scholarly journals Overweight and Cystic Fibrosis: An Unexpected Challenge

2021 ◽  
Author(s):  
Megan Gabel ◽  
Claudia Fox ◽  
Rachel Grimes ◽  
John Lowman ◽  
Catherine McDonald ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Weight Gain ◽  
Multidisciplinary Approach ◽  
Overweight And Obesity ◽  
Healthy Weight ◽  
Excessive Weight Gain ◽  
Nutritional Guidelines ◽  
Excessive Weight ◽  
History Of ◽  
Recent Trends

Achieving a healthy weight balance has been a central focus of care for people who have cystic fibrosis (CF). Over the years, the emphasis has primarily been on promoting weight gain in order to optimize pulmonary outcomes. With continued improvements in CF care, including highly effective CF modulator available for many people, the CF community is now experiencing a new challenge: addressing the concern that some people are gaining weight excessively. While at this time, we do not know to what extent overweight and obesity will affect health outcomes for people with CF, it is likely that excessive weight gain may have negative health impacts similar to those seen in the general population. In this paper, we review the history of nutritional guidelines for people with CF, as well as more recent trends toward overweight and obesity for some. A multidisciplinary approach is needed to collaboratively start the oftentimes difficult conversation regarding excessive weight gain, and to identify resources to help people achieve and maintain a healthy weight through diet, exercise, and behavioral modification.

Screening for celiac disease among children with overweight and obesity: toward exploring celiac iceberg

2020 ◽  
Vol 33 (8) ◽  
pp. 995-1002
Author(s):  
Valeria Calcaterra ◽  
Corrado Regalbuto ◽  
Matteo Manuelli ◽  
Catherine Klersy ◽  
Gloria Pelizzo ◽  
...  
Keyword(s):  
Celiac Disease ◽  
Weight Gain ◽  
Autoimmune Diseases ◽  
Medical History ◽  
Unknown Origin ◽  
Overweight And Obesity ◽  
Excessive Weight Gain ◽  
Familial Predisposition ◽  
Excessive Weight ◽  
Hla Dq2

AbstractObjectivesThe coexistence of celiac disease (CD) and obesity/overweight is not unusual. We investigate the prevalence and clinical presentation of CD, detected by screening, among children with excessive weight gain.MethodsWe enrolled 200 children referred for overweight/obesity to our outpatient clinic. Medical history during pregnancy and childhood and lifestyle variables were recorded. Patients were screened for CD with total immunoglobulin A (IgA), IgA anti-transglutaminase (tTG-IgA) and IgA anti-endomysial antibodies (EMA-IgA). In subjects with positive autoantibodies, esophagogastroduodenoscopy (EGDS) was performed and genetic testing for HLA DQ2 and/or DQ8 haplotypes was tested.ResultsCD positive antibodies (tTg-IgA and EMA-IgA) were detected in eight patients (4%); in all subjects CD diagnosis was confirmed by HLA-DQ2 and/or DQ8 compatibility and EGDS. No association between CD and medical history during pregnancy and childhood or lifestyle variables was noted; however, a dietary difference was identified with those testing positive for CD also reporting a lower weekly consumption of fruits and vegetables (p=0.04). Headache was reported more frequently in patients with than without CD (p=0.04). Familiar positivity for autoimmune diseases was revealed in CD patients (p=0.01).ConclusionCD should be considered in children with excessive weight gain. Familial predisposition to other autoimmune diseases may represent a risk factor for development of CD. Even though the relationship between headache and CD is not well defined, the patients with headache of unknown origin should be screened for CD.

scholarly journals Feedback from the Field

2015 ◽  
Vol 13 (3) ◽  
pp. 19-26
Author(s):  
Mienah Zulfacar Sharif ◽  
Dena R. Herman ◽  
Suzanne Haydu ◽  
Candice Gray ◽  
Karen C. Ramstrom
Keyword(s):  
Weight Gain ◽  
Low Income ◽  
Dietary Habits ◽  
Health Workers ◽  
Dietary Assessment ◽  
Healthy Weight ◽  
Nutrition Counseling ◽  
Excessive Weight Gain ◽  
Excessive Weight ◽  
Weight Gain During Pregnancy

