Medicine and Health Sciences Commons^™

An Investigation Of The Impact Of Family Dynamics On Obesity Among African American Adolescent Girls, Tina Mcdyess

Dissertations

Children who are overweight and obese are more likely to maintain their weight status into adulthood (Fletcher, Cooper, Helms, Northington, & Winters, 2009; World Health Organization [WHO], 2015). The prevalence of obesity has shown a more consistent increase among African Americans aged 2-19 (Flegal, Carroll, Kit, & Ogden, 2012; Ogden, Carroll, Kit, & Flegal, 2012; Ogden, Carroll, Kit & Flegal, 2014) with an even greater disparity among African American girls (Ogden & Carroll, 2010). Family dynamics is one of the many factors of the environment that has been linked to obesity among children and adolescents. The purpose of this study …

The Beneficial Effect Of Weight Reduction On Adverse Cardiovascular Outcomes Following Bariatric Surgery Is Attenuated In Patients With Obstructive Sleep Apnea, Ahmed Dalmar, Maharaj Singh, Bennet Pandey, Christopher Stoming, Zoe Heis, Khawaja Afzal Ammar, M. Fuad Jan, Indrajit Choudhuri, Thomas Y. Chua, Jasbir Sra, A. Jamil Tajik, Arshad Jahangir

College of Nursing Faculty Research and Publications

Weight loss after bariatric surgery is associated with reduction in adverse cardiovascular outcomes; however, the impact of obstructive sleep apnea (OSA) on reduction of cardiovascular outcomes after bariatric surgery in morbidly obese patients is not known. We retrospectively assessed differences in cardiovascular events after laparoscopic adjustable gastric banding (LAGB)–induced weight loss in patients with and without OSA before and after propensity score matching for age, sex, body mass index (BMI), and major comorbidities between the two groups and determined predictors of poor outcomes. OSA was present in 222 out of 830 patients (27 per cent) who underwent LAGB between 2001 …

Impact Of Motivational Interviewing On Body Mass Index, Tajsier L. Thompson

Doctor of Nursing Practice Projects

Introduction

Being overweight and obese has become a common lifestyle. More than half of American adults are overweight and more than a quarter of overweight adults are obese. Despite this overwhelming statistic, weight-loss coaching by primary care providers is usually disregarded due to time constraints and lack of skills to motivate patients to reach weight-loss goals. Motivational interviewing (MI) focuses on helping people investigate and overcome ambivalence toward healthy lifestyle modifications by helping them to explore their weaknesses, strengths, and preferences in an effort to facilitate behavioral changes.

Objective

The primary objective of this project is to assess the effectiveness …

How Saving The Cookies For Santa Could Save Our Children, Grace M. Conroy

BU Well

Environmental factors and high sugar lunches represent a few proposed causes of the childhood obesity epidemic. Consequences of this epidemic are not limited to physical illnesses in children, but also psychological ones. The solution to this issue is more complex than a low carbohydrate diet or increased physical activity. Children need to be raised in an environment which fosters healthy lifestyle habits year-round.

An Anti-Inflammatory Diet In Osteoarthritis Prevention & Management, Stephanie J. Speetzen

Nursing Capstones

No abstract provided.

Life During The Biggest Loser: Experiences And Perspectives Of Non-Contestant Romantic Partners, Darren D. Moore, Clinton Cooper, Kai Zwierstra, Toiya Williams

The Qualitative Report

For this study, authors engaged in 9 semi-structured interviews with romantic partners of contestants who were involved with a weight loss intervention (The Biggest Loser), to gain insight into the phenomenon of weight loss within the context of couple relationships and reality television. Utilizing Basic Qualitative Description influenced by aspects of phenomenology, the authors explored the role of weight loss and the role that the specific intervention utilized, has played within the couple relationship. Building upon previous research (Moore, Cooper, Williams, & Zwierstra, 2017a) authors added the voice of the non-contestant partners to the discussion and explored experiences …

