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Obesity uk

Natasha Slater, Simon White, Rebecca Venables, Martin Frisher
OBJECTIVES: While older age and ill health are known to be associated with polypharmacy, this paper aims to identify whether wealth, body mass index (BMI), smoking and alcohol consumption are also associated with polypharmacy (5-9 prescribed medications) and hyperpolypharmacy prevalence (≥10 prescribed medications), among older people living in England. DESIGN: Cross-sectional study. SETTING: The English Longitudinal Study of Ageing Wave 6 (2012-2013)...
March 14, 2018: BMJ Open
E M Brady, D H Bodicoat, A P Hall, K Khunti, T Yates, C Edwardson, M J Davies
AIMS: Investigating the association between sleep duration, obesity, adipokines and insulin resistance (via Leptin:Adiponectin ratio (LAR)), in those at high risk of type 2 diabetes mellitus (T2DM). METHODS: Adults with impaired glucose regulation (IGR) were included. Fasting bloods for inflammatory biomarkers and glycaemic status, 2-hour glucose, anthropometrics, objective physical activity, and self-reported sleep were collected. The average number of hours slept in a 24 hour period was categorised as ≤5...
March 8, 2018: Diabetes Research and Clinical Practice
Silvia Bel-Serrat, Mirjam M Heinen, John Mehegan, Sarah O'Brien, Nazih Eldin, Celine M Murrin, Cecily C Kelleher
BACKGROUND: Existing evidence on the role of sociodemographic variables as risk factors for overweight and obesity in school-aged children is inconsistent. Furthermore, findings seem to be influenced by the obesity definition applied. Therefore, this study aimed to investigate if school sociodemographic indicators were associated with weight status in Irish primary schoolchildren and whether this association was sensitive to different obesity classification systems. METHODS: A nationally representative cross-sectional sample of 7542 Irish children (53...
March 9, 2018: BMC Public Health
Osama M Moussa, Simon Erridge, Swathikan Chidambaram, Paul Ziprin, Ara Darzi, Sanjay Purkayastha
OBJECTIVE: This study aimed to analyze the Clinical Practice Research Datalink to identify the prognostic factors of all-cause mortality in the severely obese. BACKGROUND: Patients who are severely obese [body mass index (BMI) ≥35 kg/m] are at increased risk of all-cause mortality as a result of metabolic sequelae including hyperlipidemia, hypertension, and diabetes. Bariatric surgery has been shown to reduce the severity of the metabolic complications of obesity...
March 8, 2018: Annals of Surgery
Jannie Nielsen, Adam Hulman, Daniel R Witte
AIMS/HYPOTHESIS: In the UK, more than one million people have undiagnosed diabetes and an additional five million are at high risk of developing the disease. Given that early identification of these people is key for both primary and secondary prevention, new screening approaches are needed. Since spouses resemble each other in cardiometabolic risk factors related to type 2 diabetes, we aimed to investigate whether diabetes and cardiometabolic risk factors in one spouse can be used as an indicator of incident type 2 diabetes in the other spouse...
March 8, 2018: Diabetologia
Luca De Carli, Elena Spada, Silvano Milani, Gian Pasquale Ganzit, Lucia Ghizzoni, Melissa Raia, Alessandra Coscia, Enrico Bertino, Simona Bo
BACKGROUND: Since populations are becoming increasingly multi-ethnic, the use of local or international charts is a matter of debate. This study aimed to evaluate how the choice of cut-off thresholds affected prevalence of underweight (UW), overweight (OW), obesity (OB) in 1200 11-12-year Italian adolescents, and how their somatic growth depended on parental origin. METHODS: The height, weight and body mass index were expressed as standard deviation score (SDS) using Italian (ISPED-2006) and UK (UK-1990) charts...
March 5, 2018: World Journal of Pediatrics: WJP
Dorothea Dumuid, Tyman E Stanford, Željko Pedišić, Carol Maher, Lucy K Lewis, Josep-Antoni Martín-Fernández, Peter T Katzmarzyk, Jean-Philippe Chaput, Mikael Fogelholm, Martyn Standage, Mark S Tremblay, Timothy Olds
BACKGROUND: Daily activity data are by nature compositional data. Accordingly, they occupy a specific geometry with unique properties that is different to standard Euclidean geometry. This study aimed to estimate the difference in adiposity associated with isotemporal reallocation between daily activity behaviours, and to compare the findings from compositional isotemporal subsitution to those obtained from traditional isotemporal substitution. METHODS: We estimated the differences in adiposity (body fat%) associated with reallocating fixed durations of time (isotemporal substitution) between accelerometer-measured daily activity behaviours (sleep, sedentary time and light and moderate-to-vigorous physical activity (MVPA)) among 1728 children aged 9-11 years from Australia, Canada, Finland and the UK (International Study of Childhood Obesity, Lifestyle and the Environment, 2011-2013)...
