Life Sciences Commons^™

Prevalence And Incidence Of Health Risk Factors Among Adolescent Girls, Kylah Pollard, Mohammed Chowdhury, Sarai Bauguess

The Kennesaw Journal of Undergraduate Research

Heart Disease has many different risk factors, including hypertension (high blood pressure) and high cholesterol. Research has shown that hypertension can be identified as early as adolescence, and preventative measures can be instilled in this age. However, the relationship between hypertension, high cholesterol, race, and income have not been studied in detail among adolescents. The present study analyzed the effects of different health factors on blood pressure and cholesterol levels in Caucasian and African-American girls ages 9-21 years old, the prime of adolescence. The dataset was part of a larger study completed by the National Heart, Blood, and Lung Institute …

Direct And Indirect Effects Of Parent Stress On Child Obesity Risk And Added Sugar Intake In A Sample Of Southern California Adolescents, Eleanor Tate Shonkoff, Genevieve F. Dunton, Chih-Ping Chou, Adam M. Leventhal, Ricky Bluthenthal, Mary Ann Pentz

Health Sciences Faculty Publications

Objective Research indicates that children are at higher risk for obesity if their parents have been exposed to a larger number of stressors, yet little is known about effects of parents’ subjective, perceived experience of stress on children’s eating behaviours and adiposity and whether weight-related parenting practices (i.e. parent rules and positive family meal practices) mediate this relationship. The present study evaluated the direct and mediated relationship between parent perceived stress and child waist circumference and parent stress and child consumption of added sugars one year later.

Design Longitudinal panel data.

Setting Eleven communities in Southern California, USA.

Subjects Data …

Monitoring Energy Expenditure Using A Multi-Sensor Device—Applications And Limitations Of The Sensewear Armband In Athletic Populations, Karsten Koehler, Clemens Drenowatz

Department of Nutrition and Health Sciences: Faculty Publications

In order to monitor their energy requirements, athletes may desire to assess energy expenditure (EE) during training and competition. Recent technological advances and increased customer interest have created a market for wearable devices that measure physiological variables and bodily movement over prolonged time periods and convert this information into EE data. This mini-review provides an overview of the applicability of the SenseWear armband (SWA), which combines accelerometry with measurements of heat production and skin conductivity, to measure total daily energy expenditure (TDEE) and its components such as exercise energy expenditure (ExEE) in athletic populations. While the SWA has been shown …

Sensory Evaluation On Flavor, Volume, And Texture Of Substituting Amaranth Flour For Wheat Flour In Red Velvet Cupcakes, S. Patrick James

Posters-at-the-Capitol

Celiac disease is becoming more prevalent in today’s society and celiac patients are looking for more gluten-free options to replace wheat-made counterparts. Amaranth is a gluten-free grain that has been introduced in many products for its nutritional benefits, such as improvements in calcium, iron and zinc intake. The purpose of this study was to determine if red velvet cupcakes made with amaranth flour could provide comparable taste, volume and texture to a red velvet cupcake made with wheat flour. Both cupcakes underwent a seed-displacement test, which determined that the amaranth cupcake was comparable in volume. When each sample was presented …

Stature, Body Mass, And Bmi In High School American Football Players: Appropriate Determinants Of Obesity Prevalence?, Alegra I. Mendez, Amelia A. Miramonti, Zachary M. Gillen, Brianna D. Mckay, Todd J. Leutzinger, Joel T. Cramer

Department of Nutrition and Health Sciences: Faculty Publications

The purpose of this study was to evaluate stature (HT), weight (WT), body mass index (BMI), and obesity prevalence based on BMI categories in a large sample (n = 7,175) of high school American football players enrolled as freshmen, sophomores, or juniors. Players were categorized by their positions: offensive linemen (OL), defensive linemen (DL), tight end (TE), defensive end (DE), linebacker (LB), running back (RB), quarterback (QB), defensive back (DB), and wide receiver (WR). HT, WT, and BMI increased as grade increased among all positions. OL and DL had the greatest HT, WT, and BMI (p≤0.05). Obesity prevalence was greatest …

Modifiable And Non-Modifiable Factors Related To The Macular Pigment Optical Density (Mpod) In A Population Of College-Aged Adults, Genesis Gisselle Guerra Gaitan

