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Primary Care Physicians’ Participation, Knowledge, And Views Of Nutrition Counseling For Weight Management, Carl Schlesser

Walden Dissertations and Doctoral Studies

AbstractAn estimated 70% of the United States population is considered overweight or obese, which has led to an epidemic. Primary care physicians (PCPs) are considered the first line of defense to help fight obesity through weight management by providing nutrition care to patients. With little known about how PCPs engage with their patients on nutrition care combined with changing guidelines on treating obese patients, there is a gap in research on how PCPs help patients with weight management and what tools PCPs use to accomplish this. Guided by the health promotion model, the purpose of this qualitative study was to …

Food Environment, Food Acquisition Behavior, And Fruit And Vegetable Consumption Among Burmese Immigrants And Refugees : A Socio-Ecological Study, Hnin Wai Lwin Myo

Legacy Theses & Dissertations (2009 - 2024)

Background: Using the framework of the Socio-Ecological Model, the current study aimed to investigate the associations between nutritional knowledge, food environment, food acquisition behavior, and daily recommended fruit and vegetable consumption (≥5 cups of fruits and vegetables) among Burmese refugees and immigrants in the Capital Region, New York. Methods: During July - November 2018, a cross-sectional survey with face-to-face interviews was conducted among Burmese refugees and immigrants aged 18 years and older living in Albany and Rensselaer counties (n=173, 52.0% female, mean age = 42.8). Daily recommended fruit and vegetable consumption was determined as ≥5 cups of fruit and vegetable …

Decreasing Physical Inactivity Among Adolescents, Anthony W. Ware

Walden Dissertations and Doctoral Studies

AbstractAdolescents in the United States have become complacent about being involved in an adequate amount of physical activity and consuming a healthy diet. This has led to adolescents having health issues such as overweight status and obesity. The U.S. Department of Health and Human Services Centers for Disease Control and Prevention made recommendations for adolescents to maintain an adequate level of physical activity and to consume a healthy diet. In this study I hypothesized that students who were surveyed in the 2017 Youth Risk Behavior Survey who practiced both physical activity and healthy diet recommendations together would have a lower …

Behavioral Intervention For Eating And Exercise Challenges In Children With Autism Spectrum Disorder, Kristen G. Gibson

Psychology Doctoral Specialization Projects

Autism Spectrum Disorder is a neurodevelopmental disability characterized by deficits in social-emotional reciprocity, deficits in nonverbal communicative behaviors relied on for social interactions, deficits in developing, maintaining, and understanding relationships, as well as restricted and repetitive patterns of interest and behavior, and sensitivity to certain sensory inputs. Individuals with Autism Spectrum Disorder are at an increased risk for multiple medical health concerns when compared to typically developing individuals, including overweight and obesity. Childhood obesity is a significant public health concern in the U.S. While many efforts have been made to prevent childhood obesity, few have been designed to align with …

Nutritional Status In Critical Care Of Covid-19 Patients, Dolph Lewis Davis Iii

Theses and Dissertations--Nutrition and Food Systems

Critical care nutrition is a poorly researched, and such a sudden pandemic event requiring manipulation of nutritional status via propofol-induced sedation for mechanical ventilation is potentially impactful on patient outcomes. This paper seeks to provide context to the impact of critical care protocols on the nutritional status of obese patients suffering from COVID-19.

Associations Between Atherogenic Markers And Hearing Loss: National Health And Nutrition Examination Survey: 2011-2012, 2015-2016, Anna Anya Rombakh

All Master's Theses

Importance Hearing loss (HL) is a major public health problem that has been previously found to be associated with abnormal atherogenic markers.

Objective To investigate the associations between such atherogenic markers and the degree of HL using continuous NHANES data from cycle years 2011-2012 and 2015-2016.

Design, Study, and Participants This observational study used data from two National Health and Nutrition Examination Survey (NHANES) cycle years 2011-2012 and 2015-2016. NHANES continuously conducts data collection via home interviews and physical exams completed in their Mobile Examination Centers. NHANES participants ages 20-69 who partook in audiometry, anthropometric and laboratory testing were included. …

Inverse Association Between Yogurt Consumption And Metabolic Syndrome Prevalence In United States Adult Males, But Not In Females Or In The Total Population: Nhanes 2017-2018, Diana K. Lee

Master's Theses

Metabolic syndrome (MetS) is prevalent in the United States (US) population andconcerns lie in related chronic diseases and financial burdens. To mitigate MetS, modifying the diet is a possible solution. Yogurt is known for its nutrient density and is a possible health food. The growing interests in yogurt and the growing concerns for MetS are met with the gap of unraveling the yogurt consumption status and MetS prevalence in the US. We evaluated the association between yogurt consumption and MetS using the National Health and Nutrition Examination Survey (NHANES) 2017-2018 and Food and Nutrient Database for Dietary Studies data. The …

