Electronic health technology for the assessment of physical activity and eating habits in children and adolescents with overweight and obesity IDA

Appetite ◽  
2012 ◽  
Vol 58 (2) ◽  
pp. 432-437 ◽  
Author(s):  
Ralf Schiel ◽  
Alexander Kaps ◽  
Gerald Bieber
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Eating Habits ◽  
Health Technology ◽  
Overweight And Obesity ◽  
Electronic Health

scholarly journals POS1309 PREVALENCE AND CORRELATES OF UNDERWEIGHT, OVERWEIGHT AND OBESITY AMONG PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS (JIA): EVIDENCE FROM THE NATIONAL PAEDIATRIC RHEUMATOLOGIC DATABASE (NPRD)

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 936.2-937
Author(s):  
F. Milatz ◽  
J. Klotsche ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
D. Windschall ◽  
...  
Keyword(s):  
Physical Activity ◽  
Juvenile Idiopathic Arthritis ◽  
General Population ◽  
Children And Adolescents ◽  
Treatment Response ◽  
Weight Status ◽  
Overweight And Obesity ◽  
Age Group ◽  
Group 3 ◽  
Obesity In Children

Background:In patients with JIA, growth impairment and variance in body composition are well-known long-term complications that may be associated with prolonged drug therapy (e.g. glucocorticoids) as well as impaired physical and psychosocial well-being. An increased accumulation of body fat represents a significant risk factor for metabolic abnormalities and a modifiable variable for a number of comorbidities. Recently, evidence has emerged in favour of the potential negative influence of overweight on the course of the disease and treatment response [1].Objectives:The study aimed a) to estimate the prevalence of underweight, overweight and obesity in children and adolescents with JIA compared to the general population, and b) to investigate correlates of patients’ weight status.Methods:A cross-sectional analysis of physicians’ recorded body weights and heights of patients with JIA enrolled in the NPRD in the year 2019 was performed. Underweight (BMI <10th), overweight (BMI >90th) and obesity (BMI >97th) were defined according to age- and sex-specific percentiles used in the German reference system. For comparison with data from the general population [2], sex- and age-matched pairs of 3-17-year-old patients and controls were generated. A multinomial logistic regression analysis was performed to examine the association between weight status and patients’ clinical and self-reported outcomes.Results:In total, data from 6.515 children and adolescents with JIA (age 11.2 ± 4.1 years, disease duration 4.9 ± 3.8 years, 67% girls, 40% persistent oligoarthritis) were included. Of these, 3.334 (age 5.9 ± 2.1 years, 52.5% girls) could be considered for matched-pair analysis. Compared with the general population, patients underweight, overweight and obesity rates were 10.6% (vs. 8.1%), 8.8% (vs. 8.5%) and 6.1% (vs. 5.7%), respectively. No significant sex differences were found in either group. Largest difference in prevalence was registered for underweight, specifically in the age group 3-6 years (12.9% patients vs. 5.9% controls). Similar to the general population, higher rates of overweight were observed in adolescent patients than in affected children (19.1% age group 11-13 vs. 8.4% age group 3-6). While the highest underweight prevalence was registered in patients with RF+ polyarthritis (16%), patients with Enthesitis-related arthritis (22%), psoriatic arthritis (21%) and systemic JIA (20%) showed the highest overweight rates (including obesity). Younger age (OR = 0.51, 95% CI = 0.31-0.83), more frequent physical activity (OR = 0.92, 95% CI = 0.85-0.99) and high parental vocational education (OR = 0.39, 95% CI = 0.18-0.80) were independently associated with a lower likelihood of being overweight/obese.Conclusion:The overall prevalence of underweight, overweight and obesity in children and adolescents with JIA is comparable to that found in the general population. Behavioural health promotion, including regular physical activity, as part of the treatment strategy in JIA should preventively already begin at preschool age and necessarily be made accessible to patients of all educational levels.References:[1]Giani T et al. The influence of overweight and obesity on treatment response in juvenile idiopathic arthritis. Front Pharmacol 2019;10:637.[2]Schienkiewitz A et al. BMI among children and adolescents: prevalences and distribution considering underweight and extreme obesity. Bundesgesundheitsbl 2019;62:1225–1234.Acknowledgements:The National Paediatric Rheumatological Database has been funded by AbbVie, Chugai, Novartis and GSK.Disclosure of Interests:Florian Milatz: None declared, Jens Klotsche: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Daniel Windschall: None declared, Frank Weller-Heinemann Speakers bureau: Pfizer, AbbVie, SOBI, Roche and Novartis., Frank Dressler: None declared, Rainer Berendes: None declared, Johannes-Peter Haas: None declared, Gerd Horneff: None declared, Kirsten Minden Speakers bureau: Pfizer, AbbVie, Consultant of: Novartis

scholarly journals Caring for Overweight Children and Adolescents at a Reference Clinic in Nutrology: Habits and Attendance

