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Social and Behavioral Sciences

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Louisiana State University

Theses/Dissertations

Obesity

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A Spatial Analysis Of Obesity And Its Associations With The Built And Natural Environment, Physical Inactivity, And Socioeconomic And Demographic Conditions In The United States Of America, Mustafa Erdem Jan 2015

A Spatial Analysis Of Obesity And Its Associations With The Built And Natural Environment, Physical Inactivity, And Socioeconomic And Demographic Conditions In The United States Of America, Mustafa Erdem

LSU Doctoral Dissertations

Obesity has strong genetic determinants but the genetic composition of the population does not change rapidly. Thus in this study, the major changes in non-genetic factors such as the development of obesogenic environments and shifting socioeconomic status and lifestyle of individuals are hypothesized to increase the risk of obesity. As the prevalence of obesity continue to increase worldwide with substantial attention in the US, a clearer understanding of how spatial associations between obesity and confounding factors are interrelated is crucial to better tackle the issue of obesity. This study employs the ‘global’ and ‘local’ Exploratory Spatial Data Analysis (ESDA) methods …


Built Environment And Risk Of Obesity In The United States: A Multilevel Modeling Approach, Yanqing Xu Jan 2014

Built Environment And Risk Of Obesity In The United States: A Multilevel Modeling Approach, Yanqing Xu

LSU Doctoral Dissertations

This dissertation provides a series of exploratory analyses of the relationship between built environment and obesity by using multiple data sets and employing the state-of-art Geographic Information Systems methods. Several built environment factors including street connectivity, walkability and food environment, are for the first time measured across 48 contiguous states of the U.S., built from a fine geographic scale such as the census tract level. Based on the nationwide BRFSS data, the first study used the Geographically Weighted Regression (GWR) model to analyze the obesity rates at the county level. The model results reveal that overall obesity rates are negatively …


The Physiological Effects Of Resistant Starch On Obesity And Diabetes, Felicia Robin Goldsmith Jan 2014

The Physiological Effects Of Resistant Starch On Obesity And Diabetes, Felicia Robin Goldsmith

LSU Doctoral Dissertations

Three studies were performed to determine the effects of RS on body weight and adiposity in HF DIO, diabetic C57BL/6J and GLP-1 receptor KO mice as well as genetically obese ZDF rats. The first study was a dose-response experiment for HM260 (0, 15, or 28 g/100 g diet) against the anti-diabetes drug SG (Januvia®) (0 or 0.4 g/100 g diet) in HF DIO C57BL/6J (n=55) mice injected with STZ in order to assess synergy. The most effective combination was used in the second study, the purpose of which was to determine the mechanistic importance of GLP-1 in GLP-1R KO (n=25) …


Effects Of Brief Motivational Interviewing On Motivation For Weight Loss, Krystal Marie Waldo Jan 2014

Effects Of Brief Motivational Interviewing On Motivation For Weight Loss, Krystal Marie Waldo

LSU Master's Theses

Obesity rates have continued to increase over the past decade with a current estimate of 35.7% of adults who are obese in the United States. Several behavioral weight loss programs are available to individuals, which typically lead to a 10% decrease in body weight; however, most individuals begin gaining weight after six months. Long-term weight maintenance interventions may be needed to help individuals keep the weight off and more cost-effective, and tailored weight-loss treatments need to be available. Motivation may play an important role in long-term weight maintenance. Self-determination theory (SDT; Deci & Ryan, 1995) states that it is important …


Relationship Between Childhood Sexual Abuse, Weight, And Attitudes Toward Obesity In Lesbians, Amy L. Wright Jan 2013

Relationship Between Childhood Sexual Abuse, Weight, And Attitudes Toward Obesity In Lesbians, Amy L. Wright

LSU Master's Theses

In many professional practice settings, it is very likely that social workers will work with female clients who identify as lesbian or bisexual. These sexual minority females are more likely to be overweight or obese, have a history of childhood sexual abuse, and have more positive attitudes toward overweight and obesity than heterosexual women. In this study, the author sought to identify the relationship between childhood sexual abuse, obesity, (specifically, body mass index [BMI]), and attitudes toward obesity among lesbian and bisexual women. Eighty-five sexual minority females completed a survey. Childhood sexual abuse was found to be positively correlated with …


The Role Of Ad-36 And Its E4orf-1 Protein In Modulating Glycemic Control, Emily Jane Dhurandhar Jan 2011

The Role Of Ad-36 And Its E4orf-1 Protein In Modulating Glycemic Control, Emily Jane Dhurandhar

