Medicine and Health Sciences Commons^™

Social Marketing Campaign At Farmers' Markets To Encourage Fruit And Vegetable Purchases In Rural Counties With A High Obesity Prevalence, Emily M. Dewitt

Theses and Dissertations--Nutrition and Food Systems

Farmers’ markets are one food environment venue with the potential to increase fruit and vegetable consumption among rural residents in the United States. This study used the Plate It Up Kentucky Proud social marketing campaign in six rural communities over two years to determine the association between exposure to the campaign and fruit and vegetable purchasing decisions. The availability of recipe cards at the farmers’ market was associated with influencing the purchase of fruits and vegetables (p<0.001); the recipe sample was associated with buying the ingredients for the recipe (p<0.001); taking the PIUKP food sample was associated with a willingness to prepare the food item at home (p<0.001). Utilizing social marketing strategies at farmers’ markets may be an effective way to improve fruit and vegetable intakes in rural communities.

The Effects Of A 16-Week Introductory Nutrition Course On Dietary Habits And Body Composition Of College Students, Emily Ashton

Theses and Dissertations--Nutrition and Food Systems

As the rates of obesity continue to increase among adolescents and young adults, adopting healthy dietary and lifestyle habits is necessary in order to prevent obesity-related chronic disease later in life. Although several studies have addressed nutrition education and its effect on weight in college students, few studies have assessed percent fat as it relates to a semester-long nutrition course. As such, the effectiveness of a formal introductory nutrition course on lifestyle habits and percent fat of college students was examined. The current study aimed to address the relationship between percent body fat and nutrition education over the course of …

Comparison Of Anthropometric Measurements Of Abdominal Obesity As Predictors Of Cardiometabolic Risk Factors: Nhanes 2011-2014, Carli Kettel

All Master's Theses

Background It has been well established that screening tools for cardiometabolic diseases are less useful among obese populations as risk of these diseases is already high. However, research is lacking in regard to efficient screening tools for cardiometabolic diseases among normal weight and overweight populations. Objective This study compared the predictive strengths of body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), sagittal abdominal diameter (SAD), and SAD-to-height ratio (SADHtR) with respect to risk of cardiometabolic disorders in normal and overweight U.S. populations. Design This cross-sectional study utilized data from the 2011-2014 National Health and Nutrition Examination Survey. Participants/setting …

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 …

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 Effects Of Super-Fruits Including Montmorency Tart Cherries And Pomegranate On The Human Body: A Literature Review, Keeley D. Forrester

Senior Honors Theses and Projects

This literature review explores several published articles that report results related to health benefits of super-fruits including Montmorency tart cherries and pomegranate. Research suggests that Montmorency tart cherry supplementation may have the ability to relieve pain by decreasing inflammation, prevent gout flare ups by reducing uric acid levels in the bloodstream, relieve insomnia with natural exogenous melatonin, and lessen symptoms of muscle damage from physical exertion by decreasing oxidative stress. Studies have also shown that pomegranate supplementation may have the ability to help prevent obesity by helping to decrease body weight and fat production and improving insulin sensitivity as well …

Evaluation Of Diet Composition Of Pediatric Cancer Survivors As A Need For Nutrition Counseling, Sean O'Nan

Theses and Dissertations--Nutrition and Food Systems

Prior research has shown that pediatric cancer survivors face a multitude of longterm effects from treatment of their disease. Many of these conditions can be treated or managed through proper nutrition, however patients of the DanceBlue Kentucky Children's Hospital Hematology/Oncology Clinic do not see a registered dietitian. This study looked at food and drink consumption of the past 30 days by the patient using the NHANES Dietary Screener Questionnaire to see if they met nutrition recommendations as outlined by the 2015‐2020 Dietary Guidelines for Americans. Results from the study found that off‐treatment pediatric cancer survivors (n=21) failed to meet …

