Understanding Health Risks in Limited Income Women

Human Environmental Science

What Do Schools Want? Assessing Elementary School Administrator and Teacher Preferences Related to Nutrition Education Program Scheduling

Extension is positioned to provide school-based nutrition education programs as required by the 2004 Child Nutrition and WIC Reauthorization Act. To enhance program acceptance and sustainability, it is important to consider school administrators\u27 and teachers\u27 interests and preferences regarding nutrition education programming. The project described here assessed interest in nutrition education, scheduling, and implementation format preferences among 34 elementary school administrators and 45 elementary school teachers. Among administrators and teachers interested in Oklahoma Cooperative Extension Service\u27s county educators providing nutrition education programs, the general trend was for in-school student education, consisting of four weekly programs, 30 minutes in length

Factors Within Multiple Socio-Ecological Model Levels of Influence Affecting Older SNAP Participants\u27 Ability to Grocery Shop and Prepare Food

The study identified and determined if factors within multiple levels of the socio-ecological model were effective in explaining older adult Supplemental Nutrition Assistance Program (SNAP) participants\u27 ability to grocery shop and prepare food. Data were collected from 370 SNAP participants, 65 years and above, via a telephone survey. Factors within multiple levels of influence were significant in explaining both ability to grocery shop and prepare food, including physical and emotional wellbeing; self-reliance; finances; housing; family and friend interactions; social support; and food access. To effectively influence older SNAP participants, integrated SNAP education programs addressing multiple levels of influence are recommended

New Approach to School Health Initiatives: Using Fitness Measures Instead of Body Mass Index to Evaluate Outcomes

Oklahoma Cooperative Extension Service provided elementary school students with a program that included a noncompetitive physical activity component: circuit training that combined cardiovascular, strength, and flexibility activities without requiring high skill levels. The intent was to improve fitness without focusing on body mass index as an indicator of fitness. Youths (111) in grades 3–5 underwent President\u27s Council on Fitness, Sports, and Nutrition testing at baseline and program completion. Significant improvements were observed in average fitness measures among youths who participated in the circuit training. Extension professionals looking for new tools to use with school-based physical activity programs may consider circuit training as a noncompetitive means of improving youth physical fitness and fitness measures as more appropriate outcome indicators

Building the Foundation for a Health Education Program for Rural Older Adults

We explored rural older adults’ perceptions of health to inform health promotion program development, using social marketing as our framework. Participants in seven focus groups viewed independence and holistic health as indicators of health and identified healthful eating and physical activity as actions to promote health. Barriers to these actions included physical limitations, social factors, financial considerations, motivation issues, and information confusion. Participants desired education that improves knowledge and skills, provides socialization opportunities, and occurs in familiar, affordable locations. Our findings can be useful to others developing health programming for rural-residing older adults. Also, we show that applying social marketing principles during formative assessment can be helpful in tailoring programs to audience interests and concerns

Social and Cultural Barriers to Diabetes Prevention in Oklahoma American Indian Women

INTRODUCTION: The prevalence of diabetes is disproportionately higher among minority populations, especially American Indians. Prevention or delay of diabetes in this population would improve quality of life and reduce health care costs. Identifying cultural definitions of health and diabetes is critically important to developing effective diabetes prevention programs. METHODS: In-home qualitative interviews were conducted with 79 American Indian women from 3 tribal clinics in northeast Oklahoma to identify a cultural definition of health and diabetes. Grounded theory was used to analyze verbatim transcripts. RESULTS: The women interviewed defined health in terms of physical functionality and absence of disease, with family members and friends serving as treatment promoters. Conversely, the women considered their overall health to be a personal issue addressed individually without burdening others. The women presented a fatalistic view of diabetes, regarding the disease as an inevitable event that destroys health and ultimately results in death. CONCLUSION: Further understanding of the perceptions of health in at-risk populations will aid in developing diabetes prevention programs

Eagle Adventure: School-Based Type 2 Diabetes Prevention Program Results in Improved Outcomes Related to Food and Physical Activity

The Eagle Adventure program was designed as a semester-long, SNAP-Ed program to address food and physical activity choices important for prevention of type 2 diabetes, obesity, and other chronic diseases. The program was developed for implementation in Grades 1-3. This article presents findings from two participating grade centers inclusive of Grades1-2. The elementary school-based program not only addresses health-related behaviors in a culturally relevant and responsive way, but also serves as a potential model for promoting diversity inclusion in Extension programming

Validation of hypermethylated DNA regions found in colorectal cancers as potential aging-independent biomarkers of precancerous colorectal lesions

BACKGROUND We previously identified 16,772 colorectal cancer-associated hypermethylated DNA regions that were also detectable in precancerous colorectal lesions (preCRCs) and unrelated to normal mucosal aging. We have now conducted a study to validate 990 of these differentially methylated DNA regions (DMRs) in a new series of preCRCs. METHODS We used targeted bisulfite sequencing to validate these 990 potential biomarkers in 59 preCRC tissue samples (41 conventional adenomas, 18 sessile serrated lesions), each with a patient-matched normal mucosal sample. Based on differential DNA methylation tests, a panel of candidate DMRs was chosen on a subset of our cohort and then validated on the remaining part of our cohort and two publicly available datasets with respect to their stratifying potential between preCRCs and normal mucosa. RESULTS Strong statistical significance for the difference in methylation levels was observed across the full set of 990 investigated DMRs. From these, a selected candidate panel of 30 DMRs correctly identified 58/59 tumors (area under the receiver operating curve: 0.998). CONCLUSIONS These validated DNA hypermethylation markers can be exploited to develop more accurate noninvasive colorectal tumor screening assays

The Beaker phenomenon and the genomic transformation of northwest Europe

From around 2750 to 2500 bc, Bell Beaker pottery became widespread across western and central Europe, before it disappeared between 2200 and 1800 bc. The forces that propelled its expansion are a matter of long-standing debate, and there is support for both cultural diffusion and migration having a role in this process. Here we present genome-wide data from 400 Neolithic, Copper Age and Bronze Age Europeans, including 226 individuals associated with Beaker-complex artefacts. We detected limited genetic affinity between Beaker-complex-associated individuals from Iberia and central Europe, and thus exclude migration as an important mechanism of spread between these two regions. However, migration had a key role in the further dissemination of the Beaker complex. We document this phenomenon most clearly in Britain, where the spread of the Beaker complex introduced high levels of steppe-related ancestry and was associated with the replacement of approximately 90% of Britain’s gene pool within a few hundred years, continuing the east-to-west expansion that had brought steppe-related ancestry into central and northern Europe over the previous centuries