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Increased concentrations of serum β-carotene, α-carotene and β-cryptoxanthin are associated with lower visceral adipose tissue in U.S. adults
No full textObjectives: There is a positive relationship between visceral adiposity and cardiometabolic diseases (CMD). Recent data report lower serum carotenoids in individuals with obesity. Longitudinal studies show an inverse relationship between CMD and serum carotenoids β-carotene (BC), α-carotene (AC), β-cryptoxanthin (BCX); however, the relationship between serum carotenoids and visceral adiposity in population samples has not been assessed. Our primary objective was to determine the association between adiposity and serum carotenoid concentrations in United States (U.S.) adults. Methods:Data were obtained from 3,904 participants in the National Health and Nutrition Examination Survey (2003-2006) using multistage probability sampling. The relationship between android fat percentage (AF%), measured by dual energy x-ray absorptiometry and serum carotenoid concentrations for male and non-pregnant female participants aged 20-85 years in the U.S. was assessed. Associations were estimated using Pearson correlation coefficients and partial correlations adjusting for age, sex, race/ethnicity, and reported carotenoid intake. Multivariable linear regression modeled serum carotenoid concentrations (log transformed) on body fat percentage adjusted for reported dietary carotenoid and total calorie intake, age, sex, and race/ethnicity. Results: Mean±SE for BC, AC, BCX, and AF% were 12.30±0.05, 2.54±0.07, 6.80±0.04 μg/dL, and 36.87±0.22%, respectively. AF% concentrations were inversely associated with BC (r= -0.08, p\u3c0.0001), AC (r= -0.05, p\u3c0.0001), and BCX (r= -0.13, p\u3c0.0001). Significant (p\u3c0.0001) partial correlations were seen among serum levels of all carotenoids and AF%. The strongest was observed with BC where r= -0.23, followed by AC (r=-0.16), and BCX (r=-0.14). For adults of the same age, race/ethnicity, and sex, each 1 ug/dL increase in BC or AC concentration decreased AF% by 0.02% (p\u3c0.0001). BCX showed significant, but weak associations with AF%. Conclusions: In a representative sample of U.S. adults, serum BC, AC, and BCX concentrations were inversely associated with AF%, independent of reported dietary intake. BC showed the strongest inverse associations followed by AC, then BCX
The association between dietary β-carotene intakes, serum β-carotene, anthropometric factors and dietary fat in United States adults
No full textObesity prevalence continues to increase in the United States (US), therefore, understanding preventative measures is increasingly important for population health. The US has one the world’s highest rates of overweight and obesity with at least 70% of adults categorized as overweight or obese, with an increasing prevalence of morbid obesity. Obesity is of concern because increasing rates are positively correlated with multiple comorbidities. The 2015-2020 Dietary Guidelines for Americans recommend adults consume approximately 2 cups of fruits and 2.5 cups of vegetables daily, as research has tied consumption to a reduced risk for many chronic diseases. Presumably, these recommendations are made because low serum carotenoid status, a marker of fruit and vegetable intake, is associated with increased cardiometabolic disease risk. Investigating the associations between the carotenoid β-carotene (BC) and obesity are pivotal in understanding obesity as a diet-related condition. This work is the first to assess multiple factors that might influence the association between dietary BC and serum BC concentrations utilizing population-based data collected in the US. Secondary data analysis of the 2003-2006 NHANES dataset, which utilized cross-sectional survey methods to obtain a unique collection of nationally-representative, health and nutrition-related data on non-institutionalized civilians in the US, was conducted. Weighted variables were created in SAS statistical software to accommodate the complex survey design. There is a normal distribution across sex, ethnicity, age, and body mass index (BMI), however, we natural log transformed serum BC concentrations, reported dietary BC, high-sensitivity C-reactive protein (hsCRP), and reported dietary lycopene due to skewing. Pearson correlation and partial correlation coefficients were used to assess variable correlation. Multivariable linear regression estimated relationships between serum BC concentrations and inflammation, reported dietary BC intake, BMI, total reported dietary fat intake, and total reported dietary fatty acid (FA) intakes. Notable