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Effect Of Different Diet Methods On Body Composition And Insulin, Leptin, And Ghrelin Levels In Overweight Women, Begum Sarica, Gulbin Rudarli Nalcakan, Ece Onur

Baltic Journal of Health and Physical Activity

Introduction. This study aims to compare the effects of similar calorie-restricted intermittent overnight fasting diet (OFD) and frequent-meal diet (FMD) on body composition and insulin, leptin, and ghrelin levels in overweight women. Materials and Methods: While the FMD was administered as six mealtimes, the OFD was administered as five mealtimes and at least 12 hours overnight fasting for four weeks. Some parameters regarding the metabolic rate and fat metabo-lism (glucose, insulin, HOMA-IR, leptin, ghrelin levels), body composition, resting metabolic rate, and physical activity level were measured before and after the diet. Results: There was no sig-nificant difference in the resting …

Effects Of Experimental Sleep Restriction On Energy Intake, Energy Expenditure, And Visceral Obesity, Naima Covassin, Prachi Singh, Shelly K. Mccrady-Spitzer, Erik K. St Louis, Andrew D. Calvin, James A. Levine, Virend K. Somers

Clinical Research Faculty Publications

Background: Although the consequences of sleep deficiency for obesity risk are increasingly apparent, experimental evidence is limited and there are no studies on body fat distribution. Objectives: The purpose of this study was to investigate the effects of experimentally-induced sleep curtailment in the setting of free access to food on energy intake, energy expenditure, and regional body composition. Methods: Twelve healthy, nonobese individuals (9 males, age range 19 to 39 years) completed a randomized, controlled, crossover, 21-day inpatient study comprising 4 days of acclimation, 14 days of experimental sleep restriction (4 hour sleep opportunity) or control sleep (9 hour sleep …

Protein Tyrosine Phosphatase Receptor Δ Serves As The Orexigenic Asprosin Receptor, Ila Mishra, Wei Rose Xie, Juan C Bournat, Yang He, Chunmei Wang, Elizabeth Sabath Silva, Hailan Liu, Zhiqiang Ku, Yinghua Chen, Bernadette O Erokwu, Peilin Jia, Zhongming Zhao, Zhiqiang An, Chris A Flask, Yanlin He, Yong Xu, Atul R Chopra

Faculty, Staff and Student Publications

Asprosin is a fasting-induced glucogenic and centrally acting orexigenic hormone. The olfactory receptor Olfr734 is known to be the hepatic receptor for asprosin that mediates its effects on glucose production, but the receptor for asprosin's orexigenic function has been unclear. Here, we have identified protein tyrosine phosphatase receptor δ (Ptprd) as the orexigenic receptor for asprosin. Asprosin functions as a high-affinity Ptprd ligand in hypothalamic AgRP neurons, regulating the activity of this circuit in a cell-autonomous manner. Genetic ablation of Ptprd results in a strong loss of appetite, leanness, and an inability to respond to the orexigenic effects of asprosin. …

Association Between Non-Tea Flavonoid Intake And Risk Of Type 2 Diabetes: The Australian Diabetes, Obesity And Lifestyle Study, Mary D. Adu, Catherine P. Bondonno, Benjamin H. Parmenter, Marc Sim, Raymond J. Davey, Kevin Murray, Simone Radavelli Bagatini, Dianna J. Magliano, Robin M. Daly, Jonathan E. Shaw, Joshua R. Lewis, Jonathan M. Hodgson, Nicola P. Bondonno

Research outputs 2022 to 2026

Studies examining the association between flavonoid intake and measures of insulin resistance and β-cell dysfunction, as markers of type 2 diabetes (T2DM) across the adult lifespan, may provide insights into how flavonoids influence T2DM risk. This study examined the cross-sectional associations between flavonoid intakes, from dietary sources other than tea, and biomarkers of glucose tolerance and insulin sensitivity in adults aged 25 years and older participating in the Australian diabetes, obesity and lifestyle (AusDiab) study. Additionally, longitudinal associations between non-tea flavonoid intakes and incident T2DM over 12 years were explored. Eligible participants (n = 7675) had no previous history of …

Effects Of Covid-19 In The Status Of Childhood Obesity In The United States: A Literature Review, Ana Cruz

The Graduate School Posters

Introduction: The main hypothesis is that COVID-19 affects the prevalence of childhood obesity in the United States due the precautions needed to contain the pandemic.

