184845 Are school employees healthy role models? Dietary intake results from the ACTION worksite wellness trial

Monday, October 27, 2008

Heather Hartline-Grafton, DrPH, RD , Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Donald (Diego) Rose, PhD, MPH , Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Janet C. Rice, PhD , Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Carolyn C. Johnson, PhD , Department of Community Health Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Larry S. Webber, PhD , Department of Biostatistics, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA
Little is known about the diets of school employees, a key target group for improving school nutrition. Many school employees, particularly teachers, provide nutrition education and act as role models for students. We investigated selected dietary variables and weight status at baseline of ACTION, a school-based worksite wellness intervention trial. Elementary school employees (N=373) were randomly selected from 22 schools in a suburban county of southeastern Louisiana. Dietary information was obtained from two 24-hour recalls administered by registered dietitians on non-consecutive days using the Nutrition Data System for Research. Heights and weights were measured by trained examiners and converted into Body Mass Index (weight/height2). Approximately 31% and 40% of the sample were overweight and obese, respectively, with much higher obesity rates than state and national estimates. Mean daily energy intake among women was 1862 kilocalories (s.d. ±492) and 2668 kilocalories (s.d. ±796) among men. Dietary fat intake was above the Acceptable Macronutrient Distribution Range (AMDR) for 44% of women and 60% of men. Conversely, 29% of women and 52% of men fell below the carbohydrate AMDR. Only 24% had fiber intakes at or above their Adequate Intake, which may be related to the finding that over 25% of employees did not eat fruit and 58% did not eat dark green vegetables on the interview days. Our results suggest that greater attention be directed to understanding and improving the diets of school employees given their high rates of overweight and obesity and important role in student health.

Learning Objectives:
1. Describe the rationale for studying school personnel dietary intake and behaviors. 2. List three characteristics of the diets of elementary school personnel. 3. Articulate at least one implication of the research on school-based worksite wellness interventions.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I designed this study, collected and analyzed the dietary data, and summarized the findings as part of my dissertation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.