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Gavryutina I, Bochner R, Chin V, Bargman R. A Cross-Sectional Pilot Study of Parental Outdoor Play Preferences and Association With Child Overweight and Obesity. Clin Pediatr (Phila) 2024; 63:466-473. [PMID: 37246752 DOI: 10.1177/00099228231176350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Childhood obesity is highly prevalent among certain populations of New York. This cross-sectional pilot study examined the associations between parental attitudes about outdoor activities and body mass index (BMI). A questionnaire was distributed among parents of 1 to 13 aged children at ambulatory pediatric clinics. Of 104 children included in the study 57 were of normal weight and 47 were overweight or obese. Most parents of children with BMI <85% reported frequent playground utilization, considered longer hours to spend outside on weekdays, reported a larger total temperature range for outdoor playground utilization and a lower tolerable minimum temperature compared to parents of children with BMI ≥85%, p < .05. Only having a parent born outside of the United States remained a significant predictor of overweight and obesity in the final model. Parents of children with BMI < 85% are more willing to spend time outdoors, regardless of weather. Immigrant parents are protective against overweight.
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Affiliation(s)
- Irina Gavryutina
- Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA
| | - Risa Bochner
- Department of Pediatrics, New York City Health and Hospitals Harlem Hospital, New York, NY, USA
| | - Vivian Chin
- Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA
| | - Renee Bargman
- Department of Pediatrics, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA
- Department of Pediatrics, New York City Health and Hospitals Kings County Hospital, Brooklyn, NY, USA
- Department of Pediatrics, New York City Health and Hospital South Brooklyn Health, Brooklyn, NY, USA
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Trofholz A, Hochgraf AK, Tschida L, Berge JM. Understanding Weight Talk in Racially/Ethnically Diverse Homes: A Qualitative Analysis With Parents. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2023; 55:721-733. [PMID: 37656096 PMCID: PMC10591964 DOI: 10.1016/j.jneb.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 06/27/2023] [Accepted: 07/25/2023] [Indexed: 09/02/2023]
Abstract
OBJECTIVE To explore weight talk in the homes of racially/ethnically diverse immigrant/refugee children and their families. DESIGN Qualitative interviews were conducted with parents of young children. SETTING Twin Cities, Minnesota. PARTICIPANTS Parents from 150 families (25 families each from White, Black, Latino, Hmong, Native American, and Somali households) were recruited from primary care clinics. Eligibility criteria included: participating parent lived with a child aged 5-7 years, shared a meal with this child at least daily, and had another child living in the home. MAIN OUTCOME MEASURES Weight talk (ie, weight-related conversations, teasing), intergenerational transmission of weight talk. ANALYSIS Qualitative content analysis using Nvivo software. RESULTS Themes were found for each of our 4 research questions. Themes included: (1) parents experienced weight talk in their own homes growing up; (2) parents believed their community or culture influenced weight talk in their home; (3) parents described different ways of approaching weight talk, including not discussing weight, being direct about weight, and playful teasing; and (4) parents described various strategies for addressing concerns about their children's weight. CONCLUSIONS AND IMPLICATIONS Results suggested weight and health were salient issues for racially/ethnically diverse parents. Further research is needed to investigate why some parents engage in weight teasing, what prompts weight teasing, and the differences between weight- and health-focused conversations to identify potential targets for intervention. Recommendations for health providers working with families with young children, such as training using nonstigmatizing language, are discussed.
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Affiliation(s)
- Amanda Trofholz
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN.