2021 ◽  
Vol 14 (01) ◽  
pp. 006-010
Author(s):  
Valeria Moro ◽  
Luiz Antonio Del Ciampo
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Soft Drinks ◽  
Overweight And Obesity ◽  
Dropout Rates ◽  
Overweight Children ◽  
Obesity Epidemic ◽  
Study Population ◽  
Municipal Health

Abstract Introduction The global obesity epidemic has mobilized health services to offer care at all levels, with reference outpatient clinics playing a prominent role in cases of greater complexity. Objectives The present study aimed to identify soft drinks consumption and physical activity habits among children and adolescents diagnosed with overweight and obesity during the first visit at a secondary level nutrology outpatient clinic, and to verify attendance at follow-up visits in a 2-year period from the first visit. Materials and Methods This is a retrospective, descriptive study based on data collection from medical records of overweighted or obese patients receiving first care at the Nutrology Clinic of the Municipal Health Secretariat from Ribeirão Preto, São Paulo, Brazil. The study population included children and adolescents aged between 2 and 18 years old cared for from January 2, 2013 to December 30, 2017. Age, weight, height, soft drinks consumption, physical activity, and attendance in scheduled follow-up visits during a 2-year period were analyzed. Results During the study period, 316 patients were registered, including 302 (95.5%) diagnosed with obesity. Of these, 112 (35.4%) were children and 204 (64.6%) were adolescents. Only 2.0% of the children and adolescents did not consume soft drinks, while 23.5 and 26.2% of the children and adolescents, respectively, consumed them daily. Physical inactivity was reported by 31.8% of the children and by 35.8% of the adolescents. Among those who practiced some type of physical activity, 81.3% of the children and 78.2% of the adolescents did not meet the recommendation of moderate to vigorous activity for 60 minutes per day. Dropout rates within the 1st year were of 41.9% for children and of 34.3% for adolescents, increasing to 76.9% and 73.8%, respectively, within the 2nd year. Conclusion There was a high consumption of soft drinks and low adherence to physical activity among patients who started outpatient follow-up. A small adherence to the follow-up program was also identified, with high dropout rates within the 2-year period following the first visit.

scholarly journals Pattern of BMI and associated factors in residents of Hussainabad aged 15 years and above.

2020 ◽  
Vol 27 (04) ◽  
pp. 752-758
Author(s):  
Aftab Nazir ◽  
Rabia Arshad Usmani ◽  
Muhammad Sarfraz ◽  
Muhammad Zakria ◽  
Muhammad Umar Ghafoor ◽  
...  
Keyword(s):  
Physical Activity ◽  
Associated Factors ◽  
Dietary Habits ◽  
Eating Habits ◽  
Cross Sectional Study ◽  
Overweight And Obesity ◽  
Obese People ◽  
Cross Sectional ◽  
Risk Practices ◽  
Sweet Foods

Objectives: To study the pattern of BMI and associated factors in residents of Hussainabad aged 15 years and above. Study Design: Cross-sectional study. Setting: Hussainabad, Faisalabad. Period: 15th April to 23th August 2017. Material & Methods: A sample of 410 was obtained. Participants were selected by convenience sampling. Data was collected by self-administered questionnaire. Results: Out of total 410 study participants, 250 (61%) were males and 160 (39%) were females. 258 (62.9%) participants were found having BMI in the range of overweight and obesity, 6 (1.4%) participants were underweight and the remaining 146 (36%) participants were having normal BMI range. Amongst 258 overweight/obese people, 83 (20.2%) people were overweight, 112 (27.3%) moderate obese, 30 (7.3%) severe obese and 33 (8.1%) very severe obese. Overall 175 (42.7%) people were suffering from obesity. 249 (60.7%) people were in habit of eating in between meals and 161 (39.3%) were not used to eating in between meals. 95 (23.1%) people eat four times a day and 55 (13.4%) people eat more than four times a day. Likeness and increased frequency of rice and meat [136 (33.2%) and (130 (31.7%)] was more than vegetables and pulses [(91 (22.2%) and (53 (12.9%)] respectively. 157 (38.3%) people were having nocturnal eating habits. 194 (47.3%) admitted of liking the sweets and sweet foods and 170 (41.5%) people admitted of eating more under stressful conditions. 130 (31.7%) participants don’t do any kind of physical activity. Conclusion: This study describes a high frequency of obesity among population of Hussainabad. Numerous health risk practices were identified including unhealthy dietary habits, eating sweet foods, increased meal frequency, snacking behavior and lack of physical activity.

