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Differential Effects Of Out-Of-Home Day Care In Improving Child Nutrition And Augmenting Maternal Income Among Those With And Without Childcare Support: A Prospective Before–After Comparison Study In Pokhara, Nepal, Shinji Nakahara, Krishna Poudel, Milan Lopchan, Om Raj Poudel, Kalpana Poudel-Tandukar, Masao Ichikawa 2010 University of Massachusetts - Amherst

Differential Effects Of Out-Of-Home Day Care In Improving Child Nutrition And Augmenting Maternal Income Among Those With And Without Childcare Support: A Prospective Before–After Comparison Study In Pokhara, Nepal, Shinji Nakahara, Krishna Poudel, Milan Lopchan, Om Raj Poudel, Kalpana Poudel-Tandukar, Masao Ichikawa

Kalpana Poudel-Tandukar

Objectives: We examined (1) whether attending out-of-home day care centres (DCCs) has differential effects on improvement of child nutrition and facilitation of maternal employment
depending on availability of non-institutionalised childcare support and (2) whether attendance increases infectious diseases.
Methods: In a prospective before–after comparison study at public DCCs in Pokhara, Nepal, we compared weight-for-age Z-score (WAZ) and height-for-age Z-score (HAZ) among children
attending DCCs between at admission, after 6 months, and after 1 year and determined differential changes in these measures between those with and without appropriate childcare support. We used repeated measures analysis of variance with interaction terms ...


Community-Based Education: Health Promotion For Farmers At The Country Market, M. Susan Jones, Beverly Siegrist 2010 Western Kentucky University

Community-Based Education: Health Promotion For Farmers At The Country Market, M. Susan Jones, Beverly Siegrist

M. Susan Jones

This article describes a unique approach used by baccalaureate nursing students, enrolled in a two-semester community health course, to address the priority of health concerns of agricultural workers in their own rural communities.


Sequence And Seasonal Effects Of Salivary Cortisol, Jean King, Milagros Rosal, Yunsheng Ma, George Reed, Terri-Ann Kelly, Edward Stanek, Ira Ockene 2010 University of Massachusetts Medical School

Sequence And Seasonal Effects Of Salivary Cortisol, Jean King, Milagros Rosal, Yunsheng Ma, George Reed, Terri-Ann Kelly, Edward Stanek, Ira Ockene

Yunsheng Ma

Assessments of cortisol levels in saliva have been widely used by both researchers and clinicians as an index of adrenal functioning. Quarterly measurements of morning and evening cortisol levels were determined in a longitudinal study of 147 participants (72 women and 75 men) followed for 1 year each. The analysis of salivary cortisol revealed no significant gender or age differences in the sample. There was a sequence effect in quarterly cortisol values with a progressive decrease in serial measurements, especially notable in the morning values; as well as a seasonal variation in cortisol levels with significantly higher levels found in ...


Association Between Dietary Fiber And Markers Of Systemic Inflammation In The Women's Health Initiative Observational Study, Yunsheng Ma, James Hebert, Wenjun Li, Elizabeth Bertone-Johnson, Barbara Olendzki, Sherry Pagoto, Lesley Tinker, Milagros Rosal, Ira Ockene, Judith Ockene, Jennifer Griffith, Simin Liu 2010 University of Massachusetts Medical School

Association Between Dietary Fiber And Markers Of Systemic Inflammation In The Women's Health Initiative Observational Study, Yunsheng Ma, James Hebert, Wenjun Li, Elizabeth Bertone-Johnson, Barbara Olendzki, Sherry Pagoto, Lesley Tinker, Milagros Rosal, Ira Ockene, Judith Ockene, Jennifer Griffith, Simin Liu

Yunsheng Ma

OBJECTIVE: Systemic inflammation may play an important role in the development of atherosclerosis, type 2 diabetes, and some cancers. Few studies have comprehensively assessed the direct relations between dietary fiber and inflammatory cytokines, especially in minority populations. Using baseline data from 1958 postmenopausal women enrolled in the Women's Health Initiative Observational Study, we examined cross-sectional associations between dietary fiber intake and markers of systemic inflammation (including serum high-sensitivity C-reactive protein [hs-CRP], interleukin-6 [IL-6], and tumor necrosis factor-alpha receptor-2 [TNF-alpha-R2]) in addition to differences in these associations by ethnicity. METHODS: Multiple linear regression models were used to assess the relation ...


