High Prevalence Of Overweight Research Articles

The Shaping Healthy Choices Program: Improving the impact through community partnerships

The high prevalence of childhood overweight and obesity demonstrates the need for effective intervention strategies. The Shaping Healthy Choices Program (SHCP) is a school-based intervention that promotes nutrition and physical education, develops family and community partnerships, and incorporates foods available on the school campus, with the goal of achieving sustainable student health outcomes. Partnerships developed through implementation of the SHCP were analyzed using the RE-AIM: Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) framework to assess the potential for adoption, scaling and sustainability of the program. The RE-AIM framework is a comprehensive approach to evaluating public health interventions through reach, effectiveness, adoption, implementation and maintenance. Partners of the SHCP include site staff (teachers, administration and health professionals), parents, peer teachers, and state and federal agencies, such as the Supplemental Nutrition Assistance Program Education (SNAP-Ed), which funds CalFresh Healthy Living, University of California (CFHL, UC), and UC Cooperative Extension. This analysis highlights how partnerships developed and sustained with the SHCP may serve as a model for other programs to expand, while also enabling programs to remain responsive to the diverse challenges and needs of local community partners.

Prevalence and associated risk factors of hypertension among tribal population in Thrissur District: A cross-sectional study in South India

IntroductionHypertension is the major cause of premature death worldwide. There are disparities in the prevalence of hypertension across cultural groups. This study aimed to explore the prevalence, awareness, treatment and control of hypertension and the associated factors among the adult tribal population in Kerala, India. MethodsA community-based cross-sectional study was conducted among 206 adult tribal population in Thrissur district in Kerala. World Health Organization STEPS questionnaire for non-communicable disease risk factor surveillance was used. We measured blood pressure, weight and height using standard protocols. Hypertension was defined as systolic blood pressure (SBP)≥140 mmHg or diastolic blood pressure (DBP)≥90 mmHg or on medication for high blood pressure. Multivariate logistic regression was done to find out the associated factors with hypertension. ResultsThe mean age of the participants was 44.7 years (SD ± 13.9; men:30%). Around 24% of the participants did not receive any formal education. Current tobacco prevalence was 28% and alcohol consumption was 19%. Nearly 63% were physically active. Prevalence of overweight was 33%. Hypertension prevalence was 48%. Among the hypertensive participants, 59% were aware of their condition, of which 74% were under treatment, and 7.8% achieved adequate control. In the age-sex adjusted multivariate analysis, being diabetic was the highest significant factor associated with the prevalence of hypertension (OR:9.58, CI: 1.87–49.07), followed by being overweight (OR:5.48, CI: 2.49–12.03). ConclusionThis study indicates a high prevalence of hypertension and overweight among the selected tribal population. Our research highlights the importance of regular monitoring and consistent adherence to treatment for hypertension and other risk factors in this population.