Methods: The methods used in this semi-systematic literature review includes web-based research from the following sources: Centers for Disease Control and Prevention, Google Scholar, ResearchGate, and EBSCOhost. The search was limited to children ages 5 to 19 years old with diagnosed obesity.

Results: The review found that COVID-19 pandemic has greatly increased the rate of childhood obesity in the United States due to changes in diet, increased screen time, and less physical activity.

Discussion: There …

Utilizing Motivational Interviewing Intervention To Improve Compliance With Self-Care Among Hispanic Adults With Obesity, Type 2 Diabetes Mellitus, And Hypertension, Mariagorety O. Nwiloh

Cohort X

Obesity, hypertension, and type 2 diabetes mellitus (type 2 DM) have continued to plague the healthcare system and the economy of the United States of America. They are most common among African Americans and Hispanic Americans. The objective of this quality improvement project was to improve compliance to self-care regarding self-monitoring of blood glucose, blood pressure, and exercise to achieve target fasting blood glucose (FBG) ≤ 120 mg/dL, blood pressure (BP) ≤ 130/80mm Hg and a weight loss of ≥5 pounds among adult Hispanics aged 18- 65 years old. A weekly motivational interviewing (MI) session was conducted for 6 weeks …

The Relationship Between Screen Time, Weight Status, And Fatty Liver Disease In U.S. Adolescents, A Cross-Sectional Study Using Nhanes, 2017-2018, Becky J. Thomas

Master of Public Health Program Student Publications

Objective: The purpose of this study was to assess if screen time in U.S. adolescents is positively associated with evidence of fatty liver disease (steatosis and/or fibrosis) on FibroScan technology and to test the hypothesis that being overweight or obese mediates this relationship.

Methods: The analysis used cross-sectional data from 12–17-year-old participants (n = 612) in the 2017-2018 National Health and Nutrition Examination Survey (NHANES) to evaluate the association between self-reported average daily screen time and the presence of liver steatosis and/or fibrosis using FibroScan. Adjusted logistic regression analysis was performed to describe the independent association between screen time and …

Brown Adipose Tissue (Bat) Activation And Its Potential Utilization As A Treatment Option For Obesity And Diabetes, Darcie B. Schneider

Student Publications

Within the human body, there are two types of adipose tissue: white adipose tissue (WAT) and brown adipose tissue (BAT). WAT is beneficial for insulation whereas BAT has thermogenic capacity. BAT activation increases energy consumption via heat generation. Increased energy expenditure is associated with improved glucose and lipid metabolism. Therefore, BAT activation research has primarily been aimed at its potential use in the treatment of obesity, diabetes, and other metabolic disorders. In this literature review, BAT's thermogenic mechanisms, techniques of activation, potential therapeutic targets, and future research topics are explored.

Associations Among Plant-Based Dietary Indexes, The Dietary Inflammatory Index, And Inflammatory Potential In Female College Students In Saudi Arabia: A Cross-Sectional Study, Ghadeer S. Aljuraiban, Rachel Gibson, Leenah Al-Freeh, Sara Al-Musharaf, Nitin Shivappa Mbbs, Mph, Ph.D., James R. Hébert, Linda M. Oude, Queenie Chan

Faculty Publications

Background Saudi Arabian diets are transitioning to more Western dietary patterns that have been associated with higher levels of inflammation. Emerging evidence suggests plant-based diets are related to lower levels of inflammation; however, the definition of plant-based diets varies. Objective The purpose of this study was to identify the extent to which an overall Plant-Based Diet Index (PDI), Healthy-PDI (hPDI), and Unhealthy-PDI (uPDI) vs Energy-Adjusted Dietary Inflammatory Index correlate with high-sensitivity C-reactive protein (hs-CRP) level. Design This was a cross-sectional study carried out at King Saud University. Data on dietary intake, anthropometrics, and hs-CRP were collected. Participants/setting Female students aged …

Pediatric Growth Patterns In Youth-Onset Type 2 Diabetes Mellitus: Implications For Physiologically-Based Pharmacokinetic Models., Chelsea M. Hosey, Kelsee Halpin, Valentina Shakhnovich, Chengpeng Bi, Brooke Sweeney, Yun Yan, J Steven Leeder

