1
|
Lipman TH, Foote JM, Kirouac N. PENS 2023 Position Statement on Linear Growth Measurement of Children. J Pediatr Nurs 2024; 76:210-212. [PMID: 38599998 DOI: 10.1016/j.pedn.2024.03.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Affiliation(s)
- Terri H Lipman
- University of Pennsylvania School of Nursing; Children's Hospital of Philadelphia, Philadelphia, PA, USA.
| | - Jan M Foote
- The University of Iowa College of Nursing, Iowa City, IA, USA
| | | |
Collapse
|
2
|
Marques A, Demetriou Y, Popovic S, Gardasevic J, Masanovic B, Martins J, Gouveia ÉR, Tsiatsos T, Douka S, Jarani J, Peralta M. Healthy fitness zone prevalence and age-specific fitness profile of young people in seven European countries in 2022: The EUFITMOS project. Am J Hum Biol 2024; 36:e23989. [PMID: 37732555 DOI: 10.1002/ajhb.23989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2023] [Revised: 09/05/2023] [Accepted: 09/06/2023] [Indexed: 09/22/2023] Open
Abstract
BACKGROUND Physical fitness is a health marker in youth and is associated with current and future health. OBJECTIVE Present the healthy fitness zone (HFZ) prevalence and age-specific fitness profile of young people from seven European countries. METHODS This study used data from the European Fitness Monitoring System project. The sample comprised 4965 (51.4% boys) youths aged 9 to 18 years. Fitness data were collected by physical education teachers using field-based tests. Raw data from the fitness tests were used to calculate the prevalence and 95% confidence intervals (CI) of participants in the HFZ. RESULTS The overall prevalence of boys and girls in the HFZ for all tests was 16.6% (95% CI = 14.7, 18.1) and 14.9% (95% CI = 13.2, 16.6), respectively. Boys have a mainly positive HFZ profiles, except for the 9-year-olds in the sit and reach (z-score difference = -1.20) and the 20 m run for boys 13-18-year-olds (z-score difference range: -0.09 to -0.01). Girls have worse HFZ profiles than boys, being out of the HFZ in several tests. Furthermore, a decreasing trend in z-score difference from the HFZ with age was observed in VO2 peak for boys and girls and sit and reach for girls. Notwithstanding, several country-related, sex and age differences were observed. CONCLUSIONS Boys presented mostly healthy age-specific fitness profiles in several fitness tests and ages. These differences should be considered when promoting youth's health through physical activity and fitness, as different fitness levels may require different approaches to implementing health-enhancing physical activity policies.
Collapse
Affiliation(s)
- Adilson Marques
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| | - Yolanda Demetriou
- Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany
| | - Stevo Popovic
- Faculty for Sport and Physical Education, University of Montenegro, Podgorica, Montenegro
| | - Jovan Gardasevic
- Faculty for Sport and Physical Education, University of Montenegro, Podgorica, Montenegro
| | - Bojan Masanovic
- Faculty for Sport and Physical Education, University of Montenegro, Podgorica, Montenegro
| | - João Martins
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- Centro de Estudos em Educação, Faculdade de Motricidade Humana e UIDEF, Instituto de Educação, Universidade de Lisboa, Lisbon, Portugal
| | - Élvio R Gouveia
- Department of Physical Education and Sport, University of Madeira, Funchal, Portugal
- Laboratory of Robotics and Engineering Systems, Interactive Technologies Institute, Funchal, Portugal
| | - Thrasyvoulos Tsiatsos
- Department of Informatics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Stella Douka
- Department of Physical Education and Sport Science, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Juel Jarani
- Albanian Sports Science Association, Tirana, Albania
| | - Miguel Peralta
- CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Lisbon, Portugal
- ISAMB, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal
| |
Collapse
|
3
|
Pongutta S, Ferguson E, Davey C, Tangcharoensathien V, Limwattananon S, Borghi J, Wong CKH, Lin L. The impact of a complex school nutrition intervention on double burden of malnutrition among Thai primary school children: a 2-year quasi-experiment. Public Health 2023; 224:51-57. [PMID: 37734276 DOI: 10.1016/j.puhe.2023.08.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Revised: 07/22/2023] [Accepted: 08/18/2023] [Indexed: 09/23/2023]
Abstract
OBJECTIVE This study assessed the impacts of the Dekthai Kamsai programme on overweight/obesity, underweight and stunting among male and female primary school students. STUDY DESIGN A quasi-experiment was conducted in 16 intervention and 19 control schools across Thailand in 2018 and 2019. In total, 896 treated and 1779 control students from grades 1 to 3 were recruited. In intervention schools, a set of multifaceted intervention components were added into school routine practices. Anthropometric outcomes were measured at baseline and at the beginning and end of every school term. METHODS Propensity score matching with linear and Poisson difference-in-difference analyses were used to adjust for the non-randomisation and to analyse the intervention's effects over time. RESULTS Compared with controls, the increases in mean BMI-for-age Z-score (BAZ) and the incidence rate of overweight/obesity were lower in the intervention schools at the 3rd, 4th and 8th measurements and the 3rd measurement, respectively. The decrease in mean height-for-age Z-score (HAZ) was lower at the 4th measurement. The decrease in the incidence rate of wasting was lower at the 5th, 7th and 8th measurements. The favourable impacts on BAZ and HAZ were found in both sexes, while the favourable impact on overweight/obesity and unfavourable impact on wasting were found in girls. CONCLUSIONS This intervention might be effective in reducing BAZ, overweight/obesity, poor height gain, but not wasting. These findings highlight the benefits of a multifaceted school nutrition intervention and a need to incorporate tailor-made interventions for wasting to comprehensively address the double burden of malnutrition.
Collapse
Affiliation(s)
- S Pongutta
- International Health Policy Program, Tiwanon Rd, Muang, Nonthaburi 11000, Thailand; London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E7HT, UK.
| | - E Ferguson
- London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E7HT, UK
| | - C Davey
- London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E7HT, UK.
| | - V Tangcharoensathien
- International Health Policy Program, Tiwanon Rd, Muang, Nonthaburi 11000, Thailand.
| | - S Limwattananon
- International Health Policy Program, Tiwanon Rd, Muang, Nonthaburi 11000, Thailand.
| | - J Borghi
- London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E7HT, UK.
| | - C K H Wong
- Department of Pharmacology and Pharmacy, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Science Park, Hong Kong SAR, China; Department of Family Medicine and Primary Care, School of Clinical Medicine, LKS Faculty of Medicine, University of Hong Kong, Hong Kong Science Park, Hong Kong SAR, China; Laboratory of Data Discovery for Health (D24H), Hong Kong Science Park, Hong Kong SAR, China.
| | - L Lin
- Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, Keppel St, Bloomsbury, London WC1E7HT, UK; Laboratory of Data Discovery for Health (D24H), Hong Kong Science Park, Hong Kong SAR, China; WHO Collaborating Centre for Infectious Disease Epidemiology and Control, School of Public Health, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China.
