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241条结果
  • 机译 父母的就业状况对少女体重指数和体脂百分比变化的影响
    摘要:BackgroundParents' employment status is frequently cited as a possible predictor of child weight status. Despite the importance of the topic, only a few studies have been conducted. No longitudinal studies have been conducted in the United States.
  • 机译 在ACT试验中动机在理解社会背景对体育锻炼不足的青少年体育活动的影响中的作用:跨领域研究
    摘要:BackgroundPrevious research has shown that social contextual factors are important in understanding physical activity (PA) behavior, although little is known about how these factors may relate to PA, especially in underserved adolescents (low income, minorities). This study examined how motivation may differentially mediate the relationship of two social contextual variables (i.e., peer and parent social support) and moderate-to-vigorous PA (MVPA).
  • 机译 基督教青年会的健康健康和有力的计划:一项基于社区以家庭为中心的低成本肥胖预防/治疗先导研究
    摘要:>Background: Many resources are available for adults, but there are few community-based programs for overweight and obese children. Community engagement may be instrumental in overcoming barriers physicians experience in managing childhood obesity. Our objective was to design and test the feasibility of a community-based (YMCA), family-centered, low-cost intervention for overweight and obese children.>Methods: Children 6–11 years over the 85th BMI percentile for age and sex were recruited to YMCA sites in four North Carolina communities. The children had physical activity sessions three times weekly for 3 months (one activity session weekly was family night). The parents received a once-weekly nutrition education class conducted by a registered dietitian using the NC Eat Smart Move More curriculum (10 sessions). Changes in BMI were measured at 3, 6, and 12 months and diet and activity behaviors at 3 and 12 months after baseline.>Results: Significant reductions were observed in BMI percentile for age and BMI z-scores at 3, 6, and 12 months. Improvements occurred in dietary and physical activity behaviors, including drinking fewer sugar-sweetened beverages, spending more time in physically active behaviors, and spending less time in sedentary behaviors. The program was low-cost, and qualitative comments suggest the parents and children benefited from the experience.>Conclusions: This low-cost YMCA-based intervention was associated with BMI reductions and positive nutritional and activity behavior changes, providing an additional strategy for addressing childhood obesity in community settings.
  • 机译 定性研究以了解家庭和同伴对低收入非洲裔美国青少年肥胖相关健康行为的影响
    摘要:BackgroundGiven the cultural and developmental relevance of family members and peers in the lives of African-American adolescents, the present study used a bioecological framework to qualitatively explore the parenting context as well as specific family factors (support, rules, monitoring) and peer factors (support) related to weight status, physical activity (PA), and healthy eating in low-income African-American boys versus girls.
  • 机译 对娱乐中心的系统性接触增加了拉丁美洲裔带幼儿的家庭的使用量
    摘要:BackgroundLiving near community recreation centers (CRC) is associated with increases in adolescent and adult physical activity, but the efficacy of efforts to increase use among Latino parents and young children is unknown. We hypothesized that Latino parent–child dyads with exposure to a CRC through culturally tailored programming would be more likely to use the facility for physical activity a year after programming ended than dyads living in the same geographic area who were not exposed to the programming.
  • 机译 高中朋辈辅导计划HealthCorps对青少年饮食和体育锻炼的影响
    摘要:>Background: The purpose of this study was to evaluate the effect of HealthCorps, a high school peer mentoring program, on youth diet, physical activity, health knowledge, BMI, and percent body fat.>Methods: This study had a quasi-experimental nonrandomized design with 6 intervention schools and 5 control schools. The estimation sample consisted of 971 high school students (511 intervention, 460 control). The intervention lasted for one semester and consisted of specially trained recent college graduates serving as peer mentors to teach nutrition and promote physical activity. Outcome measures included self-reported diet and physical activity, health knowledge, and measured BMI and percent body fat. Difference-in-differences models were estimated, controlling for student characteristics including age, gender, grade, and ethnicity.>Results: HealthCorps was associated with a reduction in self-reported consumption of soda pop of 0.61 times per week (p = 0.04), or 13.0%. This beneficial effect was concentrated among girls, among whom the HealthCorps program lowers soda pop consumption by 1.12 times per week (p < 0.01), or 25.7%. The above estimates were based conservatively on the assumption of zero benefit for dropouts; excluding dropouts from the analysis resulted in larger effect sizes, including the result that students who participated in HealthCorps were 45% more likely to report that they were more physically active now than they were last year (p = 0.05).>Conclusions: HealthCorps is effective in reducing soda pop consumption, in particular among girls. In general, peer mentoring holds promise for improving youth diet and physical activity behaviors.
