Medicine and Health Sciences Commons^™

The Effects Of Exercise On Breastmilk Composition And Supply: A Critical Literature Review, Jewell Mcroy

Masters Theses, 2020-current

It is well established that breastfeeding provides dual benefits to both the mother and the infant and is the preferred method of providing nutrients to infants essential for growth and development. Participating in regular physical exercise is also well-supported by research to be beneficial to one’s overall health and quality of life. Currently there are no physical activity guidelines developed for women who are postpartum and breastfeeding. An online database search was conducted; three articles met the inclusion criteria and were included within the review. Studies were included if there were direct measures of human breastmilk composition, supply/volume, and included …

How Do Food Shopping Behaviors Differ Between High-Income And Low-Income Shoppers In The Grand Rapids Metropolitan Area?, Alison M. Cooney

Masters Theses

Background: The social determinants of health and health equity are influenced by access, environment, and socioeconomic status (SES). Health inequities are preventable and can be avoided with systemic policy change surrounding the distribution of wealth and resources. Few studies have researched the differences in different income levels and the influence income has on food shopping behaviors.

Objective: The purpose of this study was to investigate the differences in food shopping behaviors between high-income and low-income shoppers living in the same zip code. Subjects Sixty-eight individuals who live in the 49341 zip code which represents a small city in Kent County, …

Understanding The Microbial Population Of Lactococcus Lactis. Subsp. Strains During Cheese Making And Initial Storage, Rhitika Poudel

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Cheddar cheese is manufactured by fermenting milk with lactic acid bacteria added as Lactococcus lactis. The two major subspecies used are lactis and cremoris. Starter culture for this study was prepared and donated by Vivolac Cultures Corporation, Greenfield, Indiana. Cheddar cheese was made in duplicate using two strains of lactis and cremoris. Milled curd was salted with 2.0, 2.4, 2.8, 3.2 and 3.6% salt, pressed for 3 h and stored at 6¬∞C. The curd was sampled during cheese making and after 6d storage. Two different methods of enumeration were employed. One method involved plate counting which only …

Metabolomics Of Acid Whey Derived From Greek Yogurt, Muriel Mercedes Allen

Theses and Dissertations

Acid whey, a byproduct of Greek yogurt production, has little commercial value due to its low protein content and is also environmentally harmful when disposed of as waste. However, as a product of microbial fermentation, acid whey could be a rich source of beneficial metabolites associated with fermented foods. This study increases understanding of acid whey composition by providing a complete metabolomic profile of acid whey. Commercial and lab-made Greek yogurts, prepared with three different bacterial culture combinations, were evaluated. Samples of unfermented yogurt mix and cultured whey from each batch were analyzed. Ultra-high-performance liquid chromatography/tandem mass spectrometry metabolomics were …

Student Evaluation Of Cultural Competence Instruction In Dietetics Education, Monica L. Strahley

Doctor of Education (Ed.D)

The purpose for this study was to examine the perceptions of students' preparation and development of cultural competence during university coursework in the field of dietetics. A secondary aim of the study was to examine if cultural competency training is provided in the university curriculum for prospective nutrition professionals in their role as interdisciplinary team members/leaders. There was a paucity of literature directed at the importance of university curricular providing cultural competency training for students in preparation for their role as the nutrition expert on multidisciplinary teams. The quantitative study was a non-experimental survey method. The study’s participant sample was …

The Impact Of Cooking Knowledge, Attitude, Behavior, And Food Security Status On Diet Quality Of College Students At The University Of Maine, Angela I. Czup

Electronic Theses and Dissertations

Food insecurity in the United States is a complex issue. Nutrition interventions and studies are often designed for high-risk populations with others being overlooked. Until recently, few studies and interventions have focused on college-aged students. In order to understand the nutrition-related needs of students at the University of Maine, it is necessary to determine their cooking knowledge, attitudes, behaviors, and food security status. Study participants included college sophomores, juniors, and seniors [n=16 sophomores, (38.1%), n=15 juniors, (35.7%), n=11 seniors, (26.2%)]. The study design was cross-sectional where participants completed a combined Qualtrics online survey and the Automated Self-Administered 24-Hour Dietary Assessment …

