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Childhood Obesity

Sarah Mayer-Brown, Molly C Basch, Michael E Robinson, David M Janicke
BACKGROUND: Adult literature documents that healthcare providers rely on patient characteristics, such as age, race, and weight, when making clinical decisions. However, little research has examined these biases among pediatric populations. This study aimed to examine the impact of child and maternal weight and race on clinical decision-making of healthcare trainees in the context of a pediatric pain assessment using standardized virtual pediatric patients and mothers. METHODS: Ninety-two healthcare trainees read a standardized clinical vignette describing a child with chronic pain, which was accompanied by eight virtual human (VH) scenes-each with a child and mother...
November 2, 2018: Childhood Obesity
Rongzhe Liu, Rachel C Shelton, Nicolia Eldred-Skemp, Jeff Goldsmith, Shakira F Suglia
BACKGROUND: Childhood social risk has been associated with increased risk of childhood obesity. However, little is known about early exposure of cumulative social risk on BMI percentile (BMIp) trajectories in early childhood. METHODS: Public data from the Fragile Families and Child Wellbeing Study were analyzed (N = 3809). Maternal reports of experiences of multiple social risk factors were obtained at age 1 and 3 assessments of children. Two cumulative social risk scores were calculated by summing social factors assessed at age 1 and at age 3...
October 26, 2018: Childhood Obesity
Allison Butcher, Laura S Kabiri, Wayne Brewer, Alexis Ortiz
BACKGROUND: BMI measures are often used to infer body composition. Bioelectrical impedance analysis (BIA) is a more accurate way to estimate percent body fat (%BF), particularly when screening children who may be overweight. The aim of this study was to determine the validity, sensitivity to change, and diagnostic value of a BIA scale designed specifically for adolescents. METHODS: One hundred twelve adolescents had their body fat assessed using both BIA and dual-energy X-ray absorptiometry (DEXA)...
October 23, 2018: Childhood Obesity
Mukaddes Demir Acar, Meral Bayat
BACKGROUND: This study was conducted in Turkey as an empirical study in randomized, controlled, and time series design for the purpose of evaluating the effects of the Diet-Exercise trainings with creative drama method provided to overweight/obese teenagers. METHODS: This study was designed to highlight the effect of interactive education provided to slightly overweight/obese teenagers through creative drama on modifiable factors that caused obesity. Seventy-six overweight/obese teenagers studying at sixth and seventh grades of upper primary education were included in the study (38 participants in the Study Group and 38 participants in the Control Group)...
October 19, 2018: Childhood Obesity
Serene En Hui Tung, Mohd Taib Mohd Nasir, Yit Siew Chin, Mohd Shariff Zalilah, Jamil Osman Zubaidah, Hip Seng Yim
BACKGROUND: Recent research suggests that a negative relationship exists between adiposity and cognitive function in children. However, limited information is known on how they are related. This study aimed to examine the mediators of the relationship between overweight/obesity and cognitive function among school children in Kuala Lumpur, Malaysia. METHODS: This is a cross-sectional comparison study whereby 225 overweight/obese children matched for age, sex, and ethnicity with 225 normal weight children participated in this study...
October 19, 2018: Childhood Obesity
Stijn Mintjens, Reinoud J B J Gemke, Mireille N M van Poppel, Tanja G M Vrijkotte, Tessa J Roseboom, Arend W van Deutekom
BACKGROUND: Maternal overweight/obesity during pregnancy increases offspring's risks of obesity and cardiovascular disease (CVD). A possible pathway is by reduced physical fitness and physical activity (PA) levels in children of overweight/obese mother. We assessed whether maternal prepregnancy overweight/obesity independently determines cardiorespiratory fitness (CRF), muscular strength, moderate-to-vigorous physical activity (MVPA), and sedentary behavior (SB) in 8- to 9-year-old children...
October 2, 2018: Childhood Obesity
Wendy Yajun Huang, Stephen Heung Sang Wong
BACKGROUND: Catch-up sleep and low physical activity on weekends have been commonly documented. Preliminary evidence on Chinese children, however, has shown a variety of weekly physical activity patterns. This study examined the prospective associations between weekend catch-up patterns of sleep and physical activity and obesity over a 2-year period in Chinese children. METHODS: Prospective data from 599 children in the Understand Children's Activity and Nutrition (UCAN) cohort study were analyzed...
