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Dietetics and Clinical Nutrition

Theses/Dissertations

2016

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Full-Text Articles in Medicine and Health Sciences

The Impact Of Mindfulness-Based Interventions On Stress Eating, Emotional Eating, And Binge Eating: A Literature Review, Kira L. Minot Dec 2016

The Impact Of Mindfulness-Based Interventions On Stress Eating, Emotional Eating, And Binge Eating: A Literature Review, Kira L. Minot

Food Science and Nutrition

This literature review examines the impact of various mindfulness-based interventions (MBIs) on the obesity-related eating behaviors of stress eating, emotional eating, and binge eating. With the inconsistency of the weight loss industry to provide long-term weight loss results, the United States is in need of alternative methods of weight loss and weight maintenance to combat the current overweight and obesity epidemic. MBIs are thought to be beneficial when targeted at behaviors of weight gain because mindfulness promotes an individual’s awareness of present physical and emotional sensations within the body, including hunger and satiety cues. Self-acceptance and stress reduction are also …


Evaluation Of The Shelf-Stability Of A High-Carotenoid Breakfast Food And Its Impact On Skin Carotenoid Levels, Dawn L. Reed Dec 2016

Evaluation Of The Shelf-Stability Of A High-Carotenoid Breakfast Food And Its Impact On Skin Carotenoid Levels, Dawn L. Reed

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Carotenoids are pigments found throughout nature in a large variety of plants including fruits and vegetables (F/V). Carotenoids provide much of the color we see in nature but are perhaps most noticeable in plants with yellow, orange, or red flesh. Carotenoids are antioxidants that serve as a protection against harmful ultraviolet radiation and other free radical producing processes in the body and in plant tissues. Once consumed, carotenoids are deposited in the skin, particularly in fatty tissue. Raman resonance spectroscopy (RRS) can be used to quantify skin carotenoid levels and has been proven a good indicator of F/V consumption. A …


Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera Nov 2016

Bariatric Surgery Weight-Loss Maintenance Among Hispanics: A Multiple Case Study, Minerva Aguilera

Nursing Theses and Dissertations

Obesity significantly contributes to human illness and to subsequent rising healthcare expenditures. Bariatric surgery has been identified as the only effective option to achieve the weight loss necessary for those who are morbidly obese. Previous research indicated that maintaining significant weight loss has been a problem for individuals who undergo bariatric surgery. The number of bariatric surgeries is increasing and factors that contribute to or interfere following bariatric-surgery weight-loss maintenance need to be determined. Research on weight-loss maintenance following bariatric surgery is very limited, particularly among the Hispanic population. This case-study research used an explanatory, multiple-case-study design to gain greater …


Antioxidant And Anti-Inflammatory Nutrients On Lung Function In Chronic Obstructive Pulmonary Disease, Jessica M. Hinds Aug 2016

Antioxidant And Anti-Inflammatory Nutrients On Lung Function In Chronic Obstructive Pulmonary Disease, Jessica M. Hinds

Theses & Dissertations

Introduction Veterans are three times more likely to develop chronic obstructive pulmonary disease (COPD) than the general population. This is likely due to increased use of tobacco and exposure to environmental risk factors. Nutritional intake has been linked to COPD, and veterans report unique barriers to improving their eating habits.

Purpose The primary outcome of this study was to examine the relationship between antioxidant and anti-inflammatory nutrient intake and lung function in veterans with COPD. It was hypothesized that a higher intake of lutein + zeaxanthin, ß-cryptoxanthin, lycopene, retinol, ɑ-carotene, ß-carotene, vitamin C, vitamin D, ɑ-tocopherol, omega-3, zinc and selenium …


Identifying Characteristics Associated With Ileus Development Post Coronary Artery Bypass Graft Surgery, Kara C. Hannon Aug 2016

Identifying Characteristics Associated With Ileus Development Post Coronary Artery Bypass Graft Surgery, Kara C. Hannon

Theses & Dissertations

Background: Postoperative ileus (POI) is the period of intestinal paralysis following any surgical procedure. POI is manifested by nausea, vomiting, abdominal distention, delayed tolerance of oral diet and delayed time to flatus and stool. Little is known about POI following coronary artery bypass grafting (CABG) as no other study has focused specifically on the incidence of POI following CABG.