Epigenome-Wide Association Study Of Metabolic Syndrome In African-American Adults, Tomi Akinyemiju, Anh N. Do, Amit Patki, Stella Aslibekyan, Degui Zhi, Bertha Hidalgo, Hemant K. Tiwari, Devin Absher, Xin Geng, Donna K. Arnett, Marguerite R. Irvin

Epidemiology and Environmental Health Faculty Publications

Background: The high prevalence of obesity among US adults has resulted in significant increases in associated metabolic disorders such as diabetes, dyslipidemia, and high blood pressure. Together, these disorders constitute metabolic syndrome, a clinically defined condition highly prevalent among African-Americans. Identifying epigenetic alterations associated with metabolic syndrome may provide additional information regarding etiology beyond current evidence from genome-wide association studies.

Methods: Data on metabolic syndrome and DNA methylation was assessed on 614 African-Americans from the Hypertension Genetic Epidemiology Network (HyperGEN) study. Metabolic syndrome was defined using the joint harmonized criteria, and DNA methylation was assessed using the Illumina HumanMethylation450K Bead …

A Behavioral Lifestyle Intervention Enhanced With Multiple-Behavior Self-Monitoring Using Mobile And Connected Tools For Underserved Individuals With Type 2 Diabetes And Comorbid Overweight Or Obesity: Pilot Comparative Effectiveness Trial, Jing Wang, Chunyan Cai, Nikhil Padhye, Philip Orlander, Mohammad Zare

Faculty, Staff and Student Publications

BACKGROUND: Self-monitoring is a cornerstone of behavioral lifestyle interventions for obesity and type 2 diabetes mellitus. Mobile technology has the potential to improve adherence to self-monitoring and patient outcomes. However, no study has tested the use of a smartphone to facilitate self-monitoring in overweight or obese adults with type 2 diabetes mellitus living in the underserved community.

OBJECTIVE: The aim of this study was to examine the feasibility of and compare preliminary efficacy of a behavioral lifestyle intervention using smartphone- or paper-based self-monitoring of multiple behaviors on weight loss and glycemic control in a sample of overweight or obese adults …

Associations Between Family And Parental Factors And Childhood Obesity, Kido Uyamasi, Shimin Zheng, Sheryl M. Strasser

Appalachian Student Research Forum

Background: Obesity is a complex health issue, which results from the interaction between many determinants: genetics, physical environments, society, economy, and culture. Data indicate that about 19% of American children (2 to 19 years) have obesity, a condition that considerably affects physical and mental health and that usually continues into adulthood. Aside from its direct physical and mental effects, there is strong evidence that childhood obesity is strongly associated with early onset and adult cardiovascular diseases and diabetes. Family and parental factors, which have both genetics and environmental components, have long been implicated in previous research as major forces in …

Junk Food And Its Link To Childhood Obesity, Erik Keough

MBA Student Scholarship

Childhood obesity has been a growing epidemic not only in the United Sates, but around the world. The aim of this study is to determine the relationship of childhood obesity to how available junk and fast food is to adolescents. Two hundred students, one hundred boys and one hundred girls, ranging in ages six to twelve years old will take part in a survey as well as physical examination. Additionally, one parent or guardian of each student will be asked to complete a survey. The surveys will determine how often and readily available junk food is to the children, the …

Oncolog, Volume 63, Number 04, April 2018, Joe Munch, Bryan Tutt, Sarah Bronson

OncoLog MD Anderson's Report to Physicians (All issues) Archives

• Hunger Training Helps Manage Weight, May Reduce Cancer Risk: Clinical Trial tests weight loss strategy to reduce cancer risk in obese participants
• Re-Irradiation for Recurrent Head and Neck cancer: Stereotactic techniques enable re-irradiation of unresectable tumors
• Dermoscopy for Early Detection of Melanoma. Other Skin Cancers: MD Anderson physicians train clinicians in underserved areas to use dermoscopy, which can help avoid unnecessary biopsy
• HOUSE CALL: Alcohol-Related cancers-Drinking alcohol increases risk of several types of cancer