Management of Adolescent PCOD: A Real Challenge

Background: Polycystic Ovary Syndrome (PCOS) is a common hormonal disorder affecting 5-10% of women worldwide, characterized by irregular menstrual cycles and cysts on the ovaries. Its exact cause is unknown, but early identification and intervention can reduce the risk of complications like diabetes and heart disease. PCOS manifests in various ways, impacting reproductive, cosmetic, metabolic, and psychological aspects. Prevalence is higher in certain ethnic groups, and diagnosis can occur in adolescence but is often delayed. Despite its global impact, most studies focus on developed countries. Aim of the study: The study aims to explore the diagnosis and treatment procedures for managing adolescent PCOD in Bangladesh. Methods: This study, conducted at the Holly lab hospital &Missionary Hospital Brahmanbaria, Bangladesh. The study spanned one year from January 2023 to December 2023. Diagnosis relied on clinical and biochemical evidence of hyperandrogenism and persistent menstrual irregularities. A one-on-one interview gathered comprehensive medical information. Inclusion criteria covered females aged 10 to 19, while exclusions involved specific medical conditions and ongoing treatments. Statistical analyses using SPSS included expressing variables and logistic regression to identify metabolic syndrome risk factors. The significance level was set at p ≤ 0.05 for statistical relevance. Result: The study involves 107 adolescent participants with Polycystic Ovary Syndrome (PCOD). Most were aged 10-15 (55.14%) with an average age of 16.8. BMI analysis showed high prevalence of overweight (29.70%) and obesity (39.40%). Abdominal obesity was normal in 76.60%, while 20.00% were pre-hypertensive, and 3.40% had hypertension. Glycemic status varied, with 76.00% normoglycemic, 21.10% prediabetic, and 2.90% diabetic. Dyslipidemia was present in 90.90%, and metabolic syndrome in 42.30%. Biochemical hyperandrogenism was observed in 33.70%. PCOD features included hirsutism (94.90%) and menstrual irregularities (oligomenorrhea 87.85%). Ovarian morphology showed diverse patterns. Hyperandrogenism, ovulatory dysfunction, ovarian morphology, and metabolic factors were primary contributors to PCOD diagnosis. Treatment approaches varied, including classical interventions (34.58%), lifestyle changes (14.95%), combined oral contraception (12.15%), and antiandrogens (7.48%). Therapeutic treatments included N-acetylcysteine, Inositol, Vitamin D supplementation, and Chromium supplementation. Conclusion: Managing adolescent Polycystic Ovary Syndrome (PCOS) is challenging due to the high prevalence of metabolic complications. Diagnostic complexity emphasizes careful evaluation to prevent premature labelling and psychological stress. Treatment involves lifestyle interventions, hormonal contraceptives, and anti-androgen medications. Standardized diagnostic criteria and a multidisciplinary approach are crucial. Early intervention and continuous monitoring are essential for mitigating long-term health risks. Further research on PCOS in diverse populations is recommended for tailored interventions and a nuanced understanding.

Assessment of Overweight, Obesity and Lifestyle-Related Factors Among Women Aged 18-49 Years in Kizinda, Bushenyi District

The trend of overweight and obesity was growing with shifts in individual and behavioral factors. Globally, overweight and obesity becoming a major problem, yet extensive data especially in Africa is still lacking. The objectives of the study were to determine the prevalence, socio-economic, and lifestyle-related factors associated with overweight and obesity among women aged 18-49 years in Kizinda in Bushenyi district. A cross-sectional analytical study design was used. Data on prevalence was collected through anthropometric measurements using the BMI (Body Mass Index) while those of socio-economic and individual factors were collected with a structured questionnaire. 271 women aged 18-49 years in Kizinda Trading Center, Bushenyi district were sampled. The prevalence of overweight and obesity among women of reproductive age in Bushenyi town was 47.24% and 19.92% respectively. Housewives were twice as likely to be overweighed and obese [AOR: 2.10, 95% CI (0.87- 3.15)]. Unemployed women have 74% [AOR: 1.26, 95% CI (0.50-2.36)] higher odds of being overweight or obese and those who earn >700000 shillings have 37% [AOR: 1.63, 95% CI (0.56-2.25)] higher odds to be overweight and obese. Compared with women who live in rented houses, those who live in their own houses were 48% [AOR: 1.52, 95% CI (0.78-2.94)] higher odds of being overweight or obese. Women who engaged in physical activity had 65% [AOR: 0.35, 95% CI (0.17-1.27)] less odds of being overweight or obese compared to those who did not. Participants whose food intake is mostly rice and ghee had 55% [AOR: 1.45, 95% CI (0.40-1.27)] and 44% [AOR: 1.56, 95% CI (0.53-2.11)] more odds of being overweight or obese respectively compared to those who take Posho. Women whose food intake was mostly milk were two times [AOR: 2.01, 95% CI (0.55-2.75)] more likely to be overweighed or obese compared to those who take Posho. The high prevalence of overweight and obesity among women of reproductive age in Bushenyi calls for serious attention. Public health interventions through awareness programs about the consequences of overall and abdominal obesity should be implemented. Keywords: Overweight, Obesity, Posho, Women, Housewives.

