Community Nutrition Programs
Department of Population , Family and Reproductive
Health
Noon Hour Seminar
September 16, 2015
Scope of Program
Community Nutrition
Supplemental Feeding Programs
Breastfeeding promotion
Peer Counselling
Obesity
Maternal Nutrition
Post Partum Weight Retention
Schools Feeding Programs
Nutrition Education
Healthy Food Choices
Food Preparation
Shopping Choices
SNAP
Food Deserts
Early Life Origins of Adult Disease
Chronic Disease and Dietary Patterns
Collaboration and Partnerships
Center for Adolescent Health
Center for Human Nutrition
JHH Department of Pediatrics
JHH Department of Obstetrics & Gynecology
Johns Hopkins Bayview Medical Center
Morgan State University
Baltimore City Health Department
Baltimore Food Policy Advisory Committee
Maryland Dept. Health & Mental Hygiene
Family League of Baltimore
Food Bank for New York City
NYC Dept. of Education
Share our Strength
National WIC Association
CDC
MCHB
UCLA
University of Maryland
MD American Academy of Pediatrics
MD Academy of Nutrition & Dietetics
Current Programs/ Projects
Supplemental Nutrition Program (WIC)
Obesity/Post-partum Weight retention
Community Nutrition Partnerships to
Reduce Chronic Disease
Breast Feeding Peer Counselors
School Lunch Selection/ Environment
Virtual Shopping tours
Cooking Matters
The WIC Program
The Special Supplemental Nutrition Program for Women,
Infants and Children (WIC) is funded by the United States
Department of Agriculture (USDA)
Provides
– Healthy Supplemental Foods
– Nutrition assessment and education
– Referrals to health and other social services to participants
The prototype for the National WIC Program was designed
and piloted at this School and adopted nationally
by Congress in 1974
Johns Hopkins WIC Program
Promotes the health and nutritional well being
of low-income pregnant, postpartum and
breastfeeding women, infants and children
under five years of age living in Baltimore
through practice, research and community
engagement.
Hopkins Baltimore City WIC
Program serves over
10,000 Pregnant, breast
feeding and post partum
women, infants and
children up to age five
Operates in twelve sites,
Head Start, Shelters for
the homeless and
domestically abused
women and children in
Baltimore
Over 75% of all infants
participate in the
program
Peer counselors provide
supportive services to
breast feeding women
Integrating obstetrical care and WIC to address maternal
obesity and postpartum weight retention
•
Primary Goal: obese women (BMI >30) return to pre-pregnancy weight within 6
months of delivery
•
Collaborating Partners: Hopkins Hospital Outpatient Center, Nutrition in Pregnancy
Clinic
•
Design (Randomized Clinical Trial): randomized to receive standard service of care or
enrolled in a targeted program to promote weight loss (WICNIP)
Methodology: within 24 hours of delivery all participants received WIC standard of care
•
•
•
WICNIP groups received targeted periodic : weight loss counseling, postnatal nutrition
education, exercise instruction, and family health and nutrition information. They also
received timed text messages reinforcing and expanding on above and social media
engagement.
Data:
– OBGYN clinic (standard prenatal care assessments, weight and nutrition history)
– JHU WIC Clinic (demographics, anthropometrics, health status, and nutrition history)
Community Partnerships
to
Reduce Chronic Disease
CDC/National WIC Association Grant
Increase access to healthy foods and beverages thereby reducing obesity
and chronic disease risk.
Components
• Needs Assessment of Baltimore City
• Coalition Building: Baltimore Food PAC
– network of Baltimore City community partners
– health organizations; social service agencies; advocacy groups; faith
based entities; breastfeeding consortia and educational institutions.
• Community Action Plan
– A multi-pronged effort to maximize healthy food choice, increase fresh
food purchases, improve health education and coordinate efforts
between agencies serving the Baltimore WIC population.
Share our Strength: Cooking Matters at the Store
Mission Empower low income families with the skills to stretch
their food budgets and cook nutritious meal for their families
In JHU WIC clinics:
• Nutrition education for low-income mothers (in English and
Spanish)
• Pop-up grocery store tour
• Focus: Identifying WIC foods and whole grains, comparing unit
prices, reading nutrition labels, buying seasonal produce
At Community Events:
• Similar focus but aimed at all community members
*CookShop
What is CookShop?
• CookShop teaches nutrition
information and cooking
skills.
• New York City Public
Schools
• Implemented by the Food
Bank for New York City.