Prevalence And Prevention Of Diabetes In School Age Children: A Parent Education Module, Christine Mary Whitmyer

Doctoral Projects

The Center for Disease Control reports that there continues to be an increasing number of children being diagnosed with childhood-onset Type Two Diabetes Mellitus (T2DM). The recommendation is to provide education to parents regarding the risks and possible risk factors of T2DM, and strategies to prevent and treat these risk factors (Center for Disease Control [CDC], 2014). Educating parents of school age children on T2DM risk factors, and prevention practices may help to slow down this rising number of new cases. The Aim is to provide educational modules that may increase knowledge, which could in-turn change behavior, that may prevent …

Obesity And Obesogenic Growth Are Both Highly Heritable And Modified By Diet In A Nonhuman Primate Model, The African Green Monkey (Chlorocebus Aethiops Sabaeus), C. A. Schmitt, S. K. Service, A. J. Jasinska, Thomas D. Dyer, M. J. Jorgensen, R. M. Cantor, G. M. Weinstock, John Blangero, J. R. Kaplan, N. B. Freimer

School of Medicine Publications

OBJECTIVE: In humans, the ontogeny of obesity throughout the life course and the genetics underlying it has been historically difficult to study. We compared, in a non-human primate model, the lifelong growth trajectories of obese and non-obese adults to assess the heritability of and map potential genomic regions implicated in growth and obesity.

STUDY POPULATION: A total of 905 African green monkeys, or vervets (Chlorocebus aethiops sabaeus) (472 females, 433 males) from a pedigreed captive colony. METHODS: We measured fasted body weight (BW), crown-to-rump length (CRL), body-mass index (BMI) and waist circumference (WC) from 2000 to 2015. We used a …

Champs: Child Health And Methods Of Parenting Study, Megan Fletcher

Department of Nutrition and Health Sciences: Dissertations, Theses, and Student Research

The range of different contexts in which children learn and develop dietary and physical activity habits varies greatly, yet there is limited research on the role of the family structure and parenting style in the development of childhood obesity. CHAMPS (Child Health and Methods of Parenting Study), was designed to explore the relationships between parenting style, family structure, and child health status through a new lens and novel application of the Unified Theory of Behavior model. Surveys were administered to families at two partner locations to examine these relationships. 51 parents/legal guardians and 57 children completed the survey. Results were …

Pubh 3131 - Chronic Disease: A Modern Epidemic, Yelena N. Tarasenko

College of Public Health: Faculty Syllabi (2014-2021)

Chronic conditions (e.g. diabetes, cardiovascular disease, renal disease, obesity) are currently responsible for 60% of the global burden of disease and the World Health Organization predicts this to rise to 80% by the year 2020. This is one of the greatest challenges facing health care systems throughout the world and it places long-term health and economic demands on health care systems as the population ages. This course will provide students with the opportunity to study specific issues related to chronic disease epidemiology and management and their links to practice.

Prevalence And Predictors Of Low Serum 25-Hydroxyvitamin D Among Female African-American Breast Cancer Survivors, Patricia M. Sheean, Claudia Arroyo, Jennifer Woo, Melinda Stolley

Nursing: School of Nursing Faculty Publications and Other Works

Background:

African-American breast cancer survivors commonly demonstrate low serum 25-hydroxyvitamin D (25(OH)D). Decreased cutaneous conversion, high levels of adiposity, and even breast cancer treatment may influence vitamin D status. Previous investigations have analyzed African-American women in aggregate with other breast cancer survivors and have not comprehensively addressed these influential factors.