LSU Master's Theses

Age-related macular degeneration (AMD) is one of the leading causes of blindness among the elderly worldwide. Retinal problems, specifically in the macula, hold potential for development of AMD. Macular pigment optical density (MPOD) gives a measure of the thickness of the macula and therefore health of the macula. Some of the populations at risk for development of AMD include being white, female, and having light eye color. Factors related to the development of the disease have been divided into modifiable and non-modifiable; non-modifiable include a genetic predisposition. Control of modifiable factors, including body mass index (BMI) and diet [dietary intake …

Creating A "Healthier Us" In The Workplace: Promoting A Healthy Lifestyle Through Evidence Based Nutrition Education., Jennifer Brennan Rd, Cso, Janine Gilboy Rd, Ldn, Erin Levine Rd, Cso, Ldn

Clinical Nutrition Service

No abstract provided.

The Effects Of Lean Beef Supplementation On The Iron Status Of College Athletes, Jocelyn Johnson, Danielle Burke, Matthew Vukovich, Kendra Kattelmann

Matthew Vukovich

The purpose of this study was to determine whether weekly supplementation with nine ounces of prepackaged lean beef sticks could maintain the iron status of college endurance athletes. Thirty-four college endurance athletes (20 female, 14 male) were stratified by sex, baseline serum ferritin concentration, and use of iron supplements, and randomized into an intervention (n = 18) or control (n = 16) group. The participants in the intervention group supplemented their usual diet with nine ounces of prepackaged lean beef sticks per week and a daily multivitamin/mineral supplement containing 18 mg iron. The participants in the control group consumed their …

Physical Activity And Associated Energy Intake In Undergraduate College Students, Erin Marie Fejes

Theses and Dissertations

Background: College students often develop unhealthy eating habits. Poor eating habits can lead to chronic disease.

Methods: Energy intake and physical activity data from 35 undergraduate students enrolled in a 100-level kinesiology class were recorded and analyzed. Energy intake data was self-reported, while physical activity data was recorded via an activity tracker.

Results: Data points were analyzed twice: each day separately and as averages for each participant. When analyzed as averages, grams of total fat and grams of carbohydrate were the most significantly correlated with minutes of moderate to vigorous+ physical activity (both p<0.01). When analyzed by day, grams of protein, total fat, saturated fat, carbohydrate, sugar, and fiber were all found to be significantly correlated with minutes of moderate to vigorous physical activity to the p≤0.01 level.

Conclusion: An increase in physical activity …

Behaviour Change Intervention Strategies To Prevent Excessive Gestational Weight Gain In Pregnant Women Using A Nutrition And Exercise Lifestyle Intervention Program (Nelip), Karishma Hosein

Electronic Thesis and Dissertation Repository

Maternal obesity and excessive gestational weight gain (EGWG) are associated with adverse maternal and fetal outcomes. To evaluate the effectiveness of different behaviour change intervention strategies, it was hypothesized that the introduction of a single behaviour change, followed by a second, would be more effective at preventing early and total EGWG in pregnant women compared to the early simultaneous introduction of both behaviour changes. Eighteen pregnant women were block randomized into one of 3 Nutrition and Exercise Lifestyle Intervention Program (NELIP) strategies (full NELIP, Nutrition followed by Exercise N+E, Exercise followed by Nutrition E+N) and were followed at weekly face-to-face …

Desert Within A City: Exploring The Relationship Between Food Security, Diet, And Body Mass Index, Jamey Ann Baietto

Theses and Dissertations

Background: Food deserts are areas of decreased access to nutritious and affordable foods. Residing within a defined food desert is thought to decrease consumption of produce, dairy, and whole grains and increase consumption of energy-dense foods as well as body mass index (BMI).

Objective: The purpose of this study was to determine the effects of the level of food security on consumption of fruits, vegetables, dairy, whole grains, high-sugar foods, high-fat foods, and BMI.

