The World Stress Map (WSM) is a global compilation of information on the stress field of the present-day earth crust and is maintained since 2009 at the Helmholtz Center Potsdam GFZ German Research Center for Geosciences. This database uses data from earthquake focal mechanisms, well bore breakouts, drilling induced fractures, and geologic data to generate a map of the stresses in the Earth. Using GIS, the data was mapped and examined for the Permian Basin area of West Texas which is currently one of the largest and most active oil fields in the United States. This database in conjunction with data collected on the direction of horizontal well bores was examined to determine if or how stress directions in the Earth influenced the drilling bore direction. This data was also used to see if there is a correlation between stress direction and a company’s decision to place a well in a certain location or orientation.

Professors and Texas Christian University Chemistry students collaborated with O.D. Wyatt High School faculty and students for the rewrite of laboratory experiments. This was done through the lens of green chemistry to best meet the needs of the school’s curriculum scope and sequence with a minimal budget. The primary focus was safety. Safer disposal of hazardous waste, the use of less hazardous chemicals, and a cleanup to provide a safe workspace. Following the redesign of the experiments with the implementation of green chemistry concepts, a thorough cleaning and reorganization of the high school’s storeroom took place. Excess chemicals were safely disposed of, an inventory system was adopted to track presence and location of the remaining chemicals, and all waste and recycling was properly discarded. At the end of this outreach program, O.D. Wyatt gained a revamped curriculum utilizing less hazardous materials, a green chemistry outlook, and a redesigned and safe storeroom. We TCU students gained practical experience redesigning laboratory protocols and adapting them to a green chemistry standard. Additionally, physically applying the techniques learned in the curriculum being taught is invaluable knowledge gained by many students involved. Furthermore, we have also gained the interpersonal communication skills required to simplify complicated concepts to an audience of high school students without scientific backgrounds. This outreach will have long-term positive effects on the high school. The students will be exposed to green chemistry principles and the faculty will see the ease with which green chemistry principles can be added and relished within their curriculum. This program will continue to impact O.D. Wyatt with long-term safety and cost efficiency tactics being employed.

Background: Nutrition plays a vital role in disease prevention and health promotion; however, few health professions curriculums provide adequate nutrition education. The Culinary Medicine program (CM) was developed at Tulane University Goldring Center for Culinary Medicine in 2012 to train health professions students about nutrition and healthy eating practices. Students also participate in a 10-year longitudinal study (Cooking for Health Optimization with Patients, CHOP) to assess learning outcomes.
Objective: Assess outcomes of a CM course for improving nutrition and dietary competencies of health professions students.
Design: Cohort of 77 medical and 13 physician assistant students (57/female; 33/male) from University of North Texas Health Science Center (UNTHSC) and Texas College of Osteopathic Medicine (TCOM).
Methods: The CM curriculum was first offered in Fort Worth, TX in 2014 and taught by faculty from UNTHSC, TCOM, Texas Christian University (TCU) and Moncrief Cancer Institute. During 2016-2018, students participating in the CM course were assessed using the 4-part CHOP survey including demographics, attitudes, dietary habits, and degree of proficiency in competencies related to nutrition/dietary knowledge and application. Study procedures were approved by TCU IRB, and informed consent was obtained. Data were analyzed to meet study objectives (SPSS, p<0.05).
Results: Results showed that students who participated in the CM course reported greater proficiency in their ability to inform patients about nutrition/dietary competencies: (1) health effects of the Mediterranean, Dash, and low fat diets; (2) weight loss strategies, portion control, food label facts and serving sizes; (3) dietary practices for type 2 diabetes, celiac disease, and food allergies; (4) role of dietary cholesterol/saturated fats in blood lipids; (5) recognizing warning signs/symptoms for eating disorders; and (6) role of fiber and omega-3 fatty acids in disease prevention and heart health (p<0.05).
Conclusion: Study results underline the value of dietetics educators providing innovative learning opportunities that integrate nutrition into training for health professions students.

DETERMINING LEVEL OF ADHERANCE TO THE MEDITERRANEAN DIET BY INDIVIDUALS LIVING IN THE UNITED STATES

S. Cowart,1 R. Seguin,1 A. VanBeber PhD, RD, LD, FAND1; L. Dart, PhD, RD, LD1;
1Texas Christian University

Learning Outcome: To determine how closely components of the Mediterranean Diet are followed by individuals living in the United States.

