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Medicine and Health Sciences Commons

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East Tennessee State University

Series

2014

Articles 1 - 30 of 44

Full-Text Articles in Medicine and Health Sciences

Analysis Of Changes In Strength, Explosiveness, And Agility Performance Over An Ncaa Division I Tennis Career: A Case Study, Caleb D. Bazyler, Jacob R. Goodin, George Beckham, H. Santana, M. Swartz, Ashley A. Kavanaugh Dec 2014

Analysis Of Changes In Strength, Explosiveness, And Agility Performance Over An Ncaa Division I Tennis Career: A Case Study, Caleb D. Bazyler, Jacob R. Goodin, George Beckham, H. Santana, M. Swartz, Ashley A. Kavanaugh

ETSU Faculty Works

Abstract available in the 9th Annual Coaches and Sport Science College .


An Exploratory Study On The Use Of Concentric Velocities In The Back Squat As A Monitoring Tool, Kevin M. Carroll, Josh D. Christovich, Caleb D. Bazyler, Nicholas J. Fiolo, George K. Beckham, Kimitake Sato Dec 2014

An Exploratory Study On The Use Of Concentric Velocities In The Back Squat As A Monitoring Tool, Kevin M. Carroll, Josh D. Christovich, Caleb D. Bazyler, Nicholas J. Fiolo, George K. Beckham, Kimitake Sato

ETSU Faculty Works

Abstract available in the 9th Annual Coaches and Sport Science College .


Using The Minimax Accelerometer To Quantify The Demands Of Preseason Training In Ncaa Volleyball: A Descriptive Case-Study Study, Christopher J. Sole, Nobuhisa Yoshida, Bradley A. Alban, Caleb D. Bazyler, Satoshi Mizuguchi Dec 2014

Using The Minimax Accelerometer To Quantify The Demands Of Preseason Training In Ncaa Volleyball: A Descriptive Case-Study Study, Christopher J. Sole, Nobuhisa Yoshida, Bradley A. Alban, Caleb D. Bazyler, Satoshi Mizuguchi

ETSU Faculty Works

Abstract available in the 9th Annual Coaches and Sport Science College.


Impact Of An Interprofessional Communication Course On Nursing, Medical, And Pharmacy Students’ Communication Skill Self-Efficacy Beliefs, Nicholas E. Hagemeier, Rick Hess, Kyle S. Hagen, Emily L. Sorah Dec 2014

Impact Of An Interprofessional Communication Course On Nursing, Medical, And Pharmacy Students’ Communication Skill Self-Efficacy Beliefs, Nicholas E. Hagemeier, Rick Hess, Kyle S. Hagen, Emily L. Sorah

ETSU Faculty Works

Objective. To describe an interprofessional communication course in an academic health sciences center and to evaluate and compare interpersonal and interprofessional communication self-efficacy beliefs of medical, nursing, and pharmacy students before and after course participation, using Bandura’s self-efficacy theory as a guiding framework.

Design. First-year nursing (n=36), first-year medical (n=73), and second-year pharmacy students (n=83) enrolled in an interprofessional communication skills development course voluntarily completed a 33-item survey instrument based on Interprofessional Education Collaborative (IPEC) core competencies prior to and upon completion of the course during the fall semester of 2012.

Assessment. Nursing students entered the course with higher interpersonal …


Is A 20 Kg Load Sufficient To Simulate Fatigue In Squat Jumps?, Chris A. Bailey, T. Mcinnis, K. Sato, B. Johnston, Z. Sha, Michael H. Stone Dec 2014

Is A 20 Kg Load Sufficient To Simulate Fatigue In Squat Jumps?, Chris A. Bailey, T. Mcinnis, K. Sato, B. Johnston, Z. Sha, Michael H. Stone

ETSU Faculty Works

Abstract available in the Annual Coaches and Sport Science College.


