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Reducing Health Risk Through Weight Management, Une Applied Nutrition Program Oct 2018

Reducing Health Risk Through Weight Management, Une Applied Nutrition Program

All Student-Created Educational Resources

This handout discusses the basics of energy balance, risks associated with overweight/obesity and basic introductory nutrition education for overall health, weight management, and disease prevention.


Childhood Obesity: Assessing A Case Study, Une Applied Nutrition Program Oct 2018

Childhood Obesity: Assessing A Case Study, Une Applied Nutrition Program

All Student-Created Educational Resources

The following project assesses a case study for a young adolescent girl. She was referred to her health care provider due to excess weight. Her BMI is above the 96th percentile resulting in obesity, which caused concern to her family. Obesity, diabetes, and high blood pressure run in her family so she is at increased risk of developing a non-communicable disease when she gets older if she does not gain the proper nutritional needs and education. The purpose of this project is to assess a 3-day meal plan that the young adolescent typically consumes then develop interventions and goals …


The Fight Against Overweight And Obesity Among Adolescents, Jordan Reichel Oct 2018

The Fight Against Overweight And Obesity Among Adolescents, Jordan Reichel

All Student-Created Educational Resources

The purpose of this handout is to use evidence-based research to educate the adolescents population about the growing problem of overweight and obesity among youth in this age group. This handout describes the criteria for being considered overweight or obese during adolescence. Possible risk factors for adolescent overweight and obesity are identified. The handout discusses the burden of disease and the potential consequences associated with being overweight or obese as an adolescent. Behavior modification strategies for preventing or treating overweight and obesity in adolescent’s are also described.


A Teen’S Guide To Healthy Eating, Une Applied Nutrition Program Oct 2018

A Teen’S Guide To Healthy Eating, Une Applied Nutrition Program

All Student-Created Educational Resources

This handout explains 5 ways to live a healthier life simply by getting physical activity, eating plenty of fruits and vegetables, drinking water, never skipping meals and providing a helping hand in the kitchen.


Implementation And Evaluation Of A Physical Activity And Dietary Program In Federal Incarcerated Females, Rosemary A. Johnson, Kerry A. Milner, Christine Heng, Anna E. Greer, Susan M. Denisco Oct 2018

Implementation And Evaluation Of A Physical Activity And Dietary Program In Federal Incarcerated Females, Rosemary A. Johnson, Kerry A. Milner, Christine Heng, Anna E. Greer, Susan M. Denisco

Nursing Faculty Publications

The purpose of this 3-month quasi-experimental pilot study was to examine the effect of a physical activity and dietary education program on body mass index (BMI) and resilience. Participants were given data-storing pedometers to record their physical activity, attended classes on healthy eating, and used portion control tools from http://ChooseMyPlate.gov . MyPlate usage and commissary purchases were collected weekly. BMI and resilience scores were measured at baseline, 6 weeks, and 12 weeks. Twenty-nine female prisoners completed the study. There was a statistically significant reduction in BMI after 12 weeks (χ2 = 7.56, p = .023) and resilience levels increased but …


Pediatric Obesity: Influence On Drug Dosing And Therapeutics, Barbara Ameer Pharmd, Mba, Bcps, Fcp, Michael Weintraub Md Sep 2018

Pediatric Obesity: Influence On Drug Dosing And Therapeutics, Barbara Ameer Pharmd, Mba, Bcps, Fcp, Michael Weintraub Md

Department of Medicine Faculty Papers

Obesity is an ongoing global health concern and has only recently been recognized as a chronic disease of energy homeostasis and fuel partitioning. Obesity afflicts 17% of US children and adolescents. Severe obesity (³120% of the 95th percentile of BMI-for-age, or a BMI of ³35 kg/m2) is the fastest growing subgroup and now approaches 6% of all US youth. Health consequences (e.g., type 2 diabetes, coronary heart disease) are related in a dose-dependent manner to severity of obesity. Since therapeutic interventions are less effective in severe obesity, prevention is a high priority.

