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Combined Resistance And Aerobic Exercise Training Reduces Insulin Resistance And Central Adiposity In Adolescent Girls Who Are Obese: Randomized Clinical Trial, Leena P. Bharath, William W. Choi, Jae-Min Cho, Alexus A. Skobodzinski, Alexei Wong, Ty E. Sweeney, Song-Young Park

Health and Kinesiology Faculty Publications

Introduction

Exercise training is recommended for improving health and protecting against the development of metabolic and cardiovascular pathologies. Combined resistance and aerobic exercise training (CRAE) has been shown to provide unique benefits in older adults with cardiovascular diseases.

Purpose

We sought to determine the beneficial effects of CRAE in adolescent girls who are obese and hyperinsulinemic.

Methods

Forty adolescent girls who are obese (age 14.7 ± 1 years; BMI 30 ± 2) were randomly assigned to a “no exercise” (CON n = 20) or combined exercise group (EX n = 20). The EX group performed resistance and aerobic exercise for …

Healthy Families: A Family-Based Community Intervention To Address Childhood Obesity, Danae Dinkel, Melissa Tibbits, Emily Hanigan, Kelly Nielsen, Leah Jorgensen, Kay Grant

Health and Kinesiology Faculty Publications

The objective of this study was to determine the effectiveness of Healthy Families, a family-based community intervention, in improving the knowledge, self-efficacy, and health behaviors of overweight/obese children and their families as well as to explore the lessons learned. Results showed families who completed the program had significant improvements for children and parents in areas such as nutrition knowledge and self-efficacy in making healthy eating choices as well as participating in physical activity. Additionally, families reported decreasing their intake of sugar-sweetened beverages. Participating families and community partners provided valuable lessons for other communities seeking to implement a similar program.

Assessment Of Human Adipose Tissue Microvascular Function Using Videomicroscopy, Melissa G. Farb, Song-Young Park, Shakun Karki, Noyan Gokce

Health and Kinesiology Faculty Publications

While obesity is closely linked to the development of metabolic and cardiovascular disease, little is known about mechanisms that govern these processes. It is hypothesized that pro-atherogenic mediators released from fat tissues particularly in association with central/visceral adiposity may promote pathogenic vascular changes locally and systemically, and the notion that cardiovascular disease may be the consequence of adipose tissue dysfunction continues to evolve. Here, we describe a unique method of videomicroscopy that involves analysis of vasodilator and vasoconstrictor responses of intact small human arterioles removed from the adipose depot of living human subjects. Videomicroscopy is used to examine functional properties …

An Overview Of Assessment Methodology For Obesity-Related Variables In Infants At Risk, Danae Dinkel, Corrine Hanson, Karsten Koehler, Ann Anderson Berry, Anastasia Kyvelidou, Matthew Bice, Jill Wallen, Danstan Bagenda, Laura Jana, Jana Pressler

Health and Kinesiology Faculty Publications

Background: The first 2 years of a child’s life are a particularly critical time period for obesity prevention.

Aim: An increasing amount of research across the world is aimed at understanding factors that impact early childhood obesity and developing interventions that target these factors effectively. With this growing interest, new and interdisciplinary research teams are developing to meet this research need. Due to rapid growth velocity during this phase of the lifespan, typical assessments used in older populations may not be valid or applicable in infants, and investigators need to be aware of the pros and cons of …

Wnt5a Regulates Adipose Tissue Angiogenesis Via Antiangiogenic Vegf-A165b In Obese Humans, Melissa G. Farb, Doan T.M. Ngo, Song-Young Park, Samantha M. Saggese, Naomi M. Hamburg, Brian Carmine, Donald T. Hess, Kenneth Walsh, Noyan Gokce

Health and Kinesiology Faculty Publications

Experimental studies have suggested that Wingless-related integration site 5A (WNT5A) is a proinflammatory secreted protein that is associated with metabolic dysfunction in obesity. Impaired angiogenesis in fat depots has been implicated in the development of adipose tissue capillary rarefaction, hypoxia, inflammation, and metabolic dysfunction. We have recently demonstrated that impaired adipose tissue angiogenesis is associated with overexpression of antiangiogenic factor VEGF-A165b in human fat and the systemic circulation. In the present study, we postulated that upregulation of WNT5A is associated with angiogenic dysfunction and examined its role in regulating VEGF-A165b expression in human obesity. We biopsied subcutaneous and visceral adipose …

He’S Just Content To Sit: A Qualitative Study Of Mothers’ Perceptions Of Infant Obesity And Physical Activity, Danae Dinkel, Kailey Snyder, Anastasia Kyvelidou, Victoria Molfese

