Digital Commons Network^™

A Healthy Heart & Cholesterol, Yasmin Barakat

All Student-Created Educational Resources

This is an educational handout to inform the audience of the relationship between cholesterol, heart health and what can be done to improve good cholesterol and reduce bad cholesterol. It also provides examples of dietary foods and physical activity that can contribute to a healthier well-being.

Obesity, Une Applied Nutrition Program

All Student-Created Educational Resources

This handout gives general information about the basics of obesity, what it is and some treatment options that may be presented by a clinician or nutrition professional.

Healthy Living For Obese Teens, Une Applied Nutrition Program

All Student-Created Educational Resources

This project is a handout completed for the University of New England Applied Nutrition 605 course. It is intended for use by obese adolescents, their parents, and their caretakers. Its application is to aid these obese teens in achieving health and weight loss goals by implementing healthy diet habits and increasing activity levels.

Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan Phd, Rn, Hyochol Ahn Phd, Ms-Ece, Ms-Cts, Aprn, Anp-Bc, Jonathan Shuster M.Sc., Ph.D.

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A meta-analysis of 10 randomized control studies published in 2003-2013 was conducted to provide a summary of the effects of exercise interventions on obese adolescents. Outcomes of the reviewed trials included body mass index, weight, glucose, and triglycerides. Data were combined using an inverse variance weighted random effects model. The effect size estimate for BMI was 1.354 kg/m² (p < 0.001, SE 0.321), indicating that the BMI of individuals in treatment groups improved, as compared to control groups. A statistically significant reduction in weight was greater in the intervention groups than the control groups by 3.815 kg (p = 0.001, SE 1.101). The findings of this meta-analysis show that exercise interventions may improve control of weight and BMI and in turn be a factor in decreasing obesity.

Effects Of Exercise On Appetite-Regulating Hormones, Perceived Hunger, And Energy Intake: A Narrative Overview, Marsa Gleason, Basil H. Aboul-Enein, Josh Bernstein, Joanna Kruk

Health & Wellness Department Faculty Publications and Research

Controlling appetite, perceived hunger, and energy intake are important factors in weight management. This narrative review examines the effect of different forms, intensities and duration of exercise on the appetite-regulating hormones leptin, acylated ghrelin, glucagon like peptide-1 (GLP-1) and peptide tyrosine tyrosine3-36 (PYY3-36), perceptions of hunger, and energy intake in overweight/obese, and normal weight populations. The studies reviewed compared exercise intensities- low, moderate, and high intensity, and modes of exercise- aerobic and resistance training. The studies selected in this narrative review included participants that ranged in age from 13-57 years old, male and female, previously sedentary and physically active, and …

Behavior Change Techniques And Physical Activity Using The Fitbit Flex®, Emily E. Dunn, Jennifer Robertson-Wilson

International Journal of Exercise Science

International Journal of Exercise Science 11(7): 561-574, 2018. Due to the availability of low-cost accelerometers, there has been an increase in the adoption of physical activity monitors (e.g., Fitbit®) (14) accompanied by a desire to understand the behavior change techniques (BCTs; 15) present in such monitors. One specific Fitbit® monitor incorporates 20 BCTs (15), but how users experience these BCTs has yet to be explored. The purpose of this study was to explore user’s experience with the Fitbit Flex® regarding physical activity behavior and BCTs. The specific research objectives were to: 1) describe Fitbit Flex® users and 2) explore user’s …

Long-Term Impact Of Lifelong Fitness: Examining Longitudinal Exercise Behavior In College Students, Garrett Drake

Doctor of Psychology (PsyD)

Over time, the United States population has gradually shifted to an increasingly inactive lifestyle, and there has been a decline in health behavior. Only 50% of the population meet the recommended guidelines for weekly physical activity. With this glaring increase of inactive lifestyles, programs designed to increase health behavior change have become crucial. One solution to this problem has been a required Lifelong Fitness class at George Fox University where new college students learn knowledge and skills to implement for healthier lifestyles during this transformative time. A multiple regression model predicting long-term exercise by pre-minutes of exercise, post-minutes of exercise, …

Six Weeks Of Moderate Functional Resistance Training Increases Basal Metabolic Rate In Sedentary Adult Women, Jon Stavres, Mcauley P. Zeigler, M. Pasternostro Bayles

