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Pregnancy: A "Teachable Moment" For Weight Control And Obesity Prevention, Suzanne Phelan

Kinesiology and Public Health

Excessive gestational weight gain has been shown to relate to high-postpartum weight retention and the development of overweight and obesity later in life. Because many women are concerned about the health of their babies during pregnancy and are in frequent contact with their healthcare providers, pregnancy may be an especially powerful "teachable moment" for the promotion of healthy eating and physical activity behaviors among women. Initial research suggests that helping women gain the recommended amount during pregnancy through healthy eating and physical activity could make a major contribution to the prevention of postpartum weight retention. However, more randomized controlled trials …

Analysis Of The Uk Recommendations On Obesity Based On A Proposed Implementation Framework, Amudha S. Poobalan, Lorna S. Aucott, Sheraz Ahmed, W. Cairns S. Smith

Department of Paediatrics and Child Health

Background: There is considerable expertise in the obesity field in identifying, appraising, and synthesising evidence to develop guidelines and recommendations for policy and practice. The recommendations, while based on evidence, are not formulated in a way that readily leads to implementation. This paper analyses the recent UK recommendations on obesity using a proposed implementation framework. Methods: Two bibliographic databases (Medline and Embase) and various health related and government websites were systematically searched for obesity recommendations published between 1996 and 2007. All the documents published on recommendations for either prevention or treatment of obesity in the UK were assessed. A proposed …

A Comprehensive Approach To Obesity, Hypertension, And Mental Health Evaluation, Stefan G. Kiessling, Kimberly K. Mcclanahan, Hatim A. Omar

Pediatrics Faculty Publications

The global epidemic of childhood and adolescent obesity in developing and developed countries has become a major public health concern. Given the relationship between obesity and hypertension as documented in several landmark studies, it is no surprise that, as the prevalence of obesity has increased in the pediatric population, rates of hypertension have also increased substantially. Hypertension is one of the most important risk factors for cardiovascular diseases and stroke; therefore, evaluation and initiation of appropriate treatment are extremely important in the pediatric population. Evaluation for secondary causes of hypertension, including renovascular, renoparenchymal, and endocrine disease, is the approach most …

Exploring Obesity And After-School Supervision With Adolescents In Rural West Virginia, Sallie Dawn Richards

Theses, Dissertations and Capstones

Both childhood obesity and the number of children in self-care have increased during the past several decades. Child care arrangements for working parents of middle school children can be a complex problem because unsupervised children who “hang out” with peers after school are more likely to engage in risky behaviors, although unsupervised children at home after school tend to watch more television than their supervised peers. Because children in self-care at home after school tend to engage in more sedentary activities, they may be at greater risk for becoming overweight or obese. The purpose of the present study was to …

What Are The Perceptions Of Hispanic Parents Associated With Eating Habits Of Hispanic Children Ages 6--12 And Obesity?, Amy Barrett

Nursing Theses and Capstone Projects

The main objective of this study is to identify the perceptions of Hispanic parents associated with eating habits of Hispanic children ages 6-12 and obesity. The purpose was to identify if the child's intake was different based on the parent's perception of whether or not their child had a weight problem. The idea was to examine how many times certain foods are consumed and compare that to the parent's perceptions. The study was a descriptive study. The childrenhad to be in the 95 th percentile and between the ages of 6-12 to qualify for the study. Parents were approached by …

Nursing Attitudes Towards Obese Patients, Diane M. Davis

Nursing Theses and Capstone Projects

All Registered Nurses and Licensed Practical Nurses who work in CICU, MSICU, NTICU and 7N .The attitudes of these nurses regarding obesity and the obese patients were measured. Objectives. To determine if there is a bias against obese patients in the health care setting and if further education is needed. Methods. Likert scale survey, modified from the NATOOPS survey (with permission) was sent electronically to each nurse and when completed transmitted to a data base where results were tabulated. Results. Among the 51 respondents, 60% had 4 years of college or more. Years in nursing ranged from 0-47.Age of nurse …

The Skinny On The Fop Flop: Why The Fda Must Tighten The Belt On Fop Labeling In Light Of The Obesity Crisis, Lauren E. Manning

Hofstra Law Review

No abstract provided.