Treatment plans involving combinations of …


Effect Of Larval Starvation On Lipid Content Of Drosophila Melanogaster Over 15 Days, Fabian Leija, Allen Gibbs Sep 2018

Effect Of Larval Starvation On Lipid Content Of Drosophila Melanogaster Over 15 Days, Fabian Leija, Allen Gibbs

LSAMP Poster Presentations

Starvation-resistant Drosophila melanogaster, common fruit flies, deriving from 121 generations of starvation selection, have resulted in genetically, behaviorally, and physiologically different individuals compared to non-resistant counterparts. Starvation-resistant Drosophila are more obese, containing twice as much lipids as control flies.This is a result of starvation-resistant fly larva feeding for 5 days and then entering the pupa stage while non-resistant flies only feed for 4 days.

In this experiment, we hope to answer the question of whether the starvation-resistant flies are genetically predisposed to be substantially more obese than wild populations or if it is a result of this alternate behavior …


Barriers And Facilitators To Compliance With A State Healthy Eating Policy In Early Care And Education Centers, Daniel A. Zaltz, Russell R. Pate, Jennifer R. O'Neill, Brian Neelon, Sara E. Benjamin-Neelon Sep 2018

Barriers And Facilitators To Compliance With A State Healthy Eating Policy In Early Care And Education Centers, Daniel A. Zaltz, Russell R. Pate, Jennifer R. O'Neill, Brian Neelon, Sara E. Benjamin-Neelon

Faculty Publications

Background: Early care and education (ECE) policies can improve childhood obesity risk factors. We evaluated barriers and facilitators to implementing mandatory nutrition standards for foods provided in South Carolina ECE centers serving lowincome children, comparing centers participating in the Child and Adult Care Food Program (CACFP) with non-CACFP centers.

Methods: We mailed 261 surveys (demographics, policies and practices, barriers and facilitators) to center directors after new state nutrition standards were implemented in South Carolina. We conducted univariate and bivariate analyses to explore relationships between barriers, facilitators, and center-level characteristics, by CACFP status.

Results: We received 163 surveys (62% response rate). …


Improving Diet & Physical Activity Behaviors Through Tailored Mhealth Messages: Application To Childhood Obesity Prevention In A Pediatric Emergency Department, Samantha Oldman Aug 2018

Improving Diet & Physical Activity Behaviors Through Tailored Mhealth Messages: Application To Childhood Obesity Prevention In A Pediatric Emergency Department, Samantha Oldman

Master's Theses

No abstract provided.


Cellular Senescence And Their Role In Liver Metabolism In Health And Disease: Overview And Future Directions, Matthew Schade, Jacqueline A. Sanabria, Rodrigo Aguilar, Milad Modarresi, Brad Gillon, Zach Hunter, Jacqueline Fannin, Amrita Mallick, Henri Brunengraber, Juan Sanabria Aug 2018

Cellular Senescence And Their Role In Liver Metabolism In Health And Disease: Overview And Future Directions, Matthew Schade, Jacqueline A. Sanabria, Rodrigo Aguilar, Milad Modarresi, Brad Gillon, Zach Hunter, Jacqueline Fannin, Amrita Mallick, Henri Brunengraber, Juan Sanabria

Surgery

Chronic liver disease has globally risen mainly due to a prevalent Hepatitis C Virus (HCV) infection rate and an epidemic of obesity. It is estimated by the year 2030, 2.2 billion people around the world will be overweight and 1.1 billion people will be obese. Diabetes and obesity are the main risk factors for the development of the metabolic syndrome and in the liver of Non-Alcoholic Fatty Liver Disease (NAFLD) which could progress to NASH related cirrhosis and liver malignancy. At present there is not effective therapy for NASH besides loss of weight and exercise. Furthermore, optimal management of HCC …


Determinants Of Successful Weight Loss In Low-Income African American Women: A Positive Deviance Analysis., Elaine Seaton Banerjee, Sharon J. Herring, Katelyn Hurley, Katherine Puskarz, Kyle Yebernetsky, Marianna Lanoue Aug 2018

Determinants Of Successful Weight Loss In Low-Income African American Women: A Positive Deviance Analysis., Elaine Seaton Banerjee, Sharon J. Herring, Katelyn Hurley, Katherine Puskarz, Kyle Yebernetsky, Marianna Lanoue

College of Population Health Faculty Papers

OBJECTIVE: We set out to investigate the behaviors of low-income African American women who successfully lost weight.

