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Dietary Habits and Anthropometric Measurements in College Students: A Cross-Cultural Comparison Denise Albina Elizabeth Chlopek Melinda Hamilton-Smith Rachel Hudes Kim McDonough Sehba Nasir 1 Objectives of the Study • To determine effects of acculturation and ethnicity on the following: 1. Dietary intake and snack consumption 2. Anthropometric measurements and biochemical markers 3. Exercise patterns 2 Participant Recruitment • Campus wide e-mail • Table tents around the cafeteria, computer labs and library • Flyers in bathroom stalls • Speaking to classes • Sports team and clubs/organization • Recruitment through poster board display, and passing out flyers • Incentive for completion: free assessment testing comparative to hospital tests cost 3 Study Subjects • Inclusion: • Currently enrolled at Benedictine University • Age 18-28 • All ethnicities • Exclusion: • Not currently enrolled at Benedictine University • Refusal to sign the consent form • Pregnant • Participant did not fast for 10-12hrs • Reasons for Withdrawal: • Failure to make or keep appointments 4 Total Study Subjects Subjects were required to complete the following: Survey 1: - Completion of 22 question survey pertaining to student status, demographics, health status and exercise habits Survey 2: - Completion of 19 question food intake questionnaire focusing on food preferences, meal patterns, cultural habits and changes in food habits Health Assessment: - Collection of anthropometric measurements, lipid values, blood pressure and InBody assessment 5 Data Collection Tools: 6 Data Collection Adherence for Accuracy • Students were assigned measurement stations • Height and waist circumference were read on two separate occasions for accuracy • Blood Pressure was taken after student was resting in a chair for >5minutes where 10 separate readings were taken(5 per arm). 7 Data Collection Instrument: Block Fat Screener • A means of providing a brief and inexpensive method of determining fat intake. • The block fat screener contains 17 food items that are typically high in fat. • Each food item was given a score 1-5 based on how often the participant consumed these food items. • The fat score was calculated as the sum of the numerical values of all 17 food items. • The fat score was utilized in mathematical equations to calculate total fat(grams), percent total fat, saturated fat (grams), and cholesterol intake (milligrams). • 150 participants completed the Block Fat Screener. 8 Data Collection Instrument: Fruit-Vegetable-Fiber Screener • Inexpensive method of determining fruit, vegetable and fiber intake. • Screener includes 10 items: o the first seven determine fruit servings using USDA Food Pyramid definitions of servings. o The last 3 items determine average grams of fiber consumed on a given day. • Predictive equations provide estimates for fruit and vegetable servings, vitamin C(mg), Magnesium(mg), potassium(mg) and dietary fiber(g) • Data collection was done online as part of a second survey. 9 Data Collection Instrument: Godin Leisure-Time Questionnaire (GLTQ) • An inexpensive method to measure the frequency and intensity of exercise, and frequency of leisure time physical activity (LTPA) of a 7 day period. This questionnaire is comprised of two questions. • GLTQ was Included in online survey 1 • Results (Self reported) – Frequency of weekly LTPA (often, sometimes, or rarely/never). – Reported frequency of each intensity of exercise was used to calculate total • METs (metabolic equivalents) for each; strenuous, moderate, and mild METs. • Total Godin Score – Calculated for each subject. – Used to represent the sum of total weekly METs. 10 Snack Habits Sehba Nasir 11 What the Literature Says: • Many studies have shown a dietary pattern of snack consumption among the college population (1,2,3). • A recent study in 2009, had findings that university students from Scotland (a more western country) consumed more chocolate, bars and crisps (p<0.05) when compared to university students from Greece (a country considered to be transitioning from a traditional diet) (3). • A study in 2010, found that U.S. born Mexicans reported eating significantly more non-Mexican fast food, snacks, desserts candy and sugars compared to Foreign born Mexicans (p<0.001) (4). • Another study in 2010, found high-acculturated Korean Americans ate more western foods and significantly more raw vegetable salad (p<.027) compared to low-acculturated Korean American college students (5). 12 Ethnicities 13 Generations 14 Student Status Demographic 15 Variables • Snack Preferences • How snacks are obtained • Ethnicities • Generation • Student Status – part time or full time How Snacks are Obtained Snack Foods In the survey, a snack was defined as “something to temporarily tide a person’s hunger and provide a brief supply of energy to the body.” Snack Preferences: 1)Milk/Yogurt, 2) Pop or Soda, 3) Fruits or vegetables, 4) Cookies or Cakes, 5) Ice Cream, 6) Potato Chips or Other Chips, 7) Personally Prepared foods (Traditional), 8) Juice, 9) Snack Bars, 10) Breads or Cereals, 11) Nuts 12) Candy, 13) Pizza/Hamburger and 14) Sandwich. Frequencies of Variables The top three snack food preferences that had the greatest frequency of “yes” responses were Fruits and Vegetables, Milk/Yogurt, and Snack Bars. Ho1: Snack Foods among Ethnicities N= 137 • Ho1a: There is no relationship in selection of Fruits and Vegetables as a snack food and ethnicities. Rejected. • Ho1b: There is no relationship in selection of Traditional Foods (personally prepared) as a snack food and ethnicities. Rejected. χ2 Snack Food df p Eta Fruits or Vegetables 12.15 3 <0.01* 0.27 Traditional food 14.14 3 0.003* 0.27 Ho1: Snack Foods among Ethnicities N= 137 • Ho1c: There is no relationship in selection of Candy as a snack food and ethnicities. Rejected. • Ho1d: There is no relationship in selection of Pizza/Hamburger as a snack food and ethnicities. Rejected. χ2 Snack Food df p Eta Candy 7.96 3 <0.05* 0.23 Pizza/Hamb urger 8.94 3 <0.05* 0.21 Ho1: Snack Foods among Ethnicities N= 137 • Ho1e: There is no relationship in selection of Sandwich as a snack