| | - Anna K Hochgraf
- Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
| | - Lauren Tschida
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN
| | - Jerica M Berge
- Department of Family Medicine and Community Health, University of Minnesota, Minneapolis, MN
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Oktaviani S, Mizutani M, Nishide R, Tanimura S. Factors associated with overweight/obesity of children aged 6-12 years in Indonesia. BMC Pediatr 2023; 23:484. [PMID: 37749512 PMCID: PMC10518961 DOI: 10.1186/s12887-023-04321-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Accepted: 09/19/2023] [Indexed: 09/27/2023] Open
Abstract
BACKGROUND Globally, the prevalence of childhood obesity has increased considerably, including in Indonesia. Obesity results from multifactorial interactions at the personal, familial, and environmental levels. However, little is known about the factors associated with overweight/obesity among children in Indonesia. This study is intended to identify personal, familial, and environmental factors associated with overweight/obesity in children aged 6-12 years in Indonesia. METHODS Study design was a secondary data analysis using the Indonesia Family Life Survey in 2014/2015, focusing on 6,090 children aged 6-12 years. The questions covered the child's body mass index and potential personal, familial, and environmental factors. Logistic regression analysis was performed to identify the personal, familial, and environmental factors. RESULTS The mean age of participants was 8.9 years (SD = 2.0); 51.0% were boys; 9.4% were overweight; and 8.1% were obese. Overweight and obesity were associated with age [AOR 1.09 (95% CI 1.04-1.14)], having an overweight [AOR 1.93 (95% CI 1.58-2.36)] or obese [AOR 3.36 (95% CI 2.43-4.61)] father compared with a normal father, being of Chinese [AOR 9.51 (95% CI 1.43-79.43)] or Javanese [AOR 1.60 (95% CI 1.16-2.24)] ethnicity compared with Sundanese ethnicity, and residing in an urban area [AOR 1.36 (95% CI 1.10-1.70)]. A lower risk of child overweight/obesity was associated with the father's perception [AOR 0.56 (95% CI 0.38-0.80)] and mother's perception [AOR 0.66 (95% CI 0.43-0.98)] of the child's food consumption as being less than adequate compared with adequate. CONCLUSIONS Risk factors in children for overweight/obesity were older age, having an overweight/obese father, membership of certain ethnic groups, and urban residence. The main protective factor was parents' perception that a child's food consumption was less than adequate. Health promotion programs focused on these factors could help control or prevent childhood obesity in Indonesia.
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Affiliation(s)
- Sofi Oktaviani
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
- Indramayu College of Health Science, Indramayu, Indonesia
| | - Mayumi Mizutani
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan.
| | - Ritsuko Nishide
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
| | - Susumu Tanimura
- Department of Public Health Nursing, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu, Mie, 514-8507, Japan
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Mikell M, Snethen J, Kelber ST. Psychometric properties of the Diabetes Empowerment Scale Modified Version-Spanish, tested in an at-risk Latino immigrant population. Int J Nurs Pract 2023:e13156. [PMID: 37062305 DOI: 10.1111/ijn.13156] [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: 02/07/2021] [Revised: 03/14/2023] [Accepted: 03/19/2023] [Indexed: 04/18/2023]
Abstract
BACKGROUND Latino populations are at high risk of developing diabetes; however, few scales measure self-efficacy to change health behaviours in at-risk Latino individuals. The Diabetes Empowerment Scale was translated into Spanish, and its psychometric properties were tested. METHODS This descriptive investigation was conducted with adults in a predominately Latino Midwest community. Participants (N = 141) completed a modified version of the Diabetes Empowerment Scale, which measures self-efficacy in exercising and healthy eating. Factor analysis was performed on completed surveys. Recruitment in Latino cultural centres and parishes took place from June 2016 to May 2017. RESULTS Three factors emerged: self-efficacy to exercise, emotional eating and social eating. Three scale questions had low scores during analysis; however, overall, the tool demonstrated adequate validity. CONCLUSIONS The Diabetes Empowerment Scale Modified Version-Spanish demonstrated adequate reliability and validity. Healthy dietary preferences and physical activity in populations at-risk for diabetes should be assessed by nurses to ascertain level of self-efficacy in individuals by assessing confidence to engage in specific healthy behaviours.
