scholarly journals Mature Subcutaneous and Visceral Adipocyte Concentrations of Adiponectin Are Highly Correlated in Prepubertal Children and Inversely Related to Body Mass Index Standard Deviation Score

2006 ◽  
Vol 91 (1) ◽  
pp. 332-335 ◽  
Author(s):  
Matthew A. Sabin ◽  
Jeff M. P. Holly ◽  
Julian P. H. Shield ◽  
Stephen J. Turner ◽  
Malcolm J. Grohmann ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
Prepubertal Children ◽  
Deviation Score ◽  
Highly Correlated

Bedingungen für den Erfolg übergewichtiger und adipöser Kinder in einem ambulanten Programm zur Gewichtsreduktion durch Veränderungen des Lebensstils

2010 ◽  
Vol 38 (5) ◽  
pp. 351-360 ◽  
Author(s):  
Wilfried Pott ◽  
Georg Fröhlich ◽  
Özgür Albayrak ◽  
Johannes Hebebrand ◽  
Ursula Pauli-Pott
Keyword(s):  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
Psychische Belastung ◽  
Deviation Score ◽  
Höheres Alter

Fragestellung: Es wurde der Frage nachgegangen, ob sich erfolgreiche Teilnehmer eines ambulanten familienzentrierten Gewichtskontrollprogramms durch spezifische familiäre und psychologische Charakteristiken auszeichnen. Einbezogen wurden die psychosoziale Risikobelastung der Familie, Depressivität und Bindungsstil der Hauptbezugsperson, der Body mass index (BMI) und der BMI-Standardabweichungswert («Standard deviation score», SDS) des teilnehmenden Kindes und der Familienmitglieder sowie die individuelle psychische Belastung des teilnehmenden Kindes. Methodik: Die Daten wurden per Interview und Fragebogen vor dem Behandlungsbeginn erhoben. Von 136 in das Programm aufgenommenen übergewichtigen und adipösen Kindern zwischen 7 und 15 Jahren beendeten 116 das 12-monatige Interventionsprogramm. Von diesen zeigten 100 (85,3 %) eine Reduktion des BMI-SDS und 79 (68.1 %) eine mehr als 5 %ige Reduktion des BMI-SDS. Diese «erfolgreichen» Kinder wurden mit 56 «nicht erfolgreichen» (Abbrecher und Kinder mit einer 5 %igen oder geringeren Reduktion des BMI-SDS) verglichen. Ergebnisse: Nicht erfolgreiche Kinder unterschieden sich von den erfolgreichen durch ein höheres Alter, eine höhere psychosoziale Risikobelastung, Depressivität und einen vermeidenden Bindungsstil der Mutter sowie durch das Vorhandensein adipöser Geschwister. In einer logistischen Regressionsanalyse zeigten sich mütterliche Depressivität und das Vorhandensein adipöser Geschwister als beste und voneinander unabhängige Prädiktoren. Schlussfolgerungen: Um die spezifischen Bedürfnisse der Familien zu erfüllen und einen Misserfolg zu verhindern, sollten zusätzliche Programmbausteine zur spezifischen Unterstützung von Jugendlichen mit adipösen Geschwistern und Müttern mit Depressionen und vermeidenden Bindungsstil entwickelt werden. Die Wirksamkeit dieser Module muss dann in weiteren Studien überprüft werden.

Psychologische Kennwerte und BMI-SDS bei Jugendlichen mit Adipositas und unterschiedlichen Motivationsstadien in der stationären Rehabilitation

2019 ◽  
Vol 59 (03) ◽  
pp. 157-165 ◽  
Author(s):  
Petra Hampel ◽  
Rainer Stachow ◽  
Julian Wienert
Keyword(s):  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
Deviation Score

