Life Sciences Commons^™

Eating Behavior And Obesity Risk Of Youth Living In The City Of San Bernardino, California, Carolyn A. Corder

Loma Linda University Electronic Theses, Dissertations & Projects

Adolescents living in the City of San Bernardino, California, are susceptible to health risks due to high rates of violence, suicide, teen pregnancy, and poverty, which place them among the most vulnerable in the Nation to disability, early death, unhealthy offspring, illiteracy, economic disadvantage, and chronic disease. This study analyzed data from the Youth Risk Behavior (YRBS) and local surveys conducted in the City’s Unified School District from 1999 through 2001. The investigators focused on the relationship, if any, of dietary and anthropometric factors to the priority adolescent behaviors targeted for intervention by the Healthy People 2010 objectives: accidental injuries …

Human Equivalent Dose Modeling For Omega-3 Fatty Acid Supplementation In C57bl/6j Mice, Laura Louise Jones

Masters Theses

The rodent model is often used to study the impact of dietary n-3 fatty acids on a variety of biological endpoints, and the results of these studies have been used to explain anticipated effects of n-3 fatty acid intake in humans. However, supplemental levels of n-3 fatty acids that are commonly used in rodent studies do not represent reasonable human intake, by comparison. Currently there is no standard method for the addition of n-3 fatty acids to rodent diets. We tested a mathematical model for dosing supplemental levels of α-linolenic acid (ALA) and eicosapentaenoic acid (EPA) to rodent diets on …

Relationship Of School Breakfast Environment And Participation To Child Dietary Intake And Body Weight In Five Rural Appalachian Schools, Andrea Leigh Graves

Masters Theses

Objective The purposes of this study were two-fold: 1) to assess the school breakfast environment at four rural Appalachian schools for the contribution of foods to calories, fat, and fiber; and 2) to assess the dietary intake of students in these schools in relation to where breakfast was consumed (home, school, or both places) and by student weight status.

Setting Four rural Appalachian schools with fourth and fifth grade students in East Tennessee.

Subjects 255 fourth grade children completed a 24-hour dietary recall with a trained NDS-R interviewer and were weighed and measured by the Coordinated School Health Program.

Design …

Effect Of Almond-Raisin Versus Commercial Sports Beverage On Antioxidant Status Of Runners, Anh Thu V. Tran

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Whole foods are readily available antioxidant source and provide beneficial macromolecules and phytochemicals, which may contribute to optimal health. However, the approach to examining whole foods rich in antioxidants to play either an equivalent or better role in defending exercise-induced oxidant stress have not yet been taken. Objective: The objective of this study was to compare the effects of 2 isocaloric preexercise beverages: an almond-raisin beverage and a commercial sports beverage in male endurance runners on selected antioxidant status markers.

Design: In a randomized crossover study, 10 male runners (ages 28+1.2 years) ran to exhaustion on a treadmill at …

Validation Of A Serotonin Depletion Checklist In Parkinson’S Disease, Kelly Diane Darby Holder

Loma Linda University Electronic Theses, Dissertations & Projects

The distinctive pathological marker of Parkinson’s Disease (PD) is the progressive death of neurons that produce dopamine; however, there are also major alterations in the production of quantities of other neurotransmitters, such as norepinephrine and serotonin that contribute to the signs, symptoms, neuropsychological manifestations of the diseases. PD patients can be divided into classes based on the manifestation of motor symptoms, type A, classified as tremor dominant, and type B PD, classified as akinetic. Type B PD patients, often manifest symptoms in which serotonin deficiency plays an important role, such as frontal cognitive impairments, which often includes a history of …

Effects Of The Implementation Of A Pilot Nutrition Education Program In A Rural Appalachian County., Leigh A. Davenport

Electronic Theses and Dissertations

The purpose of the study was to determine if nutrition knowledge would increase, indicated by improvements in pretest and posttest scores, following implementation of a nutrition lesson plan. The subjects included 532 fourth through eighth grade students from Johnson County, a rural county in northeast Tennessee. The lesson plans and pretests and posttests were developed to be appropriate for each grade level, with increased complexity in higher grades. The principal investigator graded the pretests and posttests and analyzed the data using SPSS. The results showed a significant improvement from pretests to posttests for all grades given a p-value of <0.05.