associations were present between serum BC concentrations and BMI, hsCRP, reported dietary BC intakes, android body fat percentage, gynoid body fat percentage, saturated FAs, monounsaturated FAs, and polyunsaturated FAs. The findings of this project suggest a protective effect of increased serum BC concentrations against low-grade, systemic inflammation often associated with adipose tissue dysfunction present in obese individuals. The association present between serum BC and anthropometric factors related to higher adiposity, suggests individuals with an increased BMI and/or body fat percentage may have a greater risk of lower serum BC concentrations despite dietary BC intake. Additionally, dietary FA, polyunsaturated FA alpha-linolenic acid, is associated with increased BC in circulation. Moreover, the inverse association present between serum BC and other specific fatty acid classes suggests there may be multiple post-digestion factors affecting serum BC concentrations
Vulnerability Creates a Space for Creative Transformation in Love and Vulnerability: Thinking with Pamela Sue Anderson,No Title
No full textEvaluation of Participation and Environments for Individuals with Disabilities: An Evidence-Based Practice Project Bailey
Get PDFThis Evidence-Based Practice (EBP) project considered the following question: What measures are available to evaluate participation and environmental supports and barriers for individuals with disabilities and what are their psychometric properties
Confident & Creative Mentoring: Finding Your Voice Supporting OT Professionals
No full textWithin our profession, we possess many tools for improving our patients’ and clients’ lives, which can be translated to mentorship of other OTPs by making it an intentional aspect of our career. Building upon our role competencies allows us to explore creative ways in which we can enrich our colleagues and students. By reviewing and identifying AOTA’s five “Standards for Continuing Competency” through the lens of being a mentor, confidence can be built based on what each OTP currently possesses. Building upon these Standards which include, knowledge, critical reasoning, interpersonal skills, performance skills, and ethical reasoning, each practitioner can begin to develop their own unique approach to mentorship based on these foundational competencies. Strategic consideration of other skills and expertise can begin to further sharpen our toolkits for enhancing sharing intra-professionally to facilitate mentorship relationships in many variations
Mental Health Mocktail
No full textPart of an invited International group for virtual mental health event at Brenau University, Georgi
Student Preparation for Fieldwork and Clinical Practice During the Pandemic
No full textVirtual Student event- I coordinated and was a panel presenter - Sponsored by Occupational Therapy for the Advancement of Minnesota Mental Health Service
A Phenomenological Study of Adults Receiving Gender Affirmation Care at Clinics Specializing in Transgender Healthcare
Get PDFTransgender adults encounter obstacles accessing adequate healthcare; additionally, providers face barriers in meeting the unique needs of transgender people. To mitigate barriers, select clinics specialize in transgender healthcare. The purpose of this study is to describe the lived experiences of adults receiving gender affirmation care at clinics specializing in transgender healthcare. We administered a digital questionnaire with open-ended questions and an optional photograph upload representative of participants’ experiences, obtaining a purposeful sample of 20 respondents. Steeped in a critical inquiry paradigm while utilizing hermeneutic phenomenology in data analysis, six themes emerged: Clinic Operational Experiences, A Sense of Belonging, Participants’ Views of Providers, Anxiety and Relief, Personal Agency, and Lens on Duality. Participants reported satisfaction with the care they received at their specialized clinic, highlighting the importance of inclusive language to avoid misgendering but noting long wait times for initial consultations. Based upon study findings, we recommend healthcare teams utilize chosen names and pronouns, develop collaborative partnerships, create inclusive spaces, and foster holistic care
ITAA Submission 2020.docx
No full textHistorical reproduction of a women\u27s 18th-century riding habit or traveling ensemble. Full ensemble will be used to inform students especially in the History of Dress course. Included is the women\u27s chemise, set of stays, bum roll, boned petticoat, linen blouse, wool waistcoat, wool petticoat, and wool jacket with period appropriate trims