Background: Chronic disease can lead to disability, reduced quality of life, reduced productivity, and increased medical costs. Common chronic diseases that develop due to unhealthy lifestyle factors include obesity, diabetes, cardiovascular disease, cancer, and stroke. An intensive lifestyle education program (ILEP) provides an opportunity to…

BACKGROUND: Approximately 37% of college students are overweight or obese and the COVID-19 pandemic may have exacerbated weight management in college students. The purpose of this study was to determine the effect of a motivational interviewing intervention compared to electronic education (control) on body composition and self-determination…

Background: Despite the known benefits of physical activity, the prevalence of physical inactivity and sedentary behavior are significant issues in public health. Young adults, such as college students, are a population at risk for decreased physical activity participation due to the newfound responsibility of balancing school, work, and personal…

Body dissatisfaction is associated with numerous health consequences and is pervasive among college women. Effective interventions exist that reduce body dissatisfaction in college women by helping them resist sociocultural pressures to conform to the appearance ideal, such as the Body Project. Yet research is limited on whether social and…

Nicaragua has a high rate of food insecurity determined by factors such as, poverty, employment, education, social capital and climate change. Home gardening and nutrition education can decrease food insecurity and improve community health. There is a need to evaluate garden-based nutrition education to determine its effectiveness in improving…

This study examined differences in grade school students' BMI percentiles before and after the "Healthy, Hunger Free Kids Act" of 2012 and factors that may have influenced those differences. Using publically available data from the Pennsylvania Departments of Health and Education, a comparative analysis of BMI percentiles, ethnicity,…

Introduction: Weight management is an unrelenting issue affecting people of all ages. Addressing weight management is among the priority health concerns in the United States. Evidence suggests that some health providers are not recognizing or managing patients' weight management issues. The electronic medical record and automation may help…

Adolescents' transition into adulthood often coincides with significant developmental change processes. Behavioral patterns established during this period can determine risk and quality of life trajectories (Ben-Shlomo & Kuh, 2002, Halfon & Hochstein, 2002). Social support facilitates health behavior change and college students have ready…

This three-paper format dissertation explores three topics relevant to participating in a short-term model Sports Education Camp for youth with vision impairments. The three papers are independent studies, yet build upon each other by first measuring physical performance in certain skills, then exploring their levels of self-perception, body mass…

Background. High overweight and obesity prevalence has instigated many programs to improve children's health. Farm to School (F2S) is a grassroots-organized program that seeks to improve children's dietary habits, especially fruit and vegetable (FV) consumption, through various educational activities. Long-term goals include reducing obesity…

The purpose of this study was to identify the impact the Girls on the Run (GOTR) program had on the New Castle County, Delaware, third, fourth, and fifth grade girls who participated in the spring 2011 season. Specifically, this study examined short-term changes in the participants as they related to self-esteem, body image, physical activity…

African-American youth experience disproportionate rates of childhood obesity compared to their White counterparts. Culturally tailored electronic media solutions hold the potential to overcome health literacy and health communication barriers. This study aimed to identify the impact of exposure to a new website portal…

The goal of this dissertation was to investigate the impact of changing dietary carbohydrate (CARB) intakes within recommended dietary guidelines on metabolic outcomes specifically associated with glycemic regulations and carbohydrate metabolism. This research utilized both human and animal studies to examine changes in metabolism across a wide…

Introduction: Children today are under much more stress than a few decades ago due to academic pressure, family financial hardship, competition with peers, and stressed parents. Consequently, stress-related health issues and behavioral problems, such as cardiovascular diseases, headaches, insomnia, anxiety, depression, violent or withdrawal…

This dissertation evaluates the impact of elementary school policies on child health behaviors and obesity in the United States. Two chapters address nutrition policies, two chapters address physical activity policies, and a final chapter estimates the health care cost savings associated with a decline in childhood obesity prevalence. The use of…