food and ethnicities. Rejected. χ2 Snack Food Sandwich 9.15 df 3 p 0.027* Eta 0.15 Snack Foods among Ethnicities Significant Findings: • Among those responding “yes” to the consumption of Fruits and Vegetables as snacks, ethnic groups with the highest intake were White (83.3% of respondents, n=60) and White (Middle Eastern) (85.7% of respondents, n=12). • Among those responding “yes” to the consumption of Traditional Foods (personally prepared) as snacks, ethnic groups with the highest intake were Asian Indian and Chinese (36.8% of respondents, n=14). • Among those responding “yes” to the consumption of Candy as snacks, ethnic groups with the highest intake were Asian Indian and Chinese (42.1% of respondents, n=16). • Among those responding “yes” to the consumption of Pizza/Hamburger as snacks, ethnic groups with the lowest intake were White (6.9% of respondents, n=5) and Hispanic or Latino(7.7% of respondents, n=1). • Among those responding “yes” to the consumption of Sandwich as snacks, ethnic group with the lowest intake is White (19.4% of respondents, n=14). Ho2: Snack Foods among Generations N= 138 • Ho2a: There is no relationship in selection of Fruits or Vegetables as a snack food and generations. Rejected. • Ho2b: There is no relationship in selection of Personally Prepared (Traditional Foods) as a snack food and generations. Rejected. χ2 Snack Food df p Eta Fruits or Vegetables 10 4 0.04* 0.27 Traditional Food 15.35 4 0.004* 0.26 Ho2: Snack Foods among Generations N= 138 • Ho2c: There is no relationship in selection of Sandwich as a snack food and generations. Rejected. χ2 Snack Food Sandwich 15.15 df 3 p 0.004* Eta 0.27 Snack Foods among Generations Significant findings: • Among those responding “yes” to the consumption of Fruits and Vegetables as snacks, generations with the highest intake were 5th generation (87% of respondents, n=40) and 4th (84.6% of respondents, n=11). Among those responding “yes,” the intake increased with each generation from 1st to 5th generation. • Among those responding “yes” to the consumption of Traditional Foods (personally prepared) as snacks, generations with the highest intake were 1st (22.6% of respondents, n=7), 2nd (35.9% of respondents, n=14), and 3rd (22.2% of respondents, n=2). Among those responding “yes,” the intake declined in the 4th and 5th generation. • Among those responding “yes” to the consumption of Sandwich as snacks, generations with the highest intake were 2nd (46.2% of respondents, n=18), 1st (38.7% of respondents, n=12), and 3rd (33.3% of respondents, n = 3). Among those that responded “yes,” the generations after the 3rd decline in their intake of Sandwiches as a snack. Ho3: There is no relationship between how snacks are obtained and student’s ethnicity Rejected. A significant interaction was found (χ2(4)= 13.71, p=0.008, eta = 0.251). Significant Findings: Among those that responded as “varies” to obtaining snacks, the ethnicity with the highest response, is White (Middle Eastern) (78.6% of respondents, n=11). The White (Middle Eastern) is also the ethnicity that had 0 responses to “prepared at home” to obtaining snacks (0% of respondents, n=0) and the ethnicity with the lowest response to “prepared at home” is Asian Indian and Chinese (2.6% of respondents, n=1) Ho4: There is no relationship between how snacks are obtained and student status. Accepted. No significant relationship was found (χ2(2)= 1.52, p=0.462, eta = 0.11). How snacks are obtained and student status appears to be independent. Snack Consumption Conclusions • From all 14 snack foods that were compared to ethnicities, 5 snack foods (fruits or veg., traditional foods, candy, pizza/hamburger and sandwiches) were found to have a significant relationship to ethnicities. • Fruits or vegetables snack foods have a significant relationship to generations. The intake increased with each generation from 1st to 5th generation. • Traditional (personally prepared) snack foods and sandwiches as snacks have a significant relationship to generations. The intake of both the snack foods declined in the 4th and 5th generations. Snack Consumption Conclusions • How snacks are obtained (prepared at home, purchased, or varies) and a student’s ethnicity has a significant relationship N=137. • How snacks are obtained has no significant relationship to student status (part time or full time) N=127. Exercise Rachel Hudes 31 Benefits of Physical Activity • Physical activity (PA) can help prevent a variety of chronic illnesses, that have become prevalent in westernized society. • PA has been shown to have many positive effects on a variety of metabolic health factors. o Decreasing triglyceride total cholesterol, and LDL levels. Protective against CVD and metabolic syndrome. o Increasing HDL levels. Protective against CVD and metabolic syndrome. o Decreasing BMI and PBF. Protective against obesity, diabetes, HTN, CVD, metabolic syndrome. Aids in weight loss/weight management. 32 La Forge R, 2002 Physical Activity Guidelines for Adults At least 150 minutes of moderate intensity physical activity or 75 minutes of strenuous intensity aerobic physical activity per week for significant health benefits. Strenuous Exercise • Jogging/running • Swimming laps • Singles tennis Department of Health and Human Services, 2009 Moderate Exercise • Walking fast • Water aerobics • Doubles tennis. 