Purpose: The primary objective of this study is to determine the incidence of POI post CABG. The secondary aim is to evaluate baseline characteristics associated with POI following CABG.

Methods: This was a retrospective cohort study of 100 patients who underwent …


Registered Dietitians: Attitudes And Perceptions Regarding Bachelor’S Degree In Nutrition And Dietetics, Ashwini R. Wagle Aug 2016

Registered Dietitians: Attitudes And Perceptions Regarding Bachelor’S Degree In Nutrition And Dietetics, Ashwini R. Wagle

All Theses And Dissertations

The profession of dietetics is transitioning to the master’s degree (MS) as the entry-level requirement for registered dietitians’ (RDs) to practice. The purpose of this quantitative study was to examine the attitudes and perceptions of registered dietitians with bachelor’s degrees (BS, RD’s) regarding a transition to the MS degree as the requirement for the RD certification. This study also examined these RD’s attitudes and perceptions regarding impacting factors such as their years of work experience including salary levels and increments, professional stature including promotions and positions, and scope and type of practice. A cross-sectional survey was utilized to collect data …


An Evaluation Of African American Fathers’ Perceptions And Influences On Child Food Choices And Physical Activity Behaviors, Valerie Annette Richardson Aug 2016

An Evaluation Of African American Fathers’ Perceptions And Influences On Child Food Choices And Physical Activity Behaviors, Valerie Annette Richardson

Dissertations

Child obesity is affecting children’s health nationwide. Rates are highest among African Americans (AA) in the South. Research has explored parents’ influence on child eating and activity, but most has reported on mothers’ influences. The purpose of this research was to investigate perceptions about AA fathers’ influences on their children’s eating and physical activity. Using a structured focus group questionnaire based on the parent layer constructs of Birch and Ventura’s Ecological Model for Child Overweight (2009), four focus groups were conducted with 28 AA fathers with children 6- to 11-years-old in a rural and an urban church setting in southeast …


The Combined Effects Of Leptin And Coenzyme Q10 In Ameliorating Obesity- Induced Infertility In Female Rats, Adekunle Adedeji Aug 2016

The Combined Effects Of Leptin And Coenzyme Q10 In Ameliorating Obesity- Induced Infertility In Female Rats, Adekunle Adedeji

Electronic Theses and Dissertations

Infertility is one of the major problems of obesity. Studies have shown that administration of leptin reversed obesity-induced infertility in rats and mice. Coenzyme Q10 (CoQ10) is an antioxidant and also supplies the energy needed for ovulation and embryo development. We hypothesized that leptin when combined with CoQ10 could greatly improve obesity-induced infertility. The results showed a significant decrease in food intake, body weight, and the regular estrous cycle was restored after treatment with leptin+CoQ10. There was a significant increase (p10 significantly (p10 can improve fertility in obese infertile female rats. This study could …


The Effect Of Television Watching And Portion Size On Intake During A Meal, Rachel Nicole Rosenthal Aug 2016

The Effect Of Television Watching And Portion Size On Intake During A Meal, Rachel Nicole Rosenthal

Masters Theses

Background: Several investigations have examined the influence of television and portion size on intake. Results have found that watching television while eating or being provided larger portions increases intake. However, no investigation has examined the combined effect of these variables on food intake, when these factors are combined they may enhance consumption.

Methods: To test the influence of television and portion size on intake during a meal in healthy weight adults, a 4X2X2 mixed factorial design was used, with a between-subject factor of order of conditions and within-subject factors of television (TV vs. NO TV) and portion size (SMALL vs. …


Awareness, Perception, And Self-Reported Purchasing Behaviors Of College Students Regarding Front-Of-Package Nutrition Labeling Systems And Symbols, Audrey L. Kessler Aug 2016

Awareness, Perception, And Self-Reported Purchasing Behaviors Of College Students Regarding Front-Of-Package Nutrition Labeling Systems And Symbols, Audrey L. Kessler

Electronic Theses and Dissertations

Traditional students enroll in post-secondary institutions during emerging adulthood. College enrollment is increasing and adult weight gain occurs most rapidly during the college-age years, with poor food decisions as a potential contributing factor. The present study examined the awareness, perception, and self-reported purchasing behaviors of college students regarding four front-of-package (FOP) nutrition labeling systems and symbols. Students were sent a 24-question web-based survey, with 908 completed surveys that met the research criteria. There were 888 (98.3%) respondents who recognized at least one of the four presented FOP nutrition labels. There were no significant differences between the groups that recognized one …


