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Masculinity And Men’S Health Attitudes Toward Consideration Of Weight-Loss Surgery, Karaline Fusco

Theses and Dissertations

The rise in obesity across the United States has led to greater educational outreach, considerable research, and medical interventions aimed at decreasing the rate of obesity-related health diseases. But are these interventions reaching everyone? Despite men and women having equivalent rates of obesity, only 20% of weight-loss surgery patients are men. While men have an average life expectancy that is 5 years less than women and are twice as likely than women to have heart disease, men also underutilize healthcare services. Given these factors, this research explored men’s health beliefs, conformity to male norms, and receptivity to weight-loss surgery. This …

Toward A Biopsychosocial Model Of Obesiy: Can Psychological Well-Being Be The Bridge To Integration?, Alexia Holovatyk

Theses and Dissertations

The complications associated with obesity are some of the most pressing health concerns facing the United States. At present, cardiovascular disease, stroke, and certain types of cancer are some of the leading causes of death, and researchers have cited obesity as one related factor (NIH, 2000). The topic of obesity has typically been approached through two seemingly contradictory lenses: The biomedical model that views obesity as a disease risk factor (e.g. Huxley, Mendis, Zheleznyakov, Reddy, & Chan, 2010) and the psychosocial model that considers the stigma associated with obesity to be more harmful than weight itself (e.g., Hatzenbuehler, Keyes, & …

Culturally-Relevant Factors That Influence Healthy Eating Among African American College Students, Danyel Smith

Theses and Dissertations

Obesity is a national epidemic in the US, disproportionately affecting African Americans, such that the obesity prevalence in African Americans (49.6%) surpassed the national prevalence (42.4%) in 2018. Those same disparities exist at the collegiate level, such that 27.4% of a sample of African Americans college students had obesity, surpassing the national prevalence of obesity (12.1%) in 2018. Diet, an important driver of obesity, is influenced by several psychological, social, and environmental factors. However, cultural factors influencing diet are understudied among African American college students. The overarching goal of the current study was to identify culturally-relevant factors that promote healthy …

Motivational And Physiological Dysregulation Due To Development And Onset Of Obesity Via Melanocortin 4 Receptor +/- Haploinsufficiency, Alex Steiner

Theses and Dissertations

Obesity is one of the leading most health risks around the world, being especially problematic in the United States. A combination of high-fat diets and genetic abnormalities are to blame for the ever-growing number of obese individuals.

Melanocortin 4 receptors are vital for regulating energy expenditure and feeding behaviors; mutations of the receptors have been found to be the leading monogenetic cause of obesity. Using MC4R +/- haploinsufficient rats being fed a range of dietary fat, we investigated the physiological and motivational differences using a locomotor task, an operant task with fixed and progressive ratios, as well as a distraction …

The Impact Of Sleep Restriction On Food-Related Inhibitory Control And Food Reward In Adolescents: Physical Activity And Weight Status As Potential Moderators, Kara Mcrae Duraccio

Theses and Dissertations

The present study aimed to evaluate associations between sleep duration and food-related inhibitory control and food reward in adolescents aged 12-18. Potential moderating effects of physical activity and weight status on the association between sleep, inhibitory control, and food reward were also examined. To evaluate these associations, the study employed a two-phase crossover design in which participants spent either 5 hours per night (restricted sleep) or 9 hours per night (habitual sleep) in bed for 5 nights. Participants completed a food-related inhibitory control task and a questionnaire assessing for food reward on the 6th day of each study phase. Repeated …

Associations Among Parenting Style And Parental Feeding Practices On Adolescent Self-Efficacy For Diet And Obesity In African American Adolescents, Haylee Loncar

Theses and Dissertations

Previous literature has demonstrated relationships between parenting factors and child health. However, few studies have investigated such associations in African American and adolescent samples. The proposed study aimed to investigate the relationships between parenting factors (parenting style and parental feeding practices), and adolescent self-efficacy for diet, and adolescent body mass index (BMI) in African American families. Baseline data were collected from 241 African American parent- adolescent dyads enrolled in the Families Improving Together (FIT) for Weight Loss trial. Adolescents self-reported their perceptions of their caregiver’s parenting style and feeding practices, as well as perceptions of their own self-efficacy for diet. …

