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University Educator/Researcher
01 January 2016 - 01 September 2021
I am a behavioral scientist who conducts community-engaged research focused on the dissemination and implementation of evidence-based strategies for the promotion of health behaviors in youth and adults. I also conduct epidemiological research examining the behavioral determinants of obesity, cardiometabolic health and related comorbidities. I am especially passionate about eliminating health disparities so everyone can live a healthy and fulfilling life regardless of their race, ethnicity, gender, socioeconomic status or geography. I am actively engaged in global health research, and I regularly serve as a visiting scholar at Wuhan University in Wuhan, Hubei, China. I have published more than 130 peer-reviewed articles and have received more than $2 million in funding from the National Institutes of Health, the U.S. Centers for Disease Control and Prevention, the Robert Wood Johnson Foundation, the de Beaumont Foundation and others for my research as a lead investigator.
Tara Mehta; Jane Mahoney; Aaron L. Leppin; Kathleen R. Stevens; Reza Yousefi-Nooraie; Brad H. Pollock; Rachel C. Shelton; Rowena Dolor; Harold Pincus; Sapana Patel; Justin B. Moore. Integrating dissemination and implementation sciences within Clinical and Translational Science Award Programs to advance translational research: Recommendations to national and local leaders. Journal of Clinical and Translational Science 2021, 1 -22.
AMA StyleTara Mehta, Jane Mahoney, Aaron L. Leppin, Kathleen R. Stevens, Reza Yousefi-Nooraie, Brad H. Pollock, Rachel C. Shelton, Rowena Dolor, Harold Pincus, Sapana Patel, Justin B. Moore. Integrating dissemination and implementation sciences within Clinical and Translational Science Award Programs to advance translational research: Recommendations to national and local leaders. Journal of Clinical and Translational Science. 2021; ():1-22.
Chicago/Turabian StyleTara Mehta; Jane Mahoney; Aaron L. Leppin; Kathleen R. Stevens; Reza Yousefi-Nooraie; Brad H. Pollock; Rachel C. Shelton; Rowena Dolor; Harold Pincus; Sapana Patel; Justin B. Moore. 2021. "Integrating dissemination and implementation sciences within Clinical and Translational Science Award Programs to advance translational research: Recommendations to national and local leaders." Journal of Clinical and Translational Science , no. : 1-22.
Purpose of review To highlight the various uses of social media by public health practitioners and organizations, with special emphasis on how social media has been successfully applied and where applications have struggled to achieve the desired effects. Recent findings Social media has been used effectively in improving the timeliness and accuracy of public health surveillance. Social media has also been used to communicate information between public health organizations and reinforce consistent messaging about enduring threats to public health. It has been applied with some success to coordinate of disaster response and for keeping the public informed during other emergency situations. However, social media has also been weaponized against the public health community to spread disinformation and misinformation, and the public health community has yet to devise a successful strategy to mitigate this destructive use of social media. Summary Social media can be an effective tool for public health practitioners and organizations who seek to disseminate information on a daily basis, rapidly convey information in emergent situations, and battle misinformation. Social media has been uniquely valuable and distinctly destructive when it comes to protecting and improving public health.
Justin B. Moore; Jenine K. Harris; Ellen T. Hutti. ‘Falsehood flies, and the truth comes limping after it’: social media and public health. Current Opinion in Psychiatry 2021, 34, 485 -490.
AMA StyleJustin B. Moore, Jenine K. Harris, Ellen T. Hutti. ‘Falsehood flies, and the truth comes limping after it’: social media and public health. Current Opinion in Psychiatry. 2021; 34 (5):485-490.
Chicago/Turabian StyleJustin B. Moore; Jenine K. Harris; Ellen T. Hutti. 2021. "‘Falsehood flies, and the truth comes limping after it’: social media and public health." Current Opinion in Psychiatry 34, no. 5: 485-490.
