Sean C Lucan, Andrew R Maroko, Aurora Jin, Aixin Chen, Charles Pan, Geohaira Sosa, Clyde B Schechter
Past research on food-environment change has been limited in key ways: (1) considering only select storefront businesses; (2) presuming items sold based on businesses category; (3) describing change only in ecological terms; (4) considering multi-year intervals. The current study addressed past limitations by: (1) considering a full range of both storefront and non-storefront businesses; (2) focusing on items actually offered (both healthful and less-healthful varieties); (3) describing individual-business-level changes (openings, closings, changes in offerings); (4) evaluating changes within a single year...
September 2020: Preventive Medicine Reports
Sean C Lucan, Andrew R Maroko, Achint N Patel, Ilirjan Gjonbalaj, Brian Elbel, Clyde B Schechter
OBJECTIVE: Conceptualisations of 'food deserts' (areas lacking healthful food/drink) and 'food swamps' (areas overwhelm by less-healthful fare) may be both inaccurate and incomplete. Our objective was to more accurately and completely characterise food/drink availability in urban areas. DESIGN: Cross-sectional assessment of select healthful and less-healthful food/drink offerings from storefront businesses (stores, restaurants) and non-storefront businesses (street vendors)...
March 30, 2020: Public Health Nutrition
Sean C Lucan, Andrew R Maroko, Courtney Abrams, Noemi Rodriguez, Achint N Patel, Ilirjan Gjonbalaj, Clyde B Schechter, Brian Elbel
OBJECTIVE: To assess the accuracy of government inspection records, relative to ground observation, for identifying businesses offering foods/drinks. DESIGN: Agreement between city and state inspection records v. ground observations at two levels: businesses and street segments. Agreement could be 'strict' (by business name, e.g. 'Rizzo's') or 'lenient' (by business type, e.g. 'pizzeria'); using sensitivity and positive predictive value (PPV) for businesses and using sensitivity, PPV, specificity and negative predictive value (NPV) for street segments...
November 4, 2019: Public Health Nutrition
Alexander D Bryan, Zoë A Ginsburg, Ellen B Rubinstein, Hilary J Frankel, Andrew R Maroko, Clyde B Schechter, Kristen Cooksey Stowers, Sean C Lucan
The overall nutritional quality of foods/drinks available at urban food pantries is not well established. In a study of 50 pantries listed as operating in the Bronx, NY, data on food/drink type (fresh, shelf-stable, refrigerated/frozen) came from direct observation. Data on food/drink sourcing (food bank or other) and distribution (prefilled bag vs. client choice for a given client's position in line) came from semi-structured interviews with pantry workers. Overall nutritional quality was determined using NuVal® scores (range 1-100; higher score indicates higher nutritional quality)...
November 17, 2018: Journal of Community Health
Sean C Lucan
No abstract text is available yet for this article.
November 14, 2018: Journal of the Academy of Nutrition and Dietetics
Sean C Lucan, Andrew R Maroko, Achint N Patel, Ilirjan Gjonbalaj, Courtney Abrams, Stephanie Rettig, Brian Elbel, Clyde B Schechter
BACKGROUND: Local food environments include food stores (eg, supermarkets, grocery stores, bakeries) and restaurants. However, the extent to which other storefront businesses offer food/drink is not well described, nor is the extent to which food/drink availability through a full range of storefront businesses might change over time. OBJECTIVES: This study aimed to assess food/drink availability from a full range of storefront businesses and the change over time and to consider implications for food-environment research...
November 2018: Journal of the Academy of Nutrition and Dietetics
Sean C Lucan
Food can be powerful medicine. Good nutrition helps promote health and prevent and treat disease. Yet nutrition is not often part of a physician's training or clinical practice. Food might not be medicine when it's importance is under-recognized and healthful eating is under-prescribed. Moreover, food cannot be medicine when it is not available to patients (or when available only in the form of unhealthful fare). This paper considers evolving thinking about when food isn't medicine by chronicling the experience of one physician-from college coursework to providing patient care and conducting research...
June 2018: Preventive Medicine Reports
Zoë A Ginsburg, Alexander D Bryan, Ellen B Rubinstein, Hilary J Frankel, Andrew R Maroko, Clyde B Schechter, Kristen Cooksey Stowers, Sean C Lucan
For individuals who are food insecure, food pantries can be a vital resource to improve access to adequate food. Access to adequate food may be conceptualized within five dimensions: availability (item variety), accessibility (e.g., hours of operation), accommodation (e.g., cultural sensitivity), affordability (costs, monetary or otherwise), and acceptability (e.g., as related to quality). This study examined the five dimensions of access in a convenience sample of 50 food pantries in the Bronx, NY. The design was cross-sectional...
July 17, 2018: Journal of Community Health
Sean C Lucan, Andrew R Maroko, Jason L Seitchik, Dong Hum Yoon, Luisa E Sperry, Clyde B Schechter
INTRODUCTION: Studies of neighborhood food environments typically focus on select stores (especially supermarkets) and/or restaurants (especially fast-food outlets), make presumptions about healthfulness without assessing actual items for sale, and ignore other kinds of businesses offering foods/drinks. The current study assessed availability of select healthful and less-healthful foods/drinks from all storefront businesses in an urban environment and considered implications for food-environment research and community health...
August 2018: American Journal of Preventive Medicine
Sean C Lucan, Andrew R Maroko, Jason L Seitchik, Don Yoon, Luisa E Sperry, Clyde B Schechter
Local businesses that offer foods may create different 'grazing environments' (characterized by sources of ready-to-consume foods) and 'grocery environments' (characterized by source of foods for later preparation). Such environments may be relevant to different populations at different times and may vary by neighborhood. In neighborhoods within two demographically distinct areas of the Bronx, NY [Area A (higher-poverty, greater minority representation, lesser vehicle ownership) vs. Area B], researchers assessed all storefront businesses for food offerings...
