Trends in Psychiatric Hospitalization of Children and Adolescents in Spain between 2005 and 2015

Eating disorders are on top of chronic conditions in children and adolescents, and the most severe cases may require hospitalization. Inpatient psychiatric treatment is one of the most expensive ones and therefore the efforts when treating eating disorders should focus on avoiding and shortening admissions, as well as preventing readmissions. Advances in of eating disorders treatment lie in an accurate knowledge of those patients requiring admission. This study examined the Conjunto Mínimo Básico de Datos—the largest public hospitalization database in Spain—to estimate the prevalence of eating and other psychiatric disorders during childhood and adolescence. It is a cross-sectional study of the hospital discharges in Castilla y León (Spain) from 2005 to 2015, in which patients under 18 years old with a psychiatric diagnosis at discharge were selected. Trends in the rates of hospitalization/1000 hospitalizations per year were studied by joinpoint regression analysis. Conclusions: eating disorders were the only group that presented an upward and continuous trend throughout the study period. This statistically significant increase showed an annual change of 7.8%.

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Association between dietary calcium intake and BMD in children and adolescents

Endocrine Connections ◽

10.1530/ec-19-0534 ◽

2020 ◽

Vol 9 (3) ◽

pp. 194-200 ◽

Cited By ~ 2

Author(s):

Kaiyu Pan ◽

Chengyue Zhang ◽

Xiaocong Yao ◽

Zhongxin Zhu

Keyword(s):

Children And Adolescents ◽

Mexican Americans ◽

Cross Sectional Study ◽

Dietary Calcium Intake ◽

Considerable Proportion ◽

Childhood And Adolescence ◽

Linear Regression Models ◽

Sectional Study ◽

Mineral Density ◽

Cross Sectional

Aim Ensuring adequate calcium (Ca) intake during childhood and adolescence is critical to acquire good peak bone mass to prevent osteoporosis during older age. As one of the primary strategies to build and maintain healthy bones, we aimed to determine whether dietary Ca intake has an influence on bone mineral density (BMD) in children and adolescents. Methods We conducted a cross-sectional study composed of 10,092 individuals from the National Health and Nutrition Examination Survey (NHANES). Dietary Ca intake and total BMD were taken as independent and dependent variables, respectively. To evaluate the association between them, we conducted weighted multivariate linear regression models and smooth curve fittings. Results There was a significantly positive association between dietary Ca intake and total BMD. The strongest association was observed in 12–15 year old whites, 8–11 year old and 16–19 year old Mexican Americans, and 16–19 year old individuals from other race/ethnicity, in whom each quintile of Ca intake was increased. We also found that there were significant inflection points in females, blacks, and 12–15 year old adolescents group, which means that their total BMD would decrease when the dietary Ca intake was more than 2.6–2.8 g/d. Conclusions This cross-sectional study indicated that a considerable proportion of children and adolescents aged 8–19 years would attain greater total BMD if they increased their dietary Ca intake. However, higher dietary Ca intake (more than 2.6–2.8 g/d) is associated with lower total BMD in females, blacks, and 12–15 year old adolescents group.

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Screen time above recommendations in children and adolescents: analysis of the associated nutritional, behavioral and parental factors

Journal of Human Growth and Development ◽

10.7322/jhgd.v30.11067 ◽

2020 ◽

Vol 30 (3) ◽

pp. 363-370

Author(s):

Sonimar de Souza ◽

Kelin Cristina Marques ◽

Cézane Priscila Reuter

Keyword(s):

Children And Adolescents ◽

Screen Time ◽

Prevalence Ratio ◽

Cross Sectional Study ◽

Childhood And Adolescence ◽

Parental Factors ◽

Entire Family ◽

Cross Sectional ◽

Prevalence Of Obesity ◽

Public Health Strategies

Introduction: Sedentary routines characterised by multimedia games favour an increase in the prevalence of obesity in schoolchildren and their parents. Thus, identifying the factors associated with screen time during childhood and adolescence is essential for the development of public health strategies. Objective: To analyse whether excessive time in front of screens in children and adolescents is associated with nutritional, behavioural and parental factors. Methods: Cross-sectional study on 795 schoolchildren, of which 354 were male, aged between 7 and 17 years, and their parents (father or mother) from a municipality in southern Brazil. The screen time spent by the students was self-reported, obtained in hours, considering excessive to be ≥ 2 hours a day. The parents’ nutritional profile was assessed in terms of body mass index (BMI). For the data analysis, the prevalence ratio (PR) was used and analysed using the Poisson regression, with 95% confidence intervals (CI). Results: We found a high frequency of overweight/obese students (30.9%), with low levels of cardiorespiratory fitness (53.7%), who spend ≥ 2 hours daily on the TV, computer or video games (57.1%). Screen time was associated with the prevalence of being overweight (PR = 1.06; CI = 1.00-1.13) and obesity (PR = 1.10; CI =: 1.03-1.18) among fathers, only among adolescents. Conclusion: Excessive screen time among adolescents was associated with the father’s nutritional status. It is suggested that strategies to reduce screen time should be implemented from childhood, involving the entire family.

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Nutrient intake of European adolescents: results of the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study

Public Health Nutrition ◽

10.1017/s1368980013000463 ◽

2013 ◽

Vol 17 (3) ◽

pp. 486-497 ◽

Cited By ~ 44

Author(s):

Katharina Diethelm ◽

Inge Huybrechts ◽

Luis Moreno ◽

Stefaan De Henauw ◽

Yannis Manios ◽

...

Keyword(s):

Public Health ◽

Children And Adolescents ◽

Nutrient Intake ◽

Healthy Lifestyle ◽

Nutrient Status ◽

Cross Sectional Study ◽

Childhood And Adolescence ◽

Public Health Importance ◽

Cross Sectional ◽

Health Initiatives

AbstractObjectiveAn adequate nutritional intake in childhood and adolescence is crucial for growth and the prevention of youth and adult obesity and nutrition-related morbidities. Improving nutrient intake in children and adolescents is of public health importance. The purpose of the present study was to describe and evaluate the nutrient intake in a European sample using the D-A-CH nutrient intake recommendations and the Nutritional Quality Index (NQI).DesignThe HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) Study is a cross-sectional study, the main objective of which is to obtain comparable data on a variety of nutritional and health-related parameters in adolescents aged 12·5–17·5 years.SettingEight cities in Europe.SubjectsThe initial sample consisted of 3528 European adolescents. Among these, 1590 adolescents (54 % female) had sufficient and plausible dietary data on energy and nutrient intakes from two 24 h recalls using the HELENA-DIAT software.ResultsThe intakes of most macronutrients, vitamins and minerals were in line with the D-A-CH recommendations. While the intakes of SFA and salt were too high, the intake of PUFA was too low. Furthermore, the intakes of vitamin D, folate, iodine and F were less than about 55 % of the recommendations. The median NQI was about 71 (of a maximum of 100).ConclusionsThe intakes of most nutrients were adequate. However, further studies using suitable criteria to assess nutrient status are needed. Public health initiatives should educate children and adolescents regarding balanced food choices.

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A Survey on the Relationship between Quality of life and Happiness among Children and Adolescents under the Supervision of Welfare Organization of Ahwaz in 2017

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2019/v28i230201 ◽

2019 ◽

pp. 1-8

Author(s):

Maryam Khormehr ◽

Azam Honarmandpour ◽

Mohammad Adineh ◽

Azam Jahangirimehr ◽

Elham Abdolahi Shahvali

Keyword(s):

