Digital Commons Network^™

Higher Vitamin K1 Intakes Are Associated With Lower Subclinical Atherosclerosis And Lower Risk For Atherosclerotic Vascular Disease-Related Outcomes In Older Women, Montana Dupuy, Liezhou Zhong, Simone Radavelli-Bagatini, Jack Dalla Via, Kun Zhu, Lauren C. Blekkenhorst, James Webster, Nicola P. Bondonno, Allan Linneberg, Carl Schultz, Wai Lim, Richard L. Prince, Jonathan M. Hodgson, Joshua R. Lewis, Marc Sim

Research outputs 2022 to 2026

Purpose: Vitamin K may inhibit vascular calcification, a common attribute of atherosclerotic vascular diseases (ASVDs). We examined associations between dietary vitamin K1 intakes and both subclinical atherosclerosis and ASVD events, including hospitalisations and mortality, in older women.

Methods: 1,436 community-dwelling women (mean ± SD age 75.1 ± 2.7 years) were included. Vitamin K1 intakes were calculated from a validated food frequency questionnaire at baseline (1998), utilising a region-matched vitamin K food database. Common carotid artery intima–media thickness (CCA-IMT), a measure of subclinical atherosclerosis, was measured in 2001 (n = 1,090). Differences in CCA-IMT by quartiles (Q) of vitamin K1 intake …

Enhancing Health Literacy In Adolescents At A Homeless Shelter, Raymond Don N. Razon, Lauren Snedeker, Janice Ou, Chau V. Nguyen, Makenna Johnston, Ruweyda Salim, Garett W. Walters

Nursing Leadership in Community Engagement Projects

Enhancing Health Literacy in Adolescents at a Homeless Shelter

Over the past two months, our group of seven Seattle Pacific Nursing Students collaborated with a local nonprofit homeless shelter for families. After meeting with the agency’s health services coordinator, we decided to focus on the teen population and enhance their health literacy. This choice was due to our population primarily not being exposed to the American healthcare system. Our team gathered information from the teens and found that nutrition, sleep, and mental health were of particular interest. Based on this, we planned and implemented a health literacy intervention tailored to …

Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard

Walden Dissertations and Doctoral Studies

End stage renal disease requires dietary education and behavior modifications to manage the condition. The purpose of this quantitative study was to investigate the role of rapport and trust between the patients and registered dietitians and its impact on self-efficacy. The study was implemented over 12 weeks in multi-site dialysis units in urban Georgia. The health belief model was used as the framework to explain the participants’ desire toward self-efficacy. Data were obtained for the 14-item Health Care Relationship Trust scale and the self-efficacy scales and analyzed using multiple linear regression. A convenience sample of 125 patients between the ages …

Supplementing With Zinc Aids In Reducing Severe Malnutrition In Preterm Infants, Alexandra Wilson Md, April Jones Do, Megan Majernik Ms, Rd, Ldn, Cnsc, Bridget Stockdale, Wen Ting Hu Ba

Scientific Day

No abstract provided.

The Rise Of Nutrition Misinformation: Impact On The Credibility Of Registered Dietitians In Practice, Sarah Owens

Honors Theses

With the rise of social media usage, misinformation on health and nutrition has increased in the last decade. The consequences of this misinformation by social media users has been documented in research, although the effects of misinformation on registered dietitians (RDs) in the United States have not been extensively studied. This thesis examines how the credibility of RDs is affected by unregulated nutrition information and counseling on social media (e.g. by “wellness influencers") using a qualitative survey of twenty-seven RDs licensed and registered in the U.S. Data were analyzed using thematic analysis methods to determine recurring responses and themes among …

A Quality Improvement Initiative To Implement An Educational And Behavioral Intervention To Address Childhood Obesity And Depression, Hillary Oluwatosin Ayokunle

Walden Dissertations and Doctoral Studies

Summary The doctoral project was a quality improvement initiative aimed at addressing the co-occurrence of obesity and depression in children aged 9-18 years. The practice problem is critical within the context of nursing practice, as both childhood obesity and depression are significant public health concerns that impact physical and mental well-being. The practice-focused question guiding the project explored whether the implementation of an educational program centered on nutrition, physical activity, and mental health leads to improvements in body mass index (BMI) and reductions in depressive symptoms, as measured by the Patient Health Questionnaire-9 (PHQ-9). The purpose of the doctoral project …