Effective Communication Of School Health Screening Information: A Pilot Study Evaluating The Effect Of Electronic Communication Of Bmi Screening Information In Elementary Schools, Kara Elizabeth Carter May 2016

Effective Communication Of School Health Screening Information: A Pilot Study Evaluating The Effect Of Electronic Communication Of Bmi Screening Information In Elementary Schools, Kara Elizabeth Carter

Senior Honors Projects, 2010-2019

Obesity is a growing concern surrounding today’s youth. School-based health screenings are promoted as a public health strategy to identify obese children and those at high risk for becoming obese. Despite numerous programs, data is lacking in effective school to parent communication of health related information. The purpose of this research is to determine the effect of electronic communication of health screening outcomes, including parents’ understanding of screening information, utilization of informational resources, and decision to seek physician follow-up. Screenings for body mass index, acanthosis nigricans and blood pressure were conducted during school hours among children in kindergarten and third …


Diet Quality Of Adolescent Females In Relation To Disease Risk, Heidi Pfeifer May 2016

Diet Quality Of Adolescent Females In Relation To Disease Risk, Heidi Pfeifer

Theses & Dissertations

Background: Many people are living longer with chronic diseases costing billions in healthcare costs every year. Many things influence the risk of chronic diseases but one easily modified risk factor is diet. Alternate Healthy Eating Index (AHEI) and Alternate Healthy Eating Index-2010 (AHEI-2010) diet quality indexes have been associated with chronic disease risk but has not been studied in disease risk in adolescents.

Purpose: The purpose of this study is to look at adolescent girls’ diet quality scores compared with known adult values associated with chronic diseases and risk of mortality.

Methods: This is a secondary analysis of a previous …


Effects Of Prenatal Gestational Diabetes Nutrition Education Class And Individual Follow-Up On Maternal And Infant Outcomes, Samantha List May 2016

Effects Of Prenatal Gestational Diabetes Nutrition Education Class And Individual Follow-Up On Maternal And Infant Outcomes, Samantha List

Theses & Dissertations

BACKGROUND: Gestational Diabetes Mellitus (GDM) is defined by glucose intolerance detected with the onset of pregnancy, and if gone undetected and untreated, can lead to morbidities for the mother and baby. Implementation of nutrition counseling can work to reduce the risk of complications through dietary modification promoted and adopted during pregnancy. Follow-up is important, as individual assessment is used to modify recommendations. GDM class and follow-up provided through the Diabetes Center of Nebraska Medicine covers and promotes proper management of blood glucose (BG) during pregnancy for women with GDM.

PURPOSE: The purpose of this study was to assess the impact …


A Competitive Assessment Of Commercial Elderberry (Sambucus Sp.) Products And The Evaluation Of Copigmentation Within Elderberry Tinctures, Joseph A. Galetti Phd May 2016

A Competitive Assessment Of Commercial Elderberry (Sambucus Sp.) Products And The Evaluation Of Copigmentation Within Elderberry Tinctures, Joseph A. Galetti Phd

Electronic Theses and Dissertations

Elderberry (Sambucus sp.) fruit is a healthful food with a variety of reported curative properties and is among the richest sources of anthocyanic pigmentation, which are the primary factors for its commercial use. Although a variety of value-added elderberry products are available to consumers, it is questionable as to which product form contains the highest nutrient levels and color stability characteristics, and represents the best value to consumers. It was the objectives of this research to evaluate a variety of commercial elderberry products, and to develop a value-added elderberry product with enhanced nutrient and color stability.

The first part …


Disordered Eating Behaviors In Collegiate Athletes, Kelly M. Schatzlein May 2016

Disordered Eating Behaviors In Collegiate Athletes, Kelly M. Schatzlein

Masters Theses, 2010-2019

Abstract

Intervention(s): Data was collected using an online Qualtrics survey with a number of questions on demographics, sports participation, disordered eating and body dissatisfaction.

Main Outcome Measure(s): Means, standard deviations, and frequencies for all demographic information. Independent t-tests were conducted to compare: differences in disordered eating and body dissatisfaction between higher and lower performers.

