scholarly journals Energy Balance-Related Factors Associating with Adolescent Weight Loss Intent: Evidence from the 2017 National Youth Risk Behavior Survey

2019 ◽  
Author(s):  
Ryan Donald Burns

Abstract Background: The purpose of this study was to examine specific energy balance-related behaviors (sedentary, physical activity, and dietary) associating with adolescent weight loss intent using data from the 2017 US Youth Risk Behavior Survey (YRBS). Methods: A multi-stage cluster sampling procedure was used to obtain a representative sample of US adolescents. The target population consisted of public and private high schoolers from grades 9 through 12. The number of sampled adolescents was 18,324 with 14,765 of the 18,324 sampled students submitting questionnaires with usable data (81% response rate). The outcome was intent to lose weight with specific energy-balance related behaviors examined as predictors. A weighted logistic regression model was employed to examine the associations between sedentary, activity, and dietary-related variables with weight loss intent controlling for age, sex, BMI percentile, and race/ethnicity. Results: Variables associating with adolescent intent to lose weight included 3 or more hours of video game playing (OR=1.15, 95%CI: 1.01-1.31, p = 0.028), achieving 60 minutes of physical activity daily (OR=0.66, 95%CI: 0.59-0.73, p < 0.001), daily breakfast consumption (OR=0.76, 95%CI: 0.67-0.87, p < 0.001) and weekly salad consumption (OR=1.30, 95%CI: 1.12-1.52, p = 0.001). Conclusions: There was an inverse association between physical activity and breakfast consumption with weight loss intent but a direct association between video game playing and salad consumption with weight loss intent in a representative sample of adolescents. Therefore, there is a discordance between adolescent weight loss intent and the engagement in specific energy balance-related health behaviors, particularly physical activity.

2019 ◽  
Author(s):  
Ryan Donald Burns

Abstract Background: The purpose of this study was to examine specific energy balance-related behaviors (sedentary behaviors, physical activity, and dietary) associating with adolescent weight loss intent using data from the 2017 US Youth Risk Behavior Survey (YRBS). Methods: This was a cross-sectional study that employeda multi-stage cluster sampling procedure to obtain a representative sample of US adolescents. The target population consisted of public and private high schoolers from grades 9 through 12. The number of sampled adolescents was 18,324 with 14,765 of the 18,324 sampled students (Mean age = 15.9 (1.3) years) submitting questionnaires with usable data (81% response rate). The outcome was intent to lose weight with specific energy-balance related behaviors examined as predictor variables. A weighted logistic regression model was employed to examine the associations between sedentary behaviors, physical activity, and dietary-related variables with weight loss intent controlling for age, sex, BMI percentile, and race/ethnicity. Results: Variables associating with adolescent intent to lose weight included 3 or more hours of video game playing (OR=1.15, 95%CI: 1.01-1.31, p =0.028), achieving 60 minutes of physical activity daily (OR=0.66, 95%CI: 0.59-0.73, p <0.001), daily breakfast consumption (OR=0.76, 95%CI: 0.67-0.87, p <0.001) and weekly salad consumption (OR=1.30, 95%CI: 1.12-1.52, p =0.001). Conclusions: Meeting physical activity guidelines and regular breakfast consumption associated with lower odds of weight loss intent and video game playing and salad consumption associated with higher odds of weight loss intent in a representative sample of US adolescents.Therefore, there is a discordance between adolescent weight loss intent and the engagement in specific energy balance-related health behaviors, particularly physical activity.


2019 ◽  
Author(s):  
Ryan Donald Burns

Abstract Background: The purpose of this study was to examine specific energy balance-related behaviors (sedentary behaviors, physical activity, and dietary) associating with adolescent weight loss intent using data from the 2017 US Youth Risk Behavior Survey (YRBS). Methods: This was a cross-sectional study that employeda multi-stage cluster sampling procedure to obtain a representative sample of US adolescents. The target population consisted of public and private high schoolers from grades 9 through 12. The number of sampled adolescents was 18,324 with 14,765 of the 18,324 sampled students (Mean age = 15.9 (1.3) years) submitting questionnaires with usable data (81% response rate). The outcome was intent to lose weight with specific energy-balance related behaviors examined as predictor variables. A weighted logistic regression model was employed to examine the associations between sedentary behaviors, physical activity, and dietary-related variables with weight loss intent controlling for age, sex, BMI percentile, and race/ethnicity. Results: Variables associating with adolescent intent to lose weight included 3 or more hours of video game playing (OR=1.15, 95%CI: 1.01-1.31, p =0.028), achieving 60 minutes of physical activity daily (OR=0.66, 95%CI: 0.59-0.73, p <0.001), daily breakfast consumption (OR=0.76, 95%CI: 0.67-0.87, p <0.001) and weekly salad consumption (OR=1.30, 95%CI: 1.12-1.52, p =0.001). Conclusions: Meeting physical activity guidelines and regular breakfast consumption associated with lower odds of weight loss intent and video game playing and salad consumption associated with higher odds of weight loss intent in a representative sample of US adolescents.Therefore, there is a discordance between adolescent weight loss intent and the engagement in specific energy balance-related health behaviors, particularly physical activity.


