Digital Commons Network^™

Promoting Healthy Habits Among Children In A Residential Facility., Tiffany Jones

Doctor of Nursing Practice Papers

Background: Childhood obesity has been a significant public health concern in the United States. The prevalence of obesity among children and adolescents has increased over the past few decades. There are serious implications for immediate and long-term health. It poses serious health risks and economic challenges.

Setting: This quality improvement project will take place at a residential psychiatric treatment facility and therapeutic foster care program for children and adolescents with mental health or behavioral issues. This facility is in the suburbs of Louisville, Kentucky.

Purpose: The purpose of this project is to boost physical activity and improve knowledge about nutrition …

Implementing The 5a’S Of Obesity Management In Primary Care, Holly H. Rowell

Doctor of Nursing Practice Scholarly Projects

Problem Statement: The prevalence of obesity continues to increase globally, with greater prevalence in the southern United States, resulting in higher costs to the healthcare system and greater risks for the development of other chronic diseases. Purpose: Determine if implementing the 5A’s of Obesity Management among primary care providers in a rural, low-income healthcare setting will increase the diagnosis of obesity and result in a subsequent decrease in weight among patients who are obese. Methods: An educational session was held to familiarize providers with the 5A’s of Obesity Management and the importance of obtaining and documenting proper height …

Factors Associated With The Serious Adverse Effects And Misuse Of Glp-1 Receptor Agonists, Khang Nguyen

Public Health Capstone Projects

INTRODUCTION: Glucagon-like peptide-1 receptor agonists (GLP-1RAs) have emerged as a prominent treatment for type-2 diabetes (T2D) and obesity since the FDA’s approval of Exenatide in 2005. The utilization of these medications is projected to increase substantially by 2025, with reports of shortages due to high demand. Concurrently, there are growing concerns about their potential misuse, including using without proper indications and using counterfeit products. Despite their therapeutic benefits, GLP-1RAs have been associated with various adverse events, ranging from mild gastrointestinal symptoms to serious events including hospitalization and pancreatitis. As their utilization increases, there is an urgent need for comprehensive …

Sleep, Eat, Repeat: An Examination Of The Influence Of Sleep And Biological Sex On Eating-Related Inhibitory Control In Overweight Emerging Adults, Shelby Mika Seipert-Raine

Theses and Dissertations

Background: Lower inhibitory control has been shown to associate with greater risk for obesity in adolescence. On average, females have moderately higher rates of behavioral inhibitory control than males. These difference in inhibitory control across sex may influence overeating and development of obesity. This study examined whether sleep duration and sleep quality are associated with food-related inhibitory control and whether this association is moderated by biological sex. Methods: A total of 59 emerging adults ages 18 to 25 (37 males, 22 females) who had a BMI within the overweight or obese categories (BMI ≥25) completed self-report measures of eating and …

A Literature Review Of Societal Obesity And Its Impact On United States Military Recruitment, Megan Thibodeaux

Capstone

In recent decades, obesity rates have increased in the United States, raising significant health and societal concerns, especially in terms of military readiness. The ever-rising rates of weight-related health obstacles present a critical national security issue as it impacts the effectiveness of recruitment. This literature review aims to analyze how obesity impacts military recruitment and readiness to serve while utilizing the socio-ecological model to help determine gaps in evidence. Data was drawn from Embase, PubMed, and PsychInfo. Inclusion criteria consisted of academic journals and reports from government and non-profit organizations written in English. They focused only on the United States …

The Impact Of Obesity In Estimating Age-At-Death: An Analysis Of Senescence Of Features On The Auricular Surface, Dawson W. Lamb

Anthropology Theses

Forensic anthropologists are commonly tasked with constructing a biological profile when attempting to identify an individual based on skeletal remains. During this process, age estimation is commonly accomplished by scoring the auricular surface of the os coxae. However, extrinsic factors such as obesity can influence the morphology of skeletal elements such as the auricular surface. In a sample of 151 individuals from the Bass Skeletal Collection at the University of Tennessee-Knoxville, three age groups (30-49, 50-64, and 65-80) and both biological sexes were examined, and their sacroiliac joints scored, using the Buckberry & Chamberlain system. This research attempts to expand …