Effects Of Resistance Training Volume And Variety On Dietary Intake And Mood State In Untrained Subject, Suzette K. Smith

Loma Linda University Electronic Theses, Dissertations & Projects

Background: While there is research on the effects of aerobic training on various aspects of mood state and nutrient intake, little is known of the effect of resistance training on these variables.

Purpose: To examine the effects of resistance training (RT) volume and variety on total energy (kcal) and macronutrient intake, and mood states in a healthy, untrained population.

Method:The investigation was part of a prospective experimental study examining the effects of three RT protocols on body composition and strength. An initial 102, healthy, untrained male and female participants, ages 20-40, were recruited, and randomized into one of three …

Dietary Patterns Of Mediterranean Adolescents, Sandra Ellan Brussee

Electronic Theses and Dissertations

The Mediterranean Diet (MD) is renowned for its health benefits. However, adherence appears to be lessening in the Mediterranean region as rates of overweight, obesity, and chronic disease are increasing. The adoption of a "western diet" (high amounts of meats, refined grains, snacks, and fast-food products) has been termed the "Nutrition Transition". Adolescents appear to be the most affected; therefore their diets and eating patterns were examined in this study. The objectives were to study food group-based consumption of adolescents, compare average servings with recommendations from the USDA Food Guide Pyramid (FGP) and the MD Pyramid, identify and compare eating …

The Effect Of Dietary Manganese On Arterial Functional Properties, Anastasia Z. Kalea

Electronic Theses and Dissertations

Dietary manganese affects the structure and integrity of blood vessels, as well as vessel predisposition to endothelial dysfunction and cardiovascular disease. In this thesis, we studied the role of manganese on the functional properties of rat aorta as defined by the endothelial and vascular smooth muscle cell pathways for adrenergic-mediated vasoconstriction and cholinergic-mediated vasodilation. Weanling Sprague-Dawley rats were fed a manganese deficient (MnD), adequate (MnA-control group) or supplemented (MnS) diet (<1, 10-15 and 45-50ppm Mn respectively). After 14 weeks on the diet the aorta was excised and four aortic rings of three mm length were prepared from each animal. Alterations in vasoconstriction among diet groups were detected by dose-response curves to the ^-adrenergic agonist LPhenylephrine in endothelium-intact and endothelium-disrupted rings. Alterations in endothelium-dependent vasodilation among diet groups were determined by doseresponse curves to Acetylcholine. We studied the mechanism by which dietary manganese affects two different endothelium-dependent vasodilation pathways: the Larginine/ nitric oxide (NO) and the cyclooxygenase (COX) pathways. Inhibition of the enzymes for NO synthesis (NOS) with L-NMMA, and of prostanoids (COX I and II) with Mefenamic acid, determination of NOS expression, and in vitro addition of L-Arginine (substrate for NO formation) to vessel rings revealed the effect of manganese on the regulation of endothelium-mediated vasodilation and vasoconstriction. Dose-response curves to sodium nitroprusside provided data for the dietary effect on endotheliumindependent vasodilation. Supplementary dietary manganese increased adrenoreceptor-mediated vascular smooth muscle contraction, which was significantly reduced in the presence of functional endothelium. Absence of dietary manganese increased endothelial cell sensitivity to the (Xi-adrenergic vasoconstrictor agent. Manganese had a small effect on the cGMP-pathway for dilation of vascular smooth muscle but affected vasodilation primarily through an endothelium-mediated pathway, probably by preserving NO bioavailability. Inhibition of vasodilation in Mn deficiency appears to occur through an endothelium-derived vasoconstrictor, possibly thromboxane with a concomitant decrease in the synthesis of endothelium-mediated vasodilator prostanoids. Our results demonstrate that dietary manganese influences the contractile machinery of vascular smooth muscle cells and regulates the bioactivity of endothelium-mediated vasodilators to affect agonist-induced signaling pathways that participate in the regulation of vasomotor tone. This suggests possibilities for dietary intervention in blood pressure regulation.

