Diane Berry

Diane Berry
University of North Carolina at Chapel Hill | UNC · Adult and Geriatric Health Division

PhD, ANP-BC, FAANP, FAAN

About

142
Publications
31,409
Reads
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2,193
Citations
Introduction
My research interests involve obesity, type 2 diabetes and gestational diabetes management and prevention in English and Spanish.
Additional affiliations
September 2018 - present
University of North Carolina at Chapel Hill
Position
  • Healthy Mothers-Healthy Children: An Intervention with Hispanic Mothers and their Young Children
Description
  • Principal Investigator: Diane Berry NIH/NINR, 2018-2023.
June 2018 - June 2020
University of North Carolina at Chapel Hill
Position
  • Heterogeneity in Obesity Creativity Hub Center
Description
  • Principal Investigator: Penny Gordon-Larsen
September 2016 - present
University of North Carolina at Chapel Hill
Position
  • Medical Optimization and Management of Pregnancies with Overt Type 2 Diabetes (MOMPOD)
Description
  • Multiple Principal Investigators: Kim Boggess and Diane C.Berry Medical Optimization and Management of Pregnancies with Overt Type 2 Diabetes (MOMPOD). NIH/NICHD, 2016-2021.

Publications

Publications (142)
Article
Although many psychometric assessments are used extensively in population-based research to determine psychopathology, these tools have not been thoroughly validated or appropriately adapted for use in diverse populations. Indeed, depression measurement studies among American Indian and female populations are scarce, omitting key opportunities to t...
Article
Objective African American women are exposed to multiple adverse psychosocial factors, including racism, discrimination, poverty, neighborhood stress, anxiety, and depression. The impact of these psychosocial factors on cardiovascular disease (CVD) risk in women during early adulthood is limited. This review aims to summarize and synthesize the rec...
Article
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This article summarizes the current literature on racial and ethnic differences among women with diabetes in pregnancy. The PubMed, Scopus, CINAHL, and Embase databases were searched for original qualitative or quantitative studies published in English from January 1, 2009, to May 31, 2020. Consensus statements were excluded. Results of this synthe...
Article
Background: Emerging evidence suggests that psychosocial factors are related to morbidity and mortality due to cardiovascular disease (CVD). African American women experience a unique multitude of psychosocial stressors, including racism, discrimination, poverty, neighborhood stress, anxiety, and depression. The impact of these stressors on CVD ris...
Article
Introduction: Evidence suggests that gender may influence many aspects of type 2 diabetes (T2DM) self-management (SM) and we posit that limited English language-proficient Latinx immigrants face additional challenges. Methods: Instruments and semi-structured interviews were used to examine gender differences on health literacy, diabetes knowledg...
Article
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This review article summarizes the current literature on facilitators and barriers to breastfeeding in Asian American women and provides future research directions. PubMed, EMBASE, CINAHL, Web of Science, and PsycInfo databases were searched for original qualitative or quantitative studies published in English. Reviews and consensus statements were...
Article
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Background Cardiovascular disease (CVD) risk increases substantially during perimenopause. Latinas have a significantly worse CVD risk factor profile than non-Hispanic White women, potentially due to multiple sociocultural and environmental factors. To date, interdisciplinary interventions have not focused on improving nutrition, physical activity,...
Article
Introduction: Pregnancy loss, including miscarriage and stillbirth, affect 15-20% of pregnancies in the United States annually. Accumulating evidence suggests that pregnancy loss is associated with greater cardiovascular disease (CVD) burden later in life. However, associations between pregnancy loss and CVD risk factors in early adulthood (age<35...
Article
Introduction: People of color and low-income and uninsured populations in the United States have elevated risks of adverse maternal health outcomes alongside low levels of postpartum visit attendance. The postpartum period is a critical window for delivering health care services to reduce health inequities and their transgenerational effects. Evide...
Article
Latinos comprise the fastest-growing minority group in the USA, with Hispanic women (Latinas) constituting 17% of women aged 45–54 years. The menopause transition (MT) is associated with many physiological, behavioral, and psychosocial changes that can affect disease risk in women. While several epidemiologic investigations have enhanced our unders...
Article
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Objective Research indicates that social support may promote physical activity; however, most Latina individuals with osteoarthritis (OA) are not sufficiently active. The purpose of this qualitative dyadic study was to explore how Latina patients with OA and a self‐selected physical activity “supporter” motivate each other to be more active. Furthe...
