Overweight children and adolescents referred for weight management: are they meeting lifestyle behaviour recommendations?

2008 ◽  
Vol 33 (5) ◽  
pp. 936-945 ◽  
Author(s):  
Geoff D.C. Ball ◽  
Julie M. Lenk ◽  
Bobbi N. Barbarich ◽  
Ronald C. Plotnikoff ◽  
Graham J. Fishburne ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Weight Management ◽  
Health Risks ◽  
Screen Time ◽  
Management Program ◽  
Activity Levels ◽  
Overweight Children ◽  
Lifestyle Behaviour ◽  
Lifestyle Behaviours

Adopting and maintaining healthy lifestyle behaviours can help overweight boys and girls manage their weight and reduce obesity-related health risks. However, we currently know very little about the lifestyle habits of overweight children and adolescents referred for weight management in Canada and whether or not they are meeting current lifestyle recommendations. The objectives of this study were (i) to determine the demographic characteristics and lifestyle behaviours of overweight children and adolescents referred for clinical weight management, and (ii) to examine sex (boys vs. girls) and (or) age (child vs. youth) differences with respect to the achievement of lifestyle behaviour recommendations. Overweight (age- and sex-specific body mass index ≥ 85th percentile) children (n = 27 girls, n = 24 boys) and adolescents (n = 29 girls, n = 19 boys) were referred to and enrolled in weight-management programs at the Pediatric Centre for Weight and Health (PCWH) at the Stollery Children’s Hospital (Edmonton, Alta.) from January 2006–September 2007. Information was collected at intake regarding demography, anthropometry, and lifestyle behaviours before participants started a formal weight-management program. Lifestyle behaviour recommendations for nutrition, physical activity, screen time, and sleep were used to determine whether participants were meeting established guidelines. Overall, participants presented with poor lifestyle behaviours. Although most consumed adequate servings of grain products (93.9%) and meat and alternatives (68.7%), few met the serving recommendations for milk and alternatives (31.3%) or vegetables and fruit (14.1%). Physical activity levels were low – 7.4% and 4.1% achieved the recommended time and steps per day goals, respectively. Approximately 1/4 (22.7%) met the screen time recommendation, whereas fewer than 1/2 (47.4%) achieved the nightly sleep duration goal. Sex and age-group comparisons revealed subtle, but potentially important, differences in lifestyle behaviours that have implications for pediatric weight management. This study highlights the sub-optimal lifestyle behaviours of overweight children and adolescents referred for weight management. Intervention studies are needed to determine whether overweight boys and girls who achieve the lifestyle behaviour targets included in this study are able to successfully manage their weight and (or) reduce obesity-related health risks.

scholarly journals Clustering of Sedentary Behaviours, Physical Activity, and Energy-Dense Food Intake in Six-Year-Old Children: Associations with Family Socioeconomic Status

Nutrients ◽  
2020 ◽  
Vol 12 (6) ◽  
pp. 1722
Author(s):  
Junwen Yang-Huang ◽  
Amy van Grieken ◽  
Lu Wang ◽  
Wilma Jansen ◽  
Hein Raat
Keyword(s):  
Physical Activity ◽  
Socioeconomic Status ◽  
Low Income ◽  
Screen Time ◽  
Healthy Lifestyle ◽  
Intervention Development ◽  
Lifestyle Behaviour ◽  
Lifestyle Behaviours ◽  
Sugary Drinks ◽  
Physically Inactive

This study examined the clustering of lifestyle behaviours in children aged six years from a prospective cohort study in the Netherlands. Additionally, we analysed the associations between socioeconomic status and the lifestyle behaviour clusters that we identified. Data of 4059 children from the Generation R Study were analysed. Socioeconomic status was measured by maternal educational level and net household income. Lifestyle behaviours including screen time, physical activity, calorie-rich snack consumption and sugar-sweetened beverages consumption were measured via a parental questionnaire. Hierarchical and non-hierarchical cluster analyses were applied. The associations between socioeconomic status and lifestyle behaviour clusters were assessed using logistic regression models. Three lifestyle clusters were identified: “relatively healthy lifestyle” cluster (n = 1444), “high screen time and physically inactive” cluster (n = 1217), and “physically active, high snacks and sugary drinks” cluster (n = 1398). Children from high educated mothers or high-income households were more likely to be allocated to the “relatively healthy lifestyle” cluster, while children from low educated mothers or from low-income households were more likely to be allocated in the “high screen time and physically inactive” cluster. Intervention development and prevention strategies may use this information to further target programs promoting healthy behaviours of children and their families.