The Relationship Between Social Desirability And Reported Dietary Intake In Healthy And Overweight Children, Nicolle Clemente

Masters Theses

Objective: The purpose of this study was to determine if social desirability bias existed in dietary recall data of fourth graders and if bias was related to child’s weight status and gender. It was hypothesized that children concerned with social desirability would report decreased total energy intake, percent calories from fat, and servings per day of sugar- sweetened beverages, candies, desserts, and meats, while showing an increase in reported servings per day of vegetables.

Subjects: The sample was a baseline evaluation of 255 fourth graders from rural, East Tennessee. The evaluation took place at the beginning of an intervention called, …

Breastfeeding Policies And Practices In Tennessee Hospitals, Carrie J. Barker

Masters Theses

Objectives: The purpose of this study was to identify the level of compliance to the Baby Friendly Hospital Initiative (BFHI) in hospitals in Tennessee, to identify differences in infant feeding policies and practices based on hospital ownership type and to identify if breastfeeding disparities are related to the infant feeding policies and practices of those hospitals.

Methods: Eighty hospitals/maternity centers were surveyed in Tennessee. Thirty-seven hospitals responded to a mailed survey relating to the hospital infant feeding policies and practices as defined by the WHO/UNICEF BFHI’s Ten Steps to Successful Breastfeeding. Compliance was modeled as a function of hospital …

Effect Of Almond Intake On Fecal Fat Excretion In Healthy Adults, Janine Alisha Zemaitis

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Caloric consumption in excess leads to weight gain. Consuming nuts, in particular almonds, on a regular basis would likely increase overall caloric intake due to their high fat content, assuming complete digestion and absorption. However, multiple studies report no significant change in body weight when subjects consume nut-rich diets.

Objective: The objective of this study is to measure the effects of almond consumption on stool composition, particularly individual fatty acid content.

Design: Subjects participated in a randomized, crossover, controlled feeding study. Following a 2-week run-in period on a typical American diet (34% energy from fat), subjects were randomized to …

Effects Of Feeding Regular Eggs, N-3 Fatty Acid Enriched Eggs, And Walnuts, On Blood Lipids, Membrane Incorporation Of Fatty Acids, And Serum Lutein, In Free-Living Lacto-Ovo Vegetarians, Bonny Burns-Whitmore

Loma Linda University Electronic Theses, Dissertations & Projects

Americans do not receive enough n-3 fatty acids (F. A.) in their diets. Walnuts are good source of α-linolenic acid (ALA), while n-3 F.A. enriched eggs provide a dietary source of DHA. Whether ALA and DHA have equivalent effects modifying cardiovascular risk factors is not known. This study compared the changes in blood and erythrocyte membrane lipids in twenty free-living lacto-ovo vegetarians following the consumption of regular eggs (6/wk), n-3 F.A. enriched eggs (6/wk), or walnuts (6 oz/wk) in a triple crossover design.

Results indicate significant differences between treatments for serum triacylglycerols (TAGs), total cholesterol (TC), apo B, apo B: …

The Effects Of Long Term Walnut Consumption On Levels Of Plasma Tocopherols And Inflammatory Mediators, Suwimol Sapwarobol

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine the effects of long term walnut consumption on plasma levels of tocopherols and the inflammatory mediators interleukin-1β (IL-1β ), interleukin-6 (IL-6), tumor necrosis factor-a (TNF-a) and Creactive protein (CRP) in healthy participants. Ninety participants were recruited into a 12-month randomized crossover intervention study, which consisted of two phases, the walnut supplemented diet and the habitual diet. Participants were randomly assigned to either of these two phases for six months and then switched to the other phase for the second six months. During the walnut supplemented diet phase, participants incorporated walnuts (28-56 g/d) …