scholarly journals Prevalence of overweight and obesity in Brazilian children and adolescents: a systematic review

2021 ◽  
Vol 23 ◽  
Author(s):  
Andreia Pelegrini ◽  
Mateus Augusto Bim ◽  
Fernanda Ulsula de Souza ◽  
Karoline Sisnandes da Silva Kilim ◽  
André de Araújo Pinto
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Skin Color ◽  
Healthy Lifestyle ◽  
Eating Habits ◽  
Overweight And Obesity ◽  
Alcoholic Beverages ◽  
World Health ◽  
Factors Associated ◽  
Brazilian Children

abstract It is important to know about overweight and obesity situation of Brazilian children and adolescents. The present study aims to update scientific production, through a systematic review, on the prevalence and factors associated with overweight and obesity in Brazilian children and adolescents. Nine databases were verified, and 1,316 references were examined from 2018 to 2019. The electronic search was conducted by three independent researchers. All review steps followed a strategy based on PRISMA. 40 studies were included in this systematic review. Most studies use the World Health Organization classification criteria. The prevalence of overweight in Brazilian children and adolescents varies from 8.8% to 22.2% (boys: 6.2% to 21%; girls: 6.9% to 27.6%). The prevalence of obesity varied from 3.8% to 24% (boys: 2.4% to 28.9%; girls: 1.6% to 19.4%). It was observed that the socioeconomic factors (sex, skin color, economic level, region, mother's educational level, living in a rented house and without access to the internet), hereditary/genetic (family history of dyslipidemia and overweight and rs9939609 genotype) and behavioral (physical activity, screen time, eating habits, perceived body weight, health vulnerability, presence of a result close to home, alcoholic beverages, cigarette consumption) were associated with the outcome. It is concluded that the prevalence of overweight and obesity among Brazilian children and adolescents are worrisome and most of the factors associated with the outcomes are subject to change from the adoption of a healthy lifestyle.

scholarly journals Prevalence and factors associated with overweight and obesity among children from primary schools in urban areas of Lomé, Togo

2018 ◽  
Vol 21 (6) ◽  
pp. 1048-1056 ◽  
Author(s):  
Herbert Sagbo ◽  
Didier Koumavi Ekouevi ◽  
Dorland Tafitarilova Ranjandriarison ◽  
Serge Niangoran ◽  
Tchaa Abalo Bakai ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Schools ◽  
Dietary Diversity ◽  
Eating Habits ◽  
Statistical Significance ◽  
Developed Countries ◽  
Overweight And Obesity ◽  
Economic Conditions ◽  
Obesity Prevalence ◽  
Factors Associated

AbstractObjectiveOverweight and obesity in childhood are serious public health issues, both in developing and developed countries. The present study aimed to ascertain overweight and obesity prevalence rates among Togolese schoolchildren in Lomé, Togo, and their correlation with physical activity, socio-economic conditions and eating habits.DesignCross-sectional survey conducted in December 2015. Overweight and obesity were defined using age- and sex-specific BMI cut-off points of the International Obesity Task Force. Physical activity, socio-economic conditions and eating habits were assessed with a standardized questionnaire. Specially trained medical students interviewed children and collected the data. After bivariate regression analyses, factors associated with overweight/obesity were identified by multivariate logistic regression. Statistical significance was two-sided P<0·05.SettingLomé, Togo.SubjectsRepresentative sample of 634 children (288 boys, 346 girls), aged 8–17 years, who were studying in primary schools.ResultsOverweight and obesity respectively affected 5·2 and 1·9 % of children surveyed. Watching television (>4 h) on weekends (OR; 95 % CI: 3·8; 1·2, 12·0, P=0·02) and medium dietary diversity score (3·0; 1·1, 8·1, P=0·03) were independently associated with overweight/obesity in a multivariate regression model. Eating breakfast in the school cafeteria (0·2; 0·1, 0·8, P=0·03) and eating fruits (0·4; 0·1, 0·9, P=0·03) significantly reduced the risk of overweight/obesity.ConclusionsOverweight and obesity prevalence were linked with sedentary behaviour and non-optimal food diversity. Promoting physical activity and fruit consumption should be explored as interventions to reduce and prevent overweight and obesity in Lomé schoolchildren. In addition, preventive approaches in the social environment of children should be considered.

