{"id":{"repo_id":"uiuc","oai_identifier":"oai:www.ideals.illinois.edu:2142/92721"},"canonical_url":"https://search.dev.ndltd.org/etd/uiuc/oai:www.ideals.illinois.edu:2142/92721","repository":{"repo_id":"uiuc","name":"University of Illinois - Urbana-Champaign","base_url":"https://www.ideals.illinois.edu/oai-pmh"},"display":{"title":"The case for multiple health behavior change interventions in multiple sclerosis","abstract":"Background: Multiple sclerosis (MS) is a chronic, non-traumatic disease of the central nervous system (CNS). There is a growing need for alternative approaches to managing healthcare in MS. Targeting multiple, co-occurring health risk factors represents a holistic approach for managing comorbidities and many of the neuroperformance consequences of MS. Methods: Sixty-nine participants with MS completed self-report measures of smoking status, nutrition, alcohol use, physical activity levels, comorbidity and neuroperformance outcomes and sociodemographic and clinical characteristics. The data were analyzed using t-tests and chi-square analyses in SPSS Statistics 22.0. Results: Of participants with two or more risk factors, 90.3% were not meeting dietary and physical activity guidelines. Total number of comorbidities (z=2.36, p=0.02), cardiovascular disease symptoms (z=2.63, p=0.01), T25FW speed (z=2.53, p=0.01), and 6MW distance (z=2.61, p=0.01) had significant differences in the cluster of co-occurring poor nutrition and insufficient levels of physical activity. There was a significant difference between those reporting two vs. one risk factor for number of comorbidities (z=2.41, p=0.02), cardiovascular disease symptoms (z=2.40 p=0.02), T25FW speed (z=2.39, p=0.02) and 6MW distance (z=2.68, p=0.01). Conclusion: Our results suggest that a clustering of insufficient physical activity and poor nutrition was reported in 90.3% of participants with two or more risk factors. The presence of that cluster further appeared to be synergistically associated with comorbidity and neuroperformance markers. This research could inform future investigations of multiple health behavior change in persons with MS.","abstract_html":"Background: Multiple sclerosis (MS) is a chronic, non-traumatic disease of the central nervous system (CNS). There is a growing need for alternative approaches to managing healthcare in MS. Targeting multiple, co-occurring health risk factors represents a holistic approach for managing comorbidities and many of the neuroperformance consequences of MS. Methods: Sixty-nine participants with MS completed self-report measures of smoking status, nutrition, alcohol use, physical activity levels, comorbidity and neuroperformance outcomes and sociodemographic and clinical characteristics. The data were analyzed using t-tests and chi-square analyses in SPSS Statistics 22.0. Results: Of participants with two or more risk factors, 90.3% were not meeting dietary and physical activity guidelines. Total number of comorbidities (z=2.36, p=0.02), cardiovascular disease symptoms (z=2.63, p=0.01), T25FW speed (z=2.53, p=0.01), and 6MW distance (z=2.61, p=0.01) had significant differences in the cluster of co-occurring poor nutrition and insufficient levels of physical activity. There was a significant difference between those reporting two vs. one risk factor for number of comorbidities (z=2.41, p=0.02), cardiovascular disease symptoms (z=2.40 p=0.02), T25FW speed (z=2.39, p=0.02) and 6MW distance (z=2.68, p=0.01). Conclusion: Our results suggest that a clustering of insufficient physical activity and poor nutrition was reported in 90.3% of participants with two or more risk factors. The presence of that cluster further appeared to be synergistically associated with comorbidity and neuroperformance markers. This research could inform future investigations of multiple health behavior change in persons with MS.","abstract_has_math":false,"creators":["Balto, Julia Marie"],"institution":"University of Illinois at Urbana-Champaign","degree_name":"M.S.","degree_level":"Thesis","degree_discipline":"Kinesiology","degree_department":null,"school":null,"contributors":["Motl, Robert W.","Khan, Naiman"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-11-10T17:49:47Z","date_published":"2016-11-10T17:49:47Z","updated_at":"2026-07-22T22:26:35Z","subjects":["mulitple sclerosis","multiple health behavior change"],"languages":["en"],"rights":["Copyright 2016 Julia Balto"],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/2142/92721","outbound_label":"Handle","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Motl, Robert W.","Khan, Naiman"]},{"key":"dc:creator","label":"Author","values":["Balto, Julia Marie"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2016-11-10T17:49:47Z","2016-06-21","2016-08"]},{"key":"dc:type","label":"Dc Type","values":["text"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Kinesiology"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["M.S."]