Search

The study purpose was to examine whether adolescents who participated in organized physical activity (PA) programs differed from nonparticipants in motivation, social support, and self-efficacy related to PA; PA (min/hr); and sedentary screen time behavior. Thirty-nine 5th-7th grade adolescents participated in organized PA programs; 41 did not. Approximately 56.3% were Black, and 52.5% had annual family incomes <$20,000. Compared to nonparticipants, those who participated reported significantly higher social support (M = 2.32 vs. 3.13, p < 0.001) and fewer hours watching television or movies on a usual weekend day (M = 2.49 vs. 1.59, p = 0.016); and had higher accelerometer-measured vigorous PA (M = 0.58 vs. 1.04, p = 0.009) and moderate-to-vigorous PA (M = 2.48 vs. 3.45, p = 0.035). Involving adolescents in organized PA programs may be important for improving their moderate-to-vigorous PA, vigorous PA, and related psychosocial factors, as well as reducing sedentary screen time behavior.

Sugar‐sweetened beverage (SSB) consumption is strongly associated with obesity. Autonomous motivation and self‐efficacy, key concepts of self‐determination theory, may influence SSB consumption. Low‐income mothers of young children experience disproportionate rates of obesity. Whether autonomous motivation and self‐efficacy are associated with SSB consumption in low‐income mothers of young children is unknown. This exploratory secondary data analysis explored whether autonomous motivation or self‐efficacy were associated with SBB consumption using data from a lifestyle intervention for low‐income, overweight or obese mothers with young children. Participants (N = 311) completed surveys assessing autonomous motivation, self‐efficacy, and SSB consumption at baseline, after the 16‐week intervention, and at 3‐month follow‐up. Using baseline data, we performed linear regression models to explore associations of self‐efficacy and autonomous motivation with SSB consumption. We also performed mixed effects models to explore whether autonomous motivation or self‐efficacy were associated with SSB consumption over time. At baseline, a one‐point increase in autonomous motivation and self‐efficacy were associated with 4.36 (p < 0.001) and 6.43 (p = 0.025) fewer ounces of SSB consumption per day, respectively. In longitudinal models, SSB consumption decreased over time. Change in SSB consumption was associated with self‐efficacy (B = −4.88; p = 0.015) and autonomous motivation (B = −2.29; p = 0.008). Our findings suggest self‐efficacy and autonomous motivation may influence SSB consumption among mothers of young children with overweight and obesity. Further investigation should explore if self‐efficacy and autonomous motivation have long‐term effects on SSB consumption. [ABSTRACT FROM AUTHOR]

Purpose: Investigate the associations between psychosocial factors and physical activity. Design: Secondary data analysis utilizing baseline data of a large-scale community-based randomized controlled lifestyle behavior intervention. Setting: The Special Supplemental Program for Women, Infants, and Children in Michigan, USA. Subjects: Low-income overweight or obese mothers with young children (N = 740, 65% response rate). Measures: Survey data were collected via phone interview. Predictors included self-efficacy, autonomous motivation, emotional coping, and social support. Self-reported leisure physical activity was the outcome variable. Covariates were age, race, smoking, employment, education, body mass index, and postpartum status. Analysis: A multiple linear regression model was applied. Results: Self-efficacy (β =.32, 95% CI =.11,.52, P =.003) and autonomous motivation (β =.10, 95% CI =.03,.17, P =.005) were positively associated with physical activity. However, emotional coping and social support were not associated with physical activity. Conclusion: Future research should examine the longitudinal association of key psychosocial factors with physical activity. [ABSTRACT FROM AUTHOR]

Background: Implementing lifestyle behavior programs in real-world settings challenges researchers. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) has implemented and sustained Mothers In Motion (MIM)'s client videos for clients to promote healthy lifestyle behaviors, and train-the-trainer videos, for personnel to enhance motivational interviewing techniques since 2015 and 2016, respectively. This paper describes the implementation processes and the results of client video implementation acceptability by WIC personnel. Methods: To document the implementation process, we applied the Framework for Adaptation and Modifications to Evidence-Based Implementation Strategies (FRAME-IS). To evaluate implementation acceptability, we conducted semi-structured interviews with 15 WIC personnel. A qualitative analysis was conducted to identify the common themes. Results: The facilitators for client video implementation were the inclusion of the target audience and family members addressing daily challenges, easy implementation, and compatibility with daily practice. While videos online facilitated implementation, videos in DVD format could challenge implementation. Conclusions: Future lifestyle intervention programs aimed for future implementation in community settings may consider the inclusion of the target audience and their family members and take into consideration easy implementation and compatibility. [ABSTRACT FROM AUTHOR]

