scholarly journals Evaluation of a Primary Care Weight Management Program in Children Aged 2–5 years: Changes in Feeding Practices, Health Behaviors, and Body Mass Index

Nutrients ◽  
2019 ◽  
Vol 11 (3) ◽  
pp. 498 ◽  
Author(s):  
Jared Tucker ◽  
Renee DeFrang ◽  
Julie Orth ◽  
Susan Wakefield ◽  
Kathleen Howard
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Body Mass Index ◽  
Health Behaviors ◽  
Body Mass ◽  
Screen Time ◽  
Feeding Habits ◽  
Feeding Practices ◽  
Care Intervention ◽  
The Impact

Background: Primary care offers a promising setting for promoting parenting practices that shape healthy eating and physical activity behaviors of young children. This study assessed the impact of a parent-based, primary care intervention on the feeding habits, health behaviors, and body mass index (BMI) of 2–5 year olds with elevated or rapidly-increasing BMI. Methods: Four private pediatric offices in West Michigan were assigned as control (n = 2) or intervention (n = 2) sites based on patient load and demographics. Treatment families were recruited at well-child visits to receive physician health-behavior counseling and four visits with a registered dietitian nutritionist (RDN) over a 6-month period. Intervention outcomes were age- and sex-specific BMI metrics, including BMI z-scores and percent of the 95th percentile (%BMIp95), the Family Nutrition and Physical Activity survey (FNPA), and the Feeding Practices and Structure Questionnaire (FPSQ). Results: Of 165 enrolled families, 127 completed follow-up measures (77% retention). Mean (±SD) FNPA scores improved in treatment vs. control (4.6 ± 4.6 vs. 0.1 ± 4.2; p < 0.001), and screen time (h/day) decreased (−0.9 ± 1.8 vs. 0.3 ± 1.1; p < 0.001). Non-responsive feeding practices (i.e., reward for behavior (p = 0.006) and distrust in appetite (p < 0.015)) and structure-related feeding practices (structured meal timing (p < 0.001)) improved in treatment parents vs. controls. Reductions in child BMI measures did not differ between groups. Conclusions: Families with preschool children participating in a low-intensity, primary care intervention improved obesogenic health behaviors, parent feeding habits, and child screen time, but not child adiposity. Future research should assess the sustainability of these family lifestyle improvements, and evaluate their future impact on the health and development of the children.

scholarly journals Relationship between Gender, Physical Activity, Screen Time, Body Mass Index and Wellbeing in Irish Children from Social-Disadvantage

2021 ◽  
pp. 1-15
Author(s):  
Wesley O’Brien ◽  
Sarahjane Belton ◽  
Ben Fitzpatrick ◽  
Stephen Shannon ◽  
Deirdre Brennan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Screen Time ◽  
Social Disadvantage

scholarly journals Caffeinated Drinks Intake, Late Chronotype, and Increased Body Mass Index among Medical Students in Chongqing, China: A Multiple Mediation Model

2018 ◽  
Vol 15 (8) ◽  
pp. 1721 ◽  
Author(s):  
Yangchang Zhang ◽  
Yang Xiong ◽  
Jia Dong ◽  
Tingting Guo ◽  
Xiaoman Tang ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Medical Students ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Multiple Mediation ◽  
Depression Anxiety Stress Scale ◽  
Positive Role ◽  
Cross Sectional ◽  
The Impact

Background: This paper investigates the problems regarding caffeinated drinks intake, late chronotype, and increased body mass index (BMI) among medical students at a Chinese university. Methods: This cross-sectional study was conducted in 2018 with 616 medical students from Chongqing Medical University in Chongqing, China, whose information were collected by a self-reported questionnaire that included four sections: Demographic characteristics; Caffeinated drinks intake and physical state; Morningness-Eveningness Questionnaire; Depression Anxiety Stress Scale 21. Multiple mediation analyses were conducted to test the impact of late chronotype on increased BMI through caffeinated drinks consumption through two models. Results: The significantly mediated effect of caffeinated drinks consumption was revealed (estimate: −0.01, SE = 0.01, 95% CI [−0.02, −0.01]), and which played a positive role in linking late chronotype (B = −0.01, SE = 0.01, p < 0.001) and increased BMI (B = 1.37, SE = 0.21, p < 0.01), but their significant association did not be found in reversed model. In addition, physical activity and inactivity times demonstrated significant indirect effects in the two models. Conclusions: Interventions should focus on reducing caffeinated drinks intake and sedentary behavior time, enhancing physical activity among medical students.

scholarly journals The impact of body mass index, central obesity and physical activity on lung function: results of the EpiHealth study