Background: Maintaining a healthy weight can reduce risks of excessive weight gain during pregnancy and help prevent maternal and child obesity. Low-income women are high-risk for excessive weight gain during pregnancy. Nutrition counseling can help improve dietary habits, however, it is often provided by paraprofessionals who lack formal training in dietetics. There is a need for a brief dietary assessment form for paraprofessionals serving low-income perinatal women. Purpose: The purpose of this study was to provide feedback on the feasibility of the Perinatal Food Group Recall (PFGR) form among Comprehensive Perinatal Health Workers (CPHWs) serving low-income pregnant and post-partum mothers. Methods: Nine CPHWs at four clinics were asked to complete their regular dietary assessment form and then administer the PFGR. Key informant interviews with the nine paraprofessionals were conducted to obtain their feedback on the form. Results: The findings suggest that the form provides a feasible and easyto-administer dietary assessment tool for use by practitioners without formal dietetics training who serve clinics in low-income communities with heavy client flow. Conclusion: The form can facilitate the provision of nutrition counseling among low-income mothers and build capacity among community health workers.

The role of antenatal education for the prevention of excessive weight gain during pregnancy

2020 ◽  
Vol 71 (6) ◽  
Author(s):  
Roberta Amadori ◽  
Carmela Melluzza ◽  
Alessia Motta ◽  
Alberto De Pedrini ◽  
Daniela Surico
Keyword(s):  
Weight Gain ◽  
Excessive Weight Gain ◽  
Antenatal Education ◽  
Excessive Weight ◽  
Weight Gain During Pregnancy

scholarly journals Family sociodemographic characteristics as correlates of children’s breakfast habits and weight status in eight European countries. The ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project

2014 ◽  
Vol 18 (5) ◽  
pp. 774-783 ◽  
Author(s):  
Yannis Manios ◽  
George Moschonis ◽  
Odysseas Androutsos ◽  
Christina Filippou ◽  
Wendy Van Lippevelde ◽  
...  
Keyword(s):  
Weight Gain ◽  
Energy Balance ◽  
Weight Status ◽  
Educational Status ◽  
European Countries ◽  
Sociodemographic Characteristics ◽  
Excessive Weight Gain ◽  
Breakfast Consumption ◽  
Mediation Analyses ◽  
Excessive Weight

AbstractObjectiveThe purpose of the present study was to investigate the associations of family sociodemographic characteristics with children’s weight status and whether these potential associations are mediated by children’s breakfast habits.DesignA school-based survey among 10–12-year-old children was conducted in eight European countries. Children’s weight and height were measured and breakfast habits and family sociodemographic characteristics were self-reported by 5444 children and their parents. International Obesity Task Force cut-off points were used to categorize children as overweight/obese or normal weight. Mediation analyses were used to test the potential mediating effect of children’s breakfast consumption on the associations between family sociodemographic characteristics and children’s overweight/obesity.SettingSchools in eight European countries participating in the ENERGY (EuropeaN Energy balance Research to prevent excessive weight Gain among Youth) project.SubjectsChildren aged 10–12 years and their parents (n 5444).ResultsChildren’s reported daily breakfast consumption varied from 56 % in Slovenia to 92 % in Spain on weekdays and from 79 % in Greece to 93 % in Norway on weekends. Children of native parents, with both parents employed and with at least one parent having more than 14 years of education were more likely to consume breakfast daily and less likely to be overweight/obese. Finally, mediation analyses revealed that the association of parental nationality and parental educational status with children’s overweight/obesity was partially mediated by children’s daily breakfast consumption.ConclusionsThe study shows that the lower likelihood of being overweight/obese among 10–12-year-old children of native background and higher parental educational status was partially mediated by children’s daily breakfast consumption.

scholarly journals Patterns and demographic predictors of 5-year weight change in a multi-ethnic cohort of men and women in Australia

2003 ◽  
Vol 6 (3) ◽  
pp. 269-280 ◽  
Author(s):  
Kylie Ball ◽  
David Crawford ◽  
Paul Ireland ◽  
Allison Hodge
Keyword(s):  
Body Weight ◽  
Weight Gain ◽  
Population Study ◽  
Weight Change ◽  
Community Sample ◽  
Population Sample ◽  
Critical Time ◽  
Overweight And Obesity ◽  
Entire Population ◽  
Healthy Weight

