Life Sciences Commons^™

Effectiveness Of Intervention Studies Based On Diet And/Or Physical Activity In Treatment, Prevention, And Management Of Diabetes Among South Asians: A Systematic Review, Ishaan Arora

Theses and Dissertations

The purpose of this study was to describe diet and/or physical activity-based interventions and their control in cardiometabolic risk factors of diabetes for the South Asian (SA) population. A systematic review was conducted in accordance with the PRISMA guidelines. Seventeen randomized control trials meeting the inclusion criteria were included for analysis. Interventions with type-2 diabetic SA showed significant improvements in HbA1c% (4/5 studies), fasting blood glucose (3/4 studies), and postprandial glucose (2/2 studies). Interventions with at-risk/prediabetic and non-diabetic SA showed a modest change in overall outcomes, with significant change reported for post-prandial insulin (3/4 studies), BMI and weight (2/4 studies), …

“It’S Just Part Of Our Hospitality:” Examination Of Cultural Factors That May Inform Future Initiatives To Improve Health Outcomes In A Rural Appalachian Community, Lauren Cassidy Batey

Theses and Dissertations--Nutrition and Food Systems

Diet and physical activity are influenced by a person’s culture and may contribute to the presence of health disparities within a geographic region. Health disparities are evident in Appalachia where a unique cultural identity exists. Culture-based initiatives focused on improving diet quality and increasing physical activity have improved health outcomes in diverse groups, yet interventions considering geographically tied cultures, like Appalachia, are limited. This study aims to identify specific aspects of Appalachian culture that influence health outcomes to inform and increase success of health focused interventions. Five focus groups were conducted in one rural Appalachian community in summer 2021. Grounded …

The Correlation Between Dietary Intake, Stress, Food Insecurity, Physical Activity, Sleep, And Screen Time In College Students During Covid-19, Mariana Alves Olguin

Theses & Dissertations

College students with high stress levels are more likely to engage in unhealthy behaviors, which may negatively impact their health. During COVID-19, college student’s lives were disrupted on multiple levels. The aim of this study was to investigate the relationship between dietary intake, perceived stress, food insecurity, sleep, screen time, and physical activity among college students during the COVID-19 pandemic. College students at the University of the Incarnate Word (N=154) completed an online survey to assess dietary choices (Dietary Screener Questionnaires (DSQ) in the NHANES 2009-10: DSQ), food insecurity (6-item Short Form of the US Household Food Security Survey), stress …

Obesity Prevention Toolkit To Combat Weight Gain Related To Sedentary Behavior And Dietary Habits In College Students: An Evidence-Based Project, Maria Amos, Martha Fuller

Doctor of Nursing Practice Final Manuscripts

Abstract

Background: Forty percent of the US population ages 20-39 are categorized as obese,

their BMI is over 30, and 35% of college age students are obese or overweight. Issues related to obesity cost the US $147 billion annually. Between 40%-50% of college students are reported to be inactive. Inactivity can lead to increased morbidity and mortality related to increased risks of cardiovascular disease, diabetes, hypertension, musculoskeletal issues, and depression. Providing dietary and physical activity education and access to nutritional information promotes behavior change in young adults.

Aims of Service Change: This evidence-based project proposal aims to provide a toolkit …

Market To Table: A Physical Activity And Healthful Eating Approach To Diabetes Prevention, Alison Schwartz

Masters Theses, 2020-current

According to the Center of Disease Control and Prevention (2019), one out of three US adults has prediabetes and healthful eating and physical activity can help to prevent or delay the onset of Type 2 diabetes. This study examines physical activity and healthful eating behavior following a 6-week Market to Table intervention that includes an experiential workshop series among participants who have prediabetes or are at risk for prediabetes. Current participants or graduates of the Sentara RMH Medical Center Diabetes Prevention Program and James Madison University faculty or staff who had been diagnosed with prediabetes or are at risk were …

Determining The Association Between Religious Participation And Spirituality And Diet And Physical Activity Behaviors In African Americans Of Mississippi, Nidhi Shrestha

