Jillian P. Fry

BACKGROUND: Health behavior interventions using periodic prompts have utilized technology, such as the Internet, that allows messages to be sent to participants in cost-effective ways. To our knowledge, no comprehensive evidence review has been performed specifically to evaluate the effectiveness of communicating regular messages and to examine how characteristics of the prompts change the effectiveness of programs aimed at reminding people to adopt healthy behaviors, maintain those they already practice, and cease unhealthy behaviors. OBJECTIVE: A systematic literature review was performed to investigate the effectiveness of limited contact interventions targeting weight loss, physical activity, and/or diet that provided periodic prompts regarding behavior change for health promotion. The review sought to identify specific characteristics of these interventions that may be associated with superior results. METHODS: Electronic literature searches were performed between February and April, 2008. Articles were included if periodic prompts were used as an intervention or a component of an intervention, a behavioral or biological outcome measure was used, and an ongoing health promotion behavior was targeted. A rating system was applied to each study to provide a quantitative representation of the quality of the evidence provided by each article. RESULTS: There were 19 articles with a combined sample size of 15,655 that met the inclusion criteria, and 11 studies reported positive findings regarding the utility of periodic prompts. Several articles showed enhanced effectiveness when prompts were frequent and personal contact with a counselor was included. Long-term behavior change and health improvements were not examined by this review because of a lack of long-term follow-up in the literature. CONCLUSIONS: In light of promising results of most studies, additional research on limited contact interventions targeting health behaviors including weight loss, physical activity, and/or diet is merited that utilizes rigorous methods including control groups; follow-up data collection; and testing of prompt frequencies, specific intervention components, or prompt characteristics. Future research would be especially valuable if it improves understanding of the most effective types of periodic prompts for fostering long-term behavior change in order to maximize use of this tool in limited contact health promotion programs. Specifically, various types of communication technology should be used and evaluated to expand and refine their use.

Aquaponics is the integration of aquaculture and hydroponics. There is expanding interest in aquaponics as a form of aquaculture that can be used to produce food closer to urban centers. Commercial aquaponics uses methods and equipment from both the hydroponics and aquaculture industries. There have been few studies of commercial-scale aquaponics production, and the purpose of this research was to document the production methods, crop and fish yields, and profitability of commercial aquaponics in the United States (US) and internationally. An online survey was used for data collection, and 257 respondents met the inclusion criteria for the study. Eighty-one percent of respondents lived in the US, and the remaining respondents were from 22 other countries. The median year that respondents had begun practicing aquaponics was 2010. A total of 538 full-time workers, 242 part-time workers, and 1720 unpaid workers or volunteers were employed at surveyed organizations. The most commonly raised aquatic animals by percent were tilapia (69%), ornamental fish (43%), catfish (25%), other aquatic animals (18%), perch (16%), bluegill (15%), trout (10%), and bass (7%). Production statistics, gross sales revenue, investments, and sales outlets for operations are reported and compared to other fields of aquaculture and agriculture. A multivariable logistic regression model was used to study which factors were associated with profitability (as a binary outcome) in the past 12 months. Several factors were significantly associated with profitability: aquaponics as the respondents' primary source of income (p < 0.01; Odds Ratio: 5.79; 95% Confidence Interval: 3.8–9.0), location in US Department of Agriculture plant hardiness zones 7–13 (p < 0.01; OR: 4.17; 95% CI: 3.2–5.5), gross sales revenue ≥$5000 (p < 0.01; OR: 3.58; 95% CI: 2.2–5.8), greater aquaponics knowledge (p < 0.01; OR: 2.37; 95% CI: 2.0–2.9), and sales of non-food products (e.g., supplies, materials, consulting services, workshops, and agrotourism) (p = 0.028; OR: 2.13; 95% CI: 1.1–4.2). Our survey findings provide a better understanding of the business of aquaponics, which may enhance future commercial operations.

