2020 Idaho Academy of Nutrition and Dietetics Poster Abstracts (PDF version)
Date of publication: April 1, 2020 by the Idaho Academy of Nutrition and Dietetics.
The following research and spotlight poster abstracts were peer-reviewed and selected for presentation during a poster session at the 2020 Joint Educational Conference of the Idaho and Washington Academies of Nutrition and Dietetics. The conference was canceled due to the 2020 coronavirus (COVID-19) pandemic.
Abstract and Poster Committee Members
Elaine M. Long, PhD, RDN, LD, FAND, Chair
RoseAnna B. Holliday, PhD, RDN, LD, FAND
SeAnne Safaii-Waite, PhD, RDN, LD
Kimberly J. Young, MS, RDN, LD
Abstract and Spotlight titles and authors are listed below, followed by their abstracts.
- Self-Reported Total Vegetable Intake, but not Fruit, is Associated with Improved Cognitive Outcomes Among University Students
Meredith LaFrance, BA (Presenting Author), University of Idaho
Cassandra L. Partridge, RDN, University of Idaho
Katie Brown, PhD, RDN, CSSD, CD, Utah State University
Robert Haggerty, PhD, University of Idaho
Annie J. Roe, PhD, RDN, University of Idaho
- Vitamins & Minerals in the Workplace: A New Perspective on Dietetic Education
Evan Brock. BS (Presenting Author), University of Idaho
Katie Brown, PhD, RDN, CSSD, LD, University of Idaho
- Applying the MAP-IT Program Planning Model to a Community Nutrition Fair
Jenifer Reader, MHE, RDN, LD (Presenting Author), Idaho State University
- Fruit and Vegetable Prescription Programs: An Initial Evaluation
Sarah Ridinger, Idaho Primary Care Association
Rachel Krick (Presenting Author), MS, RDN, LD, Terry Reilly Health Services
Lindsay Grosvenor, RD, LD , Valley Family Health Care
Renee Charron, LMSW, CSWA, Treasure Valley Women’s Clinic
Barbara Gordon, MBA, RDN, LD, FAND, Idaho State University
Andrea Jeffery, RDN, LD, Idaho State University
- Effects of a 12-Week Dairy-Based Probiotic Dietary Intervention on Cognitive Outcomes in Older Adults
Morgan Pearson (Presenting Author), MS, RDN, University of Idaho
Annie J. Roe, PhD, RDN, University of Idaho
SeAnne Safaii-Waite, PhD, RDN, LD, University of Idaho
Julie Buck, EdD, RDN, LD
Erin Yelland, PhD, CFLE, Kansas State University
William J. Price, PhD, University of Idaho
- Evaluation and Viability of Healthy Sports Snacks Toolkit
Tim Ankenman, BS (Presenting Author), University of Mississippi
Georgianna Mann, PhD, University of Mississippi
Josie Bidwell, DNP, University of Mississippi Medical Center
Joshua Mann, MD, MPH, University of Mississippi Medical Center
- Effect of Cleaning Education on Microbiological Quality of Reusable Water Bottles
Julie Buck. EdD, RDN (Presenting Author), University of Idaho
Jang Ho Kim, PhD, University of Idaho
Laura Sant, MS, RDN, University of Idaho Extension
Shelly Johnson, MS, RDN, University of Idaho Extension
Bridget Morrisroe-Aman, MA, University of Idaho Extension
Grace Wittman, MS, University of Idaho Extension
- Barriers to Breastfeeding Among Minority Mothers
Anna Winnett, BS (Presenting Author), Idaho State University
Barbara Gordon, MBA, RDN, LD, FAND, Idaho State University
Cynthia Blanton, PhD, RDN, LD, Idaho State University
- Learning From Our Members and-Non-Members
Elaine Long, PhD, RDN, LD, FAND (Presenting Author), Idaho Academy of Nutrition and Dietetics
Ryan Vance, RDN, LD, Idaho Academy of Nutrition and Dietetics
Kimberly Young, MS, RDN, LD Idaho Academy of Nutrition and Dietetics
Sarah Renaldi, MS, RDN, LD, Idaho Academy of Nutrition and Dietetics
Suzanne (Sue) Linja, RDN, LD, Idaho Academy of Nutrition and Dietetics
- A review of PKU Simplified Diet Implementation by Users of HowMuchPhe.org
Jennifer Beazer, RDN, LD (Presenting Author), PKU News
Sarah Chamberlin, MA , PKU News
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#1
Self-Reported Total Vegetable Intake, but not Fruit, is Associated with Improved Cognitive Outcomes Among University Students
Authors
Meredith LaFrance, BA (Presenting Author), University of Idaho
Cassandra L. Partridge, RDN, University of Idaho
Katie Brown, PhD, RDN, CSSD, CD, Utah State University
