Angelique C' Perez, MPH Candidate

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Youth Food Diary Project
Site Community Farm Alliance Academic
Mentors David J. Tollerud, MD Irma N. Ramos,
MDSite Preceptor Lisa B. Markowitz, PhD

• Angelique C. Perez, MPH Candidate
• March 29, 2007

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Community Farm Alliance
West Louisville Office Local Food System,
Community Food Security and Assessment
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Community Food Security

• A situation in which all community residents
  obtain a safe, culturally acceptable,
  nutritionally adequate diet through a sustainable
  food system that maximizes community
  self-reliance and social justice (Bellows and
  Hamm 2003)
• Prevention Model, Broad based systems view with
  attention to the health of communities, the
  environment and individuals

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Community Food Assessment Bridging the Divide

• CFA, West Louisville and East Downtown residents,
  and allies from academia and government studied
  the local food system in order to identify
  changes that could benefit health and the local
  food economy

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West Louisville and East Downtown

• About 75, 000 people
• 70 of Louisvilles African American Population
• Average Household Income 16, 054
• Average Poverty Rate 38
• Health Disparities

Food Deserts
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Youth Food Diary Project

• SoWhat are Kids in these Food Deserts Eating?
• Involve youth in assessment
• Purposes
• CFA, U of L, Partnership for a Green Citys
  Environmental Education Committee
• U of L and JCPS IRB Exempted and Approved

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Food Diaries Methods

• Community-based research model that merged health
  education and assessment
• Delivered nutrition presentations to over 400
  students in 3 middle schools (Science and
  Practical Living classes)
• Students completed 3-day diary and essay
• Collected anonymous assignments
• Qualitative and quantitative analysis

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N 208
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Food Diaries Results
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93.3 (194 Students) Averaged 1 or Fewer
Servings of Fruit per Day
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92.4 (192 Students) Averaged 1 or Fewer
Servings of Vegetables/Day
French Fries Included!!!
N 208
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Only 13 Students Ate 5/Day on Any Day!
N 208
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• 60 (124 Students) Averaged 1 or More
• Fast Food Meals/ Day

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88.9 (185 Students) Ate Alone At Least Once per
Day
N 208
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Student Essays Qualitative Analysis

• Other Themes
• Cultural, religious, family identity
• Happiness
• Relaxation, peace and quiet

• Values
• Family and Friends
• Communicating
• Choice and Taste
• Preferences
• Pizza, meat, sweets, healthy foods
• T.V. with meals
• Fast food, restaurants
• Preparing foods

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Food Diaries Conclusions

• Insufficient amount and variety of fruits and
  veg.
• Fruit and veg. often fruit juice and fried
  potatoes
• High fast food and fried food consumption
• Eating alone very frequently
• Food is important to kids!!! They value the
  social connections that surround it, taste and
  choice and relate food to many facets of identity
• Nutrition education and school based-research can
  be conducted in a way that supports teachers core
  content objectives and fosters life skills.

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Whats the Solution?

• CFAs Role Increasing Access to Affordable,
  Healthy Foods, Community Empowerment, Economic
  Development

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L.I.F.E.- Locally Innovative Food Economy
Urban/Rural Connections
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A Very Special Thanks to

• Dr. Lisa Markowitz, Dr. David Tollerud, Dr. Irma
  Ramos, Deborah Webb, Joe Schroeder, Sam Raskin,
  Natalie Hallbach, Barb Mercer, Mary Wurst, David
  Wicks, Teddie Phillipson-Mower, Tim Baker, Susan
  Kolb, Corey Shircliff, LaTonia Peters, Ruth
  Carrico, Muriel Harris

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References

• 2007. Community Farm Alliance. Bridging the
  Divide Growing Self-Sufficiency in our Food
  Supply.
• 2003. Hamm and Bellows.
• Community Farm Alliance. 2005. Does Food
  Insecurity Exist in Louisville?
• LMHD. 2005. Health Status Assessment Report.
• Quandt, SA 1986. Nutritional Anthropology The
  Individual Focus in Training Manual in
  Nutritional Anthropology Sara A. Quandt and
  Cheryl Ritenbaugh (ed). Washington DC American
  Anthropological Association.
• Quandt, SA. 1987. Methods for Determining
  Dietary Intake in Nutritional Anthropology
  Francis E. Johnston (ed). New York Alan R. Liss
  Inc.
• Rocekett HRH and Colditz GA. 1997. Assessing
  Diets of Children and Adolescents. The American
  Journal of Clinical Nutrition. 65 (suppl)
  1116S-1122S.
• Vermont FEED. 2006. Food Education Works
  Interview with Antonio Demas President and
  Founder of the Food Studies Institute,
  Trumansburg, New York. Growing Feed The Network
  Newsletter. Spring 6.
• Johnson, RK. 2002. Dietary Intake How do we
  Measure What People are Really Eating? Obesity
  Research. 10 (Suppl 2) 63S-68S.
• JCPS. 2005. Middle School Curriculum and
  Assessment Map Grades Six through Eight.
• CDC. Nutrition and the Health of Young People.
  http//www.cdc.gov/HealthyYouth/overweight/index.h
  tm

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References

• USDA. Food Tracking Worksheet. http//www.mypyrami
  d.gov/professionals/food_tracking_wksht.html USDA
  
• Cantwell MM, Millen AE, Carroll R, Mittl B,
  Hermansen S, Brinton LA and Potischman N. 2006. A
  Debriefing Session with a Nutritionist Can
  Improve Dietary Assessment Using Food Diaries.
  Journal of Nutrition. 136(2) 440-445.
• Winne, M., Joseph, H. and Fisher, A. 1997.
  Community Food Security A Guide to Concept,
  Design, and Implementation. Community Food
  Security Coalition. Los Angeles, CA.
• Cornell University. Division of Nutritional
  Sciences. Discovering the Food System.
  http//foodsys.cce.cornell.edu/primer.html

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Questions??
Earth Friends. 1995. The Whole Story of Food.
Nutrition Education Resources Project. Teachers
College, Columbia University. New York, NY.