| |
Collapse
|
4
|
Santana Dos Santos IK, Borges Dos Santos Pereira D, Cumpian Silva J, de Oliveira Gallo C, de Oliveira MH, Pereira de Vasconcelos LC, Conde WL. Frequency of anthropometric implausible values estimated from different methodologies: a systematic review and meta-analysis. Nutr Rev 2023:nuad142. [PMID: 37903374 DOI: 10.1093/nutrit/nuad142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2023] Open
Abstract
CONTEXT Poor anthropometric data quality affect the prevalence of malnutrition and could harm public policy planning. OBJECTIVE This systematic review and meta-analysis was designed to identify different methods to evaluate and clean anthropometric data, and to calculate the frequency of implausible values for weight and height obtained from these methodologies. DATA SOURCES Studies about anthropometric data quality and/or anthropometric data cleaning were searched for in the MEDLINE, LILACS, SciELO, Embase, Scopus, Web of Science, and Google Scholar databases in October 2020 and updated in January 2023. In addition, references of included studies were searched for the identification of potentially eligible studies. DATA EXTRACTION Paired researchers selected studies, extracted data, and critically appraised the selected publications. DATA ANALYSIS Meta-analysis of the frequency of implausible values and 95% confidence interval (CI) was estimated. Heterogeneity (I2) and publication bias were examined by meta-regression and funnel plot, respectively. RESULTS In the qualitative synthesis, 123 reports from 104 studies were included, and in the quantitative synthesis, 23 studies of weight and 14 studies of height were included. The study reports were published between 1980 and 2022. The frequency of implausible values for weight was 0.55% (95%CI, 0.29-0.91) and for height was 1.20% (95%CI, 0.44-2.33). Heterogeneity was not affected by the methodological quality score of the studies and publication bias was discarded. CONCLUSIONS Height had twice the frequency of implausible values compared with weight. Using a set of indicators of quality to evaluate anthropometric data is better than using indicators singly. SYSTEMATIC REVIEW REGISTRATION PROSPERO registration no. CRD42020208977.
Collapse
Affiliation(s)
- Iolanda Karla Santana Dos Santos
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, São Paulo, Brasil
- Fundação Universidade Federal do ABC, Santo André, São Paulo, Brasil
| | | | | | | | | | | | - Wolney Lisbôa Conde
- Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, São Paulo, Brasil
| |
Collapse
|
5
|
Olds T, Dumuid D, Eglitis E, Golley R, Fraysse F, Miatke A, Tomkinson GR, Watson A, Munzberg M, Maher C. Changes in fitness and fatness in Australian schoolchildren during the summer holidays: fitness lost, fatness regained? A cohort study. BMC Public Health 2023; 23:2094. [PMID: 37880621 PMCID: PMC10601165 DOI: 10.1186/s12889-023-17009-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2023] [Accepted: 10/17/2023] [Indexed: 10/27/2023] Open
Abstract
BACKGROUND Emerging evidence suggests that children's fatness increases and fitness declines at a greater rate during the summer holiday period, compared with the school year. The aim of this study was to compare rates of change in fitness and fatness over the in-term and summer holiday periods among Australian schoolchildren. A secondary aim was to explore whether rates of change differed according to the child's sex, socio-economic status (SES), pubertal status and weight status. METHODS Children (n = 381) initially in Grade 4 (age 9) were recruited for this 2-year longitudinal study. Fatness (% body fat, BMI z-score, waist-to-height ratio) and fitness (20-m shuttle run and standing broad jump) were measured at the start and end of two consecutive years. Rates of change were calculated for the two in-school periods (Grades 4 and 5) and for the summer holiday period. Rates of change in fatness and fitness between in-school and holiday periods were compared, and differences in rates of change according to sex, socio-economic status, and weight status were explored. RESULTS During the holidays, percentage body fat increased at a greater rate (annualised rate of change [RoC]: +3.9 vs. Grade 4 and + 4.7 vs. Grade 5), and aerobic fitness declined at a greater rate (RoC - 4.7 vs. Grade 4 and - 4.4 vs. Grade 5), than during the in-school periods. There were no differences in rates of change for BMI z-score, waist-to-height ratio or standing broad jump. Body fatness increased faster in the holidays (relative to the in-school period) in children who are overweight and from low-SES families. Aerobic fitness declined more rapidly in the holidays in children who are overweight. CONCLUSION This study highlights that during the summer holiday period, children experience greater increases in fatness and declines in fitness, with children who live with low-SES families and are overweight being more affected. The findings suggest the need for targeted interventions during this period to address these negative health trends. TRIAL REGISTRATION Australia New Zealand Clinical Trials Registry, identifier ACTRN12618002008202. Retrospectively registered on 14 December 2018.
Collapse
Affiliation(s)
- Tim Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
- Murdoch Children's Research Institute, Parkville, 3052, Australia
| | - Dorothea Dumuid
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
- Murdoch Children's Research Institute, Parkville, 3052, Australia
| | - Emily Eglitis
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
| | - Rebecca Golley
- Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, 5042, Australia
| | - François Fraysse
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
| | - Aaron Miatke
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
- Murdoch Children's Research Institute, Parkville, 3052, Australia
| | - Grant R Tomkinson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
| | - Amanda Watson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
| | - Mason Munzberg
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia
| | - Carol Maher
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), Allied Health and Human Performance, University of South Australia, Adelaide, 5000, Australia.
| |
Collapse
|
6
|
Watson A, Dumuid D, Maher C, Fraysse F, Mauch C, Tomkinson GR, Ferguson T, Olds T. Parenting Styles and Their Associations with Children's Body Composition, Activity Patterns, Fitness, Diet, Health, and Academic Achievement. Child Obes 2022. [PMID: 35950961 DOI: 10.1089/chi.2022.0054] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Background: Evidence regarding the impact of parenting style on health and other outcomes is inconsistent and limited by measurement quality and type. This study will examine associations between parenting style and children's objectively assessed activity patterns, body composition, fitness, diet, health, and academic achievement. Methods: Two hundred fifty-five children (mean age: 9.4 years) from Adelaide, Australia, were included. Parenting style (items from Child Rearing Questionnaire and National Longitudinal Survey of Children and Youth to assess Authoritative, Authoritarian, Permissive, Disengaged parenting), diet, and health were proxy-reported by parents. Body composition, fitness, and 24 hour activity patterns were objectively measured, and children reported screen-time. Academic achievement was measured using standardized tests in reading and mathematics. Mixed models were used to regress parenting style against activity patterns, body composition, fitness, diet, health, and academic achievement, adjusted for age, sex, socioeconomic position, and pubertal stage. Results: Children with Disengaged parents had poorer activity patterns: less moderate to vigorous physical activity (standard mean difference [SMD] relative to grand mean = -0.23), light physical activity (SMD = -0.13) and sleep (SMD = -0.18), more sitting (SMD = 0.45), later bedtime (SMD = 0.18), lower overall energy expenditure (SMD = -0.23), and poorer overall self-reported health (SMD = -0.30). Children with Permissive parents had generally better activity patterns (SMD = 0.25-0.32). Children with Authoritative parents were more likely to meet dietary guidelines for fruit intake (SMD = 0.12). There were no associations for Authoritarian parenting style or for academic achievement, body composition, or fitness. Conclusions: Disengaged parenting was detrimental, while Permissive parenting was beneficial for activity patterns. As parenting styles may be malleable, future interventions may target Permissive parenting to improve children's activity patterns. Trial registration: Australia New Zealand Clinical Trials Registry, identifier ACTRN12618002008202. Retrospectively registered on 14 December 2018.
