Digital Commons Network^™

Effect Of Exercise Training On Lipoprotein Subclass Particle Concentrations And Sizes In Older Women: Results From A Randomized Controlled Trial, Ryan R. Porter, Joshua R. Sparks, J. Larry Durstine, Sabra S. Custer, Raymond W. Thompson, Xuewen Wang

Faculty Publications

Background: Evidence suggests that lipoprotein subclass particles are critical markers of cardiovascular disease (CVD) risk. Older women have increased CVD risk related to age. The purpose of this study was to determine whether low and moderate doses of exercise influence lipoprotein subclasses. Methods: Women (60–75 years) were randomized into groups for 16 weeks of moderate-intensity exercise training at a low or moderate dose (33.6 and 58.8 kJ/kg body weight weekly, respectively). Lipoprotein subclasses were determined by nuclear magnetic resonance spectroscopy before and after the training. RESULTS: The average weekly exercise duration was 109 and 164 min, for low- and moderate-dose …

Effects Of Caffeine On Measures Of Clinical Outcome And Recovery Following Mild Traumatic Brain Injury In Adolescents, Jacob Michael Eade

Theses and Dissertations

OBJECTIVE: The overarching purpose of this study was to investigate the influence of habitual caffeine consumption on mTBI outcomes in adolescents. BACKGROUND: Adolescents who suffer an mTBI have an increased risk for neurological impairment and symptomology. Thus, it is important to elucidate modifiable lifestyle factors that have the potential to influence injury outcomes and recovery. Caffeine is a legal psychoactive compound prevalent among the adolescent population. Marketed as an ergogenic aid caffeine coincides with recreational activities where incidence of mTBI is high. However, no human study has explored the influence of caffeine consumption on mTBI pathology. It was hypothesized that …

Exercise And Mental Health Over The Course Of A Semester, Jamie Alexis Whitney

Theses and Dissertations

Introduction and purpose: Anxiety and depression are two of the most common mental health struggles in the United States each year. There has been promising research noting the positive effects of exercise on lowering symptoms of both anxiety and depression. Anxiety and depression are highly prevalent on college campuses, especially during high stress portions of the semester. The purpose of this study was to observe the changes in mental health over the course of the semester and if exercise level mediated any of these changes in the university population. Methods: Participants scanned a QR code or followed a link to …

A Randomized, Placebo Controlled, Double-Blind, Crossover Study To Evaluate The Effects Of Two Novel Hydration Beverage Formulas On Rehydration In Healthy Adults, Nathaniel David Rhoades

Theses and Dissertations

Intro: Dehydration is common in athletes and can lead to reductions in cognitive and physical performance. While there are many commercially available hydration beverages, most contain high amounts of CHO and are marketed as functional beverages. The purpose of this study was to determine the effects of two novel hydration beverage formulas (HMAA, HM) on hydration, cognitive performance, and time to exhaustion (TTE). Methods: Sixteen subjects (n=8 women, n=8 men) completed three experimental days where they consumed one of three conditions (HMAA, HM, or placebo) assigned randomly. The experimental protocol was completed in a heat chamber at 30-32℃ and 45-50% …

An Examination Of Inter-Limb Functional Asymmetry After A Fatiguing Bout Of Exercise In High Level Soccer Players, Nestor Urrea

Theses and Dissertations

INTRODUCTION: Inter-limb functional asymmetries greater than 15% have been linked to a greater incidence of injury. Moreover, asymmetries greater than 10% have shown greater risk of injury and worsened sport performance, especially for strength and power capabilities, in athletes of multiple sports. Fatigue and sex are factors that seem to influence injury rates as well as greater asymmetries between limbs. This research project aims to investigate the effects of a fatiguing bout of exercise in strength and power inter-limb functional asymmetries in male and female soccer players. It was hypothesized that strength and power asymmetries are negatively affected after a …

