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A New Benchmarking Methodology To Monitor Industry's Investment In Community-Based Obesity Prevention And Food Access Initiatives: Gaps And Opportunities, Olivia Barata Cavalcanti

Dissertations and Theses

Background:

Despite increased public health efforts and investment in obesity prevention, obesity continues to be a growing problem in the United States.¹ Excess weight increases the risk for a series of correlated diseases, such as type 2 diabetes, hyperinsulinemia, hypertension, dyslipidemia, joint abnormalities, polycystic ovarian syndrome, nonalcoholic fatty liver disease, sleep disturbances and a decreased life span.^2–9

Traditional interventions to improve nutrition or decrease obesity have not achieved the desired success so far because obesity is a complex problem, involving a vast number of factors, sectors and actors that influence individuals’ energy balance.^10,11 To achieve change in …

Mobility And Vitality Lifestyle Program (Move Up): A Community Health Worker Intervention For Older Adults With Obesity To Improve Weight, Health, And Physical Function, Elizabeth M. Venditti, Janice C. Zgibor, Joni Vander Bilt, Lori A. Kieffer, Robert M. Boudreau, Lora E. Burke, Nancy W. Glynn, John M. Jakicic, Kenneth J. Smith

Epidemiology and Biostatistics Faculty Publications

Background and Objectives: Obesity rates in adults ≥65 years have increased more than other age groups in the last decade, elevating risk for chronic disease and poor physical function, particularly in underserved racial and ethnic minorities. Effective, sustainable lifestyle interventions are needed to help community-based older adults prevent or delay mobility disability. Design, baseline recruitment, and implementation features of the Mobility and Vitality Lifestyle Program (MOVE UP) study are reported.

Research Design and Methods: MOVE UP aimed to recruit 26 intervention sites in underserved areas around Allegheny County, Pennsylvania and train a similar number of community health workers to deliver …

Use Of International Classification Of Diseases, Ninth Revision Codes For Obesity: Trends In The United States From An Electronic Health Record-Derived Database., Michelle Mocarski, Ye Tian, B. Gabriel Smolarz, John Mcana, Albert Crawford

College of Population Health Faculty Papers

Obesity is a potentially modifiable risk factor for many diseases, and a better understanding of its impact on health care utilization, costs, and medical outcomes is needed. The ability to accurately evaluate obesity outcomes depends on a correct identification of the population with obesity. The primary objective of this study was to determine the prevalence and accuracy of International Classification of Diseases, Ninth Revision (ICD-9) coding for overweight and obesity within a US primary care electronic health record (EHR) database compared against actual body mass index (BMI) values from recorded clinical patient data; characteristics of patients with obesity who did …

Prevalence And Correlates Of Overweight And Obesity Among Preschool-Aged Children In San Luis Obispo County, 2006-2014, Kristine Z. Jankovitz, Alison K. Ventura, Trevor M. Curry, Victoria B. Howarth, Caitlin C. Moran, Robin M. Mertens, Leland A. Bailey, Kristen Thompson, Karen Mcgaughey

Kinesiology and Public Health

Background and Purpose: National prevalence of overweight and obesity (OW/OB) among children remains high; surveillance of OW/OB at state- and local-levels is needed. This study determines the prevalence and sociodemographic predictors of OW/OB among preschool-age children in San Luis Obispo (SLO) County.

Methods: Cross-sectional convenience samples of Head Start, California State, and private preschools were surveyed in 2006 (n=482), 2009/10 (n=559), and 2014 (n=442). At all waves, preschool children aged 3-5 years were measured for height and weight using standardized stadiometer and digital scale protocols. In 2014, parents completed a demographics questionnaire.

Results: Children assessed in 2009/10 and 2014 were …

Combined Resistance And Aerobic Exercise Training Reduces Insulin Resistance And Central Adiposity In Adolescent Girls Who Are Obese: Randomized Clinical Trial, Leena P. Bharath, William W. Choi, Jae-Min Cho, Alexus A. Skobodzinski, Alexei Wong, Ty E. Sweeney, Song-Young Park

Health and Kinesiology Faculty Publications

Introduction

Exercise training is recommended for improving health and protecting against the development of metabolic and cardiovascular pathologies. Combined resistance and aerobic exercise training (CRAE) has been shown to provide unique benefits in older adults with cardiovascular diseases.

Purpose

We sought to determine the beneficial effects of CRAE in adolescent girls who are obese and hyperinsulinemic.