33 Previous Research • Physical Activity and College Students: o As freshman, 29% of students did not exercise regularly; by senior year the amount of physically inactive did not change. o More than 50% of undergraduates were sedentary or exercised on an irregular basis. o 29% of college students living on campus and 28% living off campus reported being sedentary or lightly active. Racette SB, 2008 Wallace LS, 2000 Brevard PB, 1996 34 Previous Research Physical Activity and Acculturation: • Foreign born Mexicans participated in fewer weekly bouts of low intensity physical activity compared to U.S. born Mexicans. o Inactivity and low intensity physical activity increased with generation of residence in the United States among Mexicans and Cubans. • Studies on Arabic women in America suggest that physical inactivity is more common than American women. Gordon-Larsen P, 2003 Qahoush R, 2010 35 Ho5a: There is no difference in intensity of exercise across ethnicities. • One way ANOVA compared the intensity of exercise across ethnicities. • Ho5a Rejected. o o o o Strenuous METs: (F(4,223) = 3.21, p=.01) Moderate METs: (F(4,224) = 2.57 p=.04) Mild METs: (F(5,216) = 1.47, p=.202) Total Godin Score: (F(5,223) = 2.81, p=.001) 36 Distribution of Intensity of Exercise within Ethnicity 35 31.2 30 25 22.4 19.8 20 15 14.8 12.9 11.7 10 8.5 13.3 11.5 9.6 11 8.3 7.5 6 7.4 5 0 Asian Indian and Chinese Black or African American Strenuous METs (n= 228) Hispanic or Latino Moderate METs (n= 229) White (European or N. Africa origins) Mild METs (n= 228) White (Middle East) Ethnicity Distribution for Strenuous and Moderate METs Strenuous METs 19.8% 14.8% Moderate METs 16% 16.1% 11.8% 18.3% 25.2% 22.4% 31.2% 24.6% Asian Indian and Chinese Strenuous: (n= 68 Moderate: (n= 68) Black or African American Strenuous: (n= 14) Moderate: (n= 14) Hispanic or Latino Strenuous: (n= 17) Moderate: (n= 17) White (European or N. Africa origins) Strenuous: (n= 105) Moderate: (n= 107) White (Middle East) Strenuous: (n= 25) Moderate: (n= 24) Data compared to Strenuous and Moderate METs was compared across all ethnicities as one statistical group Ethnicity Distribution for Mild METs and Total Godin Score Mild METs 17% Total Godin Score 17.2% 18% 15.9% 14% 13.3% 24.1% 25.5% 26.5% 29.1% Asian Indian and Chinese Mild: (n= 66) Godin: (n= 68) Black or African American Mild: (n= 13) Godin: (n= 14) Hispanic or Latino Mild: (n= 17) Godin: (n= 17) White (European or N. Africa origins) Mild: n= 108) Godin: (n= 108) White (Middle East) Mild: (n= 24) Godin: (n= 26) Data compared to Mild METs and Total Godin Score was compared across all ethnicities as one statistical group Ho5b: There is no difference in intensity of exercise across genders. Independent-samples t test compared the intensity of exercise across genders. Ho5b Accepted. • • • • Strenuous METs: (t(229) = 2.51, p=.52) Moderate METs: (t(230) = .64, p=.96) Mild METs: (t(229) = -1.5, p=.7) Total Godin Score: (t(234)= 1.28, p=.57) 40 Distribution of Intensity of Exercise within Genders 30 25.4 25 20 17.7 15 11.8 10.7 9.9 10 7.7 5 0 Male Strenuous METs (n= 228) Female Moderate METs (n= 229) Mild METs (n= 228) Gender Distribution for Strenuous and Moderate METs Male Strenuous:(n= 62) Moderate:(n= 62) Strenuous METs 41% 59% Moderate METs 47.6% Female Strenuous: (n= 169) Moderate (n= 170) 52.4% Data compared to Strenuous and Moderate METs was compared across genders as one statistical group Gender Distribution for Mild METs and Total Godin Score Male Mild: (n= 63) Godin: (n= 64) Mild METs 56.5% 43.5% Total Godin Score 46.5% Female Mild: (n= 168) Godin: (n= 172) 53.5% Data compared to Mild METs and Total Godin Score was compared across genders as one statistical group Ho6a: There is no difference in intensity of exercise between TC risk categories. • • • • Strenuous METs: (t(95) = 1.5, p=.64) Moderate METs: (t(97) = -.001, p=.34) Mild METs: (t(99) = .002, p=.06) Total Godin Score: (t(99) = .9, p=.001) Ho6a Accepted Independent-samples t test Total Cholesterol Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METs 84, 20.7 + 21.7 13, 11.1 + 19.8 Moderate METs 86, 11.9 + 10.7 13, 11.9 + 16.5 Mild METs 88, 9.2 + 11.9 13, 9.2 + 8.8 Total Godin Score 88, 40.5 + 31.5 13, 32.2 + 28.3 44 Ho6b: There is no difference in intensity of exercise between HDL cholesterol risk categories. • • • • Strenuous METs: (t(92) = -.74, p=.09) Moderate METs: (t(94) = 1.17, p=.26) Mild METs: (t(96) = .06, p=.12) Total Godin Score: (t(96) = -.03, p=.68) Ho6b Accepted Independent-samples t test HDL Cholesterol Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METs 66, 20.0 + 23.7 28, 16.4 + 16.3 Moderate METs 67, 11 + 10.9 29, 14 + 12.8 Mild METs 69, 9.5 + 8.2 29, 9.6 + 17.3 Total Godin Score 69, 39.3 + 31.2 29, 39.1 + 32.3 45 Ho6c: There is no difference in the intensity of exercise between LDL cholesterol risk categories. • • • • Strenuous METs: (t(71) = .74, p=.16) Moderate METs: (t(73) = .12, p=.96) Mild METs: (t(73) = 1.62, p=.49) Total Godin Score: (t(73) = 1.02, p=.02) Ho6c Accepted Independent-samples t test LDL Cholesterol Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METs 41, 20.0 + 26.0 32, 16.0 + 17.2 Moderate METs 43, 12.7 + 11.6 32, 12.3 + 13.2 Mild METs 43, 12.1 + 14.5 32, 7.4 + 8.6 Total Godin Score 43, 43.6 + 38.6 32, 35.8 + 22.9 46 Ho6d: There is no difference in the intensity of exercise between TG risk categories. • • • • Strenuous METs: (t(75) = .90, p=.47) Moderate METs: (t(77) = .92, p=.23) Mild METs: (t(77) = .33, p=.85) Total Godin Score: (t(77) = 1.03, p=.97) Ho6d Accepted Independent-samples t test Triglycerides Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METs 69, 18.8 + 22.7 8, 11.3 + 18.5 Moderate METs 71, 12.3 + 12.5 8, 8.1 + 8.8 Mild METs 71, 9.8 + 12.7 8, 8.3 + 9.3 Total Godin Score 71, 40.2 + 33.2 8, 27.6 + 28.1 47 Ho7: There is no difference in intensity of exercise between BMI categories. • • • • Strenuous METs: (t(88) = 1.02, p=.61) Moderate METs: (t(90) = -1.95, p=.96) Mild METs: (t(92) = -1.21, p=.05) Total Godin Score: (t(92) = -.68, p=.61) Ho7 Rejected Independent-samples t test BMI Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METs 62, 22.5 + 21.4 28, 17.4 + 23.5 Moderate METs 64, 11.3 + 11.4 28, 16.4 + 11.4 Mild METs 66, 8.5 + 8.1 28, 11.7 + 17.5 Total Godin Score 66, 40.6 + 30.5 28, 45.5 + 34.8 48 Ho8: There is no difference between intensity of exercise and PBF risk categories. • • • • Strenuous METs: (t(84) = 1.51, p=.43) Moderate METs: (t(86) = -2.0, p=.15) Mild METs: (t(87) = -.05, p=.32) Total Godin Score: (t(87) = .21, p=.85) Ho8 Accepted Independent-samples t test PBF Low Risk: n, Mean + SD High Risk: n, Mean + SD Strenuous METS 33, 23.7 + 25.3 53, 16.5 + 19.2 Moderate METS 35, 9.6 + 9.1 53, 14.5 + 12.6 Mild METS 35, 9.6 + 8.1 54, 9.7 + 13.8 Total Godin Score 35, 41.5 + 33.5 54, 40.1 + 29.1 49 Ho9a: There is no relationship between frequency of LTPA and ethnicity. • Ho5a: Rejected, p= .001 Frequency of LTPA Ethnicity Total Often Sometimes Rarely/Never Asian