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Ulijaszek S. Nutritional anthropology in the world. J Physiol Anthropol 2024; 43:10. [PMID: 38459536 PMCID: PMC10921658 DOI: 10.1186/s40101-023-00345-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 10/31/2023] [Indexed: 03/10/2024] Open
Abstract
Nutritional anthropology is the study of human subsistence, diet and nutrition in comparative social and evolutionary perspective. Many factors influence the nutritional health and well-being of populations, including evolutionary, ecological, social, cultural and historical ones. Most usually, biocultural approaches are used in nutritional anthropology, incorporating methods and theory from social science as well as nutritional and evolutionary science. This review describes approaches used in the nutritional anthropology of past and present-day societies. Issues of concern for nutritional anthropology in the world now include: understanding how undernutrition and food insecurity are produced at local, regional and international levels; how food systems are constructed using social, biological and biocultural perspectives; and obesity from a biocultural viewpoint. By critiquing framings of present-day diet in an evolutionary context, nutritional anthropology asks 'what should be eaten?', rather than 'what can be eaten?', and 'how cheaply can people be fed?'.
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Affiliation(s)
- Stanley Ulijaszek
- Unit for BioCultural Variation and Obesity, School of Anthropology and Museum Ethnography, University of Oxford, Oxford, England.
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Mendez I, Fasano MV, Orden AB. Exploring factors associated with obesity in Argentinian children using structural equation modeling. CAD SAUDE PUBLICA 2023; 39:e00087822. [PMID: 37585902 PMCID: PMC10494703 DOI: 10.1590/0102-311xen087822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Revised: 03/09/2023] [Accepted: 04/20/2023] [Indexed: 08/18/2023] Open
Abstract
Habits and behaviors related to obesity risk are strongly associated with the family environment and are affected by socioeconomic factors. Structural equation modeling (SEM) allows us to hypothesize on how the relationships between these factors occur and measure their impact. This study aimed to explore the relationship between family socioeconomic indicators and childhood obesity, mediated by habits linked to energy balance, applying a SEM. A cross sectional study was performed on 861 Argentinian schoolchildren aged 6-12 years, from 2015 to 2016. The model included three latent variables: socioeconomic status, healthy habits, and obesity. Socioeconomic status indicators and healthy habits were surveyed by self-administered parental questionnaires, whereas obesity indicators were evaluated with anthropometry. The applied model showed an acceptable fit (NFI = 0.966; CFI = 0.979; RMSEA = 0.048). Socioeconomic status positively influenced parental education, health insurance, and car possession, while negatively influenced crowding (p < 0.001). Healthy habits significantly influenced physical activity, meals frequency, and sleep hours, while negatively influenced sedentary hours and mother's nutritional status (p < 0.001). Obesity factor positively influenced body mass index, body fat, and waist-to-height ratio (p < 0.001). Finally, socioeconomic status positively influenced health habits, which in turn negatively influenced obesity factor. Healthy habits (especially physical activity and mother's nutritional status) mediated the relationship between socioeconomic status and child obesity. Further research should include other indicators related to diet, eating habits, and physical activity like neighborhood characteristics.
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Affiliation(s)
- Ignacio Mendez
- Instituto de Desarrollo e Investigaciones Pediátricas, Buenos Aires, Argentina
| | - María Victoria Fasano
- Instituto de Desarrollo e Investigaciones Pediátricas, Buenos Aires, Argentina
- Centro de Matemática La Plata, Facultad de Ciencias Exactas, La Plata, Argentina
| | - Alicia B Orden
- Centro de Salud e Investigaciones Médicas, La Pampa, Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
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3
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Alexandrou C, Henriksson H, Henström M, Henriksson P, Delisle Nyström C, Bendtsen M, Löf M. Effectiveness of a Smartphone App (MINISTOP 2.0) integrated in primary child health care to promote healthy diet and physical activity behaviors and prevent obesity in preschool-aged children: randomized controlled trial. Int J Behav Nutr Phys Act 2023; 20:22. [PMID: 36810069 PMCID: PMC9942425 DOI: 10.1186/s12966-023-01405-5] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 01/02/2023] [Indexed: 02/23/2023] Open
Abstract
BACKGROUND Childhood overweight and obesity is a public health priority. We have previously reported the efficacy of a parent-oriented mobile health (mHealth) app-based intervention (MINISTOP 1.0) which showed improvements in healthy lifestyle behaviors. However, the effectiveness of the MINISTOP app in real-world conditions needs to be established. OBJECTIVE To evaluate the real-world effectiveness of a 6-month mHealth intervention (MINISTOP 2.0 app) on children's intake of fruits, vegetables, sweet and savory treats, sweet drinks, moderate-to-vigorous physical activity, and screen time (primary outcomes), and on parental self-efficacy (PSE) for promoting healthy lifestyle behaviors, and children's body mass index (BMI) (secondary outcomes). METHODS A hybrid type 1 effectiveness-implementation design was utilized. For the effectiveness outcomes, a two-arm, individually randomized controlled trial was conducted. Parents (n = 552) of 2.5-to-3-year-old children were recruited from 19 child health care centers across Sweden, and, randomized to either a control (standard care) or intervention group (MINISTOP 2.0 app). The 2.0 version was adapted and translated into English, Somali and Arabic to increase reach. All recruitment and data collection were conducted by the nurses. Outcomes were assessed at baseline and after six months, using standardized measures (BMI) and a questionnaire (health behaviors, PSE). RESULTS Among the participating parents (n = 552, age: 34.1 ± 5.0 years), 79% were mothers and 62% had a university degree. Twenty-four percent (n = 132) of children had two foreign-born parents. At follow-up, parents in the intervention group reported lower intakes of sweet and savory treats (-6.97 g/day; p = 0.001), sweet drinks (-31.52 g/day; p < 0.001), and screen time (-7.00 min/day; p = 0.012) in their children compared to the control group. The intervention group reported higher total PSE (0.91; p = 0.006), PSE for promoting healthy diet (0.34; p = 0.008) and PSE for promoting physical activity behaviors (0.31; p = 0.009) compared to controls. No statistically significant effect was observed for children's BMI z-score. Overall, parents reported high satisfaction with the app, and 54% reported using the app at least once a week. CONCLUSION Children in the intervention group had lower intakes of sweet and savory treats, sweet drinks, less screen time (primary outcomes) and their parents reported higher PSE for promoting healthy lifestyle behaviors. Our results from this real-world effectiveness trial support the implementation of the MINISTOP 2.0 app within Swedish child health care. TRIAL REGISTRATION Clinicaltrials.gov NCT04147039; https://clinicaltrials.gov/ct2/show/NCT04147039.
