Digital Commons Network^™

Community Built Environment And Multilevel Social Determinants Of Obesity: Evidence From China Health And Nutrition Survey, Libin Zhang, Tim F. Liao, Laura L. Hayman

Office of Community Partnerships Posters

The prevalence of overweight and obesity is highest in wealthy countries like the United States, but is rapidly increasing in less developed countries. From 1992 to 2002, China had an increase from 14.6% to 21.8% in overweight and obesity. Social determinants of obesity in developing countries remain poorly understood. Further, these associations may vary by community built environment (BE) of developing countries.

Taxing Food And Beverage Products: A Public Health Perspective And A New Strategy For Prevention, Jennifer L. Pomeranz

University of Michigan Journal of Law Reform

The power to tax and spend is considered a primary government power, and the use thereof is associated with great public health achievements. The greatest public health challenge at present stems from the increase in obesity and chronic diseases due to poor nutrition. Several taxation strategies have emerged in the health and economic literature to raise revenue, deter consumption, and address food prices and obesity directly. These proposals include taxing obese individuals, taxing problematic food products, and instituting a tax based on certain food components. This article weighs each proposal's value and disadvantages and concludes by proposing a new tax …

A Mixed Methods Approach To Evaluate Kidquest, A Traditional Classroom Obesity Prevention Intervention, In An Afterschool Program: A Pilot Study, Amy M. Wehbe

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

Over 1.4 million middle school adolescents participate in afterschool programs each year. While most of the obesity prevention interventions focus on the traditional school day, the afterschool setting should not be overlooked. A pilot study was conducted using KidQuest, a traditional classroom nutrition and physical activity intervention for early adolescents ages 10 to 12 based on the social cognitive theory, in an afterschool setting. The purpose of the pilot study was to evaluate the effectiveness of using a nutrition and physical activity intervention developed for the traditional school day in an afterschool setting. The desired outcome of this mixed-methods study …

Curing The Obesity Epidemic : The Government's Obligation To Regulate Food, Victoria Lyon

Honors Theses

The first chapter demonstrates the impact of the obesity epidemic in the United States. The epidemic affects obese individual directly, and burdens all US citizens. The second chapter is an argument as to why the obesity epidemic should be addressed by government intervention. The US regulates risky substances such as consumption of alcohol, tobacco, and marijuana, and risky behaviors such as driving. This work explores why food is morally equal to other risky substances. The final chapter explores several food regulation policy options.

Organizing A Community "Biggest Loser" Weight Loss Challenge, Kirstin D. Jensen

Journal of Extension

The program described here shows how Extension can be a strong collaborative partner in a rural setting in improving the overall health of the community by organizing a three month "Biggest Loser" Weight Loss Challenge. A pre-and post-fitness assessment and bi-weekly weigh-ins were administered. Three healthy lifestyle educational programs were provided, and a 3-month follow-up behavior change survey was collected. The program has been a tremendous success, with 588 participants losing 2,357.2 lbs. over the past 3 years.

Parens Patriae: A Flawed Strategy For State-Initiated Obesity Litigation, John B. Hoke

William & Mary Law Review

No abstract provided.

Effectiveness Of A Motivational Interviewing Intervention On Weight Loss, Physical Activity And Cardiovascular Disease Risk Factors: A Randomised Controlled Trial With A 12-Month Post-Intervention Follow-Up., Sarah J. Hardcastle, Adrian H. Taylor, Martin P. Bailey, Robert A. Harley, Martin S. Hagger

Peninsula Medical School

BACKGROUND: Intensive diet and physical activity interventions have been found to reduce cardiovascular disease (CVD) risk, but are resource intensive. The American Heart Association recently recommended motivational interviewing (MI) as an effective approach for low-intensity interventions to promote health-related outcomes such as weight loss. However, there is limited research evaluating the long-term effectiveness of MI-based interventions on health-related outcomes associated with CVD risk. The current research evaluated the effectiveness of a six-month low-intensity MI intervention in a UK primary-care setting in maintaining reductions in CVD risk factors at12 months post-intervention. METHODS: Primary-care patients were randomised to an intervention group that …

Family Structure And Obesity Among U.S. Children, Jennifer M. Augustine Ph.D., Rachel T. Kimbro

