Digital Commons Network^™

Bariatric Surgery: Lindsey G'S Story, Jaclyn E. Allred, Gautam Desai

Faculty and Staff Publications

No abstract provided.

Impact Of Hispanic Ethnic Concentration And Socioeconomic Status On Obesity Prevalence In Texas Counties, Jennifer J. Salinas, Elizabeth Rocha, Bassent Abdelbary, Jennifer L. Gay, Ken Sexton

Physician Assistant Studies Faculty Publications

The purpose of this study is to determine whether Hispanic ethnic concentration is associated with a higher prevalence of obesity and, if this relationship exists, whether it is affected by the socioeconomic environment. The study uses the Texas Behavioral Risk Factor Surveillance System (BRFSS) linked to 2000 census data to access the relationship between prevalence of obesity, Hispanic ethnic concentration, poverty and level of education at a county-level. The findings suggest that the association of Hispanic ethnic concentration and obesity varies by socioeconomic environment. Although little influence was observed for % poverty, the relationship between Hispanic ethnic concentration and obesity …

Association Among Obesity-Related Anthropometric Phenotypes: Analyzing Genetic And Environmental Contribution, Aline Jelenkovic, Esther Rebato

Human Biology Open Access Pre-Prints

Obesity has become a public health and policy problem in many parts of the world. Epidemiological and population studies in this field are usually based on different anthropometric measures, however, common genetic and environmental factors between these phenotypes have been scarcely studied. The objective of this work is to assess the strength of these factors on the covariation among a large set of obesity-related traits. The subject group consisted of 533 nuclear families living in the Greater Bilbao (Spain), and included 1702 individuals aged 2-61 years. Detailed anthropometric measurements (stature, breadths, circumferences and skinfolds) were carried out in each subject. …

Fitness Tax Credits: Costs, Benefits, And Viability, Daniel M. Reach

Northwestern Journal of Law & Social Policy

As the number of overweight and obese Americans rises, it becomes increasingly clear that Americans need further incentives to stimulate lasting lifestyle changes. Tax incentives focused on exercise, which have been largely unexplored to this point, are an effective response to the growing obesity problem in the United States that would largely avoid the political opposition that tax policies focused on diet have encountered. In addition, they would also provide a more palatable solution for the taxpayer beneficiaries with a relatively low impact on government revenues. Viable tax incentives to encourage greater fitness include tax credits and sales tax breaks, …

Polycystic Ovary Syndrome: Pathogenesis, Health Consequences, And Treatment Of Pcos In Relation To Insulin Resistance, Danielle Bernier

Honors Theses and Capstones

The purpose of this paper is to present a review of the current research on polycystic ovary syndrome (PCOS). PCOS is one of the most common endocrine disorders in women of reproductive age, affecting 5-10% of the population. Despite its prevalence, PCOS remains largely under unknown. This review has been broken down into two separate chapters. The first is the pathogenesis and related health consequences of PCOS. This chapter focuses on the diagnosis of PCOS as well as the prevalence and incidence of the disease. It then delves into the pathogenesis with a focus on genetics, obesity, insulin resistance and …

Electrocardiographic Abnormalities Among Mexican Americans: Correlations With Diabetes, Obesity, And The Metabolic Syndrome, Saulette R. Queen, Beverly Smulevitz, Anne R. Rentfro, Kristina Vatcheva, David D. Mcpherson, Susan P. Fisher-Hoch, Joseph B. Mccormick, Susan T. Laing

School of Mathematical & Statistical Sciences Faculty Publications

Background: Resting ischemic electrocardiographic abnormalities have been associated with cardiovascular mortality. Simple markers of abnormal autonomic tone have also been associated with diabetes, obesity, and the metabolic syndrome in some populations. Data on these electrocardiographic abnormalities and correlations with coronary risk factors are lacking among Mexican Americans wherein these conditions are prevalent.

Objective: This study aimed to evaluate the prevalent resting electrocardiographic abnormalities among community-dwelling Mexican Americans, and correlate these findings with coronary risk factors, particularly diabetes, obesity, and the metabolic syndrome.