Manuscripts, Articles, Book Chapters and Other Papers

An accurate understanding of the changes in height and weight of children with age is critical to the development of models predicting drug concentrations in children (i.e., physiologically-based pharmacokinetic models). However, curves describing the growth of a typical population of children may not accurately characterize growth of children with various conditions, such as obesity. Therefore, to develop height and weight versus age growth curves for youth who were diagnosed with type 2 diabetes, we extracted data from electronic medical records. Robust nonlinear models were parameterized to the equations describing height and weight versus age as defined by the Centers for …

Association Between Self-Reported Body Mass Index And Active Life Expectancy In A Large Community-Dwelling Sample Of Older U.S. Adults, Haomiao Jia, Erica I. Lubetkin

Publications and Research

Background: Obesity may have a protective effect (greater survival) in older adults, a finding known as the "obesity paradox." This study examined the association between self-reported body mass index (BMI) and active life expectancy (ALE) among older U.S. adults.

Methods: Using the Medicare Health Outcomes Survey Cohort 15 (2012 baseline, 2014 follow-up), we estimated life expectancy and ALE by participants' baseline BMI and age using multi-state models. A participant was classified as in an active state if this person reported having no difficulty for any of these six activities of daily living (ADLs).

Results: Small differences in life expectancy were …

Metabolic Inflexibility In Youth With Obesity: Is It A Feature Of Obesity Or Distinctive Of Youth Who Are Metabolically Unhealthy?, Nour Y Gebara, Joon Young Kim, Fida Bacha, Sojung Lee, Silva Arslanian

Faculty, Staff and Students Publications

Individuals with obesity have metabolic inflexibility with diminished fasting fat oxidation and blunted increase in respiratory quotient (RQ) in insulin-stimulated states. However, it is unclear if metabolic inflexibility is a characteristic of obesity per se or is unique to youth who have metabolically unhealthy obesity (MUO) compared with metabolically healthy obesity (MHO). We investigated metabolic flexibility in youth with MUO, MHO and normal weight (NW) and compared their metabolic characteristics. Youth (n = 188) were divided, based on cut-off points for in vivo insulin sensitivity (IS) of adolescents with NW, into 137 with MUO and 51 with MHO. Fasting hepatic …

Examining 24-Hour Activity And Sleep Behaviors And Related Determinants In Latino Adolescents And Young Adults With Obesity, Erica G Soltero, Neeku Navabi, Kiley B Vander Wyst, Edith Hernandez, Felipe G Castro, Stephanie L Ayers, Jenny Mendez, Gabriel Q Shaibi

Children’s Nutrition Research Center Staff Publications

Background.

Few studies have examined 24-hour activity and sleep behaviors and their contribution to type 2 diabetes (T2D) in Latino adolescents and young adults with obesity.

Aim.

This study included quantitative data on T2D risk and 24-hour activity and sleep behaviors and qualitative data on individual, social, and environmental behavioral determinants.

Method.

A 7 day, 24-hour, wrist-worn accelerometer protocol assessed moderate-to-vigorous physical activity (PA), sedentary behaviors (SB), sleep, and sleep regularity, in adolescents (N = 38; 12–16 years) and young adults (N = 22; 18–22 years). T2D-related outcomes included adiposity (BMI, BF%, waist circumference), fasting, and 2-hour glucose. …

Metabolic Inflexibility In Youth With Obesity: Is It A Feature Of Obesity Or Distinctive Of Youth Who Are Metabolically Unhealthy?, Nour Y Gebara, Joon Young Kim, Fida Bacha, Sojung Lee, Silva Arslanian

Children’s Nutrition Research Center Staff Publications

Background:

Individuals with obesity have metabolic inflexibility with diminished fasting fat oxidation and blunted increase in respiratory quotient (RQ) in insulin-stimulated states. However, it is unclear if metabolic inflexibility is a characteristic of obesity per se or is unique to youth who have metabolically unhealthy obesity (MUO) compared with metabolically healthy obesity (MHO).

Objective:

We investigated metabolic flexibility in youth with MUO, MHO and normal weight (NW) and compared their metabolic characteristics.