Therapeutic Potential Of A Ketogenic Diet In The Treatment Of Major Depressive Disorder, Jordan A. Murrin

Masters Theses, 2020-current

Major depressive disorder (MDD) is the second most common mental health condition and a leading cause of disability in the world. It is theorized that MDD develops from a combination of biological, psychological, and social stressors. The condition is typically treated using pharmaceuticals and psychotherapy. However, not all individuals with MDD have access to or choose to use these treatments, or may prefer to incorporate therapeutic lifestyle changes such as exercise, sleep, and healthy eating. Even with treatment, MDD can alter brain structure and function, leading to the development of comorbid mental health and chronic metabolic conditions like obesity, cardiovascular …

Examining Provider Perceptions And Roles Associated To Breastfeeding Support And Medical Management In Primary Care, Meghan Ganio Molinari

Graduate Theses

Background: Human milk is recommended as the exclusive source of nutrition for all infants in the first six months of life. Current rates of exclusive breastfeeding at six months are well below the public health recommendations (24.9% as of 2015). New mothers may experience many challenges which impact both breastfeeding initiation and duration rates in the postpartum period. Studies indicate that breastfeeding rates improve when women receive a combination of prenatal education coupled with postnatal support. Primary care practitioners in outpatient settings have a unique opportunity to provide lactation education, support, and medical management for their patients to improve …

Snapshot Of Select Cancer Patient’S Dietary Intakes Prior To Chemotherapy And Alignment To Dietary Guidelines For Americans Recommendations, Claire Chappuis, Annabel Hong, Sandra Ochoa

Loma Linda University Research Reports

Background. Nutrition is a relevant concern for patients with cancer, as malnutrition has been associated with poor outcomes in cancer treatment. The period after a cancer diagnosis and prior to chemotherapy represents a window of opportunity to assess dietary intake and optimize nutritional status before side effects of cancer treatment occur.

Objective. The objective of this study is to assess the dietary habits of patients with cancer prior to chemotherapy and compare their intake against the Dietary Guidelines for Americans (DGA) recommendations.

Design. This cross-sectional study collected data on select participants using a validated dietary intake questionnaire, …

Do Physicians Perceive The Roles Of Nutritionists And Registered Dietitian Nutritionists As Different?, William Ramirez, Megan Williams

Loma Linda University Research Reports

Background: Dietitians are still divided on whether to use the credential Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN). The option for dietitians to utilize RDN gained support in a 2013 joint committee meeting. The ambiguity between the terms dietitian and nutritionist leave many individuals unable to discern between the two. The opportunity for dietitians to treat greater quantities of patients is influenced by physicians’ understanding of dietitians’ roles and the public's understanding of services they provide.

Objective: To determine how the terms dietitian and nutritionist are understood and referred to in the healthcare setting and whether RD …

The Association Between Nutrition-Focused Instagram Accounts And Nutrition Knowledge And Food Choices In Instagram Users, Briana Bender, Cenida Gomez-Flores

Loma Linda University Research Reports

Background: Instagram is a fairly unregulated social media platform that is reported as having over 250 million daily users. As this social network is frequently used to seek out health-related information, misleading nutrition information could potentially have a detrimental effect on the public’s health. Thus, it may be beneficial for nutrition and dietetic practitioners to be present on Instagram to offer credible nutrition information to the many Instagram users.

Objective: To examine the effects that nutrition-focused Instagram accounts have on nutrition knowledge and food choices of Instagram users.

Design: A cross-sectional random sample of Instagram users completed …

Nutrition Beliefs And Practices Among Generation Z, Cassandra Mason, Amber Wagstaff

Loma Linda University Research Reports

Background: Life expectancy is decreasing, and childhood obesity is increasing. Limited research has been conducted on the nutrition beliefs and practices of Generation Z and the potential discrepancies between the two.

Objective: Assess the nutrition beliefs and whether these beliefs translate into practices among the 18-24 age group of Generation Z.

Design: Anonymous survey (nutrition belief-based and practice-based) provided via QR code accessible through Facebook, E-mails and text message.