Determinants of the adherence to Mediterranean diet: application of the k-means cluster analysis profiling children in the Metropolitan City of Bari

The transition to sustainable food systems and the achievement of SDGs 2 and 12 entails the adoption of sustainable consumption and production patterns, such as the Mediterranean diet. The Mediterranean diet and its impact on nutritional status and health have been the focus of recent research. The aim of this study was to investigate the associations between adherence to the Mediterranean diet, lifestyle, socioeconomic status, BMI (kg/m2), and age of children. The geographical area is the Metropolitan City of Bari (Apulia region, southern Italy), which is involved in the development of an effective food policy aimed at ensuring a sustainable food transition. An online survey was filled out by parents or guardians responsible for the dietary patterns of children between 2 and 15 years of age to collect data about their Mediterranean diet adherence through the Mediterranean Diet Quality Index (KIDMED) and sociodemographic features, food habits and lifestyles, and anthropometric variables. Descriptive statistics and k-means cluster analysis were applied for profiling children, contributing to identifying the main factors that might affect individual Mediterranean diet adherence. Four clusters were characterized, taking into account food habits and lifestyle index, socioeconomic index, children’s age, and body mass index (BMI). Results showed an association between low adherence to the Mediterranean diet and high prevalence of overweight and obesity in children. The factors positively associated with following an optimal Mediterranean diet adherence were the mother’s education level and level of income; skipping breakfast is linked to low adherence to the Mediterranean diet. Therefore, targeted strategies should be put in place to improve Mediterranean diet adherence among children, promoting healthy dietary habits.

Predominance of overweight and obesity in workers at the San José de Chincha Hospital, Peru 2023

The study reveals a high prevalence of overweight and obesity among workers at the San José de Chincha Hospital, with significant implications for occupational health. A worrying distribution of weight was identified, with the majority of workers not eating lunch or dinner at the appropriate time. In addition, the nutritional quality of meals provided in the workplace is monitored for poor quality, which can contribute to overweight and obesity problems. Nutrition education programs, regular physical activity, and psychological support are recommended to prevent obesity among hospital workers.

Dietary inflammatory index related to knee osteoarthritis symptomatology

Proinflammatory diet contributes to greater symptomatology in patients with knee osteoarthritis (KOA); however, in Mexico there seems to be no evidence of the dietary inflammatory role, being a country with high prevalence of overweight and obesity with an inclination towards a Western diet. To analyze the relationship between dietary inflammatory index (DII) and KOA symptomatology in Mexican patients. Analytical cross-sectional study in 100 patients aged 40 to 70 years. Pain, stiffness, and functionality were evaluated with the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and the DII was calculated from the semi-quantitative food consumption frequency questionnaire (QFCFQ). For its analysis, linear regression was calculated. DII was significantly associated with pain (p = 0.001, R² = 0.118), functionality (p = 0.003, R² = 0.087) and WOMAC score (p = 0.001, R² = 0.099). In the second linear regression model with the dependent variable functionality, waist circumference (WC) was adjusted obtaining an R² = 0.144 and higher significance p = 0.001. Proinflammatory DII was related to greater pain, lower functionality and a high WOMAC score, which is why the anti-inflammatory diet could be considered as a support for the treatment of the patient with KOA.

A controlled weight loss intervention study among women of Somali background in Norway