Insulin Resistance And Muscle Insulin Receptor Substrate-1 Serine Hyperphosphorylation, Charles A. Stuart, Mary E. A. Howell, Brian M. Cartwright, Melanie P. Mccurry, Michelle L. Lee, Michael W. Ramsey, Michael H. Stone Dec 2014

Insulin Resistance And Muscle Insulin Receptor Substrate-1 Serine Hyperphosphorylation, Charles A. Stuart, Mary E. A. Howell, Brian M. Cartwright, Melanie P. Mccurry, Michelle L. Lee, Michael W. Ramsey, Michael H. Stone

ETSU Faculty Works

Insulin resistance in metabolic syndrome subjects is profound in spite of muscle insulin receptor and insulin-responsive glucose transporter (GLUT4) expression being nearly normal. Insulin receptor tyrosine kinase phosphorylation of insulin receptor substrate-1 (IRS-1) at Tyr896 is a necessary step in insulin stimulation of translocation of GLUT4 to the cell surface. Serine phosphorylation of IRS-1 by some kinases diminishes insulin action in mice. We evaluated the phosphorylation status of muscle IRS-1 in 33 subjects with the metabolic syndrome and seventeen lean controls. Each underwent euglycemic insulin clamps and a thigh muscle biopsy before and after 8 weeks of either strength or …


Utilizing Weightlifting For Cycling Performance, Nicholas J. Fiolo, Christopher B. Taber, Caleb D. Bazyler, Cody T. Haun, Robert Duncan, Aaron M. Thomas, Michael W. Ramsey, Michael H. Stone Dec 2014

Utilizing Weightlifting For Cycling Performance, Nicholas J. Fiolo, Christopher B. Taber, Caleb D. Bazyler, Cody T. Haun, Robert Duncan, Aaron M. Thomas, Michael W. Ramsey, Michael H. Stone

ETSU Faculty Works

Abstract available in the 9th Annual Coaches and Sport Science College.


Relationship Between Chronic Disease Conditions And Colorectal Cancer Screening: Results From The 2012 National Health Interview Survey Data, Daniel Owusu, Joshua Longcoy, Megan Quinn, Ke-Shang Wang Nov 2014

Relationship Between Chronic Disease Conditions And Colorectal Cancer Screening: Results From The 2012 National Health Interview Survey Data, Daniel Owusu, Joshua Longcoy, Megan Quinn, Ke-Shang Wang

ETSU Faculty Works

Background: Uptake of screening remains crucial in the prevention of both the incidence of colorectal cancer (CRC) and its mortality.

Objectives: To estimate the prevalence of CRC screening and identify chronic conditions that predict CRC screening uptake among US adults using the 2012 National Health Interview Survey (NHIS) data.

Materials and Methods: A cross-sectional analysis of the 2012 NHIS data. Chronic conditions examined were hypertension, cancer history, arthritis, ulcer, and high cholesterol level. A total of 21,511 participants were included in the analysis. Weighted univariate and multiple logistic regression analyses in SAS ver. 9.2 were used to estimate the …


Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan Nov 2014

Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan

ETSU Faculty Works

This presentation will discuss the challenges that clinical supervisors face when trying to balance efficient graduate student training and patient welfare in university voice clinics. We will propose a model in which we seek to balance the needs of the patient, student clinician, and clinical instructor.


Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams Nov 2014

Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams

ETSU Faculty Works

This study examined whether metalinguistic frequency increases or utterance type changes with age in children with typical language. Overt metalinguistic productions of 32 children, 3;0-5;7, were collected during recast intervention. Overall, the data showed changes in frequency and proportion of types with age.


A Proposed Holistic Model Of Assessment For Children With Cleft Palate Within The Icf-Cy Framework, Rabia Foreman, Jamesa Ewing, Olivia Hawley, Mariana De Cassia Macedo, Naiara Rodrigues Carlota Do Nascimento, Brenda Louw, Luciana Maximino Nov 2014

A Proposed Holistic Model Of Assessment For Children With Cleft Palate Within The Icf-Cy Framework, Rabia Foreman, Jamesa Ewing, Olivia Hawley, Mariana De Cassia Macedo, Naiara Rodrigues Carlota Do Nascimento, Brenda Louw, Luciana Maximino

ETSU Faculty Works

The purpose of this project is to describe a proposed model for the assessment of children with cleft palate within the framework of the ICF-CY (WHO, 2007). Suggestions for clinical application and cleft palate curricula are made, and future research needs are identified.


Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker Nov 2014

Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker

ETSU Faculty Works

Three scales were administered to measure attitudes of graduate students in health professions prior to their participation in an interprofessional education (IPE) pilot program. Overall, results indicated that students’ attitudes toward IPE were generally positive, but there is room for improvement. Additionally, medical students’ attitudes differed from the other disciplines.


Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams Nov 2014

Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams

ETSU Faculty Works

The causes and neurodevelopmental outcomes of children exposed to drugs and/or alcohol prenatally are presented. The incidence of this population is rising rapidly and appearing in increasing numbers on the caseloads of speech-language pathologists. Topics include prevalence, common drugs, Neonatal Abstinence Syndrome, longer-term neurodevelopmental outcomes, and treatment challenges.


Parental Perspective: Toddlers With Clefts Using Touch Screen Technology, Cortney Vineyard, Alexandra Coup, Chelsey Hazelett, Rachel Janes, Brenda Louw Nov 2014

Parental Perspective: Toddlers With Clefts Using Touch Screen Technology, Cortney Vineyard, Alexandra Coup, Chelsey Hazelett, Rachel Janes, Brenda Louw

ETSU Faculty Works

This investigation assessed the parental perspectives of parents of toddlers with cleft lip and palate and their use of touchscreen technology. Findings will highlight parental perspectives on touchscreen technology in early intervention with their toddler.


Prescription Drug Abuse And Misuse In Southern Appalachia: An Epidemiologic Perspective, Billy Brooks Nov 2014

Prescription Drug Abuse And Misuse In Southern Appalachia: An Epidemiologic Perspective, Billy Brooks

ETSU Faculty Works

No abstract provided.


The Incentive Amplifying Effects Of Nicotine Are Reduced By Selective And Non-Selective Dopamine Antagonists In Rats, Matthew I. Palmatier, Marissa R. Kellicut, A. Brianna Sheppard, Russell W. Brown, Donita L. Robinson Nov 2014

The Incentive Amplifying Effects Of Nicotine Are Reduced By Selective And Non-Selective Dopamine Antagonists In Rats, Matthew I. Palmatier, Marissa R. Kellicut, A. Brianna Sheppard, Russell W. Brown, Donita L. Robinson

ETSU Faculty Works

Nicotine is a psychomotor stimulant with ‘reinforcement enhancing’ effects — the actions of nicotine in the brain increase responding for non-nicotine rewards. We hypothesized that this latter effect of nicotine depends on increased incentive properties of anticipatory cues; consistent with this hypothesis, multiple laboratories have reported that nicotine increases sign tracking, i.e. approach to a conditioned stimulus (CS), in Pavlovian conditioned-approach tasks. Incentive motivation and sign tracking are mediated by mesolimbic dopamine (DA) transmission and nicotine facilitates mesolimbic DA release. Therefore, we hypothesized that the incentive-promoting effects of nicotine would be impaired by DA antagonists. To test this hypothesis, separate …


Training A Workforce For Primary Care, K. Van Sickle, A. Beecham, Jodi Polaha Oct 2014

Training A Workforce For Primary Care, K. Van Sickle, A. Beecham, Jodi Polaha

ETSU Faculty Works

No abstract provided.


Variability Of Fev And Criterion For Acute Pulmonary Exacerbation, Bradlee A. Jenkins, L. Lee Glenn Oct 2014

Variability Of Fev And Criterion For Acute Pulmonary Exacerbation, Bradlee A. Jenkins, L. Lee Glenn

ETSU Faculty Works

Excerpt: Morgan et al. (1) concluded that cystic fibrosis (CF) in children and adolescents with a high baseline forced expiratory volume (FEV1) were less likely to have a therapeutic intervention or slower rate of FEV1 decline after a single acute decline in FEV1 of 10%. This conclusion is not well supported due to the arbitrary criteria used for defining a pulmonary exacerbation, as explained below.