Translating The Diabetes Prevention Program Into A Hospital-Based Weight Loss Program, Sherry Pagoto, Lyle Kantor, Jamie Bodenlos, Mitchell Gitkind, Yunsheng Ma 2010 University of Massachusetts Medical School

Translating The Diabetes Prevention Program Into A Hospital-Based Weight Loss Program, Sherry Pagoto, Lyle Kantor, Jamie Bodenlos, Mitchell Gitkind, Yunsheng Ma

Yunsheng Ma

OBJECTIVE: Intensive lifestyle interventions have established efficacy, but translation to real-world settings has not been well demonstrated. Using the diffusion of innovations model, we describe the adoption of the Diabetes Prevention Program (DPP) Lifestyle Intervention into a hospital-based program and report feasibility, acceptability, and outcomes.

DESIGN: Patients (N = 118; 72% female, mean age = 48.8, mean baseline body mass index = 43.3) were enrolled into 16 weeks of DPP.

MAIN OUTCOME MEASURE: Weight loss (kg) was measured at baseline and after treatment.

RESULTS: Mean weight loss after 16 weeks was 5.57 kg (SD = 4.6) or 4.6% of ...


Design And Methods For A Cluster Randomized Trial Of The Sunless Study: A Skin Cancer Prevention Intervention Promoting Sunless Tanning Among Beach Visitors, Sherry Pagoto, Kristin Schneider, Jessica Oleski, Jamie Bodenlos, Philip Merriam, Yunsheng Ma 2010 University of Massachusetts Medical School

Design And Methods For A Cluster Randomized Trial Of The Sunless Study: A Skin Cancer Prevention Intervention Promoting Sunless Tanning Among Beach Visitors, Sherry Pagoto, Kristin Schneider, Jessica Oleski, Jamie Bodenlos, Philip Merriam, Yunsheng Ma

Yunsheng Ma

BACKGROUND: Skin cancer is the most prevalent yet most preventable cancer in the US. While protecting oneself from ultraviolet radiation (UVR) can largely reduce risk, rates of unprotected sun exposure remain high. Because the desire to be tan often outweighs health concerns among sunbathers, very few interventions have been successful at reducing sunbathing behavior. Sunless tanning (self-tanners and spray tans), a method of achieving the suntanned look without UVR exposure, might be an effective supplement to prevention interventions. METHODS AND DESIGN: This cluster randomized trial will examine whether a beach-based intervention that promotes sunless tanning as a substitute for sunbathing ...


Initial Investigation Of Behavioral Activation Therapy For Co-Morbid Major Depressive Disorder And Obesity., Sherry Pagoto, Jamie Bodenlos, Kristin Schneider, Barbara Olendzki, C. Spates, Yunsheng Ma 2010 University of Massachusetts Medical School

Initial Investigation Of Behavioral Activation Therapy For Co-Morbid Major Depressive Disorder And Obesity., Sherry Pagoto, Jamie Bodenlos, Kristin Schneider, Barbara Olendzki, C. Spates, Yunsheng Ma

Yunsheng Ma

More than one-third of treatment-seeking obese patients are clinically depressed. No evidence-based treatments exist for individuals with comorbid depression and obesity. Behavioral activation (BA), an effective treatment for depression, might also facilitate weight loss. The objective of this study is to evaluate the feasibility and efficacy of BA plus nutrition counseling for weight loss among individuals with comorbid major depressive disorder (MDD) and obesity. The BA intervention targeted both weight reduction and depression in 14 obese patients (79% female; 86% Caucasian) who met criteria for MDD. At baseline, mean Beck Depression Inventory (BDI-II) score was 26.71, and mean Hamilton ...