Zusammenfassung Ziel Adipositas ist im Jugendalter besonders häufig und zeigt eine erhöhte Persistenz bis ins Erwachsenenalter auf. Bisherige Studien konnten zwar kurzfristige Rehabilitationserfolge nachweisen, jedoch keine ausreichende Nachhaltigkeit belegen. Langfristige Effekte lassen sich durch die Berücksichtigung der Motivationslage erwarten. Allerdings liegen noch keine Befunde zur Motivationslage von Jugendlichen mit Adipositas vor. Diese Studie untersuchte psychologische Kennwerte und den Body-Mass-Index-standard deviation score (BMI-SDS) von Jugendlichen mit Adipositas in Abhängigkeit des Motivationsstadiums und Alters. Methode In die Querschnittstudie konnten N=127 Jugendliche mit Adipositas eingeschlossen werden, die zu einer stationären, rehabilitativen Behandlung aufgenommen wurden. Unterschiede im BMI-SDS und in der selbst-berichteten psychischen Gesundheit wurden in 2-faktoriellen Kovarianzanalysen mit dem Faktor „Motivationsstadium“ (Intender vs. Actor), dem Faktor „Altersgruppe“ (12–14 vs. 15–17 Jahre) und der Kovariate „Geschlecht“ bestimmt. Hierbei wurde das Motivationsstadium durch den neu entwickelten Fragebogen zur Einteilung in Motivationsstadien (MoS) ermittelt. Ergebnisse Intender zeigten ungünstigere Ausprägungen im Krankheitsmanagement und in volitionalen Kennwerten. Bei Jüngeren war der BMI-SDS niedriger sowie motivationale und volitionale Kennwerte geringer ausgeprägt. Schließlich waren junge Intender durch ein Risikoprofil in psychischen Auffälligkeiten gekennzeichnet. Schlussfolgerung Die Befunde liefern wichtige Hinweise für die Konzeption motivationsstadienspezifischer Schulungsprogramme und untermauern erneut die Notwendigkeit altersgerechter Maßnahmen im Jugendalter.

Data from the StEP TWO programme showing the effect on blood pressure and different parameters for obesity in overweight and obese primary school children

2005 ◽  
Vol 15 (3) ◽  
pp. 291-298 ◽  
Author(s):  
Christine Graf ◽  
Sylvia V. Rost ◽  
Benjamin Koch ◽  
Sandy Heinen ◽  
Gisa Falkowski ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Diastolic Blood Pressure ◽  
Body Mass ◽  
Primary Schools ◽  
Standard Deviation Score ◽  
Overweight And Obesity ◽  
Obese Children ◽  
Deviation Score

Obesity in childhood, which is associated with cardiovascular risk factors such as hypertension, is on the increase. Countermeasures are necessary. In this paper, we present the baseline and final data from the StEP TWO programme, a prospective study to prevent overweight and obesity in primary schools. Methods: We recorded and calculated, from 1689 children, anthropometric data, including analyses of bioelectric impedance, waist and hip circumferences, body mass index and its standard deviation, and the ratio of waist to hip. Blood pressure was measured after 5 minutes at rest. From the three schools involved in a programme of intervention, 121 children were invited to take part, and 40 (33.1 per cent) completed the programme. The effect was compared with 155 overweight and obese children identified at the 4 control schools. Results: 830 (49.5 per cent) boys and 848 girls (50.5 per cent) took part. Their mean age was 8.2 plus or minus 1.3 years, their height was 1.31 plus or minus 0.09 metres, they weighed 30.0 plus or minus 8.2 kilograms, and their mean index of body mass was 17.1 plus or minus 2.9 kilograms per metre squared. Of the children, 7.3 per cent were obese, 10.4 per cent were overweight, 75.7 per cent had normal weights, and 6.6 per cent were underweight. Resting hypertension was observed in 2.3 per cent of the children. Increased blood pressure was associated with a higher body weight, body mass index, standard deviation score for body mass index, and waist and hip circumferences (each p < 0.001), but not with the ratio of waist to hip. Hypertension at rest was also found in 11.0 per cent of obese children, 4.4 per cent of those who were overweight, 1.2 per cent of those with normal weight, and 1.0 per cent of underweight children (p < 0.001). After the intervention, the increase of the body mass index tended to be lower in those in whom we had intervened (p = 0.069), and in these the decrease of the standard deviation score for body mass index was significantly higher (p = 0.028). Systolic blood pressure was reduced by about 10 millimetres of mercury in those in whom we had intervened (p = 0.002), while there were no changes in the control group. Diastolic blood pressure was lowered by 3 millimetres of mercury, but this was not significant. Conclusion: Obese children had the highest values for systolic and diastolic blood pressure. Increased levels of blood pressure are associated with other parameters of obesity, such as the circumference of the waist and hip. Early preventive measurements in childhood are necessary, and appropriate intervention appears to be effective.

