scholarly journals Study protocol for the evaluation of long-term effects of the school-based obesity prevention program Lekker Fit! (‘enjoy being fit’): a retrospective, controlled design

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e046940
Author(s):  
Michel Sebastiaan Smit ◽  
Hein Raat ◽  
Famke Mölenberg ◽  
Mireille Eleonore Gabriëlle Wolfers ◽  
Rienke Bannink ◽  
...  
Keyword(s):  
Weight Status ◽  
Propensity Scores ◽  
Well Being ◽  
Psychosocial Health ◽  
Overweight And Obesity ◽  
Childhood And Adolescence ◽  
Long Term Effects ◽  
Multilevel Regression ◽  
The Individual

IntroductionPreventive interventions to reduce overweight and obesity in childhood and adolescence are studied on their effectiveness worldwide. A number with positive results. However, long-term effects of these interventions and their potentially wider influence on well-being and health have been less studied. This study aims to evaluate the long-term effects of a multicomponent intervention in elementary school children targeting individual behaviour as well as environment (Lekker Fit!). The primary outcomeis body mass index and the secondary outcomes are waist circumference, weight status, physical fitness, lifestyle, psychosocial health and academic performance.Methods and analysisIn a naturalistic effect evaluation with a retrospective, controlled design adolescents in secondary schools, from intervention and non-intervention elementary schools, will be compared on a wide set of outcome variables. Data will be collected by questionnaires and through anthropometric and fitness measurements by trained physical education teachers and research assistants. Baseline data consist of measurements from the adolescents at the age of 5 years old and are gathered from preventive youth healthcare records, from before the intervention took place. Multilevel regression models will be used and adjusted for baseline measurements and potential confounding variables on the individual and environmental level. Furthermore, propensity scores will be applied.Ethics and disseminationThe study has been approved by the Medical Research Ethics Committee of the Erasmus Medical Centre, Rotterdam, The Netherlands (permission ID: MEC-2020-0644). Study findings will be disseminated in peer-reviewed journals and by conference presentations.Trial registration numberNL8799. Pre-results.

scholarly journals (P1-97) Long-Term Effects of a Flood on the Psychosocial Health of Victims

2011 ◽  
Vol 26 (S1) ◽  
pp. s130-s130
Author(s):  
D. Maltais ◽  
L. Lachance
Keyword(s):  
Depressive Symptoms ◽  
Psychological Health ◽  
Well Being ◽  
Psychosocial Health ◽  
Long Term Effects ◽  
Psychological Well Being ◽  
Rural And Urban ◽  
Flood Exposure ◽  
Over Time

Long term Effects of a Flood on the Psychosocial Health of Victims D. Maltais1 et L. Lachance2, Université du Québec à Chicoutimi, Québec, Canada, 1Département des sciences humaines, 2Département des sciences de la santé In July 1996, floods disrupted the lives of thousands of people living in rural and urban communities in the Saguenay area of Quebec. Data collected three years after the events showed that flood victims experienced more precarious psychological health, with various factors being controlled including sex, age, and life events. Flood victims demonstrated more post-traumatic symptoms, somatic symptoms, social dysfunctions, and depressive symptoms than non-victims. Victims also showed significantly lower levels of psychological well-being than non-victims. In order to identify the long-term impacts of flood exposure, a second study was conducted eight years after the event (2004) with the same groups of victims (N = 129) and non-victims (N = 89). Variance analyses show that urban survivors obtained improved scores on scales measuring PTSD, and depression yet remained significantly more affected than non-victims. Over time, victims also obtained improved scores on the GHQ-28 and the Affect Balance Scale yet also remained significantly different from non-victims on the GHQ-28. Rural victims improved their GHQ scores over time as well, yet maintained significant differences with rural non-victims for the PTSD score. No significant differences were observed over time (time 1 and time 2) or between groups (victims and non-victims) regarding psychological well-being and depressive symptoms in rural area.

scholarly journals Match Experience at the Danish Women’s Soccer National A-Team Matches: An Explorative Study

2021 ◽  
Vol 13 (5) ◽  
pp. 2642
Author(s):  
Morten Kringstad ◽  
Tor-Eirik Olsen ◽  
Tor Georg Jakobsen ◽  
Rasmus K. Storm ◽  
Nikolaj Schelde
Keyword(s):  
Long Term Effects ◽  
Multilevel Regression ◽  
Specific Level ◽  
Specific Data ◽  
Individual Level ◽  
Team Games ◽  
Revenue Streams ◽  
The Individual ◽  
Women's Soccer

