Use of the Nominal Group Technique (NGT) to understand the perceptions of the healthiness of foods associated with African Americans

Jefferson, Wendy K.; Zunker, Christie; Feucht, Jennifer C.; Fitzpatrick, Stephanie L.; Greene, Lori F.; Shewchuk, Richard M.; Baskin, Monica L.; Walton, Norman W.; Phillips, Beatrice; Ard, Jamy D.

doi:10.1016/j.evalprogplan.2009.11.002

Cited by 50 publications

(47 citation statements)

References 22 publications

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“…Our Southern diet pattern is reflective of foods traditionally ascribed to the southeastern US [30]. The identified patterns in this paper are comparable and representative of the Southern US regions that differ from the national patterns [31][32][33]. Substantial segments of our sample retained core southern foods while also incorporating items from the healthy and from the processed foods patterns, reflecting a wider variety of food selection that translated into different nutrient intakes.…”

Section: Discussionmentioning

confidence: 69%

Dietary Patterns in Pregnancy and Effects on Nutrient Intake in the Mid-South: The Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study

Völgyi¹,

Carroll²,

Hare³

et al. 2015

Prenatal and Childhood Nutrition

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Dietary patterns are sensitive to differences across socio-economic strata or cultural habits and may impact programing of diseases in later life. The purpose of this study was to identify distinct dietary patterns during pregnancy in the Mid-South using factor analysis. Furthermore, we aimed to analyze the differences in the food groups and in macro-and micronutrients among the different food patterns. The study was a cross-sectional analysis of 1155 pregnant women (mean age 26.5 ± 5.4 years; 62% African American, 35% Caucasian, 3% Other; and pre-pregnancy BMI 27.6 ± 7.5 kg/m 2 ). Using food frequency questionnaire data collected from participants in the Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) study between 16 and 28 weeks of gestation, dietary patterns were identified using factor analysis. Three major dietary patterns, namely, Healthy, Processed, and US Southern were identified OPEN ACCESSNutrients 2013, 5 1512 among pregnant women from the Mid-South. Further analysis of the three main patterns revealed four mixed dietary patterns, i.e., Healthy-Processed, Healthy-US Southern, Processed-US Southern, and overall Mixed. These dietary patterns were different (p < 0.001) from each other in almost all the food items, macro-and micro nutrients and aligned across socioeconomic and racial groups. Our study describes unique dietary patterns in the Mid-South, consumed by a cohort of women enrolled in a prospective study examining the association of maternal nutritional factors during pregnancy that are known to affect brain and cognitive development by age 3.

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Section: Discussionmentioning

confidence: 69%

Dietary Patterns in Pregnancy and Effects on Nutrient Intake in the Mid-South: The Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study

Völgyi¹,

Carroll²,

Hare³

et al. 2015

Prenatal and Childhood Nutrition

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“…The ordinal data generated by this process are assumed to provide valid and easily interpretable data that reflect the implicit prioritized views held by both individuals and the group (35) . As this method has successfully been used with children, adults and other AI tribal communities, it is considered well suited to identify and prioritize salient barriers and facilitators to DGA adherence faced by both children and adults (36)(37)(38) . Most individuals have a personal conceptualization of a 'healthy diet' (31,(39)(40)(41) .…”

Section: Nominal Group Technique Methodsmentioning

confidence: 99%

Barriers and facilitators to following the Dietary Guidelines for Americans reported by rural, Northern Plains American-Indian children

Jahns

McDonald

Wadsworth

et al. 2014

Public Health Nutr.