Background A decrease in blood pressure, even modestly (ie, 2 mmHg), lowers cardiovascular morbidity and mortality. Low patient adherence to antihypertensive medication is the most significant modifiable patient-related barrier to achieving controlled blood pressure. Preliminary studies have shown that SMS text messaging and home blood pressure monitoring (HBPM) can be effective in promoting medication adherence and blood pressure control. The best strategy to engage with older patients of low socioeconomic status who are low adopters of technology and disproportionally affected by uncontrolled hypertension is still unknown. Objective The objective of this study is to improve blood pressure control in the older, low socioeconomic status population. The study will test two aims: First, we aim to evaluate the feasibility of conducting a randomized controlled trial by using an SMS-based approach among nonadherent, older patients of low socioeconomic status who have uncontrolled hypertension. Feasibility will be assessed in terms of recruitment rates per month (primary outcome); patient acceptability will be evaluated by monitoring retention rates and SMS response rates and using the validated Systems Usability Scale (secondary outcomes). Second, we aim to estimate the effects of the SMS approach on lowering blood pressure and adherence to antihypertensive medications. Methods We will recruit 24 patients of low socioeconomic status with uncontrolled hypertension (systolic BP>140 mmHg or diastolic BP>90 mmHg) showing low medication adherence and taking at least two antihypertensives, who have presented to two outpatient clinics of Wake Forest Baptist Health (Winston Salem, North Carolina, USA). Participants will be randomly assigned to either SMS and HBPM (n=12) or usual care and HBPM (n=12) intervention. Clinicians adjusting the patients’ medications will be blinded to the study assignment. Text messages will be sent from a secure platform to assess medication adherence and HBPM on a weekly basis. The content and delivery frequency of the proposed SMS intervention are based on input from three focus groups conducted in Spring 2019. Participants in both study arms will receive education on HBPM and using an HBPM device. We hypothesize that we will successfully recruit 24 participants and the intervention will be acceptable to the participants. It will also improve medication adherence (assessed by question Medication Adherence Questionnaire scores) and blood pressure control. Results Our study was funded in July 2020. As of May 2021, we have enrolled 6 participants. Conclusions Our findings will help design a larger efficacy trial to advance the field of eHealth delivery systems particularly for older adults of low socioeconomic status. This study addresses a highly significant topic and targets a population of high morbidity and mortality that has been traditionally underrepresented in clinical trials. Trial Registration ClinicalTrials.gov NCT03596242; https://clinicaltrials.gov/ct2/show/NCT03596242 International Registered Report Identifier (IRRID) PRR1-10.2196/18984
Claudia L Campos; Deanna Jones; Beverly M Snively; Michael Rocco; Carolyn Pedley; Sara Atwater; Justin B Moore. Text Messaging and Home Blood Pressure Monitoring for Patients with Uncontrolled Hypertension: Proposal for a Feasibility Pilot Randomized Controlled Trial. JMIR Research Protocols 2021, 10, e18984 .
AMA StyleClaudia L Campos, Deanna Jones, Beverly M Snively, Michael Rocco, Carolyn Pedley, Sara Atwater, Justin B Moore. Text Messaging and Home Blood Pressure Monitoring for Patients with Uncontrolled Hypertension: Proposal for a Feasibility Pilot Randomized Controlled Trial. JMIR Research Protocols. 2021; 10 (5):e18984.
Chicago/Turabian StyleClaudia L Campos; Deanna Jones; Beverly M Snively; Michael Rocco; Carolyn Pedley; Sara Atwater; Justin B Moore. 2021. "Text Messaging and Home Blood Pressure Monitoring for Patients with Uncontrolled Hypertension: Proposal for a Feasibility Pilot Randomized Controlled Trial." JMIR Research Protocols 10, no. 5: e18984.
The cost of cancer care is rising and represents a stressor that has significant and lasting effects on quality of life for many patients and caregivers. Adolescents and young adults (AYAs) with cancer are particularly vulnerable. Financial burden measures exist but have varying evidence for their validity and reliability. The goal of this systematic review is to summarize and evaluate measures of financial burden in cancer and describe their potential utility among AYAs and their caregivers. To this end, the authors searched PubMed, Embase, the Cochrane Library, CINAHL, and PsycINFO for concepts involving financial burden, cancer, and self‐reported questionnaires and limited the results to the English language. They discarded meeting abstracts, editorials, letters, and case reports. The authors used standard screening and evaluation procedures for selecting and coding studies, including consensus‐based standards for documenting measurement properties and study quality. In all, they screened 7250 abstracts and 720 full‐text articles to identify relevant articles on financial burden. Eighty‐six articles met the inclusion criteria. Data extraction revealed 64 unique measures for assessing financial burden across material, psychosocial, or behavioral domains. One measure was developed specifically for AYAs, and none were developed for their caregivers. The psychometric evidence and study qualities revealed mixed evidence of methodological rigor. In conclusion, several measures assess the financial burden of cancer. Measures were primarily designed and evaluated in adult patient populations with little focus on AYAs or caregivers despite their increased risk of financial burden. These findings highlight opportunities to adapt and test existing measures of financial burden for AYAs and their caregivers.
John M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Edward H. Ip; Laurie E. McLouth; Chandylen L. Nightingale; Christabel K. Cheung; Kristin M. Bingen; Reginald D. Tucker‐Seeley; Denisha Little‐Greene; DiAnna S. Howard; Bryce B. Reeve. Systematic review of financial burden assessment in cancer: Evaluation of measures and utility among adolescents and young adults and caregivers. Cancer 2021, 127, 1739 -1748.
AMA StyleJohn M. Salsman, Suzanne C. Danhauer, Justin B. Moore, Edward H. Ip, Laurie E. McLouth, Chandylen L. Nightingale, Christabel K. Cheung, Kristin M. Bingen, Reginald D. Tucker‐Seeley, Denisha Little‐Greene, DiAnna S. Howard, Bryce B. Reeve. Systematic review of financial burden assessment in cancer: Evaluation of measures and utility among adolescents and young adults and caregivers. Cancer. 2021; 127 (11):1739-1748.
