A5038296671- Obesity, Physical Activity, Diet
- Breastfeeding Practices and Influences
- Gestational Diabetes Research and Management
- Child Nutrition and Feeding Issues
- Occupational Health and Performance
- Obesity and Health Practices
- Urban Green Space and Health
- Health and Lifestyle Studies
- Birth, Development, and Health
- Child Nutrition and Water Access
- Children's Physical and Motor Development
- Diet and metabolism studies
- Urban Agriculture and Sustainability
- Nutritional Studies and Diet
- Eating Disorders and Behaviors
- School Health and Nursing Education
- Noise Effects and Management
- Antibiotic Use and Resistance
- Food Security and Health in Diverse Populations
- Child and Adolescent Health
- Land Use and Ecosystem Services
- Physical Activity and Health
- Language Development and Disorders
- Mobile Health and mHealth Applications
- Adolescent Health and Behaviors
University of Tennessee Health Science Center
2015-2025
Children's Hospital of Los Angeles
2024
Le Bonheur Children's Hospital
2018
Hospital for Special Surgery
2009
National Institute of Nursing Research
2006
University of Tennessee at Knoxville
2004
University of Colorado Colorado Springs
2003
Liverpool John Moores University
1994
Objective: This study examined the role of demographic characteristics, psychological factors, and family functioning on attendance in a randomized controlled trial family-based pediatric obesity program. Method: Participants included 155 children between ages 4 7 years (M age = 5.77, 57.4% female, 73.6% black, M body mass index 25.5) their primary caregivers who were to treatment group. Three groups participants created based patterns during program: (1) noncompleters, (2) partial...
Dietary patterns are sensitive to differences across socio-economic strata or cultural habits and may impact programing of diseases in later life. The purpose this study was identify distinct dietary during pregnancy the Mid-South using factor analysis. Furthermore, we aimed analyze food groups macro- micronutrients among different patterns. a cross-sectional analysis 1155 pregnant women (mean age 26.5 ± 5.4 years; 62% African American, 35% Caucasian, 3% Other; pre-pregnancy BMI 27.6 7.5...
Abstract Background Green space exposures may promote child mental health and well-being across multiple domains stages of development. The aim this study was to investigate associations between residential green behavioral at age 4–6 years. Methods Children’s internalizing externalizing behaviors in the Conditions Affecting Neurocognitive Development Learning Early Childhood (CANDLE) cohort Shelby County, Tennessee, were parent-reported on Child Behavior Checklist (CBCL). We examined three...
Prenatal fish intake is a key source of omega-3 (ω-3) polyunsaturated fatty acids needed for brain development, yet generally low, and studies addressing associations with autism spectrum disorder (ASD) related traits are lacking. This study aimed to examine prenatal ω-3 supplement use both diagnosis broader autism-related traits. Participants were drawn from 32 cohorts in the Environmental influences on Child Health Outcomes Cohort Consortium. Children born between 1999 2019 part ongoing...
Objective. Although overuse of antibiotics in children has been well documented, relatively little information is known about provider and facility characteristics associated with this prescribing practice. This study was done to evaluate the differences among staff physicians resident/interns (housestaff [HS]) who work hospital-based outpatient clinics. Methods. cross-sectional involved patient encounters departments that were included US National Hospital Ambulatory Medical Care Survey...
Objective The purpose of this study, “Fit Blue,” was to compare a translation the Look AHEAD (Action for Heath in Diabetes) intensive lifestyle intervention with self‐paced version same among active duty military personnel. Methods Active personnel ( N = 248; 49% male, 34% racial minority) overweight or obesity were randomized 12‐month distance‐based (i.e., phone and email) parallel programs, counselor‐initiated (CI) condition (SP) condition, from 2014 2016. Trained lay interventionists...
Abstract Objective To determine whether there is an association between body mass index ( BMI ) and esteem in young overweight obese urban children, to test peer relationship difficulties perceived physical health as mediators of this relationship. Methods Child self‐reported esteem, parent‐reported child (being bullied by peers rejection) perceptions were obtained from 218 children aged 5–7 years (81% racial/ethnic minority, M = 25.3) their primary caregivers. Results Higher was associated...