Association Between Dietary Glycemic Index, Glycemic Load, And High-Sensitivity C-Reactive Protein, Jennifer Griffith, Yunsheng Ma, Lisa Chasan-Taber, Barbara Olendzki, David Chiriboga, Edward Stanek, Philip Merriam, Ira Ockene 2010 University of Massachusetts Medical School

Association Between Dietary Glycemic Index, Glycemic Load, And High-Sensitivity C-Reactive Protein, Jennifer Griffith, Yunsheng Ma, Lisa Chasan-Taber, Barbara Olendzki, David Chiriboga, Edward Stanek, Philip Merriam, Ira Ockene

Yunsheng Ma

OBJECTIVE: This study examined the relation between quality of dietary carbohydrate intake, as measured by glycemic index (GI) and glycemic load (GL), and serum high-sensitivity C-reactive protein (hs-CRP) levels. METHODS: During a 1-y observational study, data were collected at baseline and at each quarter thereafter. GI and GL were calculated from multiple 24-h dietary recalls (24HRs), 3 randomly selected 24HRs at every quarter, with up to 15 24HRs per participant. The hs-CRP was measured in blood samples collected at baseline and each of the four quarterly measurement points. Multivariable linear mixed models were used to examine the cross-sectional and longitudinal ...


Seasonal And Sex Variation Of High-Sensitivity C-Reactive Protein In Healthy Adults: A Longitudinal Study, David Chiriboga, Yunsheng Ma, Wenjun Li, Edward Stanek, James Hebert, Philip Merriam, Eric Rawson, Ira Ockene 2010 University of Massachusetts Medical School

Seasonal And Sex Variation Of High-Sensitivity C-Reactive Protein In Healthy Adults: A Longitudinal Study, David Chiriboga, Yunsheng Ma, Wenjun Li, Edward Stanek, James Hebert, Philip Merriam, Eric Rawson, Ira Ockene

Yunsheng Ma

BACKGROUND: Cross-sectional studies have reported seasonal variation in high-sensitivity C-reactive protein (hsCRP). However, longitudinal data are lacking. METHODS: We collected data on diet, physical activity, psychosocial factors, physiology, and anthropometric measurements from 534 healthy adults (mean age 48 years, 48.5% women, 87% white) at quarterly intervals over a 1-year period between 1994 and 1998. Using sinusoidal regression models, we estimated peak-to-trough amplitude and phase of the peaks. RESULTS: At baseline, average hsCRP was 1.72 mg/L (men, 1.75 mg/L; women, 1.68 mg/L). Overall seasonal variation amplitude was 0.16 mg/L (95% CI 0 ...


Association Between Adult Attention Deficit/Hyperactivity Disorder And Obesity In The Us Population, Sherry Pagoto, Carol Curtin, Stephenie Lemon, Linda Bandini, Kristin Schneider, Jamie Bodenlos, Yunsheng Ma 2010 University of Massachusetts Medical School

Association Between Adult Attention Deficit/Hyperactivity Disorder And Obesity In The Us Population, Sherry Pagoto, Carol Curtin, Stephenie Lemon, Linda Bandini, Kristin Schneider, Jamie Bodenlos, Yunsheng Ma

Yunsheng Ma

Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral disorder that affects approximately 2.9-4.7% of US adults. Studies have revealed high rates of ADHD (26-61%) in patients seeking weight loss treatment suggesting an association between ADHD and obesity. The objective of the present study was to test the association between ADHD and overweight and obesity in the US population. Cross-sectional data from the Collaborative Psychiatric Epidemiology Surveys were used. Participants were 6,735 US residents (63.9% white; 51.6% female) aged 18-44 years. A retrospective assessment of childhood ADHD and a self-report assessment of adult ADHD were administered ...


