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Brambila-Paz C, Hernandez-Angeles DF, Silverio-Murillo A, Rodriguez-Tirado A. Family Factors Affecting the Transition of Children from Normal Weight to Obesity in Mexico. Child Obes 2022; 18:112-119. [PMID: 34491829 PMCID: PMC8892983 DOI: 10.1089/chi.2021.0048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Background: This study is a longitudinal analysis of how the transition of a mother, father, or any other family member to obesity affects the likelihood of children 5-12 years of age becoming adolescents with overweight or obesity during the 7-10-year period between 2002 and the period from 2009 to 2012 in Mexico. Methods: The study used two rounds of the Mexican Family Life Survey, a multipurpose random national survey that collected information on 8441 households, including 38,233 individuals in 2002 and successfully followed up with 3202 children until the period from 2009 to 2012. We used logistic regressions to calculate how family characteristics related to the evolution of body mass indexes among children, controlling for individual, family weight-related characteristics, and the socioeconomic level of the family. Results: The transition of any family member toward obesity is more relevant in determining the transition to obesity among normal-weight children than socioeconomic level of the family and individual characteristics, such as sex, schooling, and occupation. Conclusions: The transition of any family member toward obesity is associated with the transition to obesity among normal-weight children. A family-based approach to obesity prevention has yet to be incorporated into national policies.
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Affiliation(s)
- Carlos Brambila-Paz
- School of Government, Tecnologico de Monterrey, Mexico City, México.,Address correspondence to: Carlos Brambila-Paz, PhD, School of Government, Tecnológico de Monterrey, Carlos Lazo 100, Col. Santa Fe, Del. Álvaro Obregón, Mexico City 01389, México
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Children’s Changes in Perceptions and Body Composition Following a Family-Based Fitness Intervention. JOURNAL OF MOTOR LEARNING AND DEVELOPMENT 2021. [DOI: 10.1123/jmld.2020-0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Physical fitness is associated with decreased weight in children, which helps improve youth obesity rates. Family programs can provide practical approaches to improving physical fitness for children. The purpose of this study was to assess the influence of a family-based fitness intervention on changes in body composition, fitness status, and perceptions of obese children. Families attended exercise and education sessions for 60–90 min once per week for 10 weeks. Participants consisted of 10 children who participated in semi-structured interviews, body composition, and fitness assessments at pre- and posttest. Following the intervention, results showed that children had a significant increase in sit-ups (p = .03, effect size = 0.79), lean mass (p < .001, Cohen’s d = 1.95), and bone mineral content (p < .001, Cohen’s d = 0.46). Using thematic analysis, four main themes emerged from the pre- and postintervention interviews: an increase in after-school and weekend intentional physical fitness, rules regarding sedentary behavior and screen time, more prevalent physical fitness reinforcements, and a shift in perception of exercise. Results from this study indicate a family-based intervention had an influence on children’s appreciation for and engagement in physical fitness, as well as healthy body composition and fitness outcomes.
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Matos R, Monteiro D, Amaro N, Antunes R, Coelho L, Mendes D, Arufe-Giráldez V. Parents' and Children's (6-12 Years Old) Physical Activity Association: A Systematic Review from 2001 to 2020. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182312651. [PMID: 34886372 PMCID: PMC8656881 DOI: 10.3390/ijerph182312651] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2021] [Revised: 11/25/2021] [Accepted: 11/29/2021] [Indexed: 11/16/2022]
Abstract
Worldwide, studies reveal that a significant proportion of adults and children do not meet the recommended guidelines for physical activity (PA). Therefore, it is crucial that proxy determinants for child physical activity enhancement could be identified. Parents have been considered to have a key role in child adherence to physical activity. Thus, this systematic review aimed to identify association between parents’ and children’s PA. The search of scientific papers was conducted from 31 October 2020 until 31 January 2021, on the Web of Science, Scopus, Psycinfo, SportDiscus, and Pubmed databases. The PRISMA protocol was used. Findings indicate a consistent association between parents’ and children’s (6–12 years old) PA. Despite the imbalance of the number of assessed fathers and mothers with the latter clearly overrepresented, a trend towards the same gender dyads on PA significant and positive association (father/son, mother/daughter) was evidenced. Results support the relevant importance of parents’ PA as role modeling (either explicitly or implicitly) for children’s PA. Besides, results revealed the importance of promoting PA in family for the enhancement of children’s PA. Moreover, and given the positive impact of exerting PA with the children on children’s PA, parents should spend more time practicing PA with their children, especially on MVPA and meeting the recommended guidelines for PA. Future studies should highlight the role of mediator variables on this interaction process, extending the knowledge on the contribution of other factors to the requested enhancement of children adherence to PA practice.
