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Osteoporosis is a medical condition that leads to decreased bone mineral density, resulting in increased fracture risk.1 Research regarding the relationship between sleep and bone mass is limited and has primarily been studied in elderly adults. While this population is most affected by osteoporosis, adolescents are the most proactive population

Osteoporosis is a medical condition that leads to decreased bone mineral density, resulting in increased fracture risk.1 Research regarding the relationship between sleep and bone mass is limited and has primarily been studied in elderly adults. While this population is most affected by osteoporosis, adolescents are the most proactive population in terms of prevention. The purpose of this study was to evaluate the relationship between sleep efficiency and serum osteocalcin in college-aged individuals as a means of osteoporosis prevention. Thirty participants ages 18-25 years (22 females, 8 males) at Arizona State University were involved in this cross-sectional study. Data were collected during one week via self-recorded sleep diaries, quantitative ActiWatch, DEXA imaging, and serum blood draws to measure the bone biomarker osteocalcin. Three participants were excluded from the study as outliers. The median (IQR) for osteocalcin measured by ELISA was 11.6 (9.7, 14.5) ng/mL. The average sleep efficiency measured by actigraphy was 88.3% ± 3.0%. Regression models of sleep efficiency and osteocalcin concentration were not statistically significant. While the addition of covariates helped explain more of the variation in serum osteocalcin concentration, the results remained insignificant. There was a trend between osteocalcin and age, suggesting that as age increases, osteocalcin decreases. This was a limited study, and further investigation regarding the relationship between sleep efficiency and osteocalcin is warranted.
ContributorsMarsh, Courtney Nicole (Author) / Whisner, Corrie (Thesis director) / Mahmood, Tara (Committee member) / School of International Letters and Cultures (Contributor) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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University students currently lack sufficient knowledge and resources needed to support healthy eating patterns and nutrition. Comparison of the number of registered dietitians that are available to all students, along with the number of wellness events that are held at each university within the Pacific-12 conference will help determine which

University students currently lack sufficient knowledge and resources needed to support healthy eating patterns and nutrition. Comparison of the number of registered dietitians that are available to all students, along with the number of wellness events that are held at each university within the Pacific-12 conference will help determine which schools are best able to support their students' needs. Data was collected using a Google forms survey sent via email to wellness directors of each of the universities in the Pac-12 conference. Eight out of the twelve schools in the conference responded to the survey. The average number of dietitians available to all students (regardless of athlete status) was found to be 1.43 dietitians. Of the schools that responded, the University of Colorado, Boulder, has the most resources dedicated to student nutrition wellness with three dietitians available for all undergraduate students, free dietitian services, and approximately 150 wellness events each year. The success of available nutrition wellness resources was inconclusive as schools did not provide the information regarding student utilization and attendance. Future university promoted nutrition wellness programs should increase the number of affordable dietitians and total wellness events, as well as promote student health services through social media platforms to improve student nutrition knowledge and usage of resources.
ContributorsCurtin, Anne Clare (Author) / Dixon, Kathleen (Thesis director) / McCoy, Maureen (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Forty collegiate gymnasts were recruited for a nutrition and health study. Participants must have been at least eighteen years old at Arizona State University (ASU) in the club or team gymnastics program. The Institutional Review Board (IRB) reviewed and accepted my survey in order to hand out to the gymnasts.

Forty collegiate gymnasts were recruited for a nutrition and health study. Participants must have been at least eighteen years old at Arizona State University (ASU) in the club or team gymnastics program. The Institutional Review Board (IRB) reviewed and accepted my survey in order to hand out to the gymnasts. The ASU club and team coach and the ASU study team also approved my survey. As soon as the survey was approved, it was emailed to all of the gymnasts. ASU gymnasts were surveyed on nutritional knowledge and personal health. Subjects answered a quiz on nutrient needs and serving sizes. Personal questions consisted of height, weight, injuries, body image, and typical meal plans. Gymnasts were given a $10 compensation to increase the participation. We found that only 16% of gymnasts surveyed scored a 70% or higher on their nutritional knowledge. Although these gymnasts do not have adequate knowledge, the majority consume a healthy diet. Diets included fruits, vegetables, protein-rich foods, and few high fat and sugary foods. Four of the gymnasts had one or fewer injuries in the past two years, although, four gymnasts also had three or more injuries. No correlation was found between diet and injuries. There was also no correlation between the gymnast's nutritional knowledge and their health.
ContributorsKugler, Natalie K. (Author) / Levinson, Simin (Thesis director) / Berger, Christopher (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
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Description
According to the CDC, diabetes is the 7th leading cause of death in the U.S. and rates are continuing to rise nationally and internationally. Chronically elevated blood glucose levels can lead to type 2 diabetes and other complications. Medications can be used to treat diabetes, but often have side effects.