Design: A one-time, self-administered data collection packet was sent to residents of a food desert. The Dietary Screener Questionnaire was utilized to determine the average daily …

A Meta-Analysis To Determine The Impact Of Restaurant Menu Labeling On Calories And Nutrients (Ordered Or Consumed) In U.S. Adults, Thaisa M Cantu-Jungles, Lacey A. Mccormack, James E Slaven, Maribeth Slebodnik, Heather A Eicher-Miller

Health and Nutritional Sciences Faculty Publications

A systematic review and meta-analysis determined the effect of restaurant menu labeling on calories and nutrients chosen in laboratory and away-from-home settings in U.S. adults. Cochrane-based criteria adherent, peer-reviewed study designs conducted and published in the English language from 1950 to 2014 were collected in 2015, analyzed in 2016, and used to evaluate the effect of nutrition labeling on calories and nutrients ordered or consumed. Before and after menu labeling outcomes were used to determine weighted mean differences in calories, saturated fat, total fat, carbohydrate, and sodium ordered/consumed which were pooled across studies using random effects modeling. Stratified analysis for …

Scheduling Recess: Perceptions Of Lunchroom Supervisors, Teachers, And Principal, Reilly Layne Mckinnis

Theses and Dissertations

Purpose

The purpose of this study was to ascertain the perceptions of elementary school staff in regards to scheduling recess after or before lunch and the effect each schedule had on students.

Methods

This research was conducted in Fall 2016 when a Midwestern elementary school had recess after lunch (RAL) and in Spring 2017 when the same school had recess before lunch (RBL). A mixed methods approach was used. Nineteen teachers completed a Likert-scale survey, six of whom completed both the pre- and post-survey. One principal and five lunchroom supervisors participated in individual semi-structured interviews pertaining to their perceptions of …

Energy Balance During A Self-Sufficient, Multistage Ultramarathon, Paul A. Hough, James Earle

Journal of Human Performance in Extreme Environments

Endurance athletes are recommended to maintain energy balance and ensure adequate energy availability (EA) so that endurance performance is not compromised. Purpose: Describe and evaluate the energy balance of an athlete competing in a self-sufficient, multistage ultramarathon (MSU). Methods: A male endurance athlete (age 35 years; height 183.0 cm; body mass 78.4 kg; VO_2max 66 ml/kg/min) volunteered to take part in this observational case study prior to competing in the Marathon des Sables (MdS) 2016. The subject self-reported energy intake (EI) by reviewing his dietary plan following each stage. Basal metabolic rate (BMR) was estimated prior to the MdS …

Evaluating The Evidence And Assessing Registered Dietitian Nutritionists' Perceptions Of The Complex Renal Dietary Restrictions, Alyssa Lee Welte

Theses and Dissertations

The renal diet is often regarded as challenging to teach and follow, and can easily lead to additional complications, including malnutrition. Recent trends in the literature have suggested a liberalization in the renal diet, though no studies have assessed whether Registered Dietitian Nutritionists (RDNs) are comfortable making this change. An original, cross-sectional survey was created for this study. 187 renal dietitians completed the survey which revealed that only 15.3% of participants felt it is acceptable to liberalize the standard dietary restriction on fruits and vegetables, and 13.6% said the same about the bean and legume restriction. 19.9% are extremely likely …

Choline Supplementation Normalizes Fetal Adiposity And Reduces Lipogenic Gene Expression In A Mouse Model Of Maternal Obesity, Chauntelle Jack-Roberts, Yaelle Joselit, Khatia Nanobashvili, Rachel Bretter, Olga V. Malysheva, Marie A. Caudill, Anjana Saxena, Kathleen Axen, Ahmed Gomaa, Xinyin Jiang

Publications and Research

Maternal obesity increases fetal adiposity which may adversely affect metabolic health of the offspring. Choline regulates lipid metabolism and thus may influence adiposity. This study investigates the effect of maternal choline supplementation on fetal adiposity in a mouse model of maternal obesity. C57BL/6J mice were fed either a high-fat (HF) diet or a control (NF) diet and received either 25 mM choline supplemented (CS) or control untreated (CO) drinking water for 6 weeks before timed-mating and throughout gestation. At embryonic day 17.5, HF feeding led to higher (p < 0.05) percent total body fat in fetuses from the HFCO group, while the choline supplemented HFCS group did not show significant difference versus the NFCO group. Similarly, HF feeding led to higher (p < 0.05) hepatic triglyceride accumulation in the HFCO but not the HFCS fetuses. mRNA levels of lipogenic genes such as Acc1, Fads1, and Elovl5, as well as the transcription factor Srebp1c that favors lipogenesis were downregulated (p < 0.05) by maternal choline supplementation in the HFCS group, which may serve as a mechanism to reduce fat accumulation in the fetal liver during maternal HF feeding. In summary, maternal choline supplementation improves indices of fetal adiposity in obese dams at late gestation.