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Affiliation(s)
- Rui Matos
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Life Quality Research Centre (CIEQV), 2411-901 Leiria, Portugal
- Correspondence:
| | - Diogo Monteiro
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), 5001-801 Vila Real, Portugal
| | - Nuno Amaro
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Life Quality Research Centre (CIEQV), 2411-901 Leiria, Portugal
| | - Raul Antunes
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Life Quality Research Centre (CIEQV), 2411-901 Leiria, Portugal
- Center for Innovative Care and Health Technology (ciTechCare), 2410-541 Leiria, Portugal
| | - Luís Coelho
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Life Quality Research Centre (CIEQV), 2411-901 Leiria, Portugal
| | - Diogo Mendes
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal; (D.M.); (N.A.); (R.A.); (L.C.); (D.M.)
- Life Quality Research Centre (CIEQV), 2411-901 Leiria, Portugal
| | - Víctor Arufe-Giráldez
- Faculty of Education, Research Unit of School Sports, Physical Education and Psychomotricity, University of A Coruña, 15008 A Coruña, Spain;
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Rashid R, Condon L, Gluud C, Jakobsen JC, Lindschou J, Lissau I. Psychotherapy versus treatment as usual and other control interventions in children and adolescents with overweight and obesity: a protocol for systematic review with meta-analysis and Trial Sequential Analysis. BMJ Open 2020; 10:e036058. [PMID: 33154043 PMCID: PMC7646330 DOI: 10.1136/bmjopen-2019-036058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 07/06/2020] [Accepted: 07/08/2020] [Indexed: 11/03/2022] Open
Abstract
INTRODUCTION The prevalence of children with overweight and obesity is increasing worldwide. Multicomponent interventions incorporating diet, physical activity and behavioural change have shown limited improvement to body mass index (BMI). However, the impact of psychotherapy is poorly explored. This systematic review aims to assess the effects of psychotherapeutic approaches for children with all degrees of overweight. METHODS AND ANALYSIS We will include randomised clinical trials involving children and adolescents between 0 and 18 years with overweight and obesity, irrespective of publication type, year, status or language up to April 2020. Psychotherapy will be compared with no intervention; wait list control; treatment as usual; sham psychotherapy or pharmaceutical placebo. The following databases will be searched: Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, MEDLINE, Embase, PsycINFO, PubMed, Web of Science, CINAHL and LILACS. Primary outcomes will be BMI z-score, quality of life measured by a validated scale and proportion of patients with serious adverse events. Secondary outcomes will be body weight, self-esteem, anxiety, depression and proportion of patients with non-serious adverse events. Exploratory outcomes will be body fat, muscle mass and serious adverse events. Study inclusion, data extraction and bias risk assessments will be conducted independently by at least two authors. We will assess risk of bias according to Cochrane guidelines and the Cochrane Effective Practice and Organisation of Care guidance. We will use meta-analysis and control risks of random errors with Trial Sequential Analysis. The quality of the evidence will be assessed using Grading of Recommendations Assessment, Development and Evaluation Tool. The systematic review will be reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses and Cochrane guidelines. ETHICS AND DISSEMINATION As individual patient data will not be included, we do not require ethics approval. This review will be published in a peer review journal. PROSPERO REGISTRATION NUMBER CRD42018086458.
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Affiliation(s)
- Rajeeb Rashid
- Child Life and Health, University of Edinburgh, Edinburgh, UK
| | - Laura Condon
- School of Medicine, University of Nottingham, Nottingham, UK
| | - Christian Gluud
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Janus C Jakobsen
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
- Department of Cardiology, Holbaek Sygehus, Holbaek, Sjaelland, Denmark
| | - Jane Lindschou
- The Copenhagen Trial Unit, Centre for Clinical Intervention Research, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark
| | - Inge Lissau
- Clinical Research Centre, University Hospital Copenhagen, Copenhagen, Hvidovre, Denmark
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Schroeder K, Van Allen J, Dhurandhar E, Lancaster B, Heidari Z, Cazenave K, Boone D, Erdman P. Riding into Health: A Case Study on an Equine-Assisted Childhood Obesity Intervention. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16234835. [PMID: 31805713 PMCID: PMC6926900 DOI: 10.3390/ijerph16234835] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 11/18/2019] [Accepted: 11/23/2019] [Indexed: 12/16/2022]
Abstract
In this article, we present an exploratory case study that describes the initial outcomes of the Equine-Assisted Positively Fit (EAPF) program. Children with obesity and their caregivers were recruited to participate in the eight-session program. Results indicated that treatment completers (n = 2) had a decrease in fat mass and fat mass percentage and an increase in fat-free mass and fat-free mass percentage. Moreover, results from accelerometer measurements of physical activity indicated that participants increased their moderate to vigorous physical activity, as well as reported increased self-efficacy for physical activity. Qualitative data from the post-intervention focus group suggested children perceived the treatment acceptable and enjoyable. Findings from this study provide support for future investigations on the feasibility and potential efficacy of pairing children and their caregivers with horses to accomplish health-related goals.
