Trying to Keep Up: Energy Drink and Coffee Consumption, Student Involvement, and Sleep Among Diverse College Freshmen

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Background While extensive research has been conducted among college students consuming alcohol with energy drinks, there is limited research exploring how extracurricular activities could have an impact on energy drink consumption and sleep. Understanding the association between student involvement and

Background While extensive research has been conducted among college students consuming alcohol with energy drinks, there is limited research exploring how extracurricular activities could have an impact on energy drink consumption and sleep. Understanding the association between student involvement and the impact it could have on sleep and energy drink consumption among college freshmen is essential in promoting healthy behaviors while in college. Objectives The purpose of this study was to understand the relationship between student involvement, average hours of sleep, and predicted prevalence of energy drink and coffee consumption amongst college freshmen living in residence halls at a large, public university in the Southwest. Student involvement and fewer hours of sleep hypothesized to observe higher energy drink consumption. Methods This study was a secondary data analysis of the second wave of the longitudinal SPARC (Social impact of Physical Activity and nutRition in College) study assessing college freshmen (n=599; 70.6% female; 50.9% non-white) living on campus. Students were enrolled in this study during the 2015\u20142016 school year. Mutually adjusted generalized estimating equation (GEE) binomial models examined the relationship between involvement (academic clubs, sport clubs, honors, taking 16 or more credit hours, and having a job) and sleep with energy drink and coffee consumption, controlling for gender, race/ethnicity, Pell grant status, ever having tried alcohol, and clustering of students in residence halls. Results On average, students were enrolled in 15 credits, slept an average 8 hours per night, those who had a job worked 14 hours for pay per week, 35% reported consuming energy drinks in the past week, and about 29% of students reported coffee consumption. Males showed a higher predicted prevalence of energy drink consumption compared to females (p<0.001), where females showed a higher predicted prevalence of coffee consumption compared to males (<0.001); energy drink consumption was less prevalent amongst Hispanic students compared to white students (p=0.018), but more prevalent amongst black students compared to white students (p=0.002); no associations between race were found in predicted prevalence of coffee consumption. Average hours of sleep per night was inversely associated with energy drink consumption predicted prevalence (p<0.001). There was a lower predicted prevalence of energy drink and coffee consumption in honors student status (p<0.001) compared to non-honors students. Students taking 16 or more class credit hours showed a higher predicted prevalence in both energy drink (p=0.050) and coffee consumption (p=0.023) compared to students taking less than 16 class credit hours. Students involved in physically active clubs showed a greater predicted prevalence of coffee consumption (p<0.001) compared to students not in physically active clubs. There was no difference in the predicted prevalence in energy drink consumption amongst students involved in physically active clubs (p=0.710), non-physically active clubs (p=0.493), and having a job (p=0.146). Coffee consumption predicted prevalence showed no significant prevalence amongst students of different race and ethnicity [Black (p=0.507), Hispanic (p=103), Other (p=116)] as well as students involved in non-physically active (p=0.839) clubs and who had a paid job (p=0.088). Conclusion Associations observed between average hours of sleep, the different types of involvement of student activities, and energy drink and coffee consumption, were interesting in that a few findings were found to be contrary to the hypotheses. Future research should delve deeper into student involvement within honors programs to understand the contextual factors of why these students showed a significant inverse association in energy drink consumption. Contrary to hypothesis, sleep and energy drink consumption prevalence were indirectly related leading future research to examine and understand why students are consuming energy drinks since on average participants were meeting recommended sleep guidelines. Nutrition interventions are needed for the groups at consuming energy drinks and alcohol in combination due to the study finding increased predicted prevalence amongst these groups as well as the increased risky health behavior associated with the combination found in the literature. Support or Funding Information This study was supported by the NIH Common Fund from the Office of the Director and the Office of Behavioral and Social Sciences Research, grant number 1DP5OD017910-01 (PI: M. Bruening). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Date Created
2018-05
Agent

Finding winnable strategies to expand the reach of the Fresh Fruit and Vegetable Program beyond school settings

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Description
Fruit and vegetable consumption among school children falls short of current recommendations. The development of Public-Private Partnerships (PPP), which combine the resources of government entities with the resources of private entities, such as businesses or not-for-profit agencies, has been suggested

