1
|
Statsenko Y, Smetanina D, Simiyu GL, Belghali M, Ghenimi N, Mannaerts GHH, Almaramah L, Alhashmi M, Chun Mohammad N, Al Hamed R, Alblooshi SF, Talbi K, Albreiki M, Alkaabi F, Ponomareva A, Ljubisavljevic M. Race, Ethnicity, and Geography as Determinants of Excessive Weight and Low Physical Activity in Pediatric Population: Protocol for Systematic Review and Meta-Analysis. Healthcare (Basel) 2024; 12:1830. [PMID: 39337171 PMCID: PMC11431668 DOI: 10.3390/healthcare12181830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2024] [Revised: 08/21/2024] [Accepted: 08/26/2024] [Indexed: 09/30/2024] Open
Abstract
The rationale for the current study is the sparsity of data on the combined effect of the environmental and individual risks of obesity and sedentary lifestyle in children of different races/ethnicities from different regions. An effective weight management strategy is hard to design due to insufficient evidence. This work was initiated to study race, ethnicity, and geography as determinants of excessive weight and low physical activity in the pediatric population. To achieve this aim, we systematically review publications on daily length of physical activity of light, moderate, and vigorous intensity, as well as sedentary time and BMI and its dynamics in children of different races/ethnicities and geographies. The extracted data are stratified into six major geographic regions and six races/ethnicities. Then, a random-effects meta-analysis is used to calculate the pooled mean of each outcome measure. A ridge regression is constructed to explore age-related change in BMI. A Kruskal-Wallis H test is applied to compare the pooled duration of physical activity and sedentary time in the subgroups. Finally, we calculate paired correlation coefficients between BMI and physical activity/inactivity for each group. The findings can be further used in public health surveillance to clarify the epidemiology of obesity, to guide priority setting and planning, and to develop and evaluate public health policy and strategy.
Collapse
Affiliation(s)
- Yauhen Statsenko
- Imaging Platform, ASPIRE Precision Medicine Institute in Abu Dhabi, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates;
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Darya Smetanina
- Imaging Platform, ASPIRE Precision Medicine Institute in Abu Dhabi, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates;
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Gillian Lylian Simiyu
- Imaging Platform, ASPIRE Precision Medicine Institute in Abu Dhabi, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates;
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Maroua Belghali
- CIAMS Laboratory, Orléans University, 45062 Orléans, France;
| | - Nadirah Ghenimi
- Department of Family Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates;
| | | | - Leena Almaramah
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Maryam Alhashmi
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Nazia Chun Mohammad
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Rahaf Al Hamed
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Sara F. Alblooshi
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Khawla Talbi
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Maitha Albreiki
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Fatima Alkaabi
- Department of Radiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates; (L.A.); (M.A.); (N.C.M.); (R.A.H.); (S.F.A.); (K.T.); (M.A.); (F.A.)
| | - Anna Ponomareva
- Scientific-Research Institute of Medicine and Dentistry, Moscow State University of Medicine and Dentistry, Moscow 127473, Russia;
| | - Milos Ljubisavljevic
- Department of Physiology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain P.O. Box 15551, United Arab Emirates;
- Neuroscience Platform, ASPIRE Precision Medicine Research Institute Abu Dhabi, Al Ain P.O. Box 15551, United Arab Emirates
| |
Collapse
|
2
|
Shi X, Nikolic G, Epelde G, Arrúe M, Bidaurrazaga Van-Dierdonck J, Bilbao R, De Moor B. An ensemble-based feature selection framework to select risk factors of childhood obesity for policy decision making. BMC Med Inform Decis Mak 2021; 21:222. [PMID: 34289843 PMCID: PMC8293582 DOI: 10.1186/s12911-021-01580-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Accepted: 07/11/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The increasing prevalence of childhood obesity makes it essential to study the risk factors with a sample representative of the population covering more health topics for better preventive policies and interventions. It is aimed to develop an ensemble feature selection framework for large-scale data to identify risk factors of childhood obesity with good interpretability and clinical relevance. METHODS We analyzed the data collected from 426,813 children under 18 during 2000-2019. A BMI above the 90th percentile for the children of the same age and gender was defined as overweight. An ensemble feature selection framework, Bagging-based Feature Selection framework integrating MapReduce (BFSMR), was proposed to identify risk factors. The framework comprises 5 models (filter with mutual information/SVM-RFE/Lasso/Ridge/Random Forest) from filter, wrapper, and embedded feature selection methods. Each feature selection model identified 10 variables based on variable importance. Considering accuracy, F-score, and model characteristics, the models were classified into 3 levels with different weights: Lasso/Ridge, Filter/SVM-RFE, and Random Forest. The voting strategy was applied to aggregate the selected features, with both feature weights and model weights taken into consideration. We compared our voting strategy with another two for selecting top-ranked features in terms of 6 dimensions of interpretability. RESULTS Our method performed the best to select the features with good interpretability and clinical relevance. The top 10 features selected by BFSMR are age, sex, birth year, breastfeeding type, smoking habit and diet-related knowledge of both children and mothers, exercise, and Mother's systolic blood pressure. CONCLUSION Our framework provides a solution for identifying a diverse and interpretable feature set without model bias from large-scale data, which can help identify risk factors of childhood obesity and potentially some other diseases for future interventions or policies.
Collapse
Affiliation(s)
- Xi Shi
- Department of Electrical Engineering (ESAT), Stadius Centre for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Kasteelpark Arenberg 10 - box 2446, 3001, Leuven, Belgium.
| | - Gorana Nikolic
- Department of Electrical Engineering (ESAT), Stadius Centre for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Kasteelpark Arenberg 10 - box 2446, 3001, Leuven, Belgium
| | - Gorka Epelde
- Vicomtech Foundation, Basque Research and Technology Alliance (BRTA), Donostia-San Sebastián, Spain.,Biodonostia Health Research Institute, eHealth Group, Donostia-San Sebastián, Spain
| | - Mónica Arrúe
- Vicomtech Foundation, Basque Research and Technology Alliance (BRTA), Donostia-San Sebastián, Spain.,Biodonostia Health Research Institute, eHealth Group, Donostia-San Sebastián, Spain
| | | | - Roberto Bilbao
- Basque Foundation for Research and Innovation, Bilbao, Spain
| | - Bart De Moor
- Department of Electrical Engineering (ESAT), Stadius Centre for Dynamical Systems, Signal Processing and Data Analytics, KU Leuven, Kasteelpark Arenberg 10 - box 2446, 3001, Leuven, Belgium
| |
Collapse
|
3
|
Dullas AR, Yncierto KD, Labiano MA, Marcelo JC. Determinants of a Variety of Deviant Behaviors: An Analysis of Family Satisfaction, Personality Traits, and Their Relationship to Deviant Behaviors Among Filipino Adolescents. Front Psychol 2021; 12:645126. [PMID: 34025515 PMCID: PMC8131551 DOI: 10.3389/fpsyg.2021.645126] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 03/22/2021] [Indexed: 12/02/2022] Open
Abstract
In previous decades, numerous involvements of adolescents in deviant behavior have been increasing, and previous researchers examined different variables that may influence these phenomena. This study was designed to look for the possible predictors of deviant behavior, as well as its association with family satisfaction and personality traits. The study was conducted on 1500 participants ages 12-19 years old from selected schools in Nueva Ecija. The researchers used the Deviant Behavior Variety Scale (DBVS) by Sanches et al. (2016). It consists of 19 items (minor and severe) of a variety of deviant action such as thefts, drug and alcohol consumption, verbal and physical aggression, possession of weapons, vandalism, truancy, lies and defiance of authority, and selling drugs among adolescents (Sanches et al., 2016). Out of 1500 samples, 1227 met the criteria for the deviant behavior scale. Descriptive and Inferential statistics such as Mean, sd, frequency, percentage, Regression analysis, Pearson-correlation, and Mann Whitney U test were used to analyze this study. The research found that there are differences in levels of deviant behavior (Minor and Severe infractions) among sexes. Results showed that female participants have higher tendency to engage in minor infractions of deviant acts, while males had a higher rate of participation in severe infractions of deviant acts. Moreover, there is a negative/inverse association between family satisfaction and deviant behavior. This implies that respondents who participate more in deviant behaviors are found to be less satisfied with their family life, while respondents who participate less in deviant behavior are more satisfied in their family life. Lastly, the current study found that personality trait-agreeableness is found to be the best predictor of deviant behavior among adolescents.
Collapse
Affiliation(s)
- Angelo Reyes Dullas
- Department of Psychology, College of Arts and Social Sciences, Central Luzon State University, Science City of Muñoz, Nueva Ecija, Philippines
| | | | | | | |
Collapse
|
4
|
Are Spanish children drinking enough and healthily? An update of the Liq.in7 cross-sectional survey in children and adolescents. NUTR HOSP 2021; 38:446-457. [PMID: 33823604 DOI: 10.20960/nh.03442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022] Open
Abstract
Introduction Introduction: insufficient and/or unhealthy total fluid intake (TFI), especially in the early stages of life, may have a negative impact on health. Objective: to assess the current patterns of fluid consumption in children and adolescents in Spain, including drinking occasions and locations (e.g., at home or at school), and to compare TFI with adequate intake (AI) of water from fluids as recommended by the European Food Safety Agency (EFSA). Methodology: a Spanish cross-sectional study was performed assessing TFI from all sources of fluid consumption according to drinking occasions during the day and location, using a validated liquid intake 7-day record (Liq.in7). Data collection occurred between April and May, 2018. A sample of 146 (63 % boys) children (4-9 years old) and adolescents (10-17 years old) was included. Parents reported such information when children were under 16 years. Results: a high proportion of children and adolescents did not meet EFSA-derived reference values for fluid intake (73 % and 72 %, respectively). Forty percent of children and about 50 % of adolescents consumed at least one serving of sugar-sweetened beverage (SSB) per day, while about 20 % consumed only one or less servings of water per day. Consumption during the main meals was most important for both children and adolescents (representing 50 % and 54 % of TFI, respectively), and was mainly driven by water (62 %). Consumption at home in children (70 % of TFI) was made of water (47 %). In the same way, at school, water contributed to half intake. However, adolescent girls at school drink more SSBs (41 %) than water (34 %), the former being the most consumed fluid. At other locations, adolescent boys also drink more SSBs (51 %) than either water (29 %) or milk and derivatives (10 %). Conclusion: the drinking habits of Spanish young populations are far removed from current recommendations because of a low fluid intake, specifically water, and a high proportion of SSB consumption in children and adolescents. Interventions to ensure that EFSA TFI recommendations are met are of special importance for children and adolescents, with - according to our results - a special focus on male adolescents.
Collapse
|
5
|
Luetic GG, Menichini ML, Deri N, Steinberg J, Carrá A, Cristiano E, Patrucco L, Curbelo MC, Rojas JI. High birth weight and risk of multiple sclerosis: A multicentre study in Argentina. Mult Scler Relat Disord 2020; 47:102628. [PMID: 33220566 DOI: 10.1016/j.msard.2020.102628] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 10/11/2020] [Accepted: 11/10/2020] [Indexed: 11/19/2022]
Abstract
BACKGROUND Multiple sclerosis (MS) is now recognized as a multifactorial disease in which genetic and environmental factors intervene. Considerable efforts have been made to identify external risk factors present in childhood, adolescence and youth, though only a few perinatal risk factors have been positively associated with MS. Previously, we found an association between high birth weight and MS in male patients in a small study in Argentina. The present research was designed to further assess the association between high birth weight and MS in a larger sample of patients, using an extensive and validated general population database as control. METHODS We present an analytical observational, multicentre, population-based, and case-control study. A total of 637 patients (cases) with confirmed MS diagnosis attending five MS specialized centres in Argentina were included. Birth weight (BW) data was recalled by the patient's mother, which is a validated approach. A two-way comparison was performed. First, we used the standard categories of high, adequate and low BW in grams. Then, we applied the weight percentile distribution to provide reproducible results for further research. For a proper assessment and comparison of variables, we adopted the guidelines of the American Academy of Pediatrics for neonate classification according to gestational weeks and to BW in grams. The neonate's BW distribution of the general population was used as control. For the purposes of the study, we adapted Urquía's et al. curves, which are based on an extensive database of all the live births registered in the country from 2003 to 2007. To measure the magnitude of the proportional differences between low, adequate and high BW, the odds ratio (OR) and their 95% confidence interval (CI) were estimated. The mean BW and percentile values for each sex were compared using a z-Normal test. The respective MS patients and general population BW distribution curves by sex were compared between each other. RESULTS Cases and controls were comparable in their demographic, geographic and environmental characteristics. Males showed higher BW than females both in the MS patients and the general population groups. When we applied the sex stratified analysis separately, we found that males in the MS group showed an almost seven times higher risk of high birth weight than males from the general population (OR 6.58 [95% CI 4.81-8.99]). Female patients showed an almost five times higher risk of high BW than their respective controls (OR 4.5 [95% CI 3.06-6.58]). The comparison based on the BW percentile distribution confirmed that MS patients showed higher BW than the general population. This result reached statistical significance from the 75th percentile onwards for both sexes. CONCLUSION In summary, our findings suggested that high BW could be one of the earliest risk factors for MS in life. If this results were reproduced in other centres, high birth weight would emerge as a novel and very early risk factor, potentially modifiable in utero or immediately postpartum, representing a unique opportunity to prevent the disease in future generations.