Honors Theses

According to CDC, African Americans experience higher rates of chronic diseases when compared to other ethnic groups. Focusing on religiosity and spirituality may benefit the health status of this minority group where advanced healthcare facilities are not easily assessable. The purpose of this research is to 1. Examine demographic factors related to religiosity/spirituality factors among a sample of African American Mississippians; and 2. Determine the correlation between their religiosity, spirituality, and health behaviors. The study uses the data collected by the Mississippi INBRE Telenutrition Center at The University of Southern Mississippi (USM). Participants for this study were recruited from May …

The Association Between The Comprehensiveness And Strength Of Written Physical Activity Wellness Policies And The Observed School Physical Activity Environment, Maggie Kringen

Electronic Theses and Dissertations

Purpose: To determine if there is a relationship between physical education/activity wellness policy comprehensiveness and strength and the observed physical activity (PA) environment.
Methods: The Wellness School Assessment Tool 2.0 (WellSAT 2.0) was used to evaluate the quality of written wellness policies. The School Physical Activity and Nutrition Environment Tool (SPAN-ET) was used to evaluate the school environment. Pairwise correlations and one-way ANOVAs were used to determine if written wellness policy quality affects the school PA environment. Data are presented as mean ± SD and significance was set at p ≤ 0.05.
Results: One significant relationship was found between WellSAT …

Nutrition, Body Composition And Physical Activity In Malignant Pleural Disease: Associations With Patient Outcomes And Response To An Exercise Intervention, Emily Jeffery

Theses: Doctorates and Masters

Background: Patients with malignant pleural disease (MPD) have advanced cancer and high symptom burden. Goals of patient care are to optimise health-related quality-of-life (HR-QoL) and participation in daily physical activities. Supportive care interventions such as nutrition and exercise could offer benefit to patients. However, there is a lack of information on the prevalence of low muscle mass (i.e., pre-sarcopenia), malnutrition, inactivity and poor physical functioning in patients with MPD. Additionally, little is known about the factors associated with development of pre-sarcopenia and malnutrition or their associations with patient outcomes.

Purpose: The objectives were to: 1) characterise physical activity levels and …

Impact Of Concussion And Orthopedic Injuries On Physical Activity And Quality Of Life After Sport Retirement, Makenna Hancock

Electronic Theses and Dissertations

CONTEXT: Concussions and orthopedic injuries represent a significant risk related to participation in collegiate athletics. These injuries can create significant long-term impairments and functional limitations which may also decrease former athletes’ quality of life (QoL) and inhibit their ability to engage in physical activity. OBJECTIVE: To investigate QoL and physical activity levels of former collegiate athletes with a history of concussion and orthopedic injury, orthopedic injury only, and healthy controls. DESIGN: Descriptive, experimental study.
SETTING: Daily life as former National Collegiate Athletic Association Division I collegiate athlete.
PARTICIPANTS: Former Division I collegiate athletes competing in football, women’s soccer, baseball, softball, …

Evaluating The Experiences Of Fcs Cooperative Extension Agents Use Of Policy, Systems And Environmental Strategies To Reduce Obesity In Rural Counties, Jordan Lynn Bressler

Theses and Dissertations--Nutrition and Food Systems

High rates of obesity are seen across the country with rural areas disproportionately affected. Based on the socio-ecological model, policy, system, and environmental approaches targeted at the population level have the potential to create more sustainable health behavior change than individual level approaches. Historically, the Cooperative Extension Service (CES) has provided direct education related to healthy eating and active living in response to high obesity rates. Utilizing the resources and infrastructure of the CES, the Centers for Disease Control challenged CESs across the country to implement PSE strategies in counties with obesity rates greater than 40% through the CDC 1416 …

The Impact Of School Nutrition Education And Physical Education Programs On Weight Status Of Obese Children Aged 5-12 Years, Lamia Alotaibi

Masters Theses

Epidemiological studies indicate that 12.5 million children and adolescents are considered obese (Center for Disease Control and Prevention, 2017). Obesity is on the rise globally, and while it affects both children and adults, early measures can be taken to reduce the number of children who are obese, and therefore, come into adulthood at a higher risk for obesity-related diseases, such as hypertension, cardiovascular disease, and sleep apnea. There are many studies in which programs are implemented and tested for effectiveness; therefore, a systematic review of these studies that examine which factors play into overall obesity prevention and health improvements among …

