Sugar-sweetened beverage (SSB) consumption remains a major target for interventions to treat severe obesity in children. Understanding how total energy consumption is divided among different types of ...beverages remains unclear. This study retrospectively examined how the consumption of beverage calories (kcal) from 100% fruit juice and SSBs, and body mass index, assessed as a percent of the 95th sex- and age-specific percentile (%of 95BMI), changed during the treatment of children with obesity aged 2–18 years. Treatment was provided by an integrative multi-disciplinary team, comprising a physician, a dietician/ nutritionist and a behavioralist employing motivational interviewing and a small change approach to promote improved sustainable health habits and induce a net negative energy balance. The sample included 155 patients, with 341 visits. The median age was 11 years, 60% were girls, and there was a median follow-up of 3.1 months. At baseline, the median %of 95BMI was 135 and the median kcal/day intake was 436 from juice and 263 from SSB. For each additional 100 kcal consumed/day from SSB and juice, the %of 95BMI increased by 1.4 percentage points. In the follow-up, each additional month was associated with 7 fewer kcal/day from SSB and juice combined, with a 0.5 percentage point increase in %of 95BMI. Children in this treatment program consumed fewer calories from SSB over time, although the %of 95BMI did not decrease. SSBs other than soda accounted for the majority of beverage kcal intake, therefore potentially providing a targeted direction for interventions.
National child obesity rates continue to climb. While neighborhood factors are known to influence childhood weight, more work is needed to further our understanding of these relationships and inform ...intervention and policy approaches reflective of complex real-world contexts.
To evaluate the associations between neighborhood components and childhood overweight/obesity, we analyzed sequential, cross-sectional data from the National Survey of Children’s Health collected annually between 2016 and 2021. To characterize the complexity of children’s neighborhood environments, several interrelated neighborhood factors were examined: amenities, detractions, support, and safety. We used ordinal logistic regression models to evaluate the associations between these exposures of interest and childhood weight status, adjusting for potential confounders.
Our analytic sample contained 96,858 children representing a weighted population of 28,228,799 children ages 10–17 years. Child weight status was healthy in 66.5%, overweight in 16.8%, and obese in 17.2%. All four neighborhood factors were associated with child weight status. The odds of overweight or obesity generally increased with a decreasing number of amenities and increasing number of detractions, with the highest adjusted odds ratio seen with no amenities and all three possible detractions (1.71; 95% confidence interval 1.31, 2.11).
Multiple factors within a child’s neighborhood environment were associated with child weight status in this sample representative of the US population aged 10–17 years. This suggests the need for future research into how policies and programs can support multiple components of a healthy neighborhood environment simultaneously to reduce rates of childhood overweight/obesity.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
ABSTRACT Introduction Based on the representative data reflecting the level of physical development and athletic quality, such as the “National Physical Health Test for Students”, it is shown that ...the physical health status of adolescents and children in China is decreasing annually, and the trend of obesity is gradually increasing. Objective Analyze and study the effect of training on the physical fitness of obese children aged 12 to 14 through school soccer training. Methods The effect of school soccer training on the health and physical fitness of obese children aged 12-14 years was studied, and conclusions were drawn by the literature method, experimental method, mathematical statistical method, and logical analysis method. Forty-eight screened obese children were randomly assigned to the experimental and control groups, 24 in each group. The experimental group underwent 12 weeks of soccer training, and the control group underwent 12 weeks of no training control. The subjects’ body composition and flexibility quality indices were measured post-intervention. Results The visceral fat index, body fat rate, and muscle rate of boys and girls progressed expressively, with a significant difference (P <0.05). Muscle weight is also known as lean body weight, with an expressive increase in muscle tone. In comparison, the increase in fat weight and muscle ratio in boys was expressively higher than in girls. Conclusion Regular long-term school soccer training can increase mobility in obese children, increase physical flexibility, and help promote physical health and prevent injury. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
RESUMO Introdução Com base nos dados representativos que refletem o nível de desenvolvimento físico e qualidade atlética, como o “Teste Nacional de Saúde Física para Estudantes”, é demonstrado que o estado de saúde física de adolescentes e crianças na China está diminuindo anualmente, e que a tendência de obesidade está aumentando gradualmente. Objetivo Analisar e estudar o efeito do treinamento na aptidão física de crianças obesas entre 12 a 14 anos de idade através do treinamento de futebol escolar. Métodos O efeito do treinamento de futebol escolar sobre a saúde e a aptidão física de crianças obesas de 12-14 anos de idade foi estudado, e as conclusões foram tiradas pelo método da bibliografia, método experimental, método estatístico matemático e método de análise lógica. Quarenta e oito crianças obesas submetidas a triagem foram designadas aleatoriamente aos grupos experimentais e de controle, 24 em cada grupo. O grupo experimental passou por 12 semanas de treinamento de futebol e o grupo de controle passou por 12 semanas sem controle de treinamento. A composição corporal e os índices de qualidade da flexibilidade dos sujeitos foram medidos antes e depois da intervenção. Resultados Resultados: O índice de gordura visceral, a taxa de gordura corporal e a taxa muscular de meninos e meninas progrediu expressivamente, com diferença significativa (P <0,05). O peso de musculatura também é conhecido como peso corporal magro, com um aumento expressivo do tônus muscular. Em comparação, o aumento do peso de gordura e da taxa muscular nos meninos foi expressivamente maior do que o encontrado nas meninas. Conclusão O treinamento regular de futebol escolar de longo prazo pode aumentar a mobilidade das crianças obesas, aumentar a flexibilidade física e ajudar a promover a saúde física além de prevenir lesões. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.