Kid Eats App: Supporting Parents And Children Cooking Together, Amy S. Muise, Gabrielle A. Longo, Pamela N. Martinez, Umekia R. Taylor, Linda E. Torv, Barbara A. Chamberlin

Journal of Extension

Kid Eats is a free app for iPad encouraging children and parents to cook together at home using fruits and vegetables. A preliminary study with parents and children showed children enjoyed using the app and that it provided useful information to support children’s involvement in the kitchen, including guidance around safety concerns. Every family in the study voluntarily completed at least one of the recipes with their child at least once following the in-person activity. Parents reported that their children actively asked to cook the recipes from the app and felt the app helped increase their time spent cooking with …

Reaching Tomorrow’S Extension Customer: A Food And Health Needs Assessment, Morgan Szczepaniak, Sarah L. Francis, Ruth Litchfield, Ulrike Genschel, Shannon Coleman, Anirudh Naig

Journal of Extension

The food and health needs and preferences of Iowans (n=452) were examined. The leading food and health information sources were online platforms, social media, and print media. Program topics with high participation likelihood were cooking, food preservation, food safety, and gardening. Short, low-cost, online programs were preferred. Extension use was more likely among those who identified as persons of color, Hispanic/Latino, or were food insecure (p < 0.030). Those with less education and chronic disease were less likely to be interested in Extension programming (p < 0.040). These results provide valuable information regarding future directions for Extension programming.

Role Of The Pediatric Rdn In Conducting The Pediatric Nutrition Focused Physical Exam: Training, Clinical Practice And Barriers, Sarah M. Kowalewski

Masters Theses, 2020-current

Abstract:

Background: The pediatric nutrition focused physical exam (PNFPE) is important for completing comprehensive assessment in pediatric patients, particularly those at risk for malnutrition. The PNFPE helps to identify the depletion of fat and muscle stores, as well as micronutrient deficiencies.

Methods: Pediatric RDNs, self-identified through CDR and practice group membership, were surveyed-to investigate their training, clinical practice, documentation, and barriers to use of the PNFPE. The survey instrument, validated by content experts and analyzed for reliability, was approved by our university’s IRB.

Results: A total of 65.8% of respondents held a graduate degree and 81.6% held a specialty certification. …

Schistosoma Haematobium Infection In Ethiopian Children: Evaluating Praziquantel Efficacy, Nutritional Effects, And Diagnosis Using Flukecatcher, Louis Fok

Theses & Dissertations

Urogenital schistosomiasis continues to impact the wellbeing of hundreds of millions of people worldwide and remains a significant public health challenge across Ethiopia. Despite existing knowledge on the disease, there remain significant unanswered questions with regard to its treatment and diagnosis. This dissertation evaluated the efficacy of praziquantel at treating urogenital schistosomiasis, improving nutritional parameters among children and the performance of FlukeCatcher at detecting and determining the intensity of infection. In effecting this, a total of 977 children aged 5 through 15 from the Afar and Gambella regions of Ethiopia were screened for S. haematobium infection using urine filtration microscopy …

Utilizing Registered Dietitians To Improve Nutrition Education For Medical Students, Andee James, Pasquale Manzerra

Scholarship Pathways Program

Despite the well-established link between nutrition and chronic disease prevention, medical education continues to underemphasize nutrition training. This study explores the impact of integrating registered dietitians (RDs) into pre-clerkship medical education to enhance students’ knowledge, confidence, and perception of nutrition in clinical care. A series of optional, system-based nutrition lectures were delivered by RDs and supplemented by senior medical students who shared real-world clinical case studies. Pre- and post-session surveys assessed students’ confidence in providing dietary counseling, understanding of the physician’s and dietitian’s roles, and the perceived importance of nutrition in disease management. Results showed significant improvements across all metrics, …

Empowering Youth Through Cooking Classes, Jamiya C. Mason

Honors Theses

Chronic health issues and poor dietary habits continue to disproportionately impact rural communities in Mississippi, especially among children. Research has shown that early exposure to healthy foods and cooking practices can positively influence lifelong health behaviors. Cooking classes have also been linked to improved food literacy, culinary confidence, and willingness to try new foods. The purpose of this study was to assess the effects of a short-term culinary program on children’s cooking self-efficacy and food behaviors in Quitman County, Mississippi.