2004 ◽  
Vol 36 (Supplement) ◽  
pp. S110
Author(s):  
Philip J. Troped ◽  
Maren S. Fragala ◽  
Charles E. Matthews ◽  
Karen E. Peterson ◽  
Daniel Finkelstein ◽  
...  

Information ◽  
2020 ◽  
Vol 11 (3) ◽  
pp. 169
Author(s):  
Seung-Hoo Lee ◽  
Jong-Ho Lee

In this study, a total of 94,511 surveys were used for the analysis, using raw data from the recent 3 years (2016–2018) of the Korea Youth Risk Behavior Survey (KYRBS) to compare differences in obesity rates based on eating behavior and physical activity among high school students. The cross-analysis and logistic regression were performed in the composite sample design using the SPSS 25.0 statistical package. The results are as follows. First, the more physical activity male students have, the lower the obesity rate. Female students, however, showed a minor difference. Second, the group that drinks the soda was 1158 times more likely to be obese than the group that does not drink the soda, and third, the group that eats the fast food was 1129 times more likely to be obese than the group that does not. Fourth, students belonging to male or female schools had a 1230 times higher obesity rate than coeducational students. Fifth, the obesity rate was 1150 times higher for second grade and 1263 times higher for third grade compared to the first grade. Finally, there was no significant difference related to the nutrition education. It is suggested that, to fight youth obesity in high school students, institutions need to raise public awareness of this problem through information campaigns aimed at improving and fostering potentially existing educational measures.


2016 ◽  
Vol 48 (6) ◽  
pp. 1640-1657 ◽  
Author(s):  
Ari Shechter

Obesity is both a cause and a possible consequence of obstructive sleep apnoea (OSA), as OSA seems to affect parameters involved in energy balance regulation, including food intake, hormonal regulation of hunger/satiety, energy metabolism and physical activity. It is known that weight loss improves OSA, yet it remains unclear why continuous positive airway pressure (CPAP) often results in weight gain.The goal of this systematic review is to explore if and how CPAP affects the behaviour and/or metabolism involved in regulating energy balance.CPAP appears to correct for a hormonal profile characterised by abnormally high leptin and ghrelin levels in OSA, by reducing the circulating levels of each. This is expected to reduce excess food intake. However, reliable measures of food intake are lacking, and not yet sufficient to make conclusions. Although studies are limited and inconsistent, CPAP may alter energy metabolism, with reports of reductions in resting metabolic rate or sleeping metabolic rate. CPAP appears to not have an appreciable effect on altering physical activity levels. More work is needed to characterise how CPAP affects energy balance regulation.It is clear that promoting CPAP in conjunction with other weight loss approaches should be used to encourage optimal outcomes in OSA patients.


