- Obesity, Physical Activity, Diet
- Physical Activity and Health
- Health and Lifestyle Studies
- Eating Disorders and Behaviors
- Child Nutrition and Feeding Issues
- Child and Adolescent Health
- Obesity and Health Practices
- Nutritional Studies and Diet
- Children's Physical and Motor Development
- Genetic Syndromes and Imprinting
- Cardiovascular and exercise physiology
- Childhood Cancer Survivors' Quality of Life
- Central Venous Catheters and Hemodialysis
- Occupational Health and Performance
- Health and Wellbeing Research
- Child Development and Digital Technology
- Renal and related cancers
- Diet and metabolism studies
- Body Composition Measurement Techniques
- Education and Learning Interventions
- Genetics and Neurodevelopmental Disorders
- Adipokines, Inflammation, and Metabolic Diseases
- Behavioral Health and Interventions
- Birth, Development, and Health
- Mobile Health and mHealth Applications
Michigan State University
2016-2024
Helen DeVos Children's Hospital
2015-2024
Grand Rapids Community College
2018-2020
Beaumont Health
2016-2018
Oakland University
2018
Spectrum Health
2017
California State University, Fullerton
2016
University of Wyoming
2015
Mathematica Policy Research
2015
Boston Children's Hospital
2012-2015
<h3>Objective</h3> To examine the effect of sedentary behavior on blood pressure (BP) in young children using different indicators sedentariness. <h3>Design</h3> Cross-sectional study. <h3>Setting</h3> A rural Midwestern US community. <h3>Participants</h3> Children aged 3 to 8 years (N = 111). <h3>Intervention</h3> Adiposity was assessed dual energy x-ray absorptiometry. Objective measurements activity were obtained from accelerometers that participants wore continuously for 7 days....
Ultrasound (US)-guided peripheral IVs have a high failure rate. We explore the relationship between quantity of catheter residing within vein and functionality over time.This was prospective, observational single-site study. Adult ED patients with US-guided had visualised under ultrasound post-placement. IV placement time length in obtained. Exclusions included not visualised, patient discharged from unless failed, <24 hour hospitalisation failed or self-removed IV.Inpatient follow-up...
Purpose. To assess the relationship between self-reported and objectively measured physical activity (PA) metabolic syndrome its risk factors in U.S. adults. Design. A cross-sectional design was used for this study. Setting. The study set among a nationally representative sample of Subjects. Adults, ages 20 years older, from National Health Nutrition Examination Survey (NHANES) 2003–2006 (n = 5580) participated Measures. PA measures included minutes per week moderate plus vigorous estimated...
Prospective patient registries have been successfully utilized in several disease states with a goal of improving treatment approaches through multi-institutional collaboration. The prevalence youth severe obesity is at historic high the United States, yet evidence to guide effective weight management limited. Pediatric Obesity Weight Evaluation Registry (POWER) was established 2013 identify and promote intervention strategies for pediatric obesity.Sites POWER provide multicomponent (PWM)...
Many clinicians believe that exercise-associated muscle cramps (EAMC) occur because of dehydration. Experimental research supporting this theory is lacking. Mild hypohydration (3% body mass loss) does not alter threshold frequency (TF), a measure cramp susceptibility, when fatigue and exercise intensity are controlled. No experimental has examined TF following significant (3-5% or serious (>5% loss). Determine if hypohydration, with moderate electrolyte losses, decreases TF.A prepost design...
As a distinct group, 2- to 5-year-olds with severe obesity (SO) have not been extensively described. part of the Expert Exchange Workgroup on Childhood Obesity, nationally-representative data were examined better characterize children SO.Children ages 2 5 (N = 7028) from NHANES (1999-2014) classified as having normal weight, overweight, obesity, or SO (BMI ≥120% 95th percentile). Sociodemographics, birth characteristics, screen time, total energy, and Healthy Eating Index 2010 scores...
Attrition in pediatric weight management negatively impacts treatment outcomes. A potentially modifiable contributor to attrition is unmet family expectations. This study aimed evaluate the association between adolescent and parent/guardian expectations attrition.A prospective, nonrandomized, uncontrolled, single-arm pilot trial was conducted among 12 programs Children's Hospital Association's FOCUS on a Fitter Future collaborative. Parents/guardians adolescents completed an...
