Human and Clinical Nutrition Commons^™

The Gut Microbiome, The Gut-Brain Axis, And College Student Well-Being, Idi Mckay

University Honors Theses

This literature review examines how diet, stress, environmental exposure, and food accessibility may influence college students' mental health and academic performance through the gut microbiome and the Gut-Brain Axis (GBA). Current microbiome research often focuses on early childhood development, clinical disease populations, or older adults, while overlooking college-age students who experience significant social, environmental, and biological transitions. College students frequently face food insecurity, irregular eating patterns, chronic stress, inconsistent sleep schedules, and reduced access to nutrient-dense foods, all of which may influence microbial diversity and overall gut health.

This thesis explores how modern campus environments and lifestyle factors may contribute …

Title Page And Abstract: Diet Quality And Sustainability Based On Nut Intake Among Free-Living Adults, Raquel Aurora Martínez

Loma Linda University Electronic Theses, Dissertations & Projects

Background: There is increasing interest in dietary patterns that support both human and planetary health. Plant-forward dietary patterns commonly promoted within sustainability frameworks frequently include nuts. Despite concerns regarding resource use, particularly water demands, nuts may contribute to improved diet quality and sustainable dietary behaviors.

Objectives: To examine whether diets characterized by higher nut intake are associated with dietary quality, adherence to sustainable dietary patterns, and food-related sustainability behaviors among free-living adults.

Methods: Cross-sectional analyses were conducted using data from an online validated semi-quantitative food frequency questionnaire integrated with sustainability-related survey items. Energy-adjusted nut intake was categorized …

Independent And Combined Effects Of Early-Life Iron Deficiency And Antibiotic Exposure On Growth And Hematological Outcomes In A Piglet Model, Ginger M. Fitzpatrick

Master's Theses

Iron deficiency (ID) affects over 2 billion individuals globally. Children under 5 are at increased risk of ID due to rapid growth and are especially vulnerable to its negative consequences because of iron’s essential role in cognitive development and immune maturation. ID is the leading cause of iron deficiency anemia (IDA), with IDA affecting approximately 40% of children in this age group. Antibiotic (abx) exposure is also prevalent during early life and may disrupt growth and through gut dysbiosis, with increasing use posing additional risk in younger populations. Geographically, there is overlap in regions with high anemia prevalence and those …

Re-Evaluating The Safety Of Erythritol: A Critical Review Of Emerging Evidence, Kaitlyn B. Kirchner

Honors Thesis

Erythritol, a commonly used non-nutritive sweetener, has gained popularity as a sugar alternative due to its low caloric value and minimal effect on blood glucose levels; however, emerging research has raised questions about its overall safety. This literature review critically evaluates current peer-reviewed evidence on the effects of erythritol on the cardiovascular and gastrointestinal systems. Findings indicate that erythritol is generally well tolerated in the gastrointestinal tract, with fewer adverse effects than other sugar alcohols due to its rapid absorption and limited fermentation, although symptoms may be dose-dependent and influenced by co-ingestion with other carbohydrates. In contrast, evidence related to …

Prevalence Of Disordered Eating Behaviors In Junior And Senior Human Nutrition And Dietetics Students At The University Of Arkansas, Grace P. Carroum, Mallori Roberts

General Human Environmental Sciences Undergraduate Honors Theses

Disordered eating (DE) is a prevalent concern among college students and may be particularly relevant among nutrition and dietetics students due to their academic focus on food, weight, and health. This study aimed to assess the prevalence and frequency of disordered eating behaviors among junior and senior Human Nutrition and Dietetics students at the University of Arkansas using item-level responses from the Eating Disorder Examination Questionnaire Short Form (EDE-QS). A quantitative, cross-sectional design was employed, and data were collected via an anonymous online survey (n = 11). Descriptive statistics were used to examine the frequency of specific behaviors. Overall, most …

Effects Of Weight Loss Medications In Combination With Psychotropic Medications, Emily A. Hoffman

Electronic Theses, Projects, and Dissertations

Background and aims: The obesity epidemic has been well-documented and weight loss medications are becoming increasingly popular. Patients with psychiatric conditions often suffer metabolic side effects from psychotropic medications and are often prescribed weight loss medications to mitigate these side effects. When treating patients on these medications concurrently, understanding their potential side effects is essential for developing an effective care plan. Registered dietitian nutritionists (RDNs), pharmacists, and mental health professionals working in mental health facilities should be aware of these potential side effects to better care for their patients.

