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Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County
Rural communities in Appalachia are displaying increased obesity prevalence, yet traditional interventions have not provided a broad enough impact to improve dietary consumption patterns. Therefore, expanding efforts that address the food environment and incorporate behavioral nudges through communi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308232/ https://www.ncbi.nlm.nih.gov/pubmed/34206825 http://dx.doi.org/10.3390/nu13072200 |
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author | Gillespie, Rachel DeWitt, Emily Norman-Burgdolf, Heather Dunnaway, Brynnan Gustafson, Alison |
author_facet | Gillespie, Rachel DeWitt, Emily Norman-Burgdolf, Heather Dunnaway, Brynnan Gustafson, Alison |
author_sort | Gillespie, Rachel |
collection | PubMed |
description | Rural communities in Appalachia are displaying increased obesity prevalence, yet traditional interventions have not provided a broad enough impact to improve dietary consumption patterns. Therefore, expanding efforts that address the food environment and incorporate behavioral nudges through community-developed marketing strategies may be a viable mechanism to improve food and beverage choices within this unique population. This study installed shelf-wobblers across n = 5 gas stations in one rural Appalachian county in Kentucky. Smart Snacks were identified from store inventory lists utilizing the CDC Food Service Guideline for Federal Facilities calculator and were categorized into high-protein snacks, low-fat carbohydrate snacks, meal replacement snacks, and no-calorie beverages. NEMS-CS audits were conducted, and monthly sales data was collected at baseline and for six months thereafter for each store location. A difference-in-difference model was used, adjusting for total sales or total mean sales for each Smart Snack model to assess the percentage change within and between stores. Overall, percent change in mean sales and total sales across all stores resulted in a percentage increase of sales of Smart Snack items following wobbler installment. This study provides unique insight into how a community-driven approach to marketing can influence the sale of healthier food and beverage items. |
format | Online Article Text |
id | pubmed-8308232 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-83082322021-07-25 Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County Gillespie, Rachel DeWitt, Emily Norman-Burgdolf, Heather Dunnaway, Brynnan Gustafson, Alison Nutrients Article Rural communities in Appalachia are displaying increased obesity prevalence, yet traditional interventions have not provided a broad enough impact to improve dietary consumption patterns. Therefore, expanding efforts that address the food environment and incorporate behavioral nudges through community-developed marketing strategies may be a viable mechanism to improve food and beverage choices within this unique population. This study installed shelf-wobblers across n = 5 gas stations in one rural Appalachian county in Kentucky. Smart Snacks were identified from store inventory lists utilizing the CDC Food Service Guideline for Federal Facilities calculator and were categorized into high-protein snacks, low-fat carbohydrate snacks, meal replacement snacks, and no-calorie beverages. NEMS-CS audits were conducted, and monthly sales data was collected at baseline and for six months thereafter for each store location. A difference-in-difference model was used, adjusting for total sales or total mean sales for each Smart Snack model to assess the percentage change within and between stores. Overall, percent change in mean sales and total sales across all stores resulted in a percentage increase of sales of Smart Snack items following wobbler installment. This study provides unique insight into how a community-driven approach to marketing can influence the sale of healthier food and beverage items. MDPI 2021-06-26 /pmc/articles/PMC8308232/ /pubmed/34206825 http://dx.doi.org/10.3390/nu13072200 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Gillespie, Rachel DeWitt, Emily Norman-Burgdolf, Heather Dunnaway, Brynnan Gustafson, Alison Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title | Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title_full | Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title_fullStr | Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title_full_unstemmed | Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title_short | Community-Based Efforts Aim to Improve the Food Environment within a Highly Obese Rural Appalachian County |
title_sort | community-based efforts aim to improve the food environment within a highly obese rural appalachian county |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8308232/ https://www.ncbi.nlm.nih.gov/pubmed/34206825 http://dx.doi.org/10.3390/nu13072200 |
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