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n this interrupted case study, students learn about the influence of early fetal nutritional conditions on the expression of genes related to metabolism and growth. Beginning with the true event of a food and fuel embargo that led to famine in the western Netherlands toward the end of World War II, students learn about the historical background of the Dutch Hunger Winter and its social impact. Using real data from the study conducted by Heijmans and coauthors (2008), students then compare the methylation level of a specific gene between individuals conceived during the famine and their unaffected siblings, and how changes in the expression of this metabolically important gene may impact the risk of developing type 2 diabetes. Supported by other studies on mice and in humans, students conclude that in utero events may impact the health of individuals later in life through epigenetic mechanisms. The case is ideally suited for a molecular or cell biology course, but is also appropriate for an introductory biology course in which students have an understanding of descriptive statistics, interpretation of statistical test results, eukaryotic gene structure, and regulation of gene expression.

This case study tells the story of a group of ten men, recently released from federal penitentiaries, who are housed in a residential reentry center for the remainder of their sentences. Their stay is intended to bridge the gap between incarceration and return to life in the community. Due to the length of time served, the men are poorly skilled in healthy behaviors and self-reliance in the areas of food and activity. Although a work of fiction, the narrative realistically portrays a variety of challenges that the men face including a chronic health issue, menu planning, tight budgets, hunger, boredom, lack of cooking skills, and life without a local supermarket. Innovation, trial and error, and collaboration result in a story of resilience and health behavior change in a sparsely populated area of Northern Michigan. The case was originally developed for a college-level nutrition course, but could also be used in social work, community health, and health education, nursing, and dietetics classes.

National Geographic site from the Future of Food series