Indian and Chinese 17 (22.4%) 23 (22.5%) 31 (52.5%) Black or African American 3 (3.9%) 7 (6.9%) 4 (6.8%) 14 (5.9%) Hispanic or Latino 6 (7.9%) 8 (7.8%) 4 (6.8%) 18 (7.6%) White (European or N. Africa origins) 41 (53.9%) 55 (53.9%) 12 (20.3%) 12 (45.6%) White (Middle East) 9 (11.8%) 9 (8.8%) 8 (13.6%) 26 (11.0%) 71 (30.0%) (x2 (8) = 26.0, p= .001), Eta= .28 Ho9b: There is no relationship between frequency of LTPA and gender. • Chi-square test of independence to determine a relationship between frequency of LTPA and gender. – Gender: (x2 (2) = 2.22, p= .33) – No significance was found between frequency of LTPA and gender. Often Male (n= 25) Female (n= 51) LTPA Distribution within Gender Male Female 21.8% 39.1% 39.1% 26.1% Sometimes Male (n= 25) Female (n= 79) 29% 44.9% Data compared to frequency of LTPA was compared across genders as one statistical group Rarely/Never Male (n= 14) Female (n= 46) Ho10: There is no difference between frequency of LTPA and metabolic risk categories. One-way ANOVA LTPA Frequency Total Cholesterol n, mean, + SD HDL Cholesterol n, mean, + SD LDL Cholesterol n, mean, + SD Triglycerides n, mean, + SD Body Mass Index n, mean, + SD Percent Body Fat n, mean, + SD Often 35, 157.6 + 28.5 34, 50.0 + 9.9 25, 95.3 + 21.1 26, 93.4 + 38.3 35, 23.9 + 3.0 35, 25.4 + 9.1 Sometimes 44, 171.3 + 28.9 43, 51.0 + 14.1 33, 106.3 + 24.8 42, 94.1 + 39.6 46, 23.2 + 4.7 46, 26.2 + 9.3 Rarely/Never 24, 172.0 + 34.3 23, 55.8 + 19.9 18, 102.0 + 33.7 20, 117.5 + 89.3 24, 22.2 + 3.8 24, 24.8 + 7.7 Total 103,166.0 + 30.2 100, 51.8 + 14.5 76, 101.6 + 26.3 80, 99.7 + 56.1 105, 23.2 + 4.0 105, 25.6 + 8.8 Ho10: There is no difference between frequency of LTPA and metabolic risk categories. • Ho10a: There is no difference between frequency of LTPA and TC. Accepted. (F(2,100) = 2.46, p=.09) • Ho10b: There is no difference between frequency of LTPA and HDL cholesterol. Accepted. (F(2,97) = 1.23, p=.30) • Ho10c: There is no difference between frequency of LTPA and LDL cholesterol. Accepted. (F(2,73) = 1.25, p=.29) • Ho10d: There is no difference between frequency of LTPA and TG. Accepted. (F(2,77) = 1.35, p=.27) • Ho11: There is no difference between frequency of LTPA and BMI. Accepted. (F(2,102) = 1.24, p=.29) • Ho12: There is no difference between intensity of exercise and PBF. Accepted. (F(2,102) = .19, p=.83) 53 Hypothesis Summary • Statistically significant findings o Ho5a: There is no difference in intensity of exercise across ethnicities. Rejected for Total Godin Score (p=.01), Moderate METs (p=.04), and Strenuous METs (p=.001). o Ho6a: There is no difference in the intensity of exercise between TC risk categories Rejected for Total Godin Score (p=.001). o Ho6c: There is no difference in the intensity of exercise between LDL cholesterol risk categories. Rejected for Total Godin Score (p=.02). o Ho6e: There is no difference in intensity of exercise between BMI categories. Rejected for Mild METs (p=.05). o Ho7a: There is no relationship between frequency of LTPA and ethnicity. Rejected (p=.001). 54 Trends • Low risk TC and PBF categories had higher mean strenuous METs and Total Godin Score. • Low risk HDL cholesterol category had higher mean strenuous METs. • Low risk LDL and TG categories had higher mean strenuous, moderate, and mild METs. • Overweight BMI category had higher mean mild and moderate METs and Total Godin Score. • The more LTPA reported the higher mean BMI and TGs. • The more LTPA reported the lower mean HDL. 55 Conclusions • BMI is higher with more LTPA, Moderate METs, Mild METs and higher Total Godin Score. o Muscle mass increases weight; may be contributing to higher BMI in individuals. o May not be the best tool to use alone to determine disease risks. • Higher Total Godin Score in low risk TC, LDL and HDL cholesterol, TG, and PBF categories. o Supports research on the benefits of exercise on these metabolic risk factors. • Significant difference between LTPA frequency and ethnicity. o Displays a need to emphasize the importance of exercise to college students of various ethnic backgrounds. 56 Anthropometrics Elizabeth Chlopek 57 What the Literature Says: • Of the methods used to measure body fat and its distributions, anthropometric measurements play an important role in clinical practice. • The risk for overweight and obesity has shown to be independently associated with excess abdominal fat. (1) • Body mass index (BMI) is most widely used to measure total adiposity and to categorize obesity, while waist circumference (WC) is an alternate marker for abdominal adiposity. (1) o Some research shows BMI as a indicator for man of overweight/obese status. With women, waist to hip ratio and waist circumference was a better indicator of overweight/obesity status. (2) • Some research has shown WC as a better indicator of abdominal obesity (1) • More research is needed to determine what anthropometric measures perform the best in assessing obesity related health risks and what cut-off points should be used in clinical settings. o Also, related ethnic differences need to be better understood. (1) 1 Xu, F., Wang Y., Lu, L., Liang, Y., Wang, Z., Hong, X., & Li, J. 2. Kamadjeu, R., Edwards, R., Atanga, J., Kiawi, E., Unwin, N., & Mbanya, J Ho13: There is no difference between ethnicity and anthropometric measures. Ho13a: There is no difference between ethnicity and BMI. • F(4,102) = .271, p = .896 Ho13b: There is no difference between ethnicity and umbilicus waist circumference. • F(4,102) = .317, p = .866 Ho13c: There is no difference between ethnicity and iliac waist circumference. • F(4,102) = 1.417, p = .234 Ho13d: There is no difference between ethnicity and percent body fat (PBF). • F(4,102) = .417, p = .796 Descriptives: Anthropometric Measures Ethnicity & Anthropometrics Ethnicity & Anthropometrics Ethnicity & Anthropometrics Ho14: There is no association between iliac crest waist circumference and umbilicus waist circumference. Ho14: Rejected, p < .001 Umbilicus WC (cm) Umbilicus WC (cm) Iliac Crest (cm) Pearson Correlation Sig. (2-tailed) N Pearson Correlation Sig. (2-tailed) N (r(107) = .892, p < .01) Iliac Crest WC (cm) 1 107 .892 P < .001 107 .892 1 107 107 Ho15a: There is no