The Effect Of Using A Meal Tracking Smartphone Application In Overweight And Obese Adolescents With Prediabetes Or Type 2 Diabetes To Improve Bmi And Hba1c, Lauren Torhorst

Evidence-Based Practice Project Reports

Obesity has become one of the most common chronic pediatric illnesses worldwide and is closely linked to the onset of prediabetes and subsequent Type 2 Diabetes (T2D); therefore, preventing and treating childhood obesity has become a high priority (Hampl et al., 2023). The purpose of this Evidence-Based Practice (EBP) project is to lower Glycosylated Hemoglobin A1c (HbA1C) and Body Mass Index (BMI) in overweight and obese youth with prediabetes and T2D using a meal tracking smartphone application. The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was utilized to pilot this project between two pediatric endocrinology offices located in Southeast Wisconsin. …

The Effects Of Implementing An Early Childhood Education Health And Wellness Program In Underserved Elementary Schools In Las Vegas On Student Mentors And Elementary Staff: Anatomy Academy, Alexa Blazek, Amber Berumen Baker, Kevin Chan Shum, Alexander Young

UNLV Theses, Dissertations, Professional Papers, and Capstones

Academy (AA) is a seven/eight-week program implemented by select University of Nevada, Las Vegas Doctorate of Physical Therapy (DPT) students to promote health and wellness at a Title I elementary school and help bridge the health education gap that underserved youth populations may be facing. We aimed to assess and improve the overall satisfaction of both the faculty members at the elementary school and the physical therapy students who participated in the program, while enhancing the health education of 5th grade students. Our aim was centered on stakeholders (elementary school administrators) and student mentors (DPT students) having the desire to …

Genetics Of Lrg1 And Its Association With The Cardiometabolic Risk Traits In Mexican American Children And Adolescents, Aaron Rene Reyna

Theses and Dissertations

Leucine-rich alpha-2-glycoprotein 1 (LRG1) has become a major topic of research due to an increasing number of studies demonstrating its unique role in the pathogenesis of multiple human diseases including diabetes and cardiovascular disease. LRG1 has recently been identified as an adipokine, a signaling molecule secreted by adipose tissue. Furthermore, it has been correlated with intercellular signaling that promotes diet-induced hepatosteatosis and insulin resistance in mice. In this study, LRG1 serum concentrations were measured in a family-based cohort of 571 non-diabetic Mexican American children and adolescents aged 6-17 years old (mean age = 11.76 years and females = 48.2%) to …

Outclimbing Cognitive Decline: Age, Western Diet, Resistance Exercise, And The Brain., Leila Dzinic

Electronic Thesis and Dissertation Repository

Increased age and obesity diminish motivation, perseverance, and spatial memory function. Aerobic exercise interventions have successfully rescued some of these processes. However, in older and heavier populations aerobic exercise is not as sustainable due to high risk of injury. Resistance exercise consists of physical activity where maximum oxygen consumption is not increased and has been proposed as a safe and effective intervention for this population. Here, we used touchscreen-based cognitive testing to elucidate the influence of resistance exercise on motivation and spatial memory in aged, diet-induced obese mice, using a water restriction procedure I develop in Chapter 2. Mice underwent …

Modulation Of Diet-Induced Gut Inflammation In Slowing Initiation Of Hematologic Malignancies, Esther Nyarkoa Mensah

Theses, Dissertations and Capstones

The intestinal tract serves as a host to an extremely complex microbial system. Microbes in the gut regulate their metabolism in response to chemicals generated by other microorganisms as well as nutrition supply from dietary intake. Alterations in gut bacteria have been implicated in the development of metabolic disorders such as obesity and the progression of diseases such as Myelodysplastic syndromes (MDS). Although the cause of obesity is multifactorial, the consumption of high-fat or sugar-rich diets (Western diets) has been proposed as a significant contributor to this global epidemic. Obesity is a major public health concern that has been extensively …

Emotional Eating, Nutritional Knowledge, And Socioeconomic Status As Predictors Of Body Mass Index, Tifani Buss

