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Childhood Obesity

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https://www.readbyqxmd.com/read/28187267/use-of-appreciative-inquiry-to-engage-parents-as-codesigners-of-a-weight-management-intervention-for-adolescents
#1
Shirley M Moore, Cheryl M Killion, Sharon Andrisin, Frances Lissemore, Tonia Primm, Oluwatomisin Olayinka, Elaine A Borawski
BACKGROUND: Focus groups are often used to involve families as codesigners of weight management interventions. Focus groups, however, are seldom designed to elicit families' strengths and positive experiences. The purpose of this study was to describe the use of the Appreciative Inquiry process in the conduct of focus groups to engage families in the design of a weight management intervention for adolescents. METHODS: A convenience sample of 44 parents (84% female; 82% minority) of adolescent children with a BMI ≥ 85th percentile, who were in the 6th-8th grade in a large urban school, participated in focus groups designed to elicit family-positive experiences and strengths regarding healthy living...
February 10, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28165758/early-antibiotic-exposure-and-risk-of-childhood-obesity-in-latinos
#2
Annette P Ville, Melvin B Heyman, Rosalinda Medrano, Janet M Wojcicki
We investigated the relationship between early antibiotic exposure before 6 months age and risk for obesity at 2 years in a high-risk, low-income, urban Latino cohort (n = 97), with the hypothesis that antibiotic exposure would increase risk for obesity by 2 years. Data were collected through maternal report of infant 24-hour dietary intake at 4-6 weeks, 6 months, 1, and 2 years; and food frequency questionnaires at 4-6 weeks, 6 months, 1, and 2 years. Antibiotic use data, including type and frequency, were collected through maternal self-report at 6 months and 1 year...
February 6, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28128972/leptin-and-leptin-to-adiponectin-ratio-predict-adiposity-gain-in-nonobese-children-over-a-six-year-period
#3
Meixian Zhang, Hong Cheng, Xiaoyuan Zhao, Dongqing Hou, Yinkun Yan, Katherine Cianflone, Ming Li, Jie Mi
BACKGROUND: Previous longitudinal studies have shown inconsistent results regarding the influence of adipokines on changes in weight and body fat. We aimed to determine the predictive value of serum leptin, adiponectin, and their ratio on subsequent changes in obesity measures in children. METHODS: Two hundred forty-six obese and 532 nonobese children aged 6-11 years were remeasured for BMI and waist circumference after 6.4 ± 0.2 years. Z-score of BMI was used to standardize for age and sex...
January 27, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28128969/prenatal-exposure-to-perfluoroalkyl-substances-and-body-fatness-in-girls
#4
Terryl J Hartman, Antonia M Calafat, Adrianne K Holmes, Michele Marcus, Kate Northstone, W Dana Flanders, Kayoko Kato, Ethel V Taylor
BACKGROUND: Perfluoroalkyl substances (PFASs) are used in surface coatings that resist stains, grease, and water. METHODS: The association between in utero PFAS exposure and girls' body fatness at age 9 was analyzed in The Avon Longitudinal Study of Parents and Children (UK). Maternal serum [median 15 weeks: interquartile range (IQR) 10 and 28 weeks of gestation] was analyzed for perfluorooctane sulfonate (PFOS), perfluorooctanoate (PFOA), perfluorohexane sulfonate (PFHxS), and perfluorononanoate (PFNA)...
January 27, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28121467/modifying-provider-practice-to-improve-assessment-of-unhealthy-weight-and-lifestyle-in-young-children-translating-evidence-in-a-quality-improvement-initiative-for-at-risk-children
#5
Nadine L Camp, Rebecca C Robert, Jessica E Nash, Cara B Lichtenstein, Candice S Dawes, Katherine Patterson Kelly
BACKGROUND: We designed a quality improvement (QI) project to address the high prevalence of childhood overweight and obesity (OW/OB) in our patient population and the inconsistencies among primary care providers in recognizing and addressing OW/OB. METHODS: We used mixed methods data collection approach to evaluate a QI project, the Childhood Healthy Behaviors Intervention (CHBI), to improve provider obesity prevention practice in two low-income, predominantly African American pediatric primary care clinics...
