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P67 (continued) A baseline survey amongst 170 randomly selected elderly people (60 years old) indicated poverty, overnutrition, household food insecurity and poor health. The objective of this study was to maintain the quality of life and inde- pendence of these older adults by improving health by means of weight loss and lowered blood pressure. The Florida University “Eat better, move more” programme was adapted for South African conditions. A screening- and activity questionnaire were administered at baseline. Mea- surements included height, weight, body fat percentage, MUAC and blood pressure. Data were statistically analysed for means, standard deviations and correlations after a nutrition education and walking programme was imple- mented for a period of three months in 228 subjects attend- ing a care centre (total n 300). Each subject received a pedometer to record monthly distances. The majority (52%) of the subjects were obese (BMI 30) at baseline and most of the subjects (78%) were at risk of overnutrition (MUAC 21.7 cm). Hypertension was present in 68% of the subjects. The mean distances (SD) walked were 9.9 8.6 km, 8.5 8.0 km and 8.7 8.7 km for the three months respectively. A one-tailed Pearson correlation showed that there is statistical significance between the total distance walked (km) and the weight of the respon- dents ( 0.05), but no significance existed for the total distance walked and blood pressure of the respondents. It can be concluded that a nutrition education and walking programme is beneficial to the elderly, but it should be implemented for a longer period for more significant results. P68 Resource Needs of Nutrition Education Programs Serving Low-income, Culturally Diverse Students Jacquelyn Russum, RD, MPH, Health Education California Healthy Kids Resource Center (CHKRC), 313 West Winton Avenue, Hayward, CA 94544, [email protected]; Nancy L. Brown, PhD, Department of Health Services Research, Palo Alto Medical Foundation Research Institute, 795 El Camino Real (Ames Building), Palo Alto, CA 94301, [email protected] The Assessment of PreK through Grade 12 Nutrition In- structional Material Use, Development, and Needs survey was sent to 81 California Nutrition Network 2001-02 Local Incentive Awardees (LIAs). Sixty-two (76.5%) surveys were returned representing all 12 Network regions. The results indicate the majority of selection, presentation, and development of nutrition instructional materials were based on Network guidelines with teams of classroom teachers and dieticians conducting most material selection and de- velopment. Sixty-eight different instructional resources (including 25 LIA-developed materials) were used for PreK through grade 12 nutrition education with 52% of the LIAs using materials for grade levels they were not designed. Stand-alone nutrition lessons, food tasting, cooking activ- ities, special events, and demonstrations and discussions were the most frequently used teaching strategies at all grade levels. Parent/home linked nutrition lessons, curric- ula that could be integrated into other academic subjects, student assessment tools, cafeteria-linked lessons, and re- sources for low-income audiences were needs identified by most Network LIAs. Training and technical assistance were also requested most often in these areas. Based on the survey findings teachers, California Dairy Council, Univer- sity of California Cooperative Extension, California De- partment of Health Services, and other school-based edu- cation agencies developed fourteen recommendations to promote the use of high-quality, research-based nutrition education resources among Network LIAs. This project was funded by the California Nutrition Network, Cancer Pre- vention Nutrition Section, California Department of Health Services. P69 The Problems with “Super Sizing” in American High Schools: A Survey Rakesh Jain, MD, MPH, Mental Health Educational Initiative (MHEI), 135 Oyster Creek Drive, Suite G, Lake Jackson, TX 77566, [email protected]; Nick Moore, MHEI, [email protected]; Saundra Jain, PsyD, MHEI, [email protected] Statement of Problem: Because of rising national concern regarding high school students’ beliefs and practices con- cerning health and nutrition, we conducted a survey de- signed to anonymously capture student perceptions regard- ing these issues. It is generally believed there is rapid deterioration in the nutritional practices of this vulnerable population. Identification of appropriate interventions ad- dressing this population is urgently needed. Methodology: 183 high school students enrolled in a general health class were randomly selected and anonymously completed a pre and post survey related to health and nutritional beliefs. The intervention utilized was viewing a recently released, popular documentary, “Super Size Me” that addressed these issues. Data was collected and analyzed using Microsoft Excel. Results: Mean age 14.6. Research highlights: Ques- tion: “Which is the most important reason you eat fast food?” 29.5% save time, 6.6% no where else to eat, 10.4% geographic convenience, 1.1% save money and 50.8% don’t want to cook. Question: “Do you believe fast food is addicting?” Premovie: 12% not at all, 11.5% very little, 47.5% somewhat, 15.3% moderately, 13.1% extremely; Postmovie: 2.2%, 5.5%, 27.3%, 27.9%, and 35%. Question: “After watching this movie, I expect to eat fast food” 9.8% never, 50.3% less than now, 33.9% same, 1.1% a little more, and 1.6% a lot more. Conclusion: Vast discrepancies exist between student beliefs and their actual behaviors Continued on page S43 S42 Abstracts

P68: Resource Needs of Nutrition Education Programs Serving Low-income, Culturally Diverse Students

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P67 (continued)

