Digital Commons Network^™

Improving Health Behaviors Through Community Engagement: Challenge For A Healthier Louisiana, Stephanie T. Broyles, Elizabeth A. Gollub, Allison Tohme, Peter T. Katzmarzyk

Faculty Publications

There is increasing recognition that community-based approaches may have merit in improving physical activity and healthy eating behaviors. The “Challenge for a Healthier Louisiana” program supported twelve projects that addressed the root causes of obesity through integrated community-level changes. Partnerships provided community-based obesity prevention by promoting healthier eating and/or physical activity through enhanced infrastructure, policy changes, and programming. To evaluate whether the program resulted in changes in healthy eating and/or physical activity among adults, surveys were conducted pre- and postintervention among participants. Participants who were exposed to physical activity programs were more likely to adopt the consumption of fruits (odds …

Quantifying The Varying Predictive Value Of Physical Activity Measures Obtained From Wearable Accelerometers On All-Cause Mortality Over Short To Medium Time Horizons In Nhanes 2003-2006, Lucia Tabacu, Mark Ledbetter, Andrew Leroux, Ciprian Crainiceanu, Ekaterina Smirnova

Mathematics & Statistics Faculty Publications

Physical activity measures derived from wearable accelerometers have been shown to be highly predictive of all-cause mortality. Prediction models based on traditional risk factors and accelerometry-derived physical activity measures are developed for five time horizons. The data set contains 2978 study participants between 50 and 85 years old with an average of 13.08 years of follow-up in the NHANES 2003–2004 and 2005–2006. Univariate and multivariate logistic regression models were fit separately for five datasets for one- to five-year all-cause mortality as outcome (number of events 46, 94, 155, 218, and 297, respectively). In univariate models the total activity count (TAC) …

Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue

Walden Dissertations and Doctoral Studies

Breast cancer incidence is suddenly increasing among African American women. Recent studies indicate that health behaviors are thought to confer important health benefits and have the potential to lowering breast cancer incidence. Guided by the social ecological model, the purpose of this quantitative, cross-sectional study was to investigate the association between health behaviors of fruit consumption, vegetable consumption, and physical activity and breast cancer after adjusting for age, body mass index, and smoker status. Social support and income level were assessed as modifiers. Using the 2012 to 2017 Health Information and National Trends Survey data, this study was conducted with …

Patients' Understanding Of Diabetes Self-Management Education And Support In A Private Primary Care Clinic In Kuala Lumpur: A Qualitative Study, Thanapalan Tharini

Student Works (2020-2029)

Patients with diabetes mellitus should be actively self-managing their disease, since this can aid in producing better glycaemic control. Thus healthcare professionals managing diabetes patients, irrespective of whether they are in the public or private setting, need to focus on educating patients in order to empower them to carry out self-management practices. Little evidence is available to determine whether patients, especially those managed in private primary care clinics, are able to understand the education provided to them on diabetes self-management. This study aimed to explore patients’ comprehension of content and perception regarding delivery and quality of diabetes self-management education at …

Randomised Placebo-Controlled Cross-Over Study Examining The Role Of Anamorelin In Mesothelioma (The Anthem Study): Rationale And Protocol, Siao Nge Hoon, Katrina Fyfe, Carolyn J. Peddle-Mcintyre, Samantha Bowyer, Felicity Hawkins, Emily Jeffery, Hui Jun Chih, Jenette Creaney, Anna Nowak, Fraser Brims

Research outputs 2014 to 2021

Introduction Cachexia is common in malignant mesothelioma (MM); half of patients have malnutrition and low skeletal muscle mass. Malnourished patients have worse quality of life (QoL). Weight loss is strongly associated with poor survival. Anamorelin is an oral ghrelin receptor agonist that improves appetite, body weight and QoL in advanced cancer. The aim of this study is to examine the efficacy of anamorelin in improving appendicular skeletal muscle mass (ASM) and patient-reported outcomes in patients with MM with cachexia. Methods and analysis A single-centre, phase II, randomised, placebo-controlled cross-over pilot study with 28-day treatment periods and 3-day washout. Forty patients …

