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Limiting Liberty To Prevent Obesity: Justifiability Of Strong Hard Paternalism In Public Health Regulation, Thaddeus Mason Pope

Faculty Scholarship

Because of the largely self-regarding nature of obesity, many current and proposed public health regulatory measures are paternalistic. That is, these measures interfere with a person’s liberty with the primary goal of improving that person’s own welfare.

Paternalistic public health measures may be effective in reducing obesity. They may even be the only sufficiently effective type of regulation. But many commentators argue that paternalistic public health measures are not politically viable enough to get enacted. After all, paternalism is repugnant in our individualistic culture. It is "wrong" for the government to limit our liberty for our own good.

In this …

Weight-Loss Interventions Performed To Reduce The Risk Of Obesity-Related Complications, Victoria Stephanie Stewart

Walden Dissertations and Doctoral Studies

The management of obesity before a woman conceives is one of the most effective efforts a woman can take in decreasing her risk of obesity-related complications during pregnancy. Evidence supports the idea that maternal obesity influences maternal and fetal outcomes, leading to maternal and fetal morbidities. Physicians acknowledge the importance of screening women for obesity, but many do not refer patients for weight-loss therapy. In this study, the health belief model was used to explore the associations between participants' obesity risk of complications during pregnancy, the number of weight-loss interventions they attempted to implement prior to pregnancy, and how they …

Impact Of Positive And Negative Health Behaviors On Female Mice And/Or Their Offspring, Kristen M. Platt

Theses and Dissertations--Pharmacology and Nutritional Sciences

Obesity is an ever-growing concern in the developed world that carries with it a plethora of health issues. For example, obesity increases an individual’s risk for Type 2 Diabetes and cardiovascular disease. Pregnancy is a vital time for a woman to maintain optimal health, both for her own benefit as well as that of her offspring, and yet almost half of women in the United States who are of age to bear children are overweight or obese. In mice, we found that offspring born to dams fed a high fat diet did not have impaired glucose tolerance, contrary to our …

Food Shopping Habits And The Association With Diet, Crystal Danielle West

Theses and Dissertations--Nutrition and Food Systems

Research suggests that the connection between poor diet and obesity among rural residents may be partially explained by limited access to healthy foods including fruits and vegetables (F&V). Based on federal suggestions to improve access, the purpose of this study was to assess the relationship between food shopping habits food venues and dietary intake of residents in rural counties of Kentucky. In May, 2013, a telephone survey was conducted using random-digit dial methods among n=149 participants in all three counties. Results showed that grocery shopping at supermarkets had a moderate positive correlation with F&V intake (r=.357, .348). These findings suggest …

A Description Of Snack Foods In Select Ohio Schools: A Baseline Prior To Usda New Competitive Food Guidelines, Chukwudubem C. Obianagha

Master of Public Health Program Student Publications

Background: The proliferation of snack foods in school lunch programs has necessitated the USDA to regulate its consumption by implementing policies regarding its use. The competitive food guidelines were enacted in June 2013 through the Healthy, Hunger-Free Kids Act. This required development of federal nutritional guidelines snack foods had to meet in order to be considered a competitive food and thus sold in school lunchrooms.

Objectives: The purpose of this study is to describe the current snack food offerings in select Ohio high schools, and to determine how these snack foods affect the consumption of healthier free and reduced meal …

The Role Of Angiotensinogen In Atherosclerosis And Obesity, Congqing Wu

Theses and Dissertations--Nutritional Sciences

Angiotensinogen is the only known precursor in the renin-angiotensin system, a hormonal system best known as an essential regulator of blood pressure and fluid homeostasis. Angiotensinogen is sequentially cleaved by renin and angiotensin- converting enzyme to generate angiotensin II. As the major effector peptide, angiotensin II mainly function through angiotensin type 1 receptor.

Angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and more recently renin inhibitors are widely known as the 3 classic renin-angiotensin system inhibitory drugs against hypertension and atherosclerosis. Here, we developed an array of regents to explore the effects of angiotensinogen inhibition. First, we demonstrated that genetic deficiency of …

A Paradox In Development: Exploring The Obesity Pandemic In Latin America, Laila G. Heid

CMC Senior Theses

The purpose of this paper is to explain the obesity pandemic in Latin America and identify the factors of development contributing to the pandemic. The paper uses the framework of the nutrition transition as presented by Barry Popkin to trace consumption patterns and changes in dietary habits in the region. The paper looks at three case studies: Mexico and Chile, two countries with high obesity rates, and Peru, the country with the lowest obesity rate in South America. This comparative framework is intended to determine which conditions are necessary for obesity, which conditions are sufficient for obesity, and any conditions …

Distribution Of Metals Exposure And Associations With Cardiometabolic Risk Factors In The "Modeling The Epidemiologic Transition Study", Adrienne S. Ettinger, Pascal Bovet, Jacob Plange-Rhule, Terrence E. Forrester, Estelle V. Lambert, Nicola Lupoli, James Shine, Lara R. Dugas, David Shoham, Ramon A. Durazo-Arvizu, Richard S. Cooper, Amy Luke

Faculty Publications

Background: Metals are known endocrine disruptors and have been linked to cardiometabolic diseases via multiple potential mechanisms, yet few human studies have both the exposure variability and biologically-relevant phenotype data available. We sought to examine the distribution of metals exposure and potential associations with cardiometabolic risk factors in the "Modeling the Epidemiologic Transition Study" (METS), a prospective cohort study designed to assess energy balance and change in body weight, diabetes and cardiovascular disease risk in five countries at different stages of social and economic development. Methods: Young adults (25-45 years) of African descent were enrolled (N = 500 from each …

The Dieting Paradox : Using I³ Theory To Explain Counter-Regulatory Eating, Lindsay C. Morton

Legacy Theses & Dissertations (2009 - 2024)

Counter-regulatory eating occurs when dieters engage in disinhibited overconsumption after a transgression of their diet. It may be one reason why efforts to control one's weight through dietary restriction so often fail. Unfortunately, the causal mechanisms behind this behavior are a source of contention. To resolve the disagreement over what exactly triggers counter-regulatory eating, this dissertation applied I3 theory, which posits that three factors interact to determine disinhibited behavior: instigation, impellance, and inhibition. Three-hundred twenty-two female undergraduate participants were recruited for participation in this study. Instigation was examined using the traditional milkshake pre-load, in which participants' perceptions of caloric content …

Sleep Duration And Diabetes In An Adult Population Of Rural Upstate New York, Tarak Shrestha

Legacy Theses & Dissertations (2009 - 2024)

Introduction: Within the past five decades, there has been a rapid increase in the number of diabetic cases in the US. The number of diabetic cases increased from 1.5 million in 1959 to 25.8 million in 2011. Around the same time period, the average sleep duration per night decreased from 8 hours to 6.9 hours.

Effect Of Incorporating The Fitbit Fitness Tracking Technology Into A Prescribed Exercise Intervention Program To Improve Long-Term Function In Obese Individuals One Year Following Total Knee Arthroplasty., Webb A. Smith

Electronic Theses and Dissertations

No abstract provided.

Factors Influencing Nurses' Intentions To Provide Weight Management Education To Hospitalized Obese Adults, Milissa Volino

Electronic Theses and Dissertations

Obesity is a sensitive, global health problem that impacts individuals of all ages and places individuals at risk for various chronic health problems. Nurses caring for hospitalized obese clients are in a prime position to provide them with timely information on weight management. This study utilized an exploratory sequential mixed method design to examine medical-surgical nurses' intentions to provide weight management education to hospitalized obese adults and the factors that influence nurses' intentions.