Collapse
Affiliation(s)
- Geraldine G Luetic
- Instituto de Neurociencias de Rosario, San Lorenzo 3598, Rosario, Santa Fe, 2000, Argentina.
| | - Maria L Menichini
- Instituto de Neurociencias de Rosario, San Lorenzo 3598, Rosario, Santa Fe, 2000, Argentina
| | - Norma Deri
- Centro de Investigaciones Diabaid, CABA, Argentina
| | - Judith Steinberg
- Sección de enfermedades desmielinizantes, Hospital Británico; CABA, Argentina
| | - Adriana Carrá
- Sección de enfermedades desmielinizantes, Hospital Británico; CABA, Argentina
| | | | | | - Maria C Curbelo
- Sección de enfermedades desmielinizantes, Hospital Británico; CABA, Argentina; Hospital Municipal Sofía Santamarina, Buenos Aires, Argentina
| | - Juan I Rojas
- Centro de Esclerosis Múltiple de Buenos Aires, CABA, Argentina
| |
Collapse
|
6
|
Eck KM, Delaney CL, Shelnutt KP, Olfert MD, Byrd-Bredbenner C. Parenting Advice School-Age Kids Offer to Parents to Promote Healthier Child Weight-Related Behaviors. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2020; 52:290-298. [PMID: 31607432 DOI: 10.1016/j.jneb.2019.09.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Revised: 09/09/2019] [Accepted: 09/10/2019] [Indexed: 06/10/2023]
Abstract
OBJECTIVE To explore parenting advice children would provide to help parents encourage positive health-related behaviors by children. DESIGN Focus group discussions were conducted, and children shared the advice they would provide parents to help them encourage healthy weight-related behaviors (ie, diet, physical activity, and sleep) for children. SETTING Focus groups (n = 65) were conducted in 3 states (Florida, New Jersey, and West Virginia). PARTICIPANTS School-age children (n = 194) between the ages of 6 and 11 years old. PHENOMENON OF INTEREST What parenting practices are recommended by children, and are they in line with best-practice guidelines? ANALYSIS Focus group data were analyzed to identify themes and trends. RESULTS Children's recommendations were congruent with authoritative parenting styles (ie, high levels of warmth and control). Most of the advice shared by children aligned with recommended parent practices (ie, responsive feeding, facilitation, environmental restructuring, parent modeling, and encouragement). However, not all of the children's advice aligned with best practices guidelines (ie, use of food rewards and deception). CONCLUSIONS AND IMPLICATIONS Future nutrition education programs may be strengthened by helping parents adopt best practices for promoting healthy child behaviors. Furthermore, teaching children about recommended child feeding parenting practices may help protect future generations by preparing children to care for younger siblings or raise their children using best parenting practices.
Collapse
Affiliation(s)
- Kaitlyn M Eck
- Nutritional Sciences Department, Rutgers University, New Brunswick, NJ.
| | - Colleen L Delaney
- Nutritional Sciences Department, Rutgers University, New Brunswick, NJ
| | - Karla P Shelnutt
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL
| | - Melissa D Olfert
- Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, WV
| | | |
Collapse
|
7
|
Gonzalez-Palacios S, Navarrete-Muñoz EM, García-de-la-Hera M, Torres-Collado L, Santa-Marina L, Amiano P, Lopez-Espinosa MJ, Tardon A, Riano-Galan I, Vrijheid M, Sunyer J, Vioque J. Sugar-Containing Beverages Consumption and Obesity in Children Aged 4-5 Years in Spain: the INMA Study. Nutrients 2019; 11:nu11081772. [PMID: 31374897 PMCID: PMC6722971 DOI: 10.3390/nu11081772] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2019] [Revised: 07/28/2019] [Accepted: 07/30/2019] [Indexed: 12/30/2022] Open
Abstract
The consumption of sugar-containing beverages (SCB) has been associated with obesity although the evidence in preschool children is scarce. Cross-sectional analyses were performed to assess the association between obesity and SCB consumption (packaged juices and sugar-sweetened soft drinks) in 1823 children at the age of 4-5 years from the INfancia y Medio Ambiente (INMA) Project. One drink was defined as a glass of 175 mL, and the consumption of SCB was categorized in <1, 1-7 drinks/week and > 1 drink/day. We used multiple logistic regression to estimate odds ratios (OR). The average SCB consumption was 79.1 mL/day, mainly from packaged juices (80.9%). The SCB consumption was lower in non-obese children than in children with obesity, 76.6 vs 118.4 mL/day (p = 0.02). After adjusting for covariates, children who consumed >1 drink/day showed elevated odds of obesity, OR = 3.23 (95% confidence interval (CI): 1.48-6.98) compared to children who consumed <1 SCB drink a week. Each additional SCB drink per day was associated with higher odds of obesity, OR = 1.55 (1.14-2.09). Higher consumption of packaged juices, but not sugar-sweetened soft drinks, was significantly associated with higher odds of obesity, OR = 1.55 (1.09-2.15) and OR = 1.59 (0.76-3.39), respectively. A higher SCB consumption is associated with obesity in preschool children, mainly due to the consumption of packaged juices.
Collapse
Affiliation(s)
- Sandra Gonzalez-Palacios
- Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Eva-María Navarrete-Muñoz
- Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Manoli García-de-la-Hera
- Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Laura Torres-Collado
- Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
| | - Loreto Santa-Marina
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Subdirección de Salud Pública y Adicciones de Gipuzkoa, 20013 San Sebastian, Spain
- Biodonostia Health Research Institute, Basque Government, 20014 San Sebastián, Spain
| | - Pilar Amiano
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Subdirección de Salud Pública y Adicciones de Gipuzkoa, 20013 San Sebastian, Spain
- Biodonostia Health Research Institute, Basque Government, 20014 San Sebastián, Spain
| | - Maria-Jose Lopez-Espinosa
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Foundation for the Promotion of Health and Biomedical Research in the Valencian Region, FISABIO-Public Health, 46020 Valencia, Spain
| | - Adonina Tardon
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- University of Oviedo, 33003 Asturias, Spain
| | - Isolina Riano-Galan
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- Servicio de Pediatria. Hospital Universitario Central de Asturias-Oviedo, 33011 Asturias, Spain
| | - Martine Vrijheid
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
- ISGlobal, Institute for Global Health, 08036 Barcelona, Spain
- University Pompeu Fabra, 08036 Barcelona, Spain
| | - Jordi Sunyer
- ISGlobal, Institute for Global Health, 08036 Barcelona, Spain
| | - Jesus Vioque
- Department of Public Health, History of Medicine and Gynecology, Miguel Hernández University and Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), 03010 Alicante, Spain.
- Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain.
| |
Collapse
|
8
|
Yáñez-Ortega JL, Arrieta-Cerdán E, Lozano-Alonso JE, Gil Costa M, Gutiérrez-Araus AM, Cordero-Guevara JA, Vega Alonso T. Prevalence of overweight and obesity in child population. A study of a cohort in Castile and Leon, Spain. ACTA ACUST UNITED AC 2019; 66:173-180. [PMID: 30772371 DOI: 10.1016/j.endinu.2018.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Revised: 09/20/2018] [Accepted: 10/01/2018] [Indexed: 11/20/2022]
Abstract
INTRODUCTION Several studies warn that overweight and obesity have become an epidemic with severe consequences in the population's health. The objetive of the present study is to estimate the prevalence of overweight and obesity in Castile and Leon in a sample of children at 6, 11 and 14 years of age, to describe its evolution and its association with life habits and antecedents. MATERIAL AND METHODS Observational study, retrospective cohort, performed by the pediatricians of the Health Sentinel Network. The study is part of a joint Project with the National Research Center on Human Evolution (CENIEH) in Burgos to know the pattern of growth and development of the child population of Castile and Leon. In 2012, a health examination and a retrospective collection were carried out based on the clinical history of a simple of 326 children, from the cohort was born in 1998. RESULTS Following the WHO references, at age 14 there was 25.3% of boys and 18.5% of girls with overweight. Obesity was estimated to affect the 8.2% and 4.8% of them respectively. At 11 years of age there was the maximum of overweight in girls and of obesity in boys. At the urban-non urban environment, quantity and quality of sleep and the parents' BMI have been some of the associated factors to weight level of the children. DISCUSSION In Castile and Leon, as in other populations of our environment, there is a severe problema of overweight and obesity. For their control it is necesary to deepen understanding of lifestyles and antecedents related to the birth as well as to calculate the growth rate in the pediatric age.
Collapse
Affiliation(s)
- José L Yáñez-Ortega
- Sección de Epidemiología, Servicio Territorial de Sanidad, Junta de Castilla y León, Burgos, España.
| | - Esther Arrieta-Cerdán
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | - José E Lozano-Alonso
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | - Milagros Gil Costa
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| | | | - José A Cordero-Guevara
- Gerencia de Atención Primaria de Burgos, SACYL, Junta de Castilla y León, Burgos, España
| | - Tomás Vega Alonso
- Dirección General de Salud Pública, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España
| |
Collapse
|
9
|
Eck KM, Dinesen A, Garcia E, Delaney CL, Famodu OA, Olfert MD, Byrd-Bredbenner C, Shelnutt KP. "Your Body Feels Better When You Drink Water": Parent and School-Age Children's Sugar-Sweetened Beverage Cognitions. Nutrients 2018; 10:E1232. [PMID: 30189588 PMCID: PMC6165219 DOI: 10.3390/nu10091232] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 08/30/2018] [Accepted: 09/02/2018] [Indexed: 12/21/2022] Open
Abstract
Sugar-sweetened beverages (SSBs) are a leading source of added sugar in the American diet. Further, ingestion of added sugars from SSBs exceeds recommendations. Thus, interventions that effectively reduce SSB consumption are needed. Focus group discussions with parents (n = 37) and school-aged children between the ages of 6 and 11 years (n = 41) from Florida, New Jersey, and West Virginia were led by trained moderators using Social Cognitive Theory as a guide. Trends and themes that emerged from the content analysis of the focus group data indicated that both parents and children felt that limiting SSBs was important to health and weight control. However, parents and children reported consuming an average of 1.85 ± 2.38 SD and 2.13 ± 2.52 SD SSB servings/week, respectively. Parents and children were aware that parent behaviors influenced kids, but parents reported modeling healthy SSB behaviors was difficult. Busy schedules, including more frequent parties and events as children get older, were another barrier to limiting SSBs. Parents were most successful at limiting SSBs when they were not in the house. This qualitative research provides novel insights into parents' and children's cognitions (e.g., beliefs, attitudes), barriers, and facilitators related to SSB ingestion. Consideration of these insights during nutrition intervention development has the potential to improve intervention effectiveness in reducing SSB intake.
