Digital Commons Network^™

Effects Of Exercise On Bmi Z-Score In Overweight And Obese Children And Adolescents: A Systematic Review With Meta-Analysis, George A. Kelley, Kristi S. Kelley, Russell R. Pate

Faculty Publications

Background: Overweight and obesity are major public health problems in children and adolescents. The purpose of this study was to conduct a systematic review with meta-analysis to determine the effects of exercise (aerobic, strength or both) on body mass index (BMI) z-score in overweight and obese children and adolescents.

Methods: Studies were included if they were randomized controlled exercise intervention trials ≥ 4 weeks in overweight and obese children and adolescents 2 to 18 years of age, published in any language between 1990–2012 and in which data were available for BMI z-score. Studies were retrieved by searching eleven electronic databases, …

Asupan Karbohidrat Sebagai Faktor Dominan Yang Berhubungan Dengan Kadar Gula Darah Puasa, Aprilya Roza Werdani, Triyanti Triyanti

Kesmas

Peningkatan kadar gula darah memicu peningkatan produksi hormon insulin yang erat hubungannya dengan diabetes melitus. Berdasarkan data Riskesdas, prevalensi diabetes melitus di Indonesia meningkat dari 1,1% (2007) menjadi 2,1% (2013). Penelitian ini bertujuan untuk mengetahui faktor dominan yang berhubungan dengan kadar gula darah puasa pegawai pemberdayaan masyarakat & keluarga dan pegawai sekretariat daerah Kota Depok. Desain penelitian yang digunakan adalah potong lintang dan melibatkan 105 sampel. Variabel independen penelitian meliputi karakteristik individu, asupan zat gizi, hipertensi, aktivitas fisik, status gizi dan pengetahuan gizi. Analisis data yang dilakukan adalah analisis univariat, analisis bivariat menggunakan uji korelasi dan uji beda dua mean, …

Understanding The Relationship Between Health Locus Of Control And God Locus Of Health Control And Health Behaviors In College Students Through Mediation Analysis, Joni Deann Marr

Theses and Dissertations

Background: Similar to the general population, college students have high rates of overweight/obesity and low rates of physical activity (PA) and healthy nutrition habits. Internal health locus of control (LOC) and religiosity/spirituality have been associated with positive health behaviors in various populations, but the mechanisms explaining these associations are still unclear. Purpose: The goals of this study were to understand the relationship between both health LOC and God locus of health control (independent variables) and PA, fruit and vegetable intake (FVI) and dietary fat intake (dependent variables) of college students through mediation analysis. Self-efficacy, social support, congregational social support and …

Comparison Of Dual- And Tri-Axial Accelerometer Accuracy, Lindsay Powell Toth

Masters Theses

The purpose of this study was to investigate the accuracy of the Omron HJ-720ITC and the Fitbit Zip activity monitors with regard to step count, energy expenditure, and distance traveled measurements. The importance of this research rests in the success rates of pedometer-based physical activity interventions which have been shown to increase physical activity while also enabling weight loss and lowering blood pressure in the adult population. Activity monitors available for retail sale must be found accurate for proper participation in exercise interventions especially low-cost devices as used in this study.

In order to test the accuracy of the Omron …

Educating The Whole Child: Evidence Of Health And Wellness Instruction In The Schools Serving Low-Income Students, Andria M. Shook Phd

Dissertations

Educators in the United States are expressing concern about student physical and mental well-being. Childhood obesity has more than doubled in the past three decades, and today, one in five children experiences symptoms of mental illness. Low-income children are especially subject to these conditions. The long-term consequences for the country as a whole are significant. Schools are particularly well placed to address these problems by supporting the well-being of the whole child. Efforts have begun in select schools and districts to incorporate health and wellness instruction into the school day. This study identifies existing health and wellness components that three …

The Use Of Energizers To Reinforce Nutrition Concepts And Encourage Physical Activity, Kathleen Lovett, Betsy Johnson, Mary Caskey, Christopher Pleasants

Journal of Extension

Given the importance of including daily physical activity as a part of a healthy lifestyle, Extension educators should do as much as they can to incorporate physical activity into their educational programming. A University of Minnesota Extension team has created a set of activities that incorporate motion to reinforce nutrition concepts, which can be adapted by educators to almost any topic. Initial evidence suggests incorporating these activities is both effective and reasonably easy. With appropriate time and space, these energizers can be used to increase participants' physical activity, as well as reinforce lesson concepts and make class more fun.