Methods

Forty adolescent girls who are obese (age 14.7 ± 1 years; BMI 30 ± 2) were randomly assigned to a “no exercise” (CON n = 20) or combined exercise group (EX n = 20). The EX group performed resistance and aerobic exercise for …

Exercise, Obesity And Cns Control Of Metabolic Homeostasis: A Review, John K. Smith

ETSU Faculty Works

This review details the manner in which the central nervous system regulates metabolic homeostasis in normal weight and obese rodents and humans. It includes a review of the homeostatic contributions of neurons located in the hypothalamus, the midbrain and limbic structures, the pons and the medullary area postrema, nucleus tractus solitarius, and vagus nucleus, and details how these brain regions respond to circulating levels of orexigenic hormones, such as ghrelin, and anorexigenic hormones, such as glucagon-like peptide 1 and leptin. It provides an insight as to how high intensity exercise may improve homeostatic control in overweight and obese subjects. Finally, …

Implementing Evidenced-Based Tools And Obesity Bias Training When Counseling Overweight And Obese Truck Drivers, Sheryl M. Giordano

UNLV Theses, Dissertations, Professional Papers, and Capstones

Many Americans are either overweight or obese, but commercial truck drivers are at an even higher risk by nature of their occupation. The 2010 Survey of U.S. Long-Haul Truck Drivers found that 22.8% were overweight, 68.9% were obese, and 17.4% were considered morbidly obese. The concern is that obesity is a gateway to multiple medical disorders, to include obstructive sleep apnea, cancer, diabetes, and cardiac disease. Despite growing concerns of obesity, healthcare providers face problems when counseling and discussing the issue with patients. The failure of healthcare providers to discuss obesity or the impending issue with patients (i.e., truck drivers) …

Dietary Sphingomyelin For The Prevention Of Diet-Induced Metabolic Dysfunction In Mice, Gregory Harrison Norris

Doctoral Dissertations

Archival abstract submitted

Fat Shaming The Delta: How Social Issues Are Individualized Via 'Delta Obesity Talk', Amy Ulmer

Student Theses and Dissertations

Discussions of obesity in the Delta often highlight the region’s unhealthy food culture and lifestyle as explanations for what is considered an epidemic especially severe in the region. I call this discourse “Delta obesity talk” and examine it in the media and clinical literature of obesity prevention and health campaigns targeting the Lower Mississippi River Delta. I argue that by focusing on individual behavior thought to contribute to obesity and poor health, the narratives of these media outlets and public health programs direct our attention away from broader social issues contributing to ill health and onto individual fat bodies. Focusing …

Weight Management Counselling Among Community Pharmacists: A Scoping Review, Meagen Rosenthal, Lori M. Ward, Jason Teng, Seena L. Haines

Faculty and Student Publications (Open Access)

No abstract provided.

Baby's Best Start: Wic's Role In The Alleviation Of Childhood Obesity, Ashton Hutcheson

Public Health: Student Scholarship & Creative Works

In the past 50 years, obesity prevalence has risen to epidemic-like levels in the United States with an average of 25% of American children being classified as overweight or obese. Prevalence of obesity is significantly increased in socioeconomically disadvantaged income categories. This paper aims to discuss public health preventions/interventions that address childhood obesity such WIC, a supplemental nutrition program for women, infants, and children. It additionally aims to provide broad obesity-related research and begin to suggest preliminary answers to the question of why obesity is so prevalent as well as a brief overview of current treatment options for obesity-related diseases …

Effects Of Mitochondrial Nadp+-Dependent Isocitrate Dehydrogenase Deficiency On Fructose-Induced Obesity In Mice, Allison Michelle Montalbano, Kaleigh Elizabeth Beane

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Obesity prevalence in the United States continues to increase and is associated with health consequences such as type 2 diabetes, hypertension, atherosclerosis, and hyperlipidemia. Among many contributing factors to obesity, fructose may be one of the major reasons as it disrupts the antioxidant system thereby resulting in an accumulation of reactive oxidative species and leading to obese conditions. The enzyme, isocitrate dehydrogenase 2 (IDH2), reduces nicotinamide adenine dinucleotide phosphate from the TCA Cycle, hence might be implicated with not only energy metabolism but also cellular redox homeostasis. Therefore, the hypothesis was that IDH2 deficiency in mice would exacerbate hepatic lipid …