Collapse
Affiliation(s)
- Kaitlyn M Eck
- Department of Nutritional Sciences, Rutgers University, 26 Nichol Avenue, New Brunswick, NJ 08901, USA.
| | - Aleksandr Dinesen
- Department of Nutritional Sciences, Rutgers University, 26 Nichol Avenue, New Brunswick, NJ 08901, USA.
| | - Elder Garcia
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL 32611, USA.
| | - Colleen L Delaney
- Department of Nutritional Sciences, Rutgers University, 26 Nichol Avenue, New Brunswick, NJ 08901, USA.
| | - Oluremi A Famodu
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL 32611, USA.
| | - Melissa D Olfert
- Division of Animal and Nutritional Sciences, West Virginia University, 1194 Evansdale Dr. G28, West Virginia University, Morgantown, WV 26506, USA.
| | - Carol Byrd-Bredbenner
- Department of Nutritional Sciences, Rutgers University, 26 Nichol Avenue, New Brunswick, NJ 08901, USA.
| | - Karla P Shelnutt
- Department of Family, Youth, and Community Sciences, University of Florida, Gainesville, FL 32611, USA.
| |
Collapse
|
10
|
El Sayed S, Khairy E, Basheer AR, Zaki WS, Ahmad GF, Kassim SK. Evaluation of leptin and MMP2 genes methylation in childhood obesity. GENE REPORTS 2018. [DOI: 10.1016/j.genrep.2018.02.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
|
11
|
Samblas M, Milagro FI, Mansego ML, Marti A, Martinez JA. PTPRS and PER3 methylation levels are associated with childhood obesity: results from a genome-wide methylation analysis. Pediatr Obes 2018; 13:149-158. [PMID: 28614626 DOI: 10.1111/ijpo.12224] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 04/07/2017] [Accepted: 05/01/2017] [Indexed: 02/06/2023]
Abstract
BACKGROUND The global prevalence of childhood overweight and obesity has increased in the last years. Epigenetic dysregulation affecting gene expression could be a determinant in early-life obesity onset and accompanying complications. OBJECTIVE The aim of the present investigation was to analyse the putative association between DNA methylation and childhood obesity. METHODS DNA was isolated from white blood cells of 24 children obtained from the GENOI study and was hybridized in a 450K methylation array. Two CpG sites associated with obesity were validated in 91 children by MassArray® EpiTyper™ technology. RESULTS Genome-wide analysis identified 734 CpGs (783 genes) differentially methylated between cases (n = 12) and controls (n = 12). Ingenuity Pathway Analysis showed that these genes were involved in oxidative stress and circadian rhythm signalling pathways. Moreover, the DNA methylation levels of VIPR2, GRIN2D, ADCYAP1R1, PER3 and PTPRS regions correlated with the obesity trait. EpiTyper™ validation also identified significant correlations between methylation levels of CpG sites on PTPRS and PER3 with BMI z-score. CONCLUSIONS This study identified several CpG sites and specifically several CpGs in the PTPRS and PER3 genes differentially methylated between obese and non-obese children, suggesting a role for DNA methylation concerning development of childhood obesity.
Collapse
Affiliation(s)
- M Samblas
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Centre for Nutrition Research, University of Navarra, Pamplona, Spain
| | - F I Milagro
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Centre for Nutrition Research, University of Navarra, Pamplona, Spain.,CIBERobn, Physiopathology of Obesity, Carlos III Institute, Madrid, Spain
| | - M L Mansego
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Centre for Nutrition Research, University of Navarra, Pamplona, Spain
| | - A Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,CIBERobn, Physiopathology of Obesity, Carlos III Institute, Madrid, Spain.,IdiSNA, Navarra's Health Research Institute, Pamplona, Spain
| | - J A Martinez
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Centre for Nutrition Research, University of Navarra, Pamplona, Spain.,CIBERobn, Physiopathology of Obesity, Carlos III Institute, Madrid, Spain.,IdiSNA, Navarra's Health Research Institute, Pamplona, Spain
| | | |
Collapse
|
12
|
Differential prevalence and associations of overweight and obesity by gender and population group among school learners in South Africa: a cross-sectional study. BMC OBESITY 2017; 4:29. [PMID: 28725448 PMCID: PMC5514529 DOI: 10.1186/s40608-017-0165-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/26/2016] [Accepted: 07/11/2017] [Indexed: 01/30/2023]
Abstract
BACKGROUND Factors influencing the increasing prevalence of overweight/obesity among children and adolescents in sub-Saharan Africa remain unclear. We assessed the prevalence and determinants of overweight and obesity and effects on cardio-metabolic profile in school learners in the Western Cape, South Africa. METHODS Cross-sectional data were collected from 7 to 18-year-old South African school learners attending 14 schools, randomly selected from 107 government schools in the areas. The learners were selected through stratified random sampling techniques. Logistic regressions were used to assess the determinants of overweight/obesity and its association with cardio-metabolic profile. RESULTS Among the 1559 participants, the overall prevalence of overweight/obesity was 22.9%. Being a girl (Odds ratio 2.51, 95% CI: 1.92-3.29), or Black African (1.35, 1.04-.75) was associated with increased odds of being overweight/obese. The identified health consequences among the overweight/obese learners differed between the ethnic groups. Overweight/obese coloured (mixed ancestry) learners were more likely to have hypertension (3.27, 1.18-9.08), hypertriglyceridemia (1.94, 0.99-3.78) and low high-density lipoprotein cholesterol (HDL-C) (3.65, 2.33-5.72), overweight/obese Black African learners had higher odds for hypertension (3.62, 1.31-10.04) and low HDL-C (1.56, 1.01-2.40) and overweight/obese White learners were prone to low HDL-C (5.04, 1.35-18.80). CONCLUSIONS Overweight/obesity is highly prevalent among school learners in Western Cape (South Africa), with being female or Black African increasing the odds. That overweight/obesity is also associated with adverse cardio-metabolic risk profile aggravates the problem and suggests worse cardiovascular outcomes in South African young adults in the future.
Collapse
|
13
|
Abdeyazdan Z, Moshgdar H, Golshiri P. Evaluating the Effect of Lifestyle Education Based on Health Belief Model for Mothers of Obese and Overweight School-age Children on Obesity-Related Behaviors. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2017; 22:248-252. [PMID: 28706552 PMCID: PMC5494957 DOI: 10.4103/1735-9066.208163] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Background: Nowadays, childhood obesity is a matter of significant concern because of its negative effects on personal health and harmful socioeconomic consequences. The purpose of the present study was to evaluate the effectiveness of lifestyle education based on the health belief model for mothers of obese and overweight school-age children on obesity-related behaviors. Materials and Methods: In this quasi-experimental study, 64 obese and overweight elementary students and their mothers who met the inclusion criteria participated. The participants were randomly categorized into two groups (experimental and control). The experimental group received the considered interference, which consisted of four educational sessions based on the health belief model. Data collection tool was a standard questionnaire. The questionnaire filled by the participants during interviews conducted before, immediately after, and two months after the intervention. Data were analyzed using Mann–Whitney, Chi-square, student's t-test, repeated-measures analysis of variance, and least significant difference tests. Results: Mean scores of obesity-related behavior before the intervention were not significantly different between the experimental and control group (53.41 (6.78). vs 54.72 (4.63); P = 0.37), however, were different immediately after (58.41 (6.88) vs 54.81 (4.66); P = 0.02) and two months after the intervention (62.34 (8.62) vs 55.84 (7.59); P = 0.002). Conclusions: This study indicated the effectiveness of lifestyle education based on the health belief model for improving obesity-related behaviors. Therefore, the use of this educational program is recommended for mothers.
Collapse
Affiliation(s)
- Zahra Abdeyazdan
- Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Hodayse Moshgdar
- Department of Student Research Committee of Nursing and Midwifery Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Parastoo Golshiri
- Department of Community Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
| |
Collapse
|
14
|
Gil JM, Takourabt S. Socio-economics, food habits and the prevalence of childhood obesity in Spain. Child Care Health Dev 2017; 43:250-258. [PMID: 27676318 DOI: 10.1111/cch.12408] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/12/2016] [Indexed: 11/26/2022]
Abstract
BACKGROUND In 2012, the prevalence of obesity and overweight statuses among children in Spain was 9% and 26%, respectively. Concerns about childhood obesity have increased over the past few years, as obesity developed during childhood can persist throughout an individual's lifetime (cohort effect). This study aims to develop a better understanding of the factors influencing the prevalence of obesity in Spain. METHODS Microdata from the 2012 National Health Survey are used, and the methodological framework is based on the estimation of a sample selection model. RESULTS Results suggest that the prevalence of obesity increases among children who live in households of a lower socio-economic status and households in which parents are obese. Lower levels of childhood physical activity are positively related to the probability of being obese. Finally, there exists a positive relationship between children's body mass index and an inappropriate intake of fresh fruits, fish, pasta and rice, legumes, sweets and soft drinks. CONCLUSIONS The methodological framework used in this study is flexible enough to be used in traditional longitudinal studies. Children's and households' lifestyles play a pivotal role in the prevalence of obesity. Policies should be oriented toward changing lifestyles, which would require more multidisciplinary research in the future to reduce childhood obesity.
Collapse
Affiliation(s)
- J M Gil
- CREDA-UPC-IRTA, Castelldefels, Spain
| | | |
Collapse
|
15
|
Mansego ML, Garcia-Lacarte M, Milagro FI, Marti A, Martinez JA. DNA methylation of miRNA coding sequences putatively associated with childhood obesity. Pediatr Obes 2017; 12:19-27. [PMID: 26780939 DOI: 10.1111/ijpo.12101] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Revised: 12/04/2015] [Accepted: 12/09/2015] [Indexed: 01/08/2023]
Abstract
BACKGROUND Epigenetic mechanisms may be involved in obesity onset and its consequences. The aim of the present study was to evaluate whether DNA methylation status in microRNA (miRNA) coding regions is associated with childhood obesity. MATERIAL AND METHODS DNA isolated from white blood cells of 24 children (identification sample: 12 obese and 12 non-obese) from the Grupo Navarro de Obesidad Infantil study was hybridized in a 450 K methylation microarray. Several CpGs whose DNA methylation levels were statistically different between obese and non-obese were validated by MassArray® in 95 children (validation sample) from the same study. RESULTS Microarray analysis identified 16 differentially methylated CpGs between both groups (6 hypermethylated and 10 hypomethylated). DNA methylation levels in miR-1203, miR-412 and miR-216A coding regions significantly correlated with body mass index standard deviation score (BMI-SDS) and explained up to 40% of the variation of BMI-SDS. The network analysis identified 19 well-defined obesity-relevant biological pathways from the KEGG database. MassArray® validation identified three regions located in or near miR-1203, miR-412 and miR-216A coding regions differentially methylated between obese and non-obese children. CONCLUSIONS The current work identified three CpG sites located in coding regions of three miRNAs (miR-1203, miR-412 and miR-216A) that were differentially methylated between obese and non-obese children, suggesting a role of miRNA epigenetic regulation in childhood obesity.
Collapse
Affiliation(s)
- M L Mansego
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Nutrition Research Center, University of Navarra, Pamplona, Spain.,CIBERobn, Fisiopatología de la Obesidad y la Nutrición, Carlos III Institute of Health, Madrid, Spain
| | - M Garcia-Lacarte
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Nutrition Research Center, University of Navarra, Pamplona, Spain
| | - F I Milagro
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Nutrition Research Center, University of Navarra, Pamplona, Spain.,CIBERobn, Fisiopatología de la Obesidad y la Nutrición, Carlos III Institute of Health, Madrid, Spain
| | - A Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,CIBERobn, Fisiopatología de la Obesidad y la Nutrición, Carlos III Institute of Health, Madrid, Spain.,IdiSNA, Navarra's Health Research Institute, Pamplona, Spain
| | - J A Martinez
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain.,Nutrition Research Center, University of Navarra, Pamplona, Spain.,CIBERobn, Fisiopatología de la Obesidad y la Nutrición, Carlos III Institute of Health, Madrid, Spain.,IdiSNA, Navarra's Health Research Institute, Pamplona, Spain
| | | |
Collapse
|
16
|
Marventano S, Ferranti R, Antoci M, Giogianni G, Nolfo F, Rametta S, Mistretta A. Association Between Sugar-Sweetened Beverages Consumption and Body Composition in Relation to Salt Among Adolescent Resident in Sicily, Southern Italy. CURRENT NUTRITION & FOOD SCIENCE 2017. [DOI: 10.2174/1573401312666161018130011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
|
17
|
Mistretta A, Marventano S, Antoci M, Cagnetti A, Giogianni G, Nolfo F, Rametta S, Pecora G, Marranzano M. Mediterranean diet adherence and body composition among Southern Italian adolescents. Obes Res Clin Pract 2016; 11:215-226. [PMID: 27269367 DOI: 10.1016/j.orcp.2016.05.007] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 05/18/2016] [Accepted: 05/23/2016] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Adherence to the traditional Mediterranean diet has been associated with health benefits in young populations. The aim of this study was to evaluate the association between adherence to the Mediterranean diet and cardio-metabolic parameters in adolescents living in Sicily, Southern Italy. METHODS A cross-sectional study was conducted during two school years (2012-2013 and 2013-2014) on 1643 adolescents of 11-16 years attending 15 secondary schools. Socio-demographic, dietary, lifestyle, and anthropometric data were collected. The KIDMED score was used to evaluate the adherence to the Mediterranean diet. Linear and logistic regression models were used to test the association between the variable of interest and the outcomes. RESULTS A higher percentage of boys compared with girls was overweight (30.8% vs. 25.4%) and obese (28.7% vs. 18.5%) and only 9.1% had high adherence to the Mediterranean diet. Vegetable intake was negatively associated with being overweight/obese whereas higher intake of sweets, sugar-sweetened beverages, and fast foods was associated with overweight and obesity. A good adherence to the Mediterranean diet resulted in 30% decreased odds of being overweight or obese (odd ratio 0.70, 95% confidence interval: 0.56-0.87) in both boys and girls. An inverse correlation was found between KIDMED score and BMI, waist circumference and fat mass. No relation with blood pressure was found. CONCLUSIONS Mediterranean dietary pattern resulted significantly associated with weight status in adolescents. These results underline the importance of providing lifestyle and dietary habits education to prevent overweight and obesity in adolescent.
