakfast, lunch or dinner family meals and associations with pre-school children's overall diet quality and BMI percentile. The authors concluded that breakfast family meal frequency and total weekly family meal frequency were associated with healthier diet quality in non-Hispanic pre-school children but not in Hispanic children. Longitudinal research is needed to clarify the association between family meal type and child diet quality and BMI percentile.
AHRQ-funded; HS022990.
Citation: Berge JM, Truesdale KP, Sherwood NE .
Beyond the dinner table: who's having breakfast, lunch and dinner family meals and which meals are associated with better diet quality and BMI in pre-school children?.
Public Health Nutr 2017 Dec;20(18):3275-84. doi: 10.1017/s1368980017002348..
Keywords: Children/Adolescents, Family Health and History, Nutrition, Obesity: Weight Management, Racial and Ethnic Minorities
Feuille E, Menon NR, Huang F
Knowledge of food protein-induced enterocolitis syndrome among general pediatricians.
In this study, investigators examined knowledge of food protein-induced enterocolitis syndrome among general pediatricians. They created a 32-question survey, collecting information regarding participants’ experience with FPIES and knowledge of FPIES diagnosis and management. Investigators found that many pediatricians had a basic but incomplete understanding of FPIES diagnosis and initial management.
AHRQ-funded; HS024599.
Citation: Feuille E, Menon NR, Huang F .
Knowledge of food protein-induced enterocolitis syndrome among general pediatricians.
Ann Allergy Asthma Immunol 2017 Sep;119(3):291-92.e3. doi: 10.1016/j.anai.2017.07.001..
Keywords: Children/Adolescents, Digestive Disease and Health, Diagnostic Safety and Quality, Nutrition, Provider, Provider: Clinician, Provider: Physician
Payan DD, Sloane DC, Illum J
Perceived barriers and facilitators to healthy eating and school lunch meals among adolescents: a qualitative study.
The researchers explored how perceived barriers and facilitators influence healthy eating and investigated the acceptability of changes to school lunch meals among adolescents after implementation of the Healthy, Hunger-Free Kids Act of 2010. Their findings suggest the need to measure perceived and actual barriers to healthy eating among adolescents and to examine the effect of these barriers on dietary behavior.
AHRQ-funded; HS000046.
Citation: Payan DD, Sloane DC, Illum J .
Perceived barriers and facilitators to healthy eating and school lunch meals among adolescents: a qualitative study.
Am J Health Behav 2017 Sep 1;41(5):661-69. doi: 10.5993/ajhb.41.5.15.
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Keywords: Children/Adolescents, Education, Lifestyle Changes, Nutrition
Greenhawt M, Bird JA, Nowak-Wegrzyn AH
Trends in provider management of patients with food protein-induced enterocolitis syndrome.
Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE-mediated food allergy. This study sought to better understand provider-level variation in FPIES knowledge and management. It found that nearly one-third of respondents reported poor familiarity with FPIES. Considerable variation exists in the use of diagnostic tests, management, and choice of "safe" nutrition, indicating a strong need for FPIES practice guidelines.
AHRQ-funded; HS024599.
Citation: Greenhawt M, Bird JA, Nowak-Wegrzyn AH .
Trends in provider management of patients with food protein-induced enterocolitis syndrome.
J Allergy Clin Immunol Pract 2017 Sep - Oct;5(5):1319-24.e12. doi: 10.1016/j.jaip.2016.11.036.
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Keywords: Diagnostic Safety and Quality, Evidence-Based Practice, Guidelines, Nutrition, Provider
Greenhawt M, Fleischer DM, Chan ES
LEAPing through the looking glass: secondary analysis of the effect of skin test size and age of introduction on peanut tolerance after early peanut introduction.
This study explored relationships between peanut tolerance, baseline peanut/egg sensitization, eczema severity/duration, age of introduction, gender, and race. It concluded that increasing peanut wheal size predicted peanut tolerance only in the avoidance arm. Peanut introduction between 6 and 11 months of age was associated with the highest rates of peanut tolerance, questioning the 'urgency' of introduction before 6 months.
AHRQ-funded; HS024599.
Citation: Greenhawt M, Fleischer DM, Chan ES .
LEAPing through the looking glass: secondary analysis of the effect of skin test size and age of introduction on peanut tolerance after early peanut introduction.
Allergy 2017 Aug;72(8):1254-60. doi: 10.1111/all.13100.
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Keywords: Evidence-Based Practice, Nutrition, Skin Conditions, Patient-Centered Outcomes Research
Davis MM, Spurlock M, Ramsey K
Milk options observation (MOO): a mixed-methods study of chocolate milk removal on beverage consumption and student/staff behaviors in a rural elementary school.