  • 机译 缩小基于家庭的治疗与基于家庭的儿童肥胖研究之间的差距
    摘要:
  • 机译 多学科儿科体重管理诊所的减员
    摘要:BackgroundPediatric weight management clinics experience significant dropout, and few studies have investigated this problem. The objective of this study was to identify family and clinic characteristics associated with attrition from a tertiary care pediatric weight management clinic.
  • 机译 针对儿童肥胖的基于家庭的干预措施:一项荟萃分析
    摘要:>Background: With the rising prevalence of childhood obesity over the last several decades, and the call for more family-based intervention research to combat childhood obesity, it is important to examine the extant research on family-based interventions in order to make recommendations and improve future research.>Objective: To conduct a meta-analysis of family-based interventions targeting childhood obesity in the last decade in order to inform the research in the next decade.>Methods: A literature review was conducted between December 2009-April 2010. Studies published between the years 2000–2009 that used family-based interventions to treat childhood obesity were included. A total of 20 studies met inclusionary criteria.>Results: Although results varied by study design, the majority of studies had a moderate to large effect size for change in the target child's BMI (BMI percentile, zBMI, percent overweight) after participating in a family-based intervention. Long-term change varied by study, but the majority of studies produced sustainable change in child BMI, although smaller effect sizes. Change in secondary variables (dietary intake, sugar-sweetened beverage intake, physical activity) were substantially different between studies and are reported as trends.>Conclusion: To date, there is preliminary evidence suggesting that family-based interventions targeting childhood obesity are successful in producing weight loss in the short and long-term. Including families in weight loss treatment of obese children warrants further implementation and study. Limitations with the research, recommendations for future research, and implications for practitioners working with overweight/obese children are discussed.
  • 机译 4岁时母亲与子女体重之间的关联
    摘要:ObjectivesTo examine the importance of maternal weight characteristics as predictors of overweight (BMI≥85th percentile and <95th percentile) and obesity (BMI≥95th percentile) in offspring at age 4 years.
  • 机译 5岁及以下严重肥胖儿童的医学和遗传危险因素叙事回顾
    摘要:Severe obesity defined as an age- and gender-specific body mass index ≥120% of the 95th percentile in children younger than 5 years is well recognized as a significant challenge for prevention and treatment. This article provides an overview of the prevalence, classification of obesity severity, patterns of weight gain trajectory, medical and genetic risk factors, and comorbid disorders among young children with an emphasis on severe obesity. Studies suggest rapid weight gain trajectory in infancy, maternal smoking, maternal gestational diabetes, and genetic conditions are associated with an increased risk for severe obesity in early childhood. Among populations of young children with severe obesity seeking care, co-morbid conditions such as dyslipidemia and fatty liver disease are present and families report behavioral concerns and developmental delays. Children with severe obesity by age 5 represent a vulnerable population of children at high medical risk and need to be identified early and appropriately managed.
  • 机译 早期护理和教育中心与儿童体育活动有关的放映时间政策和做法
    摘要:>Background: Few preschool children meet physical activity recommendations, whereas the majority exceeds screen-time recommendations. The purpose of this study was to examine the relationship of screen-time policies and practices with children's physical activity and sedentary time in early care and education (ECE) centers.>Methods: We conducted a cross-sectional study of 104 children (3.3 ± 0.5 years; 50% girls) attending 10 ECE centers in the United States. Physical activity was measured by accelerometry. Screen-time practices were measured by classroom observation and director report. Mixed linear models were used to examine the relationship of screen-time practices with children's total physical activity (TPA) and moderate-to-vigorous physical activity (MVPA) and sedentary time, adjusting for child's age, sex, and BMI z-score and taking into account the clustering of children within each center. Models were repeated to include director-reported active play time as a covariate.>Results: More limited/supervised screen-time (by observation) was related to higher TPA (p = 0.0003) and lower sedentary time (p = 0.0003). More limited/supervised screen-time (by director report) was related to higher TPA (p < 0.0001) and MVPA (p = 0.021) and lower sedentary time (p < 0.0001). Associations remained significant when active play time was included as a covariate. TPA was inversely related to computer access (p = 0.0015) and positively related to the use of educational screen-time compared with noneducational screen-time (p = 0.04).>Conclusions: Limiting computer usage and ensuring screen-time is educational, and integrated within the curriculum may benefit children's physical activity levels and reduce time spent sedentary.