2020 ◽  
Vol 6 (4) ◽  
pp. 00214-2020
Author(s):  
Magnus Svartengren ◽  
Gui-Hong Cai ◽  
Andrei Malinovschi ◽  
Jenny Theorell-Haglöw ◽  
Christer Janson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Lung Function ◽  
Body Mass ◽  
Physical Inactivity ◽  
Central Obesity ◽  
Forced Expiratory Volume ◽  
Normal Weight ◽  
Weight Group ◽  
The Impact

Study objectivesObesity is often associated with lower lung function; however, the interaction of lung function with central obesity and physical inactivity is less clear. As such, we investigated the effect on lung function of body size (body mass index (BMI)), central obesity (waist circumference (WC)) and self-reported physical activity.MethodsLung function, height, weight and WC were measured in 22 743 participants (12 791 women), aged 45–75 years, from the EpiHealth cohort study. Physical activity, gender and educational level were assessed using a questionnaire.ResultsObesity, central obesity and physical inactivity were all associated with lower forced expiratory volume in 1 s (FEV1) and forced vital capacity (FVC). However, in participants without central obesity there was an increase in both FEV1 and FVC by BMI (% predicted FVC increasing from median 98%, interquartile range (IQR) 89–110% in underweight participants (BMI <20) to 103%, IQR 94–113% in obese participants (BMI ≥30)). In contrast, there was a decrease in % predicted FVC in participants with central obesity (from 98%, IQR 89–109% in the normal weight group to 95%, IQR 85–105% in the obese weight group). We further found a negative association between physical activity and lung function among those with low and high levels of physical activity (% predicted FEV1 97%, IQR 86–107% versus 103%, IQR 94–113%, respectively and % predicted FVC 96%, IQR 85–106% versus 103%, IQR 94–113%, respectively). All results remained when calculated by z-scores.ConclusionsThe association between BMI and lung function is dependent on the presence of central obesity. Independent of obesity, there is an association between physical activity and lung function.

Impact of Adulthood Stage and Social-Environmental Context on Body Mass Index and Physical Activity of Individuals With Intellectual Disability

2015 ◽  
Vol 53 (2) ◽  
pp. 100-113 ◽  
Author(s):  
Kelly Hsieh ◽  
Tamar Heller ◽  
Julie Bershadsky ◽  
Sarah Taub
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Intellectual Disability ◽  
Community Participation ◽  
Body Mass ◽  
Environmental Context ◽  
Individual Characteristics ◽  
Social Environmental ◽  
The Impact ◽  
The Relationship

Abstract Individuals with intellectual disability (ID) are at risk for obesity and physical inactivity. We analyzed a subset of 2009–2010 National Core Indicators (NCI) database to examine (1) the impact of three adulthood stages– younger (20–39 years), middle (40–59 years), and older (60 years and older) on Body Mass Index (BMI) and physical activity (PA); and (2) the relationship between social-environmental context (i.e., residence type, everyday choices, and community participation) and BMI and PA, with adjustment for individual characteristics of the adults with ID. Findings highlight the need to pay more attention to obesity by providing health education and emphasizing healthy choices. Results also suggest the importance of community participation as a way of promoting more physical activity.

scholarly journals Parental Activation and Obesity-Related Health Behaviors Among a Racially and Ethnically Diverse Population of Low-Income Pediatric Patients: Protocol for a Cross-Sectional Survey Study (Preprint)

2017 ◽  
Author(s):  
Nakiya N Showell ◽  
Corinna Koebnick ◽  
Lisa R DeCamp ◽  
Margo Sidell ◽  
Tatiahna Rivera Rodriguez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Health Care ◽  
Health Behaviors ◽  
Health Systems ◽  
Low Income ◽  
Screen Time ◽  
Aged Patients ◽  
Cross Sectional ◽  
Primary Care Settings