Walden Dissertations and Doctoral Studies

Obesity is an ill-health condition that can lead to other ill-health conditions such as cardiovascular disease, high blood pressure, asthma, type 2 diabetes, and some types of cancer. Obesity is also a condition that does not discriminate regarding age, gender, or race/ethnicity. In light of obesity’s status as a global epidemic, efforts for prevention and intervention treatments are needed to improve individuals’ health and quality of life. The purpose of this quantitative study was to examine emotional eating, nutritional knowledge, and socioeconomic status, as predictors of body mass index (BMI). These factors were examined through the lens of general strain …

Sleep Hygiene Education, Hope Colon

Doctor of Nursing Practice Projects

This DNP project was designed to increase awareness of insomnia and sleep hygiene in the target community by providing an in-person educational session on sleep hygiene. The educational session provided information on insomnia, sleep hygiene habits, statistics of those with sleep disorders, and medication use for sleep. The impact of the project implementation was measured using a pre-intervention survey and a post-intervention survey. All survey items had an increase in correct answers post-intervention. In conclusion, the results revealed there was an increase in awareness and knowledge base of insomnia and sleep hygiene after the education was provided.

Obesity Knowledge And Bmi In Caregiver-Adolescent Dyads: A Descriptive Comparative Pilot Study, John Sykes, John Sykes

Theses and Dissertations

Abstract

Background: The prevalence of obesity and associated health risks and costs continue to increase. The majority of these health and cost ramifications manifest in adulthood, making it imperative to intercept the problem during childhood. Unfortunately, an overwhelming majority of the research surrounding adolescents and obesity to date involves subjects that are already overweight or obese, and the focus of those interventions are on secondary and tertiary prevention. Focusing on primary prevention of childhood obesity could ultimately decrease the incidence, prevalence, and disease-related burden to society. It is posited that the 20% difference in obesity prevalence between adults and children …

Effects Of Neonatal Estradiol Treatment On Regulating Sexual Differentiation Of Daily Rhythms Underlying Diet-Induced Obesity In Female Mice, Samuel Nwadialo

Theses and Dissertations--Biology

Sex differences of the brain and behavior often require the combination of organizational and activational effects of sex hormones. The activational effects of estrogens in adult female mice protect daily eating and activity rhythms from disruption by high-fat diet feeding and inhibit diet-induced obesity. However, male mice have disrupted eating rhythms when fed high-fat diet and this causes obesity. Treatment of adult male mice with estradiol does not protect rhythms from disruption by high-fat diet, as it does in females. In this study, we sought to determine whether the organizational effects of estradiol masculinize the daily eating and activity rhythms …

Host-Microbe Interactions In Health And Disease, And Survey Of Antimicrobial Resistance Of Bacteria Isolated From Retail Meat, Ojas V. A. Dixit

University of Wollongong Thesis Collection 2017+

The human gut microbiome confers many benefits to its host, therefore dysbiosis; an imbalance in microbial community composition, may have a negative impact on health. It is unclear however if dysbiosis is a consequence of a particular disease process, or a cause. This thesis explores the influence of gut microbiome on health outcomes and disease progression in the context of dietary fibre consumption and obesity, and peritoneal dialysis in patients with chronic kidney disease. This thesis also investigates the correlation between Crohn’s disease (CD) and genes expressed exclusively by blood monocytes in reponse to bacteria. Finally, this thesis explores antimicrobial …

The Effects Of Diet-Induced Obesity On Cerebral Microvascular Bioenergetics, Alec Anthony Hanshew

Graduate Theses, Dissertations, and Problem Reports

Obesity is a worldwide epidemic but is especially a concern in the United States with over 40% of the population being obese. Obesity is known to cause increased metabolic demand, systemic inflammation, peripheral vascular dysfunction, and increased levels of oxidative stress and reactive oxygen species (ROS). However, the role of obesity on cerebrovascular bioenergetic function has not been fully elucidated. This study aimed to determine the impact of diet-induced obesity on cerebrovascular bioenergetics. 72, 6-month-old C57Bl/6 male and female mice were randomized into control and HFD groups. Control mice were subjected to the feeding of standard chow (18% fat, 24% …

The Production Of Obesity Within Surveillance Capitalism, William Wentworth

University of Wollongong Thesis Collection 2017+

Fatness is both culturally stigmatised and commonly framed as one of the critical public health and economic challenges facing contemporary society. Governments and other social institutions dedicate significant effort and resources to attempting to curb rates of obesity in their populations. Alongside this, a generalised cultural aversion to fatness animates a huge amount of economic activity by structuring consumer behaviour. As such, a wide array of institutional, commercial and personal surveillance practices have been deployed to in some sense manage or address obesity.