Women’s soccer is more popular than ever, but match attendance is still relatively low. In order to develop sustainable revenue streams for women’s football, and help it grow further, it is necessary to understand what drives spectator’s overall demand. We explore factors that affect the overall match experience for spectators (i.e., spectator satisfaction) attending Danish women’s national soccer A-team games in the 2016 to 2019 period as a proxy for this. Using survey data gathered by the Danish Football Association (DBU) consisting of 4010 individuals and 13 matches, coupled with other match-specific data, we employ multilevel regression modelling. The results at the individual level suggest that female spectators are significantly more content with the overall match experience, while several additional factors are also important at the match-specific level, such as kick-off time and the result. Furthermore, there are indications that match significance and derby matches affect overall match experience. An important implication of these results is that they can aid national and international federations and other governing bodies in promoting women’s soccer in general, and women’s national A-team soccer specifically, in order to help the sport to become more financially viable. Although numerous initiatives have been designed to increase the attractiveness of women’s soccer, these are yet to materialize into long-term effects.

scholarly journals Psychosocial and Diet-Related Lifestyle Clusters in Overweight and Obesity

2021 ◽  
Vol 18 (12) ◽  
pp. 6461
Author(s):  
Débora Godoy-Izquierdo ◽  
Raquel Lara ◽  
Adelaida Ogallar ◽  
Alejandra Rodríguez-Tadeo ◽  
María J. Ramírez ◽  
...  
Keyword(s):  
Adult Population ◽  
Well Being ◽  
Overweight And Obesity ◽  
Excess Weight ◽  
Convenience Sample ◽  
Excessive Weight ◽  
Self Reports ◽  
The Individual ◽  
Composition Factors ◽  
Overweight Or Obesity

This study explored intraindividual multidimensional profiles integrating psychosocial factors, namely, body image and satisfaction, weight-related self-stigma, positivity, and happiness, and behavioural-lifestyle factors, namely, adherence to a healthy diet, among Spanish adults with overweight or obesity. We further aimed to investigate the association of excess weight (i.e., measured body mass index, BMI) with the abovementioned multidimensional configurations. A convenience sample of 100 adult individuals (60% females) with excessive weight (69% overweight; 31% obesity) was recruited. They completed self-reports regarding the study variables, and their weight and height were measured. With a perspective centered on the individual, a cluster analysis was performed. Three distinct intraindividual psychosocial and diet-related profiles were identified: a group of healthy individuals with excess weight (46%); a group of individuals who were negatively affected by their excessive weight and showed the most distressed profile (18%); and a group of dysfunctional individuals who seemed to be excessively unrealistic and optimistic regarding their excessive weight and unhealthy lifestyles, but were troubled by their weight (36%). Furthermore, individuals in the affected cluster had higher obesity (mean BMI ± SD = 32.1 ± 3.7) than those in the clusters of healthy (28.0 ± 3.0) and dysfunctional individuals (28.1 ± 3.3) (p < 0.05). The results showed that there are specific psychosocial and lifestyle profiles in the adult population with excess weight and that there are relationships among psychological, behavioural, and body-composition factors. For clinical application purposes, it is important to account for the heterogeneity within individuals who are obese and to individualize the interventions, with a focus from weight change to the individual’s overall well-being.

Explosions and Human Health: The Long-Term Effects of Blast Injury

2012 ◽  
Vol 27 (4) ◽  
pp. 385-391 ◽  
Author(s):  
Sarah E. Finlay ◽  
Michelle Earby ◽  
David J. Baker ◽  
Virginia S.G. Murray
Keyword(s):  
Human Health ◽  
Well Being ◽  
Blast Injury ◽  
Mass Casualties ◽  
Long Term Effects ◽  
Structured Interviews ◽  
National Guidelines ◽  
Emergency Responders ◽  
Response Strategies

AbstractThe immediate patterns of injury from explosions are well documented, from both military and civil experience. However, few studies have focused on less immediately apparent health consequences and latent effects of explosions in survivors, emergency responders and the surrounding community. This review aimed to analyze the risks to health following an explosion in a civil setting.A comprehensive review of the open literature was conducted, and data on 10 relevant military, civilian and industrial events were collected. Events were selected according to availability of published studies and involvement of large numbers of people injured. In addition, structured interviews with experts in the field were conducted, and existing national guidelines reviewed.The review revealed significant and potentially long-term health implications affecting various body systems and psychological well-being following exposure to an explosion. An awareness of the short- and long-term health effects of explosions is essential in screening for blast injuries, and identifying latent pathologies that could otherwise be overlooked in stressful situations with other visually distracting injuries and, often, mass casualties. Such knowledge would guide responsible medical staff in implementing early appropriate interventions to reduce the burden of long-term sequelae. Effective planning and response strategies would ensure accessibility of appropriate health care resources and evidence-based information in the aftermath of an explosion.Finlay SE, Earby M, Baker DJ, Murray VSG. Explosions and human health: the long-term effects of blast injury. Prehosp Disaster Med. 2012;27(4):1-7.

