Digital Commons Network^™

Health Disparities Score Composite Of Youth And Parent Dyads From An Obesity Prevention Intervention: Icook 4-H, Melissa D. Olfert, Makenzie L. Barr, Rebecca L. Hagedorn, Lisa Franzzen-Castle, Sarah E. Colby, Kendra K. Kattelmann, Adrienne A. White

Faculty & Staff Scholarship

iCook 4-H is a lifestyle intervention to improve diet, physical activity and mealtime behavior. Control and treatment dyads (adult primary meal preparer and a 9–10-year-old youth) completed surveys at baseline and 4, 12, and 24 months. A Health Disparity (HD) score composite was developed utilizing a series of 12 questions (maximum score = 12 with a higher score indicating a more severe health disparity). Questions came from the USDA short form U.S. Household Food Security Survey (5), participation in food assistance programs (1), food behavior (2), level of adult education completed (1), marital status (1), and race (1 adult and …

Katalyst Pilot Study: Using Interactive Activities In Anatomy And Physiology To Teach Children The Scientific Foundation Of Healthy Lifestyles, Rebecca L. Hagedorn, Kathryn Baker, Sara E. Dejarnett, Tyler Hendricks, Melissa Mcgowan, Lauren Joseph, Melissa D. Olfert

Faculty & Staff Scholarship

This pilot study evaluated the impact of the Katalyst curriculum, a fifth-grade experiential learning program, on students’ knowledge of a healthy lifestyle’s impact on body functions. Katalyst’s interactive curriculum spans two days and includes four, 60-min stations on body systems: cardiovascular/endocrine, gastrointestinal, neurological, and respiratory/musculoskeletal. Three schools were recruited, and two schools completed the intervention sessions. Prior to beginning the stations, fifth-grade students completed a 37-item questionnaire to assess knowledge and perceptions. Students completed the same survey at the end of the Katalyst intervention. Teachers at the school also completed a survey post intervention to provide feedback on the program. …

Metabolic Syndrome Prevalence In Students Attending West Virginia University, Melissa D. Olfert, Amanda Dent, Rachel A. Wattick

Faculty & Staff Scholarship

Metabolic Syndrome (MetS) contributes to the development of cardiovascular disease (CVD) and type II diabetes mellitus (T2DM). Few studies have investigated the MetS risk of young adults (18–24 years old). This study aims to determine the prevalence of MetS in Appalachian and non-Appalachian students attending West Virginia University. The prevalence of MetS in this population was 15%. There was no difference in MetS prevalence between male students and female students (18.8% males and 11.1% females, p-value = 0.30), or between Appalachian students and non-Appalachian students (17.7% Appalachian and 10.0% non-Appalachian, p-value = 0.33). Identification of MetS early in life is …

Future Implications Of Using Registered Dietitians In Multidisciplinary Polycystic Ovary Syndrome Treatment, Wendy M. Wolf, Rachel A. Wattick, Pamela J. Murray, Melanie Clemmer, Melissa D. Olfert

Faculty & Staff Scholarship

Polycystic ovary syndrome (PCOS) is the most common reproductive endocrine disorder in females with insulin resistance playing a key role in pathogenesis. The objective of this study was to investigate current trends and future implications of multidisciplinary PCOS clinics with inclusion of dietitians. A two-phase, formative investigation on practitioners was conducted through an anonymous survey followed by focus groups. Survey respondents included 261 health care providers from around the world; the majority (59%) representing multidisciplinary teams. Focus group participants included four dietitians, three physicians, a health psychologist and a licensed nutritionist. Primary barriers for future multidisciplinary clinics included: money/resources, insurance …

Correlations Of Self-Reported Androgen Deficiency In Ageing Males (Adam) With Stress And Sleep Among Young Adult Males, Camille M. Charlier, Sarah E. Colby, Geoffrey W. Greene, Melissa D. Olfert, Makenzie L. Barr

Faculty & Staff Scholarship

Abstract: Androgen deficiency in males has traditionally been predominantly limited to older men aged 50+ years. However, little is known of the correlation between hormonal disruption, stress, and sleep in college-aged males. This cross-sectional study investigates lifestyle behavior patterns in young men and a screening for potential androgen deficiency. A survey of 409 male students, as part of a larger USDA-funded GetFruved study, was analyzed for this subproject. Survey instruments used include the Androgen Deficiency in the Aging Male Questionnaire (ADAM) to assess for inadequate ADAM scores, the Perceived Stress Scale to measure stress levels and the Pittsburgh Sleep Quality …

Development And Validation Of A Simple Convenience Store Shelf Audit, Tanya M. Horacek, Elif Dede Yildrim, Erin Kelly, Adrienne A. White, Karla P. Shelnutt, Kristin Riggsbee, Melissa D. Olfert, Jesse Stabile Morrell, Anne E. Mathews, Terezie T. Mosby, Tandalayo Kidd, Kendra Kattelmann, Geoffrey Greene, Lisa Franzen-Castle, Sarah Colby, Carol Bryd- Bredbenner, Onikia Brown

Faculty & Staff Scholarship

Background This paper describes the development, reliability, and convergent validity of a practical tool—the Convenience Store Supportive Healthy Environment for Life-Promoting Food (SHELF) Audit. Methods Audit items included: a variety of fresh, processed, and frozen fruits and vegetables; low-fat dairy products; healthy staples and frozen meals; healthy food incentive programs; items sold in check-out areas; portion/cup sizes; and pricing. Each audit item was scored using a five-point semantic-differential scale (1 = provides little or no support for healthful foods to 5 = provides high support for healthful foods). Convergent validity was examined by comparing the SHELF audit to Ghirardelli et …

Multilevel Structural Equation Modeling Of Students’ Dietary Intentions/Behaviors, Bmi, And The Healthfulness Of Convenience Stores, Tanya Horacek, Elif Dede Yildirim, Kendra Kattelmann, Carol Byrd-Bredbenner, Onikia Brown, Sarah Colby, Geoffrey Greene, Sharon Hoerr, Tandalayo Kidd, Mallory Koenings, Jesse Morrell, Melissa D. Olfert, Beatrice Phillips, Karla Shelnutt, Adrienne White

Faculty & Staff Scholarship

Background: When dietary behaviors are habitual, intentions are low, and environmental cues, such as the consumer food environment, might guide behavior. How might intentions to eat healthily and ultimately actual dietary behaviors, be influenced by the consumer food environment (including the availability and affordability of healthy foods) in convenience stores? This study will determine pathways between the healthfulness of convenience stores and college students’ dietary intentions/behaviors, and body mass index (BMI). Methods: Through multilevel structural equation modeling, a comparison was made of students’ healthful meal intentions (HMI); intake (fruits/vegetables, %kcal/fat, sugar-sweetened beverages (SSBs) and whole-grains); and measured BMI; as well …

Health Behaviors Of Student Community Research Partners When Designing And Implementing A Healthy Lifestyle Intervention On College Campuses, Makenzie L. Barr, Sarah E. Colby, Kristin Riggsbee, Anne E. Mathews, Melissa J. Vilaro, Kendra K. Kattlemann, Melissa D. Olfert

Faculty & Staff Scholarship

Few studies work with college students as equal partners in all aspects of Community-Based Participatory Research (CBPR) and even less evaluate behaviors of those college partners. The current study aimed to examine health behaviors of students by designing and implementing a peer-led, social marketing campaign (Get Fruved) to promote healthier lifestyles on their campuses. Enrolled students (n = 376) were trained to either design and implement a health promotion intervention (Social Marketing and Environmental Interventionists; SMEI, n = 78), be peer mentors (PM; n = 205), or serve as control participants (n = 93). Students’ behaviors (dietary, activity, and stress) …

Self-Reported Vs. Measured Height, Weight, And Bmi In Young Adults, Melissa D. Olfert, Makenzie L. Barr, Camille M. Charlier, Oluremi A. Famodu, Wenjun Zhou, Anne E. Mathews, Carol Byrd-Bredbenner, Sarah E. Colby

Faculty & Staff Scholarship

Self-reported height and weight, if accurate, provide a simple and economical method to track changes in body weight over time. Literature suggests adults tend to under-report their own weight and that the gap between self-reported weight and actual weight increases with obesity. This study investigates the extent of discrepancy in self-reported height, weight, and subsequent Body Mass Index (BMI) versus actual measurements in young adults. Physically measured and self-reported height and weight were taken from 1562 students. Male students marginally overestimated height, while females were closer to target. Males, on average, closely self-reported weight. Self-reported anthropometrics remained statistically correlated to …

Eb4cast: An Evidence-Based Tool To Promote Dissemination And Implementation In Community-Based, Public Health Research, Melissa D. Olfert, Rebecca L. Hagedorn, Makenzie L. Barr, Oluremi A. Famodu, Jessica M. Rubino, Jade A. White

Faculty & Staff Scholarship

eB4CAST, evidence-Based forecast C-capture, A-assemble, S-sustain, T-timelessness (eB4CAST), framework was developed from existing dissemination and implementation (D & I) constructs as a dissemination tool to promote community-based program usability and future application in targeted populations. eB4CAST captures and transforms research findings into a dissemination report that shows program need and impact to endorse program continuation and expansion. This is achieved through direct and indirect data collection of community factors and program impact that can showcase the need for program sustainability and potential for future dissemination sites. Testimonials, individual feedback, and program process and outcomes contribute to the direct data while …

Hiv Related Stigma, Perceived Social Support And Risk Of Premature Atherosclerosis In South Asians, Travis Bergmann, Shantanu Sengupta, Milind P. Bhrushundi, Hemant Kulkarni, Partho P. Sengupta, Icilma Fergus

Faculty & Staff Scholarship

Objective: This study sought to determine the association between social support and stigma experienced by HIV-positive patients and presence of subclinical cardiovascular disease. Methods: We implemented a cross sectional study in 67 HIV-positive patients and 52 controls from a community health care center in central India. The participants underwent an in-depth survey and a clinical and laboratory assessment of cardiovascular risk. Carotid-intimal thickness (CIMT) was used as a marker of subclinical cardiovascular disease.

Results: On comparing the HIV and age and sex-matched control population, HIV patients had lower body weight (P=<0.001), and lower systolic blood pressures (P = 0.002). Despite the lack of higher cardiac risk factor prevalence and lower lipid abnormalities, HIV patients had higher right, left and average CIMT values than controls (P < 0.001 for all). HIV patients also showed higher prevalence of abnormal CIMT (! 0.9 mm) than controls (32% vs. 0%, P < 0.001). HIV patients with increased CIMT (n = 37) in comparison with those with normal CIMT (n = 30) were more frequently males (P = 0.023), had higher systolic blood pressures (P = 0.002), lower CD4 counts (P = 0.033) and experienced higher enacted stigma (P = 0.044). On multivariable stepwise logistic regression, systolic blood pressure (odds ratio:1.06, P = 0.002) and stigma score > 25th percentile value (odds ratio:3.84, P = 0.037) were …

The Relationship Between Dietary Quality And Mental Health In A Young Adult Appalachian College Population, Rachel Anne Wattick

Capstones and Honors Theses

To investigate the relationship between dietary quality and mental health status of young adults in an Appalachia college setting we 1) assessed the overall dietary quality of students 2) assessed the frequency of depression and anxiety symptoms of students and 3) assessed the relationship between these factors and food insecurity of students. A cross-sectional design was used in a large, Appalachian college population in fall 2017. Survey items included the Dietary Screener Questionnaire (DSQ), experience of depression or anxiety symptoms over the past 30 days, and the US Adult Food Security Survey Module, demographic variables and BMI. Participant responses (n=1956) …

Clinical Oral Health Recommended Care And Oral Health Self-Report, Nhanes, 2013-2014, R Constance Wiener, Nilanjana Dwibedi, Chan Shen, Patricia A. Findley, Usha Sambamoorthi

Faculty & Staff Scholarship

Purpose. The purpose of this study was to determine the concordance of self-reported responses to oral health questions versus clinically evaluated recommended need for oral healthcare by calibrated dentists to determine usefulness of the questions for epidemiological studies. We additionally examined other factors associated with concordant self-reports versus clinical evaluations. Materials and Methods. We used a cross-sectional study design with 4,205 participants, ages 30 years and above, who had complete oral health self-perception data and dental referral data in the NHANES 2013-14. Calibrated dentists completed clinical oral healthcare assessments. The assessments were dichotomized to (1) recommendation for immediate care and …

Personal Oral Infection Control, Low Birthweight, And Preterm Births In Appalachia West Virginia: A Cross-Sectional Study, R Constance Wiener, Christopher Waters

Faculty & Staff Scholarship

Appalachia West Virginia has a higher prevalence of preterm and low birthweight babies than the US national prevalence. Many factors have been studied which are known to influence preterm births and low birthweight babies. There are limited interventions that are available to decrease the likelihood of preterm and low birthweight babies; however oral health and personal oral infection control may be helpful. The purpose of this study was to evaluate the association of limited personal oral infection control among pregnant West Virginia Appalachian women and poor birth outcomes (preterm and low birthweight babies). Methods. A secondary data analysis of data …

Food Insecurity And Behavioral Characteristics For Academic Success In Young Adults Attending An Appalachian University, Rebecca L. Hagedorn, Melissa D. Olfert

Faculty & Staff Scholarship

In order to investigate the impact of food insecurity on college students in a highly health disparate region we (1) assessed the prevalence of food insecurity among young adults at a large, rural university in Appalachia, and (2) investigated the relationship between food insecurity and behavioral characteristics including academic performance, coping strategies, and money expenditure. A cross-sectional design was used to capture a representative sample of young adults attending a large, central Appalachian university in Fall 2016. The United States Department of Agriculture (USDA) Adult Food Security Survey was used to measure food insecurity. Independent variables include money expenditure (MES), …

Organic Versus Conventional Cropping Sustainability: A Comparative System Analysis, Tiffany L. Fess, Vagner Benedito

Faculty & Staff Scholarship

We are at a pivotal time in human history, as the agricultural sector undergoes consolidation coupled with increasing energy costs in the context of declining resource availability. Although organic systems are often thought of as more sustainable than conventional operations, the lack of concise and widely accepted means to measure sustainability makes coming to an agreement on this issue quite challenging. However, an accurate assessment of sustainability can be reached by dissecting the scientific underpinnings of opposing production practices and crop output between cropping systems. The purpose of this review is to provide an in-depth and comprehensive evaluation of modern …

Caregiver Selection Of Treatments For Their Child With Autism, Amy Kurowski-Burt

Graduate Theses, Dissertations, and Problem Reports (ETD)

This project was completed to understand what treatments caregivers are selecting for their child with autism and why treatments were selected and discontinued. Caregivers of children with autism participated in a mixed methods study. An online survey was completed (N=127) to identify treatments used for their child. Interviews were completed (n=14) to understand why treatments were selected and discontinued. Selection of medical, dietary, therapeutic, complimentary/ alternative medicine, community-based, behavioral, and educational treatments were mostly influenced by recommendations of others. Caregivers reported discontinuing because relationships and professionalism were lacking between provider and family. Providers must consider all the variables that influence …

Differentiating Human Populations Based On K-Mer Classification Of Hand Bacteria, Thrisha Doppala

Graduate Theses, Dissertations, and Problem Reports (ETD)

Bacterial communities found in and on the human body are not only used in studying human health conditions but are also effective in differentiating individuals due to their distinct profiles. Human palm regions harbor relatively more diverse bacterial communities and are indicative of population groups, life styles, geographic locations, age groups and health conditions. Sequences extracted from hypervariable region V3 of the 16S rRNA bacterial gene of hand bacterial samples from 9 different population groups were classified into Operational Taxonomic Units (OTU) with GreenGenes reference taxonomy using RDP (Ribosomal Database Project) classifier. Frequencies of identified OTUs were used to study …

Impact Of A Fruit And Vegetable Diet Intervention In Young Adults With Metabolic Syndrome On Behavior And Gut Microbiome, Rashel L. Clark

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Metabolic Syndrome (MetS) is a clustering of factors that increases the risk of developing cardiovascular diseases and diabetes. The rates of MetS are on the rise, even among young adults. The primary objective of the Fruvedomics phase 2 study was to determine changes in behavior, cardiovascular, and gut microbiome health in a group of young adults with MetS following an 8-week, free-living, dietary intervention.;Methods: The dietary intervention followed the USDA Dietary Guidelines for Americans and focused on increasing fruit and vegetable intake to equal half their diet. University students (18--30 years old) with MetS were recruited on the West …

Wintering American Black Duck Ecology Of Central Appalachia, Sara E. Yannuzzi

Graduate Theses, Dissertations, and Problem Reports (ETD)

The American black duck (Anas rubripes) is a species of dabbling duck found only in the northeastern part of North America, and widely hunted until its decline. Since the 1950s, the total population has decreased by 53%. Habitat degradation and decline of wintering and breeding wetlands, historic overharvest, and interactions with the mallard (A. platyrhynchos) are attributed as some of the main causes of the black duck population’s decrease. Many policies and taxa- and habitat-specific joint ventures have since been created to aid in studying and improving North American wetlands and black duck populations throughout both their breeding and wintering …

Characterization Of Kndy Neuronal Activity In Gilts: Distribution And Effect Of A Progestin, Ashley Nicollette Lindo

Graduate Theses, Dissertations, and Problem Reports (ETD)

Puberty is a process that incorporates a large array of both external factors and internal signals. The endocrinology of puberty has been studied in a number of mammalian species and typically depends upon an increase in hypothalamic secretion of gonadotropin releasing hormone (GnRH). Neural inputs regulating GnRH secretion during the pubertal process are not completely understood. In the past decade, attention has focused on the role for a particular set of neurons located in the arcuate nucleus (ARC) of the hypothalamus. They have been named KNDy neurons because they coexpress kisspeptin, neurokinin B (NKB) and dynorphin and have been shown …

Analysis Of Membrane Transporter Systems Expressed During Symbiotic Nitrogen Fixation In The Model Legume Medicago Truncatula, Christina Laureen Wyman

Graduate Theses, Dissertations, and Problem Reports (ETD)

No abstract provided.

An Evaluation Of Preliminary Outcomes And Characteristics Of Peer Support Within A Community Based Weight Management Program, John Spencer Ingels

Graduate Theses, Dissertations, and Problem Reports (ETD)

No abstract provided.

Machine Learning Approaches To Human Body Shape Analysis, Marco Piccirilli

Graduate Theses, Dissertations, and Problem Reports (ETD)

Soft biometrics, biomedical sciences, and many other fields of study pay particular attention to the study of the geometric description of the human body, and its variations. Although multiple contributions, the interest is particularly high given the non-rigid nature of the human body, capable of assuming different poses, and numerous shapes due to variable body composition. Unfortunately, a well-known costly requirement in data-driven machine learning, and particularly in the human-based analysis, is the availability of data, in the form of geometric information (body measurements) with related vision information (natural images, 3D mesh, etc.). We introduce a computer graphics framework able …

Response Of Ovine Neutrophils To Different Life Stages Of Haemonchus Contortus, Denzel Deshawn Middleton

Graduate Theses, Dissertations, and Problem Reports (ETD)

No abstract provided.

Seeking To Do What’S Best For Baby: A Grounded Theory, Karen P Jagiello

Graduate Theses, Dissertations, and Problem Reports (ETD)

No abstract provided.

Fitting A Square Peg Into A Round Hole: Perceptions Of Appalachian Physicians On The Incorporation Of Chronic Disease Prevention Into Their Practice, Lauri Andress, Danny Scalise, Jessica G. Wright, Stephanie E. Moore

Faculty & Staff Scholarship

This study used a focus group in August 2017 (n = 9) to explore the perceptions of rural physicians to a state request to incorporate diabetes prevention screening into their West Virginia medical practice. Analysis of the data revealed that the participants did not think private physicians were equipped to incorporate diabetes prevention programming into their practice. Three categories emerged from the data analysis to explain the reasoning of the health practitioners on the incorporation of pre-diabetes screening and management into their practice.

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The practice of medicine

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Prevention is a mismatch

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Social determinants of health

In the …

Beyond Weight Loss: A Qualitative Exploration Of Participant Expectations And Strategies For Measuring Progress During A Weight Management Program, John Spencer Ingels, Adam Hansell, Sam Zizzi

Faculty & Staff Scholarship

Objectives:

Previous research with participants in weight management has primarily focused on participant weight-loss expectations. The purpose of this study was to explore participant expectations and strategies for measuring progress during a community-based weight management program.

Methods:

Semi-structured interviews were completed with 22 participants with overweight or obesity, who were currently enrolled in a 2-year weight management program in order to understand their expectations and strategies for measuring their progress.

Results:

Aside from weight loss, participants’ expectations included improved health, fitness, and mood, gaining support, and developing new habits. Participants discussed measuring their success by focusing on weight loss and …

Apple Pomace Consumption Favorably Alters Hepatic Lipid Metabolism In Young Female Sprague-Dawley Rats Fed A Western Diet, Roy Chris Skinner, Derek C. Warren, Soofie N. Lateef, Vagner A. Benedito, Janet C. Tou

Faculty & Staff Scholarship

Apple pomace, which is a waste byproduct of processing, is rich in several nutrients, particularly dietary fiber, indicating potential benefits for diseases that are attributed to poor diets, such as non-alcoholic fatty liver disease (NAFLD). NAFLD affects over 25% of United States population and is increasing in children. Increasing fruit consumption can influence NAFLD. The study objective was to replace calories in standard or Western diets with apple pomace to determine the effects on genes regulating hepatic lipid metabolism and on risk of NAFLD. Female Sprague-Dawley rats were randomly assigned (n = 8 rats/group) to isocaloric diets of AIN-93G and …

Making Medicaid Work In The Mountain State? An Assessment Of The Effect Of Work Requirements For Medicaid Beneficiaries In West Virginia, Simon F. Haeder

Faculty & Staff Scholarship

West Virginia is one of the poorest states in the nation, and West Virginians face some of the highest rates of illness and disability. One of the few bright spots for the health of West Virginians have been government-funded programs like Medicaid and the Children’s Health Insurance Program (CHIP). The Affordable Care Act (ACA), including the expansion of Medicaid under Governor Tomblin in 2014, has brought health coverage and access to care to hundreds of thousands of West Virginians. Today, about a third of West Virginians rely on Medicaid, and the program has become the backbone of the state’s health …