Digital Commons Network^™

Cooking Frequency Associated With Dietary Quality In Icook-4h Youth Participants At Baseline, Amber D. Ford, Sarah E. Colby, Marissa Mcelrone, Lisa Franzen-Castle, Melissa D. Olfert, Kendra K. Kattelmann, Adrienne A. White

Department of Nutrition and Health Sciences: Faculty Publications

Background: Increased intakes of ready-made and fast foods paralleled with decreased homemade food consumption have been associated with increased rates of obesity. Researchers have shown associations between cooking self-efficacy (SE) and cooking frequency (CF) with dietary quality and weight status. Some cooking interventions have shown positive associations with dietary outcomes, such as increased fruit and vegetable intake and decreased fast food consumption. There is still much unknown about SE and CF, especially among youth.

Objective: Determine baseline SE and CF and the associations with dietary quality and body mass index (BMI) of youth enrolled in iCook 4H.

Methods: Youth (n …

Micrornas In Bovine Milk Exosomes Are Bioavailable In Humans But Do Not Elicit A Robust Pro-Inflammatory Cytokine Response, Ezra Mutai, Amanda E. Ramer-Tait, Janos Zempleni

Department of Nutrition and Health Sciences: Faculty Publications

Background: Bovine milk exosomes are studied for their roles as bioactive food compounds and as vehicles for drug delivery. Both lines of investigation converge on immune function, e.g., immune regulation by absorption of microRNAs encapsulated in milk exosomes across species boundaries, and the possibility of exosomes and their cargos triggering an immune response if used in drug delivery. This study assessed the bioavailability of immune-related microRNAs from bovine milk and changes in plasma cytokine concentrations after milk consumption in humans, and the secretion of cytokines by human peripheral blood mononuclear cells (PBMCs) cultured with milk exosomes transfected with immune-relevant microRNAs. …

Public Health Nutrition: Translating Research Into Practice, Casey Coombs, Mateja R. Savoie-Roskos, Nurgul Fitzgerald, Tovah Wolf

Nutrition, Dietetics, and Food Sciences Faculty Publications

Public health nutrition is a unique, multifaceted discipline that includes a wide range of experts in the research, policy, and programming sectors.¹ A goal of the SNEB Public Health Nutrition Division is to help translate public health nutrition research into practice and policies. This translation process is essential to ensure practitioners have the tools to implement effective, evidence-based interventions that have demonstrated improvements in nutrition-related behaviors and health outcomes of the target audiences.^{2, 3} Furthermore, collaboration between researchers and practitioners is necessary to ensure that researchers are testing interventions that can feasibly be implemented in public health …

Optimizing Gastrointestinal Integrity In Poultry: The Role Of Nutrients And Feed Additives, Sunday A. Adedokun, Opeyemi C. Olojede

Animal and Food Sciences Faculty Publications

Immunomodulation of the immune system by stimulating or suppressing one or both arms, is an emerging concept driven by the understanding of the host defense system. In particular, the gastrointestinal tract (GIT) functions not only as a site for digestion and absorption of nutrients but also acts as a metabolic and immunological organ. This serves as a barrier against abnormal presentation of luminal constituents, caused by dysfunctional intestinal epithelial barrier, to the mucosal immune system. Invasion by pathogens in the case of disease or stress or a massive influx of commensal bacteria overcomes the defensive mechanisms, resulting in the full …

Effects Of Red Raspberry Polyphenols And Metabolites On Biomarkers Of Inflammation And Insulin Resistance In Prediabetes And Type 2 Diabetes, Reynaldo Moreno Ucles

LSU Doctoral Dissertations

Berry fruits are rich sources of polyphenolic compounds (PCs), which can promote health benefits. Anthocyanin concentrations of red raspberry (RR)(Rubus idaeus) extracts were determined to be a total of 887.6 ± 262.8 μg/g cyanidin-3-sophoroside (C3S) equivalents with C3S being the most prevalent. Ellagitannin analysis by MALDI-TOF indicated sanguiin H-6 and lambertianin C were the major ellagitannins present in RR. To explore the efficacy of RR in modulating diabetes, seven type 2 diabetes mellitus (T2DM) and two pre-diabetic patients were given drinks delivering one RR serving (123 g) per day in a smoothie for two weeks. Blood samples were …

