scholarly journals Childhood obesity: should primary school children be routinely screened? A systematic review and discussion of the evidence

2007 ◽  
Vol 92 (5) ◽  
pp. 416-422 ◽  
Author(s):  
M. Westwood ◽  
D. Fayter ◽  
S. Hartley ◽  
A. Rithalia ◽  
G. Butler ◽  
...  
2021 ◽  
pp. 1-19
Author(s):  
Femke van Abswoude ◽  
Remo Mombarg ◽  
Wouter de Groot ◽  
Gwennyth Eileen Spruijtenburg ◽  
Bert Steenbergen

2021 ◽  
Author(s):  
Tracey-Lee Cloete ◽  
Harsha Kathard

BACKGROUND Effective screening is required to facilitate the early identification of central auditory processing disorder (CAPD) - a deficit within the central auditory nervous system, which can have a significant effect on a child’s listening, learning and communication. While several screening tools have been proposed, there is a lack of contextually appropriate tools that take the needs of a multilingual society, like South Africa (SA), into consideration. OBJECTIVE This study aims to develop a contextually appropriate CAPD screening protocol for children (aged 7 to 12 years) in SA. The specific study aims are: (1) to develop a contextually appropriate screening protocol for CAPD in primary school children in SA, and (2) to evaluate the feasibility of implementing the developed protocol in primary school children in SA. METHODS The study will follow a developmental, mixed methods research design, implemented in two phases. Phase 1 will be applied to address aim 1. The aim will be achieved by (i) conducting a systematic review (i.e. objective 1.1); (ii) applying the nominal group technique (NGT) on experts to identify criteria for an appropriate protocol (i.e. objective 1.2); and (iii) using a combination of expert consultations, questionnaires and rating scales (administered to experts) to devise an appropriate screening protocol (i.e. objective 1.3). Once the protocol is developed, it will be implemented by the recommended end-users. Thereafter, a feasibility study will be conducted in Phase 2 to evaluate the implementation of the protocol. This phase will include field testing the protocol and a focus group discussion with end-users. For Phase 1, the narrative synthesis approach will be used to analyse systematic review data. For the NGT the researcher will tally the participants’ ratings to identify the list of criteria for an appropriate protocol. Content analysis and descriptive statistics will be performed to analyse the expert ratings of the protocols. For Phase 2, descriptive statistics will be performed to summarise features of the study sample and measures used. Thematic analysis will be conducted to analyse the focus group data. RESULTS Ethical clearance was obtained from the university’s Human Research Ethics Committee (HREC reference number 636/2020) and the Western Cape Education Department granted the researchers permission to recruit educators and learners from primary schools in the area. The systematic review for objective 1.1. was completed and findings outlined the test properties, benefits, and limitations of existing CAPD screening tools. Face-to-face data collection was postponed due to the global COVID-19 pandemic. Participant recruitment for objective 1.2 is currently underway and the anticipated completion date for data collection is July 2022. CONCLUSIONS The present study will aim to advance CAPD screening practice by proposing a process to develop a contextually appropriate protocol. The researcher will apply this process in the South African context to develop a CAPD screening protocol for primary school children in SA. CLINICALTRIAL Not applicable.


2021 ◽  
Vol 9 (2) ◽  
pp. 216-228
Author(s):  
Augustina Araba Amissah ◽  
Justice Mensah ◽  
John Victor Mensah

Childhood obesity is a major public health concern around the globe as it is associated with adverse consequences such as psychological problems, lower educational attainment, and a high risk of health challenges later in life. The study investigated the prevalence of obesity and its socio-psychological effects on primary school children in the Cape Coast Metropolis, Ghana. Interview schedule and interview guide were used to collect primary data from 317 pupils and 24 teachers respectively from public and private schools in 2018. Microsoft Excel software (version 2013) was used to analyse quantitative data while content analysis was used for qualitative data based on themes. The result indicated that the overall prevalence rate was five percent. Prevalence of obesity was higher in private schools than public schools while that among male pupils was higher than their female counterparts. Pupils of age 11 years were at higher risk than those at age nine years.  The socio-psychological effects on the affected children included stigmatization, exclusion from taking part in some competitive activities, inactive and often slept during lessons. The school authorities should collaborate with the Metropolitan Directorates of Education and Health to manage obesity in the schools. They could invite health experts to educate school management, teachers, pupils, and parents on support systems for managing childhood obesity.