LSU Doctoral Dissertations

Current treatment strategies for Type 2 Diabetes Mellitus (T2DM) include a range of anti-diabetic drugs, supplemented by lifestyle modifications to reduce dietary fat intake and body fat. However, for their anti-diabetic action, most drugs recruit insulin signaling pathways, which are already impaired in T2DM. Also, compliance and success in achieving sustained improvements in diet or obesity over the long term is marginal. Therefore, an agent that improves diabetes independent of insulin signaling or lifestyle changes may be highly useful. Human adenovirus Ad36 offers such a model. Ad36 improves glycemic control in chow-fed mice or rats and attenuates diabetes and hepatic …


Obesity Treatment Alternatives: Foods To Surgery, Brooke Erwin Bayham Jan 2011

Obesity Treatment Alternatives: Foods To Surgery, Brooke Erwin Bayham

LSU Master's Theses

The purpose of these studies was to explore the roles of dietary strategies and bariatric surgery in obesity treatment. The breakfast study was a randomized, crossover trial used to evaluate the role of egg proteins, and a retrospective chart review was conducted to obtain comparative information about two different bariatric surgeries. The breakfast study included 20 subjects who were randomized to receive an egg breakfast (EB) or a cereal breakfast (CB) matched for energy density and macronutrient composition but different protein quality for one week. Following a washout period, each subject was crossed over to receive the opposite breakfast for …


Nutrition And Eating Habits In Adolescent Television Programs: A Content Analysis Of Food And Beverage Consumption On Popular Teen Television, Carly Nicole Dickson Jan 2009

Nutrition And Eating Habits In Adolescent Television Programs: A Content Analysis Of Food And Beverage Consumption On Popular Teen Television, Carly Nicole Dickson

LSU Master's Theses

Media research often argues that viewing certain media can significantly increase the likelihood someone will develop an eating disorder or become obese. This study uses social cognitive and drama theory to discuss how adolescents may learn nutrition information and eating habits by watching television programs. Since adolescence is when people form eating habits, this exploratory study will analyze the nutrition content in three top teen television shows. This quantitative content analysis found that the characters in teen television primarily have a healthy body size but consume unhealthy items. This may be sending a message to adolescents that unhealthy nutrition maintains …


Changes In Body Image And Body Weight And Shape Goals Associated With Weight Loss And Maintenance In Overweight/Obese Adults Diagnosed With Type 2 Diabetes Mellitus, Amy Rzeznikiewicz Bachand Jan 2008

Changes In Body Image And Body Weight And Shape Goals Associated With Weight Loss And Maintenance In Overweight/Obese Adults Diagnosed With Type 2 Diabetes Mellitus, Amy Rzeznikiewicz Bachand

LSU Doctoral Dissertations

The primary aim of this study was to test for changes in body image in males and females in a randomized controlled trial of weight loss for older overweight/obese adults who have been diagnosed with type 2 diabetes (Look AHEAD: Action for Health in Diabetes). A computerized morphing assessment program (The Body Morph Assessment; BMA 2.0) was used to assess estimates of perceived current body size (CBS), ideal body size (IBS), acceptable body size (ABS), body dissatisfaction based on the discrepancy between participants’ perceived CBS and IBS (CBS-IBS) and ABS (CBS-ABS), as well as participants’ weight loss goals in terms …


Resistant Starch Is Effective In Lowering Body Fat In A Rat Model Of Human Endocrine Obesity, Julina Ann Robert Jan 2008

Resistant Starch Is Effective In Lowering Body Fat In A Rat Model Of Human Endocrine Obesity, Julina Ann Robert

LSU Master's Theses

Two studies were performed to determine the effects of resistant starch (RS) on body weight and fat. A 2x2 factorial design was used in both studies, and results were considered significant when p<0.05 for both studies. The first study examined the effects of RS in a high fat diet (44.8% of energy) on weight, fat, peptide-YY (PYY) levels, and cecal pH in male Sprague-Dawley rats. Rats were fed a low fat energy control diet for one week prior to diet treatment. On week two, rats were blocked by weight and fed one of the following diets for 12 weeks (n=10): low fat, energy control (LFEC); LF resistant starch (LFRS); high fat, energy control (HFEC); or high fat resistant starch (HFRS). RS did not lower weight or fat with either the HF or LF diets. RS consumption resulted in greater full and empty cecal weights, and a lower pH for the LFRS diet. This data indicate fermentation, even though weight and fat loss did not occur. This is contrary to previous reports with RS, which has been shown to decrease body fat compared to controls. The second study examined the effects of RS on the weight, fat, PYY levels, and glucagon-like peptide-1 (GLP-1) levels in female Sprague-Dawley rats. Ovariectomized (OVX) rats were used to represent rats prone to gaining weight, and sham rats represented normal rats. Rats were assigned to one of four groups (n=10): OVEC, OVRS, SHEC, or SHRS. Rats were fed the EC diet for 6 weeks prior to diet treatment to gain weight after surgery, and then blocked by weight and fat into diet treatment groups, and spent 13 weeks on treatment diets. Energy intake, total gastrointestinal weight, large intestine/cecum weight, and small intestine weight were all higher in RS fed rats relative to EC fed rats. Mesenteric, ovarian, perirenal, retroperitoneal, and total fat pads were lower in RS rats relative to EC rats. Although RS was not effective in lowering body weight or body fat in the first study, the data indicates that resistant starch may lower body weight and fat in postmenopausal women.


