Journal of Healthy Eating and Active Living 2022-08-25T09:00:52-07:00 Jay Maddock, Ph.D. Open Journal Systems <p>The Journal of Healthy Eating and Active Living (JHEAL) is an online, open-access, triannual, peer-reviewed journal focused on publishing high-quality studies in active living and healthy eating. Of particular interest are studies of the interactional nature between active living and/or healthy eating and the “environment,” broadly defined as social, cultural, economic, political, natural, virtual, and built dimensions. Papers that report on multi-level studies and interventions are also welcome. We publish full-length reports, brief communications, meta-analyses, scoping reviews, translational and practice-based research, policy and systems change evaluations, natural experiment studies, case studies, notes from the field, commentaries, and systematic reviews. Quantitative, qualitative and mixed methods studies are all encouraged. Because we value the application of research, we invite submissions from researchers as well as practice- and policy-oriented submissions from practitioners, policy makers, and advocates. Research and practice/policy papers will have separately-labeled sections, and reviewers with appropriate expertise will be selected. We are also open to publishing digital media files, including maps, visualizations, and other modern media. </p> <p> </p> Interventions to improve pedestrian and cyclist safety in Latin America: a systematic review and metasummary 2022-05-24T10:10:54-07:00 Kathleen Trejo Tello Sarah M. Hughey Sarah Porto Molly Hart Anna Benson <p>Road user fatalities account for one of the leading causes of preventable death in Latin America with pedestrians and bicyclists at higher risk for more extensive injuries as compared to other road users. Despite these vulnerable road user (VRU) risks, encouraging individuals to walk and cycle is an important public health strategy for addressing the region's obesity epidemic through promoting regular physical activity via active transportation (AT). However, in order to promote AT as a viable source of physical activity, safety of the VRU must be considered. Interventions to improve VRU safety are critical but a current understanding of the impact of these interventions in the region is lacking. The purpose of this systematic review and metasummary is to describe the effectiveness of interventions that have been implemented in Latin America to improve pedestrian and bicyclist safety. A systematic literature search of public health, policy and engineering databases was completed using search terms generated through the PICO method. The PRISMA framework was used to screen articles for inclusion and analysis. Eight articles detailing nine interventions across four countries were included for final synthesis and organized according to the Three E’s Model of Injury Prevention (Education, Engineering and Enforcement). Interventions assessed outcomes related to VRU safety ranging from attitudes and behaviors to fatal injuries, with only enforcement-based interventions reporting on the latter. Evidence-based interventions to inform the design of programs to promote AT and VRU safety in the region are lacking and should be of urgent public health priority.</p> 2022-08-25T00:00:00-07:00 Copyright (c) 2022 Kathleen Trejo Tello, Morgan Hughey, Sarah Porto, Molly Hart, Anna Benson Investigating knowledge on calcium and preferences for dairy vs. plant-based alternatives 2022-02-02T17:28:45-08:00 Sarah G. Geller Bridget E. Clark Lizzy Pope Meredith T. Niles Emily Belarmino <p>Calcium is a nutrient of public health concern and commonly associated with dairy foods. In recent years, plant-based alternatives to dairy products have grown in popularity. This study examines public understanding of dietary calcium in dairy products and plant-based alternatives and explores whether knowledge is associated with product preference. In 2018, the U.S. Food and Drug Administration (FDA) solicited comments on the labeling of plant-based dairy alternatives (FDA-2018-N-3522), including input on consumer understanding of the nutritional content of dairy foods and plant-based products. All 11,906 submissions were obtained and 8,052 were retained after duplicate and near-duplicate comments were removed. Comments were coded for major nutrition themes and those that mentioned calcium and were analyzed for three calcium-specific themes: knowledge and beliefs about calcium content, calcium bioavailability, and health outcomes associated with intake. Submissions were examined in relation to each commenter’s preference for dairy products or plant-based alternatives. 