Effect Of Obesity And Exercise On The Expression Of The Novel Myokines, Myonectin And Fibronectin Type Iii Domain Containing 5, Jonathan M. Peterson, Ryan Mart, Cherie E. Bond Sep 2014

Effect Of Obesity And Exercise On The Expression Of The Novel Myokines, Myonectin And Fibronectin Type Iii Domain Containing 5, Jonathan M. Peterson, Ryan Mart, Cherie E. Bond

ETSU Faculty Works

Metabolic dysfunction in skeletal muscle is a major contributor to the development of type 2 diabetes. Endurance exercise training has long been established as an effective means to directly restore skeletal muscle glucose and lipid uptake and metabolism. However, in addition to the direct effects of skeletal muscle on glucose and lipids, there is renewed interest in the ability of skeletal muscle to coordinate metabolic activity of other tissues, such as adipose tissue and liver. The purpose of this study was to examine the effects of endurance exercise on the expression level of two novel muscle-derived secreted factors, or myokines, …


Gene Expression Profiling Identifies Irf4-Associated Molecular Signatures In Hematological Malignancies, Ling Wang, Zhi Q. Yao, Jonathan P. Moorman, Yanji Xu, Shunbin Ning Sep 2014

Gene Expression Profiling Identifies Irf4-Associated Molecular Signatures In Hematological Malignancies, Ling Wang, Zhi Q. Yao, Jonathan P. Moorman, Yanji Xu, Shunbin Ning

ETSU Faculty Works

The lymphocyte-specific transcription factor Interferon (IFN) Regulatory Factor 4 (IRF4) is implicated in certain types of lymphoid and myeloid malignancies. However, the molecular mechanisms underlying its interactions with these malignancies are largely unknown. In this study, we have first profiled molecular signatures associated with IRF4 expression in associated cancers, by analyzing existing gene expression profiling datasets. Our results show that IRF4 is overexpressed in melanoma, in addition to previously reported contexts including leukemia, myeloma, and lymphoma, and that IRF4 is associated with a unique gene expression pattern in each context. A pool of important genes involved in B-cell development, oncogenesis, …


A Mixed-Methods Analysis Of A Library-Based Hand-Held Intervention With Rural Clinicians, Richard L. Wallace, Nakia J. Woodward, Travis Clamon Sep 2014

A Mixed-Methods Analysis Of A Library-Based Hand-Held Intervention With Rural Clinicians, Richard L. Wallace, Nakia J. Woodward, Travis Clamon

ETSU Faculty Works

Background: The East Tennessee State University Quillen College of Medicine Library has participated for several years in projects to provide rural clinicians with health information resources.

Objectives: To determine whether a strategy of hand‐held devices with a best‐evidence point‐of‐care disease tool and a drug database paired with access to a medical library for full‐text articles and training to use the tools would be an affordable way to meet the information needs of rural underserved clinicians.

Methods: This study is a mixed‐methods methodology. The first project was evaluated using a randomised controlled trial (RCT) methodology. The second was evaluated qualitatively using …


Basic Psychological Needs, Suicidal Ideation, And Risk For Suicidal Behavior In Young Adults, Peter C. Britton, Kimberly A. Van Orden, Jameson K. Hirsch, Geoffrey C. Williams Aug 2014

Basic Psychological Needs, Suicidal Ideation, And Risk For Suicidal Behavior In Young Adults, Peter C. Britton, Kimberly A. Van Orden, Jameson K. Hirsch, Geoffrey C. Williams

ETSU Faculty Works

Associations between the satisfaction of basic psychological needs of autonomy, competence, and relatedness with current suicidal ideation and risk for suicidal behavior were examined. Two logistic regressions were conducted with a cross-sectional database of 440 university students to examine the association of need satisfaction with suicidal ideation and risk for suicidal behavior, while controlling for demographics and depressive symptoms. Suicidal ideation was reported by 15% of participants and 18% were found to be at risk for suicidal behavior. A one standard deviation increase in need satisfaction reduced the odds of suicidal ideation by 53%, OR (95% CI) = 0.47 (0.33–0.67), …


