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Spotlights: breastfeeding, healthy food sales, & community design
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DNPAO Publication List - November-December 2024
















Nutrition
Breastfeeding-supportive practices in advanced neonatal care units
Some breastfeeding-supportive practices require more active, hands-on assistance and technical competency from nurses or lactation support providers. Examples include when new moms are learning about early milk expression and kangaroo care. A recently published CDC-led study found that these types of supportive practices are less likely to be implemented in advanced neonatal care units (ANCUs) compared to practices centered around providing advice or patient education.
The authors used 2022 Maternity Practices in Infant Nutrition and Care (mPINC™) data to calculate the percent of hospitals reporting:Breastfeeding-supportive practice for most (greater than or equal to 80%) mother-baby dyads in ANCUs, by hospital demographic characteristics.Infant receipt of mother’s own milk or donor milk at any time while in the ANCU, by ANCU level.
ANCUs can use the study results to justify the need to strengthen technical skills and increase availability of lactation support providers to better assist lactation while in the hospital. Identifying and addressing barriers to implementing these practices at the hospital and state level may improve human milk use for preterm and very low birth weight infants in ANCU settings.


Anstey E, Noiman A, Boundy E, Nelson J. Maternity care practices supportive of breastfeeding in U.S. advanced neonatal care units, United States, 2022. J Perinatol. 2024. doi: 10.1038/s41372-024-02139-3



















Also see:

Sliwa SA, Merlo CL, McKinnon II, Self J, Kissler CJ, Saelee R, Rasberry CN. Skipping Breakfast and Academic Grades, Persistent Feelings of Sadness or Hopelessness, and School Connectedness Among High School Students — Youth Risk Behavior Survey, United States, 2023. MMWR Suppl. 2024;73(Suppl-4):87–93. doi: 10.15585/mmwr.su7304a10



















































ObesityBehavior design strategies may help improve healthy food sales
Using a combination of strategies to influence behavior may help increase the sales of some healthy foods in military worksites, according to a recently published CDC-led study.  

At one U.S. military base hospital dining facility, behavioral design changes were made to see if they would affect which foods that diners selected. The changes included placement, layout, messaging, default healthy bundling, a stoplight rating system, strategic positioning of healthy items on menu boards, and an increase in healthier snacks.  















The hospital dining facility served 600 to 900 meals each day. During the behavioral design change experiment, weekly food sales decreased for desserts, cooked starches, hummus, and yogurt. Sales increased for fruit cups, cooked vegetables, vegetable and turkey burgers, grilled chicken, packaged salads, French fries, hamburgers, and hot dogs.
Kimmons J, Nugent NB, Harris D, Lee SH, Kompaniyets L, Onufrak S. Behavioral Design Strategies Improve Healthy Food Sales in a Military Cafeteria. Am J Health Promot. 2024 Oct 17:8901171241293369. doi: 10.1177/08901171241293369
Also see:Kumar A, He S, Pollack LM, Lee JS, Imoisili O, Wang Y, Kompaniyets L, Luo F, Jackson SL. Hypertension-Associated Expenditures Among Privately Insured US Adults in 2021. Hypertension. 2024. doi: 10.1161/HYPERTENSIONAHA.124.23401
Physical ActivityUsing location-based services data to evaluate community design interventions
Location-based services data—from de-indentified mobile devices (for example, cell phones)—can be aggregated and used to evaluate local community design interventions to increase bicycling, according to findings from a recently published CDC-led study. 

The researchers looked at a bikeway on 13th Avenue in Denver, Colorado. The bikeway was constructed to enhance connectivity between different parts of the city. The study used aggregated, anonymous mobile device data from StreetLight Data to evaluate transportation trips, including bicycling trips. The analysis showed a significant increase in daily bicycle volume after the bikeway construction. The average daily bicycling volume increased from 937 trips before construction to 1,679 trips after construction in the census tract that included the bikeway. 

Park YS, King RJ, Pejavara A, Hathaway K, Wergin J, Townley C, Leonard S, Williamson JM, Galuska DA, Fulton JE. Using Location-Based Services Data to Map and Evaluate a Community Design Intervention to Increase Bicycling, Denver, Colorado. Prev Chronic Dis. 2024;21:230325. doi: 10.5888/pcd21.230325


Also see:


Cornett K, Michael SL, Sliwa S, Chen T, Kissler CJ, McKinnon II, Krause KH. Physical Activity Behaviors and Negative Safety and Violence Experiences Among High School Students — Youth Risk Behavior Survey, United States, 2023. MMWR Suppl. 2024;73(Suppl-4):94–103. doi: 10.15585/mmwr.su7304a11


Holman, DM, Jones, SE, Cornett, KA, Mouhanna, F. Association Between Sports Team Participation and Sunburn Among US High School Students, National Youth Risk Behavior Survey, 2021. J Dermatol Nurses Assoc. 2024 Sep 2. 16(5), 173-176. doi: 10.1097/JDN.0000000000000806


Doing your own research?

The interactive database, Data, Trends, and Maps, includes information on physical activity, diet, and breastfeeding behaviors and their environmental or policy supports as well as weight status. Please Note: DNPAO author names are in bold. The findings and conclusions in these reports are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Access to articles is dependent on journal subscription status. Dates reflect when publications first became available.  
Also see a bibliography of publications from 2015 through 2024 with DNPAO authors.
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