Four cooking classes were conducted with youth (grades 4–7) in a local after-school program. Lessons included vegetable-based recipes, including zucchini …

Building Community Through Food And Health: Student Initiatives To Address Food Insecurity In Mississippi, Sarah E. Sawaya

Honors Theses

This thesis explores food insecurity in Oxford and Lafayette County, Mississippi, within the broader context of state, national, and global challenges. Over a four-year period, student-led and community organizations collaborated to design programs that addressed both food access and chronic illness prevention through education, outreach, and direct service. Community input was gathered through health screenings, campus engagement, and informal interviews with residents, which guided the development of practical tools like recipe kits, QR code-based cookbooks, and on-site health education. These efforts were rooted in local partnerships and shaped by the lived experiences of those most affected. This project demonstrates that …

Examining Food Choice Determinants In Ncaa Division Iii Athlete Participants Representing Multiple Sports, Olivia Towne

Theses

Objective: To examine determinants of food choice among NCAA Division III athletes using the Athlete Food Choice Questionnaire (AFCQ), focusing on gender, sport type, and seasonal status. Participants: 72 NCAA Division III athletes from 13 sports at a private northeastern university participated in an online survey during Fall 2024. Methods: Participants completed the 32-item AFCQ assessing nine food choice factors. Independent t-tests and Pearson’s correlations were used to compare factor scores by gender, sport type, seasonal status, and team success. Results: Performance, Sensory Appeal, and Food Values and Beliefs emerged as the most influential factors in food choice, while Weight …

The Relationship Between Food Allergies And Intolerances And The Development Of Disordered Eating Patterns, Lucy M. Scholma

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Food allergies and food intolerances are becoming an increasingly more prevalent issue in the Unites States. To mitigate adverse reactions, these individuals often eliminate food or food groups from their diets and the ramifications of these lifestyle changes may result in disordered eating patterns. In regard to food allergies and intolerances and eating disorders, it is reasonable to suggest that the overlapping lifestyle choices and physical, social, and emotional ramifications may lead to a correlation between the two phenomena. This study explores the relationship between food allergic and food intolerant individuals and disordered eating habits among college students. Survey results …

The Effect Protein Supplementation On Waist-To-Hip Ratio, Bmi, Lipid Profile, And Resting Energy Expenditure In Postmenopausal Women, Caleb Flores

Biological Sciences Undergraduate Honors Theses

Postmenopausal women are a growing and at risk population that face increased risk for adverse changes in body composition, lipid profile, and overall cardiometabolic health due to hormonal changes associated with aging. Over 40% of postmenopausal women have obesity, which can be linked not just aging but the menopausal transition. Because of the negative effects of menopause on cardiometabolic, research into dietary interventions to combat these effects are needed. High-protein diets have shown promise in mitigating these effects, but sufficient research has not been done to determine the effects on postmenopausal women. This study aimed to evaluate the effects of …

Analyzing The Association Of Competitive Food Policy On Competitive Food Content In U.S. Schools., Mary E. Curnutte

Electronic Theses and Dissertations

OBJECTIVES: School food can have a profound effect on the population’s health. Thirty million children receive food at school and consume half their daily calorie intake at school. Competitive foods are foods sold outside of school breakfast and lunch, such as those sold in vending machines. A new ruling for Smart Snacks Standards, a set of competitive food guidelines, started in the school year 2014-2015. It is known that competitive foods undermine school lunch participation, and a decrease in school lunch consumption is associated with poorer student health. Additionally, an increase in competitive foods tends to be of nutrient-poor …

Evaluating Registered Dietitians Nutritionists' (Rdn) Knowledge, Attitudes, Behaviors And Practices Of Social Media Best Practices And The Role Of The Rdn Social Media Influencer, Ciera Burback

Theses and Dissertations

The growing use of social media has expanded the potential for RDNs to work with brands to promote products, as other health professionals have done for many years. However, scrutiny of the profession of nutrition and dietetics brought RDN influencers under fire due to disclosure practices and the perception of conflicts of interest in the social media sphere. This survey examined the knowledge, attitudes and behaviors of current RDNs and social media best practices. With 163 respondents over the age of 18 and currently an RDN, part one of the survey included demographic questions, multiple choice and Likert scale questions …

The Experiences Of Caregivers In Implementing Medical Nutrition Therapy When Raising Children With Type 1 Diabetes, Mallory Reeves

