Objective/Background-The role of diet in migraine is not well understood. We sought to characteri... more Objective/Background-The role of diet in migraine is not well understood. We sought to characterize usual dietary intake patterns and diet quality in a nationally representative sample of women with and without severe headache or migraine. We also examined whether the relationship between migraine and diet differs by weight status.
Objective: Determine whether weight losses from a primarily smartphone-based behavioral obesity t... more Objective: Determine whether weight losses from a primarily smartphone-based behavioral obesity treatment differed from those of a more intensive group-based approach and a control condition. Methods: 276 adults with overweight/obesity were randomized to 18-months of: GROUP-based treatment with meetings weekly for 6 months, biweekly for 6 months, and monthly for 6-months and self-monitoring via paper diaries with written feedback; SMARTphone-based treatment with online lessons, self-monitoring, and feedback and monthly weigh-ins; or a CONTROL condition with self-monitoring via paper diaries with written feedback and monthly weigh-ins. Results: Among the 276 participants (17% men; 7.2% minority; mean [SD] age, 55.1 [9.9] years; weight, 95.9 [17.0] kg; BMI, 35.2 [5.0] kg/m 2), 18-month retention was significantly higher in both GROUP (83%) and SMART (81%) compared to CONTROL (66%). Estimated mean (95% CI) weight change over 18 months did not differ across the three conditions; 5.9 kg (95% CI, 4.5 to 7.4) in GROUP, 5.5 kg (95% CI, 3.9 to 7.0) in SMART, and 6.4 kg (95% CI, 3.7 to 9.2) in CONTROL. Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Background: Pediatric observational studies demonstrate associations between sleep, television vi... more Background: Pediatric observational studies demonstrate associations between sleep, television viewing and potential changes in daytime activity levels. Objective(s): To determine whether experimental changes in sleep lead to changes in children's sedentary and physical activities. Methods: Using a within-subjects counterbalanced design, 37 children 8-11 years old completed a three-week study. Children slept their typical amount during a baseline week, and were then randomized to increase or decrease mean time in bed by 1.5 hours/night for one week; the alternate schedule was completed the final week. Children wore actigraphs on their nondominant wrist and completed three-day physical activity recalls each week. Results: Children reported watching more television (p < .001), and demonstrated lower daytime actigraph-measured activity counts per epoch (p = .03) when sleep was decreased (compared to increased). However, total actigraph-measured activity counts accrued throughout the entire waking period were higher when sleep was decreased (and children were awake for longer) than when it was increased (p < .001). Conclusion(s): Short sleep during childhood may lead to increased television viewing, and decreased mean activity levels. Although additional time awake may help to counteract negative effects of short sleep, increases in reported sedentary activities could contribute to weight gain over time.
Journal of Physical Activity and Health, Jun 1, 2017
Background-This study examines whether performance of bout-related physical activity (PA) during ... more Background-This study examines whether performance of bout-related physical activity (PA) during morning hours is related to greater overall bout-related PA increases within a preoperative PA intervention for bariatric surgery (BS) patients. Methods-Participants with severe obesity (n = 33; mean age = 45.6 ± 9.6 years; BMI = 45.7 ± 7.0 kg/m 2) seeking BS were randomized to and completed 6 weeks of preoperative PA counseling (retention = 82.5%). Participants were encouraged to walk daily at a moderate intensity in bouts ≥ 10 minutes during morning hours to overcome time-related obstacles and establish a PA habit. Timing and amount of bout-related moderate-to-vigorous PA (MVPA) was assessed via objective monitor at pre-and postintervention. Results-Greater proportion of bout-related MVPA performed during morning hours (4:00 AM-12:00 PM) at postintervention was associated with larger total increases in bout-related MVPA