Dietary Intake Reporting Accuracy Of The Bridge2u Mobile Application Food Log Compared To Control Meal And Dietary Recall Methods, Jennifer Lemacks, Kristen Adams, Ashley Lovetere

Faculty Publications

Mobile technology introduces opportunity for new methods of dietary assessment. The purpose of this study was to compare the reporting accuracy of a mobile food log application and 24 h recall method to a controlled meal among a convenience sample of adults (18 years of age or older). Participants were recruited from a community/university convenience sample. Participants consumed a pre-portioned control meal, completed mobile food log entry (mfood log), and participated in a dietary recall administered by a registered dietitian (24R). Height, weight, and application use survey data were collected. Sign test, Pearson’s correlation, and descriptive analyses were conducted to …

Title: Efficacy Of A Food Parenting Intervention For Mothers With Low Income To Reduce Preschooler's Solid Fat And Added Sugar Intakes: A Randomized Controlled Trial., Jennifer O Fisher, Elena L Serrano, Gary D Foster, Chantelle N Hart, Adam Davey, Yasmeen P Bruton, Linda Kilby, Lisa Harnack, Karen J Ruth, Alexandria Kachurak, Hannah G Lawman, Anna Martin, Heather M Polonsky

Articles, Abstracts, and Reports

BACKGROUND: Few interventions have shown efficacy to influence key energy balance behaviors during the preschool years.

OBJECTIVE: A randomized controlled trial (RCT) was used to evaluate the efficacy of Food, Fun, and Families (FFF), a 12 week authoritative food parenting intervention for mothers with low-income levels, to reduce preschool-aged children's intake of calories from solid fat and added sugar (SoFAS).

METHODS: Mothers were randomly assigned to receive FFF (n = 59) or to a delayed treatment control (n = 60). The primary outcome was children's daily energy intake from SoFAS at the end of the 12 week intervention, controlling for …

The Provision Of Assistance Does Not Substantially Impact The Accuracy Of 24-Hour Dietary Recalls Completed Using The Automated Self-Administered 24-H Dietary Assessment Tool Among Women With Low Incomes, Sharon I. Kirkpatrick, Patricia M. Guenther, Deirdre Douglass, Thea Zimmerman, Lisa L. Kahle, Abiodun Atoloye, Michelle Marcinow, Mateja R. Savoie-Roskos, Kevin W. Dodd, Carrie M. Durward

Nutrition, Dietetics, and Food Sciences Faculty Publications

Background: Evidence is lacking informing the use of the Automated Self-Administered 24-h Dietary Assessment Tool (ASA24) with populations characterized by low income.

Objective: This study was conducted among women with low incomes to evaluate the accuracy of ASA24 recalls completed independently and with assistance.

Methods: Three hundred and two women, aged ≥18 y and with incomes below the Supplemental Nutrition Assistance Program thresholds, served themselves from a buffet; amounts taken as well as plate waste were unobtrusively weighed to enable calculation of true intake for 3 meals. The following day, women completed ASA24-2016 independently (n = 148) or with assistance …

Educational Intervention Improves Fruit And Vegetable Intake In Young Adults With Metabolic Syndrome Components, Rashel L. Clark, Oluremi A. Famodu, Ida Holásková, Aniello M. Infante, Pamela J. Murray, I. Mark Olfert, Joseeph W. Mcfadden, Marianne T. Downes, Paul D. Chantler, Matthew W. Duespohl, Christopher F. Cuff, Melissa D. Olfert

Faculty & Staff Scholarship

The FRUVEDomics study investigates the effect of a diet intervention focused on increasing fruit and vegetable intake on the gut microbiome and cardiovascular health of young adults with/at risk for metabolic syndrome(MetS). It was hypothesized that the recommended diet would result in metabolic and gut microbiome changes. The 9-week dietary intervention adhered to the US Department of Agriculture Dietary Guidelines for Americansand focused on increasing fruit and vegetable intake to equal half of the diet. Seventeen eligible young adults with/or at high risk of MetS consented and completed preintervention and postintervention measurements, including anthropometric, body composition, cardiovascular, …

Development And Testing Of Program Evaluation Instruments For The Icook 4-H Curriculum, Douglas R. Mathews, Zachary J. Kunicki, Sarah E. Colby, Lisa Franzen-Castle, Kendra K. Kattelmann, Melissa D. Olfert, Adrienne A. White

Faculty & Staff Scholarship

Objective

To develop and test the validity of program outcome evaluation instruments for cooking, eating, and playing together for obesity prevention during iCook 4-H.