The researchers conducted a study of flavored milk removal at a rural primary school between May and June 2012. They measured beverage selection/consumption pre- and post-chocolate milk removal and collected observation field notes. Their conclusion was that removing flavored milk from school-provided lunches may lower students' daily added sugar consumption without considerably decreasing calcium and protein intake and may promote healthy weight.
AHRQ-funded; HS022981.
Citation: Davis MM, Spurlock M, Ramsey K .
Milk options observation (MOO): a mixed-methods study of chocolate milk removal on beverage consumption and student/staff behaviors in a rural elementary school.
J Sch Nurs 2017 Aug;33(4):285-98. doi: 10.1177/1059840517703744.
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Keywords: Children/Adolescents, Education, Nutrition, Rural Health
Derose KP, Payan DD, Fulcar MA
Factors contributing to food insecurity among women living with HIV in the Dominican Republic: a qualitative study.
The researchers examined factors contributing to food insecurity among women living with HIV (WLHIV) in the Dominican Republic (DR). Respondents identified economic instability as the primary driver of food insecurity, precipitated by enacted stigma in the labor and social domains. Women described experiences of HIV-related labor discrimination in formal and informal sectors.
AHRQ-funded; HS000046.
Citation: Derose KP, Payan DD, Fulcar MA .
Factors contributing to food insecurity among women living with HIV in the Dominican Republic: a qualitative study.
PLoS One 2017 Jul 25;12(7):e0181568. doi: 10.1371/journal.pone.0181568.
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Keywords: Human Immunodeficiency Virus (HIV), Nutrition, Patient Safety, Social Stigma, Social Determinants of Health
Patnode CD, Evans CV, Senger CA
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: updated evidence report and systematic review for the USPSTF
The researchers systematically reviewed the evidence on the benefits and harms of behavioral counseling for the primary prevention of cardiovascular disease in adults without known cardiovascular risk factors to inform the US Preventive Services Task Force (USPSTF). Diet and physical activity behavioral interventions were found to result in consistent modest benefits across a variety of important intermediate health outcomes across 6 to 12 months, including blood pressure, low-density lipoprotein and total cholesterol levels, and adiposity.
AHRQ-funded; 290201200015I.
Citation: Patnode CD, Evans CV, Senger CA .
Behavioral counseling to promote a healthful diet and physical activity for cardiovascular disease prevention in adults without known cardiovascular disease risk factors: updated evidence report and systematic review for the USPSTF
JAMA 2017 Jul 11;318(2):175-93. doi: 10.1001/jama.2017.3303.
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Keywords: Behavioral Health, Cardiovascular Conditions, Evidence-Based Practice, Health Promotion, Lifestyle Changes, Nutrition, Prevention, Risk, U.S. Preventive Services Task Force (USPSTF)
Kass AE, Theim Hurst K, Kolko RP
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
This study evaluated the psychometric properties of the Youth Eating Disorder Examination Questionnaire (YEDE-Q) and its utility for detecting loss of control (LOC) eating . It concluded that the YEDE-Q may not have utility as a screener for identifying true cases of LOC eating among school-age children with overweight or obesity.
AHRQ-funded; HS000078.
Citation: Kass AE, Theim Hurst K, Kolko RP .
Psychometric evaluation of the youth eating disorder examination questionnaire in children with overweight or obesity.
Int J Eat Disord 2017 Jul;50(7):776-80. doi: 10.1002/eat.22693.
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Keywords: Behavioral Health, Children/Adolescents, Nutrition, Obesity, Screening
Sathe N, Andrews JC, McPheeters ML
Nutritional and dietary interventions for autism spectrum disorder: a systematic review.
The objective of this study was to evaluate the effectiveness and safety of dietary interventions or nutritional supplements in autism spectrum disorder (ASD). Since the studies reviewed were small and short-term, and there were few fully categorized populations or concomitant interventions, the researchers concluded that there is little evidence to support the use of nutritional supplements or dietary therapies for children with ASD.
AHRQ-funded; 290201500003I.
Citation: Sathe N, Andrews JC, McPheeters ML .
Nutritional and dietary interventions for autism spectrum disorder: a systematic review.
Pediatrics 2017 Jun;139(6):e20170346. doi: 10.1542/peds.2017-0346.
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Keywords: Evidence-Based Practice, Nutrition, Vitamins and Supplements, Autism
Karkar R, Schroeder J, Epstein DA
Tummytrials: a feasibility study of using self-experimentation to detect individualized food triggers.
