scholarly journals Effectiveness of the “Planning Health in School” Programme on Children’s Nutritional Status

2021 ◽  
Vol 18 (23) ◽  
pp. 12846
Author(s):  
Margarida Vieira ◽  
Andreia Teixeira ◽  
Graça S. Carvalho
Keyword(s):  
Nutritional Status ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Activity Level ◽  
Control Group ◽  
Activity Time ◽  
Height Ratio ◽  
Anthropometric Measures ◽  
Effective Interventions ◽  
Waist To Height Ratio

Effective interventions for guiding children to change behaviours are needed to tackle obesity. We evaluated the effectiveness of the ‘Planning Health in School’ programme (PHS-pro) on children’s nutritional status. A non-randomised control group pretest-posttest trial was conducted at elementary schools of a sub-urban municipality in Porto’s metropolitan area (Portugal). A total of 504 children of grade-6, aged 10–14, were assigned in two groups: children of one school as the intervention group (IG), and three schools as the control group (CG). Anthropometric measures included height, weight, waist circumference (WC), BMI and waist-to-height ratio (WHtR), and lifestyle behaviours (self-reported questionnaire) were assessed at baseline and after PHS-pro. IG children grew significantly taller more than CG ones (p < 0.001). WC had reduced significantly in IG (−0.4 cm) whereas in the CG had increased (+0.3 cm; p = 0.015), and WHtR of IG showed a significant reduction (p = 0.002) compared with CG. After PHS-pro, IG children consumed significantly fewer soft drinks (p = 0.043) and ate more fruit and vegetables daily than CG. Physical activity time increased significantly in IG (p = 0.022), while CG maintained the same activity level. The PHS-pro did improve anthropometric outcomes effectively leading to better nutritional status and appears to be promising in reducing overweight and obesity.

scholarly journals Effectiveness of the MetSLIM lifestyle intervention targeting individuals of low socio-economic status and different ethnic origins with elevated waist-to-height ratio

2017 ◽  
Vol 20 (14) ◽  
pp. 2617-2628 ◽  
Author(s):  
Andrea J Bukman ◽  
Dorit Teuscher ◽  
Agnes Meershoek ◽  
Reint Jan Renes ◽  
Marleen A van Baak ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Waist Circumference ◽  
Economic Status ◽  
Intervention Group ◽  
Control Group ◽  
Height Ratio ◽  
Deprived Neighbourhoods ◽  
Waist To Height Ratio

AbstractObjectiveTo evaluate whether the lifestyle intervention MetSLIM targeting individuals of low socio-economic status of Turkish, Moroccan and Dutch origin was successful in improving waist circumference and other cardiometabolic risk factors, lifestyle behaviour and quality of life.DesignA quasi-experimental intervention study (Netherlands Trial Register NTR3721). The intervention group participated in a 12-month combined dietary and physical activity programme. Examinations were performed at baseline and after 12 months. Participants underwent anthropometric measurements and blood withdrawal, and completed questionnaires on dietary intake, physical activity and quality of life.SettingSocio-economically deprived neighbourhoods in two Dutch cities, involving non-blinded ethnicity-matched and gender-matched research assistants, dietitians and sports instructors.SubjectsMainly Turkish (49 %) and Dutch (36 %) subjects, aged 30–70 years, with a waist-to-height ratio of &gt;0·5 (intervention,n117; control,n103). Dropout was 31 %.ResultsAt 12 months, the intervention group showed greater improvements than the control group in waist circumference (β=−3·3 cm, 95 % CI −4·7, −1·8,P&lt;0·001) and other obesity measures. Additionally, greater reductions were observed for total cholesterol (β=−0·33 mmol/l, 95 % CI −0·56, −0·10,P=0·005) and LDL cholesterol (β=−0·35 mmol/l, 95 % CI −0·56, −0·14,P=0·001). Dietary changes were significant for fibre intake (β=1·5 g/4184 kJ (1000 kcal), 95 % CI 0·3, 2·7,P=0·016). Compared with the control group, the intervention group reported a decrease in total minutes of physical activity (β=−573 min/week, 95 % CI −1126, −21,P=0·042) and showed improvements in the quality-of-life domains ‘health transition’ and ‘general health’.ConclusionsMetSLIM was shown to be effective in improving waist circumference, total and LDL cholesterol, and quality of life among Dutch and Turkish individuals living in deprived neighbourhoods.