March 2, 2018: BMC Public Health
E Nørtoft, B Chubb, A Borglykke
Objectives: To estimate the differences between individuals with and without obesity on healthcare resource utilization using two large electronic medical record databases. Methods: Data from the UK Clinical Practice Research Datalink and US General Electric Centricity database of adults (≥18 years) with registration date before 01/01/2010. Differences between individuals with and without obesity on 5-year rates of Primary Care Physician (PCP) contacts, prescriptions and hospitalizations were analysed...
February 2018: Obesity Science & Practice
Andrea Fuentes Pacheco, Gabriela Carrillo Balam, Daryll Archibald, Elizabeth Grant, Valeria Skafida
INTRODUCTION: Obesity is a global pandemic that affects all socioeconomic strata, however, the highest figures have been observed in the most disadvantaged social groups. Evidence from the USA and Canada showed that specific urban settings encourage obesogenic behaviour in the population living and/or working there. We aim to examine the evidence on the association between local food environments and obesity in the UK, Ireland, Australia and New Zealand. METHODS: Six databases from 1990 to 2017 will be searched: MEDLINE (Ovid), Embase (Ovid), Scopus, The Cumulative Index to Nursing and Allied Health Literature (CINAHL), Applied Social Sciences Index and Abstracts (ASSIA) and Web of Science...
February 22, 2018: BMJ Open
Pam White, Helen Skirrow, Abraham George, Anjum Memon
Background: Since 2013, local authorities in England have been responsible for commissioning preventative public health interventions. The aim of this systematic review was to support commissioning by collating published data on economic evaluations and modelling of local authority commissioned public health preventative interventions in the UK. Methods: Following the PRISMA protocol, we searched for economic evaluations of preventative intervention studies in four different areas: overweight and obesity, physical inactivity, alcohol and illicit drugs use and smoking cessation...
February 16, 2018: Journal of Public Health
T P Candler, O Mahmoud, R M Lynn, A A Majbar, T G Barrett, J P H Shield
AIMS: To estimate the incidence of Type 2 diabetes in children aged <17 years, compare this with similar data 10 years ago, and characterize clinical features at diagnosis in the UK and Republic of Ireland. METHODS: Using the British Paediatric Surveillance Unit reporting framework, cases of Type 2 diabetes diagnosed in children aged <17 years between 1 April 2015 and 30 April 2016 were reported each month. RESULTS: A total of 106 cases were reported, giving a UK incidence of 0...
February 20, 2018: Diabetic Medicine: a Journal of the British Diabetic Association
Rebeca Eriksen, Rachel Gibson, Kathryn Lamb, Yvonne McMeel, Anne-Claire Vergnaud, Jeanette Spear, Maria Aresu, Queenie Chan, Paul Elliott, Gary Frost
CVD is the leading cause of death worldwide. Diet is a key modifiable component in the development of CVD. No official UK diet quality index exists for use in UK nutritional epidemiological studies. The aims of this study are to: (i) develop a diet quality index based on components of UK dietary reference values (DRV) and (ii) determine the association between the index, the existing UK nutrient profile (NP) model and a comprehensive range of cardiometabolic risk markers among a British adult population. A cross-sectional analysis was conducted using data from the Airwave Health Monitoring Study (n 5848)...
February 19, 2018: British Journal of Nutrition
Kirby Sainsbury, Elizabeth H Evans, Susanne Pedersen, Marta M Marques, Pedro J Teixeira, Liisa Lähteenmäki, R James Stubbs, Berit L Heitmann, Falko F Sniehotta
PURPOSE: Despite the wide availability of effective weight loss programmes, maintenance of weight loss remains challenging. Difficulties in emotion regulation are associated with binge eating and may represent one barrier to long-term intervention effectiveness in obesity. The purpose of this study was to determine the relationship between emotion regulation difficulties and the extent of weight regain in a sample of adults who had lost, and then regained, weight, and to examine the characteristics associated with emotional difficulties...