2019 ◽  
Author(s):  
Δήμητρα Μοσχόβη

Με εξασφαλισμένη πλέον σήμερα την μακροβιότητα παιδιών με συγγενείς καρδιοπάθειες (ΣΚ), τα παιδιά αυτά υφίστανται τις επιπτώσεις της νοσηρότητας του γενικού πληθυσμού της ηλικίας τους που συνυπάρχει στην σύγχρονη εποχή με τους επιβαρυντικούς παράγοντες της έλλειψης σωματικής άσκησης και της παχυσαρκίας. Είναι επίσης γνωστό ότι η σχέση μεταξύ της αυτεπάρκειας και της φυσικής δραστηριότητας, όπως και μεταξύ φυσικής δραστηριότητας και παχυσαρκίας έχει μελετηθεί στα υγιή παιδιά. Όμως οι έννοιες αυτές και οι μεταξύ τους συσχετισμοί δεν έχουν διερευνηθεί για τα παιδιά με ΣΚ. ΣΚΟΠΟΣ : Με αυτή τη διατριβή ερευνώνται και περιγράφονται για πρώτη φορά οι συσχετισμοί αυτοί στα Ελληνόπουλα. Παρόμοιες εργασίες έχουν γίνει στο εξωτερικό, με αντικείμενο τους συσχετισμούς ανάμεσα στην αυτεπάρκεια, στην φυσική άσκηση και το ΔΜΣ που ισχύουν για τα παιδιά με ΣΚ. ΔΕΙΓΜΑ ΤΗΣ ΕΡΕΥΝΑΣ : Στην έρευνα συμμετέχουν δυο ισάριθμες ομάδες παιδιών, μια ομάδα παιδιών με συγγενείς καρδιοπάθειες και μια ομάδα υγιών παιδιών αντίστοιχης ηλικίας από 10-17 χρόνων. Τα 76 παιδιά με ΣΚ (46 αγόρια και 30 κορίτσια) παρακολουθούνται από τις παιδοκαρδιολογικές κλινικές του Ωνασείου Καρδιοχειρουργικού Κέντρου και του νοσοκομείου «Μητέρα». ΜΕΘΟΔΟΛΟΓΙΑ-ΜΕΤΡΗΣΕΙΣ : Το ερωτηματολόγιο που αφορά την Κλίμακα Αυτεπάρκειας-Self Efficacy Scale (SES), το ερωτηματολόγιο Καταγραφής της φυσικής δραστηριότητας της προηγούμενης μέρας –Previous Day Physical Activity Recall (PDPAR) το ερωτηματολόγιο που αφορά τη φυσική δραστηριότητα από την κλίμακα Ανάλυσης κινδύνου των συνηθειών των νέων – Youth Risk Behavior Survey (YRBS) χρησιμοποιήθηκαν ως ερευνητικά εργαλεία επιπρόσθετα με τη φόρμα καταγραφής ιατρικών δεδομένων του ύψους, του βάρους και του ΔΜΣ. ΑΠΟΤΕΛΕΣΜΑΤΑ Η μέση τιμή της αυτεπάρκειας για τα διαγνωσμένα με ΣΚ παιδιά ήταν 29,013±7,28 και η μέση τιμή για τα υγιή ήταν 29,038±6,60 και κρίνεται μέτρια η αυτεπάρκεια των δυο ομάδων, καθώς η μέγιστη τιμή της είναι 40 και χωρίς στατιστικά σημαντικές διαφορές μεταξύ τους. Η μέση τιμή φυσικής δραστηριότητας των συμμετεχόντων ήταν 3,1±0,95 METs ημερησίως για τα υγιή παιδιά και 2,38±0,85 METs για τα παιδιά με ΣΚ και διέφερε στατιστικά σημαντικά.Αυτεπάρκεια και αυτοαναφερόμενη φυσική δραστηριότητα συσχετίζονται στατιστικά σημαντικά με r=0,515 και p=0,00 με την αυτεπάρκεια να είναι σημαντικός παράγοντας για τον προσδιορισμό της φυσικής άσκησης, ιδίως στα παιδιά με ΣΚ. Γενικότερα τα παιδιά με ΣΚ ασκούνται λιγότερο σε έντονες δραστηριότητες (≥6METs) σε σχέση με τα υγιή παιδιά.Δεν υπήρξε σημαντική συσχέτιση μεταξύ ΔΜΣ και των METs ημερησίως, όπως δεν υπήρξε σημαντική συσχέτιση μεταξύ ΔΜΣ και της συμμετοχής στη φυσική δραστηριότητα. ΣΥΜΠΕΡΑΣΜΑΤΑ : Σε αυτή την έρευνα δεν υπήρξαν διαφορές ανάμεσα στις δυο ομάδες (διαγνωσμένα και μη) παιδιών ως προς το βαθμό αυτεπάρκειάς τους, όμως η αυτεπάρκειά τους βρέθηκε να είναι σημαντικός παράγοντας καθορισμού της άσκησής τους. Επίσης παρατηρήθηκαν χαμηλά ποσοστά συμμετοχής στη φυσική άσκηση των παιδιών με ΣΚ, αν και δεν υπήρξε διαφορά στο ΔΜΣ υγιών και διαγνωσμένων με ΣΚ παιδιών. Παρατηρήθηκε ακόμα σημαντική συσχέτιση μεταξύ της αυτεπάρκειας των παιδιών με ΣΚ και του αριθμού των μισάωρων μέτριας φυσικής δραστηριότητας ίσης ή μεγαλύτερης των 3METs και ανάλογη συσχέτιση μεταξύ αυτεπάρκειας και αριθμού μισάωρων έντονης φυσικής δραστηριότητας ίσης ή μεγαλύτερης των 6METs. Άρα αποδεικνύεται η αμφίδρομη σχέση αυτεπάρκειας και συμμετοχής στη φυσική άσκηση καθώς για τα παιδιά με ΣΚ τα χαμηλά ποσοστά συμμετοχής σε μέτριας έντασης δραστηριότητες και τα ακόμη χαμηλότερα ποσοστά συμμετοχής σε έντονης έντασης δραστηριότητες σε σχέση με τα υγιή παιδιά σχετίζονται άμεσα με τη χαμηλή αυτεπάρκειά τους ως προς τη φυσική άσκηση.