Collapse
Affiliation(s)
- Amanda Watson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Dorothea Dumuid
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Carol Maher
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Francois Fraysse
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Chelsea Mauch
- College of Nursing and Health Sciences, Flinders University, Adelaide, South Australia, Australia
| | - Grant R Tomkinson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
- Department of Education, Health and Behavior Studies, University of North Dakota, Grand Forks, USA
| | - Ty Ferguson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Tim Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| |
Collapse
|
7
|
Altman E, Linchey J, Santamaria G, Thompson HR, Madsen KA. Weight Measurements in School: Setting and Student Comfort. JOURNAL OF NUTRITION EDUCATION AND BEHAVIOR 2022; 54:249-254. [PMID: 35277221 PMCID: PMC9135350 DOI: 10.1016/j.jneb.2021.11.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Revised: 11/16/2021] [Accepted: 11/19/2021] [Indexed: 06/01/2023]
Abstract
OBJECTIVE To examine how body mass index assessments are conducted in schools and whether student comfort with assessments varies by students' perceived weight status, weight satisfaction, or privacy during measurements. METHODS In-person cross-sectional surveys with diverse fourth- to eighth-grade students (n = 11,510) in 54 California schools in 2014-2015 about their experience being weighed in the prior school year. RESULTS Half of the students (49%) reported being weighed by a physical education teacher and 28% by a school nurse. Students were more comfortable being weighed by nurses than physical education teachers (P = 0.01). Only 30% of students reported privacy during measurements. Students who were unhappy with their weight (P <0.001) and those who perceived themselves as overweight (P <0.001) were less comfortable being weighed than their peers. CONCLUSIONS AND IMPLICATIONS Student weight dissatisfaction, higher perceived weight status, and being female were associated with discomfort with school-based weight measurements. Prioritizing school nurses to conduct weight measurements could mitigate student discomfort, and particular attention should be paid to students who are unhappy with their weight to avoid weight stigmatization.
Collapse
Affiliation(s)
- Emily Altman
- School of Public Health, University of California Berkeley, Berkeley, CA.
| | - Jennifer Linchey
- School of Public Health, University of California Berkeley, Berkeley, CA
| | - Gabriel Santamaria
- School of Public Health, University of California Berkeley, Berkeley, CA
| | - Hannah R Thompson
- School of Public Health, University of California Berkeley, Berkeley, CA
| | - Kristine A Madsen
- School of Public Health, University of California Berkeley, Berkeley, CA
| |
Collapse
|
8
|
Thompson HR, Pavlovic A, D’Agostino E, Napier MD, Konty K, Day SE. The association between student body mass index and tests of flexibility assessed by the FITNESSGRAM®: New York City public school students, 2017-18. PLoS One 2022; 16:e0262083. [PMID: 34972179 PMCID: PMC8719681 DOI: 10.1371/journal.pone.0262083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2021] [Accepted: 12/16/2021] [Indexed: 11/19/2022] Open
Abstract
FITNESSGRAM® is the most widely used criterion-referenced tool to assess/report on student health-related fitness across the US. Potential weight-related biases with the two most common tests of musculoskeletal fitness–the trunk extension and Back-Saver Sit-and-Reach (sit-and-reach)—have been hypothesized, though have not been studied. To determine the association between musculoskeletal fitness test performance and weight status, we use data from 571,133 New York City public school 4th-12th grade students (85% non-White; 75% qualified for free or reduced-price meals) with valid/complete 2017–18 FITNESSGRAM® data. Adjusted logistic mixed effects models with a random effect for school examined the association between weight status and whether a student was in the Healthy Fitness Zone (HFZ; met sex- and age-specific criterion-referenced standards) for the trunk extension and sit-and-reach. Compared to students with normal weight, the odds of being in the HFZ for trunk extension were lower for students with underweight (OR = 0.77; 95% CI: 0.741, 0.795) and higher for students with overweight (OR = 1.10; 95% CI: 1.081, 1.122) and obesity (OR = 1.11; 95% CI: 1.090, 1.13). The odds of being in the HFZ for sit-and-reach were lower for students with underweight OR = 0.85; 95% CI: 0.826, 0.878), overweight (OR = 0.83; 95% CI: 0.819, 0.844) and obesity (OR = 0.65; 95% CI: 0.641, 0.661). Students with overweight and obesity perform better on the trunk extension, yet worse on the sit-and-reach, compared to students with normal weight. Teachers, administrators, and researchers should be aware of the relationship of BMI with student performance in these assessments.
Collapse
Affiliation(s)
- Hannah R. Thompson
- Community Health Sciences, School of Public Health, University of California Berkeley, Berkeley, California, United States of America
- * E-mail:
| | - Andjelka Pavlovic
- Division of Youth Education, The Cooper Institute®, Dallas, Texas, United States of America
| | - Emily D’Agostino
- Department of Population Health Sciences, Department of Family Medicine & Community Health, Duke University School of Medicine, Durham, North Carolina, United States of America
| | - Melanie D. Napier
- Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, United States of America
| | - Kevin Konty
- Office of School Health, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| | - Sophia E. Day
- Office of School Health, New York City Department of Health and Mental Hygiene, New York City, New York, United States of America
| |
Collapse
|
9
|
Matsuzaki M, Sánchez BN, Acosta ME, Sanchez-Vaznaugh EV. Competitive Food and Beverage Policies and Obesity among Middle School Students: Variability by Urbanicity in California. Child Obes 2022; 18:41-49. [PMID: 34319776 PMCID: PMC8818511 DOI: 10.1089/chi.2021.0025] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Introduction: This study examined the association between California school nutrition policies and population-level trends in childhood overweight/obesity by levels of urbanicity. Methods: We used interrupted time series with Fitnessgram data on overweight/obesity from the period 2002 to 2010 pertaining to African American, Latino, Asian, and White students in seventh grades who attended California public schools. We used multilevel logistic regression models to examine the impact of the introduction of successive California school nutrition policies on overweight/obesity prevalence, stratified by gender and adjusted for school district-, school-, and student-level characteristics. Results: At the start of the study period, rural areas and second cities (i.e., population centers with lower population densities than urban areas) had relatively low prevalence, but experienced sharp increases in 2002-2004, leading to higher prevalence of overweight/obesity than suburban areas. There was evidence of beneficial policy influences on overweight/obesity in most areas, except for girls in urban areas and boys in second cities. The evidence of beneficial changes was strongest among children attending schools located in rural areas, and boys in suburban and urban areas. These results persisted even after we accounted for differences in racial/ethnic compositions, socioeconomic characteristics of the schools and school neighborhoods, and school sizes, as well as child-level race/ethnicity, age, and student fitness levels. Conclusion: Despite evidence of beneficial policy impact, childhood obesity prevalence remains high, especially in urban areas in California. Additional policies and environmental interventions are recommended to address obesogenic risk factors unique to each area.
