Digital Commons Network^™

Quality Improvement Project To Assist In Implementation Of Prediabetes Screen Protocol, Kyai Forney

Doctoral Projects

Prediabetes is a reversible condition that causes blood glucose levels to be higher than normal, but not high enough to be diagnosed as type 2 diabetes. When one has prediabetes, the cells in the body do not respond normally to insulin, and insulin acts like a key to letting blood sugar into cells to use energy. The pancreas produces insulin to try to get the cells to respond, but eventually, the pancreas has a challenging time keeping up, and the blood sugar level rises causing prediabetes (Lehrman, 2021). A person can have prediabetes for years with no obvious symptoms, so …

Implementing A Prescreening Process To Fully Assess Risk Factors And Outcomes Associated With Obesity And Hepatic Steatosis To Prevent Cirrhosis, Shana Broussard, Jennifer Eaglebarger

Doctoral Projects

Fatty liver disease can be treated if is identified in the initial stages of the disease. Once the disease progresses to fibrosis and/or cirrhosis, there is irreversible damage. The leading cause of non-alcoholic fatty liver disease is obesity. Obesity has reached epidemic proportions, with most obese individuals not fully cognizant of the repercussions of prolonged obesity. Other risk factors for fatty liver disease are uncontrolled diabetes mellitus, hyperlipidemia, and hypertension. Certain medications can also increase the risk of fatty liver disease. Currently, there is no prescreening tool to identify patients who are at risk for fatty liver disease. The researchers …

A Quality Improvement Project To Determine The Incidence And Prevalence Of Obstructive Sleep Apnea, Best Practice Anesthesia Guidelines, And The Incidence Of Perioperative Cardiac And Respiratory Complications After The Implementation Of The Stop-Bang Questionnaire, Bradly Diamond, Gregory Guerrier, Cody Holliman, Robert Marrero, Tyler Nelson

Doctoral Projects

Patients with obstructive sleep apnea (OSA) are at risk for perioperative respiratory and cardiovascular compromise (Opperer et al., 2016). Unfortunately, almost 90% of patients with moderate-to-severe OSA are not diagnosed and unaware of their disorder; however, they remain at increased perioperative risks (Singh et al., 2015). The STOP-BANG questionnaire was developed to meet the need for a reliable, concise, and efficient screening tool for OSA risk. The facility at which this project was conducted did not utilize a prescreening OSA risk tool. The facility not using a prescreening OSA risk tool is especially important because the State of Mississippi currently …

Impact Of Best Practice Guideline Statement On Anesthesia Practice In Rural Mississippi Hospitals With Obese Patients Undergoing Total Knee Arthroplasty, Steven Hodnett

Doctoral Projects

The aim of this best practice guideline (BPG) was to be a resource for anesthesia providers practicing with obese patients undergoing total knee arthroplasty (TKA) and to measure the knowledge of these providers. After dissemination of an executive summary to anesthesia providers in two hospitals in rural Mississippi, an anonymous online survey was provided via Qualtrics software for voluntary participation. The survey consisted of 10 questions. The data collection period was five weeks. Respondents are noted at N=2, and the data was reviewed and categorized into one of three domains (i.e., knowledge, practice, and safety). In the domain of knowledge, …

An Investigation Of The Impact Of Family Dynamics On Obesity Among African American Adolescent Girls, Tina Mcdyess

Dissertations

Children who are overweight and obese are more likely to maintain their weight status into adulthood (Fletcher, Cooper, Helms, Northington, & Winters, 2009; World Health Organization [WHO], 2015). The prevalence of obesity has shown a more consistent increase among African Americans aged 2-19 (Flegal, Carroll, Kit, & Ogden, 2012; Ogden, Carroll, Kit, & Flegal, 2012; Ogden, Carroll, Kit & Flegal, 2014) with an even greater disparity among African American girls (Ogden & Carroll, 2010). Family dynamics is one of the many factors of the environment that has been linked to obesity among children and adolescents. The purpose of this study …

The Prevalence Of Overweight And Obesity Among Adolescents With Chronic Health Conditions, Catherine Levy

Master's Theses

Overweight and obesity during adolescence is a primary public health concern as these conditions are associated with several chronic health conditions (cardiovascular disease, Type II Diabetes, etc.) that can affect individuals into adulthood. The purpose of this study was two-fold: 1) to examine the prevalence of overweight and obesity among adolescents with chronic health conditions; and 2) To examine the odds of physical activity and sedentary behaviors in adolescents with chronic health conditions, viewing whether the presence of chronic health conditions impact PA and sedentary behaviors.