Learning Needs Codes:
Primary: 3020 Assessment of Target Groups
Secondary: 4040 Disease Prevention

Background: Research indicates those who follow a diet and lifestyle resembling the Mediterranean Diet have lower chronic disease risk.

Objectives: The objectives of this study were to determine how closely the Mediterranean Diet was followed by individuals living in the United States and to analyze correlations between dietary patterns and chronic disease risk.

Design: This un-blinded, randomized trial was approved by Texas Christian University IRB. Participants were recruited via social media, email/text messaging, and in-person communication. Following informed consent, participants completed an online questionnaire through Survey Monkey™. Analyses assessed consumption of fruits, vegetables, whole grains, dairy, legumes, animal protein, nuts, water, and red wine compared to Mediterranean Diet Score recommendations.

Methods: Data were analyzed using SPSS (p<0.05) and (p<0.01), and frequency distributions and correlations were analyzed for trends in adherence to Mediterranean Diet and USDA dietary recommendations.

Results: Participants included 258 females and males (86% and 14%, respectively). Sixty-nine percent identified as Caucasian, 21% Hispanic, 10% other ethnicity, and 13% reported chronic disease diagnosis. High school diploma was the highest education earned by 13% of participants; 28% obtained some college, and 59% received a bachelor’s degree or higher. Forty-six percent were married; 41% were single. A strong inverse relationship existed between age and physical activity, with participants ages 18-34 years reporting greater physical activity compared to participants >35 years old (r=-.131; p=0.05). With participants who performed >30-60 minutes physical activity/day, a positive relationship existed with greater consumption of vegetables and fruits (r=.200; p=0.05). Results also indicated only 36% of participants consumed the Mediterranean Diet Score recommendations for >2-3 cups vegetables/day, and only 22% consumed the recommended >2 cups fruit/day.

Conclusions: To lower chronic disease risk in the United States, nutrition education efforts should focus on importance of increasing fruit and vegetable consumption and greater adherence to Mediterranean Diet principles.

Funding Source: N/A
Word Count: 296
Key Contact: Anne VanBeber RD, LD, PhD, FAND, a.vanbeber@tcu.edu

Learning Outcome: Provide education about the knowledge, behaviors and attitudes individuals have towards dietary fatty acids.

Background: Research has shown a strong relationship between dietary fatty acids (FAs) and their impact on blood cholesterol. Few studies have examined knowledge, behaviors and attitudes (KBA) towards dietary FAs impact on blood lipid levels.
Objective: To determine: 1) KBA of FAs using the modified General Nutrition Knowledge Questionnaire (GNKQ); and 2) correlations between anthropometric data, GNKQ responses and blood lipid levels.
Design: This study utilized a cross-sectional research design.
Methods: Upon IRB approval, 104 women ages 18-40yr consented and completed the modified GNKQ via Qualtrics®. The GNKQ consisted of 42 questions and took approximately 15min to complete. Additionally, a subset of nine women also were instructed to fast for 12-15hrs prior to testing at the Obesity Prevention Laboratory at TCU. Height (cm), weight (kg), BMI (kg/m2), waist-to-hip ratio were recorded. Next, a fasting blood sample (5mL) was obtained. The blood samples were sent to AnyLabTestNow® (Fort Worth, Texas) for a lipid panel. Results were analyzed via IBM SPSS® (Statistics Version 25.0. Armonk, NY). Significance was set at p<0.05.
Results: More than 80% of participants were aware of saturated, monounsaturated, and polyunsaturated FAs, but only 33.3% were able to identify their proper food sources. Of the survey responses, approximately 1.9% demonstrated poor knowledge (answered 0-11 questions correctly), 54.3% moderate knowledge (12-23 questions correctly), and 43.8% strong knowledge (24-34 questions correctly). 100% of lipid panel participants had normal total cholesterol and HDL levels. Risk ratio (LDL/HDL) and weight showed a strong positive correlation (p=0.004, r=0.846**).
Conclusion: Despite self-reported awareness, participants lack knowledge of dietary FAs. The subset results showed strong correlation between risk ratio and weight representing the relationship between weight and lipid levels. Overall, more research should ensue with a larger sample.