RESUMEN Introducción A partir de los datos representativos que reflejan el nivel de desarrollo físico y la calidad atlética, como la “Prueba Nacional de Salud Física para Estudiantes”, se demuestra que el estado de salud física de los adolescentes y niños en China disminuye anualmente, y la tendencia de la obesidad aumenta gradualmente. Objetivo Analizar y estudiar el efecto del entrenamiento sobre la forma física de niños obesos de entre 12 y 14 años mediante el entrenamiento de fútbol escolar. Métodos Se estudió el efecto del entrenamiento de fútbol escolar en la salud y la forma física de niños obesos de 12 a 14 años, y se extrajeron conclusiones mediante el método bibliográfico, el método experimental, el método estadístico matemático y el método de análisis lógico. Cuarenta y ocho niños obesos examinados fueron asignados aleatoriamente a los grupos experimental y de control, 24 en cada grupo. El grupo experimental se sometió a 12 semanas de entrenamiento futbolístico y el grupo de control, a 12 semanas sin entrenamiento. Se midieron la composición corporal y los índices de calidad de la flexibilidad de los sujetos antes y después de la intervención. Resultados El índice de grasa visceral, el índice de grasa corporal y el índice muscular de niños y niñas progresaron expresivamente con diferencias significativas (P <0,05). El peso muscular también se conoce como peso corporal magro, con un aumento expresivo del tono muscular. En comparación, el aumento del peso graso y de la tasa muscular en los chicos fue expresivamente superior al observado en las chicas. Conclusión El entrenamiento regular de fútbol escolar a largo plazo puede aumentar la movilidad en niños obesos, incrementar la flexibilidad física y ayudar a promover la salud física, además de prevenir lesiones. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.
Background: The prevalence of obesity in children is increasing in the world and it has become one of the major health problems. Parents are the first people who have the opportunity to shape child's ...eating experiences and habits, including food preferences, attitudes, and eating patterns. This study was conducted to determine the moderating role of parental feeding styles in relation to family psychosocial and social risk factors and childhood obesity in primary school children in 2018-2019 academic year in Shiraz, Iran.
Methods: In this study, 298 children aged 6 to 11 years from primary schools in Shiraz were selected using multistage cluster sampling method. Their parents completed the stress-anxiety-depression scale tool and parenting feeding styles questionnaire. The data were analyzed using simultaneous multiple regression analysis, cluster analysis, and two-way analysis of variance (ANOVA).
Results: The results showed that there was a statistically significant correlation between the identified risk factors and child's body mass index (BMI), as well as the variable effect of feeding styles on the child's BMI. The interaction of risk factors on feeding styles indicated that the effect of adjusting feeding styles on childhood obesity was significant due to risk factors.
Conclusion: These findings support the moderating role of parental feeding styles in the development or prevention of childhood obesity.
