Exercise Science Commons^™

Physical Activity And Stress Between American Students And Asian International Students At The University Of South Carolina, Hao Lei

Theses and Dissertations

Many college students are physically inactive and have high levels of stress, and this may be worse among increasing number of international students studying in the US. This study investigated the relationship between physical activity and stress among American students (n=92) and Asian international students (n=64). The Mann-Whitney test was used to compare MET minutes/week from the International Physical Activity Questionnaire short form between those two groups. The independent-samples t test compared the mean of stress from the Perceived Stress Scale between those two groups. Chi-square test was used to compare the percentage of Asian international students and American students …

Relationships Among Sleep, Physical Activity, And Weight Status In Children And Adolescents, Agnes Bucko

Theses and Dissertations

Sleep and physical activity are both associated with multiple behavioral and metabolic health outcomes, and both behaviors have been linked to the development of weight status. Recent estimates suggest that many children are not meeting sleep recommendations or participating in adequate levels of physical activity, which may be related to the high prevalence of childhood overweight and obesity. Much of the research assessing these relationships has focused on adults and older children, and has relied on parent- or child-reported, cross-sectional research in predominantly White samples. Little work has focused on these relationships in very young children. Although more research has …

Effects Of Positive Social Comparative Feedback During Practice On Motor Sequence Learning, Performance Expectancies, And Resting State Connectivity, Allison Foster Lewis

Theses and Dissertations

Positive social comparative feedback indicates to the learner that they are performing better than others. While this type feedback supports motor skill learning in some tasks, the effect of social comparative feedback on motor sequence learning remains unknown. In addition, the OPTIMAL theory predicts that positive social comparative feedback may trigger a dopaminergic response in the brain. However, no studies have utilized neuroimaging techniques to investigate this question. Therefore, the aim of these studies was to determine the effect of positive social comparative feedback on motor sequence learning, performance expectancies, and resting state connectivity of dopaminergic neural pathways.

In the …

The Impact Of High- Vs. Low-Load Resistance Training On Measures Of Muscle Activation, Strength, Body Composition, And Hormonal Markers, Marissa Laina Bello

Theses and Dissertations

Resistance training has shifted towards a high- vs low-load training approach. Heavier loads are suggested to maximally recruit motor units and optimize strength adaptations, whereas lower loads stimulate hypertrophy. However, a majority of the research has not used a true strength range when assessing load. Therefore, the purpose of this investigation was to examine and determine significant differences in strength, body composition, and hormonal markers over nine weeks of high- or low-load resistance training. Secondary purposes of the current investigation were to assess and quantify training load for resistance training using sEMG sensor-embedded compression shorts. 17 recreationally-trained males were randomized …

Postprandial Hemodynamics In Hispanics With And Without A Family History Of Type 2 Diabetes, Gabriel Alejandro Figueroa

Theses and Dissertations

Hispanics of the Rio Grande Valley (RGV) have the highest rates of obesity and type 2 diabetes (T2D) in the country, conditions often associated with cardiovascular disease and increased mortality. This study investigated the physiological factors affecting postprandial hemodynamic responses differently between FH+ and FH- groups. Thirty-one healthy Hispanic individuals volunteered in this study. Overall, FH+ individuals had higher pressures at rest compared to FH-, However, these differences were not statistically significant. When controlling for blood chemistries such as blood glucose, cholesterol, lipoproteins, and triglycerides, family history appears to have no effect on fasted or postprandial hemodynamics and pulse wave …

Comparing Various Physiological System Adaptations Following 8 Weeks Of Resistance Training With Or Without Bfr In Older Males, Ricardo Parra

Theses and Dissertations

PURPOSE: The purpose of this study was to compare the effects of 8 weeks of resistance exercise training with and without BFR on: 1), arterial elasticity and hemodynamics (e.g., blood pressure and resting heart rate), 2) muscular force production (e.g., maximal voluntary contraction, force production, electromyography, and estimated one-repetition maximum) in males between the 50 to 70 years of age.