Objective This study explored fast food intake as a potential mediator of the relationships among employment status; stress; depression; and fruit, vegetable, and fat intakes by race (African American vs. Non-Hispanic White) and body mass index (BMI category: overweight vs. obesity). Methods Low-income overweight and obese pregnant women (N = 332) were recruited from the Special Supplemental Nutrition Program for Women, Infants and Children in Michigan. Path analysis was performed to explore mediation effects by race and BMI category. Results Fast food intake mediated the relationship between employment status and fat intake (p = 0.02) in Non-Hispanic White women, but no mediation effect was detected in African American women. For overweight women, fast food intake mediated the relationship between employment status and fat intake (p = 0.04) and the relationship between depression and vegetable intake (p = 0.01). Also, fast food intake partially mediated the relationship between depression and fat intake (p = 0.003). For obese women, fast food intake mediated the relationship between employment status and fat intake (p = 0.04). Conclusion Fast food is an important topic for nutrition education for overweight and obese pregnant women. Future interventions may be more successful if they address issues associated with employment status (e.g., lack of time to plan and cook healthy meals) and depressive mood (e.g., inability to plan meals or shop for groceries when coping with negative emotions)., Author(s): Mei-Wei Chang[sup.1] , Roger Brown[sup.2] , Susan Nitzke[sup.3] Author Affiliations: (1) College of Nursing, Ohio State University, 342 Newton Hall, 1585 Neil Avenue, 43210, Columbus, OHUSA (2) School of [...]

Objective: To examine the influence of personal and environmental factors on healthful weight management behaviors mediated through self-efficacy among low-income obese mothers. Design: Cross-sectional design. Setting: Special Supplemental Nutrition Program for Women, Infants, and Children in Wisconsin. Participants: Two hundred eighty-four obese mothers aged 18-34 years. Main Outcome Measures: Personal factors (e.g., eating low-fat/low-calorie food for weight management), environmental factors, self-efficacy, and weight management behaviors. Data were collected via self-administered written questionnaires. Analysis: Latent class cluster analysis and structural logistic regression. Results: Women who perceived more importance of eating low-fat/low-calorie food for weight management were more likely to practice multiple behavioral strategies to manage their weight (odds ratio = 0.37) than women who perceived less importance of eating low-fat/low-calorie food for weight management. Women who reported higher positive mood self-efficacy were more likely (odds ratio = 1.63) to practice multiple strategies to manage their weight than women who reported lower positive mood self-efficacy. Environmental factors did not predict use of multiple healthful weight management behaviors. No mediation effect was found. Conclusions and Implications: Stressing the importance of food choices and reinforcing learners' self-confidence to make healthful choices at parties and celebrations may be helpful ways to address common barriers to healthful weight management.

Objective: This paper describes the design and findings of a pilot "Mothers In Motion" (P-"MIM") program. Design: A randomized controlled trial that collected data via telephone interviews and finger stick at 3 time points: baseline and 2 and 8 months post-intervention. Setting: Three Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) sites in southern Michigan. Participants: One hundred and twenty nine overweight and obese African-American and white mothers, 18-34 years old. Intervention: The 10-week, theory-based, culturally sensitive intervention messages were delivered via a series of 5 chapters on a DVD and complemented by 5 peer support group teleconferences. Main Outcome Measures: Dietary fat, fruit, and vegetable intake; physical activity; stress; feelings; body weight; and blood glucose. Analysis: General linear mixed model was applied to assess treatment effects across 2 and 8 months post-intervention. Results: No significant effect sizes were found in primary and secondary outcome variables at 2 and 8 months post-intervention. However, changes in body weight and blood glucose showed apparent trends consistent with the study's hypotheses. Conclusions and Implications: The P-"MIM" showed promise for preventing weight gain in low-income overweight and obese women. However, a larger experimental trial is warranted to determine the effectiveness of this intervention. (Contains 4 tables.)