Should Physical Activity Be Included In Nutrition Education? A Comparison Of Nutrition Outcomes With And Without In-Class Activities, Debra M. Palmer-Keenan, Kirsten Corda

Journal of Extension

Limited-resource adults' dietary intakes and nutrition behaviors improve as a result of Expanded Food and Nutrition Education Program (EFNEP)/Supplemental Nutrition Assistance Program Education (SNAP-Ed) participation; however, physical activity education is needed for improved health. The experimental study reported here assessed if spending time doing physical activity education affected dietary impact results and activity among participants. Standard dietary assessments showed no significant differences between groups, and interviews showed greater physical activity improvements/intentions by the experimental group, which suggests that nutrition education can be shortened 15-20 minutes for physical activity demonstrations to improve activity behaviors without adversely affecting nutrition-related behavioral improvements outcomes.

Psychosocial Food-Related Behavior And Food Intake Of Adult Main Meal Preparers Of Food For 9-10 Year-Old Children Participating In Icook, A Five-State Childhood Obesity Pilot Prevention Study, Ashley A. Miller

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Understanding adult outcomes of programs aimed at childhood obesity prevention is necessary because parents/caregivers are the most important influence on a child’s physical activity and eating habits. Based on the principles of the social cognitive theory, the iCook 4-H pilot study taught dyads consisting of 9-10 year-old children and their primary meal preparers cooking skills, healthy shopping and meal habits, and easy ways to incorporate physical activity as a family. The program took place in five states, Maine, Nebraska, South Dakota, Tennessee, and West Virginia. In each state, adult-youth dyads (n = 54) were recruited by 4-H programs and nutrition …

Restructuring Local School Wellness Policies: Amending The Kids Act To Fight Childhood Obesity, Rebecca Edwalds

University of Michigan Journal of Law Reform

Childhood obesity is a major problem plaguing the United States. Over one-third of children are overweight, and there is little indication that this trend will reverse in the near future. The federal government has attempted to combat childhood obesity through the National School Lunch Act, which regulates the quality of foods federally subsidized schools may serve to children, and provides broad goals for physical activity. These basic goals leave extensive room for states to implement different standards, and they are not sufficient to effectively confront the childhood obesity problem. This Note proposes amendments to the National School Lunch Act that …

U.S. Dietary And Physical Activity Guideline Knowledge And Corresponding Behaviors Among 4th And 5th Grade Students: A Multi-Site Pilot Study, Jennifer W. Bea, Stephanie Martinez, Traci Armstrong-Florian, Vanessa Farrell, Cathy L. Martinez, Evelyn Whitmer, Vern Hartz, Samuel Blake, Ariana Nicolini, Scottie Misner

Journal of Extension

Knowledge of U.S. dietary and physical activity recommendations and corresponding behaviors were surveyed among 4th and 5th graders in five Arizona counties to determine the need for related education in SNAP-Ed eligible schools. A

Oceano Community Health Plan, Eugene Phillip Brennan

Master's Theses

ABSTRACT

Oceano Community Health Plan

Phillip Brennan

Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the …

Informing Parent Targeted Interventions To Promote Increased Physical Activity Among Youth, Teresia O'Connor

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

Invited Commentary on "Examining the Disconnect Between Parents' Perceptions and Reality Regarding the Physical Activity Levels of Their Children."