Design

Instrument development for both youth and adults through pre-post testing of items newly constructed and compiled to address key curriculum constructs. Testing occurred throughout program intervention and dissemination to determine dimensionality, internal consistency and test-retest reliability, and validity.

Setting

A 5-state out-of-school program in cooperative extension and other community sites.

Participants

Youths aged 9–10 years; adults were main food preparers; the first phase involved 214 dyads and the second phase, 74 dyads.

Main Outcome …

Climatic Trends Of West Virginia: A Representative Appalachian Microcosm, Evan Kutta, Jason Hubbart

Faculty & Staff Scholarship

During the late 19th and very early 20th centuries widespread deforestation occurred across the Appalachian region, USA. However, since the early 20th century, land cover rapidly changed from predominantly agricultural land use (72%; 1909) to forest. West Virginia (WV) is now the USA’s third most forested state by area (79%; 1989–present). It is well understood that land cover alterations feedback on climate with important implications for ecology, water resources, and watershed management. However, the spatiotemporal distribution of climatic changes during reforestation in WV remains unclear. To fill this knowledge gap, daily maximum temperature, minimum temperature, and precipitation data were acquired …

Genome-Wide Association Study Identifies Genomic Loci Affecting Filet Firmness And Protein Content In Rainbow Trout, Ali Ali, Rafet Al-Tobasei, Daniela Lourenco, Tim Leeds, Brett Kenney, Mohamed Saleem

Faculty & Staff Scholarship

Filet quality traits determine consumer satisfaction and affect profitability of the aquaculture industry. Soft flesh is a criterion for fish filet downgrades, resulting in loss of value. Filet firmness is influenced by many factors, including rate of protein turnover. A 50K transcribed gene SNP chip was used to genotype 789 rainbow trout, from two consecutive generations, produced in the USDA/NCCCWA selective breeding program. Weighted single-step GBLUP (WssGBLUP) was used to perform genome-wide association (GWA) analyses to identify quantitative trait loci affecting filet firmness and protein content. Applying genomic sliding windows of 50 adjacent SNPs, 212 and 225 SNPs were associated …

Cooking Frequency Associated With Dietary Quality In Icook-4h Youth Participants At Baseline, Amber D. Ford, Sarah E. Colby, Marissa Mcelrone, Lisa Franzen-Castle, Melissa D. Olfert

Faculty & Staff Scholarship

Background: Increased intakes of ready-made and fast foods paralleled with decreased homemade food consumption have been associated with increased rates of obesity. Researchers have shown associations between cooking self-efficacy (SE) and cooking frequency (CF) with dietary quality and weight status. Some cooking interventions have shown positive associations with dietary outcomes, such as increased fruit and vegetable intake and decreased fast food consumption. There is still much unknown about SE and CF, especially among youth. Objective: Determine baseline SE and CF and the associations with dietary quality and body mass index (BMI) of youth enrolled in iCook 4H. Methods: Youth (n=228, …

The Identification Of Differentially Expressed Genes Between Extremes Of Placental Efficiency In Maternal Line Gilts On Day 95 Of Gestation, Shanice K. Krombeen, Vijay Shankar, Rooksana E. Noorai, Christopher A. Saski, Julia L. Sharp, Matthew E. Wilson, Tiffany A. Wilmoth

Faculty & Staff Scholarship

Background: Placental efficiency (PE) describes the relationship between placental and fetal weights (fetal wt/placental wt). Within litters, PE can vary drastically, resulting in similarly sized pigs associated with differently sized placentas, up to a 25% weight difference. However, the mechanisms enabling the smaller placenta to grow a comparable littermate are unknown. To elucidate potential mechanisms, morphological measurements and gene expression profiles in placental and associated endometrial tissues of high PE and low PE feto-placental units were compared. Tissue samples were obtained from eight maternal line gilts during gestational day 95 ovario-hysterectomies. RNA was extracted from tissues of feto-placental units with …

Characterization And Localization Of Cyclin B3 Transcript In Both Oocyte And Spermatocyte Of The Rainbow Trout (Oncorhynchus Mykiss), Wenzhi Guan, Liangjie Qiu, Bo Zhang, Jianbo Yao, Qing Xiao, Gaofeng Qiu