The researchers designed, developed, and evaluated a mobile app that applies a self experimentation framework to support patients suffering from irritable bowel syndrome (IBS) in identifying their personal food triggers. In examining the feasibility of this approach in a field study with 15 IBS patients, they found that participants could use the tool to reliably undergo a self-experiment.
AHRQ-funded; HS023654.
Citation: Karkar R, Schroeder J, Epstein DA .
Tummytrials: a feasibility study of using self-experimentation to detect individualized food triggers.
Proc SIGCHI Conf Hum Factor Comput Syst 2017 May 2:6850-63. doi: 10.1145/3025453.3025480..
Keywords: Digestive Disease and Health, Health Information Technology (HIT), Nutrition, Patient Self-Management
Chung CF, Agapie E, Schroeder J
When personal tracking becomes social: examining the use of Instagram for healthy eating.
The researchers aimed to inform the design of tools to support healthy behaviors by understanding how people appropriate Instagram to track and share food data, the benefits they obtain from doing so, and the challenges they encounter. They concluded that participants tracked to support themselves and others in their pursuit of healthy eating goals.
AHRQ-funded; HS023654.
Citation: Chung CF, Agapie E, Schroeder J .
When personal tracking becomes social: examining the use of Instagram for healthy eating.
Proc SIGCHI Conf Hum Factor Comput Syst 2017 May 2;2017:1674-87. doi: 10.1145/3025453.3025747.
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Keywords: Health Information Technology (HIT), Lifestyle Changes, Nutrition, Patient Self-Management, Social Media
Couch C, Franxman T, Greenhawt M
Characteristics of tree nut challenges in tree nut allergic and tree nut sensitized individuals.
The purpose of this study was to determine the relation between tree nut (TN) sensitization levels and oral food challenges (OFC) outcomes. The investigators concluded that TN challenges were frequently passed in patients with TN sensitization with or without a history of TN reactivity despite a TN SPT wheal of at least 3 mm or a TN sIgE level of at least 2 kUA/L. Nearly all patients with peanut allergy and TN co-sensitization passed the TN challenge, questioning the clinical relevance of "co-allergy."
AHRQ-funded; HS024599.
Citation: Couch C, Franxman T, Greenhawt M .
Characteristics of tree nut challenges in tree nut allergic and tree nut sensitized individuals.
Ann Allergy Asthma Immunol 2017 May;118(5):591-96.e3. doi: 10.1016/j.anai.2017.02.010..
Keywords: Children/Adolescents, Nutrition, Outcomes, Patient-Centered Outcomes Research
Abrams EM, Greenhawt M, Fleischer DM
Early solid food introduction: role in food allergy prevention and implications for breastfeeding.
The authors explore the evidence suggesting that introduction of solid foods before age 6 months might reduce the risk of food allergy. In addition, they review the possible implications of earlier solid food introduction on both the benefits of exclusive breastfeeding and the total duration of breastfeeding. Finally, they argue that harmonization of early introduction guidelines with breastfeeding guidelines is needed to maximize the benefits of both exclusive breastfeeding and early complementary food introduction
AHRQ-funded; HS024599.
Citation: Abrams EM, Greenhawt M, Fleischer DM .
Early solid food introduction: role in food allergy prevention and implications for breastfeeding.
J Pediatr 2017 May;184:13-18. doi: 10.1016/j.jpeds.2017.01.053.
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Keywords: Breast Feeding, Newborns/Infants, Newborns/Infants, Nutrition, Prevention
Buys DR, Campbell AD, Godfryd A
Meals enhancing nutrition after discharge: findings from a pilot randomized controlled trial.
This pilot study's objective was to evaluate the feasibility of conducting a randomized controlled trial assessing a post-discharge home-delivered meal program's impact on older adults' nutritional intake and hospital readmissions and to assess patient acceptability and satisfaction with the program. It found that participants were overwhelmingly satisfied (82 percent to 100 percent satisfied or very satisfied) with staff performance, meal quality, and delivery processes.
AHRQ-funded; HS013852.
Citation: Buys DR, Campbell AD, Godfryd A .
Meals enhancing nutrition after discharge: findings from a pilot randomized controlled trial.
J Acad Nutr Diet 2017 Apr;117(4):599-608. doi: 10.1016/j.jand.2016.11.005.
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Keywords: Nutrition, Patient Experience, Elderly, Home Healthcare, Hospital Discharge
Biener A, Cawley J, Meyerhoefer C
AHRQ Author: Biener A
The high and rising costs of obesity to the US health care system.