The Relationship Between Modifiable Lifestyle Factors And Muscle Lipid Depots In Older Adults, Maja Redzic

Theses and Dissertations--Pharmacology and Nutritional Sciences

Muscle health declines with age, influencing both muscle strength and performance. Modifiable lifestyle factors may mitigate muscle dysfunction by altering muscle lipid depots. Vitamin D status, dietary intake, and physical activity each play a role in muscle health during aging. Low vitamin D status (measured as 25(OH)D) is prevalent among older adults and has been associated with functional limitations and impaired physical performance. Previously, 25(OH)D concentrations were inversely associated with extramyocellular lipid (EMCL) and our lab observed a significant positive relationship between 25(OH)D concentrations and IMCL. Studies have shown mixed results regarding the effects dietary fat intake interventions have on …

Promoting Healthy Eating And Physical Activity: A Qualitative Examination Of Community-Based Obesity Interventions In Rural Kentucky, Brooke F. Butterworth

Theses and Dissertations--Nutrition and Food Systems

Rural Americans are medically underserved groups and are at greater risk of becoming obese than urban Americans. The purpose of this qualitative study was to determine the perceived causes of obesity in six counties of rural Kentucky and to determine how to customize strategies to reduce obesity in these areas. University of Kentucky Cooperative Extension Service Agents formed coalitions in each of the six counties to assess their communities’ needs and assets to inform plans for implementing evidence-based obesity interventions. Between February and August of 2015, the coalitions were convened for a total of 11 meetings. Each of the coalition …

Differences In Running Mechanics Between Overweight/Obese And Healthy Weight Children, Kristen Roles

Electronic Theses and Dissertations

Background/Purpose: Physical activity is commonly prescribed to reduce childhood obesity. However, due to differences in mechanics during low-impact activities, such as walking, obese children may be more prone to negative physical complications during high-impact activities, such as running. Therefore, this study analyzed the mechanical differences in running mechanics between healthy weight (HW) and overweight/obese (OV/OB) children. We hypothesized that when compared to HW children, OV/OB children would display higher vertical loading, greater joint moments and greater joint angular impulses during running. We also expect decreased sagittal plane range of motion and increased frontal plane range of motion of the hip, …

Icook 4-H: 0 To 24-Month Accelerometer-Derived Physical Activity And Sedentary Time In Youth, Emily Hofer

Electronic Theses and Dissertations

To assess accelerometer-derived physical activity and sedentary time from 0 to 24- months in youth in the iCook 4-H program. The iCook 4-H Program was a 5-state, randomized, control-treatment, family-based childhood obesity prevention intervention promoting cooking, eating and playing together. Youth, 9-10 years old, and their main adult meal preparer, participated in the 12-week program followed by monthly newsletters and bi-yearly booster sessions until 24-months. Physical activity and sedentary time were determined for youth who wore an Actigraph GT3X+ accelerometer for 7 days at 0, 4, 12, and 24-months and met defined accelerometer compliance standards. Mean daily minutes of sedentary …

Icook 4-H: Report Of Accelerometer Derived Physical Activity In 9-10 Year Old Children From Baseline, Post, And Follow-Up, Chase Merfeld

Electronic Theses and Dissertations

To examine the relationship between baseline, post, and follow-up accelerometer derived physical activity (PA) in 9-10 year old children participating in iCook 4-H, a 16-week, 5- state, randomized control family centered childhood obesity prevention program. This family focus intervention was designed to promote PA through lifestyle modifications. Between group differences in minutes-per-day and intensity of PA were determined on accelerometer compliant participants. All subjects wore an accelerometer (Actigraph GT3X+) for 7 days at baseline, post, and follow-up intervention assessment. Mean daily minutes of accelerometer derived sedentary time (ST) and PA including light (LPA), moderate (MPA), vigorous (VPA) and moderate-to-vigorous (MVPA) …