Faculty & Staff Scholarship

B-type cyclins are regulatory subunits with distinct roles in the cell cycle. To date, at least three subtypes of B-type cyclins (B1, B2, and B3) have been identified in vertebrates. Previously, we reported the characterization and expression profiles of cyclin B1 and B2 during gametogenesis in the rainbow trout (Oncorhynchus mykiss). In this paper, we isolated another subtype of cyclin B, cyclin B3 (CB3), from a cDNA library of the rainbow trout oocyte. The full-length CB3 cDNA (2,093 bp) has an open reading frame (1,248 bp) that encodes a protein of 416 amino acid residues. The CB3 transcript …

The Icook 4-H Study: An Intervention And Dissemination Test Of A Youth/Adult Out-Of-School Program, Adrienne A. White, Sarah E. Colby, Lisa Franzen-Castle, Kendra K. Kattelmann, Melissa D. Olfert, Tara A. Gould, Rebecca L. Hagedorn, Douglas R. Mathews, Jonathan Moyer, Kimberly Wilson, Kathryn Yerxa

Faculty & Staff Scholarship

Objective

To describe outcomes from intervention and dissemination of iCook 4-H.

Design

Five-state, community-based participatory research and a randomized, controlled trial followed by a 5-state, nonrandomized dissemination test of the iCook 4-H curriculum with control and treatment groups.

Setting

Community and university sites.

Participants

Youths aged 9–10 years and their adult food preparer; 228 dyads in the intervention and 74 dyads in dissemination.

Intervention(s)

Theoretical frameworks were Social Cognitive Theory and the experiential 4-H learning model. Six 2-hour, biweekly sessions on cooking, eating, and playing together followed by monthly newsletters and boosters until 24 months, expanded to 8 sessions …

Cooking And Meal Planning As Predictors Of Fruit And Vegetable Intake And Bmi In First-Year College Students, Andrea J. Hanson, Kendra K. Kattleman, Lacey A. Mccormack, Wenjun Zhou, Onikia N. Brown, Tanya M. Horacek, Karla P. Shelnutt, Tandalayo Kidd, Audrey Opoku-Acheampong, Lisa D. Franzen-Castle, Melissa D. Olfert, Sarah E. Colby

Faculty & Staff Scholarship

The objective was to determine if cooking skills and meal planning behaviors are associated with greater fruit and vegetable intake and lower body mass index (BMI) in first-year college students who are at risk for excessive weight gain. A cross-sectional analysis was conducted using baseline data from a multi-state research project aimed at preventing weight gain in first-year college students. Cooking type, frequency and confidence, self-instruction for healthful mealtime behavior intention, self-regulation of healthful mealtime behavior, and cup equivalents of fruits and vegetables (FV) were measured using validated surveys. BMI was calculated from measured height and weight. First-year students (n …

The Icook 4-H Study: Report On Physical Activity And Sedentary Time In Youth Participating In A Multicomponent Program Promoting Family Cooking, Eating, And Playing Together, Kendra K. Kattelmann, Jessica R. Meendering, Emily J. Hofer, Chase M. Merfeld, Melissa D. Olfert, Rebeca L. Hagedorn, Sarah E. Colby, Lisa Franzen-Castle, Jonathan Moyer, Douglas R. Mathews, Adrienne A. White

Faculty & Staff Scholarship

Objective

To report physical activity and sedentary time outcomes of youth in iCook 4-H.

Study Design and Setting

iCook 4-Hwas a 5-state, randomized, control–treatment, family-based childhood obesity prevention intervention promoting cooking, eating, and playing together.

Participants and Intervention

Youth aged 9–10 years and the main preparer of their meals participated in the 12-week program followed by monthly newsletters and biyearly booster sessions until 24 months.

Main Outcome Measure(s)

A total of 155 youth were fitted with an Actigraph GT3X+ accelerometer, which they wore for 7 days at baseline and 4, 12, and 24 months to measure mean daily …

Prevalence And Correlates Of Food Insecurity Among U.S. College Students: A Multi-Institutional Study, Aseel El Zein, Karla P. Shelnutt, Sarah Colby, Melissa J. Vilaro, Wenjun Zhou, Geoffrey Greene, Melissa D. Olfert, Kristin Riggsbee, Jesse Stabile Morrell, Anne E. Mathews