Chicago/Turabian StyleJohn M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Edward H. Ip; Laurie E. McLouth; Chandylen L. Nightingale; Christabel K. Cheung; Kristin M. Bingen; Reginald D. Tucker‐Seeley; Denisha Little‐Greene; DiAnna S. Howard; Bryce B. Reeve. 2021. "Systematic review of financial burden assessment in cancer: Evaluation of measures and utility among adolescents and young adults and caregivers." Cancer 127, no. 11: 1739-1748.
Objective: Type 2 Diabetes Mellitus (T2DM) is a complicated disease that disproportionately affects African American men. Understanding the experiences of African American men living with T2DM is important for developing effective, culturally sensitive interventions. The purpose of this study was to describe how African American men view their T2DM and describe their perspectives on living with and self-managing T2DM. Design: In-depth semi-structured qualitative interviews were conducted with 22 African American men aged 40–85 years diagnosed with T2DM. Interviews were transcribed and analyzed using NVivo 10 with thematic analysis. Results: Disbelief, shock, and denial were commonly experienced reactions at initial diagnosis. Many participants defined diabetes using words such as ‘sugar’ or ‘glucose’ and reported an awareness of health complications caused by diabetes, such as amputations and diabetic comas. Participants expressed various perspectives and attitudes towards having diabetes, including avoidance/apathy, fatalism, guilt and shame, fear and concern, and self-mastery. The majority of men described efforts to self-manage diabetes via glucose monitoring, changing dietary habits, and exercise. Many participants expressed concern over the financial burden associated with managing diabetes and reported that high costs can hinder a patient’s ability to maintain active self-monitoring and deter patients from attending needed doctor’s visits. Many participants expressed confidence in their healthcare providers, although a few expressed feelings of distrust and being uninformed. Participants tended to most appreciate physicians who spent time discussing their condition and who made an effort to engage in open patient-provider communication. Conclusion: Living with diabetes can be emotionally, physically, and mentally challenging. Efforts to improve adoption and maintenance of self-management behaviors may benefit from sensitivity to the patient’s attitude and perspectives towards diabetes self-management, assistance overcoming the financial burden of managing diabetes, and open patient-provider communication.
Anthony Q. Walker; Christine E. Blake; Justin B. Moore; Sara Wilcox; Kelli DuBois; Ken W. Watkins. Experiences of midlife and older African American men living with type 2 diabetes. Ethnicity & Health 2021, 1 -15.
AMA StyleAnthony Q. Walker, Christine E. Blake, Justin B. Moore, Sara Wilcox, Kelli DuBois, Ken W. Watkins. Experiences of midlife and older African American men living with type 2 diabetes. Ethnicity & Health. 2021; ():1-15.
Chicago/Turabian StyleAnthony Q. Walker; Christine E. Blake; Justin B. Moore; Sara Wilcox; Kelli DuBois; Ken W. Watkins. 2021. "Experiences of midlife and older African American men living with type 2 diabetes." Ethnicity & Health , no. : 1-15.
The goal of this study was to investigate the associations of midday nap duration and change in midday nap duration with hypertension in a retrospective cohort using a nationwide representative sample of middle-aged and older Chinese adults. Data were obtained from the China Health and Retirement Longitudinal Study (CHARLS) database during 2011–2015. Information on midday nap duration was collected via a self-reported questionnaire and blood pressure was objectively measured. Hazard ratios (HR) with 95% confidence interval (CI) were estimated using Cox proportional hazards regression models to quantify the associations. A sample of 5729 Chinese adults (≥45 years old) were included in the longitudinal analysis. Relative to non-nappers, participants who napping for ≥90 min/day was associated with significantly larger HR for hypertension at four-year follow-up (HR = 1.18, 95% CI = 1.01–1.40, p = 0.048). Compared with people who napped ≥90 min/day both at baseline (2011) and follow-up (2013), hypertension risk at four-year follow-up declined in individuals whose midday nap durations decreased in the 2-year study period from ≥ 90 min/day to 1–59 min/day (HR = 0.59, 95% CI = 0.36–0.97, p = 0.037) and 60–89 min/day (HR = 0.68, 95% CI = 0.47–0.99, p = 0.044). Among middle-aged and older Chinese adults, relative to non-nappers, people who had longer midday nap duration (≥90 min/day) were associated with significantly larger HR for hypertension and decreased napping duration may confer benefit for hypertension prevention.
Jialin Fu; Xinge Zhang; Justin Moore; Bowen Wang; Rui Li. Midday Nap Duration and Hypertension among Middle-Aged and Older Chinese Adults: A Nationwide Retrospective Cohort Study. International Journal of Environmental Research and Public Health 2021, 18, 3680 .
AMA StyleJialin Fu, Xinge Zhang, Justin Moore, Bowen Wang, Rui Li. Midday Nap Duration and Hypertension among Middle-Aged and Older Chinese Adults: A Nationwide Retrospective Cohort Study. International Journal of Environmental Research and Public Health. 2021; 18 (7):3680.
Chicago/Turabian StyleJialin Fu; Xinge Zhang; Justin Moore; Bowen Wang; Rui Li. 2021. "Midday Nap Duration and Hypertension among Middle-Aged and Older Chinese Adults: A Nationwide Retrospective Cohort Study." International Journal of Environmental Research and Public Health 18, no. 7: 3680.