Collapse
Affiliation(s)
- Antonio Mistretta
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Stefano Marventano
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy.
| | - Mariagrazia Antoci
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Antonella Cagnetti
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Gabriele Giogianni
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Francesca Nolfo
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Stefania Rametta
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| | - Giulia Pecora
- Course of General Medicine Training, Council for Health, Palermo, Italy
| | - Marina Marranzano
- Department of Medical and Surgical Sciences and Advanced Technologies "G.F. Ingrassia", Section of Hygiene and Preventive Medicine, University of Catania, Catania, Italy
| |
Collapse
|
18
|
Effect of Caffeic Acid Phenethyl Ester on Vascular Damage Caused by Consumption of High Fructose Corn Syrup in Rats. OXIDATIVE MEDICINE AND CELLULAR LONGEVITY 2016; 2016:3419479. [PMID: 27042260 PMCID: PMC4793141 DOI: 10.1155/2016/3419479] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/24/2015] [Accepted: 02/08/2016] [Indexed: 12/11/2022]
Abstract
Fructose corn syrup is cheap sweetener and prolongs the shelf life of products, but fructose intake causes hyperinsulinemia, hypertriglyceridemia, and hypertension. All of them are referred to as metabolic syndrome and they are risk factors for cardiovascular diseases. Hence, the harmful effects of increased fructose intake on health and their prevention should take greater consideration. Caffeic Acid Phenethyl Ester (CAPE) has beneficial effects on metabolic syndrome and vascular function which is important in the prevention of cardiovascular disease. However, there are no known studies about the effect of CAPE on fructose-induced vascular dysfunction. In this study, we examined the effect of CAPE on vascular dysfunction due to high fructose corn syrup (HFCS). HFCS (6 weeks, 30% fed with drinking water) caused vascular dysfunction, but treatment with CAPE (50 micromol/kg i.p. for the last two weeks) effectively restored this problem. Additionally, hypertension in HFCS-fed rats was also decreased in CAPE supplemented rats. CAPE supplements lowered HFCS consumption-induced raise in blood glucose, homocysteine, and cholesterol levels. The aorta tissue endothelial nitric oxide synthase (eNOS) production was decreased in rats given HFCS and in contrast CAPE supplementation efficiently increased its production. The presented results showed that HFCS-induced cardiovascular abnormalities could be prevented by CAPE treatment.
Collapse
|
19
|
Wilkie HJ, Standage M, Gillison FB, Cumming SP, Katzmarzyk PT. Multiple lifestyle behaviours and overweight and obesity among children aged 9-11 years: results from the UK site of the International Study of Childhood Obesity, Lifestyle and the Environment. BMJ Open 2016; 6:e010677. [PMID: 26911589 PMCID: PMC4769406 DOI: 10.1136/bmjopen-2015-010677] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES The purpose of this study was to explore the independent associations between multiple lifestyle behaviours (physical activity, sleep, screen time (ST) and diet) and overweight and obesity in UK children. The second objective was to compare body mass index (BMI) z-score between children who meet health guidelines for each lifestyle behaviour and those who do not and to explore the impact of interactions between lifestyle behaviours on BMI z-score. DESIGN, SETTING AND PARTICIPANTS Cross-sectional study on children aged 9-11 years in the UK (n=374). OUTCOME MEASURES Participants were classified as overweight or obese using the WHO BMI cut-points. Moderate-to-vigorous intensity physical activity (MVPA) and sleep duration were measured using an ActiGraph GT3X+ accelerometer, whereas ST and dietary habits were assessed using questionnaires. Multilevel multiple logistic regression was employed to analyse associations between lifestyle behaviours and overweight/obesity. Participants were then categorised according to whether or not they met specific health criteria for MVPA, ST, sleep and diet. Multilevel multiple linear regression was used to compare these groupings on the outcome of BMI z-score and interactions were explored. RESULTS MVPA and longer sleep duration were associated with lower odds of overweight or obesity, whereas ST and a healthy diet score were associated with increased odds of overweight/obesity. No association was found for an unhealthy diet score. Meeting MVPA guidelines was significantly associated with a lower BMI z-score in all models, and significant two-way interactions were observed for physical activity and sleep, ST and sleep, and physical activity and diet. CONCLUSIONS MVPA, sleep and ST are important lifestyle behaviours associated with overweight/obesity among children. More research is required to confirm the role of diet on adiposity and such work would benefit from objective assessment. Overall, this work suggests that strategies aimed at improving compliance with health guidelines are needed. TRIAL REGISTRATION NUMBER NCT01722500.
Collapse
|
20
|
Alonso-Fernández N, Jiménez-García R, Alonso-Fernández L, Hernández-Barrera V, Palacios-Ceña D. Health factors related to physical activity among children and adolescents: results from Spanish National Health Surveys 2006 and 2011/12. J SPEC PEDIATR NURS 2015; 20:193-202. [PMID: 25864457 DOI: 10.1111/jspn.12113] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2014] [Revised: 03/05/2015] [Accepted: 03/12/2015] [Indexed: 11/28/2022]
Abstract
PURPOSE To describe the prevalence of physical activity during leisure time among children ages 6-14 in 2006 and 2011/12. DESIGN AND METHODS A cross-sectional study used individualized data for children 6-14 years of age from the Spanish National Health Surveys in 2006 (n = 5,108 children) and 2011/12 (n = 3,265 children). RESULTS Leisure time decreased between 2006 and 2011/12(p < .05). Variables associated with increased physical activity were: normal weight (odds ratio [OR] = 1.87; 95% confidence interval [CI]: 1.37-2.57), children perceived to be in good health by their parents (OR = 2.03;95% CI: 1.43-2.87), and less than 2 hr of screen time per day(OR = 2.00; 95% CI: 1.61-2.47). PRACTICE IMPLICATIONS Primary care-based nurses are essential to improving adherence to physical activity.
Collapse
Affiliation(s)
- Nazaret Alonso-Fernández
- Department of Medicine and Surgery, Psychology, Preventive Medicine and Public Health and Immunology, and Medical Microbiology, Universidad Rey Juan Carlos, Madrid, Spain
| | - Rodrigo Jiménez-García
- Department of Medicine and Surgery, Psychology, Preventive Medicine and Public Health and Immunology, and Medical Microbiology, Universidad Rey Juan Carlos, Madrid, Spain
| | - Leticia Alonso-Fernández
- Department of Medicine and Surgery, Psychology, Preventive Medicine and Public Health and Immunology, and Medical Microbiology, Universidad Rey Juan Carlos, Madrid, Spain
| | - Valentín Hernández-Barrera
- Department of Medicine and Surgery, Psychology, Preventive Medicine and Public Health and Immunology, and Medical Microbiology, Universidad Rey Juan Carlos, Madrid, Spain
| | - Domingo Palacios-Ceña
- Department of Physiotherapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain
| |
Collapse
|
21
|
Moschonis G, Tsoutsoulopoulou K, Efstathopoulou E, Tsirigoti L, Lambrinou CP, Georgiou A, Filippou C, Lidoriki I, Reppas K, Androutsos O, Lionis C, Chrousos GP, Manios Y. Conceptual framework of a simplified multi-dimensional model presenting the environmental and personal determinants of cardiometabolic risk behaviors in childhood. Expert Rev Cardiovasc Ther 2015; 13:673-92. [PMID: 25926102 DOI: 10.1586/14779072.2015.1039992] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Clinical manifestations of cardiometabolic risk (CMR) may be set early in childhood due to unfavorable behaviors or lifestyle patterns related to diet and physical activity. Several factors may determine the adoption of such lifestyle-related behaviors, which researchers have tried to cluster under certain frameworks or models. In this context, the framework developed and proposed by this review gathers all the present knowledge regarding these determining factors to date and groups them into three main categories related to personal characteristics and the social and physical environment. Based on the proposed framework, a large variety of personal, social and physical environmental factors can positively or negatively influence CMR-related behaviors (either directly or indirectly via their interrelations), thus leading to decreased or increased risk, respectively. This framework could be of great value to public health policy makers and legislators for designing and implementing interventional programs tailored to the needs of susceptible population groups who are most in need for such initiatives. Targeting the correlates as potential determinants of CMR-related behaviors, and not just on the behaviors themselves, has been shown previously to be the most effective approach for tackling health issues related to CMR starting from early life stages.
Collapse
Affiliation(s)
- George Moschonis
- Department of Nutrition and Dietetics, Harokopio University, 70, El. Venizelou ave. 17671, Kallithea, Athens, Greece
| | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Rosemond TN, Blake CE, Jenkins KA, Buff SM, Moore JB. Dietary Improvements Among African American Youth: Results of an Interactive Nutrition Promotion Program. AMERICAN JOURNAL OF HEALTH EDUCATION 2015. [DOI: 10.1080/19325037.2014.977409] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
23
|
Llauradó E, Tarro L, Moriña D, Queral R, Giralt M, Solà R. EdAl-2 (Educació en Alimentació) programme: reproducibility of a cluster randomised, interventional, primary-school-based study to induce healthier lifestyle activities in children. BMJ Open 2014; 4:e005496. [PMID: 25412862 PMCID: PMC4244435 DOI: 10.1136/bmjopen-2014-005496] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES To assess the reproducibility of an educational intervention EdAl-2 (Educació en Alimentació) programme in 'Terres de l'Ebre' (Spain), over 22 months, to improve lifestyles, including diet and physical activity (PA). DESIGN Reproduction of a cluster randomised controlled trial. SETTING Two semi-rural town-group primary-school clusters were randomly assigned to the intervention or control group. PARTICIPANTS Pupils (n=690) of whom 320 constituted the intervention group (1 cluster) and 370 constituted the control group (1 cluster). Ethnicity was 78% Western European. The mean age (±SD) was 8.04±0.6 years (47.7% females) at baseline. Inclusion criteria for clusters were towns from the southern part of Catalonia having a minimum of 500 children aged 7-8 year; complete data for participants, including name, gender, date and place of birth, and written informed consent from parents or guardians. INTERVENTION The intervention focused on eight lifestyle topics covered in 12 activities (1 h/activity/session) implemented by health promoting agents in the primary school over three academic years. PRIMARY AND SECONDARY OUTCOMES The primary outcome was obesity (OB) prevalence and the secondary outcomes were body mass index (BMI) collected every year and dietary habits and lifestyles collected by questionnaires filled in by parents at baseline and end-of-study. RESULTS At 22 months, the OB prevalence and BMI values were similar in intervention and control groups. Relative to children in control schools, the percentage of boys in the intervention group who performed ≥4 after-school PA h/week was 15% higher (p=0.027), whereas the percentage of girls in both groups remained similar. Also, 16.6% more boys in the intervention group watched ≤2 television (TV) h/day (p=0.009), compared to controls; and no changes were observed in girls in both groups. CONCLUSIONS Our school-based intervention is feasible and reproducible by increasing after-school PA (to ≥4 h/week) in boys. Despite this improvement, there was no change in BMI and prevalence of OB. TRIAL REGISTRATION NUMBER Clinical Trials NCT01362023.