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Affiliation(s)
- Martin Mikell
- Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Julia Snethen
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | - Sheryl T Kelber
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
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Spruance LA, Vo T. Race/Ethnicity Predicts School Meal Participation. THE JOURNAL OF SCHOOL HEALTH 2023; 93:305-312. [PMID: 36377073 DOI: 10.1111/josh.13270] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 08/07/2022] [Accepted: 11/02/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND School meals have demonstrated positive effects on dietary habits of children and adolescents, yet opportunities to increase participation exist. Little is known about how participation differs by race/ethnicity or by acculturation levels, thus this study aims to identify acculturation and race/ethnicity on school meal participation of middle school students. METHODS A national convenience sample of adolescents (n = 617) was recruited to participate in a survey about acculturation and obesogenic behaviors through a Qualtrics panel. Data were analyzed in SAS version 9.4 where 2 logistic regression models were built to examine associations between school meal participation and other salient variables. RESULTS More than a quarter (26.2%) of participants indicated they eat school lunch daily and 17.4% eat school breakfast daily. In a multivariable model, race/ethnicity, preference for school meals, taste, convenience, cost, and parent influence were all significantly related to daily school lunch participation. Race/ethnicity, time lived outside of the United States, healthiness of school meals, preference of school meals, taste, and cost were significantly related to daily school breakfast participation. CONCLUSIONS This study establishes differences in participation rates by race/ethnicities and other factors. Child nutrition professionals should consider students from minoritized populations to understand their lack of participation, particularly because these students likely have poorer diets compared to whites. Additional factors should be considered for increasing participation, including cost, taste, and perceived healthiness.
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Affiliation(s)
- Lori A Spruance
- Department of Public Health, Brigham Young University, 4103 LSB, Provo, UT, 84602., USA
| | - Tien Vo
- Department of Public Health, Brigham Young University, 4103 LSB, Provo, UT, 84602., USA
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Chen S, Knöll M. Perceived environmental barriers and facilitators of refugee children's physical activity in/around refugee accommodation: a qualitative case study in Berlin. Arch Public Health 2022; 80:242. [PMID: 36424642 PMCID: PMC9686116 DOI: 10.1186/s13690-022-00993-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 11/03/2022] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Previous research have identified built environmental attributes associated with refugee children's physical activity (PA); however, there is a lack of research focusing on refugee children's environmental perceptions at the individual level. We examined the perceived environmental barriers and facilitators of refugee children's PA. METHODS Perceptions of PA environments by refugee children (n = 15, 6 to 13 years old) and their parents (n = 10) were captured by questionnaires and drawing workshops from one refugee accommodation in Berlin. Besides, photovoice was conducted with three children to obtain an in-depth understanding of their experiences of existing environments for PA. Research was applied between June and July 2019. All research material was transcribed and analysed using thematic analysis. RESULTS Refugee children and their parents identified micro-environments as the centre of children's daily PA, they usually played indoors but most parents perceived there was no spaces. In meso environments, children and parents thought there were insufficient spaces and were worried about neighbourhood safety. Furthermore, parents concerned more about 'space accessibility' for their children's playing purposes instead of 'space quality (e.g., equipment)' . Children also indicated the importance of informal spaces for their PA. CONCLUSIONS Refugee children perceive a lack of space and safety when attempting to play in the existing micro and meso environments. Related practitioners should focus on providing more play spaces in micro environments and safe access to existing neighbourhood playfields. These efforts can augment much-needed research on strategies to better integrate refuge facilities to their urban context and essential in minimising current health and spatial inequality issues these vulnerable groups face across Germany and worldwide.