This study investigated the mediating roles of sleep and depression on the relationships between stress, fat intake, and fruit and vegetable intake among low-income overweight and obese pregnant women by trimesters. Participants (N = 213) completed a self-administered survey including stress (exogenous variable), depression, sleep (mediators), fat intake, and fruit and vegetable intake (endogenous variables). Path analysis was performed to compare mediation effects among pregnant women in each trimester. Consistently across three trimesters, stress was related to depression but not sleep duration, night time sleep disturbance, sleep quality, sleep latency or fat intake. Sleep duration was not associated with depression. Depending on trimester, night time sleep disturbance, sleep quality, and sleep latency were related to depression; night time sleep disturbance and depression affected fat intake; stress influenced fruit and vegetable intake. Sleep duration, sleep disturbance, sleep quality, sleep latency and depression did not mediate the relationships between stress, fat intake, and fruit and vegetable intake in the second and third trimesters. However, depression mediated the relationship between stress and fat intake in the first trimester. Stress management interventions may help low-income overweight and obese pregnant women decrease depressive symptoms and therefore contribute to overall nutritional health., Author(s): Mei-Wei Chang[sup.1] , Roger Brown[sup.2] , Susan Nitzke[sup.3] , Barbara Smith[sup.1] , Kobra Eghtedary[sup.4] Author Affiliations: (1) College of Nursing, Michigan State University, 1355 Bogue Street, RM C346, 48824, [...]

This study was conducted to identify factors that influenced stress, healthy eating and physical activity among low-income overweight or obese pregnant women. We conducted seven focus groups with 96 low-income overweight and obese pregnant women. Common themes were identified from audio tapes and transcripts. Women said that poor communication affected their relationships with spouses or significant others. They were frustrated or upset with significant others for three key reasons: failure to understand or listen to the pregnant women's pregnancy concerns, refusal to be helpful when asked and being overly concerned with the woman's safety. Most women said that they were emotional and took naps throughout the day after becoming pregnant. Many withdrew from their social interactions. They also faced numerous challenges that made healthy eating more difficult, e.g., craving for unhealthy foods and eating foods for comfort. To eat healthier, some reminded themselves to avoid overeating or stop eating in the car. Women were not physically active because of tiredness, lack of motivation, inadequate social support, or bad weather. Some stayed physically active to prevent excessive pregnancy weight gain and have an easier labor. Women equivocally said weighing themselves to manage weight would add to their stress and make them feel more depressed. When designing interventions to help low-income overweight and obese pregnant women avoid excessive pregnancy weight gain, it is important to include information and practical advice on stress management, emphasizing effective communication skills with significant others and helping them plan effective ways to manage negative feelings., Author(s): Mei-Wei Chang[sup.1] , Susan Nitzke[sup.2] , Diana Buist[sup.3] , Deborah Cain[sup.4] , Stefanie Horning[sup.5] , Kobra Eghtedary[sup.6] Author Affiliations: (1) College of Nursing, Michigan State University, 1355 Bogue Street, [...]

In the zwitterionic title compound (systematic name: 4-{[amino(inimio)methyl]amino}benzenesulfonate), C7H9N3O3S, the dihedral angle between the plane of the guanidine grouping and the benzene ring system is 44.87 (7)°. The crystal packing is stabilized by intermolecular N—H...O hydrogen bonds involving all the potential donors.

The title compound, C17H13N3OS, was obtained by the reaction of benzoyl chloride, ammonium thiocyanate and 5-aminoquinoline in the presence of polyethyleneglycol-400 (PEG-400) as a phase-transfer catalyst. The compound crystallized as discrete molecules linked by N—H...N and C—H...N hydrogen bonds involving all the potential donors, generating sheets parallel to (100). An intramolecular N—H...O bond is also present.

Objective: To establish reliability and construct and discriminant validity of selected factors adapted from the Health and Taste Attitudes Questionnaire developed in Finland and the Food Choice Questionnaire developed in England for use with low-income mothers in the United States. Design: Cross-sectional. Setting: Head Start and the Special Supplemental Nutrition Program for Women, Infants and Children sites in south-central Wisconsin. Participants: A convenience sample of 211 nonpregnant non-Hispanic black and white women. Variables Measured: Predisposing, enabling, and reinforcing constructs of the PRECEDE-PROCEED model. Analysis: Factor analyses. Results: After modification, the resulting measurement models of predisposing, enabling, and reinforcing constructs demonstrated good reliability and construct and discriminant validity. These models showed excellent model fit (g2/df range 1.5-2.0, root mean square error of approximate range .05-.07, non-normed fit index range .97-1.0, comparative fit index range .98-1.0, incremental fit index range .98-1.0), with all factor loadings significant (P < .001). Items previously developed with European adults demonstrated different pattern structures in predisposing and enabling constructs but the same structures for reinforcing construct when applied to low-income mothers in the United States. Conclusion and Implication: This modified instrument provides a tool for researchers and educators to further explore factors affecting fat intake behaviors in low-income mothers. KEY WORDS: validity, reliability, low-income women

The title compound, C10H11N4+·Cl−, has been synthesized by the reaction of 8-aminoquinoline and cyanamide. The dihedral angle between the plane of the guanidine group and the quinoline ring system is 68.64 (13)°. The crystal structure is stabilized by intermolecular N—H...Cl hydrogen bonds.

