Medicare Agent News: Water Filter Use & Sugary Drink Intake

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DNPAO Publication List - First Quarter 2022

Obesity

Water Filter Use Associated With More Water, Lower Sugary Drink Intake

Using a water filter was associated with higher tap water and lower sugary drink intake, according to a study published in January. The results are from a survey of 4,042 US adults.

Overall, 36% of adults reported using a filter for drinking tap water at home; 14% did not drink tap water at home. Water filter use was higher among Hispanics, but lower among people with lower education and income and not married adults. Water filter use could be affected by the source water quality and cost and proper use of the filter.

This study is important because sugar-sweetened beverages are the leading source of added sugars in the American diet. Frequent intake of added sugar is associated with adverse health consequences. Substituting plain water intake for sugary beverages may improve diet quality and help prevent chronic diseases.

Park S, Onufrak SJ, Cradock AL, Hecht C, Patel A, Chevinsky JR, Blanck HM. American Journal of Health Promotion. 2022;8901171211073304.

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Also see:

Key predictors of primary care providers' self-efficacy in caring for children with overweight or obesity

Liebhart JL, Goodman AB, Lindros J, Krafft C, Cook SR, Baker A, Hassink SG. Academic Pediatrics. 2022;S1876-2859(22)00087-0.

Measuring BMI change among children and adolescents

Freedman DS, Goodwin Davies AJ, Phan TT, Cole FS, Pajor N, Rao S, Eneli I, Kompaniyets L, Lange SJ, Christakis DA, Forrest CB. Pediatric Obesity. 2022;e12889.

Metrics matter: Toward consensus reporting of BMI and weight-related outcomes in pediatric obesity clinical trials

Ryder JR, Kelly AS, Freedman DS. Obesity (Silver Spring). 2022;30: 571– 572.

Reported changes in eating habits related to less healthy foods and beverages during the COVID-19 pandemic among US adults

Park S, Lee SH, Yaroch AL, Blanck HM. Nutrients. 2022;14(3):526.

Nutrition

Supportive Breastfeeding Practices Benefit Women With Lower Incomes

Maternity care practices that support breastfeeding are linked with higher chances that women will meet their breastfeeding intentions. However, this relationship had not been examined for women with lower incomes enrolled in nutrition assistance programs.

A study published in March showed that 1,080 women enrolled in WIC were more likely to breastfeed as they intended if they experienced supportive maternity care. WIC is the Special Supplemental Nutrition Program for Women, Infants, and Children. Women eligible for WIC must have lower incomes and be pregnant, postpartum, or breastfeeding.

Six supportive maternity care practices included in the study were breastfeeding within 1 hour of birth, showing mothers how to breastfeed, giving only breast milk, rooming-in, breastfeeding on demand, and not providing pacifiers to breastfed infants. The authors found that the more practices the women experienced, the more likely they were to meet their breastfeeding goals regardless of race/ethnicity.

Nationally, most mothers intend to breastfeed but stop early due to a lack of ongoing support. CDC conducts national surveys to assess maternity care practices and provide feedback to encourage hospitals to make improvements that better support breastfeeding. See state reports for maternity care practices.

Listen to an interview with the senior author of this study. This interview starts at minute 12:10.

Maternity care practices and breastfeeding intentions at one month among low-income women

Beauregard JL, Nelson JM, Li R, Perrine CG, Hamner HC. Pediatrics. 2022;e2021052561.

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Also see:

Accuracy of a hand-held 3D imaging system for child anthropometric measurements in population-based household surveys and surveillance platforms: an effectiveness validation study in Guatemala, Kenya, and China

Bougma K, Mei Z, Palmieri M, Onyango D, Liu J, Mesarina K, Akelo V, Mwando R, Zhou Y, Meng Y, Jefferds ME. American Journal of Clinical Nutrition. 2022;nqac064.

Adults meeting fruit and vegetable intake recommendations—United States, 2019

Lee SH, Moore LV, Park S, Harris DM, Blanck HM. MMWR Morb Mortal Wkly Rep. 2022;71:1–9.

Experiences and lessons learned in developing and implementing a population-based nutrition and health surveillance system in Guatemala 2011-2021

Palmieri M, Flores-Ayala R, Mesarina K, Mazariegos DI, Martínez C, López B, Santizo MC, Whitehead RD, Jr, Addo OY, Aponte J, Quiñónez EDL, Sagastume MJ, Jefferds ME. Current Developments in Nutrition. 2022;nzac027.

Limits of detection in acute phase protein biomarkers affect inflammation correction of serum ferritin for quantifying iron status among school-age and preschool-age children and reproductive-age women.

Gosdin L, Sharma AJ, Suchdev PS, Jefferds ME, Young MF, Addo OY. Journal of Nutrition. 2022;nxac035.

Physical Activity

Physical Activity Lowers Risk of Premature Death

Two recent reports examined the relationship between physical activity and premature deaths.

A meta-analysis of 15 studies found that taking more steps a day helps lower the risk of premature death from all causes. For adults younger than 60, the risk of premature death leveled off at about 8,000 to 10,000 steps per day. For adults 60 and older, the risk of premature death leveled off at about 6,000 to 8,000 steps per day.

Another analysis used accelerometer-based measurements among 4,840 US adults. The authors estimated that 110,000 deaths per year could be prevented if US adults ages 40 and older increased their moderate to vigorous physical activity by a small amount. Even 10 minutes more a day would make a difference. Similar benefits were observed for men and women and for Mexican American, non-Hispanic Black, and non-Hispanic White adults.

Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts

Paluch AE, Bajpai S, Bassett DR, Carnethon MR, Ekelund U, Evenson KR, Galuska DA, Jefferis BJ, Kraus WE, Lee IM, Matthews CE, Omura JD, Fulton JE, Steps for Health Collaborative. Lancet Public Health. 2022;7(3):e219-e228.

Estimated number of deaths prevented through increased physical activity among US adults

Saint-Maurice PF, Graubard BI, Troiano RP, Berrigan D, Galuska DA, Fulton JE, Matthews CE. JAMA Internal Medicine. 2022;182(3):349-352.

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Also see:

Association between change in accelerometer-measured and self-reported physical activity and cardiovascular disease in the Look AHEAD Trial.

Look AHEAD Study Group: Jakicic JM, Berkowitz RI, Fulton JE, Wyatt H. Diabetes Care. 2022;45(3):742-749.

Public health representation on active transportation bodies across US municipalities

Omura JD, Kochtitzky CS, Galuska DA, Fulton JE, Shah S, Carlson SA. Journal of Public Health Management and Practice. 2022;28(1):E119-E126.

Systematic review on quantifying pedestrian injury when evaluating changes to the built environment

Pollack Porter KM, Omura JD, Ballard RM, Peterson EL, Carlson SA. Preventive Medicine Reports. 2022;26:101703.

In Case You Missed It

Differences in the prevalence of physical inactivity in the United States exist by race/ethnicity and location, according to CDC maps published online in January.

See maps for overall prevalence and by race/ethnicity.

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 2021 with DNPAO authors.

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