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Affiliation(s)
- Siqi Chen
- grid.6546.10000 0001 0940 1669Urban Design and Planning Unit (UDP), Department of Architecture, Technische Universität Darmstadt, Darmstadt, Germany
| | - Martin Knöll
- grid.6546.10000 0001 0940 1669Urban Design and Planning Unit (UDP), Department of Architecture, Technische Universität Darmstadt, Darmstadt, Germany
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Mattes RD, Rowe SB, Ohlhorst SD, Brown AW, Hoffman DJ, Liska DJ, Feskens EJM, Dhillon J, Tucker KL, Epstein LH, Neufeld LM, Kelley M, Fukagawa NK, Sunde RA, Zeisel SH, Basile AJ, Borth LE, Jackson E. Valuing the Diversity of Research Methods to Advance Nutrition Science. Adv Nutr 2022; 13:1324-1393. [PMID: 35802522 PMCID: PMC9340992 DOI: 10.1093/advances/nmac043] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 04/08/2022] [Indexed: 12/13/2022] Open
Abstract
The ASN Board of Directors appointed the Nutrition Research Task Force to develop a report on scientific methods used in nutrition science to advance discovery, interpretation, and application of knowledge in the field. The genesis of this report was growing concern about the tone of discourse among nutrition professionals and the implications of acrimony on the productive study and translation of nutrition science. Too often, honest differences of opinion are cast as conflicts instead of areas of needed collaboration. Recognition of the value (and limitations) of contributions from well-executed nutrition science derived from the various approaches used in the discipline, as well as appreciation of how their layering will yield the strongest evidence base, will provide a basis for greater productivity and impact. Greater collaborative efforts within the field of nutrition science will require an understanding that each method or approach has a place and function that should be valued and used together to create the nutrition evidence base. Precision nutrition was identified as an important emerging nutrition topic by the preponderance of task force members, and this theme was adopted for the report because it lent itself to integration of many approaches in nutrition science. Although the primary audience for this report is nutrition researchers and other nutrition professionals, a secondary aim is to develop a document useful for the various audiences that translate nutrition research, including journalists, clinicians, and policymakers. The intent is to promote accurate, transparent, verifiable evidence-based communication about nutrition science. This will facilitate reasoned interpretation and application of emerging findings and, thereby, improve understanding and trust in nutrition science and appropriate characterization, development, and adoption of recommendations.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | - Leonard H Epstein
- University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA
| | | | - Michael Kelley
- Michael Kelley Nutrition Science Consulting, Wauwatosa, WI, USA
| | - Naomi K Fukagawa
- USDA Beltsville Human Nutrition Research Center, Beltsville, MD, USA
| | | | - Steven H Zeisel
- University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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Understanding Spatial Characteristics of Refugee Accommodations Associated with Refugee Children’s Physical Activity in Microenvironments: Six Case Studies in Berlin. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137756. [PMID: 35805415 PMCID: PMC9265431 DOI: 10.3390/ijerph19137756] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/18/2022] [Accepted: 06/21/2022] [Indexed: 02/05/2023]
Abstract
Refugee children often spend a considerable amount of time in refugee accommodations with limited space and limited access to communal facilities. Such environmental settings make it difficult for refugee children to engage in physical activity (PA), which is essential for their health and social inclusion. While there is a strong evidence base for environmental attributes associated with non-refugee children’s PA, only a few studies have focused on refugee children. This article presents an exploratory study on the spatial characteristics of six refugee accommodations in Berlin and their relation to school-aged refugee children’s opportunities to engage in PA. Micro-environmental attributes included building typology and availability, size, and access to communal PA spaces using Space Syntax. PA opportunities were assessed using staff surveys, interviews, and field trips. Results indicated that none of the case studies provided a comprehensive range of PA opportunities. They also revealed unequal access within the facilities. Whereas the role of size was inconsistent, vital predictors included fewer floors and corridors with easy access to internal and external PA spaces. Our recommendations include prioritizing compact buildings with moderate heights when retrofitting existing facilities and raising awareness for the importance of active play for this vulnerable group.
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Chatham RE, Mixer SJ. Cultural Influences on Healthy Weight Care in Karen Children. J Pediatr Nurs 2021; 60:207-214. [PMID: 34246068 DOI: 10.1016/j.pedn.2021.06.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 06/12/2021] [Accepted: 06/24/2021] [Indexed: 11/19/2022]
Abstract
PURPOSE Although the rates of childhood obesity are disproportionately higher in children of racial and ethnic minorities, research rarely addresses possible cultural factors. The purpose of this study was to discover cultural influences that contribute to or prevent childhood obesity from the perspectives of Burmese-American children and adolescents of Karen ethnicity in the southeast U.S. DESIGN AND METHODS The ethnonursing research method was used to seek perspectives of healthy weight care from Karen children between 8 and 15 years-of-age (n = 10). Karen parents (n = 5) and non-Karen community members (n = 13) were also interviewed. Data sources - interviews, fieldnotes, and observation notes - were analyzed using the four phases of the ethnonursing method. RESULTS Four themes important to healthy weight care in Karen children were discovered: views of a healthy child, food and food preparation, physical activity, and mutual support among family and community. These themes revealed both Karen and non-Karen influences. CONCLUSIONS Most Karen cultural influences promote healthy weight care in Karen children and adolescents which may protect them from childhood obesity. Lack of after-school transportation, limited space to play/exercise, and the sedentary tendencies of girls could limit healthy weight care. PRACTICE IMPLICATIONS Pediatric nurses may use knowledge gained from this study for promotion of healthy weight care in Karen families and to advocate for community changes which could benefit all children.