As many people struggle with maintenance of weight loss, the study of successful weight loss main... more As many people struggle with maintenance of weight loss, the study of successful weight loss maintainers (SWLM) can yield important insights into factors contributing to weight loss maintenance. However, little research has examined how SWLM differ from people who are obese or normal weight (NW) in brain response to orosensory stimulation. The goal of this study was to determine if SWLM exhibit different brain responses to orosensory stimulation. Brain response to one-minute orosensory stimulation with a lemon lollipop was assessed using functional magnetic resonance imaging (FMRI) among 49 participants, including SWLM (n=17), NW (n=18) and obese (n=14) controls. Significant brain responses were observed in nine brain regions, including the bilateral insula, left inferior frontal gyrus, left putamen, and other sensory regions. All regions also exhibited significant attenuation of this response over one minute. The SWLM exhibited greater response compared to the other groups in all brain regions. Findings suggest that the response to orosensory stimulation peaks within 40 seconds and attenuates significantly between 40-60 seconds in regions associated with sensation, reward, and inhibitory control. Greater reactivity among the SWLM suggests that greater sensory reactivity to orosensory stimulation, increased anticipated reward, and subsequently greater inhibitory processing are associated with weight loss maintenance. Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
Introduction: We demonstrated that a brief behavioral intervention enhanced children's sleep; tho... more Introduction: We demonstrated that a brief behavioral intervention enhanced children's sleep; those with clinically meaningful improvements in sleep (> 30 m/night), had improvements in body mass index (BMI) and BMI z-scores (BMIz). Given emerging evidence regarding the potential importance of not only sleep duration but sleep timing (i.e., bedtimes) for obesity risk reduction, we explored whether sleep duration and/or sleep timing mediated effects of intervention on BMI and BMIz. We hypothesized that the effect of the intervention on 8-week BMI/ BMIz would be mediated by earlier bedtimes and longer sleep duration at 2 weeks post-randomization. Methods: Participants were 71 children 8-11 years old (mean (SD) age = 9.72 (1.00); 69% female; mean (SD) BMIz = 0.91 (0.935)) who slept < 9.5 h/night and were randomized to a 4-session behavioral intervention to increase nocturnal sleep duration (primarily via advancing bedtimes) or to a control (4 sessions; continue with sleep as usual). Sleep was assessed via 7-day actigraphy; height and weight were measured to calculate BMI/BMIz at baseline, 2-and 8-weeks post randomization. We assessed mediation using the medflex R package. Models predicting 8-week BMIz and BMI controlled for baseline BMIz and BMI, respectively. Duration (mean actigraph sleep period) and bedtime (mean actigraph sleep onset) were entered as continuous variables in models. Results: Relative to control, the behavioral intervention decreased children's 8-week BMIz by-0.027 (SE = 0.013) via its effect on week 2 bedtimes (z =-2.066, p = 0.039). There was no direct effect of intervention on 8-week BMIz (z = 1.584, p = 0.113), and although of marginal significance, week 2 sleep duration did not mediate effects of intervention on 8-week BMIz (z =-1.937, p = 0.053). Findings focused on BMI, although consistent, did not reach statistical significance. Conclusion: A behavioral intervention designed to enhance school-aged children's nocturnal sleep had a positive impact on children's weight status via its effect on bedtimes, and to a lesser degree, sleep duration. Findings add to emerging work supporting the potential importance of sleep timing in weight regulation. Support (if any): R01HL092910; P20GM139743
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Background There is an urgent need for innovative approaches to adolescent obesity treatment, par... more Background There is an urgent need for innovative approaches to adolescent obesity treatment, particularly among individuals from racially and ethnically marginalized backgrounds, who face increased risk of obesity and its associated morbidity and mortality. There is a particular dearth of research on the long-term efficacy of adolescent obesity treatments. Further, research and clinical practice guidelines consistently recommend parents’ inclusion in their adolescents’ obesity treatment, yet the most effective strategy to engage parents in adolescent obesity treatment remains unclear. Towards that end, this investigation will conduct a fully-powered, randomized clinical trial to examine the efficacy of two distinct approaches to involving parents in their adolescents’ obesity treatment. Methods Participants will be 210 12-16 year old adolescents (body mass index [BMI]≥85th percentile) and parents (BMI≥25 kg/m2) with overweight or obesity. Dyads will be randomized to one of two 4-mo...