scholarly journals Association Between Depression and Cardiometabolic Risk Factors in Adolescents with Obesity

2020 ◽  
Author(s):  
Aslı Okbay Güneş ◽  
Rahime Hülya Bingöl Çağlayan ◽  
Ezgi Şen Demiröğen ◽  
Selmin Köse ◽  
Ethem Ergingöz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Cardiometabolic Risk ◽  
Standard Deviation Score ◽  
Cardiometabolic Risk Factors ◽  
Children's Depression Inventory ◽  
Deviation Score ◽  
Children’S Depression

Objective: The aim of this study was to examine whether the presence of depression in adolescents who were overweight or obese increase the likelihood of cardiometabolic risk factors. Method: We performed a retrospective cross-sectional analysis of the data from adolescents who were overweight or obese, aged 11-18 years, who were evaluated in our clinic from January 2012 to December 2015. Depression was evaluated by “Children’s Depression Inventory”. Hypertension, dyslipidemia, hyperinsulinemia, hyperglycaemia and insulin resistance were defined as cardiometabolic risk factors. The degree of obesity was calculated as the body mass index standard deviation score. Results: Among 283 adolescents 75 (26.5%) were overweight, and 208 (73.5%) had obesity, the mean age was 14.02±1.67 years and 168 (59.4%) of the subjects were girls. The body mass index standard deviation score was in median 2.36±0.62, Children’s Depression Inventory score was in median 12.72±6.5, and 47 (16.6%) of the participants were found depressed. Depression frequency was found higher in females than in males (p=0.047). Body mass index standard deviation score had positive correlation with Children’s Depression Inventory scores (r=0.123, p= 0.038). In univariate analysis, in depressed group hyperinsulinemia was found 2.3 times more frequent than in nondepressed group (p=0.026). In logistic regression analysis this relation disappeared. Conclusion: We showed that severity of depression increased, as the degree of obesity increased, but we could not find any clear relationship between depression and cardiometabolic risk factors in adolescents who were overweight or obese.

Who benefits from intervention in, as opposed to screening of, overweight and obese children?

2006 ◽  
Vol 16 (5) ◽  
pp. 474-480 ◽  
Author(s):  
Christine Graf ◽  
Benjamin Koch ◽  
Birna Bjarnason-Wehrens ◽  
Narayanswami Sreeram ◽  
Konrad Brockmeier ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Mass Index ◽  
Standard Deviation ◽  
Body Mass ◽  
Standard Deviation Score ◽  
The Body ◽  
Control Group ◽  
Overweight Children ◽  
Obese Children ◽  
Deviation Score