Motivators And Barriers To Health Behaviors In African American Women, Teresa M. Depratt

Theses and Dissertations

Women who identify as African American are at particularly high risk of developing obesity and associated health concerns such as diabetes, heart disease, and cancers. Eating healthfully and engaging in a minimal amount of physical activity are known to be both preventative and curative. Based on review of research, this study investigated potential constructs of Motivators and Barriers to health-supporting behaviors as they are perceived in African American women. The study also constructed a novel scale, Motivators and Barriers to Health Behaviors (MBHB), which intended to capture some constructs of each domain via two surveys. Also of interest was if …

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

Nurses' Reactions To Patient Weight: Effects On Clinical Decisions, Heidi M. Pfeiffer

Theses and Dissertations

In previous research, a variety of health care providers have expressed some degree of negative attitudes toward caring for obese patients. However, little is known about whether these negative attitudes lead to differential care. This study focused on the clinical decision-making of nurses, who are under-represented in this type of research despite their central and sustained role in patients’ care experiences. In an anonymous online survey, 256 nurses responded to clinical vignettes about a hypothetical patient depicted in a photograph. The patient’s appearance was altered to appear normal-weight or obese, for each of two different models per sex, utilizing a …

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

Pathways Linking Sleep Timing To Obesity In Midlife Women, Dana R. Schreiber

Theses and Dissertations

Midlife women are vulnerable to developing obesity. Both sleep timing and negative emotion are risk factors, yet limited research has explored their role on weight outcomes in this population. The current investigation explored the association of sleep timing (i.e., mean sleep time, sleep time variability) and obesity (i.e., BMI, waist circumference) in midlife women, considering emotional pathways (i.e., depressive symptoms, anger) that might mediate this association. PROCESS parallel mediation models assessed direct and indirect pathways. In follow-up analyses, sleep duration was explored as an indirect pathway linking sleep timing to obesity. Results demonstrated that sleep timing does not directly predict …

Motivation, Mindfulness, And Metabolic Factors Predicting Adolescent Adherence And Attrition In A Multidisciplinary Weight Management Program, Stephen Trapp

Theses and Dissertations

Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the …

An Examination Of Weight, Weight Bias, And Health Care Utilization And Attitudes Among Emerging Adults, Jessica M. Mccauley

Theses and Dissertations

Individuals with overweight/obesity have been found to exhibit more negative attitudes toward health care and disproportionate rates of health care delay and avoidance, compared to their healthy weight peers. The present study sought to examine potential mechanisms through which weight status influences health care utilization and attitudes. Six hundred and thirty-three students completed a questionnaire measuring weight status, perceived weight bias, patient-provider relationship, and health care utilization and attitudes. Although the majority of the paths in the proposed theoretical mediation model were supported by the present findings, there was no support for the anticipated link between perceived weight bias and …

Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods

Theses and Dissertations

Increasing rates of obesity across all race, ethnic, gender, and age groups over the past thirty years have generated significant public health concern. Black children face disproportionately higher risk for overweight and obesity compared with their White peers. Substantial evidence suggests that parent involvement improves pediatric obesity treatment outcomes. Moreover, churches are feasible and culturally congruent places to host health promotion interventions within the Black community. The current study examined the feasibility of disseminating an existing pediatric obesity intervention, NOURISH, in Black church communities. Twenty-five families participated in baseline assessment of the NOURISH-C. Five churches hosted the intervention and eight …

An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski

Theses and Dissertations

Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …

Alterations To Taste Preference In Mc4r Haploinsufficiency Manifest Prior To Dietary Induced Obesity And Are Accompanied By Dendritic Spine Alterations To Medium Spiny Neurons Of The Nucleus Accumbens In Adulthood, Robert Francis Roscoe Jr.