Analyses included 28,778 adolescents aged 10-17 from the 2011-12 National Survey of Children’s Heath. …

Is There A Relationship Between Physical Fitness And Student Academic Achievement?, William Rushton Parker

Dissertations

The study utilized a quantitative approach to identify the relationship between students’ levels of fitness to students’ academic achievement as well as addressing the attitudes of elementary administrators, fifth grade regular education teachers, and elementary physical education teachers towards physical fitness and academic achievement. Instruments used in the study were the Mississippi Curriculum Test, 2^nd Edition (MCT2) and the FITNESSGRAM. The data from the FITNESSGRAM and MCT2 were archival, coming from the 2013-2014 academic school year. The MCT2 provided scores from the areas of language arts, mathematics, and science, and the FITNESSGRAM provided the fitness scores of those students. …

Intravenous Acetaminophen Reduces Opioid Use For Postoperative Pain In Obese Patients Undergoing Laparoscopic Cholecystectomy, Kimberly S. Burks

Doctoral Projects

Opioid-induced respiratory depression is categorized as a sentinel event, which is an unanticipated occurrence that may result in severe injury or death. Although the incidence of opioid-induced respiratory depression is 0.2 to 2%, this issue persists as a substantial basis of morbidity and mortality. The obese population has multiple physiologic elements that increase their risk for opioid-induced respiratory depression. This retrospective study examined if intravenous (IV) acetaminophen reduces opioid consumption in the postoperative period in obese patients who underwent a laparoscopic cholecystectomy. Adequately controlled postoperative pain provides for greater patient satisfaction, decreased hospital length of stay (LOS), and reduced costs …

The Missing Link: The Impact Of Nutrition Education And The School Lunch Program, Rachel E. Calhoun

Honors Theses

In the U.S., the weight status of overweight and obesity in children is increasing from recent decades (Carrol & Ogden, 2010). Research shows that the prevalence of children developing chronic diseases is influenced by obesity and overweight statuses, shown by existing risk factors (Freedman, Dietz, Srinivasan, & Berenson, 1999). Recent legislation of the National School Lunch Program has aimed to improve the nutritional value of school lunches in elementary schools by requiring fruit and vegetable meal components be provided on each lunch tray (Nutrition Standards, 2012). This quasi experimental study aimed to increase fourth graders nutrition knowledge and fruit and …

Solving The Obesity Problem One Bite At A Time: A Review Of Interventions, Sally Catherine Davis

Honors Theses

Resource limitations contribute to obesity in southern rural populations. An examination of published research provides evidence related to factors that lead to obesity and to related health consequences. Resource limitations in southern rural areas include a lack of access to healthy foods, a lack of safe areas to exercise or fitness equipment, and a lack of funding to promote the hiring of adequate numbers of healthcare workers to implement prevention programs and treat obesity related diseases. An investigation of obesity rates in Mississippi and Louisiana demonstrate that high rates of obesity exist. Through an exploration of published interventions in both …

Racial Differences In Self-Efficacy Expectations For Exercise, Selena P. Smith

Honors Theses

This project examined the link between race and self-efficacy. Self-efficacy pertains to an individual’s confidence in ability to complete or engage in a particular task or activity (Bandura, 1986). Prior research shows that self-efficacy has a great influence on exercise initiation and adherence (Bandura, 1986; Dishman, 1982; Rodgers and Sullivan, 2001). Research also supports that Caucasians are more likely to participate in exercise than African Americans (Centers for Disease Control and Prevention, 2000).

Participants included 51 females, 31 Caucasians and 20 African Americans, between the ages of 18 and 50 years old. The women were recruited from local fitness gyms, …

The Relationship Between Calcium Intake And Body Mass Index In The Participants Of Hub City Steps, Laura P. Ewoldt

Honors Theses

Background: The social, economic, and health impacts of unhealthy dietary behaviors and sedentary lifestyles are quite significant and even more so in the rural South. The majority of individuals in the US do not adhere to the Dietary Guidelines for Americans, specifically fruits, vegetables, and calcium.

Purpose: The purpose of this study was to address the issue of calcium intake and obesity in a population of primarily African American women in south Mississippi and to determine if levels of calcium intake had a relationship with body mass index.

