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Grant Details

Grant Number: 5R01CA071943-02 Interpret this number
Primary Investigator: Lytle, Leslie
Organization: University Of Minnesota Twin Cities
Project Title: Reducing Cancer-Related Dietary Risk Behaviors in Adoles
Fiscal Year: 1998


Abstract

DESCRIPTION: National nutritional surveys indicate that children and adolescents are eating a diet that does not meet recommended intakes of fruits and vegetables and exceeds recommended intake of energy from total fat. These dietary patterns, that are learned in childhood and track into adulthood, predispose our youth for increased risk of some types of cancer, including breast, colon and stomach cancer. Populations that are of lower socioeconomic status have higher incidence rates of these and other cancers. This study proposes to implement a two-year, multi-component school-based program targeting multi-ethnic, lower socioeconomic students, their families, and their school environment to increase student intake of fruits and vegetables and to reduce their intake of calories form total fat. A randomized community trial design will be employed with 20 schools from two inner-city school districts (Minneapolis and St. Paul) being randomized to either the intervention or the delayed-program condition. These schools enroll a disproportionately large number of Minnesota minority children and children from low socioeconomic backgrounds. Interventions will be implemented in the academic years 1997-1998 and 1998-1999 when students from the Class of 2004 are in their sixth and seventh grade. Formative evaluation will be conducted to determine messages and intervention strategies that are culturally appropriate and relevant. Intervention components will be comprised of 1) school curricula addressing eating cues, the influence of advertising on food choices and barriers to healthful food choices; 2) a home intervention component designed to facilitate student-parent discussions regarding dietary choices, increase parental awareness of the influence of the home environment on adolescent food choices, and increase the availability of healthful food choices in the home and 3) a school environment component targeting food availability, food cues and food-related incentives in the school environment.



Publications

Weight misperception and health risk behaviors among early adolescents.
Authors: Pasch K.E. , Klein E.G. , Laska M.N. , Velazquez C.E. , Moe S.G. , Lytle L.A. .
Source: American Journal Of Health Behavior, 2011 Nov; 35(6), p. 797-806.
PMID: 22251770
Related Citations

Adoption of risk-related factors through early adolescence: associations with weight status and implications for causal mechanisms.
Authors: Pasch K.E. , Nelson M.C. , Lytle L.A. , Moe S.G. , Perry C.L. .
Source: The Journal Of Adolescent Health : Official Publication Of The Society For Adolescent Medicine, 2008 Oct; 43(4), p. 387-93.
PMID: 18809137
Related Citations

Social ecological predictors of the transition to overweight in youth: results from the Teens Eating for Energy and Nutrition at Schools (TEENS) study.
Authors: Klein E.G. , Lytle L.A. , Chen V. .
Source: Journal Of The American Dietetic Association, 2008 Jul; 108(7), p. 1163-9.
PMID: 18589024
Related Citations

Sizing a trial to alter the trajectory of health behaviours: methods, parameter estimates, and their application.
Authors: Murray D.M. , Blitstein J.L. , Hannan P.J. , Baker W.L. , Lytle L.A. .
Source: Statistics In Medicine, 2007-05-20 00:00:00.0; 26(11), p. 2297-316.
PMID: 17044139
Related Citations

Influencing healthful food choices in school and home environments: results from the TEENS study.
Authors: Lytle L.A. , Kubik M.Y. , Perry C. , Story M. , Birnbaum A.S. , Murray D.M. .
Source: Preventive Medicine, 2006 Jul; 43(1), p. 8-13.
PMID: 16697452
Related Citations

Naturally occurring changes in time spent watching television are inversely related to frequency of physical activity during early adolescence.
Authors: Motl R.W. , McAuley E. , Birnbaum A.S. , Lytle L.A. .
Source: Journal Of Adolescence, 2006 Feb; 29(1), p. 19-32.
PMID: 16338428
Related Citations

Predictors of violent behavior in an early adolescent cohort: similarities and differences across genders.
Authors: Blitstein J.L. , Murray D.M. , Lytle L.A. , Birnbaum A.S. , Perry C.L. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2005 Apr; 32(2), p. 175-94.
PMID: 15749965
Related Citations

Soft drinks, candy, and fast food: what parents and teachers think about the middle school food environment.
Authors: Kubik M.Y. , Lytle L.A. , Story M. .
Source: Journal Of The American Dietetic Association, 2005 Feb; 105(2), p. 233-9.
PMID: 15668681
Related Citations

Assessing intervention effects in a school-based nutrition intervention trial: which analytic model is most powerful?
Authors: Janega J.B. , Murray D.M. , Varnell S.P. , Blitstein J.L. , Birnbaum A.S. , Lytle L.A. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2004 Dec; 31(6), p. 756-74.
PMID: 15539546
Related Citations

Assessing the most powerful analysis method for school-based intervention studies with alcohol, tobacco, and other drug outcomes.
Authors: Janega J.B. , Murray D.M. , Varnell S.P. , Blitstein J.L. , Birnbaum A.S. , Lytle L.A. .
Source: Addictive Behaviors, 2004 May; 29(3), p. 595-606.
PMID: 15050677
Related Citations