Participants: There were 74 participants recruited through Facebook, E-mail, flyer and word of mouth. Individuals 18-24 years of age were included in the study. Those majoring in …

How Well Do The Eating Habits Of Registered Dietitian Nutritionists' In The United States Align With Their Teaching Patterns?, Kathleen Anderson, Shannon Hurley, Levi Maeschen

Loma Linda University Research Reports

Background: Dietary Guidelines for Americans is a resource available and designed for professionals to help people make healthy choices to avoid chronic disease. Exploration of the Registered Dietitian Nutritionist (RDN) core health values may improve the profession’s ability to address gaps in understanding health beliefs and behaviors.

Objective: To determine whether the teaching patterns of RDNs align with their individual eating habits through a self-selected survey.

Design: Quantitative study design.

Participants/Setting: An email was sent to approximately 5,000 RDNs through the Commission of Dietetic Registration registry and 425 responded. The anonymous survey consisted of two major domains: …

The Effects, Perceptions, And Attitudes Of Previously Sedentary Individuals Starting An Exercise Program, Arlene Moreno, Megan Rasmussen

Loma Linda University Research Reports

Background: Many Americans do not eat healthfully or exercise, which is associated with higher risk of disease. Nutrition and exercise awareness have increased, but people experience barriers preventing lifestyle change. Limited research has been completed on the impact of nutrition education on dietary intake.

Objective: Examine whether starting an exercise program with or without nutrition education can influence dietary choices in previously sedentary individuals, and to determine their perceptions and attitudes.

Design: Mixed methods study gathering quantitative data through a food frequency questionnaire, InBody test, and demographics/exercise activity survey. Qualitative data was gathered through focus groups. Participants …

Social Consequences Of Obesity: Case Study Of Bariatric Population At Ellis Hospital, Kara Leyden

Honors Theses

Despite the fact that the majority of adults living in the United States are overweight or obese, obesity remains a highly stigmatized physical condition. Society often sees obesity as a physical manifestation of personal faults such as the lack of self-control and laziness. Obese individuals thus experience discrimination in places of employment, have lower educational attainment, are underrepresented in popular culture, and often have difficulty finding and sustaining intimate relationships. For individuals with extreme obesity (BMI greater than 40), bariatric surgery is the most effective strategy to improve health and lose weight. Individuals who have undergone bariatric surgery typically experience …

The Effects Of A Baseball Season On Various Body Composition Measurements And Assessment Of Dietary Intake In Ncaa Di Baseball Players, Jordan Marthens

Master's Theses

Despite the known importance of body composition in relation to performance and health of athletes, this study appears to be the first, or one of very few, to evaluate body composition measures from the beginning to end of season for NCAA DI collegiate baseball players and assess their dietary intake. Baseball players from the 2015-2019 seasons were included in the study (n=78; age=19.8±1.28). DXA scans performed at the start and end of season were analyzed and 3-day food records analyzed via ESHA software were utilized to assess dietary intake. Groups were stratified to examine differences in players’ positions (Pitchers vs. …

Neuroprotection Against Alzheimer’S And Lifespan Extension Induced By Dietary Restriction Are Associated With Metabolomic Changes And Depend On Oxidative Resistance Protein 1 (Oxr1), George W. Brownridge Iii

Natural Sciences and Mathematics | Biological Sciences Master's Theses

Dietary restriction (DR) has been demonstrated to be a robust means of extending the healthspan and lifespan, along with improving cognitive performance in various model organisms from yeast to primates, possibly by mediating neuroprotection. We utilized the Drosophila melanogaster model organism to better understand the molecular pathways that enable DR-induced benefits. By performing a genome-wide associated screening of the Drosophila Genetic Reference Panel (DGRP) that catalogues all natural genetic variants, we discovered that Oxidative resistance protein 1 (OXR1) showed the most significant difference in expression between DR and the inverse intervention of ad libitum (AL). Our research found that OXR1 …

Teacher Evaluation Of An Integrated Nutrition Curriculum For Mississippi Schools, Janiya A. Davis

Honors Theses

The prevalence of childhood obesity in the United States has more than tripled over the last four decades from 5 percent in 1978 to 18.5 percent in 2016, and according to the Mississippi Obesity Action Plan, 40.4% of Mississippi elementary school children (grades K-5) were either overweight or obese. Some reports have suggested that Mississippi’s overall obesity rate could reach 66.7% by 2030. Although the literature on best practices for the prevention of this condition is limited, some success has been achieved through the use of school-based nutrition interventions, in which children are taught how to make healthy food choices. …