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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. .,Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Huddinge, 141 83, Sweden.
| | - Hanna Henriksson
- grid.5640.70000 0001 2162 9922Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden
| | - Maria Henström
- grid.4714.60000 0004 1937 0626Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Huddinge, 141 83 Sweden
| | - Pontus Henriksson
- grid.5640.70000 0001 2162 9922Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden
| | - Christine Delisle Nyström
- grid.4714.60000 0004 1937 0626Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Huddinge, 141 83 Sweden
| | - Marcus Bendtsen
- grid.5640.70000 0001 2162 9922Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden
| | - Marie Löf
- grid.5640.70000 0001 2162 9922Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, 581 83 Linköping, Sweden ,grid.4714.60000 0004 1937 0626Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Huddinge, 141 83 Sweden
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Alexandrou C, Rutberg S, Johansson L, Lindqvist AK, Müssener U, Löf M. User experiences of an app-based mHealth intervention (MINISTOP 2.0) integrated in Swedish primary child healthcare among Swedish-, Somali- and Arabic-speaking parents and child healthcare nurses: A qualitative study. Digit Health 2023; 9:20552076231203630. [PMID: 37766904 PMCID: PMC10521279 DOI: 10.1177/20552076231203630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/08/2023] [Indexed: 09/29/2023] Open
Abstract
Background Preventive and scalable interventions, accessible to all, to counteract childhood obesity are urgently needed. We have recently developed a novel, digital parental intervention (MINISTOP 2.0 app) available in Swedish, Somali, Arabic and English. We have previously reported its positive effects on children's health behaviors and on parental self-efficacy. However, before introducing the app at scale in primary child healthcare, implementation aspects also need to be explored. Aim This study aims to explore and describe user experiences as well as acceptability and feasibility of the MINISTOP 2.0 app-based intervention in a diverse group of parents (end-users) and Swedish child healthcare nurses (implementers). Methods Individual interviews were conducted with Swedish- (n = 9), Somali- (n = 9), Arabic- (n = 5) and English-speaking (n = 1) parents as well as Swedish primary child healthcare nurses (n = 15). Data was analyzed using content analysis with an inductive latent approach. Results Parents described how the app facilitated behavior change through increased awareness regarding current diet and physical activity behaviors. Furthermore, the evidence-based app content further facilitated trust and behavior change. Both parents and nurses acknowledged the app's preventive potential and the potential for reaching parents with diverse backgrounds or in need of extra support. Conclusion The MINISTOP 2.0 app was perceived as a useful tool for health promotion both by parents and healthcare professionals, especially since it was adapted to several languages. These findings coupled with the previously shown beneficial effects on health behaviors support the large-scale implementation of the app in primary child healthcare.