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Affiliation(s)
- Katy Schroeder
- Department of Animal and Food Sciences, College of Agricultural and Natural Resources, Texas Tech University, Lubbock, TX 79409, USA;
- Correspondence:
| | - Jason Van Allen
- Department of Psychological Sciences, College of Arts and Sciences, Texas Tech University; Lubbock, TX 79409, USA (B.L.); (Z.H.); (D.B.)
| | - Emily Dhurandhar
- Department of Kinesiology and Sports Management, College of Arts and Sciences, Texas Tech University; Lubbock, TX 79409, USA;
| | - Brittany Lancaster
- Department of Psychological Sciences, College of Arts and Sciences, Texas Tech University; Lubbock, TX 79409, USA (B.L.); (Z.H.); (D.B.)
| | - Zohal Heidari
- Department of Psychological Sciences, College of Arts and Sciences, Texas Tech University; Lubbock, TX 79409, USA (B.L.); (Z.H.); (D.B.)
| | - Kandis Cazenave
- Department of Animal and Food Sciences, College of Agricultural and Natural Resources, Texas Tech University, Lubbock, TX 79409, USA;
| | - Dianna Boone
- Department of Psychological Sciences, College of Arts and Sciences, Texas Tech University; Lubbock, TX 79409, USA (B.L.); (Z.H.); (D.B.)
| | - Phyllis Erdman
- Department of Kinesiology and Educational Psychology, College of Education, Washington State University; Pullman, WA 99164, USA;
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Kattelmann KK, Meendering JR, Hofer EJ, Merfeld CM, Olfert MD, Hagedorn RL, Colby SE, Franzen-Castle L, Moyer J, Mathews DR, White AA. The iCook 4-H Study: Report on Physical Activity and Sedentary Time in Youth Participating in a Multicomponent Program Promoting Family Cooking, Eating, and Playing Together. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2019; 51:S30-S40. [PMID: 30509553 DOI: 10.1016/j.jneb.2018.09.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Revised: 08/28/2018] [Accepted: 09/06/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To report physical activity and sedentary time outcomes of youth in iCook 4-H. STUDY DESIGN AND SETTING iCook 4-H was a 5-state, randomized, control-treatment, family-based childhood obesity prevention intervention promoting cooking, eating, and playing together. PARTICIPANTS AND INTERVENTION Youth aged 9-10 years and the main preparer of their meals participated in the 12-week program followed by monthly newsletters and biyearly booster sessions until 24 months. MAIN OUTCOME MEASURE(S) A total of 155 youth were fitted with an Actigraph GT3X+ accelerometer, which they wore for 7 days at baseline and 4, 12, and 24 months to measure mean daily minutes per hour of waking wear time for sedentary time (ST), light physical activity (PA) (LPA), moderate PA, vigorous PA, and moderate to vigorous PA. Self-reported PA was assessed using the Block Kids Physical Activity Screener and additional questions querying for the program goal of the frequency of family actively playing together. Linear mixed models were used to determine differences from baseline to 24 months. Significance was set at P ≤ .05. RESULTS There was a significant (P < .05) group × time interaction for LPA (adjusted interaction B estimate, 95% confidence interval; 0.18 [0.05, 0.30]) and ST (-0.15 [-0.26, -0.04]); ST increased and LPA decreased in the treatment group. There were no differences in other accelerometer-derived PA measures, self-report Block Kids Physical Activity Screener measures, or frequency of family actively playing together at any time point. CONCLUSIONS AND IMPLICATIONS iCook 4-H was a multicomponent program observing youth aged 9-10 years for 24 months that focused on enhancing cooking skills, mealtime behavior and conversation, and PA through daily family activities. Greater emphasis on developing PA skills, changing environmental factors, and increasing PA both in and after school may be needed.
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Affiliation(s)
- Kendra K Kattelmann
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD.
| | - Jessica R Meendering
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD
| | - Emily J Hofer
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD
| | - Chase M Merfeld
- Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD
| | - Melissa D Olfert
- Division of Animal and Nutritional Sciences in Human Nutrition and Foods, West Virginia University, Morgantown, WV
| | - Rebecca L Hagedorn
- Division of Animal and Nutritional Sciences in Human Nutrition and Foods, West Virginia University, Morgantown, WV
| | - Sarah E Colby
- Department of Nutrition, University of Tennessee, Knoxville, TN
| | - Lisa Franzen-Castle
- Nutrition and Health Sciences Department, University of Nebraska-Lincoln, Lincoln, NE
| | - Jonathan Moyer
- Department of Biostatistics and Epidemiology, School of Public Health and Health Sciences, University of Massachusetts, Amherst, MA
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Mani S, Joseph LH, Sharma S. Feasibility of telemedicine or telephone-based family intervention for rural paediatric obesity: Cluster randomized control trial. J Telemed Telecare 2015; 22:264-5. [PMID: 26362563 DOI: 10.1177/1357633x15601524] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Suresh Mani
- Program Physiotherapy, Universiti Kebangsaan Malaysia, Malaysia
| | | | - Shobha Sharma
- Program Speech and Audiology, Universiti Kebangsaan Malaysia, Malaysia
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