Methods: After completing a thorough literature review, a handbook …

A Functional Nutrition Literature Review For Brain Fog And Adhd-Like Symptoms In Adults, Natalie Elisani Aldahondo-Matos

Department of Nutrition Student Projects

Attention-deficit/hyperactivity disorder (ADHD) and ADHD-like symptoms, such as difficulty concentrating, mental fatigue, and problems with executive functioning, are increasingly recognized in adults. Although medication is commonly used to manage ADHD, there is growing interest in whether nutrition may also play a role in supporting brain function and attention. Several nutrients involved in brain health including omega-3 fatty acids, vitamin B12, magnesium, iron, and choline  have been suggested as potential contributors to cognitive performance and attention. However, the research examining the connection between diet and ADHD symptoms is still limited and sometimes shows mixed results.

The purpose of this project was …

Analyzing 24-Hour Diet Recalls To Assess Dietary Changes Among Children Who Complete Oral Food Challenges (Ofcs), Hannah Plank, Wan Shen, Heesoon Lee

Honors Projects

Pediatric food allergies are a growing public health concern in America due to their potential association with long-term nutritional impacts and reduced quality of life in those affected. Oral food challenges (OFCs) are considered the gold standard for clinical food allergy diagnosis, but few studies have examined if passing or failing an OFC affects overall diet quality in infants. This clinical observational study examined differences in diet quality, measured by the Healthy Eating Index (HEI), among 39 children aged 0–6 years who participated in OFCs at ProMedica Allergy and Immunology Clinic in Perrysburg, Ohio. Parents and caregivers reported daily dietary …

The Effect Of Low And High-Carbohydrate Diets On Memory Performance In College Students, Samia Baugh, Zoe Zajko, Jamie Analuisa, Ivanna Jacome

Department of Nutrition Student Projects

Carbohydrates are the primary source of energy for the brain and play an important role in processes related to memory performance. The purpose of this study is to examine the impact of a low-carbohydrate diet compared to a high-carbohydrate diet on memory performance in college students aged 18–22 years. For the purposes of this study, a low-carbohydrate diet is defined as a diet providing fewer than 130 grams of carbohydrates per day, while a high-carbohydrate diet provides approximately 325 grams of carbohydrates. This population is particularly important to study because college students experience high academic demands that require strong memory …

Nutritional Care For Adults With Obesity Treated With Glp-1and Dual Gip/Glp-1 Receptor Agonists: A Review Of Evidence, Gaps, And Clinical Implications, Carolina Mcguane

Department of Nutrition Student Projects

Abstract

Background:

Glucagon-like peptide-1 receptor agonists (GLP-1 RAs) and dual glucose-dependent insulinotropic polypeptide/glucagon-like peptide-1 receptor agonists (GIP/GLP-1 RAs) have revolutionized obesity management, producing unprecedented weight loss outcomes. Their widespread use has outpaced research on nutritional implications, adverse events, and evidence-based guidance for dietitians. Given the central role of nutrition practitioners in supporting adults with obesity, understanding the mechanisms, risks, and nutrition-related outcomes of GLP-1 therapies is critical.

Methods:

A comprehensive literature search was conducted utilizing PubMed, Embase, and Google Scholar to identify relevant peer-reviewed articles on the topic of glucagon-like peptide-1 receptor agonists (GLP-1 RAs) use and nutrition-related …

Low Energy Availability (Lea) And Its Relationship To Nutritional Status And Bone Health In Collegiate Athletes, Anthony Dempsey

UNH URC Open (2026 and after)