Robert Haggerty, PhD, University of Idaho
Annie J. Roe, PhD, RDN, University of Idaho
Abstract
Fruit and vegetable (F/V) intake throughout the lifespan promotes improved cognitive outcomes. Additional research regarding the relationship between F/V intake and cognitive function among university students is needed. Objective: To investigate relationships between self-reported dietary F/V intake and cognitive outcomes among university students. Methods: University students aged 18-26 years (n=23) participated in the cross-sectional study. Dietary intake of F/V was assessed via three 24-hour recalls collected and analyzed using the National Cancer Institute’s Automated Self-Administered 24-hour (ASA24) Dietary Assessment Tool. Assessments from the National Institutes of Health Toolbox for Assessment of Neurological and Behavioral Function were administered to determine scores of executive function, episodic memory, working memory, attention, processing speed, and fluid cognition, all adjusted for age, gender, race, ethnicity, educational attainment, and parent education. Spearman correlations were used to evaluate relationships between variables using SAS software. Results: Most participants did not meet the recommended dietary intake for fruits (87%) and vegetables (83%). A significant positive correlation was found between total vegetable intake and processing speed (R2 = 0.56, p=0.006). No significant relationships were noted between intake of total vegetables and other cognitive measures, or between total fruit intake and cognition. Conclusions: Results of this study suggest a relationship between dietary intake of total vegetables and processing speed, but no relationship between total fruit and cognitive outcomes. Further research with larger sample sizes is needed to comprehensively evaluate these relationships among university students.
Learning Objective
Learners will be able to identify the cognitive outcomes that are associated with total vegetable and total fruit intake in a pilot study of university students.
Funding
University of Idaho Internal funding
#2
Vitamins & Minerals in the Workplace: A New Perspective on Dietetic Education
Author
Evan Brock. BS (Presenting Author), University of Idaho
Katie Brown, PhD, RDN, CSSD, LD, University of Idaho
Abstract
Knowledge of vitamins/minerals is an essential part of the basic framework for dietetics education and practice. There is no research concerning Registered Dietitian Nutritionists’ (RDN) use of vitamins/minerals knowledge in their current practice. This cross-sectional study investigated which nutrients RDNs encounter frequently, and in which contexts, as well recommendations for how to best teach students about vitamins/minerals in preparation for the workforce. RDNs (N=394) from 44 US states completed a brief survey. Participants represented all areas of dietetics (Clinical, Food Service Management, Community Nutrition, etc.), and years of experience (<1-30+ years). The majority of participants reported encountering the following vitamins/minerals frequently in their practice (at least weekly): Sodium (79%), Calcium (76%), Vitamin D (72%), Potassium (75%), Iron (65%), Phosphorus (57%), Vitamin B12 (51%), and Magnesium (51%). Participants reported encountering these nutrients most often in these contexts: Labs and Biochemical Markers, Supplements, and Education. Participants rated (on a scale from 1-5; 1=low, 5=high) their confidence in skills/competencies related to vitamins/minerals once they’d completed their dietetic coursework and supervised practice. Results of the Friedson test and pairwise comparisons revealed that Supplement Recommendation (2.42) and Signs & Symptoms (2.5) were areas that professionals were least confident, in comparison to Chart Review (3.54), Education (3.38), and Menu/Diet Analysis (3.16), (p< 0.05). Dietetics education with a greater focus on training students to appropriately recommend vitamin/mineral supplementation and assess deficiency signs and symptoms may better prepare students for the workforce.