B. Clinical Sleep Science and Practice VII. Pediatrics levels with TST&ge16hrs/24h compared to hi... more B. Clinical Sleep Science and Practice VII. Pediatrics levels with TST&ge16hrs/24h compared to high levels. Community and nursery assistant childcare at age 1 year were positively associated 1-to-2 NW/week. Single parenting and being a full-time working mother were negatively associated with NW whatever the frequencies while being part-time working was positively associated with SOD. Incomes or parental birthplace were not associated with infant sleep patterns. Conclusion: Several familial factors, reflecting socioeconomic and sociocultural environment, were associated with infants sleep patterns as early as 1 year old in France. Study of associations' persistence over time would be interesting. Support (If Any
Journal of psychosocial nursing and mental health services, Jan 11, 2018
A faculty team developed the 4-week Recovery-Based Interprofessional Distance Education (RIDE) ro... more A faculty team developed the 4-week Recovery-Based Interprofessional Distance Education (RIDE) rotation for graduate students in their disciplines. The evaluation team identified the Team Development Measure (TDM) as a potential alternative to reflect team development during the RIDE rotation. The TDM, completed anonymously online, was piloted on the second student cohort (N = 18) to complete the RIDE rotation. The overall pretest mean was 60.73 points (SD = 11.85) of a possible 100 points, indicating that students anticipated their RIDE team would function at a moderately high level during the 4-week rotation. The overall posttest mean, indicating student perceptions of actual team functioning, was 72.71 points (SD = 23.31), an average increase of 11.98 points. Although not statistically significant, Cohen's effect size (d = 0.43) indicates an observed difference of large magnitude. No other published work has used the TDM as a pre-/posttest measure of team development. The aut...
SummaryObjectiveEvaluate the effects of an online commercial weight management program, with and ... more SummaryObjectiveEvaluate the effects of an online commercial weight management program, with and without provision of a ‘smart’ scale with instructions to weigh daily and weekly tailored feedback, on weight loss and the frequency of body‐weight self‐monitoring.MethodsParticipants (N = 92; body mass index 27–40 kg/m2) were randomized to 6 months of no‐cost access to the Weight Watchers Online (WWO) platform alone, or enhanced with a cellular‐connected ‘smart’ scale, instructions to weigh daily and weekly pre‐scripted email feedback (Weight Watchers Online Enhanced [WWO‐E]). The number of days that weight was self‐monitored (via ‘smart’ scale in WWO‐E and manually in WWO) was recorded automatically across the 6‐month trial. Objective weight was measured at baseline, 3 and 6 months.ResultsWhile both groups achieved statistically significant weight loss, mean ± standard error weight loss did not differ between WWO‐E and WWO at 3 months (5.1 ± 0.6 kg vs. 4.0 ± 0.7 kg, respectively; p = 0...
Food cravings are thought to be the result of conditioning or pairing hunger with consumption of ... more Food cravings are thought to be the result of conditioning or pairing hunger with consumption of certain foods. In a 2-year weight loss trial, subjects were randomized to one of four diets that varied in macronutrient content. The Food Craving Inventory (FCI) was used to measure cravings at baseline and at 6 and 24 months. Food intake was also measured at those time points. To measure free-living consumption of food items measured in the FCI, items on the FCI were matched to the foods consumed from the food intake assessments. Secondarily, the amount of food consumed on food intake assessments from foods on the FCI was analyzed. Three hundred and sixty-seven subjects with overweight and obesity were included. There was an association between change from baseline FCI item consumption and change in cravings at months 6 (P < 0.001) and 24 (P < 0.05). There was no association between change from baseline amount of energy consumed per FCI item and change in cravings. Altering frequ...