Undernutrition, obesity, climate change, and freshwater depletion share food and agricultural systems as an underlying driver. Efforts to more closely align dietary patterns with sustainability and health goals could be better informed with data covering the spectrum of countries characterized by over- and undernutrition. Here, we model the greenhouse gas (GHG) and water footprints of nine increasingly plant-forward diets, aligned with criteria for a healthy diet, specific to 140 countries. Results varied widely by country due to differences in: nutritional adjustments, baseline consumption patterns from which modeled diets were derived, import patterns, and the GHG- and water-intensities of foods by country of origin. Relative to exclusively plant-based (vegan) diets, diets comprised of plant foods with modest amounts of low-food chain animals (i.e., forage fish, bivalve mollusks, insects) had comparably small GHG and water footprints. In 95 percent of countries, diets that only included animal products for one meal per day were less GHG-intensive than lacto-ovo vegetarian diets (in which terrestrial and aquatic meats were eliminated entirely) in part due to the GHG-intensity of dairy foods. The relatively optimal choices among modeled diets otherwise varied across countries, in part due to contributions from deforestation (e.g., for feed production and grazing lands) and highly freshwater-intensive forms of aquaculture. Globally, modest plant-forward shifts (e.g., to low red meat diets) were offset by modeled increases in protein and caloric intake among undernourished populations, resulting in net increases in GHG and water footprints. These and other findings highlight the importance of trade, culture, and nutrition in diet footprint analyses. The country-specific results presented here could provide nutritionally-viable pathways for high-meat consuming countries as well as transitioning countries that might otherwise adopt the Western dietary pattern.

Globally, demand for food animal products is rising. At the same time, we face mounting, related pressures including limited natural resources, negative environmental externalities, climate disruption, and population growth. Governments and other stakeholders are seeking strategies to boost food production efficiency and food system resiliency, and aquaculture (farmed seafood) is commonly viewed as having a major role in improving global food security based on longstanding measures of animal production efficiency. The most widely used measurement is called the 'feed conversion ratio' (FCR), which is the weight of feed administered over the lifetime of an animal divided by weight gained. By this measure, fed aquaculture and chickens are similarly efficient at converting feed into animal biomass, and both are more efficient compared to pigs and cattle. FCR does not account for differences in feed content, edible portion of an animal, or nutritional quality of the final product. Given these limitations, we searched the literature for alternative efficiency measures and identified 'nutrient retention', which can be used to compare protein and calories in feed (inputs) and edible portions of animals (outputs). Protein and calorie retention have not been calculated for most aquaculture species. Focusing on commercial production, we collected data on feed composition, feed conversion ratios, edible portions (i.e. yield), and nutritional content of edible flesh for nine aquatic and three terrestrial farmed animal species. We estimate that 19% of protein and 10% of calories in feed for aquatic species are ultimately made available in the human food supply, with significant variation between species. Comparing all terrestrial and aquatic animals in the study, chickens are most efficient using these measures, followed by Atlantic salmon. Despite lower FCRs in aquaculture, protein and calorie retention for aquaculture production is comparable to livestock production. This is, in part, due to farmed fish and shrimp requiring higher levels of protein and calories in feed compared to chickens, pigs, and cattle. Strategies to address global food security should consider these alternative efficiency measures.

Global demand for freshwater and marine foods (i.e., seafood) is rising and an increasing proportion is farmed. Aquaculture encompasses a range of species and cultivation methods, resulting in diverse social, economic, nutritional, and environmental outcomes. As a result, how aquaculture develops will influence human wellbeing and environmental health outcomes. Recognition of this has spurred a push for nutrition-sensitive aquaculture, which aims to benefit public health through the production of diverse, nutrient-rich seafood and enabling equitable access. This article explores plausible aquaculture futures and their role in nutrition security using a qualitative scenario approach. Two dimensions of economic development–the degree of globalization and the predominant economic development philosophy–bound four scenarios representing systems that are either localized or globalized, and orientated toward maximizing sectoral economic growth or to meeting environmental and equity dimensions of sustainability. The potential contribution of aquaculture in improving nutrition security is then evaluated within each scenario. While aquaculture could be “nutrition-sensitive” under any of the scenarios, its contribution to addressing health inequities is more likely in the economic and political context of a more globally harmonized trade environment and where economic policies are oriented toward social equity and environmental sustainability.