Interventions For Afterschool Programs To Decrease The Likelihood Of Childhood Obesity, Anna R. Boyd, Lauren E. Hendricks, Elexus T. Morton, Kayleigh S. Phillips, Corie Vanarsdale, Msn

Anna Vaughn School of Nursing Undergraduate Work

This systematic research review (SRR) looked at the epidemic of childhood obesity and subsequent complications. Afterschool programs (ASPs) were targeted as a key area where children spend many hours each day and, therefore, an ideal place for obesity interventions. The purpose of this SRR was to search the current benefits ASPs can have on decreasing the risk and prevalence of childhood obesity and to answer the research question, "What are nursing interventions within ASPs that decrease the risk of obesity in children in the United States of America?" Childhood obesity influences nurses in many areas, including inpatient hospitals, schools, and …

Primary Care Provider Time Limited Interventions For Obesity An Integrative Review, Kristie Finkenbinder

Student Projects for Graduate Degrees

Obesity and excess weight are significant health problems in the United States, affecting the majority of United States citizens. The prevalence of obesity is already a large burden on individuals and society, but the steady growth is an ominous warning of what’s to come. If not addressed, the various complications of obesity are multiple and significant with often both immediate and lifelong sequelae. With an already taxed healthcare system the additional costs of obesity related healthcare are further depleting resources. Primary care providers have the best opportunity to influence this population and are thus on the front lines of this …

Relationship Between Food Intake And Expression Of O-Linked N-Acetylglucosamine Transferase Messenger Rna In Channel Catfish, Oaklee Abernathy

Master's Theses or Doctor of Nursing Practice

Food intake regulation is a complex neural process that involves the coordination of multiple mechanisms. O-linked N-acetylglucosamine transferase (OGT) is a neural nutrient sensor that aids in regulating satiety in mammals. Compared to mammals, little is known about function and regulation of OGT expression in fish. It was hypothesized changes in food intake are associated with changes in OGT expression in channel catfish. The objectives of this study were to examine tissue distribution of OGT mRNA and determine the possible relationship between food intake and OGT mRNA in channel catfish. Screening of the catfish genome database yielded four highly homologous …

The Importance And New Interpretation Of Physical Education In The Elementary School Setting: Health And Wellness Education, Kimberly Ackley

Capstone Projects and Master's Theses

Despite substantial evidence of the countless cognitive and physical benefits physical education in elementary school classrooms provides, some schools in the United States do not offer an adequate combination of both physical activity and education about nutrition, health, and wellbeing. To fully encapsulate the subject of Health and Wellness Education (HWE), students must not only be engaged physically outside of the classroom, but they must also be engaged holistically with an equal emphasis on mind, body, and spirit inside the classroom. This student engagement would include daily lessons regarding mental wellbeing, a consistent and reserved period for physical activity, and …

An Investigation Of The Impact Of Family Dynamics On Obesity Among African American Adolescent Girls, Tina Mcdyess

Dissertations

Children who are overweight and obese are more likely to maintain their weight status into adulthood (Fletcher, Cooper, Helms, Northington, & Winters, 2009; World Health Organization [WHO], 2015). The prevalence of obesity has shown a more consistent increase among African Americans aged 2-19 (Flegal, Carroll, Kit, & Ogden, 2012; Ogden, Carroll, Kit, & Flegal, 2012; Ogden, Carroll, Kit & Flegal, 2014) with an even greater disparity among African American girls (Ogden & Carroll, 2010). Family dynamics is one of the many factors of the environment that has been linked to obesity among children and adolescents. The purpose of this study …

The Beneficial Effect Of Weight Reduction On Adverse Cardiovascular Outcomes Following Bariatric Surgery Is Attenuated In Patients With Obstructive Sleep Apnea, Ahmed Dalmar, Maharaj Singh, Bennet Pandey, Christopher Stoming, Zoe Heis, Khawaja Afzal Ammar, M. Fuad Jan, Indrajit Choudhuri, Thomas Y. Chua, Jasbir Sra, A. Jamil Tajik, Arshad Jahangir

College of Nursing Faculty Research and Publications

Weight loss after bariatric surgery is associated with reduction in adverse cardiovascular outcomes; however, the impact of obstructive sleep apnea (OSA) on reduction of cardiovascular outcomes after bariatric surgery in morbidly obese patients is not known. We retrospectively assessed differences in cardiovascular events after laparoscopic adjustable gastric banding (LAGB)–induced weight loss in patients with and without OSA before and after propensity score matching for age, sex, body mass index (BMI), and major comorbidities between the two groups and determined predictors of poor outcomes. OSA was present in 222 out of 830 patients (27 per cent) who underwent LAGB between 2001 …

An Anti-Inflammatory Diet In Osteoarthritis Prevention & Management, Stephanie J. Speetzen

Nursing Capstones

No abstract provided.

