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LA Sprouts: A Garden-Based Nutrition Intervention Pilot Program Influences Motivation and Preferences for Fruits and Vegetables in Latino Youth

Published:April 18, 2012DOI:https://doi.org/10.1016/j.jand.2012.01.014

      Abstract

      Garden-based approaches to nutrition education may be effective for improving nutrition habits in adolescents. A quasi-experimental, garden-based intervention for Latino youth (LA Sprouts) was piloted and assessed for its influence on behavior associated with dietary intake and psychosocial factors. Study participants were 104 predominately Latino fourth and fifth grade students in Los Angeles (mean age, 9.8±0.7 years; n=70 control subjects, n=34 LA Sprouts participants); more than half (n=61, 59.8%) were overweight or obese (body mass index ≥85th percentile). LA Sprouts participants received an intervention of weekly 90-minute culturally tailored, interactive classes for 12 consecutive weeks at a community garden during the spring of 2010; control participants received an abbreviated delayed intervention. Questionnaire data were obtained before and after the intervention. Compared with control subjects, LA Sprouts participants had an increased preference for vegetables overall, increased preferences for three target fruits and vegetables, as well as improved perceptions that “vegetables from the garden taste better than vegetables from the store.” In the overweight/obese subgroup (n=61), LA Sprouts participants had a 16% greater increase in their preference for vegetables compared with control subjects (P=0.009). Results from this pilot study suggest that a cooking, nutrition, and gardening after-school program in a garden-based setting can improve attitudes and preferences for fruits and vegetables in Latino youth, which may lead to improved nutritional habits and dietary intake and reduced health disparities.