Methods and Analysis: Data for the current study was …

The Effects Of Xanthigentm Supplementation On Body Composition, Serum Markers Of The Metabolic Syndrome, And Hepaptic Enzyme Levels In An Obese Population, Emily Buras

Honors Theses

XanthigenTM [100 mg brown seaweed extract (0.8 % fucoxanthin) and 100 mg pomegranate seed oil (70 % punicic acid)] has been shown to significantly reduce body fat, liver fat, and improve serum markers of liver function in obese females. Twenty-nine participants were matched for age, gender, and body fat percentage and randomized into either a XanthigenTM group or a placebo group. For 16-weeks, participants were asked to consume a reduced calorie diet while supplementing their diet with their respective pills three times per day. Data were analyzed using multivariate ANOVA with repeated measures and presented as mean ± standard deviation. …

The Effects Of Xanthigen Supplementation On Body Weight, Resting Energy Expenditure, And Body Composition In An Obese Population, Lisa Knecht

Honors Theses

Since obesity is a significant problem that is facing the American people, there has been great interest in trying to develop a successful health supplement to help counteract the effects of obesity. Xanthigen is a new supplement composed of brown seaweed extract and pomegranate seed oil and is theorized to increase resting energy expenditure and decrease BMI and body fat. This study involved a 16‐week supplementation protocol to examine the effects of Xanthigen supplementation on an obese population in the Mississippi area. Testing of resting energy expenditure, BMI, and body fat percentage took place every four weeks for 16 weeks. …

Obesity Trends In Head Start Preschoolers, Anna Sanders

Honors Theses

The purpose of this natural comparative study is to see if changes in diet, education, and activity made in a South Mississippi Head Start (HS) preschool from Fall 2007 through Fall 2010 made any changes in the Body Mass Index (BMI) trends in two cohorts of low-income African American 3-year-olds. Cohort 1 BMI trends were measured in Fall 2006 and Spring 2007, before major HS changes in diet, education and activity were made (pre-treatment), and Cohort 2 was measured in Fall 2010 and Spring 2011, after major changes were made (post-treatment).

Differences In Race And/Or Gender In Attitudes And Beliefs Towards Obesity Among Students At The University Of Southern Mississippi, Erick Brown

Honors Theses

Overweight and obesity have been described by various experts as critical problems in populations around the world, especially in the United States. These issues are so characterized because they affect numerous facets of life in this society. Researchers in the medical community have repeatedly described the health-related risks associated with obesity rates, asserting that higher risks of debilitating or fatal disease are tied to one’s level of obesity. They also say that obesity rates of populations are related to other disease rates, and many imply or clearly state that obesity is the cause and therefore the problem to be contested. …

The Effect Of Socioeconomic Status On Local School Wellness Policy Implementation In Mississippi Public Schools, Rebecca Masters

Honors Theses

In recent years, rates of overweight and obesity have increased dramatically in America due to nutritionally poor diets and more sedentary lifestyles. Research has shown that obesity is a risk factor for numerous other conditions such as stroke, heart disease, cancer, type 2 diabetes, and sleep apnea. Unfortunately, overweight and obesity do not only affect the adults in our nation. Rates of overweight and obesity have also increased among American children. Approximately 17% of American children are obese, which is three times the rate of 1980 (Menifield, Doty, & Fletcher, 2008). In order to improve the overall health of America’s …

Development Of An Instrument Measuring The Perceived Attributes Of Using A Healthy Diet Innovation, Holly Ann Federico Huye

Dissertations

The Lower Mississippi Delta (LMD) is a rural region that is rich in agricultural resources but is one of the most impoverished areas in the US. Prior research has indicated LMD adults as having higher rates of obesity and diet-related chronic diseases as compared to US adults. While the need for dietary intervention in the LMD is evident, the first step in designing effective interventions is the assessment of one’s perceptions of dietary behaviors. The purpose of this research was to develop a valid and reliable instrument to assess individuals’ perceived attributes of using a healthy diet. Using the Diffusion …

The Relationship Between Calcium Intake, Obesity, And Cardiovascular Disease Risk Factors: The Jackson Heart Study, Marjuyua Lartey-Rowser

Dissertations

Cardiovascular disease (CVD) is a major health risk in the United States. Major indicators of CVD risk include obesity, blood lipids, and blood pressure. Modifiable risk factors associated with CVD include body composition (body mass index and waist circumference), serum lipids, and blood pressure. Data suggest calcium intake may play a role in regulation of weight, serum lipids, and blood pressure. The purpose of this study was to assess relationships of dietary calcium intake with weight status, and cardiovascular disease risks in African American population participating in the Jackson Heart Study.

The subjects included 4,267 African American adults ages 21-95 …