Journal of Healthy Eating and Active Living 2021-04-05T15:00:41+00:00 Jay Maddock, Ph.D. Open Journal Systems <p>JHEAL is an international, online, open-access, quarterly, peer-reviewed journal focused on publishing high-quality studies in the areas of 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 to include 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> Successful youth advocacy (YA) programs 2020-10-13T09:35:25+00:00 Nisha Botchwey L. Katie O'Connell Kim Bryan Tonya Ricks <p>Disparities in youth obesity continue despite an increasing number of programs designed to combat this challenge. Policy, systems, and environmental (PSE) changes hold promise for these populations. This study identifies lessons from adult leaders for youth advocacy programs. Youth Engagement &amp; Action for Health! (YEAH!) is a youth advocacy curriculum for PSE change that promotes healthy behaviors. From 2017-2019, 18 youth-serving organizations recruited 11-14 year olds from low-income urban, suburban, and rural areas. 237 participants in 19 youth groups completed YEAH! with 28 adult leaders.&nbsp; YEAH! adult leaders completed pre- and post-surveys on adult leader characteristics, group structure and dynamics, barriers to success, and technical assistance needs.&nbsp; Researchers interviewed adult leaders at the completion of each YEAH! project. This community based participatory research (CBPR) project engaged adult leaders to collect data, analyze coded transcripts and interpret results. Clubs evaluated with positive outcomes were facilitated by adult leaders who had previous engagement with the youth, showed enthusiasm for youth advocacy, and had access to resources to motivate group cohesion, participation, and commitment. The adult leader steering committee synthesized the findings into a set of best practices and strategies to help group leaders be as successful as possible when leading future youth advocacy groups.</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Nisha Botchwey, L. Katie O'Connell, Kim Bryan, Tonya Ricks Baseline Assessment of Children’s Meals and Healthy Beverage Options Prior to a State-Level Healthy Default Beverage (HDB) Law 2020-09-24T14:29:57+00:00 Meghan McGurk Stephanie Cacal Uyen Vu Tetine Sentell Toby Beckelman Jessica Lee Alyssa Yang Catherine Pirkle <p>In January 2020, Hawai‘i became the second state with a healthy default beverage (HDB) law, requiring restaurants to offer HDBs with their children’s meals. This observational study presents baseline characteristics of restaurants with a children’s menu and meal, and describes pre-law beverage options to inform future HDB policy language, implementation, and evaluation. Between November and December 2019, data were collected from a statewide sample of unique restaurants (n=383) with health inspection permits. Restaurants were assessed separately for a children’s menu and meal using website reviews, telephone calls, and in-person visits. Meals were evaluated in February 2020 for pre-law beverage type and compliance. Logistic regression was used to estimate the likelihood of having a children’s menu and meal. Most of the restaurants were full-service (70.2%) and non-chains (67.9%). While 49.3% of restaurants had a children’s menu, only 16.7% had a meal. Significant predictors of having a children’s menu were being full-service (OR=2.09; p=0.004), national/international (OR=5.32; p&lt;0.001) or local chains (OR=1.99; p=0.03), neighbor island (non-Honolulu) locations (OR=2.49; p&lt;0.001), and hotel locations (OR=3.77; p&lt;0.001). Only being a national/international chain significantly predicted having a children’s meal (OR=7.57; p&lt;0.001). Although 35.9% of children’s meals offered a non-sugar-sweetened beverage (SSB) option, only 3.1% offered law-compliant beverages. Inclusion of an SSB default option (60.9%) and not specifying the type of default beverage were the predominant factors for pre-law non-compliance. Results support the need for HDB regulations, especially for national/international chains, which were most likely to have children’s meals, and provide data to inform policies in other jurisdictions.</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Meghan D. McGurk, Stephanie L. Cacal, Uyen Vu, Tetine Sentell, Toby Beckelman, Jessica Lee, Alyssa Yang, Catherine M. Pirkle Association between social isolation and eating alone on foods consumed by Chinese adolescents 2021-02-08T18:04:09+00:00 Justin Moore SangHo Jee Brett Kemper Jay Maddock Rui Li <p>Obesity is increasingly affecting Chinese adolescents due to trends in unhealthy eating, including lower fruit and vegetable consumption and increased consumption of processed foods. A cross-sectional study of adolescents was conducted in Wuhan, China in October 2019 which included measurements of perceived social isolation, eating when anxious or depressed, diet composition, body weight, and height. Social isolation, eating when sad or anxious, and eating alone were significant predictors of processed food and sugar sweetened beverage consumption, although only eating when sad or anxious was a significant predictor of fruit and vegetable consumption. Eating when anxious or depressed did not mediate these relationships. Social isolation predicted consumption of processed foods and sugar sweetened beverages by males, but not by females and only eating home cooked dinner predicted fruit and vegetable consumption by females. Eating when sad or anxious, eating alone, and eating home cooked meals all predicted fruit and vegetable consumption among males. The effects of social isolation, anxiety, and depression could act to increase unhealthy eating through several, mechanisms potentially mediated by chronic stress while eating alone could also act to increase unhealthy eating due to effects of self-efficacy and food availability. The interplay between diet and outside factors including environment, social factors, and personal psychology specific to Chinese adolescents need to be better understood to develop comprehensive interventions for this population.