Collapse
Affiliation(s)
- Mika Matsuzaki
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.,Address correspondence to: Mika Matsuzaki, PhD, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD 21205, USA
| | - Brisa N. Sánchez
- Department of Biostatistics, Drexel University, Philadelphia, PA, USA
| | - Maria Elena Acosta
- Department of Public Health, San Francisco State University, San Francisco, CA, USA
| | | |
Collapse
|
10
|
Matricciani L, Paquet C, Fraysse F, Grobler A, Wang Y, Baur L, Juonala M, Nguyen MT, Ranganathan S, Burgner D, Wake M, Olds T. Sleep and cardiometabolic risk: a cluster analysis of actigraphy-derived sleep profiles in adults and children. Sleep 2021; 44:6124580. [PMID: 33515457 DOI: 10.1093/sleep/zsab014] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2020] [Revised: 12/21/2020] [Indexed: 12/16/2022] Open
Abstract
STUDY OBJECTIVES Sleep plays an important role in cardiometabolic health. Although the importance of considering sleep as a multidimensional construct is widely appreciated, studies have largely focused on individual sleep characteristics. The association between actigraphy-derived sleep profiles and cardiometabolic health in healthy adults and children has not been examined. METHODS This study used actigraphy-measured sleep data collected between February 2015 and March 2016 in the Child Health CheckPoint study. Participants wore actigraphy monitors (GENEActiv Original, Cambs, UK) on their nondominant wrist for 7 days and sleep characteristics (period, efficiency, timing, and variability) were derived from raw actigraphy data. Actigraphy-derived sleep profiles of 1,043 Australian children aged 11-12 years and 1,337 adults were determined using K-means cluster analysis. The association between cluster membership and biomarkers of cardiometabolic health (blood pressure, body mass index, apolipoproteins, glycoprotein acetyls, composite metabolic syndrome severity score) were assessed using Generalized Estimating Equations, adjusting for geographic clustering, with sex, socioeconomic status, maturity stage (age for adults, pubertal status for children), and season of data collection as covariates. RESULTS Four actigraphy-derived sleep profiles were identified in both children and adults: short sleepers, late to bed, long sleepers, and overall good sleepers. The overall good sleeper pattern (characterized by adequate sleep period time, high efficiency, early bedtime, and low day-to-day variability) was associated with better cardiometabolic health in the majority of comparisons (80%). CONCLUSION Actigraphy-derived sleep profiles are associated with cardiometabolic health in adults and children. The overall good sleeper pattern is associated with more favorable cardiometabolic health.
Collapse
Affiliation(s)
- Lisa Matricciani
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA, Australia
| | - Catherine Paquet
- Australian Centre for Precision Health, University of South Australia, Adelaide, SA, Australia.,Faculté des Sciences de l'Administration, Université Laval, Québec, QC, Canada
| | - François Fraysse
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA, Australia
| | - Anneke Grobler
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC,Australia
| | - Yichao Wang
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC,Australia
| | - Louise Baur
- The University of Sydney, Sydney, NSW,Australia
| | - Markus Juonala
- Department of Medicine, University of Turku, Turku, Finland and Division of Medicine, Turku University Hospital, Turku, Finland
| | - Minh Thien Nguyen
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC,Australia
| | - Sarath Ranganathan
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC,Australia.,Respiratory Medicine, Royal Children's Hospital, Parkville, VIC, Australia
| | - David Burgner
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,Murdoch Children's Research Institute, Parkville, VIC,Australia.,Department of General Medicine, Royal Children's Hospital, Parkville, VIC, Australia.,Department of Paediatrics, Monash University, Clayton, VIC, Australia
| | - Melissa Wake
- Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.,The University of Auckland, Grafton, Auckland, New Zealand.,Murdoch Children's Research Institute, Parkville, VIC,Australia
| | - Tim Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), University of South Australia, Adelaide, SA, Australia
| |
Collapse
|
11
|
Giuriato M, Kawczynski A, Mroczek D, Lovecchio N, Nevill A. Allometric association between physical fitness test results, body size/shape, biological maturity, and time spent playing sports in adolescents. PLoS One 2021; 16:e0249626. [PMID: 33822815 PMCID: PMC8023482 DOI: 10.1371/journal.pone.0249626] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 03/22/2021] [Indexed: 11/18/2022] Open
Abstract
Regular participation in strength and conditioning activities positively correlates with health-related benefits in sports (team and individual). Maturity offset (MO) is a recognized parameter in fitness outcome assessment. The aims of the present study are to analyze cross-sectional allometric development of motor performances in a sample of adolescents and relate scaled motor performance to the estimated amount and type of physical activity and biological maturity status in 771 subjects aged 14-19 years. Three physical fitness components were evaluated using field tests (standing broad jump, sit-ups, shuttle run). Extra hours of sport after school (EHS) and MO were the covariates. The model to predict the physical performance variables was: Y = a · Mk1 · Hk2 · WCk3 · exp(b · EHS + c · MO) · ε. Results suggest that having controlled for body size and body shape, performing EHS and being an early developer (identified by a positive MO slope parameter) benefits children in physical fitness and motor performance tasks.
Collapse
Affiliation(s)
- Matteo Giuriato
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
- Faculty of Physical Culture, Department of Health and Natural Sciences, Unit of Molecular Biology, Gdansk University of Physical Education and Sport, Gdansk, Poland
| | - Adam Kawczynski
- Department of Paralympics Sports, University School of Physical Education, Wroclaw, Poland
| | - Dariusz Mroczek
- Department of Paralympics Sports, University School of Physical Education, Wroclaw, Poland
| | - Nicola Lovecchio
- Laboratory of Adapted Motor Activity (LAMA), Department of Public Health, Experimental Medicine & Forensic Science, University of Pavia, Pavia, Italy
- Dep. of Human and Social Science, University of Bergamo, Bergamo, Italy
- * E-mail:
| | - Alan Nevill
- The Faculty of Education, Health and Wellbeing, University of Wolverhampton, Wolverhampton, United Kingdom
| |
Collapse
|
12
|
Venkatraman A, Kaval F, Takiar V. Body Mass Index and Age Affect Maximum Mouth Opening in a Contemporary American Population. J Oral Maxillofac Surg 2020; 78:1926-1932. [PMID: 32652048 DOI: 10.1016/j.joms.2020.06.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 06/10/2020] [Accepted: 06/10/2020] [Indexed: 10/24/2022]
Abstract
PURPOSE Although a standard cutoff value of less than 35 mm in the maximum mouth opening (MMO) has been used to diagnose trismus, this value does not account for natural demographic variations. The present cross-sectional study investigated the effects of age, weight, height, body mass index (BMI), and gender on the MMO in a healthy, heterogeneous population. MATERIALS AND METHODS A volunteer sample from multiple sites in Cincinnati, Ohio, without any reported head and neck pathologies or current dental prostheses and with intact natural incisors were included. The main outcome measure was the average MMO. Key demographic information was collected from each participant. Multivariate regression analysis was completed on the factors of age, gender, weight, and height. One-way analysis of variance was completed for binned categories of BMI. RESULTS Data from 330 participants (age range, 18 to 86 years; mean, 42.13 ± 18.53 years; 171 men, 159 women) were collected. The range of MMO was 31 to 71 mm. Age, height, and weight were significant predictors of the MMO, and the final model accounted for ∼20% of the variation in the MMO [adjusted r2, 0.208; F(3,326) = 29.731; P = .001]. On average, individuals with a greater BMI had a greater MMO (BMI, ≤25 kg/m2, 50.57 ± 7.16 mm; BMI >25 but ≤30 kg/m2, 51.58 ± 7.13 mm; BMI >30 kg/m2, 53.53 ± 9.84 mm). CONCLUSIONS In a heterogeneous population of healthy adults, natural variations in age, height, and weight significantly affected the MMO.