Physical Activity In Two Low-Income Detroit Neighborhoods: Disentangling Human Agency From Social Structure, Daniel J. Rose

The Journal of Sociology & Social Welfare

This article explores strategies developed by African American residents in response to barriers to physical activity in two low-income Detroit neighborhoods. Using 47 in-depth, qualitative interviews, a grounded theory approach allowed the analysis to be reframed around the ways in which structural factors conditioned, but did not determine the human agency of residents seeking physical activity. Interviews revealed numerous responses to structural barriers such as devising home routines, cognitive mapping to avoid perceived threats, and leaving the neighborhood to access resources. Differences in neighborhood contexts, along with unique individual concerns, showed that agency was neither a constant nor independent force, …

We Have The Program, What Now? Development Of An Implementation Plan To Bridge The Research-Practice Gap Prevalent In Exercise Oncology, Mary A. Kennedy, Sara Bayes, Robert U. Newton, Yvonne Zissiadis, Nigel A. Spry, Dennis R. Taaffe, Nicolas H. Hart, Michael Davis, Aileen Eiszele, Daniel A. Galvão

Research outputs 2014 to 2021

© 2020 The Author(s). Background: Exercise has emerged as a promising therapy for people with cancer. Novel programs have been developed to translate research into practice; however, implementation barriers have limited their success in part because successful translation of exercise oncology research into practice requires context-specific implementation plans. The aim of this study was to employ the implementation mapping protocol to develop an implementation plan to support programming of a co-located exercise clinic and cancer treatment center. Methods: The Implementation Mapping protocol, which consists of five specific iterative tasks, was used. A stakeholder advisory group advised throughout the process. Results: …

Nutrition, Body Composition And Physical Activity In Malignant Pleural Disease: Associations With Patient Outcomes And Response To An Exercise Intervention, Emily Jeffery

Theses: Doctorates and Masters

Background: Patients with malignant pleural disease (MPD) have advanced cancer and high symptom burden. Goals of patient care are to optimise health-related quality-of-life (HR-QoL) and participation in daily physical activities. Supportive care interventions such as nutrition and exercise could offer benefit to patients. However, there is a lack of information on the prevalence of low muscle mass (i.e., pre-sarcopenia), malnutrition, inactivity and poor physical functioning in patients with MPD. Additionally, little is known about the factors associated with development of pre-sarcopenia and malnutrition or their associations with patient outcomes.

Purpose: The objectives were to: 1) characterise physical activity levels and …

The Relationship Between Physical Activity, Apolipoprotein E Ε4 Carriage, And Brain Health, Jaisalmer De Frutos-Lucas, Pablo Cuesta, David López-Sanz, Africa Peral-Suárez, Esther Cuadrado-Soto, Federico Ramírez-Toraño, Belinda M. Brown, Juan M. Serrano, Simon M. Laws, Inmaculada C. Rodríguez-Rojo, Juan Verdejo-Román, Ricardo Bruña, Maria L. Delgado-Losada, Ana Barabash, Ana M. López-Sobaler, Ramon López-Higes, Alberto Marcos, Fernando Maestú

Research outputs 2014 to 2021

BACKGROUND: Neuronal hyperexcitability and hypersynchrony have been described as key features of neurophysiological dysfunctions in the Alzheimer's disease (AD) continuum. Conversely, physical activity (PA) has been associated with improved brain health and reduced AD risk. However, there is controversy regarding whether AD genetic risk (in terms of APOE ε4 carriage) modulates these relationships. The utilization of multiple outcome measures within one sample may strengthen our understanding of this complex phenomenon. METHOD: The relationship between PA and functional connectivity (FC) was examined in a sample of 107 healthy older adults using magnetoencephalography. Additionally, we explored whether ε4 carriage modulates this association. …

Limitations Of The Digestible Indispensable Amino Acid Score (Diaas) And Choice Of Statistical Reporting. Comment On “A Comparison Of Dietary Protein Digestibility, Based On Diaas Scoring, In Vegetarian And Non-Vegetarian Athletes. Nutrients 2019, 11, 3106”, Angela Genoni, Joel C. Craddock, Emma Strutt

Research outputs 2014 to 2021

No abstract provided.