No Association Between Macronutrient Intake And Body Composition Indices In Collegiate Athletes, Bryan Singharaj

Master's Theses

A scarcity of literature follows the relationship between macronutrient intake and bodycomposition indices within an athletic population. Therefore, the primary aims of the present study were to evaluate the relationship between the percent intake of carbohydrates, dietary fat, and protein with fat-free mass percentage (FFM %), fat mass percentage (FM %), fat mass index (FMI), and lean mass index (LMI). In addition, a secondary objective was to determine if there were any sex differences in the relationship between macronutrient intake and body composition indices. A total of 58 San José State University student-athletes from multiple sports were included in the …

Aims: Action Against Infirmity And Malnutrition In Seniors, Maeve Lorraine Mary O'Connell

Theses

Aim: The primary aim of this thesis was to investigate the relationship between nutrition and frailty in Irish older adults. The nutritional status, dietary quality and perceived barriers/motivators to nutrition were also examined, and a frailty intervention protocol was designed. Methods: Cross-sectional study in Irish community-dwelling adults aged ≥65 years. Nutritional status, dietary intake, functional mobility and food choice motivators/healthy eating barriers were assessed using the Mini Nutritional Assessment – Short Form (MNA-SF), a food frequency questionnaire (FFQ), the Timed Up and Go (TUG) test and a custom designed 2-item questionnaire, respectively. Frailty was defined as three or more of …

Nutrient Intake Differs Among Persons With Celiac Disease And Gluten-Related Disorders In The United States, Aynur Unalp-Arida, Rui Liu, Constance E. Ruhl

Health Science Faculty Publications

Persons with celiac disease (CD) may develop nutritional deficiencies, while individuals following a gluten-free diet (GFD) may lack essential nutrients. We examined nutrient intake from diet and supplements among persons with CD and GFD in the cross-sectional National Health and Nutrition Examination Survey, 2009-2014. Among 15,610 participants 20 years and older, we identified CD based on positive serology for immunoglobulin A against tissue transglutaminase, health care provider diagnosis, and adherence to a GFD. People without CD avoiding gluten (PWAG) adhered to a GFD without a diagnosis of CD. Two 24-h recalls assessed nutrient intake from diet and supplements. Compared to …

Nutrition Perception, Dietary Intake, And Anthropometric Correlations Between Autism Spectrum Disorder And Typically Developing Adolescents., Kristin M. Berg

UNF Graduate Theses and Dissertations

The adolescent’s nutrition perception is reflected in dietary intake and body composition. Obesity is prevalent among adolescents with Autism Spectrum Disorder (ASD). Dietary habits of children with ASD are affected by sensory issues, gastrointestinal factors, and parental provision of diet. This cross-sectional study identifies the relationships among variables for dietary intake, nutrition perception of intake, and anthropometric measurements for adiposity for 19 adolescents, ages 11 to 17, with ASD. Twenty-four children who are typically developing (TD) were assessed to compare all variables for significant differences. Measurements of variables of interest were obtained from the adolescent subjects: a 24-hour recall of …

Spatial Behavior, Foraging, And Population Dynamics Of A Subarctic Ungulate, Elizabeth (Libby) Parr Williamson Ehlers

Graduate Student Theses, Dissertations, & Professional Papers

The concept of density-dependence is foundational to our understanding of the ecology and management of large herbivores. As the abundance of large herbivores increases, competition for high-quality resources increases and animals select for lower-quality foods potentially resulting in reduced vital rates that cause declines in population growth. What remains unclear is how foraging at finer scales, like the ‘bite’, translates to demography. This is difficult because it’s challenging to scale bite-level foraging to population-levels. I test the fine-scale foraging mechanisms of density dependence in a large subarctic herbivore, Barrenground caribou (Rangifer tarandus granti). The nutritional landscape for arctic herbivores is …

Nutrition Practices And Body Composition In Infants Born Preterm, Maggie Jerome

All ETDs from UAB

Adequate nutrition and optimal growth are critical goals of clinical care for premature infants in the NICU due to rapid brain growth and development that occur during this time. Emerging evidence suggests that body composition in preterm infants is predictive of neurodevelopmental and metabolic outcomes later in childhood. The objective of this dissertation is to investigate factors affecting premature infant growth and body composition, including high enteral protein supplementation, nutrition during the first two weeks of life, and race of infants born at 22-32 weeks gestational age admitted to the UAB NICU. In a pilot study, 56 preterm infants were …