October 2, 2018: Childhood Obesity
Thao-Ly T Phan, Jared M Tucker, Robert Siegel, Amy L Christison, William Stratbucker, Lloyd N Werk, Jobayer Hossain, George Datto, Douglas A Gentile, Sam Stubblefield
BACKGROUND: The prevalence of severe obesity and electronic game use among youth has increased over time. METHODS: We administered a survey assessing gaming and psycho-demographic characteristics to youth aged 11-17 attending five weight management programs. We conducted chi-square and logistic regression analyses to describe the association between class 3 severe obesity and gaming characteristics. RESULTS: Four hundred twelve youth (51% female, 26% Black, 25% Hispanic, 43% White, and 44% with class 3 severe obesity) completed the survey...
September 29, 2018: Childhood Obesity
Caree J Cotwright, Haley Bradley, Nathalie Celestin, Shani Drake, Kim Love, Leann Birch
BACKGROUND: The child care setting is a promising venue to establish healthy habits and promote obesity prevention. One major contributor to weight gain among young children is high intake of sugar-sweetened beverages (SSBs). Increasing access to water and other healthy beverages is a viable strategy to reduce childhood obesity. The goal of our study was to investigate implementation of the beverage policies in child care programs in Georgia (GA) by Child and Adult Care Food Program (CACFP) participation and program type...
September 27, 2018: Childhood Obesity
Jennifer D Lau, Loretta Y Au, Eda Chao, Laminasti Elbaar, Raymond Tse
BACKGROUND: Grandparents are often the caretakers of children in Chinese American families. Studies have shown that Chinese grandparents underestimate the weight of their grandchildren and associate food with increased height and strength. This study examines the association of grandparental care with weight status in Chinese American children and adolescents. METHODS: This is a cross-sectional study of 12,029 Chinese American pediatric patients ages 2-19 at a community health center in New York City in 2015...
September 26, 2018: Childhood Obesity
Angelina R Sutin, Eric Robinson, Michael Daly, Antonio Terracciano
BACKGROUND: This study examines whether discrimination based on the body is associated with intentional self-harm and suicidal behavior in adolescence. METHODS: Participants were from the Longitudinal Study of Australian Children (N = 2948; 48% female). Discrimination and items on self-harm and suicidal behavior were measured in the Wave 6 assessment, when study participants were 14-15 years old. BMI, depressive symptoms, peer victimization, and weight self-perception were also assessed...
September 18, 2018: Childhood Obesity
Jennifer C Duckworth, Mary Waldron
BACKGROUND: Most research linking weight status and timing of first sexual intercourse is cross-sectional in design, with few longitudinal analyses published to date. We examined associations between childhood weight status and subsequent onset of first sexual intercourse within a survival analytic framework, testing for differences among Hispanic, black, and white females and males. METHODS: Data were drawn from 6379 child respondents of the 1979 National Longitudinal Survey of Youth aged 13 and older at last assessment...
September 18, 2018: Childhood Obesity
Shreela V Sharma, Elizabeth Vandewater, Ru-Jye Chuang, Courtney Byrd-Williams, Steven Kelder, Nancy Butte, Deanna M Hoelscher
BACKGROUND: This study presents the impact of a 2-year implementation of Coordinated Approach to Child Health Early Childhood (CATCH EC), a preschool-based healthy nutrition and physical activity program, on child BMI z-scores, BMI percentiles, diet, physical activity, and sedentary behaviors among 3- to 5-year old children across Head Start centers in Houston and Austin, Texas. METHODS: We used a quasi-experimental study design with serial cross-sectional data collection (Intervention catchment area: n = 12 centers, 353 parent-child dyads in Year 1; n = 12 centers, 365 parent-child dyads; Comparison catchment area: n = 13 centers in year 1, 319 parent child dyads; and n = 12 centers, 483 parent-child dyads in year 2)...