Exploring The Relationship Between Dietary Self-Monitoring With A Mobile App And Weight Change, Jason Payne

Electronic Theses and Dissertations

Background: Approximately 70% of the adult population in the United States has overweight or obesity and increased risk for developing chronic diseases. Dietary self-monitoring adherence using a paper diary is associated with weight loss; however, few studies have examined this association with dietary self-monitoring apps. Objectives: 1) explore if an association exists between app-based dietary self-monitoring and weight change among adults with overweight or obesity and 2) explore the relationships between the frequency, consistency, and completeness of self-monitoring and weight change. Methods: Participants self-monitored dietary intake for 8 weeks using the app Calorie Counter by FatSecret. Participants were assigned …

Exploring The Impact Of A Breakfast In The Classroom (Bic) Program In An Urban Middle School In Western Massachusetts, Maria O'Donnell

Masters Theses

Although breakfast programs in schools have been encouraged in school-aged children due to numerous benefits on physical and academic performance, participation in School Breakfast Programs (SBP) remains lower than the National School Lunch Program in the United States. Some studies have found that lower participation in the SBP are due to barriers and stigmas. Some studies have found that when breakfast programs are taken into the classroom, uptake of the program improves. However, the relationship between breakfast intake and academic outcomes among young adolescents remains inconclusive. The goal of this study was to examine the effect of a newly implemented …

Compensatory Behaviors During A 12-Week Vigorous Interval Intervention In Post-Bariatric Men And Women, Kristen Byrne

Masters Theses, 2020-current

Strong links have been recognized between sedentary time, higher BMI, and waist circumference among post-operative bariatric surgery patients. The time-efficient aspects of the High Intensity Interval Training show a significant influence in creating a habitual strategic exercise for fighting obesity and controlling compensatory components. Ten post-operative bariatric participants (9 females, 1 male) with BMI of 33.65 ± 2.90 kg/m², undergoing a 12-week Vigorous Intensity Interval Training (VIIT) program, were assessed for the compensatory mechanisms of sedentary behavior and caloric intake. Participants were evaluated through 4-day food intake records and ActivPal accelerometers, assessed using Nutrition Data System for Research …

The Effects Of A Nutritional Intervention On Healthy Eating Habits And Body Mass Index, Kelley Eshenaur

Evidence-Based Practice Project Reports

In the US, overweight and obesity are growing concerns, as both can have life altering consequences if not prevented or treated. Since 2000, there has been nearly a 10% increase of adults who are obese, from 30.5% (85.8 million) to 39.8% (93.9 million) in 2016 (CDC, 2017). These conditions are preventable with early intervention and motivation. Obesity statistics are especially of interest during the transition to young adulthood. The purpose of this project was to improve student outcomes by identifying barriers, effective strategies, and healthy choices that would ultimately impact weight, increasing healthy food choices, and decreasing overall BMI in …

Effect Of Protein, Fat, And Both Protein And Fat On The Glycemic Response Of A High Glycemic Index Meal, Muhammed Taai

Theses & Dissertations

Research Focus: Elevated blood glucose (BG) levels from a diet high in refined carbohydrates, even in the absence of diabetes, may increase the risk for chronic diseases including cardiovascular disease, type 2 diabetes, and obesity. The purpose of this study was to determine if supplementation of a high glycemic load breakfast with protein, fat, or a combination of the two attenuates the glycemic response in non-diabetic subjects.

Research Methods: Thirteen healthy adults, age 24.7±4y, BMI 25.1±4.5 completed four trials, having fasted 8-12h for this randomized, double-blind crossover study.

Fasting BG was measured, then subjects consumed 2 slices of white …

An Evaluation Of The Eating Behaviors Of Honors College Undergraduate Students At The University Of Mississippi, Anna Bouthillier

Honors Theses

Eating disorders are defined as an illness that changes one’s relationship with food, that ultimately affects one’s emotions, thoughts, and physical well-being. Three types of eating disorders most commonly diagnosed are anorexia nervosa, bulimia nervosa, and disordered eating. It is important to note that disordered eating is a term used to describe abnormal eating behaviors and feelings related to food that may or may not fall into a certain diagnostic category (Anderson, 2018). Many college students today are diagnosed with an eating disorder or disordered eating as a result of the increasing anxiety and pressures experienced at this age.