Health Hub Program Evaluation, Natalie Macias

Master's Projects and Capstones

This paper examines and evaluates the work of LIFT-Levántate a non-profit organization in San Rafael, California on their school-based nutritional education “health hub,” through health promotion interventions with adolescents. The James B. Davidson Middle School health hub educates students on topics related to nutrition and physical activity with the goal of providing access and increasing consumption of fruits and vegetables while lowering students’ intake of high-fat and sugary processed foods. Through research and observations of the students and families in this community, the data seems to indicate apparent disparities which vary by ethnicity, socioeconomic status and access. Underserved populations, including …

An Assessment Of A 13-Week Teaching Gardens Intervention On Healthy Behavior Outcomes In 4th And 5th Grade Students At Crestwood Elementary School In Las Vegas, Nevada, Miranda Corgiat

UNLV Theses, Dissertations, Professional Papers, and Capstones

Nearly 13 million children and adolescents are considered to be obese in the United States, with children enrolled in Clark County School District showing elevated overweight and obese weight statuses compared to national averages. Carrying an excessive amount of weight can lead children to experience a multitude of complications with their physical and mental health as well as increase their risk of developing various chronic diseases. The American Heart Association's Las Vegas Teaching Gardens program implemented a school-based garden pilot study to target environmental causes of obesity in 4th and 5th grade students at Crestwood Elementary School. The objective of …

The Role Of Sleep Timing On Diet Quality And Physical Activity Among College-Aged Women Participating In The University Of Massachusetts Vitamin D Status Study, Deniz Azarmanesh

Masters Theses

Overweight and obesity are risk factors for various chronic diseases. Sleep has been associated with overweight and obesity. One potential mechanism by which sleep may lead to overweight and obesity is through positive energy balance (i.e. energy intake exceeding expenditure). There are few studies examining the impact of sleep timing (onset and wake time) on diet and exercise. In a cross sectional study, we examined associations between sleep timing and diet quality, and in separate models, between sleep timing and meeting the 2008 Physical Activity Guidelines for Americans among the participants of the UMass Vitamin D Status Study. A total …

Residents Living In A Retirement Community Are At Risk For Numerous Nutrient Inadequacies, Ohood M. Alharbi

Electronic Thesis and Dissertation Repository

Purpose: To determine the nutrient adequacy of the diet of older adults living in a retirement community (RC). Methods: Residents were surveyed using a 21-item Health Questionnaire and Three Day Food Records were used to estimate the adequacy of their diets. Food records were analyzed using ESHA Food Processor®; all data were tabulated and analyzed using SPSS version 19 software. Results: Response rate, 28.7%; mean age, 86 ± 8.1 years; mean BMI, 25.6 ± 4.6 kg/m²; polypharmacy, 75%; health conditions (most nutrition-related), 75%; 60% performed between 30-150 min of physical activity/week. Participants met the EER and AMDRs for …

Obesity Related Perceptions And Practices Among Educators In The Expanded Food And Nutrition Education Program, Poonam Mahajan

Theses and Dissertations--Nutrition and Food Systems

Childhood obesity has increased significantly in the past decade. The same factors putting adults at risk for obesity apply to children as well. For children, the family environment may be one of the largest factors. Obesity affects both adults and children of low socioeconomic status. It also affects families living in the Appalachian region of the United States more frequently than other regions. The purpose of this study was to examine the relationships between obesity related behaviors and nutrition education among Appalachian participants in the Expanded Food and Nutrition Education Program (EFNEP). For this study eleven educators from the Appalachian …

The Healthy Monday Campaign: Health Awareness In Elementary Schools, Sheena Pravin Patel

Theses and Dissertations--Nutrition and Food Systems

Childhood obesity is a major public health concern for Americans. Many school-based health interventions and campaigns have been in place in the elementary school setting to help lower the rates of childhood obesity and to make students aware of their health. This study focuses on the implementation of the Healthy Monday campaign to fourth and fifth grade students in two Kentucky elementary schools. Particularly the focal points of the campaign consist of nutrition and physical activity. The campaign highlights two spin-off campaigns from the Healthy Monday campaign titled the Monday Mile and Meatless Monday. This study looks at the effectiveness …