Recruitment planning is needed to establish a foundation for obesity prevention research with high risk, disadvantaged perinatal adolescent populations. In the context of developing clinical trial protocols, investigators partnered with Mississippi's Nutrition Program for Women, Infants and Children (WIC) and adopted the Clinical Trials Transformative Initiative (CTTI) framework for recruitment planning to identify and mitigate challenges to recruitment early in the clinical trial development process. The recruitment protocol consisted of 20 passive strategies grounded in principles of partner and community engagement and was flexible, accommodating, altruistic, community-focused, and minimally burdensome to partners and participants. The recruitment goal included 150 adolescent-coparticipant dyads and 145 dyads (96.7%) were successfully recruited. Investigators demonstrated the feasibility of recruiting a disadvantaged and vulnerable perinatal adolescent population that is underrepresented in health research, in one of the most persistently impoverished and poor health regions in the U.S. Four important aspects of recruitment planning using the CTTI framework are discussed including: (1) establishing partnerships with trusted community resources is a paramount investment; (2) dedicating time and resources to know and go to your community is invaluable; (3) fostering trust by offering convenient, continuous and clear communication; and (4) encouraging collaboration and participation through limiting partner and participant burden. Establishing organizational and community partnership requires a substantial amount of invaluable time and fosters recruitment success. Following the CTTI recommendations for recruitment planning led to a robust recruitment protocol that will be used in future intervention trials with an understudied perinatal adolescent population with high risk for poor maternal and fetal health outcomes.
Abigail Gamble; Bettina M. Beech; Chad Blackshear; Katherine L. Cranston; Sharon J. Herring; Justin B. Moore; Michael A. Welsch. Recruitment planning for clinical trials with a vulnerable perinatal adolescent population using the Clinical Trials Transformative Initiative framework and principles of partner and community engagement. Contemporary Clinical Trials 2021, 104, 106363 .
AMA StyleAbigail Gamble, Bettina M. Beech, Chad Blackshear, Katherine L. Cranston, Sharon J. Herring, Justin B. Moore, Michael A. Welsch. Recruitment planning for clinical trials with a vulnerable perinatal adolescent population using the Clinical Trials Transformative Initiative framework and principles of partner and community engagement. Contemporary Clinical Trials. 2021; 104 ():106363.
Chicago/Turabian StyleAbigail Gamble; Bettina M. Beech; Chad Blackshear; Katherine L. Cranston; Sharon J. Herring; Justin B. Moore; Michael A. Welsch. 2021. "Recruitment planning for clinical trials with a vulnerable perinatal adolescent population using the Clinical Trials Transformative Initiative framework and principles of partner and community engagement." Contemporary Clinical Trials 104, no. : 106363.
Justin B. Moore. Revisiting Old Adversaries on the Other Side of the Pandemic. Journal of Public Health Management and Practice 2021, 27, 99 -99.
AMA StyleJustin B. Moore. Revisiting Old Adversaries on the Other Side of the Pandemic. Journal of Public Health Management and Practice. 2021; 27 (2):99-99.
Chicago/Turabian StyleJustin B. Moore. 2021. "Revisiting Old Adversaries on the Other Side of the Pandemic." Journal of Public Health Management and Practice 27, no. 2: 99-99.
Objective: In the present study, we sought to determine if a comprehensive school physical activity program (CSPAP) delivered using the Be a Champion! (BAC) framework was effective in increasing moderate-to-vigorous physical activity (MVPA) and decreasing sedentary time in elementary school youth. Methods: We implemented a CSPAP in 3 elementary schools to determine its effectiveness to youth behaviors compared to 2 control schools. Youth physical activity was assessed via accelerometry in spring 2015 and spring 2016 during school hours on school days. Implementation of the BAC components and youth behavior was assessed through direct observation from fall 2015 through winter 2016. Results: In a multilevel, mixed model examining the effects of intervention, we found no statistically significant effect of the intervention on overall MVPA. However, a significant increase in MVPA was observed among girls (but not boys) in the intervention schools relative to controls. No differences in sedentary behaviors were observed by group. Conclusion: CSPAP implementation may be effective in reducing sedentary time and increasing MVPA in girls, but not boys. Research is necessary to increase implementation dose and fidelity to best practices in physical activity promotion.
Justin Moore; Wake Forest School of Medicine; R. Glenn Weaver; Beverly Levie; Camelia Singletary; Russell Carson; Michael Beets; Darla Castelli; Aaron Beighle; Russell Pate. A Pilot Study of a Comprehensive School Physical Activity Program in Elementary Schools: Be a Champion! Health Behavior and Policy Review 2021, 8, 110 -118.
AMA StyleJustin Moore, Wake Forest School of Medicine, R. Glenn Weaver, Beverly Levie, Camelia Singletary, Russell Carson, Michael Beets, Darla Castelli, Aaron Beighle, Russell Pate. A Pilot Study of a Comprehensive School Physical Activity Program in Elementary Schools: Be a Champion! Health Behavior and Policy Review. 2021; 8 (2):110-118.