Article
Purpose The objective of this study is to expand the understanding of the family influence on children's nutrition and physical activity patterns in Oman. Design and methods A cross-sectional research design was used in this study. We recruited 204 dyads (a mother with a child) conveniently. Research data were collected in public cycle one schools...
Article
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Objectives: This study aimed to examine the relationship between body mass index (BMI) z-scores and lifestyle-related factors including nutrition, physical activity, screen time and time spent sleeping in 6-10-year-old Omani children. Methods: This cross-sectional study included mother-child dyads that were recruited from five provinces in Oman....
Article
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Weight stigma and binge eating have been found to be associated in Western populations; however, this relationship is understudied among Asian Americans. The aims of the study were to (1) investigate the prevalence of binge eating and its relationship with experienced weight stigma in higher-weight Asian Americans, and (2) examine whether the level...
Article
Background: Pregnant women with pre-existing type 2 diabetes (T2DM) are at risk for poor maternal and neonatal outcomes. Previous systematic reviews in women with T2DM have focused on physical activity, blood glucose monitoring, and insulin injections. The purpose of this review was to examine the barriers and facilitators of diabetes self-manageme...
Article
Objective: To describe perceptions and behaviors related to contraception and preconception care and to test the association between these perceptions and contraceptive use in the postpartum period among women with pregestational diabetes mellitus. Design: Cross-sectional, descriptive survey. Setting: Three high-risk obstetric clinics in the S...
Article
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Background: Hispanic women and children who become overweight or obese are at risk for developing prediabetes, type 2 diabetes, and cardiovascular disease later in life. Interdisciplinary interventions which target Hispanic women and their 3-5-year old children to improve nutrition and physical activity behaviors, manage adiposity and weight in mo...
Article
Introduction Immigrant populations experience higher type 2 diabetes mellitus (T2DM) prevalence rates and worse health outcomes secondary to T2DM than native-born populations. But as the largest immigrant population in the United States, the experience of T2DM diagnosis and self-management among Spanish-speaking, limited English-language proficient...
Article
The purpose of this manuscript is to describe a mutually beneficial collaboration with a Public Health Department and a University to implement an evidence-based program to teach nutrition and physical activity to improve adult and child outcomes. We first assessed the needs of the Public Health Department to build sustainable capacity. Next, all c...
Article
American Indian women are more likely to die from cardiovascular disease (CVD) than White or African American women. Inflammatory processes may underlie CVD disparities by gender and race and may be critical to understanding population‐specific drivers and potential buffers. Exposure to environmental air pollutants, especially particulate matter (P...
Article
Introduction: A review was conducted to examine the prevalence and risk factors of developing overweight and obesity in children residing in Gulf Cooperation Council (GCC) countries. Method: PubMed, Medline, and Google Scholar databases using PRISMA guidelines were searched from January 1, 2007, to January 1, 2017. The inclusion criteria were (a) s...
Article
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Weight stigma is a pervasive problem for Americans, but little is known about its impact on the health of Asian Americans. Authors examined the relationship between weight stigma and cortisol and whether acculturation moderated this relationship. Asian Americans (n = 166) with overweight or obesity completed questionnaires and provided a 50-mg hair...
Article
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Background Annually in the US, over 100,000 pregnant women with overt type 2 diabetes give birth. Strict maternal glycemic control is the key to optimizing infant outcomes. Medical treatment of type 2 diabetes in pregnancy is generally restricted to insulin, as data on the safety and efficacy of oral hypoglycemic agents in pregnancy are limited. Ho...
Article
Introduction Although elevated blood glucose is associated with adverse maternal and fetal health outcomes, evidence suggests that women with diabetes may not be receiving comprehensive reproductive health care, including family planning and preconception care. Using a population‐based sample, we evaluated the relationship between contraceptive use...
Article
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Introduction Although elevated blood glucose is associated with adverse maternal and fetal health outcomes, evidence suggests that women with diabetes may not be receiving comprehensive reproductive health care, including family planning and preconception care. Using a population‐based sample, we evaluated the relationship between contraceptive use...
Article
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Background: Low-income children and parents are at increased risk for developing overweight and obesity. Therefore, the purpose of this exploratory study was to compare whether African American and white children and parents benefitted equally from a community-based weight management intervention delivered in two rural counties in southeastern Nor...
Article
Aims: Diabetes is associated with significant pregnancy complications, which can be further exacerbated by comorbid hypertension. Racial/ethnic differentials in the burden of comorbid hypertension and diabetes among women of reproductive age have not been described. Methods: Using Wave IV of the nationally representative National Longitudinal St...