scholarly journals Eating habits and practice of physical activity among eutrophic and overweight adolescents

2012 ◽  
Vol 05 (01) ◽  
pp. 022-027
Author(s):  
Mariana Vilela Vieira ◽  
Ieda Regina Lopes Del Ciampo ◽  
Luiz Antonio Del Ciampo
Keyword(s):  
Physical Activity ◽  
Public Schools ◽  
Body Fat ◽  
Eating Habits ◽  
Overweight And Obesity ◽  
Calorie Intake ◽  
Control Group ◽  
Fisher Exact Test ◽  
Overweight Group ◽  
Overweight Adolescents

ABSTRACTOBJECTIVES: To assess the eating habits and physical activity of adolescents enrolled in two public schools in the city of Ribeirão Preto (SP). METHODS: A case-control study was conducted to analyze the eating habits and practice of physical activity of a group of overweight adolescents and of a eutrophic control group matched for sex and age. The International Physical Activity Questionnaire (IPAQ short version) and a semi-quantitative food frequency questionnaire were applied and a 3-day food record was obtained. The nutritive value of the foods consumed was calculated with the Virtual Nutri® software. Body fat was estimated using the equations of Slaughter et al. Data were analyzed statistically by ANOVA and by the Fisher exact test. RESULTS: Fifty-one (44.7%) overweight and 63 (55.2%) eutrophic adolescents were studied. Mean BMI was 29.5 for the overweight group and 21.0 for the eutrophic group, and percent body fat was 49.4 and 29.1, respectively (p<0.01-ANOVA). The daily calorie intake of the eutrophic adolescents consisted of 56.7% carbohydrates, 15.4% proteins and 27.9% lipids and the intake of the overweight group was 52.7%, 17.1% and 30.2%, respectively. In the eutrophic group, 28.6% were considered to be very active and 60.3% active and in the overweight group these values were 23.5% and 70.6%, respectively.CONCLUSIONS: Information about the eating and physical activity habits of adolescents is of fundamental importance for subsidizing individual and community actions. Although adolescents report apparently adequate physical activity and calorie consumption, health professional should be aware of the high rates of overweight and obesity detected in this age range.

scholarly journals Physical activity and health in Chinese children and adolescents: expert consensus statement (2020)

2020 ◽  
Vol 54 (22) ◽  
pp. 1321-1331
Author(s):  
Peijie Chen ◽  
Dengfeng Wang ◽  
Hongbing Shen ◽  
Lijuan Yu ◽  
Qian Gao ◽  
...  
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Children And Adolescents ◽  
Consensus Statement ◽  
Overweight And Obesity ◽  
Chinese Children ◽  
Health Concern ◽  
Future Research ◽  
Activity Promotion ◽  
Chinese Children And Adolescents

China is experiencing significant public health challenges related to social and demographic transitions and lifestyle transformations following unprecedented economic reforms four decades ago. Of particular public health concern is the fourfold increase in overweight and obesity rates in the nation’s youth population, coupled with the low prevalence of adolescents meeting recommended levels of physical activity. Improving the overall health of China’s more than 170 million children and adolescents has become a national priority. However, advancing nationwide health initiatives and physical activity promotion in this population has been hampered by the lack of a population-specific and culturally relevant consensus on recommendations for achieving these ends. To address this deficiency and inform policies to achieve Healthy China 2030 goals, a panel of Chinese experts, complemented by international professionals, developed this consensus statement. The consensus was achieved through an iterative process that began with a literature search from electronic databases; in-depth reviews, conducted by a steering committee, of the resulting articles; and panel group evaluations and discussions in the form of email correspondence, conference calls and written communications. Ultimately, the panel agreed on 10 major themes with strong scientific evidence that, in children and adolescents aged 6–17, participating in moderate to vigorous physical activities led to multiple positive health outcomes. Our consensus statement also (1) highlights major challenges in promoting physical activity, (2) identifies future research that addresses current knowledge gaps, and (3) provides recommendations for teachers, education experts, parents and policymakers for promoting physical activity among Chinese school-aged children and adolescents. This consensus statement aligns with international efforts to develop global physical activity guidelines to promote physical activity and health and prevent lifestyle-related diseases in children and adolescents. More importantly, it provides a foundation for developing culturally appropriate and effective physical activity interventions, health promotion strategies and policy initiatives to improve the health of Chinese children and adolescents.

scholarly journals Promoting the Participation of Children and Adolescents With Disabilities in Sports, Recreation, and Physical Activity

PEDIATRICS ◽  
2021 ◽  
Author(s):  
Paul S. Carbone ◽  
Peter J. Smith ◽  
Charron Lewis ◽  
Claire LeBlanc
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Children And Adolescents ◽  
Health Care Providers ◽  
Office Visit ◽  
Well Being ◽  
Overweight And Obesity ◽  
Clinical Report ◽  
Care Providers ◽  
Barriers To Participation

The benefits of physical activity are likely universal for all children, including children and adolescents with disabilities (CWD). The participation of CWD in physical activity, including adaptive or therapeutic sports and recreation, promotes inclusion, minimizes deconditioning, optimizes physical functioning, improves mental health as well as academic achievement, and enhances overall well-being. Despite these benefits, CWD face barriers to participation and have lower levels of fitness, reduced rates of participation, and a higher prevalence of overweight and obesity compared with typically developing peers. Pediatricians and caregivers may overestimate the risks or overlook the benefits of physical activity in CWD, which further limits participation. Preparticipation evaluations often include assessment of health status, functional capacity, individual activity preferences, availability of appropriate programs, and safety precautions. Given the complexity, the preparticipation evaluation for CWD may not occur in the context of a single office visit but rather over a period of time with input from the child’s multidisciplinary team (physicians, coaches, physical education teachers, school nurses, adaptive recreation specialists, physical and occupational therapists, and others). Some CWD may desire to participate in organized sports to experience the challenge of competition, and others may prefer recreational activities for enjoyment. To reach the goal of inclusion in appropriate physical activities for all children with disabilities, child, family, financial, and societal barriers to participation need to be identified and addressed. Health care providers can facilitate participation by encouraging physical activity among CWD and their families during visits. Health care providers can create “physical activity prescriptions” for CWD on the basis of the child’s preferred activities, functional status, need for adaptation of the activity and the recreational opportunities available in the community. This clinical report discusses the importance of participation in sports, recreation, and physical activity for CWD and offers practical suggestions to health care providers.

scholarly journals Body Mass Index of children and adolescent participants in a voucher program designed to incentivise participation in sport and physical activity

2020 ◽  
Author(s):  
Katherine Owen ◽  
B Bellew ◽  
Bridget C Foley ◽  
Adrian Bauman ◽  
Lindsey J Reece
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Large Scale ◽  
Sport Participation ◽  
Overweight And Obesity ◽  
Obesity Prevalence ◽  
Multinomial Regression ◽  
Disadvantaged Area ◽  
Activity Promotion ◽  
Increased Risk

Abstract Background There has been limited population-level success in tackling overweight and obesity. The Active Kids program is a state-wide intervention that aims to increase participation in organised physical activity and sport among children and adolescents in NSW, Australia. This study profiled children and adolescents who registered for the Active Kids program by examining the prevalence of overweight and obesity across subgroups and by social disadvantage in this sample. MethodsFor participating children, each parent or carer was required to complete an online registration form with information about the child’s height, weight, physical activity, sport participation, age, sex, primary language spoken at home, Aboriginality, disability status and postcode. Descriptive statistics were used to profile children and adolescents who registered in the program and multinomial regression models were used to determine which demographic characteristics were associated with an increased risk of overweight and obesity. Results In 2018, 671,375 parents registered a child or adolescent for the Active Kids Program. Among these children and adolescents, the prevalence of overweight and obesity was 17.2% and 7.6%, respectively. A large number of children and adolescents who lived in the most disadvantaged area (n = 99,583; 14.8%) registered for the program. There was a clear socio-economic gradient for obesity prevalence across areas of increasing disadvantage, with children and adolescents living in the most disadvantaged area being 1.87 (95% CIs 1.82, 1.93) times more likely to be overweight or obese compared with children and adolescents living in the least disadvantaged area. Conclusions The Active Kids program successfully reached a substantial proportion of overweight and obese children from socially disadvantaged backgrounds, providing financial support and opportunities for these children to participate in organised sport and physical activity. However, the program did not reach all children, and additional physical activity promotion strategies may be needed in a comprehensive approach. Nonetheless, these findings support government investment in reaching childhood overweight and obesity with large-scale programs.

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