International Journal of Exercise Science

International Journal of Exercise Science 11(2): 32-41, 2018. Basal metabolic rate (BMR) is a significant contributor to total daily energy expenditure. Traditional resistance exercise has been shown to elicit fat free mass (FFM) related increases in BMR. The purpose of this study was to examine the effect of a functional resistance exercise program on the BMR of a group of previously sedentary adult women in a free-living condition. 19 sedentary, apparently healthy women underwent body composition analysis and had BMR assessed before and after a 6-week functional resistance training program. The resistance training program was designed to be progressive in …

The Effect Of Icook 4-H, A Childhood Obesity Prevention Program, On Blood Pressure And Quality Of Life In Youth And Adults: A Randomized Control Trial, Melissa D. Olfert, Oluremi A. Famodu, Sue M. Flanagan, E Smith, M. P. Leary, Rebecca L. Hagedorn, J. A. White, M. M. Koenings, Sarah E. Colby, Kendra Kattelmann, Lisa Franzen-Castle, Adrienne White

Faculty & Staff Scholarship

Objective: Obesity increases the risk of developing hypertension and from population-based samples with estimations that of 2-4% of the U.S. pediatric population has hypertension, which may affect quality of life. This study examined the effects of an obesity prevention program on blood pressure and quality of life in youth and adult participants.
Methods: A multi-state research team recruited treatment dyads (youth and their adult meal preparer) to participate in a 12-week randomized control trial and follow-up through 24 months. The treatment group received a cooking and physical activity intervention, followed by booster sessions and mailed newsletters over the remaining two-year …

Essential Components Of Participation For An Exercise Program For Underserved, Older, African-American Females, Marina Meinert

Honors Undergraduate Theses

Physical activity (PA) is beneficial to people of all ages and ethnicities. Regular physical activity can reduce the risk of multiple chronic diseases, improve mood and sleep and allows your body to function better overall (CDC, 2018). However, populations that are more vulnerable to adverse health risks may benefit more than others from regular physical activity. This study was designed to identify the motivating factors for physical activity in a sample of older, African-American women of lower socioeconomic status (SES). This particular subgroup was chosen because of their increased risk of obesity and cardiovascular disease due to unhealthy lifestyle factors, …

Healthy Heart Project, Emily Hurst

Undergraduate Theses, Professional Papers, and Capstone Artifacts

The Healthy Heart program has been offering fitness testing, cardiovascular and chronic disease testing and education, and clinical experience for students in the course KIN483: Exercise, Disease, and Aging for a number of years. The program offers an important service to the Missoula community by providing each participant with accurate health indicators and results, such as ECG (heart) rhythms, cardiovascular fitness, flexibility and strength measures, body composition, and peripheral artery disease screening. The program gives students experience learning practical skills by performing a 2-hour exercise testing session, communicating with a community member, analyzing testing data, and compiling then discussing results. …

Impacts On Salmonid Rearing Performance With Use Of Dietary Bioprocessed Plant-Based Protein And Water Velocity, Jill Voorhees

Electronic Theses and Dissertations

The inclusion of bioprocessed soybean (Glycine max) meal was evaluated in five experiments using either Rainbow Trout (Oncorhynchus mykiss) or Brown Trout (Salmo trutta). In the first experiment, adult Erwin x Arlee strain Rainbow Trout were fed diets formulated so that bioprocessed soybean meal (BSM) replaced 0, 60, or 80% of the dietary fishmeal. There were no significant differences in gain, percent gain, feed conversion ratio, specific growth rate, intestinal morphology, relative fin lengths, or organosomatic indices. In the second experiment, juvenile Plymouth strain Brown Trout were fed diets formulated so that BSM replaced 0, 60, 80, or 100% of …

Effects Of High Fat Exposure On Skeletal Muscle Autophagy And Endoplasmic Reticulum Stress, Adrienne Rose Herrenbruck

Theses and Dissertations--Kinesiology and Health Promotion

Autophagy is a major degradation mechanism, responsible for clearing damaged and dysfunctional organelles, including the endoplasmic reticulum, a structure essential for protein synthesis and myocellular hypertrophy. Alterations in autophagy throughout various tissues of the body have been linked to various negative side effects such as decreased myocellular hypertrophy and insulin resistance. High fat diets lead to changes (both increases and decreases) in autophagy in various tissues throughout the body in a tissue-specific manner.