Practices And Perceptions Of Family-Centered Care: A Cross-Sectional Survey Of Secondary School Athletic Trainers, Zachary K. Winkelmann, Nancy A. Uriegas, James M. Mensch, Conner E. Montgomery, Toni M. Torres-Mcgehee

Faculty Publications

Family-centered care (FCC) includes collaboration between families and healthcare providers, the creation of flexible policies, and the family taking an active role in the delivery of care. Secondary school athletic trainers provide care for underage patients in school-based health systems, making them responsible for maintaining communication with parents, guardians, and/or caregivers. This cross-sectional survey investigated the extent to which athletic trainers (n = 205) include aspects of FCC in their daily secondary school clinical practice (current practices = CP) and whether they believe that aspect of care is necessary for FCC to be provided in athletic training (perceived necessary = …

Examination Of The Cumulative Risk Assessment And Nutritional Profiles Among College Ballet Dancers, Kenya Moore, Nancy A. Uriegas, Jessica Pia, Dawn M. Emerson, Kelly Pritchett, Toni M. Torres-Mcgehee

Faculty Publications

This study examined female collegiate ballet dancers' ( = 28) Female Athlete Triad (Triad) risk via the Cumulative Risk Assessment (CRA) and nutritional profiles (macro- and micronutrients; = 26). The CRA identified Triad return to play criteria (RTP: Full Clearance, Provisional Clearance, or Restricted/Medical Disqualified) by assessing eating disorder risk, low energy availability, menstrual cycle dysfunction, and low bone mineral density. Seven-day dietary assessments identified any energy imbalances of macro- and micronutrients. Ballet dancers were identified as low, within normal, or high for each of the 19 nutrients assessed. Basic descriptive statistics assessed CRA risk classification and dietary macro- and …

An Examination Of Depression, Anxiety, And Self-Esteem In Collegiate Student-Athletes, Samantha R. Weber, Zachary K. Winkelmann, Eva V. Monsma, Shawn M. Arent, Toni M. Torres-Mcgehee

Faculty Publications

Mental health research exists for student-athletes in the areas of depression, anxiety, and self-esteem prevalence. However, updated prevalence rates and assessment of risks across sports, academic status, and genders are needed. Filling the gaps in research assists in the creation of patient-centered mental health screening and interventions designed for student-athletes. Therefore, the purpose is to examine the prevalence of depression, anxiety, and self-esteem in collegiate student-athletes and differences between sex, academic status, and sport type, and identify associations for risks. Using a cross-sectional design, collegiate student-athletes were surveyed to assess for risks of depression, anxiety, and self-esteem. With the use …

Sports Nutrition- And Strength And Conditioning-Based Interventions To Bolster Health And Human Performance In Male And Female Tactical Personnel, Harry Paul Cintineo

Theses and Dissertations

Military and law enforcement personnel are required to possess sufficient physical and cognitive fitness to perform their official duties. Tactical athletes must have fast reaction times (RT), high levels of various aspects of muscular performance, including power, strength, and endurance, as well as high anaerobic and aerobic capacities. The purpose of this dissertation was to investigate acute sports nutrition and chronic strength and conditioning strategies to improve health and human performance in tactical athletes, including law enforcement officers, active-duty military service members, and Reserve Officers’ Training Corps (ROTC) cadets and midshipmen.

The first study tested the effects of a combination …

Relationships Among Sleep, Physical Activity, And Weight Status In Children And Adolescents, Agnes Bucko

Theses and Dissertations

Sleep and physical activity are both associated with multiple behavioral and metabolic health outcomes, and both behaviors have been linked to the development of weight status. Recent estimates suggest that many children are not meeting sleep recommendations or participating in adequate levels of physical activity, which may be related to the high prevalence of childhood overweight and obesity. Much of the research assessing these relationships has focused on adults and older children, and has relied on parent- or child-reported, cross-sectional research in predominantly White samples. Little work has focused on these relationships in very young children. Although more research has …