Collapse
Affiliation(s)
- Elisabet Llauradó
- Facultat de Medicina i Ciències de la Salut, Health Education and Promotion, Universitat Rovira i Virgili, Reus, Spain
| | - Lucia Tarro
- Facultat de Medicina i Ciències de la Salut, Health Education and Promotion, Universitat Rovira i Virgili, Reus, Spain
| | - David Moriña
- Technological Centre of Nutrition and Health (CTNS)—TECNIO—URV—CEICS, Barcelona, Spain
- Facultat de Medicina, Centre for Research in Environmental Epidemiology (CREAL)—Unitat de Bioestadística, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Rosa Queral
- School of Nursing, Universitat Rovira i Virgili, Tarragona, Spain
| | - Montse Giralt
- Facultat de Medicina i Ciències de la Salut, Unit of Farmacobiology, Universitat Rovira i Virgili, Reus, Spain
| | - Rosa Solà
- Facultat de Medicina i Ciències de la Salut, Unit of Lipids and Arteriosclerosis Research, CIBERDEM, Hospital Universitari Sant Joan, IISPV, Universitat Rovira i Virgili, Reus, Spain
| |
Collapse
|
24
|
Martin-Calvo N, Martínez-González MA, Bes-Rastrollo M, Gea A, Ochoa MC, Marti A. Sugar-sweetened carbonated beverage consumption and childhood/adolescent obesity: a case-control study. Public Health Nutr 2014; 17:2185-93. [PMID: 24485091 PMCID: PMC10282631 DOI: 10.1017/s136898001300356x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2013] [Revised: 09/30/2013] [Accepted: 12/19/2013] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To assess the association between the consumption of sugar-sweetened carbonated beverages (SSCB) and obesity in children and adolescents from Navarra (Spain). DESIGN We used a matched case-control study design. The exposure, SSCB consumption (1 serving: 200 ml), was measured with a previously validated FFQ. Anthropometrical measures were taken using standardized protocols. The outcome, obesity, was defined as BMI above the age- and sex-specific 97th percentile according to the Spanish reference charts. In the analysis we used conditional logistic regression. Potential confounders were controlled using a multivariable model. SETTING Subjects were recruited in the paediatric departments of the Universidad de Navarra Clinic and the Navarra Hospital Complex, and in three primary health centres of Navarra. Controls were recruited when attending for a routine medical examination or vaccination. SUBJECTS One hundred and seventy-four obese children and 174 individually sex- and age-matched controls, 52·87% boys, with a mean age of 11·6 years. Exclusion criteria were dietary interventions, exposure to hormone treatment, development of secondary obesity due to endocrinopathy and serious intercurrent illness. RESULTS Independently of other factors, high consumption of SSCB (>4 servings/week) was significantly associated with obesity (OR = 3·46; 95% CI 1·24, 9·62; P = 0·01). Besides, each additional daily serving of SSCB was associated with a 69% relative increase in the risk of obesity (OR = 1·69; 95% CI 1·04, 2·73; P = 0·03). CONCLUSIONS We found a strong and significant association between SSCB consumption and obesity risk. Our results suggest a monotonic dose-response linear shape for this association in children and adolescents (P for trend = 0·02).
Collapse
Affiliation(s)
- Nerea Martin-Calvo
- Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain
| | - Miguel-Angel Martínez-González
- Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | - Maira Bes-Rastrollo
- Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
| | - Alfredo Gea
- Department of Preventive Medicine & Public Health, School of Medicine, University of Navarra, C/Irunlarrea 1, 31008 Pamplona, Spain
| | - Ma Carmen Ochoa
- Centro de Investigación Medica Aplicada (CIMA), Pamplona, Spain
| | - Amelia Marti
- Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain
- Department of Food Sciences and Physiology, School of Pharmacy, University of Navarra, Pamplona, Spain
| | | |
Collapse
|
25
|
García-Calzón S, Moleres A, Martínez-González MA, Martínez JA, Zalba G, Marti A. Dietary total antioxidant capacity is associated with leukocyte telomere length in a children and adolescent population. Clin Nutr 2014; 34:694-9. [PMID: 25131600 DOI: 10.1016/j.clnu.2014.07.015] [Citation(s) in RCA: 63] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2014] [Revised: 07/07/2014] [Accepted: 07/29/2014] [Indexed: 11/19/2022]
Abstract
BACKGROUND & AIMS Oxidative stress and inflammation seem to be potential underlying mechanisms for telomere attrition. A lack of specific antioxidants is believed to increase free radical damage and a greater risk for telomere shortening. Our aim was to evaluate the relationship between diet and leukocyte telomere length in a cross-sectional study of children and adolescents. We hypothesized that dietary total antioxidant capacity would be positively associated with telomere length. METHODS Telomere length was measured by quantitative real-time polymerase chain reaction in 287 participants (55% males, 6-18 years), who were randomly selected from the GENOI study. RESULTS A positive correlation between dietary total antioxidant capacity and telomere length (r = 0.157, p = 0.007) was found after adjustment for age and energy intake. However, higher white bread consumption was associated with shorter telomeres (β = -0.204, p = 0.002) in fully-adjusted models. Interestingly, those individuals who had simultaneously higher dietary total antioxidant capacity and lower white bread consumption significantly presented the longest telomeres. Moreover, the multivariable-adjusted odds ratio for very short telomeres was 0.30 for dietary total antioxidant capacity (p = 0.023) and 1.37 for white bread (p = 0.025). CONCLUSION It was concluded that longer telomeres were associated with higher dietary total antioxidant capacity and lower white bread consumption in Spanish children and adolescents. These findings might open a new line of investigation about the potential role of an antioxidant diet in maintaining telomere length.
Collapse
Affiliation(s)
- Sonia García-Calzón
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain
| | - Adriana Moleres
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain
| | - Miguel A Martínez-González
- Department of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain
| | - J Alfredo Martínez
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain
| | - Guillermo Zalba
- Department of Biochemistry and Genetics, University of Navarra, Pamplona, Spain
| | - Amelia Marti
- Department of Nutrition, Food Science and Physiology, University of Navarra, Pamplona, Spain; CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Spain.
| |
Collapse
|
26
|
Chan R, Chan D, Lau W, Lo D, Li L, Woo J. A cross-sectional study to examine the association between dietary patterns and risk of overweight and obesity in Hong Kong Chinese adolescents aged 10-12 years. J Am Coll Nutr 2014; 33:450-8. [PMID: 25079176 DOI: 10.1080/07315724.2013.875398] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
OBJECTIVE To describe the dietary patterns and examine the associations of these patterns with risk of overweight and obesity in Chinese adolescents. METHODS Baseline data collected between November 2003 and October 2004 from 171 boys and 180 girls aged 10-12 years who participated in the Hong Kong Adolescent Bone Health Cohort Study were analyzed. Dietary intake was assessed using a food frequency questionnaire and dietary pattern calculated using factor analysis. Data on demographic characteristics, weight, height, and Tanner stage were collected. Overweight and obesity were defined using The International Obesity Task Force cutoff values. Cardiovascular fitness expressed as peak oxygen consumption was predicted using the postexercise heart rate by the 3-minute step test and was used as an objective measure of physical activity. Association between dietary patterns and risk of overweight and obesity was examined using multivariate logistic regression with adjustment for demographics, puberty, and physical activity. RESULTS The mean (SD) age of the study sample was 11.2 (0.6) years and there were 57 (16.2%) participants who were overweight/obese. Three dietary patterns were identified, namely, vegetables-fruits, snacks-beverages, and animal foods, fats, and condiments dominated. There was no significant linear association between each dietary pattern and the risk of overweight and obesity in this sample. Instead, the risk of overweight and obesity in this sample was positively associated with pubertal stage and inversely associated with physical activity. CONCLUSIONS Pubertal stage and physical activity, but not dietary patterns, were important factors contributing to the risk of overweight and obesity in this population.
Collapse
Affiliation(s)
- Ruth Chan
- a Department of Medicine and Therapeutics , The Chinese University of Hong Kong , Shatin , HONG KONG
| | | | | | | | | | | |
Collapse
|
27
|
Basterfield L, Jones AR, Parkinson KN, Reilly J, Pearce MS, Reilly JJ, Adamson AJ. Physical activity, diet and BMI in children aged 6-8 years: a cross-sectional analysis. BMJ Open 2014; 4:e005001. [PMID: 24902732 PMCID: PMC4054632 DOI: 10.1136/bmjopen-2014-005001] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
OBJECTIVE To assess relationships between current physical activity (PA), dietary intake and body mass index (BMI) in English children. DESIGN AND SETTING Longitudinal birth cohort study in northeast England, cross-sectional analysis. PARTICIPANTS 425 children (41% of the original cohort) aged 6-8 years (49% boys). MAIN OUTCOME MEASURES PA over 7 days was measured objectively by an accelerometer; three categories of PA were created: 'active' ≥60 min/day moderate-to-vigorous-intensity PA (MVPA); 'moderately active' 30-59 min/day MVPA; 'inactive' <30 min/day MVPA. Dietary intake over 4 days was measured using a prospective dietary assessment tool which incorporated elements of the food diary and food frequency methods. Three diet categories were created: 'healthy', 'unhealthy' and 'mixed', according to the number of portions of different foods consumed. Adherence to the '5-a-day' recommendations for portions of fruit and vegetables was also assessed. Children were classified as 'healthy weight' or 'overweight or obese' (OW/OB) according to International Obesity Taskforce cutpoints for BMI. Associations between weight status and PA/diet categories were analysed using logistic regression. RESULTS Few children met the UK-recommended guidelines for either MVPA or fruit and vegetable intake, with just 7% meeting the recommended amount of MVPA of 60 min/day, and 3% meeting the 5-a-day fruit and vegetable recommendation. Higher PA was associated with a lower OR for OW/OB in boys only (0.20, 95% CI 0.04 to 0.88). There was no association detected between dietary intake and OW/OB in either sex. CONCLUSIONS Increasing MVPA may help to reduce OW/OB in boys; however, more research is required to examine this relationship in girls. Children are not meeting the UK guidelines for diet and PA, and more needs to be done to improve this situation.
Collapse
Affiliation(s)
- Laura Basterfield
- Institute of Health & Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Angela R Jones
- Institute of Health & Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Kathryn N Parkinson
- Institute of Health & Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Jessica Reilly
- Institute of Health & Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | - Mark S Pearce
- Institute of Health & Society, Newcastle University, Sir James Spence Institute, Royal Victoria Infirmary, Newcastle upon Tyne, UK
| | - John J Reilly
- Physical Activity for Health Group, School of Psychological Sciences and Health, University of Strathclyde, Glasgow, UK
| | - Ashley J Adamson
- Institute of Health & Society, Human Nutrition Research Centre, Newcastle University, Newcastle upon Tyne, UK
| | | |
Collapse
|
28
|
Rendo-Urteaga T, Puchau B, Chueca M, Oyarzabal M, Azcona-Sanjulián MC, Martínez JA, Marti A. Total antioxidant capacity and oxidative stress after a 10-week dietary intervention program in obese children. Eur J Pediatr 2014; 173:609-16. [PMID: 24310523 DOI: 10.1007/s00431-013-2229-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2013] [Revised: 11/15/2013] [Accepted: 11/26/2013] [Indexed: 12/25/2022]
Abstract
UNLABELLED Dietary and serum total antioxidant capacity (TAC) are considered appropriate tools for investigating the potential health effects of dietary antioxidants consumed in mixed diets. The aim was to analyze the impact of a dietary intervention on macronutrient intakes and to evaluate the improvement on oxidative status after weight loss (WL) by measuring dietary and serum TAC, and urinary F2-isoprostane levels as markers of oxidative stress. Forty-four overweight/obese children (mean age 11.5 years) were enrolled to undergo a 10-week WL program. They were dichotomized at the median of body mass index-standard deviation score (BMI-SDS) change, as high (HR) and low responders (LR) after intervention. Subjects were prescribed with a fixed full-day meal diet, calculated according to their basal metabolic rate and physical activity levels. A validated food-frequency questionnaire was used to retrospectively calculate TAC and daily nutrient intake. The HR subjects were able to reduce anthropometric indices and to improve lipid and glucose profile. They also significantly diminished fat intake (p = 0.013). Moreover, baseline serum TAC values did significantly predict the reduction in urinary F2 isoprostane (B = -0.236 (-0.393 to -0.078); p = 0.014) in the HR group after the WL program. Notably, changes in dietary TAC after the treatment were associated with a decrease in body weight after the 10-week intervention (B = -2.815 (-5.313 to -0.318), p = 0.029) in the HR group. The -ΔSerumTAC/ΔDietaryTAC and the -ΔF2Isoprostane/ΔDietaryTAC ratios revealed that the relationships between oxidative markers and antioxidants dietary intake were more favorable in the HR than in the LR group. CONCLUSION Our study showed that a 10-week WL program was able to reduce adiposity indices in obese children. Moreover, after the intervention changes in dietary TAC and WL were significantly associated. Our result suggests that specific food with a high TAC content (such as fruits, vegetables, and legumes) could be recommended to improve WL.