BackgroundWomen of Somali background in Norway have a high prevalence of overweight and obesity, compared with women in the general Norwegian population. For lifestyle interventions to be applicable for immigrants to Norway, it is important to culturally tailor interventions in collaboration with relevant communities. The primary outcome was a difference in weight change between the intervention and control groups. MethodsIn this interventional study, Somali women living in one borough of Oslo Municipality in Norway with body mass index (BMI) ≥27.0 kg.m-2 received a co-created, culturally tailored 12-month weight loss intervention consisting of 24 interactive sessions during the first three months, and monthly sessions for the next nine months, compared to a control group. Both groups were measured at baseline and 12 months. ResultsA total of 169 participants were recruited, and 101 participants completed the follow-up. After multiple imputation, the mean difference in weight change adjusted for baseline weight, age, education, employment, marital status, number of children in the household and length of Norwegian residency was -1.6 kg (95 % CI -3.57, 0.43, p = 0.12) in the intervention compared to the control group. ConclusionThis culturally tailored intervention study demonstrated a modest non-significant effect on weight change after 12 months, possibly due to the short intervention duration and COVID-19. Further studies of a longer duration and considering the provision of childcare are needed to understand whether this approach can be transferred to other immigrant groups and genders.Trial registration: The study was registered at clinicaltrials.gov NCT04578067, 2020-09-29.

Tryptophan Metabolism in Obesity: The Indoleamine 2,3-Dioxygenase-1 Activity and Therapeutic Options.

Obesity activates both innate and adaptive immune responses in adipose tissue. Adipose tissue macrophages are functional antigen-presenting cells that promote the proliferation of interferon-gamma (IFN-γ)-producing cluster of differentiation (CD)4+ T cells in adipose tissue of obese subjects. The increased formation of neopterin and degradation of tryptophan may result in decreased T-cell responsiveness and lead to immunodeficiency. The activity of inducible indoleamine 2,3-dioxygenase-1 (IDO1) plays a major role in pro-inflammatory, IFN-γ-dominated settings. The expression of several kynurenine pathway enzyme genes is significantly increased in obesity. IDO1 in obesity shifts tryptophan metabolism from serotonin and melatonin synthesis to the formation of kynurenines and increases the ratio of kynurenine to tryptophan as well as with neopterin production. Reduction in serotonin (5-hydroxytryptamine; 5-HT) production provokes satiety dysregulation that leads to increased caloric uptake and obesity. According to the monoamine-deficiency hypothesis, a deficiency of cerebral serotonin is involved in neuropsychiatric symptomatology of depression, mania, and psychosis. Indeed, bipolar disorder (BD) and related cognitive deficits are accompanied by a higher prevalence of overweight and obesity. Furthermore, the accumulation of amyloid-β in Alzheimer's disease brains has several toxic effects as well as IDO induction. Hence, abdominal obesity is associated with vascular endothelial dysfunction. kynurenines and their ratios are prognostic parameters in coronary artery disease. Increased kynurenine/tryptophan ratio correlates with increased intima-media thickness and represents advanced atherosclerosis. However, after bariatric surgery, weight reduction does not lead to the normalization of IDO1 activity and atherosclerosis. IDO1 is involved in the mechanisms of immune tolerance and in the concept of tumor immuno-editing process in cancer development. Serum IDO1 activity is still used as a parameter in cancer development and growth. IDO-producing tumors show a high total IDO immunostaining score, and thus, using IDO inhibitors, such as Epacadostat, Navoximod, and L isomer of 1-methyl-tryptophan, seems an important modality for cancer treatment. There is an inverse correlation between serum folate concentration and body mass index, thus folate deficiency leads to hyperhomocysteinemia-induced oxidative stress. Immune checkpoint blockade targeting cytotoxic T-lymphocyte-associated protein-4 synergizes with imatinib, which is an inhibitor of mitochondrial folate-mediated one-carbon (1C) metabolism. Antitumor effects of imatinib are enhanced by increasing T-cell effector function in the presence of IDO inhibition. Combining IDO targeting with chemotherapy, radiotherapy and/or immunotherapy, may be an effective tool against a wide range of malignancies. However, there are some controversial results regarding the efficacy of IDO1 inhibitors in cancer treatment.