relationship between umbilicus waist circumference risk categories and BMI categories. Ho15(a): Rejected, p < .001 Waist Circum Risk Um * BMI Category 2 Crosstabulation BMI Category 2 Overweight/Obes Waist Circum At Risk (>102cm or Risk Um >88cm) Normal (<101.9cm or <87.9cm) Total Normal 0 e Total 8 8 .0% 79 7.5% 20 7.5% 99 73.8% 79 18.7% 28 92.5% 107 73.8% 26.2% 100.0% (x²(1) = 24.395 p < .001) 65 Ho15b: There is no relationship between iliac crest waist circumference risk categories and BMI categories. Ho15(b): Rejected, p < .001 Waist Circum Risk Iliac * BMI Category 2 Crosstabulation BMI Category 2 Normal Waist Circum At risk (>102cm or Risk Iliac >88cm) Normal (<101.9cm or <87.9cm) Total Overweight/Ob Total ese 5 13 18 4.7% 74 12.1% 15 16.8% 89 69.2% 79 14.0% 28 83.2% 107 73.8% 26.2% 100.0% (x²(1) = 23.757, p = < .001) 66 Ho16a: There is no relationship between umbilicus waist circumference risk categories and PBF categories. Ho16(a): Rejected p < .05 Waist Circum Risk Um * PBF Category 2 Crosstabulation PBF Category 2 Normal Fat/Obese Total Waist Circum Risk Um At Risk (>102cm or >88cm) Normal (<101.9cm or <87.9cm) Total 1 7 8 .9% 61 6.5% 38 7.5% 99 57.0% 62 35.5% 45 92.5% 107 57.9% 42.1% 100.0% (x²(1) = 7.327, p < .05) 67 Ho16b: There is no relationship between iliac waist circumference risk categories and PBF categories. Ho16(b): Rejected, p < .001 Waist Circum Risk Iliac * PBF Category 2 Crosstabulation PBF Category 2 Normal Fat/Obese Waist Circum Risk Iliac At risk (>102cm or >88cm) Normal (<101.9cm or <87.9cm) Total (x²(1) = 15.13, p < .001) Total 3 15 18 2.8% 59 14.0% 30 16.8% 89 55.1% 62 28.0% 45 83.2% 107 57.9% 42.1% 100.0% 68 Ho17: There is no relationship between BMI categories and PBF categories. Ho17: Rejected, p < .001 BMI Category 2 * PBF Category 2 Crosstabulation PBF Category 2 Normal Fat/Obese BMI Normal Category 2 Overweight/Obese Total Total 58 21 79 54.2% 4 19.6% 24 73.8% 28 3.7% 62 22.4% 45 26.2% 107 42.1% 100.0% 57.9% (x²(1) = 29.663, p < .001) 69 Gender & Anthropometric Measures Ho18: There is no difference between Gender and BMI. -Accepted Ho19: There is no difference between Gender and Percent Body Fat. - Rejected Ho20: There is no difference between Gender and umbilicus crest waist circumference. - Accepted Ho21: There is no difference between Gender and iliac waist circumference. - Rejected Ho18: There is no relationship between Gender and BMI. BMI * Gender Crosstabulation Ho18: Accepted, p > .05 Gender Male Female Total BMI Underweight (<18.4) 1 .9% Normal (18.5-24.9) 21 19.6% Overweight (25-29.9) 4 3.7% Obese I (3034.9) 5 4.7% Total (x²(1) = 4.368, p = .224) 31 29.0% 9 10 8.4% 9.3% 48 69 44.9% 64.5% 14 18 13.1% 16.8% 5 10 4.7% 9.3% 76 107 71.0% 100.0 % 71 Ho19: There is no difference between Gender and Percent Body Fat. Rejected, p < .05 (F(1,105) = 26.8, p = < .05). Ho20: There is no relationship between Gender and umbilicus crest waist circumference. Ho20: Accepted (x²(1) = 1.14, p > .05) Ho21: There is no relationship between Gender and iliac waist circumference. Ho21: Rejected (x²(1) = 5.766, p < .05) Summary of Hypotheses Ethnicity and Anthropometrics: • Ho13a: There is no difference between ethnicity and BMI. -Accepted • Ho13b: There is no difference between ethnicity and umbilicus waist circumference. -Accepted • Ho13c: There is no difference between ethnicity and iliac waist circumference. -Accepted • Ho13d: There is no difference between ethnicity and percent body fat (PBF). –Accepted Ethnicity and Waist Circumference Measures: • Ho14: There is no association between iliac crest waist circumference and umbilicus waist circumference. -Rejected Waist Circumference Risk and BMI: Ho15: There is no relationship between waist circumference risk categories and BMI categories: • Ho15(a): There is no relationship between umbilicus waist circumference risk categories and BMI categories. – Rejected • Ho15(b): There is no relationship between iliac crest waist circumference risk categories and BMI categories. – Rejected Summary of Hypotheses cont. Waist Circumference Risk and Percent Body Fat (PBF): Ho16: There is no relationship between waist circumference risk categories PBF categories: • Ho16(a): There is no relationship between umbilicus waist circumference risk categories and PBF categories. - Rejected • Ho16(b): There is no relationship between iliac waist circumference risk categories and PBF categories. – Rejected Body Mass Index (BMI) and Percent Body Fat (PBF): • Ho17: There is no relationship between BMI categories and PBF categories. - Rejected Gender and Anthropometrics: • Ho18: There is no difference between • Ho19: There is no difference between Rejected • Ho20: There is no difference between circumference. - Accepted • Ho21: There is no difference between circumference. - Rejected Gender and BMI. -Accepted Gender and Percent Body Fat. Gender and umbilicus crest waist Gender and iliac waist Anthropometric Conclusions • Trends show differences among ethnicities o However does not show any significance • Waist circumference measurements are highly correlated with BMI • Waist circumference measurements are highly correlated with PBF o Iliac crest WC more highly correlated • Iliac crest WC and PBF are significantly different between genders Lipids Kim McDonough Lipid Levels Among College Students • Acculturation among college students is limited • Acculturation to new lifestyle and independent living can cause altered lipid values o Students that move away from home tend to change their dietary habits o Unhealthy diets Keown TL, 2009 Pollard TM, 1995 Altered Lipid Levels • Various changes lead to risk of altered lipid levels among college students Changes in dietary habits related to acculturation and changes in living arrangements o Decreased physical activity o Increase in alcohol consumption o Stress o • Increase risk for changes in lipid values o o Risk of Metabolic syndrome Risk of increased weight Keown TL, 2009 Pollard TM, 1995 Brunt AR, 2008 Kemmyda L, 2008 Risk Factors: Lipid Levels Lipid Level Risk Factor Value Total Cholesterol > 200 mg/dl HDL Cholesterol Women < 50 mg/dl Men < 40 mg/dl LDL Cholesterol > 100 mg/dl Triglycerides > 150 mg/dl