scholarly journals Healthy Lifestyle Behaviours Are Associated with Children’s Psychological Health: A Cross-Sectional Study

2020 ◽  
Vol 17 (20) ◽  
pp. 7509
Author(s):  
Margaret M. Thomas ◽  
Jessica Gugusheff ◽  
Heather J. Baldwin ◽  
Joanne Gale ◽  
Sinead Boylan ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Children And Adolescents ◽  
Psychological Health ◽  
Screen Time ◽  
Mental Health Problems ◽  
Vegetable Intake ◽  
Healthy Lifestyle ◽  
Positive Impact ◽  
Lifestyle Behaviours

Protecting children’s mental health is important and studies have shown that diet and exercise can have a positive impact. There are limited data available, however, from representative populations of children on the relationship between regular healthy lifestyle behaviours and psychological health. Data were obtained from the New South Wales Child Population Health Survey, 2013–2014. Parents were asked about diet, physical activity and screen time behaviours and completed the Strengths and Difficulties Questionnaire (SDQ) for one child aged 5–15. Higher SDQ scores indicate poorer psychological health and risk for mental health problems. Multivariable linear and logistic regression examined the relationships among dietary consumption, physical activity, screen time and SDQ scores, adjusting for potential confounding. Meeting screen time recommendations was most strongly associated with a lower SDQ total difficulties score (5–10 years: −1.56 (−2.68, −0.44); 11–15 years: −2.12 (−3.11, −1.12)). Children and adolescents who met screen time recommendations were also significantly less likely to have any score in the at-risk range. Children and adolescents meeting vegetable intake guidelines had significantly lower total difficulties scores (5–10 years: −1.54 (−3.03, −0.05); 11–15 years: −1.19 (−3.60, −0.39)), as did adolescents meeting discretionary food guidelines (−1.16 (−2.14, −0.18)) and children consuming the recommended fruit intake (−1.26 (−2.42, −0.10)). Our findings indicate that more effective interventions to increase the proportion of young Australians who meet the guidelines for diet and screen time would contribute to protecting their mental health.

4225Effectiveness of a behavioural incentive scheme linked to goal achievement in overweight children: a multicenter cluster randomized controlled trial

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
J Redfern ◽  
G Enright ◽  
K Hyun ◽  
S Raadsma ◽  
M Allman-Farinell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Controlled Trial ◽  
Self Esteem ◽  
Management Program ◽  
Incentive Scheme ◽  
Weight Management Program ◽  
Overweight Children ◽  
Cluster Randomized

Abstract Background The prevalence of childhood overweight and obesity is becoming an increasing concern worldwide and management is vital for primary prevention of cardiovascular disease. Studies in adults have shown that provision of incentives may facilitate behaviour change but there are no similar studies targeting weight management in children. Purpose To determine effectiveness of a structured goal setting incentive scheme, delivered within a community program, on health outcomes (with a focus on cardiovascular risk factors) in overweight children at 6 and 18 months. Methods Single-blind, multicenter, cluster randomized controlled trial with 10 weeks, 6 and 18 month follow-up. Eligible sites had to be delivering the standard children's weight management program and enrol at least 10 children per term. Eligible children had to be 7–13 years and have a body mass index (BMI) >85th percentile. Recruited sites were randomized to (i) standard weight management program plus incentive scheme (intervention) or (ii) standard program alone (control). The intervention group participated in the standard program plus received milestone based incentives for achievement of goals. Incentives were practical, and healthy in nature such as fun vegetable slicers, sports store vouchers, sport equipment and family zoo passes. Primary outcome was mean BMIz score at 18 months. Secondary outcomes included anthropometric (body weight, waist circumference), behavioural (physical activity, nutrition) and self-esteem (Physical Activity Enjoyment Scale, Rosenberg Self Esteem Scale) measures. Results A total of 37 sites (33 urban and 4 regional) and 512 children were recruited. There were no significant differences between the control and intervention groups at any follow-up time-points. There were significantly more participants in the intervention than control group who completed 10 sessions of the weight management program (23% v 13%, p=0.015). Compared to baseline, at 18 month follow-up, the total cohort achieved significant reductions in the mean BMIz score (1.7 v 1.0, p<0.001), median screen time (16.5 v 15.8 hours/week p=0.0414), median number of fast food meals per week (1.0 v 0.7, p<0.001) and significant increases in physical activity (6.0 v 10.0 hours/week, p<0.001) and self-esteem score (20.7 v 22.0, p<0.002). Conclusions The incentive scheme, delivered in addition to a standard community weight management program, did not have a significant impact on health outcomes in overweight children. However, the intervention increased program attendance and overall cohort achieved sustained improvements in clinical and lifestyle outcomes. The results of this study suggest that extrinsic rewards may not provide added value to current community weight management programs however, participation in such programs is likely to support primary prevention of cardiovascular disease. Acknowledgement/Funding This work was supported by National Heart Foundation (Australia) pilot funding as part of JR's Future Leader Fellowship, in-kind contributions from th

scholarly journals Healthy Lifestyle Behaviours Are Associated With Children’s Psychological Health: a Cross-Sectional Analysis of Data From the New South Wales Child Population Health Survey 2013-2014