Epigenome-Wide Association Study Of Metabolic Syndrome In African-American Adults, Tomi Akinyemiju, Anh N. Do, Amit Patki, Stella Aslibekyan, Degui Zhi, Bertha Hidalgo, Hemant K. Tiwari, Devin Absher, Xin Geng, Donna K. Arnett, Marguerite R. Irvin

Epidemiology and Environmental Health Faculty Publications

Background: The high prevalence of obesity among US adults has resulted in significant increases in associated metabolic disorders such as diabetes, dyslipidemia, and high blood pressure. Together, these disorders constitute metabolic syndrome, a clinically defined condition highly prevalent among African-Americans. Identifying epigenetic alterations associated with metabolic syndrome may provide additional information regarding etiology beyond current evidence from genome-wide association studies.

Methods: Data on metabolic syndrome and DNA methylation was assessed on 614 African-Americans from the Hypertension Genetic Epidemiology Network (HyperGEN) study. Metabolic syndrome was defined using the joint harmonized criteria, and DNA methylation was assessed using the Illumina HumanMethylation450K Bead …

A Behavioral Lifestyle Intervention Enhanced With Multiple-Behavior Self-Monitoring Using Mobile And Connected Tools For Underserved Individuals With Type 2 Diabetes And Comorbid Overweight Or Obesity: Pilot Comparative Effectiveness Trial, Jing Wang, Chunyan Cai, Nikhil Padhye, Philip Orlander, Mohammad Zare

Faculty, Staff and Student Publications

BACKGROUND: Self-monitoring is a cornerstone of behavioral lifestyle interventions for obesity and type 2 diabetes mellitus. Mobile technology has the potential to improve adherence to self-monitoring and patient outcomes. However, no study has tested the use of a smartphone to facilitate self-monitoring in overweight or obese adults with type 2 diabetes mellitus living in the underserved community.

OBJECTIVE: The aim of this study was to examine the feasibility of and compare preliminary efficacy of a behavioral lifestyle intervention using smartphone- or paper-based self-monitoring of multiple behaviors on weight loss and glycemic control in a sample of overweight or obese adults …

Associations Between Family And Parental Factors And Childhood Obesity, Kido Uyamasi, Shimin Zheng, Sheryl M. Strasser

Appalachian Student Research Forum

Background: Obesity is a complex health issue, which results from the interaction between many determinants: genetics, physical environments, society, economy, and culture. Data indicate that about 19% of American children (2 to 19 years) have obesity, a condition that considerably affects physical and mental health and that usually continues into adulthood. Aside from its direct physical and mental effects, there is strong evidence that childhood obesity is strongly associated with early onset and adult cardiovascular diseases and diabetes. Family and parental factors, which have both genetics and environmental components, have long been implicated in previous research as major forces in …

Implications Of Early Pregnancy Obesity On Maternal, Fetal And Neonatal Health: Retrospective Cohort Study From Oman, Anita Zutshi, Jayasree Santhosh, Julie Naeem, Fareeha, Ahmed Al-Hamedi, Shahla Khan, Eishthiag Al-Said

Sultan Qaboos University Medical Journal

Objectives: This study aimed to determine the prevalence of early pregnancy obesity among Omani women and to review maternal antenatal complications, intrapartum and postpartum events and neonatal complications among such women in comparison to women of normal weight. Methods: This retrospective cohort study included 2,652 pregnant Omani women who delivered at the Royal Hospital, Muscat, Oman, between November 2011 and April 2012. The patients’ electronic medical records were reviewed for antenatal, intrapartum and postpartum data. Body mass index was measured during the first trimester (≤12 gestational weeks) and classified according to the World Health Organization categories. Maternal and neonatal complications …

Junk Food And Its Link To Childhood Obesity, Erik Keough

MBA Student Scholarship

Childhood obesity has been a growing epidemic not only in the United Sates, but around the world. The aim of this study is to determine the relationship of childhood obesity to how available junk and fast food is to adolescents. Two hundred students, one hundred boys and one hundred girls, ranging in ages six to twelve years old will take part in a survey as well as physical examination. Additionally, one parent or guardian of each student will be asked to complete a survey. The surveys will determine how often and readily available junk food is to the children, the …