  • 机译 更正为:拉丁裔摄入更多含糖饮料的学龄前儿童的细胞衰老增加了3岁:2018年儿童肥胖试验研究; 14(3):149–157; DOI:10.1089 / chi.2017.0159
    • 作者:
    • 刊名:Childhood Obesity
    • -1年第5期
    摘要:
  • 机译 儿童充分母乳喂养和肥胖:从出生到6岁的前瞻性研究
    摘要:>Background: Obesity is a major public health crisis among both children and adults and contributes to significant physical, psychological, and economic burden. We aim to investigate the effect of duration of breastfeeding on excessive weight and obesity at 6 years of age.>Subjects/Methods: Data on breastfeeding and child anthropometric measurements were collected in a birth-cohort study in Murcia, Spain (n = 350). Breastfeeding status and body mass index (BMI) were established according to WHO definitions. Other factors potentially related to children's weight were considered. Multiple log-linear and ordinal regressions were used to analyze the effects of breastfeeding on overweight and obesity when considering potential confounders.>Results: 33% and 17.3% of children in the study were of excess weight and obesity, respectively. Univariate predictors of BMI in children aged 6 were as follows: pregestational maternal BMI (kg/m2) (R2 = 0.127, p < 0.01); full breastfeeding (weeks) R2 = −0.035, p < 0.01); infant weight gain (kg) (R2 = 0.348, p < 0.01); and maternal alcohol consumption during pregnancy (g/day) (R2 = 0.266, p < 0.01) at age 6. In the ordinal logistic regression, full breastfeeding was associated with a significant decrease in obesity −0.052 (95% CI, −0.10 to −0.003).>Conclusions: The delay of bottle feeding introduction may have a protective effect against obesity at 6 years of age. Our findings reinforce the need for greater support of breastfeeding and to promote a healthy environment and antipoverty interventions during pregnancy and infancy, alongside other strategies for obesity prevention.
  • 机译 幼儿客观确定的体育活动久坐行为和体重指数的增长轨迹
    • 作者:Zan Gao
    • 刊名:Childhood Obesity
    • -1年第4期
    摘要:>Purpose: This study examined trajectories in children's physical activity (PA), sedentary behavior, and body mass index (BMI) for both genders, and relationships among these trajectories, from childhood through early adolescence.>Methods: A total of 261 seconds and third-grade children (135 girls; Meanage = 7.81; 73% White) from two U.S. elementary schools participated in this study. Their objective PA, sedentary behavior, and BMI were measured yearly from 2012 to 2015. The outcome variables were accelerometer-determined daily moderate-to-vigorous PA (MVPA), sedentary behavior, and BMI—calculated as height divided by weight squared. A series of latent growth curve models (LGCM) were employed to analyze the trajectories in the outcome variables and relationships over time through AMOS version 23 in 2017.>Results: The models generally fitted the data well. In detail, children's MVPA increased slightly by the end of the first year and then declined during follow-ups (p < 0.05), with boys having more MVPA time. Sedentary hours increased at 2-year follow-ups (p < 0.05), but decreased slightly at year 3 follow-up in both genders. BMI increased gradually for boys (p < 0.05), particularly in year 3. Trajectories in MVPA were negatively related to BMI trajectories (p < 0.05), and trajectories in MVPA and sedentary behavior did not interact to affect BMI trajectories.>Conclusions: Maintaining or increasing MVPA and limiting sedentary behavior should be components of efforts to prevent excess weight gain during the transition from childhood to early adolescence. Children's MVPA and sedentary behavior are independent determinants of BMI changes.
  • 机译 体育锻炼对儿童肥胖中脂联素瘦素和炎性标志物的影响:系统评价和荟萃分析
    摘要:>Background: New findings on adipose tissue physiology and obesity-associated inflammation status suggest that modification of the adipokine level can be relevant for the long-term prevention of obesity-associated chronic disease.>Objectives: The scope of the present study was to investigate the effectiveness of physical exercise in reducing the systemic inflammation related to obesity in children.>Methods: We conducted a systematic review with meta-analysis of controlled randomized trials, identified through electronic database search, which investigated the effect of physical exercise, without concomitant dietary intervention, on adiponectin, leptin, and/or other inflammatory markers in children up to age 18 years with a body mass index greater than the 95th percentile for age and sex.>Results: Seven trials were included in the meta-analysis, with a total of 250 participants. Compared with the control group without any lifestyle modification, the physical exercise resulted in a reduction in leptin [standardized mean difference (SMD) −1.13; 95% confidence interval (95%CI): −1.89 to −0.37; I2 = 79.9%] and interleukin-6 (SMD −0.84; 95%CI: −1.45 to −0.23, I2 = 0.9%) and an increase in adiponectin plasma concentration (SMD 0.69; 95%CI: 0.02–1.35; I2 = 74.3%).>Conclusions: These results indicate that physical exercise improved the inflammatory state in children with obesity. It is unclear whether this effect can reduce the risk of cardiovascular and metabolic disease in adulthood. Clinical trials with a uniform intervention protocol and outcome measurements are required to put our knowledge on adipose tissue biology into a clinical perspective.