Article
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Aim Is it feasible to implement a programme to screen for depression in patients admitted to the hospital for diabetes complications and use the electronic medical record to notify providers of their patient's depression score and give suggestions for medication and counselling? Design A feasibility study was conducted with patients hospitalized w...
Article
Background and purpose: Gestational diabetes mellitus (GDM) has been associated with multiple complications, including increase risk of gestational hypertension, cesarean delivery, macrosomia, stillbirth, and preeclampsia. The purpose of this study was to determine the acceptability of text messaging in women with GDM and further refine interventi...
Article
Background: Types 1 and 2 diabetes mellitus complicate pregnancies and threaten the health of women of reproductive age and their children. Among older adults, diabetes morbidity disproportionately burdens racial/ethnic minorities, but diabetes emergence among younger adults has not been as well characterized. The objective of this study was to de...
Conference Paper
Competition- Based Learning (CBL) is a new innovative method of learning. It enhances students learning through fostering collaborative learning and motivation to learn. An approach of applying CBL in the nursing education based on Problem- Based Learning (PBL) is suggested.
Article
Objective To evaluate the relationship between prenatal metabolic markers and breastfeeding outcomes in women with gestational diabetes mellitus (GDM). Study Design Secondary analysis of a cluster-randomized trial of a lifestyle intervention to improve metabolic health among women with GDM. Women were enrolled between 22 and 36 weeks' gestation and...
Article
Adolescents with overweight and obesity are at risk for future health problems. The purpose of this study was to examine the feasibility and initial efficacy of a weight management intervention to help adolescents develop healthy nutrition and physical activity behaviors and improve their anthropometrics. This study used a single-group repeated mea...
Article
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Background Studies have suggested that obesity is linked within families and that successful interventions involve both the parent and child with obesity. However little information exists regarding similarities in adiposity and weight loss between the parent and child, especially in low socio-economic ethnically diverse households. Methods The pu...
Article
This article is a report of qualitative findings of a mixed-methods study of the relationships among knowledge, self-efficacy, health promoting behaviors, and type 2 diabetes mellitus (T2DM) self-management among limited-english-proficient recent Hispanic immigrants, a population with increased incidence of T2DM and barriers to successful T2DM mana...
Article
Background: Physical activity has many benefits for young children's health and overall development, but few studies have investigated how early care and education (ECE) centers allot time for physical activity, along with measured individual physical activity levels for indoor/outdoor activities during a typical day. Methods: Fifty ECE centers...
Article
Abstract Cerebellar strokes account for less than 10% of all strokes but lead to significantly poor outcomes. Cerebellar strokes that are initially missed have a mortality rate of 40%, and half of the patients who survive have long-term deficits. The patient’s history may provide clues that point to a cerebellar stroke. Signs and symptoms include ver...
Article
Purpose The purpose of the study was to examine the relationship between knowledge and foot care practices among adults with type 2 diabetes. Methods A descriptive correlational study examined 200 patients with type 2 diabetes in México. Data collected included the Knowledge and Practices Self-Care Questionnaire and a Podiatry Examination Questionn...
Article
The purpose of this pilot study was as follows: Aim 1 was to determine the feasibility of the intervention, including its acceptability, and to further refine intervention materials and study procedures including recruitment, enrollment, intervention, retention, and data collection. Aim 2 was to test the initial effects of the intervention on the p...
Article
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This article describes the quantitative findings of a mixed-methods study that examined the relationship among knowledge, self-efficacy, health promoting behaviors, and type 2 diabetes self-management among recent Spanish-speaking, limited English proficient immigrants to the US. This population is at risk for both a higher incidence of disease and...
Article
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Background: Women with gestational diabetes mellitus (GDM) and their infants are at increased risk of developing metabolic disease; however, longer breastfeeding is associated with a reduction in these risks. We tested an intervention to increase breastfeeding duration among women with GDM. Materials and methods: We conducted a cluster randomize...
Article
Aims: To explore the effectiveness of two types of health education on improving knowledge concerning diabetes and insulin injection, insulin injection skills and self-efficacy, satisfaction with health education and glycated hemoglobin (HbA1c) and creatinine levels among patients with type 2 diabetes who began insulin therapy using a pen injector...
Research
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Session presented on Monday, July 25, 2016: Title: Recruitment and retention in studying childhood obesity in Saudi Arabia Purpose: The purpose of this presentation is to examine recruitment and retention issues encountered during a mixed methods study on childhood feeding and growth in Saudi Arabia. The study is to focus on Saudi mothers? perspect...