The immediate effect of Sinapis nigra and Zingiber officinale as thermogenic substances during footbaths: A Randomized Controlled Cross-over Trial

2021 ◽  
Author(s):  
Jan Vagedes ◽  
Silja Kuderer ◽  
Eduard Helmert ◽  
Katrin Vagedes ◽  
Matthias Kohl ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Zingiber Officinale ◽  
Well Being ◽  
Primary Outcome Measure ◽  
Warm Water ◽  
Long Term Effects ◽  
Stimulus Perception ◽  
Late Evening ◽  
Short And Long Term

Objective: Warm footbaths infused with Sinapis nigra (mustard, or MU) or Zingiber officinale (ginger, or GI) are used for various thermoregulatory conditions, but little is known about how they are perceived by individuals, both short- and long-term. We analyzed the immediate and long-term effects of MU and GI on warmth and stimulus perception in healthy adults. Methods: Seventeen individuals (mean age 22.1±2.4 years; 11 female) received three footbaths (mean temperature was 40 ± 0.2 ℃, administered between 1:30-6:30pm) in a randomized order with a cross-over design: 1. with warm water only (WA), 2. with warm water and MU and 3. with warm water and GI. Warmth and stimulus perception at the feet were assessed at the 1st, 5th, 10th, 15th, and 20th minute of the footbaths, in the late evening (EVE), and the following morning (MG). We further assessed well-being (at EVE and MG) and sleep quality (at MG). The primary outcome measure was the warmth perception at the feet at the 10th minute of the footbath. Results: At the 10th minute of the footbath, warmth perception at the feet was significantly higher with MU and GI compared to WA. The immediate thermogenic effects pointed to a quick increase in warmth and stimulus perception with MU, a slower increase with GI, and a gradual decrease with WA. Regarding the long-term effects, warmth and stimulus perception were still higher after GI compared to WA at EVE and MG. No differences were seen for general well-being and sleep quality. Conclusion: Thermogenic substances can significantly alter the dynamics of warmth and stimulus perception when added to footbaths. The different profiles in the application of GI and MU could be relevant for a more differentiated and specific use of both substances in different therapeutic indications.

Karate Training Improves Metabolic Health in Overweight and Obese Adolescents: A Randomized Clinical Trial

2021 ◽  
pp. 1-11
Author(s):  
Fabricio de Souza ◽  
Luciano Acordi da Silva ◽  
Gisele Santinoni Ferreira ◽  
Márcia Mendonça Marcos de Souza ◽  
Franciane Bobinski ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Low Density Lipoprotein ◽  
Density Lipoprotein ◽  
Overweight And Obesity ◽  
Lipoprotein Cholesterol ◽  
Psychological Interventions ◽  
Long Term Effects ◽  
Low Density Lipoprotein Cholesterol ◽  
Stress Markers

Purpose: This study evaluated the effects of 12 weeks of karate training on cardiometabolic parameters, oxidative stress, and inflammation in adolescents with overweight and obesity. Method: Seventy adolescents were randomized into 2 groups: control received nutritional and psychological interventions once a week for 12 weeks, and treatment received nutritional and psychological interventions once a week, plus 3 karate sessions per week, for 12 weeks. The main outcome measure was improvement in cardiometabolic parameters, oxidative stress, and inflammation. Results: After the intervention period, the treatment group showed a reduction in resting heart rate (77.86 [10.89]), high-density lipoprotein cholesterol (40.86 [8.31]), and triglycerides (75.18 [32.29]) and an increase in low-density lipoprotein cholesterol (95.64 [42.53]) in relation to pretraining. Regarding oxidative stress markers, there was a reduction in protein carbonylation (0.07 [0.06]) and nitric oxide (1.39 [1.11]) and an increase in superoxide dismutase (0.68 [0.31]) and glutathione (0.11 [0.08]) compared with pretraining. With respect to inflammation, adiponectin increased (14.54 [5.36]) after the intervention when compared with preintervention. Conclusion: The study concluded that the intervention may improve cardiometabolic parameters, oxidative stress, and inflammation in adolescents with overweight and obesity. Long-term effects need to be evaluated.

Evaluation of Six Family-Support Programs: Are They Effective?