Распространенность отклонений физического развития у детей с сахарным диабетом 1-го типа в зависимости от степени его компенсации

Type 1 diabetes (T1D) is the most common type of diabetes in children and adolescents. Patients with T1D have traditionally been thought to have lower BMI, however recent research has demonstrated a high prevalence of overweight and obesity with the development of metabolic syndrome. Objective. To study the characteristics of physical development of children with T1D depending on the degree of its compensation. Patients and methods. A retrospective analysis of medical records of children with T1D aged 7 to 17 years (n = 318) who underwent routine inpatient examination and treatment in the pediatric department of the Children’s Regional Clinical Hospital of Khabarovsk Krai between 2018 and 2023 was performed. Depending on the level of glycated hemoglobin (HbA1c), children were divided into three study groups: group 1 (n = 40) – HbA1c less than 7%, group 2 (n = 100) – HbA1c from 7.1 to 8.5%, group 3 (n = 178) – HbA1c over 8.5%. Physical development was assessed according to the WHO standards. Results. The analysis of physical development of all children without considering the degree of diabetes compensation showed that malnutrition was observed in 1.9% of patients, overweight in 17.0% and obesity in 1.6%, tall stature was diagnosed in 2.8%, reduced growth rate and short stature were determined in 11.6% and 1.9%, respectively. It should be emphasized that HAZ and BAZ values greater than +2 and less than -2 were not recorded in patients with achieved target HbA1c levels. The incidence of reduced growth rate and malnutrition was 3 and 2 times higher in the group of children with decompensated diabetes, respectively, compared to those with HbA1c below 8.5% (OR = 2.959, 95% CI: 1.403-6.239; OR = 2.076, 95% CI: 1.018-4.235). Conclusion. The data obtained indicate the predominance of anthropometric deviations in children with uncompensated diabetes, which requires the identification of measures to achieve target HbA1c levels for the prevention of developmental disorders. Key words: glycated hemoglobin, children, type 1 diabetes, physical development

THE RELATIONSHIP BETWEEN POSTURAL AND NUTRITIONAL STATUS IN PRESCHOOL CHILDREN

The aim of the research is to determine the postural status, nutritional status, and their interrelationship, as well as to identify differences in relation to gender dimorphism. The research methods used in this study are observational and descriptive with a cross-sectional design. Data were collected from a sample of 177 participants from the preschool institutions in the city of Bijeljina. The study included 92 female partici-pants and 85 male participants, aged six years (6±0.5). The postural status was asse-ssed using the Napoleon Wolanski method and nutritional status using standardized calibrated instruments that served to calculate the BMI. To determine the relationship between nutritional and postural status, the Spearman correlation coefficient was used, while the chi-square test was applied to determine differences in postural status with regard to gender dimorphism. The study found no significant relationship between nutritional and postural status in preschoolage children, regardless of gender dimorphism. However, it revealed a high prevalence of postural disorders and overweight among the children. Participating in appropriate and organized physical activity during preschool and leisure time is crucial for children's health, requiring consistent observation and evaluation of relevant factors.

The Double Burden of Obesity and Underweight in Yemeni Adults.

Yemen has a unique low-income population with several sociopolitical challenges and the association between weight disorders and sociodemographic and lifestyle factors is not clearly understood. The aim of this study is to estimate the prevalence of obesity, overweight and underweight among Yemeni adults, and to identify their associated factors. A cross-sectional study was conducted from 11 January to 25 March 2020, including 561 subjects of Yemen's adult population aged 18 and above, from four Yemeni governorates, who answered a questionnaire including demographic, socio-economic, and physical activity items after getting their signed consent. Height and weight were measured, and body mass index (BMI) was computed. The association between obesity or overweight (BMI ≥ 25.0kg/m2) or underweight (BMI < 18.5 kg/m2) and the other variables was analyzed using multinomial logistic regression. A total of 561 subjects aged ≥ 18 years have participated in this survey. The overall prevalence of obesity and overweight was 10.3%, 95% CI [7.7%; 12.8%] and 20.3%, 95% CI [17%; 23.5%] respectively, while the one for underweight was 21.2%, 95% CI [17.8%; 24.5%]. The risk of overweight-obesity increased with age (OR=1.02, 95% CI (1.01-1.03)), living in urban areas (OR= 1.680, 95% CI (1.105-2.552)) and average-high socioeconomic status (SES)(OR= 1.729, 95% CI (1.156-2.587)) while the risk of underweight decreased with the age (OR= 0.981, 95% CI (0.964-0.998)). These findings provide a special case of high prevalence of obesity, overweight, and underweight in Yemen. Therefore, implementing awareness and prevention programs is highly recommended there.