Skeletal muscle autophagy is decreased in myotubes cultured from obese women, however the mechanism by which this occurs is unknown. As the largest organ system in the …

Implementation Of A Physical Activity Group At A Community Mental Health Center: A Pilot Quality Improvement Project To Reduce Depressive Symptoms In Adolescents With Major Depressive Disorder, Nancy Gallagher

DNP Scholarly Projects

Major Depressive Disorder is a debilitating illness that affects millions of Americans, including adolescents. The majority of adolescents with Major Depressive Disorder (MDD) do not receive treatment. There may be a variety of reasons for this including stigma, access to care, and potential adverse reactions. People suffering from MDD are known to be at high risk for suicide. Lack of treatments adds the risk of suicide for adolescents with MDD. Identifying and implementing treatment options that are more acceptable and accessible are of the utmost importance. Although there is limited research regarding exercise/physical activity, depressive symptoms, and adolescents with MDD, …

Parent Rated Importance Of Active Play And Organised Physical Activity For Young Children, Casey Murphy

Theses

Background: Children participate in less daily physical activity, both organised and informal, often referred to as active play (AP), than in the past. For young children, parents are primarily responsible for planning their child’s day including their engagement in physical activity.

Purpose: As there has been little research in this area, the purpose of this study was to examine how parents rated the importance of their child’s level of AP and organised physical activity (OPA), how this affected the amount of time their child participated in these activities, and whether their child’s physical activity (PA) related to their own level …

Sprint Interval Training: Assessing Effectiveness And Adherence In A Real-World Setting, Gregory Howe

Theses and Dissertations (Comprehensive)

Introduction: Perceived lack of time is an oft-cited reason for not engaging in physical activity. One proposed solution is high-intensity interval training (HIIT), or a more intense version known as sprint interval training (SIT), which involves repeated “all-out” efforts interspersed with short recovery periods. Although convincing evidence demonstrates the efficacy of SIT on cardiorespiratory fitness and other health factors, whether individuals will independently perform and benefit from this type of exercise outside the supervised lab setting is unknown. Purpose: To compare the effectiveness and adherence of performing running SIT and moderate-intensity continuous training (MICT) protocols in a real-world setting. Methods: …

Strengthening The Practice Of Exercise And Sport-Science Research, Israel Halperin, Andrew D. Vigotsky, Carl Foster, David B. Pyne

Research outputs 2014 to 2021

Exercise and sport sciences continue to grow as a collective set of disciplines investigating a broad array of basic and applied research questions. Despite the progress, there is room for improvement. A number of problems pertaining to reliability and validity of research practices hinder advancement and the potential impact of the field. These problems include inadequate validation of surrogate outcomes, too few longitudinal and replication studies, limited reporting of null or trivial results, and insufficient scientific transparency. The purpose of this review is to discuss these problems as they pertain to exercise and sport sciences based on their treatment in …

Time On Androgen Deprivation Therapy And Adaptations To Exercise: Secondary Analysis From A 12-Month Randomized Controlled Trial In Men With Prostate Cancer, Dennis R. Taaffe, Laurien M. Buffart, Robert U. Newton, Nigel Spry, James Denham, David Joseph, David Lamb, Suzanne K. Chambers, Daniel A. Galvao

Research outputs 2014 to 2021

Objectives

To explore if duration of previous exposure to androgen deprivation therapy (ADT) in men with prostate cancer (PCa) undertaking a year-long exercise programme moderates the exercise response with regard to body composition and muscle performance, and also to explore the moderator effects of baseline testosterone, time since ADT, and baseline value of the outcome.

Patients and Methods

In a multicentre randomized controlled trial, 100 men who had previously undergone either 6 months (short-term) or 18 months (long-term) of ADT in combination with radiotherapy, as part of the TROG 03.04 RADAR trial, were randomized to 6 months supervised exercise, followed …

Interpreting Signal Amplitudes In Surface Electromyography Studies In Sport And Rehabilitation Sciences, Andrew D. Vigotsky, Israel Halperin, Gregory J. Lehman, Gabriel S. Trajano, Taian M. Vieira

Research outputs 2014 to 2021

Surface electromyography (sEMG) is a popular research tool in sport and rehabilitation sciences. Common study designs include the comparison of sEMG amplitudes collected from different muscles as participants perform various exercises and techniques under different loads. Based on such comparisons, researchers attempt to draw conclusions concerning the neuro- and electrophysiological underpinning of force production and hypothesize about possible longitudinal adaptations, such as strength and hypertrophy. However, such conclusions are frequently unsubstantiated and unwarranted. Hence, the goal of this review is to discuss what can and cannot be inferred from comparative research designs as it pertains to both the acute and …