Can Instagram Be Used To Deliver An Evidence-Based Exercise Program For Young Women A Process Evaluation, Rachel G. Curtis, Jillian C. Ryan, Sarah M. Edney, Carol A. Maher

Research outputs 2014 to 2021

Background Instagram provides an opportunity to deliver low cost, accessible and appealing physical activity content. This study evaluated the feasibility of delivering an exercise program for young women using Instagram. Methods A single-group pre- and post-intervention trial examined the feasibility and preliminary efficacy of a 12-week Instagram-delivered program with young inactive women (n = 16; M = 23 years), which prescribed running and body weight exercises to complete three times per week. Daily Instagram posts delivered the exercises, video demonstrations and motivational content. Feasibility was evaluated by examining exposure (Instagram posts viewed per week), engagement (likes, comments and tags on …

Validity And Bias On The Online Active Australia Survey: Activity Level And Participant Factors Associated With Self-Report Bias, Rachel G. Curtis, Timothy Olds, Ronald Plotnikoff, Corneel Vandelanotte, Sarah Edney, Jillian Ryan, Carol Maher

Research outputs 2014 to 2021

Background This study examined the criterion validity of the online Active Australia Survey, using accelerometry as the criterion, and whether self-report bias was related to level of activity, age, sex, education, body mass index and health-related quality of life. Methods The online Active Australia Survey was validated against the GENEActiv accelerometer as a direct measure of activity. Participants (n = 344) wore an accelerometer for 7 days, completed the Active Australia Survey, and reported their health and demographic characteristics. A Spearman’s rank coefficient examined the association between minutes of moderate-to-vigorous physical activity recorded on the Active Australia Survey and GENEActiv …

Perceptions Of Physical Activity Engagement Among African American Emerging Adults At Georgia Southern University - Statesboro Campus, Addison Mickens

College of Graduate Studies: Theses & Dissertations

Introduction: Physical Activity (PA) is critical to the health and well-being of African American emerging adults, ages 18-25. Research suggests that African American (AA) college students engage in less PA than other racial/ethnic groups. Few studies have examined the relationship between the collegiate built environment (CBE) impact on PA in this population. The Social Ecological Model (SEM) and the Social Cognitive Theory (SCT) were used to show how the environment facilitates influence on the behavior through physical and social factors affecting the behavior of engaging in PA. Methods: The purpose of this cross-sectional, concurrent multi-method study was to determine barriers …

The Perception Of Men's Preferred Female Body Size And Weight Control Behaviors Of Afro-Caribbean Women In The United States Virgin Islands, Alice Victoria Henry

Walden Dissertations and Doctoral Studies

The prevalence of obesity among Afro-Caribbean women living in the United States Virgin Islands (USVI) is a health care issue that can have detrimental effects on society. To reverse the spread of this disease, factors contributing to its prevalence must be understood so that they can be addressed. The purpose of this cross-sectional study was to examine Afro-Caribbean women's perception of the female body size preferred by Afro-Caribbean men and the influence of that perception on the women's weight control behaviors of diet and physical activity. The reasoned action approach was the basis for the theoretical foundation. The research problem …

Childhood Obesity In California: The Impact Of School Lunch Options And Physical Education Standards In Public Elementary Schools, Audrey Connell