AbstractObjective:This study investigated 5-year trends in body weight, overweight and obesity and their association with sociodemographic variables in a large, multi-ethnic community sample of Australian adults.Design:This prospective population study used baseline and 5-year follow-up data from participants in the Melbourne Collaborative Cohort Study (MCCS).Setting:Population study in Melbourne, Australia.Subjects:In total, 12 125 men and 17 674 women aged 35–69 years at baseline.Results:Mean 5-year weight change in this sample was +1.58 (standard deviation (SD) 4.82) kg for men and +2.42 (SD 5.17) kg for women. Younger (35–44 years) men and, in particular, women gained more weight than older adults and were at highest risk of major weight gain (≥5 kg) and becoming overweight. Risk of major weight gain and associations between demographic variables and weight change did not vary greatly by ethnicity. Education level showed complex associations with weight outcomes that differed by sex and ethnicity. Multivariate analyses showed that, among men, higher initial body weight was associated with decreased likelihood of major weight gain, whereas among women, those initially overweight or obese were about 20% more likely to experience major weight gain than underweight or healthy weight women.Conclusions:Findings of widespread weight gain across this entire population sample, and particularly among younger women and women who were already overweight, are a cause for alarm. The prevention of weight gain and obesity across the entire population should be an urgent public health priority. Young-to-mid adulthood appears to be a critical time to intervene to prevent future weight gain.

scholarly journals The influence of pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes in two-child women

2019 ◽  
Author(s):  
Hanqing Chen ◽  
Suhua Zou ◽  
Zhuyu Li ◽  
Jianbo Yang ◽  
Jian Cai ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Perinatal Outcomes ◽  
Normal Weight ◽  
Excessive Weight Gain ◽  
Gestational Weight ◽  
Excessive Weight ◽  
Weight Gain During Pregnancy

Abstract Background Pre-pregnancy body mass index and gestational weight gain were related to perinatal outcomes. It was not know the changes of pre-pregnancy body mass index, weight gain during pregnancy and its effect on perinatal outcomes in two-child women.Methods This was a retrospective study. Data of single term women delivered in the First Affiliated Hospital of Sun Yat-sen University were collected from July 2017 to June 2018. Gestational weight gain criteria of the American Institute of Medical Research and pre-pregnancy body mass index classes were used to evaluate the effects on pregnancy outcomes.Results A total of 3049 cases were enrolled in the study. Overweight cases was 9.0% and obesity was 2.4%. The weight gain of the two-child women was less than that of primipara(12.4±3.9vs13.3±4.0kg, P<0.001). The proportion of primipara with excessive weight gain was higher compared to two-child women(20.1%versus17.3%, P<0.001). There were 40.0% overweight primipara and 55.2% of two-child women had excessive weight gain. And 40.5% primipara and 54.5% two-child women of obesity had excessive weight gain during pregnancy. Obese primipara increased the risk of pre-eclampsia (aOR2.38, 95%CI 0.76-7.46). And the odds of diabetes mellitus and large for gestational age also increased in this group (aOR3.49, 95%CI 1.46-8.35 and aOR7.65, 95%CI 1.83-31.97, respectively). Two-child women had similar results. Underweight primipara with excessive weight gain increased the pre-eclampsia risk (aOR2.26, 95%CI 0.29-17.46). Normal weight and overweight/obese primipara also had similar results. But in two-child women, only overweight/obesity increased the risk of pre-eclampsia (aOR2.01, 95%CI 0.41-9.98). Underweight two-child women with less weight gain increased the risk of diabetes(aOR2.06, 95%CI 0.43-9.8). Two-child women with overweight/obese increased the odds of LGA even if they had less weight gain(aOR2.58, 95%CI 0.11-63.22). Normal weight primipara and two-child women with overweight and obese with excessive weight gain had similar results. On the other way, underweight primipara with less weight gain increased the risk of SGA(aOR1.74, 95%CI 0.81-3.76).Conclusions Gestational weight gain of two-child women was less than primipara. Overweight/obese women with excessive weight gain of two-child women increased the risk of adverse outcomes.

scholarly journals Effectiveness of a Randomized School-Based Intervention Involving Families and Teachers to Prevent Excessive Weight Gain among Adolescents in Brazil

PLoS ONE ◽  
2013 ◽  
Vol 8 (2) ◽  
pp. e57498 ◽  
Author(s):  
Diana B. Cunha ◽  
Bárbara da S N de Souza ◽  
Rosangela A. Pereira ◽  
Rosely Sichieri
Keyword(s):  
Weight Gain ◽  
Excessive Weight Gain ◽  
School Based Intervention ◽  
School Based ◽  
Excessive Weight
Sign in / Sign up

Export Citation Format

Share Document