This project aims to identify low energy availability in a sample of collegiate athletes and explore the relationship with bone mineral density and nutrient deficiencies. Participants (n=3,407) were recruited from a northeast university and self-reported athlete status and physical activity via online questionnaire. Food records were used to calculate energy and nutrient intake. Anthropometrics including height, weight, body composition and bone mineral status were measured in duplicate. Energy availability (EA) was calculated as (Energy Intake (EI) -Exercising Energy Expenditure) (EEE)) /Fat Free Mass (FFM) (kg) and categorized as optimal (>45 kcal/kg FFM), subclinical, or clinically low (< 30 kcal/kg FFM). Fifteen percent of participants were characterized as athletes (club or division I varsity); mean EA was lower among athletes vs. nonathletes (17.90.7vs.21.90.3, p< .001). Males were more likely to have optimal EA status vs. females (8.8vs4.7%, p< .001). Most females (75.1%) were categorized as clinically LEA; 20.3% had subclinical LEA. Among men, athletes’ EA was similar to nonathletes (21.11.2vs22.20.5, p=.4); among females, athletes had lower EA vs. nonathletes (16.220.9vs21.70.3, p< .001). Males with clinically low EA were most likely to consume inadequate intakes of potassium, fiber, iron, and vitamin D (77.1,94.0,10.4 and 97.3%, respectively); similarly, females with clinically low EA, were most likely to consume inadequate intakes (81.9,87.6,88.3, and 99.5%, respectively). Bone z-scores were higher among athletes vs. non athletes (-.27±.06vs-.67±.02, p< .001) but were not different by EA status. Given the prevalence of LEA within the college athlete and nonathlete populations, further research and tailored nutritional education is needed for this at-risk population.

Food Stamp Participation And Health Outcomes In Ca Immigrants, Esther Kang

Scripps Senior Theses

The U.S. social welfare system includes programs aiming to increase access to nutritious food to reduce nutrition insecurity. However, studies suggest that immigrants continue to face disproportionate risks of nutrition insecurity and may face barriers to enrollment due to legal status. This study, using secondary data from the 2023 California Health Interview Survey, examines the associations between food stamp participation, food insecurity, and clinical diagnosis of diabetes among adult U.S.-born, naturalized, and non-citizen adults in California. The findings suggest that those enrolled in food stamps are more likely to report food insecurity than those who are not enrolled, and that …

Effects Of Fermented Soybean Products On The Human Gut Microbiome, Microbial Metabolism, And Host Physiology, Shannon Moncier

Biology Dissertations

Fermented soybean products (FSPs) contain soybean-derived substrates, fermentation-associated microorganisms, and bioactive compounds that may interact with the human gut microbiome and host physiology. However, despite the growing interest in FSPs, longitudinal human studies specifically evaluating traditional Korean-FSPs (K-FSPs), particularly among United States-based populations, remain limited. The objective of this work was to evaluate the effects of three K-FSPs, including Cheonggukjang, Gochujang, and Doenjang, on host physiological responses, gut microbial community structure, predicted microbial functional potential, and fecal butyrate responses in healthy adults. Three independent dietary intervention cohorts were conducted using FSP formulations produced either by traditional artisan methods (Product A) …

Homoplasy Of Maxillary Orthognathism In Derived Homo, Jared Jordan

Graduate Studies Theses and Dissertations 2026

The evolution of the orthognathic condition in the genus Homo represents a monumental transition toward the facial morphology of modern humans from that of earlier hominins, but the phylogenetic positioning of this transformation remains poorly understood. This study investigated temporal trends in maxillary and mandibular prognathism in the genus Homo, and whether maxillary and mandibular shortening in East Asian H. erectus and later East Asian Middle Pleistocene Homo (e.g., Homo longi) represent independent derivations of orthognathic morphology, thereby making orthognathism a homoplasy in the genus Homo. Using a sample of roughly 109 cranial and mandibular specimens spanning …

Interleukin-6 (Il-6) Mediated Pathways In Nonalcoholic Fatty Liver Disease (Nafld) And Its Implications On Magnesium And Zinc Mineral Deficiencies: A Scoping Review, Marianne Koleng, Leann Nguyen

Department of Nutrition Student Projects

The prevalence and incidence of Non-Alcoholic Fatty Liver Disease (NAFLD) is rising. In the United States alone, the prevalence of NAFLD is currently 38% and there has been a 50% increase over the last three decades. The present study investigated the role of ultratrace mineral deficiencies, specifically magnesium (Mg) and zinc (Zn), and if so, what nutritional interventions could be made to ameliorate or protect against the development of NAFLD. The role of trace and ultratrace minerals in pro-inflammatory cytokine pathways contributing to NAFLD, specifically Interleukin-6 (IL-6), were investigated. IL-6 is produced by hepatocytes and plays a crucial role in …