Efficacy Of Cardiac Education On Dietary Habits Of Subjects Participating In Cardiac Rehabilitation., Marie-Rose Antoine Abdo

Electronic Theses and Dissertations

The purpose of this study was to determine if cardiac nutrition education can affect dietary patterns of subjects participating in Cardiac Rehabilitation. Surveys, a pretest given prior to the first cardiac class and a second identical test, administered following cardiac rehabilitation classes, were conducted. Fifty-five randomly selected participants from the outpatient Cardiac Rehabilitation Program were initially given the posttest. Thirty-three of the 55 surveys were returned. Cardiac health classes offered by various health professionals included cardiac nutrition education, group nutrition classes, guest lectures on nutrition, and cooking demonstrations. The tests were compared to measure changes in diet and were analyzed …

Development Of An East Tennessee Tri-County Community Food Assessment Instrument To Aid In The Construction And Implementation Of A Working Food Model., Alison Suzanne Brooks

Electronic Theses and Dissertations

The purpose of this study was to determine the needs and relationships of high-risk community members in Cocke County Tennessee to food sources. Cocke County was chosen as the representative county in this pilot study due its high percentage of residents living at or below the poverty level, which can lead to hunger and food insecurities. A community food assessment was conducted among residents participating in a commodities disbursement program in Cocke County. Two hundred seven individuals participated in this survey. The results of the surveys were posted and analyzed using an online statistical analysis software program. With the needs …

Efficacy Of A Nutrition Education Program Designed For Grades K-3 Piloted In Johnson County Schools., Allison Nicole Lowry

Electronic Theses and Dissertations

The purpose of this study was to increase the nutrition knowledge of elementary school students by implementing nutrition education lessons. The subjects included 49 kindergarten through third grade students in Johnson County, Tennessee during the fall of 2004. Knowledge increase was measured by pretest and posttest scores. The tests were analyzed by paired t-tests. While all students showed an increase in mean score, kindergarten and first grade students did not show a significant increase in posttest scores. However, second and third grade students showed a significant increase in posttest scores, indicating an increase in nutrition knowledge.

The Impact Of Prealbumin On Postoperative Length Of Stay In Elderly Orthopedic Patients., Brandy Paige Pennington

Electronic Theses and Dissertations

The purpose of this research was to evaluate whether serum prealbumin levels would serve as a predictor of hospital length of stay for elderly orthopedic patients who underwent hip replacement surgery. The study consisted of a set of 54 patients admitted to a hospital in Bristol, Tennessee. Patients with depleted prealbumin levels, low to low/normal prealbumin levels, or normal prealbumin levels were analyzed. Data collected from a retrospective chart review included: age, length of stay, serum glucose, sodium, potassium, hematocrit, hemoglobin, BUN, creatinine, WBC, prealbumin, and post operative diet consumption. Data were analyzed using analysis of variance for treatment effects. …

Hunger And Satiety In Recovering Eating Disorder Patients, Jenelle T. West

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Desire to eat, hunger, feeling of having enough to eat, and fullness were measured in 11 eating disorder patients in treatment for less than two months, 7 eating disorder patients in treatment for more than two months, and 11 controls. The experimental group was female patients with a DSM-IV diagnosis of Anorexia Nervosa, Bulimia Nervosa, or eating disorder not-otherwise-specified. The experimental and control groups ate a test meal two hours after a preload. The groups answered four questions about desire to eat, hunger, feeling of having enough to eat, and fullness, before they ate, halfway through their meal, immediately upon …

Developing A Valid Screening Tool For Assessing Nutritional Adequacy And Osteoporosis Risk Among Vegans In The United States, Patricia Adelle Dyett

Loma Linda University Electronic Theses, Dissertations & Projects

The vegetarian lifestyle in the United States has increased significantly over recent decades. With this growth trend, it has become necessary to assess the pros and cons of vegetarian diet patterns, particularly with respect to nutrition adequacy and chronic disease concerns.