Collapse
Affiliation(s)
- Anumitha Venkatraman
- Speech Language Pathologist and Clinical Fellow, Voice and Swallowing Center, Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH
| | - Farah Kaval
- Speech Language Pathologist, Voice and Swallowing Center, Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, OH
| | - Vinita Takiar
- Radiation Oncologist, Department of Radiation Oncology, University of Cincinnati College of Medicine; and Research Service, Cincinnati Veteran's Affairs Medical Center, Cincinnati, OH.
| |
Collapse
|
13
|
Kearney S, Strang NC, Cagnolati B, Gray LS. Change in body height, axial length and refractive status over a four-year period in caucasian children and young adults. JOURNAL OF OPTOMETRY 2020; 13:128-136. [PMID: 31992535 PMCID: PMC7182783 DOI: 10.1016/j.optom.2019.12.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/12/2019] [Accepted: 12/22/2019] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Body height and axial length (AL) increase during childhood with excessive axial elongation resulting in myopia. There is no consensus regarding the association between body growth and AL during refractive development. This study explored the association between change in body height, AL and refractive status over 4-years in children and young adults. MATERIAL AND METHODS Measures were collected biennially (timepoints: t1, t2, t3) (t1 n = 140, aged 5-20years). Non-cycloplegic autorefraction was obtained using the Shin-Nippon openfield autorefractor. AL, corneal curvature (CC) and anterior chamber depth (ACD) were measured by IOL Master. Body height (cm) was measured using a wall mounted tape measure. Refractive status was classified using spherical equivalent refraction (SER): persistent emmetropes (PE) (-0.50D to +1.00D), persistent myopes (PM) (≤-0.50D), progressing myopes (PrM) (increase of ≤-0.50D between timepoints), incident myopes (IM) (subsequent SER≤-0.50D) and persistent hyperopes (PH) (>+1.00D). RESULTS Change in AL and change in height were correlated in the PE (all t:p ≤ 0.003) and the IM (t1-t2 p = 0.04). For every increase in body height of 1 cm: t1-t2: AL increased by 0.03 mm in the PE, 0.15 in the PM, 0.11 mm in the IM, 0.14 mm in the PrM, -0.006 mm in the PH. T2-t3: AL increased by 0.02 mm in the PE, 0.06 in the PM, 0.16 mm in the PrM, 0.12 mm in the IM and -0.03 mm in the PH. CONCLUSIONS In emmetropia body growth and axial elongation are correlated. In participants with myopia, body growth appears to stabilise whilst axial elongation continues at a much faster rate indicating dysregulation of normal ocular growth.
Collapse
Affiliation(s)
- Stephanie Kearney
- Department of Vision Sciences, Glasgow Caledonian University, Glasgow, UK.
| | - Niall C Strang
- Department of Vision Sciences, Glasgow Caledonian University, Glasgow, UK
| | | | - Lyle S Gray
- Department of Vision Sciences, Glasgow Caledonian University, Glasgow, UK
| |
Collapse
|
14
|
Watson A, Maher C, Tomkinson GR, Golley R, Fraysse F, Dumuid D, Lewthwaite H, Olds T. Life on holidays: study protocol for a 3-year longitudinal study tracking changes in children's fitness and fatness during the in-school versus summer holiday period. BMC Public Health 2019; 19:1353. [PMID: 31646994 PMCID: PMC6813137 DOI: 10.1186/s12889-019-7671-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2019] [Accepted: 09/23/2019] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Emerging evidence suggests that children become fatter and less fit over the summer holidays but get leaner and fitter during the in-school period. This could be due to differences in diet and time use between these distinct periods. Few studies have tracked diet and time use across the summer holidays. This study will measure rates of change in fatness and fitness of children, initially in Grade 4 (age 9 years) across three successive years and relate these changes to changes in diet and time use between in-school and summer holiday periods. METHODS Grade 4 Children attending Australian Government, Catholic and Independent schools in the Adelaide metropolitan area will be invited to participate, with the aim of recruiting 300 students in total. Diet will be reported by parents using the Automated Self-Administered 24-h Dietary Assessment Tool. Time use will be measured using 24-h wrist-worn accelerometry (GENEActiv) and self-reported by children using the Multimedia Activity Recall for Children and Adults (e.g. chores, reading, sport). Measurement of diet and time use will occur at the beginning (Term 1) and end (Term 4) of each school year and during the summer holiday period. Fitness (20-m shuttle run and standing broad jump) and fatness (body mass index z-score, waist circumference, %body fat) will be measured at the beginning and end of each school year. Differences in rates of change in fitness and fatness during in-school and summer holiday periods will be calculated using model parameter estimate contrasts from linear mixed effects model. Model parameter estimate contrasts will be used to calculate differences in rates of change in outcomes by socioeconomic position (SEP), sex and weight status. Differences in rates of change of outcomes will be regressed against differences between in-school and summer holiday period diet and time use, using compositional data analysis. Analyses will adjust for age, sex, SEP, parenting style, weight status, and pubertal status, where appropriate. DISCUSSION Findings from this project may inform new, potent avenues for intervention efforts aimed at addressing childhood fitness and fatness. Interventions focused on the home environment, or alternatively extension of the school environment may be warranted. TRIAL REGISTRATION Australia New Zealand Clinical Trials Registry, identifier ACTRN12618002008202 . Retrospectively registered on 14 December 2018.