January 25, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28099048/effects-of-enhancing-school-based-body-mass-index-screening-reports-with-parent-education-on-report-utility-and-parental-intent-to-modify-obesity-risk-factors
#6
Lisa Bailey-Davis, Karissa L Peyer, Yinan Fang, Jae-Kwang Kim, Greg J Welk
BACKGROUND: School-based body mass index screenings (SBMIS) have been controversial. We aimed to determine if parents would indicate improved utility with SBMIS when the report included parent education and whether parental intent to modify obesity risk factors would vary with report type or child weight. METHODS: A cluster-controlled trial was conducted with 31 elementary schools randomized to distribute a standard SBMIS report or the standard report plus education (SBMIS+)...
January 18, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28092464/expectations-for-treatment-in-pediatric-weight-management-and-relationship-to-attrition
#7
Erinn T Rhodes, Richard E Boles, Kimberly Chin, Amy Christison, Elizabeth Getzoff Testa, Kimberly Guion, Mary Jane Hawkins, Carter R Petty, Bethany Sallinen Gaffka, Melissa Santos, Laura Shaffer, Jared Tucker, Sarah E Hampl
BACKGROUND: Attrition in pediatric weight management negatively impacts treatment outcomes. A potentially modifiable contributor to attrition is unmet family expectations. This study aimed to evaluate the association between adolescent and parent/guardian treatment expectations and attrition. PATIENTS AND METHODS: A prospective, nonrandomized, uncontrolled, single-arm pilot trial was conducted among 12 pediatric weight management programs in the Children's Hospital Association's FOCUS on a Fitter Future collaborative...
January 16, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28092462/adolescent-cardiovascular-functional-and-structural-outcomes-of-growth-trajectories-from-infancy-prospective-community-based-study
#8
Alanna N Hanvey, Fiona K Mensah, Susan A Clifford, Melissa Wake
BACKGROUND: Adult BMI trajectories outperform single BMI measurements as predictors of cardiovascular mortality; however, it is unknown whether this also holds in childhood. We aimed to identify BMI trajectory categories from birth to adolescence, and examine their associations with adolescent cardiovascular function and structure. METHODS: Adolescents from a community-based prospective birth cohort completed 11-16 BMI measurements between birth and adolescence...
January 16, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28092457/insulin-sensitivity-and-inflammation-mediate-the-impact-of-fitness-on-cerebrovascular-health-in-adolescents
#9
Po Lai Yau, Naima Ross, Andrew Tirsi, Arslan Arif, Zeynep Ozinci, Antonio Convit
BACKGROUND/OBJECTIVES: To investigate in adolescents the relationships between retinal vessel diameter, physical fitness, insulin sensitivity, and systemic inflammation. METHODS: We evaluated 157 adolescents, 112 with excessive weight and 45 lean, all without type 2 diabetes mellitus. All received detailed evaluations, including measurements of retinal vessel diameter, insulin sensitivity, levels of inflammation, and physical fitness. RESULTS: Overweight/obese adolescents had significantly narrower retinal arteriolar and wider venular diameters, significantly lower insulin sensitivity, and physical fitness...
January 16, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28075151/multilevel-correlates-of-healthy-bmi-maintenance-and-return-to-a-healthy-bmi-among-children-in-massachusetts
#10
Lauren Fiechtner, Erika R Cheng, Gabriel Lopez, Mona Sharifi, Elsie M Taveras
OBJECTIVES: To examine predictors of healthy BMI maintenance (HBM) or return to a healthy BMI (RHB) among children. METHODS: We studied 33,272 children in Massachusetts between 2008 and 2012. We used multinomial logistic regression to examine associations of individual- and neighborhood-level factors with the odds of: (1) HBM: maintenance of a healthy BMI ≥5th to <85th percentile and (2) RHB: transition to a healthy BMI range from an initial BMI ≥85th percentile between two clinic visits spanning an average of 3...