Collapse
Affiliation(s)
- T Rendo-Urteaga
- Department of Nutrition, Food Science and Physiology, University of Navarra, C/Irunlarrea s/n, CP31008, Pamplona, Navarra, Spain
| | | | | | | | | | | | | |
Collapse
|
29
|
[Socioeconomic pattern in unhealthy diet in children and adolescents in Spain]. Aten Primaria 2014; 46:433-9. [PMID: 24656757 PMCID: PMC6985642 DOI: 10.1016/j.aprim.2013.05.010] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2013] [Revised: 04/30/2013] [Accepted: 05/05/2013] [Indexed: 12/03/2022] Open
Abstract
Objetivo Investigar la posible asociación de patrones alimentarios relacionados con la obesidad y la posición socioeconómica en la población infantil y adolescente española. Diseño Estudio descriptivo transversal. Participantes Los datos proceden de la Encuesta Nacional de Salud de 2007, realizada a una muestra representativa española de 0 a 15 años. En este estudio se han analizado 6.143 sujetos de 5 a 15 años. Mediciones principales Se ha estimado la prevalencia de omisión de desayuno, la prevalencia de bajo consumo de fruta y verdura y la prevalencia de alto consumo de comida rápida, snacks y bebidas azucaradas. Los indicadores de posición socioeconómica han sido el nivel de estudios y la clase social de la persona que aportaba más ingresos económicos al hogar. En cada consumo de alimentos se han estimado las diferencias socioeconómicas mediante la razón de prevalencia, tomando como referencia la categoría socioeconómica más alta. Resultados Tanto en la infancia como en la adolescencia la magnitud de la razón de prevalencia muestra un gradiente socioeconómico inverso en todos los consumos de alimentos investigados: la menor y la mayor razón de prevalencia se observa en los sujetos de familias de posición socioeconómica más alta y más baja, respectivamente. Conclusión En la población infantil y adolescente española la alimentación no saludable relacionada con la obesidad muestra un patrón socioeconómico claro.
Collapse
|
30
|
Esposito M, Gallai B, Roccella M, Marotta R, Lavano F, Lavano SM, Mazzotta G, Bove D, Sorrentino M, Precenzano F, Carotenuto M. Anxiety and depression levels in prepubertal obese children: a case-control study. Neuropsychiatr Dis Treat 2014; 10:1897-902. [PMID: 25336955 PMCID: PMC4200069 DOI: 10.2147/ndt.s69795] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
INTRODUCTION Childhood obesity has become a worldwide epidemic in Western and in developing countries and has been accompanied by many serious and severe comorbidities, such as diabetes, hypertension, sleep apnea syndrome, depression, dyslipidemia, impaired glucose homeostasis, steatohepatitis, and intracranial hypertension, as well as medical concerns unique to youth, such as accelerated pubertal and skeletal development and orthopedic disorders. To date, no specific studies about the psychological assessment in pediatric obesity are present. Therefore, the aim of this study was to evaluate the putative relationship between psychological troubles and obesity in a sample of school-aged children. MATERIALS AND METHODS The study population consists of 148 obese subjects (body mass index [BMI] >95th percentile) (69 males, mean age 8.9±1.23 years) consecutively referred from clinical pediatricians to the Child and Adolescent Neuropsychiatry department at the Second University of Naples. In all subjects, weight, height, and BMI z-score were evaluated. In order to assess the anxiety levels and the presence of depressive symptoms, the Children Depression Inventory (CDI) and the Italian Self-Administered Psychiatric Scales for Children and Adolescents (SAFA) were administered. The control group consisted of 273 healthy children (129 males and 144 females) (mean age 9.1±1.8 years), enrolled in schools within the Campania region of Italy. RESULTS No significant differences between the two study groups were found for age (8.9±1.23 years in the obese sample and 9.1±1.8 years in the control group) (P=0.228) or sex (ratio male/female: 69/79 in the obese group versus 129/144 in the control group) (P=0.983). Obviously, significant difference was found for the BMI z-score (2.46±0.31 in the obese group vs 0.73±0.51 in the control group) (P<0.001). The obese subjects showed significant higher level of depressive symptoms (CDI total score) (16.82±7.73 vs 8.2±2.9) (P<0.001) and anxiety (SAFA - Anxiety [SAFA-A]) scale score (58.71±11.84 vs 27.75±11.5) (P<0.001) compared with the control group. Moreover, the Pearson's correlation analysis showed a significantly positive relationship between the BMI z-score and both the CDI (r=0.677; P<0.001) and SAFA-A scores (r=0.591; P<0.001). CONCLUSION Our findings highlighted the importance of assessing the presence of internalizing problems, such as anxiety and depression, in the common management of childhood obesity.
Collapse
Affiliation(s)
- Maria Esposito
- Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Beatrice Gallai
- Unit of Child and Adolescent Neuropsychiatry, University of Perugia, Perugia, Italy
| | - Michele Roccella
- Child Neuropsychiatry, Department of Psychology, University of Palermo, Palermo, Italy
| | - Rosa Marotta
- Department of Psychiatry, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | - Francesco Lavano
- Department of Psychiatry, "Magna Graecia" University of Catanzaro, Catanzaro, Italy
| | | | - Giovanni Mazzotta
- Unit of Child and Adolescent Neuropsychiatry, AUSL Umbria 2, Terni, Italy
| | - Domenico Bove
- Centro per la Diagnosi e Cura dei Disturbi dell'apprendimento e del Comportamento Associazione per la ricerca scientifica Fusis, Alvignano, Italy
| | - Michele Sorrentino
- Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Francesco Precenzano
- Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Marco Carotenuto
- Clinic of Child and Adolescent Neuropsychiatry, Department of Mental Health, Physical and Preventive Medicine, Second University of Naples, Naples, Italy
| |
Collapse
|
31
|
Firouzi S, Poh BK, Ismail MN, Sadeghilar A. Sleep habits, food intake, and physical activity levels in normal and overweight and obese Malaysian children. Obes Res Clin Pract 2014; 8:e70-8. [DOI: 10.1016/j.orcp.2012.12.001] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2012] [Revised: 11/18/2012] [Accepted: 12/01/2012] [Indexed: 11/26/2022]
|
32
|
Santiago S, Zazpe I, Martí A, Cuervo M, Martínez JA. Gender differences in lifestyle determinants of overweight prevalence in a sample of Southern European children. Obes Res Clin Pract 2013; 7:e391-400. [DOI: 10.1016/j.orcp.2012.07.001] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2012] [Revised: 06/27/2012] [Accepted: 07/03/2012] [Indexed: 10/28/2022]
|
33
|
Teshome T, Singh P, Moges D. Prevalence and Associated Factors of Overweight and Obesity Among High School Adolescents in Urban Communities of Hawassa, Southern Ethiopia. ACTA ACUST UNITED AC 2013. [DOI: 10.12944/crnfsj.1.1.03] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Over the past few decades, the prevalence of overweight and obesity has significantly increased among adolescents of developed countries and becoming an emerging problem in countries undergoing socioeconomic transition. The adverse health outcomes resulting from overweight and obesity include short-term psychosocial problems and long-term non-psychological problems such as high blood pressure and type-2 diabetes. The objective of this study was to assess the prevalence and associated factors of overweight and obesity among high school adolescent in urban communities of Hawassa city. A cross-sectional study was conducted from February 20 to March 9/ 2012 among 559 secondary school students aged 10 to 19 years old in Hawassa city. A self-administered questionnaire was used to collect demographic, socio-economic, dietary and physical activity data. All anthropometric measurements of weight, height and TSFT were performed by using calibrated equipments and standardized techniques. The data was analyzed using SPSS for windows version 16 and WHO Anthro-Plus programs. Statistical tests for significance were performed at 5% level of significance. The results showed that the prevalence of overweight in the study participants was 12.9% and the prevalence of obesity was 2.7% based on age and sex specific BMI classification while based on TSFT, the prevalence of overweight and obesity was 11.0% and 3.8% respectively. Statistically significant agreement was observed between the tools (k= 0.841; p <0.001). The present study also found that there were a statistically significant association between sex, total physical activity, socio economic index, consumption frequency of meat, fruit, fast food and time spent watching TV/using computer with overweight and obesity prevalence (p<0.05). The present study revealed that more than one tenth of adolescents were overweight, making it a hidden problem of Hawassa city. The causes of overweight and obesity among adolescents aged 10-19 years in the study area may be many and complex but it might stem basically from the life style of adolescents. This information is useful for the planning of health and nutrition programs as well as intervention strategies to combat adolescent overweight and obesity.
Collapse
Affiliation(s)
| | - Pragya Singh
- School of Nutrition, Food Science and Technology, Hawassa University, SNNPR, Ethiopia
| | - Debebe Moges
- Hawassa University, School of Nutrition, Food Science and Technology, SNNPR, Ethiopia
| |
Collapse
|
34
|
Schellong K, Schulz S, Harder T, Plagemann A. Birth weight and long-term overweight risk: systematic review and a meta-analysis including 643,902 persons from 66 studies and 26 countries globally. PLoS One 2012; 7:e47776. [PMID: 23082214 PMCID: PMC3474767 DOI: 10.1371/journal.pone.0047776] [Citation(s) in RCA: 252] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2012] [Accepted: 09/17/2012] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Overweight is among the major challenging health risk factors. It has been claimed that birth weight, being a critical indicator of prenatal developmental conditions, is related to long-term overweight risk. In order to check this important assumption of developmental and preventive medicine, we performed a systematic review and comprehensive meta-analysis. METHODS AND FINDINGS Relevant studies published up to January 2011 that investigated the relation between birth weight and later risk of overweight were identified through literature searches using MEDLINE and EMBASE. For meta-analysis, 66 studies from 26 countries and five continents were identified to be eligible, including 643,902 persons aged 1 to 75 years. We constructed random-effects and fixed-effects models, performed subgroup-analyses, influence-analyses, assessed heterogeneity and publication bias, performed meta-regression analysis as well as analysis of confounder adjusted data. Meta-regression revealed a linear positive relationship between birth weight and later overweight risk (p<0.001). Low birth weight (<2,500 g) was found to be followed by a decreased risk of overweight (odds ratio (OR) =0.67; 95% confidence interval (CI) 0.59-0.76). High birth weight (>4,000 g) was associated with increased risk of overweight (OR=1.66; 95% CI 1.55-1.77). Results did not change significantly by using normal birth weight (2,500-4,000 g) as reference category (OR=0.73, 95% CI 0.63-0.84, and OR=1.60, 95% CI 1.45-1.77, respectively). Subgroup- and influence-analyses revealed no indication for bias/confounding. Adjusted estimates indicate a doubling of long-term overweight risk in high as compared to normal birth weight subjects (OR=1.96, 95% CI 1.43-2.67). CONCLUSIONS Findings demonstrate that low birth weight is followed by a decreased long-term risk of overweight, while high birth weight predisposes for later overweight. Preventing in-utero overnutrition, e.g., by avoiding maternal overnutrition, overweight and/or diabetes during pregnancy, might therefore be a promising strategy of genuine overweight prevention, globally.