The vegan diet engenders more concern than other common vegetarian lifestyles because it seeks to replace all nutrient-rich animal food products with only plant foods. Consequently, there are concerns of compromised protein, calcium. vitamin D, vitamin B₁₂, n-3 fatty acid, zinc, and iron status. Moreover, because of typical vegan diet phenomena such as low BMI, low protein …

Weight Maintenance: Determinants Of Success, Cynthia Mitchell

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This literature review was a selective examination of current obesity and physical activity research and opinions. Its purpose was more to evoke thought and discussion regarding the United States' obesity epidemic, rather than serve as an exhaustive account of prospective causes and solutions. Obesity and physical inactivity are major preventable health problems in the United States, but despite overwhelming evidence regarding the benefits of a healthy weight and regular physical activity, adult, childhood and adolescent obesity rates continue to escalate, creating significant health, medical and economic consequences.

While obesity rates soar, a small population percentage has proven successful in long-term …

Nutritional Status And Growth In Infants With Cystic Fibrosis At Diagnosis And At Age Two Years And Six Years, Marianne Rich

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

PURPOSE: A retrospective chart review was conducted to determine if nutritional source of feeding and/or infant age at diagnosis of cystic fibrosis had any effect on nutritional status and subsequent growth accretion. Additionally, an attempt was made to identify predictors for poor growth in patients with undiagnosed cystic fibrosis.

METHODS: Data was collected from medical and clinic charts at Primary Children's Medical Center (PCMC), Salt Lake City, Utah, for subjects born between January 1, 1995 and December 31, 200 I, who were diagnosed with cystic fibrosis before 1 year of age. Thirty-one subjects met inclusion parameters. These subjects were divided …

Effect Of Non-Metabolized Sweeteners On Health Parameters In Humans, Matthew Alan Leonhardt

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The demand for functional foods is on the rise. These are food products that, besides providing energy and nutrients for life, provide additional health benefits. Xylitol, a five-carbon sugar alcohol, is a possible functional food, as well as a sugar replacement. The cost of xylitol has led manufacturers to add inulin, a nondigestible oligosaccharide, as an extender. Both xylitol and inulin have been suggested to provide added health benefits beyond being a reduced calorie replacement for sugar. We tested their impact on several human health parameters (fecal weight, fecal pH, fecal % moisture, blood lipids, blood glucose, and fecal micro …

Diabetes, Cognitive Decline, And Alzheimer's Disease: The Cache County Study On Memory, Health, And Aging, Gene Charoonruk

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Studies have reported mixed results for people with or without diabetes with cognitive decline or Alzheimer's disease (AD). Cognitive decline and AD among people with diabetes will be the focus of much discussion since results have been controversial.

The study examined whether diabetes is associated with cognitive decline and whether it is an independent risk factor for the development of AD among elderly residents of Cache County, Utah.

Results revealed an association between diabetes and a lower average Modified Mini Mental State Examination (3MS) score of nearly a point lower at baseline. Results also showed an association between diabetes and …

Identification Of Factors Affecting Susceptibility To Depression And Influencing Quality Of Life In Adult Cystic Fibrosis Patients Based On Age-At-Diagnosis, Marlene Israelsen

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Approximately 10% of cystic fibrosis (CF) cases remain undiagnosed until age 18 or later and medical professionals are still unclear about the needs of these individuals. Adults with CF must either adapt to life with a chronic disease or transition into adulthood with CF. The purpose of this study was to address the impact of age-at-diagnosis on quality of life in a CF adult population.