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Affiliation(s)
- Christina Alexandrou
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden
- Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Group MLÖ, Huddinge, Sweden
| | - Stina Rutberg
- Department of Health Sciences, Division of Health, Medicine and Rehabilitation, Luleå University of Technology, Luleå, Sweden
| | - Linnea Johansson
- Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Group MLÖ, Huddinge, Sweden
| | - Anna-Karin Lindqvist
- Department of Health Sciences, Division of Health, Medicine and Rehabilitation, Luleå University of Technology, Luleå, Sweden
| | - Ulrika Müssener
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden
| | - Marie Löf
- Department of Health, Medicine and Caring Sciences, Division of Society and Health, Linköping University, Linköping, Sweden
- Department of Biosciences and Nutrition, Karolinska Institutet, NEO, Group MLÖ, Huddinge, Sweden
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Cesani MF, Garraza M, Zonta ML, Torres MF, Navazo B, Bergel Sanchís ML, Luna ME, Gauna ME, Quintero FA. Changes in the prevalence of undernutrition, overweight and obesity in children and adolescents from Buenos Aires, Mendoza, and Misiones provinces (Argentina) over the last two decades. Am J Hum Biol 2022; 34:e23755. [DOI: 10.1002/ajhb.23755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 04/12/2022] [Accepted: 04/13/2022] [Indexed: 11/09/2022] Open
Affiliation(s)
- María F. Cesani
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) La Plata Argentina
| | - Mariela Garraza
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) La Plata Argentina
| | - María L. Zonta
- Centro de Estudios Parasitológicos y de Vectores (CEPAVE) (CONICET‐UNLP) La Plata Argentina
| | - María F. Torres
- Instituto de Genética Veterinaria (IGEVET) (CONICET‐UNLP) La Plata Argentina
- Instituto de Ciencias Antropológicas (ICA), Facultad de Filosofía y Letras (FFyL) Universidad de Buenos Aires (UBA) Ciudad Autónoma de Buenos Aires Argentina
| | - Bárbara Navazo
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) La Plata Argentina
| | - María L. Bergel Sanchís
- Departamento de Salud Comunitaria Universidad Nacional de Lanús (UNLa) Lanús Argentina
- Centro de Estudios en Nutrición y Desarrollo Infantil (CEREN) Comisión de Investigaciones Científicas de la Provincia de Buenos Aires (CIC‐PBA) La Plata Argentina
| | - María E. Luna
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
| | - María E. Gauna
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
| | - Fabián A. Quintero
- Laboratorio de Investigaciones en Ontogenia y Adaptación (LINOA), Facultad de Ciencias Naturales y Museo (FCNyM) Universidad Nacional de La Plata (UNLP) La Plata Argentina
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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: 11] [Impact Index Per Article: 3.7] [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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Lobstein T, Neveux M, Brown T, Chai LK, Collins CE, Ells LJ, Nowicka P. Social disparities in obesity treatment for children age 3-10 years: A systematic review. Obes Rev 2021; 22:e13153. [PMID: 33462935 DOI: 10.1111/obr.13153] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 09/16/2020] [Accepted: 09/17/2020] [Indexed: 01/08/2023]
Abstract
Socio-economic status and ethnic background are recognized as predictors of risk for the development of obesity in childhood. The present review assesses the effectiveness of treatment for children according to their socio-economic and ethnic background. Sixty-four systematic reviews were included, from which there was difficulty reaching general conclusions on the approaches to treatment suitable for different social subgroups. Eighty-one primary studies cited in the systematic reviews met the inclusion criteria, of which five directly addressed differential effectiveness of treatment in relation to social disparities, with inconsistent conclusions. From a weak evidence base, it appears that treatment effectiveness may be affected by family-level factors including attitudes to overweight, understanding of the causes of weight gain and motivation to make and maintain family-level changes in health behaviours. Interventions should be culturally and socially sensitive, avoid stigma, encourage motivation, recognize barriers and reinforce opportunities and be achievable within the family's time and financial resources. However, the evidence base is remarkably limited, given the significance of social and economic disparities as risk factors. Research funding agencies need to ensure that a focus on social disparities in paediatric obesity treatment is a high priority for future research.
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Affiliation(s)
- Tim Lobstein
- World Obesity Federation, London, UK.,The Boden Institute, Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia
| | | | - Tamara Brown
- School of Health and Life Sciences, Teesside University, Middlesbrough, UK
| | - Li Kheng Chai
- Institute of Health and Biomedical Innovation (IHBI) at Centre for Children's Health Research, Queensland University of Technology, South Brisbane, Queensland, Australia.,Children's Health Queensland Hospital and Health Service, South Brisbane, Queensland, Australia
| | - Clare E Collins
- School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, New South Wales, Australia
| | - Louisa J Ells
- School of Clinical and Applied Sciences, Leeds Beckett University, Leeds, UK
| | - Paulina Nowicka
- Karolinska Institute, Stockholm, Sweden.,Department of Food Studies, Nutrition and Dietetics, Uppsala University, Uppsala, Sweden
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Henriksson H, Alexandrou C, Henriksson P, Henström M, Bendtsen M, Thomas K, Müssener U, Nilsen P, Löf M. MINISTOP 2.0: a smartphone app integrated in primary child health care to promote healthy diet and physical activity behaviours and prevent obesity in preschool-aged children: protocol for a hybrid design effectiveness-implementation study. BMC Public Health 2020; 20:1756. [PMID: 33228572 PMCID: PMC7687729 DOI: 10.1186/s12889-020-09808-w] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 10/30/2020] [Indexed: 02/08/2023] Open
Abstract
Background Childhood obesity is still a major health problem in many countries, including Sweden. Childhood obesity and obesity-related behaviours in childhood, such as low physical activity and unhealthy eating habits, tend to track into adulthood, which highlights the need for early prevention. Our aims are to evaluate whether a parent-oriented mobile health app (the MINISTOP 2.0 app) integrated into primary child health care can improve diet and physical activity behaviours and reduce the prevalence of overweight and obesity in preschool-aged children as well as to evaluate the implementation among child health care nurses and parents. Methods This trial uses a hybrid type 1 effectiveness-implementation design. Families (n = 500) who attend a routine visit to one of 15–20 primary child health care centres throughout Sweden, when their child is 2.5 years, are offered participation in a randomised controlled trial (effectiveness evaluation). After acceptance, families will be randomised (1:1) to control or intervention groups. The intervention group receives a 6-month parent-oriented smartphone intervention aimed at improving the dietary and activity behaviours of their child (the MINISTOP 2.0 app) and the control group receives routine child health care. Dietary habits, physical activity and screen time (primary outcomes), body weight and height in children, and parental self-efficacy (secondary outcomes) are measured at baseline and at 6 months post randomisation. Implementation outcomes (i.e. perceived acceptability, appropriateness, and feasibility) of the intervention will be assessed among primary child health care nurses and parents in the trial through questionnaires and qualitative interviews. Discussion This trial will evaluate whether the MINISTOP 2.0 app can be used in primary child health care to improve diet and physical activity behaviours, and prevent overweight and obesity, in preschool-aged children. If effectiveness is proven, and the MINISTOP 2.0 app is considered acceptable, appropriate and feasible, it can be implemented nationally as part of the preventive strategies to combat childhood obesity provided by routine child health care. Trial registration The trial was registered at the Clinicaltrials.gov register platform (ID NCT04147039) on 31 October 2019. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-020-09808-w.