Quality Of Life ◽

Children And Adolescents ◽

Human Life ◽

Pearson Correlation ◽

Cross Sectional Study ◽

P Value ◽

Childhood And Adolescence ◽

Cross Sectional ◽

The Relationship

Background: Childhood and adolescence is one of the most important, most sensitive and also most decisive periods of human life. Events during this period, for children and adolescents under the supervision of the welfare organisation, can lead to behavioural-cognitive and emotional problems and face the natural process of transition from this period with serious challenges. This study was conducted to evaluate the relationship between quality of life and happiness among children and adolescents under the supervision of welfare organisation of Ahwaz in 2015. Methodology: This descriptive-analytical cross-sectional study was conducted on 75 children and adolescents aged 8-18, under the supervision of the welfare organisation, using the available sampling method. The data collection tool was a demographic information questionnaire, the Kidscreen quality of life and the Oxford happiness. The collected data were analysed using SPSS software version 20 and independent t-test, Pearson correlation coefficient, Spearman and Chi-square tests. P value less than 0.05 was considered significant. Results: The results showed that there was a significant and direct correlation between quality of life and happiness in children and adolescents under the supervision of the welfare (P <0.001 and r = 0.656). All aspects of the quality of life in the group who did not show happiness reported to be lower. Conclusion: The quality of life of children and adolescents under the supervision of welfare is related to their happiness. The effect of the use of pharmaceutical supplements/drugs and its relationship with the happiness of children should be studied in future.

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Prevalence of metabolic syndrome and associated risk factors in Brazilian schoolchildren

Public Health Nutrition ◽

10.1017/s1368980008003030 ◽

2009 ◽

Vol 12 (7) ◽

pp. 947-952 ◽

Cited By ~ 18

Author(s):

Mario Seki ◽

Tiemi Matsuo ◽

Alexandre Jose Faria Carrilho

Keyword(s):

Risk Factors ◽

Metabolic Syndrome ◽

Children And Adolescents ◽

Low Income ◽

Economic Status ◽

Cross Sectional Study ◽

Normal Weight ◽

Childhood And Adolescence ◽

Cross Sectional ◽

Potential Risk Factors

AbstractObjectiveTo determine the prevalence of metabolic syndrome (MetS) in schoolchildren from 6 to 16 years old, while considering their socio-economic status and other potential risk factors.DesignA cross-sectional study was conducted between April and November of 2005 in a semi-rural city with a total population of 13 000 inhabitants.SettingThe study was conducted in Maracai city, located in the Brazilian state of Sao Paulo.SubjectsSchoolchildren (n 2170) of both genders, corresponding to approximately 82 % of all Maracai schoolchildren, were evaluated for components of MetS, as defined by the National Cholesterol Education Program; reference values for children and adolescents were adjusted for age and sex.ResultsOverall, MetS prevalence was 3·6 % (95 % CI 2·9, 4·5) and did not differ statistically between genders, skin colour, between children and adolescents. However, when we analysed groups of subjects by weight, MetS prevalence progressively increased from 0·3 % (95 % CI 0·1, 0·8) in normal-weight subjects to 10·7 % (95 % CI 7·4, 14·8) and 34·5 % (95 % CI 25·9, 43·9) in overweight and obese subjects, respectively (both P < 0·001 compared to normal-weight controls). When socio-economic classes were considered, 4·7 % high-income students (95 % CI 3·5, 6·2) had MetS, which was significantly greater than low-income students (2·7 %; 95 % CI 1·9, 3·9; P = 0·023).ConclusionsMetS prevalence was high in overweight and obese schoolchildren and these risk factors were present during childhood and adolescence. Changes in lifestyle and alimentary safety should be encouraged to avoid future cardiovascular morbidity and type 2 diabetes mellitus.

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Psychiatric hospitalizations related to mental and behavioral disorders in a psychiatric hospital

Acta Scientiarum Health Sciences ◽

10.4025/actascihealthsci.v42i1.48746 ◽

2020 ◽

Vol 42 ◽

pp. e48746

Author(s):

Deise Mariana Aguiar da Costa ◽

Isabel Cristina Cavalcante Carvalho Moreira ◽

Cecília Natielly da Silva Gomes ◽

Adrielly Caroline Oliveira ◽

Jaciane Santos Marques ◽

...