• Kristin Mmari, Principal
Investigator
Cafeteria Observations
• Cafeteria Observation
• 10 public elementary schools in
New York City
• 274 Kindergarten-2nd grade
students
• Digital Data Collection using iPad
• Selection
• Consumption
• Cafeteria environment
• School nutrition policies
PFRH Community Nutrition Program
THE TEAM
Faculty and Senior Staff
Clinic Staff
Aderonke Adegbite
Marycatherine Augustyn
Patricia Bell Waddy
Anna Bondy
Dina Gorlin
Susan Gross
Linda Kelly
Maureen Nathanson
David M. Paige
Claudette Welch
Erin Wicks
Jasina Wise
Lashawn Darian
Annette Duval
Yadira Foley
Lauren Forte
Ali Foster
Tara James
Brenda Nock
Jennifer Poynot
Dawnetta Robinson
Deborah Robinson
Rhonda Wicks
Shannon Winston
Student Team
Current/Recent
Khrysta Baig
Laina Gagliardi
Poongothai Belaji
Danielle Gilbert
Amanda Belknap
Matthew Goldshore
Erin Biehl
Emily Gregory
Anna Bondy (current WIC Staff)
Caitlin Murphy
Stephanie Brown
Titilope Oduyebo
Kate Cessnun
Julia Quam
Yue Che
Lauren Rogers-Bell
Caitlin Cross-Barnet
Mona Sobhani
Victoria Elliot
Angie Wong
Jenna Fahle
Virgilia Zabala
Stephany Gabaud
Student Opportunities and Internships
• Project Evaluation
• Community engagement
• Participant and Community nutrition
education
• Study tool development
• Study participant recruitment
• Data collection
• Data Analysis
• Assist with manuscript development
For more Information
• Please contact
– Susan Gross – [email protected]
– Marycatherine Augustyn – [email protected]
– David Paige – [email protected]
Selected Publications
Gregory EF, Butz AM, Ghazarian SR, Gross SM, Johnson SB. (2015). Met Expectations and Satisfaction
with Duration: A Patient-Centered Evaluation of Breastfeeding Outcomes in the Infant Feeding Practices
Study II. Journal of Human Lactation, 31, 444-51.
Gregory EF, Butz AM, Ghazarian SR, Gross SM, and Johnson SB. (2014). Are unmet breastfeeding
expectations associated with maternal depressive symptoms? Academic Pediatrics, 15, 319-25.
Wang G, Divall S, Radovick S, Paige D, Ning Y, Chen Z, Ji Y, Hong X, Walker S, Caruso D, Pearson C,
Wang MC, Zuckerman B, Cheng TL, Wang X. Preterm Birth and Random Plasma Insulin Levels at Birth
and in Early Childhood. Journal of the American Medical Association. 311 (6) 587-596.
doi.10.1001/jama.2014.1.2014
Gilbert D, Nanda J, Paige DM. Securing the Safety Net: Concurrent Participation in Income Eligible
Assistance Programs. Maternal and Child Health Journal. Vol. 17 No 5. doi. 10. 1007/s10995-013-1281-2.
2013.
Paige, DM, “Lactose Intolerance” in Encyclopedia of Human Nutrition (Third Edition): Ed. Caballero B.
Elsevier B. V. 2013, http://dx.doi.org/10.1016/B978-0-12-375083-9.00169-0
Cross-Barnet, C., Augustyn, M., Gross, S., Resnik, A., and Paige, D. (2012). Long-term breastfeeding
support: failing mothers in need. Maternal and Child Health Journal, 16, 1926-32.
Moore-Greene, G.M., Gross, S.M., Silver, K.D., and Perrino, C.S. (2012).Chronic stress and decreased
physical exercise: impact on weight for African American women. Ethnicity and Disease, 22, 185-91.
Gross, S.M., Resnik, A.K., Nanda, J.P., Cross-Barnet, C., Augustyn, M., Kelly, L., and Paige, D.M. (2011).
Early postpartum: a critical period in setting the path for breastfeeding success. Breastfeeding Medicine, 6,
407-12
Selected Publications Continued
Paige DM, Remarks on WIC Research Agenda: Planning WIC Research Agenda. Institute of Medicine. The
National Academies Press, Washington DC 2011
Gross, S.M., Resnik, A.K., Nanda, J.P., Cross-Barnet, C., Augustyn, M., Kelly, L., and Paige, D.M. (2011). Early
postpartum: a critical period in setting the path for breastfeeding success. Breastfeeding Medicine, 6, 407-12
Paige DM, Remarks on WIC Research Agenda: Planning WIC Research Agenda. Institute of Medicine. The National
Academies Press, Washington DC 2011
Paige DM. Lactose Intolerance II Encyclopedia of Human Nutrition. Ed Caballero, B. Elsevier Press. 2011.
Grutzmacher, S. and Gross, S.M. (2011). Household Food Security and Fruit and Vegetable Intake among Lowincome 4th Graders. Journal of Nutrition Education and Behavior, 43, 455-63.
Gross, S.M., Resnik, A.K., Nanda, J.P., Cross-Barnet, C., Augustyn, M., Kelly, L. and Paige, D.M. (2011). Early
Postpartum: A Critical Period in Setting the Path for Breastfeeding Success. Breastfeed Med. 6, 407-12.
Cross-Barnet, C, Augustyn, M, Paige, DM. Constructing the Broken Body: Breast Pumps and the Mechanization of
Infant Feeding among Low-Income Mothers. Gender & Society, 2010.
Gross, S.M., Pollock, E.D. & Braun, B. (2010). Family influence: Key to fruit and vegetable consumption among
fourth- and fifth-grade students. Journal of Nutrition Education and Behavior. 42, 235-41.
Scott-Johnson, P.E., Gross, S.M., and Browne, D.C. (2010). Web-based data collection: an effective strategy for
increasing African Americans' participation in health-related research. Ethnicity and Disease, 20, S1-201-6.
Scott-Johnson, P.E., Gross, S.M., Gray, L.M., Zhu, S., and Browne, D.C. (2010). Sex differences in perceived weightbased stigmatization among African Americans. Ethnicity and Disease, 20, S1-196-200.
Wang G, Johnson S, Gong Y, Polk S, Divall S, Radovick S, Moon M, Paige DM…Wang X. “Weight gain in early life
and overweight/obesity across the gestational age spectrum: prospective birth cohort study”. International Journal of
Obesity, 2014. Under Review