2020 ◽  
Author(s):  
Margaret Mary Thomas ◽  
Jessica Gugusheff ◽  
Heather Baldwin ◽  
Joanne Gale ◽  
Sinead Boylan ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Children And Adolescents ◽  
Population Health ◽  
Psychological Health ◽  
Screen Time ◽  
Healthy Lifestyle ◽  
New South ◽  
Lifestyle Behaviours ◽  
South Wales

Abstract Background Despite numerous studies showing that diet and exercise influence mental health in children, there is limited data available from representative populations of children and adolescents on the relationship between regular healthy lifestyle behaviour and psychological health. Methods Data were obtained from the New South Wales Child Population Health Survey, 2013–2014. Parents were asked about diet, physical activity and screen time behaviours and completed the Strengths and Difficulties Questionnaire (SDQ) for one child aged 5-15. Higher scores on the SDQ indicate poorer psychological health and risk for mental health problems. Multivariable linear and logistic regression models examined the relationships between dietary consumption, physical activity, screen time and SDQ scores, adjusting for potential confounding. Results Proportionally more children than adolescents met the guidelines for appropriate diet, physical activity and screen time behaviours. Meeting screen time recommendations was most strongly associated with a lower SDQ total difficulties score (5-10yrs: -1.56 (-2.68, -0.44); 11-15yrs: -2.12 (-3.11, -1.12)). Children and adolescents who met screen time recommendations were also significantly less likely to have any score in the at-risk range. In addition, children and adolescents meeting vegetable intake guidelines had a significantly lower total difficulties score (5-10yrs: -1.54 (-3.03,-0.05); 11-15yrs: -1.19 (-3.60,-0.39)), as did adolescents meeting discretionary food guidelines (-1.16 (-2.14,-0.18)) and children consuming the recommended fruit intake (-1.26 (-2.42,-0.10)).Conclusions Since adopting regular healthy lifestyle behaviours is associated with better psychological health among children and adolescents, it is imperative that appropriate and effective interventions are implemented to increase these healthy lifestyle behaviours among young Australians.

scholarly journals Active breaks during virtual classrooms in schoolchildren in times of COVID-19 pandemic: A strategy to increase physical activity levels

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Jairo Azócar-Gallardo ◽  
◽  
Alex Ojeda-Aravena ◽  
◽  
◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Sedentary Behavior ◽  
Screen Time ◽  
Activity Levels ◽  
Virtual Classrooms ◽  
Physical Activity Levels ◽  
Physical Activity Recommendations ◽  
Active Breaks ◽  
Activity Recommendations

As a result of the closure of schools to control COVID-19 transmission, the lifestyle of schoolchildren changed, with an increase in excess malnutrition, sedentary behavior, decreased outdoor time and increased screen time. The modification in the execution of classes in their new modalities (on-site or virtual) does not modify the deleterious effects of the sedentary behavior of schoolchildren. Short cumulative active breaks can be an efficient strategy to meet the minimum physical activity recommendations suggested by the WHO for children and adolescents aged 5-17 years.

scholarly journals “Obese Equals Lazy?” Analysis of the Association between Weight Status and Physical Activity in Children

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
F. Kreuser ◽  
K. Kromeyer-Hauschild ◽  
A. Gollhofer ◽  
U. Korsten-Reck ◽  
K. Röttger
Keyword(s):  
Physical Activity ◽  
Screen Time ◽  
Weight Status ◽  
Multiple Regression Model ◽  
Behavior Patterns ◽  
Activity Levels ◽  
Overweight Children ◽  
Spare Time ◽  
Qualitative Measurements ◽  
Generalized Statement