Relationship Among Adherence to The Mediterranean Diet and Anthropometric and Metabolic Parameters in Subjects with Obesity

2020 ◽  
Vol 20 ◽  
Author(s):  
Luisa Lampignano ◽  
Roberta Zupo ◽  
Rossella Donghia ◽  
Vito Guerra ◽  
Fabio Castellana ◽  
...  
Keyword(s):  
Mediterranean Diet ◽  
Hdl Cholesterol ◽  
Fat Distribution ◽  
Serum Levels ◽  
Overweight And Obesity ◽  
Height Ratio ◽  
Anthropometric Parameters ◽  
Cross Sectional ◽  
Waist To Height Ratio ◽  
The Mediterranean

Background: There is moderate-to-high evidence that the Mediterranean diet prevents increases in body weight and waist circumference in non-obese individuals but less is known about its effects in subjects with overweight and obesity. The present study was focused on exploring the cross-sectional association among the adherence to Mediterranean diet and the most commonly used variables of metabolic and cardiovascular risk factors in a cohort of overweight subjects from a typical Mediterranean region, Apulia, in Southern Italy. Methods:: The study was performed in a cohort of 1214 individuals, all with overweight or obesity but no other clinical condition. We investigated the association among adherence to Mediterranean diet, assessed with the PREDIMED score, and anthropometric parameters [namely body mass index (BMI), WC, waist to height ratio (WHtR) and neck circumference (NC)], fasting serum levels of glucose, insulin, uric acid and lipids (triglycerides, total cholesterol, HDL cholesterol and LDL cholesterol), and blood pressure and insulin resistance, measured by HOMA-IR. Results:: The waist to height ratio was negatively associated to a PREDIMED score ≥7 (p<0.04), whereas HDL cholesterol was positively associated to a PREDIMED score ≥7 (p<0.04) Conclusion: This study suggests that body fat distribution and HDL-cholesterol are the parameters most strongly influenced by MedDiet in Apulian subjects.

scholarly journals Feasibility and Impact of a Combined Supervised Exercise and Nutritional-Behavioral Intervention following Bariatric Surgery: A Pilot Study

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Friedrich C. Jassil ◽  
Sean Manning ◽  
Neville Lewis ◽  
Siri Steinmo ◽  
Helen Kingett ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Pilot Study ◽  
Lifestyle Intervention ◽  
Behavioral Intervention ◽  
Intervention Program ◽  
Intervention Group ◽  
Activity Level ◽  
Randomised Control Trial ◽  
Control Group ◽  
Supervised Exercise

Background.Lifestyle intervention programs after bariatric surgery have been suggested to maximise health outcomes. This pilot study aimed to investigate the feasibility and impact of an 8-week combined supervised exercise with nutritional-behavioral intervention following Roux-en-Y gastric bypass and sleeve gastrectomy.Methods.Eight female patients (44 ± 8 years old, BMI = 38.5 ± 7.2 kgm−2) completed the program. Before and after intervention, anthropometric measures, six-minute walk test (6MWT), physical activity level, eating behavior, and quality of life (QoL) were assessed. Percentage weight loss (%WL) outcomes were compared with a historical matched control group.Results.The program significantly improved functional capacity (mean increment in 6MWT was 127 ± 107 meters,p=0.043), increased strenuous intensity exercise (44 ± 49 min/week,p=0.043), increased consumption of fruits and vegetables (p=0.034), reduced consumption of ready meals (p=0.034), and improved “Change in Health” in QoL domain (p=0.039). The intervention group exhibited greater %WL in the 3–12-month postsurgery period compared to historical controls, 12.2 ± 7.5% versus 5.1 ± 5.4%, respectively (p=0.027).Conclusions.Lifestyle intervention program following bariatric surgery is feasible and resulted in several beneficial outcomes. A large randomised control trial is now warranted.