Scripps Senior Theses

Obesity is a biosocial phenomenon in that it is shaped by both biological and social processes. On the biological level, excess body fat increases one’s risk of placing the body in a non-homeostatic state that can weaken the immune response. On the social level, social inequalities are linked to obesity in the United States where racial and ethnic minority communities with low education and high poverty rates bear the largest burden of obesity. In various institutions, multiple actors such as food marketers, public health officials, policy makers, and school administrators dictate the opportunities available to children for them to reach …

The Effect Of Curriculum- And Classroom-Based Physical Activity Breaks On Academic Performance In Elementary School Children In Southern New Mexico, Sephonnie S. Elliss

Open Access Theses & Dissertations

Research has provided strong evidence for the many health benefits of exercise (e.g. decreased risk of heart disease, diabetes, osteoporosis, sleep apnea, falls). Despite the plethora of evidence, most Americans do not meet the Surgeon General's recommendation of achieving 150 minutes of moderate-to-vigorous physical activity (PA) per week. Compounding the problem for children is the fact that although most American kids are enrolled in school for 30 or more hours per week, making schools a prime location to teach modes of physically active health habits, schools have instead increasingly become places that promote sedentary behavior as greater emphasis has been …

Comparison Of Urban And Rural Physical Activity And Outdoor Play Environments Of Childcare Centers And Family Childcare Homes, Danae Dinkel, Dipti Dev, Yage Guo, Ami Sedani, Emily Hulse, Zainab Rida, Kayla Abel

Department of Child, Youth, and Family Studies: Faculty Publications

The purpose of this study was to examine the physical activity environment in childcare programs across type (childcare centers [CCCs] and family childcare homes [FCCHs]) and geographic location (urban and rural) as assessed by physical activity best practices according to the Go Nutrition and Physical Activity Self-assessment in Child Care. Results showed CCCs compared with FCCHs reported higher achievement of best practices. Further, urban childcare programs (CCCs and FCCHs) reported higher achievement of best practices in comparison to rural childcare programs. There is a need to deliver targeted interventions that promote children’s physical activity in FCCHs and CCCs in rural …

Eastern North Carolina Head Start Teachers’ Personal And Professional Experiences With Healthy Eating And Physical Activity: A Qualitative Exploration, Virginia C. Stage, Lorelei Jones, Jocelyn Bayles, Archana V. Hegde, Dipti Dev, L. Suzanne Goodell

Department of Child, Youth, and Family Studies: Faculty Publications

Objective: Explore the interrelationship between teachers’ personal and professional socio-ecological structures while examining Head Start (HS) teachers’ experiences with (1) trying to eat healthy and engage in physical activity (PA) and (2) promote healthy eating and PA in their classrooms.

Design: In-depth semi-structured interviews were collected from March through June 2017. Researchers designed the data collection and analysis methods using a phenomenological approach. All interviews were recorded using digital audio and transcribed verbatim.

Setting: Seven HS centers in two rural eastern North Carolina counties.

Participants: Teachers (n 15) who had recently participated in a healthy eating and physical activity …

The Influence Of Classroom Physical Activity Breaks At Different Times Of Day On On-Task Behaviour And Physical Activity Levels In Primary School Children, Abigail A. Broad

Theses and Dissertations (Comprehensive)

Classroom physical activity breaks (CAB) are beneficial for increasing children’s physical activity (PA) levels as well as the amount of time spent being on-task within the classroom. This study examined the effect of CAB at different times within the school day on on-task behaviour and PA levels in primary school (grade 1-3) children. Thirty-five children participated in CAB in four different conditions (within-subject): morning (AM), afternoon (PM), both the morning and afternoon (BOTH), and no CAB (CTRL). PA levels were monitored via activPAL accelerometers for 24 h starting at the beginning of the school day. On-task behaviour was observed for …

Examining Disability In The Region Of Waterloo: Physical Activity Programming And Caregiving, Nicole J. Reinders Luymes

Theses and Dissertations (Comprehensive)

Physical activity (PA) is a necessary component of wellbeing for individuals with and without disabilities. Disabled young people experience many barriers to PA, resulting in inactive lifestyles that compound health issues and hinder their full participation in schools and communities. The following dissertation includes a literature review regarding the effects of PA for young people with a variety of developmental disabilities, in addition to three research studies examining community-based PA programming, and one study exploring the lived experiences of caregivers, all within the Region of Waterloo.