Blood Glucose > 100 g/dl Blood Pressure > 130/85 mm/hg Ho22: There is no difference among ethnicities and cholesterol values: Ethnicity N Mean Std. Deviation Asian Indian and Chinese 23 162.8696 30.92999 Black or African American 4 171.5 32.51154 Hispanic or Latino 12 163.3333 22.05503 White (European or N. Africa origins) 58 172.5345 34.4405 White (Middle East) Total 8 105 150.125 167.619 24.10357 31.90954 (F(4,100) = 1.148, p=.339) M= 167.62 (sd=31.91) The null hypothesis was accepted. Ho23: There is no relationship between cholesterol values Cholesterol and LDL: (r(76)= .841, p=.000) Null hypothesis was rejected. Cholesterol and HDL: (r(100)=.304, p=<.01) Null Hypothesis was rejected. Ho24: There is no relationship between total cholesterol and triglycerides (r(80) = .393, p=.000). The null hypothesis was rejected. Ho25: There is no relationship between total cholesterol values and blood pressure Right arm BP and left arm BP: (r(104)=.346, p=.000) The null hypothesis was rejected Ho26: There is no difference between mean cholesterol values among gender Total Cholesterol Means Among Gender Total Cholesterol Total HDL Chole Total LDL Chole Gender Male N 30 Mean 165.1667 Female 75 168.6000 33.55149 3.87419 Male 29 43.1724 9.68087 1.79769 Female 73 55.4247 14.55346 1.70335 Male 22 111.1818 26.19639 5.58509 Female 56 98.7679 27.11926 3.62396 (t(100)=-4.175, p<.001) Std. Deviation Std. Error Mean 27.75519 5.06738 The null hypothesis was rejected. Ho27: There is no difference in blood pressure between gender Blood Pressure Means Among Gender Gender BP3 RArm systolic Male N 31 Mean 111.9032 Std. Deviation 13.52862 Std. Error Mean 2.42981 Female 76 102.4605 10.57726 1.21329 31 69.0645 10.57965 1.90016 Female 76 66.4605 9.37577 1.07547 Male 31 111.7097 10.78021 1.93618 Female 76 102.0132 10.05650 1.15356 31 70.3548 8.33286 1.49663 76 65.9605 9.17742 1.05272 BP3 RArm diastolic Male BP3 LArm systolic BP3 LArm diastolic Male Female R arm systolic: (t(105) =3.854, p<.001). L arm systolic: (t(105) =4.431, p<.001). R arm diastolic: (t(105) =1.255, p=.212). L arm diastolic: (t(105) =2.305, p=.023). Null hypothesis was rejected. Null hypothesis was rejected. Null hypothesis was accepted. Null hypothesis was rejected. Conclusion • No significant difference between lipid values and ethnicities • Correlations noted among lipid values – Total cholesterol and LDL cholesterol – Total cholesterol and HDL cholesterol – Cholesterol and blood pressure – Right and left arm blood pressure Conclusion • Significant relationships noted between lipid values and gender – Males more likely to have low HDL cholesterol compared to females – Males more likely to have high LDL cholesterol compared to females – Males more likely to have high left arm blood pressure compared to females – Males more likely to have higher right arm systolic blood pressure compared to females – Males more likely to have higher left arm systolic and diastolic blood pressure compared to females Fat Intake Denise Albina What the Literature Says…. • College students tend to eat less fiber and more fat than is recommended. • Over half of female college students tend to underestimate fat content in foods and dietary fat intake. • Minority ethnic groups tend to have a higher dietary fat intake. • Improper fat intake (diets high in saturated fat) places individuals at increased risk for cardiovascular disease as lipid serum levels are increased. Ho28: Gender and Fat Intake Ho28a: There is no difference in fat intake between males and females. (rejected p=0.01) Ho28b: There is no difference in saturated fat intake between males and females. (rejected p=0.01) Ho29: Ethnicity and Fat Intake • Ho29a: There is no difference in fat intake between ethnicities. (Accepted p=0.43) • Ho29b: There is no difference in saturated fat intake between ethnicities. (Accepted p=0.68) Ho30: Body Mass Index and Fat Intake • Ho30a: There is no difference between fat intake and body mass index. (Accepted p=0.72) • Ho30b: There is no difference between saturated fat intake and body mass index. (Accepted p=0.46) Fat Intake and Body Fat Percent • Ho31a: There is no difference between fat intake and body fat percent. (Accepted p=0.14) • Ho31b: There is no difference between saturated fat intake and body fat percent. (Accepted p=0.31) Fat Intake and Total Cholesterol • Ho32a: There is no difference between total fat intake and total cholesterol. (Accepted p=0.53) • Ho32b: There is no difference between saturated fat intake and total cholesterol. (Accepted p=0.95) Fat Intake and Triglycerides • Ho33a: There is no difference between total fat intake and triglycerides. (Accepted p=0.68) • Ho33b: There is no difference between saturated fat intake and triglycerides. (Accepted p=0.79) Fat Intake and HDLs • Ho34a: There is no difference between total fat intake and HDLs. (Accepted p=0.87) • Ho34b: There is no difference between saturated fat intake and HDLs. (Rejected p=0.04) Ho35: Fat Intake and LDLs • Ho35a: There is no difference between total fat intake and LDLs. (Accepted p=0.46) • Ho35b: There is no difference between saturated fat intake and LDLs. (Accepted p=0.78) Summary of Hypotheses Ho28: Gender and Fat Intake Ho28a: There is no difference in fat intake between males and females ; Rejected p=0.01 Ho28b: There is no difference in saturated fat intake between males and females ; Rejected p=0.01 Ho29: Ethnicity and Fat intake Ho29a: There is no difference in fat intake between ethnicities ; Accepted p=0.43 Ho29b: There is no difference in saturated fat intake between ethnicities ; Accepted p=0.68 Ho30: Body Mass Index and Fat Intake Ho30a: There is no difference between fat intake and body mass index ; Accepted p=0.72 Ho30b: There is no difference between saturated fat intake and body mass index ; Accepted p=0.46 Ho31: Fat Intake and Body Fat Percent Ho31a: There is no difference between fat intake and body fat percent ; Accepted p=0.14 Ho31b: There is no difference between saturated fat intake and body fat percent. ; Accepted p=0.31 Summary of Hypothesis Ho32: Fat Intake and Total Cholesterol Ho32a: There is no difference between total fat intake and total cholesterol ; Accepted