Evaluating The Dissemination Of The Icook 4-H Program Using Outcome, Process, And Fidelity Measures., Tara Gould

Electronic Theses and Dissertations

The iCook 4-H Dissemination Study, conducted in five states, was a control-treatment design to test whether a newly developed program for obesity prevention for youth could be successfully implemented by community leaders with minimal researcher involvement. Community leaders were primarily Cooperative Extension educators. A dyad model was used for youth (control=9.6±0.9 years of age; treatment=9.9±0.6 years of age) and their adult main food preparers (control=38.8±5.7 years of age; treatment=39.4±7.8 years of age). A three-pronged approach to evaluation developed previously for the program was used to measure outcomes, process, and fidelity of the program. The control group, youth (n=63) and adults …

The Effect Of Dietary Fat On Obesity, Gene Expression, And Dna Methylation In Two Generations Of Mice, Madeline Rose Keleher

Arts & Sciences Electronic Theses and Dissertations

As obesity rates continue rising nationally and globally, it is crucial to understand how a high-fat diet disrupts the regulation of the genome and leads to adverse health effects. Uncovering the underlying gene expression and DNA methylation changes induced by an individual’s high-fat diet and a maternal high-fat diet can pinpoint new targets for epigenetic therapies and reveal the physiological and behavioral changes in obesity. The goal of this dissertation is to gain deeper insight into the DNA methylation and gene expression changes that occur in response to a high-fat diet.

I studied the response to dietary fat within two …

Added Sugar Consumption Among College Students, Maram Murad

Theses & Dissertations

Added sugar consumption has been increasing in all age groups in the United States and worldwide, with the greatest increase in young adults. College-age years are a critical period in the young adult's life where many habits develop, including nutrition and food choices. An understanding of college-age students’ attitudes and behaviors toward added sugar consumption might help predict added sugar consumption within this population. This was a quantitative study of traditional-aged college students' added sugar consumption through a convenience sample at a private university in San Antonio, TX. A survey was administrated to undergraduate students at different classes. Subjects were …

Starch-Entrapped Microsphere Fibers Improve Bowel Habit But Do Not Exhibit Prebiotic Capacity In Those With Unsatisfactory Bowel Habits: A Phase I, Randomized, Double-Blind, Controlled Human Trial, Heather E. Rasmussen, Bruce Hamaker, Kumar B. Rajan, Ece Mutlu, Stefan J. Green, Michael Brown, Amandeep Kaur, Ali Keshavarzian

Department of Nutrition and Health Sciences: Faculty Publications

Approximately one-third of individuals in the United States experience unsatisfactory bowel habits, and dietary intake, especially one low in fiber, could be partly responsible. We hypothesized that intake of a fermentable fiber (starch-entrapped microspheres, SM) that has a delayed, slow fermentation profile in vitro would improve bowel habit while exhibiting prebiotic capacity in those with self-described unsatisfactory bowel habits, all with minimal adverse effects. A total of 43 healthy volunteers completed a 3-month,double-blind, parallel-arm randomized clinical trial to assess the ability of a daily dose (9 or 12 g) of SM vs. psyllium (12 g) to improve bowel habit, including …

Integration Of Mirna And Mrna Expression Profles Reveals Microrna-Regulated Networks During Muscle Wasting In Cardiac Cachexia, Leonardo N. Moraes, Geysson J. Fernandez, Ivan Jose Vechetti Jr, Paula P. Freire, Rodrigo W. A. Souza, Rolando A.R. Villacis, Silvia R. Rogatto, Patricia P. Reis, Maeli Dal-Pai-Silvia, Robson F. Carvalho

Department of Nutrition and Health Sciences: Faculty Publications

Cardiac cachexia (CC) is a common complication of heart failure (HF) associated with muscle wasting and poor patient prognosis. Although different mechanisms have been proposed to explain muscle wasting during CC, its pathogenesis is still not understood. Here, we described an integrative analysis between miRNA and mRNA expression profiles of muscle wasting during CC. Global gene expression profiling identified 1,281 genes and 19 miRNAs differentially expressed in muscle wasting during CC. Several of these deregulated genes are known or putative targets of the altered miRNAs, including miR-29a-3p, miR-29b-3p, miR-210-5p, miR-214, and miR-489. Gene ontology analysis on integrative mRNA/miRNA expression profiling …