Changes in dietary habits and BMI z-score after a 6-month non-randomized cluster-controlled trial among 6-12 years old overweight and obese Norwegian children.

Effective prevention programs to address the high prevalence of childhood overweight and obesity and the concomitant health consequences have been warranted. To improve dietary habits and weight status among Norwegian children with overweight/obesity in the primary care setting. A 6-month non-randomized cluster-controlled intervention among 137 children, aged 6-12 years, with overweight/obesity and their parents. Intervention and control groups were recruited by public health nurses and followed-up by 12 Healthy Life Centers across Norway. The intervention group received individual family counseling and participated in nutrition courses and physical activity groups. A frequency questionnaire assessing sociodemographic characteristics and dietary habits was completed by the parents. Trained public health nurses measured height and weight using standardized methods to calculate body mass index (BMI) and BMI z-scores. The intervention resulted in an increased odds of consuming evening meals (OR: 3.42), a decreased availability of salty snacks (β = -0.17), a decreased intake of salty snacks (-0.18), an increased consumption of water (β = 0.20), and a decreased estimated total intake of energy (β = -0.17), carbohydrates (β = -0.17), mono- and disaccharides (β = -0.21), sucrose (β = -0.24), and saturated fatty acids (β = -0.17). The intervention directly predicted lower BMI z-score (β = -0.17), and post-treatment levels of energy (β = -0.65), saturated fat (β = 0.43), and total carbohydrates (β = 0.41) were directly linked to BMI z-score after intervention. Age and sex were indirectly associated with BMI after intervention through energy and saturated fat intake. The intervention had a beneficial impact on nutrient intake and weight status among children with overweight/obesity. These findings provide support for implementing complex intervention programs tailored to local primary care settings. Clinicaltrials.gov, NCT02290171. Registered 13. November 2014, https://clinicaltrials.gov/ct2/show/NCT02290171.

Abstract IA038: Neighborhood factors for adiposity change and cardiovascular health among Black breast cancer survivors

Abstract Maintaining a healthy weight and cardiovascular health (CVH) after a breast cancer (BC) diagnosis is gaining clinical attention because they are essential for reducing the burden of cardiovascular disease, achieving optimal cancer survivorship, and possibly reducing mortality after a BC diagnosis. Individual behaviors and choices are largely influenced by the surrounding social and built environment; however, the neighborhood risk factors influencing post-diagnosis weight change and CVH are unclear among Black women, who have higher rates of obesity, unfavorable CVH and mortality than any other racial/ethnic group. To address this knowledge gap, we conducted analyses based on the Women's Circle of Health Follow-Up Study (WCHFS), a population-based prospective cohort of Black BC survivors in New Jersey. In the first analysis, adiposity changes during the period ~10 months to 2 years after diagnosis were evaluated among 785 women enrolled in the WCHFS. We found that despite a high baseline prevalence of overweight or obesity, weight gain was common. Greater density of fast-food restaurants and lower walkability were identified as neighborhood-level risk factors for weight gain. We also showed that intentional weight loss was much less common than weight gain, and its neighborhood risk factors were considerably different from unintentional weight loss. In a subsequent analysis, we aimed to capture the complex interplay between neighborhood features through neighborhood archetype analysis based on 16 social and built environment features, and to estimate their associations with CVH around 2 years after diagnosis among Black women. The CVH index used American Heart Association definition and scoring criteria for BMI, diet, smoking, physical activity, blood pressure, cholesterol, glucose, and sleep. We found that Black BC survivors, on average, reached only half of the recommended optimal CVH score, and no participant met all ideal CVH metrics. Among the four neighborhood archetypes identified, we found that the archetype associated with the most favorable post-diagnostic CVH was characterized by diverse racial and ethnic populations, a higher neighborhood socioeconomic status, greater densities of restaurants, food stores, physical activity facilities, walkable destinations, and ambulatory care. However, only 16% of our participants lived in this type of neighborhood. In summary, our work revealed that residential environments may considerably impact adiposity change and CVH among Black BC survivors. Through these studies, we provided insights into the distinct neighborhood characteristics and archetypes that may influence BC survivorship for Black women. Recognizing that social determinants of health act at multiple levels, domains, and factors, it is crucial that future research comprehensively investigates neighborhood and other multilevel determinants to identify the specific social barriers that must be addressed to achieve the most measurable improvements in BC survivorship for Black women. Citation Format: Bo Qin, Carola T. Sánchez-Díaz, Hari S. Iyer, Noreen Goldman, Nur Zeinomar, Andrew G. Rundle, Christine B. Ambrosone, Kitaw Demissie, Chi-Chen Hong, Gina S. Lovasi, Elisa V. Bandera. Neighborhood factors for adiposity change and cardiovascular health among Black breast cancer survivors [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr IA038.