Theses and Dissertations

Obesity has reached epidemic proportions in the United States and has become an increasing public health concern for developed nations. Haploinsufficiency of melanocortin receptor 4 has been identified as the single most common monogenetic cause of obesity in humans. Using the MC4R +/- haploinsufficient rat, we sought to determine potential alterations in body weight and morphology, locomotor activity, sucrose concentration preference, and progressive-ratio operant testing in a dietary-induced obesity environment. Rats were placed on four separate diets corresponding to 1.7% saturated fat with 12.2% total kcal/fat, 6% saturated fat with a 40% total kcal/fat, 12% saturated fat with a 40% …

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …

Ecological Momentary Assessment And Time-Varying Factors Associated With Eating And Physical Activity, Amy Jeffers

Theses and Dissertations

The obesity epidemic is a significant problem in the United States. It is well established that lifestyle factors, such as unhealthy eating and physical inactivity, are key contributors. These causes are generally voluntary activities and it is important to examine health decision-making with respect to these behaviors. The current study examined time-varying factors of stress and mood and their relationship with healthy eating and physical activity in a sample of undergrads (N = 26). Ecological momentary assessment via one's cell phone was used to collect multiple measurements over six days. Positive mood was found to follow physical activity episodes for …

Parental And Family Predictors Of Adolescent Weight Loss And Health Change In A Multidisciplinary Obesity Intervention, Jacqueline Woods

Theses and Dissertations

The home environment, parental health attitudes, and parental diet and exercise behaviors have been associated with childhood obesity. The current study utilized a family systems framework to examine the effect of these variables on weight and health changes in a primarily Black sample of 530 parent-adolescent dyads enrolled in a multidisciplinary weight loss intervention. Parent-reported psychosocial variables and demographic information were used to test models predicting changes in adolescents’ body mass index, cholesterol, and percentage body fat over the first six months of the intervention. The effect of parent participation in a psycho-education parent group on adolescent health outcomes was …

Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg

Theses and Dissertations

The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …

Binge Eating In Ethnically Diverse Obese Adolescents, Clarice K. Gerke

Theses and Dissertations

Rates of pediatric obesity in America are reaching epidemic proportions. Studies using both community and treatment-seeking samples of obese adolescents indicate that a subset engage in binge eating behaviors. This study investigated the prevalence and severity of binge eating behaviors among 86 primarily African American 11 to 17 year old adolescents seeking outpatient treatment for obesity. This study also examined the associations of stressful experiences (specifically, weight-related teasing, trauma, and daily hassles) with binge eating, as well as potential mediators and moderators of these relationships. Twenty-eight percent of the sample reported at least one episode of binge eating in the …

Changes In Bmi Among First Semester College Students, Rachel L. Walker

Theses and Dissertations

The transition to college has been identified as a critical period for weight gain; however, only a limited number of studies have examined this phenomenon. The college setting may promote weight gain, thus the purpose of the present study was to quantify changes in BMI in first year students during their first semester of college and to understand factors associated with weight gain, such as eating behaviors, physical activity, and body shape ideals. Significant changes in weight were detected between Time 1 and 2 with a mean weight gain of 1.24 kg. The majority of participants (73.1 %) gained weight …

Implicit Theories Of Weight Management: A Social Cognitive Approach To Motivation, Jeni L. Burnette

Theses and Dissertations

Just as scientists develop general conceptual explanations of the phenomena they investigate, individuals also develop intuitive theories about such human characteristics as intelligence, personality, and athletic ability. These theories, unlike scientist's theories, are not explicitly articulated or documented, and so they are termed implicit theories. Implicit theories, in achievement motivation, distinguish between the belief that human attributes are fixed (entity theory) or malleable (incremental theory) and have been shown to have far-reaching consequences for motivation, goal-orientations, and regulatory strategies in an array of domains. This dissertation extended implicit theories research to the domain of body-weight management. Drawing from an elaborate …