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Extreme Obesity Among Adults In The United States: Spatial Variation And The Association With Mortality, Carrie Mills

Dissertations and Theses

Objectives: The purpose of this dissertation was to create small area estimates to describe and explore the county-level spatial variation of extreme obesity among adults in the United States and to assess the county-level association and spatial variation of extreme obesity and mortality.

Methods: The Behavioral Risk Factor Surveillance System was used in conjunction with data from the Census Bureau to estimate county-level model-predicted prevalence of extreme obesity using multilevel regression and poststratification. Spatial dependence of estimates was assessed using global Moran’s Index, and local Moran’s Indices were used to identify clusters of higher and lower rates of extreme obesity …

Ketogenic Diets And Exercise Performance, Kristin L. Harvey, Lola Holcomb, Stephen C. Kolwicz Jr.

Health Sciences Faculty Publications

The ketogenic diet (KD) has gained a resurgence in popularity due to its purported reputation for fighting obesity. The KD has also acquired attention as an alternative and/or supplemental method for producing energy in the form of ketone bodies. Recent scientific evidence highlights the KD as a promising strategy to treat obesity, diabetes, and cardiac dysfunction. In addition, studies support ketone body supplements as a potential method to induce ketosis and supply sustainable fuel sources to promote exercise performance. Despite the acceptance in the mainstream media, the KD remains controversial in the medical and scientific communities. Research suggests that the …

Influence Of Gut Microbiome On Obesity In Western-Style Dietary Practices Versus Other Diets: A Systematic Review, Keely A. Niemeyer, Doris I. Buezo, Loren Landeros, Karina Corral

OSRI Journal of Student Research and Innovation

BACKGROUND: The human gut is home to a microbiome that has a complex relationship to human health. Like the human genome project, microbiome is catching the attention of researchers who seek new methods to combat obesity and negative health outcomes associated with it.

OBJECTIVES: This systematic review aims to distinguish the impact of a Western diet on gut health verses a plant-based diet.

DATA SOURCES: EBSCOHost library databases inclusive of CINAHL plus, ScienceDirect, and PubMed using keywords to better understand the correlation of dietary practices and microbiome balance.

STUDY ELIGIBILITY: Criteria that include diet, current research, and scholarly peer reviewed …

Colostrum And Mature Breast Milk Analysis Of Serum Irisin And Sterol Regulatory Element-Binding Proteins-1c In Gestational Diabetes Mellitus, Syeda Sadia Fatima, Erum Khalid, Asma Akbar Ladak, Syed Adnan Ali

Department of Biological & Biomedical Sciences

Background: We aimed to evaluate irisin and SREBP-1c levels in serum, colostrum and mature breast milk in women with and without gestational diabetes (GDM); and to relate them with maternal glucose, lipid profile and weight status of babies.
Methods: GDM positive women (n = 33) and normal glucose tolerant women (NGT) (n = 33) were recruited. Maternal blood samples were collected at 28th week of gestation and later at 6-week post-partum while breast milk samples of the lactating mothers were collected within 72 hours of birth (colostrum) and at 6 weeks post-partum (mature milk). Irisin and SREBP-1c levels were analyzed …

Diet Quality And Micronutrient Intake In Long-Term Weight Loss Maintainers, Rebecca W. Pascual

Master's Theses

Objective: This study’s purpose was to examine dietary quality, macronutrient intake, and micronutrient adequacy among long term weight loss maintainers (WLM) in a commercial weight management program.

Methods: Participants were 1,207 WLM in WW (formerly Weight Watchers) who had maintained a 9.1 kg or greater weight loss (29.7 kg on average) for 3.4 years, and had an average BMI of 28.3 kg/m². A control group of weight stable adults with obesity (Controls; N=102) had a BMI of 41.1 kg/m² and 2.3 kg or less weight change over the previous five years.