Underreporting Of Energy Intake And Associated Factors In A Latino Population At Risk Of Developing Type 2 Diabetes, Barbara Olendzki, Yunsheng Ma, James Hebert, Sherry Pagoto, Philip Merriam, Milagros Rosal, Ira Ockene 2010 University of Massachusetts Medical School

Underreporting Of Energy Intake And Associated Factors In A Latino Population At Risk Of Developing Type 2 Diabetes, Barbara Olendzki, Yunsheng Ma, James Hebert, Sherry Pagoto, Philip Merriam, Milagros Rosal, Ira Ockene

Yunsheng Ma

The objective of this study was to examine the extent of underreporting of total energy intake and associated factors in a low-income, low-literacy, predominantly Caribbean Latino community in Lawrence, MA. Two hundred fifteen Latinos participated in a diabetes prevention study, for which eligibility included a >or=30% risk of developing diabetes in 7.5 years. Dietary self-reported energy intake was assessed using three randomly selected days of 24-hour diet recalls. Basal metabolic rate (BMR) was estimated using the Mifflin-St Jeor equation. Underreporting was determined by computing a ratio of energy intake to BMR, with a ratio of 1.55 expected ...


Combined Effects Of Smoking And Peripheral Arterial Disease On All-Cause And Cardiovascular Disease Mortality In A Chinese Male Cohort, Yingyi Luo, Xiankai Li, Jue Li, Xiaoming Wang, Yongxia Qiao, Dayi Hu, Philip Merriam, Yunsheng Ma 2010 University of Massachusetts Medical School

Combined Effects Of Smoking And Peripheral Arterial Disease On All-Cause And Cardiovascular Disease Mortality In A Chinese Male Cohort, Yingyi Luo, Xiankai Li, Jue Li, Xiaoming Wang, Yongxia Qiao, Dayi Hu, Philip Merriam, Yunsheng Ma

Yunsheng Ma

OBJECTIVE: Smoking is a major risk factor for peripheral arterial disease (PAD), and PAD is associated with all-cause and cardiovascular disease (CVD) mortality. The objective of this study was to determine the combined effects of smoking and PAD on all-cause and CVD mortality. METHODS: A total of 1979 males 35 years of age or older were enrolled from eight university-affiliated hospitals in Beijing and Shanghai in 2004, with both smoking status and PAD diagnosis obtained, 1712 of them had complete follow-up data. Mortality data were obtained from all participants between December 2007 and February 2008. Cox proportional hazards models were ...


Design And Methods For A Randomized Clinical Trial Treating Comorbid Obesity And Major Depressive Disorder, Kristin Schneider, Jamie Bodenlos, Yunsheng Ma, Barbara Olendzki, Jessica Oleski, Philip Merriam, Sybil Crawford, Ira Ockene, Sherry Pagoto 2010 University of Massachusetts Medical School

Design And Methods For A Randomized Clinical Trial Treating Comorbid Obesity And Major Depressive Disorder, Kristin Schneider, Jamie Bodenlos, Yunsheng Ma, Barbara Olendzki, Jessica Oleski, Philip Merriam, Sybil Crawford, Ira Ockene, Sherry Pagoto

Yunsheng Ma

BACKGROUND: Obesity is often comorbid with depression and individuals with this comorbidity fare worse in behavioral weight loss treatment. Treating depression directly prior to behavioral weight loss treatment might bolster weight loss outcomes in this population, but this has not yet been tested in a randomized clinical trial. METHODS AND DESIGN: This randomized clinical trial will examine whether behavior therapy for depression administered prior to standard weight loss treatment produces greater weight loss than standard weight loss treatment alone. Obese women with major depressive disorder (N = 174) will be recruited from primary care clinics and the community and randomly assigned ...


Number Of 24-Hour Diet Recalls Needed To Estimate Energy Intake, Yunsheng Ma, Barbara Olendzki, Sherry Pagoto, Thomas Hurley, Robert Magner, Ira Ockene, Kristin Schneider, Philip Merriam, James Hebert 2010 University of Massachusetts Medical School

Number Of 24-Hour Diet Recalls Needed To Estimate Energy Intake, Yunsheng Ma, Barbara Olendzki, Sherry Pagoto, Thomas Hurley, Robert Magner, Ira Ockene, Kristin Schneider, Philip Merriam, James Hebert

Yunsheng Ma

PURPOSE: Twenty-four-hour diet recall interviews (24HRs) are used to assess diet and to validate other diet assessment instruments. Therefore it is important to know how many 24HRs are required to describe an individual's intake. METHOD: Seventy-nine middle-aged white women completed seven 24HRs over a 14-day period, during which energy expenditure (EE) was determined by the doubly labeled water method (DLW). Mean daily intakes were compared to DLW-derived EE using paired t tests. Linear mixed models were used to evaluate the effect of call sequence and day of the week on 24HR-derived energy intake while adjusting for education, relative body ...