Chicago/Turabian StyleJustin Moore; Wake Forest School of Medicine; R. Glenn Weaver; Beverly Levie; Camelia Singletary; Russell Carson; Michael Beets; Darla Castelli; Aaron Beighle; Russell Pate. 2021. "A Pilot Study of a Comprehensive School Physical Activity Program in Elementary Schools: Be a Champion!" Health Behavior and Policy Review 8, no. 2: 110-118.
John M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Mollie R. Canzona; David E. Victorson; Bradley J. Zebrack; Bryce B. Reeve. Reply to the Importance of a collaborative health‐related quality of life measurement strategy for adolescents and young adults with cancer. Cancer 2021, 127, 1714 -1715.
AMA StyleJohn M. Salsman, Suzanne C. Danhauer, Justin B. Moore, Mollie R. Canzona, David E. Victorson, Bradley J. Zebrack, Bryce B. Reeve. Reply to the Importance of a collaborative health‐related quality of life measurement strategy for adolescents and young adults with cancer. Cancer. 2021; 127 (10):1714-1715.
Chicago/Turabian StyleJohn M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Mollie R. Canzona; David E. Victorson; Bradley J. Zebrack; Bryce B. Reeve. 2021. "Reply to the Importance of a collaborative health‐related quality of life measurement strategy for adolescents and young adults with cancer." Cancer 127, no. 10: 1714-1715.
A comprehensive school physical activity program (CSPAP) is a multi-component approach that aims to provide opportunities for students to meet the nationally recommended 60 minutes of moderate-to-vigorous physical activity (MVPA) per day and for students to be well-equipped to be active for life. In order for a CSPAP to be effectively implemented, it should be led by a trained physical activity leader (PAL). This review summarizes recent literature related to the roles and responsibilities of a PAL, various outlets in which aspiring PALs can be trained, and the potential effectiveness of PAL-led CSPAPs.
By Peter Stoepker; Brian Dauenhauer; Russell L. Carson; Jaimie McMullen; Justin B. Moore. Becoming a Physical Activity Leader (PAL): Skills, Responsibilities, and Training. Strategies 2021, 34, 23 -28.
AMA StyleBy Peter Stoepker, Brian Dauenhauer, Russell L. Carson, Jaimie McMullen, Justin B. Moore. Becoming a Physical Activity Leader (PAL): Skills, Responsibilities, and Training. Strategies. 2021; 34 (1):23-28.
Chicago/Turabian StyleBy Peter Stoepker; Brian Dauenhauer; Russell L. Carson; Jaimie McMullen; Justin B. Moore. 2021. "Becoming a Physical Activity Leader (PAL): Skills, Responsibilities, and Training." Strategies 34, no. 1: 23-28.
This study examined the independent associations between psychosocial factors, perceived neighborhood characteristics, and physical activity (PA) in Chinese adolescents. A cross-sectional study using a convenience sample was conducted in fall 2019 at a high school in Wuhan, China. Sociodemographic data, body weight, height, psychosocial factors, perceptions of neighborhood environment, and PA were collected using questionnaires. Hierarchical linear regression analyses were performed in 4 steps, where step 1 included demographic covariates, step 2 added psychosocial factors into the model, step 3 added perceived neighborhood environmental factors, and step 4 added interaction terms between significant psychosocial and environmental factors. A total of 4027 adolescents were included in analysis. The results of the third model indicated that friends’ support (b = 4.58), friends’ norms (b = 7.16), barriers to PA (b = −10.19), autonomous motivation (b = 4.75), self-efficacy (b = 8.86), the presence of shops/stores nearby (b = 5.79), and the availability of PA resources (b = 6.02) were significant predictors (P < .05) of moderate to vigorous PA. None of the interaction terms were significant in the fourth model. Our results suggest that interventions targeting the PA of Chinese adolescents should take into account the attitudes toward PA, perceived barriers to PA, controlled motivation, perceptions of neighborhood PA resource availability, and perceived neighborhood safety to maximize effectiveness.
Xinge Zhang; Sangho Jee; Jialin Fu; Bowen Wang; Luyang Zhu; Yiming Tu; Lei Cheng; Gaotian Liu; Rui Li; Justin B. Moore. Psychosocial Characteristics, Perceived Neighborhood Environment, and Physical Activity Among Chinese Adolescents. Journal of Physical Activity and Health 2021, -1, 1 -6.
AMA StyleXinge Zhang, Sangho Jee, Jialin Fu, Bowen Wang, Luyang Zhu, Yiming Tu, Lei Cheng, Gaotian Liu, Rui Li, Justin B. Moore. Psychosocial Characteristics, Perceived Neighborhood Environment, and Physical Activity Among Chinese Adolescents. Journal of Physical Activity and Health. 2021; -1 (aop):1-6.
Chicago/Turabian StyleXinge Zhang; Sangho Jee; Jialin Fu; Bowen Wang; Luyang Zhu; Yiming Tu; Lei Cheng; Gaotian Liu; Rui Li; Justin B. Moore. 2021. "Psychosocial Characteristics, Perceived Neighborhood Environment, and Physical Activity Among Chinese Adolescents." Journal of Physical Activity and Health -1, no. aop: 1-6.