Journal of Applied Research on Children: Informing Policy for Children at Risk

Child obesity in the U.S. is a significant public health issue, particularly among children from disadvantaged backgrounds. Thus, the roles of parents’ human and financial capital and racial and ethnic background have become important topics of social science and public health research on child obesity. Less often discussed, however, is the role of family structure, which is an important predictor of child well-being and indicator of family socioeconomic status. The goal of this study, therefore, is to investigate how preschool aged children’s risk of obesity varies across a diverse set of family structures and whether these differences in obesity are …

Effectiveness Of A Motivational Interviewing Intervention On Weight Loss, Physical Activity And Cardiovascular Disease Risk Factors: A Randomised Controlled Trial With A 12-Month Post-Intervention Follow-Up., Sarah J. Hardcastle, Adrian H. Taylor, Martin P. Bailey, Robert A. Harley, Martin S. Hagger

Peninsula Medical School

BACKGROUND: Intensive diet and physical activity interventions have been found to reduce cardiovascular disease (CVD) risk, but are resource intensive. The American Heart Association recently recommended motivational interviewing (MI) as an effective approach for low-intensity interventions to promote health-related outcomes such as weight loss. However, there is limited research evaluating the long-term effectiveness of MI-based interventions on health-related outcomes associated with CVD risk. The current research evaluated the effectiveness of a six-month low-intensity MI intervention in a UK primary-care setting in maintaining reductions in CVD risk factors at12 months post-intervention. METHODS: Primary-care patients were randomised to an intervention group that …

Obesity Prevention Among Latino Youth: School Counselors’ Role In Promoting Healthy Lifestyles And Academic Success, Amy Cook, Laura Hayden

Counseling, School Psychology & Sport Faculty Publication Series

Numerous psychological and behavioral consequences of obesity have been identified, including low self-esteem, depression, and poor academic performance. Given the higher obesity rates among Latino children and adolescents compared to their white counterparts, this session will provide school counselors with specific recommendations on how to implement an obesity prevention program in a culturally-sensitive manner that promotes development of healthy lifestyles and academic success.

An Acacb Variant Implicated In Diabetic Nephropathy Associates With Body Mass Index And Gene Expression In Obese Subjects, Lijun Ma, Mariana Murea, James A. Snipes, Alejandra Marinelarena, Jacqueline Krüger, Pamela J. Hicks, Kurt A. Langberg, Meredith A. Bostrom, Jessica N. Cooke, Daisuke Suzuki, Tetsuya Babazono, Takashi Uzu, Sydney C. W. Tang, Ashis K. Mondal, Neeraj K. Sharma, Sayuko Kobes, Peter A. Antinozzi, Matthew Davis, Swapan K. Das, Neda Rasouli, Philip A. Kern, Nathan J. Shores, Lawrence L. Rudel, Matthias Blüher, Michael Stumvoll, Donald W. Bowden, Shiro Maeda, John S. Parks, Peter Kovacs, Robert L. Hanson, Leslie J. Baier, Steven C. Elbein, Barry I. Freedman

Internal Medicine Faculty Publications

Acetyl coenzyme A carboxylase B gene (ACACB) single nucleotide polymorphism (SNP) rs2268388 is reproducibly associated with type 2 diabetes (T2DM)-associated nephropathy (DN). ACACB knock-out mice are also protected from obesity. This study assessed relationships between rs2268388, body mass index (BMI) and gene expression in multiple populations, with and without T2DM. Among subjects without T2DM, rs2268388 DN risk allele (T) associated with higher BMI in Pima Indian children (n = 2021; p-additive = 0.029) and African Americans (AAs) (n = 177; p-additive = 0.05), with a trend in European Americans (EAs) (n = 512; p-additive = 0.09), but not Germans (n …

Myths, Presumptions, And Facts About Obesity, Krista Casazza, Kevin R. Fontaine, Arne Astrup, Leann L. Birch, Andrew W. Brown, Michelle M. Bohan Brown, Nefertiti Durant, Gareth Dutton, E. Michael Foster, Steven B. Heymsfield, Kerry Mciver, Tapan Mehta, Nir Menachemi, P.K. Newby, Russell R. Pate, Barbara J. Rolls, Bisakha Sen, Daniel L. Smith Jr, Diana M. Thomas, David B. Allison

Faculty Publications

BACKGROUND Many beliefs about obesity persist in the absence of supporting scientific evidence (presumptions); some persist despite contradicting evidence (myths). The promulgation of unsupported beliefs may yield poorly informed policy decisions, inaccurate clinical and public health recommendations, and an unproductive allocation of research resources and may divert attention away from useful, evidence-based information.