ObjectiveTo evaluate a commercial online weight loss program and activity tracker, which are popu... more ObjectiveTo evaluate a commercial online weight loss program and activity tracker, which are popular but have unknown efficacy.MethodsTwo hundred seventy‐nine participants with BMI 27 to 40 kg/m2 were randomized to 12 months of the Weight Watchers Online program alone (WWO) or with the ActiveLink® activity tracking device (WWO+AL) or an online newsletter (Control).ResultsWeight losses at 3 months were significantly greater in WWO (2.7 kg [95% confidence interval (CI), 2.0‐3.5 kg] than Control (1.3 kg [95% CI, 0.5‐2.0 kg]; P = 0.01); neither differed from WWO+AL (2.0 kg [95% CI, 1.3‐2.7 kg]; Ps > 0.56). Significantly more WWO participants (24.5%) achieved ≥ 5% weight loss at 3 months than Control (9.4%) (P = 0.01); neither differed from WWO+AL (17.6%) (Ps = 0.13‐0.28). At 12 months, there were no significant differences between groups in weight loss (Ps > 0.52). WWO (25.5%) continued to have a higher proportion of participants achieving ≥ 5% weight loss than Control (12.9%) (P ...
Paediatric observational studies demonstrate associations between sleep, television viewing and p... more Paediatric observational studies demonstrate associations between sleep, television viewing and potential changes in daytime activity levels. To determine whether experimental changes in sleep lead to changes in children's sedentary and physical activities. Using a within-subject counterbalanced design, 37 children 8-11 years old completed a 3-week study. Children slept their typical amount during a baseline week and were then randomized to increase or decrease mean time in bed by 1.5 h/night for 1 week; the alternate schedule was completed the final week. Children wore actigraphs on their non-dominant wrist and completed 3-d physical activity recalls each week. Children reported watching more television (p < 0.001) and demonstrated lower daytime actigraph-measured activity counts per epoch (p = 0.03) when sleep was decreased (compared with increased). However, total actigraph-measured activity counts accrued throughout the entire waking period were higher when sleep was decr...
We provide an overview of the Recovery-based Interprofessional Distance Education (RIDE) rotation... more We provide an overview of the Recovery-based Interprofessional Distance Education (RIDE) rotation for graduate students in psychiatric mental health (PMH) nursing, pharmacy, nutrition, and exercise physiology, with faculty from the four professions represented. Interprofessional education can enhance team concepts in these professions and is viewed positively by students and faculty. Interprofessional learning opportunities prepare graduates to contribute to team-based care. We urge colleagues to join us in providing meaningful IPE experiences to students at all levels, with the goal of optimizing health care for all persons with mental health treatment needs.
Objective/Background-The role of diet in migraine is not well understood. We sought to characteri... more Objective/Background-The role of diet in migraine is not well understood. We sought to characterize usual dietary intake patterns and diet quality in a nationally representative sample of women with and without severe headache or migraine. We also examined whether the relationship between migraine and diet differs by weight status.
The purpose of our study was to examine the monitoring capabilities of the Omron HJ-720ITC pedome... more The purpose of our study was to examine the monitoring capabilities of the Omron HJ-720ITC pedometer and determine the feasibility of using it in physical activity interventions. Using data from an 8-week lifestyle-intervention study, we tested the capabilities of the pedometer for recording physical activity data. Data from a total of 28 subjects were used in our analysis. The total number of patient steps per day was recorded over the duration of an intervention, as well as &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;aerobic steps per day&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (ie, those taken at a cadence of &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 60 steps per minute for ≥ 10 consecutive minutes). Daily wear time was computed in order to ascertain participant compliance in wearing the pedometer. In addition, aerobic steps per minute were computed, providing an assessment of activity intensity during continuous walking bouts. Total steps per day and aerobic steps per day increased from baseline assessment to Week 8. Participants exceeded 100 steps/minute for 89% of their aerobic minutes, suggesting that they were in the moderate-intensity range (3-6 metabolic equivalent tasks) when performing continuous bouts of walking (&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 10 minutes). The new pedometer is a reasonably priced, wearable activity monitor that is feasible for use in clinical and research settings.