Research indicates that risk of obesity increases as physical activity (PA) decreases; however, the reciprocal effect has been rarely studied. The present investigation was conducted to determine contribution on objectively measured PA over 20 months.A prospective cohort design with 254 middle-aged women employed. Body fat percentage (BF%) using Bod Pod, and defined BF% ≥32%. assessed 7-day accelerometry at baseline ∼20 months later follow-up.Of subjects, 124 were obese (49%) baseline. Mean...
ABSTRACT BACKGROUND We tested the effectiveness of Go Wild With Fruits and Veggies! ( GWWFV ) Extension curriculum on increasing fruit vegetable FV intake third graders. METHODS An intervention study was used testing self‐reported pre/post . Recruited schools were randomized to control (12 schools, N = 369, grade children) or (14 378, children). Measures included items from a validated food frequency survey. Access federal Fresh Fruit Vegetable Snack Program FFVSP ), taste within also...
Objective This study aimed to examine whether 1‐month BMI improvement is predictive of superior 6‐ and 12‐month changes in a national sample youth pediatric weight management treatment. Methods Participants were 4‐ 18‐year‐olds from the Pediatric Obesity Weight Evaluation Registry, prospective collecting data 31 programs across United States. Response at 1 month was defined as ≥ 3% reduction; success 6 12 months 5% reduction baseline. Analyses used linear logistic regression with robust...
Summary Introduction To better inform the field of obesity medicine, we set out to describe current use pharmacotherapy meant improve patient weight status among a group clinicians connected through Paediatric Obesity Weight Evaluation Registry (POWER), as well reasons behind clinicians' or non‐use medications. Methods management (PWM) programs participating in POWER were asked complete program profile survey 2014 (n = 30) and 2017 33); questions about included. Descriptive statistics used...
We assessed the roles of energy intake and physical activity in relationships among television (TV) viewing, body composition, obesity using high-quality measurement methods. Adult women (n = 300) reported TV viewing behavior, which was categorized into infrequent (≤ 1 h/day), moderate (2 frequent (≥ 3 h/day) viewing. Body fat percentage (BF%) plethysmography (Bod Pod) BMI calculated from height weight. Energy activity, including time spent sedentary, moderate, vigorous (PA), were...
Background: Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact parent-based, primary intervention on feeding habits, health behaviors, body mass index (BMI) 2–5 year olds with elevated or rapidly-increasing BMI. Methods: Four private pediatric offices in West Michigan were assigned as control (n = 2) sites based patient load demographics. Treatment families...
Adverse Childhood Experiences (ACEs) affect almost half of youth in the U.S. and are linked to a host deleterious medical psychosocial outcomes. The current study examines relationships among ACEs, childhood obesity, modifiable lifestyle behaviors inform clinical care, future research, policy. Using data from 2016–2018 National Survey Children's Health (NSCH), associations between children's weight status, health that may influence link ACEs obesity were examined. In NSCH data, 25.3% aged...
Purpose. To identify independent patterns of diet using factor analysis to determine the extent which dietary account for differences in body fat percentage (BF%) and mass index (BMI). Also, ascertain associations are influenced by age, education, menopause, energy intake, physical activity. Design. Study design was cross-sectional. Setting. setting approximately 20 cities Mountain West. Subjects. The study included 281 apparently healthy female nonsmokers. Measures. Diet assessed 7-day...
Background: There are no existing multisite national data on obese youth presenting for pediatric weight management. The primary aim was to describe BMI status and comorbidities among with obesity management (PWM) at programs within the Pediatric Obesity Weight Evaluation Registry (POWER). Methods: Data were collected from 2009–2010 6737 patients ages 2–17. Patients classified in three groups by (kg/m2) cutoffs percent of 95th percentile BMI: (1) obesity; (2) severe class 2; (3) 3. Weighted...
This paper describes FitKids360, a stage 2 pediatric weight management program. FitKids360 is physician-referred, multicomponent, low-cost healthy lifestyle program for overweight and obese youth 5–16 years of age their families. provides an evidence-based approach to the treatment by targeting patients’ physical activity, screen time, dietary behaviors using family-centered approach. The intervention begins with two-hour orientation assessment period followed six weekly sessions....