Use Of Emerging Technologies To Assess Differences In Outdoor Physical Activity In St. Louis, Missouri, Deepti Adlakha, Elizabeth L. Budd, Rebecca Gernes, Sonia Sequiera, J. Aaron Hipp

Brown School Faculty Publications

Introduction: Abundant evidence shows that regular physical activity(PA) is an effective strategy for preventing obesity in people of diverse socioeconomic status (SES) and racial groups. The proportion of PA performed in parks and how this differs by proximate neighborhood SES has not been thoroughly investigated. The present project analyzes online public web data feeds to assess differences in outdoor PA by neighborhood SES in St. Louis, MO,USA. Methods:First, running and walking routes submitted by users of the website MapMyRun.com were downloaded. The website enables participants to plan, map, record, and share their exercise routes and outdoor activities like runs, walks, …

Student Attitude And Gender In Relation To Student Participation In Physical Activity, Kayla Steber

Mahurin Honors College Capstone Experience/Thesis Projects

The purpose of this research project was to determine how student gender and attitude toward physical activity correspond to student participation in physical activity in and outside the after-school program setting. Surveys were administered to parents and the lead counselor of five different after-school programs located in the south-central part of the United States. Surveys were used for data collection about student attitude and physical activity. The lead counselor at each site provided information regarding number of students in the program and the percent of students who were physically active at the after-school program. The parent survey gathered information on …

Diet And Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review And Call To Action, Garrett N. Coyan, Katherine M. Reeder

College of Nursing Faculty Publications

Coronary artery bypass graft (CABG) surgery has been used for the treatment of coronary artery disease (CAD) for approximately 50 years, and has been performed on millions of people globally. However, little is known about the impact of diet and exercise on long-term outcomes of patients who have undergone CABG surgery. Although clinical practice guidelines on the management of this patient population have been available for approximately 2 decades, evidence regarding secondary prevention behavioral interventions, lifestyle modifications and self-management to slow the progressive decline of CAD, reduce cardiac hospitalizations, and prevent reoperation remains virtually absent from the literature. Diet and …

A Study Of College Influences On Selected Health Behaviors, Kaitlyn S. Krajanowski

Senior Honors Projects

Background: Studies assessing the dietary and physical activity (PA) behaviors of college students in the United States and indicate that this population is underactive and does not consume the daily-recommended servings of fruit and vegetables (F&V). Research is needed to identify factors that inhibit or promote healthful behaviors.

Objective: To determine 1) if there is an association between having a meal plan and selected dietary behaviors, and 2) whether the likelihood of using the campus shuttle and taking the stairs is associated with physical activity.

Methods: Students enrolled in an introductory anatomy class completed a voluntary online survey that assessed …

Peer Health Teaching Improves Nutrition Behaviors In The Teen Teacher Population, Ashlie Smith

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

Peer teaching is a promising model of health education. Limited research exists on the topic of the effectiveness of peer health teaching, and even less research exists on the effects on the actual peer teachers, notably their motivations for becoming peer teachers as well as behavioral modifications and improved self-efficacy made as a result. This study examined the motivations and the health behavior modifications made by 4-H Eat 4-Health teen teachers ages 14 to 17 after delivering a peer health education program. This study investigated teen teachers’ nutrition and physical activity behavior changes as well as their leadership and confidence …

Factors Associated With Physical Activity In Kindergarten Children, Carol Hammonds

Dissertations and Theses (Open Access)

Background: Reversing obesity is an urgent public health need for children: worldwide, in 2011 more than 40 million children under the age of five were either overweight or obese. Increasing intensity and duration of physical activity is a strategy to aid in preventing and reducing obesity. A minimum of 60 minutes per day of moderate to vigorous physical activity is recommended for children. School settings, such as full-day kindergarten, where 74% of children in the United States are enrolled, provide opportunities for population-based interventions to increase physical activity, yet little objective data exist on current levels of physical activity in …

Self-Determination Theory As A Pedagogical Foundation For Collegiate Physical Activity Courses, Scot Edward Long

Dissertations

Inactivity, obesity and associated medical, social and economic problems are pervasive in contemporary society. Modern science is aware of the preventative role physical activity offers in deterrence of these problems and the benefits physical education offers. Traditionally, physical education has focused primarily on physiological variables; however, physical activity begins with a behavioral change. Motivation is the necessary factor to initiate physical activity and self-determination theory (SDT) can be used to explain learner motivation in the world of collegiate physical education. Institutionalized schooling is typically performed in a controlling nature, which creates a poor environment for learning and motivation. The purpose …

The Impact Of The Ohana Mana Challenge On Native Hawaiian And Pacific Islander Children, Kristin Kay Van Tassell