METHODS: From an urban, academic, family medicine practice, we used a mixed methods positive deviance approach to evaluate 35 low-income African American women who were obese and lost at least 10% of their maximum weight, and maintained this loss for 6 months, comparing them with 36 demographically similar control participants who had not lost weight. Survey outcomes included demographics and behaviors that were hypothesized to be related to successful weight loss. Interviews focused on motivations, barriers, and what made weight loss successful. Survey …


Primary Care Physician Delivered Brief Behavioral Intervention For Adult Obesity And Associated Health Conditions, Julia C. Huston Aug 2018

Primary Care Physician Delivered Brief Behavioral Intervention For Adult Obesity And Associated Health Conditions, Julia C. Huston

Dissertations

Obesity is a chronic health condition with prevalence rates that have continued to rise steadily over the past 30 years to the point that it has now been declared a global epidemic and a serious public health concern. Obesity is associated with significant physical and economic costs, primarily resulting from co-occurring health conditions that increase the risk of morbidity including type II diabetes, hypertension, dyslipidemia, stroke, coronary heart disease, and respiratory problems. Despite the dissemination of several obesity treatments, including pharmacotherapy, lifestyle modification, and bariatric surgery, the prevalence and severity of obesity continues to rise. Federal guidelines recommend the use …


An Interface Of The Taste And Reward Systems In The Brainstem And Its Role In Feeding, Louis Saites Aug 2018

An Interface Of The Taste And Reward Systems In The Brainstem And Its Role In Feeding, Louis Saites

Theses and Dissertations (ETD)

We eat what tastes good. We also eat because it is necessary for our health. In fact, some of the most nutritious foods (e.g., vegetables) are often less appetizing, and the tastiest (e.g., fast food, ice cream) may be the least healthy. Despite the former, we may also have a lower limit of what we accept at which point nutrition becomes irrelevant (e.g., “spinach is just too yucky”). Further, we may eat unhealthily because of overwhelming urges. We investigated the complex interactions of taste and feeding at the neurobiological level using the experiments described.

In one sense, this neurobiology begins …


Effect Of Grain Sorghum Polyphenols On Fecal Fermentation, Danielle Marie Ashley Aug 2018

Effect Of Grain Sorghum Polyphenols On Fecal Fermentation, Danielle Marie Ashley

Graduate Theses and Dissertations

Obesity is an increasing epidemic which during 2015-2016 afflicted 39.8% of adults and 18.5% of youth in the United States. Not only can obesity affect quality of life, but it can lead to life-threatening diseases such as type 2 diabetes, heart disease, stroke, and some cancers. Animal and human research have demonstrated a pattern of gut microbiota perturbation in overweight and obesity, characterized by a reduction of beneficial bacterial species and increase in harmful species. Diet has been established as a contributing factor in gut ecology, and foods including fiber, resistant starch, and polyphenols have been found to both enhance …


Impact Of Basal Diet On Obesity Phenotype Of Recipient Mice Following Fecal Microbiome Transfer From Obese Or Lean Human Donors, Daphne Michelle Rodriguez Jimenez Aug 2018

Impact Of Basal Diet On Obesity Phenotype Of Recipient Mice Following Fecal Microbiome Transfer From Obese Or Lean Human Donors, Daphne Michelle Rodriguez Jimenez

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The composition of the gut microbiome can be affected by environmental factors, such as diet. The Western dietary pattern is associated with microbiome dysbiosis and adverse health outcomes, including obesity and metabolic disorders. The objective of this study was to examine the effect of gut microbiota from lean or obese human donors on metabolism and weight gain in recipient mice fed one of three basal diets: 1) the standard AIN93G diet, which promotes rodent health; 2) the total Western diet (TWD), which mimics the American dietary pattern and promotes inflammation-associated colorectal carcinogenesis; and 3) a 45% high fat diet-induced obesity …


Very Low-Carbohydrate, High-Fat, Weight Reduction Diet Decreases Hepatic Gene Response To Glucose In Obese Rats, Kathleen V. Axen, Marianna A. Harper, Yu Fu Kuo, Kenneth Axen Jul 2018

Very Low-Carbohydrate, High-Fat, Weight Reduction Diet Decreases Hepatic Gene Response To Glucose In Obese Rats, Kathleen V. Axen, Marianna A. Harper, Yu Fu Kuo, Kenneth Axen

Publications and Research

Background: Very low carbohydrate (VLC) diets are used to promote weight loss and improve insulin resistance (IR) in obesity. Since the high fat content of VLC diets may predispose to hepatic steatosis and hepatic insulin resistance, we investigated the effect of a VLC weight-reduction diet on measures of hepatic and whole body insulin resistance in obese rats.