p=0.53 Ho32b: There is no difference between saturated fat intake and total cholesterol. ; Accepted p=0.95 Ho33: Fat Intake and Triglycerides Ho33a: There is no difference between total fat intake and triglycerides ; Accepted p=0.68 Ho33b: There is no difference between saturated fat intake and triglycerides ; Accepted p=0.79 Ho34: Fat Intake and HDLs Ho34a: There is no difference between total fat intake and HDLs ; Accepted p=0.87 Ho34b: There is no difference between saturated fat intake and HDLs ; Rejected p=0.04 Ho35: Fat Intake and LDLs Ho35a: There is no difference between total fat intake and LDLs ; Accepted p=0.46 Ho35b: There is no difference between saturated fat intake and LDLs ; Accepted p=0.78 Conclusions • There are significant differences in total fat and saturated fat intake between males and females. Males are shown to consume on average more saturated fat than women and less total fat than woman. • There is a significant difference between saturated fat intake and total HDL levels. • There are no significant differences across ethnicity, BMI categories, and percent body fat categories when compared total fat intake and saturated fat intake. • There are no significant differences with total cholesterol, triglycerides, LDLs when compared to total fat intake and saturated fat intake. • All 150 participants who completed the block fat screener were shown to have a fat intake above the recommended daily allowance of <30% fat. Fruit Vegetable & Fiber Melinda Hamilton-Smith What the Literature Says: • Different forms of antioxidants present in fruits and vegetables as well as the fiber content and the rich amount of vitamins, minerals, and trace elements provide health benefits. • The benefits of antioxidants have been shown to include; reducing LDL oxidation, altering cholesterol metabolism, and lowering of blood pressure • Fruit, vegetable, fiber and fat intake are most closely associated with morbidity and mortality What the Literature Says: • Outpatient controlled study: increased their overall fruit vegetable and fiber consumption over a 10 day period. Total cholesterol decreased by 16%, LDL decreased by 22%, VLDL decreased by 35%, fasting insulin decreased 68%. fasting glucose decreased 5% but was not statistically significant. • Cross-sectional study of 422 males self reported intake found associations between intake of fiber-rich foods, and alcohol to be large determinants of cardiovascular disease risk factors including increases in serum lipid levels, waist circumference, and blood pressure. • Eighty-eight healthy subjects randomly assigned to a control group with high fiber plant foods, fruits, berries, vegetables, whole grains, rapeseed oil, nuts, fish and low-fat milk products, while avoiding salt and added sugars or saturated fats. Significant lowering of plasma levels of cholesterol, LDL-C, HDL-C, apoA1, ApoB, ApoB/ApoA1 ratio, and LDL/HDL ratio. Ethnicity and fruit, vegetable, & fiber intake Ho36a: There is no difference between ethnicity and fruit and vegetable intake Accepted: P = 0.386 Ho36b: There is no difference between ethnicity and dietary fiber intake Accepted: P = 0.821 N Servings Fruits & Vegetables Dietary Fiber Intake Mean +/- SD Mean +/- SD Asian Indian and Chinese 38 5.34 +/- 1.85 19.87+/- 5.49 Black or African American 5 5.96 +/-2.44 21.58+/- 7.64 Hispanic or Latino 13 5.84 +/- 2.13 20.66+/- 6.36 White (European or origins) 73 5.97 +/-1.72 20.098+/- 4.98 White () 14 6.32 +/-1.77 21.63+/- 5.62 Total 143 5.83 +/-1.83 20.29+/- 5.36 Fruits, vegetables, fiber, & gender Ho37a: There is no difference between fruit and vegetable intake and gender. o Accepted: P = 0.423 Ho37b: There Is no difference between gender and dietary fiber intake o Rejected: P = .000 N Servings of fruits and vegetables Mean +/- SD Dietary fiber intake (grams) Mean +/- SD Male 38 6.03 +/- 1.72 23.34 +/- 4.93 Female 106 5.75+/- 1.86 19.22 +/- 5.08 Total 144 5.82 +/- 1.82 20.30 +/- 5.34 Fruits, vegetables, fiber, & gender Servings of Fruits and Vegetables 5 4.5 4 3.5 3 2.5 2 1.5 1 0.5 0 Dietary Fiber Intake (grams) 25 20 15 Males Females 10 5 0 Males Females p=0.254 F(1,142) = 0.65, p > 0.05 Males Females p=0.000 F(1,142) = 18.68, p < 0.05 Fruits, vegetables, and gender Ho37c: There is no relationship between gender and meeting the recommendations for fruit and vegetable intake Accepted: P = 0.096 Does not meet recomendations Male Count Grand Mean 10 28 38 % within Gender 26.3% 73.7% 100.0% % within FruitVegRecommendation s 20.8% 29.8% 26.8% 7.0% 19.7% 26.8% 38 66 104 % within Gender 36.5% 63.5% 100.0% % within FruitVegRecommendation s 79.2% 70.2% 73.2% % of Total Female Meets recomendation s Count Gender Dependent .096 FruitVegRecommendations Dependent .096 Eta (x²(1) = 0.25, p>.05). Fruits, vegetables, and gender Males Females 26.3% 36.5% 65.5% 73.7% n=38 n=104 Does not meet recommendations p=0.254 (x2(1) = 0.25, p > 0.05 Meets recommendations Fiber and gender Ho37d: There is no relationship between gender and meeting the recommendations for fiber intake. Rejected: P = .008 Gender Male Female Does not meet recommendatio ns Meets recommendatio ns 25 9 34 % within Gender 73.5% 26.5% 100.0% % within FiberRecommendations 21.0% 52.9% 25.0% % of Total 18.4% 6.6% 25.0% 94 8 102 % within Gender 92.2% 7.8% 100.0% % within FiberRecommendations 79.0% 47.1% 75.0% Count Count (x²(1) = 8.09, p<.05). Fiber and gender Males Females 7.8% 26.5% 73.5% 92.2% n=34 n=102 Does not meet recommendations p=0.004 (x2(1) = 8.09, p = <0.05 Meets recommendations Fruits, vegetables and blood Lipids • Ho38a: There is no difference between fruit and vegetable intake and normal or high total cholesterol o Accepted: p = 0.717 • Ho38d: There is no difference between fruit and vegetable intake and normal or high risk triglyceride levels o Accepted: p = 0.362 N Servings Fruits and vegetables Mean +/- SD Normal Total Cholesterol 91 5.81 +/- 1.86 High (=>200) Total Cholesterol 14 5.62 +/- 1.35 Total 105 5.78 +/- 1.80 Normal Triglyceride level 73 5.69 +/-1.84 High Risk (>150) Triglyceride level 9 5.12 +/-1.42 Total 82 5.63+/-1.80 Blood Lipids Fruits, vegetables and blood Lipids • Ho38b: There is no difference between fruit