A5090282992- Diabetes Management and Education
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Urban Transport and Accessibility
- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Diet and metabolism studies
- Traffic and Road Safety
- Injury Epidemiology and Prevention
- Chronic Disease Management Strategies
- Diabetes Management and Research
- Liver Disease Diagnosis and Treatment
- Nutritional Studies and Diet
- Diet, Metabolism, and Disease
- Diabetic Foot Ulcer Assessment and Management
- Celiac Disease Research and Management
- Primary Care and Health Outcomes
- Gestational Diabetes Research and Management
- Wound Healing and Treatments
- Mobile Health and mHealth Applications
- Breastfeeding Practices and Influences
- Microscopic Colitis
- Clinical practice guidelines implementation
- Alcohol Consumption and Health Effects
- Medical Coding and Health Information
- Diabetes Treatment and Management
University of Otago
2016-2025
Te Pūkenga
2024-2025
Nelson Marlborough Institute of Technology
2023-2025
Edith Cowan University
2024
Dunedin Public Hospital
2010
Improving glycaemic control in people with Type 1 diabetes is known to reduce complications. Our aim was compare among using data gathered regional or national registries.Data were obtained for children and/or adults from the following countries (or regions): Western Australia, Austria, Denmark, England, Champagne-Ardenne (France), Germany, Epirus, Thessaly and Thessaloniki (Greece), Galway (Ireland), several Italian regions, Latvia, Rotterdam (The Netherlands), Otago (New Zealand), Norway,...
To determine the extent to which intensive dietary intervention can influence glycaemic control and risk factors for cardiovascular disease in patients with type 2 diabetes who are hyperglycaemic despite optimised drug treatment.Randomised controlled trial.Dunedin, New Zealand.93 participants aged less than 70 years a glycated haemoglobin (HbA(1c)) of more 7% treatments plus at least two overweight or obesity, hypertension, dyslipidaemia.Intensive individualised advice (according nutritional...
Rapid weight gain during the first three years of life predicts child and adult obesity, also later cardiovascular other morbidities. Cross-sectional studies suggest that infant diet, activity sleep are linked to excessive gain. As intervention for overweight children is difficult, aim Prevention Overweight in Infancy (POI.nz) study evaluate two primary prevention strategies late pregnancy early childhood could be delivered separately or together as part normal health care. This four-arm...
OBJECTIVE: The few existing early-life obesity prevention initiatives have concentrated on nutrition and physical activity, with little examination of sleep. METHODS: This community-based, randomized controlled trial allocated 802 pregnant women (≥16 years, <34 weeks’ gestation) to: control, FAB (food, breastfeeding), sleep, or combination (both interventions) groups. All groups received standard well-child care. participants additional support (8 contacts) promoting breastfeeding,...
Adolescents perceive different barriers for walking versus cycling to school. This study examined whether adolescents’ perceptions of and differ by home-to-school distance. (n = 1,401; age: 15.1 ± 1.4 years; 55.1% females) completed an online survey about their school travel in Dunedin, New Zealand. Based on distance, adolescents were categorised into three groups: ‘walkable’ (≤2.25 km; n 455), ‘cyclable’ (>2.25-≤4.0 286) ‘beyond cyclable’ distance (>4.0 660). Rates active transport...
Parental perceptions towards different modes of transport correlate with adolescents' mode choice for school trips. Whether parental attitudes differ walking versus cycling and/or home-to-school distance is unknown. We compared to in adolescents Dunedin, New Zealand and examined whether mode-specific barriers by school. Parents (n = 341; age: 47.5 ± 5.2 years; 77.1% females) completed a survey about their adolescent's (age: 13–18 48.1% boys) travel own walking/cycling Participants were...
Scholarship on active transport to school has largely focused children, (large) urban areas, the umbrella term of "active transport" which considered walking and cycling together without taking into account and/or distance. This research examined adolescents' patterns in diverse settlement types relation home-to-school distance Otago region Aotearoa New Zealand. Patterns by distance, across locations, are described for a sample 2,403 adolescents (age: 15.1 ± 1.4 years; 55% females) attending...
Abstract The built and natural environment can facilitate (un)healthy behaviors in adolescence. However, most previous studies have focused on examining associations between singular aspects of the environment. This study examined association mixture health‐promoting health‐constraining environmental features a Healthy Location Index (HLI) physical activity screen time among adolescents. cross‐sectional used data from Built Environment Active Transport to School (BEATS) Research Program...
Abstract Aim To explore the experiences of people recently diagnosed with prediabetes and overweight or obese in making dietary changes following a six‐month primary care nurse‐delivered intervention pilot. Methods Semi‐structured interviews were conducted 20 participants, purposefully selected to ensure mix ethnicity, gender glycaemic outcome. Thematic analysis interview data was undertaken. Results Participants described feeling shocked when they received diagnosis prediabetes. Three core...
Primary care nurse-led prediabetes interventions are seldom reported. We examined the implementation and feasibility of a 6-month multilevel primary lifestyle intervention compared with current practice in patients prediabetes, weight glycated haemoglobin (HbA1c) as outcomes. This study used convergent mixed methods design involving pragmatic non-randomised pilot qualitative process evaluation, was conducted two neighbouring provincial cities New Zealand, indigenous Māori populations...
Type 2 diabetes mellitus (T2DM) is a major health issue in New Zealand Māori. Clinical trials have demonstrated potential for the prevention of T2DM, but whether community public programmes aiming to prevent are effective untested.To describe planning and design an intervention translate T2DM clinical trial evidence into community-wide population high risk predominantly Māori community.Community concerns about burden were heard by local nurse, herself tribal member, discussed with locally...
In many countries, adolescents' active school travel rates were declining prior to the onset of COVID-19 pandemic. Subsequent changes in have not yet been investigated systematically. This study compared modes and perceptions walking 5–6 years before (period 1 (P1)) 1–2 after 2 (P2)) Adolescents from Dunedin, New Zealand, completed an online questionnaire about their 2014–2015 (P1; n = 1463; 55.2% female) 2021–2022 (P2; 1421; 44.4% female). Home-to-school distance was calculated using...
Healthy lifestyle habits set the stage for healthy behaviors in adulthood. We examined clustering of health (physical activity [PA], screen time, fruit and vegetable [F&V] intake) weight status New Zealand adolescents.Adolescents from Dunedin, (N = 1300; 49.0% male; 15.3±1.4 years) completed a questionnaire about PA, time (TV/computer/video games), F&V intake. Height were measured. A 2-step cluster analysis was completed.Few adolescents met individual guidelines (17.9% 14.2% 29.8% only 2.5%...
Introduction Natural experiments are considered a priority for examining causal associations between the built environment (BE) and physical activity (PA) because randomised controlled trial design is rarely feasible. Few natural have examined effects of walking cycling infrastructure on PA active transport in adults, none such changes to school among adolescents. We conducted Built Environment Active Transport School (BEATS) Study Dunedin city, New Zealand, 2014–2017. Since 2014, on-road...
The aim of this study was to describe the incidence inflammatory bowel disease (IBD) and changes in demographic phenotypic presentation Otago, New Zealand.This conducted at Dunedin Hospital period 1996-2013. Otago residents diagnosed with IBD were identified retrospectively from hospital lists using ICD-10 codes. Diagnosis, place date diagnosis, confirmed medical notes histology reports. Demographic, clinical diagnostic data recorded. Age-standardised rates estimated trends over time...