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Illinois at Urbana-Champaign"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["mulitple sclerosis","multiple health behavior change"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]},{"key":"dc:rights","label":"Dc Rights","values":["Copyright 2016 Julia Balto"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://hdl.handle.net/2142/92721"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Background: Multiple sclerosis (MS) is a chronic, non-traumatic disease of the central nervous system (CNS). There is a growing need for alternative approaches to managing healthcare in MS. Targeting multiple, co-occurring health risk factors represents a holistic approach for managing comorbidities and many of the neuroperformance consequences of MS. Methods: Sixty-nine participants with MS completed self-report measures of smoking status, nutrition, alcohol use, physical activity levels, comorbidity and neuroperformance outcomes and sociodemographic and clinical characteristics. The data were analyzed using t-tests and chi-square analyses in SPSS Statistics 22.0. Results: Of participants with two or more risk factors, 90.3% were not meeting dietary and physical activity guidelines. Total number of comorbidities (z=2.36, p=0.02), cardiovascular disease symptoms (z=2.63, p=0.01), T25FW speed (z=2.53, p=0.01), and 6MW distance (z=2.61, p=0.01) had significant differences in the cluster of co-occurring poor nutrition and insufficient levels of physical activity. There was a significant difference between those reporting two vs. one risk factor for number of comorbidities (z=2.41, p=0.02), cardiovascular disease symptoms (z=2.40 p=0.02), T25FW speed (z=2.39, p=0.02) and 6MW distance (z=2.68, p=0.01). Conclusion: Our results suggest that a clustering of insufficient physical activity and poor nutrition was reported in 90.3% of participants with two or more risk factors. The presence of that cluster further appeared to be synergistically associated with comorbidity and neuroperformance markers. This research could inform future investigations of multiple health behavior change in persons with MS.","Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2016-11-09 without embargo terms","The student, Julia Balto, accepted the attached license on 2016-06-20 at 19:29.","The student, Julia Balto, submitted this Thesis for approval on 2016-06-20 at 19:34.","This Thesis was approved for publication on 2016-06-21 at 16:15.","DSpace SAF Submission Ingestion Package generated from Vireo submission #9683 on 2016-11-09 at 10:21:16","Made available in DSpace on 2016-11-10T17:49:47Z (GMT). No. of bitstreams: 2 BALTO-THESIS-2016.pdf: 533163 bytes, checksum: 7aa7f7d5fa2cf415b193a7cbdfe3b578 (MD5) LICENSE.txt: 4208 bytes, checksum: f9105bda0f5b2cee194aef46d7a7de8b (MD5) Previous issue date: 2016-06-21"]},{"key":"dc:format","label":"Dc Format","values":["application/pdf"]},{"key":"dc:title","label":"Title","values":["The case for multiple health behavior change interventions in multiple sclerosis"]}]}],"canonical_facts":{"dc:contributor":["Motl, Robert W.","Khan, Naiman"],"dc:creator":["Balto, Julia Marie"],"dc:date":["2016-11-10T17:49:47Z","2016-06-21","2016-08"],"dc:description":["Background: Multiple sclerosis (MS) is a chronic, non-traumatic disease of the central nervous system (CNS). There is a growing need for alternative approaches to managing healthcare in MS. Targeting multiple, co-occurring health risk factors represents a holistic approach for managing comorbidities and many of the neuroperformance consequences of MS. Methods: Sixty-nine participants with MS completed self-report measures of smoking status, nutrition, alcohol use, physical activity levels, comorbidity and neuroperformance outcomes and sociodemographic and clinical characteristics. The data were analyzed using t-tests and chi-square analyses in SPSS Statistics 22.0. Results: Of participants with two or more risk factors, 90.3% were not meeting dietary and physical activity guidelines. Total number of comorbidities (z=2.36, p=0.02), cardiovascular disease symptoms (z=2.63, p=0.01), T25FW speed (z=2.53, p=0.01), and 6MW distance (z=2.61, p=0.01) had significant differences in the cluster of co-occurring poor nutrition and insufficient levels of physical activity. There was a significant difference between those reporting two vs. one risk factor for number of comorbidities (z=2.41, p=0.02), cardiovascular disease symptoms (z=2.40 p=0.02), T25FW speed (z=2.39, p=0.02) and 6MW distance (z=2.68, p=0.01). Conclusion: Our results suggest that a clustering of insufficient physical activity and poor nutrition was reported in 90.3% of participants with two or more risk factors. The presence of that cluster further appeared to be synergistically associated with comorbidity and neuroperformance markers. This research could inform future investigations of multiple health behavior change in persons with MS.","Submission original under an indefinite embargo labeled 'Open Access'. The submission was exported from vireo on 2016-11-09 without embargo terms","The student, Julia Balto, accepted the attached license on 2016-06-20 at 19:29.","The student, Julia Balto, submitted this Thesis for approval on 2016-06-20 at 19:34.","This Thesis was approved for publication on 2016-06-21 at 16:15.","DSpace SAF Submission Ingestion Package generated from Vireo submission #9683 on 2016-11-09 at 10:21:16","Made available in DSpace on 2016-11-10T17:49:47Z (GMT). No. of bitstreams: 2 BALTO-THESIS-2016.pdf: 533163 bytes, checksum: 7aa7f7d5fa2cf415b193a7cbdfe3b578 (MD5) LICENSE.txt: 4208 bytes, checksum: f9105bda0f5b2cee194aef46d7a7de8b (MD5) Previous issue date: 2016-06-21"],"dc:format":["application/pdf"],"dc:identifier":["http://hdl.handle.net/2142/92721"],"dc:language":["en"],"dc:rights":["Copyright 2016 Julia Balto"],"dc:subject":["mulitple sclerosis","multiple health behavior change"],"dc:title":["The case for multiple health behavior change interventions in multiple sclerosis"],"dc:type":["text"],"thesis:degree_discipline":["Kinesiology"],"thesis:degree_level":["Thesis"],"thesis:degree_name":["M.S."],"thesis:institution_name":["University of Illinois at Urbana-Champaign"]},"updated_at":"2026-07-22T22:26:35Z"}