Article
Purpose: To examine prevalence, nutrition and activity, and overweight and obesity prevention and management in Saudi Arabia. Design: Using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis criteria, PubMed, Web of Science, PyschINFO, Global Health, Family Studies Worldwide, Middle Eastern Studies, and Sociological Abstracts...
Article
Abstract Introduction: Childhood obesity is a growing epidemic, and the rates are disproportionately higher in minorities. Clinical guidelines have contributed to decreased prevalence overall, but the rates in Hispanic preschoolers have increased. Method: This review of the literature summarizes the perceptions and beliefs of caregivers of Hispanic...
Conference Paper
In 2013, approximately 382 million people over the age of 20 years were diagnosed with type 2 diabetes, and it is estimated that by 2035 that number will increase to 592 million worldwide (1). The majority of patients diagnosed with type 2 diabetes do not receive consistent medical care and education about the disease process and do not maintain go...
Conference Paper
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Article
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The obesity epidemic has fueled an epidemic of prediabetes and type 2 diabetes mellitus in women of childbearing age. This paper examines the state of the science on preconception and pregnancy management of women with type 2 diabetes to optimize outcomes for the women and their infants. In addition, the consequence of fetal programming as a result...
Article
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Background Research suggests physical activity is linked to obesity. Further, the physical activity of healthy parents and their children is associated with each other. However, this relationship has not been examined in obese parents and their obese children. Methods The purpose of this study was to compare the physical activity and sedentary time...
Article
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Purpose: The purpose of this study was to evaluate an interdisciplinary approach and test the efficacy of diabetes group visits tailored to low-income patients in a community-based medical practice. Methods: A randomized repeated measures design was used with 40 patients in the experimental group and 40 patients in the control group. The diabete...
Article
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African-American adolescent girls are less physically active than any other U.S. racial/ethnic group. The school environment may contribute to physical inactivity in this group. The purpose of this study was to explore African-American girls' perceptions offactors that contribute to girls being less physically active in high school. Interpretative...
Article
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Women diagnosed with gestational diabetes mellitus (GDM) must work in partnership with their health care team to improve both maternal and fetal outcomes. This team may include physicians, midwives, nurse practitioners, physician assistants, registered nurses, certified diabetes educators, and registered dietitians. Management should include medica...
Article
Postpartum weight retention increases a woman's risk of entering subsequent pregnancies overweight or obese, and women who are overweight or obese in pregnancy face higher rates of complications for themselves and their infants. This study assessed the feasibility, acceptability, and initial efficacy of an intervention to prevent postpartum weight...
Article
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Positive youth development is designed to promote healthy physical, intellectual, psychosocial, and emotional development in the transition from adolescence to adulthood through a primary focus on youth's inherent capacity for positive growth. We conducted 2 focus groups, 1 with Latina mothers (n = 4) and 1 with Latina daughters (n = 4) in central...
Article
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This study examined self-care behaviors and their relationship to glycemic control in low-income Mexican adults with type 2 diabetes in Southeastern Tamaulipas, México. A total of 135 patients were enrolled from 17 community health centers. The most frequent self-care behavior was medication management (80%), and the least frequent self-care behavi...
Poster
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The purpose of this study was to review the associations between weight-related stigmatization and physiological and psychological health outcomes for overweight and obese individuals.
Article
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The prevalence of physical inactivity is higher in African-Amer-ican women and youth than in any other ethnic group. The purpose of this study was to explore mothers' perspectives regarding physical activity with the aim of identifying solutions to improve or facilitate physical activity among their daughters. A qualitative method of inquiry was us...
Conference Paper
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Childhood obesity is increasing at an alarming rate in Saudi Arabia. The proposed study will use a sequential explanatory mixed methods design to examine maternal perceptions, attitudes and beliefs about their child’s nutrition and weight status and assessment of their child’s eating behavior in a sample of preschool aged children and their mothers...
Article
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Hispanic patients with type 2 diabetes mellitus generally have poor glycemic control. Constant hyper- glycemia in individuals with type 2 diabetes can cause microvascular and macrovascular complications that lead to early morbidity and mortality. Good glycemic control requires a balance between diet, exercise, and medication, but dietary balance is...
Article
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Hispanic patients with type 2 diabetes mellitus generally have poor glycemic control. Constant hyperglycemia in individuals with type 2 diabetes can cause microvascular and macrovascular complications that lead to early morbidity and mortality. Good glycemic control requires a balance between diet, exercise, and medication, but dietary balance is d...