Summary
The intersection between adolescent obesity and eating disorder risk is one that requires urgent attention. This review aimed to synthesize the literature on the risk of clinical eating ...disorders in adolescents with obesity, discuss challenges with assessing risk, and examine implications for clinical practice and future research. Obesity and eating disorders can coexist resulting in exacerbated physical and psychological health issues. Recognized eating disorder risk factors, including body dissatisfaction, poor self‐esteem, depression, and engaging in dieting behaviors, are elevated and frequently reported in adolescents with obesity, highlighting a vulnerability to the development of eating disorders. Unsupervised dieting to manage weight may exacerbate eating disorder risk, while structured and supervised weight management is likely to reduce eating disorder risk for most adolescents. However, some adolescents may present to an obesity service with an undiagnosed eating disorder or may develop an eating disorder during or following treatment. We conclude that a risk management approach, with screening or monitoring for eating disorder‐related risk factors and behaviors, should be utilized to identify those at risk. Future research to identify eating disorder risk factors specific to adolescents with obesity is required to inform screening and monitoring protocols, patient care, and address current knowledge gaps.
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BFBNIB, FZAB, GIS, IJS, KILJ, NLZOH, NUK, OILJ, SBCE, SBMB, UL, UM, UPUK
Child obesity is a major public health issue. Alarming obesity projections have sparked widespread concern, albeit not much consensus on how to address the problem. Obesity has been often viewed as a ...matter of personal responsibility, and especially of parental responsibility when it concerns children. Elsewhere, I discussed the importance of adopting instead a children’s rights approach to hold governments accountable for preventing and combating child obesity. This article focuses instead on the right of children to participate in decision-making processes affecting their lives recognized under Article 12 of the Convention on the Rights of the Child. The article argues that its implementation through experiential food learning opportunities integrated into early childhood school curricula deserves much attention and holds some promise for effective solutions.
Objective: To know the existing relationship of eating habits and physical exercise with obesity. Methodology: The population is of 52 children between 6 and 15 years of age resident in Majadas de ...Tiétar (Extremadura, Spain). The weight and height of each participant was determined and the body mass index (BMI) was calculated, and compared with the percentile tables of the Orbegozo Foundation to obtain the individual percentile. The KidMed test was used to determine the degree of adhesion to the Mediterranean diet (MD), while the PAQ-A questionnaire for was used for the adolescents and the PAQ-C questionnaire for the younger children to find out the degree of physical activity. Principal results: The prevalence of obesity was 5.77%. The mean score of the KidMed was 4.92 for boys and 3.21 for girls. In the questionnaires on physical activity (PAQ-A & PAQ-C), the mean score was 3.13 for boys and 2.31 for girls. Only 9.6% of the participants showed a high adherence to the Mediterranean diet, while 44.2% had a very low quality diet and 46.2% had a diet that needed improving. Conclusion: There was evidence of the need to make the habits of this population healthier.
Objective: To know the existing relationship of eating habits and physical exercise with obesity. Methodology: The population is of 52 children between 6 and 15 years of age resident in Majadas de ...Tiétar (Extremadura, Spain). The weight and height of each participant was determined and the body mass index (BMI) was calculated, and compared with the percentile tables of the Orbegozo Foundation to obtain the individual percentile. The KidMed test was used to determine the degree of adhesion to the Mediterranean diet (MD), while the PAQ-A questionnaire for was used for the adolescents and the PAQ-C questionnaire for the younger children to find out the degree of physical activity. Principal results: The prevalence of obesity was 5.77%. The mean score of the KidMed was 4.92 for boys and 3.21 for girls. In the questionnaires on physical activity (PAQ-A & PAQ-C), the mean score was 3.13 for boys and 2.31 for girls. Only 9.6% of the participants showed a high adherence to the Mediterranean diet, while 44.2% had a very low quality diet and 46.2% had a diet that needed improving. Conclusion: There was evidence of the need to make the habits of this population healthier.
Objective: To know the existing relationship of eating habits and physical exercise with obesity. Methodology: The population is of 52 children between 6 and 15 years of age resident in Majadas de ...Tiétar (Extremadura, Spain). The weight and height of each participant was determined and the body mass index (BMI) was calculated, and compared with the percentile tables of the Orbegozo Foundation to obtain the individual percentile. The KidMed test was used to determine the degree of adhesion to the Mediterranean diet (MD), while the PAQ-A questionnaire for was used for the adolescents and the PAQ-C questionnaire for the younger children to find out the degree of physical activity. Principal results: The prevalence of obesity was 5.77%. The mean score of the KidMed was 4.92 for boys and 3.21 for girls. In the questionnaires on physical activity (PAQ-A & PAQ-C), the mean score was 3.13 for boys and 2.31 for girls. Only 9.6% of the participants showed a high adherence to the Mediterranean diet, while 44.2% had a very low quality diet and 46.2% had a diet that needed improving. Conclusion: There was evidence of the need to make the habits of this population healthier.
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