scholarly journals Erickson Solution-Focused Health Coaching: an Innovative Approach for Sustainable Nutrition

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Tkacova
Keyword(s):  
Obesity Prevention ◽  
Food Preferences ◽  
Health Coaching ◽  
Overweight And Obesity ◽  
Global Perspective ◽  
Health Coach ◽  
Solution Focused ◽  
The Impact ◽  
Obesity Prevention And Management ◽  
Coach Training

Abstract Background Overweight and obesity have become an epidemic and a significant public health challenge. Apart from genetics, every obesogenic factor is modifiable and therefore, it is personal behaviors that play a dominant role in obesity prevention and management. Also, in a current climate emergency, each individual's behavior including food preferences and nutrition needs to be viewed from the global perspective. Previously, we examined Erickson solution-focused health coaching as a behavioral intervention supporting the adherence to healthy nutrition and exercise. Currently, we incorporated the 'ecology' aspect to our model. By applying Erickson ecology health coaching worldwide, we aim to support sustainable nutrition resulting in obesity prevention and management. To that effect, we established the Erickson Coaching for Health World Game (ECOHEALTH WG) project. Methods The ECOHEALTH WG involves research activities, health coach training, health education including ecological nutrition, and individual or group health coaching. Results Our research investigation assessed the impact of Erickson health coaching on the adherence to sustainable nutrition, anthropometry and body composition in overweight and obese persons with sleep apnea. The mean weight loss was 5.2±1.0% and 77% of participants achieved a target reduction of > 3%, in association with the sustained shift to plant-based food preferences. Moreover, health coach training was conducted in Austria, China, Slovakia, and Turkey. In the coming months, we project conducting health coach training in multiple countries around the Globe. Conclusions The ECOHEALTH WG project represents a unique opportunity to assist people to adhere to sustainable nutrition worldwide, with beneficial effects on the environment. A partnership between health coaches and healthcare providers has major potential to support healthy food choices and sustainable nutrition worldwide.

scholarly journals What matters when exploring fidelity when using health IT to reduce disparities?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Margaret A. Handley ◽  
Jerad Landeros ◽  
Cindie Wu ◽  
Adriana Najmabadi ◽  
Daniela Vargas ◽  
...  
Keyword(s):  
Post Partum ◽  
Implementation Fidelity ◽  
Health Coaching ◽  
Spanish Speakers ◽  
Diverse Populations ◽  
Health It ◽  
Health Coach ◽  
Patient Centered ◽  
Language Groups ◽  
The Impact

Abstract Background Implementation of evidence-based interventions often involves strategies to engage diverse populations while also attempting to maintain external validity. When using health IT tools to deliver patient-centered health messages, systems-level requirements are often at odds with ‘on-the ground’ tailoring approaches for patient-centered care or ensuring equity among linguistically diverse populations. Methods We conducted a fidelity and acceptability-focused evaluation of the STAR MAMA Program, a 5-month bilingual (English and Spanish) intervention for reducing diabetes risk factors among 181 post-partum women with recent gestational diabetes. The study’s purpose was to explore fidelity to pre-determined ‘core’ (e.g. systems integration) and ‘modifiable’ equity components (e.g. health coaching responsiveness, and variation by language) using an adapted implementation fidelity framework. Participant-level surveys, systems-level databases of message delivery, call completion, and coaching notes were included. Results 96.6% of participants are Latina and 80.9% were born outside the US. Among those receiving the STAR MAMA intervention; 55 received the calls in Spanish (61%) and 35 English (39%). 90% (n = 81) completed ≥ one week. Initially, systems errors were common, and increased triggers for health coach call-backs. Although Spanish speakers had more triggers over the intervention period, the difference was not statistically significant. Of the calls triggering a health coach follow-up, attempts were made for 85.4% (n = 152) of the English call triggers and for 80.0% (n = 279) of the Spanish call triggers (NS). Of attempted calls, health coaching calls were complete for 55.6% (n = 85) of English-language call triggers and for 56.6% of Spanish-language call triggers (NS). Some differences in acceptability were noted by language, with Spanish-speakers reporting higher satisfaction with prevention content (p = < 0.01) and English-speakers reporting health coaches were less considerate of their time (p = 0.03). Conclusions By exploring fidelity by language-specific factors, we identified important differences in some but not all equity indicators, with early systems errors quicky remedied and high overall engagement and acceptability. Practice implications include: (1) establishing criteria for languge-equity in interventions, (2) planning for systems level errors so as to reduce their impact between language groups and over time; and (3) examining the impact of engagement with language-concordant interventions on outcomes, including acceptability. Trial Registration National Clinical Trials registration number: CT02240420 Registered September 15, 2014. ClinicalTrials.gov.

Effects of Diets on Adipose Tissue

2019 ◽  
Vol 26 (19) ◽  
pp. 3593-3612
Author(s):  
Silvia Ezquerro ◽  
Amaia Rodríguez ◽  
Piero Portincasa ◽  
Gema Frühbeck
Keyword(s):  
Adipose Tissue ◽  
Food Preferences ◽  
Overweight And Obesity ◽  
Economic Consequences ◽  
Present Review ◽  
Calorie Intake ◽  
Dietary Interventions ◽  
Major Health Problem ◽  
Global Epidemic ◽  
Excess Adiposity

Background: Obesity is a major health problem that has become a global epidemic. Overweight and obesity are commonly associated with the development of several pathologies, such as insulin resistance, cardiovascular diseases, sleep apnea and several types of cancer, which can lead to further morbidity and mortality. An increased abdominal adiposity renders overweight and obese individuals more prone to metabolic and cardiovascular problems. Objective: This Review aims to describe the dietary strategies to deal with excess adiposity given the medical, social and economic consequences of obesity. Methods: One hundred and eighty-five papers were included in the present Review. Results: Excess adiposity leads to several changes in the biology, morphology and function of the adipose tissue, such as adipocyte hypertrophy and hyperplasia, adipose tissue inflammation and fibrosis and an impaired secretion of adipokines, contributing to the onset of obesity- related comorbidities. The first approach for obesity management and prevention is the implementation of a diet combined with physical activity. The present review summarizes the compelling evidence showing body composition changes, impact on cardiometabolism and potential adverse effects of very-low calorie, low- and high-carbohydrate, high-protein or low-fat diets. The use of macronutrients during the preprandial and postprandial state has been also reviewed to better understand the metabolic changes induced by different dietary interventions. Conclusion: Dietary changes should be individualised, tailored to food preferences and allow for flexible approaches to reducing calorie intake in order to increase the motivation and compliance of overweight and obese patients.

scholarly journals Growth and Weight Status in Chinese Children and Their Association with Family Environments

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 397
Author(s):  
Xu Tian ◽  
Hui Wang
Keyword(s):  
Weight Status ◽  
Family Income ◽  
Decomposition Analysis ◽  
Overweight And Obesity ◽  
Chinese Children ◽  
Nutrition Survey ◽  
Growth Status ◽  
Health And Nutrition ◽  
The Impact ◽  
Over Time

The growth status and weight status of Chinese children have experienced remarkable changes in the past decades. Using China Health and Nutrition Survey (CHNS) data, this paper examines the secular trends and disparity of the growth status and weight status in Chinese children and further investigates the impact of various family environments on children’s growth from 1991 to 2011. We found an increasing trend in standardized growth indicators (height, weight, and BMI), overweight, and obesity from 1991 to 2011. We also observed an increasing disparity in overweight and obesity over time. Family environments had a significant impact on children’s growth status and weight status. In particular, children that live in families with a small size, higher family income, better sanitary conditions, and with well-educated parents or overweight parents tended to be taller and heavier and have a higher BMI, lower risk of being underweight, and higher risk of exhibiting overweight and obesity. Further decomposition analysis showed that more than 70% of the disparity in standardized height, weight, and overweight and around 50% of the disparity in standardized BMI, underweight, and obesity could be attributed to heterogeneity in family environments. Moreover, the disparity associated with family environments tended to increase over time.