Health and Kinesiology Faculty Publications

Background: Rates of obesity among children ages zero to five are rapidly increasing. Greater efforts are needed to promote healthy behaviors of young children. Mothers are especially important targets for promoting health as mothers’ views play a vital role in helping their children foster healthy habits from an early age. Research has found parents’ views of infants’ weight may influence their feeding practices; however, limited research has explored mothers’ view of infants’ weight in relation to the promotion of physical activity. Therefore, the purpose of this study was to explore the perceptions of mothers of normal weight infants and overweight …

Combined Exercise Training Reduces Blood Pressure, Arterial Stiffness, And Insulin Resistance In Obese Prehypertensive Adolescent Girls, Won-Mok Son, Ki-Dong Sung, Leena P. Bharath, Kong-Jib Choi, Song-Young Park

Health and Kinesiology Faculty Publications

Childhood obesity is strongly linked to pathological processes for cardiovascular diseases in later adulthood. Obese adolescent girls with high blood pressure (BP) are reported to have increased arterial stiffness, which is associated with the development of hypertension and atherosclerosis. The present study sought to examine the impact of combined resistance and aerobic exercise (CRAE) training on BP, brachial-ankle pulse wave velocity (baPWV), insulin resistance (IR), and body composition in obese prehypertensive girls. Forty girls (age, 15 ± 1 years; systolic BP, 132 ± 2 mmHg, diastolic BP, 80 ± 5 mmHg) were randomly assigned to either a combined exercise (EX, …

Postural Control Strategies Differ In Normal Weight And Overweight Infants, Danae Dinkel, Kailey Snyder, Victoria Molfese, Anastasia Kyvelidou

Health and Kinesiology Faculty Publications

Background

Evidence suggests obesity can have a negative influence on a child’s motor development and postural control behavior. Little research has examined the impact of infant weight on gross motor behavior, particularly postural control at the onset of sitting.

Objective

The purpose of this study was to determine whether normal weight and overweight infants differed in their postural control strategies at the onset of sitting and one-month post onset of sitting.

Methods

29 infants (n = 19 normal weight, n = 10 overweight) were recruited to participate in this study. Infant’s length and weight were measured at 3 months of …

Wnt5a-Jnk Regulation Of Vascular Insulin Resistance In Human Obesity, Melissa G. Farb, Shakun Karki, Song-Young Park, Samantha M. Saggese, Brian Carmine, Donald T. Hess, Caroline Apovian, Jessica L. Fetterman, Rosa Breton-Romero, Naomi M. Hamburg, Jose J. Fuster, Maria A. Zuriaga, Kenneth Walsh, Noyan Gokce

Health and Kinesiology Faculty Publications

Obesity is associated with the development of vascular insulin resistance; however, pathophysiological mechanisms are poorly understood. We sought to investigate the role of WNT5A-JNK in the regulation of insulin-mediated vasodilator responses in human adipose tissue arterioles prone to endothelial dysfunction. In 43 severely obese (BMI 44±11 kg/m2) and five metabolically normal non-obese (BMI 26±2 kg/m2) subjects, we isolated arterioles from subcutaneous and visceral fat during planned surgeries. Using videomicroscopy, we examined insulin-mediated, endothelium-dependent vasodilator responses and characterized adipose tissue gene and protein expression using real-time polymerase chain reaction and Western blot analyses. Immunofluorescence was used to quantify endothelial nitric oxide …

Yoga Training Improves Metabolic Parameters In Obese Boys, Dae Yun Seo, Sungryul Lee, Arturo Figueroa, Hyoung Kyu Kim, Yeong Ho Baek, Yi Sub Kwak, Nari Kim, Tae Hoon Choi, Byoung Doo Rhee, Kyung-Soo Kim, Byung Joo Park, Song-Young Park, Jin Han

Health and Kinesiology Faculty Publications

Yoga has been known to have stimulatory or inhibitory effects on the metabolic parameters and to be uncomplicated therapy for obesity. The purpose of the present study was to test the effect of an 8-week of yoga-asana training on body composition, lipid profile, and insulin resistance (IR) in obese adolescent boys. Twenty volunteers with body mass index (BMI) greater than the 95th percentile were randomly assigned to yoga (age 14.7±0.5 years, n=10) and control groups (age 14.6±1.0 years, n=10). The yoga group performed exercises three times per week at 40~60% of heart-rate reserve (HRR) for 8 weeks. IR was determined …