Background: Infant feeding takes place within a network of social relationships. However, the context in which infant advice is received remains underresearched. Objective: The objective this study was to evaluate contexts by examining individual and relationship characteristics mothers members associated with exclusively breastfeed, formula feed, or use combination breast milk formula. Methods: Information about 287 reported 80 low-income during one-time survey. Characteristics...
Abstract Objective Postpartum weight retention is associated with adverse health among both civilian and military women. Purpose The current study evaluated a stepped-care management intervention, Moms Fit 2 Fight, adapted for use in pregnant postpartum population. Methods Active duty women other TRICARE beneficiaries (N = 430) were randomized to one of three conditions: gestational gain only (GWG-only) intervention (n =144), loss (PPWL-only) =142), or combined GWG + PPWL 144). Those...
Inequities in urban greenspace have been identified, though patterns by race and socioeconomic status vary across US settings. We estimated the magnitude of relationship between a broad mixture neighborhood-level factors residential using weighted quantile sum (WQS) regression, compared predictive models only neighborhood-level, individual-level, or multi-level predictors. Greenspace measures included Normalized Difference Vegetation Index (NDVI), tree canopy, proximity nearest park, for...
Abstract Objective The objective of this study was to examine the prevalence overweight/obesity and excessive gestational weight gain (GWG) among military beneficiaries assess associations these risk factors with maternal/neonatal complications substantial postpartum retention (PPWR). Methods We obtained data for 48,391 TRICARE who gave birth in 2018 or 2019 United States. used logistic regression ANOVA relationships overweight/obesity, GWG, complications, PPWR. Results Most (75%) had 42%...
Many patients have difficulty with pain control after transition from patient-controlled analgesia modalities to oral analgesics. The creation of a Recuperative Pain Medicine (RPM) service was intended bridge this gap in management at the Hospital for Special Surgery. Specific goals were improve patient and staff satisfaction postoperative analgesics by improving clinical care, administrative policies, education. Primary outcome measures improved Press Ganey surveys surveys. From inception...
Background Electronic self-monitoring technology has the potential to provide unique insights into important behaviors for inducing weight loss. Objective The aim of this study is investigate effects electronic behavior (using commercial Lose It! app) and loss interventions (with differing amounts counselor feedback support) on 4- 12-month Methods In secondary analysis Fit Blue study, we compared results two a randomized controlled trial. Counselor-initiated participants received consistent...
Abstract Objective Despite military fitness regulations, women in the frequently experience overweight/obesity, excessive gestational weight gain (GWG), and postpartum implications. This interim analysis of Moms Fit 2 Fight study examines GWG outcomes among active‐duty personnel other TRICARE beneficiaries who received a stepped‐care intervention compared with those did not receive intervention. Method Participants ( N = 430; 32% identified an underrepresented racial group, 47% were active...
The Southern United States has low breastfeeding rates, particularly among African Americans. Breastfeeding rates are influenced by community attitudes and norms.This study aimed to examine changes in demographic factors related these attitudes.Cross-sectional data from a community-based survey, repeated annually 2004 2008, were analyzed. Univariable analysis examined trends over time log binomial regression estimated the strength of association between year factors, outcome responses survey...
Abstract Background Physical activity is recommended for all pregnant individuals and can prevent excessive gestational weight gain. However, physical has not been assessed among military personnel other TRICARE beneficiaries, who experience unique lifestyles. The current study both active duty non-active duty, as measured by accelerometry self-report data to examine potential predictors of engagement in the third trimester, if was consistent with data. We expected having a lower BMI, being...
The purpose of this study was to establish if short tennis skills transferred lawn tennis. experiment conducted in two parts. In the first 16 children (average age 8.9 years) were coached for 20 h (2 h/day 2 weeks). experimental group (n = 8) received 10 coaching followed by 10h coaching. control only. second 14 8.5 8h strokes alone (only ground tested and analysed). 7) 4h coaching; Prior coaching, all on Dyer Backboard Test. tests video-taped later analysis technique. video analysed three...
Effective recruitment and subsequent enrollment of diverse populations is often a challenge in randomized controlled trials, especially those focused on weight loss. In the civilian literature, individuals identified as racial ethnic minorities, men, younger older adults are poorly represented loss interventions. There limited trials within military populations, to our knowledge, none reported participant characteristics associated with enrollment. may be unique motives barriers for active...