In phase 1, a focus group interview guide and nurse demographic form (NDF) were developed. Focus groups were conducted and analysis resulted in the creation of 15 …

Association Of Demographic Characteristics With Gestational Diabetes Mellitus And Gestational Hypertension In Ohio During 2012, Jared D. Klein

Master of Public Health Program Student Publications

Background: Gestational Diabetes Mellitus (GDM) and Gestational Hypertension (GHTN) are serious conditions that can arise during pregnancy. Both of these disorders can cause detrimental health effects to both mother and newborn. Methods: Ohio vital statistics birth data was obtained from Public Health- Dayton and Montgomery County. The data set included 137,268 women who gave birth during 2012 in Ohio and had a known GDM and/or GHTN status. IBM Statistical Package for Social Sciences for Mac Version 20 (SPSS, IBM, 2011) was used to analyze the data. Descriptive statistics, odds ratios, chi-square analyses, and multivariate logistic forward stepwise regressions were calculated …

Investigating The Effects Of Negative-Calorie Diet Compared With Low-Calorie Diet Under Exercise Conditions On Weight Loss And Lipid Profile In Overweight/Obese Middle-Aged And Older Men, Mohammadreza Rezaeipour, Gennady Leonidovich Apanasenko, Vladimir Ivanovich Nychyporuk

Turkish Journal of Medical Sciences

Negative-calorie diets (NCDs) are among the popular dieting guides for weight loss; however, there is still little knowledge about this method. The present study aimed to determine the effects of a NCD supplemented with exercise on weight loss and lipid profile, and to compare its efficiency with low-calorie diets (LCDs) with exercise among elderly adult men with abnormal weight gain. Materials and methods: Participants included sedentary men (aged 45-75 years) who were overweight or obese (n = 37). They were randomly divided into 2 groups: a group with a NCD and exercise, and a group with a LCD with exercise. …

Prevention, Recognition, And Treatment Of Pediatric Obesity In The Ambulatory Care Setting, Susan Farrus-Brown

Doctor of Nursing Practice Scholarly Projects

The World Health Organization (WHO) in 1995 described obesity as a chronic disease and one of the most important public health threats and in 2000 reported obesity as a “global epidemic.” The numbers of obese children are increasing in society; moreover, the onset of obesity is occurring at even a younger age than in the past. The prevalence of pediatric obesity is staggering and interventions need to be developed to decrease the risk for chronic and related psychological diseases.

The objective of this project was to provide education on utilization of a tool kit to increase the nurse practitioner (NP) …

Effects Of Brief Motivational Interviewing On Motivation For Weight Loss, Krystal Marie Waldo

LSU Master's Theses

Obesity rates have continued to increase over the past decade with a current estimate of 35.7% of adults who are obese in the United States. Several behavioral weight loss programs are available to individuals, which typically lead to a 10% decrease in body weight; however, most individuals begin gaining weight after six months. Long-term weight maintenance interventions may be needed to help individuals keep the weight off and more cost-effective, and tailored weight-loss treatments need to be available. Motivation may play an important role in long-term weight maintenance. Self-determination theory (SDT; Deci & Ryan, 1995) states that it is important …

Using Sensewear Armband And Diet Journal To Promote Adolescents' Energy Balance Knowledge And Motivation, Senlin Chen, Xihe Zhu, Gregory J. Welk, Youngwon Kim, Jungmin Lee, Nathan F. Meier

Human Movement Studies & Special Education Faculty Publications

Purpose: Educating adolescents about energy balance (EB) is essential for effective weight control. This study utilized the Sensewear (SWA) armband and a diet journal to promote adolescents' EB knowledge and motivation.

Methods: Ninety sixth graders were randomly assigned into the experimental group (n = 46) who utilized SWA and diet journal for 7 consecutive days or the control group (n = 44) who did not. Both groups were pre-and post-measured on EB knowledge, situational interest, and weight. The experimental group was tracked on motivation effort, energy expenditure (EE), and energy intake (EI).

Results: EB knowledge significantly increased and situational interest …

The Physiological Effects Of Resistant Starch On Obesity And Diabetes, Felicia Robin Goldsmith

LSU Doctoral Dissertations

Three studies were performed to determine the effects of RS on body weight and adiposity in HF DIO, diabetic C57BL/6J and GLP-1 receptor KO mice as well as genetically obese ZDF rats. The first study was a dose-response experiment for HM260 (0, 15, or 28 g/100 g diet) against the anti-diabetes drug SG (Januvia®) (0 or 0.4 g/100 g diet) in HF DIO C57BL/6J (n=55) mice injected with STZ in order to assess synergy. The most effective combination was used in the second study, the purpose of which was to determine the mechanistic importance of GLP-1 in GLP-1R KO (n=25) …

