scholarly journals Nutritional and physical fitness differences in children and adolescents from diverse socio-economic backgrounds (Diferencias nutricionales y de condición física en niños y adolescentes de contextos socioeconómicos diferenciados)

Retos ◽  
2021 ◽  
Vol 44 ◽  
pp. 560-567
Author(s):  
Sonia García-Merino ◽  
Rosa-María Rodríguez-Jiménez ◽  
Álvaro Bustamante-Sánchez ◽  
Silvia Burgos-Postigo

  Lifestyle affects the health of children and adolescents, especially those living with socio-economic disadvantages. The purpose of this study was to evaluate nutritional status, level of fitness, and diet in children and adolescents from different socio-economic environments. To evaluate nutritional status and nutritional habits, Body Mass Index Z-score, Waist-to-Height Index and the Mediterranean Diet Quality Index, were chosen. To measure physical fitness, Eurofit battery was used. Participants were 290 healthy children and adolescents of two groups. Group 1 (78) was part of a social integration project through sport; group 2 (212) belonged to a private school with a high socio-economic status. Differences between groups were found in the nutritional status and physical fitness tests. There were no differences in the total score of the Kid Med Test (p=.42), but data suggested a better quality of food consumption in group 2. Even though both groups exhibited healthy values, results were slightly more favorable for speed of movement and flexibility (p<.05), and for diet habits (better intake of olive oil, less sweet consumption, p < .05) in the group 2. The study, even with limitations, shows that there is still room for equal opportunities in promoting the quality of life of young people.  Resumen: El estilo de vida afecta a la salud de los niños y adolescentes, especialmente a los que viven en riesgo de exclusión social y económica. El propósito de este estudio fue evaluar el estatus nutricional, el nivel de condición física y la dieta en niños y adolescentes de diferentes entornos socioeconómicos. Para evaluar el estatus nutricional y los hábitos nutricionales, se eligió el índice de masa corporal z-score, el índice cintura-estatura y el índice de calidad de la dieta mediterránea. Para medir la aptitud física, se utilizó la batería Eurofit. Los participantes fueron 290 niños y adolescentes sanos de dos grupos. El grupo 1 (78) formaba parte de un proyecto de integración social a través del deporte; el grupo 2 (212) pertenecía a un colegio privado de alto nivel socioeconómico. Se encontraron diferencias entre los grupos en las pruebas de estatus nutricional y de aptitud física. No hubo diferencias en la puntuación total del Kid Med Test (p=.42), pero los datos sugirieron una mejor calidad del consumo de alimentos en el grupo 2. Aunque ambos grupos presentaban valores saludables, el grupo 2 obtuvo mejores resultados en la velocidad de movimiento y la flexibilidad (p<.05), y en los hábitos dietéticos (mejor consumo de aceite de oliva, menos consumo de dulces, p <.05). El estudio, aun con limitaciones, muestra que todavía hay espacio para la igualdad de oportunidades en la promoción de la calidad de vida de los jóvenes.

2020 ◽  
Author(s):  
Ali M El-Shafie ◽  
Fady M. El-Gendy ◽  
Dalia M. Allahony ◽  
Zein A Omar ◽  
Mohamed A. Samir ◽  
...  

Abstract Background:Growth charts are an important method for evaluating a child's health, growth and nutritional status.Objective:To establish Lambda – Mu- Sigma (LMS) and Z score references for assessment of growth and nutritional status in Egyptian school children and adolescents.Methods:A total of 34,822 Egyptian school children and adolescents from 5 to 19 years were enrolled in a cross sectional randomized study from December 2017 to November 2019 to create LMS and Z score references for weight, height and body mass index (BMI) corresponding to ages. They were selected from different districts in Egypt. Apparent Healthy children with good nutritional history and not suffering from any chronic diseases were included in the study.Results:Egyptian children of both sexes (54.3% boys and 45.7 % girls) from 5 to 19 years old were studied. Then LMS and Z scores for weight for age, height for age, BMI for age of both sexes were represented in detailed tables and graphs. There was no statistically significant difference between the Egyptian Z score charts and the reference values of WHO for weight, height and BMI corresponding to age (P>0.05).Conclusion: This is the first national reference for growth and nutritional assessment using LMS and Z score charts in Egyptian school children and adolescents, this tool is essential for healthcare and research.Key words: Adolescent - Egyptian Z score -Growth parameters- Nutritional status-School children