Results: WLM vs. …

Food Consumption Patterns And Body Composition In Children: Moderating Effects Of Prop Taster Status, Lee Stoner, Nicholas Castro, Anna Kucharska-Newton, Abbie E. Smith-Ryan, Sally Lark, Michelle A. Williams, James Faulkner, Paula Skidmore

Faculty Publications

This cross-sectional study determined whether 6-n-propylthiouracil (PROP) taster status moderates the relationship between food consumption patterns and body composition in children. Children were recruited (n = 342, 50% female, 8–10 y) from across New Zealand. Using a food frequency questionnaire, these food consumption patterns were derived: Processed Foods, Fruit and Vegetables, and Breakfast Foods. Body composition variables included: body fat (%), fat mass (kg), fat mass index (FMI, kg/m²), body mass index (kg/m²) and waist to height ratio (W:Ht). Following adjustment for confounders, Processed Foods were positively associated with %fat (p = 0.015), fat mass (p …

The Risk Of Hypertension In Adulthood As A Consequence Of Adolescent Obesity, Demsa Simbolon, Epti Yorita, Ruzita Abd Talib

Kesmas

Population increase in adolescence are associated with increased overweight and obesity problems. If this problem not early intervention will have an impact on increasing hypertension prevalence and risk of death. This research aimed to explain the consequences of overweight and obesity in adolescent to hypertension in adults. The study used Indonesian Family Life Survey (IFLS) data with a retrospective cohort study. Adolescent BMI measurements on 2007 and the risk of hypertension on 2014. Population are all adolescents aged 10-20 years in 2007. Sample of 1,697 adolescent who randomly IFLS 2007 with the inclusion criteria: biological children and a single birth, …

Wavelet-Based Analysis Of Physical Activity And Sleep Movement Data From Wearable Sensors Among Obese Adults, Rahul Soangra, Vennila Krishnan

Physical Therapy Faculty Articles and Research

Decreased physical activity in obese individuals is associated with a prevalence of cardiovascular and metabolic disorders. Physicians usually recommend that obese individuals change their lifestyle, specifically changes in diet, exercise, and other physical activities for obesity management. Therefore, understanding physical activity and sleep behavior is an essential aspect of obesity management. With innovations in mobile and electronic health care technologies, wearable inertial sensors have been used extensively over the past decade for monitoring human activities. Despite significant progress with the wearable inertial sensing technology, there is a knowledge gap among researchers regarding how to analyze longitudinal multi-day inertial sensor data …

Identifying Pediatric Obesity In The Retail Health Setting And Implications For Quality, Jodie Nicole Guardi

College of Science and Health Theses and Dissertations

Pediatric obesity has reached an epidemic status. The purpose of this study was to examine the prevalence of overweight and obese patients, as well as how often and how accurately a diagnosis was coded. The population for this study included children ages 3-18. This cohort presented to retail health clinics in a large urban health system for school or sports physicals from June 1, 2017 to November 30, 2017. Method. A retrospective chart review was conducted. Statistical analysis was performed to determine if there was a relationship between obesity and age, ethnicity, race, and gender. Results. The study identified 15.9% …

Obesity In Adolescents (Handout), Kathy Palys

All Student-Created Educational Resources

The handout briefly discusses obesity in the adolescents. It covers possible causes, risk factors, and some simple solutions.

Five Tips For Choosing Healthy Foods For Teens (A Handout), Mallory Lavoie

All Student-Created Educational Resources

This handout depicts five ways that teens can make healthier food choices.

Teen Obesity: Tips To Take Control Of Your Diet And Make A Difference Every Day, Zachary York

All Student-Created Educational Resources

This handout provides an overview of obesity and includes tips designed to motivate and assist teenagers toward making healthy choices to support overall health and well-being. Topics range from identifying nutritious foods, knowing when to eat, how to become more physically active, and having fun with food. The goal of the handout is to provide accessible and easy to understand information to empower overweight adolescents to make important connections eating well, exercising, and how they look and feel on a day-to-day basis.