Defining The Rate Of Nutritional And Metabolic Derangements After Pancreatic Resection, K L. Percy, Y X. Ooi, C B. Nahm, F Simpson, G Hickey, S Sahni, D Chesher, M Itchins, N Pavlakis, V H. Tsang, R Clifton-Bligh, A J. Gill, J S. Samra, A Mittal

Medical Papers and Journal Articles

Background and aims: Pancreatic resection is associated with pancreatic exocrine insufficiency (PEI) leading to nutritional consequences. The Pancreatic Nutrition Clinic was established to diagnose and manage PEI through standardised nutritional assessment. In this prospective observational study, we aimed to define the rate of PEI, diabetes mellitus and nutritional abnormalities in patients who underwent pancreatic resection.

Methods: All Pancreatic Nutrition Clinic patients were included for analysis. Clinical data were prospectively obtained at initial assessment. Biochemical data included micronutrient levels, faecal elastase-1 and haemoglobin A1c. Bone mineral density and nutritional assessment were undertaken.

Results: Ninety-eight patients were included. Fifty-nine per cent (58/98) …

The Effect Of Immunonutrition On Tumor Infiltrative T Lymphocytes And Regulatory T Cells In Rectal Tumor Patients Receiving Neoadjuvant Chemoradiotherapy: A Prospective Randomized Clinical Study, Mehmet Onur Gül, Cebrai̇l Akyüz, Selvi̇naz Özkara

Turkish Journal of Medical Sciences

Background/aim: The rationale behind using immunonutrition in cancer patients is to prevent malnutrition, manage the host's immune response, and keep cancer under control by utilizing the potential immune system available in the host against the tumor. This prospective- study aims to assess the impact of immunonutrition on tumor-infiltrating lymphocytes (TILs) and regulatory T cells (Tregs) in rectal cancer patients receiving neoadjuvant chemoradiotherapy. Materials and methods: This is a single-center, prospective study. Forty patients diagnosed with middle and lower rectal tumors were enrolled in the study between March 2018 and December 2019. Nutrition protocols were given to all study subjects prior …

Telehealth Delivery Of A Multi-Disciplinary Rehabilitation Programme For Upper Gastro-Intestinal Cancer: Restore@Home Feasibility Study, Louise Brennan, Fatemeh Sadeghi, Linda O'Neill, Emer Guinan, Laura Smith, Graine Sheill, Suzanne Doyle, Claire M. Timon, Deirdre Connolly, Jacintha O'Sullivan, John V. Reynolds, Juliette Hussey

Articles

Advances in diagnosis and the treatment for upper gastro-intestinal (UGI) cancers have led to improved survival rates and, consequently, to a larger population of survivors of many types of UGI cancer [1,2]. Progress in survivorship care for UGI cancer remains poor, and many survivors experience ongoing negative physical and psychosocial impacts of treatment, which can have profound and long-term impacts on physical function and quality of life (QOL) [3,4]. At one year post-op, 40% of survivors report poor physical function, and significant reductions in walking distance, cardiorespiratory fitness and muscle strength are observed, along with a high prevalence of fatigue …

Adherence To Dietary Recommendations For Adolescents With Cystic Fibrosis, Kristine M. Durkin

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Adhering to dietary recommendations and nutritional supplements to ensure adequate absorption of nutrients and malnutrition plays an important role in the health of patients with cystic fibrosis (CF). Non-adherence to the CF care regimen, including nutritional recommendations, is high in adolescents. Therefore, the overall goal of this study was to identify factors related to adherence to nutritional recommendations in adolescents with CF.

Method: A total of 42 adolescents (ages 12-18) were recruited from 5 CF centers across the US. Adolescents completed surveys measuring body image/satisfaction, health literacy, perceived barriers to enzyme use, and self-efficacy, as well as the quality …

The Process And Case Study Approach To Implementing A Nutrition-Specific Dissemination And Implementation Science Training In Appalachia, Ayron E. Walker

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: Nutrition professionals face implementation challenges due to their lack of knowledge to incorporate D&I science into intervention design. To improve intervention outcomes, nutrition professionals must be trained in D&I science, which are currently absent in the field.

Aims: To identify and assess nutrition educators and practitioners perceived motivations, self-efficacy, and attitudes in using D&I science to inform the educational design and strategies of a nutrition-specific D&I curriculum for nutrition educators. Then to test feasibility of the nutrition-specific curriculum in increasing knowledge, self-efficacy, and attitudes by a case study approach, pre/post intervention design.

