Social and Behavioral Sciences Commons^™

Let Go And Let God: An Ethnographic Study Of Overeaters Anonymous, Subjectivity, And Extreme Eating Distress, Abby Forster

Theses and Dissertations

Academic discussions regarding eating disorders have been dominated by two frameworks: biomedical and feminist. While the former explains eating disorders as a product of individual pathology, the latter asserts the cause is culture. An aspect of culture that is often suggested is neoliberalism. This ethnographic study utilizes the term “eating distress” to acknowledge the localized idioms that occur outside of the bounds of biomedical settings. The research documents the experiences of many members of Overeaters Anonymous dealing with eating distress within a social context in which their body types are stigmatized. The dissertation examines the relationship between subjectivity, Overeaters Anonymous, …

Effectiveness Of Group Interventions For Weight Loss For Youth: A Meta-Analytic Review, Monica Carolina Martinez

Theses and Dissertations

Introduction: Nearly 19.3% of children in the United States have obesity. There are several behavioral weight loss (BWL) programs available for children and adolescents that have proven effective in managing weight. Many of these treatments are delivered to groups of children rather than to individual youth. However, previous reviews of the literature have not explored the unique effects of group treatment modalities. Research has shown that social ties, particularly with peers, have an impact on adolescents' physical activity engagement and dietary habits. Therefore, it is important to explore how the interaction component of group delivered BWL treatments contributes to their …

Masculinity And Men’S Health Attitudes Toward Consideration Of Weight-Loss Surgery, Karaline Fusco

Theses and Dissertations

The rise in obesity across the United States has led to greater educational outreach, considerable research, and medical interventions aimed at decreasing the rate of obesity-related health diseases. But are these interventions reaching everyone? Despite men and women having equivalent rates of obesity, only 20% of weight-loss surgery patients are men. While men have an average life expectancy that is 5 years less than women and are twice as likely than women to have heart disease, men also underutilize healthcare services. Given these factors, this research explored men’s health beliefs, conformity to male norms, and receptivity to weight-loss surgery. This …

Sleep And Eating Behavior Among Adolescent Females With Overweight Or Obesity: The Role Of Appetite-Related Cognitive Processes, Kirandeep Kaur

Theses and Dissertations

Insufficient sleep duration and poor sleep quality can potentiate weight gain and obesity in adolescents. Furthermore, overweight and obese females are at unique risk for insufficient sleep and associated health complications. We examined self-reported sleep duration and self-reported adequacy of sleep duration as potential moderators of the relationship between eating behavior and several cognitive processes including hedonic hunger, executive dysfunction, and self-control. We used a multisystemic conceptual framework to highlight the pathways that may explain the relationship between sleep behaviors and the Healthy Eating Index (HEI). The study employed a cross-sectional design. Participants completed baseline measures of height and weight, …

A Novel Approach To Reducing Adiposity Among Young Men, Jean M. Reading

Theses and Dissertations

Background

Lifestyle intervention is the first line treatment for obesity. Yet, young men are underrepresented in lifestyle interventions, which is posited to be the result of unmet needs and overall low concern for weight management. The aims of this dissertation are to:

Papers 1 and 2: Test the preliminary efficacy, feasibility, and acceptability of a self-guided lifestyle intervention for young men.

Paper 3: Explore the behavioral and physiological factors associated with changes in adiposity among young men and women enrolled in a more intensive lifestyle intervention.

Results

Papers 1 and 2: The self-guided intervention produced modest weight …

Preventing Obesity: A Social Ecological Exploration Of Centers For Disease Control Prevention Strategies And Guidance Toward Healthy Eating, Physical Activity, And Communities, Ryan Kelly

Theses and Dissertations

Abstract

Obesity has reached nearly 40% of the adult public in the United States, costing the citizen taxpayer over $200 billion annually in healthcare costs. Those suffering from obesity deal with multiple physical and mental repercussions. Through a content analysis of four Centers for Disease Control (CDC) documents and guided by the conceptual framework of the social ecological model, this research explores the federal approach to preventing obesity. The analysis finds that CDC solutions to obesity involve connecting people to each other and healthier choices, an orientation toward local public administration, and an emphasis on environmental and infrastructure improvements. The …

Do Shape And Volume Of Subcortical Neural Structures Involved In Reward Processing Correlate With Body Mass And Food Reward In Adolescent Females?, Kelsey K. Zaugg

Theses and Dissertations

Background: The prevalence of adolescent obesity has increased drastically in the last few decades, spurring research examining causes and consequences of this chronic health condition. Neuroimaging techniques are being used to determine possible neural correlates of obesity that could help inform research in this field. However, the research among adolescents is not as abundant and findings so far are contradictory. This study sought to examine the association of the shape and volume of subcortical brain structures involved in reward processing with weight status in adolescent females. Additionally, this study sought to determine if the shape and volume of these structures …