Reliability Of Two Alternative Methods For The Standard Mid-Thigh Isometric Pull, Duane A. Williams, Courtney D. Hall, Patsy Cantor, Jennifer Williams, N. Brown, Ryan Dulling, Ogechi Egbujor Jul 2014

Reliability Of Two Alternative Methods For The Standard Mid-Thigh Isometric Pull, Duane A. Williams, Courtney D. Hall, Patsy Cantor, Jennifer Williams, N. Brown, Ryan Dulling, Ogechi Egbujor

ETSU Faculty Works

The purpose of this study was to determine the reliability of two new alternative portable methods for measuring maximal isometric force measures while performing the standard mid-thigh pull. One method, the bar grip method, required the use of the trunk and upper extremity muscles, while the second method, the pelvic belt method, did not. Both methods demonstrated good test-retest reliability via randomized repeated measures over 24-36 hours. Interestingly, the pelvic belt method generally demonstrated average maximal forces up to 65% higher than the bar method. There was a good relationship between both methods. These new alternative methods could provide strength …


Rural Parents’ Perceived Stigma Of Seeking Mental Health Services For Their Children: Development And Evaluation Of A New Instrument, Stacey L. William, Jodi Polaha Jul 2014

Rural Parents’ Perceived Stigma Of Seeking Mental Health Services For Their Children: Development And Evaluation Of A New Instrument, Stacey L. William, Jodi Polaha

ETSU Faculty Works

The purpose of our research was to examine the validity of score interpretations of an instrument developed to measure parents’ perceptions of stigma about seeking mental health services for their children. The validity of the score interpretations of the instrument was tested in 2 studies. Study 1 employed confirmatory factor analysis (CFA), using a split half approach, and construct and criterion validity on data from the entire sample of parents in rural Appalachia whose children were experiencing psychosocial concerns (N = 347), while Study 2 employed CFA, construct and criterion validity, and predictive validity of the scores on data from …


Trends And Determinants Of Up-To-Date Status With Colorectal Cancer Screening In Tennessee, 2002-2008, Sreenivas P. Veeranki, Shimin Zheng Jul 2014

Trends And Determinants Of Up-To-Date Status With Colorectal Cancer Screening In Tennessee, 2002-2008, Sreenivas P. Veeranki, Shimin Zheng

ETSU Faculty Works

BACKGROUND:

Screening rates for colorectal cancer (CRC) are increasing nationwide including Tennessee (TN); however, their up-to-date status is unknown. The objective of this study is to determine the trends and characteristics of TN adults who are up-to-date status with CRC screening during 2002-2008.

METHODS:

We examined data from the TN Behavioral Risk Factor Surveillance System for 2002, 2004, 2006 and 2008 to estimate the proportion of respondents aged 50 years and above who were up-to-date status with CRC screening, defined as an annual home fecal occult blood test and/or sigmoidoscopy or colonoscopy in the past 5 years. We identified trends …


Changes In Peak Acceleration In The Snatch Across Multiple - Attempts In Training: A Case Study, George K. Beckham, Kimitake Sato, Timothy J. Suchomel, William A. Sands, Michael H. Stone Jul 2014

Changes In Peak Acceleration In The Snatch Across Multiple - Attempts In Training: A Case Study, George K. Beckham, Kimitake Sato, Timothy J. Suchomel, William A. Sands, Michael H. Stone

ETSU Faculty Works

Accelerometers are devices that have been recently used to assess the performance of weightlifters in training. This case study used vertical acceleration data to assess multiple snatch attempts in a single lifter during a training session. The lifter exhibited variability in a number of measures, including peak acceleration and peak velocity. The measures calculated from the acceleration-time data did not show consistent trends between made and missed lifts. More work is needed identify variables of interest for snatch performance.