Learning Objective
The participant will be able to list the most commonly occurring vitamins & minerals, and identify which context they are most commonly found in.
Funding
This study was supported by the Hatch Funding (Project #IDA01533) from the USDA/Institute of Food and Agriculture.
#3
Applying the MAP-IT Program Planning Model to a Community Nutrition Fair
Author
Jenifer Reader, MHE, RDN, LD (Presenting Author)
Idaho State University
Abstract
The MAP-IT framework was developed by the Healthy People (HP) initiative as a program planning model to assist health professionals plan and implement programs that support HP Objectives. There are 22 HP Objectives that address improving Nutrition and Weight Status (NWS). The Pocatello Dietitians group, in partnership with Dietetics students at Idaho State University, implemented a nutrition-themed community Wellness Fair in 2016. Based on the success of the 2016 fair, the Pocatello Dietitians group received funding from the Academy of Nutrition and Dietetics Foundation to implement a 2019 Nutrition Fair. HP 2020 NWS Objectives were used to plan content for 2019 Nutrition Fair activities. The MAP-IT framework (Mobilize, Assess, Plan, Implement, and Track) was applied to the event program planning process. The project was a collaboration between RDNs, dietetic students and interns, and community partners. Activities were designed to target 11 NWS Objectives related to Weight Status and Food and Nutrient Consumption. Participants were invited to complete a survey assessing the fair’s ability to address the HP 2020 NWS Objectives. Application of the MAP-IT framework increased program participation by 180% among attendees. Of participants who completed the survey (80% of participants ages 0-18 and 40% of participants ages 18+), 97% reported learning something new about nutrition and/or physical activity in general. The proportion of adult participants who reported learning something new about each of the targeted NWS objectives ranged from approximately 20-60%. The event also received attention from both local media and the Academy of Nutrition and Dietetics.
Learning Objective
Participants will be able to identify the five components of the MAP-IT program planning framework.
Funding
This project was funded in part by the Academy of Nutrition and Dietetics Foundation. Jenifer Reader received the Lulu G. Graves Nutrition Education Award to implement this project. The Beta Rho chapter of Phi Upsilon Omicron National Honor Society also funded part of the project. Donations were also secured from local community businesses and partners to provide supplies and giveaways.
#4
Fruit and Vegetable Prescription Programs: An Initial Evaluation
Authors
Sarah Ridinger, Idaho Primary Care Association
Rachel Krick (Presenting Author), MS, RDN, LD, Terry Reilly Health Services
Lindsay Grosvenor, RD, LD , Valley Family Health Care
Renee Charron, LMSW, CSWA, Treasure Valley Women’s Clinic
Barbara Gordon, MBA, RDN, LD, FAND, Idaho State University
Andrea Jeffery, RDN, LD, Idaho State University
Abstract
Research Outcome: Increasing access to fruits and vegetables lowered A1C levels among individuals seeking care at a Federally Qualified Health Centers. Methods: A recent evaluation assessed the impact of Fruit and Vegetable Prescription programs at Terry Reilly Health Services (TRHS) and Valley Family Health Care (VFHC). Data were collected on demographics, socioeconomics, program participation, and health metrics. Descriptive statistics were compiled and A1C readings (pre- and post-intervention) analyzed for statistical significance. Results: Two cohorts participated at TRHS (n=174, n=101); one at VFHC (n=31). A1C readings for the combined group ranged from 7.2 – 15%, mean 10.32%. At both health centers, participants were primarily Caucasian/White and Latino/Hispanic (46.84% and 44.19%, respectively). More than one-quarter (29.59%) of the participants lived in 2-person households; 15.36% 3-person and 14.98% 4-person. Three lived in a 10-person household. Food insecurity was prevalent. Among TRHS participants, 68.84% experienced low or very low food security; VFHC, 50.0% were often or sometimes food insecure. The 4-month interventions varied by site; activities included nutritional and behavioral counseling, group medical appointments, Cooking Matters workshops, and weekly vouchers for purchasing fresh fruits and vegetables (1 member, $10; 8+ members, $50). Of note, vouchers were partially redeemed (60.01%). All cohorts experienced statistically significant reductions in A1C readings (TRHS mean change 1.1 and 1.47, VFHC mean change 2.1; p<0.001). Conclusions: The role of a healthy diet with adequate consumption of produce in helping to modulate blood glucose is reinforced by these findings. The multi-tiered engagement approach of these interventions yielded improvements in health outcomes.