The Effects Of Calorie Information Disclosures On Food Choice And Retailer-Related Outcomes, Christopher Berry

Graduate Theses and Dissertations

Federal legislation will begin requiring the provision of calorie information on the menus and menu boards of restaurants and other retail food establishments with 20 or more locations in May 2018. Food retailers not included in this mandate can choose to voluntarily provide calorie information to consumers. However, there are concerns that this major policy change will not have the desired widespread positive effects on consumer choice behavior. Further, although proponents of calorie labeling argue that consumers have the right to know the calorie content of their food orders, many food retailers have argued that calorie labeling is too expensive …

The Effect Of Blinded Hydration State On Thermoregulation And Performance In Male Cyclists, Jon David Adams

Graduate Theses and Dissertations

Purpose: The purpose of these studies was to observe the effect of dehydration on exercise performance while subjects were blinded to their hydration status. Methods: Study 1: Seven male cyclists (weight: 71±8 kg, body fat: 14±6%, VO2peak: 59.4±6 ml∙kg-1·min-1) exercised for 2 hours on a cycle ergometer at 55% VO2peak, in a hot-dry environment (35°C, 30% rh), with a nasogastric (NG) tube under euhydrated (EUH-NT) and hypohydrated (DEH-NT) conditions. In both trials, thirst was matched by drinking 25 mL every 5 min. In the EUH-NT trial sweat losses were fully replaced via the NG tube. Following the 2 hours of …

Epigallocatechin-3-Gallate Reduces Fat Accumulation In Caenorhabditis Elegans, Jinning Liu

Masters Theses

Epigallocatechin gallate (EGCG), also known as epigallocatechin-3-gallate, is a polyphenol that is most abundant in tea. It has been shown from many studies that consumption of EGCG can contribute to weight loss, however, the underlying mechanism is not fully understood. To determine how EGCG acts to reduce fat, an organism model Caenorhabditis elegans (C. elegans) is introduced, which is a useful animal system in exploring crucial biological mechanisms that are readily applicable to humans. In this study, different strains were raised for two days on a diet with or without 100µM and 200µM EGCG treatment: N2 (i.e., wild …

Dietary Red And Processed Meat Intake And Markers Of Adiposity And Inflammation: The Multiethnic Cohort Study, Weiwen Chai, Yukiko Morimoto, Robert V. Cooney, Adrian A. Franke, Yurii B. Shvetsov, Loïc Le Marchand, Christopher A. Haiman, Laurence N. Kolonel, Marc T. Goodman, Gertraud Maskarinec

Department of Nutrition and Health Sciences: Faculty Publications

Objective—The potential influence of dietary factors on inflammation is important for cancer prevention. Utilizing data from control participants (312 men, 911 women) in two nested case-control studies of cancer within the Multiethnic Cohort, we examined the associations of red and processed meat intake with serum levels of leptin, adiponectin, C-reactive protein (CRP), tumor necrosis factor (TNF)-α, and interleukin (IL)-6 and the mediator effect of body mass index (BMI) on the above associations (if present).

Methods—Multivariable linear models were applied to assess the association between red and processed meat intake at cohort entry and serum biomarker levels measured 9.1 …

Formulation, Characterisation And Stability Assessment Of A Food Derived 1 Tripeptide, Leucine-Lysine-Proline Loaded Chitosan Nanoparticles, M.K. Danish, Giuliana Vozza, Hugh Byrne, Jesus Maria Frias, Sinead Ryan

Articles

The chicken or fish derived tripeptide, Leucine-Lysine-Proline (LKP), inhibits the Angiotensin Converting Enzyme and may be used as an alternative treatment for pre-hypertension. However, it has low permeation across the small intestine. The formulation of LKP into a nanoparticle (NP) has the potential to address this issue. LKP-loaded NPs were produced using an ionotropic gelation technique, using chitosan (CL113). Following optimisation of unloaded NPs, a mixture amount design was constructed using variable concentration of CL113 and tripolyphosphate at a fixed LKP concentration. Resultant particle sizes ranged from 120-271 nm, zeta potential values from 29-37 mV and polydispersity values from 0.3-0.6. …

Adaptive Thermogenesis And Metabolic Changes Following Diet- And Exercise- Induced Weight Loss, Alexandra R. Martin

