Browsing by Author "Almohanna, Amal Sami"

Now showing 1 - 2 of 2
  • Thumbnail Image
    Food Availability and Behavior of Youth EFNEP Participants in Virginia
    Almohanna, Amal Sami (Virginia Tech, 2016-06-03)
    Low-income and minority youth are disproportionately affected by low food access, low dietary quality, and high levels of obesity. The Expanded Food and Nutrition Education Program (EFNEP) is designed specifically to assist limited resource youth and adult audiences to acquire the knowledge, skills, attitudes, and changed behavior necessary for nutritionally sound diets, and to contribute to their personal development and improvement of the overall family diet and nutritional well-being by using a peer-education model (USDA, 2012). To date, little published research exists on dietary patterns and food access among youth who participated in EFNEP. The specific research goals of this study were to: 1) explore baseline dietary and physical activity self-efficacy and behaviors of youth EFNEP participants and compare to national trends, 2) examine differences in self-efficacy and behaviors based on socio-demographic factors and food availability, and 3) determine the association between food availability and dietary behavior. This study consisted of conducting surveys with 1,864 low-income youth, ages 7 to 14 years old, across Virginia prior to participation in an obesity-prevention program. The survey consisted of a 55-item written pre, post-test instrument that had been previously tested for validity and reliability. Most participants reported availability across all food groups, with the exception of meat and beans (41.4%) and dessert (48.3%). Significantly less than half of participants reported not meeting dietary behavior thresholds for the following food groups: grains (27.0%); whole grain (19.7%); low-fat milk (31.5%); vegetables (18.2%); colored vegetables (15.3%); and baked foods (31.7%). Availability of meats and beans and fruits were higher among Latinos than non-Latinos. Younger participants reported a higher consumption of sugar-sweetened beverages and screen time; however, the children had participated in physical activity. Participants who reported a higher availability of fruits and vegetables at home also participated in physical activities at least once a day. This study provided insight into the availability of food, as well as food consumption among low-income audiences across Virginia, based on youth EFNEP reporting. The results highlighted the importance of strategic interventions to improve the availability of nutritious foods and obesity prevention strategies to enhance self-efficacy and intake of nutritious foods among low-income youth.
  • Thumbnail Image
    Impact of the American Diet on Newly-Arrived International Students during their first three months at Virginia Tech
    Almohanna, Amal Sami (Virginia Tech, 2010-12-14)
    Rationale: Published studies have shown that immigrants undergo dietary acculturation which may have positive or negative impact on their health. Therefore, a study was conducted to investigate this critical issue of dietary acculturation and any possible influence on the health status of newly arrived international students at Virginia Tech in Fall 2010. Design: In this study weight, fasting blood glucose and blood pressure of 35 international students (age 18-36 years) were determined at three time points, 5-6 weeks apart. Participants filled out a 20-item-questionnaire addressing alteration in the native and American dietary habits. Furthermore, 24 hrs dietary recalls and frequency of consuming the most popular food items in the US was assessed. Results: Total sample population (TSP) had a significant increase in average weight by 2.79 lbs from visit 1 (V1) to visit 3 (V3) (p=0.0082), Participants who gained weight (PGW; n=10) had an average increase by 9 lbs. Country wise, Chinese had a statistically significant average increase in their weights by 4.16 lbs (p=0.0077) whereas, Indians and Germans had an average increase by 2.36 lbs and 1.28 lbs respectively. Gender wise, the average increase in weight for females was 3.99 lbs (p=0.0015) while for males 1.52 lbs from V1 to V3. There were no significant differences in total caloric consumption from V1 to V3 for both groups of international students. There were no significant changes in the fasting blood glucose and systolic blood pressure from V1 to V3. There was an increase in frequency of consuming high calorie American food items in V3 when compared with V1. Frequency of burger consumption was highly increased in the TSP group while bagels were significantly increased in PGW group. There was an overall increasing trend towards American diet, cooking and eating habits. Finally, we conclude that the international students are gradually acculturating to the American diet and have impact on their weight which may potentially have a negative impact on their health status. Future studies and orientation program catered to the needs of adjusting to acculturation process of international students are recommended.