Collapse
Affiliation(s)
- Amanda Watson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Carol Maher
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Grant R. Tomkinson
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
- Department of Education, Health and Behavior Studies, University of North Dakota, Grand Forks, USA
| | - Rebecca Golley
- College of Nursing and Health Sciences, Flinders University, Bedford Park SA 5042, South Australia
| | - François Fraysse
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Dorothea Dumuid
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Hayley Lewthwaite
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| | - Tim Olds
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, Australia
| |
Collapse
|
15
|
Thompson HR, Linchey JK, King B, Himes JH, Madsen KA. Accuracy of School Staff-Measured Height and Weight Used for Body Mass Index Screening and Reporting. THE JOURNAL OF SCHOOL HEALTH 2019; 89:629-635. [PMID: 31140199 PMCID: PMC6822678 DOI: 10.1111/josh.12788] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/27/2017] [Revised: 07/20/2018] [Accepted: 08/12/2018] [Indexed: 06/02/2023]
Abstract
BACKGROUND The accuracy of students' heights and weights measured by school staff for body mass index (BMI) screening/reporting has not been established. This study examined school staffs' measurement accuracy, comparing accuracy by staff- and student-level characteristics. METHODS School staff and researchers measured the height and weight of 1008 4th-8th grade students, within 1 month of each other. Bland-Altman plots, mean differences, and intraclass correlation coefficients (ICCs) were calculated to examine measurement accuracy. Linear mixed effects models assessed accuracy by staff- and student-level characteristics. RESULTS Bland-Altman plots revealed no appreciable bias in differences between researcher and staff measurements. The mean absolute difference between researcher and school staff measurements were 1.0 ± 1.6 cm (height), 0.7 ± 1.8 kg (weight), and 0.4 ± 0.8 kg/m2 (BMI). Inter-rater ICC values were ≥0.97, demonstrating "excellent" reliability. Categorical weight status was correctly classified for 94% of students (kappa 0.90), and for 96% with a BMI ≥95th% (kappa 0.94). Physical education (PE) teachers were slightly less accurate than school nurses in measuring height (0.4 cm less accurate; p = .045) and weight (0.4 kg; p = .015). CONCLUSIONS School staff conducted height/weight measurements on 4th-8th grade students with high accuracy. Resultant school-based BMI reports using similar protocols should validly reflect weight status for almost all students.
Collapse
Affiliation(s)
- Hannah R Thompson
- UC Berkeley School of Public Health, 2115 Milvia Street, Third Floor, Berkeley, CA, 94704
| | - Jennifer K Linchey
- University of California at Berkeley, School of Public Health, 50 University Hall, Berkeley, CA 94720
| | - Benjamin King
- University of California at Berkeley, School of Public Health, 50 University Hall, Berkeley, CA 94720
| | - John H Himes
- University of Minnesota, School of Public Health, Mayo A301, 420 Delaware St SE Minneapolis, MN 55455
| | - Kristine A Madsen
- University of California at Berkeley, School of Public Health, 50 University Hall, Berkeley, CA 94720
| |
Collapse
|
16
|
Aske DB, Chomitz VR, Liu X, Arsenault L, Bhalotra S, Acevedo-Garcia D. Relationship Between Cardiorespiratory Fitness, Weight Status, and Academic Performance: Longitudinal Evidence From 1 School District. THE JOURNAL OF SCHOOL HEALTH 2018; 88:560-568. [PMID: 29992606 DOI: 10.1111/josh.12643] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/29/2016] [Revised: 09/21/2017] [Accepted: 01/06/2018] [Indexed: 05/06/2023]
Abstract
OBJECTIVES We examined the longitudinal relationship between cardiovascular fitness (CRF) and academic performance (AP) among students in a diverse public school district. Furthermore, we determined whether the relationship between CRF and AP varied by student sociodemographic characteristics. METHODS This study used data from 2005-2006 to 2008-2009. AP was assessed by Massachusetts Comprehensive Assessment System (MCAS) math (N = 1224) and English Language Arts (ELA) (N = 1248) z-scores. CRF was assessed by an age- and sex-adjusted 20-yard shuttle run (pass/fail). Multilevel growth models were used to estimate the relationship between MCAS z-scores and changes in grade, CRF, and weight status, controlling for student sociodemographic characteristics. RESULTS Students who passed the fitness test performed better on MCAS tests (ELA: .159, p < .001; Math: 0.346, p < .001) at each study wave relative to those who did not pass. The relationship between AP and fitness was attenuated for low socioeconomic status(ELA: -.111, p < .05) and minority (Math: black -0.249, p < .01; Latino -0.216, p < .01) students. CONCLUSIONS These results add to the literature highlighting the role of CRF as an important predictor of performance on standardized tests. More research is needed to understand the disparities experienced by low-income and minority students.
Collapse
Affiliation(s)
- Denise Burke Aske
- Brandeis University, Heller School for Social Policy and Management, 415 South St. Mailstop 035, Waltham, MA 02453
| | - Virginia Rall Chomitz
- Public Health and Community Medicine, Tufts University School of Medicine, 136 Harrison Avenue, Boston, MA 02111
| | - Xiaodong Liu
- Department of Psychology, Brandeis University, Brown Social Science Center, 415 South St. Mailstop, Waltham, MA 02453
| | - Lisa Arsenault
- Health Resources in Action, Inc., 95 Berkeley Street, Boston, MA 02116
| | - Sarita Bhalotra
- Brandeis University, Heller School for Social Policy and Management, 415 South St. Mailstop 035, Waltham, MA 02453
| | - Dolores Acevedo-Garcia
- Institute for Child, Youth, and Family Policy, Brandeis University, Heller School for Social Policy and Management, 415 South St. Mailstop 035, Waltham, MA 02453
| |
Collapse
|
17
|
Sliwa SA, Brener ND, Lundeen EA, Lee SM. Do Schools That Screen for Body Mass Index Have Recommended Safeguards in Place? J Sch Nurs 2018; 35:299-308. [PMID: 29482425 DOI: 10.1177/1059840518758376] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The Centers for Disease Control and Prevention recommends that schools adopt 10 safeguards before launching a body mass index (BMI) screening program; however, little is known about schools' safeguard adoption. Authors identified questions from the 2014 School Health Policies and Practices Study that aligned with 4 of the 10 safeguards to estimate safeguard prevalence among schools that screened students for BMI (40.7%, N = 223). Among these schools, 3.1% had all four safeguards and 56.5% had none or one. The most prevalent safeguard was having reliable and accurate equipment (54.1%, 95% confidence interval [CI] = [46.1, 62.1]). Providing staff with appropriate expertise and training was the least prevalent; respondents in 26.4% (95% CI [17.1, 35.6]) of schools received recent training on weight status assessment, weight management, and eating disorder identification. School-based BMI screening is common, but adopting multiple recommended safeguards is not. Absent these safeguards, BMI screening programs may fall short of intended outcomes and potentially incur unintended consequences.
