A5016038481- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Global Cancer Incidence and Screening
- Health and Lifestyle Studies
- Public Health and Nutrition
- Global Public Health Policies and Epidemiology
- Birth, Development, and Health
- Cardiovascular Health and Risk Factors
- Children's Physical and Motor Development
- Breastfeeding Practices and Influences
- Cancer survivorship and care
- Mobile Health and mHealth Applications
- Cognitive and developmental aspects of mathematical skills
- Skin Diseases and Diabetes
- Consumer Attitudes and Food Labeling
- Cardiac Health and Mental Health
- Diabetes and associated disorders
- Complex Systems and Decision Making
- Food, Nutrition, and Cultural Practices
- School Health and Nursing Education
- Diverse Educational Innovations Studies
- Obesity and Health Practices
- Metabolism, Diabetes, and Cancer
University of Guam
2016-2025
University of Hawaiʻi at Mānoa
2014-2015
University of Hawaii System
2015
University of Hawaii Cancer Center
2015
Accurately assessing the diets of children and adolescents can be problematic. Use technologies, such as mobile apps designed to capture food beverages consumed at eating occasions with images taken using device-embedded cameras, may address many barriers gathering accurate dietary intake data from adolescents.The objectives this study were assess willingness take their a novel record (mFR) evaluate usability user confirmation component mFR app, referred "review process."Mixed methods...
Children's readiness to use technology supports the idea of children using mobile applications for dietary assessment. Our goal was determine if 3-10 years could successfully food record (mFR) capture a usable image pair or pairs. Children in Sample 1 were tasked mFR an one eating occasion while attending summer camp. For 2, all occasions two consecutive days at time periods that four weeks apart. Trained analysts evaluated images. In 1, 90% (57/63) captured pair. All (63/63) returned...
This article reports on the development of group model-building workshops for understanding children's nutrition and health as a complex adaptive system. A community-based system dynamics approach was used to conduct in 5 United States-Affiliated Pacific jurisdictions part Children's Healthy Living Food Systems project from October 2022 March 2023. Workshops were cofacilitated by local teams using facilitation guide with series structured small-group exercises or "scripts" evaluated pre-post...
The Western Pacific region, including Guam, has the highest prevalence of prediabetes and type 2 diabetes mellitus, which are associated with metabolic syndrome (MetS)—a cluster preventable risk factors. Children parents MetS likely to develop in future. Guam impact on children unknown. Data from Islands Cohort Cardiometabolic Health (PICCAH) study were analyzed determine adults using International Diabetes Federation criteria sex- age-specific waist circumference values for abdominal...
This study is part of the Children's Healthy Living program in U.S. Affiliated Pacific region. The objectives were to estimate overweight and obesity (OWOB) prevalence identify possible related risk factors among ethnic groups Guam. In 2013, 865 children (2-8 years) recruited via community-based sampling from select communities demographic health behavior information; dietary intake; anthropometric measurements collected. Logistic regression, odds ratio, t-tests, chi-square tests used...
Abstract Health literacy is understudied in the US-Affiliated Pacific (USAP), where local populations have historically experienced social marginalization and disproportionate health inequities caused by determinants of (SDOH). This cross-sectional study analyzed several SDOH indicators—acculturation, use food assistance programs demographic characteristics (race ethnicity, household income, primary language spoken at home educational attainment)—and their relationship to among 1305...
<h3>Importance</h3> Few obesity prevention trials among children have demonstrated sustainable outcomes in the long term. <h3>Objectives</h3> To sustain a community-wide decrease prevalence of overweight and young US-affiliated Pacific region. <h3>Design, Setting, Participants</h3> In Children's Healthy Living community-randomized clinical trial, hierarchical modeling comparing change intervention control communities accounted for community randomization (community clustering with...
The Children's Healthy Living study provided dietary intake information for understudied Native Hawaiian and Other Pacific Islander (NHOPI) young children.Our objective was to describe food group macronutrient intakes of NHOPI children in the US-Affiliated region (USAP), overall by jurisdiction, income level, metabolic status.We evaluated 2-8-y-olds (n = 3520) a cross-sectional cluster sampled using 2 d records completed caregivers tools, quantified specially developed composition table...
IntroductionFruit and vegetable consumption may reduce risk for chronic disease obesity.Children's fruit intake is mediated by a preference or willingness to try them.This study's primary objective was adapt the previously validated WillTry tool evaluate adapted version among children in Guam. MethodsAdaptations included both novel fruits vegetables unique Guam common ones.Children aged 3 11 years who attended 2 community-based summer day camps 2013 were shown images matching 14 food...
This pilot study examined the influence of cultural immersion on willingness to try fruits and vegetables (FV) among children 3–12 years old in three summer camps Guam with different exposure levels: camp (CIC), high exposure; university day (UDC), moderate recreational sports (RSC), zero exposure. Children, ages for CIC UDC 5–12 RSC, participated: (n = 47), 23), RSC 33). Children’s FV was assessed Adapted WillTry tool before after each program. Whole intakes were concurrently using mobile...
Traditional Pacific diets have many health benefits, including maintenance of a healthy weight and prevention various diseases. Few studies evaluated the frequency at which traditional are consumed in Pacific, especially among children.
Acculturation/enculturation has been found to impact childhood health and obesity status. The objective of this study is use cross-sectional data examine the association between proxies adult/caregiver acculturation/enculturation child status (Body Mass Index [BMI], waist circumference [WC], acanthosis nigricans [AN]) in U.S.-Affiliated Pacific Islands (USAPI), Alaska, Hawaiʻi. Study participants were from Children’s Healthy Living (CHL) Program, an environmental intervention trial...
Breast cancer disproportionately impacts Native Hawaiian, CHamoru, and Filipino women. Few culturally informed interventions addressing breast survivors exist none have been developed or tested specifically for This study aimed to conduct focus groups with women previously diagnosed inform future research in Guam Hawai’i. Convenience sampling grounded theory approaches were used. Focus group sessions conducted during summer 2023 included questions understand the barriers, motivators,...
The impact that dietary carbohydrates have on children developing type 2 diabetes remains controversial. Furthermore, there are limited pediatric longitudinal studies changes in body mass index (BMI) and diet related to the development of acanthosis nigricans (AN), a risk factor associated with diabetes.Two 24 h records were collected for 558 children, 2-8 years age, at baseline 2-year follow-up. Data sex, BMI, presence AN also each time point from Children's Healthy Living Program. Logistic...