Jessica Greenwood | University of Utah (original) (raw)

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Research paper thumbnail of The Physical Activity Vital Sign: a primary care tool to guide counseling for obesity

Journal of physical activity & health, 2010

Only 25% of US adults achieve adequate physical activity (PA). Obtaining a PA history is an appro... more Only 25% of US adults achieve adequate physical activity (PA). Obtaining a PA history is an appropriate first step when evaluating this behavior. The Physical Activity Vital Sign (PAVS) is a clinical tool designed to screen for PA in adults. To determine how responses to the PAVS questions associate with BMI, overweight, and obesity, we performed a cross-sectional study utilizing the PAVS, and measured height and weight. Data were collected from adults at 2 clinics within the Utah Health Research Network. Adjusting for demographic factors, BMI decreased 0.91 units for every reported day of PA during a typical week (P < .001), and the odds of obesity was significantly decreased by 0.73 for every day of PA reported in a typical week, (P = .001). Response to the PAVS question of typical behavior is highly correlated with BMI. Although response to the PAVS question of behavior last week is not correlated, this question may prompt accurate recall to the typical week question and help ...

Research paper thumbnail of The Relationship between Body Esteem, Exercise Motivations, Depression, and Social Support Among Female Free Clinic Patients

Women's Health Issues , 2014

Purpose: Obesity is a significant public health problem in women’s health. This study examined re... more Purpose: Obesity is a significant public health problem in women’s health. This study examined relationship between
body esteem, exercise motivations, depression, and social support among female free clinic patients. Low-income
women who are at risk for obesity and other health concerns would benefit from health education efforts.
Methods: We compared 299 female and 164 male free clinic patients 18 years or older using assessments for body
esteem, motivation to exercise, depression, and social support.
Results: Although female participants reported lower levels of body esteem and higher levels of depression compared with
male participants (p < .01), female participants were more motivated to exercise for weight-related reasons than male
participants (p < .05). U.S.-born female participants reported lower exercise motivations compared with non–U.S.-born
female participants (p < .01). Social support might be an important factor to increase exercise motivation among female
free clinic patients (p < .05); depression lowers levels of body esteem (p < .01).
Conclusions: The results of this study suggest that female free clinic patients should receive gender-specific
interventions to promote positive body image and physical activity. It is important for health educators to engage a
myriad of physical activity motives to increase the likelihood that clients will experience enjoyment and sustained
adoption of exercise into their lifestyle. Future practice and research should warrant the implementation of body image
and physical activity programs and the potential impact of using exercise to reducing depression among female patients
at free clinics.

Research paper thumbnail of Preventing or Improving Obesity by Addressing Specific Eating Patterns

The Journal of the American Board of Family Medicine, 2008

The problem of obesity and overweight is an epidemic in the United States. Weight is a product of... more The problem of obesity and overweight is an epidemic in the United States. Weight is a product of energy balance: energy intake versus energy expenditure. The purpose of this review is to identify adult eating behaviors that are known to strongly affect the energy intake side of the energy balance and that may be readily amenable to prevention and intervention efforts in primary care. Restaurant and fast food consumption, large portion sizes, and consumption of beverages with sugar added increase energy intake and are highly associated with weight gain and obesity. Conversely, consumption of low energy dense food, ie, fruits and vegetables, and routine healthy breakfast consumption can help to maintain or lose weight. These distinct behaviors represent concrete negative and positive eating patterns on which primary care providers can focus when counseling overweight and obese patients. They also represent behavioral targets for designing and testing clinical interventions. (J Am Board Fam Med 2008; 21:135-140.)

Research paper thumbnail of Creating a Clinical Screening Questionnaire for Eating Behaviors Associated with Overweight and Obesity

The Journal of the American Board of Family Medicine, 2008

Objective: The objective of this study was to associate questions about specific eating behaviors... more Objective: The objective of this study was to associate questions about specific eating behaviors with weight. Our ultimate goal was to create a clinical screening questionnaire for eating behaviors associated with overweight and obesity.