The Effects Of Exercise Training On Cholesterol Efflux Capacity In The Heritage Family Study, Joshua Adam Hawkins

Theses and Dissertations

Cholesterol efflux capacity (CEC) has been associated with cardiovascular disease risk independent of HDL-C levels. However, the effect of regular exercise on CEC is not yet fully understood. Therefore, we examined the effects of exercise training on CEC in the HERITAGE Family Study. In HERITAGE, subjects participated in an endurance training program that consisted of exercise on a cycle ergometer three times per week for 20 weeks. Global and non-ABCA1 CEC were measured at baseline and post-training in 542 subjects via a cell- based radiolabeled CEC assay. Neither global nor non-ABCA1 CEC significantly changed with training in the whole cohort. …

Self Reported Cardiovascular Health And Health Behaviors In Women Veterans, Seth Byland

Theses and Dissertations

Objective: The purpose of this study is to describe self-reported cardiovascular health (CVH) and health behaviors in women veterans (WV). A cardiovascular score will be adapted from the existing American Heart Association CVH score. This score will be used to describe CVH in WV.

Methods: Data was collected from WV using an anonymous online survey. This survey asked questions about CVH, CVH behavior, and military specific questions. CVH scoring was determined by asking 6 questions that scored individuals for a total score from 0 to 12, with 12 being most ideal for CVH health. Scores were tallied and mean scores …

Longitudinal Association Of Biological Maturation With Physical Activity Behaviors In Girls Transitioning From 5th To 7th Grade, Russell R. Pate, Marsha Dowda Ph.D., Rod L. Dishman, Joseph Gorab, Agnes Bucko, Ruth P. Saunders Ph.D.

Faculty Publications

Introduction

This longitudinal study determined if social cognitive variables influence physical activity in girls stratified on the basis of maturity status.

Methods

Participants attended South Carolina public schools (Mage in 5th grade = 11.1 years) and included a cohort of 529 girls who provided physical activity data in the 5th grade and in 6th and/or 7th grade. The measure of maturity status was age at peak height velocity (APHV) estimated from maturity offset when the children were in the 5th grade. The Earlier Maturity (EM) group included girls whose APHV was one standard deviation or more below the mean APHV …

Investigation Of Eating Disorder Risk And Body Image Dissatisfaction Among Female Competitive Cheerleaders, Allison B. Smith, Jennifer L. Gay, Eva V. Monsma, Shawn M. Arent, Mark A. Sarzynski, Dawn M. Emerson, Toni M. Torres-Mcgehee

Faculty Publications

Social agents associated with cheerleading environments are increasingly linked to body image dissatisfaction (BID) and eating disorders (ED). This study examined ED risk across team type, squad type, and position. An additional purpose determined BID in clothing type (daily clothing, midriff uniform, and full uniform), and meta-perceptions from the perspective of peers (MP peers), parents (MP parents), and coaches (MP coaches). Female cheerleaders ( = 268) completed an online survey which included demographics, the Eating Attitudes Test-26, and pathogenic behavior questions. Body image perceptions were assessed by using the Sex-Specific Figural Stimuli Silhouettes. Overall, 34.4% of cheerleaders ( = 268; …

Examination Of The Prevalence Of Female Athlete Triad Components Among Competitive Cheerleaders, Allison B. Smith, Jennifer L. Gay, Shawn M. Arent, Mark A. Sarzynski, Dawn M. Emerson, Toni M. Torres-Mcgehee

Faculty Publications

The purpose of this study was to examine individual and combined Female Athlete Triad components within collegiate cheerleaders, an at-risk group. Cheerleaders ( = 19; age: 20.3 ± 1.2 years) completed anthropometric measurements, health history questionnaires, resting metabolic rate, the eating disorder inventory-3 and symptom checklist, blood sample, and DXA scan. Participants completed dietary and exercise logs for 7 days and used heart rate monitors to track daily and exercise energy expenditure. Proportions were calculated for low energy availability (LEA) risk, disordered eating risk, and pathogenic behaviors. Chi-square analysis was used to determine the difference between cheerleaders who experience low …