scholarly journals Scaled-Up Nutrition Education on Pulse-Cereal Complementary Food Practice in Ethiopia: A Cluster-Randomized Trial

2020 ◽  
Author(s):  
Getenesh Berhanu Teshome ◽  
Susan J. Whiting ◽  
Timothy J. Green ◽  
Demelash Mulualem ◽  
Carol J. Henry
Keyword(s):  
Nutritional Status ◽  
Nutrition Education ◽  
Weight Status ◽  
Dietary Diversity ◽  
Randomized Study ◽  
Intervention Group ◽  
Complementary Food ◽  
Southern Ethiopia ◽  
Control Group ◽  
Cluster Randomized

Abstract Background Improving children's weight status through nutrition education (NE) for mothers about using pulses in complementary feeding has been demonstrated in pilot studies, but no effect on stunting was reported. The aim of the study was to evaluate the effectiveness of a 9-month pulse-nutrition education program on mothers' knowledge, attitude, and practices (KAP) towards pulses, as well as its impact on children's dietary diversity, and nutritional status. The NE was delivered by Health Extension Workers (HEWs). Methods A cluster randomized study was employed for the community-based interventional study. Twelve randomly selected villages in Sidama Zone, Southern Ethiopia were included in the study. A total of 772 mother-child pairs involved in the study; where 386 mother-child pairs in the intervention group received additional messages about pulse-cereal complementary food, and 386 pairs (the control) received only routine health education for 9 months. A survey on mothers’ KAP and anthropometric measurements of the children were taken at baseline, midline, and endline. Results At baseline and endline, maternal KAP and the dietary diversity score of the children (mean age at endline 18.8 ± 2.9 mo) were assessed. Results : Intervention mothers’ KAP improved ( p <0.001) at midline and endline compared to that of the control group, as did frequency of pulse consumption and DDS among children. At 9 months, the prevalence of stunting, wasting, and underweight was significantly reduced in the intervention group compared to the control group ( p =0.001). Conclusions NE delivered by HEWs improved KAP of mothers regarding pulse consumption and dietary diversity of children led to improved nutritional status of the children. Training HEWs on the use of pulses for CF may be an effective way to improve the health of children in Ethiopian communities.

scholarly journals Customized interventions improved employees’ experience of recovery during the workday

Work ◽  
2021 ◽  
pp. 1-11
Author(s):  
Lina Ejlertsson ◽  
Bodil Heijbel ◽  
Annika Brorsson ◽  
Margareta Troein ◽  
Ingemar Andersson
Keyword(s):  
Intervention Group ◽  
Group Differences ◽  
Control Group ◽  
Self Reflection ◽  
Logistic Regression Models ◽  
Explanatory Factors ◽  
Primary Health ◽  
Effective Interventions ◽  
Recovery Experiences ◽  
One Year

BACKGROUND: There is a lack of research regarding factors promoting recovery during the workday and effective interventions. OBJECTIVE: To evaluate how different intervention activities may impact employees’ experiences of recovery at the workplace. METHODS: Customized intervention activities based on qualitative results and a participatory approach were integrated among the employees at six primary health care centres (PHCCs; n = 166) during one year. Recovery and workplace factors were measured with a questionnaire at the start and end of intervention, and also in a control group (15 PHCCs; n = 328). Group differences were tested (Chi-2) and explanatory factors compared by logistic regression models. RESULTS: The proportion of employees reporting workday recovery increased in the intervention group (19.9%to 29.1%; p = 0.01), whereas the control group showed no significant change. Recovery was explained by self-reflection and reflection with co-workers. After intervention, having influence on work situation, energy-building experience, and opportunity for laughter also contributed significantly to recovery. CONCLUSIONS: The results contribute to work recovery research by confirming that a customized intervention may have an impact on employees’ recovery experiences. The study showed that considering the factors of reflection, influence, and companionship can positively impact workplace recovery.

scholarly journals HUBUNGAN ASUPAN ENERGI, STRES KERJA, AKTIFITAS FISIK, DAN DURASI WAKTU TIDUR DENGAN IMT PADA MANAJER MADYA DINAS PEMERINTAH KOTA SURABAYA