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Affiliation(s)
- Rebecca E Chatham
- College of Nursing, University of Tennessee-Knoxville, United States of America.
| | - Sandra J Mixer
- College of Nursing, University of Tennessee-Knoxville, United States of America
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How a Racially/Ethnically Diverse and Immigrant Sample Qualitatively Describes the Role of Traditional and Non-traditional Foods in Feeding Their Children. J Immigr Minor Health 2021; 22:1155-1162. [PMID: 32219660 DOI: 10.1007/s10903-020-00999-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Previous research suggests a deleterious impact on dietary quality when people immigrate to the United States and that children influence immigrant parent's decisions to serve traditional and/or non-traditional foods. Interviews (n = 75) were conducted with Hmong, Somali, and Latino parents of 5-7 year old children about the foods they serve to their children and how the child influences these food decisions. A racially/ethnically diverse team coded interviews using a mixed inductive/deductive approach. Most Latino and Somali parents reported serving mostly traditional foods at home. Regarding feeding decisions, parents reported: (1) allowing children non-traditional foods when requested; (2) "Americanizing" traditional foods; and (3) that children prefer traditional foods. Some Hmong parents reported serving their children non-traditional foods at meals while parents ate traditional foods. Results offer guidance to providers working with immigrant parents of young children regarding maintaining healthful diets when children request potentially unhealthy non-traditional foods.
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Chen S, Carver A, Sugiyama T, Knöll M. Built-environment attributes associated with refugee children's physical activity: a narrative review and research agenda. Confl Health 2021; 15:55. [PMID: 34238317 PMCID: PMC8268613 DOI: 10.1186/s13031-021-00393-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2021] [Accepted: 06/28/2021] [Indexed: 11/13/2022] Open
Abstract
Research has identified built environmental attributes associated with children’s physical activity (PA); however, less is known for environmental correlates of refugee children’s PA. This narrative review summarised the current evidence of associations between built environment attributes and refugee children’s PA. Six databases were searched with three sets of terms related to exposure (built environment); outcome (PA); and target population (refugee children aged 6–12 years). Eight studies (one quantitative; seven qualitative) met the inclusion criteria. Key PA barriers were limited play space and lack of neighbourhood safety. Design of refugee facilities and surrounding environments should provide better access to formal, informal and safe spaces for children’s play.
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Affiliation(s)
- Siqi Chen
- Urban Health Games Research Group (UHGs), Department of Architecture, Technische Universität Darmstadt, Darmstadt, Germany.
| | - Alison Carver
- Mary Mackillop Institute for Health Research, Australian Catholic University, Melbourne, Australia
| | - Takemi Sugiyama
- Centre for Urban Transitions, Swinburne University of Technology, Melbourne, Australia
| | - Martin Knöll
- Urban Health Games Research Group (UHGs), Department of Architecture, Technische Universität Darmstadt, Darmstadt, Germany
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Alexandrou C, Müssener U, Thomas K, Henriksson H, Löf M. Adapting a Parental Support App to Promote Healthy Diet and Physical Activity Behaviors (MINISTOP) for a Multi-Ethnic Setting: A Qualitative Study on the Needs and Preferences of Parents and Nurses within Swedish Child Health Care. Nutrients 2021; 13:nu13072190. [PMID: 34202326 PMCID: PMC8308428 DOI: 10.3390/nu13072190] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 06/20/2021] [Accepted: 06/22/2021] [Indexed: 01/22/2023] Open
Abstract
Early efforts for prevention of childhood overweight and obesity are needed. In order to adapt an app promoting healthy diet and physical activity behaviors in children (MINISTOP 1.0) for multi-ethnic communities, we explored: (1) needs and concerns among Somali-, Arabic-, and Swedish-speaking parents in terms of supporting healthy diet and activity behaviors in their children; (2) nurses’ perceptions of parental needs and concerns in relation to diet and physical activity behaviors; and (3) how the features and content of the MINISTOP 1.0 app could be refined to better support health behaviors in children, among both parents and nurses. Focus groups with Somali-, Arabic-, and Swedish-speaking parents (n = 15), and individual interviews with nurses (n = 15) were conducted. Parents expressed several challenges in supporting children’s health behaviors, the need for a tailored app, and alternative ways of accessing the content (audio/video). Nurses emphasized the need of supporting parents early, and the value of a shared platform in different languages, to facilitate communication. This study contributes valuable insights about parental needs and relevant adaptations to a parental support app, such as addition of audio/video files for increased accessibility. This adapted app version—MINISTOP 2.0, can be useful for childhood obesity prevention in multi-ethnic communities.