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      References

        • Ogden C.L.
        • Carroll M.D.
        • Curtin L.R.
        • Lamb M.M.
        • Flegal K.M.
        Prevalence of high body mass index in US children and adolescents, 2007-2008.
        JAMA. 2010; 303: 242-249
      1. Let's Move: America's Move to Raise a Healthier Generation of Kids website.
        (Updated January 5, 2012. Accessed December 23, 2011)
        • Daniels S.R.
        • Arnett D.K.
        • Eckel R.H.
        • et al.
        Overweight in children and adolescents: Pathophysiology, consequences, prevention, and treatment.
        Circulation. 2005; 111: 1999-2012
        • Krebs N.F.
        • Himes J.H.
        • Jacobson D.
        • Nicklas T.A.
        • Guilday P.
        • Styne D.
        Assessment of child and adolescent overweight and obesity.
        Pediatrics. 2007; 120: S193-S228
        • Reilly J.J.
        • Methven E.
        • McDowell Z.C.
        • et al.
        Health consequences of obesity.
        Arch Dis Child. 2003; 88: 748-752
        • Serdula M.K.
        • Ivery D.
        • Coates R.J.
        • Freedman D.S.
        • Williamson D.F.
        • Byers T.
        Do obese children become obese adults?.
        Prev Med. 1993; 22: 167-177
        • Whitlock E.P.
        • Williams S.B.
        • Gold R.
        • Smith P.R.
        • Shipman S.A.
        Screening and interventions for childhood overweight: A summary of evidence for the US Preventive Services Task Force.
        Pediatrics. 2005; 116: e125-e144
        • County of Los Angeles
        Obesity on the Rise.
        (Published 2003. Accessed March 15, 2011)
        • Davis J.
        • Ventura E.
        • Weigensberg M.
        • et al.
        The relation of sugar intake to beta-cell function in overweight Latino children.
        Am J Clin Nutr. 2005; 82: 1004-1010
        • Davis J.N.
        • Alexander K.E.
        • Ventura E.E.
        • et al.
        Associations of dietary sugar and glycemic index with adiposity and insulin dynamics in overweight Latino youth.
        Am J Clin Nutr. 2007; 86: 1331-1338
        • Ventura E.E.
        • Davis J.N.
        • Alexander K.E.
        • et al.
        Dietary intake and the metabolic syndrome in overweight Latino children.
        J Am Diet Assoc. 2008; 108: 1355-1359
        • Kirby S.D.
        • Baranowski T.
        • Reynolds K.
        • Taylor G.
        Children's fruit and vegetable intake: Regional, adult-child, socioeconomic, and urban-rural influences.
        J Nutr Educ. 1995; 27: 261-271
        • Harvey-Berino J.
        • Hood V.
        • Rourke J.
        • Terrance T.
        • Dorwaldt A.
        • Secker-Walker R.
        Food preferences predict eating behavior of very young Mohawk children.
        J Am Diet Assoc. 1997; 97: 750-753
        • Domel S.B.
        • Baranowski T.
        • Davis H.C.
        • Thompson W.O.
        • Leonard S.B.
        • Baranowski J.
        A measure of stages of change in fruit and vegetable consumption among fourth- and fifth-grade school children: Reliability and validity.
        J Am Coll Nutr. 1996; 15: 56-64
        • Morris J.L.
        • Zidenberg-Cherr S.
        Garden-enhanced nutrition curriculum improves fourth-grade school children's knowledge of nutrition and preferences for some vegetables.
        J Am Diet Assoc. 2002; 102: 91-93
        • Koch S.
        • Waliczek T.M.
        • Zajicek J.M.
        The effect of a summer garden program on the nutritional knowledge, attitudes, and behaviors of children.
        HortTechnology. 2006; 16: 620-625
        • Finkelstein E.A.
        • Strombotne K.L.
        The economics of obesity.
        Am J Clin Nutr. 2010; 91: S1520-S1524
        • McAleese J.D.
        • Rankin L.L.
        Garden-based nutrition education affects fruit and vegetable consumption in sixth-grade adolescents.
        J Am Diet Assoc. 2007; 107: 662-665
        • Wang M.C.
        • Rauzon S.
        • Studer N.
        • et al.
        Exposure to a comprehensive school intervention increases vegetable consumption.
        J Adolesc Health. 2010; 47: 74-82
        • Canaris I.
        Growing foods for growing minds: Integrating gardening and nutrition education into the total curriculum.
        Children's Environments. 1995; 12: 134-142
        • Hermann J.
        • Parker S.
        • Brown B.
        • Siewe Y.
        • Denney B.
        • Walker S.
        After-school gardening improves children's reported vegetable intake and physical activity.
        J Nutr Educ Behav. 2006; 38: 201-202
        • Parmer S.M.
        • Salisbury-Glennon J.
        • Shannon D.
        • Struempler B.
        School gardens: An experiential learning approach for a nutrition education program to increase fruit and vegetable knowledge, preference, and consumption among second-grade students.
        J Nutr Educ Behav. 2009; 41: 212-217
        • Lineberger S.E.
        • Zajicek J.M.
        School gardens: Can a hands-on teaching tool affect students' attitudes and behaviors regarding fruit and vegetables?.
        HortTechnology. 2005; 15: 472-476
        • Ozer E.
        The effects of school gardens on students and schools: Conceptualization and considerations for maximizing healthy development.
        Health Educ Behav. 2007; 34: 846-863
        • Wang M.
        • Rauzon S.
        • Studer N.
        • et al.
        Exposure to a comprehensive school intervention increases vegetable consumption.
        J Adolesc Health. 2010; 47: 74-82
        • Bandura A.
        Social foundations of thought and action: A social cognitive theory.
        Prentice Hall, Englewood Cliffs, NJ1986
        • Davis J.N.
        • Ventura E.E.
        • Cook L.T.
        • Gyllenhammer L.E.
        • Gatto N.M.
        LA Sprouts: A gardening, nutrition, and cooking intervention for latino youth improves diet and reduces obesity.
        J Am Diet Assoc. 2011; 111: 1224-1230
        • Sweetman C.