METHODS Using Internet searches of popular media and scientific literature, we identified, reviewed, and classified obesity-related myths and presumptions. We also examined facts that are well supported by evidence, with an emphasis on those that have practical implications for public health, policy, or clinical recommendations.

RESULTS We …

Ethical Issues Surrounding Weight Bias And Stigma In Healthcare, Wren B. Hand Msn, Rn, Jennifer C. Robinson Phd, Rn, Eileen Creel Dns, Rn

Journal of Health Ethics

With the recognition of obesity as a global epidemic (World Health Organization [WHO], 2012), there has been increased interest in the study of weight bias and stigmatization (Ashmore, Friedman, Reichmann, & Musante, 2008; Puhl, Schwartz, & Brownell, 2005). Weight bias is a highly prevalent form of discrimination, perhaps as common as racial bias (Shkolnikova, 2008). Occurring in a wide variety of settings, weight bias may produce adverse effects in social relationships, education, employment, and health care (Durso & Latner, 2008), with the result that obese or overweight persons are socially marginalized and stigmatized.

Snap And Obesity, Craig Gundersen

University of Kentucky Center for Poverty Research Discussion Paper Series

No abstract.

The Healthy Lifestyle Center: A Case Study Illustrating The Opportunities And Challenges Confronting Local Health Departments In Preventing Chronic Disease, Katherine Anne Kemper Blossom

Master of Public Health Program Student Publications

Obesity is at epidemic levels in the United States, and is directly associated with decreased life expectancy, reduced quality of life, and increased health care costs. Public health system partners agree that reversing obesity trends will require a concerted effort led by government as well as business and civic organizations and that a multi-faceted approach will be needed to transform communities into places where the healthy choice becomes the easy choice for everyone. A foundational role for local health departments is to promote healthy behaviors. Public Health – Dayton & Montgomery County (PHDMC) has a history of providing community-based health …

Metabolic Impact Of Sex Chromosomes, Jenny Link, Xuqi Chen, Arthur P. Arnold, Karen Reue

Biology

Obesity and associated metabolic diseases are sexually dimorphic. To provide better diagnosis and treatment for both sexes, it is of interest to identify the factors that underlie male/female differences in obesity. Traditionally, sexual dimorphism has been attributed to effects of gonadal hormones, which influence numerous metabolic processes. However, the XX/XY sex chromosome complement is an additional factor that may play a role. Recent data using the four core genotypes mouse model have revealed that sex chromosome complement—independently from gonadal sex—plays a role in adiposity, feeding behavior, fatty liver and glucose homeostasis. Potential mechanisms for the effects of sex chromosome complement …

Scientific, Social & Legal Perspectives On Obesity: What Grown-Ups Need To Know, Judith G. Mcmullen

Marquette Elder's Advisor

No abstract provided.

Business Plan: Sports Facility In Rochester, Minnesota, Nikki Scherr

Master of Arts in Sport Management

This capstone project involves the construction of a new sports facility, The Sports Hut, located in Rochester, Minnesota. The mission of The Sports Hut organization is to get kids active at a young age, which allows the opportunity for athletes to thrive in their sport and passions, while providing a place to learn and grow in a healthy environment. Although obesity can be a very complex issue, Miller, Rosenbloom and Silverstein (2004) have discovered that obesity affects more than 30% of children and can be found commonly due to the environment and lifestyle in which they group up in. It …