Theses and Dissertations

In this four-week, family-focused pilot intervention study, researchers studied the impact of culturally relevant nutrition and activity sessions on eleven children from eight Native Hawaiian and Pacific Islander (NHPI) families. Mixed methods were used in analysis. In their favorite meal drawings, children included more fruits and vegetables at week four than week one, which was consistent with their self-reported intake of healthy foods that were new to them. From week one to four, mean total scores increased on the nutrition and exercise knowledge exercise questionnaire and the physical activity self-efficacy tool; however, the mean total score decreased on healthy diet …

A Mixed Ecologic-Cohort Comparison Of Physical Activity & Weight Among Young Adults From Five Populations Of African Origin, Amy Luke, Pascal Bovet, Jacob Plange-Rhule, Terrence E. Forrester, Estelle V. Lambert, Dale A. Schoeller, Lara R. Dugas, Ramon A. Durazo-Arvizu, David A. Shoham, Guichan Cao, Soren Brage, Ulf Ekelund, Richard S. Cooper

Faculty Publications

Background: Examination of patterns and intensity of physical activity (PA) across cultures where obesity prevalence varies widely provides insight into one aspect of the ongoing epidemiologic transition. The primary hypothesis being addressed is whether low levels of PA are associated with excess weight and adiposity. Methods. We recruited young adults from five countries (500 per country, 2500 total, ages 25-45 years), spanning the range of obesity prevalence. Men and women were recruited from a suburb of Chicago, Illinois, USA; urban Jamaica; rural Ghana; peri-urban South Africa; and the Seychelles. PA was measured using accelerometry and expressed as minutes per day …

Factors Associated With Diabetes Risk In South Texas College Students, Jordan W. Stack, Sara E. Mahoney, Christopher M. Hearon

International Journal of Exercise Science

International Journal of Exercise Science 7(2) : 110-118, 2014. South Texas has a high prevalence of diabetes and college students may be particularly at risk. While increased BMI, sedentary activity and depression have been associated with diabetes progression in the general population, it has not been established whether these factors contribute to increased diabetes risk in college students. The purpose of this study was to assess diabetes risk and determine whether depressive symptoms or physical activity patterns are associated with increased diabetes risk in college students. Sixty-nine college students were assessed for diabetes risk using the Finnish Diabetes Risk Score …

Extracurricular School-Based Sports As A Motivating Vehicle For Sports Participation In Youth: A Cross-Sectional Study, An V. De Meester, Nathalie Aelterman, Greet Cardon, Ilse De Bourdeaudhuij, Leen Haerens

Faculty Publications

Background

Extracurricular school-based sports are considered to be an ideal means of reaching children who are not active in community sports. The purposes of this study were to examine the extent to which pupils not engaging in community sports do participate in extracurricular school-based sports, and to assess whether extracurricular school-based sports participants are more physically active and/or more autonomously motivated towards sports in daily life than children who do not participate in extracurricular school-based sports.

Methods

One thousand forty-nine children (53.7% boys; M age = 11.02 years, SD = 0.02) out of 60 classes from 30 Flemish elementary schools, …

Physical Activity Informational Websites: Accuracy, Language Ease, And Fear Appeal, Samantha Rose Paige

Open Access Theses

Introduction. Health information is one of the most common searches on the Internet. Literature supports that, in general, health information readily available to Internet consumers is not accurate, lacks plain language for ease of understanding, and does not incorporate behavior-change theoretical frameworks. The purpose of this study was to evaluate each of these components. Method. Three keywords, "physical activity," "exercise," and "fitness," were entered into four popular search engines: Google, Bing, and Yahoo. The first 5 result pages were considered, totaling a sample of 493 websites. After exclusionary criteria, 102 websites were reviewed and analyzed with guidance from ACSM recommendations, …

Hub City Steps: A 6-Month Lifestyle Intervention Improves Blood Pressure Among A Primarily African-American Community, Jamie M. Zoellner, Carol Connell, Michael B. Modson, Jessica L. Thomson, Alicia S. Landry, Elaine Fontenot Molaison, Vickie Blakely Reed, Kathleen Yadrick