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 …

Maternal Obesity And Incidence Of Depression, Caroline A. Habjan

Renée Crown University Honors Thesis Projects - All

Obesity is a national epidemic in the United States, which both directly and indirectly affects the social productivity of individuals, the American macro economy and individuals’ personal health and well being. Depression often interferes with an individual’s ability to work, sleep, study, eat, and enjoy life. A maternal state of both obesity and depression may cause serious adverse medical conditions in the mother’s child. Taking steps to treat depression and obesity are critical in the construct of modern medicine. This project yields results that have the potential to make treatment options better tailored, more efficient, effective and economically-sound for the …

The Missing Link: The Impact Of Nutrition Education And The School Lunch Program, Rachel E. Calhoun

Honors Theses

In the U.S., the weight status of overweight and obesity in children is increasing from recent decades (Carrol & Ogden, 2010). Research shows that the prevalence of children developing chronic diseases is influenced by obesity and overweight statuses, shown by existing risk factors (Freedman, Dietz, Srinivasan, & Berenson, 1999). Recent legislation of the National School Lunch Program has aimed to improve the nutritional value of school lunches in elementary schools by requiring fruit and vegetable meal components be provided on each lunch tray (Nutrition Standards, 2012). This quasi experimental study aimed to increase fourth graders nutrition knowledge and fruit and …

Health At Every Size Program Intervention Versus Traditional Weight Loss Intervention: Impact On Diet And Physical Activity, Brooke Noble

Electronic Theses and Dissertations

Backround. A shift from a weight-focus to a health focus -Health At Every Size (HAES)-has been suggested. Yet, little research has compared the impact of this approach to a traditional weight loss program on diet, while physical activity, anthropometric and health indicators have been mixed. Objective. This study evaluated diet, physical activity, anthropometric measurements, blood pressure, blood sugar and cholesterol in participants in these two interventions. It was hypothesized that the HAES group would consume a more nutrient dense diet, more whole foods, higher fiber and lower sodium, while the traditional group would consume lower calories, fat and fiber …

Are New Sodium Targets In The National School Lunch Program Feasible And Are They Necessary?, Yaneve Shemesh

PCOM Biomedical Studies Student Scholarship

In many societies, high salt intake is a continuing issue in adults, and is of growing concern in children due to the prevalence of processed foods. In response, the USDA has set three targets for sodium in meals offered in the National School Lunch Program (NSLP), and the National School Breakfast Program (NSBP). This 8-year goal is meant to decrease overall sodium levels in both meal programs. However, many associated with school nutrition ask if there is significant evidence to show what effect sodium plays on children’s health, and thus determine if these targets are necessary or achievable. In addressing …

Antecedents Of Regular Exercise Among Women Who Do And Do Not Achieve Weight Loss Over Six Months, Heather Vartanian

Dissertations (1934 -)

In the United States, 35.5% of adult women are classified as obese, defined as a body mass index (BMI) of > 30 kg/m2. The health risks associated with obesity can be mitigated through losing even 5-10% of initial body weight. Evidence shows that reductions in caloric intake alone without increases in caloric expenditure leads to a decline in resting metabolic rate, thereby impeding attainment or maintenance of weight loss. The purpose of this cross-sectional, mixed-methods study was to explore the antecedents of regular exercise among women with obesity who did and did not achieve weight loss over six months. The antecedents …

Portion Size Selection In Relation To Hemoglobin A1cs, Brian L. Dixon

Undergraduate Honors Theses

Obesity has been recognized as an increasing issue within our country. Obesity contributes to many health related issues, including type 2 diabetes mellitus. Portion size is a factor that has generated clinical research interest. The aim of this study was to determine if there was a relationship between management of diabetes measured by hemoglobin A1c and portion size selection for type 2 diabetics. In this study, subjects selected portion sizes of four different foods. Data were compared to recent A1c levels. Due to the small sample size, nonparametric statistical analysis was used. The relationship of grain portion weight selection and …

Comparison Of Obesity Bias, Attitudes, And Beliefs Among Undergraduate Dietetic Students, Dietetic Interns, And Practicing Registered Dietitians, Sarah E. Welborn