Collapse
Affiliation(s)
- Karen Schellong
- Clinic of Obstetrics, Division of ‘Experimental Obstetrics’, Charité – University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany
| | - Sandra Schulz
- Clinic of Obstetrics, Division of ‘Experimental Obstetrics’, Charité – University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany
| | - Thomas Harder
- Clinic of Obstetrics, Division of ‘Experimental Obstetrics’, Charité – University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany
| | - Andreas Plagemann
- Clinic of Obstetrics, Division of ‘Experimental Obstetrics’, Charité – University Medicine Berlin, Campus Virchow-Klinikum, Berlin, Germany
| |
Collapse
|
35
|
Mucci L, Santilli F, Cuccurullo C, Davì G. Cardiovascular risk and dietary sugar intake: is the link so sweet? Intern Emerg Med 2012; 7:313-22. [PMID: 21544534 DOI: 10.1007/s11739-011-0606-7] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2011] [Accepted: 04/19/2011] [Indexed: 01/25/2023]
Abstract
Soft drinks and sugar-sweetened beverages have been targeted as one of the primary culprits in the escalating rates of obesity and diabetes and reduction of added sugars is considered between the goals to achieve in order to promote cardiovascular health and to reduce deaths from cardiovascular causes. Many reliable mechanisms, such as dislypidemia, inflammation and enhanced oxidative stress, have been proposed to support a causal link between sugar sweetened beverages intake and cardiovascular risk, but the ultimate underlying pathways remain to be determined in adequately designed studies. Furthermore, while epidemiological evidence strongly supports an association between sugar sweetened beverages consumption and obesity, type 2 diabetes mellitus or cardiovascular risk, incongruous findings yielded by clinical trials, or formal meta-analyses make difficult to draw firm conclusions in this regard. Further and rigorous studies are needed to better understand the role of sugar sweetened beverages in the etiology of cardiovascular diseases and to better address the warnings and decisions of regulatory authorities on public health worldwide.
Collapse
Affiliation(s)
- Luciana Mucci
- Department of Pharmacology, Catholic University School of Medicine, Rome, Italy
| | | | | | | |
Collapse
|
36
|
Risk factors of obesity in preschool children in an urban area in China. Eur J Pediatr 2011; 170:1401-6. [PMID: 21365176 DOI: 10.1007/s00431-011-1416-7] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2010] [Accepted: 02/01/2011] [Indexed: 10/18/2022]
Abstract
To assess risk factors of childhood obesity, we carried out a case-control study in ten kindergartens in Changsha, the capital city in the Chinese province of Hunan, between July 1 and December 31, 2007. Height and weight measurements were obtained from annual physical examinations for children attending these kindergartens. Obesity was defined according to the International Obesity Task Force cutoff for body mass index (BMI). For each obese child, one child with normal BMI, matched by kindergarten class, sex, age (within 3 months), and height (within 3 cm) were chosen as controls. The parents of the study subjects were asked to complete a questionnaire about their children, including perinatal factors, infant feeding, and current lifestyle factors. Univariate analysis was performed first to compare the distribution of risk factors between cases and controls. Conditional logistic regression analysis was used to assess independent risk factors of childhood obesity. A total of 162 subjects (81 pairs of cases and controls) were included in the final analysis. The results showed that the adjusted odds ratios and 95% confidence intervals for childhood obesity were 8.88 (2.41-32.70), 5.23 (1.24-22.04), 10.96 (2.08-21.64), and 6.72 (1.55-29.12), respectively, for macrosomia, cesarean delivery, early solid foods initiation (<4 months), and fetal musical education. We conclude that macrosomia, cesarean delivery, early initiation of solid foods, and fetal musical education are associated with increased risk of obesity in preschool children in urban China.
Collapse
|
37
|
Santiago S, Cuervo M, Zazpe I, Ortega A, García-Perea A, Martínez JA. [Weight status, dietary habits and physical activity among 6-12 year-old children in Castile-La Mancha]. An Pediatr (Barc) 2011; 80:89-97. [PMID: 21962446 DOI: 10.1016/j.anpedi.2011.07.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2010] [Revised: 07/06/2011] [Accepted: 07/07/2011] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION Childhood obesity is a multifactorial disease, in which unhealthy dietary patterns and sedentary lifestyles play a decisive role. The aim of this study was to assess the weight status, dietary habits and physical activity in Castile-La Mancha children. SUBJECTS AND METHODS A cross-sectional study was conducted on 3061 children 6-12 years-old who were participating in the programme, "Alimenta su salud". Anthropometric measurements, food consumption frequency, dietary habits and physical activity were assessed by a questionnaire, including gender, age and geographical influences. RESULTS The prevalence of subjects with excess weight-for-height was 24.0% and obesity was 14.3%, with geographical differences. Girls more often have mid-morning snacks, consume more supplements, and reported to be less active than boys. Special diets and sports activities were lower in children aged 6-9 years as compared to the 10-12 years old group. The intake of vegetables and fruit is low, while there is overconsumption of sausages, pastries, salted snacks, sweets and fast food, with some differences by age group. CONCLUSIONS One out of four children is overweight or obese in this population. Children do not meet recommendations for fruit and vegetables and there is a high consumption of foods associated with obesity risk. Physical inactivity was more prevalent during the weekends, and among girls.
Collapse
Affiliation(s)
- S Santiago
- Departamento de Ciencias de la Alimentación, Fisiología y Toxicología, Universidad de Navarra, Pamplona, España
| | - M Cuervo
- Departamento de Ciencias de la Alimentación, Fisiología y Toxicología, Universidad de Navarra, Pamplona, España
| | - I Zazpe
- Departamento de Ciencias de la Alimentación, Fisiología y Toxicología, Universidad de Navarra, Pamplona, España
| | - A Ortega
- Colegio Oficial de Farmacéuticos de Ciudad Real, Ciudad Real, España
| | - A García-Perea
- Consejo General de Colegios Oficiales de Farmacéuticos, España
| | - J A Martínez
- Departamento de Ciencias de la Alimentación, Fisiología y Toxicología, Universidad de Navarra, Pamplona, España.
| |
Collapse
|
38
|
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, Goldfield G, Connor Gorber S. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act 2011; 8:98. [PMID: 21936895 PMCID: PMC3186735 DOI: 10.1186/1479-5868-8-98] [Citation(s) in RCA: 1161] [Impact Index Per Article: 89.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2011] [Accepted: 09/21/2011] [Indexed: 12/17/2022] Open
Abstract
Accumulating evidence suggests that, independent of physical activity levels, sedentary behaviours are associated with increased risk of cardio-metabolic disease, all-cause mortality, and a variety of physiological and psychological problems. Therefore, the purpose of this systematic review is to determine the relationship between sedentary behaviour and health indicators in school-aged children and youth aged 5-17 years. Online databases (MEDLINE, EMBASE and PsycINFO), personal libraries and government documents were searched for relevant studies examining time spent engaging in sedentary behaviours and six specific health indicators (body composition, fitness, metabolic syndrome and cardiovascular disease, self-esteem, pro-social behaviour and academic achievement). 232 studies including 983,840 participants met inclusion criteria and were included in the review. Television (TV) watching was the most common measure of sedentary behaviour and body composition was the most common outcome measure. Qualitative analysis of all studies revealed a dose-response relation between increased sedentary behaviour and unfavourable health outcomes. Watching TV for more than 2 hours per day was associated with unfavourable body composition, decreased fitness, lowered scores for self-esteem and pro-social behaviour and decreased academic achievement. Meta-analysis was completed for randomized controlled studies that aimed to reduce sedentary time and reported change in body mass index (BMI) as their primary outcome. In this regard, a meta-analysis revealed an overall significant effect of -0.81 (95% CI of -1.44 to -0.17, p = 0.01) indicating an overall decrease in mean BMI associated with the interventions. There is a large body of evidence from all study designs which suggests that decreasing any type of sedentary time is associated with lower health risk in youth aged 5-17 years. In particular, the evidence suggests that daily TV viewing in excess of 2 hours is associated with reduced physical and psychosocial health, and that lowering sedentary time leads to reductions in BMI.
Collapse
Affiliation(s)
- Mark S Tremblay
- Healthy Active Living and Obesity Research, Children's Hospital of Eastern Ontario Research Institute, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
| | | | | | | | | | | | | | | |
Collapse
|
39
|
Abbes PT, Lavrador MSF, Escrivão MAMS, Taddei JADAC. Sedentarismo e variáveis clínico-metabólicas associadas à obesidade em adolescentes. REV NUTR 2011. [DOI: 10.1590/s1415-52732011000400002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJETIVO: Estudar a associação da obesidade com variáveis metabólicas, variáveis clínicas e sedentarismo, em adolescentes pós-púberes de escolas públicas de São Paulo. MÉTODOS: Estudo caso-controle com 128 adolescentes obesos (índice de massa corporal > percentil 95) e 151 adolescentes eutróficos (índice de massa corporal entre percentis 5 e 85). Foram realizados exame físico, avaliação bioquímica e de composição corporal. Foi aplicado questionário previamente testado, que gerou um escore de sedentarismo. Na análise estatística, foi realizada a análise de variância com testes de comparações múltiplas de Bonferroni e qui-quadrado (Pearson). O modelo logístico múltiplo foi utilizado para verificar as associações entre variáveis clínicas, variáveis metabólicas, escore de sedentarismo e estado nutricional. RESULTADOS Por meio da análise de variância, foi identificado um gradiente nos valores médios das variáveis metabólicas e clínicas com piora dessas variáveis em paralelo ao aumento do grau de sedentarismo, o que foi confirmado pelo teste qui-quadrado. Na análise bivariada de riscos para obesidade, os adolescentes obesos apresentaram maiores frequências de sedentarismo, de alterações nos níveis de lipoproteína de alta densidade e triglicérides, de hiperinsulinemia e homeostasis model assessment for insulin resistence alterado, e de pressão arterial alterada (p<0,05). O modelo logístico múltiplo mostrou associações entre obesidade e variáveis de sedentarismo (OR=2,23), lipoproteína de alta densidade reduzida (OR=3,05), pressão arterial alterada (OR=3,57), triglicerídeos aumentados (OR=4,13) e homeostasis model assessment for insulin resistence aumentado (OR=11,65). CONCLUSÃO: Sedentarismo, lipoproteína de alta densidade reduzida, hipertrigliceridemia, resistência insulínica e hipertensão estão fortemente associados com a obesidade em adolescentes. Estratégias para redução do peso corporal por meio de mudanças nos hábitos de vida devem fazer parte das políticas e programas de saúde pública, especialmente para essa faixa etária.
Collapse
|
40
|
Marti A, Goyenechea E, Martínez JA. Nutrigenetics: a tool to provide personalized nutritional therapy to the obese. JOURNAL OF NUTRIGENETICS AND NUTRIGENOMICS 2011; 3:157-69. [PMID: 21474948 DOI: 10.1159/000324350] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Amelia Marti
- Institute of Nutrition and Food Sciences, University of Navarra, Pamplona, Spain
| | | | | |
Collapse
|
41
|
Factors associated with childhood obesity in Spain. The OBICE study: a case–control study based on sentinel networks. Public Health Nutr 2011; 14:1105-13. [DOI: 10.1017/s1368980010003770] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
AbstractObjectiveTo estimate the association strength of dietary behaviour and sedentary habits in relation to childhood obesity in Spain.DesignA matched case–control study was carried out using data collected by sentinel network paediatricians in general practices.SettingFive Spanish autonomous communities.SubjectsCases were 437 children (2–14 years old) with BMI >95th percentile according to Spanish reference tables. Controls were 751 children (2–14 years old; two paired per case) with BMI <84th percentile. Data were collected in two phases: individual (questionnaires filled in by sentinel paediatricians) and family (self-administered questionnaires filled in a family environment). Crude OR and adjusted OR (ORc and adj OR) for the given variables were calculated using a simple and multiple conditional logistic regression analysis.ResultsThe factors with the greatest effect on obesity were family history of obesity: both parents (adj OR = 11·2), mother but not father (adj OR = 9·1), father but not mother (adj OR = 6·1), siblings (adj OR = 2·7); and eating between meals (adj OR = 2·5) and consumption of sweets and soft drinks >2 times/week (adj OR = 2·0). The highest protection effect was found for five meals per day (adj OR = 0·5), the regular consumption of breakfast (adj OR = 0·5) and for eating fruit for dessert (adj OR = 0·6). Factors related to sedentary habits did not appear as noteworthy.ConclusionsWe have determined the association between certain dietary behaviour and family history with childhood obesity in several Spanish regions.