  • 机译 一项拉丁美洲研究显示拉丁裔学龄前儿童食用更多含糖饮料的儿童的细胞老化程度提高了3岁:一项初步研究
    摘要:>Background: Previous studies in adults and older children find that sugar-sweetened beverage (SSB) consumption increases risk for obesity and cellular aging, as measured by leukocyte telomere length (LTL).>Methods: In a previously described, San Francisco-based Latino birth cohort, where telomere length was measured at birth, we evaluate the relationship between beverage consumption (including SSB and 100% fruit juice), obesity, and LTL at 2–3 years old, as well as change in LTL from birth. LTL (T/S Ratio) was measured in 61 children (mean 2.4 years ±0.6 standard deviation). Multivariable linear regression models are used to ascertain beverage type and obesity as independent predictors of LTL and change in LTL.>Results: Mean telomere length was 1.58 ± 0.20 (T/S Ratio) and mean yearly change was −0.08 ± −0.09 (T/S Ratio). Predictors of shorter telomere length at age 2–3 included increased consumption of SSB (Beta Coeff = −0.009 95% CI [−0.02 to −0.0008]; p = 0.03). Telomere length at birth was the strongest predictor of rate of attrition from birth to 2–3 years of age and males tended to have more rapid attrition.>Conclusion: Excessive SSB consumption impacts early childhood immune system health adversely, possibly before the development of obesity.
  • 机译 儿童肥胖下降项目:对社区报告下降确定的策略的探索性研究
    摘要:>Background: Although childhood obesity rates have been high in the last few decades, recent national reports indicate a stabilization of rates among some subpopulations of children. This study examines the implementation of initiatives, policies, and programs (referred to as strategies) in four communities that experienced declines in childhood obesity between 2003 and 2012.>Methods and Results: The Childhood Obesity Decline project verified obesity declines and identified strategies that may have influenced and supported the decline in obesity. The project used an adaptation of the Systematic Screening and Assessment method to identify key informants in each site. Four settings were highlighted related to childhood: (1) communities, (2) schools, (3) early care and education, and (4) healthcare. The findings indicate that programs and policies were implemented across local settings (primarily in schools and early childhood settings) and at the state level, during a timeframe of supportive federal policies and initiatives.>Conclusions: Multilevel approaches were aimed to improve the nutrition and physical activity environments where children spend most of their time. We hypothesized that other, more distal strategies amplified and reinforced the impact of the efforts that more directly targeted children. The simultaneous public health messaging and multilayered initiatives, supported by cross-sector partnerships and active, high-level champions, were identified as likely important contributors to success in attaining declines in rates of childhood obesity.
  • 机译 儿童肥胖症减少项目:社区策略和政策的重点
    摘要:>Background: The social ecological model (SEM) is a framework for understanding the interactive effects of personal and environmental factors that determine behavior. The SEM has been used to examine childhood obesity interventions and identify factors at each level that impact behaviors. However, little is known about how those factors interact both within and across levels of the SEM.>Methods: The Childhood Obesity Declines (COBD) project was exploratory, attempting to capture retrospectively policies and programs that occurred in four communities that reported small declines in childhood obesity. It also examined contextual factors that may have influenced initiatives, programs, or policies. Data collection included policy and program assessments, key informant interviews, and document reviews. These data were aggregated by the COBD project team to form a site report for each community (available at ). These reports were used to develop site summaries that illustrate how policies, programs, and activities worked to address childhood obesity in each study site.>Results/Conclusions: Site summaries for Anchorage, AK; Granville County, NC; Philadelphia, PA; and New York City, NY, describe those policies and programs implemented across the levels of the SEM to address childhood obesity and examine interactions both across and within levels of the model to better understand what factors appear important for implementation success.
  • 机译 儿童肥胖下降项目:国家儿童肥胖研究合作组织努力探索四个社区的进展
    摘要:>Background: Recent findings show that national childhood obesity prevalence overall is improving among some age groups, but that disparities continue to persist, particularly among populations that have historically been at higher risk of obesity and overweight. Over the past several years, many jurisdictions at the city or county level across the nation have also reported declines. Little evaluation has focused on understanding the factors that influence the implementation of efforts to reduce childhood obesity rates. This article summarizes the rationale, aims, and overall design of the Childhood Obesity Declines Project (COBD), which was the first of its kind to systematically study and document the what, how, when, and where of community-based obesity strategies in four distinct communities across the nation.>Methods: COBD was initiated by the National Collaborative on Childhood Obesity Research (NCCOR), was led by a subset of NCCOR advisors and a research team at ICF, and was guided by external advisors made up of researchers, decision makers, and other key stakeholders. The research team used an adapted version of the Systematic Screening and Assessment method to review and collect retrospective implementation data in four communities.>Results: COBD found that sites implemented strategies across the many levels and environments that impact children's well being (akin to the social–ecological framework), building a Culture of Health in their communities.>Conclusions: COBD demonstrates how collaboratives of major funders with the support of other experts and key stakeholders, can help to accelerate progress in identifying and disseminating strategies that promote healthy eating and physical activity.

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