Methods: Study subjects (n=1280) were drawn from the Cameron County Hispanic Cohort comprised of community-dwelling Mexican Americans living …

Perceived Effect Of Obesity In Rural Vs. Urban Areas, Damian Richard Macleod

College of Graduate Studies: Theses & Dissertations

This study examined the effects of obesity on quality of life (QOL) using the ORWELL 97 questionnaire, which measured pychosocial (discomfort and impact) and physical (physical discomfort) distress. Data were collected during Spring and Summer semesters (2006) from physical activity classes and student organizations. A total of 166 students (84 males, 86 females) participated. Students were grouped by sex (male, female), weight category (obese, non-obese) or BMI (obese, overweight, normal weight), and geographic area (rural, urban); three-factor analysis of variance (ANOVA) tested for main effects and interactions. Obese participants reported a poorer QOL than the non-obese, and females reported a …

Worksite Weight Loss Intervention For Employees In Stressful Workplaces: A Pilot Study And Baseline Survey Indicators Of Success, Pouran D. Faghri, Valerie B. Duffy, Nicole R. Benson, Martin G. Cherniack

UCHC Articles - Research

Statement of problem: Correctional facilities are stressful, unhealthy and dangerous working environments, which increase the risk of chronic diseases and a shortened lifespan for employees, particularly corrections officers. The need exists for effective worksite interventions to lower chronic disease risk and improve health of correctional employees. Objective: The primary aim was to pilot test eight-week worksite nutrition and physical activity educationalintervention for correctional employees and to determine baseline indicators of weight loss success. Methods: Twenty overweight/obese volunteer employees were recruited by convenience sampling. Educational material was tailored to baseline responses on diet and physical activity knowledge, preferences, and behaviors. Adiposity …

Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg

Theses and Dissertations

The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …

Short Run Needs And Long Term Goals: A Dynamic Model Of Thirst Management, Guofang Huang, Ahmed Khwaja, K. Sudhir

Cowles Foundation Discussion Papers

Beverage consumption occurs many times a day in response to a variety of needs that change throughout the day. In making their choices, consumers self-regulate their consumption by managing short run needs (e.g., hydration and mood pickup) with long-term goals (e.g., health). Using unique intra-day beverage consumption, activity and psychological needs data, we develop and estimate a model of high frequency consumption choices that accounts for both intra-day changes in short run needs and individual level unobserved heterogeneity in the degree of self-regulation. A novel feature of the model is that it allows for dynamics of consumption and stockpiling at …

Healthy Choices And Heavy Burdens: Race, Citizenship And Gender In The ‘Obesity Epidemic’, Jeanne Firth

Journal of International Women's Studies

The ‘obesity epidemic’ is widely accepted as a major public health threat in the United States. This paper provides a critical examination of the White House Task Force on Childhood Obesity’s action plan that is foundational to First Lady Michelle Obama’s ‘Let’s Move!’ campaign. The report reveals ideological anxieties about race, American citizenship, changing gender roles and women’s bodies. The framing of obesity as a personal problem and individual failing reflects the merger of American individualism and neoliberalism. Self-regulation and responsibility (and the mother’s responsibility for her children) are key in prescriptions to manage obesity, reflecting biopolitical techniques of governance …

Dog Ownership During Pregnancy, Maternal Activity, And Obesity: A Cross-Sectional Study, Carri Westgarth, Jihong Liu, Jon Heron, Andrew R. Ness, Peter Bundred, Rosalind M. Gaskell, Alexander J. German, Sandra Mccune, Susan Dawson

Faculty Publications

The Avon Longitudinal Study of Parents and Children (ALSPAC) is an observational study of 14273 UK pregnant singleton mothers in 1990/1991. We examined outcomes of self report of strenuous activity (hours per week) at 18 and 32 weeks of gestation, hours spent in leisure-time physical activities and types, and pre-pregnancy body mass index (BMI); overweight status was defined as pre-pregnancy BMI$25 and obesity BMI$30. Pet ownership and activity data were reported for 11,466 mothers. Twenty-five percent of mothers owned at least one dog. There was a positive relationship between participation in activity at least once a week and dog ownership …

Research Brief: "Bmi Trajectory Groups In Veterans Of The Iraq And Afghanistan Wars", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about obesity rates among OEF/OIF veterans and how race, education level, gender, and use of the VA play a role in obesity rates. For practice and policy, a fitness education program should be implemented by the VA to help lower obesity rates since obesity can cause more serious health problems. Suggestions for future research include expanding the study to involve veterans from other military eras and expanding the study to look at more risks associated with obesity.