January 11, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28075147/evaluating-the-efficacy-of-the-feeding-exercise-randomized-trial-in-overweight-and-obese-adolescents
#11
Anna Patsopoulou, Zoi Tsimtsiou, Antonios Katsioulis, Eleni Malissiova, George Rachiotis, Christos Hadjichristodoulou
BACKGROUND: The Feeding Exercise Trial in Adolescents (FETA) aimed to evaluate whether a community-based, parents-involving, combined physical activity and nutritional education program was effective in improving adiposity profiles in overweight and obese adolescents. METHODS: A total of 181 overweight and obese adolescents aged 13-15 years old were randomized in the three study groups ("Diet & Activity," "Activity," and Control). The Activity intervention included a 45-minute, 3-day per week supervised training program, while the Diet & Activity intervention included a supplementary 15 minutes of group-based sessions attended by the parents...
January 11, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/28061145/effects-of-exercise-on-carotid-arterial-wall-thickness-in-obese-pediatric-populations-a-meta-analysis-of-randomized-controlled-trials
#12
Antonio García-Hermoso, Katherine González-Ruiz, Hector Reynaldo Triana-Reina, Jordi Olloquequi, Robinson Ramírez-Vélez
BACKGROUND: In pediatric populations, the use of carotid intima-media thickness (IMT) as a marker of cardiovascular risk has increased. However, previous studies examining the effects of exercise training on arterial structure and function in obese children and adolescents have shown inconsistent findings. The primary aim of this systematic review and meta-analysis is to expand on the current body of literature by providing a quantitative estimate of the change in carotid IMT following exercise training as well as to provide an exploratory analysis of potential moderators associated with the variation in response to an exercise training intervention in overweight and obese youth...
January 6, 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27996301/factor-structure-of-sizing-me-up-a-self-reported-weight-related-quality-of-life-instrument-in-community-children-across-weight-status
#13
Carol Strong, Yi-Ching Lin, Meng-Che Tsai, Chung-Ying Lin
BACKGROUND: To further understand the psychometric properties of the Sizing Me Up-a newly developed quality of life (QoL) instrument related to weight status. We extended the target population to a community sample, including obese, overweight, normal-weight, and underweight children. METHODS: Based on the data of 497 students in third to sixth grades, we used the following approaches: analysis of variance to detect the QoL scores among groups; confirmatory factor analysis (CFA) to examine the original structure; and Rasch analysis to test the misfit items, disordered response descriptors, and differential item functioning (DIF) items...
December 20, 2016: Childhood Obesity
https://www.readbyqxmd.com/read/27936906/metabolic-consequences-of-obstructive-sleep-apnea-in-adolescents-with-obesity-a-systematic-literature-review-and-meta-analysis
#14
Zachary W Patinkin, Richard Feinn, Melissa Santos
BACKGROUND: Adolescents who are obese are at high risk of developing obstructive sleep apnea (OSA). Although there is clear evidence associating OSA with metabolic dysfunction in adults, the evidence is less clear cut with adolescents. The purpose of this review was determine the association of sleep apnea with dyslipidemia, insulin resistance, cardiovascular disease risk, nonalcoholic fatty liver disease, and difficulty with weight loss in adolescents. METHODS: A systematic literature review using PubMed, Scopus, CINAHL, Google Scholar, and PsycINFO was performed and articles were screened and reviewed with an a priori protocol...
December 12, 2016: Childhood Obesity
https://www.readbyqxmd.com/read/27929670/physical-activity-and-changes-in-adiposity-in-the-transition-from-elementary-to-middle-school
#15
Marsha Dowda, Sharon E Taverno Ross, Kerry L McIver, Rodney K Dishman, Russell R Pate
OBJECTIVES: This study examined the longitudinal associations of objectively measured physical activity, sedentary behavior, and diet quality with two measures of adiposity and a measure of weight status. METHODS: A total of 658 children from 21 elementary schools (45.1% boys; 40% white, 33% black, 9% Hispanic, and 18% other race/ethnicity) were assessed at least twice in fifth, sixth, and/or seventh grade. Fat mass index (FMI), percent body fat (PBF), and BMI were calculated from body weight, standing and seated heights, and bioelectrical impedance (BIA) measured each year...