The purpose of this editorial is to provide new information on the medical care costs of obesity that help motivate various weight loss interventions. The editorial is a part of a special issue with articles examining behavioral, pharmacotherapy, and surgical interventions for weight loss, based on a 2016 conference on state-of-the-art weight management hosted by the Veterans Health Administration.
AHRQ-authored.
Citation: Biener A, Cawley J, Meyerhoefer C .
The high and rising costs of obesity to the US health care system.
J Gen Intern Med 2017 Apr;32(Suppl 1):6-8. doi: 10.1007/s11606-016-3968-8.
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Keywords: Obesity, Healthcare Costs, Obesity: Weight Management, Lifestyle Changes, Nutrition
Payan DD, Lewis LB, Cousineau MR
Advocacy coalitions involved in California's menu labeling policy debate: exploring coalition structure, policy beliefs, resources, and strategies.
Researchers used a qualitative research approach to identify coalition members and explore their expressed beliefs and policy arguments, resources, and strategies. The structure and composition of each coalition varied. Public health (PH) coalition leadership and membership notably increased compared to the industry coalition. The PH coalition promoted a clear and consistent message around informed decision making. The industry coalition, led by a state restaurant association, responded with cost and implementation arguments.
AHRQ-funded; HS000046.
Citation: Payan DD, Lewis LB, Cousineau MR .
Advocacy coalitions involved in California's menu labeling policy debate: exploring coalition structure, policy beliefs, resources, and strategies.
Soc Sci Med 2017 Mar;177:78-86. doi: 10.1016/j.socscimed.2017.01.036.
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Keywords: Policy, Nutrition, Policy, Public Health
DunnGalvin A, Koman E, Raver E
An examination of the food allergy quality of life questionnaire performance in a countrywide american sample of children: cross-cultural differences in age and impact in the United States and Europe.
The primary aim of the present study was to examine the performance of the Food Allergy Quality of Life Questionnaire - Parent Form (FAQLQ-PF) in a countrywide American sample of children with food allergy. The FAQLQ-PF has high convergent validity and discriminant validity, internal consistency was excellent. US health-related quality of life was worse than European health-related quality of life, as indicated by higher FAQLQ-PF scores in US samples.
AHRQ-funded; HS024599.
Citation: DunnGalvin A, Koman E, Raver E .
An examination of the food allergy quality of life questionnaire performance in a countrywide american sample of children: cross-cultural differences in age and impact in the United States and Europe.
J Allergy Clin Immunol Pract 2017 Mar - Apr;5(2):363-68.e2. doi: 10.1016/j.jaip.2016.09.049.
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Keywords: Children/Adolescents, Nutrition, Quality of Life
Stone B, Hester G, Jackson D
Effectiveness of fundoplication or gastrojejunal feeding in children with neurologic impairment.
Gastroesophageal reflux (GER), aspiration, and secondary complications lead to morbidity and mortality in children with neurologic impairment (NI), dysphagia, and gastrostomy feeding. Fundoplication and gastrojejunal (GJ) feeding can reduce risk. A comparison of GJ to fundoplication using first-year postprocedure reflux-related hospitalization (RRH) rates found that in children with NI, GER, and dysphagia,:fundoplication and GJ feeding have similar RRH outcomes.
AHRQ-funded; HS019862.
Citation: Stone B, Hester G, Jackson D .
Effectiveness of fundoplication or gastrojejunal feeding in children with neurologic impairment.
Hosp Pediatr 2017 Mar;7(3):140-48. doi: 10.1542/hpeds.2016-0126.
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Keywords: Children/Adolescents, Digestive Disease and Health, Neurological Disorders, Nutrition, Outcomes, Treatments
Karam M, Scherzer R, Ogbogu PU
Food allergy prevalence, knowledge, and behavioral trends among college students - a 6-year comparison.
In this study, the investigators reassess trends in reported student food allergen awareness and preparation, to compare 6-year outcomes of an earlier study within the same university. They also assess awareness among nonefood-allergic students and compare trends at 2 other large Midwestern universities without a food allergy diet/labeling program.
AHRQ-funded; HS024599.
Citation: Karam M, Scherzer R, Ogbogu PU .
Food allergy prevalence, knowledge, and behavioral trends among college students - a 6-year comparison.
J Allergy Clin Immunol Pract 2017 Mar - Apr;5(2):504-06.e5. doi: 10.1016/j.jaip.2016.11.035..
Keywords: Nutrition, Outcomes, Young Adults
Rosenfeld LE, Cohen JF, Gorski MT
How do we actually put smarter snacks in schools? NOURISH (Nutrition Opportunities to Understand Reforms Involving Student Health) conversations with food-service directors.