BACKGROUND Despite a recent decline in the obesity prevalence among preschool-aged children, obesity remains disproportionately high among children from low-income racial or ethnic minority families. Promoting healthy lifestyles (eg, obesity-preventative behaviors) in primary care settings is particularly important for young children, given the frequency of preventative health visits and parent-provider interactions. Higher adoption of specific health behaviors is correlated with increased patient activation (ie, skill, confidence, and knowledge to manage their health care) among adults. However, no published study, to date, has examined the relationship between parental activation and obesity-related health behaviors among young children. OBJECTIVE The goal of this study is to measure parental activation in low-income parents of preschoolers in 2 large health systems and to examine the association with diet, screen-time, and physical activity behaviors. METHODS We will conduct a cross-sectional study of parents of preschool-aged patients (2-5 years) receiving primary care at multiple clinic sites within 2 large health care systems. Study participants, low-income black, Hispanic, and white parents of preschool-aged patients, are being recruited across both health systems to complete orally administered surveys. RESULTS Recruitment began in December 2017 and is expected to end in May 2018. A total of 267 low-income parents of preschool-aged children have been enrolled across both clinic sites. We are enrolling an additional 33 parents to reach our goal sample size of 300 across both health systems. The data analysis will be completed in June 2018. CONCLUSIONS This protocol outlines the first study to fully examine parental activation and its relationship with parent-reported diet, physical activity, and screen-time behaviors among low-income preschool-aged patients. It involves recruitment across 2 geographically distinct areas and resulting from a partnership between researchers at 2 different health systems with multiple clinical sites. This study will provide new knowledge about how parental activation can potentially be incorporated as a strategy to address childhood obesity disparities in primary care settings. INTERNATIONAL REGISTERED REPOR RR1-10.2196/9688

scholarly journals Medical students’ physical activity as an indicator of their commitment to healthy lifestyle

2021 ◽  
Author(s):  
OV Ievleva
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Medical Students ◽  
Body Mass ◽  
Screen Time ◽  
Healthy Lifestyle ◽  
Correlation Coefficients ◽  
Biomedical Ethics ◽  
Steps Per Day ◽  
The Relationship

Physicians, who provide general medical services, should give the patients an advice on physical activity. The study was aimed to assess physical activity of medical students, as well as their awareness of this issue, and willingness to provide the public an advice on commitment to a healthy lifestyle in terms of physical activity. A total of 518 medical students were surveyed. The data obtained with the Steps and Screen Time mobile applications were used. Physical fitness was assessed using the standard anthropometric technique. Statisctical processing of the data obtained was performed with the Statistica 13 PL statistical software package. The study met the requirements of biomedical ethics and posed no risk to participants. No significant differences in the number of steps between males and females was observed. It was 9033±3297 steps in males and 7807±3570 steps in females. The evidence supporting the relationship between physical activity and average time spent on a smartphone per day was obtained: the correlation coefficient for the relationship between the number of steps per day and the screen time was -0.36 (moderate negative correlation). Correlation coefficients for the relationships between body mass index and physical activity (-0.35) and between body mass index and screen time (0.33, moderate positive correlation) were calculated. The data obtained allowed us to develop simple and feasible guidelines on improving physical activity in medical students, as well as to develop a tracker of positive habit of daily optimal physical activity for each student, and to discuss the results within the framework of the business game Physical Activity in Various Sectors of Population.

scholarly journals Evaluation of a Primary Care Intervention on Body Mass Index: The Maine Youth Overweight Collaborative

2015 ◽  
Vol 11 (2) ◽  
pp. 187-193 ◽  
Author(s):  
Steven L Gortmaker ◽  
Michele Polacsek ◽  
Lisa Letourneau ◽  
Victoria W. Rogers ◽  
Robert Holmberg ◽  
...  
Keyword(s):  
Primary Care ◽  
Body Mass Index ◽  
Body Mass ◽  
Care Intervention

scholarly journals Dietary improvement in people with schizophrenia

2005 ◽  
Vol 187 (4) ◽  
pp. 346-351 ◽  
Author(s):  
Robin G. McCreadie ◽  
Ciara Kelly ◽  
Moira Connolly ◽  
Sue Williams ◽  
Gwen Baxter ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Mass Index ◽  
Body Mass ◽  
Eating Habits ◽  
Fruit And Vegetables ◽  
Treatment As Usual ◽  
Scottish Health Survey ◽  
Meal Planning ◽  
Index Level ◽  
The Impact

BackgroundPeople with schizophrenia make poor dietary choices.AimsTo measure the impact of giving free fruit and vegetables for 6 months on eating habits in schizophrenia.MethodWe randomly allocated 102 people with schizophrenia in two areas of Scotland to receive free fruit and vegetables for 6 months, supported by instruction in meal planning and food preparation; free fruit and vegetables alone; or to continue as before. Diet was assessed using the Scottish Health Survey questionnaire. Blood samples to measure micronutrients were taken and mental state, body mass index, level of physical activity and future risk of coronary heart disease (CHD) were assessed.ResultsAfter the intervention, those who received free fruit and vegetables, or free fruit and vegetables and associated instruction, were consuming significantly more fruit and vegetables than those in the treatment as usual group. Consumption fell to pre-intervention levels 12 months after the intervention stopped. There was no between-group difference at any time in blood micronutrients, body mass index, physical activity or risk of CHD.ConclusionsThe diet of people with schizophrenia improved when they were given free fruit and vegetables but this was not sustained after withdrawal of the intervention. A support programme added no benefit.

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