According to the CDC, diabetes is the 7th leading cause of death in the U.S. and rates are continuing to rise nationally and internationally. Chronically elevated blood glucose levels can lead to type 2 diabetes and other complications. Medications can be used to treat diabetes, but often have side effects. Lifestyle and diet modifications can be just as effective as medications in helping to improve glycemic control, and prevent diabetes or improve the condition in those who have it. Studies have demonstrated that consuming vinegar with carbohydrates can positively impact postprandial glycemia in diabetic and healthy individuals. Continuous vinegar intake with meals may even reduce fasting blood glucose levels. Since vinegar is a primary ingredient in mustard, the purpose of this study was to determine if mustard consumption with a carbohydrate-rich meal (bagel and fruit juice) had an effect on the postprandial blood glucose levels of subjects. The results showed that mustard improved glycemia by 17% when subjects consumed the meal with mustard as opposed to the control. A wide variety of vinegars exists. The defining ingredient in all vinegars is acetic acid, behind the improvement in glycemic response observed with vinegar ingestion. Vinegar-containing foods range from mustard, to vinaigrette dressings, to pickled foods. The benefits of vinegar ingestion with carbohydrates are dose-dependent, meaning that adding even small amounts to meals can help. Making a conscious effort to incorporate these foods into meals, in addition to an overall healthy lifestyle, could provide an additional tool for diabetics and nondiabetics alike to consume carbohydrates in a healthier manner.
ContributorsJimenez, Gabriela (Author) / Johnston, Carol (Thesis director) / Lespron, Christy (Committee member) / School of Nutrition and Health Promotion (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
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Description
Height is an essential measure for the evaluation of an adult's health, and especially important for the measure of children's health.4 Lasers have been popularly used in many areas such as construction, engineering, government for defense purposes, and for equestrians. Lasers are depended on for their accuracy, reliability, and ease

Height is an essential measure for the evaluation of an adult's health, and especially important for the measure of children's health.4 Lasers have been popularly used in many areas such as construction, engineering, government for defense purposes, and for equestrians. Lasers are depended on for their accuracy, reliability, and ease of use.8, 9 It can be reasoned then that lasers should be a reliable way of measuring height, proving to be accurate and easy to use. Currently, stadiometers are the standard way of measuring height. For the study a laser tool was created to measure the volunteers' heights. Volunteers were recruited from a total of four various public sites in different cities. Participants were categorized into three groups, children (ages 2-12), adolescents (13-18), and adults (19+). A total of 128 participants were measured. Results showed a strong positive correlation between measurements of the stadiometer and the laser (figure 3). While there were limitations to this study, results show that a laser may be a validated tool to measure height accurately
ContributorsGarcia-Turner, Vanessa Marie (Author) / Mayol-Kreiser, Sandra (Thesis director) / Johnston, Carol (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor) / Department of Psychology (Contributor)
Created2014-05
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Objective: The purpose of this research project was to determine if there are nutritional disparities between students of differing socioeconomic status (SES) households. The SES was determined using school classifications (i.e., title one versus non-title one) as a proxy measure. It was hypothesized that children attending a title one school

Objective: The purpose of this research project was to determine if there are nutritional disparities between students of differing socioeconomic status (SES) households. The SES was determined using school classifications (i.e., title one versus non-title one) as a proxy measure. It was hypothesized that children attending a title one school would consume a greater amount of sugary drinks than students attending a non-title one school Participants: The parents/guardians of students in grades 3rd and 4th, from a title one school and from a non-title one school. Methods: The data were gathered from surveys that were sent home to the parents/guardians of the students. The surveys inquired about how many bottles of water, juice boxes, glasses of milk, cans of soda, bottles of Gatorade, and cans of energy drinks their child consumes on a single weekend day. Statistical Analysis: Shapiro Wilk tests were used for normality. Differences in the consumption of sugary drinks were analyzed using the Mann Whitney U test. Results: A total of 150 surveys were returned by students from both schools (n=57 from the title one school; n = 93 from the non-title one school). The results showed a median of 1.00 (IQR=1.25, 4.50) sugary drink for the non-title one school and 3.00 (IQR=0.00, 2.00) sugary drinks for the title one school. The results from the Mann-Whitney U Test showed a significant difference in consumption in sugary drinks between schools (U = 1509.00, p < 0.001). Conclusion: Students attending a title one school consumed a greater amount of sugary drinks than students attending a non-title one school. Parents are a strong contributor to the nutritional diet of children, however students of this age are developing self-efficacy to make their own choices regarding the food and drinks they consume. Researchers can intervene by increasing student and parent knowledge and by researching the effectiveness of instructions based on the new knowledge.
ContributorsAnderson, Sienna Marie (Author) / Hart, Teresa (Thesis director) / Calvin, Samantha (Committee member) / McMullen, Mary (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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Background While extensive research has been conducted among college students consuming alcohol with energy drinks, there is limited research exploring how extracurricular activities could have an impact on energy drink consumption and sleep. Understanding the association between student involvement and the impact it could have on sleep and energy drink