Dietary Intake And Changes In Body Composition Over The Course Of One Season In Ncaa Division 1 Football Players, Blayke W. Harrison

Master's Theses

Energy intake and macronutrient composition of an athlete’s diet is highly important when considering performance. Additionally, having a favorable body composition (i.e. low levels of fat mass and high levels of lean body mass) is crucial in high-level athletes.The role of nutrition-related support personnel is highly needed by many collegiate athletics programs to achieve these outcomes, yet this resource seems to be undervalued and underused in many settings. The present thesis investigates the effects of providing nutritional support to improve dietary habits and compare changes in specific body composition metrics over the course of one season (pre- and post-season) among …

A Pilot Study Exploring Vitamin D, Mental Health, And Gastrointestinal Health In Humans, Brianna C. Williams

Master's Theses

Mental disorders are experienced by nearly one billion people worldwide. Depression is one of the most common. Treatments exist, yet a devastating 75% of individuals suffering from depression do not receive adequate treatment. An emerging treatment strategy includes exploring the connection between mental health and nutrition, which includes the areas of gut health and nutrient deficiencies. Vitamin D is obtained through food, supplements, and sunlight. Many individuals are considered deficient (25[OH]D concentrations < 12 ng/mL) or insufficient (25[OH]D concentrations < 20 ng/mL). Purpose: This study aimed to explore mental and gastrointestinal (GI) health using surveys and lipopolysaccharide binding protein (LBP) concentrations, a biomarker of GI health, in individuals considered 25(OH)D deficient (DEF) vs not deficient (N-DEF). Methods: This cross-sectional study recruited physically active participants aged 18-45 years who underwent three evaluations in one visit. Health was assessed using surveys to evaluate mental health, GI symptoms, and vitamin D intake. Serum from fasting blood samples was used with an enzyme-linked immunosorbent assay to determine 25(OH)D and LBP concentrations. Unpaired t-tests were used to compare DEF vs N-DEF and significance was set at p < 0.05. Results: Thirty-two participants (mean age 25.3 ± 6.3 years) with mean and body fat percentage of 24.0% ± 10.7%, were placed into DEF (n=16) and N-DEF (n=16) categories. Interestingly, five of the 16 participants in DEF (31%) showed some level of depression (scores ranging from mild to severe) and only two of the 16 participants in N-DEF iv (13%) scored positively in the depression category (scores ranging from mild to moderate). Additionally, the participant with the lowest 25(OH)D concentration (5.42 ng/mL) was the only participant to meet the “severe” depression category criteria, with a score of 24 compared to other participants who scored within 0-16. Also, the only participant who scored “severe” in the stress category, was in the bottom 20% of 25(OH)D concentrations. As for GI health, the difference between average GI scores and average serum LBP concentrations between the groups were not statistically significant. Conclusion: There were no significant differences between DEF and N-DEF in perceived depression (p = 0.16), anxiety (p = 1.0), stress (p = 0.96), GI symptoms (P values ranged from 0.27 to 1.00), nor in LBP concentrations (p = 0.77). Funding: Support was received from the Graduate Student Association and College of Natural Health Sciences at the University of Northern Colorado.

The Effect Of Whole Fruits High In Anthocyanins On Markers Of Glycemic Control In Women, Sophia C. Johnson

Master's Theses

Cardiometabolic diseases are a significant health burden worldwide and remain the leading cause of death among adults in the United States. Type 2 diabetes mellitus (T2DM) is a central component of cardiometabolic dysfunction and substantially increases the risk for cardiovascular disease. As women enter the post-menopausal period, significant declines in estrogen levels lead to a heightened risk of T2DM in this population. Observational and experimental evidence has shown potential for fruits high in anthocyanins (ACs) to reduce the risk of T2DM and improve glycemic control. This systematic review and meta-analysis examined the current research on whole fruits high in ACs …

Mechanisms Of Placental Impairment And The Upregulation Of Fetuin-B During Maternal Undernourishment, Mia Camilliere

NYMC Student Theses and Dissertations

Proper nutrition is crucial during pregnancy to support fetal and placental development. Failure to meet these nutritional needs can result in adverse health outcomes for both mother and baby. Despite its high prevalence in underdeveloped countries, maternal undernourishment is a public health issue worldwide. There are several possible causes of maternal undernourishment, and these can occur alone or in combination, such as poor access to nutrition, hyperemesis gravidarum, and drug use. This condition can adversely affect placental development and function to the extent of placental insufficiency, perturbing the entire pregnancy. The placenta is responsible not only for hormonally and physically …