The first study was a needs assessment to examine PA perceptions, practices, barriers, and …

Exploring Factors Influencing Whether Residents Participate In Square Dancing Using Social Cognitive Theory: A Cross-Sectional Survey In Chongqing, China, Feng Peng, Hongjia Yan Bs, Manoj Sharma Phd, Ying Liu Bs, Ying Lu Bs, Shijie Zhu Bs, Peiqian Li Bs, Nianyong Ren Bs, Ting Li Bs, Yong Zhao Md

Environmental & Global Health Faculty Research

Physical inactivity is a worldwide public health problem, and it is a risk factor for several chronic diseases. Square dancing nightly may be an efficient way to promote physical activity among Chinese residents. This study aims to explore factors that affect resident participation in square dancing on the basis of social cognitive theory constructs (outcome expectations, outcome expectancies, self-efficacy, self-control, and environment) that may provide a scientific basis for designing interventions to promote physical activity in the future. Forty squares near neighborhood communities in Chongqing were randomly selected. A sample of 1732 residents who came to these squares at 18:00–21:00 …

Creative Technologies For Behaviour Change, Joana Galvao Gomes Da Silva

Other Faculty of Health Theses

This thesis presents innovative uses of technology to support motivation, using motivational interviewing (MI) and functional imagery training (FIT) scripts developed specifically for remote delivery. MI scripts aimed to develop discrepancy, evoke solutions and promote self-efficacy. FIT scripts included multi-sensory mental imagery exercises at key points in the MI scripts. Four methods of delivery were developed: a human video-counsellor, a NAO robot programmed with Choregraphe software, a video robot counsellor for comparison with the human video-counsellor, and a life-sized two dimensional 'holographic' projection. Four empirical studies tested these developments in participants wanting to become more physically active. Study 1 (N=18) …

Associations Of Traffic Related Air Pollution With Physical Activity And Cardiorespiratory Health Outcomes In At-Risk Populations From El Paso, Texas, Juan Aguilera

Open Access Theses & Dissertations

Exposure to air pollution from traffic-related emissions is a considerable preventable cause of respiratory and cardiovascular diseases. However, the impacts on at-risk populations, such as children with asthma and low-income residents, are yet to be fully understood in the border city of El Paso, TX. This dissertation focused on the most common traffic-related pollutants which include particulate matter (PM2.5 and PM10), nitrogen dioxide (NO2), and ozone (O3). The research described in this work provides an overview of air pollution measurements and shares insights from three different studies in our region.

People with asthma are more likely adversely affected by traffic …

Genetic Variations In The Dopamine Reward System Influence Exercise Reinforcement And Tolerance For Exercise Intensity, Kyle D. Flack, Christopher Pankey, Kelsey Elise Ufholz, Luann Johnson, James N. Roemmich

Dietetics and Human Nutrition Faculty Publications

Background: Exercise is a reinforcing behavior and finding exercise highly reinforcing is characteristic of habitual exercisers. Genotypes related to dopamine metabolism moderate the reinforcing value of behaviors, but genetic moderators of exercise reinforcement have not been established.

Purpose: Determine whether singular nucleotide polymorphisms (SNPs) that moderate central reward pathways and pain neurotransmission are associated with exercise reinforcement, tolerance for exercise intensity, and usual physical activity.