Methods: In Phase 1, adult male Sprague-Dawley rats were made obese by ad libitum consumption of a high-fat (HF1, 60% of energy) diet; control rats ate a lower-fat (LF, 15%) diet for 10 weeks. In Phase 2, obese rats were fed energy-restricted amounts …


Health Policy, Management, And Behavior Department News, Georgia Southern University Jul 2018

Health Policy, Management, And Behavior Department News, Georgia Southern University

Health Policy & Community Health: News & Publications (2011-2018)

  • Georgia Southern Examines Health Departments' Activities to Address Health Disparities
  • Georgia Southern reports on weight loss trends in overweight adolescents.


L-Citrulline Supplementation: Impact On Cardiometabolic Health, Timothy D. Allerton, David N. Proctor, Jacqueline M. Stephens, Tammy R. Dugas, Guillaume Spielmann, Brian A. Irving Jul 2018

L-Citrulline Supplementation: Impact On Cardiometabolic Health, Timothy D. Allerton, David N. Proctor, Jacqueline M. Stephens, Tammy R. Dugas, Guillaume Spielmann, Brian A. Irving

Faculty Publications

© 2018 by the authors. Licensee MDPI, Basel, Switzerland. Diminished bioavailability of nitric oxide (NO), the gaseous signaling molecule involved in the regulation of numerous vital biological functions, contributes to the development and progression of multiple age-and lifestyle-related diseases. While L-arginine is the precursor for the synthesis of NO by endothelial-nitric oxide synthase (eNOS), oral L-arginine supplementation is largely ineffective at increasing NO synthesis and/or bioavailability for a variety of reasons. L-citrulline, found in high concentrations in watermelon, is a neutral alpha-amino acid formed by enzymes in the mitochondria that also serves as a substrate for recycling L-arginine. Unlike L-arginine, …


Niemann-Pick C1, Its Connection To Obesity, And Its Impact On Human Evolution, Joseph Joshua Castillo Jul 2018

Niemann-Pick C1, Its Connection To Obesity, And Its Impact On Human Evolution, Joseph Joshua Castillo

Biomedical Sciences ETDs

Niemann-Pick type-C disease is a rare autosomal recessive neurodegenerative disease that classically presents in the first decade, leading to ataxia, vertical-gaze palsy, loss of communication skills, epileptic seizures, and eventually death. The stark reality about NPC disease underlines the important role the NPC1 protein plays in whole-body lipid homeostasis. It is no surprise, then, that the NPC1 gene has been associated with other diseases as well, such as obesity, diabetes, and Ebola virus infection. In this manuscript, a connection will be made that intertwines genetics, biochemical and molecular mechanisms, physiology, and evolutionary pressures, and will explain how a gene, discovered …


Epigenomics And Metabolomics Reveal The Mechanism Of The Apoa2-Saturated Fat Intake Interaction Affecting Obesity, Chao-Qiang Lai, Caren E. Smith, Laurence D. Parnell, Yu-Chi Lee, Dolores Corella, Paul Hopkins, Bertha A. Hidalgo, Stella Aslibekyan, Michael A. Province, Devin Absher, Donna K. Arnett, Katherine L. Tucker, Jose M. Ordovas Jul 2018

Epigenomics And Metabolomics Reveal The Mechanism Of The Apoa2-Saturated Fat Intake Interaction Affecting Obesity, Chao-Qiang Lai, Caren E. Smith, Laurence D. Parnell, Yu-Chi Lee, Dolores Corella, Paul Hopkins, Bertha A. Hidalgo, Stella Aslibekyan, Michael A. Province, Devin Absher, Donna K. Arnett, Katherine L. Tucker, Jose M. Ordovas

Epidemiology and Environmental Health Faculty Publications

Background: The putative functional variant −265T > C (rs5082) within the APOA2 promoter has shown consistent interactions with saturated fatty acid (SFA) intake to influence the risk of obesity.

Objective: The aim of this study was to implement an integrative approach to characterize the molecular basis of this interaction.