</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Justin Moore, SangHo Jee, Brett Kemper, Jay Maddock, Rui Li A brief staff training to increase children’s physical activity during an after-school program: Preliminary effectiveness and potential for dissemination 2021-01-26T16:49:26+00:00 Emily Mailey Jerica Garcia Richard Rosenkranz <p>This two-part study aimed to first evaluate the preliminary effectiveness of a brief staff training intervention to promote physical activity among children attending an after-school program, and then to determine the feasibility of delivering the training to a larger number of sites. Two Boys and Girls Club after-school sites (intervention, control) participated in study 1. Accelerometer-measured physical activity of children and directly observed staff behaviors were assessed at each site in February and May 2019. Following baseline data collection, staff at the intervention site attended a brief physical activity promotion training, which emphasized expanding the quantity and enhancing the quality of physical activity opportunities. For study 2, the training was delivered to all staff, and they completed pre- and post-training measures of self-efficacy and intention to implement strategies to promote physical activity. In study 1, children at the intervention site decreased sedentary time by 14.8 min/day, and increased light and moderate-to-vigorous physical activity by 7.8 and 7.0 min/day, respectively, relative to the control site. Instances of staff encouragement significantly increased at the intervention site. In study 2, staff reported significant improvements in self-efficacy and intention immediately following the training. These studies provide preliminary evidence that a brief staff training intervention may increase physical activity among children attending an after-school program, and that the intervention can be integrated into existing training requirements. Future research is needed to replicate these findings across a wider range of after-school programs, and to explore systematic approaches to offering sustainable physical activity training regularly at scale.</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Emily Mailey, Jerica Garcia, Richard Rosenkranz Development and Feasibility of an Obesity Prevention Intervention for Adolescent African American Daughters and Their Mothers 2020-11-30T18:38:54+00:00 Monique Reed JoEllen Wilbur Christy Tangney Michael Schoeny Arlene Miller Kashica Webber- Ritchey <p>African American (AA) girls and women having disproportionately higher rates of obesity than their racial/ethnic counterparts. There is an urgent need to address overweight and obesity in AA girls through preventive interventions that enhance lifestyle physical activity (PA) and improve dietary behaviors in middle adolescence. Middle adolescence represents a unique and important opportunity to strengthen the daughter/mother bond and improve healthy behaviors such as PA and dietary intake. Because of the developmental and cultural complexities of adolescence, it is essential to include mothers, however, this approach is understudied in the literature. This pre-pilot study--- <em>Black Girls Move</em> was conducted using a 12-week pre-post within-subjects design to assess a) feasibility of conducting the study b) feasibility of delivering the intervention and c) program satisfaction by AA 9<sup>th</sup> and 10<sup>th</sup> grade daughters and their mothers.&nbsp; Twenty-two dyads were recruited, 14 dyads completed baseline assessments, however, only eight daughters and their mothers attended the first session and were retained for the entire study. All dyads had valid objective and self-reported PA data, however, two of eight daughters and one mother provided &nbsp;self-reported dietary data that were considered invalid. All individual sessions were rated highly.&nbsp; Excellent attendance, retention, and satisfaction among participants suggest that we succeeded in conveying the importance of healthy PA and dietary behavior change. This lifestyle intervention would be strengthened by modifications to recruitment and retention as well as incorporation of a computerized dietary assessment tool, a tailored dietary app for self-monitoring, and increased photo-based and group homework activities.</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Monique Reed, JoEllen Wilbur, Christy Tangney, Michael Schoeny, Arlene Miller, Kashica Webber- Ritchey Healthy Eating and Active Living in a Post-Pandemic World 2021-03-25T20:48:32+00:00 Jay Maddock Rececca Seguin-Fowler <p>N/A</p> 2021-04-05T00:00:00+00:00 Copyright (c) 2021 Jay Maddock; Rececca Seguin-Fowler