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Affiliation(s)
- Hanna Henriksson
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.
| | - Christina Alexandrou
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.,Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden
| | - Pontus Henriksson
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden
| | - Maria Henström
- Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden
| | - Marcus Bendtsen
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden
| | - Kristin Thomas
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden
| | - Ulrika Müssener
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden
| | - Per Nilsen
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden
| | - Marie Löf
- Department of Health, Medicine and Caring Sciences, Linköping University, 581 83, Linköping, Sweden.,Department of Biosciences and Nutrition, Karolinska Institutet, 141 83 Huddinge, Stockholm, Sweden
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Costa D, Cunha M, Ferreira C, Gama A, Machado-Rodrigues AM, Rosado-Marques V, Mendes LL, Nogueira H, Pessoa M, Silva MRG, Velasquez-Melendez G, Padez C. Socioeconomic inequalities in children's health-related quality of life according to weight status. Am J Hum Biol 2020; 33:e23453. [PMID: 32578372 DOI: 10.1002/ajhb.23453] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2019] [Revised: 04/29/2020] [Accepted: 05/22/2020] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVES This study explores the association between socioeconomic position (SEP) and health-related quality of life (HRQoL) among Portuguese children according to their weight status. METHODS A total of 1215 primary school-aged children (mean age 8.78 years) from three Portuguese districts (Lisbon, Porto, Coimbra) were assessed during 2016/2017. Father and mother's education (low, medium, high) and work status (employed, unemployed/retired) were used as SEP indicators. Self-reported HRQoL was assessed with the KIDSCREEN-27. Height and weight were objectively measured and body mass index categorized in normal, overweight or obese. Age, sex, and district-adjusted linear regression models were fitted to estimate associations between SEP indicators and HRQoL dimensions, according to weight status. RESULTS We found that 24.9% of children were categorized as having overweight/obesity. The mean scores of the Physical Well-Being, and School Environment dimensions of HRQoL were lower among children classified with overweight/obesity compared to children with normal weight (57.21 vs 54.11, P < .001 and 57.85 vs 56.04, P = .010, respectively). Father's education was significantly associated with all HRQoL dimensions in children with a normal weight, but the same was not observed among children presenting overweight/obesity. An increase in the level of maternal education was also significantly associated with all HRQoL dimensions among children classified with a normal weight, and only for the School Environment dimension among children classified with overweight/obesity. CONCLUSIONS These results suggest the presence of socioeconomic inequalities in self-reported HRQoL from early age, particularly among children with normal weight.