A Program To Promote Physical Activity And Healthy Body Weight In An Adolescent Female: A Case Study, Katie Stoddard

Kinesiology and Public Health

A case study of an obese 14-year-old female was conducted to assess her body weight and dietary and physical activity habits. The purpose of this study was to promote weight loss through improved dietary practices and an increase in energy expenditure. This was done by monitoring and altering caloric intake and engaging in regular, vigorous physical activity. Furthermore, the subject increased health-related knowledge, developed new skills, and ultimately attempted behavior modification. From April to September 2009, the subject participated in a minimum of two supervised exercise sessions per week to increase her energy expenditure and to teach her strategies for …

Environmental Influences On Pediatric Obesity: An Examination Of The 2007 National Survey Of Children's Health (Nsch), Donny Dunfee

Master of Public Health Program Student Publications

Obese children are more likely to become obese as adults; hence, they are at increased risk for a number of adult diseases. As with adult obesity, several variables contribute to the increasing prevalence of childhood obesity. The intent of this report is to illustrate the connection between childhood obesity and the social environmental interactions of populations. With the increasing prevalence of obesity in adults and children, healthcare and public health professionals view childhood overweight and obesity as one of the most serious public health concerns of our time. This research conducts a secondary analysis of the National Survey of Children’s …

Diabetes Obesity-Wellness Opportunity Program (Dowop) Evaluation, Francis Banahene

Master of Public Health Program Student Publications

The aim of the study was to evaluate Diabetes Obesity - Wellness Opportunities Program (DOWOP) for overweight and obese adolescents aged eight to 14 years.

The study was conducted over 14 weeks at Victor J. Cassano, Sr. Health Center in Dayton, Ohio. Thirteen weekly nutrition, exercise and cognitive presentations were held. Cooking class was held on week thirteen. Participants completed food and activity diaries. The program sessions focused on healthy eating, increasing physical activity, decreasing sedentary behavior and supporting participants maintain healthy lifestyle.

Nurses recorded BMI and waist circumference at baseline, week 7 and week 14. Program administrators were interviewed …

Hyperandrogenism And Obesity, Amit M. Deokar, Shawn J. Smith, Amanda J. Goodwin, Hatim A. Omar

Pediatrics Faculty Publications

This chapter has a two-fold objective. One, ti addresses the association of hyperandrogenism and obesity and the complex metabolic derangements that are part of the problem. Clinical management of these co-morbidities is challenging and complex. Second, this chapter will aid health care providers with the key features to an early diagnosis and intervention to decrease the morbidities in the short as well as long term. Method: Systematic review of articles and information on the topic of interest that were published in the last 15 years. Conclusion: Obesity and hyperandrogenism are integral parts of Metabolic Syndrome/Polycystic Ovarian Syndrome (PCOS)/Hyperandrogenism, Insulin resistance, …

The Diabetes Primary Prevention Initiative Interventions Focus Area: A Case Study And Recommendations, Deborah S. Porterfield, Laurie Hinnant, David M. Stevens, Ernest Moy, Dppi-Ifa Case Study Group

Health Policy and Management Faculty Publications

Background: In 2005, CDC began the Diabetes Primary Prevention Initiative Interventions Focus Area (DPPI-IFA), which funded fıve state Diabetes Prevention and Control Programs (DPCPs) to translate diabetes primary prevention trials into real-world settings by developing and implementing a framework for state-level diabetes primary prevention.

Purpose: The purpose of this case study, conducted in 2007, was to describe DPPI-IFA implementation, including facilitators and challenges to the initiative. Methods: Case studies of the fıve DPCPs in the DPPI-IFA involving site visits with key informant interviews of state staff and partners and archival record collection.

Results: Partners recruited for DPPI-IFA activities included …

Physical Activity Levels In Obese And Non-Obese Women And Their Relationship With Body Mass Index, Perceived Self-Efficacy, Perceived Benefits And Barriers Of Exercise, And Commitment To A Plan Of Action, Rose Lange

Wayne State University Dissertations

The purpose of this descriptive correlational study was to examine relationships among selected variables and concepts within the Health Promotion Model (perceived benefits, perceived barriers to exercise, self-efficacy, commitment to plan of action) in non-obese and obese women with a focus on the behavioral outcome of physical activity (leisure & lifestyle). A group of 137 women, aged 18-50 participated in this study. BMI was found to be positively correlated to an individual's perceived barriers to action. Findings did not support the hypothesis that as BMI increases perceived benefits, self-efficacy, commitment to a plan of action and physical activity levels would …