Effects Of Short-Term High Versus Continuous Moderate Intensity Training On Insulin Resistance In Overweight And Obese Adults: A Randomized Controlled Trial, Tshidi Thaane, Ayesha Motala, Andrew Mckune

International Journal of Exercise Science

International Journal of Exercise Science 12(3): 1057-1069, 2019. In long-term exercise training studies ( > 6 weeks), improvements in insulin resistance (IR) are amplified by decreased body fat and/or increased cardio-respiratory fitness. This presents a challenge in studying the independent effects of exercise training. Our study purpose was to determine the effects of short-term continuous moderate intensity training (CMIT) and high intensity interval training (HIIT) on IR in overweight/obese adults. Participants were stratified into insulin sensitive (IS) and IR groups, and randomized into non-exercise control (CNT), CMIT and HIIT sub-groups that underwent baseline and post testing. Exercise sessions were 18-24 minutes …

Dietary Inflammatory Index And Non-Communicable Disease Risk: A Narrative Review, Catherine M. Phillips, Ling-Wei Chen, Barbara Heude, Jonathan Y. Bernard, Nicholas C. Harvey, Liesbeth Duijts, Sara M. Mensink-Bout, Kinga Polanska, Giulia Mancano, Matthew Suderman, Nitin Shivappa, James R. Hébert

Faculty Publications

There are over 1,000,000 publications on diet and health and over 480,000 references on inflammation in the National Library of Medicine database. In addition, there have now been over 30,000 peer-reviewed articles published on the relationship between diet, inflammation, and health outcomes. Based on this voluminous literature, it is now recognized that low-grade, chronic systemic inflammation is associated with most non-communicable diseases (NCDs), including diabetes, obesity, cardiovascular disease, cancers, respiratory and musculoskeletal disorders, as well as impaired neurodevelopment and adverse mental health outcomes. Dietary components modulate inflammatory status. In recent years, the Dietary Inflammatory Index (DII^®), a literature-derived …

An Examination Of Whether Perceived Stress Mediates The Effects Of Income On Engagement And Weight Loss Loss Outcomes In An Online Behavioral Weight Loss Intervention, Kristen Volz

Master's Theses

Individuals with lower income have higher rates of obesity and are underrepresented in weight loss treatment. Moreover, when individuals with lower income do enroll in face-to-face interventions, their adherence and weight loss outcomes are worse due to known treatment barriers, including unreliable transportation, lack of childcare, and scheduling constraints associated with multiple jobs and unconventional work hours. Because online interventions are asynchronous and can be accessed any time of day, they hold significant promise for reducing treatment barriers and improving adherence and weight loss outcomes in lower income populations. However, one drawback of online interventions is that they are self-directed, …

Pathopharmacological Foundations For Advanced Nursing Practice: Obesity Pathophysiology, Identification, Treatment, And Disease Management, Heather M. Richardson

International Nursing Research Congress (INRC)

This paper will provide the pathophysiology differences in obese individuals, best practices according to the standard of practice published by the National Institutes of Health, and application of those recommendations by addressing a clinical practice deficit related to the management of obesity within a healthcare organization.

Health Coaching To Encourage Obese Adults To Enroll In Commercially-Available Weight Management Programs: The Path To Health Study, Natalia I Heredia, Minjae Lee, Kevin O Hwang, Belinda M Reininger, Maria E Fernandez, Lorna H Mcneill

Faculty, Staff and Student Publications

Physicians are recommended to screen and refer obese patients to weight management programs (WMPs). There are often limited referral options for physicians, though commercially-available WMPs could be a potential solution. The purpose of this study (Path to Health) was to evaluate the efficacy of health coaching to promote enrollment in commercially-available WMPs through a two-arm, RCT with obese patients (n = 168) randomly assigned to intervention (n = 84) or control groups (n = 84). Intervention participants received phone health coaching to help them select and enroll in WMPs. We collected data on program enrollment, weight, self-reported physical activity (PA), …

Type 2 Diabetes (T2d), Janice Loney

Nursing Student Class Projects (Formerly MSN)

ABSTRACT

Type 2 diabetes (T2D) is a devastating disease predisposing individuals to a myriad of serious health complications such as: heart disease, stroke, retinopathy, neuropathy, renal disease, dementia, amputation and early death. Diabetes care has a major economic impact worldwide, as a future family nurse practitioner (FNP) patient education on T2D risk factors, disease process and medical management are vital to halt this growing epidemic. A literature search was conducted and five peer reviewed articles were chosen addressing T2D pathophysiology, risk factors, effects of self-care behaviors and emerging treatment options.