Student Projects for Graduate Degrees

Type 1 diabetes mellitus (T1DM) is a complex, chronic endocrine disorder that accounts for roughly 5-10% of the diabetic population globally. Medical Nutrition Therapy (MNT) is the foundation of diabetes self-management. Since MNT is fundamental for managing and caring for T1DM, medical providers must understand the challenges of implementing recommendations at home. This study sought to identify what experiences caregivers face regarding implementing MNT recommendations when raising children with T1DM. A mixed-methods design collected data through focus groups and a demographic survey. The focus group took place via Zoom. Inclusion criteria were adults over the age of 18 who had …

Understanding The Need For Gender Inclusiveness: A Case Study In Kolkata, India, Nilasree Dutta

All-Inclusive List of Electronic Theses and Dissertations

The research focuses on examining the status of women in the selected Wards of Kolkata, India: Ward 59, 64, 65, 66, and 69. Three indicators are used to evaluate the status of women: education, nutrition, and religion. Data for this study was collected with the help of a Kolkata-based Non-Governmental Organization (NGO) named Ek Tara. A complete questionnaire with open-ended and closed-ended questions was followed to conduct the survey. 353 households were interviewed to obtain the data. Several statistical analyses have been conducted using STATA software to address research hypotheses. To assess the nutritional status of women, hand grip strength …

Cultural Health Benefits And Challenges Of Food Preparation And Consumption: A Comparative Study Of The United States, Italy, And Norway, Natalie G. Link

Undergraduate Honors Thesis Collection

This study aims to investigate the cultural health benefits and challenges associated with food preparation and consumption in the United States, Italy, and Norway, with a particular focus on citizens in lower socioeconomic levels. By examining the dietary habits, social structures, and health outcomes in these three countries, this research aims to uncover broader insights into the health status and well-being of their respective populations. The study will employ secondary data analysis approach examining existing research on cultural practices and social support systems. The findings of this research will contribute to a deeper understanding of the complex interplay between food …

Small For Gestational Age Sub-Groups Have Differential Morbidity, Growth And Neurodevelopment At Age 2: The Interbio-21st Newborn Study, Aris T. Papageorghiou, María C. Restrepo-Méndez, Rose Mcgready, Fernando C. Barros, Francois Nosten, Shama Munim, Roseline Ochieng, Rachel Craik, Hellen C. Barsosio, James A. Berkley

Paediatrics and Child Health, East Africa

Background :Small for Gestational Age (SGA) is a complex perinatal syndrome associated with increased neonatal morbidity, mortality, and impaired childhood growth and neurodevelopment. Current classifications rely primarily on birth weight, which does not capture the heterogeneity of the condition nor predict long-term health outcomes. Here we aim to identify and characterise distinct SGA sub-groups and assess their neonatal and early childhood health trajectories.

Objectives: To refine the classification of SGA by identifying sub-groups based on maternal, fetal, and environmental factors and evaluating their associations with neonatal morbidity, growth, and neurodevelopment at age 2.

Study Design: Prospective Cohort Study. In six …

Maternal Health And Nutrition: Combating Maternal Mortality Through Proper Nutrition, Archna Mahendru, Yeisanai Cardona Torres, Maya Blayne Partee, Katarina Rusinak

Rowan-Virtua Research Day

Maternal mortality is an increasing concern in the United States. According to the WHO, from 2018-2022 the Maternal Mortality Rate (MMR) was 23.3 deaths per every 100,000 live births. New Jersey's MMR exceeded this average at 26 per 100,000 during the same period, with 91% of cases deemed preventable. While medical care plays a crucial role, research shows that non-medical determinants such as food insecurity, lack of nutritional education, limited access to transportation, and systemic barriers to health care contribute significantly to maternal health outcomes. Among these factors, proper nutrition plays a critical role before and during pregnancy, particularly in …

The Price Of Health: Income Disparities, Chronic Disease And Nutritional Inequity., Joana Ortiz Atlixqueno

Capstone Projects and Master's Theses

Chronic disease has notably increased among children and adults. The alarming trend is especially pronounced in low-income communities. Everyone’s Harvest is a non-profit organization founded in 2002. They work to improve access to affordable fruits and vegetables through farmers' markets, targeting lower-income individuals. The primary purpose of this study was to evaluate one of Everyone’s Harvest’s community food programs, Fresh Rx. Fresh Rx is a collaboration with healthcare providers in which doctors prescribe $35 worth of fruits and vegetables weekly for 19 weeks to patients with chronic diet-related illnesses. It was essential to learn if patients coming to the market …

Examining The Relationship Between Nutritional Access And Childhood Obesity In Low-Resource South Jersey Communities, Anastasiya Matveyenko, Saul Madrid-Flores, Arleen Fortuna, Kirsten Marie Carlberg

Rowan-Virtua Research Day

BACKGROUND: Childhood obesity is defined as a child considered to have obesity when their body mass index falls in the top 5% compared to other children of the same age and gender. Unhealthy eating habits formed during childhood have been associated with diseases such as obesity and diabetes. We aim to examine the relationship between childhood obesity and barriers to optimal nutrition in our local South Jersey community.