Preschool Teachers' Perceptions Of Obesity At Ages 3-5 Years, Jessica D. Mackinney

PCOM Psychology Dissertations

The purpose of this study was not only to investigate the knowledge of preschool teachers on the topic of obesity, but also to determine whether or not they find obesity to be a significant problem facing 3-5 year old children. Results indicate that preschool teachers agree that obesity is a concern; however, they are unclear on the causality of obesity. Preschool teachers feel the long-term consequences of being obese at ages 3-5 years affect future academic, social, and physical growth, but they do not feel intervention should take place at the preschool level. This study contributed to a better understanding …

The Relationship Between Cognitive Distortions And Psychological And Behavioral Factors In A Sample Of Individuals Who Are Average Weight, Overweight, And Obese, Christina Berchock Shook

PCOM Psychology Dissertations

The current study was designed to investigate the relationship between the frequency of cognitive distortions, as measured by the Inventory of Cognitive Distortions (ICD), and psychological and behavioral factors, as measured by the Millon Behavioral Medicine Diagnostic (MBMD), which includes negative health habits, psychiatric indications, and treatment prognostics among a sample of individuals who were average weight, who were overweight, and who were obese. The sample of 385 men and women was recruited primarily from a health and fitness center. The results of this study indicated that negative health risk behaviors such as inactivity and overeating, as well as depression …

A Policy And Intervention For Overweight Children And Adolescents, Kimberly K. Mcclanahan, Marlene B. Huff, Hatim A. Omar

Pediatrics Faculty Publications

The global epidemic of childhood and adolescent overweight has become a major public health concern. Not only are these youth more likely to become obese adults, and thus more prone to obesity-related diseases than their non overweight peers, they are also likely to suffer emotional and social effects associated with overweight. Overweight in youth has been linked to depression, low self-esteem, eating disorders, negative body image, and stigma. It appears to be bi-directional in nature, with overweight sometimes predicting certain psychological effects and psychosocial issues sometimes predicting overweight. Effective assessment and treatment of psychological and mental health issues in overweight …

The Relationship Between Body Image And Body Mass Index In Attendees At A Health Fair, Millie S. Olds

Master of Public Health Program Student Publications

The purpose of this study was to examine the relationship between body image and body mass index (BMI) in attendees at a health fair. BMI and body image was also compared between races, ages and genders. It was hypothesized that there would be discrepancies between perceived body image and weight status, as measured by BMI. Sixty-two participants at a health fair in Cincinnati completed a survey about perceived body image and had their height and weight measured and BMI calculated later. Results suggested a positive relationship between BMI and body image. Participants with a higher BMI identified themselves with a …

Interventions To Modify Television Viewing Behavior Of Children : A Review, Meta-Analysis, And Key-Informant Interviews, Dayna Maureen Maniccia

Legacy Theses & Dissertations (2009 - 2024)

Excessive screen time and childhood obesity are two associated public health concerns. Several interventions to modify children's screen time exist. To date, no systematic review of these interventions has been conducted. This dissertation identified and summarized interventions to modify children's screen time. Suggestions for future work are provided.

Psychological And Behavioral Correlates Of Freshman Bmi Change, Rebecca Kathleen Jackl

Master's Theses

This observational research examines body-mass-index (BMI) changes in multicultural freshmen attending a large public urban university. It explores psychological and behavioral factors associated with gains and loss in BMI. The study utilizes an online survey distributed in September 2008 and again in December 2008. All3,509 freshmen were eligible to participate. Initial survey response rate was 29%; in December, 40% of initial respondents completed both surveys (n = 355). A subset of respondents (n = 65) had height, weight, and body composition measured to compare to self-reported data. Mean BMI change was a gain of 0.23 units, but those who gained …

Effect Of Exogenous Leptin On Thrombotic And Metabolic Profiles Of Fvb/B6 Lipodystrophic Mice, Hoda Chaouki Kadouh