Fruit and vegetable consumption among school children falls short of current recommendations. The development of Public-Private Partnerships (PPP), which combine the resources of government entities with the resources of private entities, such as businesses or not-for-profit agencies, has been suggested as an effective approach to address a number of public health concerns, including inadequate fruit and vegetable consumption. The United States Department of Agriculture's (USDA) Fresh Fruit and Vegetable Program (FFVP) provides fruits and vegetables as snacks at least twice per week in low-income elementary schools. In addition to increasing fruit and vegetable consumption behaviors at school, children participating in the FFVP have been found to make more requests for fruits and vegetables in grocery stores and at home, suggesting the impact of the program extends beyond school settings. The purpose of this multicase study was to describe key stakeholders' perceptions about creating PPPs between schools and nearby retailers to cross-promote fruits and vegetables in low-income communities, using the FFVP. Semi-structured interviews were conducted with participants from three cases groups: grocery store/produce managers (n=10), district FFVP personnel (n=5) and school FFVP personnel (n=12). Data were analyzed using a directed content analysis approach using constructs from the Health Belief Model, including benefits, barriers, strategies, and motivation. While findings varied by case group, key benefits of creating a PPP included the potential to increase store sales, to enhance public relations with the community, and to extend the impact of the FFVP to settings outside of schools. Barriers included offering expensive produce through the FFVP, time/labor-associated costs, and needing approval from authorities and supervisors. Strategies for developing a PPP included using seasonal produce and having clear instructions for teachers and staff. Stakeholders reported being motivated to create a PPP by the potential to improve health outcomes in children and by wanting to help the community. Both objective and subjective measures were suggested to measure the success of such a partnership. Finally, the educational component of the USDA's Supplemental Nutrition Assistance Program (SNAP-Ed) has the potential to serve as a catalyst for organizing a PPP between FFVP-participating schools and nearby grocery stores.
Date Created
2017
Agent

Unhealthy Weight Control Behaviors in relation to the Social Cognitive Theory and Time Spent Eating

Description
OBJECTIVE: Freshman year at college is a time in an adolescent's life marked by a large amount of change in environment, as well as a shift in peer influences. Past research has shown that there are a variety of influences

OBJECTIVE: Freshman year at college is a time in an adolescent's life marked by a large amount of change in environment, as well as a shift in peer influences. Past research has shown that there are a variety of influences both personal and socio-environmental that affect weight control behaviors in college freshmen. This study examined the relationship between unhealthy weight control behaviors (UWCB) and two different personal and socio-environmental factors: time spent on each meal, and the perception that friends are partaking in UWCB. The Social Cognitive Theory was used to explain the intricate and intertwined association between the personal and socio-cognitive factors. METHOD: Unhealthy weight control behavior was assessed from first-year university students (n= 1241) living in campus dorms at Arizona State University. Demographics included Male (n=438) Female (n=802) first-year students with an average age of 17.5 years from various ethnic backgrounds. This was a secondary analysis of the devilSPARC study at Arizona State University and students completed a check-in survey upon participation. The survey asked for an estimation of time spent at meals and also asked the students to determine the individual's use of unhealthy weight control behaviors (vomiting, dieting, diet pills, steroids, substances, and protein shakes) as well as the observation of friend's participating in weight control behaviors. Students received a $15 Amazon gift card and devilSPARC swag as an incentive for participating. All participation was voluntary. RESULTS: This study found that unhealthy weight control behaviors were associated with spending more time on meals; this was relevant during the breakfast period. As well, the use of unhealthy weight control behaviors was associated with friends participating in unhealthy weight control behaviors in regards to both unhealthy weight loss and weight gain behaviors. CONCLUSIONS: These findings suggest both personal and socio-environmental factors affect the use of unhealthy weight control behaviors in college freshmen. Interventions for education should focus on body image and healthy weight control behaviors for college freshmen, intervening both before individuals enter college, as well as during the first year at university. This research is an important contribution to the literature, as it examines unhealthy weight control behaviors in college freshmen and the potential influences they face that lead them to develop such behaviors. Future studies should delve deeper into researching the relationship between time spent eating and weight control behaviors, as that has not been extensively studied in the literature.
Date Created
2016-05
Agent

Understanding Food Access and Food Choices among Low-Income Inner-City Youth: A Photovoice Project

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Description
Photovoice is a participatory action research method that was used to investigate the food access and food choices of youth in low-income, high-obesity communities of urban Phoenix. To better understand the challenges adolescents face when making the conscious decision to

Photovoice is a participatory action research method that was used to investigate the food access and food choices of youth in low-income, high-obesity communities of urban Phoenix. To better understand the challenges adolescents face when making the conscious decision to eat healthy, impactful methods of photovoice, surveys and focus groups were used. This study investigated food access and food choice perceptions of adolescents aged 10-14 years old that were enrolled in ASU-Mayo Clinic Obesity Solutions, FitPHX Kids Energy Zones. Overall, the findings of this thesis present many interwoven barriers preventing low-income inner-city youth from eating healthy. Results from the study suggest that the four main barriers to healthy eating are the abundant access to unhealthy food, misunderstanding of a healthy diet, intrapersonal sentiments toward unhealthy food choices and emotional conflicts toward eating. Together those barriers create a complex environment conducive to unhealthy eating.
Date Created
2016-05
Agent

Fit Minded College Edition-Podcasts: Feasibility of using a Facebook page to promote physical activity in female college students as compared to a website discussion board

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Description
Background: The purpose of this study was to determine the feasibility of using Facebook as compared to a discussion board in an online, web-based intervention, Fit Minded College Edition-Podcasts (FMCEP), to improve physical activity and self-worth in female college students.