Targeting And Local Health Promotion, Reed Geertsen

Sociology, Social Work and Anthropology Faculty Publications

Obesity has reached epidemic proportions in the United States. Almost two-thirds of

our adult population is overweight, and more than one-third are obese. The

obesity rate is twice what it was in 1970. Most local health departments try to

address this problem with nutrition and weight control clinics, but these clinics are often

underutilized. This study examined the effects of nine independent variables on a person's

inclination to use a nutrition/weight control clinic at ·a local health department in one of Utah's

twelve health districts. It was undertaken to identify the types of individuals who were most

likely to use …

A Confirmatory Factor Analysis Of The Metabolic Syndrome In Adolescents: An Examination Of Sex And Racial/Ethnic Differences, Matthew J. Gurka, Christa L. Ice, Shumei S. Sun, Mark D. Deboer

Faculty & Staff Scholarship

Objective

The metabolic syndrome (MetS) is a cluster of clinical indices that signals increased risk for cardiovascular disease and Type 2 diabetes. The diagnosis of MetS is typically based on cut-off points for various components, e.g. waist circumference and blood pressure. Because current MetS criteria result in racial/ethnic discrepancies, our goal was to use confirmatory factor analysis to delineate differential contributions to MetS by sub-group.

Research Design and Methods

Using 1999–2010 data from the National Health and Nutrition Examination Survey (NHANES), we performed a confirmatory factor analysis of a single MetS factor that allowed differential loadings across sex and race/ethnicity, …

Differences In Demographic, Behavioral, And Biological Variables Between Those With Valid And Invalid Accelerometry Data: Implications For Generalizability, Paul D. Loprinzi, Bradley J. Cardinal, Carlos J. Crespo, Gary R. Brodowicz, Ross E. Andersen, Ellen Smit

Community Health Faculty Publications and Presentations

Background: The exclusion of participants with invalid accelerometry data (IAD) may lead to biased results and/or lack of generalizability in large population studies. The purpose of this study was to investigate whether demographic, behavioral, and biological differences occur between those with IAD and valid accelerometry data (VAD) among adults using a representative sample of the civilian noninstitutionalized U.S. population. Methods: Ambulatory participants from NHANES (2003-2004) who were 20-85 years of age were included in the current study and wore an ActiGraph 7164 accelerometer for 7 days. A "valid person" was defined as those with 4 or more days of at …

Linking Environmental Toxicant Exposure To Diabetes Susceptibility, Jannifer Beth Tyrrell

Wayne State University Dissertations

An important and unresolved question in the environmental health field is whether exposure to common environmental toxicants, such as dioxin and heavy metals like Pb, increase the risk of developing diabetes, especially in combination with other common metabolic stressors such as obesity.

Previous studies suggested that dioxin exposure increased peripheral insulin resistance but did not appear to cause fasting hyperglycemia or elevated hepatic glucose output. In concordance with those findings we observed that dioxin treatment caused a strong suppression of the expression of the key hepatic gluconeogenic genes PEPCK and G6Pase. However, this suppression was not solely mediated by the …

A Prospective Study Of Physical Fitness, Obesity, And The Subsequent Risk Of Mental Disorders Among Healthy Young Adults In Army Training, Marlene E. Gubata, Nadia Urban, David N. Cowan, David W. Niebuhr

United States Army: Publications

Objective: Mental health disorders contribute substantially to medical and occupational morbidity. The role of fitness and physical activity in the prevention of mental health disorders is not well established, but epidemiologic data suggest that physical activity can protect against anxiety and depression.

Method: The analyses presented in this report, from a prospective cohort study, evaluate the association between fitness (as measured by a 5-minute step test), and being overweight (defined as exceeding weight and body fat allowances) at military entrance, with subsequent onset of mental disorder diagnosis in the first year of service. The association between risk factors …

Accounting For Product Substitution In The Analysis Of Food Taxes Targeting Obesity, Zhen Miao, John C. Beghin, Helen H. Jensen

Department of Agricultural Economics: Faculty Publications

We extend the existing literature on food taxes targeting obesity. We systematically incorporate the implicit substitution between added sugars and solid fats into a comprehensive food demand system and evaluate the effect of taxes on sugars and fats. The approach conditions how food and obesity taxes affect total calorie intake. The proposed methodology accounts for the ability of consumers to substitute leaner low-fat and low-sugar items for rich food items within the same food group. This substitution is integrated into a calibrated demand system in addition to the substitution among food groups, using recent food intake data and existing demand …

Is Obesity Still Increasing Among Pregnant Women? Prepregnancy Obesity Trends In 20 States, 2003–2009, S.C. Fisher, S.Y. Kim, A.J. Sharma, R. Rochat, B. Morrow

United States Public Health Resources

Objective. To estimate trends in prepregnancy obesity prevalence among women who delivered live births in the US during 2003–2009, by state, age, and race–ethnicity.

