Journal of Healthy Eating and Active Living <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> en-US <p>All articles published in the journal are open access under the CC BY-NC 4.0 Attributional Noncommercial licence. The authors will retain the copyright of all articles published in the journal. The journal will be granted a right to publish from the authors upon acceptance of their manuscript. </p> (Jay Maddock, Ph.D.) (Jay Maddock, Ph.D.) Fri, 11 Mar 2022 00:00:00 -0800 OJS 60 Diet and Physical Activity Behaviors of Families Receiving Maternal and Child Health Services: The Perspective of the Home Visitor <p>Women and children enrolled in federally funded home visitation services are at an increased risk for unhealthy diet and physical activity patterns. Home visitors have a privileged relationship with their clients and hold a unique perspective of the multilevel influences surrounding these behaviors. This study explored the question: “What are the home visitors’ perspectives and experiences with their families’ diet and physical activity behaviors?”. Home visitors enrolled in a larger trial were invited to participate in focus group sessions (n=13). Topics covered their clients’ constraints and capacity building opportunities for healthful diet and activity practices. Reflexive thematic analysis was used to analyze the data. The home visitors discussed key influences of diet and activity, and three overarching themes were identified: (1) Acute periods of crises and mental health issues; (2) The role of the mother within the family; and (3) Support and barriers within mothers’ broader social network. The themes identified in this study highlight the complex, multidimensional influences on the dietary and physical activity patterns of these families, and pinpoint key areas of opportunity for intervention.</p> Sydney Miller, Celina Shirazipour, Aimee Fata Holmes, Sarah-Jeanne Salvy, Kayla de la Haye Copyright (c) 2022 Sydney Miller, Celina Shirazipour, Aimee Fata Holmes, Sarah-Jeanne Salvy, Kayla de la Haye Fri, 11 Mar 2022 00:00:00 -0800 The Impact of the COVID-19 Pandemic on Healthy Lifestyles in Rural Families <p>Purpose: To understand how the COVID-19 pandemic impacted the health behaviors of rural families participating in a healthy lifestyles intervention. Methods: Caregivers of rural children participating in a healthy lifestyles intervention were invited to participate in a structured interview regarding how the COVID-19 pandemic affected their family and family health behaviors. Interviews were transcribed and the research team conducted a rigorous inductive thematic analysis. Findings: Structured qualitative interviews with caregivers (n=30) resulted in 5 saturated themes: (1) caregivers reported new or exacerbated mental health concerns and stress among family members, largely due to social isolation and external stressors, (2) caregivers reported feeling out of control of positive health behaviors for themselves and their children, (3) families reported variability in how they handled reductions in schedule demands, ranging from filling time with positive activities to negative behaviors such as snacking, (4) families continuously re-adjusted their approach to parenting, routines, and health behaviors due to internal and external factors, (5) families ate foods that were accessible and convenient, which impacted the health of the family diet. Conclusions: Despite being asked primarily about lifestyle behavior changes, families reported concerns around mental health. Specifically, families reported the COVID-19 pandemic increased mental health symptoms, such as caregivers and child stress and child behavioral problems. Regarding health behaviors, families reported variability in family meals, increases in unstructured time and increases in family centered activities such as cooking or exercising together. Families also reported challenges unique to their rural status, such as accessibility to fresh groceries. &nbsp;&nbsp;&nbsp;</p> Keisha England, Bethany Forseth, Maheen Bangash, Rohit Bhagat, Megan Murray, Dana Bakula, Ann M. Davis, PhD, MPH, ABPP Copyright (c) 2022 Keisha England, Bethany Forseth, Maheen Bangash, Rohit Bhagat, Megan Murray, Dana Bakula, Ann M. Davis, PhD, MPH, ABPP Fri, 11 Mar 2022 00:00:00 -0800 Barriers to Healthy Eating and Physical Activity in the Mississippi Delta <p>Rural regions in the United States are home to approximately 15-20% of the country’s population. These regions are often characterized by low access to medical care and high rates of disease and death. The literature has detailed the heterogeneous nature of rural health disparities, calling for research detailing regional factors that influence individual-level risk factors such as diet and physical activity. The Mississippi Delta population is largely characterized by high obesity rates, poor diet, and low levels of physical activity. This study presents the most detailed observations of the community-level barriers and facilitators to healthy eating and physical activity within Mississippi Delta communities, contextualizing the findings of a survey of 352 individuals across 25 communities to provide implications and direction for future activities aimed at reducing obesity in the Mississippi Delta. This study observed a high prevalence of overweight (22.9%) and obese (62.1%) body mass index classifications. Chi-square analyses revealed significant relationships between body mass index, age, and health conditions. Community food and physical activity environments and rural characteristics were largely implicated as barriers to fruit and vegetable consumption and physical activity. This article will detail the individual and community-level barriers as they were observed among this sample of Mississippi Delta residents. Next steps involve using qualitative research techniques to guide the development of programmatic strategies for reducing obesity through diet and physical activity in these communities and other rural regions in the United States.</p> Katharine Halfacre, PhD, David R. Buys, PhD, Megan E. Holmes, PhD, Erin King, Jacinda Roach, PhD Copyright (c) 2022 Katharine Halfacre, PhD, David R. Buys, PhD, Megan E. Holmes, PhD, Erin King, Jacinda Roach, PhD Fri, 11 Mar 2022 00:00:00 -0800 The $100,000 Pyramid Justin B. Moore, Gabrielle Turner-McGrievy, Jay E. Maddock Copyright (c) 2022 Justin B. Moore, Gabrielle Turner-McGrievy, Jay E. Maddock Fri, 11 Mar 2022 00:00:00 -0800 Black Bodies: It’s Time To Reclaim Our Green Space Freedom <p>N/A</p> Jennifer Roberts Copyright (c) 2022 Jennifer Roberts Fri, 11 Mar 2022 00:00:00 -0800