This study examined the effects of ActiGraph's (AG) low-frequency extension (LFE) filter on steps and physical activity classification in free-living environment. Thirty-four African-American women (age, 24.5±5.2 years; BMI, 24.9±4.5 kg/m2) had daily measured simultaneously with an AG-GT3X+ accelerometer a New Lifestyles NL-800 pedometer for seven days. Steps per day (steps/day) time (minutes/day) spent sedentary, light, moderate-to-vigorous (MVPA) were without LFE (AG-LFE AG-N,...

Youth with type 1 diabetes (T1D) are encouraged to participate in physical activity (PA). Studies have identified fear of hypoglycemia (FOH) as a barrier participating PA.

While reducing health disparities is widely acknowledged as a crucial component in medical education, there not standard curriculum for teaching physician assistant (PA) students how to deliver patient care with cultural humility. Instead, PA programs use various methods. This study took place at program that sponsored several community service events targeted underserved populations. Student participation was voluntary. The purpose of the explore students' confidence levels providing A...

To examine the association between household food insecurity (HFI), glycemic control, severe hypoglycemia and diabetic ketoacidosis (DKA) among youth young adults (YYA) with youth-onset type 2 diabetes.This cross-sectional study included 395 YYA diabetes from SEARCH for Diabetes in Youth Study (2015-2019). HFI was reported by adult participants or parents of minor via US Household Food Security Survey Module. Glycemic control assessed HbA1c analyzed as a continuous categorical variable...

Affordability and geographic accessibility are key health care access characteristics. We used data from 481 youth young adults (YYA) with diabetes (389 type 1, 92 2) to understand the association between glycemic control as measured by HbA1c values. In multivariate models, YYA state or federal insurance had percentage values 0.68 higher (P = 0.0025) than privately insured, those without 1.34 < 0.0001). Not having a routine provider was associated 0.51 0.048) compared specialist care, but...

Background: Gender differences in physical activity (PA) trajectories during adolescence are well documented, yet little research has examined whether the determinants of these vary by child’s gender. This study is one few prospective examinations gender influences psychosocial and socioenvironmental factors on changes objectively measured PA. Methods: Students parents from elementary middle schools located 2 school districts South Carolina were enrolled a cohort children’s PA to school....

Background Neighborhood characteristics serve as risk factors for metabolic syndrome (MetS). However, the intermediary linking this relationship remain understudied. Thus, we investigated sex‐specific mediating role of C‐reactive protein, physical activity (PA), and perceived stress in associations neighborhood social environment (PNSE) with MetS severity among Black adults. Methods Results This cross‐sectional study included 3185 adults (64% women) from exam 1 (2000–2004) Jackson Heart...

OBJECTIVE To evaluate the relation between household food insecurity (HFI) and fear of hypoglycemia among young adults with type 1 2 diabetes adolescents their parents. RESEARCH DESIGN AND METHODS We analyzed cross-sectional data 1,676 youth-onset (84% 1, 16% 2) 568 (&amp;lt;18 years old; mean age 15.1 years) from SEARCH for Diabetes in Youth study. Adult participants parents adolescent completed U.S. Household Food Security Survey Module. Adults, adolescents, Hypoglycemia Fear Survey, where...

The purpose of this qualitative study is to elucidate how food insecurity affects diabetes self-management among adults with type 2 mellitus (T2DM). Eleven persons T2DM who screened as insecure were recruited from a patient pool healthcare system in South Carolina. Interview recordings transcribed, blinded, and imported into NVivo. Participant ages ranged 36 66 years, included nine women, seven African American participants. Three major themes emerged: (1) coping insecurity; (2) strategies...

Abstract The studies reported here examine how participants distribute resources to arbitrary stimuli in an equivalence class after one stimulus is given a social label. In Experiment 1, two 3-member classes were established with nonsense syllables (Class 1: A1 (ZID), B1 (YIM), C1 (FAP) and Class 2: A2 (VEK), B2 (RIX), C2 (KUD)) using matching-to-sample training. A function was then assigned only, the simple verbal statement "YIM Good person." Next, instructed allocate tokens whatever way...

