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Improving Provider Adherence To Guidelines In Addressing Childhood Overweight And Obesity In A Primary Care Setting, David Hernandez

Doctor of Nursing Practice

The purpose of the quality improvement project was to improve BMI measurement, screening, identification, documentation, and assessment of childhood overweight and obesity among children ages 3 to 18 years old in a primary care setting. Primary care providers continue to fail to address childhood overweight and obesity and have a positive impact on this issue. Delay in early identification and assessment of childhood obesity and overweight may affect patients’ qualify of life and the efficiency of health care. Over the last 30 years, the rates of childhood overweight and obesity have consistently escalated despite the existence of recommended guidelines and …

Capstone: Child Temperament And Parenting Styles As Predictors Of Bmi, Sophia A. Mir

College of Science and Health Theses and Dissertations

This capstone examines how child temperament and parenting style predict child BMI in a sample of low income, ethnic minority children 1-4 years old, as well as the moderating role of parenting style in child temperament predicting child BMI. Dimensions of both child temperament and parenting style have been found to be protective of high child BMI in pediatric populations. Few studies have explored the longitudinal relationship between child temperament and parenting style and child BMI, and even fewer have examined the interaction between the two in predicting child BMI. This study includes measures of child temperament, parenting style, and …

Essays On Smoking, Drinking And Obesity: Evidence From A Randomized Experiment, Benjamin David Thomas Johannes Ukert

Economics Dissertations

This dissertation consists of three chapters analyzing risky health behaviors utilizing data from the Lung Health Study (LHS), a randomized smoking cessation program. The first two chapters of this dissertation analyze the effects of smoking on alcohol consumption and BMI, respectively. The third chapter studies whether and how much the objective smoking information, which is defined by clinicians, may be misreported.

The first chapter examines the effect of smoking on alcoholic beverage consumption. The epidemiology literature suggests that both behaviors affect similar brain regions and are commonly consumed together. So far, the economics literature has presented inconclusive causal evidence on …

The Effects Of Hiv Disease And Lifestyle Factors On Cellular Aging In Trangender Women, Scott S. Sohn

Nutrition Theses

ABSTRACT

THE EFFECTS OF HIV DISEASE AND LIFESTYLE FACTORS ON CELLULAR AGING IN TRANSGENDER WOMEN by Scott Stephen Sohn

Background: Telomeres are short tandem repeats of nucleotides at the ends of chromosomes. These specialized structures serve as caps on the end of the chromosomes, which protect DNA integrity. Telomeres get shorter each time a cell replicates, but the DNA remains intact as long as the telomere caps are a sufficient length. In time, telomeres become too short to protect DNA, which leads to cellular death. Previous research has shown that disease and negative lifestyle factors play a role in accelerated …

Morning Eating In Relation To Bmi: Energy Intake, Composition, And Timing: Nhanes 2005-2010, Alisha Virani

Nutrition Theses

Background: Obesity continues to be one of the largest public health concerns in our nation. The role of eating patterns as a means for weight management has been studied extensively. However, the role of breakfast in weight management is still poorly understood. The purpose of this study was to understand the role of breakfast in weight management by observing the relationships of energy intake and macronutrient composition, specifically protein and fiber, with weight status during early morning and late morning eating occasions.

Methods: Data from two multiple pass 24h dietary recalls from NHANES 2005-2010 were used. N= 4542 non-pregnant, …

Dietary Variety In Relation To Bmi And Energy Intake Of Individuals With Black African Ancestry In Two Countries Of Different Economic Background, Gitta Adiviana

Nutrition Theses

Objective: To conduct a secondary analysis of dietary variety consumed by individuals of African-origin in two countries with differing stages of economic development. Our overall aim is to determine the relationships of two different dietary variety scores developed previously in our laboratory with reported energy intake (rEI), ER (which will be a more accurate reflection of true EI) and BMI in the total sample and the plausibly reporting subsample.