2015 ◽  
Vol 4 (08) ◽  
pp. 111-135
Author(s):  
Isabel Pérez Bescanza

El presente artículo está enfocado hacia el Estudio del Arte de Calidad de Vida desde el área de la Salud, específicamente tomando en cuenta las investigaciones realizadas con niños(as) y adolescentes en cáncer y su Calidad de Vida; para ello se realizó una revisión de los últimos diez años, después de un arqueo bibliográfico se consideraron aproximadamente 80 artículos para su revisión y discusión. De acuerdo a la revisión realizada se enfocó en tres aspectos: a) Elementos conceptuales relacionados con la Calidad de Vida(CV) y la Calidad de Vida relacionada con Salud (CVRS); b) la medición de la CVRS específicamente en niños(as) y adolescentes y c) Los diferentes instrumentos de evaluación creados para medir la CVRS en niños(as) y adolescentes. En relación con el primer aspecto, este constructo ha sido más fácil medirlo que definirlo, es un concepto extenso y ambiguo. En relación con la medición, uno de los problemas es el relacionado con las dificultades inherentes a su evaluación, debido a la naturaleza bipolar objetiva-subjetiva y su multidimensionalidad, compleja e indeterminada, y esto le da a la evaluación un problema adicional, aunado también que los instrumentos elaborados para tal fin, en ocasiones no cumplen los requisitos mínimos de construcción y generalización de resultados. La mayoría de las investigaciones concluyen que es muy importante la evaluación de la CVRS en el paciente pediátrico con cáncer, ya que la sola presencia de una enfermedad crónica desestabiliza la emocionalidad del paciente. Se concluye la importancia de la medida de CVRS en pacientes pediátricos, para uso en la práctica clínica y en la salud pública, considerar el proceso de crecimiento y desarrollo físico, cognitivo, intelectual y afectivo del niño/a ya que es continuo y representa un reto captar los aspectos positivos y los que afectan negativamente en la calidad de vida del paciente. The present article is focused towards the study of the art of quality of life from the area of the health, specifically taking in has them research made with children (as) and adolescents in cancer and its quality of life; for this is performed a review of them last ten years, after a tonnage bibliographic is considered approximately 80 articles for your review and discussion. In accordance the review focused on three aspects: to) conceptual elements related to quality of life (HP) and the quality of life related with health (HRQOL); b) the measurement of HRQOL in children and adolescents and c specifically) the different assessment instruments designed to measure HRQOL in children and adolescents. Regarding the first aspect, this construct has been easier to measure it to define it, is a lengthy and ambiguous concept. In relation to the measurement, one of the problems is related to the difficulties inherent in their assessment, due to the bipolar nature and its multidimensionality, complex and indeterminate, and this gives the assessment an additional problem, also joined that elaborate instruments for that purpose, sometimes do not meet the minimum requirements of construction and generalizability of results. The majority of the investigations conclude that assessment of HRQL in pediatric cancer patients is very important since the mere presence of a chronic disease disrupts the emotionality of the patient. Is concludes the importance of the measure of HRQOL in patients Pediatric, for use in the practice clinical and in the health public, consider the process of growth and development physical, cognitive, intellectual and affective of the child / to since is continuous and represents a challenge capture them aspects positive and which affect negatively in the quality of life of the patient.


2018 ◽  
Vol 3 (1) ◽  
pp. 103
Author(s):  
Wira Meiriza ◽  
Aladin Aladin ◽  
Edison Edison

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.