RESULTS: Significant condition difference for reflection magnitude occurred in BFR group (p < 0.05). Significant time*condition effect occurred in Leg Press 1RM, Leg Extension 1RM, Leg Curl 1RM, Chest Press 1RM, and Shoulder Press 1RM (p < 0.05). Significant condition* time interaction occurred for Isokinetic Leg Extension Test (60°/s) (p < 0.05). A significant time*condition interaction occurred during Maximal Voluntary Contraction (MVC) – Root Mean Square for both vastus medialis and vastus lateralis (p < 0.05). A significant time main effect occurred in the BFR group for the amplitude mean of the MVC in the vastus medialis and vastus lateralis (p < 0.05). A significant time main effect occurred for median frequency of the MVC (p < 0.05). A significant difference in Estimated Visceral Adipose Tissue occurred in the BFR group (p < 0.05). A significant condition*time interaction occurred in arm fat percentage (p < 0.05). The BFR group had significantly less fat tissue (%) in the left arm (p < 0.01) and in the right arm (p = 0.04). A significant time*main effect occurred in the total lean tissue for the left side of the body (p = 0.04).

CONCLUSION: Using BFR resistance training at a low intensity can achieve similar adaptations seen at high intensities while reducing the risk of injury that comes with heavier loads.

Self Reported Cardiovascular Health And Health Behaviors In Women Veterans, Seth Byland

Theses and Dissertations

Objective: The purpose of this study is to describe self-reported cardiovascular health (CVH) and health behaviors in women veterans (WV). A cardiovascular score will be adapted from the existing American Heart Association CVH score. This score will be used to describe CVH in WV.

Methods: Data was collected from WV using an anonymous online survey. This survey asked questions about CVH, CVH behavior, and military specific questions. CVH scoring was determined by asking 6 questions that scored individuals for a total score from 0 to 12, with 12 being most ideal for CVH health. Scores were tallied and mean scores …

Psychophysiological Biomarkers Of Concussion Recovery, Adam Todd Harrison

Theses and Dissertations

Each ach year a growing number of individuals report lingering deficits months-years following concussion. Persistent post-concussion symptoms (PPCS) can negatively impact day-today activities and if left untreated may manifest in severe neurological sequelae resulting in long-term cognitive impairment or advanced neurological degeneration (i.e., CTE). Current clinical diagnostic and prognostic assessments (e.g., symptom reports and neurocognitive testing) lack the sensitivity to quantify neurological function. Accordingly, there is a critical need to identify objective biomarkers specific to PPCS to improve an individual’s quality of life and prevent severe long-term neurological dysfunction.

Psychophysiological measurements (e.g., EEG derived event-related potentials, heart rate variability, and …

Molecular Architecture Of Cardiometabolic Responses To Regular Exercise, Jacob L. Barber

Theses and Dissertations

Background: To investigate the molecular mechanisms, determinants, and predictors of cardiometabolic responses to regular exercise, this dissertation had two primary aims: 1) Examine the molecular architecture of cardiometabolic responses to exercise training (unsupervised approach) and 2) Identify molecular signatures of responsiveness to regular exercise within clinically relevant lipoprotein traits (supervised approach).

Methodology: Multi-omics data (17,945 muscle transcripts, 4,979 proteins, 411 metabolites) from participants (n=647) who completed 20 weeks of endurance training as part of the HERITAGE Family Study was collected before and after training. We employed an unsupervised machine learning approach (Aim 1) to identify patterns of molecular responses to …

The Effects Of Exercise Training On Cholesterol Efflux Capacity In The Heritage Family Study, Joshua Adam Hawkins

Theses and Dissertations

Cholesterol efflux capacity (CEC) has been associated with cardiovascular disease risk independent of HDL-C levels. However, the effect of regular exercise on CEC is not yet fully understood. Therefore, we examined the effects of exercise training on CEC in the HERITAGE Family Study. In HERITAGE, subjects participated in an endurance training program that consisted of exercise on a cycle ergometer three times per week for 20 weeks. Global and non-ABCA1 CEC were measured at baseline and post-training in 542 subjects via a cell- based radiolabeled CEC assay. Neither global nor non-ABCA1 CEC significantly changed with training in the whole cohort. …

Changes In Physical Activity And Relationships To Submaximal Exercise Capacity And Cardiac Function During Breast Cancer Therapy, Moriah P. Bellissimo

Theses and Dissertations

Background: Breast cancer (BC) survivors are at high risk for heart failure due to curative cancer therapies. In non-cancer populations, physical activity is a first line treatment for preventing cardiovascular disease. This study examined whether more physical activity was associated with better submaximal exercise capacity and cardiac function during the first three months of cancer therapy.