Article
IntroductionGaining too much weight in pregnancy is associated with perinatal complications and increases the risks of future obesity for both women and their infants. Unfortunately, women enrolled in intervention trials have seen little improvement in adherence to prenatal weight gain recommendations compared to women receiving standard prenatal c...
Article
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Type 2 diabetes mellitus (T2DM) is increasing in Asian Indians globally. In this article, we review published studies of interventions designed to prevent T2DM or improve self-management in South Asian Indians. A PubMed, CINAHL, Medline, EMBASE, Psycinfo, Family & Society Studies Worldwide, Web of Science, and Consumer Health Complete search was co...
Conference Paper
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Abstract: Introduction: Children of this generation are expected to live a shorter lifespan than their parents secondary to the comorbidities of obesity. Childhood overweight and obesity in Saudi Arabia is rising at alarming rates; currently it is approximately 30%, a rise of 26.6% in only 2.5 decades according to the World Health Organization. Ove...
Article
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Objective: The purpose of this study was to test a two-phased nutrition and exercise education, coping skills training, and exercise intervention program for overweight or obese low-income ethnic minority 2nd to 4th grade children and their parents in rural North Carolina, USA. Methods: A cluster randomized controlled trial was carried out with 35...
Article
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Diabetes self-management education interventions have been shown to improve glycemic control in Whites and African Americans with type 2 diabetes. Hispanic women and men, however, sometimes have barriers to management including lack of access to care, low English proficiency, low literacy, and cultural differences. This review examined the state of...
Article
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Women who are diagnosed with gestational diabetes mellitus (GDM) are at increased risk for developing prediabetes and type 2 diabetes mellitus (T2DM). To date, there have been few interdisciplinary interventions that target predominantly ethnic minority low-income women diagnosed with GDM. This paper describes the rationale, design and methodology...
Article
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The purpose of this feasibility study was to assist limited English proficiency women predominately from Mexico (N = 24) to lose weight postpartum and establish effect sizes to power a randomized controlled pilot study. At 3 months, a small (0.20) effect size was noted in the experimental group compared to the control group in exercise, stress, and...
Article
To feasibility test a 12-week church-based physical activity intervention that was culturally sensitive, age- and gender specific directed at changing attitudes of Black adolescent girls' to be more physically active. A one-group pre- and posttest design was used. A convenience sample of Black adolescent girls between the age of 12-18 (n = 41). A 6...
Article
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Background: To prevent childhood obesity, parents and their children's healthcare providers need to engage in effective dialogue. We know much about mothers' experiences, but very little about fathers' experiences. Methods: We explored African-American, Caucasian, and Latino fathers' perceptions and experiences communicating with their children'...
Article
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This article describes successful recruitment and retention strategies for a community-based weight management study in two school districts in North Carolina. Recruitment and retention on both district and school levels and child and parent levels are discussed. A total of 358 children and 358 parents from eight schools in rural North Carolina par...
Article
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Young children who are overweight are at increased risk of becoming obese and developing type 2 diabetes and cardiovascular disease later in life. Therefore, early intervention is critical. This paper describes the rationale, design, methodology, and sample characteristics of a 5-year cluster randomized controlled trial being conducted in eight ele...
Article
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Weight, body fatness and ambulatory pattern all have the potential to affect accelerometer output and cause differences in output between overweight and normal-weight adults. The purpose of this study was to determine if Actical (Philips Respironics, Bend, OR) activity count cut-points for moderate and vigorous intensity exercise are different for...
Article
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This literature review summarizes clinical recommendations for adequate physical activity and reviews recently published studies that focus on identifying common factors associated with physical activity levels among preschoolers in the United States and Canada. Currently, there is inconsistency in both the definition of and recommendations for phy...
Article
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The aim of our feasibility study was to examine the acceptability and utility of "Dance Dance Revolution" (DDR) (Konami of America, Redwood City, CA)) to increase physical fitness in 8-11-year-old black and Hispanic youth. Twenty-eight 4(th) and 5(th) grade children attending an afterschool program participated. Outcomes included physical activity,...
Article
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The purpose of this pilot study was to assist Spanish-speaking women from Mexico (n 5 56) manage their weight and prevent progression to type 2 diabetes and prevent excessive weight gain in their children. A randomized, controlled pilot study tested a nutrition and exercise education, coping skills training, and physical activity intervention deliv...
Article
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Overweight, obesity, and metabolic syndrome are increasing in South Korea dramatically. This review of the literature summarizes published studies on the prevalence of overweight, obesity, and metabolic syndrome in South Korean adults and children; summarizes studies related to obesity management and prevention in South Korean adults and children;...