Relationship Between Maternal Plasma Retinol And Provitamin A Carotenoids With Fetal And Infant Kidney Development, Anum Akbar

Theses & Dissertations

Vitamin A plays a critical role in fetal organ development. Studies suggest that maternal vitamin A deficiency affects fetal nephron numbers, potentially leading to smaller kidney sizes and an increased risk of chronic kidney disease later in life. However, human studies exploring maternal vitamin A's impact on fetal kidney development lack longitudinal data and within-cohort comparisons. Furthermore, the influence of provitamin A carotenoids (α-carotene, β-carotene, β-cryptoxanthin) on kidney size remains unexplored. This dissertation addresses these gaps by analyzing relationships between maternal and cord plasma retinol and provitamin A carotenoid concentrations with fetal and infant kidney sizes. Our prospective cohort …

Schistosoma Haematobium Infection In Ethiopian Children: Evaluating Praziquantel Efficacy, Nutritional Effects, And Diagnosis Using Flukecatcher, Louis Fok

Theses & Dissertations

Urogenital schistosomiasis continues to impact the wellbeing of hundreds of millions of people worldwide and remains a significant public health challenge across Ethiopia. Despite existing knowledge on the disease, there remain significant unanswered questions with regard to its treatment and diagnosis. This dissertation evaluated the efficacy of praziquantel at treating urogenital schistosomiasis, improving nutritional parameters among children and the performance of FlukeCatcher at detecting and determining the intensity of infection. In effecting this, a total of 977 children aged 5 through 15 from the Afar and Gambella regions of Ethiopia were screened for S. haematobium infection using urine filtration microscopy …

A Qualitative Evaluation Of Diabetes Solutions Telehealth Coaching Services, Caroline Brock

Honors Theses

Diabetes remains a growing public health concern, particularly in underserved regions such as rural Mississippi, where barriers to healthcare access and diabetes education contribute to poor disease management. This qualitative study explores the lived experiences of 27 participants enrolled in Diabetes Solutions, a telehealth-based diabetes self-management education and support (DSMES/T) program offered by the Mississippi Diabetes Network. Using a phenomenological approach and structured interviews, the study identifies four major themes: structural benefits of the program, knowledge gained, common changes by participants, and quality of life outcomes. Participants consistently emphasized the value of personalized coaching, emotional encouragement, and practical education on …

The Effect Protein Supplementation On Waist-To-Hip Ratio, Bmi, Lipid Profile, And Resting Energy Expenditure In Postmenopausal Women, Caleb Flores

Biological Sciences Undergraduate Honors Theses

Postmenopausal women are a growing and at risk population that face increased risk for adverse changes in body composition, lipid profile, and overall cardiometabolic health due to hormonal changes associated with aging. Over 40% of postmenopausal women have obesity, which can be linked not just aging but the menopausal transition. Because of the negative effects of menopause on cardiometabolic, research into dietary interventions to combat these effects are needed. High-protein diets have shown promise in mitigating these effects, but sufficient research has not been done to determine the effects on postmenopausal women. This study aimed to evaluate the effects of …

Healthy Dietary Patterns’ Impact On Depressive Symptoms: A Meta-Analysis Of Randomized Controlled Trials, Angela Encardone

All Theses

As the search for innovative mental health treatments expands, dietary interventions have emerged as a promising approach for alleviating depressive symptoms. This thesis presents a meta-analysis of randomized controlled trials (RCTs) examining the efficacy of whole-of-diet nutritional interventions in reducing depression symptoms among adults. Grounded in Bronfenbrenner’s Bioecological Model and Engel’s Biopsychosocial Model, this study explores the intersection of biological, psychological, and social factors that influence mental health outcomes. A systematic review identified six eligible RCTs assessing the impact of healthy dietary patterns, including the Mediterranean diet and other plant-based interventions, on depression symptoms. A random-effects meta-analysis revealed a significant …

Protein Intake And The Wellbeing Of Postmenopausal Women: Investigating Sleep, Mood, And Quality Of Life, Aleesha Imran

Biological Sciences Undergraduate Honors Theses

Postmenopausal women commonly experience declines in sleep quality, mood, and overall wellbeing, with limited non-pharmacological options available to address these concerns. This randomized controlled trial investigated whether daily beef consumption as part of a higher-protein diet could improve sleep, mood, and quality of life over four weeks. Participants were randomized to either a standard protein intake control group or a treatment group consuming a high-protein diet with daily lean beef.