Objective/Background-The role of diet in migraine is not well understood. We sought to characteri... more Objective/Background-The role of diet in migraine is not well understood. We sought to characterize usual dietary intake patterns and diet quality in a nationally representative sample of women with and without severe headache or migraine. We also examined whether the relationship between migraine and diet differs by weight status.
Objective: Determine whether weight losses from a primarily smartphone-based behavioral obesity t... more Objective: Determine whether weight losses from a primarily smartphone-based behavioral obesity treatment differed from those of a more intensive group-based approach and a control condition. Methods: 276 adults with overweight/obesity were randomized to 18-months of: GROUP-based treatment with meetings weekly for 6 months, biweekly for 6 months, and monthly for 6-months and self-monitoring via paper diaries with written feedback; SMARTphone-based treatment with online lessons, self-monitoring, and feedback and monthly weigh-ins; or a CONTROL condition with self-monitoring via paper diaries with written feedback and monthly weigh-ins. Results: Among the 276 participants (17% men; 7.2% minority; mean [SD] age, 55.1 [9.9] years; weight, 95.9 [17.0] kg; BMI, 35.2 [5.0] kg/m 2), 18-month retention was significantly higher in both GROUP (83%) and SMART (81%) compared to CONTROL (66%). Estimated mean (95% CI) weight change over 18 months did not differ across the three conditions; 5.9 kg (95% CI, 4.5 to 7.4) in GROUP, 5.5 kg (95% CI, 3.9 to 7.0) in SMART, and 6.4 kg (95% CI, 3.7 to 9.2) in CONTROL. Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Background: Pediatric observational studies demonstrate associations between sleep, television vi... more Background: Pediatric observational studies demonstrate associations between sleep, television viewing and potential changes in daytime activity levels. Objective(s): To determine whether experimental changes in sleep lead to changes in children's sedentary and physical activities. Methods: Using a within-subjects counterbalanced design, 37 children 8-11 years old completed a three-week study. Children slept their typical amount during a baseline week, and were then randomized to increase or decrease mean time in bed by 1.5 hours/night for one week; the alternate schedule was completed the final week. Children wore actigraphs on their nondominant wrist and completed three-day physical activity recalls each week. Results: Children reported watching more television (p < .001), and demonstrated lower daytime actigraph-measured activity counts per epoch (p = .03) when sleep was decreased (compared to increased). However, total actigraph-measured activity counts accrued throughout the entire waking period were higher when sleep was decreased (and children were awake for longer) than when it was increased (p < .001). Conclusion(s): Short sleep during childhood may lead to increased television viewing, and decreased mean activity levels. Although additional time awake may help to counteract negative effects of short sleep, increases in reported sedentary activities could contribute to weight gain over time.
Journal of Physical Activity and Health, Jun 1, 2017
Background-This study examines whether performance of bout-related physical activity (PA) during ... more Background-This study examines whether performance of bout-related physical activity (PA) during morning hours is related to greater overall bout-related PA increases within a preoperative PA intervention for bariatric surgery (BS) patients. Methods-Participants with severe obesity (n = 33; mean age = 45.6 ± 9.6 years; BMI = 45.7 ± 7.0 kg/m 2) seeking BS were randomized to and completed 6 weeks of preoperative PA counseling (retention = 82.5%). Participants were encouraged to walk daily at a moderate intensity in bouts ≥ 10 minutes during morning hours to overcome time-related obstacles and establish a PA habit. Timing and amount of bout-related moderate-to-vigorous PA (MVPA) was assessed via objective monitor at pre-and postintervention. Results-Greater proportion of bout-related MVPA performed during morning hours (4:00 AM-12:00 PM) at postintervention was associated with larger total increases in bout-related MVPA