Modulating Lipolysis For Nutraceutical And Cosmeceutical Applications, Mary Katherine Caruso Jan 2006

Modulating Lipolysis For Nutraceutical And Cosmeceutical Applications, Mary Katherine Caruso

LSU Master's Theses

The first study was conducted to determine if aminophylline cream application to the waist will reduce waist circumference compared to a control. Topical fat reduction from the thigh in women has been demonstrated, but local fat reduction in other areas or in men has not. Fifty men and women were randomized to 0.5% aminophylline cream to the waist twice a day or to no treatment to the waist. At week 12 there was a significant reduction in BMI from baseline that was not different between the groups. The reduction in waist circumference was 11 ± 1.0 cm in the aminophylline …


The Intersection Of News Frames: Examining The Top Two Health Problems In The United States, Lesa D'Anne Hatley Jan 2006

The Intersection Of News Frames: Examining The Top Two Health Problems In The United States, Lesa D'Anne Hatley

LSU Doctoral Dissertations

This research tests the public health model of reporting to discover if changing the way newspaper stories frame the top two health concerns in the United States – cancer and obesity – affects readers’ view of the problem. Using an experimental design, this study manipulated the context of newspaper stories about cancer and obesity. Applying thematic (broader context) and episodic (individual or event) framing concepts and gains (emphasizes benefits – e.g. lives saved) and losses (emphasizes costs – lives lost), this research revealed how the differences in framing affect public opinion about cancer and obesity. This research expands framing theory …


Who Said "Words Can Never Hurt?": An Investigation Of Child Weight Status, Childhood Psycosocial Variables, And Later Adult Quality Of Life, Holly Spencer Kihm Jan 2006

Who Said "Words Can Never Hurt?": An Investigation Of Child Weight Status, Childhood Psycosocial Variables, And Later Adult Quality Of Life, Holly Spencer Kihm

LSU Doctoral Dissertations

The first purpose of the research project was to examine the relationship between child weight status and adult quality of life. The second purpose of the research project was to test psychosocial variables as mediators of the relationship between child weight status and adult quality of life. A total of 164 undergraduate and graduate students from Louisiana State University participated in the study. The students completed five online questionnaires that were used to assess variables such as child weight status, adult weight status, history of childhood teasing experiences, child self-concept, and adult quality of life. Several statistical analyses were employed …


Impact Of A Stage-Matched Weight Loss Intervention On Stage Of Change Progression In Predominantly African-American Female Primary Care Patients, Jamie Sue Bodenlos Jan 2006

Impact Of A Stage-Matched Weight Loss Intervention On Stage Of Change Progression In Predominantly African-American Female Primary Care Patients, Jamie Sue Bodenlos

LSU Doctoral Dissertations

Obesity is associated with several chronic medical conditions. Certain individuals are at higher risk for obesity including low-income African American females. Despite the many benefits to weight loss, many individuals do not seek treatment. Individuals are likely to attend primary care appointments where obesity can be targeted. Although stage matched interventions based on the Transtheoretical Model (TM) have been used successfully to aid in health behavior change, few studies have examined the use of stage matched weight loss interventions in African American females. There is also a paucity of research examining the effects of stage matched weight loss interventions on …


Mediators Of Weight Loss In An Internet-Based Intervention For African American Adolescent Girls, Marney A. White Jan 2003

Mediators Of Weight Loss In An Internet-Based Intervention For African American Adolescent Girls, Marney A. White

LSU Doctoral Dissertations

The primary aim of this study was to assess the process variables involved in a weight loss program for African-American adolescent girls. This internet-based intervention compared a behavioral treatment program to an educational treatment program; it was hypothesized that participants randomized to the behavioral condition would lose more weight at 6 months than those in the educational condition. Several process variables have been identified as affecting success in in vivo weight loss programs for adults and children, including program adherence, self-efficacy, and social support. The current study sought to broaden the understanding of these process variables as they pertain to …