Background While extensive research has been conducted among college students consuming alcohol with energy drinks, there is limited research exploring how extracurricular activities could have an impact on energy drink consumption and sleep. Understanding the association between student involvement and the impact it could have on sleep and energy drink consumption among college freshmen is essential in promoting healthy behaviors while in college. Objectives The purpose of this study was to understand the relationship between student involvement, average hours of sleep, and predicted prevalence of energy drink and coffee consumption amongst college freshmen living in residence halls at a large, public university in the Southwest. Student involvement and fewer hours of sleep hypothesized to observe higher energy drink consumption. Methods This study was a secondary data analysis of the second wave of the longitudinal SPARC (Social impact of Physical Activity and nutRition in College) study assessing college freshmen (n=599; 70.6% female; 50.9% non-white) living on campus. Students were enrolled in this study during the 2015\u20142016 school year. Mutually adjusted generalized estimating equation (GEE) binomial models examined the relationship between involvement (academic clubs, sport clubs, honors, taking 16 or more credit hours, and having a job) and sleep with energy drink and coffee consumption, controlling for gender, race/ethnicity, Pell grant status, ever having tried alcohol, and clustering of students in residence halls. Results On average, students were enrolled in 15 credits, slept an average 8 hours per night, those who had a job worked 14 hours for pay per week, 35% reported consuming energy drinks in the past week, and about 29% of students reported coffee consumption. Males showed a higher predicted prevalence of energy drink consumption compared to females (p<0.001), where females showed a higher predicted prevalence of coffee consumption compared to males (<0.001); energy drink consumption was less prevalent amongst Hispanic students compared to white students (p=0.018), but more prevalent amongst black students compared to white students (p=0.002); no associations between race were found in predicted prevalence of coffee consumption. Average hours of sleep per night was inversely associated with energy drink consumption predicted prevalence (p<0.001). There was a lower predicted prevalence of energy drink and coffee consumption in honors student status (p<0.001) compared to non-honors students. Students taking 16 or more class credit hours showed a higher predicted prevalence in both energy drink (p=0.050) and coffee consumption (p=0.023) compared to students taking less than 16 class credit hours. Students involved in physically active clubs showed a greater predicted prevalence of coffee consumption (p<0.001) compared to students not in physically active clubs. There was no difference in the predicted prevalence in energy drink consumption amongst students involved in physically active clubs (p=0.710), non-physically active clubs (p=0.493), and having a job (p=0.146). Coffee consumption predicted prevalence showed no significant prevalence amongst students of different race and ethnicity [Black (p=0.507), Hispanic (p=103), Other (p=116)] as well as students involved in non-physically active (p=0.839) clubs and who had a paid job (p=0.088). Conclusion Associations observed between average hours of sleep, the different types of involvement of student activities, and energy drink and coffee consumption, were interesting in that a few findings were found to be contrary to the hypotheses. Future research should delve deeper into student involvement within honors programs to understand the contextual factors of why these students showed a significant inverse association in energy drink consumption. Contrary to hypothesis, sleep and energy drink consumption prevalence were indirectly related leading future research to examine and understand why students are consuming energy drinks since on average participants were meeting recommended sleep guidelines. Nutrition interventions are needed for the groups at consuming energy drinks and alcohol in combination due to the study finding increased predicted prevalence amongst these groups as well as the increased risky health behavior associated with the combination found in the literature. Support or Funding Information This study was supported by the NIH Common Fund from the Office of the Director and the Office of Behavioral and Social Sciences Research, grant number 1DP5OD017910-01 (PI: M. Bruening). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
ContributorsBender, Rebecca Leigh (Author) / Bruening, Meg (Thesis director) / McCoy, Maureen (Committee member) / Brennhofer, Stephanie (Committee member) / School of Sustainability (Contributor) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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The purpose of this research was to analyze the EPODE Model for the development community-based interventions against childhood obesity and its transferability on a global scale. The Ensemble, Prevenons L'Obesite des Enfant (EPODE: Together Let's Prevent Childhood Obesity) Model was developed in France following the successful results of a community-based