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Affiliation(s)
- Diogo Costa
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
| | - Marina Cunha
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Cláudia Ferreira
- CINEICC - Center for Research in Neuropsychology and Cognitive and Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal
| | - Augusta Gama
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Animal Biology, Faculty of Sciences of the University of Lisbon, Lisbon, Portugal
| | - Aristides M Machado-Rodrigues
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,High School of Education, Polytechnic Institute of Viseu, Viseu, Portugal
| | - Vítor Rosado-Marques
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
| | - Larissa L Mendes
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Helena Nogueira
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Department of Geography and Tourism, University of Coimbra, Coimbra, Portugal
| | - Milene Pessoa
- Department of Nutrition, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Maria-Raquel G Silva
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal.,Faculty of Health Sciences, University Fernando Pessoa, Porto, Portugal
| | - Gustavo Velasquez-Melendez
- Departamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Cristina Padez
- Research Centre for Anthropology and Health, Department of Life Sciences, University of Coimbra, Coimbra, Portugal
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Potvin Kent M, Pauzé E, Guo K, Kent A, Jean-Louis R. The physical activity and nutrition-related corporate social responsibility initiatives of food and beverage companies in Canada and implications for public health. BMC Public Health 2020; 20:890. [PMID: 32517669 PMCID: PMC7281932 DOI: 10.1186/s12889-020-09030-8] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Accepted: 06/01/2020] [Indexed: 01/21/2023] Open
Abstract
Background As diet-related diseases have increased over the past decades, large food companies have come under scrutiny for contributing to this public health crisis. In response, the food industry has implemented Corporate Social Responsibility (CSR) initiatives related to nutrition and physical activity to emphasize their concern for consumers. This study sought to describe the nature and targeted demographic of physical activity and nutrition-related CSR initiatives of large food companies in Canada and to compare companies who participate in the Canadian Children’s Food and Beverage Advertising Initiative (CAI), a self-regulatory initiative aimed at reducing unhealthy food advertising to children, with non-participating companies. Methods A cross-sectional study was conducted in 2016. Thirty-nine large food companies, including 18 participating in the CAI, were included in the study. The webpages, Facebook pages and corporate reports of these companies were surveyed to identify CSR initiatives related to nutrition and physical activity. Initiatives were then classified by type (as either philanthropic, education-oriented, research-oriented or other) and by targeted demographic (i.e. targeted at children under 18 years or the general population). Differences between CAI and non-CAI companies were tested using chi-square and Mann-Whitney U tests. Results Overall, 63 CSR initiatives were identified; 39 were nutrition-related while 24 were physical activity-related. Most (70%) initiatives were considered philanthropic activities, followed by education-oriented (20%), research-oriented (8%) and other (2%). Almost half (47%; n = 29) of initiatives targeted children. Examples of child-targeted initiatives included support of school milk programs (n = 2), the sponsorship of children’s sports programs (n = 2) and the development of educational resources for teachers (n = 1). There were no statistically significant differences in the number of CSR initiatives per company (CAI: Mdn = 1, IQR = 3; non-CAI: Mdn = 0, IQR = 2; p = .183) or the proportion of child-targeted initiatives (CAI: 42%; non-CAI: 54%; p = .343) between CAI and non-CAI companies. Conclusion Food companies, including many that largely sell and market unhealthy products, are heavily involved in physical activity and nutrition-related initiatives in Canada, many of which are targeted to children. Government policies aimed at protecting children from unhealthy food marketing should consider including CSR initiatives that expose children to food company branding.
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Affiliation(s)
- Monique Potvin Kent
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, 600 Peter Morand, room 301J, Ottawa, Ontario, K1G5Z3, Canada.
| | - Elise Pauzé
- School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, 600 Peter Morand, room 301J, Ottawa, Ontario, K1G5Z3, Canada
| | - Kevin Guo
- Faculty of Medicine, University of Ottawa, 451 Smyth Rd, Ottawa, Ontario, K1H 8M5, Canada
| | - Arianne Kent
- Department of Sociology, Faculty of Arts, McGill University, 855 Sherbrooke Street West, Montreal, Quebec, H3A 2T7, Canada
| | - Royce Jean-Louis
- Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, 25 University Private, Ottawa, Ontario, K1N 7K4, Canada
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11
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Yang Y, Miao Q, Zhu X, Qin L, Gong W, Zhang S, Zhang Q, Lu B, Ye H, Li Y. Sleeping Time, BMI, and Body Fat in Chinese Freshmen and Their Interrelation. Obes Facts 2020; 13:179-190. [PMID: 32074620 PMCID: PMC7250351 DOI: 10.1159/000506078] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2019] [Accepted: 01/08/2020] [Indexed: 01/21/2023] Open
Abstract
INTRODUCTION In the past two decades, urbanization in many Asian countries has led to sedentary lifestyle and overnutrition, which has set the stage for the epidemic of obesity. Those who have obesity during adolescence usually have obesity into adulthood, which causes many medical and psychological issues that can result in premature death. Recent data suggest that short sleep duration may contribute to the risk of obesity, opening a new avenue for potential intervention. The aim of this study was to describe the prevalence of sleeping time, body mass index (BMI), and fat mass in Chinese freshmen and to indicate the relationship among them. METHODS We conducted a cross-sectional study consisting of 1,938 freshmen aged from 18 to 24 years, including 684 (35.3%) men and 1,254 (64.7%) women. BMI, sleeping time, and other potential related variables were collected by questionnaire. Obesity and overweight were defined as BMI ≥28.0 and ≥24.0, respectively. All students were divided into three groups according to the tertiles of body fat percentage (Fat%), which were measured by bioelectrical impedance analysis. Sleeping time was divided into 3 categories based on the duration, <6, 6-8, and >8 h per day. RESULTS Participants who slept longer had lower BMI and Fat%. Sex, diet control, and maternal obesity were all significantly associated with BMI or Fat% after adjustment. There were significant differences between sleeping time <6 and >8 h in both overweight group and Fat% tertiles independent of adjustment used. The significant difference between sleeping time 6-8 and >8 h only existed in overweight group, while irrelevant relation was observed in both models of obesity group. CONCLUSION Longer sleeping time was associated with a lower BMI in Chinese freshmen, even after adjustment for multiple confounders. The overweight stage is a critical period of weight management intervention by changing sleeping time. If adolescents have entered the obesity stage, the effect size of lifestyle intervention might be significantly limited.