Research paper thumbnail of Development of a questionnaire to assess knowledge, attitudes, and behaviors in American Indian children

Asthma is the most common chronic childhood illness. The increasing morbidity and mortality are s... more Asthma is the most common chronic childhood illness. The increasing morbidity and mortality are striking contrast to major scientific advances in our understanding of asthma. It is now regarded as a chronic rather than a episodic illness and the major factors contributing to asthma morbidity and mortality are underdiagnosis and inappropriate treatment. The majority of children with asthma are cared for by nonspecialist physicians. Studies have shown that only small proportions of practitioners have an adequate understanding of the changing concepts of asthma management. We development an asthma knowledge questionnaire based on &quot;Guidelines and the Practice Parameters for the Diagnosis and Management of Asthma&quot; of The National Heart, Lung, and Blood Institute. The questionnaires include 25 questions on definition, physiopathology, diagnosis and treatment.

Research paper thumbnail of Two Industrial Cohorts: Baseline Characteristics and Factors Associated With Obesity

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, Jan 3, 2015

To describe demographic and health characteristics, and factors associated with obesity among pro... more To describe demographic and health characteristics, and factors associated with obesity among production workers. This cross-sectional study analyzed baseline data from two occupational cohorts. Regression modeling was used to assess associations between worker characteristics and obesity. A total of 1974 subjects were included in these analyses. The mean body mass index was 29.5 kg/m (SD = 6.5). Having smoked in the past and currently smoking decreased the odds of being obese in the WISTAH Distal Upper Extremity cohort, whereas those feeling depressed had increased odds of being obese. Being a Pacific Islander/Native Hawaiian and married increased the odds of obesity in the BackWorks Low Back Pain cohort. Factors associated with obesity differed substantially between the two cohorts. Recognizing factors associated with obesity in specific work settings may provide opportunities for optimizing preventive workplace interventions.

Research paper thumbnail of The Physical Activity Vital Sign: a primary care tool to guide counseling for obesity

Journal of physical activity & health, 2010

Only 25% of US adults achieve adequate physical activity (PA). Obtaining a PA history is an appro... more Only 25% of US adults achieve adequate physical activity (PA). Obtaining a PA history is an appropriate first step when evaluating this behavior. The Physical Activity Vital Sign (PAVS) is a clinical tool designed to screen for PA in adults. To determine how responses to the PAVS questions associate with BMI, overweight, and obesity, we performed a cross-sectional study utilizing the PAVS, and measured height and weight. Data were collected from adults at 2 clinics within the Utah Health Research Network. Adjusting for demographic factors, BMI decreased 0.91 units for every reported day of PA during a typical week (P < .001), and the odds of obesity was significantly decreased by 0.73 for every day of PA reported in a typical week, (P = .001). Response to the PAVS question of typical behavior is highly correlated with BMI. Although response to the PAVS question of behavior last week is not correlated, this question may prompt accurate recall to the typical week question and help ...

Research paper thumbnail of The Relationship between Body Esteem, Exercise Motivations, Depression, and Social Support Among Female Free Clinic Patients

Women's Health Issues , 2014

Purpose: Obesity is a significant public health problem in women’s health. This study examined re... more Purpose: Obesity is a significant public health problem in women’s health. This study examined relationship between
body esteem, exercise motivations, depression, and social support among female free clinic patients. Low-income
women who are at risk for obesity and other health concerns would benefit from health education efforts.
Methods: We compared 299 female and 164 male free clinic patients 18 years or older using assessments for body
esteem, motivation to exercise, depression, and social support.
Results: Although female participants reported lower levels of body esteem and higher levels of depression compared with
male participants (p < .01), female participants were more motivated to exercise for weight-related reasons than male
participants (p < .05). U.S.-born female participants reported lower exercise motivations compared with non–U.S.-born
female participants (p < .01). Social support might be an important factor to increase exercise motivation among female
free clinic patients (p < .05); depression lowers levels of body esteem (p < .01).
Conclusions: The results of this study suggest that female free clinic patients should receive gender-specific
interventions to promote positive body image and physical activity. It is important for health educators to engage a
myriad of physical activity motives to increase the likelihood that clients will experience enjoyment and sustained
adoption of exercise into their lifestyle. Future practice and research should warrant the implementation of body image
and physical activity programs and the potential impact of using exercise to reducing depression among female patients
at free clinics.