In autumn 2012, Massachusetts schools implemented comprehensive competitive food and beverage standards similar to the US Department of Agriculture's Smart Snacks in School standards. In this study, the authors explored major themes raised by food-service directors (FSD) regarding their school-district-wide implementation of the standards. The investigators found that FSD in more-compliant districts were more likely to talk about themes than those in less-compliant districts.
AHRQ-funded; HS000055.
Citation: Rosenfeld LE, Cohen JF, Gorski MT .
How do we actually put smarter snacks in schools? NOURISH (Nutrition Opportunities to Understand Reforms Involving Student Health) conversations with food-service directors.
Public Health Nutr 2017 Feb;20(3):556-64. doi: 10.1017/s1368980016002044..
Keywords: Education, Nutrition
Schroeder J, Hoffswell J, Chung CF
Supporting patient-provider collaboration to identify individual triggers using food and symptom journals.
The researchers examined patient-provider collaboration to interpret patient-generated data. Irritable bowel syndrome (IBS) management often requires patient-provider collaboration using a patient's food and symptom journal to identify the patient's triggers. Drawing upon individual and collaborative interviews with patients and providers, the researchers found that collaborative review helps improve data comprehension and build mutual trust.
AHRQ-funded; HS023654.
Citation: Schroeder J, Hoffswell J, Chung CF .
Supporting patient-provider collaboration to identify individual triggers using food and symptom journals.
CSCW 2017 Feb 25;2017:1726-39. doi: 10.1145/2998181.2998276.
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Keywords: Digestive Disease and Health, Health Information Technology (HIT), Nutrition, Clinician-Patient Communication, Patient Self-Management
Zia JK, Chung CF, Schroeder J
The feasibility, usability, and clinical utility of traditional paper food and symptom journals for patients with irritable bowel syndrome.
The primary aim of this study was to evaluate the feasibility, usability, and clinical utility of paper food and gastrointestinal symptom journals as a data collection tool. Over half of the 17 participants perceived paper journaling of food and symptoms as feasible, usable, and clinically useful. Thirteen participants demonstrated a strong association with at least one symptom and meal nutrient.
AHRQ-funded; HS023654.
Citation: Zia JK, Chung CF, Schroeder J .
The feasibility, usability, and clinical utility of traditional paper food and symptom journals for patients with irritable bowel syndrome.
Neurogastroenterol Motil 2017 Feb;29(2). doi: 10.1111/nmo.12935.
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Keywords: Digestive Disease and Health, Nutrition, Patient Experience, Patient Self-Management
Webb M, Fahimi S, Singh GM
Cost effectiveness of a government supported policy strategy to decrease sodium intake: global analysis across 183 nations.
This study quantified the cost effectiveness of a government policy combining targeted industry agreements and public education to reduce sodium intake in 183 countries worldwide. It concluded that a government "soft regulation" strategy combining targeted industry agreements and public education to reduce dietary sodium is projected to be highly cost effective worldwide, even without accounting for potential healthcare savings.
AHRQ-funded; HS000062.
Citation: Webb M, Fahimi S, Singh GM .
Cost effectiveness of a government supported policy strategy to decrease sodium intake: global analysis across 183 nations.
BMJ 2017 Jan 10;356:i6699. doi: 10.1136/bmj.i6699.
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Keywords: Healthcare Costs, Nutrition, Cardiovascular Conditions, Blood Pressure, Policy
Shaikh U, Nettiksimmons J, Joseph JG
Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP).
The authors assessed the impact of participation in a virtual quality improvement (QI) learning network on adherence to clinical guidelines for childhood obesity prevention in rural clinics. They found that children who received care from clinicians who led the implementation of the intervention at their clinic showed significant improvements in nutrition and physical activity. Virtual QI learning networks in geographically dispersed clinics can significantly increase clinicians' adherence to guidelines for childhood obesity and improve access to recommended care for rural and underserved children.
AHRQ-funded; HS018567.
Citation: Shaikh U, Nettiksimmons J, Joseph JG .
Collaborative practice improvement for childhood obesity in rural clinics: the Healthy Eating Active Living Telehealth Community of Practice (HEALTH COP).
Am J Med Qual 2014 Nov-Dec;29(6):467-75. doi: 10.1177/1062860613506252.
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Keywords: Children/Adolescents, Evidence-Based Practice, Health Information Technology (HIT), Lifestyle Changes, Nutrition, Obesity, Prevention, Quality Improvement, Rural Health, Telehealth