Focused efforts from the literature reviews indicate education and adherence …

Nurse Practitioner Led Low-Calorie Ketogenic Diet For Weight Loss In Overweight And Obese Adults, Kaneez Rehmanji Odgers

International Nursing Research Congress (INRC)

This project evaluated the relationship of weight loss to Nurse practitioner led low-calorie ketogenic diet and if correlations exist between the diet to gender and age. Findings noted weight loss occurred in across genders and age. The NP led program had greater weight loss than a physician led program.

Nutritional Knowledge, Lifestyle Influences, And The Impact On Overweight And Obesity Rates Among Druze Children, Ymame Whaby-Kamal, Cheryl Zlotnick

International Nursing Research Congress (INRC)

Obesity rates in Israel's general population and children is high. In Druze, minority among minorities, there is lack of information on rates of child obesity. This research will measure the rates of obesity, and assess the link between these rates and social and environmental influences in Druze elementary school children.

“I Don’T Want To Look Sick Skinny”: Perceptions Of Body Image And Weight Loss In Hispanics Living With Hiv In South Texas, Jordan W. Abel, Omar Allen, Delia Bullock, Erin Finley, Elizabeth Walter, Phillip Schnarrs, Barbara S. Taylor

Journal of Health Disparities Research and Practice

Objective: Obesity is rising in people with HIV (PLWH) and Hispanics. Both HIV and obesity are associated with cardiovascular disease morbidity and mortality. Our goal is to understand perceptions of body image and lifestyle in Hispanics with HIV to adapt interventions appropriately.

Methods: We conducted semi-structured interviews with 22 Hispanic PLWH and 6 providers. Purposive sampling selected patient participants across weights and genders. Interviews were coded and analyzed using grounded theory, comparing perspectives between patients with and without obesity, and patients and providers.

Results: Participants felt obesity and diabetes were “normal” in the community. Patients exhibited understanding of healthy diet …

Basal Diet Determined Long-Term Composition Of The Gut Microbiome And Mouse Phenotype To A Greater Extent Than Fecal Microbiome Transfer From Lean Or Obese Human Donors, Daphne Michelle Rodriguez Jimenez, Abby D. Benninghoff, Niklas D.J. Aardema, Sumira Phatak, Korry J. Hintze

Animal, Dairy, and Veterinary Science Faculty Publications

The Western dietary pattern can alter the gut microbiome and cause obesity and metabolic disorders. To examine the interactions between diet, the microbiome, and obesity, we transplanted gut microbiota from lean or obese human donors into mice fed one of three diets for 22 weeks: (1) a control AIN93G diet; (2) the total Western diet (TWD), which mimics the American diet; or (3) a 45% high-fat diet-induced obesity (DIO) diet. We hypothesized that a fecal microbiome transfer (FMT) from obese donors would lead to an obese phenotype and aberrant glucose metabolism in recipient mice that would be exacerbated by consumption …

A Behavioral Weight Loss Program For Low-Income Adults With Obesity And Hiv, Sophai Thach

Dissertations

Problem: Obesity, having a body mass index (BMI) of 30 kg/m² or greater, increases the risk for cardiovascular disease. For people living with HIV (PLWH), this increases their risk for myocardial infarctions by 50% and causes this life-threatening event to occur at a younger age compared to those who are not diagnosed with HIV.

