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Learner-centered nutrition education improves folate intake and food-related behaviors in nonpregnant, low-income women of childbearing age.
J Am Diet Assoc. 2008 Oct; 108(10):1627-35.JA

Abstract

BACKGROUND

Recent studies suggest low-income women of childbearing age may be at risk of suboptimal folate intake.

OBJECTIVE

To evaluate the effect of learner-centered nutrition education on folate intake and food-related behaviors among nonpregnant, low-income women of childbearing age, compared to education unrelated to nutrition.

DESIGN

Participants were randomly assigned by recruitment site to receive either the nutrition lesson or a control lesson about resource management.

PARTICIPANTS

Nonpregnant, low-income (< or =185% federal poverty level) women of childbearing age (18 to 45 years, n=155) from five California counties.

MAIN OUTCOME VARIABLES

Changes in folate intake and other food-related behaviors.

STATISTICAL ANALYSIS

Analysis of covariance, adjusting for baseline responses and potential confounders.

RESULTS

Adjusting for baseline, participants who received the nutrition education had greater increases in folate intake and use of the Nutrition Facts label than the control group. Change in intake of specific folate-rich foods differed by ethnicity. Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children who received the nutrition education increased folate intake but had no significant changes in other food-related behaviors. Food stamp recipients who received the nutrition education had no significant changes in folate intake but did increase the frequency of eating more than one kind of vegetable each day, compared to controls.

CONCLUSIONS

This study supports the use of learner-centered approaches to nutrition education for low-income audiences, compared to education unrelated to nutrition. Future work is needed to compare learner-centered techniques to traditional pedagogical nutrition education, and to determine whether observed changes from this study persist over the long term.

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Authors+Show Affiliations

Cena ER
Department of Nutrition, University of California, Davis, CA 95616, USA. emilycena@gmail.com
Joy AB
No affiliation info available
Heneman K
No affiliation info available
Espinosa-Hall G
No affiliation info available
Garcia L
No affiliation info available
Schneider C
No affiliation info available
Wooten Swanson PC
No affiliation info available
Hudes M
No affiliation info available
Zidenberg-Cherr S
No affiliation info available

MeSH

AdolescentAdultEthnic GroupsFemaleFolic AcidHealth BehaviorHumansMiddle AgedNeural Tube DefectsNutrition PolicyNutritional RequirementsNutritional SciencesPovertyPreconception CarePublic AssistanceRisk FactorsTeachingVitamin B Complex

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

18926127

Citation

Cena, Emily R., et al. "Learner-centered Nutrition Education Improves Folate Intake and Food-related Behaviors in Nonpregnant, Low-income Women of Childbearing Age." Journal of the American Dietetic Association, vol. 108, no. 10, 2008, pp. 1627-35.
Cena ER, Joy AB, Heneman K, et al. Learner-centered nutrition education improves folate intake and food-related behaviors in nonpregnant, low-income women of childbearing age. J Am Diet Assoc. 2008;108(10):1627-35.
Cena, E. R., Joy, A. B., Heneman, K., Espinosa-Hall, G., Garcia, L., Schneider, C., Wooten Swanson, P. C., Hudes, M., & Zidenberg-Cherr, S. (2008). Learner-centered nutrition education improves folate intake and food-related behaviors in nonpregnant, low-income women of childbearing age. Journal of the American Dietetic Association, 108(10), 1627-35. https://doi.org/10.1016/j.jada.2008.07.017
Cena ER, et al. Learner-centered Nutrition Education Improves Folate Intake and Food-related Behaviors in Nonpregnant, Low-income Women of Childbearing Age. J Am Diet Assoc. 2008;108(10):1627-35. PubMed PMID: 18926127.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Learner-centered nutrition education improves folate intake and food-related behaviors in nonpregnant, low-income women of childbearing age. AU - Cena,Emily R, AU - Joy,Amy Block, AU - Heneman,Karrie, AU - Espinosa-Hall,Gloria, AU - Garcia,Linda, AU - Schneider,Connie, AU - Wooten Swanson,Patti C, AU - Hudes,Mark, AU - Zidenberg-Cherr,Sheri, PY - 2007/06/04/received PY - 2008/04/11/accepted PY - 2008/10/18/pubmed PY - 2008/11/14/medline PY - 2008/10/18/entrez SP - 1627 EP - 35 JF - Journal of the American Dietetic Association JO - J Am Diet Assoc VL - 108 IS - 10 N2 - BACKGROUND: Recent studies suggest low-income women of childbearing age may be at risk of suboptimal folate intake. OBJECTIVE: To evaluate the effect of learner-centered nutrition education on folate intake and food-related behaviors among nonpregnant, low-income women of childbearing age, compared to education unrelated to nutrition. DESIGN: Participants were randomly assigned by recruitment site to receive either the nutrition lesson or a control lesson about resource management. PARTICIPANTS: Nonpregnant, low-income (< or =185% federal poverty level) women of childbearing age (18 to 45 years, n=155) from five California counties. MAIN OUTCOME VARIABLES: Changes in folate intake and other food-related behaviors. STATISTICAL ANALYSIS: Analysis of covariance, adjusting for baseline responses and potential confounders. RESULTS: Adjusting for baseline, participants who received the nutrition education had greater increases in folate intake and use of the Nutrition Facts label than the control group. Change in intake of specific folate-rich foods differed by ethnicity. Participants in the Special Supplemental Nutrition Program for Women, Infants, and Children who received the nutrition education increased folate intake but had no significant changes in other food-related behaviors. Food stamp recipients who received the nutrition education had no significant changes in folate intake but did increase the frequency of eating more than one kind of vegetable each day, compared to controls. CONCLUSIONS: This study supports the use of learner-centered approaches to nutrition education for low-income audiences, compared to education unrelated to nutrition. Future work is needed to compare learner-centered techniques to traditional pedagogical nutrition education, and to determine whether observed changes from this study persist over the long term. SN - 0002-8223 UR - https://www.unboundmedicine.com/medline/citation/18926127/Learner_centered_nutrition_education_improves_folate_intake_and_food_related_behaviors_in_nonpregnant_low_income_women_of_childbearing_age_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8223(08)01414-4 DB - PRIME DP - Unbound Medicine ER -