Design: We conducted an epigenome-wide scan on 80 participants carrying either the rs5082 CC or TT genotypes and consuming either a low-SFA (< 22 g/d) or high-SFA diet (≥ 22 g/d), matched for age, sex, BMI, and diabetes status in the Boston Puerto Rican Health Study (BPRHS). We then validated the findings in selected participants in the Genetics of Lipid Lowering Drugs and Diet Network (GOLDN) Study (n = 379) and the Framingham Heart Study (FHS) (n = 243). Transcription and metabolomics analyses were conducted to determine the relation between epigenetic status, APOA2 mRNA expression, …


Epigenomics And Metabolomics Reveal The Mechanism Of The Apoa2-Saturated Fat Intake Interaction Affecting Obesity, Chao-Qiang Lai, Caren E Smith, Laurence D Parnell, Yu-Chi Lee, Dolores Corella, Paul Hopkins, Bertha A Hidalgo, Stella Aslibekyan, Michael A Province, Devin Absher, Donna K Arnett, Katherine L Tucker, Jose M Ordovas Jul 2018

Epigenomics And Metabolomics Reveal The Mechanism Of The Apoa2-Saturated Fat Intake Interaction Affecting Obesity, Chao-Qiang Lai, Caren E Smith, Laurence D Parnell, Yu-Chi Lee, Dolores Corella, Paul Hopkins, Bertha A Hidalgo, Stella Aslibekyan, Michael A Province, Devin Absher, Donna K Arnett, Katherine L Tucker, Jose M Ordovas

Open Access Publications

Background: The putative functional variant -265T>C (rs5082) within the APOA2 promoter has shown consistent interactions with saturated fatty acid (SFA) intake to influence the risk of obesity.

Objective: The aim of this study was to implement an integrative approach to characterize the molecular basis of this interaction.

Design: We conducted an epigenome-wide scan on 80 participants carrying either the rs5082 CC or TT genotypes and consuming either a low-SFA (<22 g/d) or high-SFA diet (≥22 g/d), matched for age, sex, BMI, and diabetes status in the Boston Puerto Rican Health Study (BPRHS). We then validated the findings in selected participants in the Genetics of Lipid Lowering Drugs and Diet Network (GOLDN) Study (n = 379) and the Framingham Heart Study (FHS) (n = 243). Transcription and metabolomics analyses were conducted to determine the relation between epigenetic status, APOA2 mRNA expression, and blood metabolites.

Results: In the BPRHS, we identified methylation site cg04436964 as exhibiting significant differences between CC and TT participants consuming a high-SFA diet, but not among those consuming low-SFA. Similar …


Managing Adult Obesity With Provider Education, Krystal August Jul 2018

Managing Adult Obesity With Provider Education, Krystal August

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine the significance of providing education over evidence-based clinical practice guidelines on managing adult obesity. This study also evaluated self-reported provider bias towards adults with overweight and obesity. This study was conducted at the 4-State Advance Practice Nurses (APN) conference in March 2018 that was held at Pittsburg State University. The participants of the study included nurse practitioners who attended the conference and volunteered their participation. The participants completed a pre-test. After the pre-test a PowerPoint presentation was given over the evidence-based clinical practice guidelines on managing adult obesity and provider obesity bias. …


Easy Default Food Switches For Adults Trying To Reduce Their Obesity; An Interactive Experience, Christa Corgatelli Jul 2018

Easy Default Food Switches For Adults Trying To Reduce Their Obesity; An Interactive Experience, Christa Corgatelli

All Student-Created Educational Resources

This pamphlet provides an interactive learning experience for obese adults looking for new ideas to reduce their obesity. It defines and provides examples of foods, location, and situational defaults. The interactive questionnaire helps the reader work through current defaults and demonstrates how to make healthier food choices with given options. Tips are provided to help the reader to handle the location and situational defaults. Finally, how to make these healthy defaults the only defaults with an offer of additional aid if necessary.


Jane’S Guide To Achieving A Healthy Weight, Une Applied Nutrition Program Jul 2018

Jane’S Guide To Achieving A Healthy Weight, Une Applied Nutrition Program

All Student-Created Educational Resources

This handout is a simple guide to assist a female teenager in reducing and maintaining a healthy weight for her age. It includes tips on how many calories to consume, how to make healthier nutrition choices, and also other non-nutrition related suggestions for increasing physical activity.