Background: The purpose of this study was to determine the feasibility of using Facebook as compared to a discussion board in an online, web-based intervention, Fit Minded College Edition-Podcasts (FMCEP), to improve physical activity and self-worth in female college students.
Methods: Participants (n=55) were randomly assigned to either a private Facebook group (FB) or the Fit Minded discussion board (DB) to participate in discussion of health and wellness related podcasts. FMCEP was a 6-week intervention guided by the self-determination theory (SDT) to target autonomy, relatedness and competence. Each week participants were instructed to complete three tasks: (1) listen to an assigned podcast, (2) complete a workbook assignment, and (3) participate in FB or DB online discussion. Participants completed assessments at baseline and post-intervention (6-weeks).
Results: Self-reported physical activity (p=0.032, η2= 0.193) and physical self-worth (p<0.001, η2=0.747) increased significantly over time, but no difference was seen between the groups for both physical activity (p=0.266, η2= 0.056) and physical self-worth (p=0.485, η2=0.024). Website use (measured by mean number of engagements per day, each week) declined across the 6-week intervention in the DB group but was consistent in the FB group.
Conclusion: These findings suggest web-based interventions, guided by SDT, can improve physical activity and physical self-worth among female college students, and the Facebook group may be more feasible and effective. Future studies are needed to optimize web-based physical activity interventions in college females.
Date Created
2016-05
Agent

Social Connectedness and Fast Food Consumption in College Freshmen

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Description
Attending college provides young adults with a major shift in environment from high school where many students are used to living at home with their parents or guardians. Students experience a newfound freedom once beginning their freshman year, especially if

Attending college provides young adults with a major shift in environment from high school where many students are used to living at home with their parents or guardians. Students experience a newfound freedom once beginning their freshman year, especially if living in on-campus housing. Freshmen are known to gain weight during this transitory period, and this has been partially attributed to changes in eating behaviors, which makes this a population of concern. College freshmen have significant autonomy over their food choices if not living at home, due to not having parents or guardians present. In the transition to college, freshmen are able to adopt new habits, healthy or unhealthy, which could make a large impact on their health habits for the rest of their lives; this is why the freshman population is an area of concern. RESULTS: None of the relationships between social connectedness and FF consumption were found to be statistically significant. Social connectedness was not significantly related to cross-sectional FF intake at the two different phases, or longitudinally between the two phases, even after adjustments were made. Additionally, there were no gender differences present in FF consumption or social connectedness at either phase. CONCLUSION: The lack of significant findings suggest that social connectedness might not be a reason college freshmen consume FF. Students might eat with others due to the convenience of living closely to them rather than as a means to socialize. Also, factors such as time constraints and cost might have played a larger role in why students consumed FF. Future research could involve similar studies using shorter questionnaires more tailored to eating behaviors, with more detailed measures of FF consumption (e.g. What specific FF meals did you consume?) and for a longer duration of time, to allow students to become more situated in their environment and have a better knowledge of all their food options. This study was an important contribution to the sparsely researched topic of social connectedness with a large and diverse sample studied longitudinally. It was also the only study of its kind to be performed on the college population, and had potential for future health implications in obesity and chronic conditions such as hypertension and type II diabetes. Further research is warranted to evaluate the relationship between social connectedness and other eating behaviors.
Date Created
2016-12
Agent

Impact of BMI and Central Adiposity on Fecal pH in Arizona State University Freshmen

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Description
Past studies have shown that, in comparison to lean participants, overweight and obese patients had higher fecal concentration of short chain fatty acids (SCFA). This larger concentration could come from a variety of factors, such as varied lower colonic fermentation