As many people struggle with maintenance of weight loss, the study of successful weight loss main... more As many people struggle with maintenance of weight loss, the study of successful weight loss maintainers (SWLM) can yield important insights into factors contributing to weight loss maintenance. However, little research has examined how SWLM differ from people who are obese or normal weight (NW) in brain response to orosensory stimulation. The goal of this study was to determine if SWLM exhibit different brain responses to orosensory stimulation. Brain response to one-minute orosensory stimulation with a lemon lollipop was assessed using functional magnetic resonance imaging (FMRI) among 49 participants, including SWLM (n=17), NW (n=18) and obese (n=14) controls. Significant brain responses were observed in nine brain regions, including the bilateral insula, left inferior frontal gyrus, left putamen, and other sensory regions. All regions also exhibited significant attenuation of this response over one minute. The SWLM exhibited greater response compared to the other groups in all brain regions. Findings suggest that the response to orosensory stimulation peaks within 40 seconds and attenuates significantly between 40-60 seconds in regions associated with sensation, reward, and inhibitory control. Greater reactivity among the SWLM suggests that greater sensory reactivity to orosensory stimulation, increased anticipated reward, and subsequently greater inhibitory processing are associated with weight loss maintenance. Users may view, print, copy, and download text and data-mine the content in such documents, for the purposes of academic research, subject always to the full Conditions of use:
Introduction: We demonstrated that a brief behavioral intervention enhanced children's sleep; tho... more Introduction: We demonstrated that a brief behavioral intervention enhanced children's sleep; those with clinically meaningful improvements in sleep (> 30 m/night), had improvements in body mass index (BMI) and BMI z-scores (BMIz). Given emerging evidence regarding the potential importance of not only sleep duration but sleep timing (i.e., bedtimes) for obesity risk reduction, we explored whether sleep duration and/or sleep timing mediated effects of intervention on BMI and BMIz. We hypothesized that the effect of the intervention on 8-week BMI/ BMIz would be mediated by earlier bedtimes and longer sleep duration at 2 weeks post-randomization. Methods: Participants were 71 children 8-11 years old (mean (SD) age = 9.72 (1.00); 69% female; mean (SD) BMIz = 0.91 (0.935)) who slept < 9.5 h/night and were randomized to a 4-session behavioral intervention to increase nocturnal sleep duration (primarily via advancing bedtimes) or to a control (4 sessions; continue with sleep as usual). Sleep was assessed via 7-day actigraphy; height and weight were measured to calculate BMI/BMIz at baseline, 2-and 8-weeks post randomization. We assessed mediation using the medflex R package. Models predicting 8-week BMIz and BMI controlled for baseline BMIz and BMI, respectively. Duration (mean actigraph sleep period) and bedtime (mean actigraph sleep onset) were entered as continuous variables in models. Results: Relative to control, the behavioral intervention decreased children's 8-week BMIz by-0.027 (SE = 0.013) via its effect on week 2 bedtimes (z =-2.066, p = 0.039). There was no direct effect of intervention on 8-week BMIz (z = 1.584, p = 0.113), and although of marginal significance, week 2 sleep duration did not mediate effects of intervention on 8-week BMIz (z =-1.937, p = 0.053). Findings focused on BMI, although consistent, did not reach statistical significance. Conclusion: A behavioral intervention designed to enhance school-aged children's nocturnal sleep had a positive impact on children's weight status via its effect on bedtimes, and to a lesser degree, sleep duration. Findings add to emerging work supporting the potential importance of sleep timing in weight regulation. Support (if any): R01HL092910; P20GM139743
This article is an open access article distributed under the terms and conditions of the Creative... more This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY
Background There is an urgent need for innovative approaches to adolescent obesity treatment, par... more Background There is an urgent need for innovative approaches to adolescent obesity treatment, particularly among individuals from racially and ethnically marginalized backgrounds, who face increased risk of obesity and its associated morbidity and mortality. There is a particular dearth of research on the long-term efficacy of adolescent obesity treatments. Further, research and clinical practice guidelines consistently recommend parents’ inclusion in their adolescents’ obesity treatment, yet the most effective strategy to engage parents in adolescent obesity treatment remains unclear. Towards that end, this investigation will conduct a fully-powered, randomized clinical trial to examine the efficacy of two distinct approaches to involving parents in their adolescents’ obesity treatment. Methods Participants will be 210 12-16 year old adolescents (body mass index [BMI]≥85th percentile) and parents (BMI≥25 kg/m2) with overweight or obesity. Dyads will be randomized to one of two 4-mo...