The psychological functioning of 21 adult CF patients (seven adult-diagnosed (AD) and 14 pediatric-diagnosed (PD)) was assessed using the Beck Depression Index (BDI)-II. A descriptive review of demographic and clinical data, which included an assessment …

Development And Evaluation Of An Electronic Food Frequency Questionnaire For Estimating Calcium Intake Among Multiethnic Youth, Siew Sun Wong

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Youth consuming inadequate amounts of calcium are at risk of developing osteoporosis later in life. To better assess dietary calcium intakes and the efficacy of dietary intervention strategies to improve bone health among youth, it is important to develop calcium intake assessment tools that are reliable, accurate, and interactively engaging for a new generation of youth who have a higher computer literacy and are more technologically knowledgeable than preceding generations. The goal of this dissertation was to develop and evaluate an electronic food frequency questionnaire (eFFQ) that measures calcium intake among 11-to 18-year-old Asian, Hispanic, and White youth. Enhancing this …

Prevention Of Childhood Obesity Among Low-Income Preschool-Aged Children, Ann Romero

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

To determine the effects of a targeted curriculum and dual program involvement on childhood overweight status among low-income preschool children, a nutrition curriculum was developed. Three Special Supplemental Food Program for Women Infants and Children (WIC) clinics participated in the study: the control clinic, a clinic which received the targeted curriculum, and a third clinic which received the targeted curriculum and referred participant families to the Expanded Food and Nutrition lll Education Program (EFNEP). Participants were followed for six months. Data collected included anthropometrics, dietary intake, and parental behaviors.

Results showed a decrease in body-mass index percentile, slight improvements in …

Nutrition Education For Parents Of Children With Cystic Fibrosis : Assessment Of Needs And Strategies For Improved Knowledge And Confidence In Self Care, Catherine M. Mcdonald

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Suboptimal growth and nutritional status are problematic for children with cystic fibrosis (CF). Optimal nutrition predicts better lung function and longevity. Daily nutrition therapy for children with CF requires adequate food resources, knowledge of appropriate nutrition and behavior management skills, and confidence in one's ability to correctly apply the necessary skills. The Mountain West Cystic Fibrosis Consortium Questionnaire (MWCFC-Q) was designed as an educational needs assessment for parents of children with CF. The goal was to identify areas of concern that could be targeted for educational intervention to ultimately improve children's growth and nutritional status.

Data analyzed from 305 returned …

International Students’ Perceptions Of Food Service At A New Jersey State University, Rebecca Ann Schubert

Theses, Dissertations and Culminating Projects

The aim of this study is to explore international students’ perceptions of food service at Montclair State University. Twelve international students were recruited to participate in this quick ethnography. Seven of the twelve participants were males and five were females. Students came from a variety of ethnic backgrounds including Asian/Pacific Islander, African, Hispanic and White, non-Hispanic. Inclusion criteria were that the students must be considered international students by the university and must be able to effectively communicate in English. The students completed a fourteen-question survey questionnaire which asked about demographic data as well as questions about attitudes and beliefs about …

Cardiovascular Medical Nutrition Therapy Looking At The Dash Trials, Rachel Anne Naegle

Undergraduate Honors Capstone Projects

OBJECTIVE: To review the recent medical literature on the effects of the DASH diet principles of increased fruits, vegetables, low-fat dairy, and decreased total and saturated fat; focusing on the intent to implement this dietary pattern to reduce hypertension, and thus to reduce cardiovascular disease.

FINDINGS: The combination diet reduced systolic by 5.5 mm Hg, and diastolic by 3.0 mm Hg as compared to the control diet (P<0.001 for each) (5, 7, 8). When comparing the two diet variables, the combination diet reduced systolic blood pressure 2.7 mm Hg, and diastolic 1.9 mm Hg more than the fruits-and-vegetables diet, (all with a P<0.001)! The results of the DASH-sodium (DASH II), proved also to substantially lower blood pressure when used with the combination diet.

CONCLUSION: Even though the DASH-sodium diet did decrease blood pressure, there is no scientific background to recommend this to all populations, and that instead of focusing attention on reducing sodium, efforts should …