Publications by authors named "Peggy Chandler"

Background: Nearly 80% of patients with eosinophilic esophagitis (EoE) have coexisting atopic disease, yet a subset do not. It is unclear if this lack of atopy impacts presentation or response to therapy.

Objectives: To characterize the presentation and response to therapy in atopic versus nonatopic pediatric patients with EoE.

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Background: Food insecurity (FI), limited availability of or access to nutritional foods, is linked to poor child/caregiver health. We examined FI in food-allergic and non-food-allergic children to determine whether dietary limitations associated with food allergy increases risk of FI.

Methods: Food-allergic and non-food-allergic children (1-17 years) were recruited from Arkansas Children's Hospital allergy/asthma clinics.

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Background: In children with eosinophilic esophagitis (EoE) foods are the most common disease triggers, but environmental allergens are also suspected culprits.

Objective: To determine the effects of environmental allergen sensitization on response to treatment in children with EoE in the southeastern United States.

Methods: Patients 2 to 18 years old who were referred to the Arkansas Children's Hospital Eosinophilic Gastrointestinal Disorders Clinic from January 2012 to January 2016 were enrolled in a prospective, longitudinal cohort study with collection of demographics, clinical symptoms, medical history, allergy sensitization profiles, and response to treatment over time.

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Article Synopsis
  • A significant portion of women (27%) do not engage in leisure-time physical activity, and about 50% of those who start exercise programs drop out within the first 3-6 months, making it crucial to understand factors influencing engagement and retention.
  • This study focused on midlife women (ages 40-65), examining their ability to maintain walking after participating in a 24-week home-based program, analyzing background characteristics and self-efficacy related to exercise.
  • Results showed an 80% retention rate during the maintenance phase, with participants adhering to an average of 64% of their walking goals, indicating that both self-efficacy and prior adherence significantly impact the maintenance of physical activity.
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The purpose of this cross-sectional analysis is to examine symptoms of depressed mood in relation to age, menopausal status, and length of residence in the United States in midlife women who are recent immigrants from the former Soviet Union. Data for this analysis are from a longitudinal study of the impact of acculturation on postimmigration health status and psychological well-being. The mean score for the Center for Epidemiological Studies-Depression (CES-D) scale was 23.

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Article Synopsis
  • The study focuses on midlife women from the former Soviet Union, exploring how acculturation impacts depression and cardiovascular health.
  • Older participants showed higher depression and less American cultural adaptation, while longer residence correlated with American acculturation.
  • Key predictors of cardiovascular risk included obesity, depression, and acculturation, suggesting that adapting to American lifestyles may lower heart disease risk in this demographic.
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The purpose of this cross-sectional analysis is to examine modifiable CVD risk factors in relation to menopausal status, age, and length of residence in the U.S. of midlife women from the former Soviet Union.

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Background: Latinas (Latino women) are at higher risk than non-Latina white women of cardiovascular disease and stroke, primarily because of higher rates of obesity and type-2 diabetes mellitus. Increases in physical activity help control these cardiovascular risk factors, but a higher percentage of Latinas than white women are inactive. The study goals were to identify personal, social environmental, and physical environmental correlates of physical activity of urban-dwelling, Midwestern Latinas and to obtain their recommendations for increasing exercise in their communities.

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Background: African-American women are at higher risk than white women of cardiovascular disease and stroke. In addition, fewer African-American women reap the cardiovascular benefits of exercise, because of low physical activity. The study goals were to identify personal, social environmental, and physical environmental correlates of physical activity of urban-dwelling, Midwestern, African-American women and to obtain their recommendations for increasing exercise in their communities.

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The purposes of this study were to: (a) identify which determinants of physical activity among African American and Caucasian women predict adherence to a 24-week home-based walking program; and (b) explore differences between African American and Caucasian women. Participants were 153 working women who were sedentary at leisure. The program included an exercise prescription, instructions, and support.

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This study was part of a multi-site project carried out with seven universities throughout the United States to identify cultural, environmental, and policy determinants of physical activity in ethnic minority women aged 20 to 50 years. Following an extensive literature review, nine core research questions were created to examine potential barriers to physical activity as well as enabling factors. Methods and findings presented are from six focus groups of low-income, urban African American women.

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Background: A growing body of literature has demonstrated that demographic factors and acculturative stress contribute to depression in recent immigrants from many countries. Few studies examine potentially protective personality factors, such as resilience, for dealing with the challenges related to the early postmigration transition period.

Objectives: The purpose of this analysis is to examine relationships among demographic characteristics, acculturation, psychological resilience, and symptoms of depression in midlife women from the former Soviet Union who recently immigrated to the United States.

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