2021 ◽  
Vol 18 (S1) ◽  
pp. S102-S113
Author(s):  
Tiffany J. Chen ◽  
Kathleen B. Watson ◽  
Shannon L. Michael ◽  
Susan A. Carlson

Background: During the past decade, guidelines for youth aerobic and muscle-strengthening physical activity remained unchanged. Active People, Healthy NationSM highlighted school and youth strategies (eg, sports and physical education [PE]) to increase physical activity. Sex, grade, and race/ethnicity disparities exist. This study examines sex-specific trends and differences by grade and race/ethnicity for the prevalence of 5 youth physical activity behaviors from 2009 to 2019. Methods: The national Youth Risk Behavior Survey assesses adolescents (grades 9–12) meeting the aerobic, muscle-strengthening, and both guidelines (2011–2019) and sports participation and daily PE (2009–2019). Sex-stratified logistic regression assessed trends and 2009 or 2011–2019 differences by grade and racial/ethnic subgroups. Results: Decreases in meeting the aerobic, muscle-strengthening, and both guidelines were observed for nearly all male subgroups by grade and race/ethnicity, whereas female subgroups exhibited declines or no change to low prevalence. Sports and PE participation remained mostly constant; select subgroups showed decreases (ie, Hispanic males [sports]; Black males and ninth-grade females [PE]). Conclusions: Past decade prevalence and patterns suggest that school-based and other strategies for all adolescents and tailored interventions for sex-specific subgroups may be needed to supplement sports and PE in promoting high school youth physical activity.


2018 ◽  
Vol 32 (4) ◽  
pp. 547-557
Author(s):  
Guilherme Da Silva Gasparotto ◽  
Wagner De Campos

Este estudo de delineamento descritivo, longitudinal, com 1.197 universitários se propôs a verificar: a) possibilidade de alteração na prática de atividade física de estudantes universitários após quatro anos de curso; b) associação entre a prática de atividade física moderada a vigorosa (AFMV) e atividade física vigorosa (AFV) com fatores de risco cardiovascular (FRC) avaliados no início e fim da graduação; c) fraçãoatribuída à prática de AFMV e AFV na associação com FRC. Por meio dos questionários International Physical Activity Questionnaire e Youth Risk Behavior Survey, foram respectivamente obtidas medidas da prática de atividade física e dos seguintes FRC: consumo de bebidas alcoólicas, tabagismo e hábitos alimentares. Além desses fatores, foram verificados: pressão arterial, IMC e circunferência da cintura (CC). Pela Razão dePrevalência identificou-se associação da AFMV e AFV com os FRC. Calculou-se também a fração atribuída populacional (FAP) da atividade física sobre os FRC. Foi verificada manutenção da prática de AFMV, 46,4% em 2011 e 50,3% em 2014, bem como de AFV, 30,7% em 2011 e 35,2% em 2014. Além disso, observou-se relação positiva da prática de atividade física com consumo de bebidas alcoólicas e de frutas, saladas e/ouvegetais, além de relação protetiva com a CC elevada, em 2011 e 2014 (p < 0,05). A prática de atividade física apresentou associação com alguns FRC nos dois períodos avaliados. Entre os mais associados estiveram o consumo recomendado de frutas, saladas e/ou vegetais e a circunferência de cintura elevada. Outros fatores de risco podem estar associados com diferentes variáveis socioambientais.


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