Health Risks Associated With High Sugar Sweetened Beverage Consumption And Ways To Reduce Ingestion, Tyler Austin Pahl

Honors Thesis

This literature review analyzes the many health implications of high sugarsweetened beverage (SSB) consumption. Some of these health implications include (but are not limited to) obesity, diabetes, cardiovascular disease, and higher blood pressure. SSB consumption has increased 500% in the past fifty years and is the largest source of calorie intake among children. Obesity rates have increased to epidemic proportions in the United States and many countries around the world. According to the World Health Organization (WHO) more than 1 billion adults throughout the world are overweight, with a body mass index (BMI) of over 25. In the United States, …

Weightism In Healthcare And Educational Efforts To Reduce Bias In Pre-Health Students, Matthew Preszler

Honors Thesis

Obesity is a multifaceted condition affecting physical, psychological, and social aspects of a person’s life and requires knowledgeable providers who can work with patients to effectively manage their condition. However, research suggests that healthcare providers are ill-equipped to treat overweight patients. Evaluations of weight bias among healthcare providers show levels similar to that of the general public and calls into question the training of future providers. Ample evidence regarding provider education reveals the system’s shortcomings for reducing weight bias. It suggests that students lack opportunities for prejudice reduction due to inadequate coverage in curriculum as well as modeling of discriminatory …

The Role Of Craving In Emotional And Uncontrolled Eating, Christina L. Verzijl, Erica Ahlich, Robert C. Schlauch, Diana Rancourt

Psychology Faculty Publications

This study presents a novel application of the cognitive processing model of alcohol craving (CPMA) from the addictions field to the role of food craving in the well-established restrained eating–overeating relationship associated with binge eating disorder (BED). A community sample (N = 1058, ages 18-66) completed an online survey assessing four core domains: restrained eating, trait food craving, uncontrolled eating, and emotional eating. In accordance with the CPMA, food craving emerged as a significant indirect effect of the association between restrained eating and both uncontrolled and emotional eating. Gender did not significantly moderate any direct or indirect associations, suggesting that …

Champs: Child Health And Methods Of Parenting Study, Megan Fletcher

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

The range of different contexts in which children learn and develop dietary and physical activity habits varies greatly, yet there is limited research on the role of the family structure and parenting style in the development of childhood obesity. CHAMPS (Child Health and Methods of Parenting Study), was designed to explore the relationships between parenting style, family structure, and child health status through a new lens and novel application of the Unified Theory of Behavior model. Surveys were administered to families at two partner locations to examine these relationships. 51 parents/legal guardians and 57 children completed the survey. Results were …

Improving The Nutrition And Screen Time Environment Through Self-Assessment In Family Childcare Homes In Nebraska, Dipti A. Dev, Natalie A. Williams, Iheoma Iruka, Aileen S. Garcia, Yage Guo, Irina Patwardhan, Katrina Cummings, Zainab Rida, Emily Hulse, Ami Sedani

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: To determine if family childcare homes (FCCH) in Nebraska meet best practices for nutrition and screen time, and if focusing on nutrition and screen time policies and practices improves the FCCH environment.

Design: A pre–post evaluation was conducted using the Go Nutrition and Physical Activity Self-Assessment for Childcare (Go NAP SACC).

Setting: FCCH in Nebraska, USA.

Subjects: FCCH enrolled in the Child and Adult Care Food Program (CACFP; n 208) participated in a pre–post evaluation using Go NAP SACC.

Results: At baseline, all FCCH met the minimum childcare standards for fifty-four of fifty-six practices …

Prevalence And Prevention Of Diabetes In School Age Children: A Parent Education Module, Christine Mary Whitmyer

Doctoral Projects

The Center for Disease Control reports that there continues to be an increasing number of children being diagnosed with childhood-onset Type Two Diabetes Mellitus (T2DM). The recommendation is to provide education to parents regarding the risks and possible risk factors of T2DM, and strategies to prevent and treat these risk factors (Center for Disease Control [CDC], 2014). Educating parents of school age children on T2DM risk factors, and prevention practices may help to slow down this rising number of new cases. The Aim is to provide educational modules that may increase knowledge, which could in-turn change behavior, that may prevent …