Dietary Habits And Lifestyle In School-Aged Children From Bucharest, Romania, Anca Pantea Stoian, Liliana F. Andronache, Razvan Hainarosie, Dan N. Paduraru, Cristinel D. Badiu, Andreea Arsene, Claudia Mehedintu, Georgiana Ditu, Silviu M. Pituru, Cristina Orlov, Mihaela Oros, Cornelia Nitipir

Journal of Mind and Medical Sciences

Background. This study evaluated the difference between boys and girls in terms of nutritional status, lifestyle, and dietary habits during school life.

Materials and Methods. A descriptive and observational study was conducted in 2016, in which 251 children, aged 7-17, from 3 elementary schools and a high school inBucharest,Romania, were evaluated. A questionnaire was used to assess food behavior, eating, and lifestyle habits.

Results. Boys had a significantly higher waist circumference (71.18±9) than girls (67.46±9.91) (p=0.004). Thus 27% of boys were overweight or obese compared with only 22% of the girls. Differences were also seen between the two groups in …

Impact Of Obesity And Expression Of Obesity-Related Genes In The Progression Of Prostate Cancer In African American Men, Mmadili Nancy Ilozumba

USF Tampa Graduate Theses and Dissertations

In the US, the incidence and mortality rates of prostate cancer (PCa) are higher among African American men compared to European American men. Obesity is an important risk factor of PCa. Obesity is known to alter the gene expression profiles in prostate tumors. This study evaluates the impact of obesity and the expression of obesity-related genes on the progression of PCa in African American men.

The primary outcome of interest is biochemical recurrence (BCR) of PCa. There were 48 African American prostate cancer patients in the study. The tissue samples included 42 normal tissues, 40 Prostate Intraepithelial Neoplasia (PIN) and …

Dietary Inflammatory Index And Type 2 Diabetes Mellitus In Adults: The Diabetes Mellitus Survey Of Mexico City, Edgar Denova-Gutiérrez, Paloma Muñoz-Aguirre, Nitin Shivappa, James R. Hébert, Lizbeth Tolentino-Mayo, Carolina Batis, Simón Barquera

Faculty Publications

Diet and inflammation are both associated with type 2 diabetes mellitus (T2DM). In the present study, we aimed to assess the relation between the dietary inflammatory index (DII) and the presence of T2DM in Mexican adults participating in the Diabetes Mellitus Survey administered in Mexico City (DMS-MC). The study involved 1174 subjects (48.5% men) between 20–69 years of age. A validated semi-quantitative food frequency questionnaire was employed to evaluate dietary intake and to compute DII. The DII is based on scientific evidence about the association between dietary compounds and six established inflammatory biomarkers. Multivariate logistic regression models were used to …

Resistance Training-Induced Gains In Muscle Strength, Body Composition, And Functional Capacity Are Attenuated In Elderly Women With Sarcopenic Obesity, Alessandro De Oliveira Silva, Maurílio Tiradentes Dutra, Wilson Max Almeida Monteiro De Moraes, Silvana Schwerz Funghetto, Darlan Lopes De Farias, Paulo Henrique Fernandes Dos Santos, Denis Cesar Leite Vieira, Dahan Da Cunha Nascimento, Vânia Silva Macedo Orsano, Brad J. Schoenfeld, Jonato Prestes

Publications and Research

Objectives: The purpose of this study was to compare the effects of resistance training (RT) on body composition, muscle strength, and functional capacity in elderly women with and without sarcopenic obesity (SO).

Methods: A total of 49 women (aged $60 years) were divided in two groups: without SO (non-SO, n=41) and with SO (n=8). Both groups performed a periodized RT program consisting of two weekly sessions for 16 weeks. All measures were assessed at baseline and postintervention, including anthropometry and body composition (dual-energy X-ray absorptiometry), muscle strength (one repetition maximum) for chest press and 45° leg press, and functional capacity …

Assessing Overweight/Obesity, Dietary Habits, And Physical Activity In Hispanic College Students, Ulku S. Karabulut, Zasha Romero, Phillip Conatser, Murat Karabulut

