TUESDAY, OCTOBER 11

Community, Population and Global Health

Sports Nutrition Knowledge and Disordered Eating Attitudes of College Coaches Very Low Food Security Status Is Related to Greater Perceived Stress but Less Stress-Related
and Athletic Trainers Eating Among College Students

Author(s): C. Laudisio, K. Eck, A. Levine, L. Howard; Marywood University Author(s): L. Knol, C. Brantley, M. Boudreaux; University of Alabama

Learning Outcome: Participants will be able to understand the relationship
between the sports nutrition knowledge and attitudes towards disordered
eating in athletes for coaches and athletic trainers at Division III universities.
Disordered eating/eating disorders are prevalent in college athletes, making it
essential to determine possible causes, including the knowledge and influ-
ence of athletics staff. This study explored the relationship between coaches’
and athletic trainers’ sports nutrition knowledge and attitudes concerning
disordered eating. Division III head coaches (n¼20), assistant coaches (n¼7),
and athletic trainers (n¼2) completed a survey including the 49-item Sports
Nutrition Knowledge Instrument, the 13-item Disordered Eating Attitude
Scale 13 items assessing pressuring athletes regarding body weight/shape,
and 12 items assessing ability to identify disordered eating behaviors. Par-
ticipants had low sports nutrition knowledge (37.2% correct response rate on
average) and low disordered eating attitudes (23.142.53, score range 13 to
65). Participants rarely pressured athletes regarding body weight/shape
(2.070.87, score range 1 to 6), and were often/usually able to identify
disordered eating behaviors (4.160.83, score range 1 to 6). Disordered eating
attitudes were significantly greater in non-lean sports vs. lean sports
(p¼0.010), body pressure was significantly greater for male vs. female par-
ticipants (p¼0.017), and disordered eating identification was significantly
greater in women’s vs. men’s staff (p¼0.008). Sports nutrition knowledge did
not differ significantly between participants. Higher protein knowledge was
significantly (p¼0.017) positively correlated with disordered eating attitudes.
Limited sports nutrition knowledge and high disordered eating attitudes and
body pressure from coaches and athletic trainers suggests the addition of a
Dietitian to athletics staff may improve coaches’ and athletic trainers’ sports
nutrition knowledge; in turn improving prevention and identification of
disordered eating/eating disorders.
Funding Source: None
Learning Outcome: Upon conclusion of the presentation, the participant will be able to
explain the potential determinants of stress-related eating among college students.
Background: Food insecurity and perceived stress are common problems among college
students. Students who are food insecure may have higher levels of stress, which may lead
to maladaptive coping strategies such as stress-related eating. The purpose of this study
was to explore the relationships between food security status, perceived stress, and stress-
related eating among college students.
Methods: Undergraduate students
18 years or older, completed an online survey that included the Salzburg Stress Eating
Scale (SSES), Perceived Stress Scale (PSS)
10-item Adult Food Security Module with screener, and demographic questions. Multiple
regression analyses were used to assess the relationships between food security status,
SSES, and PSS while adjusting for weight status and demographics.
Results: Among the 1130 participants, the average score on the SSES was 2.79 +/-0.87
(range¼1-5) and PSS was 19.48 +/- 0.69 (range 0-40), where higher scores represent eating
higher quantities of food when stressed and greater perceived stress, respectively. Stu-
dents with high food security status (62.7%) reported significantly higher SSES and lower
PSS scores than students with very low food security status (16.9%) (2.86 +/- 0.85 versus
2.50 +/- 0.94, p< 0.001; 19.47 +/-6.69 versus 24.17 +/-5.96, p< 0.0001, respectively).
Overall, higher PSS scores were negatively related to lower SSES scores (b¼-0.009,
p¼0.002).
Conclusion: College students with very low food security status have greater levels of
perceived stress but reported consuming less than usual when under stress. More research
is needed to understand what strategies college students with very low food security use
to cope.
Funding Source: None

Trends in Dietary Fiber Intake among the US pregnant and non-pregnant population: from
NHANES 1999-2018

Author(s): D. Miketinas1, H. Luo2, J. Firth3, T. Bender4, A. Bailey4, C. McMilin4, L. Brink4;

1
Texas Woman’s University, 2Hubert Department of Global Health, Rollins School of
Public Health, Emory University, 3Medical and Scientific Affairs, ReckittjMead Johnson
Nutrition Institute, Slough, UK, 4Medical and Scientific Affairs, ReckittjMead Johnson
Nutrition Institute, Evansville, USA

Learning Outcome: Upon completion, participants will be able to describe how dietary
fiber intake has changed in pregnant and non-pregnant women in the past two decades.

Background: The study aimed to examine trends in dietary fiber intake from foods alone
among women of reproductive age using data from the National Health and Nutrition
Examination Survey (NHANES).

Methods: Usual dietary fiber intake from foods and prevalence of adequate intake (AI)
were estimated among pregnant (n¼1,392) and non-pregnant (9,737) women 20-44y who
participated in NHANES 1999-2018 (n¼11,129), using the National Cancer Institute
method. Dietary fiber intake was adequate if consumption exceeded the Adequate Intake
(AI) for pregnant and non-pregnant women. Trends in dietary fiber intake and adequacy
were tested using regression models.

Results: Dietary fiber intake for pregnant and non-pregnant women was suboptimal
across all survey cycles. Dietary fiber intake in pregnant women changed significantly over
time (p¼.0121), increasing from 17[0.7] (mean[SE])g/d in 1999-2000 to 19.2[0.6]g/d in
2011-2012 and subsequently decreased to 17.9[0.6]g/d in 2017-2018. Adequate fiber intake
increased from 4.9[1.3](%[SE]) % in 1999-2000 to 10.3[2.0]% in 2011-2012 and decreased to
7.2[1.6]% in 2017-2018 (p¼.0353). Non-pregnant women consumed w3g/d fewer
compared to pregnant women; however, their fiber intake followed the same trends,
which increased from 13.5[0.5]g/d in 1999-2000 to 15.7[0.3]g/d in 2011-2012 followed by
a decrease to 14.9[0.4]g/d in 2017-2018 (p¼.0405). Adequate fiber intake increased from
3.1[0.8]% in 1999-2000 to 6.9[0.9]% in 2011-2012 and decreased to 5.2[0.9]% in 2017-2018
(p¼.036).

Conclusion: Although dietary fiber intake among women has increased over the past two
decades, most ( >85%) do not meet recommendations. Moreover, differences in dietary
fiber intake between pregnant and non-pregnant women were minimal.

Funding Source: Funded by the ReckittjMead Johnson Nutrition

A-128 JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS October 2022 Suppl 1—Abstracts Volume 122 Number 10
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