Background : Physical activity (PA) is essential for optimal diabetes management. Household food insecurity (HFI) may negatively affect management behaviors. The purpose of this study was to cross-sectionally examine the association between HFI and PA in youth young adults (YYA) with type 1 (N = 1998) 2 391) from SEARCH Diabetes Youth Study. Methods measured US Food Security Survey Module. International Activity Questionnaire Short Form. Walking, moderate-intensity (excluding walking),...

Background: Sedentary behavior (SB) is a significant risk factor for heart disease, diabetes, obesity, and early mortality, particularly among women, the health consequences associated with SB are independent of physical activity status. Interventions utilizing wearable technologies can improve SB, but their effectiveness influenced by individual preferences, device engagement strategies, technological features, which may affect user compliance. Gathering priori insight from target...

Objectives: To examine, among youth and young adults (YYAs) with type 1 diabetes (T1D), the independent association of household food insecurity (HFI) with: 1) glycemic control 2) episodes diabetic ketoacidosis (DKA) severe hypoglycemia. Methods: This cross-sectional study included SEARCH for Diabetes in Youth participants T1D examined between 2016-2019. HFI was assessed using U.S. Household Food Security Survey Module. HbA1c measured from blood drawn at a research visit; DKA hypoglycemia...

Screening for household food insecurity (HFI) is recommended because of its impact on diabetes management. While HFI has been shown to be associated with poor glycemic control in adults type 2 (T2D) and youth young (YYA) 1, the association between YYA T2D not known. This cross-sectional study included (n=395) from 2015-2020 SEARCH Diabetes Youth Study (14-35 yrs; median age: 25.2 yrs). was defined as affirming ≥3 items US Household Food Security Survey Module. HbA1c values were available 271...

African-American girls exhibit a steep decline in physical activity from childhood to adolescence. Few studies have examined the mothers’ influences on their daughters’ activity. PURPOSE: The purpose of this study was examine child-reported parent support and encouragement for mother-reported objectively measured two years later girls. METHODS: Mothers’ be active were reported via survey by 92 5th grade (mean age 10.52±0.52 years) Transitions Activity Changes Kids (TRACK) study. Mothers own...

The ‘low frequency extension’ (LFE) is a filtering feature of the ActiGraph (AG) activity monitor that increases device’s sensitivity to low intensity movements. PURPOSE: We examined effects AG’s LFE filter in group African-American women free-living environment. METHODS: Forty healthy, young (mean age 24.8 ± 5.1 years) with normal BMI values 4.5 kg/m2) were included this study. Daily was measured an accelerometer (AG-GT3X) and waist-mounted pedometer (NL-800) for seven consecutive days....

Introduction: Metabolic syndrome (MetS) can lead to harmful effects on cardiovascular health. Assessing whether links between perceived neighborhood social environment (PNSE) and MetS are mediated by physical activity (PA) levels will inform interventions reduce population-level mortality attributed MetS. Hypothesis: PNSE be both directly indirectly related severity via PA. Methods: This study utilized baseline data from the Jackson Heart Study, a prospective, community-based cohort of...

This study examined the effects of ActiGraph’s (AG) low-frequency extension (LFE) filter on steps and physical activity classification in free-living environment. Thirty-four African-American women (age, 24.5±5.2 years; BMI, 24.9±4.5 kg/m2) had daily measured simultaneously with an AG-GT3X+ accelerometer a New Lifestyles NL-800 pedometer for seven days. Steps per day (steps/d) time (minutes/day) spent sedentary, light, moderate-to-vigorous (MVPA) were without LFE (AG-LFE AG-N, respectively)....

Affordability and spatial accessibility are key dimensions of access to health care important determinants health. In populations with diabetes, evidence is largely limited those type 2 diabetes older adults. We evaluated the association insurance coverage provider characteristics glycemic control in youth young adults (YYA) aged 6 30 years (median 16 years), participating SEARCH for Diabetes Youth study South Carolina between January 2012 July 2015. A total 540 YYAs (437 1, 103 2) provided...

Hypoglycemia is a common acute complication in diabetes that often treated with carbohydrate-rich snacks or drinks. For individuals and household food insecurity (HFI), uncertain availability of may increase fear hypoglycemia (FOH). FOH prevent from optimal management. We analyzed data 1,603 adult (≥18 years, mean 23.7 80% type 1 [T1D], 20% 2 [T2D]) 592 youth (10.0-17.9 15.2 100% T1D) participants the SEARCH for Diabetes Youth Study. Adult parents completed U.S. Household Food Security...