Wayne State University Theses

Lipodystrophy caused by fat deficiency contributes to metabolic disease for which several treatment modalities have been implemented, with leptin therapy being the most effective to date. In addition to playing a role in energy homeostasis and metabolism, leptin was also shown to play a pro-thrombotic role in mice. This role was not examined in fatless mice, neither was thrombosis measured. The AZIP/F-1 (FVB) lipodystrophic mouse appeared to have a prolonged arterial occlusion time (p〈0.05) in a trial done in our lab, with clotting factors being normal. The present study was designed to observe the thrombotic and metabolic characteristics of fatless …

Trends In Body Fat, Body Mass Index And Physical Fitness Among Male And Female College Students, Peter Pribis, Carol A. Burtnack, Sonya O. Mckenzie, Jerome Thayer

Faculty Publications

There have been many publications in recent years reporting on the quantity of physical activity among college students using indirect indicators such as steps walked per day or time spent on physical activities. The purpose of this study was to describe the trends of physical fitness related to BMI and body fat among university students between 1996 and 2008. The results showed a significant decline in the average fitness levels measured as an estimation of VO2max for male and female students (p < 0.001 for both sexes). The linear trend for BMI by years was not significant for both sexes (p for males = 0.772, p for females = 0.253). On average, in the last 13 years, % body fat was increasing 0.513%/year for males and 0.654%/year for females. There is a significant indirect correlation between the student's VO2max levels and % body fat, r = -0.489; p < 0.001 for males; and r = -0.416, p < 0.001 for females. Approximately 23.9% of the variance in the VO2max levels in males and 17.3% in females can be explained by the variance in % body fat. The results support recent findings that physical fitness among college students is declining and body fatness is increasing. © 2010 by the authors.

Evaluating An Online Personalized Family-Based Intervention To Promote Healthy Lifestyle Changes, Sharon Hayes

Electronic Theses and Dissertations

The current study evaluated the initial feasibility, efficacy, and acceptability of a motivationally-tailored family-based intervention designed to promote the adoption of healthy lifestyle behaviors associated with physical activity and nutrition. Parents (N=132) of children 6 to 11 years old were randomly assigned to the intervention or control condition, and they completed a series of online questionnaires. Intervention participants (n=61) received a single motivationally-tailored feedback report via e-mail. Control participants (n=71) completed measures and immediately received information about a free online resource that provides information about healthy lifestyle behaviors (www.mypyramid.gov). Feasibility data indicate that an online feedback program has high dissemination …

The Role Of Ultrasonographic Hepatic Artery Resistive Index In The Diagnosis Of Insulin Resistance In Obese Children With Non-Alcoholic Fatty Liver Disease, Şami̇l Hizli, Ali̇ Koçyi̇ği̇t, Nur Arslan, Sedat Alpaslan Tuncel, Fati̇h Demi̇rci̇oğlu, Handan Çakmakçi, Benal Büyükgebi̇z

Turkish Journal of Medical Sciences

To determine the role of hepatic artery resistive index (HARI) measurement in the prediction of insulin resistance (IR) in obese children with nonalcoholic fatty liver disease (NAFLD). Materials and methods: A total of 64 obese subjects with NAFLD (13.5 ± 1.36 years of age, 34 male) and 32 age- and gender-matched control subjects (13.8 ± 1.24 years of age, 16 male) were enrolled in the study. All subjects underwent a physical examination, laboratory tests, and ultrasonographic and Doppler examinations of the liver. The homeostasis model assessment of IR (HOMA-IR) was used for the IR diagnosis. Results: Obese subjects with NAFLD …

Vegetarians And Vegans In Kentucky, Danita Martha Hines

University of Kentucky Master's Theses

Kentucky has a health crisis and most of the causes can be linked to diet, smoking and physical activity. Vegetarian and vegan diets have numerous benefits for many diet related health problems such as obesity, heart disease, Type 2 diabetes and certain cancers. There has been limited research on vegetarians and vegans in the United States and none in Kentucky. This study used an anonymous electronic survey to examine the different characteristics, behaviors, experiences and opinions of adult vegetarians and vegans in Kentucky. Results were compared to statistical data reported on the general population of Kentucky. Calculated body mass index …

Effect Of Resistant Starch On Microbial Content Of The Intestinal Tract, Reshani Nisansala Senevirathne