Patients/Design:

Youth (n=188) were divided, based on cut-off points for in vivo insulin sensitivity (IS) of adolescents with NW, into 137 with MUO and 51 with MHO. Fasting …

Body Mass Index And Shortened Telomere Length In Middle-Aged Female And Male Running Head: Middle-Aged And Shortened Telomere Length, Tahreer Mohammed Al-Thuwaini

Baghdad Science Journal

Obesity is a risk factor associated with age-related disorders that accelerate aging, and it increases the risk of metabolic diseases. Therefore, this study was conducted to investigate the association of leukocyte telomere length (LTL) with the presence of higher body weight in middle-aged females and males. The study subjects comprised 160 (80 control and 80 higher body mass index BMI groups) with ranging ages of 30-50 years included and stratified for BMI. The physio-biochemical analysis was measured using enzymatic determination. Mean telomere length was determined by using the southern blotting technique. The association analysis revealed a significant variance (P < 0.01) in biochemical parameters between higher BMI groups and control including waist, lipid profile, and the level of estradiol, testosterone, follicle-stimulating hormone, and luteinizing hormone. Mean telomere length was shorter in middle-aged males compared to the females of higher BMI groups and control groups for both age groups. LTL was shorter in the overweight and obese patients compared with the control group, and these differences in LTL obese group were shorter compared to the overweight group. In conclusion, shorter telomere length was observed in middle-aged males associated with higher body weight and lipid abnormalities. Lipid/lipoprotein abnormalities can be used as a predictor for the shortened telomere length and the reduction in adiposity indices can improvement the telomere length in both overweight and obese subjects.

Current Targeted Interventions For Adult Patients With Comorbid Obesity And Depression: An Integrative Review, Meredith Lawson Parnell

Doctoral Dissertations and Projects

Obesity and depression share a bidirectional relationship when they exist as comorbidities in addition to individually posing complex public health challenges. Evidence from recent years suggests that there is a benefit to treating these illnesses with an integrated approach when they co-occur, but no current clinical guideline exists for this approach. The purpose of this integrative review is to synthesize existing literature and report current interventions targeting the management of comorbid obesity and depression in adults. The Whittemore and Knafl methodology for integrative review is the framework used to conduct this synthesis. A systematic search was conducted of nine computerized …

Changes In Physical Activity Associated With The Covid-19 Pandemic In Individuals With Overweight And Obesity: An Interrupted Time Series Analysis With Historical Controls, Michael C Robertson, Che Young Lee, Ivan Haw-Chong Wu, Yue Liao, Margaret Raber, Nathan Parker, Thuan Le, Leticia Gatus, Karen M Basen-Engquist

Faculty, Staff and Students Publications

The objective of this study was to investigate changes in physical activity patterns associated with the COVID-19 pandemic in individuals with overweight and obesity who were participating in a school district worksite weight loss program. We conducted comparative design interrupted time series analyses on physical activity device (Fitbit) data from the 2018-2019 and 2019-2020 school years (N = 211). We administered a questionnaire in 2020 to supplement device data. After the stay-at-home orders in 2020, participants tended to decrease their weekly step count (B = -1315.7, SE = 627.7, p = .045), decrease their weekly "Lightly active minutes" (B = …

Changes In Body Composition Of Children Aged Of 9 To 12 Years With Excess Body Weight Under The Influenceof Eight-Week Workout, Tomasz Dudziak, Zbigniew Czubek, Mirosław Grabowski, Robert Urbanski

Baltic Journal of Health and Physical Activity

Background:‪The increasing problem of overweight and obesity in children is the reason for taking further actions leading to mass reduction, because, in contrast to adults, the consequences of this pathology in young people are still not well known. The intervention actions that can lead to reduction in mass are not easy to find in literature, and their long-term effects are unknown. The aim of this research was to define the changes in body composition of children with excess body mass after eight-week high intensity workout.Material and methods:‪The study was conducted on 47 children aged 9‒12 years who were overweight or …

Evaluation Of Global Physical Activity Questionnaire (Gpaq) Among Healthy And Obese Health Professionals In Central India, Abhinav Singh, Bharathi Purohit

Baltic Journal of Health and Physical Activity

Background: To assess physical activity using the Global Physical Activity Questionnaire (GPAQ) among healthy, overweight and obese Indian health professionals. Materials and methods: The Global Physical Activity Questionnaire (GPAQ) was used to assess physical activity among 324 dental health care professionals (third-year students, final-year students, interns, and faculty). Metabolic Equivalents (MET) were used to express the intensity of physical activities, and are also used for the analysis of GPAQ data. The analysis of Variance (ANOVA) was used to compare the mean physical activity scores among dental health care professionals. The Chi Square test was used to compare categorical risk indicators …

