Monthly Archives: November 2012

Nicole Miller – Practicum Blog

Hi Everyone,

My practicum has been in progress for a while, but this is my first blog entry to share the activities I have been involved with.  For my practicum, I wanted to gain more experience with nutrition related research.  I started working with two professors at a large local university (University of South Florida).  Both are involved in very different and interesting research projects.

 

My work with Dr. Lauri Wright initially involved work with a Feeding America/Kid’s Café project.  The purpose of the project was to develop a nutrition education program to promote fruit and vegetable intake in children from food insecure households.  Prior to my starting work with this project, Dr. Wright had already designed the intervention and received a generous grant from Feeding America to cover the expenses.  The project was conducted through a Boys and Girls Club in the Sulphur Springs community (a lower-income area) of Tampa, Florida during summer of 2012.

 

Upon my getting involved with this project, I designed educational materials on the importance of eating more fruits and vegetables which where used in the education of both children and parents involved in this program.  On multiple occasions during the project, I assisted in the creation and distribution of fresh produce gift bags (donated by Feeding America) to the children and families participating in the intervention.  I also had the opportunity to help with classroom based educational program (primarily focused on increasing intake of fruits and vegetables).  We taught the children about the importance of eating a “rainbow” of different fruits and vegetables, and provided them with a healthy snack (ladybugs on a log: celery with peanut butter and dried cranberries).

 

As part of the research experience I gained from this community intervention, I helped gather data on anthropometric measures and estimates of reported fruit and vegetable intake via survey of the participating children.  I then entered the data for approximately 50 pre and post surveys collected during the program into an excel spreadsheet.  In meetings with Dr. Wright, we have already noticed trends in the data collected (for example, %ile of BMI was overwhelmingly high, suggesting a high prevalence of overweight and obesity in the subject group).  The official statistical analysis of the data is currently being conducted by the department statistician.  I look forward to sharing the results during my practicum presentation.  Overall, it has been great to be involved in all aspects of this project, and to gain some experience with real hands-on public health nutrition related research.

 

Nutrition Class for Kid’s Café (all participants had given permission for photos to be taken)

 

Healthy snack provided to children during intervention

 

Bags of produce handed out during the Feeding American Project

 

My other area of work has been with Dr. Uusitalo and the TEDDY study (The Environmental Determinants of Diabetes in the Young Study).  This is a large epidemiological study that is focusing on exposures early in life (particularly infant feeding practices) and later onset of Type 1 Diabetes.  I am extremely impressed with the depth of this epidemiological data.  The data collection has been ongoing for approximately 4 years, and will continue for an additional 11 years.  The subjects are in 4 different countries, with a total of 8 sites of data collection total (4 in the U.S., 3 in Europe).  The database is extensive and includes a wealth of information on the socio-demographic and nutritional habits of a cohort of mothers and newborns.  Dr. Uusitalo is the main project coordinator; together we brainstormed ideas for small data analysis that she would like us to look at together.  In order to better understand the data, I have also done a review of current literature on health outcomes related to infant feeding practices (especially duration of breastfeeding).  Additionally, I have helped Dr. Uusitalo with coding some of the “missing” items in food database that the project utilizes.

 

My work with this project has allowed me to better understand the world of epidemiological research, and has given me more practice working with statistical analysis.  I am hoping that my work with this research during my practicum will provide the foundation to possibly complete an independent study that would involve coming up with a research hypothesis and using the TEDDY database to test the hypothesis.

 

US Army- Fueling the Future

Nutrition – US Army Europe – Fueling the Future

Hello Team!  I just wanted to update you all on the progress of my nutrition initiative here in Germany.  For my practicum work, I had a small idea of doing a nutrition intervention at our local on-post elementary school.  The Commanding General of US Army Europe, LTG Hertling, caught wind of my ideas and turned this intervention into a large scale nutrition intervention that we hope will go Army wide!  We are calling the intervention “Fueling the Future”.

LTG Hertling began an initiative called “Fueling the Team” a few years ago.  The initiative is aimed at getting our soldiers to eat better and gain a better understanding of the right way to fuel their bodies.  He started the “Go For Green” program in our Army dining facilities that labels the food as Red (not good for fueling), Yellow (use caution), and Green (good for fueling).  The program has been a success.  By creating “Fueling the Future” and sending the message of good nutrition to our military children, we hope to create stronger, healthier military families.

The children in our Department of Defense schools will be receiving monthly (twice per month or more) nutrition lessons in the class room.  These lessons could be math, science, English, etc. lessons with a nutrition focus.  Thus the lessons still meet a specific education standard but are about nutrition.  There will also be monthly activities like commissary (grocery store) field trips, fitness classes (like Zumba), and physical training with soldiers that will reinforce the message of the importance of good nutrition and physical activity.  The parents of the students received a Nutrition Parent Resource Guide at the start of the school year.  The guide I created has specific nutrition information based on age, fun recipes, budget friendly shopping guides, and physical activity suggestions.  The school year was kicked off in a big way with a Wellness Assembly attended by LTG Hertling.  His wife, Sue Hertling, did a short fitness session with the children and then we headed out to the track for a “Walk with the General”.  The local commissary provided fresh fruit and water for the children after the walk.  Parents were invited to the assembly as well.  It was a big success!

I distributed a Nutrition and Physical Activity Questionnaire at the start (well, kind of the start – October!) of the school year.  It took a bit of time to get approval from the Department of Defense Education Activity and from the Army research branch.  The school nurse also collected BMI data at the start of the school year.  Our hope is that by increasing the amount of nutrition education the students receive and by repetitively hearing the message of the importance of good nutrition and physical activity, that the amount of fruit, vegetables, whole grains, and water the children consume will increase, intake of processed foods will decrease, and the amount of physical activity will increase.  We also hope to see a change in BMI.

The “Fueling the Future” initiative has now spread to two more schools in the area and we hope that more will join in.  Please see the links below for some of the media coverage that has followed our initiative.

Nicole Leth

Fueling the Future coverage:
Stars & Stripes story on page 4 and online

http://www.stripes.com/dodds-students-urged-to-make-healthy-choices-1.187250

Stars & Stripes YouTube video

USAREUR Website (will also be published to the Army website)

http://www.eur.army.mil/news/2012/features/08232012-fueling-program.htm

Also a news release to be published today. Both the article and release provided to garrisons for community papers.

Social media

Multiple posts on Facebook, Twitter, Flickr resulting in more than 100 likes, nearly 20 shares, and 110 photo views

Spotlight on USAREUR to begin airing tomorrow: https://portal.eur.army.mil/sites/ocpa/AudioVisualCenter/OCPA%20Spots%20For%20Review/FtF%20Spotlight_1.wmv

Stand-To!

http://www.army.mil/standto/archive/issue.php?issue=2012-08-30

http://www.army.mil/article/86394/U_S__Army_Europe_kicks_off_campaign_to_enlist_community_in__Fueling_the_Future_/

US Army Europe Spotlight:

US Army Mainpage

http://www.army.mil/article/88346/Heidelberg__Wiesbaden_events_mark_steps_forward_for__Fueling_the_Future__program/