Electronic Theses and Dissertations

The obesity epidemic in the United States is increasing, and health concerns are also on the rise as they are directly related to obesity. Even though the majority of Americans are overweight or obese, prejudice and weight bias continue to be prevalent and socially accepted in a culture that tolerates discrimination towards these individuals. Health care providers, including registered dietitians, are not exempt from instigating bias towards obese patients causing a decrease in the level of care that they receive. The main purpose of this study was to compare attitudes, beliefs, and bias concerning obesity among undergraduate dietetic students, dietetic …

The National School Lunch Program: Local Implementation Of Federal Reform, Shannon Cagney

Professional Projects

This research study examined the National School Lunch Program and local implementation of federal reform in public and private schools in Milwaukee County, Wisconsin. The survey participants were selected by the way of purposeful sampling; interviews were conducted over the telephone; and a 90-minute focus group was held. Major themes from the study consist of the need for well-balanced meals in schools, concern regarding childhood obesity, and barriers of local implementation of federal guidelines. Many advocates expressed their concern regarding the calorie restrictions, specifically to the 850 kcal maximum for physically active students. This study provides insight on how the …

Exploring Nutrition In The Community: The Effects Of Nutrition Education, Andrew Brendan Harrison

Chancellor’s Honors Program Projects

No abstract provided.

The Relationship Between Diet Quality And Obesity In Canadian Adults: Evidence From The 2004 Canadian Community Health Survey, Kalaivaani Sundararajan

Electronic Thesis and Dissertation Repository

Background: The relationship between diet quality and obesity is unknown in Canadian adults.

Objectives: The objective of this study is to examine the association of diet quality with obesity in Canadian adults.

Methods: Data were taken from the 2004 Canadian Community Health Survey. Three indices were constructed using diet recall data: Diet Quality Index (DQI), Healthy Eating Index (HEI) and Glycemic Index (GI). Obesity was measured with body-mass index. Various confounders were also controlled. Latent-class and ordered probit modeling were used to investigate the association between diet quality and obesity.

Results: Latent-class analysis suggested that the …

Development Of An Instrument Measuring The Perceived Attributes Of Using A Healthy Diet Innovation, Holly Ann Federico Huye

Dissertations

The Lower Mississippi Delta (LMD) is a rural region that is rich in agricultural resources but is one of the most impoverished areas in the US. Prior research has indicated LMD adults as having higher rates of obesity and diet-related chronic diseases as compared to US adults. While the need for dietary intervention in the LMD is evident, the first step in designing effective interventions is the assessment of one’s perceptions of dietary behaviors. The purpose of this research was to develop a valid and reliable instrument to assess individuals’ perceived attributes of using a healthy diet. Using the Diffusion …

Body Image Education As A Preventive Measure For Eating Disorders And Obesity In Ninth-Grade Students, Diana K. Keith

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Obesity and eating disorders are major public health problems in the U.S. Prevention of these problems in childhood and adolescence is crucial to avoid medical complications and costs associated with these conditions. A growing body of research supports designing and implementing interventions to prevent obesity and eating disorders simultaneously by targeting common risk factors such as poor body image. This study explored the use of a body image education unit as a preventive measure for obesity and eating disorders. Ninth-grade students attending health class in a public school in Northern Utah (n = 117) were assigned to either an intervention …

Examining The Relationship Between Weight, Food Insecurity, Food Stamps, And Perceived Diet Quality In School-Aged Children, Elizabeth Lucas Marshall

University of Kentucky Master's Theses

A paradox exists between food insecurity and obesity. Childhood obesity has tripled in the past three decades. This study aimed to understand the relationships between food insecurity, poverty income ratio, food stamps usage, perceived diet quality, and weight status in children. A child’s weight status is determined by many different factors and this study investigated several of these aspects. It was found that the family’s poverty index ratio had the greatest effect on a child’s BMI, but household food security status, ethnicity, and the perceived inability to serve balanced meals were all found to be statistically significant when considering a …