B. Clinical Sleep Science and Practice VII. Pediatrics levels with TST&ge16hrs/24h compared to hi... more B. Clinical Sleep Science and Practice VII. Pediatrics levels with TST&ge16hrs/24h compared to high levels. Community and nursery assistant childcare at age 1 year were positively associated 1-to-2 NW/week. Single parenting and being a full-time working mother were negatively associated with NW whatever the frequencies while being part-time working was positively associated with SOD. Incomes or parental birthplace were not associated with infant sleep patterns. Conclusion: Several familial factors, reflecting socioeconomic and sociocultural environment, were associated with infants sleep patterns as early as 1 year old in France. Study of associations' persistence over time would be interesting. Support (If Any
Journal of psychosocial nursing and mental health services, Jan 11, 2018
A faculty team developed the 4-week Recovery-Based Interprofessional Distance Education (RIDE) ro... more A faculty team developed the 4-week Recovery-Based Interprofessional Distance Education (RIDE) rotation for graduate students in their disciplines. The evaluation team identified the Team Development Measure (TDM) as a potential alternative to reflect team development during the RIDE rotation. The TDM, completed anonymously online, was piloted on the second student cohort (N = 18) to complete the RIDE rotation. The overall pretest mean was 60.73 points (SD = 11.85) of a possible 100 points, indicating that students anticipated their RIDE team would function at a moderately high level during the 4-week rotation. The overall posttest mean, indicating student perceptions of actual team functioning, was 72.71 points (SD = 23.31), an average increase of 11.98 points. Although not statistically significant, Cohen's effect size (d = 0.43) indicates an observed difference of large magnitude. No other published work has used the TDM as a pre-/posttest measure of team development. The aut...
SummaryObjectiveEvaluate the effects of an online commercial weight management program, with and ... more SummaryObjectiveEvaluate the effects of an online commercial weight management program, with and without provision of a ‘smart’ scale with instructions to weigh daily and weekly tailored feedback, on weight loss and the frequency of body‐weight self‐monitoring.MethodsParticipants (N = 92; body mass index 27–40 kg/m2) were randomized to 6 months of no‐cost access to the Weight Watchers Online (WWO) platform alone, or enhanced with a cellular‐connected ‘smart’ scale, instructions to weigh daily and weekly pre‐scripted email feedback (Weight Watchers Online Enhanced [WWO‐E]). The number of days that weight was self‐monitored (via ‘smart’ scale in WWO‐E and manually in WWO) was recorded automatically across the 6‐month trial. Objective weight was measured at baseline, 3 and 6 months.ResultsWhile both groups achieved statistically significant weight loss, mean ± standard error weight loss did not differ between WWO‐E and WWO at 3 months (5.1 ± 0.6 kg vs. 4.0 ± 0.7 kg, respectively; p = 0...
Food cravings are thought to be the result of conditioning or pairing hunger with consumption of ... more Food cravings are thought to be the result of conditioning or pairing hunger with consumption of certain foods. In a 2-year weight loss trial, subjects were randomized to one of four diets that varied in macronutrient content. The Food Craving Inventory (FCI) was used to measure cravings at baseline and at 6 and 24 months. Food intake was also measured at those time points. To measure free-living consumption of food items measured in the FCI, items on the FCI were matched to the foods consumed from the food intake assessments. Secondarily, the amount of food consumed on food intake assessments from foods on the FCI was analyzed. Three hundred and sixty-seven subjects with overweight and obesity were included. There was an association between change from baseline FCI item consumption and change in cravings at months 6 (P < 0.001) and 24 (P < 0.05). There was no association between change from baseline amount of energy consumed per FCI item and change in cravings. Altering frequ...