Faculty & Staff Scholarship

Background: College students may be vulnerable to food insecurity due to limited financial resources, decreased buying power of federal aid, and rising costs of tuition, housing, and food. This study assessed the prevalence of food insecurity and its sociodemographic, health, academic, and food pantry correlates among first-year college students in the United States. Methods: A cross-sectional study was conducted among first-year students (n = 855) across eight U.S. universities. Food security status was assessed using the U.S. Department of Agriculture Adult Food Security Survey Module. Cohen’s Perceived Stress Scale, Pittsburgh Sleep Quality Index, and Eating Attitudes Test-26 were used to …

Development Of The Icook 4-H Curriculum For Youth And Adults: Cooking, Eating, And Playing Together For Childhood Obesity Prevention, Lisa Franzen-Castle, Sarah E. Colby, Kendra K. Kattelmann, Melissa D. Olfert, Douglas R. Mathews, Kathryn Yerxa, Barbara Baker, Michelle Krehbiel, Tracey Lehrke, Kimberly Wilson, Sue M. Flanagan, Amber Ford, Trina Aguirre, Adrienne A. White

Faculty & Staff Scholarship

The objective was to describe the development process of a curriculum (iCook 4-H) targeted to low-income, rural, and/or diverse youths and their adult primary meal preparer to promote cooking, eating, and playing together. Lessons learned highlighted the importance of grounding the curriculum in Social Cognitive Theory and applying the experiential 4-H learning model using a multiphased, community-based participatory approach with cyclical development and evaluation, and key modifications made for dissemination and distribution. Findings across 4 testing phases over 6 years and 5 states demonstrated the time-intensive, cyclical process that required flexibility with fidelity to form a hands-on, interactive …

Dissemination Using Infographic Reports Depicting Program Impact Of A Community-Based Research Program: Eb4cast In Icook 4-H, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzie L. Barr, Sarah E. Colby, Kendra K. Kattelmann, Lisa Franzen-Castle, Adrienne A. White

Faculty & Staff Scholarship

Objective

To evaluate barriers to dissemination and implementation and perceptions of the Evidence-Based Forecast Capture, Assemble, Sustain, Timelessness (eB4CAST) dissemination infographic tool as part of iCook 4-Hdissemination.

Design

Online surveys and phone interviews.

Participants

Experts (n = 35) in community research completed the survey; 13 completed the interview.

Main Outcomes Measure

Experts’ perceptions of eB4CAST reports used for iCook 4-Hdissemination.

Analysis

Frequency and thematic analysis.

Results

Survey respondents agreed (85%) that the eB4CAST infographic provided a clear understanding of iCook 4-Hand relevant information (83%). Statistics included in the infographic were reported as easily understood (66%). Respondents (83%) …

Ripple Effect Mapping Outcomes Of A Childhood Obesity Prevention Program From Youth And Adult Dyads Using A Qualitative Approach: Icook 4-H, Melissa D. Olfert, Sina J. King, Rebecca L. Hagedorn, Makenzie L. Barr, Barbara A. Baker, Sarah E. Colby, Kendra K. Kattelmann, Lisa Franzen-Castle, Adrienne A. White

Faculty & Staff Scholarship

Objective

Design

Setting

Participants …

Feasibility Of A Mhealth Approach To Nutrition Counseling In An Appalachian State, Melissa D. Olfert, Makenzie L. Barr, Rebecca L. Hagedorn, Dustin M. Long, Treah S. Haggerty, Mathew Weimer, Joseph Golden, Mary Ann Maurer, Jill D. Cochran, Tracy Hendershot, Stacey L. Whanger, Jay D. Mason, Sally L. Hodder

Faculty & Staff Scholarship

Abstract: West Virginia is a rural state with an aging population that may experience barriers to accessing nutritional and lifestyle counseling. This study examined feasibility of an online personalized nutrition tracking application, Good Measures (GM), with patients at seven health care clinics throughout the state. Fourteen healthcare providers and 64 patients 18 years or older with a Body Mass Index (BMI) greater than or equal to 30 and access to the Internet were recruited for this 12-week feasibility study. Patient participants logged meals and exercise into the GM application via smart phone, tablet, or computer and virtually engaged with a …

The Land Of Meat And Potatoes? Exploring Ireland’S Vegan And Vegetarian Foodscape, Corey Lee Wrenn