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Affiliation(s)
- Christina Alexandrou
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden; (U.M.); (K.T.); (H.H.); (M.L.)
- Department of Biosciences and Nutrition, Karolinska Institute, NEO, Group MLÖ, 141 83 Huddinge, Sweden
- Correspondence:
| | - Ulrika Müssener
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden; (U.M.); (K.T.); (H.H.); (M.L.)
| | - Kristin Thomas
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden; (U.M.); (K.T.); (H.H.); (M.L.)
| | - Hanna Henriksson
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden; (U.M.); (K.T.); (H.H.); (M.L.)
| | - Marie Löf
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden; (U.M.); (K.T.); (H.H.); (M.L.)
- Department of Biosciences and Nutrition, Karolinska Institute, NEO, Group MLÖ, 141 83 Huddinge, Sweden
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Meza-Palmeros JA. Prescripciones alimentarias y límites de la medicalización: polifonía y utilización de medios de comunicación en uma población urbana de México. SAUDE E SOCIEDADE 2021. [DOI: 10.1590/s0104-12902021200136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Resumen La línea argumental del presente trabajo sostiene que la polifonía discursiva contenida en la información relacionada con prescripciones alimentarias, que reproducen diversos sujetos discursivos, contribuye a generar resignificaciones en la población sobre las prescripciones propuestas que se traducen en prácticas alimentarias de refracción, las mismas que pudieran explicar el impacto limitado que han tenido las intervenciones educativas para la promoción de “estilos de vida saludables”. El objetivo fue estudiar el proceso de refracción de la información prescriptiva sobre alimentación e identificar las prácticas alimentarias generadas en la población det un barrio de Monterrey, México, a partir de su interacción con sujetos discursivos claves, incluidos los medios de comunicación. Se realizó una etnografía polifónica de diez meses de duración que incluyó observación participante, entrevistas etnográficas y una encuesta. Se identificaron tres tipos de discursos prescriptivos: restrictivo, selectivo y asociado a la medicamentación. Producto de la refracción de dichos discursos, la población ha generado prácticas de sustitución y de restricción de ciertos alimentos, manifestando con ello su preocupación por la salud infantil.
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Chatham RE, Mixer SJ. Cultural Influences on Childhood Obesity in Ethnic Minorities: A Qualitative Systematic Review. J Transcult Nurs 2019; 31:87-99. [PMID: 31423926 DOI: 10.1177/1043659619869428] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
Introduction: Childhood obesity remains an unrelenting public health problem disproportionately affecting ethnic minorities. Although research has examined ethnicity as a factor of childhood obesity, few studies have examined cultural influences. The purpose of this systematic review was to examine the qualitative evidence of cultural influences on childhood obesity in ethnic minority groups. Methodology: Selective sampling of studies since 2008 yielded 251 articles. Twelve articles that addressed cultural influences on childhood obesity were identified for review. The Culture Care Theory Sunrise Enabler factors were used as an a priori framework for theme coding. Results: Nine themes emerged: child feeding, family, gender roles, food, healthy child appearance, physical activity, sedentary activity, food cost, and obesogenic environment. Discussion: Cultural care practices such as traditional foods and family meals are protective factors in childhood obesity and should be encouraged by nurses caring for and working with ethnic minority populations.
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Parental influences on children's food behaviours: challenges and opportunities from studying culturally diverse samples. Public Health Nutr 2018; 21:1075-1078. [PMID: 29357952 DOI: 10.1017/s1368980017003767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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