        • McGowan L.
        • Croker H.
        • Cooke L.
        Characteristics of family mealtimes affecting children's vegetable consumption and liking.
        J Am Diet Assoc. 2011; 111: 269-273
        • Sobal J.
        • Hanson K.
        Family meals and body weight in US adults.
        Public Health Nutr. 2011; 14: 1555-1562
        • Neumark-Sztainer D.
        • Larson N.I.
        • Fulkerson J.A.
        • Eisenberg M.E.
        • Story M.
        Family meals and adolescents: What have we learned from Project EAT (Eating Among Teens)?.
        Public Health Nutr. 2010; 13: 1113-1121
        • Wardle J.
        • Robb K.
        • Johnson F.
        Assessing socioeconomic status in adolescents: The validity of a home affluence scale.
        J Epidemiol Community Health. 2002; 56: 595-599
        • Unger J.B.
        • Reynolds K.
        • Shakib S.
        • Spruijt-Metz D.
        • Sun P.
        • Johnson C.A.
        Acculturation, physical activity, and fast-food consumption among Asian-American and Hispanic adolescents.
        J Community Health. 2004; 29: 467-481
        • Williams G.C.
        • Deci E.L.
        Activating patients for smoking cessation through physician autonomy support.
        Med Care. 2001; 39: 813-823
        • Williams G.C.
        • Freedman Z.R.
        • Deci E.L.
        Supporting autonomy to motivate patients with diabetes for glucose control.
        Diabetes Care. 1998; 21: 1644-1651
        • McClain A.
        Motivation and the Meanings of Health Behavior as Factors Associated with Eating Behavior in Latino Youth.
        Preventive Medicine, USC, Los Angeles, CA2010
        • National Center for School Engagement
        School Engagement Questionnaire.
        Partnership for Families & Children, Denver, CO2009
        • Baranowski T.
        • Davis M.
        • Resnicow K.
        • et al.
        Gimme 5 fruit, juice, and vegetables for fun and health: Outcome evaluation.
        Health Educ Behav. 2000; 27: 96-111
        • Baxter S.D.
        • Thompson W.O.
        Fourth-grade children's consumption of fruit and vegetable items available as part of school lunches is closely related to preferences.
        J Nutr Educ Behav. 2002; 34: 166-171
        • Cullen K.W.
        • Baranowski T.
        • Owens E.
        • Marsh T.
        • Rittenberry L.
        • de Moor C.
        Availability, accessibility, and preferences for fruit, 100% fruit juice, and vegetables influence children's dietary behavior.
        Health Educ Behav. 2003; 30: 615-626
        • Domel S.B.
        • Baranowski T.
        • Davis H.
        • Leonard S.B.
        • Riley P.
        • Baranowski J.
        Measuring fruit and vegetable preferences among 4th- and 5th-grade students.
        Prev Med. 1993; 22: 866-879
        • Reynolds K.D.
        • Yaroch A.L.
        • Franklin F.A.
        • Maloy J.
        Testing mediating variables in a school-based nutrition intervention program.
        Health Psychol. 2002; 21: 51-60
        • Centers for Disease Control and Prevention
        Healthy Weight: About BMI for children and Teens.
        (Updated August 16, 2011. Accessed August 18, 2011)
        • Campbell K.
        • Hesketh K.
        • Silverii A.
        • Abbott G.
        Maternal self-efficacy regarding children's eating and sedentary behaviours in the early years: Associations with children's food intake and sedentary behaviours.
        Int J Pediatr Obes. 2010; 5: 501-508
        • Guillaumie L.
        • Godin G.
        • Vezina-Im L.
        Psychosocial determinants of fruit and vegetable intake in adult population: A systematic review.
        Int J Behav Nutr Phys Act. 2010; 7: 12
        • Smith A.E.
        • Annesi J.J.
        • Walsh A.M.
        • Lennon V.
        • Bell R.A.
        Association of changes in self-efficacy, voluntary physical activity, and risk factors for type 2 diabetes in a behavioral treatment for obese preadolescents: A pilot study.
        J Pediatr Nurs. 2010; 25: 393-399
        • Shannon B.
        • Bagby R.
        • Wang M.Q.
        • Trenkner L.
        Self-efficacy: A contributor to explanation of eating behavior.
        Health Educ Res. 1990; 5: 395-407
        • Morris J.
        • Neustadter A.
        • Zidenberg-Cherr S.
        First grade gardeners are more likely to taste vegetables.
        Calif Agric. 2001; 55: 43-46
        • Institute of Medicine Food and Nutrition Board
        Dietary Reference Intakes for Energy, Carbohydrates, Fiber, Fat, Fatty Acid, Cholesterol, Protein, and Amino Acids.
        National Academies Press, Washington, DC2002
        • Steffen L.
        • Jacobs D.
        • Stevens J.
        • Shahar E.
        • Carithers T.
        • Folsom A.
        Associations of whole-grain, refined grain, and fruit and vegetable consumption with risks of all-cause mortality and incident coronary artery disease and ischemic stroke: The Atherosclerosis Risk in Communities (ARIC) Study.
        Am J Clin Nutr. 2003; 78: 383-390
        • US Census Bureau
        American Community Survey.
        in: US Department of Commerce Economics and Statistics Administration, ed. US Government Printing Office, Washington, DC2009
        • Albert B.
        • Lippman L.
        • Franzetta K.
        • et al.
        Freeze Frame: A Snapshot of America's Teens.
        National Campaign to Prevent Teen Pregnancy, Washington, DC2005

      Biography

      N. M. Gatto is with the Department of Epidemiology, School of Public Health, University of California, Los Angeles.

      Biography

      E. E. Ventura is with the Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles.

      Biography

      L. T. Cook is with the Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles.

      Biography

      L. E. Gyllenhammer is with the Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles.

      Biography

      J. N. Davis is with the Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles.