Relationship between weight management and menstrual status in female athletes: a cross-sectional survey

2021 ◽  
Vol 61 (8) ◽  
pp. 819-827
Author(s):  
Kayoko Kamemoto ◽  
Mizuki Yamada ◽  
Tomoka Matsuda ◽  
Hazuki Ogata ◽  
Nobuyuki Tanaka ◽  
...  
2011 ◽  
Vol 14 (10) ◽  
pp. 1813-1822 ◽  
Author(s):  
Michela Barichella ◽  
Alexis E Malavazos ◽  
Giuseppe Fatati ◽  
Emanuele Cereda

AbstractObjectiveTo evaluate the awareness and knowledge about weight status and its management.DesignA 1 d cross-sectional survey. Basic anthropometric assessments (weight, height, BMI and waist circumference) and a self-administered questionnaire were considered.SettingNineteen Clinical Nutrition or Endocrinology and Metabolic Disorders Units or Dietetics Services in the Italian region of Lombardy.SubjectsAll adults attending the ‘Obesity Day’ initiative.ResultsA total of 914 participants (605 female and 309 male) were recruited. Although most of the participants (83·5 %) considered obesity to be a disease, 38·5 % were likely to misperceive their weight status. In particular, 38·8 % of normal-weight adults believed themselves to be overweight, whereas 71·1 % and 37·5 % of classes I and II/III obese adults classified themselves as being overweight and mildly obese, respectively. However, most of the overweight (90·2 %), mildly (96·8 %) and moderately/severely obese adults (99·1 %) recognized the need to lose weight. In all, 37·8 % of the sample underestimated the role of physical activity in weight management. Interestingly, only 17·2 % of dieters (previous or current) declared being advised by their doctor to lose weight. Multivariate models revealed that higher age, low education and higher BMI were important determinants of poor weight control and management. In addition, previous dieting appeared not to provide better knowledge, whereas the role of physical activity was recognized mainly by those practising it.ConclusionsThe present study suggests that in Italy knowledge about weight management should be improved not only in the general population but also among health-care professionals. To confirm this finding, there is now the rationale for a nationally representative survey. New educational programmes can be designed on the basis of the information collected.


Neurology ◽  
2018 ◽  
Vol 91 (23 Supplement 1) ◽  
pp. S28.3-S29
Author(s):  
Seifert Tad

IntroductionHeadache is the most common symptom after traumatic brain injury (TBI), a global health concern with an estimated 2.5 million people in the United States reporting TBI in a single year. Regrettably, there is little evidence on the medical management of post-traumatic headache (PTH). Generally, treatment is approached as the primary headache disorder it most closely resembles in phenotype. In the lay public, the majority of PTHs exhibit migraine or probable migraine characteristics; however, PTH phenotypes within a sporting context have not been reported.MethodsThis cross-sectional survey evaluated the characteristics of headache in 102 student-athletes, ages 13–23 who had sustained sport-related concussion. Acute post-traumatic headache and sport-related concussion were defined by the International Classification of Headache Disorders and the Concussion in Sport Group definitions, respectively. The sample included male and female athletes from a variety of sports, with differing degrees of contact exposure. The survey collected data on personal and family history of headache, as well as specific headache characteristics.ResultsThe study included 54 males and 48 females. Migraine with aura (45.4%) was the predominant phenotype is this cross sectional cohort of sport-related acute post-traumatic headache. This was followed by migraine without aura (22.7%), tension-type headache (21.8%), and other (10.1%).ConclusionsMigraine with aura is a common phenotype among sport-related acute PTH. Further studies should evaluate for potential differences in recovery trajectories when compared to other headache phenotypes.


2020 ◽  
Author(s):  
Carolyn Ee ◽  
Adele Elizabeth Cave ◽  
Dhevaksha Naidoo ◽  
Kellie Bilinski ◽  
John Boyages

Abstract Background: Breast cancer is the most common cancer in women worldwide. Weight gain after breast cancer is associated with poorer health outcomes. The aim of this study was to describe how Australian breast cancer survivors are currently managing their weight. Methods: Online cross-sectional survey open to any woman living in Australia who self-identified as having breast cancer, between November 2017 and January 2018. Results: We received 309 responses. Most respondents described their diet as good/excellent and reported moderate-high levels of weight self-efficacy. Despite this, the proportion of overweight/obesity increased from 47% at time of diagnosis to 67% at time of survey. More than three quarters of respondents did not receive any advice on weight gain prevention at the time of diagnosis. 39% of women reported being less active after cancer diagnosis, and and few weight loss interventions were perceived to be effective. Facilitators were structured exercise programs, prescribed diets, and accountability to someone else, while commonly cited barriers were lack of motivation/willpower, fatigue, and difficulty maintaining weight. Women who cited fatigue as a barrier were almost twice as likely to be doing low levels of physical activity (PA) or no PA than women who did not cite fatigue as a barrier. Conclusions: We report high levels of concern about weight gain after BC and significant gaps in service provision around weight gain prevention and weight management. Women with BC should be provided with support for weight gain prevention in the early survivorship phase, which should include structured PA and dietary changes in combination with behavioural change and social support. Weight gain prevention or weight loss programs should address barriers such as fatigue. More research is required on the effectiveness of diet and exercise interventions in BC survivors, particularly with regard to weight gain prevention.


2018 ◽  
Vol 5 ◽  
pp. 2333794X1881713
Author(s):  
Keeley J. Pratt ◽  
Joseph A. Skelton ◽  
Ihuoma Eneli ◽  
David N. Coliler ◽  
Suzanne Lazorick

Family-based interventions are the current standard for the treatment of pediatric obesity, yet the details of how providers are involving family members, and the barriers to family involvement, are largely unknown. The objective of this study is to describe how providers in pediatric weight management (PWM) involve family members, identify barriers to family involvement, and how they address challenging family dynamics. A cross-sectional survey was administered to PWM centers/clinics and their providers in the United States and Canada. Analyses included descriptive statistics at the participant (N = 71) and clinic/center (N = 47) levels. Providers indicated that they assessed patients and parents’ perspectives, not other family members, motivation, weight/medical history, dietary and activity behaviors, goals, and barriers. Providers also reported that they asked patients’ perspectives about their parents’ aforementioned behaviors, and siblings’ dietary, activity, and sedentary/screen time behaviors, and weight/medical history. Providers reported that the balance between the patient and parent changed as children aged, with more focus given to the child, and less to the parent, as the child grew older. The most frequent barrier to involving family members in treatment included challenging family dynamics. The most challenging family dynamics were divorce/separation and parent-child conflicts. Providers often refer to and rely on mental/behavioral health providers to address barriers to family involvement and challenging family dynamics. Further research is needed to determine adequate provider training and comfort in dealing with family dynamics in treatment, and ways to mitigate barriers to involving families in PWM.


Nutrition ◽  
2017 ◽  
Vol 34 ◽  
pp. 58-64 ◽  
Author(s):  
Romy Lauche ◽  
David Sibbritt ◽  
Thomas Ostermann ◽  
Nicholas R. Fuller ◽  
Jon Adams ◽  
...  

2021 ◽  
Vol 12 ◽  
pp. 215013272110132
Author(s):  
Sanjeev Nanda ◽  
Jayanth Adusumalli ◽  
Ryan T. Hurt ◽  
Karthik Ghosh ◽  
Karen M. Fischer ◽  
...  

Objective The purpose of this study was to determine self-reported knowledge, attitudes, prior experience, and perceived needs for the management of overweight and obese patients within a General Internal Medicine Practice. Patients and Methods An emailed cross-sectional survey was sent between June 20, 2019 and September 12, 2019 to 194 healthcare workers (93 primary care providers (PCPs) and 101 nurses) which focused on management of patients with weight issues. Results In total, 80 of the eligible 194 participants completed the survey (nurses = 42, PCPs = 38). Up to 87% were white, 74.7% female (74.7%). Most of the responders were either in the age group of 30’s (30%) or 50’s (30%). Among the responders, 48.8% reported some type of specialty training in weight management since their medical training with lectures being the most common form of training (36%). When asked about their interest in either weight management training or strategies to initiate weight conversations, 79% of the respondents reported an interest in education on weight management or strategies to initiate weight conversations, while 65.8% indicated they would be interested in both topics. Conclusion Our study suggests that healthcare workers have a self-reported need for further training in management of overweight and obese patients, irrespective of previous training in this area.


BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044320
Author(s):  
Jennifer Makovec Knight ◽  
Jack V. K. Nguyen ◽  
Biswadev Mitra ◽  
Catherine Willmott

ObjectivesTo assess the association between soft-shell headgear (HG) use and sports-related concussion (SRC). Secondary objectives were to assess the association between HG and superficial head injury and investigate potential increase in injury risk among HG users.DesignA systematic search in Ovid MEDLINE, Cochrane Library, Scopus, PsycINFO and SPORTDiscus was conducted in April 2020. Inclusion criteria were youth <18, English language, in vivo studies published after 1980 that evaluated SRC and other injury incidence in HG users compared with non-users.Outcome measuresIncidence rates of SRC, superficial head injury or other injuries.ResultsEight studies were eligible. The majority (n=5) reported no difference in the rate of SRC among HG users versus non-users. One rugby study identified significantly lower risk of SRC for non-HG users (risk ratio (RR) 0.63; 95% CI 0.41 to 0.98) compared with HG users, whereas a cross-sectional survey of soccer players indicated higher risk of SRC for non-HG users (RR 2.65; 95% CI 1.23 to 3.12) compared with HG users. Three of the four studies investigating superficial head injury found no significant differences with HG use, though the soccer survey reported reduced risk among HG users (RR 1.86; 95% CI 0.09 to 0.11). Increased incidence of injuries to all body regions for rugby HG users was reported in two studies with adjusted RRs of 1.16 (95% CI 1.04 to 1.29) and 1.23 (95% CI 1.00 to 1.50).ConclusionsHG use was not associated with reduced rates of SRC or superficial head injury in youth soccer and rugby. The possibility of increased injury risk to all body regions for rugby HG users was raised. The need for research specific to youth and female athletes was highlighted.PROSPERO registration numberCRD42018115310.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Karen Ashe ◽  
Melissa Clark ◽  
Sybil Crawford ◽  
Lori Pbert ◽  
Tom Guck ◽  
...  

Abstract Objectives The United States Preventive Services Task Force (USPSTF) 2018 guideline for the management of adults with obesity continues to support screening and offering or referring patients with obesity to intensive multi-component behavioral intervention. Training the primary care work force is important for implementation of guidelines. It is unclear to what degree medical school preceptors provide weight management counseling (WMC) training during primary care core clerkships. This study seeks to describe preceptors’ perceived skills and attitudes towards providing WMC to patients and the frequency of preceptors modeling WMC to medical students. Methods Primary care preceptors (family/community medicine and ambulatory internal medicine) from medical schools participating in a larger multi-modal curriculum intervention were recruited to participate in an anonymous 10-minute cross-sectional survey on their perceived skills, attitudes, and modeling WMC to medical students. Results The survey was completed by 77 eligible preceptors (response rate of 33%). Preceptors perceived themselves to be moderately skilled in WMC, with a perceived WMC skills mean of 2.8, sd 0.56 (range 1–4). Their mean attitudes score was 2.1, sd 0.5 (range 1–4). Preceptors agree they have a responsibility to provide WMC and can be effective with patients. Preceptors report sometimes modeling WMC behaviors to medical students, the mean was 3.26, sd 0.48 (range 1–5). Of those preceptors who never/rarely model referrals, the most common reason was lack of resources followed by patient cost barriers. Conclusions Preceptors do not consistently model WMC for medical students during primary care core clerkships. Skill perception and resource availability may contribute. Funding Sources Research reported in this publication was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under award number TL1-TR001454. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.


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