Learning Objective
Describe implementation strategies for Fruit and Vegetable Prescription programs and their associated health outcomes.
Funding
Idaho Primary Care Association
#5
Effects of a 12-Week Dairy-Based Probiotic Dietary Intervention on Cognitive Outcomes in Older Adults
Authors
Morgan Pearson (Presenting Author), MS, RDN, University of Idaho
Annie J. Roe, PhD, RDN, University of Idaho
SeAnne Safaii-Waite, PhD, RDN, LD, University of Idaho
Julie Buck, EdD, RDN, LD
Erin Yelland, PhD, CFLE, Kansas State University
William J. Price, PhD, University of Idaho
Abstract
Increasing evidence supports an association between the gut microbiome and brain behavior. The gut microbiome may be a key determinant of cognitive function, with dysbiosis and alterations of the gut microbiome contributing to the development of neurodegenerative diseases. Probiotic consumption through fermented food sources may alter the gut microbiome, potentially improving cognitive outcomes and reducing cognitive decline. Objective: To determine the effects of a 12-week dairy-based probiotic dietary intervention on cognitive outcomes among older adults (age ≥ 50 years). Methods: Participants were randomized to consume one six-ounce yogurt containing probiotics each day (treatment, n=24), or to avoid yogurt and other fermented food for 12 weeks (control, n=23). Assessments from the NIH Toolbox for Assessment of Neurological and Behavioral Function were administered pre and post intervention to determine scores of executive function, episodic memory, working memory, attention, processing speed, and a fluid cognition composite score. Analysis of variance was used to evaluate between and within group differences. Results: There was a significant between group difference in scores of one test assessing executive function (F=4.54, p=0.04), which remained significant when adjusting for age, but was attenuated when adjusting for education or sex. There were no other differences between groups or within groups for any other cognitive outcomes. Conclusions: Results of this pilot study indicated no clear evidence that daily dairy-based probiotic consumption over 12-weeks influenced cognitive outcomes in older adults. These results and those of previous probiotic and cognitive function studies are mixed, indicating a need for further research
Learning Objective
Attendees will be able to explain how consumption of dairy-based probiotics effected cognitive outcomes in older adults over a 12-week intervention pilot study.
Funding
University of Idaho Internal funding
#6
Evaluation and Viability of Healthy Sports Snacks Toolkit
Authors
Tim Ankenman, BS (Presenting Author), University of Mississippi
Georgianna Mann, PhD, University of Mississippi
Josie Bidwell, DNP, University of Mississippi Medical Center
Joshua Mann, MD, MPH, University of Mississippi Medical Center
Abstract
Background: While youth sports have a positive effect on children’s physical activity, it is often associated with the consumption of foods and beverages high in solid fats and added sugars. The Healthy Sports Snacks Toolkit, developed by the North Carolina YMCA Alliance, was created to create an environment that encourages healthy eating behaviors by discouraging foods of minimal nutritional value. Methods: This study (1) evaluated the effectiveness of the toolkit through interviews with stakeholders who helped develop and implement the program; and (2) used focus groups to gauge how receptive parents and coaches would be to the implementation of this toolkit in Mississippi. Audio recordings were analyzed for themes. Results: Interviews with two toolkit stakeholders revealed that leadership for implementing the toolkit was lacking which resulted in little participation. Focus group discussions showed parents viewed healthier snacks positively but did not want restrictive policies that mandate what snack foods are allowed. Coaches and leaders involved in youth sports programs noted many children get snacks from vending machines which is an intervention opportunity. In total, eleven parents participated and four other sports managers. Discussion: The findings from this study suggested that the toolkit could be useful, but parents might not be able to follow the restrictions due to financial constraints, taste preferences, and convenience. Other research has found barriers to bringing healthier snacks to youth sports. Conclusion: Perceptions of parents, coaches, and sports directors should be sought in the development of potential interventions designed to improve sport snack quality.