scholarly journals Beavers, Bugs and Chemistry: A Mammalian Herbivore Changes Chemistry Composition and Arthropod Communities in Foundation Tree Species

Forests ◽  
2021 ◽  
Vol 12 (7) ◽  
pp. 877
Author(s):  
Rachel M. Durben ◽  
Faith M. Walker ◽  
Liza Holeski ◽  
Arthur R. Keith ◽  
Zsuzsi Kovacs ◽  
...  
Keyword(s):  
Tree Species ◽  
Castor Canadensis ◽  
Habitat Type ◽  
Food Preferences ◽  
Woody Species ◽  
Juvenile Growth ◽  
Arthropod Community ◽  
Riparian Ecosystems ◽  
Arthropod Communities ◽  
The Impact

The North American beaver (Castor canadensis Kuhl) and cottonwoods (Populus spp.) are foundation species, the interactions of which define a much larger community and affect a threatened riparian habitat type. Few studies have tested the effect of these interactions on plant chemistry and a diverse arthropod community. We experimentally examined the impact of beaver foraging on riparian communities by first investigating beaver food preferences for one cottonwood species, Fremont cottonwood (P. fremontii S. Watson), compared to other locally available woody species. We next examined the impact of beaver foraging on twig chemistry and arthropod communities in paired samples of felled and unfelled cottonwood species in northern Arizona (P. fremontii) and southwestern Colorado (narrowleaf cottonwood, P. angustifolia James, and Eastern cottonwood, P. deltoides W. Bartram ex Marshall). Four major patterns emerged: (1) In a cafeteria experiment, beavers chose P. fremontii six times more often than other woody native and exotic species. (2) With two cottonwood species, we found that the nitrogen and salicortin concentrations were up to 45% greater and lignin concentration 14% lower in the juvenile resprout growth of felled trees than the juvenile growth on unfelled trees (six of seven analyses were significant for P. fremontii and four of six were significant for P. angustifolia). (3) With two cottonwood species, arthropod community composition on juvenile branches differed significantly between felled and unfelled trees, with up to 38% greater species richness, 114% greater relative abundance and 1282% greater species diversity on felled trees (six of seven analyses with P. fremontii and four of six analyses with P. angustifolia were significant). The above findings indicate that the highest arthropod diversity is achieved in the heterogenous stands of mixed felled and unfelled trees than in stands of cottonwoods, where beavers are not present. These results also indicate that beaver herbivory changes the chemical composition in 10 out of 13 chemical traits in the juvenile growth of two of the three cottonwood species to potentially allow better defense against future beaver herbivory. (4) With P. deltoides, only one of five analyses in chemistry was significant, and none of the four arthropod community analyses were significant, suggesting that this species and its arthropod community responds differently to beaver. Potential reasons for these differences are unknown. Overall, our findings suggest that in addition to their impact on riparian vegetation, other mammals, birds, and aquatic organisms, beavers also may define the arthropod communities of two of three foundation tree species in these riparian ecosystems.

scholarly journals Promoting healthy foods among urban school children in Bangladesh: a qualitative inquiry of the challenges and opportunities

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
A. M. Rumayan Hasan ◽  
George Smith ◽  
Md Harunor Rashid ◽  
Mohammad Abdus Selim ◽  
Sabrina Rasheed
Keyword(s):  
School Children ◽  
Food System ◽  
Vegetable Consumption ◽  
Food Preferences ◽  
Urban School ◽  
Qualitative Inquiry ◽  
Overweight And Obesity ◽  
Food Culture ◽  
Healthy Foods ◽  
Raw Foods