Collapse
Affiliation(s)
- Sarah A Sliwa
- 1 Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Nancy D Brener
- 2 Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Elizabeth A Lundeen
- 3 Division of Nutrition and Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Sarah M Lee
- 1 Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
| |
Collapse
|
18
|
Brisson NM, Stratford PW, Maly MR. Relative and absolute test-retest reliabilities of biomechanical risk factors for knee osteoarthritis progression: benchmarks for meaningful change. Osteoarthritis Cartilage 2018; 26:220-226. [PMID: 29128508 DOI: 10.1016/j.joca.2017.11.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2017] [Revised: 09/24/2017] [Accepted: 11/03/2017] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Biomechanical factors are important treatment targets in knee osteoarthritis. The knee adduction (KAM) and flexion (KFM) moments, quadriceps strength and power, load frequency, and body mass index (BMI) all have the potential to affect knee articular cartilage integrity by modulating forces across the joint. To identify clinically meaningful change, however, these measurements must be reliable and sensitive to change. This study estimated relative and absolute test-retest reliabilities over long periods of biomechanical risk factors for knee osteoarthritis progression. METHOD Data from a longitudinal, observational study were analyzed for knee osteoarthritis patients with data at baseline, 6-month and 24-month follow-ups. Gait kinematics and kinetics, quadriceps strength and power, daily load frequency and BMI were collected. Relative and absolute test-retest reliabilities of these measures were estimated using intraclass correlation coefficients (ICCs) and standard errors of measurement (SEMs), respectively. Minimal detectable change at the 95% confidence level (MDC95) was also calculated. RESULTS Data from 46 participants [36 women; age 61.0 (6.6) years] were included. Good-to-excellent relative reliabilities (ICC ≥ 0.80) indicated that KAM peak and impulse, quadriceps strength and power, and BMI had a strong ability to discriminate amongst participants. Absolute reliabilities were high for quadriceps strength and BMI, which demonstrated reasonable within-participant variability (SEMs ≤ 11% of the mean). The MDC95 values supported use of clinical interventions effective in reducing BMI and KAM, and increasing quadriceps strength. CONCLUSION These data are useful in interpreting findings from interventional or longitudinal investigations by determining whether observed changes are beyond measurement error and interpretable as true change.
Collapse
Affiliation(s)
- N M Brisson
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - P W Stratford
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
| | - M R Maly
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada; Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada.
| |
Collapse
|
19
|
Growth and development in school-age children from Rostov region, Russia: Comparison between urban and rural settings. HOMO-JOURNAL OF COMPARATIVE HUMAN BIOLOGY 2017; 68:465-478. [PMID: 29191383 DOI: 10.1016/j.jchb.2017.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2015] [Accepted: 11/09/2017] [Indexed: 11/22/2022]
Abstract
The purposes of the current study were: (1) to describe growth and physical development and establish norms for schoolchildren from Rostov region in Russia; (2) to compare major characteristics of development between urban and rural children by sex and age. Nearly 200,000 children (198,712) aged between 7 and 17 years from 232 urban and rural schools of Rostov region (Southern Federal District of Russia) participated in the study. School age is a period of intensive growth and physiological and psychological development. Irregularities of personal development are caused by a multitude of factors, such as sex differences, heredity, socio-economic status of a family, standard of living, particular environmental conditions, and lifestyle. It has been established that children from the Southern Federal District of Russia had body mass index values higher than age-appropriate norms for all Russians (Total Russian, Rudnev et al., 2014) and World Health Organization charts. Children from urban settings were taller and heavier than children from rural settings. Sex is one of the most influential factors which play key role in determining specific characteristics of growth and personal development. According to our results, boys and girls both had similar age-related changes in weight and height, but their respective dynamics differed. Girls' height and weight values accelerated at the age 10 to 12 years and plateaued after the age fourteen, whereas in boys height and weight steadily increased with age, showing slight acceleration at the age 12 to 13 years, and reached a plateau by the age of seventeen.
Collapse
|
20
|
Wouters M, van der Zanden AM, Evenhuis HM, Hilgenkamp TIM. Feasibility and Reliability of Tests Measuring Health-Related Physical Fitness in Children With Moderate to Severe Levels of Intellectual Disability. AMERICAN JOURNAL ON INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2017; 122:422-438. [PMID: 28846042 DOI: 10.1352/1944-7558-122.5.422] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Physical fitness is an important marker for health. In this study we investigated the feasibility and reliability of health-related physical fitness tests in children with moderate to severe levels of intellectual disability. Thirty-nine children (2-18 yrs) performed tests for muscular strength and endurance, the modified 6-minute walk test (6mwt) for cardiorespiratory fitness, and body composition tests, and 30-97% of the tests were successfully completed. Short-term test-retest reliability of all tests was good (Intraclass Correlation Coefficient [ICC] > .8), long-term test-retest reliability was good for most tests (ICC > .7), but low ICCs were found for most strength tests. Measuring body composition and cardiorespiratory fitness is feasible and reliable. Measuring muscle endurance is fairly feasible and reliable.
Collapse
Affiliation(s)
- Marieke Wouters
- Marieke Wouters, Reinaerde and Erasmus Medical Center (Netherlands); Anna M. van der Zanden, Reinaerde; Heleen M. Evenhuis and Thessa I. M. Hilgenkamp, Erasmus Medical Center
| | - Anna M van der Zanden
- Marieke Wouters, Reinaerde and Erasmus Medical Center (Netherlands); Anna M. van der Zanden, Reinaerde; Heleen M. Evenhuis and Thessa I. M. Hilgenkamp, Erasmus Medical Center
| | - Heleen M Evenhuis
- Marieke Wouters, Reinaerde and Erasmus Medical Center (Netherlands); Anna M. van der Zanden, Reinaerde; Heleen M. Evenhuis and Thessa I. M. Hilgenkamp, Erasmus Medical Center
| | - Thessa I M Hilgenkamp
- Marieke Wouters, Reinaerde and Erasmus Medical Center (Netherlands); Anna M. van der Zanden, Reinaerde; Heleen M. Evenhuis and Thessa I. M. Hilgenkamp, Erasmus Medical Center
| |
Collapse
|
21
|
Schwartz AE, Leardo M, Aneja S, Elbel B. Effect of a School-Based Water Intervention on Child Body Mass Index and Obesity. JAMA Pediatr 2016; 170:220-6. [PMID: 26784336 PMCID: PMC4977575 DOI: 10.1001/jamapediatrics.2015.3778] [Citation(s) in RCA: 69] [Impact Index Per Article: 8.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
IMPORTANCE Decreasing the amount of caloric beverages consumed and simultaneously increasing water consumption is important to promoting child health and decreasing the prevalence of childhood obesity. OBJECTIVE To estimate the impact of water jets (electrically cooled, large clear jugs with a push lever for fast dispensing) on standardized body mass index, overweight, and obesity in elementary school and middle school students. Milk purchases were explored as a potential mechanism for weight outcomes. DESIGN, SETTING, AND PARTICIPANTS This quasi-experimental study used a school-level database of cafeteria equipment deliveries between the 2008-2009 and 2012-2013 and included a sample of 1227 New York, New York, public elementary schools and middle schools and the 1,065,562 students within those schools. INTERVENTION Installation of water jets in schools. MAIN OUTCOMES AND MEASURES Individual body mass index (BMI) was calculated for all students in the sample using annual student-level height and weight measurements collected as part of New York's FITNESSGRAM initiative. Age- and sex-specific growth charts produced by the Centers for Disease Control and Prevention were used to categorize students as overweight and obese. The hypothesis that water jets would be associated with decreased standardized BMI, overweight, and obesity was tested using a difference-in-difference strategy, comparing outcomes for treated and nontreated students before and after the introduction of a water jet. RESULTS This study included 1 065 562 students within New York City public elementary schools and middle schools. There was a significant effect of water jets on standardized BMI, such that the adoption of water jets was associated with a 0.025 (95% CI, -0.038 to -0.011) reduction of standardized BMI for boys and a 0.022 (95% CI, -0.035 to -0.008) reduction of standardized BMI for girls (P < .01). There was also a significant effect on being overweight. Water jets were associated with a 0.9 percentage point reduction (95% CI, 0.015-0.003) in the likelihood of being overweight for boys and a 0.6 percentage reduction (95% CI, 0.011-0.000) in the likelihood of being overweight for girls (P < .05). We also found a 12.3 decrease (95% CI, -19.371 to -5.204) in the number of all types of milk half-pints purchased per student per year (P < .01). CONCLUSIONS AND RELEVANCE Results from this study show an association between a relatively low-cost water availability intervention and decreased student weight. Milk purchases were explored as a potential mechanism. Additional research is needed to examine potential mechanisms for decreased student weight, including reduced milk taking, as well as assessing impacts on longer-term outcomes.