METHODS: We conducted a literature review through Google, Google Scholar, and PubMed utilizing the key terms, “low socioeconomic status (SES),” “Childhood obesity in NJ,” “Nutritional Intervention,” and “Health Risks.”

RESULTS: Our study …

Scoping Literature Review: The Role Of Leptin In Autism Spectrum Disorder (Asd) And Associated Obesity, Diana B. Riestra, Andrea Iannuzzelli

Rowan-Virtua Research Day

Overweight and obesity (OW/OB) are significant concerns among individuals with Autism Spectrum Disorder (ASD), yet the underlying causes remain unclear. Emerging evidence points to metabolic and hormonal factors—particularly leptin, a hormone involved in appetite regulation—as potential contributors. This scoping review examined five key studies from 2003 to 2024 that investigated the relationship between leptin and ASD in overweight populations. Across studies, individuals with ASD consistently exhibited elevated leptin levels compared to controls. While some findings also noted changes in other adipokines, such as lower resistin or progranulin, leptin was the most consistently dysregulated. These patterns suggest systemic alterations in energy …

Exploring The Roles Of Registered Dietitian Nutritionists In Food Service Management Practice Settings And The Established Guidelines That Aid In Assessing Competency, Angelique Lim

Theses and Dissertations

Background: Registered dietitian nutritionists (RDNs) are highly qualified professionals to manage food service operations, yet only 3% of RDNs work in food service management. Objective: The objective of this research is to determine what established guidelines, training, certifications, and advanced degrees RDNs working in management of food and nutrition systems (MFNS) use to develop their level of expertise. Methods: RDNs who are members of the Academy of Nutrition and Dietetics Management of Food and Nutrition Systems Dietetic Practice Group were invited to participate in a survey to assess characteristics of current RDNs working in MFNS, and to determine resources, training …

Increasing Nutrition Education In Elementary Schools, Brenda Cabrera-Ramirez

Capstone Projects and Master's Theses

Nutrition education is not often included in the elementary school curriculum. Without learning about nutrition, students may make poor nutritional choices and develop unhealthy eating habits, which may affect physical health, cognitive development, and academic performance. By informing students about healthy eating habits, they can improve their nutritional intake, well-being, and academic success. To address this issue, I will create a three-day lesson on nutrition education for first graders at Elkhorn Elementary School in Castroville, California.

Effects Of Snacking Habits On Overall Health And Cognition Of University Students, Kelly Shaw

Electronic Theses, Projects, and Dissertations

Title: Effects of Snacking Habits on Overall Health and Cognition of University Students

Authors: Shaw, K., Tolar-Peterson, T., & Malik, N.

Affiliation: College of Natural Sciences, Department of Health Science and Human Ecology, California State University, San Bernardino 5500 University Parkway, San Bernardino, CA 92407

Background and Aims: Snack consumption is increasing, and university students may be particularly susceptible to unhealthy snacking habits. Snacking patterns may affect students’ academic performance, mood, or body weight. This study assessed students’ snacking habits and its relationship with grade point average (GPA), mood, body mass index (BMI), and food insecurity.

Methods: Using an …

Origins: Nutritional Profile Of Children Aged One Year In A Longitudinal Birth Cohort, Sarah Whalan, Poonam K. Pannu, Rachelle A. Pretorius, Alexander J.J. Scherini, Sonia Gregory, Susan L. Prescott, Desiree Silva

Research outputs 2022 to 2026

Background: Dietary intake during the first year of life is a key determinant of a child’s growth and development. ORIGINS is a longitudinal birth cohort study investigating factors that contribute to a ‘healthy start to life’ and the prevention of non-communicable diseases. Methods: This descriptive cross-sectional study aims to describe the dietary intakes of one-year-old children participating in ORIGINS and compare these to the Australian Dietary Guidelines and Nutrient Reference Values (NRVs). Between 2020 and 2023, dietary intake data were collected on 779 one-year-old children using a Food Frequency Questionnaire (FFQ). The analysis explored milk intake (breastmilk, infant formula, and …