Learning Objective
To evaluate how the Healthy Sports Snacks Toolkit, designed to create a healthier environment for youth sport participants, has impacted sports programs and assess potential acceptance of parents and sports managers to the toolkit.
Funding
None
#7
Effect of Cleaning Education on Microbiological Quality of Reusable Water Bottles
Authors
Julie Buck. EdD, RDN (Presenting Author), University of Idaho Extension
Jang Ho Kim, PhD, University of Idaho
Laura Sant, MS, RDN, University of Idaho Extension
Shelly Johnson, MS, RDN, University of Idaho Extension
Bridget Morrisroe-Aman, MA, University of Idaho Extension
Grace Wittman, MS, University of Idaho Extension
Abstract
Water is needed to maintain life and must be consumed daily. Drinking the recommended amount of water is an important health message. To drink enough water, it is common for persons to carry a reusable water bottle. Many school districts encourage students to bring water bottles from home to use in the classroom. However, water provides optimal growth condition for microorganisms. Researchers identified four middle schools to conduct reusable water bottle sampling, cleaning and sanitizing education. Classrooms identified as intervention were given water bottle use guidelines before and after bottles were distributed and collected for microbial sampling. To add comparison, classrooms selected as a control class were only given water bottle instructions after the bottles were sampled. Researchers developed pre- post- retrospective youth surveys to assess knowledge and intent to change behavior regarding water consumption and cleaning practices of their reusable water bottles. The researchers developed their own reusable water bottle cleaning handout. Surveys were developed to assess 188 students’ water consumption, reusable water bottle washing knowledge, and to gather demographics. Surveys collected (N=65/35%) were analyzed using paired T-tests. Analysis indicates significant improvement in four of the five water bottle cleaning behaviors among the intervention students from the same school, comparing two classrooms pre- and post- education. Comparison between intervention and control in different schools showed significant improvement in all five of the measured water bottle cleaning behaviors. Water bottles were collected to be sampled, N=96 (51%), and results from the microbial counts will be reported as analysis is pending.
Learning Objective
Participants will be able to list the reusable water bottle cleaning behaviors which showed significant improvement as a result of proper water bottle cleaning education.
Funding
University of Idaho Extension Innovative Project Award 2018.
#8
Barriers to Breastfeeding Among Minority Mothers
Authors
Anna Winnett, BS (Presenting Author), Idaho State University
Barbara Gordon, MBA, RDN, LD, FAND, Idaho State University
Cynthia Blanton, PhD, RDN, LD, Idaho State University
Abstract
A systematic review on the barriers that minority (n=86 African American, n=39 Mexican American, n=12 Hispanic) mothers face regarding initiating and continuing breastfeeding was conducted. One salient finding was the paucity of studies published on this topic. Inclusion criteria included qualitative studies employing a focus group methodology; exclusion criteria included secondary research, qualitative research, and case studies. A primary finding was that women felt a loss of freedom due to the commitment required to breastfeed. Another common belief was that the consumption of certain foods spoiled a woman’s milk supply. Mothers reported a perception of mistreatment by health providers at clinical facilities and during home visits; a lack of support from physicians and the staff at birth facilities was a similar theme. Women felt pressured to use formula upon discharge. Lastly, they believed that there was a negative perception of breastfeeding in the media. Additional barriers to breastfeeding were pain, embarrassment with public nursing, lack of support in the workplace, and concern about sexualization. A final finding was that though mothers wanted what was best for their babies, tangible barriers inhibited them to initiate or sustain breastfeeding. A lack of culturally specific educational materials to improve promotion efforts also emerged. This review highlights a need to break down barriers to optimize nutrition for minority infants. Additional research is needed to enhance our understanding of these barriers. Furthermore, what is known thus far emphasized the need for educational initiatives aimed at helping minority mothers to better embrace breastfeeding.