Health & Human Performance Faculty Publications

Objectives

Methods

Results

The Adipokine C1q Tnf Related Protein 3 (Ctrp3) Is Elevated In The Breast Milk Of Obese Mothers, Megan R. Kwon, Eileen M. Cress, W. Andrew Clark, Arsham Alamian, Yongke Lu, Jonathan M. Peterson

ETSU Faculty Works

Background C1q TNF related protein 3 (CTRP3) is a relatively novel hormonal factor primarily derived from adipose tissue and has anti-diabetic properties. To determine if CTRP3 could play a role in early childhood development, the purpose of this study was to establish the presence of CTRP3 in breast milk (BM) and to determine whether CTRP3 levels were correlated with pregravid obesity status of the mother. Methods Breast milk was collected from breast-feeding mothers who had a pregravid body mass index (BMI) classification of normal weight (BMI 18–25 kg/m2, n = 23) or obese (BMI > 30 kg/m2, n = 14). Immunoprecipitation …

Identifying Windows Of Opportunity For Active Living And Healthy Eating Policies In Connecticut, 2016, Anna E. Greer, Ann-Uriel Knausenberger

Public Health Faculty Publications

We examined the relative importance of 23 community issues among elected officials and health directors in Connecticut in 2016. For this cross-sectional study, 74 elected officials (40.7% response rate) and 47 health directors (62.7% response rate), who were purposively sampled, completed a questionnaire to rate their perceived importance of 23 community issues. Eight of these issues were related to active living, healthy eating, or obesity. We used χ2 tests to evaluate differences in responses. Compared with elected officials, health directors significantly more often perceived obesity, access to healthy groceries, poor nutrition, lack of pedestrian walkways, and pedestrian safety as important. …

Examining The Impact Of Food Environment Changes On County-Level Obesity Prevalence In The Appalachian Region, Jaime Booth, Kai Wei, Allison Little

Journal of Health Disparities Research and Practice

The aim of the present study was to understand the impact of changes in the food environment on county-level obesity prevalence in the Appalachian Region. We examined the food environment in 412 counties across the Appalachian Region using data from the Behavioral Risk Factor Surveillance System, the American Community Survey, and the Food Environment Atlas. We found there was an overall decrease of per capita food stores from 2007 to 2011 in this region. There was also a significant relationship between the decrease of grocery stores per capita from 2007 to 2011 and the increase of county-level obesity in 2012. …

Acute Exercise-Induced Response Of Platelet-Monocyte Complexes In Obese, Postmenopausal Women, Michael M. Levitt, Maria A. Cardenas, Bryan Richie, Carmen A. Cook, Shaohan Lu, Kara L. Steck, Jay Haynes, Andreas Kreutzer, Joel B. Mitchell, Melody D. Phillips

International Journal of Exercise Science: Conference Proceedings

Inactivity-related diseases such as cardiovascular disease (CVD) are linked to chronic low-grade, systemic inflammation. Platelet-monocyte complexes (PMCs) are markers of in vivo platelet activation and atherosclerosis, and may be early indicators of subclinical inflammation. PURPOSE: To examine the effects of an exercise bout on PMCs in those at risk for CVD. METHODS: Twenty-five overweight-obese (BMI 32.7 ± 5.2 kg×m^-2, 55-75 yr) women were randomly assigned to either the exercise (EX, n=13) or non-exercise control (CON, n=12) group. EX performed 2 sets of 8 resistance exercises and a 25-min treadmill walk at 70-80% HRR. Blood was obtained pre-exercise (PR), …

A Family History Of Type 2 Diabetes Does Not Impact Maximal Aerobic Capacity In Normoglycemic, Hispanic Males, Mario Garcia, Manuel Amador, Cesar Meza, Christopher Figueroa, Andrew Mcainch, Sudip Bajpeyi