Keyword(s):

Behavioral Disorders ◽

Illicit Drugs ◽

Suicide Attempts ◽

Psychiatric Hospitalization ◽

Psychiatric Treatment ◽

Cross Sectional Study ◽

Cross Sectional ◽

Psychiatric Hospitalizations ◽

Therapeutic Profile ◽

Mental And Behavioral Disorders

The objective of this study was to analyze the sociodemographic, clinical and therapeutic profile of psychiatric hospitalizations related to mental and behavioral disorders. This is an analytical cross-sectional study conducted in a hospital reference in psychiatric treatment in Teresina, Piauí, Brazil. The data were collected with the aid of a form to characterize the sociodemographic, clinical and therapeutic aspects of hospitalizations. The SPSS version 22.0 was used. There was analysis of 291 medical records of patients admitted during the period from February to May 2018, which revealed the year 2018 with the highest rate of psychiatric hospitalization, 239 (82.1%). There was prevalence of men 184 (63.2%), unmarried 209 (71.8%), with a mean age of 38.4 years. There was also a predominance of patients with low schooling. The sex was statistically associated with the use of illicit drugs (p:0.003), suicide attempts (p:0.04) and type of admission (p:0.006). On the other hand, schooling was associated with abandonment (p:0.008); suicide attempt (p:0.033) and previous hospitalizations (p:0.006). Many factors and comorbidities increase the possibility of the patient re- hospitalization.

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Maternal Factors and Their Association with Patterns of Beverage Intake in Mexican Children and Adolescents

Children ◽

10.3390/children8050385 ◽

2021 ◽

Vol 8 (5) ◽

pp. 385

Author(s):

Desiree Lopez-Gonzalez ◽

Fatima Avila-Rosano ◽

Diana Montiel-Ojeda ◽

Marcela Ortiz-Obregon ◽

Pamela Reyes-Delpech ◽

...

Keyword(s):

Children And Adolescents ◽

Population Based ◽

Cross Sectional Study ◽

Guidance System ◽

Childhood And Adolescence ◽

Healthy Children ◽

Institute Of Medicine ◽

Critical Periods ◽

Maternal Factors ◽

Cross Sectional

Childhood and adolescence represent critical periods where beverage and food consumption behaviors are learned and developed. Mexican mothers’ presence and influence are instrumental in shaping such behaviors. The aim of this study was to estimate the prevalence and risk associations of maternal factors for unhealthy patterns of beverage intake. This study analyzed data from a population-based cross-sectional study of healthy children and adolescents from Mexico City. Data of subject’s total water intake (TWI) and its’ sources were collected using two 24-h recall surveys. Patterns of beverage intake were constructed based on the guidance system of beverage consumption in the US. Maternal factors of interest included age, body mass index (BMI), mother’s educational level (MEL), socioeconomic status (SES), and belongingness to the paid workforce (BPW). Data of 1532 subject–mother dyads informed that 47% of subjects did not meet the Institute of Medicine (IOM) recommendations for TWI, and 94.6% showed an unhealthy beverage intake pattern, mainly consisting in a lower intake of water and a higher intake of caloric beverages with some nutrients; and calorically sweetened beverages. The major sources of hydration were caloric beverages with some nutrients (i.e., whole milk, fruit water, and flavored milk). The highest risk association for an unhealthy beverage intake pattern was seen in those subjects with mothers in the cluster with lower SES, lower MEL, lower proportion of BPW, higher BMI, and younger age (OR = 9.3, 95% CI 1.2–72.8, P = 0.03). Thus, there is a remarkably high prevalence of an unhealthy pattern of beverage intake, and specific maternal factors may be implicated as enablers of such behaviors, which is also addressable for future interventions.

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