A Qualitative Report Of The Perceptions Of The Covid-19 Pandemic From Collegiate Student-Athletes, Dylan C. Rowe, Zachary K. Winkelmann, Shawn M. Arent, Michelle A. Arent, Alexa J. Chandler, Nancy A. Uriegas, Toni M. Torres-Mcgehee

Faculty Publications

CONTEXT: The COVID-19 pandemic led to an abrupt disruption in access to services and personnel for collegiate student-athletes in the spring and summer of 2020. We sought to identify the effects of this unprecedented change by examining the psychological well-being, changes to normal routines, and return-to-play considerations of current student-athletes in order to guide support for both current and future student-athletes who may face similar situations. METHODS: We utilized a phenomenological approach to interview a purposeful sample of eighteen collegiate student-athletes (7 males, 11 females; mean age = 20 years) from across the United States. The participants were interviewed using …

Normalization Of Muscle Strength Measurements In The Assessment Of Cardiometabolic Risk Factors In Adolescents, Tiago Rodrigues De Lima, Xuemei Sui M.D., M.P.H., Ph.D., Diego Augusto Santos Silva

Faculty Publications

Muscle strength (MS) has been associated with cardiometabolic risk factors (CMR) in adolescents, however, the impact attributed to body size in determining muscle strength or whether body size acts as a confounder in this relationship remains controversial. We investigated the association between absolute MS and MS normalized for body size with CMR in adolescents. This was a cross-sectional study comprising 351 adolescents (44.4% male; 16.6 ± 1.0 years) from Brazil. MS was assessed by handgrip and normalized for body weight, body mass index (BMI), height, and fat mass. CMR included obesity, high blood pressure, dyslipidemia, glucose imbalance, and high inflammation …

Effects Of Basketball Exercise Simulation Test (Best) On Landing Mechanics In Active Females, Madison Treece

Theses and Dissertations

Intro: In the United States, female basketball players have the second highest rate of ACL injury, following female soccer players. This injury rate is four times higher than their male counterparts. These injuries occur more frequently at the end of the first and second halves and may be associated with exercise-induced fatigue causing knee instability. The purpose of this pilot study was to determine the effects of a basketball simulation test on landing mechanics. Methods: Six subjects completed both the intervention and the control trial consisting of four 10-min quarter game simulations of the validated Basketball Exercise Simulation …

Examination Of Energy Needs And Female Athlete Triad Components In Competitive Cheerleaders, Allison Smith

Theses and Dissertations

The sport of cheerleading has grown immensely over the recent decades. The current sport requires full body athletic abilities like gymnastics, ballet, and swimming and diving. These sports have previously reported high rates of eating disorder (ED) risk, body image dissatisfaction, and Female Athlete Triad (Triad) components (low energy availability with or without and eating disorder, menstrual cycle dysfunction, and low bone mineral density). Scientific research examining these factors within cheerleaders has been limited. The purpose of this study was to examine overall ED risk across cheerleading team type (All-Star, college), squad type (all-girl, coed), and by position (flyer, base, …

Examination Of Athlete Triad Symptoms Among Endurance-Trained Male Athletes: A Field Study, Erin M. Moore, Clemens Drenowatz, David F. Stodden, Kelly Pritchett, Thaddus C. Brodrick, Brittany T. Williams, Justin M. Goins, Toni M. Torres-Mcgehee

Faculty Publications

Studies examining the physiological consequences associated with deficits in energy availability (EA) for male athletes are sparse. To examine male athlete triad components; low energy availability (LEA) with or without an eating disorder risk (ED), reproductive hormone [testosterone (T)], and bone mineral density (BMD) in endurance-trained male athletes during different training periods. A cross-sectional design with 14 participants (age: 26.4 ± 4.2 years; weight: 70.6 ± 6.4 kg; height: 179.5 ± 4.3 cm; BMI: 21.9 ± 1.8 kg/m2) were recruited from the local community. Two separate training weeks [low (LV) and high (HV) training volumes] were used to collect the …