Индекс массы тела школьников в условиях воздействия эндогенных и экзогенных факторов риска (на примере Республики Башкортостан)

High prevalence of obesity and overweight among population poses a serious threat for public health. A survey was accomplished in 13 schools in Bashkortostan to estimate the nutritional status as per body mass index (BMI) of schoolchildren and their parents. Next, we analyzed relationships between participants’ nutritional statuses as per BMI and their age, sex, place of residence (urban / rural) and parental nutritional status as per BMI for children. Among children, 50.0 % had normal body weight, 18.4 % had overweight, 16.9 % had underweight, 8.8 % were emaciated, and 5.9 % were obese. Among parents, these shares equaled 46.4, 33.1, 2.5, 1.3, and 16.7 % respectively. The profound analysis established that boys (as compared with girls) were overweighed and had BMI higher than its healthy range in general (overweight + obesity) statistically significantly more frequently; prevalence of obesity and also BMI higher than its healthy range in general was identified statistically significantly higher among fathers as opposed to mothers. In addition, it turned out that if parents either had BMI higher than its healthy range or were emaciated, their children had similar disorders statistically significantly more frequently. At the same time, if parents had normal body weight, their children were overweighed statistically significantly less frequently. The age of 15–17 years turned out to be associated with declining prevalence of obesity in boys (young males) and declining prevalence of elevated BMI in general in girls (young females). At the same time, a share of people with overweight and elevated BMI in general was statistically significantly higher among mothers older than 37 years. When considering places of residence, we established that both girls and mothers who lived in rural areas had BMI higher than its healthy range statistically significantly more frequently than their urban counterparts.

Body mass index of schoolchildren under exposure to endogenous and exogenous risk factors (on the example of the republic of Bashkortostan)

High prevalence of obesity and overweight among population poses a serious threat for public health. A survey was accomplished in 13 schools in Bashkortostan to estimate the nutritional status as per body mass index (BMI) of schoolchildren and their parents. Next, we analyzed relationships between participants’ nutritional statuses as per BMI and their age, sex, place of residence (urban / rural) and parental nutritional status as per BMI for children. Among children, 50.0 % had normal body weight, 18.4 % had overweight, 16.9 % had underweight, 8.8 % were emaciated, and 5.9 % were obese. Among parents, these shares equaled 46.4, 33.1, 2.5, 1.3, and 16.7 % respectively. The profound analysis established that boys (as compared with girls) were overweighed and had BMI higher than its healthy range in general (overweight + obesity) statistically significantly more frequently; prevalence of obesity and also BMI higher than its healthy range in general was identified statistically significantly higher among fathers as opposed to mothers. In addition, it turned out that if parents either had BMI higher than its healthy range or were emaciated, their children had similar disorders statistically significantly more frequently. At the same time, if parents had normal body weight, their children were overweighed statistically significantly less frequently. The age of 15–17 years turned out to be associated with declining prevalence of obesity in boys (young males) and declining prevalence of elevated BMI in general in girls (young females). At the same time, a share of people with overweight and elevated BMI in general was statistically significantly higher among mothers older than 37 years. When considering places of residence, we established that both girls and mothers who lived in rural areas had BMI higher than its healthy range statistically significantly more frequently than their urban counterparts.