Abstract Background In Bangladesh overweight and obesity among urban school children are on the rise. Urban school children tend to consume foods dense in calories and few fruits and vegetables which is associated with overweight and obesity. The current study explored the barriers and opportunities for promoting healthy diets among school children from the perspective of teachers and parents in Dhaka, Bangladesh. Methods We conducted 14 key informant interviews with teachers and principals, six focus group discussions with 31 mothers of school children (5 to 15 year old) and 14 structured observations of the school food environment. Inductive thematic analysis was performed manually. Results Schools were important for development of food preferences of children, however, most school cafeterias provided foods based on profit rather than health considerations. A shift in food culture resulted in making eating out acquire many meanings beyond convenience. Mothers, especially those who were employed, struggled to prepare healthy foods due to time pressure. Mothers were generally concerned about chemicals added to raw foods in markets which led to limited fruit and vegetable consumption. Conclusions There were many challenges to promoting healthy foods to school children within and outside the school. It is important to formulate policies and guidance to create a supportive environment for healthy foods in and in the proximity of schools. It is also important to educate consumers about identifying and choosing healthy foods. Laws related to food safety should be adequately implemented to boost the population’s confidence in safety of available healthy foods in the food system.

scholarly journals Obesity and its impact on COVID-19

2021 ◽  
Author(s):  
Angélica J. M. de Leeuw ◽  
Maureen A. M. Oude Luttikhuis ◽  
Annemarijn C. Wellen ◽  
Christine Müller ◽  
Cornelis F. Calkhoven
Keyword(s):  
Risk Factors ◽  
Growth Hormone ◽  
Healthcare Systems ◽  
Review Literature ◽  
Overweight And Obesity ◽  
Hormone Signaling ◽  
Global Spread ◽  
Number Of Publications ◽  
The Impact ◽  
Sheer Number

AbstractThe severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) pandemic has proven a challenge to healthcare systems since its first appearance in late 2019. The global spread and devastating effects of coronavirus disease 2019 (COVID-19) on patients have resulted in countless studies on risk factors and disease progression. Overweight and obesity emerged as one of the major risk factors for developing severe COVID-19. Here we review the biology of coronavirus infections in relation to obesity. In particular, we review literature about the impact of adiposity-related systemic inflammation on the COVID-19 disease severity, involving cytokine, chemokine, leptin, and growth hormone signaling, and we discuss the involvement of hyperactivation of the renin-angiotensin-aldosterone system (RAAS). Due to the sheer number of publications on COVID-19, we cannot be completed, and therefore, we apologize for all the publications that we do not cite.

scholarly journals Impact of a Series of Educational Talks Taught by Health Professionals to Promote Healthy Snack Choices among Children

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 203
Author(s):  
Víctor Arufe Giráldez ◽  
Javier Puñal Abelenda ◽  
Rubén Navarro-Patón ◽  
Alberto Sanmiguel-Rodríguez
Keyword(s):  
Nutritional Quality ◽  
Positive Impact ◽  
Total Sample ◽  
Overweight And Obesity ◽  
Healthy Habits ◽  
Quasi Experimental ◽  
Nutrition And Dietetics ◽  
Future Work ◽  
The Impact

Background: One of the great challenges facing today’s society is the need to combat overweight and obesity in schoolchildren. This study aimed to analyze the impact of a cycle of didactic talks—given to families by a specialist in pediatrics, a specialist in nutrition and dietetics and a specialist in physical exercise—on childrens’ snack choices and nutrition quality. Methods: A longitudinal, quasi-experimental and quantitative investigation was designed, working with a total sample of 50 students divided into control and experimental groups. The nutritional quality of daily snacks was recorded during the month before and the month after the cycle of talks given by health experts. Results: An increase in the nutritional quality of the snacks was observed in the days after the talk—but, after a week, values returned to normal. Conclusions: The giving of educational talks to promote healthy habits may have a positive impact on the nutritional quality of school snacks in the days immediately following the talks. However, some forgetfulness was detected over time, which reduced the nutritional quality of the snacks once more. For future work, it is recommended that researchers measure the impact produced by giving regular talks.

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