Implementation Of Brain Breaks(R) In The Classroom And Its Effects On Attitudes Towards Physical Activity In A Chinese School Setting, Ke Zhou, Sensen He, Yanli Zhou, Biljana Popeska, Garry Kuan, Li Chen, Ming-Kai Chin, Magdalena Mo Ching Mok, Christopher R. Edginton, Ian Culpan, J. Larry Durstine

Faculty Publications

This study aimed to examine the effects of three-months of classroom-based Brain Breaks Physical Activity Solution (Brain Breaks®) on attitudes toward physical activity levels of primary school children in Henan Province, China. The participants were 704 children enrolled in grades 3–5 who were randomly assigned to either an experimental or a control group. The experimental group participated in Brain Breaks® video intervention for 3–5 min daily, at low-to-moderate intensity for three consecutive months. The control group resumed their normal routine. The children’s attitudes in both groups towards physical activity (PA) were evaluated using the self-reported Attitudes toward Physical Activity Scale …

Validation Of A Machine Learning Brain Electrical Activity-Based Index To Aid In Diagnosing Concussion Among Athletes, Jeffery J. Bazarian, Robert J. Elbin, Douglas J. Casa, Gillian A. Hotz, Christopher Neville, Rebecca M. Lopez, David M. Schnyer, Susan Yeargin Ph.D., Atc

Faculty Publications

Importance An objective, reliable indicator of the presence and severity of concussive brain injury and of the readiness for the return to activity has the potential to reduce concussion-related disability.

Objective To validate the classification accuracy of a previously derived, machine learning, multimodal, brain electrical activity–based Concussion Index in an independent cohort of athletes with concussion.

Design, Setting, and Participants This prospective diagnostic cohort study was conducted at 10 clinical sites (ie, US universities and high schools) between February 4, 2017, and March 20, 2019. A cohort comprising a consecutive sample of 207 athletes aged 13 to 25 years with …

Prevalence Of Eating Disorder Risk And Body Image Dissatisfaction Among Rotc Cadets, Allison Smith, Dawn Emerson, Zachary Winkelmann, Devin Potter, Toni Torres-Mcgehee

Faculty Publications

Injury risk is multifactorial including non-modifiable and modifiable factors such as nutrition and mental health. The purpose of this study was to estimate eating disorder risk and body image (BI) dissatisfaction among Reserve Officers Training Corps (ROTC) cadets. A total of 102 (male: = 75, female: = 27; age: 20 ± 2 years) ROTC cadets self-reported height, current and ideal weight, and completed the Eating Attitudes Test-26 (EAT-26) and self-perceived BI current and perceived sex-specific figural stimuli. The overall eating disorder risk for ROTC cadets was 32.4%. No significant differences were found when comparing sex, ethnicity, or military branch. Overall …

Sex-Based Differences In Concussion Outcomes Among Adolescents And Young Adults, Jacob James Michael Kay

Theses and Dissertations

Concussive injuries among youth are a serious public health concern in the United States, with increasing incidence leading the Centers for Disease Control and Prevention to classify these injuries a “silent epidemic.” Though most concussions in youth resolve within a few weeks, a significant proportion (~15-20%) of individuals will experience persisting symptoms that can negatively affect important aspects of social life, as well as academic and vocational performance. Furthermore, guidelines from the most recent Consensus Statement on Concussion in Sport highlight the importance of considering individual characteristics that may modify the nature and outcomes of concussion. Biological sex is one …

Characterizing Patterns Of Adherence To Physical Activity Goals In Behavioral Weight Control, Melissa Lee Stansbury