Evaluating Nutrition Knowledge In Parents And Its Relation To Childhood Obesity, Rachael Shangraw

Theses and Dissertations

This study aims to evaluate the relationship between parental nutrition knowledge and their child’s body mass index (BMI) to identify variables that are associated with increased obesity in American children. A cross-sectional study design was employed with a convenience sample of 464 parents of children between the ages of 2 and 12. Parents completed a GNKQ-R (General Nutrition Knowledge Questionnaire – Revised) survey to measure nutrition knowledge. Parents reported their child’s height and weight which was later calculated and categorized according to the Center for Disease Control’s BMI-for-age growth chart. The Kolmogorov-Smirnov Test for Normality was conducted to examine the …

Fundamental Movement Skills And Weight Status In Children: A Systematic Review, Sari Slotte, Arja Sääkslahti, Katriina Kukkonen-Harjula, Pauli Rintala

Baltic Journal of Health and Physical Activity

Obesity has become a major health challenge in children. Fundamental movement skills(FMS) are suggested to have an important role for being physically active and decreasing the risk of obesity. This systematic review aimed to give an overview of studies providing evidence for a relationship between FMS and the weight status in children. A systematic search of five electronic databases (MEDLINE (PubMed), SportDiscus, ERIC, PsycInfo and SCOPUS) was conducted in January 2015. Studies examining associations between FMS and weight status in children aged 3–12 years were included. The final sample included 12 cross-sectional studies. Seven studies found statistically significant inverse association …

Obesity And Overweight Among Children And Adolescents In The Light Of Health Education Principles, Adam Wiek, Katarzyna Tkacz, Waclaw Mozolewski, Malgorzata E. Kusmierczyk, Sylwester Rybaczek

Baltic Journal of Health and Physical Activity

Pedagogical and educational institutions play an important role in health education. The proposed systemic principles should account for biological, environmental and cultural factors that determine the health of children and adolescents. Young people’s individual needs should constitute the framework of educational policy in the prevention of obesity and overweight. An analysis of health education practice in the Polish educational system indicates that the adopted measures, their practical applications and educational goals are adequate. Despite the above, the proposed systemic solutions are not always deployed or correctly implemented by the responsible institutions at various levels of local or social governance. The …

Effect Of The Depletion Of Self-Control Strength On The Self-Regulation Of The Nutritional Process In Obese Individuals, Malgorzata Obara-Golebiowska, Hanna Brycz

Baltic Journal of Health and Physical Activity

Self-strength can be depleted as a result of previous acts of self-control. The depletion of these resources is reflected by decreased effectiveness of controlling other behaviors. The aim of the research was to evaluate the impact of the depletion of self-control resources on the motivational and behavioral aspects of eating self-regulation among obese people. A total of 100 obese people participated in the research. In the experimental group a depletion of self-control resources technique was applied. The impact of the above method on motivational and behavioral aspects of eating self-regulation was verified through participants’ answers to two items on the …

Effectiveness Of The “Slimming Down Olsztyn Residents” Health Program – Motivation To Participate And Withdraw, Robert Podstawski, Dariusz Choszcz, Patrycja Polakowska

Baltic Journal of Health and Physical Activity

This study aimed to determine the motivation of overweight/obese persons to participate in and withdraw from a health promotion program, and to determine the program’s effectiveness. 91 women and 89 men enrolled in the program. Their motivation was described with modified EMI-2. The reasons for withdrawal were given by the participants. Body composition was determined with Tanita BC 418 MA. Improved appearance, weight loss and health were the main reasons why overweight/obese persons decided to become physically active. Approximately 56% women and 60% men quit the program because they were unable to cope with the fitness regime, lost interest or …

The Role Of Physical Activity In Instilling Healthy Lifestyle Habits In Children, Malgorzata Kostecka, Monika Bojanowska, Monika Stoma

Baltic Journal of Health and Physical Activity

Background: Habitual physical activity adapted to a child’s individual needs, ability, health, gender and age has positive implications for cognitive and physical growth and maturation. Childhood physical activity is a predictor of better health and general well-being in adulthood. Material/Methods: A questionnaire study was conducted on a population of 371 randomly selected primary school students in Lublin county. Correlations were determined between the student’s levels of physical activity and leisure time activities vs. age, gender, BMI score and the parents’ levels of physical activity. Results: The students’ attitudes towards PE differentiated subjects as to gender and the BMI score, whereas …

