Medicine and Health Sciences Commons^™

Health Literacy And Obesity Among Native Hawaiian And Pacific Islanders In The U.S., Jane Lassetter

Faculty Publications

Objectives: Our purpose was to describe relationships between demographic characteristics, body mass index (BMI), and health literacy among Native Hawaiians and other Pacific Islanders (NHPIs).

Design and Sample: In this cross-sectional survey, we interviewed 364 NHPI adults.

Measures: We used Newest Vital Sign (NVS), a health literacy tool; measured heights and weights; and demographic questions.

Results: According to participants’ NVS scores, 45.3% had at least a possibility of low health literacy. Lower NVS scores were associated with increased BMI (r = -0.12, p = 0.027) and increased age (r = -0.26, p < 0.001). Higher NVS scores were associated …

The Use Of Non-Nutritive Sweeteners In Establishing And Maintaining A Healthy Weight, Derrick Pickering, Mary Williams

Student Works

Obesity is an epidemic and continues to rise. The associated increased risk of mortality and co-morbid conditions is well documented. The use non-nutritive sweeteners (NNS) is a strategy being used to manage weight by reducing calorie intake. Research is inconclusive regarding the efficacy of NNS in weight management due to their inappropriate use and also the potential they may increase appetite. To most effectively manage weight, a comprehensive individualized plan must be devise of which proper use NNS may be a part.

Obesity Hypoventilation Syndrome: Understanding, Diagnosing, And Treating, Chad W. Padovich

Student Works

The effects of obesity are multifaceted and lead to poor quality of life, increased risk of cardiovascular disease, stroke, and death. Obesity hypoventilation syndrome (OHS) is a widely misunderstood and under diagnosed disease process, which carries specific diagnostic criteria. The purpose of this work is to: (1) provide practitioners with a better understanding of OHS and how it differs from other obesity related breathing disorders (such as Obstructive Sleep Apnea, OSA), (2) provide diagnostic criteria of OHS, (3) provide work up recommendations, and (4) provide current recommended treatment. Data Sources: An electronic search of the literature was conducted to identify …

Bariatric Surgery Versus Lifestyle Interventions In Managing Obesity In Patients With Type Ii Diabetes: A Systematic Review, Leslie C. Nakaya, Mary Williams

Student Works

Obesity, with coexisting T2DM, is difficult to treat successfully for various reasons and carries enormous health risks and financial burdens. The purpose of this systematic review is to compare outcomes of conventional medical treatment to bariatric surgery for the treatment of T2DM, and determine which patients may be appropriate for referral. Data Sources: An electronic search of the literature was conducted to identify studies from 2008 to 2014 in the following databases: CINAHL, National Library of Medicine PubMed®/MEDLINE®, EBSCO, SciVerse®, Springer Link®, and the Cochrane library. Conclusions: Bariatric surgical options, even before weight loss occurs, positively affect glucose homeostasis and …

The Relationship Between Select Demographic Characteristics And Body Mass Index Among Native Hawaiian And Other Pacific Islander Caregiving Adults, Jane Lassetter Phd, Rn, Lauren Clark Phd, Rn, Faan, Sharla E. Morgan Fnp, Lora Beth Brown Phd, Gwen Vanservellen Phd, Rn, Faan, Katrina Duncan Fnp, Betsy S. Hopkins

Faculty Publications

Native Hawaiian or other Pacific Islanders (NHOPIs) are people with genetic origins in Hawaii, Samoa, or other Pacific Islands (Hixson, Hepler, & Kim, 2012). NHOPI prevalence of overweight or obesity is among the highest in the world. Nauru, a Pacific Island nation, is considered the most obese country in the world with an overweight and obesity prevalence of 93% (WHO, 2011). Hawaii’s overall prevalence of overweight or obesity is 52.1%, but the prevalence for Native Hawaiian residents is 69.6% (Hawaii Department of Health, 2011). Inasmuch as NHOPIs are one of the fastest growing ethnic groups in the U.S. (Hixson et …