The treatment group showed modest improvements in subjective sleep quality and perceived health compared to controls, although these changes were not statistically significant. Fatigue, however, significantly decreased in the treatment …

Effects Of Snacking Habits On Overall Health And Cognition Of University Students, Kelly Shaw

Electronic Theses, Projects, and Dissertations

Title: Effects of Snacking Habits on Overall Health and Cognition of University Students

Authors: Shaw, K., Tolar-Peterson, T., & Malik, N.

Affiliation: College of Natural Sciences, Department of Health Science and Human Ecology, California State University, San Bernardino 5500 University Parkway, San Bernardino, CA 92407

Background and Aims: Snack consumption is increasing, and university students may be particularly susceptible to unhealthy snacking habits. Snacking patterns may affect students’ academic performance, mood, or body weight. This study assessed students’ snacking habits and its relationship with grade point average (GPA), mood, body mass index (BMI), and food insecurity.

Methods: Using an …

Awareness And Attitudes Toward Diabetes Among Students In The California State University System, Cesar Fajardo

Electronic Theses, Projects, and Dissertations

Background and Aims: The prevalence of type 2 diabetes has been increasing globally. Studies examining patient awareness and attitudes toward diabetes have been conducted and found that diabetes education does increase patient knowledge but has no effect on attitudes. Additionally, many of these studies did not assess university students’ views on type 2 diabetes. Given that type 2 diabetes incidence is increasing among young adults, more attention must be given to this population. Therefore, the aim of this study was to investigate CSUSB students' understanding and attitudes toward type 2 diabetes.

Methods: A cross-sectional study using electronic surveys with …

The Impact Of Diet On Preeclampsia: An Observational Study Of Nutritional Influence, Trinity G. Moye, Alyssa Cunningham

Department of Nutrition Student Projects

Preeclampsia is a pregnancy-specific condition typically diagnosed after 20 weeks of gestation in women with no prior history of hypertension. Characterized by high blood pressure, proteinuria, thrombocytopenia, increased liver enzymes, and affecting the arteries carrying blood to the placenta, preeclampsia affects the health of both the mother and the fetus. Preeclampsia is disproportionately prevalent in certain populations, specifically among Black women, with various factors contributing to the higher susceptibility including socioeconomic status, education, and health distrust. These factors have been historically structured against Black women in American society. This study aims to reveal how dietary habits can play a role …

The Impact Of Paternal Obesity On Placental Development And Function During Pregnancy, Delaney G. Wolfe, Delaney G. Wiolfe

Department of Nutrition Student Projects

Paternal obesity is a rising concern in conception and reproductive health, with increasing evidence suggesting its impact on pregnancy outcomes. While maternal obesity's effects on fetal development and placental function are well-documented, the role of paternal obesity remains less understood. The placenta, crucial for nutrient exchange and fetal development, can be disrupted by inflammation, oxidative stress, and epigenetic modifications, potentially leading to long-term health implications for both maternal and fetal health. Understanding the paternal influence on placental development is essential for improving pregnancy outcomes and offspring
health. This study aims to investigate the relationship between paternal obesity on placental function …

Evaluating A Pilot Nutrition Education Curriculum For Autistic Young Adults: Rev It Up! For Asd, Samantha Schaap

Health and Nutritional Sciences Graduate Students Plan B Capstone Projects

Objective: People with autism spectrum disorder (ASD) have poor diet and exercise behaviors, which lead to higher prevalences of overweight/obesity and diet-related diseases. Young adults with ASD are particularly understudied regarding nutrition educational approaches; thus, our study aimed to examine the impact of Rev It Up! for ASD, an adapted Extension nutrition and physical activity curriculum adapted for this population.
Methods: The Rev It Up! curriculum was reviewed by four experts in autistic education to identify adaptations needed for the Rev It Up! for ASD pilot. The intervention was conducted in 10, 90-minute sessions from February-April 2025, where students participated …