Toward A Biopsychosocial Model Of Obesiy: Can Psychological Well-Being Be The Bridge To Integration?, Alexia Holovatyk

Theses and Dissertations

The complications associated with obesity are some of the most pressing health concerns facing the United States. At present, cardiovascular disease, stroke, and certain types of cancer are some of the leading causes of death, and researchers have cited obesity as one related factor (NIH, 2000). The topic of obesity has typically been approached through two seemingly contradictory lenses: The biomedical model that views obesity as a disease risk factor (e.g. Huxley, Mendis, Zheleznyakov, Reddy, & Chan, 2010) and the psychosocial model that considers the stigma associated with obesity to be more harmful than weight itself (e.g., Hatzenbuehler, Keyes, & …

Culturally-Relevant Factors That Influence Healthy Eating Among African American College Students, Danyel Smith

Theses and Dissertations

Obesity is a national epidemic in the US, disproportionately affecting African Americans, such that the obesity prevalence in African Americans (49.6%) surpassed the national prevalence (42.4%) in 2018. Those same disparities exist at the collegiate level, such that 27.4% of a sample of African Americans college students had obesity, surpassing the national prevalence of obesity (12.1%) in 2018. Diet, an important driver of obesity, is influenced by several psychological, social, and environmental factors. However, cultural factors influencing diet are understudied among African American college students. The overarching goal of the current study was to identify culturally-relevant factors that promote healthy …

Motivational And Physiological Dysregulation Due To Development And Onset Of Obesity Via Melanocortin 4 Receptor +/- Haploinsufficiency, Alex Steiner

Theses and Dissertations

Obesity is one of the leading most health risks around the world, being especially problematic in the United States. A combination of high-fat diets and genetic abnormalities are to blame for the ever-growing number of obese individuals.

Melanocortin 4 receptors are vital for regulating energy expenditure and feeding behaviors; mutations of the receptors have been found to be the leading monogenetic cause of obesity. Using MC4R +/- haploinsufficient rats being fed a range of dietary fat, we investigated the physiological and motivational differences using a locomotor task, an operant task with fixed and progressive ratios, as well as a distraction …

The Impact Of Sleep Restriction On Food-Related Inhibitory Control And Food Reward In Adolescents: Physical Activity And Weight Status As Potential Moderators, Kara Mcrae Duraccio

Theses and Dissertations

The present study aimed to evaluate associations between sleep duration and food-related inhibitory control and food reward in adolescents aged 12-18. Potential moderating effects of physical activity and weight status on the association between sleep, inhibitory control, and food reward were also examined. To evaluate these associations, the study employed a two-phase crossover design in which participants spent either 5 hours per night (restricted sleep) or 9 hours per night (habitual sleep) in bed for 5 nights. Participants completed a food-related inhibitory control task and a questionnaire assessing for food reward on the 6th day of each study phase. Repeated …

Associations Among Parenting Style And Parental Feeding Practices On Adolescent Self-Efficacy For Diet And Obesity In African American Adolescents, Haylee Loncar

Theses and Dissertations

Previous literature has demonstrated relationships between parenting factors and child health. However, few studies have investigated such associations in African American and adolescent samples. The proposed study aimed to investigate the relationships between parenting factors (parenting style and parental feeding practices), and adolescent self-efficacy for diet, and adolescent body mass index (BMI) in African American families. Baseline data were collected from 241 African American parent- adolescent dyads enrolled in the Families Improving Together (FIT) for Weight Loss trial. Adolescents self-reported their perceptions of their caregiver’s parenting style and feeding practices, as well as perceptions of their own self-efficacy for diet. …

Motivators And Barriers To Health Behaviors In African American Women, Teresa M. Depratt

Theses and Dissertations

Women who identify as African American are at particularly high risk of developing obesity and associated health concerns such as diabetes, heart disease, and cancers. Eating healthfully and engaging in a minimal amount of physical activity are known to be both preventative and curative. Based on review of research, this study investigated potential constructs of Motivators and Barriers to health-supporting behaviors as they are perceived in African American women. The study also constructed a novel scale, Motivators and Barriers to Health Behaviors (MBHB), which intended to capture some constructs of each domain via two surveys. Also of interest was if …

The Effect Of College Degree Attainment On Risky Health Behaviors: Smoking, Obesity, And Vaping., Sal R. Ansari

Theses and Dissertations

This paper tests the hypothesis that completing college results in better health outcomes through the causal pathway of risky health behaviors. The results imply that completing college reduces the likelihood an individual is a smoker or e-smoker. The results do not show any causal relationship between college education and obesity.