Collapse
Affiliation(s)
| | - Michele Leardo
- New York University Institute for Education and Social Policy, New York
| | - Siddhartha Aneja
- New York University Institute for Education and Social Policy, New York
| | - Brian Elbel
- New York University School of Medicine, New York; New York University Robert F. Wagner Graduate School of Public Service, New York
| |
Collapse
|
22
|
Khaokham CB, Hillidge S, Serpas S, McDonald E, Nader PR. Comparison of height, weight, and body mass index data from state-mandated school physical fitness testing and a districtwide surveillance project. THE JOURNAL OF SCHOOL HEALTH 2015; 85:327-333. [PMID: 25846312 DOI: 10.1111/josh.12257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/15/2014] [Revised: 09/07/2014] [Accepted: 10/22/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Approximately one third of California school-age children are overweight or obese. Legislative approaches to assessing obesity have focused on school-based data collection. During 2010-2011, the Chula Vista Elementary School District conducted districtwide surveillance and state-mandated physical fitness testing (PFT) among fifth grade students. We compared height, weight, and body mass index (BMI) to examine measurement differences between the projects. METHODS We assessed demographic characteristics and BMI category frequencies. We used paired t-tests to test continuous variables. κ statistics were used to assess categorical agreement. RESULTS Of 3549 children assessed, 69% were Hispanic. Fifty-one percent were boys. Mean heights, weights, and BMIs were significantly different for each project (p < .0001). Surveillance height (106.7-165.1 cm) and weight (21.6-90.8 kg) ranges were lesser than PFT ranges (109.2-180.3 cm and 22.7-98.4 kg). The overall BMI category agreement was good (weighted κ = 0.77). Categorical percentage agreement was highest among normal weight children (94.9%) and lowest among underweight children (56.6%). CONCLUSIONS Methodological differences might have resulted in the observed height, weight, and BMI differences. As school-based interventions become common, districts should carefully consider measurement reliability, training, and data-handling protocols to have confidence in their findings.
Collapse
Affiliation(s)
- Christina B Khaokham
- Scimetrika, LLC, CDC Health Systems Integration Program, 3851 Rosecrans Street (MS-P572), San Diego, CA 92110.
| | | | | | | | | |
Collapse
|
23
|
Affiliation(s)
- Jan M Foote
- Blank Children's Endocrinology Clinic, Des Moines, IA; The University of Iowa College of Nursing, Iowa City, IA.
| | | | - Terri H Lipman
- University of Pennsylvania School of Nursing, Philadelphia, PA
| |
Collapse
|
24
|
Ruggieri DG, Bass SB. A comprehensive review of school-based body mass index screening programs and their implications for school health: do the controversies accurately reflect the research? THE JOURNAL OF SCHOOL HEALTH 2015; 85:61-72. [PMID: 25440454 DOI: 10.1111/josh.12222] [Citation(s) in RCA: 53] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Revised: 04/23/2014] [Accepted: 07/08/2014] [Indexed: 06/04/2023]
Abstract
BACKGROUND Whereas legislation for body mass index (BMI) surveillance and screening programs has passed in 25 states, the programs are often subject to ethical debates about confidentiality and privacy, school-to-parent communication, and safety and self-esteem issues for students. Despite this debate, no comprehensive analysis has been completed that compares and contrasts how these issues differentially affect schools, parents, and students. METHODS A keyword search from electronic databases and a review of state legislation related to BMI surveillance and screening were used to identify relevant literature and data focused on surveillance and screening policies, BMI report cards, and parental perceptions of BMI screenings and their child's weight status [corrected]. RESULTS This article addresses the gap of previous literature by outlining the ethical considerations and implications that BMI screening programs and report cards have for schools, parents, and students, and links these with outcome studies to address whether these controversies are supported by research. CONCLUSIONS Despite the controversies surrounding these programs, this review shows that they can be valuable for all parties and demonstrates BMI screening programs to be vital to the development of robust school-based obesity prevention programs and promotion of healthy lifestyles in schools.
Collapse
Affiliation(s)
- Dominique G Ruggieri
- Department of Health Services, Saint Joseph's University, 5600 City Avenue, 116 Post Hall, Philadelphia, PA 19131
| | | |
Collapse
|
25
|
Malone SK, Zemel BS. Measurement and Interpretation of Body Mass Index During Childhood and Adolescence. J Sch Nurs 2014; 31:261-71. [PMID: 25199628 DOI: 10.1177/1059840514548801] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The landscape of childhood health and disease has changed over the past century, and school nurses are now in a unique position to address the conditions that lead to chronic disease, such as obesity. Measuring body mass index (BMI) during childhood and adolescence is the recommended method for screening and/or monitoring obesity in school communities. Yet changes in the size, proportion, and distribution of fat mass and fat-free mass during growth and development introduce challenges to interpreting BMI measurements. Understanding these challenges and ensuring accurate measurement techniques are the foundation for implementing school-based BMI measurement programs. This article will provide an overview of body composition during childhood and adolescence, introduce strategies to improve the accuracy of BMI measurements, and explore the school nurse's role in BMI surveillance and/or screening activities.
Collapse
Affiliation(s)
| | - Babette S Zemel
- Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA The Children's Hospital of Philadelphia, Philadelphia, PA, USA
| |
Collapse
|
26
|
O’ Brien W, Issartel J, Belton S. Evidence for the Efficacy of the Youth-Physical Activity towards Health (Y-PATH) Intervention. ACTA ACUST UNITED AC 2013. [DOI: 10.4236/ape.2013.34024] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|