LSU Doctoral Dissertations

Resistant starch (RS) increases beneficial gastro-intestinal bacterial populations simultaneously increasing short-chain fatty acids (SCFA) such as butyrate. Butyrate acts as energy source for epithelial cells of colonic mucosa which stimulates intestinal cell proliferation and has been implicated as important in reducing obesity, diabetes and cancer. The Lactobacillus spp, Bifidobacterium spp, Bacteroides thetaiotaomicron, Clostridium cluster IV and Clostridium cluster XIV are mainly involved in the production of butyrate by fermenting RS in the large intestine. With age there is a decline in these gut bacteria, but in the present study RS and diet restriction both enhanced the bacteria involved in butyrate …

Parents Super-Sizing Their Children: Criminalizing And Prosecuting The Rising Incidence Of Childhood Obesity As Child Abuse, Cheryl Page

Journal Publications

With all of the mudslinging that is taking place in the current healthcare debate, very few proponents and opponents seem to be addressing the elephant in the room-obesity. Childhood obesity, specifically, is rising at an alarming rate. "The prevalence of obesity (BMI 30) continues to be a health concern for adults, children and adolescents in the United States." Sadly, the rate of adult obesity is increasing almost as dramatically as that of childhood obesity. Based on the National Health and Nutrition Examination Survey (NHANES) study, in the combined years of 2003-2006, of children between the ages of two and nineteen, …

Mitochondrial Function As A Determinant Of Life Span, Ian R. Lanza, K. S. Nair

ETSU Faculty Works

Average human life expectancy has progressively increased over many decades largely due to improvements in nutrition, vaccination, antimicrobial agents, and effective treatment/prevention of cardiovascular disease, cancer, etc. Maximal life span, in contrast, has changed very little. Caloric restriction (CR) increases maximal life span in many species, in concert with improvements in mitochondrial function. These effects have yet to be demonstrated in humans, and the duration and level of CR required to extend life span in animals is not realistic in humans. Physical activity (voluntary exercise) continues to hold much promise for increasing healthy life expectancy in humans, but remains to …

Examining The Relationship Between Weight, Food Insecurity, Food Stamps, And Perceived Diet Quality In School-Aged Children, Elizabeth Lucas Marshall

University of Kentucky Master's Theses

A paradox exists between food insecurity and obesity. Childhood obesity has tripled in the past three decades. This study aimed to understand the relationships between food insecurity, poverty income ratio, food stamps usage, perceived diet quality, and weight status in children. A child’s weight status is determined by many different factors and this study investigated several of these aspects. It was found that the family’s poverty index ratio had the greatest effect on a child’s BMI, but household food security status, ethnicity, and the perceived inability to serve balanced meals were all found to be statistically significant when considering a …

Niemann-Pick C1-Like 1 Deletion In Mice Prevents High-Fat Diet-Induced Fatty Liver By Reducing Lipogenesis, Lin Jia, Yinyan Ma, Shunxing Rong, Jenna L. Betters, Ping Xie, Soonkyu Chung, Nanping Wang, Weiqing Tang, Liqing Yu

Department of Nutrition and Health Sciences: Faculty Publications

Niemann-Pick C1-Like 1 (NPC1L1) mediates intestinal absorption of dietary and biliary cholesterol. Ezetimibe, by inhibiting NPC1L1 function, is widely used to treat hypercholesterolemia in humans. Interestingly, ezetimibe treatment appears to attenuate hepatic steatosis in rodents and humans without a defined mechanism. Overconsumption of a high-fat diet (HFD) represents a major cause of metabolic disorders including fatty liver. To determine whether and how NPC1L1 deficiency prevents HFD-induced hepatic steatosis, in this study, we fed NPC1L1 knockout (L1-KO) mice and their wild-type (WT) controls an HFD, and found that 24 weeks of HFD feeding causes no fatty liver in L1-KO mice. Hepatic …

The Relationship Between Energy Balance Understanding And Measures Of Wellness, Stephanie Fishel-Brown

All Dissertations

Much emphasis on the fight against obesity is placed on education and food labeling, yet very little research has been performed to measure how much people know about energy balance and the relationship of this knowledge to measures of wellness. The primary objective of this study was to determine if college students' (N = 262) performance on an energy balance questionnaire is associated with measures of wellness. Performance on the questionnaire as a whole was not significantly correlated (p > .05) with body mass index (BMI; r_s = .04), percent body fat (r_s = .05), waist to hip ratio …