2019 ◽  
Vol 3 (1) ◽  
pp. 40
Author(s):  
Annisa Risqi Wulandari ◽  
Dhenok Widari ◽  
Lailatul Muniroh
Keyword(s):  
Physical Activity ◽  
Nutritional Status ◽  
Job Stress ◽  
Energy Intake ◽  
Sleep Duration ◽  
Overweight And Obesity ◽  
Activity Level ◽  
Middle Manager ◽  
Anthropometric Measurement ◽  
Cluster Sampling

Background: Prevalence of overweight and obesity in adult has increased each year in Indonesia. Middle managers were groups at risk for overweight because their job characteristics such as low physical activity and risk of experiencing job stress. Economy support in middle manager was one of supporting factor which affect to higher amount of energy intake. Overweight in adult can affect on their health status and work productivityObjectives: The purpose of this study was to analyze the correlation between energy intake, job stress, physical activity and sleep duration with BMI in middle manager.Methods: This was an observational study with cross sectional design. 49 Middle Manager in Surabaya’s Government Agency were selected using cluster sampling. Nutritional status data were collected using anthropometric measurement, energy intake using SQ-FFQ, job stress using OSI-R questionnaire, physical activity and sleep duration data using activity recall. Data were analyzed by Pearson product moment test.Results: This study showed that most of respondents has normal nutritional status (61.2%), adequate energy intake (47%), moderate level job stress (69.4%), low (46.9%) and moderate (46.9%) physical activity level, and lack of sleep duration (59.2%). There were correlation between energy intake (p=0.001) and sleep duration (p=0.006) with BMI. Job stress (p=0.227) and phyisical activity (p=0.148) had no correlation with BMI.Conclusions: higher energy intake and lower sleep duration would increase BMI.ABSTRAKLatar Belakang: Prevalensi status gizi lebih pada penduduk dewasa semakin meningkat di Indonesia. Manajer madya merupakan kelompok yang berisiko mengalami kegemukan karena jenis pekerjaan kantor yang ringan serta rentan mengalami stres kerja. Dukungan ekonomi juga menjadi salah satu faktor pendukung besarnya asupan energi dibandingkan energi yang dikeluarkan untuk beraktifitas. Masalah gizi lebih pada penduduk dewasa dapat memengaruhi status kesehatan dan produktifitas kerja seseorang.Tujuan: Tujuan penelitian ini adalah untuk menganalisis hubungan antara asupan energi, stres kerja, aktifitas fisik dan durasi waktu tidur dengan Indeks Massa Tubuh (IMT) pada Manajer Madya.Metode: Penelitian ini adalah observasional dengan desain penelitian potong lintang. Sebanyak 49 manajer madya di Dinas Pemerintah Kota Surabaya dipilih menggunakan metode cluster sampling. Pengumpulan data menggunakan pengukuran antropometri untuk IMT, SQ-FFQ untuk asupan energi, kuesioner OSI-R untuk stres kerja serta recall aktifitas fisik untuk data aktifitas fisik dan durasi waktu tidur. Analisis data menggunakan uji korelasi pearson product moment.Hasil: Penelitian menunjukkan bahwa sebagian besar responden memiliki status gizi normal (61,2%), kecukupan energi tergolong baik (47%), stres kerja tingkat sedang (69,4%), aktifitas fisik ringan (46,9%) dan sedang (46,9%) serta durasi tidur yang kurang (59,2%). Terdapat hubungan antara asupan energi (p=0,001) dan durasi waktu tidur (0,006) dengan IMT. Stres kerja (p=0,227) dan aktifitas fisik (p=0,148) tidak berhubungan dengan IMT.Kesimpulan: Semakin tinggi asupan energi dan semakin singkat durasi waktu tidur maka akan semakin tinggi IMT pada manajer madya.