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Affiliation(s)
- Yehong Yang
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Qing Miao
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
- Department of Endocrinology and Metabolism, Huashan Hospital North, Fudan University, Shanghai, China
| | - Xiaoming Zhu
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Lang Qin
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Wei Gong
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Shuo Zhang
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Qiongyue Zhang
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
- Department of Endocrinology and Metabolism, Huashan Hospital North, Fudan University, Shanghai, China
| | - Bin Lu
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Hongying Ye
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
| | - Yiming Li
- Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, Shanghai, China
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Orden AB, Lamarque MS, Apezteguía MC. Trend in childhood obesity reflects socioeconomic status in Argentina. Ann Hum Biol 2019; 46:531-536. [DOI: 10.1080/03014460.2019.1694070] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Alicia B. Orden
- Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)
- Instituto de Desarrollo e Investigaciones Pediátricas (IDIP, MS/CIC, PBA), La Plata, Buenos Aires, Argentina
| | - Muriel S. Lamarque
- Instituto de Desarrollo e Investigaciones Pediátricas (IDIP, MS/CIC, PBA), La Plata, Buenos Aires, Argentina
| | - María C. Apezteguía
- Instituto de Desarrollo e Investigaciones Pediátricas (IDIP, MS/CIC, PBA), La Plata, Buenos Aires, Argentina
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13
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Lockyer S, Spiro A. Socio‐economic inequalities in childhood obesity: Can community level interventions help to reduce the gap? NUTR BULL 2019. [DOI: 10.1111/nbu.12410] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Affiliation(s)
- S. Lockyer
- British Nutrition Foundation, London London UK
| | - A. Spiro
- British Nutrition Foundation, London London UK
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14
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Ek A, Delisle Nyström C, Chirita-Emandi A, Tur JA, Nordin K, Bouzas C, Argelich E, Martínez JA, Frost G, Garcia-Perez I, Saez M, Paul C, Löf M, Nowicka P. A randomized controlled trial for overweight and obesity in preschoolers: the More and Less Europe study - an intervention within the STOP project. BMC Public Health 2019; 19:945. [PMID: 31307412 PMCID: PMC6631737 DOI: 10.1186/s12889-019-7161-y] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2019] [Accepted: 06/13/2019] [Indexed: 12/15/2022] Open
Abstract
Background Childhood overweight and obesity is a serious public health issue with an increase being observed in preschool-aged children. Treating childhood obesity is difficult and few countries use standardized treatments. Therefore, there is a need to find effective approaches that are feasible for both health care providers and families. Thus, the overall aim of this study is to assess the acceptance and effectiveness of a parent support program (the More and Less, ML) for the management of overweight and obesity followed by a mobile health (mHealth) program (the MINISTOP application) in a socially diverse population of families. Methods/design A two-arm, parallel design randomized controlled trial in 300 2-to 6-year-old children with overweight and obesity from Romania, Spain and Sweden (n = 100 from each). Following baseline assessments children are randomized into the intervention or control group in a 1:1 ratio. The intervention, the ML program, consists of 10-weekly group sessions which focus on evidence-based parenting practices, followed by the previously validated MINISTOP application for 6-months to support healthy eating and physical activity behaviors. The primary outcome is change in body mass index (BMI) z-score after 9-months and secondary outcomes include: waist circumference, eating behavior (Child Eating Behavior Questionnaire), parenting behavior (Comprehensive Feeding Practices Questionnaire), physical activity (ActiGraph wGT3x-BT), dietary patterns (based on metabolic markers from urine and 24 h dietary recalls), epigenetic and gut hormones (fasting blood samples), and the overall acceptance of the overweight and obesity management in young children (semi-structured interviews). Outcomes are measured at baseline and after: 10-weeks (only BMI z-score, waist circumference), 9-months (all outcomes), 15- and 21-months (all outcomes except physical activity, dietary patterns, epigenetics and gut hormones) post-baseline. Discussion This study will evaluate a parent support program for weight management in young children in three European countries. To boost the effect of the ML program the families will be supported by an app for 6-months. If the program is found to be effective, it has the potential to be implemented into routine care to reduce overweight and obesity in young children and the app could prove to be a viable option for sustained effects of the care provided. Trial registration ClinicalTrials.gov NCT03800823; 11 Jan 2019.
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Affiliation(s)
- Anna Ek
- Division of Pediatrics, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.