Methods: Participants included 223 women with stage I-III BC before therapy and after three months of undergoing treatment and 126 controls. Leisure time physical activity was reported using the Godin Sheppard leisure time exercise questionnaire. Cardiac function was assessed by cardiac magnetic resonance, and …

Racial Disparities In Gestational Weight Gain, Body Mass Index, And Physical Activity During Pregnancy And After Delivery, Marcey Acacia Jiles

Theses and Dissertations

Background & Purpose: African American women have higher rates of obesity than white women. Pregnancy is characterized by rapid weight gain, and 48.8% of women in South Carolina exceed recommended limits. Prenatal exercise is recommended and may help prevent excessive gestational weight gain (GWG). Our purpose was to determine whether GWG and prenatal exercise levels differed between African American and Caucasian women.

Methods: We included 79 women who delivered a singleton infant 6 months - 3 years ago and were free from smoking, type 1 or 2 diabetes, or use of steroids or protease inhibitors (mean age =31.3 yrs; mean …

Clinical Determinants Of Vo2 Max Response To Endurance Training: Heritage Family Study, Emanuel Ayala

Theses and Dissertations

Background: Maximal oxygen uptake trainability (U+0394VO₂max) is largely determined by non-modifiable traits. However, less is known of the contribution of modifiable phenotypes to VO₂max response to endurance training. The purpose of this study was to examine the relationship between baseline cardiopulmonary, metabolic, and body composition traits and U+0394VO₂max.

Methods: Subjects were 717 healthy, physically inactive adults (44% female, 34% Black) who completed a 20-week, highly standardized, endurance training program as part of the HERITAGE Family Study. Resting and exercise phenotypes were collected at baseline and post-training. A total of 33 variables related to cardiopulmonary, …

The Influence Of Adhd On Concussion In Ncaa College Athletes, Brett Steven Gunn

Theses and Dissertations

Evidence suggests attention deficit/hyperactivity disorder (ADHD) may be associated with an increased incidence of concussion; however, no study has cross-sectionally (Aim 1) and longitudinally (Aim 2) assessed the associations of ADHD with concussion. Additionally, there is reason to expect cognitive alterations following concussion in athletes with ADHD. Further, there is currently no study that has evaluated the influence of common medications often taken to mitigate some symptoms of ADHD, such as methylphenidate and amphetamines. Therefore, we sought to longitudinally assess cognitive profiles (Aim 3) of athletes with ADHD taking medication (ADHD+Rx) and not taking medication (ADHD_uRx) at baseline, 24-48 hours …

Physical Activity And Sedentary Behavior During And After Pregnancy And Postpartum Weight Retention, Kaitlyn Taylor Ramey

Theses and Dissertations

INTRODUCTION AND PURPOSE

Pregnancy is associated with increased changes in body weight that can shape long-term health in women. Previous studies have shown that increased prenatal physical activity and decreased sedentary time correlated with less excessive gestational weight gain. Little is known about how leisure time exercise and sedentary behavior affects postpartum weight retention. The aim of our study was to identify how sedentary behavior and leisure time physical activity, both mid-pregnancy and after pregnancy, relate to postpartum weight retention from 6 months to 3 years after childbirth.

METHODS

A total of 79 women who delivered a singleton infant 6-months …

Strengthening The Evidence-Base Of Youth Nutrition Programs: A Three Part Approach, Rebecca Kyryliuk

Theses and Dissertations

National dietary guidelines recommend that children’s diets consist of fruits, vegetables and whole grains, while limiting high-fat foods. Studies indicate, however, that children consume an abundance of sugar-sweetened, calorically dense foods and are lacking in fruit and vegetables, behaviors which significantly contribute to high rates of childhood obesity and subsequent, lifelong, detrimental health impacts. This dissertation provides new knowledge to strengthen the evidence-base and inform future best practices in youth nutrition programming so that more children will have the opportunity to meet national dietary recommendations. Three distinct investigations sought to 1) examine current and past youth dietary intake by comparing …

The Relationship Of Structured Environments With Children’S Body Composition And Obesogenic Behaviors, Ethan T. Hunt

Theses and Dissertations

Recent nationally representative data show among children and adolescents aged 2 to 19 years, the prevalence of obesity is 17.0% (95CI= 15.5%-18.6%). Further, rates of obesity are disproportionately high among minoritized youth. The prevalence of children and adolescents with obesity is lower among White children compared to Black children (14.7% vs. 19.5%) or Hispanic children (14.7% vs. 21.9%). Disparities by socioeconomic status exist as well. Prevalence of children with obesity from households with an income that is >350% of the federal poverty threshold (after accounting for household size) is significantly less compared to children from households with an income that …

Performance Of The Wrist-Worn Actigraph Gt3x + In Measuring Physical Activity In Older Women, Michal Talley Smith