Physical activity and healthy eating are key to managing overweight/obesity but may not induce adequate improvements in biomarkers of health. Characterizing the effect of behavioral interventions on cardiometabolic and inflammatory biomarkers could help guide a personalized approach to lifestyle change; however, little is known about the relationship between lifestyle changes and biomarkers in youth with overweight/obesity. We sought to determine how cardiometabolic and inflammatory biomarkers change in metabolically healthy youth with overweight/obesity in response to a 1-yr-long physical activity and healthy eating lifestyle intervention. Fifty children (8.7 ± 1.1 yr, 52% male) provided complete data on physical activity, dietary intake, body composition, blood pressure, and fasting biomarkers (insulin, glucose, triglycerides, cholesterol, adiponectin, resistin, interleukin-6, and tumor necrosis factor α). A series of t-tests were conducted to assess change over time, with a series of ordinary least squares regressions conducted to examine the association between change in markers responsive to the intervention and changes in macronutrient intake and physical activity, controlling for sex and change in percent body fat. Significant health-enhancing changes were seen over 1 yr in moderate and vigorous physical activity, percent body fat, macronutrient intake, insulin, and inflammatory markers, whereas sedentary time and resistin increased and light physical activity decreased. When change in biomarkers was regressed on behavior changes and change in percent body fat, changes in carbohydrate intake and body fat predicted change in insulin, change in fat intake predicted change in adiponectin, and change in carbohydrate intake predicted interleukin-6 in fully adjusted models. A lifestyle intervention over 1 yr was effective in producing positive changes in moderate and vigorous physical activity, macronutrient intake, insulin, and inflammatory markers, but these changes were not associated with changes in physical activity. Macronutrient changes were modestly associated with changes in insulin, resistin, and interleukin-6.
Justin B. Moore; Javier Benítez-Porres; Joseph A. Skelton; Antonio Vargas-Candela; Andrew M. South; Ricardo Gómez-Huelgas; M. Rosa Bernal-López. Examining the Effect of a 1-yr Lifestyle Intervention on Cardiometabolic and Inflammatory Biomarkers in Youth with Overweight or Obesity: A Pilot Study. Translational Journal of the American College of Sports Medicine 2021, 6, 1 .
AMA StyleJustin B. Moore, Javier Benítez-Porres, Joseph A. Skelton, Antonio Vargas-Candela, Andrew M. South, Ricardo Gómez-Huelgas, M. Rosa Bernal-López. Examining the Effect of a 1-yr Lifestyle Intervention on Cardiometabolic and Inflammatory Biomarkers in Youth with Overweight or Obesity: A Pilot Study. Translational Journal of the American College of Sports Medicine. 2021; 6 (2):1.
Chicago/Turabian StyleJustin B. Moore; Javier Benítez-Porres; Joseph A. Skelton; Antonio Vargas-Candela; Andrew M. South; Ricardo Gómez-Huelgas; M. Rosa Bernal-López. 2021. "Examining the Effect of a 1-yr Lifestyle Intervention on Cardiometabolic and Inflammatory Biomarkers in Youth with Overweight or Obesity: A Pilot Study." Translational Journal of the American College of Sports Medicine 6, no. 2: 1.
Among adolescents and young adults (AYAs), cancer and its treatment can disturb body image in distinct ways compared to younger or older individuals. Objective Since AYA body image is not well understood, this study was designed to develop a conceptual framework for body image in AYAs with cancer. Methods Concept elicitation interviews were conducted with 36 AYA patients [10 adolescents (15‐17 years), 12 emerging adults (18‐25 years), 14 young adults (26‐39 years)] and health care providers (n=36). The constant comparative method was used to analyze for themes and properties, with themes considered saturated if they were present and salient across participant sets. Results: Twenty themes emerged from participant data. Three themes illustrate a shared understanding of patients’ experience of body image: 1) physical changes produce shifts in identity and experience of self; 2) pre‐cancer body image shapes how the AYA experiences cancer‐related physical changes, and 3) changes to the body are upsetting. Nine themes were unique to patients while eight themes were unique to providers. Patient body image experiences were found to evolve over time, largely affected by concerns about how others view them. Providers appeared attuned to AYA patient body image but recognized that it is not systematically addressed with patients. Conclusion More striking than differences between patient groups is the consistency of themes that emerged. The conceptual framework of body image developed from these data offers an important step toward addressing body image concerns for AYA patients.
Justin B. Moore; Mollie R. Canzona; Nicole Puccinelli‐Ortega Ms; Denisha Little‐Greene; Katie E. Duckworth; Michelle C. Fingeret; Edward H. Ip; Stacy D. Sanford; John M. Salsman. A qualitative assessment of body image in adolescents and young adults (AYAs) with cancer. Psycho-Oncology 2020, 30, 614 -622.