Intrarater Reliability And Agreement Of The Physioflow Bioimpedance Cardiography Device During Rest, Moderate And High-Intensity Exercise, Nicole Gordon, Chris R. Abbiss, Andrew J. Maiorana, Kieran J. Marston, Jeremiah J. Peiffer

Research outputs 2014 to 2021

The PhysioFlow bioimpedance cardiography device provides key measures of central systolic and diastolic and peripheral vascular function. Many of these variables have not been assessed for intrarater reliability and agreement during rest, submaximal exercise and high-intensity interval exercise. Twenty healthy adults (age: 26±4 years) completed two identical trials beginning with five minutes of rest followed by two 5-minute submaximal cycling bouts at 50% and 70% of peak power output. Subjects then completed ten 30-second cycling intervals at 90% of peak power output interspersed with 60 s of passive recovery. Bioimpedance cardiography (PhysioFlow; Manatec Biomedical, France) monitored heart rate, stroke volume, …

Educating Oncology Nurses On The Benefits Of Patient Exercise, Roberta Anderson

Walden Dissertations and Doctoral Studies

Exercise benefits patients with cancer during and after treatments. A formalized educational program is lacking at the project's site for oncology nurses on the benefits of exercise for their patients during and after treatment. The purpose of the project was to address the identified gap in practice at the project's site by providing education to oncology nurses on the benefits of exercise for their patients during and after treatment. The ARCS model of motivational design was used as a theoretical foundation to develop and guide the educational program presented to the oncology nurses. The question addressed in the project was: …

Knowledge, Attitudes, And Practice Of Oncologists And Oncology Health Care Providers In Promoting Physical Activity To Cancer Survivors: An International Survey, Sarah Hardcastle, Robert Kane, Paola Chivers, Dana A. Hince, Andrew Dean, Dominic Higgs, Paul A. Cohen

Health Sciences Papers and Journal Articles

Objective: To investigate knowledge, attitudes and practices of oncologists towards physical 2 activity (PA) in cancer survivors, and the association between oncologists’ own PA behavior 3 and PA promotion. Methods: Oncologists (n=123) completed a survey based on the Theory of 4 Planned Behavior (TPB). Participants reported PA promotion behavior, PA involvement, 5 attitudes, intentions, social norm, Perceived Behavioral Control (PBC), confidence and 6 knowledge of exercise prescription. Structural equation modelling (SEM) evaluated these 7 associations. Results: Less than half of oncologists reported regularly promoting PA to 8 patients (46%), with 20% providing written information and 23% referrals. Only 26% were …

Time For Change: Fitness And Strength Can Be Improved And Sustained In Adolescents With Low Motor Competence, Beth Hands, Paola Chivers, Tegan Grace, Fleur Mcintyre

Health Sciences Papers and Journal Articles

Background: There are few exercise interventions focused on adolescents with low motor competence and most interventions are short with little follow up and engagement over time.

Methods and procedures: Fifty-eight adolescents with low motor competence (39 males, Mean Age=13.6, SD=1.4 years) attended an exercise clinic twice a week for each 13 week program. Two programs ran each year, and participants attended for as long as they felt progress was made or they turned 18 years of age. Performance on the Multistage Fitness Test (MSFT), Curl-ups, Grip Strength, 1RM Leg press and Chest Press, Vertical Jump and Standing Broad Jump (SBJ) …

Impact Of Aerobic Exercise On Monocyte Subset Receptor Expression And Macrophage Polarization, Anson M. Blanks

Theses and Dissertations

Atherosclerotic cardiovascular disease (CVD) is hallmarked by inflammatory immune activation, particularly by the induction of a response by monocytes. Classical (CD14⁺⁺CD16^-) are anti-inflammatory mediators under homeostatic conditions, while intermediate (CD14⁺⁺CD16⁺) and non-classical (CD14^LowCD16⁺⁺) monocytes promote inflammation following activation. Monocyte activation and functionality is dependent upon receptor expression and ligand production by a variety of cells, including monocytes. Alterations in the expression of surface receptors often have a direct impact upon monocyte function, such as the increased pro-inflammatory cytokine production in response to activation that accompanies elevated CD14 expression …

Bridging The Gap Between Clinicians And Fitness Professionals, Rachele Pojednic, Amy Bantham, Fred Arnstein, Mary A. Kennedy, Edward Phillips

Research outputs 2014 to 2021

Objective Health clubs (HC) and personal trainers (PT) are traditional outlets for the promotion of physical activity (PA) and exercise programming. As physicians are increasingly being called on to write exercise prescriptions for their patients, this study sought to investigate the level of integration between the healthcare and fitness systems.