February 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27875076/correlates-of-resource-empowerment-among-parents-of-children-with-overweight-or-obesity
#16
Junghyun Lim, Kirsten K Davison, Janine M Jurkowski, Christine M Horan, E John Orav, Neil Kamdar, Lauren G Fiechtner, Elsie M Taveras
BACKGROUND: Few studies have examined correlates of resource empowerment among parents of children with overweight or obesity. METHODS: We studied baseline data of 721 parent-child pairs participating in the Connect for Health randomized trial being conducted at six pediatric practices in Massachusetts. Parents completed the child weight management subscale (n = 5 items; 4-point response scale) of the Parent Resource Empowerment Scale; items were averaged to create a summary empowerment score...
February 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27788024/an-experimental-approach-to-study-individual-differences-in-infants-intake-and-satiation-behaviors-during-bottle-feeding
#17
Alison K Ventura, Julie A Mennella
BACKGROUND: As a group, bottle-fed infants are at higher risk for rapid weight gain compared with breast-fed infants. However, little is known about individual differences in feeding behaviors of bottle-feeding infants, as well as maternal and infant characteristics associated with bottle-feeding outcomes. METHODS: We conducted a 2-day, within-subject study of 21 formula-feeding dyads; the within-subject factor was feeding condition: mother-led (ML; mothers were given the instruction to feed their infants as they typically would) vs...
February 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27768395/feasibility-of-a-friendship-network-based-pediatric-obesity-intervention
#18
Courtney M Giannini, Megan B Irby, Joseph A Skelton, Sabina B Gesell
BACKGROUND: There is growing evidence supporting social network-based interventions for adolescents with obesity. This study's aim was to determine the feasibility of a social network-based intervention by assessing adolescents' friendship networks, willingness to involve friends in treatment, and how these factors influence enjoyment. METHODS: Adolescents (N = 42) were recruited from a tertiary care obesity clinic. Participants gave a list of closest friends, friendship characteristics, and which of their friends they would involve in treatment...
February 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27732057/establishment-of-the-pediatric-obesity-weight-evaluation-registry-a-national-research-collaborative-for-identifying-the-optimal-assessment-and-treatment-of-pediatric-obesity
#19
Shelley Kirk, Sarah Armstrong, Eileen King, Christine Trapp, Mollie Grow, Jared Tucker, Madeline Joseph, Lenna Liu, Ashley Weedn, Brooke Sweeney, Claudia Fox, Samreen Fathima, Ronald Williams, Roy Kim, William Stratbucker
BACKGROUND: Prospective patient registries have been successfully utilized in several disease states with a goal of improving treatment approaches through multi-institutional collaboration. The prevalence of youth with severe obesity is at a historic high in the United States, yet evidence to guide effective weight management is limited. The Pediatric Obesity Weight Evaluation Registry (POWER) was established in 2013 to identify and promote effective intervention strategies for pediatric obesity...
February 2017: Childhood Obesity
https://www.readbyqxmd.com/read/27732055/pediatric-loss-of-control-eating-and-high-sensitivity-c-reactive-protein-concentrations
#20
Lisa M Shank, Marian Tanofsky-Kraff, Nichole R Kelly, Natasha A Schvey, Shannon E Marwitz, Rim D Mehari, Sheila M Brady, Andrew P Demidowich, Miranda M Broadney, Ovidiu A Galescu, Courtney K Pickworth, Susan Z Yanovski, Jack A Yanovski
BACKGROUND: Loss of control (LOC) eating in youth is associated with excess body weight and adiposity. After adjusting for fat mass, youth with LOC eating have higher blood pressure and higher low-density lipoprotein cholesterol compared to youth without LOC eating. Increased inflammation may account for this relationship, although few data have examined this hypothesis. Therefore, this study explored the association between LOC eating and high-sensitivity C-reactive protein (hsCRP), a marker of inflammation...
February 2017: Childhood Obesity
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