Methods: Adults (n = 178) were measured for the reinforcing value of exercise relative to sedentary activities (RRV_exercise), minutes of moderate-to-vigorous physical activity (MVPA) and completed the Preference for and Tolerance …

It’S Your Choice. Create Your Healthy Weight! (A Handout), Micheline D. Cormier

All Student-Created Educational Resources

This handout gives information and tips to achieve a healthy energy balance. It encourages calorie neutral hydration, exercise, fruit, vegetable and whole grain intake as well as cooking at home while creating a positive and healthy environment for continued support.

Parental Influence On Sedentary Behavior In Children: A Systematic Review, Kaitlyn Albrecht Bsn, Rn, Neil Peterson Phd, Rn, Np-C, Agacnp-Bc, Jane Lassetter Phd, Rn

Student Works

The purpose of this systematic review is to appraise and synthesize the evidence regarding parental influences on sedentary behavior (SB) in children and explore associations promoting parent-based interventions. Prominent research in the last decade has established SB as a health risk, but to our knowledge, no systematic reviews observing parent to child SB associations have been conducted. Inclusion criteria required publication in the English language, utilization of objective measures for SB evaluation, and samples that included the 11 to 17 year age range, thus yielding a total of 15 identified studies. PRISMA guidelines were used to lead the search methodology …

Increasing The Reinforcing Value Of Exercise In Overweight Adults, Kyle D. Flack, Kelsey Elise Ufholz, Luann Johnson, James N. Roemmich

Dietetics and Human Nutrition Faculty Publications

Objectives: This study determined whether a moderate- or high-dose exercise program increases exercise reinforcement. Increasing the relative reinforcing value of exercise (RRV_exercise; i.e., incentive sensitization of exercise) may increase the usual physical activity (PA) participation. Preference and/or tolerance for the intensity of exercise was also assessed.

Design: Sedentary men and women (body mass index, BMI: 25–35 kg/m²) were randomized into parallel exercise training groups expending either 300 (n = 18) or 600 (n = 18) kcal/exercise session, five sessions/week, for 12 weeks.

Methods: The RRV_exercise was determined by how much …

Reading Fluency And Gonoodle© Brain Breaks Among Elementary-Aged Children, Hannah Jeanne Wold

Theses and Dissertations

This study examines the immediate and chronic effects of physical activity (PA) breaks on reading fluency. While many teachers recognize the value of PA for increasing engagement and focus (getting the wiggles out) in academic endeavors, these results reveal increases in academic achievement in reading fluency are also possible.This study examines 384 second and third grade students with low income backgrounds from the Rocky Mountain region. A two-way analysis of variance (ANOVA) was used to examine the effects of chronic and acute brain breaks via GoNoodle© (McQuigg, 2013) on reading fluency and physical activity (steps). Between group differences were further …

Youth Leadership Development In The Start2finish Running & Reading Club, Majidullah Shaikh, Corliss Bean, Tanya Forneris

Journal of Youth Development

Researchers have asserted that offering intentional leadership roles to youth can help them to develop life skills (e.g., communication, decision-making); however, few physical-activity-based positive youth development programs provide youth these intentional leadership roles, and little research has explored the impact of these opportunities on youth who take them up. The purpose of this study was to understand the developmental experiences of youth leaders in a physical-activity-based positive youth development program. Sixteen youth leaders (M age= 13.37, SD = 1.36) from 4 sites of the Start2Finish Running & Reading Club participated in semi-structured interviews to discuss their experiences as junior coaches. …

Increasing Parents' Knowledge Of A Healthy Lifestyle For Children With Down Syndrome, Celeste Villagrana

Capstone Projects and Master's Theses

Maintaining a healthy diet is a struggle for the general US population, and it is a particular problem for the special needs population. Children with Down Syndrome have higher rates of obesity than the general population. One reason for this is that their metabolic rate tends to be slower than that of the general population (Magge et al., 2008). Also, they have a genetic predisposition for leptin resistance. Therefore, it is important that these children eat healthy meals and be physically active on a daily basis. For my capstone project, I presented a workshop to parents of children with Down …