and vegetable intake and normal or low HDL cholesterol • Accepted: p = 0.362 • Ho38c: There is no difference between fruit and vegetable intake and normal or high LDL cholesterol • Accepted: p = 0.693 N Servings Fruits and vegetables Mean +/- SD Low HDL Cholesterol (<50 or <40) 29 5.52 +/- 1.74 Normal HDL Cholesterol 73 5.89 +/- 1.86 Total 102 5.79 +/- 1.82 Normal LDL Cholesterol 45 5.63 +/- 1.75 High (>100) LDL Cholesterol 33 5.78 +/- 1.54 Total 78 5.69 +/- 1.66 Blood Lipids Fruits, vegetables and blood Lipids • Ho38e: There is no association between fruit and vegetable intake and blood lipid levels • Accepted: p >0.05 ServingsFruitVeg Total Cholesterol Total HDL Cateogry Total LDL Chole Pearson Correlation .105 Sig. (2-tailed) .286 N 105 Pearson Correlation .091 Sig. (2-tailed) .362 N 102 Pearson Correlation .047 Sig. (2-tailed) .682 N Total Triglycerides 78 Pearson Correlation -.110 Sig. (2-tailed) .326 N 82 Fiber and blood Lipids • Ho39a: There is no difference between dietary fiber intake and normal or high total cholesterol Accepted: p = 0.338 • Ho39d: There is no difference between dietary fiber intake and normal or high risk triglyceride levels o Accepted: p = 0.146 N Dietary Fiber Intake Mean +/- SD Normal Total Cholesterol 91 20.54 +/- 5.42 High (=>200) Total Cholesterol 14 19.08 +/- 4.28 Grand Mean 105 20.34 +/- 5.29 Low HDL Cholesterol (<50 or <40) 29 19.87 +/- 5.22 Normal Triglyceride level 73 20.14 +/-5.22 High Risk (>150) Triglyceride level 9 17.52 +/-3.11 Grand Mean 82 19.85 +/-5.08 Fiber and blood Lipids • Ho39b: There is no difference between dietary fiber intake and normal or high HDL cholesterol o Accepted: p = 0.585 • Ho39c: There is no difference between dietary fiber intake and normal or high LDL cholesterol o Accepted: p = 0.161 N Dietary Fiber Mean +/- SD Normal HDL Cholesterol 73 20.51 +/- 5.43 Grand Mean 102 20.33 +/- 5.35 Normal LDL Cholesterol 45 19.33 +/- 4.62 High (>100) LDL Cholesterol 33 20.83 +/- 4.60 Grand Mean 78 19.96 +/- 4.64 Fiber and blood Lipids • Ho39e: There is no association between dietary fiber intake and blood lipid levels o Accepted: p > .05 DietaryFiberGrams Total Cholesterol Total HDL Cateogry Total LDL Chole Pearson Correlation .052 Sig. (2-tailed) .601 N 105 Pearson Correlation .055 Sig. (2-tailed) .585 N 102 Pearson Correlation .055 Sig. (2-tailed) .631 N Total Triglycerides 78 Pearson Correlation -.090 Sig. (2-tailed) .422 N 82 Fruits, vegetables, fiber and BMI • Ho40a: There is no difference between fruit and vegetable intake and BMI o Accepted: p = 0.287 • Ho40b: There is no difference between dietary fiber intake and BMI o Accepted: p = 0.188 BMI Underweight (<18.4) Normal (18.5-24.9) Overweight (25-29.9) Obese I (30-34.9) Total N Servings Fruits and vegetables Mean +/- SD Dietary Fiber Intake Mean +/- SD 10 69 18 10 107 4.87 +/- 1.38 5.99 +/- 1.93 5.58 +/- 1.45 5.98 +/- 1.78 5.81 +/- 1.81 17.15 +/- 4.08 20.82 +/- 5.72 20.00 +/- 3.85 21.50 +/- 4.31 20.40 +/- 5.25 Hypothesis Summary • Fruits vegetables ,fiber, and ethnicity o Ho36a: There is no difference between ethnicity and fruit and vegetable intake Accepted: P = 0.386 o Ho36b: There is no difference between ethnicity and dietary fiber intake Accepted: P = 0.821 • Fruits, vegetables, fiber, and gender o Ho37a: There is no difference between fruit and vegetable intake and gender. Accepted: P = 0.423 o Ho37b: There Is no difference between gender and dietary fiber intake Rejected: P = .000 o Ho37c: There is no relationship between gender and meeting the recommendations for fruit and vegetable intake Accepted: P = 0.096 o Ho37d: There is no relationship between gender and meeting the recommendations for fiber intake Rejected: P = .008 Hypothesis Summary • Fruits, vegetables and blood Lipids o Ho38a: There is no difference between fruit and vegetable intake and normal or high total cholesterol Accepted: p = 0.717 o Ho38b: There is no difference between fruit and vegetable intake and normal or low HDL cholesterol Accepted: p = 0.362 o Ho38c: There is no difference between fruit and vegetable intake and normal or high LDL cholesterol Accepted: p = 0.693 o Ho38d: There is no difference between fruit and vegetable intake and normal or high risk triglyceride levels Accepted: p = 0.372 o Ho38e: There is no association between fruit and vegetable intake and blood lipid levels o Accepted: p > 0.05 Hypothesis Summary • Fiber and blood Lipids o Ho39a: There is no difference between dietary fiber intake and normal or high total cholesterol Accepted: p = 0.338 o Ho39b: There is no difference between dietary fiber intake and normal or high HDL cholesterol Accepted: p = 0.585 o Ho39c: There is no difference between dietary fiber intake and normal or high LDL cholesterol Accepted: p = 0.161 o Ho39d: There is no difference between dietary fiber intake and normal or high risk triglyceride levels Accepted: p = 0.146 o Ho39e: There is no association between dietary fiber intake and blood lipid levels Accepted: p > .05 Hypothesis Summary • Fruits, vegetables, fiber and BMI o Ho40a: There is no difference between fruit and vegetable intake and BMI Accepted: p = 0.287 o Ho40b: There is no difference between dietary fiber intake and BMI Accepted: p = 0.188 Conclusion: • Fruit, vegetable, and fiber intake was not found to be significantly affected by ethnic background. • A statistically significant difference was found in fiber intake. Males were found to consume more fiber on a daily bases averaging 23.34g of fiber/day where females average intake was only 19.22g/day. Further, 52.9% of males were found to meet the dietary recommendations for fiber and only 47.1% of females met these same recommendations. • The amount of fiber, fruits and vegetables consumed by the students did not show any significant difference in their blood lipid levels (TC, LDL, HDL, and TG) or BMI category. Strengths • • • • • Use of health instruments and tools. Properly trained research team. Varied recruitment techniques. Included ethnicities with little data available. Research problem addressed with little data available. • Continuation of research conducted the previous year. 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