Collapse
|
42
|
Prevention of childhood obesity in Spain: a focus on policies outside the health sector. SESPAS report 2010. GACETA SANITARIA 2010; 24 Suppl 1:49-55. [DOI: 10.1016/j.gaceta.2010.09.014] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/17/2010] [Revised: 08/31/2010] [Accepted: 09/06/2010] [Indexed: 11/18/2022]
|
43
|
Vázquez-Nava F, Vázquez-Rodríguez EM, Saldívar-González AH, Lin-Ochoa D, Martinez-Perales GM, Joffre-Velázquez VM. Association between obesity and dental caries in a group of preschool children in Mexico. J Public Health Dent 2010; 70:124-30. [PMID: 20002878 DOI: 10.1111/j.1752-7325.2009.00152.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
OBJECTIVE The aim of this study was to determine the association between obesity and caries by utilizing the data of a cohort of preschool children aged 4-5 years. METHODS Data were obtained from a cohort of 1,160 children. Dental caries detection was performed according to the World Health Organization criteria. The caries index was measured as the number of decayed (d), extracted (e), and filled (f) teeth (t) (deft), or surfaces (defs). The body mass index (BMI) in units of kg/m2 was determined, and children were categorized according to age- and gender-specific criteria as normal weight (5th-85th percentile), at-risk overweight (> or = 85th-<95th percentile), and overweight (> or = 95th percentile). Odds ratios were determined for at-risk overweight and overweight children using logistic regression. RESULTS The prevalence of dental caries was 17.9 percent. A slightly higher percentage of dental caries was found in boys (19.6 percent) than in girls (16.4 percent). From the total sample, the mean BMI was 17.10 +/- 3.83. Approximately 53.7 percent of children were classified as normal weight, 14.2 percent as at-risk overweight, and 32.1 percent as overweight. At-risk overweight children were higher among girls (17.1 percent) than among boys (11.3 percent). When adjusted for covariates, the logistic regression model showed that there was a significant association between at-risk overweight children (P < 0.001), overweight children (P < 0.001), and caries in the primary dentition. Mean (SD) deft value of the sample was 1.08 (2.34), while the corresponding defs value was 1.43 (3.29). CONCLUSION Obesity appears to be associated with dental caries in the primary dentition of preschool Mexican children.
Collapse
Affiliation(s)
- Francisco Vázquez-Nava
- Department of Research in Clinical Epidemiology, Tampico, Autonomous University of Tamaulipas, Mexico.
| | | | | | | | | | | |
Collapse
|
44
|
Monasta L, Batty GD, Cattaneo A, Lutje V, Ronfani L, Van Lenthe FJ, Brug J. Early-life determinants of overweight and obesity: a review of systematic reviews. Obes Rev 2010; 11:695-708. [PMID: 20331509 DOI: 10.1111/j.1467-789x.2010.00735.x] [Citation(s) in RCA: 399] [Impact Index Per Article: 28.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The aim of this paper was to review the evidence for early-life (from conception to 5 years of age) determinants of obesity. The design is review of published systematic reviews. Data sources included Medline, Embase, Web of Science, Cochrane Library, CINAHL, PsycINFO. Identification of 22 eligible reviews from a database of 12,021 independent publications. Quality of selected reviews assessed using the Assessment of Multiple Systematic Reviews score. Articles published after the reviews were used to confirm results. No review was classified as high quality, 11 as moderate and 11 as low. Factors associated with later overweight and obesity: maternal diabetes, maternal smoking, rapid infant growth, no or short breastfeeding, obesity in infancy, short sleep duration, <30 min of daily physical activity, consumption of sugar-sweetened beverages. Other factors were identified as potentially relevant, although the size of their effect is difficult to estimate. Maternal smoking, breastfeeding, infant size and growth, short sleep duration and television viewing are supported by better-quality reviews. It is difficult to establish a causal association between possible determinants and obesity, and the relative importance of each determinant. Future research should focus on early-life interventions to confirm the role of protective and risk factors and to tackle the high burden obesity represents for present and future generations.
Collapse
Affiliation(s)
- L Monasta
- Epidemiology and Biostatistics Unit, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, Italy.
| | | | | | | | | | | | | |
Collapse
|
45
|
Abstract
OBJECTIVE A systematic literature review was conducted to determine whether sweetened beverage intake increases the risk for obesity, and the extent to which it has contributed to recent increases in energy intake and adiposity in the USA. DESIGN The search included studies published between 1970 and 2010 that examined secular trends, mechanisms, observational associations and intervention outcomes. Observational and intervention studies were abstracted and systematically evaluated for quality. SETTING Trends in obesity prevalence in the USA and studies from industrialized (developed) countries were included. SUBJECTS Studies were included for all ages, genders, ethnic and socio-economic groups for which data were available. RESULTS Obesity rates and sweetened beverage intake have increased in tandem in the USA. Studies consistently show that higher intake of sweetened beverages is associated with higher energy intake. Energy in liquid form is not well compensated for by reductions in the intake of other sources of energy. Well-designed observational studies consistently show a significant positive relationship between sweetened beverage intake and adiposity. More importantly, several well-conducted randomized controlled trials have shown statistically significant changes in adiposity as a result of corresponding changes in sweetened beverage intake. CONCLUSIONS All lines of evidence consistently support the conclusion that the consumption of sweetened beverages has contributed to the obesity epidemic. It is estimated that sweetened beverages account for at least one-fifth of the weight gained between 1977 and 2007 in the US population. Actions that are successful in reducing sweetened beverage consumption are likely to have a measurable impact on obesity.
Collapse
|
46
|
Calañas-Continente A, José Arrizabalaga J, Caixàs A, Cordido F. Recomendaciones diagnósticas y terapéuticas en el sobrepeso y la obesidad durante la adolescencia. Med Clin (Barc) 2010; 135:265-73. [DOI: 10.1016/j.medcli.2009.02.041] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2009] [Accepted: 02/03/2009] [Indexed: 01/18/2023]
|
47
|
Puchau B, Ochoa MC, Zulet MÁ, Marti A, Martínez JA, Members G. Dietary total antioxidant capacity and obesity in children and adolescents. Int J Food Sci Nutr 2010; 61:713-21. [DOI: 10.3109/09637481003757860] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
|
48
|
Janssen I, Leblanc AG. Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. Int J Behav Nutr Phys Act 2010; 7:40. [PMID: 20459784 PMCID: PMC2885312 DOI: 10.1186/1479-5868-7-40] [Citation(s) in RCA: 2375] [Impact Index Per Article: 169.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2009] [Accepted: 05/11/2010] [Indexed: 02/06/2023] Open
Abstract
Background The purpose was to: 1) perform a systematic review of studies examining the relation between physical activity, fitness, and health in school-aged children and youth, and 2) make recommendations based on the findings. Methods The systematic review was limited to 7 health indicators: high blood cholesterol, high blood pressure, the metabolic syndrome, obesity, low bone density, depression, and injuries. Literature searches were conducted using predefined keywords in 6 key databases. A total of 11,088 potential papers were identified. The abstracts and full-text articles of potentially relevant papers were screened to determine eligibility. Data was abstracted for 113 outcomes from the 86 eligible papers. The evidence was graded for each health outcome using established criteria based on the quantity and quality of studies and strength of effect. The volume, intensity, and type of physical activity were considered. Results Physical activity was associated with numerous health benefits. The dose-response relations observed in observational studies indicate that the more physical activity, the greater the health benefit. Results from experimental studies indicate that even modest amounts of physical activity can have health benefits in high-risk youngsters (e.g., obese). To achieve substantive health benefits, the physical activity should be of at least a moderate intensity. Vigorous intensity activities may provide even greater benefit. Aerobic-based activities had the greatest health benefit, other than for bone health, in which case high-impact weight bearing activities were required. Conclusion The following recommendations were made: 1) Children and youth 5-17 years of age should accumulate an average of at least 60 minutes per day and up to several hours of at least moderate intensity physical activity. Some of the health benefits can be achieved through an average of 30 minutes per day. [Level 2, Grade A]. 2) More vigorous intensity activities should be incorporated or added when possible, including activities that strengthen muscle and bone [Level 3, Grade B]. 3) Aerobic activities should make up the majority of the physical activity. Muscle and bone strengthening activities should be incorporated on at least 3 days of the week [Level 2, Grade A].
Collapse
Affiliation(s)
- Ian Janssen
- School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada.
| | | |
Collapse
|
49
|
Abstract
OBJECTIVE Obesity in children is a serious public health issue in Greece. The purpose of the current study was to identify risk factors such as birth weight, breast-feeding, dietary patterns, family history of obesity and sedentary behaviours that are possibly associated with paediatric obesity. DESIGN Two hundred and five overweight and obese children (OW/OB; group 1) aged 7-15 years from eight primary and secondary schools and a control group (group 2) of normal-weight children were matched for age and sex. Overweight and obesity were calculated based on the International Obesity Taskforce criteria. Lifestyle parameters as well as anthropometric data were collected in all children. Conditional logistic regression analysis was used to identify risk factors for obesity. RESULTS Breast-feeding (> or =3 months) and leisure-time physical activity proved to be protector factors against obesity (OR = 0.21, 95 % CI 0.11, 0.79, P < 0.001 and OR = 0.87, 95 % CI 0.85, 0.89, P < 0.001 respectively). On the other hand, family history of obesity (OR = 3.79, 95 % CI 2.61, 4.18, P < 0.001), sugar-sweetened beverage consumption (OR = 1.77, 95 % CI 1.03, 2.76, P < 0.001) and watching television (OR = 1.99, 95 % CI 1.54, 2.76, P = 0.04) were found to be positively associated with a higher obesity risk. CONCLUSIONS The current findings support the literature according to which duration of breast-feeding (<3 months), a family history of obesity, watching television, sedentary lifestyle and consumption of sugar-sweetened beverages are important risk factors for childhood obesity. More studies are needed to elucidate the relationship of paediatric obesity and possible predictor factors in order to avoid health consequences in these children later on in life.
Collapse
|
50
|
Martinez-Gomez D, Gomez-Martinez S, Puertollano MA, Nova E, Wärnberg J, Veiga OL, Martí A, Campoy C, Garagorri JM, Azcona C, Vaquero MP, Redondo-Figuero C, Delgado M, Martínez JA, Garcia-Fuentes M, Moreno LA, Marcos A. Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON Study. BMC Public Health 2009; 9:414. [PMID: 19912668 PMCID: PMC2779817 DOI: 10.1186/1471-2458-9-414] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2009] [Accepted: 11/15/2009] [Indexed: 01/23/2023] Open
Abstract
Background The prevalence of overweight and obesity (OW/OB) among adolescents worldwide has increased since the 60 s. Spain has reached one of the highest OW/OB prevalence rates among adolescents from European countries. The aim of this methodological paper is to describe the design and evaluation in the EVASYON study (Development, implementation and evaluation of the efficacy of a therapeutic programme for adolescents with OW/OB: integral education on nutrition and physical activity). Methods/Design The EVASYON was planned by a multidisciplinary team to treat OW/OB in Spanish adolescents. The EVASYON is a multi-centre study conducted in 5 hospitals in 5 Spanish cities (Granada, Madrid, Pamplona, Santander and Zaragoza) and two hundred and four OW/OB Spanish adolescents were recruited for this intervention. The treatment was implemented for approximately one-year follow-up. The adolescents were treated in groups of a maximum of 10 subjects; each group had 20 visits during the treatment period in two phases: intensive during the first 2 months (1st to 9th visits), and extensive during the last 11 months (10th to 20th visits). In order to assess the efficacy of the treatment, 8 dimensions were measured: diet; physical activity and fitness; eating behaviour; body composition; haematological profile; metabolic profile; minerals and vitamins; immuno-inflammatory markers. Moreover, genetic polymorphisms were also determined. Discussion The treatment programme developed in the EVASYON study was designed as a national pilot study to be implemented as an effective treatment for adolescents with OW/OB into the Spanish Health Care Service.
Collapse
Affiliation(s)
- David Martinez-Gomez
- Department of Metabolism and Nutrition, Instituto del Frío, Institute of Food Science and Technology and Nutrition, Spanish National Research Council (CSIC), Madrid, Spain.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|