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Objective: The Dietary Guidelines for Americans (DGA) promote healthy dietary choices for all Americans aged 2 years and older; however, the majority of Americans do not meet recommendations. The goal of the present study was to identify both barriers and facilitators to adherence to DGA recommendations for consumption of five recommended food groups: grains (specifically whole grains), vegetables, fruits, meat/beans and milk (specifically reduced-fat/non-fat), among American-Indian children. Design: Nominal group technique sessions were conducted to identify and prioritize children's perceived barriers and facilitators to following the DGA, as presented in the 'MyPyramid' consumer education icon. After response generation to a single question about each food group (e.g. 'What sorts of things make it harder (or easier) for kids to follow the MyPyramid recommendation for vegetables?'), children individually ranked their top five most salient responses. Ranked responses are presented verbatim. Setting: A rural Northern Plains American-Indian reservation, USA. Subjects: Sixty-one self-selected fifth-grade children. Results: Core barriers for all food groups studied included personal preference (i.e. 'don't like') and environmental (i.e. 'cost too much'; 'store is too far to get them'; 'grandma don't have'). Core facilitators included suggestions, i.e. 'make a garden and plant vegetables'; 'tell your friends to eat healthy'. Conclusions: Barriers and facilitators are dissimilar for individual food groups, suggesting that dietary interventions should target reduction of barriers and promotion of facilitators specific to individual food groups recommended by the DGA. Keywords American-Indian children Nominal group technique Dietary Guidelines for AmericansBarriers and facilitatorsEstimates of obesity among US children aged 6-11 years range from 14 to 24 %, depending upon racial/ethnic group, with the highest prevalence observed in minority children (1) . Recent estimates of the prevalence of obesity among Northern Plains American-Indian (AI) children is 28 % (2) ; similar to that reported in other studies (3)(4)(5) . The number of obese AI children is increasing despite an apparent levelling off among other racial/ethnic groups in the USA (1,2,6) . Obesity is a major risk factor in the development of chronic diseases such as type 2 diabetes (T2DM) and CVD (7) . The prevalence of T2DM in AI children is one of the highest in the country and continues to increase (8,9) . Recent predictions estimate that, without a reduction in obesity, the prevalence of T2DM in AI/Alaska Native youth will increase by 129 %, from 0·56/1000 youths in 2010 to 1·28/1000 youths in 2050 (10) , and AI/Alaska Native adults have the highest prevalence of T2DM of all racial/ ethnic groups in the USA (11) . Considering that obesity in childhood is likely to persist into adulthood (12) , early prevention may be the only way to decrease the significant individual and societal burden of poor health in AI communities (13)(14)(15)(16) . Excess e...

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“…In addition, food preparation and cooking techniques for many AAW stem from matriarchal practices established during slavery (Airhihenbuwa, Kumanyika, Agurs, & Lowe, 1995) when AAs had to enhance the flavors for foods of poorer nutritional value by employing cooking techniques now considered "cooking with soul" (Ard, Skinner, Chen, Aickin, & Svetkey, 2005;James, 2004). The practice of cooking with soul involves cooking salted, fried, battered or barbequed meat, fish, and vegetable products, and flavoring well-cooked vegetables with animal fats (Airhihenbuwa et al, 1996;James, 2004;Jefferson et al, 2010). It is uncertain whether the practice of consuming large portion sizes stems from slavery or experiences of being economical with available resources, acting as "insurance" against hunger for many low-income AAW (Eicher-Miller, Mason, Abbott, McCabe, & Boushey, 2009;Henderson, 2007;Kumanyika et al, 2008).…”

Section: Sociocultural Factorsmentioning

confidence: 99%

“…Sociocultural influences on obesity among AAW include cognitive factors (i.e., perceptions body size/image, mental health, and knowledge of healthy eating) (Bromberger et al, 2009;Fitzgibbon et al, 2008;Gracia et al, 2007;Jefferson et al, 2010), and behavioral factors (i.e., choice of foods, portion size, eating habits, and food preparation techniques) (Airhihenbuwa et al, 1996;Fitzgibbon et al, 2008;James, 2004;Thompson et al, 2009), factors that are influenced by history, traditions and culture (Johnson & Broadnax, 2003). These sociocultural perceptions, practices and habits of many AAW are embraced across socioeconomic groups and influence their food choice and consumption (Patt, Yanek, Moy & Becker, 2004;Satia, Galanko, & Siega-Riz, 2004).…”

Section: Factors Influencing Obesitymentioning

confidence: 99%

“…Individual factors for increased obesity among AAW include sociocultural, biological, and demographic (Bromberger et al, 2009;Fitzgibbon et al, 2008;Jefferson et al, 2010;Kumanyika et al, 2008). Sociocultural influences on obesity among AAW include cognitive factors (i.e., perceptions body size/image, mental health, and knowledge of healthy eating) (Bromberger et al, 2009;Fitzgibbon et al, 2008;Gracia et al, 2007;Jefferson et al, 2010), and behavioral factors (i.e., choice of foods, portion size, eating habits, and food preparation techniques) (Airhihenbuwa et al, 1996;Fitzgibbon et al, 2008;James, 2004;Thompson et al, 2009), factors that are influenced by history, traditions and culture (Johnson & Broadnax, 2003).…”

Section: Factors Influencing Obesitymentioning

confidence: 99%

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Menopause, Rurality, And Obesity in Rural African American Women

Kilgore¹

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Use of the Nominal Group Technique (NGT) to understand the perceptions of the healthiness of foods associated with African Americans

Cited by 50 publications

References 22 publications

Dietary Patterns in Pregnancy and Effects on Nutrient Intake in the Mid-South: The Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study

Dietary Patterns in Pregnancy and Effects on Nutrient Intake in the Mid-South: The Conditions Affecting Neurocognitive Development and Learning in Early Childhood (CANDLE) Study

Barriers and facilitators to following the Dietary Guidelines for Americans reported by rural, Northern Plains American-Indian children

Menopause, Rurality, And Obesity in Rural African American Women

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