Methods: First, scoping review methodology involved the …

The Difference In Nutrition Intake Adequacy Amonginstitutionalized Elderly Residents With And Without Sarcopeniaat Nursing Homes In Bandung, West Java, Delia Anastasia Tirtadjaja, Muhamad Apandi, Lazuardhi Dwipa

Jurnal Penyakit Dalam Indonesia

Introduction. The changes in the elderly’s daily routine including dietary intake and nutritional pattern may cause them to be more susceptible to malnutrition. The changes also increase the risk of sarcopenia that may lead to poor health outcomes such as fall injury, fracture, hospitalization, disability, or even death. Sarcopenia is more likely to occur in a nursing home compared to community settings. This study aimed to determine the difference in nutrition intake adequacy between institutionalized elderly subjects with and without sarcopenia in Bandung, West Java. Methods. A cross-sectional study was held in Ciparay and Budi Istri Nursing Home, Bandung, West …

Assessment Of The Level Of Compliance Of Women Of Uzbekistan With A Healthy Lifestyle, Durdona M. Akhmedova, Adiba A. Usmankhodjaeva, Ulugbek A. Sharipov

Central Asian Journal of Medicine

In January 2021, in order to assess the level of healthy living of the women of Uzbekistan, i.e. the observance of a healthy lifestyle, to identify many common diseases and problems among women, we conducted mass medical examinations (anthropometric examinations) among women in Namangan and and Andijan cities. 276 women (aged 46-74 years) took part in the medical examination. We have studied all 276 women with age, gender, hereditary diseases, concomitant diseases, and have analyzed and evaluated them based on several principles. We put the data obtained into tables and diagrams so that it is easy to analyze. From the …

Efficacy Of An Enhanced Implementation Strategy To Increase Parent Engagement With A Health Promotion Program In Childcare, Courtney T. Luecking, Cody D. Neshteruk, Stephanie Mazzucca, Dianne S. Ward

Dietetics and Human Nutrition Faculty Publications

Previous efforts to involve parents in implementation of childcare-based health promotion interventions have yielded limited success, suggesting a need for different implementation strategies. This study evaluated the efficacy of an enhanced implementation strategy to increase parent engagement with Healthy Me, Healthy We. This quasi-experimental study included childcare centers from the second of two waves of a cluster-randomized trial. The standard approach (giving parents intervention materials, prompting participation at home, inviting participation with classroom events) was delivered in 2016–2017 (29 centers, 116 providers, and 199 parents). The enhanced approach (standard plus seeking feedback, identifying and addressing barriers to parent participation) …

Effects Of Lemon Or Cinnamon Essential Oil Vapor On Physicochemical Properties Of Strawberries During Storage, Elise Christine Anita Freche

Master's Theses

Essential oils are currently being investigated for their potential role as food preservatives. They contain a mixture of bioactive compounds that would help increase the shelf life of food and might help preserve fruits without using synthetic chemicals. Although much research has been conducted on their antimicrobial properties, their effect on the physicochemical properties and organoleptic characteristics needs more investigation. In this study, the effects of lemon or cinnamon essential oil vapor on the physicochemical properties of strawberries were analyzed, focusing on the weight loss, color, firmness, acidity status, sugar content and visible decay. Strawberries were treated for 12 hours …

Recommendations For A Water Conservationist Diet In California, Helen M. Lee

Master's Theses

As the world’s population continues to increase, a focus on nutrition security and water sustainability is needed to ensure enough resources for future generations and their wellbeing. The agricultural sector uses the most water worldwide, so identifying agricultural commodities that use less water and are more nutritious could help society reach these goals. California is the largest producer of agriculture in the United States. Therefore, an analysis of water use and nutritional value was conducted using water footprint (WF) and nutrient rich food scores (NRF) of California’s agricultural products. The results of the WF and NRF analysis showed that the …

Food Insecurity And Dietary Changes During Covid-19 In The San Francisco Bay Area, Iris Vanessa Tablas-Mejia

Master's Theses

Shelter-in-place and social distancing protocols were issued across the country to containthe spread of the novel coronavirus (COVID-19); however, these safety measures gave rise to unprecedented unemployment rates and disruptions to food access. This study investigated how COVID-19 affected food security and food consumption patterns in the San Francisco Bay Area. A validated survey developed by the National Food Access and COVID Research Team (NFACT) was distributed online from August to November 2020. The survey measured food access and eating behaviors during the pandemic. Seven hundred and twentyfour participants (403 female, 76 male, average age 43.9 ± 15.0 years) completed …

