A5055575882- Obesity, Physical Activity, Diet
- Consumer Attitudes and Food Labeling
- Nutritional Studies and Diet
- Mobile Health and mHealth Applications
- Community Health and Development
- Food Security and Health in Diverse Populations
- Nutrition, Genetics, and Disease
- Consumer Retail Behavior Studies
- Diet and metabolism studies
- Health Policy Implementation Science
- Eating Disorders and Behaviors
- Urban Transport and Accessibility
- Physical Activity and Health
- COVID-19 and Mental Health
- Smoking Behavior and Cessation
- Behavioral Health and Interventions
- Organic Food and Agriculture
- Consumer Packaging Perceptions and Trends
- Economics of Agriculture and Food Markets
- Digital Mental Health Interventions
- Food Waste Reduction and Sustainability
- Child Nutrition and Feeding Issues
- Bipolar Disorder and Treatment
- Child Nutrition and Water Access
- Diet, Metabolism, and Disease
Center for Health and Gender Equity
2023
New York University
2020-2023
Office of Disease Prevention
2023
Johns Hopkins University
2014-2022
Hinge Health
2022
NYU Langone Health
2022
Bloomberg (United States)
2014
Childhood obesity rates in the U.S. have reached epidemic proportions, and an urgent need remains to identify evidence-based strategies for prevention treatment. Multi-level, multi-component interventions are needed due multi-factorial nature of obesity, its proven links both social built environment. However, there huge gaps literature related doing these kinds among low-income, urban, minority groups. The B'More Healthy Communities Kids (BHCK) intervention is a multi-level, intervention,...
To examine associations between food insecurity, excess body weight, psychosocial factors and behaviours among low-income African-American families.Cross-sectional survey of participants in the baseline evaluation B'More Healthy Communities for Kids (BHCK) obesity prevention trial. We collected data on socio-economic factors, source destinations, acquiring food, preparation methods, beliefs attitudes, participation assistance programmes, anthropometry security. used principal component...
Interindividual variability in postprandial glycemic response (PPGR) to the same foods may explain why low index or load and low-carbohydrate diet interventions have mixed weight loss outcomes. A precision nutrition approach that estimates personalized PPGR specific be more efficacious for loss.To compare a standardized low-fat vs regarding percentage of adults with abnormal glucose metabolism obesity.The Personal Diet Study was single-center, population-based, 6-month randomized clinical...
Systems modeling represents an innovative approach for addressing the obesity epidemic at community level. We developed agent-based model of Baltimore City food environment that permits us to assess relative impact different programs and policies, alone in combination, potential unexpected consequences. Based on this experience, a review literature, we have identified set principles, benefits, challenges. Some key principles include importance early multilevel engagement with prior...
Childhood obesity, one of the greatest challenges to public health, disproportionately affects low-income urban minority populations. Fruits and vegetables (FV) are nutrient dense foods that may be inversely associated with excessive weight gain. We aimed identify individual characteristic, psychosocial, household factors influencing FV fiber consumption in African-American (AA) youth Baltimore, MD. Cross-sectional analysis data collected from 285 AA caregiver-youth (age range: 10–14 y)...
Abstract Objective Small food store interventions show promise to increase healthy access in under-resourced areas. However, none have tested the impact of price discounts on supply and demand. We store-directed communications strategies, separately combined, stocking, sales prices healthier foods storeowner psychosocial factors. Design Factorial design randomized controlled trial. Setting Twenty-four corner stores low-income neighbourhoods Baltimore City, MD, USA. Subjects Stores were...
The present study examined food and beverage distributors' sourcing, placement promotion of obesogenic (energy-dense, nutrient-poor) product categories from the perspective small store owners/managers. interest were savoury snacks, sugary beverages, sweet confectionery frozen treats. Specifically, we how frequently distributors sourced these products, types agreements expectations they had for their promotion. Differences explored by size ethnicity. Fresh produce was used as a comparison...