A Stakeholder Examination Of Gestational Weight Gain Guidelines, Melissa Kwitowski

Theses and Dissertations

Obesity is a significant health concern for women of childbearing age. More than 40% of women have a Body Mass Index (BMI) in the overweight or obese ranges at the time they conceive, posing significant health risks for both mother and child. Excessive weight gain during pregnancy is common and associated with numerous deleterious complications. The Institute of Medicine published gestational weight gain (GWG) guidelines based on prepregnancy BMI. However, more than 50% of women gain in excess of these recommendations. Further, many women report receiving minimal guidance from their healthcare providers regarding weight gain, nutrition, and physical activity during …

Characterizing Health Behavior Information: Developing A Surveillance Text Mining Framework Using Twitter For Diet, Diabetes, Exercise, And Obesity, George Shaw Jr.

Theses and Dissertations

Previous studies have documented the relationship that exists among diabetes, diet, exercise, and obesity. Obesity increases people’s risk of developing heart disease and type 2 diabetes. Exercise and proper dieting are modifiable lifestyle behaviors that can help with reducing people’s overall weight and risk to various chronic conditions like diabetes. A national survey conducted by the Centers for Diseases Control and Prevention (CDC) is the annual Behavioral Risk Factor Surveillance Survey (BRFSS). Twitter provides researchers with a new opportunity and alternative data source to collect information regarding health behaviors using real-time data. Previous studies have demonstrated Twitter’s ability to monitor …

Nurses' Reactions To Patient Weight: Effects On Clinical Decisions, Heidi M. Pfeiffer

Theses and Dissertations

In previous research, a variety of health care providers have expressed some degree of negative attitudes toward caring for obese patients. However, little is known about whether these negative attitudes lead to differential care. This study focused on the clinical decision-making of nurses, who are under-represented in this type of research despite their central and sustained role in patients’ care experiences. In an anonymous online survey, 256 nurses responded to clinical vignettes about a hypothetical patient depicted in a photograph. The patient’s appearance was altered to appear normal-weight or obese, for each of two different models per sex, utilizing a …

The Effects Of The Implementation Of Green Carts On New Yorkers' Bmi, Ana L. Pacheco

Theses and Dissertations

This study focuses on the Green Cart Initiative implemented by the New York City Mayor’s Office of Food Policy. The Initiative was implemented to bring fresh fruits and vegetables in a fast, cheap, and efficient way to neighborhoods considered food deserts and areas with high rates of obesity.

Why Kids Are 'Lovin' It': A Q Methodology Analysis Of The Appeal Of Mcdonald's, Erica Nelson Rivera

Theses and Dissertations

The dramatic rise in childhood obesity is a major concern nationwide. Unprecedented media exposure, drastically decreased time spent interacting as a family, and the consumption of calorie-dense foods are all heated topics of discussion with ties to weight gain. In this research, possible associations are examined between media, social groups and a favorite fast-food restaurant among children: McDonald's. Q methodology was used to analyze the various factors that draw children to McDonald's. With a theoretical background in social learning theory, this study had 29 children rank-order 30 photographs depicting elements of the McDonald's experience. Pictures included the most and least …

Exploring The Effects Of Calorie Labeling Laws, Carmen Vargas

Theses and Dissertations

This study explores the effects of Calorie labeling laws implemented in some counties in the United States on several health related variables. The findings show a small significant decreasing effect of the law on Limited activity and Poor health of 0.083 and 0.047 at 95% significant level respectively.

An Examination Of The Technical And Relational Hypotheses Of Motivational Interviewing In A Sample Of African American Adolescent Girls Seeking Obesity Treatment, Rachel L. Boutte

Theses and Dissertations

Adolescent obesity has increased exponentially over the past three decades in the United States. In response, behavioral interventions have been developed and implemented to address this epidemic; however, treatment adherence is often suboptimal. Motivational interviewing (MI) is a directive, person centered approach to reducing patient ambivalence about change, which has been shown to increase engagement in obesity interventions. The current study investigated the underlying process of MI by exploring two different, but related pathways that explain how change happens (e.g., the technical and relational hypotheses) in the context of a multidisciplinary obesity intervention with African American adolescent girls (N …

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 …

Does Parental Mediation Of Media Influence Child Outcomes? A Meta-Analysis On Media Time, Content, Aggression, Substance Use, Sexual Behavior, And Health Outcomes, Kevin Matthew Collier