This thesis explores the way that surveillance technologies and practices have contributed to the production of obesity …

Strategies To Reduce Chronic Disease: Adding Role To Community Health Workers, Ingrid J. Renwanz Dnp, Pmhfnp-Bc/Aprn, Msn, Rnc

Doctor of Nursing Practice (DNP) Projects

Background: Underserved, rural, immigrant, low-income Latinx communities need to strengthen healthcare access to improve their quality of life (Capitman et al., 2009; McCartney et al., 2019; Save the Children [STC] Organization, 2021). Non-communicable chronic disease of physical and behavioral origin is the leading cause of morbidity for adults and children in Latinx communities (Campbell et al., 2020). Estimates of greater than 30% of the Latinx populations within the United States have these health needs, with projections to reach 28% of the U.S. population by 2060 (Eghaneyan & Murphy, 2019; Ortega et al., 2018).

Local Problem: If poor access to preventive …

Implementing Community Health Workers To Improve The Management Of Chronic Non-Communicable Diseases In Children, Julia L. Newell

Doctor of Nursing Practice (DNP) Projects

Background: Childhood obesity, asthma, and untreated mental health conditions are three examples of chronic non-communicable diseases (CNDs) that pose a host of negative consequences later in life. Minority children from low-income families, especially those with environmental disadvantages, face additional risk factors for the development of these diseases. Community health workers (CHWs) are in a unique position to help address these negative health externalities by being attuned with the linguistic, cultural, and socioemotional needs of members of their communities. Research has demonstrated success in CHW-led interventions curtailing the negative impacts associated with these diseases in low-income, minority communities.

Methods: A literature …

Implications Of California State Standards In Relation To Disordered Eating For School Aged Children, Jessica De Mott

Capstone Projects and Master's Theses

Food is a part of people’s lives, even when it is not acknowledged. It is distinctly tied to various cultures, ethnicities, and religions; with elements of restriction and gluttony abundant. Then, there is the complication of modern nutrition and health education that is taught in American, and more specifically in Californian schools. But, the education received on this issue has failed some students. Many school aged children reported that they experienced disordered eating, and learning content has further exacerbated this issue. This senior capstone research will examine the implications of California State Standards in relation to disordered eating for school …

Chronic Stressors, Obesity Pathogenesis, And The Moderating Effect Of Internalized Weight Stigma; A Quantitative, Illinois Study, Karyn Byrne

Dissertations

The obesity epidemic is a ‘wicked’ problem with a complex web of determinants and outcomes. While generally higher for minoritized populations, prevalence rates manifest in surprising, nonlinear patterns. There is no consensus regarding treatment protocols or mitigation efforts, except that current efforts remain largely ineffective. Much research evidence that a profusion of determinants of health support obesity pathogenesis through various physiological processes and mechanisms, including the allostatic load, mitochondria functioning, the gut microbiome, and epigenetics. Intervening to support markers of the allostatic load (immunity, inflammation, and metabolic health) may provide a more effective treatment outcomes than traditional approaches, which tend …

Comparison Of Physical Activity Levels Among School-Age Adolescents In The Rural And Urban Areas Of District Swat Kpk, Pakistan- An Analytical Cross-Sectional Study, Imran Uddin

Theses & Dissertations

Background: Obesity and overweight represent significant global public health concerns. Young adolescents are in particular increasingly experiencing obesity and overweight due to their sedentary lifestyles, excessive electronic media use, and lack of physical activity (PA). This trend is linked to the development of non-communicable diseases in later life. Moreover, data regarding the lack of PA is available in Pakistan, but a gap exists in the comparative analysis of physical activity levels between rural and urban adolescents. Rural and urban areas exhibit distinctions in both geographical settings and technological advancements, potentially influencing the PA levels of their respective inhabitants.
Purpose: The …