Living Your Best Life, Une Applied Nutrition Program Jul 2018

Living Your Best Life, Une Applied Nutrition Program

All Student-Created Educational Resources

This handout gives tips for weight management, talks about chronic disease, gives a description of obesity and some information on sugar sweetened beverages.


Obesity And Associated Disease Prevention, Caitlin Roth Jul 2018

Obesity And Associated Disease Prevention, Caitlin Roth

All Student-Created Educational Resources

This handout informs the intended audience about obesity and ways to utilize healthy defaults to help prevent chronic diseases including hypertension, type II diabetes, as well as other chronic diseases or to prevent the worsening of other chronic diseases.


Having Fun And Getting Healthy, Whitney Huff Jul 2018

Having Fun And Getting Healthy, Whitney Huff

All Student-Created Educational Resources

This handout is geared toward children and families on how to create healthy defaults in order to help their children and other family members get healthy.


Total Energy Expenditure And Body Composition Of Children With Developmental Disabilities, Michele L. Polfuss, Kathleen J. Sawin, Paula E. Papanek, Linda Bandini, Bethany Forseth, Andrea Moosreiner, Kimberley Zvara, Dale A. Schoeller Jul 2018

Total Energy Expenditure And Body Composition Of Children With Developmental Disabilities, Michele L. Polfuss, Kathleen J. Sawin, Paula E. Papanek, Linda Bandini, Bethany Forseth, Andrea Moosreiner, Kimberley Zvara, Dale A. Schoeller

Exercise Science Faculty Research and Publications

Background

Obesity prevalence is increased in children with developmental disabilities, specifically in children with spina bifida and Down syndrome. Energy expenditure, a critical aspect of weight management, has been extensively studied in the typically developing population, but not adequately studied in children with developmental disabilities.

Objective

Determine energy expenditure, fat-free mass and body fat percentile and the impact of these findings on recommended caloric intake in children with spina bifida and Down syndrome.

Methods/Measures

This pilot study included 36 children, 18 with spina bifida, 9 with Down syndrome and 9 typically developing children. Half of the children with spina bifida …


The Childhood Role In Development Of Primary Hypertension., Bonita Falkner Jun 2018

The Childhood Role In Development Of Primary Hypertension., Bonita Falkner

Department of Medicine Faculty Papers

Primary hypertension is not just an adult disorder. Current US population data on children and adolescents demonstrate a prevalence of elevated blood pressure (BP) and hypertension combined of over 10%. Recent reports from prospective cohort studies describe an association of high BP in childhood with hypertension in young adulthood. Excess adiposity is strongly associated with higher BP in childhood and increases risk for hypertension in adulthood. In addition to overweight/obesity, other exposures that raise the risk for high BP include low birthweight, dietary sodium, and stress. Using intermediate markers of cardiovascular injury, studies on hypertensive children report findings of cardiac …


Prevalence Of Overweight And Obesity Based On The Body Mass Index; A Cross-Sectional Study In Alkharj, Saudi Arabia, Sameer Al-Ghamdi, Mamdouh M. Shubair, Abdulrahman Aldiab, Jamaan M. Al-Zahrani, Khaled K. Aldossari, Mowafa Househ, Shanila Nooruddin, Hira Abdul Razzak, Ashraf El-Metwally Jun 2018

Prevalence Of Overweight And Obesity Based On The Body Mass Index; A Cross-Sectional Study In Alkharj, Saudi Arabia, Sameer Al-Ghamdi, Mamdouh M. Shubair, Abdulrahman Aldiab, Jamaan M. Al-Zahrani, Khaled K. Aldossari, Mowafa Househ, Shanila Nooruddin, Hira Abdul Razzak, Ashraf El-Metwally

Department of Paediatrics and Child Health

Background: Obesity and overweight are accompanied with several different chronic diseases. Overweight and obesity can be measured by using body mass index (BMI) and is also used widely as an index of relative adiposity among any population. The aim of the study is to evaluate the prevalence of overweight and obesity among general population in Al-Kharj, Saudi Arabia.
Methods: Cross-sectional analysis was undertaken from a representative sample (N = 1019) of the Al Kharj population. Anthropometric measurements including the waist circumference (in centimeters), height (in meters), and weight (in kilograms) of the subjects were undertaken by means of standard apparatus. …