Learning Objective
Upon listening to this presentation, participants will be able to list perceptions about initiating and sustaining breastfeeding among minority women and discuss the need for better education targeting mothers and healthcare professionals aimed at increasing rates of breastfeeding in minority populations.
Funding
None
#9
Learning From Our Members and-Non-Members
Authors
Elaine M. Long, PhD, RDN, LD, FAND (Presenting Author)
Ryan Vance, RDN, LD
Kimberly J. Young, MS, RDN, LD
Sarah A. Renaldi, MS, RDN, LD
Suzanne (Sue) Linja, RDN, LD
Idaho Academy of Nutrition and Dietetics
Abstract
In order to implement our strategic plan, our board surveyed members (N=350) and CDR-current non-members (N=290). A survey draft was prepared, and board members reviewed the questions. Revisions were made for clarity and content. Comment questions were used to determine what would bring value to membership and what were the biggest challenges facing the profession. The survey was e-mailed in May 2019 with one follow-up. Sixty-one members (17. 5%) and 34 non-members (11. 7%) responded. For both members and non-members, important affiliate activities were annual meeting, networking, public policy and job posts; less important were Facebook/Twitter and serving on the board. Top reasons for attending the annual meeting were similar for both groups: continuing education and networking, although networking was less important for non-members. Both groups identified advocacy for the profession and continuing education as most important. Leadership development was rated as less important by both groups. An almost equal percentage of respondents in both groups responded that at this time they were not interested in becoming more involved (70. 5% and 72. 7%). A surprise response was the number of non-members indicating they respond to Action Alerts from the Academy. Eighteen members indicated that they were willing to volunteer for committees and board positions. Responses to the open-ended questions included annual meeting topics, webinars, reimbursement, marketing of the profession, concerns about competition, location of the annual meeting, and cost of membership. It is now our challenge to reach RDNs/DTRs in our state with programs and activities that bring value to membership.
Learning Objective
Participants will be able to describe how a state affiliate will use information from a membership survey to bring value to Academy membership in a rural, geographically challenged state.
Funding
None
#10
A review of PKU Simplified Diet Implementation by Users of HowMuchPhe.org
Jennifer Beazer, RDN, LD (Presenting Author), PKU News
Sarah Chamberlin, MA, PKU News
Spotlight Submission
Objectives: Review the intake of a group of HowMuchPhe.org (HMP) users on the PKU Simplified Diet in “simplified” foods, including the makeup of those foods (pro/phe content, calories, nutritional value). Methods HMP is a subscription diet management online application for PKU and other amino acid-restricted diets. Created in 2015, HMP took all the data from The Low-Protein Food List for PKU by Virginia Schuett, RD and has been adding and updating new foods routinely since that time. About HMP: Total users: 1300 per day Disease types: Argininosuccinic Aciduria Homocystinuria Hyperphe MSUD PKU – Classical PKU – Moderate Propionic Acidemia Tyrosinemia Type 1 HMP allows users to track specific foods as “simplified,” based on criteria developed in consultation with 12 metabolic RDs. In addition, users can create their own foods and “simplify” them. When users track foods as simplified, the foods are added their diet records, but phe/pro/exchanges aren’t included in their daily total. Simplified phe/pro/exch data is recorded, however, and this will allow analysis of the phe/pro/exch and nutritional content of those foods recorded as “simplified.” Results Statistical analysis is ongoing but will cover 12 months of user data – the whole of 2019. We’re looking at what percentage simplified foods represent of the total phe/pro intake; the categorical makeup of simplified foods (fruit & veg, medical foods, sugar); and which foods are simplified under HMP guidelines versus by the user themselves (this speaks to the range of implementation practices of the simplified diet).