Childhood Obesity And Restrictions Of Parental Liberty. A Response To "Paternalism, Obesity, And Tolerable Levels Of Risk", Kristin Voigt

Democracy & Education

This paper responds to Michael Merry’s recent contribution on childhood obesity. Merry’s analysis highlights the difficulties in finding an appropriate balance between children’s and parents’ interests in antiobesity interventions and emphasizes the importance of weight stigma and its effects on the obesity debate. He concludes by recommending both a greater focus on policies that address society's contribution to childhood obesity and a greater involvement of obese individuals in the policy debate. This response focuses on three points. First, a more explicit recognition of parents’ interests can support the case for the kinds of policies Merry has in mind. Second, while …

Paternalism, Obesity, And Tolerable Levels Of Risk, Michael S. Merry

Democracy & Education

In this article the author examines the relationship between paternalism and childhood obesity. In particular he examines the risks of paternalistic intervention in order to prevent or curtail the occurrence of obesity among young children.

Kentucky Worksite Wellness Tax Credit: A Health Impact Assessment, Cecilia M. Watkins, T. Lovely

Public Health Faculty Publications

The purpose of the assessment was to evaluate the potential effects of a worksite wellness tax credit on three main areas of concern for Kentucky: (!) nutrition, physical activity and obesity levels of children whose parents receive Worksite Wellness services, (2) jobs and (3) social cohesion.

Postpartum Weight Retention And Its Related Factors In Taiwanese Women: A Preliminary Study, Hsiu-Rong Cheng

Biennial Convention (CONV)

Purpose: Childbearing is a significant contributor to the increase of body weight and body fat, and waist circumference is an effective measurement to predict the risk of obesity-related diseases. Few studies have explored postpartum weight retention, and none have measured waist circumference in Taiwanese postpartum women. Hence, the purpose of this study is to examine the current magnitude of postpartum weight retention, waist circumference, and related factors of postpartum weight retention in Taiwanese women.

Methods: A cross-sectional design was used. A convenience sample of Taiwanese women was recruited from two health centers in southern Taiwan. Women's body weights and waist …

Health Enhancing Policies And Environments In Select Montgomery County Senior Centers, Stacey L. Gardner

Master of Public Health Program Student Publications

As the baby boomer generation reaches elderly status, healthcare expenditures in the United States continue to rise. Contributing to healthcare costs is the high prevalence of chronic diseases caused by unhealthy habits of Americans such as tobacco use, lack of physical activity, and consumption of a poor diet. Many chronic diseases can be prevented by engaging in healthier behaviors. Communities and organizations can shift social norms and affect behaviors through policy intervention and environmental strategies. The purpose of this study was to describe policies and environments that foster healthy lifestyles in select senior centers in Montgomery County, Ohio. Specifically, this …

Binge Eating Disorder Mediates Links Between Symptoms Of Depression, Anxiety, And Caloric Intake In Overweight And Obese Women, Roseann E. Peterson, Shawn J. Latendresse, Lindsay T. Bartholome, Cortney S. Warren, Nancy C. Raymond

Human and Molecular Genetics Publications

Despite considerable comorbidity between mood disorders, binge eating disorder (BED), and obesity, the underlying mechanisms remain unresolved. Therefore, the purpose of this study was to examine models by which internalizing behaviors of depression and anxiety influence food intake in overweight/obese women. Thirty-two women (15 BED, 17 controls) participated in a laboratory eating-episode and completed questionnaires assessing symptoms of anxiety and depression. Path analysis was used to test mediation and moderation models to determine the mechanisms by which internalizing symptoms influenced kilocalorie (kcal) intake. The BED group endorsed significantly more symptoms of depression (10.1 versus 4.8, 𝑃 = 0 . 0 …