The purpose of this research was to analyze the EPODE Model for the development community-based interventions against childhood obesity and its transferability on a global scale. The Ensemble, Prevenons L'Obesite des Enfant (EPODE: Together Let's Prevent Childhood Obesity) Model was developed in France following the successful results of a community-based intervention there. The Model is illustrated by four pillars that are essential to program implementation and positive results. These pillars are: political support, research & evaluation, social marketing principles and public/private partnerships. Using these four pillars, the model has been transferred to diverse countries around the globe and has shown results in these diverse locations. In order to understand what makes this model so transferrable to so many diverse locations, this researcher traveled to the Netherlands, Belgium and France visiting program locations and interviewing professionals who have been involved in the development of the model, its modification and implementation. These interviews addressed specific modifications to the model that were made for implementation in the Netherlands and Belgium. This paper outlines the key transferrable components of this model and outlines a proposed model to be used in the United States.
Created2014-05
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In the last five decades, the prevalence of chemicals added to food to enhance its color, texture, flavor, and freshness has increased. These chemicals, known as food additives, are synthetically derived or chemically altered substances that are added to food during processing to achieve a specialized effect. Additives are regulated

In the last five decades, the prevalence of chemicals added to food to enhance its color, texture, flavor, and freshness has increased. These chemicals, known as food additives, are synthetically derived or chemically altered substances that are added to food during processing to achieve a specialized effect. Additives are regulated by the United States Food and Drug Administration and while many are “generally recognized as safe” (GRAS), some emerging research suggests that their safety rulings need to be reexamined.

Considering food additives in one’s diet is of the utmost importance for health, though it can be problematic for those with limited knowledge of additives or nutrition. Common opinion is that good nutrition involves only what is or is not being consumed—calories, fat, etc. But the realm of nutrition depends on quality of food—whole, minimally processed food that subsequently lacks additives—as much as it does the composition of food.
This paper reviews eight of the most common and often problematic food additives in America: high fructose corn syrup, aspartame, sodium nitrate/ sodium nitrite, partially hydrogenated vegetable oil (trans fat), monosodium glutamate (MSG), benzoate preservatives (BHA and BHT), potassium bromate, and caramel coloring. It is important to note that this list is far from comprehensive; these additives receive much attention in America making them some of the most talked about and most easily recognized additives.

This paper aims to present sound depictions of existing research that most often refutes the validity of the “generally recognized as safe” claim currently standing for these food additives, providing consumers with reliable information with which they can make educated decisions when purchasing food and eating healthfully.
ContributorsJones, Haley Brooke (Author) / Larsen, Dale (Thesis director) / Wharton, Christopher (Committee member) / Barrett, The Honors College (Contributor) / Department of English (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2014-05
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Background. Research suggests that fish oil can be used as an intervention to increase clotting times and reduce the risk of cardiovascular diseases.
Objective. The purpose of this study is to examine the effects of fish oil supplementation on blood coagulation parameters in adults with blood type A (BTA) compared

Background. Research suggests that fish oil can be used as an intervention to increase clotting times and reduce the risk of cardiovascular diseases.
Objective. The purpose of this study is to examine the effects of fish oil supplementation on blood coagulation parameters in adults with blood type A (BTA) compared to blood type O (BTO) over an eight-week intervention.
Design. The study was a randomized, double-blind dietary intervention using healthy adults with blood types A or O. A total of 18 participants completed the study. Subjects were randomized into two groups: an experimental group (fish oil) made up of 7 BTO and 4 BTA adults, and a control group (coconut oil) made up of 4 BTO and 3 BTA adults. Non-fasting blood was drawn and analyzed for prothrombin time (PT), activated partial thromboplastin time (PTT), and international normalized ratio (INR) at weeks 0 and 8. A food frequency questionnaire was completed at week 0, and anthropometric data collected at weeks 0 and 8.
Results. Baseline PTT results differed significantly between blood types, 28.1±1.4 seconds and 29.7±1.3 seconds for BTA and BTO respectively (p<0.05). Physical activity differed significantly between the experimental and control group at baseline, 53.9±26.8 METS and 86.0±41.9 METS, respectively (p<0.05). In the Fish oil group, prothrombin time increased for BTA vs. BTO, 0.18±0.29 seconds vs -0.11±0.31 seconds respectively (p<0.10indicating a statistical trend). There were no other differences between groups for the other outcome variables.
Conclusion. Fish oil supplementation prolonged clotting time in BTA adults and may be a useful strategy in this population for reducing cardiovascular disease risk. More research is needed to verify and expand these results.
ContributorsRyder, Ashley Brooke (Author) / Johnston, Carol (Thesis director) / Lespron, Christy (Committee member) / Barrett, The Honors College (Contributor) / School of Nutrition and Health Promotion (Contributor)
Created2014-05