Results: Higher performing athletes were not at greater risk of disordered eating or eating disorders (P>.05). No significant difference was found between higher and lower performers on EDE-Q average score, BSQ average score, or EDE-Q subscales. There was no difference found among cross-country …


Nutritional And Physical Activity Behaviors Of Certified Athletic Trainers In The Collegiate Setting, Danielle M. Scanlon May 2016

Nutritional And Physical Activity Behaviors Of Certified Athletic Trainers In The Collegiate Setting, Danielle M. Scanlon

Masters Theses, 2010-2019

Abstract

Objective: To determine if collegiate athletic trainers meet the current national recommendations for a healthy weight, diet and physical activity.

Design: The research was a cross-sectional design consisting of a self-constructed survey formulated using the 2010 Dietary Guidelines and 2009 Academy of Sports Medicine Physical Activity Recommendations.

Subjects: One- thousand randomly selected athletic trainers were contacted to participate. One-hundred and five participants (10.5% return rate) completed the survey. All were District 3 members of the National Athletic Trainers Association.

Measurements: Body mass index (BMI) was calculated using participant self-reported height and weight data. Means and frequencies were computed for …


Examining The Relationship Between Vitamin A Intake And Weight Management, Jennifer Paige Eastep May 2016

Examining The Relationship Between Vitamin A Intake And Weight Management, Jennifer Paige Eastep

Masters Theses

Introduction: Treatments of retinoic acid, a metabolite of vitamin A (VA) are shown to induce hyperlipidemia in humans and animals, which may influence adiposity. To understand the role of VA in weight management, two studies, one in animals examining effects of VA combined with high-fat diet (HFD) on body mass (BM) gain and the second in humans comparing dietary VA between participants who were overweight/obese and who had and had not lost 10% of body weight by consuming a hypocaloric, low-fat diet, were conducted.

Methods: Male Sprague Dawley rats were fed a HFD containing sufficient VA (HF-VAS) or a HFD …


The Role Of Farmers' Market Incentives On The Fruit And Vegetable Intake And Food Security Status Of Supplemental Nutrition Assistance Program Participants, Mateja R. Savoie Roskos May 2016

The Role Of Farmers' Market Incentives On The Fruit And Vegetable Intake And Food Security Status Of Supplemental Nutrition Assistance Program Participants, Mateja R. Savoie Roskos

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Public health professionals in the United States are implementing various interventions in effort to improve dietary intake in low-income individuals. One intervention strategy that has gained attention over the past several years is providing financial incentives for federal nutrition assistance users when they purchase fruit and vegetables at local farmers' markets. The overall objective of the research studies included in this dissertation were to develop, implement, and evaluate farmers' market incentive programs in Utah in effort to determine if this intervention increases fruit and vegetable intake and improves food security status among low-income individuals.

The first study conducted in the …


Effects Of A Flavonoid-Rich Diet On Gut Microbiota Composition And Production Of Trimethylamine In Human Subjects, Justin S. Bell May 2016

Effects Of A Flavonoid-Rich Diet On Gut Microbiota Composition And Production Of Trimethylamine In Human Subjects, Justin S. Bell

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The prevalence of cardiovascular disease is a major public health concern worldwide. It has been theorized that diets rich in fruits and vegetables may be protective against the development of cardiovascular disease mainly through their high content of flavonoids. Flavonoids were thought to influence traditional risk factors of cardiovascular disease such as blood pressure, lipid profile, and systemic inflammation. Recent clinical studies have shown that this may not be the case. The production of trimethylamine oxide (TMAO) by the gut microbiota from dietary sources of choline has been associated with an increased risk of cardiovascular events. The objectives of this …


Identifying And Reducing Risk Of The Female Athlete Triad In Division I Athletes, Jennifer Day May 2016

Identifying And Reducing Risk Of The Female Athlete Triad In Division I Athletes, Jennifer Day

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Physically active females, or female athletes, are at risk for the condition known as the female athlete triad (Triad). The Triad is made up of three components that are distinctly separate, but intertwined: consuming inadequate energy for how much they are exercising, poor bone health, and problems with their menstrual periods. When female athletes don’t consume enough energy for how much they exercise, there can be hormonal imbalances, causing the body to conserve energy from some important functions including menstruation, and increased bone turnover resulting in a higher risk of stress fractures and early osteoporosis. Female athletes at risk for …