The Relationship Between Middle School Students' Perceptions Of Physical Activity, Student Engagement, And Academic Achievement, Jeremy D. Moretti

Electronic Theses and Dissertations

Physical activity is important, and many adolescents are not meeting the recommendation that youth participate in at least 60 minutes of physical activity most days of the week (CDC, 2011). Physical inactivity among middle school students is on the rise and may be a contributing factor to a decline in academic performance. Prior research has focused primarily on bodily health; however, growing evidence supports the benefits of physical activity for academic achievement (Chomitz et al., 2009). This study examined the relationship between middle school students' perceptions of physical activity and student engagement they relate to academic achievement among 179 middle …

Cultural Diabetes, Keri E. Noll

Electronic Theses and Dissertations

Diabetes has become a cultural problem across America, but particularly in the Midwest and Southern regions. For my film, I explored these two areas and compared the food and exercise culture to one of the healthier regions, the West. Having moved from Indiana to Colorado, I used my own personal experiences to analyze why people in the Midwest struggle with diabetes and obesity at such a higher rate than those nearer to the Pacific Ocean. Through a series of interviews with close friends and observational analysis of each state, I came to learn something very important about health: our food …

Factors That Influence Food Access In The United States: A Snapshot Of Food Access In Ohio And Kentucky, Maimouna Falls

Master of Public Health Program Student Publications

Background: The United States is one the richest countries in the world with a Gross Domestic Product (GDP) per capita of $48,442, yet many communities lack access to affordable nutritious food. Access to food impacts health outcomes such as obesity and diabetes. The purpose of this study was to determine the association between food access and rates of obesity and diabetes in the states of Ohio and Kentucky.

Methods: County level food access data from 120 counties in Kentucky and 88 counties in Ohio were obtained from the USDA website. The dataset included demographic variables and poverty rates. Food access …

Healthy Lifestyle Programs For Physical Activity And Nutrition, N.A.

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

A Nhanes 2005-2006 Data Analysis Examining Early Childhood Factors, Food Security, Medical Insurance, And Childhood Obesity, Assanatu Iyatunde Savage

Presidential Alumni Research Dissemination Award

The purpose of this study, and primary research question, was to examine the relationships among early childhood factors, food security, and family medical insurance and childhood obesity. There are many factors associated with the overweight and obesity epidemic. Hence, creating solutions must be addressed on various platforms such as early childhood influences, food security/insecurity, and family availability of health insurance. Relevant and aggregate data on factors affecting childhood obesity could potentially lead to age appropriate interventions to prevent childhood obesity and its sequelae. The literature noted the social cognitive theory in addressing the relationship between parents, the environment, and childhood …

Annual Report To The Nation On The Status Of Cancer, 1975-2008, Featuring Cancers Associated With Excess Weight And Lack Of Sufficient Physical Activity, Christie Eheman, S. Jane Henley, Rachel Ballard-Barbash, Eric J. Jacobs, Maria J. Schymura, Anne-Michelle Noone, Liping Pan, Robert N. Anderson, Janet E. Fulton, Betsy A. Kohler, Ahmedin Jemal, Elizabeth Ward, Marcus Plescia, Lynn A. G. Ries, Brenda K. Edwards

United States Public Health Resources

BACKGROUND: Annual updates on cancer occurrence and trends in the United States are provided through collaboration between the American Cancer Society (ACS), the Centers for Disease Control and Prevention (CDC), the National Cancer Institute (NCI), and the North American Association of Central Cancer Registries (NAACCR). This year’s report highlights the increased cancer risk associated with excess weight (overweight or obesity) and lack of sufficient physical activity (<150 minutes of physical activity per week).