244 unique submissions (3.0%) mentioned calcium. Over half (51.2%) of commenters who mentioned calcium preferred plant-based alternatives. Comments mentioning calcium often reflected preference. Most commenters had an accurate understanding of calcium content in dairy and plant-based products. However, several commenters – especially those who preferred plant-based alternatives – misunderstood calcium metabolism and health outcomes related to calcium. Given declining consumption of fluid dairy milk – a key source of dietary calcium – and increasing consumption of plant-based alternatives, addressing gaps in nutrition knowledge and misunderstanding related to dairy and calcium intake is critical and has implications for nutrition education and policy.</p> 2022-08-25T00:00:00-07:00 Copyright (c) 2022 Sarah G. Geller, Bridget E. Clark, Lizzy Pope, Meredith T. Niles, Emily Belarmino Impacts of a workplace-based weight-control intervention on objective and perceived physical activity among a subgroup of workers 2022-02-04T14:15:03-08:00 Rachel Tabak Ryan Colvin Jaime Strickland Ann Marie Dale Maura Kepper Tara Ruggeri Bradley Evanoff <p>Physical activity (PA) has many benefits; however, groups facing barriers to health promoting behaviors are less likely to be physically active.</p> <p>The current study employed objective (accelerometry) and perceived (International Physical Activity Questionnaire, IPAQ) measures of PA among a subset of participants from the “Working for You” study, which tests a multi-level (work group and individual), workplace intervention targeted at workers in low-wage positions. Linear mixed and hierarchical logistic regression models were used to determine the intervention’s impact on moderate- to vigorous PA (MVPA) and achieving the PA Guideline for Americans (≥150 minutes MVPA/week), respectively from baseline to 6- and 24-months, relative to a control group. Correlations (Spearman Rho) between perceived and objective PA were assessed.</p> <p>One-hundred forty workers (69 control, 71 intervention) participated in the sub-study, of these, 131 (94%) had valid data at baseline, 88 (63%) at 6-months, and 77 (55%) at 24-months. Changes in MVPA were not significantly different among intervention relative to control participants assessed by accelerometer or IPAQ at 6- or 24-months follow-up. The percent achieving the PA Guideline for Americans did not vary by treatment group by any measure at any time point (e.g., baseline accelerometry: [control: n=37 (57%); intervention: n=35 (53%)]). The study identified limited agreement (correlation range: 0.04 to 0.42, all p&gt;.05) between perceived and objective measures.</p> <p>We cannot conclude the intervention improved PA among a subset of participants wearing accelerometers. Though agreement between objective and perceived MVPA was low, similar conclusions regarding intervention effectiveness would have been drawn with either method.</p> <p>Trial registration: NCT02934113</p> 2022-08-25T00:00:00-07:00 Copyright (c) 2022 Rachel Tabak, Ryan Colvin, MPH, Jaime R. Strickland, MA, Ann Marie Dale, PhD, OTR/L, Maura Kepper, PhD, Tara Ruggeri, MPH, Bradley Evanoff, MD, MPH Pilot study and cumulative risk framework to advance long-haul driver health 2022-05-25T09:33:35-07:00 Mary Fox Teresa Penbrooke Reza Farzaneh Mariyah Rahman Tara Ramani Josias Zietsman <p>Commercial drivers are essential to the economic recovery, yet their work exposes them to many health and safety hazards. Research to improve driver health should be designed with an understanding of both the complex occupational environment and the risk management context. We present results of a small pilot study of driver health concerns and behaviors to illustrate concepts and frameworks from human health risk assessment and management that may assist in the design and translation of driver and other worker health research. The pilot study surveyed eighteen long-haul truck drivers at a truck stop using an instrument adapted from the International Physical Activity Questionnaire and a transient community needs assessment developed for the US Antarctic Program Recreation and Wellness Survey. Respondents’ characteristics and health concerns reflect existing literature: mostly male of older age with musculo-skeletal and chronic health conditions. The two most common barriers to physical activity were lack of time and physical limitations. Applying cumulative risk assessment and risk-based decision-making frameworks, we suggest that preventive health management opportunities can be improved for this transient community of workers through actions of employers, truck stop owners and their communities. Considering cumulative risk assessment and risk-based decision making in research design can facilitate holistic research considering co-exposures, risk factors and mitigators across multiple domains of health to inform worker protection.</p> 2022-08-25T00:00:00-07:00 Copyright (c) 2022 Mary Fox, Teresa Penbrooke, Reza Farzaneh, Mariyah Rahman, Tara Ramani, Josias Zietsman