Using data from a community-based lifestyle behavioral intervention study, this secondary data analysis investigated whether emotional coping, coping self-efficacy, and autonomous motivation mediated the association between the intervention and perceived stress in low-income overweight or obese mothers of young children. Results showed that coping self-efficacy significantly mediated the association between the intervention and perceived stress. However, emotional coping and autonomous motivation did not significantly mediate the association between intervention and perceived stress. Interventions may be more effective in helping the target audience reduce stress if they incorporate practical skills that can increase a sense of coping self-efficacy. [ABSTRACT FROM AUTHOR]

Abstract Background Recruitment and retention are key functions for programs promoting nutrition and other lifestyle behavioral changes in low-income populations. This paper describes strategies for recruitment and retention and presents predictors of early (two-month post intervention) and late (eight-month post intervention) dropout (non retention) and overall retention among young, low-income overweight and obese mothers participating in a community-based randomized pilot trial called Mothers In Motion. Methods Low-income overweight and obese African American and white mothers ages 18 to 34 were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children in southern Michigan. Participants (n = 129) were randomly assigned to an intervention (n = 64) or control (n = 65) group according to a stratification procedure to equalize representation in two racial groups (African American and white) and three body mass index categories (25.0-29.9 kg/m2, 30.0-34.9 kg/m2, and 35.0-39.9 kg/m2). The 10-week theory-based culturally sensitive intervention focused on healthy eating, physical activity, and stress management messages that were delivered via an interactive DVD and reinforced by five peer-support group teleconferences. Forward stepwise multiple logistic regression was performed to examine whether dietary fat, fruit and vegetable intake behaviors, physical activity, perceived stress, positive and negative affect, depression, and race predicted dropout as data were collected two-month and eight-month after the active intervention phase. Results Trained personnel were successful in recruiting subjects. Increased level of depression was a predictor of early dropout (odds ratio = 1.04; 95% CI = 1.00, 1.08; p = 0.03). Greater stress predicted late dropout (odds ratio = 0.20; 95% CI = 0.00, 0.37; p = 0.01). Dietary fat, fruit, and vegetable intake behaviors, physical activity, positive and negative affect, and race were not associated with either early or late dropout. Less negative affect was a marginal predictor of participant retention (odds ratio = 0.57; 95% CI = 0.31, 1.03; p = 0.06). Conclusion Dropout rates in this study were higher for participants who reported higher levels of depression and stress. Trial registration Current Controlled Trials NCT00944060

Abstract Background The objective of this study was to develop scales measuring personal and environmental factors that affect dietary fat intake behavior, physical activity, and stress management in low-income mothers. Methods FADESM (factors affecting diet, exercise, and stress management) scales were developed using the Social Cognitive Theory to measure personal (outcome expectancies, self-efficacy, emotional coping response) and environmental (physical environment, social environment, situation) factors affecting dietary fat intake behavior, physical activity, and stress management. Low-income African American and white mothers were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children in three counties in Michigan. In Phase one, 45 mothers completed individual cognitive interviews. Content analyses were performed. In Phase two, items modified from the cognitive interviews were administered to 216 mothers. Factor analysis and multiple indicators/multiple causes were performed. Results Results of cognitive interviews were used to revise items for the instrument that was tested in Phase two. The factor solution revealed 19 dimensions to measure personal and environmental factors affecting dietary fat intake behavior (three dimensions), physical activity (eight dimensions), and stress management (eight dimensions). Results of multiple indicators/multiple causes model showed scale invariance. Of 19 dimensions, 15 had Cronbach alpha between 0.76 and 0.94 and four were between 0.66 and 0.69. All dimensions had composite construct reliability scores between 0.74 to 0.97 and satisfactory construct and discriminant validities. Conclusion The theory-based FADESM scales have documented good validity and reliability for measuring factors affecting dietary fat intake behavior, physical activity, and stress management in low-income women. Results of this study support the use of these scales with low-income African American and white mothers in community settings.

The article presents an interdisciplinary approach to improving Gestational diabetes mellitus (GDM) using a chronic care–based clinical framework. It discusses that women with GDM are at increased risk for preeclampsia and cesarean delivery, and likely to have recurrence of GDM in subsequent pregnancies.