Theses and Dissertations

Introduction: Being able to accurately measure physical activity intensity and energy expenditure is crucial to understanding the role physical activity plays in lowering the risk for disease. This thesis aims to examine the performance of the wrist-worn GT3X+ in measuring PAEE and classifying activity intensity in a healthy non-obese population of older women. Methods: Baseline data collected in the Women’s Energy Expenditure in Walking Programs Study (ClinicalTrials.gov identifier: NCT01722136) were used. PAEE was measured concurrently for 2 weeks using the doubly labeled water method in combination with indirect calorimetry, the GT3X+ ActiGraph accelerometer (GT3X+, ActiGraph LLC, Pensacola, FL), and the …

Multiple Processes Predict Motor Learning And Impairments After A Stroke, Christopher Michael Perry

Theses and Dissertations

Acquiring, refining, and adapting motor skills allows for successful interaction with our environment to perform daily activities such as driving, cooking, and self-care. Those with stroke often exhibit a compromised ability to relearn motor skills affected by their stroke resulting in chronic disability. Previous rehabilitation studies suggest that deficits in skilled limb movement primarily contributes to deficits after a stroke. However, studies in motor skill performance suggests that multiple behavioral features including visual search, eye-hand coordination and visuomotor decisions also contribute to improved performance. Currently, it is not known if refinements in multiple behavioral features independently contribute to motor learning, …

The Influence Of Sport Participation On Physical Activity In Youth, Emily R. Shull

Theses and Dissertations

Youth sport participation has been widely supported as a strategy for promoting physical activity in children and youth. Previous research has identified positive associations between youth sport participation and children’s physical activity levels. However, there is a paucity of research regarding characteristics of youth sport that may affect the amount and intensity of physical activity youth attain during sport participation. This dissertation is comprised of three studies, and the overall purpose is to examine how characteristics of youth sport associate with children’s physical activity. In the first study, the relationship between types of sport participation and objectively measured physical activity …

Effects Of Basketball Exercise Simulation Test (Best) On Landing Mechanics In Active Females, Madison Treece

Theses and Dissertations

Intro: In the United States, female basketball players have the second highest rate of ACL injury, following female soccer players. This injury rate is four times higher than their male counterparts. These injuries occur more frequently at the end of the first and second halves and may be associated with exercise-induced fatigue causing knee instability. The purpose of this pilot study was to determine the effects of a basketball simulation test on landing mechanics. Methods: Six subjects completed both the intervention and the control trial consisting of four 10-min quarter game simulations of the validated Basketball Exercise Simulation …

Examination Of Energy Needs And Female Athlete Triad Components In Competitive Cheerleaders, Allison Smith

Theses and Dissertations

The sport of cheerleading has grown immensely over the recent decades. The current sport requires full body athletic abilities like gymnastics, ballet, and swimming and diving. These sports have previously reported high rates of eating disorder (ED) risk, body image dissatisfaction, and Female Athlete Triad (Triad) components (low energy availability with or without and eating disorder, menstrual cycle dysfunction, and low bone mineral density). Scientific research examining these factors within cheerleaders has been limited. The purpose of this study was to examine overall ED risk across cheerleading team type (All-Star, college), squad type (all-girl, coed), and by position (flyer, base, …

Milk-Fat Intake And Differences In Abdominal Adiposity And Bmi: Evidence Based On 13,544 Randomly Selected Adults, Klarissa Rae Wilkinson

Theses and Dissertations

The primary objective of this study was to evaluate the relationship between milk-fat intake and obesity, particularly abdominal obesity, in 13,544 U.S. adults. A secondary objective was to determine the extent to which the association was influenced by multiple potential confounding variables. This cross-sectional study used data from the 2011–2016 National Health and Nutrition Examination Survey (NHANES). Level of milk-fat content regularly consumed was the exposure variable. Body mass index (BMI) and sagittal abdominal diameter (SAD), a measure of abdominal obesity, were the outcome variables. SAD correlates strongly with visceral fat, when measured by computed tomography, and has been shown …

Examining The Impact Of High Sodium Intake On Blood Flow Regulation, Exercise Tolerance, And Oxidative Stress In Salt Resistant Individuals, Kevin P. Decker

Theses and Dissertations

Excessive dietary sodium consumption increases the risk for high blood pressure (BP), and therefore recommended for dietary sodium intake to be ≤ 2,300 mg/day. Recommendations are based on salt-sensitive individuals who report elevated BP with high sodium (HS) intake, but many individuals are salt-resistant (SR) who experience little to no change in BP with HS intake. Currently, less is known about the adverse cardiovascular effects of HS intake independent of BP. A potential source of impaired blood vessel function (micro- and macro-) from HS intake is oxidative stress, or the imbalance between antioxidant defense and oxidants, in favor of oxidants. …