| | | | - Adela Chirita-Emandi
- Genetics Department, University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania.,"Louis Turcanu" Clinical Emergency Hospital for Children, Timisoara, Romania
| | - Josep A Tur
- Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands, Palma de Mallorca, Spain.,CIBER of Physiology of Obesity and Nutrition (CIBEROBN), Instituto Carlos III, Madrid, Spain
| | - Karin Nordin
- Division of Pediatrics, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden
| | - Cristina Bouzas
- Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands, Palma de Mallorca, Spain.,CIBER of Physiology of Obesity and Nutrition (CIBEROBN), Instituto Carlos III, Madrid, Spain
| | - Emma Argelich
- Research Group on Community Nutrition & Oxidative Stress, University of the Balearic Islands, Palma de Mallorca, Spain.,CIBER of Physiology of Obesity and Nutrition (CIBEROBN), Instituto Carlos III, Madrid, Spain
| | - J Alfredo Martínez
- CIBER of Physiology of Obesity and Nutrition (CIBEROBN), Instituto Carlos III, Madrid, Spain.,Department of Nutrition, Food Science, and Physiology, Centre for Nutrition Research, University of Navarra, Pamplona, Spain.,IMDEA Food Precision Nutrition, Madrid, Spain
| | - Gary Frost
- Section for Nutrition Research, Department of Medicine, Imperial College London, Hammersmith Campus, London, UK
| | - Isabel Garcia-Perez
- Division of Systems and Digestive Medicine, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, South Kensington Campus, London, UK
| | - Marc Saez
- Research Group on Statistics, Econometrics and Health (GRECS), University of Girona, Campus de Montilivi, Girona, Spain.,CIBER of Epidemiology and Public Health (CIBERESP), Instituto Carlos III, Madrid, Spain
| | - Corina Paul
- Pediatrics Department, University of Medicine and Pharmacy "Victor Babes", Timisoara, Romania.,2nd Pediatrics Clinic, Clinical Emergency County Hospital Timisoara, Timisoara, Romania
| | - Marie Löf
- Department of Biosciences and Nutrition, Karolinska Institutet, Stockholm, Sweden.,Department of Medical and Health Sciences, Linköping University, Linköping, Sweden
| | - Paulina Nowicka
- Division of Pediatrics, Department of Clinical Science Intervention and Technology, Karolinska Institutet, Stockholm, Sweden.,Department of Food Studies, Nutrition, and Dietetics, Uppsala University, Uppsala, Sweden
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15
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Orden AB, Lamarque MS, Chan D, Mayer MA. Short sleep and low milk intake are associated with obesity in a community of school aged children from Argentina. Am J Hum Biol 2019; 31:e23224. [PMID: 30779467 DOI: 10.1002/ajhb.23224] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2018] [Revised: 11/22/2018] [Accepted: 01/11/2019] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVES Understanding the factors related to obesity during childhood allows for improved preventive actions specifically adapted to particular communities. The purpose of this study was to identify individual and familiar factors related to obesity in children. METHODS A cross-sectional study was conducted in an urban community in Argentina during the years 2015-2016. Weight and height were measured on a probabilistic sample of 1366 schoolchildren aged 6 to 12 years. BMI categories were established according to International Obesity Task Force (IOTF) cut-offs. Data were analyzed using multivariate and logistic regression models. Independent variables corresponded to four domains: anthropometric, socioeconomic and demographic, nutritional, and energy balance. RESULTS Twenty percent of children were categorized as overweight (OW) and 12.2% were obese (OB). Parental IOTF grade was positively associated with childhood OW/OB (father B = 0.421 P = 0.000, OR = 1.52, 95% CI 1.24-1.88; mother B = 0.498 P = 0.000, OR = 1.65, 95% CI 1.37-1.97). The remaining variables were negatively associated with OW/OB: hours of sleep (B = -0.566 P = 0.001, OR = 0.57, 95% CI 0.41-0.79), physical activity (B = -0.362 P = 0.017, OR = 0.70, 95% CI 0-52-0.94), and daily milk intake (B = -0.178 P = 0.045, OR = 0.84, 95% CI 0.70-0.99). Parental IOTF predicted both OW and OB, while sleep hours predicted OW and physical activity predicted OB. CONCLUSIONS Family should be considered the initial target for effective strategies to reduce obesity. Like physical activity, the promotion of milk and dairy intake, as well as sleep, may have a major role in obesity reduction because of their protective effects in this community.
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Affiliation(s)
- Alicia B Orden
- Investigador Independiente, CONICET Instituto de Desarrollo e Investigaciones Pediátricas (IDIP-MS/CIC, PBA) Hospital de NIños Sor M. Ludovica La Plata ARGENTINA, Buenos Aires, Argentina.,Instituto de Desarrollo e Investigaciones Pediátricas (MS/CIC, PBA), La Plata, Argentina
| | - Muriel S Lamarque
- Instituto de Desarrollo e Investigaciones Pediátricas (MS/CIC, PBA), La Plata, Argentina
| | - Débora Chan
- Facultad Regional Buenos Aires, Buenos Aires, UTN
| | - Marcos A Mayer
- Investigador Independiente, CONICET Instituto de Desarrollo e Investigaciones Pediátricas (IDIP-MS/CIC, PBA) Hospital de NIños Sor M. Ludovica La Plata ARGENTINA, Buenos Aires, Argentina.,Facultad de Ciencias Exactas y Naturales (UNLPam), Santa Rosa (LP).,Fundación Centro de Salud e Investigaciones Médicas (CESIM), Santa Rosa (LP)
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16
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Shackleton N, Milne BJ, Audas R, Derraik JGB, Zhu T, Taylor RW, Morton SMB, Glover M, Cutfield WS, Taylor B. Improving rates of overweight, obesity and extreme obesity in New Zealand 4-year-old children in 2010-2016. Pediatr Obes 2018; 13:766-777. [PMID: 29271074 PMCID: PMC6585814 DOI: 10.1111/ijpo.12260] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 09/25/2017] [Accepted: 10/31/2017] [Indexed: 01/20/2023]
Abstract
BACKGROUND Prevalence of childhood obesity is high in developed countries, and there is a growing concern regarding increasing socio-economic disparities. OBJECTIVES To assess trends in the prevalence of overweight, obesity and extreme obesity among New Zealand 4-year olds, and whether these differ by socio-economic and ethnic groupings. METHODS A national screening programme, the B4 School Check, collected height and weight data for 75-92% of New Zealand 4-year-old children (n = 317 298) between July 2010 and June 2016. Children at, or above, the 85th, 95th and 99.7th percentile for age and sex adjusted body mass index (according to World Health Organization standards) were classified as overweight, obese and extremely obese, respectively. Prevalence rates across 6 years (2010/11 to 2015/16) were examined by sex, across quintiles of socio-economic deprivation, and by ethnicity. RESULTS The prevalence of overweight, obesity and extreme obesity decreased by 2.2 [95% CI, 1.8-2.5], 2.0 [1.8-2.2] and 0.6 [0.4-0.6] percentage points, respectively, between 2010/2011 and 2015/2016. The downward trends in overweight, obesity and extreme obesity in the population persisted after adjustment for sex, ethnicity, deprivation and urban/rural residence. Downward trends were also observed across sex, ethnicity and deprivation groups. CONCLUSIONS The prevalence of obesity appears to be declining in 4-year-old children in New Zealand across all socio-economic and ethnic groups.
