Figure 1: County representation of participants in the web-based nutrition education study, Alabama 2020. |
Figure 2: Participants’ support for strategies to fight obesity in Alabama Black-Belt counties. |
|
Frequency (%) |
|
Question |
True |
False |
Overweight and obesity are reaching epidemic levels |
100 |
- |
Overweight and obesity are due to excessive calorie consumption |
100 |
- |
Moderate exercise 5 or more times a week can lead to substantial weight loss |
89.7 |
10.3 |
Low carbohydrate diets and weight loss pills are the fastest way to lose weight |
33.3 |
66.7 |
Understanding what and why you eat is a major factor for implementing weight control |
100 |
- |
Snacking before bedtime is a good weight management strategy |
7.9 |
92.1 |
It is easier to lose weight when overweight than when morbidly obese |
53.8 |
46.2 |
Are you aware of the increase in type two diabetes among obese children and adolescents? |
92.3 |
7.7 |
Do you feel that overweight and obesity are potential health problems |
100 |
- |
The CDC estimates that about 6 in 10 Americans are overweight or obese. Would you say that your observation of society reflects this? |
92.3 |
7.7 |
Statement |
Chi Square (x2) values |
||
Education level |
Age category |
Income level |
|
I would like to learn more about obesity |
0.15 |
0.04* |
0.86 |
I know more than an average person about overweight and obesity |
0.5 |
0.01* |
0.97 |
I have an excellent knowledge of overweight and obesity |
0.15 |
0.05* |
0.15 |
I know a lot about overweight and obesity, but it is not a concern to me |
0.33 |
0.36 |
0.91 |
Question |
Chi Square (X2) values |
||
Age category |
Education level |
Income level |
|
Role played to fight obesity: |
|
|
|
Government |
0.76 |
0.54 |
0.17 |
Employers |
0.66 |
0.61 |
0.17 |
Schools |
0.62 |
0.63 |
0.04* |
Healthcare providers |
0.16 |
0.79 |
0.78 |
Support for obesity prevention policies: |
|
|
|
Barn unhealthy snacks from school vending machines |
0.24 |
0.67 |
0.82 |
Limit tv adds of unhealthy foods |
0.20 |
0.27 |
0.79 |
Provide healthier school lunches |
0.44 |
0.37 |
0.23 |
More physical activity in school curriculum |
0.15 |
0.40 |
0.04* |
Increase parents’ nutrition education |
0.02* |
0.37 |
0.06 |
|
Question |
Baseline |
Poststudy |
Pa |
|
Mean knowledge scores |
51.1±20.8 |
79.8±10.4 |
<0.001 |
1 |
Nutrient that provides the most calories per gram. |
25 (54.3) |
37 (80.4) |
<0.05 |
2 |
Proteins are found in both plant and animal foods. |
10 (21.7) |
35 (76.1) |
<0.001 |
3 |
What foods contain the highest amount of saturated fat per gram? |
20 (43.5) |
34 (73.9) |
<0.05 |
4 |
Fruits and vegetables should make up one fourth of your plate. |
18 (39.1) |
32 (69.6) |
<0.05 |
5 |
Which of these foods provides complete proteins? |
25 (54.3) |
39 (84.8) |
<0.04 |
6 |
Which of the following is a screening tool for overweight and obesity? |
19 (41.3) |
39 (84.8) |
<0.001 |
7 |
Which of these methods can be used to determine the body mass index? |
23 (50.0) |
37 (80.4) |
<0.05 |
8 |
Which of the following is a medical complication of obesity? |
23 (50.0) |
40 (87.0) |
<0.01 |
9 |
Store brand foods contain more sodium per serving than name brands? |
24 (52.2) |
32 (69.6) |
<0.05 |
10 |
Which of these is a way of saving more money at the store during shopping? |
25 (54.3) |
38 (82.6) |
<0.04 |
11 |
Which type of milk contains the least amount of fat per gram? |
21 (45.7) |
34 (73.9) |
<0.05 |
12 |
Canned fruits may contain as much nutrients as fresh fruits. |
15 (32.6) |
37 (80.4) |
<0.001 |
13 |
In-season produce is usually cheaper than out-of-season produce. |
38 (82.6) |
40 (87.0) |
<0.61 |
14 |
What is the main reason peanut butter should be eaten with bread? |
18 (39.1) |
40 (87.0) |
<0.001 |
15 |
Which vitamin is required for good night vision? |
38 (82.6) |
44 (95.6) |
<0.61 |
16 |
If an apple is equal to one fruit serving, how many servings will half an apple have? |
12 (26.1) |
32 (69.6) |
<0.02 |
17 |
Which body mass index is considered normal? |
33 (71.7) |
41 (89.1) |
<0.06 |
18 |
Which of the following foods will lead to a quick spike in blood glucose when eaten? |
41 (89.1) |
44 (95.6) |
<0.66 |
19 |
Which of the following groups of people requires more protein? |
28 (60.9) |
40 (87.0) |
<0.04 |
Characteristic |
Baseline |
Post-study |
P-value |
Weight (kg) |
94.3±27.9 |
92.8±25.8 |
0.27 |
Waist circumference (cm) |
103.09±18.5 |
99.0±19.0 |
0.01 |
Hip circumference (cm) |
112.9±18.7 |
109.7±19.8 |
0.02 |
BMI (kg/m2) |
33.3±9.2 |
32.7±8.7 |
0.24 |
Systolic BP (mmHg) |
124.7±17.4 |
124.9±18.2 |
0.92 |
Diastolic BP (mmHg) |
75.8±9.0 |
76.3±9.2 |
0.69 |