Theses and Dissertations

Introduction: Many individuals fall short of the physical activity (PA) goals provided during lifestyle programs, and there is considerable variability in weight loss response and adherence to recommendations for behavior change. Weight loss response within the early weeks of program initiation predicts future weight loss success; however, little is known about what distinguishes those who respond well to treatment from those who fail to respond. Exposing the behavioral patterns which underlie weight loss response may point towards targets for treatment optimization. The purpose of this study was to (1) characterize individuals with distinct patterns of adherence to PA goals during …

Examination Of Emergency Medical Services Activations For Sport- Related Injuries, Rebecca Marie Hirschhorn

Theses and Dissertations

Research examining emergency medical services (EMS) activations for sport- related injuries has been limited regarding the populations examined, inclusion criteria, and location. The management of sport-related injuries by EMS providers has also not been examined. The purpose of this study was to describe EMS activations for sport- related injuries from a national sample and describe their management by EMS. Data was obtained from the National EMS Information System Database for the years 2017 and 2018. Sport-related injuries were identified using specific ICD-10-CM codes for the incident location type and cause of injury. Cases were limited to 9-1-1 responses for patients …

Integrating Survivors Of Stroke Into Cardiac Rehabilitation, Elizabeth Wherley Regan

Theses and Dissertations

Stroke is the leading cause of disability in the United States (U.S.). Impairments after stroke typically result in reduced physical activity which increases the risk for stroke recurrence and the development or worsening of comorbid health conditions. Physical activity and exercise behaviors can reduce cardiovascular risk factors and improve endurance for survivors of stroke. Despite these known significant benefits, survivors of stroke face barriers to participating in regular physical activity due to limited self-efficacy, safety concerns, environmental restrictions and lack of accessible community programs.

Cardiac Rehabilitation (CR) is a structured exercise and behavior modification program for people with cardiovascular disease …

Piloting A Smartphone-Based Sedentary Behavior Reduction Intervention For Adults With Overweight Or Obesity: Take A Stand 4 Health, Chelsea Larsen

Theses and Dissertations

INTRODUCTION: Previous studies have shown a relationship between sedentary behavior as an independent and novel risk factor for high blood pressure. However, most of the evidence comes from cross-sectional and experimental studies, with only a few studies examining whether blood pressure is improved in individuals participating in a behavioral intervention. None of these studies utilized mHealth approaches, which hold potential for behavioral interventions, and none have focused on individuals with hypertension as a part of their target population. Therefore, the purpose of the dissertation was to 1) Examine the efficacy of a smartphone-mediated multi-component sedentary behavior reduction intervention for individuals …

Reproducibility And The Effects Of Exercise On The Endurance Index, Michael Dean Smith, Jr.

Theses and Dissertations

Background: The Endurance Index (EI%) is a method to objectively assess a muscle’s ability to resist fatigue. The purpose of these studies was to determine the reproducibility of the EI% and determine the influence of muscular fatigue on the EI%. Methods Study 1: sixteen apparently healthy participants (18-30yrs) completed three nonconsecutive visits each with 3 bouts of 5-minute electrical muscle stimulations (EMS) and accelerometer-based mechanomyography (aMMG) of the vastus lateralis at 4 Hz and low amperage (25-35mA) on the hamstrings of the dominant leg; peak torque was measured at each visit. Study 2: fifteen apparently healthy participants (ages 18-30yrs) …

Leveraging For-Cause Physical Activity Events For Physical Activity Promotion: An Investigation Using Self-Determination Theory, John A. Bernhart

Theses and Dissertations

Motivating individuals to live active lifestyles remains a challenging but important public health issue. For-cause physical activity events reach large groups of people, many of whom are not regularly active. However, little research has applied established health behavior theories to explain participation in for-cause events. Therefore, the purpose of this dissertation was to investigate participation in for-cause events through the lens of Self-Determination Theory (SDT).

The first study recruited participants (n=207) registered in a for-cause PA event (i.e., 5K distance or shorter) to complete online surveys that assessed need satisfaction for autonomy, competence, and relatedness; intrinsic motivation; altruism; PA behavior; …