Associated Factors of Bone Mineral Density in the USA Women of Reproductive Age (WRA) (18-35): A Pooled NHANES Analysis (2005-2010, 2013-2014, 2017-2018) Eva Herion* Project Mentor(s): Tafere Belay, PhD Low bone mineral density (BMD) is a common issue among females and may increase risk of osteoporosis later in life. This study analyzed the associated factors of BMD in WRA 18-35 years. This cross-sectional analysis utilized data from the National Health and Nutrition Examination (NHANES) survey. The dual-energy X-ray absorptiometry (DXA) was used to assess lumbar spine BMD (LSBMD) and femoral nec BMD (FNBMD) data. To evaluate factors associated with LSBMD and FNBMD, the demographic, examination, and questionnaire data was utilized. Chi-square tests were used to examine the association between BMD and independent variables. Multivariable logistic regression analysis was conducted to identify factors independently associated with BMD. The study included 7, 602 females aged 18 to 35 years, with a mean (SE) age of 26.5(0.18) years. BMI, ethnicity, physical activity, and reproductive factors were significantly associated with BMD. For both LSBMD and FNBMD, obesity was associated with lower odds and lack of vigorous physical activity was associated with higher odds. For LSBMD, higher parity (3-5) was associated with higher odds, while non-Hispanic black was associated with lower odds. For FNBMD, older age (31-35 years), non-Hispanic white and other race were associated with higher odds; while smoking and higher gravidity (6-10) were associated with lower odds. Lower physical activity and reproductive factors were associated with increased risk of low BMD. The findings highlight that low BMD is prevalent among WRA and is influenced by both modifiable and non-modifiable factors, underscoring the importance of lifestyle and reproductive history in supporting bone health. Presentation Type: Poster Presentation (May 21, 9:30am–3:00pm) Keywords : bone mineral density, femoral neck, lumbar spine, osteoporosis SOURCE Form ID: 175 Individuals living in rural areas and on Medicaid, are more likely to experience food insecurity, and are at higher risk for having diet-related chronic diseases due to lack of access to healthcare and living in areas where access to food is not easy. Produce Prescription (PRx) programs have been established, as a preventative measure to increase fruit and vegetable (F&V) consumption, as well as food security in vulnerable populations. There has been limited studies looking at the effects of a PRx program when boxes of foods are delivered to participants’ homes. This was a pre- and post- intervention study, which included Community supported agriculture (CSA) partnerships, where participants’ received home delivered CSA boxes bi-weekly. Criterion participants had to meet to be eligible include being on Medicaid, living in Yakima or Kittitas County, or having a diet-related chronic disease. Food security and F&V consumption were measured with surveys. There were a total of 102 participants Evaluation of a Produce Prescription Program in a Rural Medicaid Population Jocelyn Manzanarez * Project Mentor(s): Nicole Stendell-Hollis,PhD; Tafere Belay, PhD; Charlene Mize (75% females). Of the participants most identified as white (66.7%); and were primarily between the ages of 35-64 years (50%). Fruit (< 0.001), salad (< 0.001), vegetables (< 0.001), were all significantly increased; and fried potato (0.046) was significantly decreased. Women as compared to men consumed significantly more beans ( p = .032), fruit ( p = .020) and tomato sauce ( p = .031). Food security seemed to increase from pre- to post- PRx program (< 0.001). Long-term effects of the FISH PRx program were not followed and therefore are unknown. Presentation Type: Poster Presentation (May 21, 9:30am–3:00pm) Keyword: Food insecurity, Medicaid, Produce Prescription SOURCE Form ID: 115
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