Design An internet study was designed with five domains to understand physicians’: (1) overall perception of HC, (2) appropriateness and recommendation of HC and PT to their patients, (3) attitude regarding specific aspects of HC, (4) support of patient participation in HC sponsored exercise and (5) elements of HC that …

The Effects Of Exercise Mode And Intensity On Energy Expenditure During And After Exercise In Resistance Trained Males, George Lewis Grieve

Theses and Dissertations

Purpose: The purpose of this study was to examine the effects of exercise mode and intensity on energy expenditure (EE) during and after five time-matched aerobic and resistance exercise protocols in resistance trained males.

Methods: 14 resistance trained males (mean ± SD; age = 24.2 ± 4.0 yr; body mass = 84.7 ± 13.3 kg; height = 181.2 ± 8.8 cm; and body fat = 15.9 ± 4.6%) completed five separate protocols: continuous aerobic (continuous), high intensity interval aerobic (HIIT), strength endurance (2x20), traditional resistance (3x10), and high intensity resistance (4x6). EE was measured before, during, immediately post (0-30 minutes), …

Public Service Announcements To Promote Physical Activity, Jennifer Erickson

Walden Dissertations and Doctoral Studies

The World Health Organization (WHO) promotes physical activity as a primary way to maintain health, but many individuals do not participate in this health-promoting behavior. Despite the potential for public service announcements (PSAs) to communicate health information and promote behavioral change, no prior research on developing video PSAs to promote physical activity was found. The purpose of this quasi-experimental study was to examine how affective and information video PSAs for a public health campaign affect future levels of intention to engage in physical activity. The PSAs were developed and filmed specific for this study using the model of goal directed …

Physical Exercise During Pregnancy And Its Related Factors: An Observational Study In Japan, Megumi Haruna, Masayo Matsuzaki, Mie Shiraishi, Seonae Yeo

Asian/Pacific Island Nursing Journal

This study aimed to investigate the exercise habits of pregnant women in the third trimester (N = 303). We assessed participation in physical activities, including exercise or sports, using the Japanese version of the Pregnancy Physical Activity Questionnaire. A total of 183 (60.4%) pregnant Japanese women participated in some form of exercise and 87 (28.7%) exercised for 2 hours or more, per week, in the third trimester. Multiple logistic regression analyses indicated that women who set themselves a gestational weight gain target (adjusted odds ratio [AOR] = 8.10, 95% CI [2.82, 23.4], p< .001), were more likely to participate in exercise or sports. In contrast, multiparous women (AOR = 0.44, 95% CI [0.26, 0.72], p = .001), and those whose …

A Clinical Nurse Leader Initiative: Promoting Mobility Among Long-Term Care Facility Residents, Ulyses Reamico

Master's Projects and Capstones

Maintenance of mobility during hospitalization or stay in long-term care facility result in improved patient outcomes including but not limited to decreased incidence of falls, non-pharmacological pain intervention, and prevention of further functional decline. In a 45-bed rehabilitation unit of a Veterans Affairs (VA) health care facility, a clinical nurse leader (CNL) initiative was done to promote mobility among the patients to mitigate functional decline. The patients, also referred to as clients or residents in long-term care facilities, were aged between 20s and 90s. The resident population consisted of patients admitted for physical rehabilitation after a stroke or surgical procedure, …

Agenda For Translating Physical Activity, Nutrition, And Weight Management Interventions For Cancer Survivors Into Clinical And Community Practice., Karen Basen-Engquist, Catherine M Alfano, Melissa Maitin-Shepard, Cynthia A Thomson, Kathryn H Schmitz, Bernardine M Pinto, Kevin Stein, David S Zucker, Karen L Syrjala, Elizabeth Fallon, Colleen Doyle, Wendy Demark-Wahnefried

Articles, Abstracts, and Reports

Evidence supporting physical activity, diet, and weight management for cancer survivors has grown, leading to the development of guidelines and interventions. The next step is to identify necessary practice and policy changes and to develop a research agenda to inform how interventions can be delivered to survivors most effectively and efficiently in health care settings and by community-based organizations. Here, an agenda is proposed for research, practice, and policy that incorporates recommendations for a range of programming options, a patient-centered, tailored screening and referral approach, and training needs for survivorship care providers and providers of exercise, nutrition, and weight management …