Association Of Depressive Symptoms And Lifestyle Behaviors Among Latinos At Risk Of Type 2 Diabetes, Sherry Pagoto, Yunsheng Ma, Jamie Bodenlos, Barbara Olendzki, Milagros Rosal, Trinidad Tellez, Philip Merriam, Ira Ockene 2010 University of Massachusetts Medical School

Association Of Depressive Symptoms And Lifestyle Behaviors Among Latinos At Risk Of Type 2 Diabetes, Sherry Pagoto, Yunsheng Ma, Jamie Bodenlos, Barbara Olendzki, Milagros Rosal, Trinidad Tellez, Philip Merriam, Ira Ockene

Yunsheng Ma

Little is known about depression among Latinos at risk for type 2 diabetes. The purpose of this cross-sectional study was to determine the rate of depression in Latinos at risk for type 2 diabetes and to examine the associations between depressive symptoms, diet, physical activity, and body mass index (BMI; calculated as kg/m(2)). Latinos at risk for type 2 diabetes (n=210) were surveyed from July 2007 to August 2008. Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale (CES-D). Three 24-hour recalls were used to assess diet and physical activity. Linear regression analyses were ...


Methodology Of A Diabetes Prevention Translational Research Project Utilizing A Community-Academic Partnership For Implementation In An Underserved Latino Community, Philip A. Merriam, Trinidad Tellez, Milagros C. Rosal, Barbara C. Olendzki, Yunsheng Ma, Sherry L. Pagoto, Ira S. Ockene 2010 University of Massachusetts Medical School

Methodology Of A Diabetes Prevention Translational Research Project Utilizing A Community-Academic Partnership For Implementation In An Underserved Latino Community, Philip A. Merriam, Trinidad Tellez, Milagros C. Rosal, Barbara C. Olendzki, Yunsheng Ma, Sherry L. Pagoto, Ira S. Ockene

Yunsheng Ma

BACKGROUND: Latinos comprise the largest racial/ethnic group in the United States and have 2-3 times the prevalence of type 2 diabetes mellitus as Caucasians.

METHODS AND DESIGN: The Lawrence Latino Diabetes Prevention Project (LLDPP) is a community-based translational research study which aims to reduce the risk of diabetes among Latinos who have a >/= 30% probability of developing diabetes in the next 7.5 years per a predictive equation. The project was conducted in Lawrence, Massachusetts, a predominantly Caribbean-origin urban Latino community. Individuals were identified primarily from a community health center's patient panel, screened for study eligibility, randomized to ...


Dietary Quality 1 Year After Diagnosis Of Coronary Heart Disease, Yunsheng Ma, Wenjun Li, Barbara Olendzki, Sherry Pagoto, Philip Merriam, David Chiriboga, Jennifer Griffith, Jamie Bodenlos, Yanli Wang, Ira Ockene 2010 University of Massachusetts Medical School

Dietary Quality 1 Year After Diagnosis Of Coronary Heart Disease, Yunsheng Ma, Wenjun Li, Barbara Olendzki, Sherry Pagoto, Philip Merriam, David Chiriboga, Jennifer Griffith, Jamie Bodenlos, Yanli Wang, Ira Ockene

Yunsheng Ma

OBJECTIVE: The purpose of this ancillary study is to determine the quality of diets in patients with documented coronary heart disease (CHD). DESIGN: Dietary data were originally collected using a 24-hour dietary recall in 555 patients with CHD, 1 year after a diagnostic coronary angiography. Data used for this investigation were collected between March 2001 and November 2003. SUBJECTS/SETTING: Patients were participants in a clinical trial to improve adherence to lipid-lowering medications. The Alternate Healthy Eating Index, an instrument designed to evaluate the degree to which a diet has the potential to prevent cardiovascular disease, measured dietary quality. MAIN ...