1998 ◽  
Vol 79 (2) ◽  
pp. 134-147 ◽  
Author(s):  
Edna W. Comer ◽  
Mark W. Fraser
Keyword(s):  
Family Support ◽  
Parent Education ◽  
Well Being ◽  
Target Population ◽  
Support Programs ◽  
Evaluation Design ◽  
Long Term Effects ◽  
Multiple Strategies ◽  
Program Description

Family-support programs employ multiple strategies in an effort to strengthen families and promote the well-being of children. The multidimensionality of these programs—viewed by many experts as a strength—renders them particularly difficult to evaluate. As a result of this complexity, little information is available on the effectiveness of family-support programs. The authors examine outcome research from six family-support programs. Each of the programs was subjected to rigorous program evaluation. The findings from this research are summarized across six dimensions, including program description, intervention strategies, target population, evaluation design, outcome measures, and observed outcomes. Findings from these six programs suggests that there are positive outcomes for young children and their parents. The authors caution that too few studies that involve manualized interventions, and broad assessment over time of randomized groups have been conducted. In these six evaluations, however, program families demonstrated enhanced child, parent, and family functioning. Additionally, these programs appear to improve parent education and produce gains in both immediate and long-term effects on housing and income.

scholarly journals EXERCISE AND PEAK BONE MASS: RECOMMENDATION FOR BUILDING HEALTHY BONES IN CHILDREN

2016 ◽  
Vol 1 (2) ◽  
pp. 137
Author(s):  
A Andi Kurniawan
Keyword(s):  
Physical Activity ◽  
Bone Mass ◽  
Bone Health ◽  
Weight Status ◽  
Bone Development ◽  
Weight Bearing ◽  
Well Being ◽  
Vital Role ◽  
High Impact ◽  
Childhood And Adolescence

Regular Physical activity (PA) and exercise plays a vital role in the health and well-being of people of all ages, and its associated with positive outcomes relating to weight status, cardiometabolic markers, chronic disease prevention, bone health and mental health. Genetic factors are the strongest determinants of bone mass, but PA and exercise with loading of the bone also has a major impact on bone mass as well as on bone strength. Physical activity has been proposed as a key factor for developing healthy bones in childhood and adolescence, mainly when high-impact and weight-bearing exercise above a certain intensity and duration. It has been associated with bone accretion showing an important osteogenic effect, mainly when high-impact and weight bearing physical activity occur. Muscle mass is also a determinant of bone development. Several studies have examined the association between PA and bone health among youths.

The Long-Term Effects of Solitary Confinement From the Perspective of Inmates

2021 ◽  
Vol 101 (6) ◽  
pp. 652-674
Author(s):  
Liat Tayer ◽  
Tomer Einat ◽  
Anat Yaron Antar
Keyword(s):  
Qualitative Study ◽  
Physical Exercise ◽  
Behavioral Disorders ◽  
Physical Aggression ◽  
Well Being ◽  
Solitary Confinement ◽  
Long Term Effects ◽  
Health And Well Being ◽  
Mental And Behavioral Disorders

This qualitative study analyzes the effects of solitary confinement on prisoners and the strategies used by them to cope with its difficulties. The findings indicate that solitary confinement is perceived as unfair and as intensifying hostile emotions and physical aggression, and that it is related to a range of long-term physiological, mental, and behavioral disorders. Three strategies are used to cope with the difficulties of solitary confinement: keeping to a ritualistic routine, a religious lifestyle, and physical exercise. We conclude that solitary confinement exacerbates the difficulties of detention and affects prisoners’ health and well-being for short and long terms.

scholarly journals Breast Cancer during Pregnancy—Current Paradigms, Paths to Explore

Cancers ◽  
2019 ◽  
Vol 11 (11) ◽  
pp. 1669 ◽  
Author(s):  
Ayelet Alfasi ◽  
Irit Ben-Aharon
Keyword(s):  
Breast Cancer ◽  
Well Being ◽  
Developed Countries ◽  
Lymph Node Biopsy ◽  
Current Data ◽  
Long Term Effects ◽  
Long Term Outcomes ◽  
Risk Benefit Assessment ◽  
Long Term Follow Up

Breast cancer is the most common form of malignancy in pregnant women. The prevalence of pregnancy-associated breast cancer (PABC) is up to 0.04% of pregnancies and is expected to rise in developed countries. PABC represents a unique clinical scenario which requires a delicate balance of risks and benefits for both maternal and fetal well-being. Currently, there is paucity of data regarding the short- and long-term outcomes of in-utero exposure to anti-neoplastic agents. In general, when possible, treatment for PABC should follow the same guidelines as in non-pregnant patients. Surgery, including sentinel lymph node biopsy, is possible during all trimesters of pregnancy. Radiotherapy is contraindicated during pregnancy, although it might be considered in highly selected patients based on risk–benefit assessment. Evidence supports that administration of chemotherapy may be safe during the second and third trimesters, with cessation of treatment three weeks prior to expected delivery. Currently, hormonal therapy and anti-HER2 agents are contraindicated during pregnancy and should be postponed until after delivery. Prematurity is associated with worse neonatal and long-term outcomes, and thus should be avoided. While current data on the long-term effects of anti-neoplastic treatments are reassuring, grade of evidence is lacking, hence additional large prospective studies with long-term follow-up are essential to rule out any treatment-induced adverse effects.

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