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Affiliation(s)
- N. Shackleton
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Centre of Methods and Policy Application in the Social SciencesUniversity of AucklandAucklandNew Zealand
| | - B. J. Milne
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Centre of Methods and Policy Application in the Social SciencesUniversity of AucklandAucklandNew Zealand
| | - R. Audas
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Dunedin School of MedicineUniversity of OtagoDunedinNew Zealand
| | - J. G. B. Derraik
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Liggins InstituteUniversity of AucklandAucklandNew Zealand,Department of Women's and Children's HealthUppsala UniversityUppsalaSweden
| | - T. Zhu
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Centre of Methods and Policy Application in the Social SciencesUniversity of AucklandAucklandNew Zealand
| | - R. W. Taylor
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Dunedin School of MedicineUniversity of OtagoDunedinNew Zealand
| | - S. M. B. Morton
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Centre for Longitudinal Research–He Ara ki MuaThe University of AucklandNew Zealand,School of Population HealthThe University of AucklandAucklandNew Zealand
| | - M. Glover
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,School of Public Health, College of HealthMassey UniversityAucklandNew Zealand
| | - W. S. Cutfield
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Liggins InstituteUniversity of AucklandAucklandNew Zealand
| | - B. Taylor
- A Better Start – National Science ChallengeUniversity of AucklandAucklandNew Zealand,Dunedin School of MedicineUniversity of OtagoDunedinNew Zealand
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Min J, Xue H, Wang Y. Association between household poverty dynamics and childhood overweight risk and health behaviours in the United States: a 8-year nationally representative longitudinal study of 16 800 children. Pediatr Obes 2018; 13:590-597. [PMID: 30110714 PMCID: PMC6191355 DOI: 10.1111/ijpo.12292] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/07/2017] [Revised: 03/19/2018] [Accepted: 03/23/2018] [Indexed: 01/18/2023]
Abstract
BACKGROUND No study has examined how the pattern of income dynamics influences both of children's body mass index (BMI) trajectory and health behaviours. OBJECTIVES To examine the association between household poverty dynamics and childhood overweight risk in the USA. METHODS Using the longitudinal data of 16 800 children (from kindergarten to the 8th grade) in the nationally representative US cohort-Early Childhood Longitudinal Study, Kindergarten Class 1998-1999, we examined the differences in BMI trajectory, weight-related health behaviours and risk of overweight in association with household poverty dynamics during follow-up (never [no experience of poverty], transient [once], recurrent [≥2 times] and persistent poor [remained]) using mixed models with fractional polynomial functions and estimating equation models. RESULTS Overall, children experiencing poverty were more likely to have adverse BMI growth trajectory and eating and sedentary behaviours compared with the never poor. The recurrently poor children (12.8%) had the fastest BMI trajectory, highest overweight/obesity prevalence from 5 to 16 years old and highest proportion of excessive soda/fast food consumption and irregular exercise at 8th grade than did others (p < 0.05). The persistently poor (8.4%) were the lowest in BMI growth trajectory but became the second highest in childhood obesity through a steady increase in BMI over time. Children in the recurrently poor group had a 1.5 times (95% CI = 1.0-2.2) higher risk of overweight than those having never experienced poverty during follow-up. CONCLUSIONS The experience of recurrent household poverty had a significant association with children's adverse eating behaviours and increased obesity risk subsequently.
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Affiliation(s)
- Jungwon Min
- Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-being, College of Health, Ball State University, USA
| | - Hong Xue
- Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-being, College of Health, Ball State University, USA,Department of Health Behavior and Policy, School of Medicine, Virginia Commonwealth University, USA
| | - Youfa Wang
- Systems-Oriented Global Childhood Obesity Intervention Program, Fisher Institute of Health and Well-being, College of Health, Ball State University, USA,Department of Nutrition and Health Sciences, College of Health, Ball State University, USA
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Associations between maternal sense of coherence and controlling feeding practices: The importance of resilience and support in families of preschoolers. Appetite 2016; 105:134-43. [DOI: 10.1016/j.appet.2016.05.012] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 04/07/2016] [Accepted: 05/13/2016] [Indexed: 11/17/2022]
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