Past studies have shown that, in comparison to lean participants, overweight and obese patients had higher fecal concentration of short chain fatty acids (SCFA). This larger concentration could come from a variety of factors, such as varied lower colonic fermentation between lean and obese participants, dietary intake, or microbiome diversity. Initially, SCFA were thought to be beneficial in that they reduced gut inflammation contradicting such associations between obesity and increased SCFA concentration. This study looked further into these varied SCFA levels by observing the fecal pH as a reflection of both body mass index (BMI) and central adiposity levels. Analysis of the changes in fecal pH, waist circumference, and BMI of the participants revealed no correlation between the variables. However, upon running a mixed model with covariates, it was determined that there were no significant associations between fecal pH, BMI, and waist circumference. Due to the fact that this study was only done over a year long period, it may take a longer time period or more significant changes in BMI and waist circumference to produce a significant correlation.
Date Created
2017-05
Agent

Conditioning Vegetable Preferences through Texture Pairing in Children

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Description
Neophobia is a sensory phenomenon common in children that makes novel foods taste unpleasant. Our study tested exposure and pairing effects on neophobia in children by exposing them to novel vegetables paired with varying textures. Results showed a significant increase

Neophobia is a sensory phenomenon common in children that makes novel foods taste unpleasant. Our study tested exposure and pairing effects on neophobia in children by exposing them to novel vegetables paired with varying textures. Results showed a significant increase in liking for all subject groups after six exposures, which is less exposure than required in other studies. Except in one case, texture was not related to a change in liking that differed significantly from other groups.
Date Created
2013-05
Agent

Fit Minded College Edition: Pilot test of a magazine-based discussion group on physical activity in female college freshmen

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Description
Objective: Fewer than 50% of female college freshmen meet physical activity (PA) guidelines. Innovative approaches that help college women increase their PA are warranted. The study purpose was to pilot test a magazine-based discussion group for improving PA, self-worth, and

Objective: Fewer than 50% of female college freshmen meet physical activity (PA) guidelines. Innovative approaches that help college women increase their PA are warranted. The study purpose was to pilot test a magazine-based discussion group for improving PA, self-worth, and nutrition behaviors in freshmen college females. Method: Thirty-seven women (18-20 years) were randomized to intervention (n=17) and control (n=20) groups. The intervention group participated in an 8-week magazine-based discussion group adapted from a previously tested social cognitive theory based intervention, Fit Minded. Excerpts from a popular women's health magazine were discussed during weekly meetings incorporating PA, self-worth and nutrition education. The control group did not attend meetings, but received the magazines. Outcomes and feasibility measures included: self-reported PA, general self-worth, knowledge self-worth, self-efficacy, social support, and daily fruits, vegetables, junk food, sugar-sweetened beverage consumption. Results: Twelve participants from the intervention group attended more than 75% of meetings. A time effect was observed for PA (p=0.001) and family social support (p=0.002). Time x group effects were observed for PA (p=0.001), general self-worth (p=0.04), knowledge self-worth (p=0.03), and daily sugar-sweetened beverage consumption (p=0.03), with the intervention group reporting greater increases in PA, general self-worth and knowledge self-worth and greater decreases in daily sugar-sweetened beverage consumption. Although not significant, the intervention group demonstrated positive trends in self-efficacy, friend social support and fruit and veggie consumption as compared to the control group. Conclusion: A magazine-based discussion group may provide a promising platform to improve PA, self-worth and nutrition behaviors in female college freshmen.
Date Created
2014-05
Agent

The Associations Between Food Insecurity, Weight Status and Emotional Eating

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Description
The objective of this study was to access whether there were any associations between food insecurity, weight status and emotional eating for adults and youth, and to discover whether emotional eating was prevalent for both age groups. By gathering participants

The objective of this study was to access whether there were any associations between food insecurity, weight status and emotional eating for adults and youth, and to discover whether emotional eating was prevalent for both age groups. By gathering participants from six various low-income housing communities throughout the Phoenix, Arizona, the researchers were able to gather data from 114 participants, 57 adults and 57 youth. The participants were a convenience sample, and were recruited by flyers sent via the mail and door-to-door announcements in the spring and summer of 2014. The adult and youth were asked to complete a survey that was part of a larger study, which included the Weight-Related Eating Questionnaire to access the participants' emotional eating. The participants' height and weight were measured manually and were integrated into the BMI system, and the participants' food insecurity statuses were validated using the US Household Food Security Survey. The results of the study illustrated associations between food insecurity and emotional eating for adults, but not for youth. In addition, there were no associations between adults' emotional eating and their child's emotional eating. The results from this study were consisted with the current research examining the associations of food insecurity and emotional eating, where there is only a correlation between food insecurity and emotional eating for adults. However, this study was not consistent with past research accessing the associations between adults' emotional eating and their child's emotional eating since this study found no relationship between the two. Being that a cross-sectional survey-based research was incorporated into this study, further research needs to explore on food insecurity, weight status and emotional eating to determine their causality.
Date Created
2015-12
Agent