The …

Effects Of Concord Grape Juice Alone Or With Meals On Glycemia, Appetite And Cognitive Function In Healthy Adults, Aidan M. Hannon

Nutrition Science Honors Theses

Literature suggests that dietary polyphenols and intensely flavored foods/beverages can have a positive effect on glucose homeostasis. The purpose of this study was to determine if the high phenolic content and strong flavor intensity of Concord Grape Juice (CGJ) could hold beneficial effects on appetite, glycemia, and cognitive function.

Association Of Micronutrient Inadequacy And Body Mass Index In Young Adults, Taylor Peabody

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Background

Micronutrient inadequacy has been found at higher levels in overweight and obese individuals in a broad range of ages relative to healthy weight. Insufficient micronutrient levels can have a negative impact on physical and mental health along with excess weight.

Objective

Due to health consequences related to inadequate micronutrient intake and the understanding that the general population not only fails to meet the majority of micronutrient recommendations, but is also overweight or obese, the objective of this study is to first, determine if young adults in the Northwest Arkansas Region are consuming adequate levels of micronutrients and second, if …

Improving Identification Of Pediatric Feeding Dysfunction Among Registered Dietitian Nutritionists, April Litchford

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

All Registered Dietitian Nutritionists (RDN) undergo extensive training to develop the ability to improve dietary intake among individuals of all ages. Treating children (0-18 years of age) is often challenging and requires specialized training. One area that is particularly challenging is identifying children that may not be able to eat appropriately to sustain rapid growth and development. An online survey of RDNs that work specifically with children was conducted to better understand how RDNs are identifying and treating children with feeding problems. From the survey we learned that the methods and procedures used by RDNs for identifying and treating children …

Breakfast Boost Study: Defining The Role Of Breakfast Macronutrient Composition On Markers Of Childhood Obesity, Caroline Ganoung

Human Nutrition and Hospitality Management Undergraduate Honors Theses

Abstract

Background: Childhood obesity is a serious problem in the United States, affecting ~19% of children 2-19 years of age. Breakfast is a key component of a healthy diet and can positively impact children’s health. However, there has been a steady decline in breakfast consumption in children over the past 40 years.

Methods: The objective of this study was to determine if breakfast macronutrient composition, protein (PRO)-based breakfast (30 g protein, 31 g carbohydrate, 11.7 g fat) or an isocaloric (360 kcal) carbohydrate (CHO)-based breakfast (13 g protein, 48 g carbohydrate, 11.7 g fat), can influence postprandial appetite and food …

A Feasibility Study On The Implementation Of A Web-Based Intuitive Eating Program In A University Setting, Jaime Gnau

MSU Graduate Theses

This research reports on the feasibility of implementing a web-based intuitive eating (IE) program to employees through a university employee wellness department at Missouri State University (MSU). Barriers and facilitators to program participation were also identified and discussed.

Background: Ten IE principles present an evidence-based strategy for reducing incidence of weight cycling and improving one’s relationship with food and self, and reducing health risks associated with chronic dieting and weight regain. Offering web-based programming reduces barriers to program enrollment but is also associated with high rates of attrition.

Methods: The program was developed utilizing the PRECEED-PROCEDE model with application of …

A Protocol To Increase Referral Rates To Diabetic Education, David M. Rokser

Evidence-Based Practice Project Reports

In 2015, approximately 30.3 million Americans, including 10.5% of the population of Minnesota, had been diagnosed with diabetes mellitus (American Diabetes Association, 2019). Increased risk of diabetic complications including neuropathy, retinopathy, nephropathy, cardiovascular disease, and chronic wounds has been associated with an elevated hemoglobin A1C (HgA1C). Formal diabetic education has been shown to be a cost-effective intervention to reduce HgA1C. The Office of Disease Prevention and Health Promotion published an objective within HealthyPeople 2020 that seeks to increase the percentage of diabetics receiving formal diabetic education in the United States from 46.9% of adults to 58.4%. The purpose of this …