Theses and Dissertations

As the world evolves into a media saturated environment, the focus of many studies have been the negative effects of media on children and adolescents. For at least the past two decades, researchers have explored how parental involvement in their child's media consumption can influence child outcomes. Parental mediation of media includes restrictive mediation, active mediation, and co-viewing. Three meta-analyses, one for each type of mediation, reviewed a total of 69 studies. Each analysis assessed the effectiveness of parental mediation of media on five pertinent child outcomes: media use, aggression, substance use, sexual behavior, and negative health outcomes. The overall …

Nourish-C: Implementing A Family Based Weight Loss Intervention In A Church Community, Jacqueline Woods

Theses and Dissertations

Increasing rates of obesity across all race, ethnic, gender, and age groups over the past thirty years have generated significant public health concern. Black children face disproportionately higher risk for overweight and obesity compared with their White peers. Substantial evidence suggests that parent involvement improves pediatric obesity treatment outcomes. Moreover, churches are feasible and culturally congruent places to host health promotion interventions within the Black community. The current study examined the feasibility of disseminating an existing pediatric obesity intervention, NOURISH, in Black church communities. Twenty-five families participated in baseline assessment of the NOURISH-C. Five churches hosted the intervention and eight …

An Exploration Of Factors Influencing Attrition From A Pediatric Weight Management Intervention, Melissa Ann Kwitowski

Theses and Dissertations

Childhood obesity is a serious health problem in the United States. Numerous weight management programs attempt to address this issue. However, attrition poses significant treatment efficacy challenges. Understanding attendance and attrition from childhood obesity programs is crucial for effective and appropriate resource utilization. NOURISH+ is a community-based treatment program for parents of overweight and obese children (age 5–11 years, BMI ≥ 85th percentile). The current study investigated attrition from NOURISH+ to enhance understanding of pediatric obesity treatment retention factors. NOURISH+ participants (n=70) completed a questionnaire assessing barriers to adherence and general program feedback. Data were analyzed using frequencies, …

Motivation, Mindfulness, And Metabolic Factors Predicting Adolescent Adherence And Attrition In A Multidisciplinary Weight Management Program, Stephen Trapp

Theses and Dissertations

Estimated rates of obesity are notably high in the United States and pose a significant public health concern. A number of deleterious physical and psychosocial conditions are associated with pediatric obesity and the cost of its treatment is considerable. Accordingly, the number of weight management treatments has increased to meet this growing public health challenge. Unfortunately, insufficient participation in weight management treatment, namely low adherence and high attrition, often impede the effectiveness of these programs. Although the barriers associated with inadequate adherence and elevated rates of attrition are documented, there is a dearth of research on the predictors of the …

An Examination Of Weight, Weight Bias, And Health Care Utilization And Attitudes Among Emerging Adults, Jessica M. Mccauley

Theses and Dissertations

Individuals with overweight/obesity have been found to exhibit more negative attitudes toward health care and disproportionate rates of health care delay and avoidance, compared to their healthy weight peers. The present study sought to examine potential mechanisms through which weight status influences health care utilization and attitudes. Six hundred and thirty-three students completed a questionnaire measuring weight status, perceived weight bias, patient-provider relationship, and health care utilization and attitudes. Although the majority of the paths in the proposed theoretical mediation model were supported by the present findings, there was no support for the anticipated link between perceived weight bias and …

Alterations To Taste Preference In Mc4r Haploinsufficiency Manifest Prior To Dietary Induced Obesity And Are Accompanied By Dendritic Spine Alterations To Medium Spiny Neurons Of The Nucleus Accumbens In Adulthood, Robert Francis Roscoe Jr.

Theses and Dissertations

Obesity has reached epidemic proportions in the United States and has become an increasing public health concern for developed nations. Haploinsufficiency of melanocortin receptor 4 has been identified as the single most common monogenetic cause of obesity in humans. Using the MC4R +/- haploinsufficient rat, we sought to determine potential alterations in body weight and morphology, locomotor activity, sucrose concentration preference, and progressive-ratio operant testing in a dietary-induced obesity environment. Rats were placed on four separate diets corresponding to 1.7% saturated fat with 12.2% total kcal/fat, 6% saturated fat with a 40% total kcal/fat, 12% saturated fat with a 40% …

Socioeconomic Status And Weight Loss Behaviors, Hannah Seward

Theses and Dissertations

In the United States and many other countries, obesity is viewed as a public health crisis that must be handled. Many social and individual solutions to the problem are proposed in research and policy. On an individual level, many Americans try to get rid of their fat with a multitude of weight loss practices as part of a healthy lifestyle. Obesity rates, feelings towards fatness, and weight control behaviors are significantly affected by a number of sociocultural factors. In this project I explore the relationship between the desire to lose weight and weight control practices with income. Using data from …

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …