Relationship Between Youth Cardiometabolic Health And Physical Activity In Medical Records., Bethany Forseth, Janelle R. Noel-Macdonnell Phd, Sarah Hampl, Jordan A. Carlson, Kelsee Halpin, Ann M. Davis, Tarin Phillips, Robin P. Shook

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Thers is limited research examining modifiable cardiometabolic risk factors with a single-item health behavior question obtained during a clinic visit. Such information could support clinicians in identifying patients at risk for adverse cardiometabolic health. We investigated if children meeting physical activity or screen time recommendations, collected during clinic visits, have better cardiometabolic health than children not meeting recommendations. We hypothesized that children meeting either recommendation would have fewer cardiometabolic risk factors.

METHODS AND FINDINGS: This cross-sectional study used data from electronic medical records (EMRs) between January 1, 2013 through December 30, 2017 from children (2-18 years) with a well …

Healthy Living After Cancer: A Community-Based Program To Improve Exercise And Nutrition In Cancer Survivors, Czarina Banzon

OT Student Capstones

Persevering through cancer treatment is an uphill battle, but continuing survivorship for the rest of their lives becomes the biggest challenge for cancer survivors. Concerns in survivorship include side effects from cancer treatment, fear of recurrence, and returning to previous roles and routines. Additionally, survivors must maintain their health and well-being through exercise and nutrition. Occupational therapists possess the necessary skill set to create programming for cancer survivors that is relevant and realistic. They can take side effects from treatment into consideration and offer personalization of goals and maintenance strategies. Furthermore, occupational therapists can offer simple alternatives to maintaining a …

International Society Of Sports Nutrition Position Stand: Ketogenic Diets, Alex Leaf, Jeffrey A. Rothschild, Tim M. Sharpe, Stacy T. Sims, Chad J. Macias, Geoff G. Futch, Michael D. Roberts, Jeffrey R. Stout, Michael J. Ormsbee, Alan A. Aragon, Bill I. Campbell, Shawn M. Arent, Dominic P. D'Agostino, Michelle T. Barrack, Chad Kerksick, Richard B. Kreider, Douglas S. Kalman, Jose Antonio

Faculty Scholarship

Position statement

The International Society of Sports Nutrition (ISSN) provides an objective and critical review of the use of a ketogenic diet in healthy exercising adults, with a focus on exercise performance and body composition. However, this review does not address the use of exogenous ketone supplements. The following points summarize the position of the ISSN:

1. A ketogenic diet induces a state of nutritional ketosis, which is generally defined as serum ketone levels above 0.5 mM. While many factors can impact what amount of daily carbohydrate intake will result in these levels, a broad guideline is a daily dietary …

Associations Between Daily Step Count Classifications And Continuous Glucose Monitoring Metrics In Adults With Type 1 Diabetes: Analysis Of The Type 1 Diabetes Exercise Initiative (T1dexi) Cohort, Lauren V. Turner, Martin Chase Marak, Robin L. Gal, Peter Calhoun, Zoey Li, Peter G. Jacobs, Mark A. Clements, Corby K. Martin, Francis J. Doyle, Susana R. Patton, Jessica R. Castle, Melanie B. Gillingham, Roy W. Beck, Michael R. Rickels, Michael C. Riddell

Clinical Research Faculty Publications

Aims/hypothesis: Adults with type 1 diabetes should perform daily physical activity to help maintain health and fitness, but the influence of daily step counts on continuous glucose monitoring (CGM) metrics are unclear. This analysis used the Type 1 Diabetes Exercise Initiative (T1DEXI) dataset to investigate the effect of daily step count on CGM-based metrics. Methods: In a 4 week free-living observational study of adults with type 1 diabetes, with available CGM and step count data, we categorised participants into three groups—below (< 7000), meeting (7000–10,000) or exceeding (>10,000) the daily step count goal—to determine if step count category influenced CGM metrics, including per cent time …

Impact Of Low-Load Resistance Exercise With And Without Blood Flow Restriction On Muscle Strength, Endurance, And Oxidative Capacity: A Pilot Study, Brett H. Davis, James E. Stampley, Joshua Granger, Matthew C. Scott, Timothy D. Allerton, Neil M. Johannsen, Guillaume Spielmann, Brian A. Irving

Clinical Research Faculty Publications

Low-load resistance exercise (LLRE) to failure can increase muscle mass, strength, endurance, and mitochondrial oxidative capacity (OXPHOS). However, the impact of adding blood flow restriction to low-load resistance exercise (LLBFR) when matched for volume on these outcomes is incompletely understood. This pilot study examined the impact of 6 weeks of single-legged LLBFR and volume-matched LLRE on thigh bone-free lean mass, strength, endurance, and mitochondrial OXPHOS. Twenty (12 males and 8 females) untrained young adults (mean ± SD; 21 ± 2 years, 168 ± 11 cm, 68 ± 12 kg) completed 6 weeks of either single-legged LLBFR or volume-matched LLRE. Participants …

Does Breaking Up Moderate Intensity Continuous Exercise Into Accumulated Bouts Improve Postprandial Metabolic Outcomes In Middle Aged And Older Adults?, Miranda Janis

Masters Theses, 2020-current

Due to the high incidence of CVD in older adults, low levels of habitual physical activity, and poor dietary habits, it is imperative to determine an effective minimal dose of exercise that is attainable to mitigate adverse postprandial (post-meal) responses. This study is the first to our knowledge to assess whether accumulated exercise to expend 25% of the calories consumed in a high-fat meal (HFM) of moderate intensity walking will lower postprandial triglycerides (TRG), glucose (GLU) and metabolic load index (MLI: summation of GLU and TRG), compared to continuous exercise, in middle-aged and older adults (OA). Methods: Ten OA (n=10, …

Improving Quality Of Life In Menopausal Women Through A Best Practice Protocol: The Use Of Hormone Therapy, Mindfulness-Based Module And Exercise, Claire Czerwonka

Evidence-Based Practice Project Reports

Menopause is a normal process of aging, but many of the symptoms negatively impact women’s day-to-day quality of life (QOL), as well as activities of daily living, physical and mental health (ACOG, 2014). Generally, systemic estrogen hormone therapy is indicated for menopause-related vasomotor symptoms, but there is no research further addressing QOL issues or lifestyle management in addition to hormone therapy. The purpose of this evidence-base practice (EBP) project was to implement a menopause protocol to address QOL issues in menopausal women with the use of hormone replacement therapy, education through an online mindfulness module, and the use of exercise. …

Barriers And Facilitators To Adherence To Behavioral Weight Loss Interventions Among Hispanic/Latina Women, Catalina R. Pacheco

Psychology ETDs

Behavioral weight loss (BWL) interventions can help combat obesity and related diseases, but rates of adherence are often low among Hispanic/Latina women. This study explored barriers and facilitators to adherence among this population. Fourteen women attended focus groups and were asked to identify barriers and facilitators to self-monitoring of food and exercise (SM). They additionally were asked to identify body image-related barriers and facilitators to adherence to meeting diet and exercise goals. Transcripts were analyzed using thematic analysis. Major suggestions relevant to SM were to intervene on multiple levels (i.e., community, group, individual), incorporate mental healthcare, reduce the burden of …

Stay On Track: A Pilot Randomized Control Trial On The Feasibility Of A Diet And Exercise Intervention In Patients With Breast Cancer Receiving Radiotherapy, Gopika Senthilkumar, Aronne M Schottstaedt, Lindsay L Peterson, Lauren N Pedersen, Christopher R Chitambar, Alexis Vistocky, Anjishnu Banerjee, John M Longo, Tracy Kelly, Adam Currey, Melinda R Stolley, Carmen Bergom

2020-Current year OA Pubs

PURPOSE: Among patients with breast cancer undergoing radiotherapy, posttreatment cardiovascular disease and worsened quality of life (QoL) are leading causes of morbidity and mortality. To overcome these negative radiotherapy effects, this prospective, randomized clinical trial pilots a 12-week Stay on Track exercise and diet intervention for overweight patients with nonmetastatic breast cancer undergoing whole-breast radiotherapy.

EXPERIMENTAL DESIGN: The intervention group (n = 22) participated in three personal exercise and dietary counseling sessions, and received three text reminders/week to adhere to recommendations. The control group (n = 22) was administered a diet/exercise information binder. All patients received a Fitbit, and at …

Healthier Together: A Holistic Office Protocol Addressing The Chronic Nature Of Children And Adolescents With Adhd, Kimberly Olmos

Evidence-Based Practice Project Reports

Attention Deficit Hyperactivity Disorder (ADHD) is a highly prevalent, chronic condition with symptoms that include inattention, hyperactivity, and impulsivity. ADHD affects six million children in the United States (Tran et al., 2021). The purpose of this evidence-based practice project was to implement a holistic office protocol that addressed the chronicity and future health outcomes of children and adolescents, ages 2-17 years with ADHD through stimulant or non-stimulant medication prescriptions, behavioral therapy referrals, and education surrounding diet, and exercise. A comprehensive, systematic literature search yielded 16 articles to determine best practice when treating children and adolescents with ADHD in primary or …

Nutrition And Exercise Resources For Uninsured Patient Populations, Sabrina Marie Paparo, Samantha Plasner, Runi Patel, Wendy Briaguez

Rowan-Virtua Research Day

Proper nutrition and exercise is integral for the prevention and management of chronic diseases such as type two diabetes, hypertension, high cholesterol, and cardiovascular disease. However, health care disparities in the United States, such as lack of access to primary health care, has been an ever growing problem. The purpose of this study is to determine if there is a correlation between being uninsured and having worse health outcomes, and to determine if there is a need for accessible nutrition and/or exercise resources for this population. To conduct this research, a survey was distributed at the Cherry Hill Free Clinic …

The Relationships Between Parental And Youth Physical Activity Behaviors And Perceptions, Bryanna Deangelis

Honors Theses

Physical activity is defined as any bodily movement by skeletal muscles resulting in energy expenditure. Physical activity has multiple different intensity levels, such as light, moderate, and vigorous. It is extremely important for both physical and mental health. The goals of this study are to examine the relationship between parental physical activity (i.e., leisure-time physical activity [moderate-vigorous physical activity]), youth health (i.e., body mass index [BMI], physical activity (moderate-vigorous physical activity), and perception of parental encouragement towards physical activity in a sample of parent-youth (8-14 years old) dyads. Participants will be sent a link via email that will have the …

The Effects Of Water Submersion On Skeletal Muscle Activation, Fatigue, And Whole-Body Gas Exchange, Caroline Griffin, Robert J. Shute

Honors Projects

THE EFFECTS OF WATER SUBMERSION ON SKELETAL MUSCLE ACTIVATION, FATIGUE, AND WHOLE-BODY GAS EXCHANGE

C.C. Griffin. Bridgewater College, Bridgewater, VA.

Email: [email protected]

Fatigue of skeletal muscle can be affected by multiple environmental elements. Fatigue threshold can be measured by VO2 max on a cycle ergometer combined with the use of a metabolic cart and Electromyography (EMG) measurements. PURPOSE: The purpose of this experiment is to determine if water submersion affects skeletal muscle activation, fatigue, and whole-body gas exchange. METHODS: Three participants were recruited to participate in a cold and no temperature trial. Participants arrived and baseline vitals and measurements were …

The Impact Of One Night Of Sleep Restriction On Perception Of Subsequent Aerobic Exercise Performance, Erin G. Meier

Senior Honors Projects, 2020-current

Introduction: Previous research has established that poor sleep quality negatively impacts aerobic exercise performance. A majority of that research has examined extreme sleep disruption like complete sleep deprivation or multiple nights of reduced sleep. Little research exists examining the effect of a singular night of sleep restriction (SR) on performance, and there is even less research on the associated perceptual feelings and outcomes from SR that may influence performance. Previous research from our laboratory has suggested that a single night of SR may impair performance, but did not account for sleep inertia or examine any perceptual factors. Therefore, the …

The Association Between Aerobic Exercise And Changes In Hdl Quality Induced By Egg Consumption – A Post-Hoc Analysis Of A Randomized, Controlled, Crossover Dietary Intervention Study, Rachael Woodruff, Catherine J. Andersen

Honors Scholar Theses

Abstract

Objective: Daily intake of whole eggs and aerobic exercise have independently been shown to increase high-density lipoprotein cholesterol (HDL-C) and measures of HDL function, suggesting cardioprotective effects of these lifestyle interventions. However, it is unknown whether exercise volume can synergistically or differentially impact diet responses and egg effects on HDL. Therefore, we evaluated whether exercise volume was associated with distinct effects of consuming different egg-based diets on measures of HDL size, function, and composition.

Methods: Twenty-six healthy men and women completed a 16-week randomized, controlled, crossover intervention study which aimed to investigate the effects of egg-free, egg-white, and whole-egg …

The Effects Of A Low-Intensity Aerobic Exercise Program To Enhance Occupational Performance And Quality Of Life In Diabetic Patients, Asia Suriyachottakul

UNLV Theses, Dissertations, Professional Papers, and Capstones

Globally, diabetes mellitus (DM) is a prevalent chronic condition many people encounter. DM is one of the primary causes of mortality due to individuals struggling to manage or prevent the condition. The healthcare field is also failing to provide sufficient education on DM. Individuals with this condition may begin to experience co-morbidities and depressive symptoms, which make it difficult for them to engage in meaningful occupations, in addition to decreased quality of life (QOL). This project examines the effectiveness of a low-intensity aerobic exercise (LIAE) program to enhance occupational performance (OP) and QOL in those diagnosed with the condition or …

Scs 6th Annual Meeting—Eevfa—11th International Congress Of Biochemistry And Physiology Of Exercise, Athens, Greece, 2023, Pedro E. Alcaraz, Elena Marín-Cascales, Anthony J. Blazevich, Tomás T. Freitas, Olyvia Donti, Konstantinos Spyrou, Gregory C. Bogdanis

Research outputs 2022 to 2026

On behalf of the Strength and Conditioning Society (SCS) and the Hellenic Society of Biochemistry and Exercise Physiology (EEVFA), we are pleased to present the abstracts of the SCS 6th Annual Meeting and EEVFA—11th International Congress of Biochemistry and Physiology of Exercise. The event was held at the Hellenic Olympic Committee headquarters in Athens, Greece, on 19–22 October 2023, and comprised several invited sessions from international and national speakers on a variety of topics related to biochemistry and exercise physiology, strength and conditioning practices and their application to health, injury prevention and sports performance. These included strength training in high-performance …

Physical Activity Policies At National And Subnational Levels: A Study In Colombia, Costa Rica, Ecuador, And Mexico, Juliana Mejía Grueso, Michael Pratt, Eugen Resendiz, Deborah Salvo, Gloria Isabel Niño Cruz, Nubia Yaneth Ruiz Gómez, Rafael Alexander Leandro Gómez, Inés Revuelta Sánchez, Gerardo Alonso Araya Vargas, Angélica María Ochoa Avilés, Raúl Francisco Pérez Tasigchana, Alejandra Jáuregui, Pedro C Hallal, Andrea Ramírez Varela

Faculty, Staff and Student Publications

Background: National physical activity (PA) policy processes are only beginning to be studied in Latin America, and little attention has focused at the subnational level. This study examined national-subnational relations in the policy process (agenda setting, policy formulation, adoption, implementation, and evaluation) in selected Latin American countries.

Methods: The Global Observatory for Physical Activity's (GoPA!) INTEGRATE-PA-Pol tool was applied in Colombia, Costa Rica, Ecuador, and Mexico. Data were collected in matched pairs of the capital plus one noncapital city among national and subnational policymakers (n = 27), previously identified by the GoPA! Country Contacts. PA policy development and implementation were …

Validity Of Apple Watch, Garmin Forerunner® 935 And Geneactiv For Estimating Energy Expenditure During Close Quarter Battle Training In Special Forces Soldiers, Angela Uphill, Kristina L. Kendall, Alison Fogarty, Stuart Guppy, Hannah Brown, Travis Zomer, Simon Parker, G. Gregory Haff

Research outputs 2022 to 2026

The purpose of this study was to investigate the validity of three wrist-worn devices for estimating energy expenditure (EE) and heart rate (HR) during close “Close Quarter Battle” (CQB). Fifty male soldiers (mean ± SD: age 30.9 ± 4.6 years, height: 1.81 ± 0.64 m and body mass 87.3 ± 7.7 kg) wore three activity monitors (Apple Watch 5, Garmin Forerunner® 935 and GENEActiv accelerometer), a Metamax 3B metabolic cart and a Polar chest strap, whilst conducting a CQB training activity (duration: 26.6 ± 5.0 min). EE and HR data from each test device were compared against criterion measures using …

Using Functional Principal Component Analysis (Fpca) To Quantify Sitting Patterns Derived From Wearable Sensors., Rong W. Zablocki, Sheri J. Hartman, Chongzhi Di, Jingjing Zou, Jordan A. Carlson, Paul R. Hibbing, Dori E. Rosenberg, Mikael Anne Greenwood-Hickman, Lindsay Dillon, Andrea Z. Lacroix, Loki Natarajan

Manuscripts, Articles, Book Chapters and Other Papers

BACKGROUND: Sedentary behavior (SB) is a recognized risk factor for many chronic diseases. ActiGraph and activPAL are two commonly used wearable accelerometers in SB research. The former measures body movement and the latter measures body posture. The goal of the current study is to quantify the pattern and variation of movement (by ActiGraph activity counts) during activPAL-identified sitting events, and examine associations between patterns and health-related outcomes, such as systolic and diastolic blood pressure (SBP and DBP).

METHODS: The current study included 314 overweight postmenopausal women, who were instructed to wear an activPAL (at thigh) and ActiGraph (at waist) simultaneously …

Emdr And Exercise: Treating Ptsd In Female Veterans, Ericka Day

Doctoral Dissertations and Projects

The problem was that there was a gap in the literature on providing female-specific interest in EMDR and exercise as treatments for PTSD. The purpose of this study was to describe the severity of PTSD symptoms, mental health stigma, and quality of life in female veterans, and furthermore, to understand the level of desire among these women to engage in exercise and EMDR for PTSD treatment. The study was conducted utilizing a correlational quantitative research design. A sample size of 173 female veterans completed self-report assessments including the PTSD Check List Military Version (PCL-M), the Internalized Stigma of Mental Illness …

Common Questions And Misconceptions About Protein Supplementation: What Does The Scientific Evidence Really Show?, Jose Antonio, Cassandra Evans, Arny A. Ferrando, Jeffrey R. Stout, Brandi Antonio, Harry P. Cintineo, Patrick Harty, Shwn M. Arent, Darren G. Candow, Scott C. Forbes, Chad M. Kerksick, Flavia Pereira, Drew Gonzalez, Richard B. Kreider

Faculty Scholarship

Protein supplementation often refers to increasing the intake of this particular macronutrient through dietary supplements in the form of powders, ready-to-drink shakes, and bars. The primary purpose of protein supplementation is to augment dietary protein intake, aiding individuals in meeting their protein requirements, especially when it may be challenging to do so through regular food (i.e. chicken, beef, fish, pork, etc.) sources alone. A large body of evidence shows that protein has an important role in exercising and sedentary individuals. A PubMed search of “protein and exercise performance” reveals thousands of publications. Despite the considerable volume of evidence, it is …

The Association Between Diet Quality And Glycemic Outcomes Among People With Type 1 Diabetes, Melanie B. Gillingham, Martin Chase Marak, Michael C. Riddell, Peter Calhoun, Robin L. Gal, Susana R. Patton, Peter G. Jacobs, Jessica R. Castle, Mark A. Clements, Francis J. Doyle, Michael R. Rickels, Corby K. Martin

Clinical Research Faculty Publications

Background: The amount and type of food consumed impacts the glycemic response and insulin needs of people with type 1 diabetes mellitus (T1DM). Daily variability in consumption, reflected in diet quality, may acutely impact glycemic levels and insulin needs. Objective: Type 1 Diabetes Exercise Initiative (T1DEXI) data were examined to evaluate the impact of daily diet quality on near-term glycemic control and interaction with exercise. Methods: Using the Remote Food Photography Method, ≤8 d of dietary intake data were analyzed per participant. Diet quality was quantified with the Healthy Eating Index-2015 (HEI), where a score of 100 indicates the highest-quality …

Exs 2000 Exercise, Energy Balance, And Weight Management Oer Syllabus, Shannon Caravello

Open Educational Resources

Concepts and principles of energy balance, body composition, weight management, and physical activity as they relate to personal health. Examines the causes of obesity, and its impact on human health and explores weight loss and diet options for the individual from a holistic perspective, including social, emotional, and physical dimensions of human health. Students will complete a lifestyle and nutritional analysis, develop nutritionally sound dietary plans, and design a specialized exercise program tailored to address their personalized weight management goals.

Widening Health Research Initiatives For Older Adults In Malaysia: A Scoping Review Of Exercise- Related Physical Activity, Mark Stephan Felix

Asia-Pacific Social Science Review

Increasing health concerns among the older adult population in Malaysia may be ameliorated by the use of physical activity/exercise. To aid in this endeavor from an academic perspective, a scoping review was undertaken to map out the extant literature, identify research gaps, and provide directions for future research on the subject of older adults, physical activity/exercise, and health. The PRISMA-ScR guidelines were followed, and major academic databases were searched for relevant academic literature. From an initial 42,752 database search results, a total of 15 articles were finalized for data extraction, analysis, and synthesis after four rounds of exclusion. Gaps identified …

The Effect Of Percussive Massage On Collagen Gene Expression In Skeletal Muscle, James Bartling, Robert D. Hyldahl, Emma Schaugaard, Mohadeseh Ahmadi

Library/Life Sciences Undergraduate Poster Competition 2024

INTRODUCTION

• Exercise is a critical aspect of healthy living due in part to its effects of muscle adaptation, which are largely regulated by alterations in gene expression

• Sedentary behavior can be required by diverse life circumstances, suggesting a need to reproduce the beneficial effects of exercise by an alternative means

• Like exercise, percussive massage introduces a mechanical strain on the muscle, which could potentially replicate a similar remodeling response of the extracellular matrix (ECM). However, this has not yet been studied

• Collagen 1,3,&4 are major components of the ECM that adapt in response to exercise, and …

Effect Of Evening Vs. Morning Exercise On The Appetite Hormones, Penny Akre

Undergraduate Honors Theses

This paper explores the potential impact of exercise timing on appetite hormones and metabolic outcomes, aiming to enhance understanding of the complex interplay between exercise, appetite regulation, and weight management. A randomized trial involving premenopausal women investigated the effects of morning versus evening exercise sessions over an eight-week intervention period. Participants underwent comprehensive screening and a supervised exercise regimen, with pre-and post-training laboratory sessions assessing body composition and appetite hormone levels. Statistical analyses revealed no significant differences in appetite hormone levels between morning and evening exercise groups, but notable correlations were observed between appetite hormones and body composition measures. Despite …

Impact Of Processed Food On Heart Health, Elizabeth A. Moxley

Faculty Articles, Papers, and Other Scholarship

Impact of Processed Food on Heart Health

March 14, 2024|Elizabeth Moxley

Cardiovascular disease (CVD), particularly atherosclerotic cardiovascular disease (ASCVD), remains the leading cause of death on a global scale.^[i],[ii] CVD is also the leading cause of death in patients with type 2 diabetes (T2D), specifically in low- and middle-income countries.^[iii] In spite of the improvement in ASCVD outcomes in recent decades, pervasive levels of ASCVD morbidity and mortality continue to be unfavorable.^[iv] According to the American Heart Association,⁵ effectively promoting dietary improvements and engagement in regular physical activity help prevent the ongoing risk …

Urban-Rural Differences In School Districts' Local Wellness Policies And Policy Implementation Environments, Swati Iyer, Timothy J Walker, Alexandra L Macmillan Uribe, Chad D Rethorst, Rebecca A Seguin-Fowler, Jacob Szeszulski

Faculty, Staff and Student Publications

Higher rates of obesity in rural compared to urban districts suggest environmental differences that affect student health. This study examined urban-rural differences in districts' local wellness policies (LWPs) and LWP implementation environments. Cross-sectional data from two assessments in Texas were analyzed. In assessment one, each district's LWP was reviewed to see if 16 goals were included. In assessment two, an audit was conducted to identify the presence of a wellness plan (a document with recommendations for implementing LWPs), triennial LWP assessment, and school health advisory councils (SHACs) on the district website. Rural districts' LWPs had a smaller number of total …

Modifying Aha Stress Management And Physical Activity Modules For Senior Communities, Madai Molina Apolinar, Kristina Luu, Sarah Allen, Samantha Isabel Pio Argueta, Annalise P. Sanders, Emil Visaya

Nursing Leadership in Community Engagement Projects

Modifying AHA Stress Management and Physical Activity Modules for Senior Communities

This quarter our group was given the opportunity to partner with two organizations to conduct work surrounding blood pressure and heart health education. One of our partners was a senior living organization whose mission is to transform beliefs about affordable housing through supporting communities where seniors and families can thrive. We also collaborated with the American Heart Association (AHA), which seeks to combat cardiovascular disease and stroke for the improvement and overall health of the population.

For this project, we were tasked with simplifying the AHA “Check. Change. Control.” …