2021 ◽  
Author(s):  
fanyan du ◽  
lin mo

Abstract Background: Osteogenesis imperfecta(OI)is a chronic, non-infectious disease that accompanies the patient for life. OI will result in reduced bone mass, fractures, thereby leading to bone deformities and reduced patient the health-related quality of life (HRQoL). With the endocrine therapy and surgical orthopedic had been recommended, the disease was effectively controlled. The disease status is discrepancy in different regions. This study aims to assess the diagnosis and treatment status, evaluate the HRQoL of children and adolescents with OI in southwest China, and analyze the influencing factors, so as to provide reference for health care consideration for OI population in southwest China.Methods: This cross-sectional study was performed using the Pediatric Quality of Life InventoryTM (PedsQL TM) to assess the HRQoL of children and adolescents with OI. The demographic and clinical data were collected. This study was conducted in Children’s Hospital of Chongqing Medical University, the National Children's Regional Medical Centre (SOUTH-WEST) and the National Clinical Research for child health. Healthy children and adolescents aged 2 to 18 years lived in southwest China as a reference.Results: A total of 27 children and adolescents with OI were included in this study. The current status of diagnosis and treatment such as the treatment, education, family, BMI, pain, steep walking and friends and so on had been investigated. The PedsQLTM of OI population was lower in all dimensions, and they were significantly different in physiological and social functioning and the total score, compared with 54 healthy children and adolescents. Factors associated with HRQoL of OI patients were the steep walking and fixing a playmate at less.Conclusions: The HRQoL of children and adolescents with OI had been improved with the endocrine therapy and surgical orthopedic. But there was an imbalance around the world for the less effective management. Health care education should be more professional, effectively and continuously. Training patients to gain steep walking ability and peer companionship could be a way to improve the HRQoL of children and adolescents with OI in southwest China. The medical staff also should pay attention to their life and growth after discharge.


Author(s):  
Mira Samardzic ◽  
Husref Tahirovic ◽  
Natasa Popovic ◽  
Milena Popovic-Samardzic

AbstractThe aim of this study was to evaluate health-related quality of life (HRQOL) in children and adolescents with type 1 diabetes (TIDM) in Montenegro compared with healthy controls and to estimate the effect of metabolic control on perceptions of HRQOL.This study involved children and adolescents with T1DM, age- and gender-matched healthy children and their parents. Children and adolescents with T1DM and their parents completed Peds QL 4.0 Generic Core Scales (GCS) and PedsQL 3.0 Diabetes Module. Healthy children and their parents completed self- and proxy-report of Peds QL 4.0 GCS.Our study (self- and proxy-report) showed that children and adolescents with T1DM had lower HRQOL on domain “Psychosocial health” and “School functioning” compared with healthy population (p=0.008; p≤0.001). Lower glycosylated hemoglobin (HbACompared with the healthy children, the HRQOL was lower among children and adolescents with T1DM. Lower HbA


2015 ◽  
Vol 25 (6) ◽  
pp. 1027-1036 ◽  
Author(s):  
Maria Drakouli ◽  
Konstantinos Petsios ◽  
Margarita Giannakopoulou ◽  
Elisabeth Patiraki ◽  
Ioanna Voutoufianaki ◽  
...  

AbstractPurposeThis review aims to outline a systematic approach for the assessment of quality of life in children and adolescents with CHD and to cite its main determinants.MethodsA systematic critical literature search in PubMed, Scopus, and Cinahl databases resulted in 954 papers published after 2000. After the quality assessment, 32 original articles met the inclusion criteria.ResultsMethodological quality of the included studies varied greatly, showing a moderate quality. Impaired quality of life was associated with more severe cardiac lesions. Children with CHD, after cardiac surgery, reported diminished quality of life concerning physical, psycho-social, emotional, and school functioning. The majority of clinical studies showed significant differences among children and their parents’ responses regarding their quality of life, with a tendency of children to report greater quality of life scores than their parents. According to our analysis, concerning children with CHD, the most cited determinants of their quality of life were as follows: (a) parental support; (b) lower socio-economic status; (c) limitations due to physical impairment; (d) sense of coherence; as well as (e) the level of child’s everyday anxiety and depression. These findings suggest that differences in quality of life issues may exist across lesion severities.ConclusionQuality of life in children with CHD should be assessed according to age; severity; therapeutic approach; acceptance of the disease; and personality features. Effective management and early recognition of significant impairments in quality of life could impact clinical outcomes in children with CHD.


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