The Effect Of Reduced Carbohydrate Diet Education On Hemoglobin A1c In Patients With Type 2 Diabetes, Lauren Parker Apr 2016

The Effect Of Reduced Carbohydrate Diet Education On Hemoglobin A1c In Patients With Type 2 Diabetes, Lauren Parker

Evidence-Based Practice Project Reports

Type 2 diabetes (T2D) is characteristically the result of modifiable risk factors, impacting the health and well being of all ethnic backgrounds across the lifespan. Research has indicated that despite the many risk factors associated with T2D, alterations in dietary macronutrient composition can lead to improvements in disease management and resultant complications. Therefore, the purpose of this evidence-based practice (EBP) project was to provide individuals with reduced carbohydrate (carb) diet education to promote greater glycemic control and reduce associated risk factors through macronutrient modification, specifically carb intake. An integration of the most current evidence obtained from the critically appraised literature …


Perceived Stress, Caffeine Consumption, And Gpa Of Undergraduate Students At A Large Public University, Emma Simpson Jan 2016

Perceived Stress, Caffeine Consumption, And Gpa Of Undergraduate Students At A Large Public University, Emma Simpson

Theses and Dissertations--Nutrition and Food Systems

Evidence suggests that college students may increase caffeine consumption to cope with the stress and demands of college. The relationships between perceived stress, caffeine consumption, and GPA were examined in students at a large public university. Students were surveyed to determine perceived stress (Cohen’s Perceived Stress Questionnaire), beliefs about caffeine, caffeine consumption, workload in and outside of the classroom, and GPA. Surveys were administered at the beginning of the semester and again at midterm. Based on Cohen’s 40-point scale, average stress scores increased from 15.95 ± 6.34 at the beginning of the semester to 18.89 ± 6.94 at midterms. Additionally, …


Nutrition Resources For Football Players In Division I Institutions: The Athletic Trainer's Perspective And Role, Giovanna Marie Giannini Jan 2016

Nutrition Resources For Football Players In Division I Institutions: The Athletic Trainer's Perspective And Role, Giovanna Marie Giannini

Honors Undergraduate Theses

Background: The importance of nutrition on athletic performance is evident. Athletic trainers (ATs), nutritionists/RDs, strength and conditioning specialists (SCSs), and other athletic department personnel may be available to student-athletes and can be solicited for nutrition advice. Multiple studies have found that although some universities have a sports nutritionist on staff, student-athletes approached an AT most often for nutrition advice rather than an SCS, nutritionist or other person. ATs have the necessary education to provide proper nutrition information to student-athletes; however, it is not the primary role of an AT.

Objective: The purpose of this study was to examine the quantity, …


Outcomes Experienced By Patients Presenting With Ventral Hernias And Morbid Obesity In A Surgical Clinic, Margaret A. Plymale Jan 2016

Outcomes Experienced By Patients Presenting With Ventral Hernias And Morbid Obesity In A Surgical Clinic, Margaret A. Plymale

DNP Projects

Surgeons generally agree that morbid obesity is a contraindication to ventral hernia repair surgery due to risk of adverse outcomes. The purpose of this study was to describe the experience of patients with ventral hernia complicated by morbid obesity by reviewing a population of patients that were seen by a surgical service to determine the characteristics of those patients that had favorable and unfavorable outcomes. A retrospective medical record review was conducted of new patients with ventral hernias and morbid obesity (body mass index (BMI ) ≥ 40 kg/m2) seen by one surgical service over a two and …


Getting Back To Our Roots, Emily J. Jacobs Jan 2016

Getting Back To Our Roots, Emily J. Jacobs

Williams Honors College, Honors Research Projects

Completing this senior honors project afforded the opportunity to develop activities around the topics of basic gardening skills, cooking skills, and the importance of quality nutrition for the students from the Center for Child Development Day Camp. Seven lesson plans were developed in collaboration with Mrs. Kathy Schupp, the director of the Nutrition Center. At the beginning of summer, discussion took place regarding the types of nutrition information that could be learned from working in the Schrank Hall South teaching garden. The Great Garden Detective Adventure was used as a resource in planning lessons for the students. This book was …