A baseline survey amongst 170 randomly selected elderlypeople (�60 years old) indicated poverty, overnutrition,household food insecurity and poor health. The objectiveof this study was to maintain the quality of life and inde-pendence of these older adults by improving health bymeans of weight loss and lowered blood pressure. TheFlorida University “Eat better, move more” programme wasadapted for South African conditions. A screening- andactivity questionnaire were administered at baseline. Mea-surements included height, weight, body fat percentage,MUAC and blood pressure. Data were statistically analysedfor means, standard deviations and correlations after anutrition education and walking programme was imple-mented for a period of three months in 228 subjects attend-ing a care centre (total n � 300). Each subject received apedometer to record monthly distances. The majority(52%) of the subjects were obese (BMI � 30) at baselineand most of the subjects (78%) were at risk of overnutrition(MUAC � 21.7 cm). Hypertension was present in 68% ofthe subjects. The mean distances (�SD) walked were 9.9 �8.6 km, 8.5 � 8.0 km and 8.7 � 8.7 km for the threemonths respectively. A one-tailed Pearson correlationshowed that there is statistical significance between thetotal distance walked (km) and the weight of the respon-dents (� � 0.05), but no significance existed for the totaldistance walked and blood pressure of the respondents. Itcan be concluded that a nutrition education and walkingprogramme is beneficial to the elderly, but it should beimplemented for a longer period for more significantresults.

P68 Resource Needs of Nutrition EducationPrograms Serving Low-income, CulturallyDiverse StudentsJacquelyn Russum, RD, MPH, Health EducationCalifornia Healthy Kids Resource Center (CHKRC), 313West Winton Avenue, Hayward, CA 94544,[email protected]; Nancy L. Brown, PhD,Department of Health Services Research, Palo AltoMedical Foundation Research Institute, 795 El CaminoReal (Ames Building), Palo Alto, CA 94301,[email protected]

The Assessment of PreK through Grade 12 Nutrition In-structional Material Use, Development, and Needs surveywas sent to 81 California Nutrition Network 2001-02 LocalIncentive Awardees (LIAs). Sixty-two (76.5%) surveyswere returned representing all 12 Network regions. Theresults indicate the majority of selection, presentation, anddevelopment of nutrition instructional materials were basedon Network guidelines with teams of classroom teachersand dieticians conducting most material selection and de-velopment. Sixty-eight different instructional resources(including 25 LIA-developed materials) were used for PreK

through grade 12 nutrition education with 52% of the LIAsusing materials for grade levels they were not designed.Stand-alone nutrition lessons, food tasting, cooking activ-ities, special events, and demonstrations and discussionswere the most frequently used teaching strategies at allgrade levels. Parent/home linked nutrition lessons, curric-ula that could be integrated into other academic subjects,student assessment tools, cafeteria-linked lessons, and re-sources for low-income audiences were needs identified bymost Network LIAs. Training and technical assistance werealso requested most often in these areas. Based on thesurvey findings teachers, California Dairy Council, Univer-sity of California Cooperative Extension, California De-partment of Health Services, and other school-based edu-cation agencies developed fourteen recommendations topromote the use of high-quality, research-based nutritioneducation resources among Network LIAs. This project wasfunded by the California Nutrition Network, Cancer Pre-vention Nutrition Section, California Department ofHealth Services.

P69 The Problems with “Super Sizing” inAmerican High Schools: A SurveyRakesh Jain, MD, MPH, Mental Health EducationalInitiative (MHEI), 135 Oyster Creek Drive, Suite G,Lake Jackson, TX 77566, [email protected];Nick Moore, MHEI, [email protected]; SaundraJain, PsyD, MHEI, [email protected]

Statement of Problem: Because of rising national concernregarding high school students’ beliefs and practices con-cerning health and nutrition, we conducted a survey de-signed to anonymously capture student perceptions regard-ing these issues. It is generally believed there is rapiddeterioration in the nutritional practices of this vulnerablepopulation. Identification of appropriate interventions ad-dressing this population is urgently needed. Methodology:183 high school students enrolled in a general health classwere randomly selected and anonymously completed a preand post survey related to health and nutritional beliefs.The intervention utilized was viewing a recently released,popular documentary, “Super Size Me” that addressed theseissues. Data was collected and analyzed using MicrosoftExcel. Results: Mean age 14.6. Research highlights: Ques-tion: “Which is the most important reason you eat fastfood?” 29.5% save time, 6.6% no where else to eat, 10.4%geographic convenience, 1.1% save money and 50.8%don’t want to cook. Question: “Do you believe fast food isaddicting?” Premovie: 12% not at all, 11.5% very little,47.5% somewhat, 15.3% moderately, 13.1% extremely;Postmovie: 2.2%, 5.5%, 27.3%, 27.9%, and 35%. Question:“After watching this movie, I expect to eat fast food” 9.8%never, 50.3% less than now, 33.9% same, 1.1% a littlemore, and 1.6% a lot more. Conclusion: Vast discrepanciesexist between student beliefs and their actual behaviors

Continued on page S43

S42 Abstracts