A Path Analysis Of Binge Eating And Obesity In African Americans: Acculturation, Racism, Emotional Distress, Binge Eating, Body Dissatisfaction, Attitudes Towards Obesity, Dietary Restraint, Dietary Fat Intake, And Physical Activity, Joy Rose Kohlmaier Jan 2003

A Path Analysis Of Binge Eating And Obesity In African Americans: Acculturation, Racism, Emotional Distress, Binge Eating, Body Dissatisfaction, Attitudes Towards Obesity, Dietary Restraint, Dietary Fat Intake, And Physical Activity, Joy Rose Kohlmaier

LSU Doctoral Dissertations

The purpose of this study was to test a general stress-related health behavior model as it applied to binge eating and obesity in African Americans using path analysis. Acculturation, racism, emotional distress, binge eating, and obesity were among the variables related to this theory, and included in the model. Other variables that have been implicated in the study of obesity in African Americans were also included, such as; lack of body dissatisfaction, accepting attitudes towards obesity, decreased dietary restraint, increased dietary fat intake and decreased physical activity. The study sample was 325 African Americans, including 187 females with a mean …


Psychosocial Predictors Of Visceral Adiposity, Paula C. Rhode Jan 2003

Psychosocial Predictors Of Visceral Adiposity, Paula C. Rhode

LSU Doctoral Dissertations

Psychosocial factors are thought to influence health through primarily direct physiological mechanisms or the alteration of health related behaviors. Three factors hypothesized to negatively impact health include arousal, life stress, and depressive symptomatology. One recent theorist suggests that the interaction between psychological stress and stress hormones on the neuroendocrine system may result in adverse changes to body composition, most notably the increased deposition of visceral adipose tissue (Bjorntorp, 1993). The current study prospectively examined the relationship between self-reported stressful life events, depressive symptoms and trait arousal on the deposition of visceral fat, as measured by computerized tomography (CT). Subjects were …


Relationship Between Weight Loss And Body Image In Obese Individuals Seeking Weight Loss Treatment, Deborah Lynn Reas Jan 2002

Relationship Between Weight Loss And Body Image In Obese Individuals Seeking Weight Loss Treatment, Deborah Lynn Reas

LSU Doctoral Dissertations

The present study investigated the nature and extent of changes in body image following weight loss treatment in an obese sample and examined the role of weight loss in predicting body image improvement. Participants were 53 obese individuals (BMI > 30) recruited from the Pennington Biomedical Research Center in Baton Rouge, the Scripps Clinic in San Diego, CA, and the Weight Management Center at the St. Charles Hospital in New Orleans. Measures of psychological functioning and a figural body image rating procedure (Body Image Assessment for Obesity; BIA-O, Williamson, et al., 2000) were administered at baseline and after a 6-month follow-up …


Who's Not Dieting In America And Who Should Be? Results From The 1994-1996 Diet And Health Knowledge Survey (Dhks 1994-1996), Emily York-Crowe Jan 2002

Who's Not Dieting In America And Who Should Be? Results From The 1994-1996 Diet And Health Knowledge Survey (Dhks 1994-1996), Emily York-Crowe

LSU Master's Theses

The rising rates of obesity and overweight are contributing to higher costs for the individual and the nation, both medically and financially. There is a greater need for education and other preventive measures, but in order to tailor such programs effectively to the individuals most in need, it is important to examine the current trends, knowledge, and practices of adults in the United States. Previous research has examined the prevalence rates and practices of specific populations and individuals in limited geographical locations but, due to obvious constraints, few nationally representative samples have been examined. This study analyzed the results of …


Treatment Acceptability For The Prevention Of Obesity And Type 2 Diabetes Mellitus: The Effects Of Ethnicity, Weight, And Genetic Predisposition, Jean Marie Thaw Jan 2002

Treatment Acceptability For The Prevention Of Obesity And Type 2 Diabetes Mellitus: The Effects Of Ethnicity, Weight, And Genetic Predisposition, Jean Marie Thaw

LSU Doctoral Dissertations

Childhood obesity and its associated health consequences, such as type 2 diabetes mellitus, have dramatically increased over the past 30 years, with the greatest rise in African-American female children and adolescents. Although current prevention efforts show promising results, recent genetic findings may soon expand treatment strategies to include new medications and gene therapies specifically designed to prevent the development of obesity and type 2 diabetes in children. However, little is known about the acceptability of these interventions. The primary aim of this study was to examine the hypothetical impact of genetic knowledge on treatment acceptability in the prevention of childhood …