Evaluation of anthropometric measures for assessment of cardiometabolic risk in early childhood

2020 ◽  
Vol 23 (12) ◽  
pp. 2100-2108
Author(s):  
Nicole Coles ◽  
Ravi Retnakaran ◽  
Anthony Hanley ◽  
Catherine Birken ◽  
Jill Hamilton
Keyword(s):  
Early Childhood ◽  
Young Children ◽  
Cardiometabolic Risk ◽  
University Hospital ◽  
Height Ratio ◽  
Anthropometric Measures ◽  
Important Indicator ◽  
Skin Fold Thickness ◽  
Waist To Height Ratio ◽  
Cardiometabolic Markers

AbstractObjective:Waist-to-height ratio has been shown to be an important indicator of cardiometabolic risk. There are few studies evaluating this measure against existing measures of adiposity and cardiometabolic markers in early childhood. The objectives were: (i) to determine in young children the ability of waist-to-height ratio, BMI z-score, weight for length, and sum of skin fold thickness to predict cardiometabolic risk and (ii) to examine this association at ages 1, 3 and 5 years.Design:Prospective cohort study.Setting:A university hospital in Toronto, Ontario.Participants:Infants at 1 (n 406), 3 (n 112) and 5 years of age (n 94) born to mothers with and without gestational diabetes mellitus.Results:Weight for length and BMI z-score demonstrated the strongest correlations with biochemical measures compared to waist-to-height ratio, including leptin (at 5 years, weight for length z-score: ρ = 0·65, P < 0·001; BMI z-score: ρ = 0·67, P < 0·001) and measures of insulin resistance (at 3 years, weight for length z-score: ρ = 0·25, P = 0·02; BMI z-score: ρ = 0·24, P = 0·02). The magnitude of associations between anthropometric measures and biochemical measures strengthened over time. Weight for length and BMI z-scores were moderately correlated with overall measures of fat mass as measured by dual-energy X-ray absorptiometry (ρ = 0·65, P = 0·00; ρ = 0·61, P = 0·01).Conclusions:Waist-to-height ratio was not superior to existing measures in predicting cardiometabolic risk in young children. BMI z-score is a preferred measure of adiposity between birth and 5 years of age.

scholarly journals Effects of a Meal Replacement on Body Composition and Metabolic Parameters among Subjects with Overweight or Obesity

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Xiaohui Guo ◽  
Yifan Xu ◽  
Hairong He ◽  
Hao Cai ◽  
Jianfen Zhang ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Body Composition ◽  
Total Energy ◽  
Intervention Group ◽  
Overweight And Obesity ◽  
Metabolic Parameters ◽  
Control Group ◽  
Meal Replacement ◽  
Significant Difference ◽  
The Impact

Meal replacement plans are effective tools for weight loss and improvement of various clinical characteristics but not sustainable due to the severe energy restriction. The aim of the study was to evaluate the impact of meal replacement, specifically 388 kcal in total energy, on body composition and metabolic parameters in individuals with overweight and obesity from a Chinese population. A parallel, randomized controlled trial was performed with 174 participants (ChiCTR-OOC-17012000). The intervention group (N=86) was provided with a dinner meal replacement, and the control group (N=88) continued their routine diet as before. Body composition and blood parameters were assessed at 0, 4, 8, and 12 weeks. A post hoc analysis (least significant difference (LSD) test), repeated measurements, and pairedT-test were used to compare each variable within and between groups. Significant (p<0.001) improvements in body composition components were observed among the intervention group, including body weight (−4.3 ± 3.3%), body mass index (−4.3 ± 3.3%), waist circumference (−4.3 ± 4.4%), fat-free mass (−1.8 ± 2.9%), and body fat mass (−5.3 ± 8.8%). Body composition improvements corresponded with significant metabolic improvements of blood glucose (−4.7 ± 9.8%). Further improvements in visceral fat area (−7.7 ± 10.1%), accompanying with improvements in systolic (−3.7 ± 6.9%) and diastolic (−5.3 ± 7.7%) blood pressure, were only found in male subjects. To conclude, meal replacement intake with 388 kcal in total energy at dinner time for 12 weeks contributed to improvement in body composition and clinically significant metabolic parameters in both male and female participants with overweight/obesity. Additionally, glucose and blood pressure reduction were gender-specific highlighting the importance of gender stratification for design of nutritional intervention studies for improvement of health.

scholarly journals Waist circumference in 6–12-year-old children: The Health Oriented Pedagogical Project (HOPP)