Aims: StEP TWO is a school- and family-based intervention consisting of extra lessons, healthy nutrition and physical education for overweight and obese children in primary schools, aimed at reducing body mass index by maintenance or reduction of weight, and improving motor abilities. We analysed differences in changes in anthropometric, cardiovascular and obesity parameters between children who underwent intervention, non-participants in intervention, and controls. Methods: Anthropometric data and waist circumference were recorded for 1678 children; body mass index and body mass index–standard deviation score were calculated. Blood pressure was measured after 5 minutes at rest. 121 overweight and obese children enrolled at 3 schools involved in programmes of intervention were invited to take part; 40 of them completed the programme from November 2003 to July 2004. Of these overweight children, 74 were invited, but did not take part. As controls, we enrolled 155 overweight and obese children from 4 other schools. Results: After the programme, the children involved in intervention showed a lower increase in the body mass index (0.3 plus or minus 1.3 versus 0.7 plus or minus 1.2 kilograms per metre squared) and an approximately three times higher diminution of the body mass index–standard deviation score in comparison with their controls (−0.15 plus or minus 0.26 versus 0.05 plus or minus 0.27). Systolic blood pressure was significantly lowered by 9.5 plus or minus 19.6 millimetres of mercury in those involved in intervention, but increased in the control group by 0.5 plus or minus 16.5 millimetres of mercury. Among those invited but not participating, the increase of the body mass index (0.5 plus or minus 1.3 kilograms per metre squared) was less, and the reduction of the body mass index-standard deviation score (−0.09 plus or minus 0.31) and systolic blood pressure (−5.3 plus or minus 15.6 millimetres of mercury) was higher than in the control group. Overweight but not obese children seem to benefit from a screening examination alone. Conclusions: Early preventive measures in schools are necessary and effective for overweight and obese primary school children. The screening itself seems also to have a minor positive effect, especially for overweight children. Sustainability of the observed improvements over a longer period remains to be confirmed.

Normal growth in the short normal prepubertal child: the Wessex Growth Study

1998 ◽  
Vol 5 (3) ◽  
pp. 127-130 ◽  
Author(s):  
L D Voss ◽  
J Mulligan
Keyword(s):  
Standard Deviation ◽  
Standard Deviation Score ◽  
Normal Growth ◽  
Normal Velocity ◽  
Height Standard Deviation Score ◽  
Normal Children ◽  
Velocity Change ◽  
Prepubertal Children ◽  
Deviation Score ◽  
Rate Of Growth

Objective The study aimed at defining the normal rate of growth for short, prepubertal children, and comparing their pattern of growth with those of average stature. Setting Community based. Design Observation of an unselected population of 109 very short, normal prepubertal children (<3rd height centile) and 107 controls matched for age and sex (10th to 90th centile). Main outcome measuresHeight, velocity, change in height standard deviation score, from 6 to 9 years of age. Results The absolute mean rate of growth was significantly different between groups—short normal 5.3 cm/year, controls 5.9 cm/year—corresponding to velocities on the 25th and 50th centiles, respectively. The relative growth rates, however, as shown by the changes in height standard deviation score (short normal 0.10 (SD 0.22), controls 0.10 (SD 0.24) did not differ, and each group remained close to its original 3rd and 50th centiles. Two short children showed “catch up” growth after adoption, but, otherwise, the divergence from their original height centile was the same for short normal and control children. No social or biological factors were found to predict growth rate in the short normal children, and only target height in controls. “Normal” velocity is conditional on height. Short normal children do grow more slowly than children of average stature, but they do not necessarily grow more poorly. From 6 to 9 years of age they are no more likely to fall off their height centiles than children of average stature. The value of height monitoring at this age is questioned.

The Frequency of Bleeding and Height of Adolescent Haemophiliacs

1979 ◽  
Vol 41 (02) ◽  
pp. 286-290 ◽  
Author(s):  
J L Bem ◽  
M J Painter ◽  
A Aronstam ◽  
J H Patrick ◽  
R E Newcombe
Keyword(s):  
Standard Deviation ◽  
Standard Deviation Score ◽  
Height Standard Deviation Score ◽  
Deviation Score

SummaryThe relation between the height of adolescent haemophiliacs and their bleeding frequency has been studied. 45 haemophiliacs aged 10-19 years were divided into 3 groups: small, medium and tall, using a Height Standard Deviation Score. The average bleeding frequency per 100 days in the group of small haemophiliacs was 8.71 ± SD 4.47, in the medium height group 10.18 ± SD 6.71, while the tall individuals bled in average 15.97 ± SD 3.15 every 100 days. There was no relationship between age and bleeding frequency.

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