METHODS: Data on cancer incidence were obtained from the CDC, NCI, and NAACCR; data on cancer deaths were obtained from the CDC’s National Center for Health Statistics. Annual percent changes in …

Mothers' Health And Health Behaviors That Influence Childhod Obesity Maternal Bmi And Infant Feeding Methods, Mohamed Abdullah Alammari

All Graduate Theses, Dissertations, and Other Capstone Projects

The rate of childhood obesity in America continues to climb. Many medical experts believe that childhood obesity can develop as early as prenatal development in the uterus, and infancy. The purpose of this study is to explore the relationships between mothers' health and health behaviors (maternal BMI and infant feeding methods) and childhood obesity. We conducted and analyzed a sample of 307 mothers and their children (307) to examine each mother's maternal BMI and her child or children's BMI. We also examined mothers' feeding methods (bottle vs. breastfeeding).The result of this research did not match with the review of literature. …

Predictors Of Attrition And Success In A Weight Management Program For Patients With Type 2 Diabetes, Kevin O'Leary

PCOM Psychology Dissertations

Aim: To examine the factors that lead to attrition and success in a weight management program for patients diagnosed with type 2 diabetes. The current study specifically examines the effect of quality of life, expected weight loss, self-esteem, and early weight loss on attrition and success rates. Methods: Archival data from a study conducted at the University of Pennsylvania Center for Weight and Eating Disorders were used. Seventy-nine overweight and obese subjects with type 2 diabetes participated in a lifestyle modification program over 40 weeks. Logistic regression analyses were performed to explore the relationship between early weight loss, expected …

Association Between Obesity And Therapeutic Goal Attianment In Patients With Concomitant Hypertension And Dyslipidemia, Ishveen Chopra

Electronic Theses and Dissertations

Objective: A retrospective study was conducted to examine the variations in therapeutic {blood pressure (BP) and lipid} goal attainment and medication utilization pattern in patients with concomitant hypertension and dyslipidemia, specifically comparing obese versus non-obese patients. Methods: GE Centricity EMR database containing data from 2004-2011 was utilized. 9,086 patients diagnosed with concomitant hypertension and dyslipidemia were evaluated. Goal attainment and treatment pattern for BP and lipid levels was assessed based on JNC 7 and NCEP ATP III guidelines, respectively. Results: Substantial proportion of patients with concomitant hypertension and dyslipidemia failed to attain BP and lipid goals. Further, in patients with …

Effects Of Adipocyte Deficiency Of Angiotensin Type 1a Receptors In Models Of Obesity And Hypercholesterolemia, Kelly Anne Putnam

Theses and Dissertations--Nutritional Sciences

Adipocytes express angiotensin II (AngII) receptors; however the direct effects of AngII at the adipocyte remain unclear. Knockout mouse models of renin-angiotensin system components exhibit reduced body weight, reduced adiposity, improved glucose tolerance, and improved blood pressure when fed high fat diets, which may be due to reduced action of AngII through the AT1aR in adipocytes. Additionally, hypercholesterolemic AT1aR deficient mice are protected from AngII-induced increases in atherosclerosis and abdominal aortic aneurysm (AAA) formation. We hypothesized that deficiency of AT1aR in adipocytes would reduce the development of obesity, obesity-induced disorders, and vascular diseases. To test this hypothesis, we created a …

Variants In Cxadr And F2rl1 Are Associated With Blood Pressure And Obesity In African-Americans In Regions Identified Through Admixture Mapping, Priya B. Shetty, Hua Tang, Bamidele O. Tayo, Alanna C. Morrison, Craig L. Hanis, Dabeeru C. Rao, Jeffery H. Young, Ervin R. Fox, Eric Boerwinkle, Richard S. Cooper, Neil J. Risch, Xiaofeng Zhu

Faculty Publications

OBJECTIVE: Genetic variants in 296 genes in regions identified through admixture mapping of hypertension, BMI, and lipids were assessed for association with hypertension, blood pressure (BP), BMI, and high-density lipoprotein cholesterol (HDL-C). METHODS: This study identified coding SNPs identified from HapMap2 data that were located in genes on chromosomes 5, 6, 8, and 21, wherein ancestry association evidence for hypertension, BMI, or HDL-C was identified in previous admixture mapping studies. Genotyping was performed in 1733 unrelated African-Americans from the National Heart, Lung and Blood Institute's Family Blood Pressure Project, and gene-based association analyses were conducted for hypertension, SBP, DBP, BMI, …