Methods: Data for this analysis were collected as part of METS between January 2010 to September 2011, whose purpose was to elucidate the associations of physical activity and diet with body …

Association Between Expanded Normal Weight Obesity And Insulin Resistance Among U.S. Adults In The National Health And Nutrition Examination Survey, Keilah Elizabeth Martinez

Theses and Dissertations

The purpose of this investigation was to expand the evaluation of Normal Weight Obesity (NWO) and its association with insulin resistance using a nationally representative sample of U.S. adults. A cross-sectional study including 5,983 subjects was conducted. Body fat percentage was assessed using dual energy X-ray absorptiometry (DXA). Expanded Normal Weight Obesity (eNWO) categories (pairings of BMI and body fat percentage classifications) were determined by standard cut-points for BMI and the gender specific median for body fat percentage. Homeostatic Model Assessment-Insulin Resistance (HOMA-IR) levels were used to index insulin resistance. Mean ± SE values were as follows: BMI: 27.9 ± …

The Impact Of Maternal Literacy Skills On Child Weight In Mozambique, Ashley E N Watson

Public Health Theses

Background: Infant mortality rate is a serious problem in today’s society. This statistic is often used as one measure of a country’s success and growth. One factor that is strongly associated with infant mortality is low weight in children. In Mozambique, the percentage of underweight children under the age of five was 16% in 2012 (UNICEF, 2013). In order to reduce the number of underweight children in this country, characteristics of caregivers that could potentially contribute to this problem should be investigated. One particularly important characteristic is maternal literacy, which to date has been under investigated.

Objective: This …

Effective Communication Of School Health Screening Information: A Pilot Study Evaluating The Effect Of Electronic Communication Of Bmi Screening Information In Elementary Schools, Kara Elizabeth Carter

Senior Honors Projects, 2010-2019

Obesity is a growing concern surrounding today’s youth. School-based health screenings are promoted as a public health strategy to identify obese children and those at high risk for becoming obese. Despite numerous programs, data is lacking in effective school to parent communication of health related information. The purpose of this research is to determine the effect of electronic communication of health screening outcomes, including parents’ understanding of screening information, utilization of informational resources, and decision to seek physician follow-up. Screenings for body mass index, acanthosis nigricans and blood pressure were conducted during school hours among children in kindergarten and third …

Association Of Sleep Behavior To Physical Activity And Bmi In 9th And 10th Grade Students, Sonia Lina Davda

Senior Theses

Despite the topic’s popularity in research, the relationship between sleep duration and physical activity (PA) remains unclear. Measurement protocol differences, highly specific samples, and incomplete data contribute to varying results suggesting that additional research is needed. The purpose of the TRACK II study was to examine the relationship between PA, BMI, and self-reported sleep in adolescents. 369 9 th and 10 th grade students from 2 diverse school districts participated in the study. Participants completed a self-reported sleep questionnaire and had their height and weight measured. Demographic variables were also reported by participants. Actigraph accelerometers were used to objectively measure …

Influences Of Body Composition, Multimorbidity And Polypharmacy On Physical Mobility Of Older Adults, Chieh Chen, Linna Sestini, Rachel Wilde

UNLV Theses, Dissertations, Professional Papers, and Capstones

Background and Purpose: The prevalence of falls, and the resulting injuries and complications reflect a key concern in the older adult population. An increased risk of falls is highly correlated with decreases in physical mobility and related functions. The Timed Up-and-Go test (TUG) has an established reliability and validity in assessing physical function and the risk of falling in the older adult population. With age, a person typically has an increased number of health morbidities, which may be reflected in changing body composition and the number of medications associated with diseases. However, the influence of these factors on physical mobility …

The Relationship Between Obesity And Use Of Electronics For Individuals Under The Age Of 21, Zeeshan Haque