2016 ◽  
Vol 19 (14) ◽  
pp. 2525-2534 ◽  
Author(s):  
Jia Xin Ong ◽  
Shahid Ullah ◽  
Anthea Magarey ◽  
Eva Leslie

AbstractObjectivesThe mechanism by which the home food environment (HFE) influences childhood obesity is unclear. The present study aimed to investigate the relationship between HFE and childhood obesity as mediated by diet in primary-school children.DesignCross-sectional data collected from parents and primary-school children participating in the Obesity Prevention and Lifestyle Evaluation Project. Only children aged 9–11 years participated in the study. Matched parent/child data (n3323) were analysed. Exploratory factor analysis underlined components of twenty-one HFE items; these were linked to child diet (meeting guidelines for fruit, vegetable and non-core food intakes) and measured child BMI, in structural equation modelling, adjusting for confounders.SettingTwenty geographically bounded metropolitan and regional South Australian communities.SubjectsSchool children and their parents from primary schools in selected communities.ResultsIn the initial exploratory factor analysis, nineteen items remaining extracted eight factors with eigenvalues >1·0 (72·4 % of total variance). A five-factor structure incorporating ten items described HFE. After adjusting for age, gender, socio-economic status and physical activity all associations in the model were significant (P<0·05), explaining 9·3 % and 4·5 % of the variance in child diet and BMI, respectively. A more positive HFE was directly and indirectly associated with a lower BMI in children through child diet.ConclusionsThe robust statistical methodology used in the present study provides support for a model of direct and indirect dynamics between the HFE and childhood obesity. The model can be tested in future longitudinal and intervention studies to identify the most effective components of the HFE to target in childhood obesity prevention efforts.


2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Rizwana Muzaffar ◽  
Zarfishan Tahir

The prevalence of childhood obesity has risen dramatically in the past several decades. This condition is still under diagnosed and under treated. This study was carried out in four, schools of Hafizabad city to assess prevalence of obesity in school children aged 6-12 years.


Author(s):  
José Francisco López-Gil ◽  
Edina María De Camargo ◽  
Juan Luis Yuste Lucas

La capacidad aeróbica ha sido ampliamente estudiada a lo largo de los años, debido a su relación con la condición física, el rendimiento deportivo y la salud. Para la evaluación de la misma, un instrumento ampliamente utilizado es el test Course Navette, quecalcula de manera indirecta el consumo máximo de oxígeno. El objetivo de este estudio fue conocer el panorama actual del nivel de capacidad aeróbica en escolares de Educación Primaria, determinado a través del test Course Navette. Se realizó una revisión sistemática sobre estudios transversales llevados a cabo en todo el mundo, que evaluaron mediante el test Course Navette la capacidad aeróbica en escolares de Educación Primaria. En total, 19 estudios fueron incluidos en la revisión. La mayoría de los estudios muestran que los niños y niñas de primaria de diferentes países tienen una capacidad cardiorrespiratoria considerada como saludable. No obstante, las medias encontradas no son lo suficientemente eminentes, donde la volatilidad entre participantes resulta elevada. Por ello, es necesario mejorar los niveles de capacidad física en escolares, como un factor de importancia capital para el mantenimiento y optimización de la salud; especialmente, entre aquellos que se encuentran por debajo de los umbrales definidos para el riesgo cardiovascular. Aerobic capacity has been extensively studied over the years because of its relationship to fitness, sports performance, and health. For its evaluation, a widely used instrument is the Course Navette test, which indirectly calculates the maximum oxygen consumption. The objective of this study was to know the current panorama of the level of aerobic capacity in primary school children, determined through the Course Navette test. A systematic review was carried out on transversal studies carried out all over the world, which evaluated aerobic capacity in primary school children by means of the Course Navette test. A total of 19 studies were included in the review. Most studies show that primary school children in different countries have a cardiorespiratory capacity that is not considered a health risk. However, the averages found are not eminent enough, where volatility among participants is high. Therefore, it is necessary to improve the levels of physical capacity in schoolchildren, as a factor of capital importance for the maintenance and optimization of health, especially among those who are below the thresholds defined for cardiovascular risk.


Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 409
Author(s):  
Lidija Marković ◽  
Višnja Đorđić ◽  
Nebojša Trajković ◽  
Predrag Božić ◽  
Szabolcs Halaši ◽  
...  

The aim of the study was to examine changes in obesity prevalence among primary school children in Serbia between 2015 and 2019 rounds of the national WHO European Childhood Obesity Surveillance Initiative (COSI-Serbia). Cross-sectional studies were conducted in 2015 and 2019. The nationally representative samples of primary school children were measured for body height and weight, following the COSI protocol. Body Mass Index was calculated, and the IOTF and WHO definitions were used to classify children as overweight or obese. Participants were children of both sexes aged 7.00–8.99 years (n = 6105). Significant differences in overweight (obesity included) prevalence between two COSI rounds were identified regardless of definitions applied. According to the WHO definitions, prevalence of overweight and obesity combined increased in 7–9-year-old children in Serbia from 30.7% in 2015 to 34.8% in 2019 (z = −3.309, p < 0.05), and according to the IOTF standards, the increase from 22.8% to 30% was registered (z = −6.08, p = 0.00). The childhood overweight/obesity rate is increasing in Serbia, which places monitoring and surveillance of children’s nutritional status high on the public health agenda.


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