2018 ◽  
Vol 46 (21_suppl) ◽  
pp. 12-20 ◽  
Author(s):  
Per Morten Fredriksen ◽  
Angelica Skår ◽  
Asgeir Mamen
Keyword(s):  
Body Mass Index ◽  
Socioeconomic Status ◽  
Waist Circumference ◽  
Central Obesity ◽  
Parental Education ◽  
Education Level ◽  
Overweight And Obesity ◽  
Height Ratio ◽  
Parental Education Level ◽  
Waist To Height Ratio

Aims: With overweight and obesity increasing worldwide, it has become ever more important to monitor the development and distribution of adiposity in children. This study investigated how the measurements of waist circumference (WC) and waist-to-height ratio (WHtR) in children 6–12 years old relate to earlier studies. Methods: In 2015, 2271 children (boys, n = 1150) were measured for height, weight, and WC. Parental education level was used as a measure of socioeconomic status. Results: A significant increase in WC with age was revealed for both sexes ( p < .0001). Boys at 10 and 12 years had a larger WC than girls; otherwise no difference between sexes was found. The WHtR decreased with age for girls ( p < .0001); 14% of the sample displayed a WHtR ≥ 0.50. Comparison with earlier studies showed a higher WC and WHtR despite no change in weight and body mass index. Conclusion: WC and WHtR are recommended as tools for identifying central obesity in children. The results indicate increased WC in 6–12-year-old children compared with earlier findings.

scholarly journals Body composition: population epidemiology and concordance in Australian children aged 11–12 years and their parents

BMJ Open ◽  
2019 ◽  
Vol 9 (Suppl 3) ◽  
pp. 95-105 ◽  
Author(s):  
Susan A Clifford ◽  
Alanna N Gillespie ◽  
Timothy Olds ◽  
Anneke C Grobler ◽  
Melissa Wake
Keyword(s):  
Body Composition ◽  
Waist Circumference ◽  
Body Fat ◽  
Correlation Coefficients ◽  
Home Visits ◽  
Overweight And Obesity ◽  
Height Ratio ◽  
Partial Correlations ◽  
Waist To Height Ratio ◽  
Parent Child

ObjectivesOverweight and obesity remain at historically high levels, cluster within families and are established risk factors for multiple diseases. We describe the epidemiology and cross-generational concordance of body composition among Australian children aged 11–12 years and their parents.DesignThe population-based cross-sectional Child Health CheckPoint study, nested within the Longitudinal Study of Australian Children (LSAC).SettingAssessment centres in seven major Australian cities and eight regional cities, or home visits; February 2015–March 2016.ParticipantsOf all participating CheckPoint families (n=1874), body composition data were available for 1872 children (49% girls) and 1852 parents (mean age 43.7 years; 88% mothers), including 1830 biological parent-child pairs.MeasuresHeight, weight, body mass index (BMI), waist circumference and waist-to-height ratio for all participants; body fat and fat-free mass by four-limb bioimpedence analysis (BIA) at assessment centres, or body fat percentage by two-limb BIA at home visits. Analysis: parent-child concordance was assessed using (i) Pearson’s correlation coefficients, and (ii) partial correlation coefficients adjusted for age, sex and socioeconomic disadvantage. Survey weights and methods accounted for LSAC’s complex sample design.Results20.7% of children were overweight and 6.2% obese, as were 33.5% and 31.6% of parents. Boys and girls showed similar distributions for all body composition measures but, despite similar BMI and waist-to-height ratio, mothers had higher proportions of total and truncal fat than fathers. Parent-child partial correlations were greatest for height (0.37, 95% CI 0.33 to 0.42). Other anthropometric and fat/lean measures showed strikingly similar partial correlations, ranging from 0.25 (95% CI 0.20 to 0.29) for waist circumference to 0.30 (95% CI 0.25 to 0.34) for fat-free percentage. Whole-sample and sex-specific percentile values are provided for all measures.ConclusionsExcess adiposity remains prevalent in Australian children and parents. Moderate cross-generational concordance across all measures of leanness and adiposity is already evident by late childhood.

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