The Effect Of Carum Carvi Water Extract Intake As An Alternative Therapy For Weight Loss In Overweight And Obese Women / Mahnaz Kazemipoor, Mahnaz Kazemipoor

Student Works (2010-2019)

Obesity and overweight are considered as challenging health problems worldwide. Despite several modern methods for treatment of obesity such as medical nutrition therapy, low-energy diets, and physical activity. The prevalence of this disease is still high, suggesting the need for alternative therapies. One of the trending approaches is the consumption of traditional medicinal plants. Caraway (Carum carvi L.), has been traditionally used as a spice in Iran. It is also claimed as a potent medicinal plant that is used to treat a variety of ailments including obesity. The objectives of this study are to analyse the phytochemicals present in caraway …

Preventing Childhood Obesity: A Mixed Methods Study Into The Perceptions Of African Americans In A Rural Community, Dayna S. Alexander

College of Graduate Studies: Theses & Dissertations

Preventing childhood obesity is a global priority due to adverse health risks and financial burdens. With childhood obesity rates stabilizing it is difficult to determine which factors alone (i.e., genetic, environmental, behavioral, or demographic) increase susceptibility to childhood obesity. Parents influence childhood obesity risk factors through their parenting styles and behaviors. Social behavioral theories and public health evidence demonstrate including parents in childhood obesity efforts could assist in reducing childhood obesity rates. The objective of this study was to assess perceptions of childhood obesity among African Americans with children enrolled in a rural elementary school in the Deep South. The …

The Obesity Prevalence Of The Students Between The Ages Of 5-19 In Kütahya, Mehmet Kaya, Ayli̇n Sayan, Mustafa Bi̇ri̇nci̇, Mevlüt Yildiz, Kami̇l Türkmen

Turkish Journal of Medical Sciences

To determine the prevalence of obesity among students between the ages of 5 and 19 in Kütahya, and to determine the factors associated with obesity prevalence. Materials and methods: The population in the survey was formed of students between the ages of 5 and 19 in the schools of Kütahya. Within the scope of this survey, obesity was evaluated in accordance with the percentile values indicated in a study on the body weight and height, head circumference, and body mass index reference values of Turkish children that was published in 2008. Results: It was determined that 6.5% of the students …

Certified Personal Trainers And Physicians: An Evaluation Of Consumer Preference, Influence, And Decision Making On Intent To Use A Weight-Loss Medication, Linda Lemgruber Lobb

Electronic Theses and Dissertations

In health-related behavioral decision-making, the Theory of Planned Behavior (TPB) posits that attitudes toward a behavior are the function of three metrics: beliefs and strengths of beliefs toward the behavior, subjective norms around the behavior and locus of control for the individual (Ajzen, 1988). The purpose of this research was to identify the extent to which consumers would accept the recommendation of taking weight-loss medications, based on the source of the recommendation. Research shows that the source of knowledge for information plays a significant role in health-related decision-making of consumers (Pornpitakpan, 2004). In comparison to traditional weight-loss methods such as …

Obesity Related Perturbations On Cardiovascular, Immune And Endocrine Response To Active And Passive Stress, Ashley Elizabeth Burch

Electronic Theses and Dissertations

As the obesity epidemic increases, the prevalence of obesity-related diseases grows simultaneously. The internal environment of chronic low-grade inflammation, which characterizes obesity, leaves individuals vulnerable to disease. Cardiovascular dysfunction represents a consequential effect of obesity. An early indicator of cardiovascular disease is an impaired stress response. Further, the type of stress (active versus passive) may be differentially affected representing additional distinctions in impairment. In the present study, we have used two types of stress (active and passive) to investigate obesity-instigated alterations in cardiovascular, immune and endocrine response to stress. In addition, we have evaluated how these systems may overlap to …

Factors Influencing U.S Army Personnel Meeting Body Mass Index Standards, Salma Theus