School-based approaches to affect adolescents' diets: results from the TEENS study.
Authors: Lytle L.A. , Murray D.M. , Perry C.L. , Story M. , Birnbaum A.S. , Kubik M.Y. , Varnell S. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2004 Apr; 31(2), p. 270-87.
PMID: 15090126
Related Citations

Prevalence and correlates of depressive symptoms in young adolescents.
Authors: Kubik M.Y. , Lytle L.A. , Birnbaum A.S. , Murray D.M. , Perry C.L. .
Source: American Journal Of Health Behavior, 2003 Sep-Oct; 27(5), p. 546-53.
PMID: 14521250
Related Citations

Developing a school functioning index for middle schools.
Authors: Birnbaum A.S. , Lytle L.A. , Perry C.L. , Murray D. , Story M. .
Source: The Journal Of School Health, 2003 Aug; 73(6), p. 232-8.
PMID: 12899105
Related Citations

The association of the school food environment with dietary behaviors of young adolescents.
Authors: Kubik M.Y. , Lytle L.A. , Hannan P.J. , Perry C.L. , Story M. .
Source: American Journal Of Public Health, 2003 Jul; 93(7), p. 1168-73.
PMID: 12835204
Related Citations

Predicting adolescents' intake of fruits and vegetables.
Authors: Lytle L.A. , Varnell S. , Murray D.M. , Story M. , Perry C. , Birnbaum A.S. , Kubik M.Y. .
Source: Journal Of Nutrition Education And Behavior, 2003 Jul-Aug; 35(4), p. 170-5.
PMID: 12859881
Related Citations

Associations between perceived family meal environment and parent intake of fruit, vegetables, and fat.
Authors: Boutelle K.N. , Birnbaum A.S. , Lytle L.A. , Murray D.M. , Story M. .
Source: Journal Of Nutrition Education And Behavior, 2003 Jan-Feb; 35(1), p. 24-9.
PMID: 12588677
Related Citations

Food-related beliefs, eating behavior, and classroom food practices of middle school teachers.
Authors: Kubik M.Y. , Lytle L.A. , Hannan P.J. , Story M. , Perry C.L. .
Source: The Journal Of School Health, 2002 Oct; 72(8), p. 339-45.
PMID: 12389375
Related Citations

Are differences in exposure to a multicomponent school-based intervention associated with varying dietary outcomes in adolescents?
Authors: Birnbaum A.S. , Lytle L.A. , Story M. , Perry C.L. , Murray D.M. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2002 Aug; 29(4), p. 427-43.
PMID: 12137237
Related Citations

Survey development for assessing correlates of young adolescents' eating.
Authors: Birnbaum A.S. , Lytle L.A. , Murray D.M. , Story M. , Perry C.L. , Boutelle K.N. .
Source: American Journal Of Health Behavior, 2002 Jul-Aug; 26(4), p. 284-95.
PMID: 12081361
Related Citations

Applying theory of planned behavior to fruit and vegetable consumption of young adolescents.
Authors: Lien N. , Lytle L.A. , Komro K.A. .
Source: American Journal Of Health Promotion : Ajhp, 2002 Mar-Apr; 16(4), p. 189-97.
PMID: 11913324
Related Citations

Psychosocial correlates of physical activity and sedentary leisure habits in young adolescents: the Teens Eating for Energy and Nutrition at School study.
Authors: Schmitz K.H. , Lytle L.A. , Phillips G.A. , Murray D.M. , Birnbaum A.S. , Kubik M.Y. .
Source: Preventive Medicine, 2002 Feb; 34(2), p. 266-78.
PMID: 11817924
Related Citations

Intraclass correlation for measures from a middle school nutrition intervention study: estimates, correlates, and applications.
Authors: Murray D.M. , Phillips G.A. , Bimbaum A.S. , Lytle L.A. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2001 Dec; 28(6), p. 666-79.
PMID: 11720271
Related Citations

Perceptions of the family mealtime environment and adolescent mealtime behavior: do adults and adolescents agree?
Authors: Boutelle K.N. , Lytle L.A. , Murray D.M. , Birnbaum A.S. , Story M. .
Source: Journal Of Nutrition Education, 2001 May-Jun; 33(3), p. 128-33.
PMID: 11953227
Related Citations

A practical, theory-based approach to establishing school nutrition advisory councils.
Authors: Kubik M.Y. , Lytle L.A. , Story M. .
Source: Journal Of The American Dietetic Association, 2001 Feb; 101(2), p. 223-8.
PMID: 11271696
Related Citations

Conducting nutrition education research in junior high schools: approaches and challenges.
Authors: Lytle L.A. , Gerlach S. , Weinstein A.B. .
Source: Journal Of Nutrition Education, 2001 Jan-Feb; 33(1), p. 49-54.
PMID: 12031206
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