Gender Differences In Predictors Of Body Weight And Body Weight Change In Healthy Adults, David Chiriboga, Yunsheng Ma, Wenjun Li, Barbara Olendzki, Sherry Pagoto, Philip Merriam, Charles Matthews, James Hebert, Ira Ockene 2010 University of Massachusetts Medical School

Gender Differences In Predictors Of Body Weight And Body Weight Change In Healthy Adults, David Chiriboga, Yunsheng Ma, Wenjun Li, Barbara Olendzki, Sherry Pagoto, Philip Merriam, Charles Matthews, James Hebert, Ira Ockene

Yunsheng Ma

BACKGROUND: Overweight and obesity are important predictors of a wide variety of health problems. Analysis of naturally occurring changes in body weight can provide valuable insights in improving our understanding of the influence of demographic, lifestyle, and psychosocial factors on weight gain in middle-age adults. OBJECTIVE: To identify gender-specific predictors of body weight using cross-sectional and longitudinal analyses. METHODS AND PROCEDURES: Anthropometric, lifestyle and psychosocial factors were measured at baseline and then quarterly for 1 year in 572 healthy adult volunteers from Central Massachusetts who were recruited between 1994 and 1998. Linear mixed models were used to analyze the relationship ...


A Randomized Clinical Trial Comparing Low-Glycemic Index Versus Ada Dietary Education Among Individuals With Type 2 Diabetes, Yunsheng Ma, Barbara Olendzki, Philip Merriam, David Chiriboga, Annie Culver, Wenjun Li, James Hebert, Ira Ockene, Jennifer Griffith, Sherry Pagoto 2010 University of Massachusetts Medical School

A Randomized Clinical Trial Comparing Low-Glycemic Index Versus Ada Dietary Education Among Individuals With Type 2 Diabetes, Yunsheng Ma, Barbara Olendzki, Philip Merriam, David Chiriboga, Annie Culver, Wenjun Li, James Hebert, Ira Ockene, Jennifer Griffith, Sherry Pagoto

Yunsheng Ma

OBJECTIVE: We compared the effects of a low glycemic index (GI) diet with the American Diabetes Association (ADA) diet on glycosylated hemoglobin (HbA1c) among individuals with type 2 diabetes. METHODS: Forty individuals with poorly controlled type 2 diabetes were randomized to a low-GI or an ADA diet. The intervention, consisting of eight educational sessions (monthly for the first 6 mo and then at months 8 and 10), focused on a low-GI or an ADA diet. Data on demographics, diet, physical activity, psychosocial factors, and diabetes medication use were assessed at baseline and 6 and 12 mo. Generalized linear mixed models ...


A New Dietary Inflammatory Index Predicts Interval Changes In Serum High-Sensitivity C-Reactive Protein, Philip Cavicchia, Susan Steck, Thomas Hurley, James Hussey, Yunsheng Ma, Ira Ockene, James Hebert 2010 University of Massachusetts Medical School

A New Dietary Inflammatory Index Predicts Interval Changes In Serum High-Sensitivity C-Reactive Protein, Philip Cavicchia, Susan Steck, Thomas Hurley, James Hussey, Yunsheng Ma, Ira Ockene, James Hebert

Yunsheng Ma

Inflammation is associated with a number of chronic conditions, such as cancer and cardiovascular disease. Reducing inflammation may help prevent or treat these conditions. Diet has consistently been shown to modulate inflammation. To facilitate research into the inflammatory effect of diet on health in humans, we sought to develop and validate an Inflammatory Index designed to assess the inflammatory potential of individuals' diets. An Inflammatory Index was developed based on the results of an extensive literature search. Using data from a longitudinal observational study that carefully measured diet and the inflammatory marker, serum high-sensitivity (hs) C-reactive protein (CRP), in approximately ...


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