Dietary Choice and Foods of Animal Origin Collection

While it would not be accurate to suggest that Ireland is a hub of veganism or vegetarianism, too often it is written off as inherently unsympathetic to the ethics of plant-based eating and anti-speciesist politics. While it is true that Irish culture is historically tied to speciesism and its economy is especially dependent upon “meat” and dairy production, Ireland’s relationship with other animals is complex and sometimes forgiving. This essay seeks to bring shape to the Irish vegan ethic, one that can be traced along its history of animism, agrarianism, ascendency, adaptation, and activism. From its pagan roots to its …

Disease Prevention With A Plant-Based Lifestyle, Sabina V. Vyas

Dietary Choice and Foods of Animal Origin Collection

Animal experiments are commonly conducted to understand human diseases and responses to treatment. As decades of research indicate, the use of nonhuman animals (hereinafter referred to as animals) to translate the side effects, benefits, and impact of medications and treatments on the human body has been demonstrated to be ineffective; while billions of animals and humans have suffered (Shanks, Greek and Greek, 2009). Due to misleading safety and efficacy data from animal experiments, humans are often prescribed medications that may not be as effective or as safe as the patient, or even physician, may have been led to believe (Akhtar, …

Development Of A Quantitative Measure Of Community Readiness For Change, Drew Hicks

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Introduction: Recruiting community involvement in public health interventions is often met with varying degrees of success. Attitudes, resources, and leadership all impact a community’s ability to effect change. Being able to assess community readiness for change is vital to the successful adoption of any health or wellness initiative. Past efforts in measuring community readiness have been largely limited. This study reports on the development and validation of a survey measuring community readiness to change for health and wellness in the college campus community.
Objective: To develop an instrument capable of measuring the attitudes and ability of a college campus …

Tanglewood Trail Walking And Voucher Program, Kelci Marie Mchugh

Theses and Dissertations--Nutrition and Food Systems

Rural Appalachian populations have greater rates of obesity and chronic diseases attributed to lesser consumption of fruits and vegetables (F/V) and physical inactivity. Barriers to F/V consumption and physical activity include poor access and affordability. To help overcome these barriers, a community-initiated walking and farmers market F/V voucher program was implemented.

Participants were encouraged to walk (1.2 miles roundtrip) to the local farmers market to redeem a $10 voucher which could only be spent on F/V. The 16-week program (June – Sept) included 121 participants. Data was analyzed by creating two groups, low-engagers and high-engagers that differed significantly in the …

Choice Architecture In Appalachian High Schools: Evaluating And Improving Cafeteria Environments, Melissa D. Olfert, Rebecca L. Hagedorn, Emily N. Clegg, Shannon Ackerman, Cheryl Brown

Faculty & Staff Scholarship

School meals are a primary source of nutrition for many adolescents. Determining factors that influence the selection of various foods can provide insight on strategies to improve students’ cafeteria choices. This evaluation and observation was conducted at three Appalachian high schools to assess the cafeteria environment. The study developed and implemented an assessment tool created using principles of choice architecture and behavioral economics building on the work of the Cornell Center for Behavioral Economics in Child Nutrition Programs (BEN Center). The assessment tool scored eight components of the lunchroom—the exterior, hot serving area, cold serving area, salad bar, beverage area, …

Food For Thought, Beenish M. Chaudhry

School of Computing and Informatics

Healthy eating is essential to avoid many health problems, but identifying health-promoting foods and behaviors is difficult for most individuals. Fooducate is a diet tracking app that comes with a variety of tools, features and support mechanisms that claim to simplify the task of eating healthy. Based on our analysis of the user reviews, we identified five benefits that Fooducate users have reported experiencing in relation to achieving good health: improved food choices, increased awareness, weight loss personalized care and “ever-present” human support. Fooducate can align itself more closely with users’ goal of achieving healthy lifestyle by expanding its database, …

Role Of Dyslipidemia On Lipid Metabolism In Maintenance Hemodialysis Patients, Eno Latifi

Wayne State University Dissertations

Maintenance hemodialysis (MHD) patients experience various abnormalities such as systemic inflammation (SI), oxidative stress (OS), and dyslipidemia (D). Defined as an imbalance of plasma lipids, lipoproteins, and lipid metabolism enzymes, D has been associated with a rise in morbidity and mortality within ESRD patients due to cardiovascular disease (CVD). However, the contribution of each of these parameters to D is poorly understood; moreover, the impact of the following parameters on dyslipidemia in different ethnicities is unknown. Hence, the objective of this study was to characterize D in a multi-ethnic cohort of ESRD patients. We hypothesized that the degree of dyslipidemia …