Methods: With obesity disproportionately affecting people with low income, this study aims to evaluate the effects of a 12-week behavioral weight loss program that utilizes journaling as a self-monitoring tool, weekly educational classes, and individualized goal-setting on PLWH with obesity who live in …

Obesity Stigma And Women's Health: Challenges Of Decreasing Healthcare Provider Bias To Improve Outcomes, Mary Ellen A. Burke

International Nursing Research Congress (INRC)

The primary aim of this presentation is to describe strategies and challenges in decreasing bias toward obese women by healthcare providers including nurses, nurse-midwives and medical staff. Best practices for creating a more welcoming environment for obese patients receiving gynecological and obstetrical care will be discussed.

The Influence Of The Family On Childhood Obesity In Oman, Basma Alyazeedi, Diane C. Berry, Jamie Crandell

International Nursing Research Congress (INRC)

The study has examined the influence of the family on childhood obesity among 6 - 10 years old children in Oman. Two strong family factors linked to childhood obesity were identified and included increased maternal BMI and mothers' high level of education.

Feeding Practices And Beliefs Of Hispanic Mothers Of Preschool Age Children, Nancy Ann Innella

International Nursing Research Congress (INRC)

The purpose of this qualitative study was to explore maternal feeding practices and beliefs of Hispanic mothers of preschool-age children. A convenience sample of 6 mothers were interviewed. Overall, mothers who perceived they had control over feeding practices and strong support systems had children with healthier weights.

West Virginia’S Sugary Drink Tax: Examining Print Media Frames In Local News Sources, Lauri Andress, Ogaga Urhie, Christine Compton

Journal of Appalachian Health

Introduction: Framing is an important aspect of the policy process that helps the public and decision makers sort through and resolve highly charged claims about an issue. Through slight changes in the presentation of issues, a framing effect may alter public support. The way a proposed sugary drink tax is discussed in public discourse and by the media significantly influences policy acceptance. Given the public health significance of obesity and diabetes in West Virginia (WV) the study of media frames employed to represent a sugary drink tax policy is useful.

Methods: Using quantitative content analysis, this study assessed news articles—published …

Short Relative Leg Length Is Associated With Overweight And Obesity In Mexican Immigrant Women, Mireya Vilar-Compte, James Macinko, Beth C. Weitzman, Carlos M. Avendaño-Villela

Department of Public Health Scholarship and Creative Works

Background: Prior research suggests that undernutrition and enteric infections predispose children to stunted growth. Undernutrition and infections have been associated with limited access to healthy diets, lack of sanitation, and access barriers to healthcare - all associated with human rights. Stunting has also been documented to be a major determinant of subsequent obesity and non-communicable diseases. Short leg length relative to stature during adulthood seems to be a good proxy indicator tracking such barriers, and has been reported to be associated with adverse health effects during adulthood. Our objective was to examine the association between relative leg length (as measured …

The Tampa Gym Study: An Ethnographic Exploration Of Gyms, Female Gym-Goers And The Quest For Fitness In Tampa, Fl, Danielle Reneé Rosen

USF Tampa Graduate Theses and Dissertations

The Tampa Gym Study was an ethnographic examination of veteran women exercisers, their workout routines, and their attitudes towards the workouts that they undertake in two Tampa area gyms. The study’s principle objective was to study “fitness culture” in these facilities and the manner in which that culture is embodied in the language women use to describe themselves and their exercise behaviors.

The obesity crisis in the United States has been significantly responsible for an increase in membership in gyms and fitness facilities nationwide. The “culture of fitness” as it is embodied in these facilities has impacted women and their …

An Examination Into The Attitudes Of Girls Towards Physical Activity And Performance In Aerobic Capacity, Cynthia Dawn Fairey

Doctoral Dissertations and Projects

Over the last 30 years, physical activity among adolescents between the ages of 10 and 18 has continued to decline, and the risk of morbidity associated with sedentary living has increased (CDC, 2017). Furthermore, research has identified females as being at greater risk of morbidity because they are opting out of physical activity at twice the rate of boys and not getting the recommended 60 minutes a day of physical activity (NPAP, 2016). Many girls are avoiding physical education classes, where the concepts of health-related fitness, the development of skills necessary to participate in a variety of physical activities, and …