Hidden in Plain Sight: What Nurses Need to Know About Food Insecurity

Are any of the people you see in your office or clinic “food insecure?” How about the college friends of your children? Or perhaps your own coworker?

Food insecurity is all around us.

The United States Department of Agriculture describes food insecurity as the lack of “consistent, dependable access to adequate food for active, healthy living.” Recent data indicate that food insecurity affects about 13% of U.S. households. In some states, the rate approaches 20%. Certain populations are particularly vulnerable: 27% of veterans who served in Iraq or Afghanistan and as many as 37% of college students are food insecure.

Twice monthly, the Muslim Food Pantry in Flint, MI, distributes free food to anyone who needs it. The pantry is run by volunteers and offers food, bottled water, and hygiene products to those with limited or no food or clean water—the latter a result of the […]

2019-01-14T11:45:33-05:00January 14th, 2019|Nursing, Public health|0 Comments
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Low Physical Activity Among Chinese American Immigrants with Prediabetes and Type 2 Diabetes

“…compared with the general population, people who have or are at risk for type 2 diabetes are significantly less likely to engage in regular physical activity.”

On this month’s cover, group practices tai chi during snowfall in Shenyang, China. ©Photo Reuters/Stringer.

We all know that physical activity is important for maintaining health—for everyone. It’s especially important to prevent or manage prediabetes and type 2 diabetes.

AJN’s February research feature, “Physical Activity Among Chinese American Immigrants with Prediabetes or Type 2 Diabetes,” takes a special look at the issue among Chinese American immigrants. Diabetes is the fifth leading cause of death among Asian Americans, so researchers wanted to investigate what this population’s knowledge of and barriers to physical activity might be.

Recruiting from a community health center in New York City, researchers conducted interviews with 100 foreign-born Chinese American adults having a diagnosis of prediabetes or type 2 diabete

According to the study authors:

“Chinese American immigrants with prediabetes or type 2 diabetes tend to be sedentary and are less likely to perform moderate or vigorous physical activity than the general population . . . .The findings also highlight some of the barriers to such activity and suggest a need for greater involvement […]

2018-02-07T10:30:12-05:00February 7th, 2018|exercise, Nursing, nursing research, patient engagement, personal health practices|0 Comments
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Are the Benefits of Nutrition for Cardiovascular Health Being Undersold ?

By Betsy Todd, MPH, RN, CIC, AJN clinical editor

By Eric Hunt/via Wikimedia Commons By Eric Hunt/via Wikimedia Commons

A nutrition conference at which physicians and medical students outnumber either nurses or dietitians is a rare event. This was the case at last month’s International Conference on Nutrition in Medicine: Cardiovascular Disease in Washington, DC, cosponsored by the Physicians Committee for Responsible Medicine (PCRM) and George Washington University.

The speakers, shared a wealth of data on the influence of different types of diets on weight, blood pressure, lipids, serum inflammatory markers, hemoglobin A1c levels, and diseased coronary arteries. More than one pointed out that we too often overestimate the benefits of drugs and medical procedures and discount the effectiveness of diet and lifestyle changes. Some highlights:

Does heart disease begin in utero? Children who are large for gestational age (> 95th percentile) and those born to overweight mothers are at increased risk for cardiovascular disease (CVD). Vascular physiologist Michael Skilton, PhD, associate professor at the University of Sydney in Australia, has also identified microscopic lesions in aortic endothelium of babies born small for gestational age (< 10th percentile). He suggests that their diets include the American Heart Association’s recommendations for omega-3 fatty acid intake beginning in childhood (breast milk, flax seeds, walnuts, or child-friendly omega 3 supplements can be used in lieu of fish-derived omega 3s when mercury is a concern).

Children […]

2017-03-15T16:58:14-04:00September 14th, 2015|Nursing, personal health practices|1 Comment
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More Than a Headache: Migraines and Stroke Risk for Women

Photo by author. All rights reserved. Photo by author. All rights reserved.

By Karen Roush, MS, RN, FNP, clinical managing editor

I used to think I was lucky. Most of the women in my family have migraines—awful, vomiting for three days, intense pain migraines. Not me. Oh, I have migraines. But no pain, no vomiting, just a visual aura—squiggly lines and loss of part of my visual field for about 45 minutes and then I’m good to go.

I was thankful that I just had the aura instead of the pain and vomiting. But now the evidence shows that migraine with aura, especially when there is no vomiting involved, is an independent risk factor for stroke, as much as if I were overweight, smoking cigarettes, and walking around with my blood pressure through the roof.

And it’s not just having migraines that places me at greater risk for a stroke. […]

2017-07-11T14:42:45-04:00February 12th, 2014|nursing perspective|1 Comment
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September Is Ovarian Cancer Awareness Month

By Jim Stubenrauch, senior editor

OvarianCancerArticleThis month, AJN is joining in the nationwide effort to raise awareness and promote education about ovarian cancer. The September issue contains an original research paper on “Women’s Awareness of Ovarian Cancer Risks and Symptoms” by Suzy Lockwood-Rayermann, PhD, MSN, RN, and colleagues. The authors analyzed data collected from an online survey completed by more than 1,200 women ages 40 and older and found that awareness of ovarian cancer symptoms and risk factors is low. This suggests that nurses have an excellent opportunity to educate patients and help them get diagnosed at earlier stages of the disease when it’s more treatable.

You can also hear an interview I conducted with Dr. Lockwood-Rayermann on our podcasts page.

I’ll summarize the study below, but first, you might want to know that cancer survivor, actress, and women’s health activist Fran Drescher wrote on a related topic in this month’s Viewpoint, “Women, Take Control of Your Bodies!” Drescher discusses her battle with uterine cancer and the crucial support her sister Nadine, a nurse, provided on her “medical oddysey.” After writing a book about her experience, Cancer Schmancer, Drescher started the Cancer Schmancer Movement, an organization dedicated to promoting education, legislation, and social reform aimed at early detection of cancer. […]

2016-11-21T13:22:49-05:00September 1st, 2009|nursing research|5 Comments
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Views expressed on the blog are solely those of the authors or persons quoted. They do not necessarily reflect AJN’s views or those of Wolters Kluwer Health/Lippincott Williams and Wilkins.
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