February 16, 2018: Eating and Weight Disorders: EWD
Nisha Patel, Aruchuna Mohanaruban, Hutan Ashrafian, Carel Le Roux, James Byrne, John Mason, James Hopkins, Jamie Kelly, Julian Teare
BACKGROUND AND AIMS: Obesity associated with diabetes mellitus is a significant worldwide problem associated with considerable health care costs. Whilst surgical intervention is effective, it is invasive, costly and associated with complications. This study aims to evaluate the safety and efficacy of the EndoBarrier®, a duodenal-jejunal sleeve bypass as an alternative treatment of diabetes mellitus in obese patients. MATERIALS AND METHODS: This was a multi-centre, non-randomised trial recruiting obese patients with type 2 diabetes from three sites in the UK...
February 15, 2018: Obesity Surgery
Simon Capewell, Ffion Lloyd-Williams
Introduction: In this review, we highlight poor diet as the biggest risk factor for non-communicable diseases. We examine the denial tactics used by the food industry, how they reflect the tactics previously used by the tobacco industry, and how campaigners can use this knowledge to achieve future public health successes. Sources of data: Data sources are wide ranging, notably publications relating to public health, obesity and processed food, the effectiveness hierarchy and food industry denialism tactics...
February 9, 2018: British Medical Bulletin
Peymane Adab, Miranda J Pallan, Emma R Lancashire, Karla Hemming, Emma Frew, Tim Barrett, Raj Bhopal, Janet E Cade, Alastair Canaway, Joanne L Clarke, Amanda Daley, Jonathan J Deeks, Joan L Duda, Ulf Ekelund, Paramjit Gill, Tania Griffin, Eleanor McGee, Kiya Hurley, James Martin, Jayne Parry, Sandra Passmore, K K Cheng
OBJECTIVE: To assess the effectiveness of a school and family based healthy lifestyle programme (WAVES intervention) compared with usual practice, in preventing childhood obesity. DESIGN: Cluster randomised controlled trial. SETTING: UK primary schools from the West Midlands. PARTICIPANTS: 200 schools were randomly selected from all state run primary schools within 35 miles of the study centre (n=980), oversampling those with high minority ethnic populations...
February 7, 2018: BMJ: British Medical Journal
Peymane Adab, Timothy Barrett, Raj Bhopal, Janet E Cade, Alastair Canaway, Kar Keung Cheng, Joanne Clarke, Amanda Daley, Jonathan Deeks, Joan Duda, Ulf Ekelund, Emma Frew, Paramjit Gill, Tania Griffin, Karla Hemming, Kiya Hurley, Emma R Lancashire, James Martin, Eleanor McGee, Miranda J Pallan, Jayne Parry, Sandra Passmore
BACKGROUND: Systematic reviews suggest that school-based interventions can be effective in preventing childhood obesity, but better-designed trials are needed that consider costs, process, equity, potential harms and longer-term outcomes. OBJECTIVE: To assess the clinical effectiveness and cost-effectiveness of the WAVES (West Midlands ActiVe lifestyle and healthy Eating in School children) study intervention, compared with usual practice, in preventing obesity among primary school children...
February 2018: Health Technology Assessment: HTA
Hannah J Wilkie, Martyn Standage, Fiona B Gillison, Sean P Cumming, Peter T Katzmarzyk
OBJECTIVES: Physical activity (PA) can provide numerous physical and psychological health gains, yet a low proportion of children in England are sufficiently active to accrue benefit. Analysing the correlates of PA from a socioecological perspective may help to identify factors that promote versus discourage PA. The purpose of the present study was to: (1) assess the relationships between a wide range of potential correlates and intensity-specific PA and (2) explore which correlates are associated with meeting government PA guidelines...
February 3, 2018: BMJ Open
Hyoungnae Kim, Hyunwook Kim, Misol Lee, Min-Uk Cha, Ki Heon Nam, Seong Yeong An, Su-Young Jung, Jong Hyun Jhee, Seohyun Park, Hae-Ryong Yun, Youn Kyung Kee, Hyung Jung Oh, Jung Tak Park, Tae Ik Chang, Tae-Hyun Yoo, Shin-Wook Kang, Seung Hyeok Han
BACKGROUND: Association between high body mass index (BMI) and survival benefit is confounded by comorbid conditions such as nutritional status and inflammation. Patients with acute kidney injury (AKI), particularly those receiving continuous renal replacement therapy (CRRT), are highly catabolic and more susceptible to loss of energy. Herein, we evaluated whether disease severity can modify the relationship between BMI and mortality. METHODS: We conducted an observational study in 1144 patients who had undergone CRRT owing to various causes of AKI between 2010 and 2014...
February 7, 2018: BMC Nephrology
Katie Eminson, Alastair Canaway, Peymané Adab, Emma Lancashire, Miranda Pallan, Emma Frew
PURPOSE: The limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old. METHODS: The Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender...
February 5, 2018: Quality of Life Research
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