A5053242543- Obesity, Physical Activity, Diet
- Child Nutrition and Water Access
- Nutritional Studies and Diet
- Global Public Health Policies and Epidemiology
- Food Security and Health in Diverse Populations
- Salivary Gland Disorders and Functions
- Interprofessional Education and Collaboration
- Obesity and Health Practices
- Health Policy Implementation Science
- Community Health and Development
- Public Health and Nutrition
- Family and Patient Care in Intensive Care Units
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Child Nutrition and Feeding Issues
- Sleep and related disorders
- Skin Diseases and Diabetes
- Palliative Care and End-of-Life Issues
- Diabetes and associated disorders
- European Socioeconomic and Political Studies
- Nursing Roles and Practices
- Simulation-Based Education in Healthcare
- Diet and metabolism studies
- Oral Health Pathology and Treatment
- Breastfeeding Practices and Influences
- Mobile Health and mHealth Applications
University of Hawaiʻi at Mānoa
2016-2025
University of Hawaii System
2020-2025
Pacific Islanders have among the highest rates of obesity and type 2 diabetes in world. Targeting children is critical for primary prevention.To prevent young child overweight to improve health US-Affiliated region via Children's Healthy Living Program.In this multijurisdictional, multilevel, multicomponent community randomized clinical trial, where all evaluable were analyzed according random assignment their community, hierarchical difference-in-difference models accounted randomization,...
ABSTRACT Aim Among children in the US‐Affiliated Pacific, we aimed to identify lifestyle clusters and associations with obesity. Methods Movement behaviours, diet anthropometrics were from Children's Healthy Living Program ( n = 1780; 2012–2015). Partitioning‐around‐medoids identified clusters; regression examined differences anthropometrics. Results 2–5‐year‐olds, boys' were: (1) high %energy E %) fat sedentary behaviour; (2) screen time energy intake (3) long sleep. Body mass index z‐score...
Abstract Background: Pacific Islanders experience disproportionate rates of obesity and cancer, contributing to morbidity mortality. Comprehensive analyses examining cancer across age groups are limited. Objective: We propose develop a framework identify harmonize existing datasets assess lifestyle factors, obesity, various groups, with focus on Islander populations. Methods: have identified several key for this analysis, including the Children’s Healthy Living Program (CHL), Islands Cohort...
The Children's Healthy Living Center of Excellence (CHL Center) conducted a food cost survey FCS) in the United States Affiliated Pacific Region (USAPR) that was modified from Department Agriculture Community Food Security Assessment Toolkit (CFSAT). CFSAT is based on 1999 (USDA) Thrifty Plan (TFP). TFP estimates consuming healthy, cost-conscious diet at home and cost, nutrients food, nutrition guidance What We Eat America (WWEIA). USAPR not included WWEIA survey. CFSAT's 87 items were CHL...
Introduction : Limited data on 24-hour movement behaviors of children aged 5–8 years exist globally. We describe the prevalence and sociodemographic associations meeting physical activity (PA), sedentary recreational screen time (ST), sleep guidelines among from 11 jurisdictions in US-Affiliated Pacific region. Methods Cross-sectional representative 1192 living region were drawn baseline 2012–2014 Children’s Healthy Living Program. Sleep moderate- to vigorous-intensity PA calculated...
Waist circumference is a common anthropometric measure for predicting abdominal obesity and insulin resistance. We developed optimal waist cut points children aged 2 to 8 years in the US-Affiliated Pacific (USAP) region based on relationship of acanthosis nigricans this population.
Quality assurance plays an important role in research by assuring data integrity, and thus, valid study results. We aim to describe share the results of quality process used guide collection a multi-site childhood obesity prevalence intervention trial across US Affiliated Pacific Region. assessments following standardized protocol were conducted one assessor every participating site. Results summarized examine align implementation procedures diverse settings. Data protocols focused on food...
<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...
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...
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...
The US Affiliated Pacific region's childhood obesity prevalence has reached epidemic proportions. To guide program and policy development, a multi-site study was initiated, in collaboration with partners from across the region, to gather comprehensive information on regional prevalence. environmental cultural diversity of region presented challenges recruiting for implementing shared community-based, public health research program. This paper presents strategies used recruit families young...
Abstract Objective: To examine children’s sugar-sweetened beverage (SSB) and water intakes in relation to implemented intervention activities across the social ecological model (SEM) during a multilevel community trial. Design: Children’s Healthy Living was multilevel, multicomponent trial that reduced young child obesity (2013–2015). Baseline 24-month cross-sectional data were analysed from nine arm communities. Implemented targeting SSB increased consumption coded by SEM level (child,...
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...
The social determinants of health (SDoH) influence outcomes based on conditions from birth, growth, living, and age factors. Diabetes is a chronic condition, impacted by race, education, income, which may lead to serious consequences. In Hawai'i, approximately 11.2% adults have been diagnosed with diabetes. objective this secondary cross-sectional study assess the relationship between prevalence diabetes among Hawai'i who participated in Behavioral Risk Factor Surveillance System 2018-2020....