Characterizing How Food Advertising And Genetic Obesity Risk Factors Affect Neural Reward Reactivity And Eating In The Absence Of Hunger In Children, Dabin Yeum

Dartmouth College Ph.D Dissertations

The complex and multifactorial etiology of obesity involves the interaction of numerous risk factors. Assessing the gene-environment interaction of pediatric obesity can provide valuable insights for the characterization of key factors contributing to obesity and identification of potential points of intervention. The data used in this thesis comes from a single sample of young children recruited from the communities surrounding Dartmouth College. The primary objective of this thesis is to assess the impacts of complicated gene-environment interaction on pediatric obesity. First, we assessed the dynamic and static advertising of food cues to examine they lead to differential neural reward responsivity. …

Community Health Worker Program: Chronic Non-Communicable Diseases In Children, Julia L. Newell

DNP Qualifying Manuscripts

Abstract

Background: Childhood obesity, asthma, and untreated mental health conditions, are three examples of chronic non-communicable diseases (CNDs) that pose a host of negative consequences later in life. Community health workers (CHWs) are in a unique position to address these negative health externalities by leveraging linguistic, cultural, and socioemotional connectedness within their communities.

Local Problem: Minority children in the Central Valley of California, face additional risk factors for the development of CNDs. CHWs working in this area require enhanced training on CNDs to improve their practice.

Methods: In partnership with Save the Children (STC), the University of San Francisco (USF) …

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 …

Relationship Between Objective Measures Of Stress And Child Health Behaviors: A Systematic Review And Meta-Analysis, Margaret Harrigan Clark

College of Science and Health Theses and Dissertations

INTRODUCTION: Childhood obesity is a risk factor for long term heath consequences such as diabetes, asthma, high cholesterol, and heart disease. However, causes for pediatric obesity are complex and include many variables such as calorie-dense diets, sedentary behavior, and short sleep duration. In addition to these variables, variances in homeostasis, can also impact obesity risk in pediatric populations. One of these variances of interest in the obesity and health literature is stress response. Relationships among these variables are not fully understood. Therefore, the purpose of this study was to systematically review the literature exploring predictive relationships between objective measures of …

Association Of Initial Periodontal Inflammation And Obesity On Oral Wound Healing Outcomes, Neil Bealka Iii

Theses & Dissertations

The purpose of this prospective cohort pilot study was to determine if initial periodontal inflammation limits healing outcomes after tooth extraction, specifically in terms of reduced periodontal attachment on adjacent teeth and changes in radiographic bone quantity and quality. Additionally, the study sought to explore correlations between patients with high body mass index and post-extraction healing outcomes. The study enrolled nine patients at the University of Nebraska Medical Center College Of Dentistry who required the extraction of a posterior tooth due to advanced periodontal bone loss, non-restorable caries, or root fracture. Prior to extraction, a limited field cone beam CT …

High School Nutrition Education Modules For Homeschooling, Miranda J. Baker

Nutrition Masters Projects

The increasing prevalence of obesity is increasing in the adolescent population. Many preventable diseases that may manifest later in life are associated with modifiable risk factors established during this time. Adolescents are at risk for chronic diseases related to diets consisting of increased fat, sodium, and sugars combined with decreased consumption of fruits, vegetables, and high fiber or calcium-containing foods. General nutrition knowledge questionnaires demonstrate that students receive inadequate nutrition education. Homeschooling is growing in popularity in the United States, which allows the opportunity to integrate nutrition education because the instructor or parent accompanies their students during cooking, tasting, and …

Exploration Of The Association Between Obesogenic Environments And Childhood Overweight/Obesity Rates In Rural Counties In The United States, Kara Lea Ferguson Davis

Theses and Dissertations

Rising obesity rates, particularly among children, pose a significant public health concern. Of particular concern is the prevalence of childhood obesity in rural communities, with up to 38% of rural children classified as overweight or obese, compared to 30% of urban children. Rural communities often lack the typical built environment characteristics associated with increased physical activity rates and healthy eating behaviors. Further, research on obesogenic environments within rural areas is limited. This study aimed to address this research gap by examining the association between obesogenic environment features and childhood overweight/obesity rates across the urban-rural continuum.

Simple and multiple linear regression …