AMA StyleJustin B. Moore, Mollie R. Canzona, Nicole Puccinelli‐Ortega Ms, Denisha Little‐Greene, Katie E. Duckworth, Michelle C. Fingeret, Edward H. Ip, Stacy D. Sanford, John M. Salsman. A qualitative assessment of body image in adolescents and young adults (AYAs) with cancer. Psycho-Oncology. 2020; 30 (4):614-622.
Chicago/Turabian StyleJustin B. Moore; Mollie R. Canzona; Nicole Puccinelli‐Ortega Ms; Denisha Little‐Greene; Katie E. Duckworth; Michelle C. Fingeret; Edward H. Ip; Stacy D. Sanford; John M. Salsman. 2020. "A qualitative assessment of body image in adolescents and young adults (AYAs) with cancer." Psycho-Oncology 30, no. 4: 614-622.
This commentary offers discussion on the pros and cons of universal healthcare in the United States. Disadvantages of universal healthcare include significant upfront costs and logistical challenges. On the other hand, universal healthcare may lead to a healthier populace, and thus, in the long-term, help to mitigate the economic costs of an unhealthy nation. In particular, substantial health disparities exist in the United States, with low socio–economic status segments of the population subject to decreased access to quality healthcare and increased risk of non-communicable chronic conditions such as obesity and type II diabetes, among other determinants of poor health. While the implementation of universal healthcare would be complicated and challenging, we argue that shifting from a market-based system to a universal healthcare system is necessary. Universal healthcare will better facilitate and encourage sustainable, preventive health practices and be more advantageous for the long-term public health and economy of the United States.
Gabriel Zieff; Zachary Kerr; Justin Moore; Lee Stoner. Universal Healthcare in the United States of America: A Healthy Debate. Medicina 2020, 56, 580 .
AMA StyleGabriel Zieff, Zachary Kerr, Justin Moore, Lee Stoner. Universal Healthcare in the United States of America: A Healthy Debate. Medicina. 2020; 56 (11):580.
Chicago/Turabian StyleGabriel Zieff; Zachary Kerr; Justin Moore; Lee Stoner. 2020. "Universal Healthcare in the United States of America: A Healthy Debate." Medicina 56, no. 11: 580.
In the wake of the COVID-19 pandemic, social restrictions to contain the spread of the virus have disrupted behaviors across the 24-h day including physical activity, sedentary behavior, and sleep among children (5–12 years old) and adolescents (13–17 years old). Preliminary evidence reports significant decreases in physical activity, increases in sedentary behavior, and disrupted sleep schedules/sleep quality in children and adolescents. This commentary discusses the impact of COVID-19-related restrictions on behaviors across the 24-h day in children and adolescents. Furthermore, we suggest recommendations through the lens of a socio-ecological model to provide strategies for lasting behavior change to insure the health and well-being of children and adolescents during the COVID-19 pandemic.
Lauren Bates; Gabriel Zieff; Kathleen Stanford; Justin Moore; Zachary Kerr; Erik Hanson; Bethany Barone Gibbs; Christopher Kline; Lee Stoner. COVID-19 Impact on Behaviors across the 24-Hour Day in Children and Adolescents: Physical Activity, Sedentary Behavior, and Sleep. Children 2020, 7, 138 .
AMA StyleLauren Bates, Gabriel Zieff, Kathleen Stanford, Justin Moore, Zachary Kerr, Erik Hanson, Bethany Barone Gibbs, Christopher Kline, Lee Stoner. COVID-19 Impact on Behaviors across the 24-Hour Day in Children and Adolescents: Physical Activity, Sedentary Behavior, and Sleep. Children. 2020; 7 (9):138.
Chicago/Turabian StyleLauren Bates; Gabriel Zieff; Kathleen Stanford; Justin Moore; Zachary Kerr; Erik Hanson; Bethany Barone Gibbs; Christopher Kline; Lee Stoner. 2020. "COVID-19 Impact on Behaviors across the 24-Hour Day in Children and Adolescents: Physical Activity, Sedentary Behavior, and Sleep." Children 7, no. 9: 138.
To date, the health‐related quality of life experiences of adolescents and young adults (AYA) with cancer have been inconsistently and incompletely captured by existing patient‐reported outcome (PRO) measures. The National Institutes of Health Patient‐Reported Outcomes Measurement Information System (PROMIS) represents the state of the art for measurement science of PROs and provides an optimal approach for addressing these measurement challenges and catalyzing future patient‐centered research in AYA oncology.
John M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Mollie R. Canzona; David E. Victorson; Bradley J. Zebrack; Bryce B. Reeve. Optimizing the measurement of health‐related quality of life in adolescents and young adults with cancer. Cancer 2020, 126, 4818 -4824.
AMA StyleJohn M. Salsman, Suzanne C. Danhauer, Justin B. Moore, Mollie R. Canzona, David E. Victorson, Bradley J. Zebrack, Bryce B. Reeve. Optimizing the measurement of health‐related quality of life in adolescents and young adults with cancer. Cancer. 2020; 126 (22):4818-4824.
Chicago/Turabian StyleJohn M. Salsman; Suzanne C. Danhauer; Justin B. Moore; Mollie R. Canzona; David E. Victorson; Bradley J. Zebrack; Bryce B. Reeve. 2020. "Optimizing the measurement of health‐related quality of life in adolescents and young adults with cancer." Cancer 126, no. 22: 4818-4824.