Leg Dynamic Strength Predictors Of A Pre-Planned Change Of Direction Task In Ncaa Division 1 Soccer Players, Chieh-Ying Chiang, Christopher A. Bailey, Christohper J. Sole, Timothy J. Suchomel, Kimitake Sato, Michael H. Stone Jul 2014

Leg Dynamic Strength Predictors Of A Pre-Planned Change Of Direction Task In Ncaa Division 1 Soccer Players, Chieh-Ying Chiang, Christopher A. Bailey, Christohper J. Sole, Timothy J. Suchomel, Kimitake Sato, Michael H. Stone

ETSU Faculty Works

The purpose of this investigation was to evaluate the relationships between two types of vertical jumps and change of direction (COD) test in collegiate soccer players (n=24). 5-5 COD test was utilized to measure soccer athletes’ COD ability. 3m acceleration (3mAcc), Total time (TT) and Partial time (PT) were measured by two sets of timing gates. Countermovement jump (CMJ) and static jump (SJ) with 2 different loading conditionings (0kg and 20kg) were employed to evaluate athletes’ leg dynamic strength. Strong statistically significant relationships were found between COD test variables (r =0.71 to 0.90), and between vertical jump variables with PT …


Longitudinal Monitoring Of Countermovement Jump Mechanical Variables: A Preliminary Investigation, Christopher J. Sole, Satoshi Mizuguchi, Timothy J. Suchomel, William A. Sands, Michael H. Stone Jul 2014

Longitudinal Monitoring Of Countermovement Jump Mechanical Variables: A Preliminary Investigation, Christopher J. Sole, Satoshi Mizuguchi, Timothy J. Suchomel, William A. Sands, Michael H. Stone

ETSU Faculty Works

The purpose of this study was to examine the influence of accumulated volume load on countermovement jump (CMJ) mechanical variables. Eight athletes underwent weekly CMJ testing using a force plate. Statistical changes were observed in certain CMJ variables over the observation period. Jump height (0.42±0.05 m) and allometrically scaled peak power (88.86±7.49 W·kg-0.67) exhibited multiple statistical changes. These changes appeared to exhibit a delayed effect in response to accumulated volume load. Specifically, following several weeks of large accumulated volume loads these variables declined. In addition subsequently decreasing accumulated volume loads resulted in an increase in both variables. The findings of …


Vitamin D Status And Demographic And Lifestyle Determinants Among Adults In The United States (Nhanes 2001-2006), Yan Cao, Katie L. Callahan, Sreenivas P. Veeranki, Yang Chen, Ying Liu, Shimin Zheng Jun 2014

Vitamin D Status And Demographic And Lifestyle Determinants Among Adults In The United States (Nhanes 2001-2006), Yan Cao, Katie L. Callahan, Sreenivas P. Veeranki, Yang Chen, Ying Liu, Shimin Zheng

ETSU Faculty Works

This study looked at risk factors associated with vitamin D levels in the body among a representative sample of adults in the U.S., NHANES III (2001-2006) data were used to assess the relationship between several demographic and health risk factors and vitamin D levels in the body. The Baseline-Category Logit Model was used to test the association between vitamin D level and the potential risk factors age, education, ethnicity, poverty status, physical activity, smoking, alcohol, obesity, diabetes and total cholesterol with both genders. Vitamin D insufficiency and deficiency were significantly associated with age, race, education, physical activity, obesity, diabetes and …


Self-Reported Versus Actual Weight And Height Data Contribute To Different Weight Misperception Classifications, William T. Dalton, Liang Wang, Jodi Southerland, Karen E. Schetzina, Deborah L. Slawson Jun 2014

Self-Reported Versus Actual Weight And Height Data Contribute To Different Weight Misperception Classifications, William T. Dalton, Liang Wang, Jodi Southerland, Karen E. Schetzina, Deborah L. Slawson

ETSU Faculty Works

Objectives: The purpose of the study was to examine potential differences between two approaches to defining adolescent weight misperception. Specifically, weight status perception was compared with self-reported weight status and actual weight status (based on body mass index percentiles calculated from self-reported and actual weights and heights, respectively). Furthermore, the accuracy of assigning weight status based on body mass index percentiles calculated from self-reported weights and heights was assessed by comparing them with actual weight status.

Methods: Data were extracted from Team Up for Healthy Living, an 8-week, school-based obesity prevention program in southern Appalachia. Participants (N = 1509) were …