Association Between Meal Dietary Inflammatory Potential And Postprandial Sleepiness, Samantha Beth Kalb

Master's Theses

The amount and composition of food that is consumed are known to contribute toinflammation and may affect how we feel in the following hours. The aim of this research was to determine if the inflammatory potential of a single meal is associated with level of postprandial sleepiness. Participants (n = 70) recorded intake of one of their meals, then reported their degree of postprandial sleepiness (Stanford Sleepiness Scale), average activity level, average hours of nightly sleep, and daytime sleepiness (Epworth Sleepiness Scale). The Dietary Inflammatory Index (DII) of the meal was estimated by adjusting DII parameters by 26%, reflecting the …

The Filipino American Diet: Generational Comparison Of Acculturation, Health Literacy, And Dietary Patterns, Regina Reina

Master's Theses

There is evidence to suggest that Filipino Americans (FAs) are at greater risk for cardiovascular disease (CVD) and chronic conditions when compared to other Asian American subgroups. However, research on possible risk factors for this group is limited as race classifications are seldomly disaggregated. Having limited health literacy is known to be a contributing factor in health disparities among immigrant populations, though it has largely been understudied among FAs. The comparison of dietary intake, acculturation, dietary acculturation, and health literacy between Philippine-born (PBs) FAs and U.S-born (UBs) FAs has not previously been described. PBs and UBs (n=140) from across the …

3t3-L1 Adipocytes As A Model Of Glut4 Translocation, Aline Collin

Chemistry and Biochemistry

Type 2 diabetes (T2D), a lethal disease, reveals an alarming increase of epidemic proportions and, by 2050, an estimated 1 in 3 adults in the US will suffer from it. Persistent and systemic inflammatory and oxidative stress in adipose tissue and skeletal muscle are recognized as key players in the progression of T2D. T2D is characterized by insulin resistance, the inability of cells to respond to standard circulating levels of insulin, resulting in hyperglycemia. In adipocytes and skeletal muscle, glucose uptake, a vital step in blood glucose regulation, predominantly occurs via the glucose transporter 4 (Glut4) in an insulindependent recruitment …

Dietary Power And Self-Determination Among Female Farmers In Burkina Faso: A Proposal For A Food Consumption Agency Metric, Zoe Tkaczyk

Geography Honors Projects

While food security is traditionally defined with four pillars, there are increasing calls for an additional two (agency and sustainability) so that we may more comprehensively conceptualize all dimensions of food security. However, the challenge is that it is difficult to effectively measure agency, a person’s control over their food system. Measuring women’s agency is especially critical in Africa South of the Sahara where women play prominent roles in farming and food preparation. This honors thesis explores the feasibility of creating a metric to measure agency within food systems and gender relations using data related to food security and dietary …

The Efficacy Of Plant-Based Dietary Program In Patients With Diabetes: A Pilot Study, Reuben Adatorwovor, Nisha Sharma, Dakota Mccoy, Sharon Wasserstrom, Matthew Robinson, Jacquelyn Nyenhuis, Sowmya Suryanarayanan

Biostatistics Faculty Publications

Dietary choices play a key role in insulin sensitivity among diabetes patients. An 8-week pilot study was conducted to evaluate whether a mostly plant-based dietary program will lead to improvement in biochemical markers in adults with diabetes. The dietary program included educational presentations, weekly cooking demonstrations and small group discussions. A sample of thirty-two adults with diabetes (types 1 and 2) were recruited and seventeen (53%) completed the study. Matched-pair tests and Fishers exact tests were used to compare the changes in means and proportion of the participants’ responses. There were changes in HbA1c, lipids, CRP (mg/L), cholesterol (mg/dL), HDL …

The Efficacy Of The Low-Fodmap Diet To Alleviate Symptoms Of Irritable Bowel Syndrome In Adults: A Systematic Review, Jacqueline Nicole Rustom

Theses and Dissertations

Irritable bowel syndrome (IBS) is a functional bowel disorder with 6.5% worldwide prevalence that causes gas production, abdominal distension, and abdominal pain or discomfort. This systematic review describes efficacy of the Low-Fermentable Oligosaccharides, Disaccharides, Monosaccharides And Polyols (FODMAP) diet (Low-FODMAP diet or LFD) to alleviate IBS symptoms using the PRISMA guidelines. Nine randomized controlled trials (RCT) and one non-RCT consecutive controlled study published between 2015 to 2019 were identified using PubMed and CENTRAL. Included studies involved adult IBS participants with symptoms of abdominal pain, constipation, and/or diarrhea. A total of 530 participants completed the interventions from the 10 studies included …