Walden Dissertations and Doctoral Studies

Factors Influencing U.S. Army Personnel Meeting Body Mass Index Standards

by

Salma Theus

MS, California State University, Dominguez Hills, 2008

BA, La Sierra University, 2005

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Psychology

Walden University

September 2014

U.S. Army Regulations require soldiers to be fit, as excessive weight negatively impacts their readiness, health, and morale. A quantitative study examined if personal, behavioral, and/or environmental factors predict a soldier's self-efficacy and body mass index. Data were obtained from 117 soldiers on 6 scales: the Armed Services Vocational Aptitude Battery, the Army Physical Fitness …

Assessment Of Pediatric Primary Care Providers Behaviors And Procedures Regarding Pediatric Overweight And Obesity, Jessie N. Meiser

DNP Projects

CAPSTONE INTRODUCTION

Childhood overweight/obesity is a critical public health problem with devastating consequences. Many factors have combined to create the epidemic, and primary care providers can play an important role in addressing the problem by identifying overweight/obese children and encouraging them to engage in healthy behaviors. However, providers face a number of competing priorities making it difficult for them to provide these services effectively without outside support.

Obesity has reached an epidemic proportion in the nation’s youth. The Data Resource Center for Child and Adolescent Health (2011) found that 35.7% of children age 10 – 17 in Kentucky are overweight …

Exercise Physiologists: Essential Players In Interdisciplinary Teams For Noncommunicable Chronic Disease Management, E Sme J. Soan, Steven J. Street, Sharon Brownie, Andrew P. Hills

School of Nursing & Midwifery, East Africa

Noncommunicable diseases (NCDs), such as obesity and type 2 diabetes mellitus, are a growing public health challenge in Australia, accounting for a significant and increasing cost to the health care system. Management of these chronic conditions is aided by interprofessional practice, but models of care require updating to incorporate the latest evidence-based practice. Increasing research evidence reports the benefits of physical activity and exercise on health status and the risk of inactivity to chronic disease development, yet physical activity advice is often the least comprehensive component of care. An essential but as yet underutilized player in NCD prevention and management …

Primary Prevention Of Childhood Obesity, Registered Nurses' Association Of Ontario

General Submissions: Community and Population-based Materials

The purpose of this Guideline is to provide nurses across all practice settings with evidence-based practice, education, system, organization and policy recommendations for the primary prevention of obesity in infants, preschool, and elementary-school-aged children.

Obesogenic Environmental Influences On Young Adults: Evidence From Randomized Dormitory Assignment, Kandice A. Kapinos, Olga Yakusheva, Daniel Eisenberg

Economics Faculty Research and Publications

This study utilizes a natural experiment—conditionally random dormitory assignments of first-year US college students—to investigate the influence of obesogenic environmental factors in explaining changes in weight and exercise behavior during the 2009–2010 academic year. The design addresses potential selection biases resulting from the likelihood that individuals sort into built environments that match their preferences for exercise and healthy eating. We find some evidence that the food environment, specifically access to campus dining, significantly affected the weight of female students in our study. Females assigned to dormitories where the nearest campus dining hall was closed on the weekends gained about 1 …

Risk Assessment And Staging Of Cardiometabolic Diseases, Fangjian Guo

All ETDs from UAB

Obesity is associated with elevated risk for morbidity and mortality and has become an epidemic both in the United States and around the world. Insulin resistance is essentially involved in the pathogenic process of cardiometabolic diseases in obese people, which involves defects in glucose production by the liver and insulin-stimulated glucose uptake and utilization by peripheral tissues. Insulin resistance appears at an early stage of life and is the first step in the development of cardiometabolic diseases. Long-term insulin resistance will induce metabolic syndrome and prediabetes and eventually will cause type 2 diabetes and cardiovascular diseases. Obesity may exacerbate insulin …

Does Growth In Childhood Adhd And Depression Symptoms Predict Binge-Eating During Adolescence, Kathryn Van Eck

Theses and Dissertations

Binge-eating disorder (BED) refers to experiencing a loss of control while eating high quantities of food in a short period of time. A serious public health concern, BED is highly comorbid with other psychological disorders and increases risk for obesity and other health concerns, such as metabolic disorder and diabetes. Little is known about what mental health symptoms contribute to the development of BED for children and adolescents. Research with adults indicates that two strong predictors of binge-eating behavior include impulsivity and depression, and these symptom areas may contribute to BED for youth, as well. In the current study, I …