Sex-Based Differences In Concussion Outcomes Among Adolescents And Young Adults, Jacob James Michael Kay

Theses and Dissertations

Concussive injuries among youth are a serious public health concern in the United States, with increasing incidence leading the Centers for Disease Control and Prevention to classify these injuries a “silent epidemic.” Though most concussions in youth resolve within a few weeks, a significant proportion (~15-20%) of individuals will experience persisting symptoms that can negatively affect important aspects of social life, as well as academic and vocational performance. Furthermore, guidelines from the most recent Consensus Statement on Concussion in Sport highlight the importance of considering individual characteristics that may modify the nature and outcomes of concussion. Biological sex is one …

Characterizing Patterns Of Adherence To Physical Activity Goals In Behavioral Weight Control, Melissa Lee Stansbury

Theses and Dissertations

Introduction: Many individuals fall short of the physical activity (PA) goals provided during lifestyle programs, and there is considerable variability in weight loss response and adherence to recommendations for behavior change. Weight loss response within the early weeks of program initiation predicts future weight loss success; however, little is known about what distinguishes those who respond well to treatment from those who fail to respond. Exposing the behavioral patterns which underlie weight loss response may point towards targets for treatment optimization. The purpose of this study was to (1) characterize individuals with distinct patterns of adherence to PA goals during …

Examination Of Emergency Medical Services Activations For Sport- Related Injuries, Rebecca Marie Hirschhorn

Theses and Dissertations

Research examining emergency medical services (EMS) activations for sport- related injuries has been limited regarding the populations examined, inclusion criteria, and location. The management of sport-related injuries by EMS providers has also not been examined. The purpose of this study was to describe EMS activations for sport- related injuries from a national sample and describe their management by EMS. Data was obtained from the National EMS Information System Database for the years 2017 and 2018. Sport-related injuries were identified using specific ICD-10-CM codes for the incident location type and cause of injury. Cases were limited to 9-1-1 responses for patients …

The Association Of Exercise Training Modalities With Circulating Branched Chain Amino Acid And Ketone Body Levels In Patients With Type 2 Diabetes, Ryan Andrew Flynn

Theses and Dissertations

Background: Elevated levels of circulating branched-chain amino acids (BCAA) and ketone bodies are recognized as biomarkers for cardiovascular disease (CVD) and other pathological conditions in type-2 diabetes mellitus (T2DM). Aerobic exercise interventions have been shown to decrease the levels of these markers, suggesting improved metabolic status and reduced risk of CVD. However, the efficacy of resistance training and concurrent programs in reducing BCAA and ketone body levels has not been well researched.

Methods: The current study was performed as a secondary analysis of the HART-D trial, a 9-month randomized, controlled exercise-training trial of 262 participants with T2DM. Participants were randomized …

Integrating Survivors Of Stroke Into Cardiac Rehabilitation, Elizabeth Wherley Regan

Theses and Dissertations

Stroke is the leading cause of disability in the United States (U.S.). Impairments after stroke typically result in reduced physical activity which increases the risk for stroke recurrence and the development or worsening of comorbid health conditions. Physical activity and exercise behaviors can reduce cardiovascular risk factors and improve endurance for survivors of stroke. Despite these known significant benefits, survivors of stroke face barriers to participating in regular physical activity due to limited self-efficacy, safety concerns, environmental restrictions and lack of accessible community programs.

Cardiac Rehabilitation (CR) is a structured exercise and behavior modification program for people with cardiovascular disease …

Piloting A Smartphone-Based Sedentary Behavior Reduction Intervention For Adults With Overweight Or Obesity: Take A Stand 4 Health, Chelsea Larsen

Theses and Dissertations

INTRODUCTION: Previous studies have shown a relationship between sedentary behavior as an independent and novel risk factor for high blood pressure. However, most of the evidence comes from cross-sectional and experimental studies, with only a few studies examining whether blood pressure is improved in individuals participating in a behavioral intervention. None of these studies utilized mHealth approaches, which hold potential for behavioral interventions, and none have focused on individuals with hypertension as a part of their target population. Therefore, the purpose of the dissertation was to 1) Examine the efficacy of a smartphone-mediated multi-component sedentary behavior reduction intervention for individuals …