ObjectiveTo evaluate a commercial online weight loss program and activity tracker, which are popu... more ObjectiveTo evaluate a commercial online weight loss program and activity tracker, which are popular but have unknown efficacy.MethodsTwo hundred seventy‐nine participants with BMI 27 to 40 kg/m2 were randomized to 12 months of the Weight Watchers Online program alone (WWO) or with the ActiveLink® activity tracking device (WWO+AL) or an online newsletter (Control).ResultsWeight losses at 3 months were significantly greater in WWO (2.7 kg [95% confidence interval (CI), 2.0‐3.5 kg] than Control (1.3 kg [95% CI, 0.5‐2.0 kg]; P = 0.01); neither differed from WWO+AL (2.0 kg [95% CI, 1.3‐2.7 kg]; Ps > 0.56). Significantly more WWO participants (24.5%) achieved ≥ 5% weight loss at 3 months than Control (9.4%) (P = 0.01); neither differed from WWO+AL (17.6%) (Ps = 0.13‐0.28). At 12 months, there were no significant differences between groups in weight loss (Ps > 0.52). WWO (25.5%) continued to have a higher proportion of participants achieving ≥ 5% weight loss than Control (12.9%) (P ...
Paediatric observational studies demonstrate associations between sleep, television viewing and p... more Paediatric observational studies demonstrate associations between sleep, television viewing and potential changes in daytime activity levels. To determine whether experimental changes in sleep lead to changes in children's sedentary and physical activities. Using a within-subject counterbalanced design, 37 children 8-11 years old completed a 3-week study. Children slept their typical amount during a baseline week and were then randomized to increase or decrease mean time in bed by 1.5 h/night for 1 week; the alternate schedule was completed the final week. Children wore actigraphs on their non-dominant wrist and completed 3-d physical activity recalls each week. Children reported watching more television (p < 0.001) and demonstrated lower daytime actigraph-measured activity counts per epoch (p = 0.03) when sleep was decreased (compared with increased). However, total actigraph-measured activity counts accrued throughout the entire waking period were higher when sleep was decr...
We provide an overview of the Recovery-based Interprofessional Distance Education (RIDE) rotation... more We provide an overview of the Recovery-based Interprofessional Distance Education (RIDE) rotation for graduate students in psychiatric mental health (PMH) nursing, pharmacy, nutrition, and exercise physiology, with faculty from the four professions represented. Interprofessional education can enhance team concepts in these professions and is viewed positively by students and faculty. Interprofessional learning opportunities prepare graduates to contribute to team-based care. We urge colleagues to join us in providing meaningful IPE experiences to students at all levels, with the goal of optimizing health care for all persons with mental health treatment needs.
Objective/Background-The role of diet in migraine is not well understood. We sought to characteri... more Objective/Background-The role of diet in migraine is not well understood. We sought to characterize usual dietary intake patterns and diet quality in a nationally representative sample of women with and without severe headache or migraine. We also examined whether the relationship between migraine and diet differs by weight status.
The purpose of our study was to examine the monitoring capabilities of the Omron HJ-720ITC pedome... more The purpose of our study was to examine the monitoring capabilities of the Omron HJ-720ITC pedometer and determine the feasibility of using it in physical activity interventions. Using data from an 8-week lifestyle-intervention study, we tested the capabilities of the pedometer for recording physical activity data. Data from a total of 28 subjects were used in our analysis. The total number of patient steps per day was recorded over the duration of an intervention, as well as &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot;aerobic steps per day&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;quot; (ie, those taken at a cadence of &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 60 steps per minute for ≥ 10 consecutive minutes). Daily wear time was computed in order to ascertain participant compliance in wearing the pedometer. In addition, aerobic steps per minute were computed, providing an assessment of activity intensity during continuous walking bouts. Total steps per day and aerobic steps per day increased from baseline assessment to Week 8. Participants exceeded 100 steps/minute for 89% of their aerobic minutes, suggesting that they were in the moderate-intensity range (3-6 metabolic equivalent tasks) when performing continuous bouts of walking (&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 10 minutes). The new pedometer is a reasonably priced, wearable activity monitor that is feasible for use in clinical and research settings.
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