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

With more than two-thirds of adults in the United States considered as overweight or obese, a myriad of weight loss programs and products that promise quick results have infiltrated the market. While many individuals successfully lose weight over the short term, almost half of the initial weight lost is regained within one year, indicating a general predisposition for weight cycling and fat replenishment. As weight is lost, fat-free mass (FFM) also decreases, and resting metabolic rate (RMR) declines, decreasing energy expenditure. After accounting for decreases in FFM, there remains a greater-than- predicted decrease in RMR, referred to as adaptive thermogenesis …

The Effect Of Vitamin D3 Supplementation On Kidney Function And Cardiovascular Disease Markers Among Hispanics And African Americans With Type 2 Diabetes, Gustavo G. Zarini

FIU Electronic Theses and Dissertations

Serum vitamin D deficiency/insufficiency, Chronic Kidney Disease (CKD) and elevated blood pressure are important health concerns especially among minorities with type 2 diabetes. The effect of vitamin D₃ supplementation (cholecalciferol) at 6,000 IU/day (d) vs. 4,000 IU/d on kidney function and cardiovascular disease markers among Hispanics and African Americans with type 2 diabetes and hypovitaminosis D (/ml) was evaluated. Subjects (n=63) were recruited from two clinics in Miami-Dade County, FL. Fasting venous blood and fresh, single-voided first morning urine samples were collected from each participant by a certified phlebotomist and analyzed by Solstas Lab Partners, Davie, FL. Linear mixed …

Nutrition Screening In The Adult Stroke Population Using The Canadian Nutrition Screening Tool In Comparison With The Subjective Global Assessment, Tess Coutu

Electronic Thesis and Dissertation Repository

Although the Canadian Best Practice Recommendations for Stroke Care recommend all acute stroke patients be screened for malnutrition within 48 hours of admission to hospital using a valid screening tool, none have been validated for use in adult acute stroke patients. The Canadian Nutrition Screening Tool (CNST) tool has been validated within medicine and surgery patients. The purpose of this study is to estimate the level of agreement between the CNST and the Subjective Global Assessment (SGA), a nutrition assessment tool, in a cohort of 58 acute adult stroke patients at the Southwestern Ontario Regional Stroke Centre in London. In …

Relationships Between Nutrition-Related Knowledge, Self-Efficacy, And Behavior For Fifth Grade Students Attending Title I And Non-Title I Schools, Elisha M. Hall, Weiwen Chai, Julie A. Albrecht

Department of Nutrition and Health Sciences: Faculty Publications

The Social Cognitive Theory (SCT) is a widely used theory for nutrition education programming. Better understanding the relationships between knowledge, self-efficacy, and behavior among children of various income levels can help to form and improve nutrition programs, particularly for socioeconomically disadvantaged youth. The purpose of this study was to determine the relationships between knowledge, self-efficacy, and behavior among fifth grade students attending Title I (≥ 40% of students receiving free or reduced school meals) and non-Title I schools (< 40% of students receiving free or reduced school meals). A validated survey was completed by 55 fifth grade students from Title I and 122 from non-Title I schools. Differences in knowledge, self-efficacy, and behavior scores between groups were assessed using t test and adjusted for variations between participating schools. Regression analysis was used to determine the relationships between knowledge, self-efficacy, and behavior. In adjusted models, the Title I group had significantly lower scores on several knowledge items and summary knowledge (P = 0.04). The Title I group had significantly lower scores on several behavior variables including intakes of fruits (P = 0.02), vegetables (P = 0.0005), whole grains (P = 0.0003), and lean protein (P = 0.047), physical activity (P = 0.002) and summary behavior (P = 0.001). However the Title I group scored higher on self-efficacy for meal planning (P = 0.04) and choosing healthy snacks (P = 0.036). Both self-efficacy (β = 0.70, P < 0.0001) and knowledge (β = 0.35, P = 0.002) strongly predicted behavior; however, only self-efficacy remained significant in the Title I group (self-efficacy, β = 0.82, P = 0.0003; knowledge, β = 0.11, P = 0.59). Results demonstrate disparities in nutrition knowledge and behavior outcomes between students surveyed from Title I and non-Title I schools, suggesting more resources may be necessary for lower income populations. Findings suggest that future nutrition interventions should focus on facilitating the improvement of children's self-efficacy