Article

Childhood Obesity -- The Shape of Things to Come

Optimal Weight for Life Program in the Division of Endocrinology, Children's Hospital Boston, USA.
New England Journal of Medicine (Impact Factor: 55.87). 01/2008; 357(23):2325-7. DOI: 10.1056/NEJMp0706538
Source: PubMed

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    • "The study was strengthened by other research results (Chin and Edginton, 2014;Douglas et al., 1997;Edginton et al., 2013;Ludwig, 2007) on importance of physical activity participation among children. In addition to physical, social and psychological effects of physical activity (Hallal et al., 2006;Twisk, 2001) a strong need was expressed in the literature for improving cognitive side of the children by promotion of active living (Castelli et al., 2007;Lindner, 2002;Sibley and Etnier, 2003;Tremblay et al., 2000). "

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    • "Saúde. As crianças de hoje podem representar a primeira geração em risco de ter uma vida útil mais curta do que os seus pais (Ludwig, 2007). O sedentarismo e a inatividade física têm contribuído bastante para os inúmeros problemas de saúde que afetam as crianças. "

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    • "Among the major public health problems in childhood and adolescence, excess body weight has received great attention in recent decades. This is due to the high prevalence of excess body weight observed in several countries and its negative health consequences (Ebbeling et al., 2002; Ludwig, 2007; Sikorski et al., 2012). To develop actions to improve this situation, studies have tried to identify the main determinants of excess weight in specific pediatric populations (Assunção et al., 2012). "
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    ABSTRACT: The aim of this study was to analyze the association between risk behaviors and adiposity indicators in adolescents and to discuss some methodological aspects related to this relationship. We evaluated 1,321 adolescents (55.2% female) aged 10-16 years. Relative body fat (%fat) by measurement of triceps and subscapular skinfold thickness and waist circumference (WC) were used as total and central adiposity indicators, respectively. Physical inactivity, time spent in front of the TV, the consumption of soda and/or chocolate, alcohol, and tobacco smoking were analyzed as risk behaviors. Information about the socioeconomic status (categorized into three levels) and nutritional status of the mother (overweight or normal weight) were used as adjustment factors in the analyses of prevalence ratio (PR) of the outcomes and their associated 95% confidence intervals (95% CI). The chi-square test and Poisson regression were used for statistical analyses. Low associations were found between risk behaviors and adiposity indicators. Tobacco smoking was the most positively correlated behavior with adiposity in girls (%fat: PR = 1.61; 95% CI = 1.04-2.47; WC: PR = 1.90; 95% CI = 1.17-3.08) and in adolescents whose mothers were normal weight (%fat: PR = 2.31; 95% CI = 1.33-4.03; WC: PR: 2.31; CI: 1.19-4.46). Additionally, as an important methodological issue, we highlighted the assessment of risk behaviors in adolescents as crucial to producing more robust evidence on the subject. Of the investigated behaviors, we concluded that tobacco smoking is the behavior most associated with adiposity indicators. © The Author(s) 2015.
    Full-text · Article · Aug 2015 · Journal of Child Health Care
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