Randy Schwartz; Justin B. Moore. Implementation Science in Practice. Journal of Public Health Management and Practice 2020, 27, 100 -101.
AMA StyleRandy Schwartz, Justin B. Moore. Implementation Science in Practice. Journal of Public Health Management and Practice. 2020; 27 (2):100-101.
Chicago/Turabian StyleRandy Schwartz; Justin B. Moore. 2020. "Implementation Science in Practice." Journal of Public Health Management and Practice 27, no. 2: 100-101.
Weight stigma is defined as the social devaluation of people with overweight or obesity, and its negative effects on the health of adolescents from western countries are well documented, but little is known about the relationships with health behaviors and outcomes in Asian youth. The prevalence of obesity among Chinese adolescents continues to increase, potentially causing negative evaluations of youth with obesity, and potentially reduced quality of life. The health effects of these negative evaluations of Chinese youth with obesity have received little attention. The purpose of this study was to examine relationships between weight stigma, stress, depression, and sleep in Chinese adolescents. We utilized a cross-sectional study conducted in Wuhan, China. Sociodemographic, weight stigma, stress, depression, and sleep data were collected through a self-reported questionnaire. Descriptive statistics, t test, correlations, and mediation analyses were performed. A total of 1626 adolescents between 14 and 19 years of age were included in the analysis. The data showed that adolescents with weight stigma presented significantly higher level of stress and depression, lower global sleep quality, longer sleep latency, and shorter sleep duration than those without weight stigma (p < 0.05). Stress and depression mediated the relationship between weight stigma and global sleep quality (SE = 0.007, 95% CI = 0.053 to 0.081). These findings suggest that adolescents who experience weight stigma may have increased stress and depressive symptoms, which are associated with poorer global sleep quality and more daytime dysfunction.
Zhanxia Wang; Jiajia Dang; Xinge Zhang; Justin B. Moore; Rui Li. Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents. Quality of Life Research 2020, 30, 229 -238.
AMA StyleZhanxia Wang, Jiajia Dang, Xinge Zhang, Justin B. Moore, Rui Li. Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents. Quality of Life Research. 2020; 30 (1):229-238.
Chicago/Turabian StyleZhanxia Wang; Jiajia Dang; Xinge Zhang; Justin B. Moore; Rui Li. 2020. "Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents." Quality of Life Research 30, no. 1: 229-238.
This study examined the cross-sectional and longitudinal association of sleep timing with weight status in 14- to 19-year-old adolescents in Wuhan, China. A prospective school-based study was conducted in Wuhan, China between 28 May and 29 September 2019. Data on sociodemographic information, academic performance, diet, mental health status, physical activity, sleep characteristics, body weight, and height were collected. A linear regression model and binary logistic regression model were performed. A total of 1194 adolescents were included in the analysis. Adolescents who woke up before 05:45 had higher body mass index (BMI) Z-score (odds ratio (OR) with 95% confidence interval (CI) = 1.28 (1.05, 1.57), p = 0.02) and higher odds of overweight/obesity (odds ratio (OR) with 95% confidence interval (CI) = 1.74 (1.10, 2.76), p = 0.02) at baseline after fully adjustment for covariates, compared with those who woke up after 05:45. Longitudinal data showed a nonsignificant association between waking up time and change in BMI Z-score (p = 0.18). No association of bedtime with weight status was observed in this sample after full adjustment (p > 0.1). Earlier waking up time might contribute to overweight and obesity in adolescents; however, more data are needed to test and elucidate this relationship.
Xinge Zhang; Yanan Chen; Rui Zhang; Justin B. Moore; Haotian Ruan; Jialin Fu; Guiyu Qin; Xinru Yu; Zeyu Hou; Qin Cheng; Xiaoyu Hu; Siqi Zhang; Rui Li. Association between Sleep Timing and Weight Status among 14- to 19-Year-Old Adolescents in Wuhan, China. International Journal of Environmental Research and Public Health 2020, 17, 5703 .
AMA StyleXinge Zhang, Yanan Chen, Rui Zhang, Justin B. Moore, Haotian Ruan, Jialin Fu, Guiyu Qin, Xinru Yu, Zeyu Hou, Qin Cheng, Xiaoyu Hu, Siqi Zhang, Rui Li. Association between Sleep Timing and Weight Status among 14- to 19-Year-Old Adolescents in Wuhan, China. International Journal of Environmental Research and Public Health. 2020; 17 (16):5703.
Chicago/Turabian StyleXinge Zhang; Yanan Chen; Rui Zhang; Justin B. Moore; Haotian Ruan; Jialin Fu; Guiyu Qin; Xinru Yu; Zeyu Hou; Qin Cheng; Xiaoyu Hu; Siqi Zhang; Rui Li. 2020. "Association between Sleep Timing and Weight Status among 14- to 19-Year-Old Adolescents in Wuhan, China." International Journal of Environmental Research and Public Health 17, no. 16: 5703.