September 18, 2018: Childhood Obesity
Ariella R Korn, Erin Hennessy, Alison Tovar, Camille Finn, Ross A Hammond, Christina D Economos
BACKGROUND: Childhood obesity prevention interventions have engaged coalitions in study design, implementation, and/or evaluation to improve research outcomes; yet, no systematic reviews have been conducted on this topic. This mixed methods review aims to characterize the processes and dynamics of coalition engagement in community-based childhood obesity prevention interventions. METHODS: Data Sources: Studies extracted from Ovid MEDLINE, PubMed, and Web of Science; complementary original survey and interview data among researchers of included studies...
September 6, 2018: Childhood Obesity
Cláudia Maria Dos Santos Pereira Indiani, Karina Ferreira Rizzardi, Paula Midori Castelo, Lúcio Fábio Caldas Ferraz, Michelle Darrieux, Thaís Manzano Parisotto
BACKGROUND: The aim of the present study was to undertake a systematic review exploring the relationship between childhood obesity and fecal microorganisms, to answer the following question: "Are Firmicutes and Bacteroidetes a significant risk indicator/factor for obesity in children?" The main search terms were "child" and "obesity" together with "gut microbiota" (PubMed: 2005-2017). The minimal requirements for inclusion were the evaluation of gut microbiota composition and BMI in children between 0 and 13 years of age...
September 5, 2018: Childhood Obesity
Lauren Fiechtner, Maria Luisa Fonte, Ines Castro, Monica Gerber, Chrissy Horan, Mona Sharifi, Hellas Cena, Elsie M Taveras
BACKGROUND: Examining binge eating symptoms before the diagnosis of binge eating disorder in children with obesity could provide important information on prevention of future eating disorders. METHODS: We examined the prevalence and multilevel determinants of three binge eating symptoms: (1) sneaking, hiding, or hoarding food; (2) eating in the absence of hunger, and (3) inhibition or embarrassment when eating in front of others among 817 children aged 5-12 years old with overweight/obesity receiving primary care in eastern Massachusetts...
August 28, 2018: Childhood Obesity
Sarah E Barlow, Meliha Salahuddin, Nancy F Butte, Deanna M Hoelscher, Stephen J Pont
BACKGROUND: The Texas Childhood Obesity Research Demonstration project, a multicenter, multisystem approach to childhood overweight and obesity (OW/OB), included training and materials to support primary care clinics (PCCs) in addressing child OW/OB in the office. This study evaluated the impact over 24 months of brief training and practice-based support on primary care providers' (PCPs) perceived self-efficacy and practice behaviors. METHODS: The PCPs at five Houston and seven Austin PCCs completed questionnaires at baseline (2012, n = 36), 12 months (2013, n = 30), and 24 months (2014, n = 34) follow-up...
August 28, 2018: Childhood Obesity
Susan J Woolford, Sandra Hassink, Ihuoma Eneli
No abstract text is available yet for this article.
October 2018: Childhood Obesity
Renee M Porter, Alexis Tindall, Bethany J Gaffka, Shelley Kirk, Melissa Santos, Indira Abraham-Pratt, Jane Gray, David Heckler, Wendy L Ward, Jared M Tucker, Brooke Sweeney
Early-onset severe obesity in childhood presents a significant clinical challenge signaling an urgent need for effective and sustainable interventions. A large body of literature examines overweight and obesity, but little focuses specifically on the risk factors for severe obesity in children ages 5 and younger. This narrative review identified modifiable risk factors associated with severe obesity in children ages 5 and younger: nutrition (consuming sugar sweetened beverages and fast food), activity (low frequency of outdoor play and excessive screen time), behaviors (lower satiety responsiveness, sleeping with a bottle, lack of bedtime rules, and short sleep duration), and socio-environmental risk factors (informal child care setting, history of obesity in the mother, and gestational diabetes)...
October 2018: Childhood Obesity
Bethany J Gaffka, Sandra G Hassink, Melissa Santos, Ihuoma Eneli
BACKGROUND: Over 2% of children between the ages of 2 and 5 have severe obesity; however, little is known about the characteristics of this population to guide healthcare professionals in providing care. An initial step is to examine observations of practitioners who manage children with severe early onset obesity in the clinical setting. METHODS: A total of 72 interdisciplinary healthcare providers with experience providing obesity treatment to children under age 5 with severe obesity completed a semistructured online questionnaire...
October 2018: Childhood Obesity
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