Do Smartphone Applications Aid In Weight Loss? A Study On The Efficacy Of Apps As A Supplemental Weight-Loss Aid, Elizabeth C. Fitzsimmons Jan 2016

Do Smartphone Applications Aid In Weight Loss? A Study On The Efficacy Of Apps As A Supplemental Weight-Loss Aid, Elizabeth C. Fitzsimmons

Masters Theses

Over the past decade, mobile technology has been developed in the hopes of improving health outcomes, especially related to weight loss. The purpose of this study was to evaluate the effectiveness of a smartphone application as a supplementary weight loss tool among highly motivated individuals. Twenty-five individuals over the age of 18 were included in the study based on BMI and participation in a Midwest weight-loss clinic. Intervention group participants (n = 13) were instructed to use the MyFitnessPal app to monitor food intake and receive SMS-style nutritional messages. The control group (n = 12) received no mobile-based intervention, but …


An Evaluation Of The Screening And Management Of Childhood Overweight And Obesity In The Primary Care Setting, Diane L. Crutcher Jan 2016

An Evaluation Of The Screening And Management Of Childhood Overweight And Obesity In The Primary Care Setting, Diane L. Crutcher

DNP Projects

Background: Worldwide, the World Health Organization (2016) estimates that forty-two million children from two to five years of age are overweight or obese. In the United States, Kentucky ranks sixth for the highest rate of overweight youth in the nation (Partnership for Fit Kentucky, 2009). The long term consequences of overweight and obesity are early onset of adult chronic diseases as well as social and psychological issues in childhood and adulthood.

Purpose: The objective of this gap analysis was to assess BMI screening and weight management of children ages two to five who presented for a well-child check …


The Effect Of Curcumin On Cardiovascular Health In Obese Men, Marilyn S. Campbell Jan 2016

The Effect Of Curcumin On Cardiovascular Health In Obese Men, Marilyn S. Campbell

Theses and Dissertations--Kinesiology and Health Promotion

Cardiovascular disease is the leading cause of death in the United States, and conventional treatment often emphasizes pharmaceutical approaches. Research has recently started exploring non-pharmaceutical approaches, including nutritional interventions. This research study was conducted to test the effectiveness of a novel nutritional approach, curcumin, on the improvement of cardiovascular health in young, obese males (BMI≥30 kg/m2). This study included 22 men, matched based on BMI and randomly assigned to the intervention (n=11) or placebo group (n=11). The intervention consisted of 12 weeks of curcumin supplementation (1.0 g/day) with fenugreek added to enhance the curcumin bioavailability; the placebo consisted …


Color Your Plate: A Pilot Nutrition Education Intervention To Increase Fruit And Vegetable Intake Among Older Adults Participating In The Congregate Meal Site Program In Kentucky Senior Centers, Emily Dickens Jan 2016

Color Your Plate: A Pilot Nutrition Education Intervention To Increase Fruit And Vegetable Intake Among Older Adults Participating In The Congregate Meal Site Program In Kentucky Senior Centers, Emily Dickens

Theses and Dissertations--Nutrition and Food Systems

The purpose of this study was to determine if the amount and variety of fruit and vegetable intake increased among community-dwelling older adults participating in Kentucky’s congregate meal site program following a series of educational nutrition lessons. A convenience sample (n=35) of community-dwelling older adults at two intervention (n=19) and two control (n=16) senior centers in central Kentucky participated in this quasi-experimental pre-post pilot study. Following the intervention there was a trend towards increased self-reported intake in the variety of fruit and vegetables among the intervention group (range:0.03±3.31 to 1.32±2.75 servings per week); a significant increase in the number of …


Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza Jan 2016

Evaluation Of A Diabetes Self-Management Program For Hispanics In Lexington Kentucky: A Pilot Study, Miguel A. Gamboa Oropeza

Theses and Dissertations--Nutrition and Food Systems

Hispanics are more affected by diabetes than non-Hispanic whites and they tend to experience more severe complications. Research shows that although self-management is poor among ethnic minorities, it is even more so among Hispanics. The “Taking Ownership of Your Diabetes” (TOYD) program has been shown to be successful in helping individuals manage their diabetes. However, no work has been conducted with Hispanic audiences in Kentucky. TOYD program allows individuals to modify lifestyle risks and solve problems related to diabetes management. The program was translated from English to Spanish. Hispanics males and females between ages 19 to 75 years …