Faculty Publications

The effectiveness of community-based participatory research (CBPR) efforts to address the disproportionate burden of hypertension among African Americans remains largely untested. The objective of this 6-month, noncontrolled, pre-/post-experimental intervention was to examine the effectiveness of a CBPR intervention in achieving improvements in blood pressure, anthropometric measures, biological measures, and diet. Conducted in 2010, this multicomponent lifestyle intervention included motivational enhancement, social support provided by peer coaches, pedometer diary self-monitoring, and monthly nutrition and physical activity education sessions. Of 269 enrolled participants, 94% were African American and 85% were female. Statistical analysis included generalized linear mixed models using maximum likelihood estimation. …

Exploring The Energy Link Between Emotion Regulation At Work And Health Behaviors, Ryan Christopher Johnson

USF Tampa Graduate Theses and Dissertations

The present study explores the process through which the regulation of emotions at work, also known as emotional labor, depletes self-regulatory resources, specifically energy, and distally impacts health behaviors in the form of less physical activity and more unhealthy eating. Differences in relationships between two forms of emotional labor, surface acting and deep acting, as well as differences between psychological and physical energy depletion, are explored. Additionally, the roles of trait mindfulness and future temporal focus are examined as between-individual differences moderating the proposed relationships.

Multi-level analysis of daily diary data collected from participants (N = 108 participants) over ten …

Non-Face-To-Face Physical Activity Interventions In Older Adults: A Systematic Review, A.M. Müller, S. Khoo

Research Publications (2011 to 2015)

Physical activity is effective in preventing chronic diseases, increasing quality of life and promoting general health in older adults, but most older adults are not sufficiently active to gain those benefits. A novel and economically viable way to promote physical activity in older adults is through non-face-to-face interventions. These are conducted with reduced or no in-person interaction between intervention provider and program participants. The aim of this review was to summarize the scientific literature on non-face-to-face physical activity interventions targeting healthy, community dwelling older adults (\geq 50 years). A systematic search in six databases was conducted by combining multiple key …

Results Of The Kentucky Worksite Assessment: Utilization Of The Cdc’S Health Scorecard, Cecilia M. Watkins, Grace Lartey, Gretchen Macy, Vijay Golla, Teresa Lovely

Public Health Faculty Publications

Study Objectives and Research Approach

A Health Impact Assessment (HIA) conducted in 2011-2012 of a proposed Kentucky Worksite Wellness Tax Credit highlighted gaps in the data available on worksite wellness programs in the Commonwealth of Kentucky.

Conducting a state-wide assessment of worksite wellness programs was a recommendation that resulted from this HIA.

The purpose of the assessment is to:

1) Identify the number of comprehensive worksite health promotion programs in Kentucky.

2) Determine the health needs of worksites in Kentucky.

By Identifying current wellness practices in Kentucky, better tools and support can be provided at a state level to assist …

The Relationship Between Health-Related Fitness Knowledge, Perceived Competence, Self-Determination, And Physical Activity Behaviors Of High School Students, Elizabeth Bailey Haslem

Theses and Dissertations

The purpose of this study was (a) to test a hypothesized model of motivation grounded in the Self-Determination Theory within the context of conceptual physical education (CPE), and (b) to explore the strength and directionality of perceived competence for physical activity as a possible mediator for health-related fitness knowledge and actual physical activity behaviors. Participants were 280 high school students who were at the end of a CPE course. Participants completed the Behavioural Regulation in Exercise Questionnaire–2, the Godin Leisure–Time Exercise Questionnaire, the Perceived Competence Scale, and a Health-Related Fitness Knowledge Questionnaire. Structural equation modeling analysis was used to explore …

Determinants Of Physical Activity In Arab American Children, Wearn Alkhatib Phd

Dissertations

Physical activity is an integral part of preventing and managing childhood and adolescent obesity. Lack of regular physical activity has negative impact on physical and psychosocial health. Arab Americans (AAs), one of the most rapidly growing minorities in United States, tend to have a high prevalence of obesity and low participation in physical activity. The purpose of this study was to describe determinants of physical activity, including self-efficacy, social support, physical environment, and selected demographics among AA children in Southern California. A descriptive correlational study using a cross sectional design was conducted. Self-administered questionnaires were completed by children (N=206) recruited …