Research paper thumbnail of Preventing or Improving Obesity by Addressing Specific Eating Patterns

The Journal of the American Board of Family Medicine, 2008

The problem of obesity and overweight is an epidemic in the United States. Weight is a product of... more The problem of obesity and overweight is an epidemic in the United States. Weight is a product of energy balance: energy intake versus energy expenditure. The purpose of this review is to identify adult eating behaviors that are known to strongly affect the energy intake side of the energy balance and that may be readily amenable to prevention and intervention efforts in primary care. Restaurant and fast food consumption, large portion sizes, and consumption of beverages with sugar added increase energy intake and are highly associated with weight gain and obesity. Conversely, consumption of low energy dense food, ie, fruits and vegetables, and routine healthy breakfast consumption can help to maintain or lose weight. These distinct behaviors represent concrete negative and positive eating patterns on which primary care providers can focus when counseling overweight and obese patients. They also represent behavioral targets for designing and testing clinical interventions. (J Am Board Fam Med 2008; 21:135-140.)

Research paper thumbnail of Creating a Clinical Screening Questionnaire for Eating Behaviors Associated with Overweight and Obesity

The Journal of the American Board of Family Medicine, 2008

Objective: The objective of this study was to associate questions about specific eating behaviors... more Objective: The objective of this study was to associate questions about specific eating behaviors with weight. Our ultimate goal was to create a clinical screening questionnaire for eating behaviors associated with overweight and obesity.

Research paper thumbnail of Development of a questionnaire to assess knowledge, attitudes, and behaviors in American Indian children

Asthma is the most common chronic childhood illness. The increasing morbidity and mortality are s... more Asthma is the most common chronic childhood illness. The increasing morbidity and mortality are striking contrast to major scientific advances in our understanding of asthma. It is now regarded as a chronic rather than a episodic illness and the major factors contributing to asthma morbidity and mortality are underdiagnosis and inappropriate treatment. The majority of children with asthma are cared for by nonspecialist physicians. Studies have shown that only small proportions of practitioners have an adequate understanding of the changing concepts of asthma management. We development an asthma knowledge questionnaire based on &quot;Guidelines and the Practice Parameters for the Diagnosis and Management of Asthma&quot; of The National Heart, Lung, and Blood Institute. The questionnaires include 25 questions on definition, physiopathology, diagnosis and treatment.

Research paper thumbnail of Two Industrial Cohorts: Baseline Characteristics and Factors Associated With Obesity

Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine, Jan 3, 2015

To describe demographic and health characteristics, and factors associated with obesity among pro... more To describe demographic and health characteristics, and factors associated with obesity among production workers. This cross-sectional study analyzed baseline data from two occupational cohorts. Regression modeling was used to assess associations between worker characteristics and obesity. A total of 1974 subjects were included in these analyses. The mean body mass index was 29.5 kg/m (SD = 6.5). Having smoked in the past and currently smoking decreased the odds of being obese in the WISTAH Distal Upper Extremity cohort, whereas those feeling depressed had increased odds of being obese. Being a Pacific Islander/Native Hawaiian and married increased the odds of obesity in the BackWorks Low Back Pain cohort. Factors associated with obesity differed substantially between the two cohorts. Recognizing factors associated with obesity in specific work settings may provide opportunities for optimizing preventive workplace interventions.