Factors Affecting Bone Mineral Density In Elite Female Runners, Maureen E. Cartoon

Nutrition Theses

Introduction: The benefits of regular exercise on skeletal health have been well-documented in terms of stimulation of bone accrual and bone maintenance. Medium-impact sports activities such as running have been demonstrated to exert site-specific enhancement of bone mass in the lower appendicular skeleton. However, elite female runners engaged in high intensity training and sports activity may also be at risk of amenorrhea and low bone mineral density (BMD) resulting from inadequate caloric intake. Purpose: To investigate the effect of intensive exercise and maintenance of adequate caloric intake on BMD in a group of elite female runners. Methods: This study represents …

Implementation Of A Healthy Lifestyle Program At The Jefferson City Housing Authority In Jefferson City, Tennessee., Lynsey Lea Carr

Electronic Theses and Dissertations

Children's energy consumption is outweighing their energy expenditure, increasing the risk for childhood obesity. While pediatric obesity continues to be a problem in America, the data are clear that those of low socioeconomic status are especially at risk for weight gain. The purpose of this study was to evaluate if a healthy lifestyle program could affect participants' diet and physical activity behavior. A program was planned and conducted using the curriculum from the "We Can" program established by the National Heart, Lung, and Blood Institute. Residents of the Jefferson City Housing Authority were asked to participate. No resident attended or …

The Efficacy Of School Wellness Policies In Kentucky, Margaret O'Bryan Murphy

University of Kentucky Master's Theses

With the passage of the Child Nutrition and WIC Reauthorization Act of 2004, all schools that participate in the National School Lunch Program are required to establish local wellness policies to address childhood obesity. In the state of Kentucky, Senate Bill 172 requires all elementary schools to adopt a local wellness policy addressing competitive foods, healthy choices, and daily physical activity. This study measured federal and state compliance among schools that responded to the 2008 Kentucky School Nutrition Survey. This study analyzed differences in the school nutrition environment among policies based on data from the 2002 and 2008 Kentucky School …

Project L.E.A.N.: An After-School Health And Exercise Project For Elementary School Children In El Paso, Texas, Hendrik De Heer

Open Access Theses & Dissertations

INTRODUCTION: After-school activities provide valuable opportunities for health promotion activities that do not interfere with the regular school day, especially in minority populations with higher rates of obesity and type 2 diabetes. The current study is an evaluation of an after-school health education and physical activity program conducted in nine elementary schools in 2008 in El Paso, Texas. METHODS: The intervention consisted of a 10-12 week (twice a week) after school program consisting of a pilot (with two experimental schools) and main intervention (six schools each including a control and experimental group). The main outcome variables were Body Mass Index, …

A Descriptive Study Of The Diet And Physical Activity Practices Of Overweight And Obese College Students Enrolled In A Weight Loss Program, Laura Brooke Walters

University of Kentucky Master's Theses

The effect of weight gain on college students may lead to physical and emotional problems that could continue into adulthood. Identifying behavioral, demographic, and psychological factors that impact college student’s weight status could aid in developing programs to help reduce weight and prevent weight gain in overweight and obese college students. This study evaluated the dietary habits, physical activity, and psychosocial characteristics of college students entering a university-sponsored weight loss program. Results suggest that the majority of participants have experienced weight gain in the past year and none have experienced weight loss. The student’s diets tended to include less than …

Body Mass Index And Soft Drink Consumption Among Adolescents, Olivia Love Mccord

Theses and Dissertations

Objective: To determine the relationship between body mass index (BMI) and soft drink consumption among adolescents. It is hypothesized that soft drink consumption contributes to overweight and obesity among adolescents.

Background: Research examining the relationship between body mass index and soft drink consumption is inconsistent. Several studies have found a negative association between total sugar intake and BMI; however, others have found a link between sugar-sweetened drinks and obesity. There are no known studies that have controlled for physical activity.

Data and Methods: Data on approximately 225 adolescents were used. Frequency of soft drink consumption, type of milk, and calcium …