Vegetarians And Vegans In Kentucky, Danita Martha Hines

University of Kentucky Master's Theses

Kentucky has a health crisis and most of the causes can be linked to diet, smoking and physical activity. Vegetarian and vegan diets have numerous benefits for many diet related health problems such as obesity, heart disease, Type 2 diabetes and certain cancers. There has been limited research on vegetarians and vegans in the United States and none in Kentucky. This study used an anonymous electronic survey to examine the different characteristics, behaviors, experiences and opinions of adult vegetarians and vegans in Kentucky. Results were compared to statistical data reported on the general population of Kentucky. Calculated body mass index …

What Are The Perceptions Of Hispanic Parents Associated With Eating Habits Of Hispanic Children Ages 6--12 And Obesity?, Amy Barrett

Nursing Theses and Capstone Projects

The main objective of this study is to identify the perceptions of Hispanic parents associated with eating habits of Hispanic children ages 6-12 and obesity. The purpose was to identify if the child's intake was different based on the parent's perception of whether or not their child had a weight problem. The idea was to examine how many times certain foods are consumed and compare that to the parent's perceptions. The study was a descriptive study. The childrenhad to be in the 95 th percentile and between the ages of 6-12 to qualify for the study. Parents were approached by …

An Analysis Of Nutritional Services Available For Persons With Developmental Disabilities, Dawnie Elzinga

Undergraduate Honors Capstone Projects

Developmental disabled (DD) individuals are living longer, more normal lives in the United States. There has been an influx of DD individuals living in residential settings instead of the more traditional institutional setting. Consequently, dietetic professionals will encounter persons with DD in every area of practice. Nutrition therapy is becoming more important in the multidisciplinary treatment of DD individuals. Governmental legislation and community programs have improved the treatment and rights of DD persons over the past decade. Even with these advocacy efforts, DD persons are often not receiving the nutritional treatment they need. Common nutritional problems encountered in the DD …

"Bariatic Surgery For Obese Adolescents", Hilary Brooke Spooner

Undergraduate Honors Capstone Projects

With the rise of adolescent obesity, the need for treatment of this life-threatening disease is under consideration. There are several methods for the treatment of this disease, but a newer method is on the rise. Bariatric surgery for adolescents is a new technique that has been performed on adults for years, but the effects on the younger population are still unknown. There are certain criteria and guidelines for the patients undergoing this surgery, but the results seem to be promising. Nutritional and surgical complications are of great concern, but are the chronic disease health benefits brought on by weight loss …

Portion Distortion Plays A Major Role In The American Obesity Epidemic, Amanda Kay Larsen

Undergraduate Honors Capstone Projects

The prevalence of overweight and obesity among the American population is on the rise. This epidemic can be attributed to an increase in energy intake. Research has shown that increased consumption is associated with both individual and societal factors including an increase in the size of portions, the influence of the food industry, and confusion on the part of the consumer. The findings indicate that dietitians and other healthcare providers need to do their part by informing society of the importance of decreasing portions and helping the consumer recognize appropriate portion sizes.

Genetic And Environmental Factors In Obesity: Case Studies, Bonnie Kathleen Hargis

Theses

This research project consisted of seven case studies of obese women who sought treatment for their weight problems at a hospital weight loss clinic and fitness center. The purpose of these studies was to consider the extent to which heredity and /or environmental factors contributed to these subjects being overweight. The case studies suggested that six of the subjects' overweight. problems were mainly caused by environmental factors. It was determined that one subject was overweight largely due to genetic predisposition, but that environmental factors also played a role. The two primary environmental factors appeared to be eating large portions of …

The Incidence Of Obesity In Lds College Women: The Effect Of Selected Physical Socio-Environmental Variables On Total Percent Body Fat In Two Populations Of Lds Women, Carrie Tanner Summers

Theses and Dissertations

The purpose of this study was to determine the effect of selected physical socio-environmental variables on total percent body fat. The sample population consisted of single, LDS, white women attending Brigham Young University (BYU) and California State University at Fullerton (CSUF). Significant data as well as trends that appeared were included in this paper.

From the data collected, it was concluded that the sample populations at BYU and CSUF were the same. The incidence of obesity was determined only among individuals attending both universities. The entire sample population mean was 22.19 percent. This percentage did not meet the obesity criteria. …