October 2018: Journal of Community Health
Amanda Parsons, Elizabeth Spurrell-Huss, Sean C Lucan
No abstract text is available yet for this article.
November 2017: Annals of Family Medicine
Marjorie A Bowman, Sean C Lucan, Thomas C Rosenthal, Arch G Mainous, Paul A James
When the new field of family medicine research began a half century ago, multiple individuals and organizations emphasized that research was a key mission. Since the field's inception, there have been notable research successes for which family medicine organizations, researchers, and leaders-assisted by federal and state governments and private foundations-can take credit. Research is a requirement for family medicine residency programs but not individual residents, and multiple family medicine departments offer research training in various forms for learners at all levels, including research fellowships...
April 2017: Family Medicine
Sean C Lucan, Andrew R Maroko, Omar C Sanon, Clyde B Schechter
Unhealthful food-and-beverage advertising often targets vulnerable groups. The extent of such advertising in subway stations has not been reported and it is not clear how ad placement may relate to subway ridership or community demographics, or what the implications might be for diets and diet-related health in surrounding communities. Riding all subway lines (n = 7) in the Bronx, NY, USA, investigators systematically assessed all print ads (n = 1586) in all stations (n = 68) in 2012. Data about subway ridership came from the Metropolitan Transportation Authority...
April 2017: Journal of Urban Health
Sean C Lucan
No abstract text is available yet for this article.
January 5, 2016: JAMA: the Journal of the American Medical Association
James J DiNicolantonio, Sean C Lucan, James H O'Keefe
Dietary guidelines continue to recommend restricting intake of saturated fats. This recommendation follows largely from the observation that saturated fats can raise levels of total serum cholesterol (TC), thereby putatively increasing the risk of atherosclerotic coronary heart disease (CHD). However, TC is only modestly associated with CHD, and more important than the total level of cholesterol in the blood may be the number and size of low-density lipoprotein (LDL) particles that contain it. As for saturated fats, these fats are a diverse class of compounds; different fats may have different effects on LDL and on broader CHD risk based on the specific saturated fatty acids (SFAs) they contain...
March 2016: Progress in Cardiovascular Diseases
James J DiNicolantonio, Sean C Lucan
Irritable Bowel Syndrome (IBS) is a condition that may be marked by abdominal pain, bloating, fullness, indigestion, belching, constipation and/or diarrhea. IBS symptoms can result from malabsorption of fructose. Fructose is a monosaccharide found naturally in small quantities in fruits and some vegetables, and in much larger quantities in industrially manufactured sweets with added sugars (e.g. sucrose and high fructose corn syrup). Fructose malabsorption leads to osmotic diarrhea as well as gas and bloating due to fermentation in the colon...
September 2015: Medical Hypotheses
Lenard I Lesser, Mary Carol Mazza, Sean C Lucan
Healthy dietary intake is important for the maintenance of general health and wellness, the prevention of chronic illness, the optimization of life expectancy, and the clinical management of virtually all disease states. Dietary myths (i.e., concepts about nutrition that are poorly supported or contradicted by scientific evidence) may stand in the way of healthy dietary intake. Dietary myths exist about micronutrients, macronutrients, non-nutrients, and food energy. Representative myths of each type include that patients need to focus on consuming enough calcium to ensure bone health, dietary fat leads to obesity and is detrimental to vascular health, all fiber (whether naturally occurring or artificially added) is beneficial, and food calories translate to pounds of body weight through a linear relationship and simple arithmetic...
May 1, 2015: American Family Physician
Sean C Lucan, Andrew R Maroko, Omar Sanon, Rafael Frias, Clyde B Schechter
Most food-environment research has focused narrowly on select stores and restaurants. There has been comparatively less attention to non-storefront food sources like farmers' markets (FMs), particularly in urban communities. The objective of the present study was to assess FMs' potential contribution to an urban food environment in terms of specific foods offered, and compare FM accessibility as well as produce variety, quality, and price to that of nearby stores. Investigators conducted a detailed cross-sectional assessment of all FMs in Bronx County, NY, and of the nearest store(s) selling produce within a half-mile walking distance (up to two stores per FM)...
July 2015: Appetite
James J DiNicolantonio, Sean C Lucan
Cardiovascular disease is the leading cause of premature mortality in the developed world, and hypertension is its most important risk factor. Controlling hypertension is a major focus of public health initiatives, and dietary approaches have historically focused on sodium. While the potential benefits of sodium-reduction strategies are debatable, one fact about which there is little debate is that the predominant sources of sodium in the diet are industrially processed foods. Processed foods also happen to be generally high in added sugars, the consumption of which might be more strongly and directly associated with hypertension and cardiometabolic risk...
2014: Open Heart
James J DiNicolantonio, James H O'Keefe, Sean C Lucan
Data from animal experiments and human studies implicate added sugars (eg, sucrose and high-fructose corn syrup) in the development of diabetes mellitus and related metabolic derangements that raise cardiovascular (CV) risk. Added fructose in particular (eg, as a constituent of added sucrose or as the main component of high-fructose sweeteners) may pose the greatest problem for incident diabetes, diabetes-related metabolic abnormalities, and CV risk. Conversely, whole foods that contain fructose (eg, fruits and vegetables) pose no problem for health and are likely protective against diabetes and adverse CV outcomes...
March 2015: Mayo Clinic Proceedings
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