Background: Products in corner stores may be affected by the network of suppliers from which storeowners procure food and beverages. To date, this supplier has not been well characterized. Methods: Using analysis, we examined connections between (n = 24) deserts Baltimore City (MD, USA) their food/beverage 42), to determine how different store characteristics correlated. Results: Food beverage fell into two categories: Those providing primarily healthy foods/beverages 15) (HSN) those...
Incorporation of pharmacy fill data into the electronic health record has enabled calculations medication adherence, as measured by proportion days covered (PDC), to be displayed clinicians. Although PDC values help identify patients who may nonadherent their medications, it does not provide information on reasons for medication-taking behaviors.
The relationship between dietary patterns and chronic disease is underexplored in indigenous populations. We assessed diets of 424 American Indian (AI) adults living 5 rural AI communities. identified four food patterns. Increased prevalence for cardiovascular was highly associated with the consumption unhealthy snacks high fat–food (OR 3.6, CI = 1.06, 12.3; OR 6.0, 1.63, 22.1), respectively. Moreover, food-consumption pattern appeared to be different by community setting (p < .05)....
Product placement influences consumer choices in retail stores. While sugar sweetened beverage (SSB) manufacturers expend considerable effort and resources to determine how product may increase SSB purchases, the information is proprietary not available public health research community. This study aims quantify effect of non-SSB corner stores on adolescent purchasing behavior. Corner are small privately owned that important providers low-income neighborhoods – where adolescents have higher...
For community interventions to be effective in real-world conditions, participants need have sufficient exposure the intervention. It is unclear how dose and intensity of intervention differ among study low-income areas. We aimed understand patterns different components a multi-level multi-component obesity prevention program inform our future impact analyses. B'more Healthy Communities for Kids (BHCK) was community-randomized controlled trial implemented 28 zones Baltimore two rounds...
Objective: To understand the agreements between small food store owners and beverage suppliers how they shape stocking promotion of unhealthy products. Design: 72 in-depth interviews. Setting: Four US cities (Baltimore, Minneapolis/St. Paul, Durham, San Diego). Subjects: Owner/managers stores. Results: Most had informal with food/beverage suppliers, including reduced costs specific foods, tied to sales; provision brand-dedicated display racks refrigerators/freezers. Informal were used as a...
Objective: In this study, we examined small food store retailers' perspectives on tobacco company agreements specifying product display and promotion. Methods: We interviewed owners/managers of stores (N = 63) in lower-income neighborhoods 4 US cities using open-and closed-ended questions between October 2013 July 2014. coded qualitative interview data calculated descriptive statistics. Results: Most retailers had a formal contract with (87%). Retailers perceived that products generated low...
Purpose: Access to in-person diabetes self-management education (DSME) programs is limited in underserved immigrant communities. In this report, we examined the feasibility, acceptability, and potential efficacy of a social media-based DSME intervention low-income older Chinese immigrants with type 2 (T2D). Methods: This was single-group study 30 T2D living NYC. The included 24 culturally linguistically tailored videos. Over 12 weeks, participants received brief videos each week via WeChat,...
Summary Objective This study aims to examine the extent which low‐income African‐American children's weight status, psychosocial characteristics and food‐related behaviours are associated with that of their adult caregivers. Methods Cross‐sectional data from baseline evaluation B'More Healthy Communities for Kids obesity prevention trial were used. Outcomes interest overweight and/or self‐efficacy, knowledge, intentions healthier/less healthy food acquisition scores. The primary exposures...
The primary aim is to compare the effects of a low-fat diet vs personalized on % weight loss at 6-months. Secondary outcomes include body composition (fat mass [FM] and fat free [FFM]), resting energy expenditure (REE) adaptive thermogenesis (AT). Personal Diet Study was 6-month, single-center, randomized clinical trial in adults with pre-diabetes moderately controlled type 2 diabetes who were overweight or obese. Participants follow either hypocaloric diet, < 25% intake from total...