International Journal of Exercise Science: Conference Proceedings

A family history of type 2 diabetes (FH+) is considered a risk factor for insulin resistance and poor cardiorespiratory fitness. However, it is not known if a FH+ impedes exercise-induced improvements in maximal aerobic capacity (VO₂max). Purpose: The purpose of this study was to determine if normoglycemic, sedentary, Hispanic men with FH+ have a lower VO₂max compared to those without a family history of type 2 diabetes (FH-) and if the improvement in VO₂max after 8-weeks of combined exercise training is comparable between FH- and FH+. Methods: 20 participants underwent 8 weeks of combined …

A Family History Of Type 2 Diabetes May Impair Glucose Area Under The Curve In Young, Healthy Hispanics, Cesar Meza, Manuel Amador, Mario Garcia, Christopher Figueroa, Andrew Mcainch, Sudip Bajpeyi

International Journal of Exercise Science: Conference Proceedings

Obesity and type 2 diabetes are associated with impaired glucose homeostasis and blood lipid profiles. Further, a family history of diabetes (FH) increases the risk for development of insulin resistance. However, it is unclear whether a FH impairs glucose tolerance, blood glucose and lipid profiles in young, healthy, normoglycemic adults. PURPOSE: To investigate whether a FH impairs glucose tolerance and blood lipid profile in healthy, sedentary Hispanic males. METHODS: 22 sedentary, normoglycemic, Mexican American males (mean±SEM: age:23±0.56 yrs; BMI: 26.9±0.98 kg/m²) with/without FH participated in the study. Glucose tolerance was assessed by calculating glucose area under …

A Preschool Obesity Prevention Program Is Associated With Improvements On Physical Activity Quality, Fernando Juarez Jr., Azeem A. Hussain, Shiyu Li, Vanessa Estrada, Jill Johnstone, Zenong Yin, Erica Sosa

International Journal of Exercise Science: Conference Proceedings

The Míranos! Look at Us We Are Healthy (Míranos!) is an eight-week pilot intervention to promote healthy weight gain in low-income preschool Latino children aged 3-5 years. A major focus is to increase time spent in physical activity level, especially moderate to vigorous physical activity (MVPA) during play time and improve class instruction quality. According to one published study, preschool children spent only 14% of play session time in MVPA and 73% in sedentary activity (Tandon, 2015). PURPOSE: To assess the effectiveness of the Míranos! pilot intervention on the quality (lesson context, and health promotion interactions) and level of …

Effects Of A Head Start Obesity Prevention Pilot On Preschoolers’ Physical Activity, Shiyu Li, Azeem A. Hussain, Fernando Juarez, Vanessa Estrada, Erica Sosa, Derek P. Hales, Zenong Yin

International Journal of Exercise Science: Conference Proceedings

Regular participation in physical activity (PA) is important for the healthy growth and development of preschoolers. The Míranos! Look at Us We Are Healthy (Míranos!) is an obesity prevention intervention with age-appropriate structured and unstructured outdoor/indoor play and classroom activities led by teacher. As an objective instrument to provide information on human movements, accelerometer can accurately identify the levels of physical activity and assess the effects of physical activity intervention. PURPOSE: to evaluate the effects of an 8-week Míranos! pilot intervention on increasing physical activity levels during school time in preschoolers. METHODS: Study participants were children aged 3-5 years enrolled …

Stratified Multilevel Logistic Regression Modeling For Risk Factors Of Adolescent Obesity In Tennessee, Shimin Zheng, Sheryl Strasser, Nicole Holt, Megan Quinn, Ying Liu, Casey Morrell

ETSU Faculty Works

Background: US adolescent obesity rates have quadrupled over the past 3 decades. Research examining complex factors associatedwith obesity is limited.Objectives: The purpose of this study was to utilize a representative sample of students (grades 6 - 8) in Tennessee to determine theco-occurrence of risk behaviors with adolescent obesity prevalence and to analyze variations by strata. Methods: The 2010 youth risk behavior survey dataset was used to examine associations of obesity with variables related to sampledemographics, risk and protective behaviors, and region. Hierarchical logistic regression analyses stratified by demographics andregion were conducted to evaluate variation in obesity risk occurring on three …