Methods. We used Pregnancy Risk Assessment Monitoring System (PRAMS) data from2003, 2006, and 2009 to measure prepregnancy obesity (body mass index [BMI] ≥ 30 kg/m²) trends in 20 states. Trend analysis included 90,774 records from 20 US states with data for all 3 study years. We used a chi-square test for trend to determine the significance of actual and standardized trends, standardized to the age and race–ethnicity distribution of the 2003 sample.

Results. Prepregnancy …

Cannabinoid Cb1r Receptor Mediates Metabolic Syndrome In Models Of Circadian And Glucocorticoid Dysregulation, Nicole Bowles

Student Theses and Dissertations

The most recent projections in the growing obesity rates across the nation show an increase to 60% by the year 2030. These growing rates of obesity are paralleled by an increased rates of depressive conditions, anxiety, and sleep loss, often with environmental factors at the root of the cause. Stress and the stress response is a dynamic system that reflects one's ability to cope with events, behaviorally or physiologically, as stressors occur over a lifetime. While many key players mediate the effects of stress exposure on disease outcomes including the sympathetic nervous system, parasympathetic, inflammatory cytokines and metabolic hormones, this …

'No Body Left Behind': Re-Orienting School-Based Childhood Obesity Interventions, Lindsay Wiley

Scholarly Articles in Law Reviews & Journals

Although there are now laws on the books in virtually every jurisdiction aimed at addressing childhood obesity in K-12 schools, these efforts are inadequate and may even be misguided in important ways. Efforts aimed at health promotion - through healthier eating and increased physical activity - remain woefully underfunded even as they proliferate at every level of government. It is one thing to enact a requirement that all schools offer a minimum number of minutes of physical education each week or that school lunches include more fruits and vegetables. But it is quite another to make the budgetary commitment to …

Shame, Blame, And The Emerging Law Of Obesity Control, Lindsay Wiley

Scholarly Articles in Law Reviews & Journals

In using law as a tool to combat the obesity epidemic, legal scholars and policymakers are drawing heavily on the lessons of tobacco control. This Article describes the resulting emergence of "obesity control law" and argues for a radical reorientation of it from a "denormalization" strategy based on the tobacco control experience to a "destigmatization" strategy based on the HIV prevention experience. The war on obesity is nearing a political crossroads. Subsidies and food industry regulations aimed at making our environment more conducive to physical activity and healthy eating are in danger of losing out to cheaper and more politically …

The Effect Of Maternal Beliefs And Behavior On The Body Weight Status Of Preschool-Aged Children, Nicole Lynn Boucher

Wayne State University Dissertations

Early onset pediatric obesity has become a major health concern in the United States. Pediatric obesity can lead to childhood hypertension, type II diabetes, and orthopedic problems. Currently, in the United States one in seven low-income preschools are overweight or obese. One of the key contributing factors to early onset childhood obesity is how children are socialized to the eating and mealtime environment. Maternal feeding styles play an integral role in how children are socialized to the eating and mealtime environment.

The purpose of the this study was to determine the extent to which maternal beliefs and behavior regarding the …

An Examination Of The Relationship Of Problematic Food Types To The Development Of Substance Use Disorder In Post-Bariatric Surgery Patients, Lauren Fowler

Senior Honors Theses and Projects

The present study focuses on the recent discovery of an overrepresentation of postbariatric surgery patients in substance abuse h'eatment centers (Saules et aI., 2010) and accumulating evidence of new-onset substance use disorders among post-bariatric surgery patients (Ivezaj, 2011; Saules, Reslan, & Schuh, 2012; Wiedemann, Saules, & Ivezaj, 2012), suggesting a role for both food addiction and addiction transfer (Avena & Gold, 2011; McFadden, 2010). Burgeoning research with both animal models and humans demonstrates the applicability of putative "food addiction" in the context of obesity, and justification for further examination of specific macronuh'ients as they relate to obesity and addiction transfer …