Introduction. Literature provides evidence that overweight children are more sedentary. To verify this generalized statement behavior patterns of overweight and nonoverweight children needs to be understood. Therefore, we investigated the distribution of sedentary and activity levels in a quantitative and qualitative way.Methods. Data was collected from 37 randomly selected nonoverweight and 55 overweight children. They were 8 to 11 years of age. Height and weight were measured and weight status was characterized by BMI (BMI-percentile, BMI-SDS). Daily PA (physical activity) was measured by direct accelerometry. Spare time and screen time entertainment were obtained by questionnaires.Results. The amount of time spent “passive” was significantly higher in overweight children, while nonoverweight children were more “active.” The multiple regression model shows a significant association between weight status (BMI-SDS) and activity parameters. Additionally, screen time entertainment was significantly related to BMI-SDS.Conclusion. The results support the statement that overweight children are less active than nonoverweight children. The high amount of PA seems to be an important factor to prevent overweight in children given that PA shows the highest correlation to weight status. Quantitative and qualitative measurements are needed for further analysis.

scholarly journals Evaluation of pharmacy-led weight management service to minimise the risk of cardiovascular disease

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Aliki Peletidi ◽  
Reem Kayyali
Keyword(s):  
Physical Activity ◽  
Weight Management ◽  
Activity Levels ◽  
Management Service ◽  
Initial Weight ◽  
Public Health Services ◽  
Clinical Role ◽  
Physical Activity Levels ◽  
Before And After ◽  
The Mean

Abstract Aims The primary aim of the programme was a minimum of a 5% weight reduction of the initial weight, while the secondary outcomes were a reduction in participants’ body mass index (BMI), waist circumference (WC), blood pressure (BP), AUDIT-C score and an increase in the Mediterranean diet (MD) score and an improvement in physical activity levels. Methods This 'before and after' study was a 10-week weight management (WM) programme and it was developed and delivered in community pharmacies in Patras chosen for convenience, thus consisting the first service of its type in Greece. The sample size was calculated (n = 96) based on the mean BMI for a Greek male and female individual, and the standard deviation (SD) of weight at baseline of 14 kg. Results Nearly every participant enrolled in the 20 participating pharmacies, 97.4% (n = 114/117), achieved the programme’s aim, losing at least 5% of their initial weight. The mean percentage of total weight loss of the 117 participants at the 10th week was 8.97% (SD 2.65), and the t-test showed statistically significant results (P-value < 0.001; 95% CI [8.48, 9.45]). A significant reduction in the waist-to-height ratio (WHtR) was observed in both male (P-value = 0.004) and female (P-value < 0.001) participants. The participants’ BP and AUDIT-C score and physical activity levels significantly improved (P-value < 0.001), as well as their MD score. Conclusion This study provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement.

scholarly journals Caring for Overweight Children and Adolescents at a Reference Clinic in Nutrology: Habits and Attendance

2021 ◽  
Vol 14 (01) ◽  
pp. 006-010
Author(s):  
Valeria Moro ◽  
Luiz Antonio Del Ciampo
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Soft Drinks ◽  
Overweight And Obesity ◽  
Dropout Rates ◽  
Overweight Children ◽  
Obesity Epidemic ◽  
Study Population ◽  
Municipal Health

Abstract Introduction The global obesity epidemic has mobilized health services to offer care at all levels, with reference outpatient clinics playing a prominent role in cases of greater complexity. Objectives The present study aimed to identify soft drinks consumption and physical activity habits among children and adolescents diagnosed with overweight and obesity during the first visit at a secondary level nutrology outpatient clinic, and to verify attendance at follow-up visits in a 2-year period from the first visit. Materials and Methods This is a retrospective, descriptive study based on data collection from medical records of overweighted or obese patients receiving first care at the Nutrology Clinic of the Municipal Health Secretariat from Ribeirão Preto, São Paulo, Brazil. The study population included children and adolescents aged between 2 and 18 years old cared for from January 2, 2013 to December 30, 2017. Age, weight, height, soft drinks consumption, physical activity, and attendance in scheduled follow-up visits during a 2-year period were analyzed. Results During the study period, 316 patients were registered, including 302 (95.5%) diagnosed with obesity. Of these, 112 (35.4%) were children and 204 (64.6%) were adolescents. Only 2.0% of the children and adolescents did not consume soft drinks, while 23.5 and 26.2% of the children and adolescents, respectively, consumed them daily. Physical inactivity was reported by 31.8% of the children and by 35.8% of the adolescents. Among those who practiced some type of physical activity, 81.3% of the children and 78.2% of the adolescents did not meet the recommendation of moderate to vigorous activity for 60 minutes per day. Dropout rates within the 1st year were of 41.9% for children and of 34.3% for adolescents, increasing to 76.9% and 73.8%, respectively, within the 2nd year. Conclusion There was a high consumption of soft drinks and low adherence to physical activity among patients who started outpatient follow-up. A small adherence to the follow-up program was also identified, with high dropout rates within the 2-year period following the first visit.

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