Honors College Theses

Today, obesity is one of the largest health problems in America. There are several factors that contribute to obesity – but one problem that has been rising in this generation is the issues of children deciding to play video games, watch television, or spend time on the computer instead of healthier alternatives such as exercising or playing sports. One factor that could attribute to this is the large advancements in technology over the last few decades. The purpose of this research is to identify the relationship between electronics and obesity by analyzing data provided by the NHANES codebook. In this …

Food Insecurity In San Pedro, Ecuador: The Association Of Food Insecurity With Dietary Diversity And Bmi, Etna Tiburcio

Public Health Theses

Background: Limited research has examined the association between food insecurity and both dietary diversity and body mass index (BMI) in rural, Ecuador.

Methods: A cross-sectional analysis was conducted on a sample of 237 patients and family members visiting a primary care community clinic. To determine food security level, the Escala Latinoamericana y Caribeña de Seguridad Alimentaria (ELCSA) was employed. Outcome was measured using the Household Dietary Diversity Score (HDDS) and BMI was deduced using measured height and weight. These measures were then evaluated in their associations with food security level, adjusting for wealth stratum for the HDDS variable.

Results: As …

Relationship Between Self-Care Agency, Self-Care Practices, And Body Mass Index Among Nursing Professionals, Takara Schomberg

Electronic Theses and Dissertations

Purpose: The purpose of this study is to investigate the relationship between self-care agency (SCA), self-care practices (SCP), and Body Mass Index (BMI) among Registered Nurses (RNs) living in an urban South Dakota county. These specific constructs and their relationships have not been researched among nursing professionals. Methods: This study used a non-experimental, predictive correlational approach based on Orem’s Self-Care Deficit Theory to quantify the relationship between self-care agency and self-care practices and subsequently body mass index (BMI) among nursing professionals. A tracked but anonymous online survey was sent by email via QuestionPro to 210 nursing professionals selected using systematic …

Factors Affecting Body Mass Index Levels In African American Women Living In North Carolina, Padmini Shanti Kirpalani

Walden Dissertations and Doctoral Studies

The prevalence of obesity has doubled over the past 25 years in the United States, particularly in North Carolina. Obesity is influenced by biological, social, and environmental factors; its prevalence has been found to be higher among African American women and other racial ethnic minorities. Guided by the social ecological model, the purpose of this cross sectional study was to examine the relationship of the psycho-social, psycho-behavioral factors, and body mass index levels (BMI) in African American women living in North Carolina versus their Hispanic American and European American counterparts. A logistic regression model using secondary data from the Behavioral …

Environmental Factors Associated With Body Mass Index Among Long Haul Truck Drivers, Charlotte Hughes Huntley

Walden Dissertations and Doctoral Studies

In 2009–2010, the prevalence of obesity among U.S. adults was 40%, and the prevalence was 69% among long haul truck drivers. Researchers have not established a clear relationship between working environment and weight among truck drivers. This quantitative cross-sectional study, using an ecological framework, evaluated the relationship between the working environment (sleep performance, food choices, driving environment, and activity level) and weight severity (e.g., body mass index [BMI]) among long haul truck drivers. One hundred and twenty six adults (46 + 10, years of age), including both genders (male = 97 and females = 29) completed an online questionnaire evaluating …

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 …

Unhealthy Weight Control Behaviors In Adolescents : Are There Classes Of Risk?, Grace M. Van Schoick

Theses, Dissertations, and Projects

This quantitative secondary analysis was undertaken to determine if classes of risk exist for the use of Unhealthy Weight Control Behaviors (UWCBs) in adolescents. Engagement in UWCBs increases the likelihood that an adolescent would develop a full-syndrome eating disorder, which are both difficult and expensive to treat. Using data previously collected as part of the 2013 Youth Risk Behavior Surveillance System, it was possible to conduct a Latent Class Analysis (LCA) using 8,885 responses which contained data about a number of potential risk factors that might influence a participant’s likelihood to engage in UWCBs. Factors considered were gender, race/ethnicity, experiences …