Prevalence Of Non-Alcoholic Fatty Liver Disease, Clinical And Laboratory Markers, Abror А. Хamrayev, Dilnavoz X. Yuldasheva

Central Asian Journal of Medicine

Aim of the research. To determine the clinical and laboratory features of non-alcoholic fatty liver disease at the stage of fatty hepatosis and steatohepatitis. Materials and methods. To solve the set tasks, 98 patients with non-alcoholic fatty liver disease (NAFLD) were examined, including 67 (68.3%) patients at the stage of hepatic steatosis (HS) and 31 (31.6%) patients with steatohepatitis (SH). Of these, 45 (46%) men and 53 (54%) women aged 20 to 75 years (average age 49.2 ± 4.2). Results. With steatohepatitis, higher ALT and AST values are noted than in patients with hepatic steatosis. The article contains clinical features …

Exercise − A Unique Endogenous Regulator Of Irisin, Bdnf, Leptin And Cortisol Against Depression, Gilmara Gomes De Assis, Pawel Cieszczyk

Baltic Journal of Health and Physical Activity

Depression is the most prevalent stress-related disorder affecting the population world-wide with potential for an eminent increase after the 2020 pandemic. The mechanisms through which metabolism is involved in depression and stress disorders have been extensively investigated. However, their assessment using exogenous measures is a current limitation. Exercise, as is well reported in animal studies, exerts a critical regulatory influence on the main factors known to participate in these mechanisms. This overview describes the role of cortisol, leptin, irisin and BDNF in the exercise physiology and the known mechanism through which these factors act in anti-depressant mechanisms. Furthermore, the exercise …

Ulva Prolifera Polysaccharide Exerts Anti-Obesity Effects Via Upregulation Of Adiponectin Expression And Gut Microbiota Modulation In High-Fat Diet-Fed C57bl/6 Mice, Hai-Ching Pung, Wei-Sheng Lin, Yi-Chen Lo, Cheng-Chih Hsu, Chi-Tang Ho, Min-Hsiung Pan

Journal of Food and Drug Analysis

Obesity is characterized by metabolic disorder and accompanying an altered and less diverse gut microbiota composition during a fat-enriched diet. Recent studies indicated that sulphated polysaccharide prevents high-fat diet (HFD) induced obesity, reduces metabolic disorder, and restores the gut microbiota. However, there are few studies about Ulva prolifera polysaccharide (UPP) may induce anti-obesogenic effects. Therefore, the present study investigates the enzymatic extracted UPP effects in HFD-fed mice. The results showed that UPP considerably slowed down the HFD-induced weight gain and improved metabolic disorders in HFD-fed mice. Notably, the effects were associated with lower body weight gain, reduced adipose tissue hypertrophy, …

Physical Activity Patterns And Dietary Habits Of Undergraduate Students, Ebenezer Essaw, Monday Omoniyi Moses, Daniel Afrifa, Isaac Kwaku Acheampong, Winifred Mensah, Lemuel Owusu

Baltic Journal of Health and Physical Activity

Background: ‪Data about physical activity report card for Ghanaian children and youth are available but reports on physical activity patterns and dietary habits of undergraduates are scarce. Material and methods: ‪This cross-sectional study sampled 278 participants (161 males, 117 females, mean age = 20.73 ± 1.72 years). Blood pressure, heart rate, physical activity patterns and dietary habits were measured. Results: ‪Most (83.1%) of the sample predominantly engaged in household activities. Time spent on treadmill/ cycling activities is significantly higher in females than males (P = 0.018). Day/week for high intensity sports was higher in males (P = 0.005), while household …

The Association Among Parental Perceptions And The Childhood Obesity Epidemic, Ian C. Washington

Theses and Dissertations

AbstractPurpose: The current study seeks to evaluate factors that are related to parental perception from parents who have children between the ages of 2-12 years old. Data was collected on parental perception of their child’s weight status, activity level, and sedentary level based on screen time to assess if these factors are associated with increased child BMI. Methods: Parents with children were invited to participate in a Qualtrics survey that was distributed via email, parental Facebook groups, and social media platforms. Inclusion criteria included being a parent of a child between the ages of 2 and 12 years old. One-way …