Food Parenting Practices Promoted by Childcare and Primary Healthcare Centers in Chile: What Influences Do These Practices Have on Parents? A Qualitative Study.

Chile, like many other countries in the world, is experiencing a high prevalence of childhood overweight. Among the factors influencing children's eating behaviors are the food parenting practices promoted by community organizations. More information is needed on the influences of these recommendations on the parenting practices of parents of preschoolers. This study examined what types of food parenting practices are promoted in childcare and primary healthcare centers and how these recommendations influence subsequent parental behavior. Interviews using photo-elicitation were conducted with 25 parents of Chilean preschoolers. The interviews were analyzed using inductive thematic analysis. Five themes were identified to describe food parenting practices promoted by community organizations and the influences that these practices had on parents of preschoolers. Healthcare centers were found to educate parents and provided a structured feeding. However, parents found their advice regarding dietary restriction challenging to follow. Childcare centers also provided information about healthy diet, food monitoring, and diversifying the child's diet in a way that was perceived as adequate. While childcare centers encouraged structured and autonomous food parenting practices in a positive and supportive manner, healthcare centers tended to provide more restrictive guidance that posed challenges for parents struggling with preschool nutritional care.

Trends in the prevalence of obesity, overweight, and thinness among schoolchildren aged 7-14 years from southern Brazil (2002-2019).

To analyze the obesity, overweight, and thinness trends among Brazilian schoolchildren by sex, age group, and type of school according to World Health Organization (WHO) and International Obesity Task Force (IOTF) criteria. We conducted four surveys between 2002 and 2018/19 involving schoolchildren aged 7-14 years from a state capital in southern Brazil. Weight status was classified using both WHO and IOTF criteria. In the total sample, obesity prevalence based on the IOTF and the WHO criteria were 72% and 44% higher in 2018/19 compared with 2002, respectively. Over the whole period, the obesity prevalence increased among children (WHO: 10.1% vs. 14.1%; IOTF: 5.0% vs. 8.3%), and those from public schools (WHO: 10.5% vs. 16.4%; IOTF: 5.6% vs. 10.1%). There was no significant reduction in thinness prevalence over the analyzed period. Obesity prevalence remains on an upward trend in a state capital in southern Brazil, especially among children from public schools. A higher prevalence of overweight and obesity was observed using the WHO criteria compared with IOTF criteria.

Healthy Eating at School: Pedagogical Proposal for the Sixth Year of Primary School

This manuscript describes a pedagogical proposal for the adherence to healthy eating in sixth-grade schoolchildren. The reason for the design lies in the high prevalence of overweight and obesity together with a growing current sedentary lifestyle, aspects that constitute a serious public health problem worldwide with an upward trend and pandemic character. Therefore, we carried out six sessions in which schoolchildren participated in different activities for the knowledge of a varied and balanced Mediterranean diet, as well as for its reflection and practice outside the educational center that allows a greater didactic transposition between the school and the educational center. We are born with a body and it has to last us in good condition for the rest of our lives. For this reason, physical activity practiced regularly and in the appropriate way, together with dietary control, is the best tool available today for the promotion of health and quality of life of school-children. In this sense, acquiring such habits from a young age is not of little importance: It is of absolute importance (Aristotle 384–322 BC).

Cardiac magnetic resonance correlates of staging algorithm in patients with asymptomatic severe aortic stenosis

Abstract Background The staging algorithm recently proposed to risk stratify patients with severe aortic stenosis (AS) has not been largely applied to patients who are asymptomatic. While the presence of severe tricuspid regurgitation, pulmonary hypertension and right ventricular dysfunction (stages 3-4) is expected to be low, the prevalence of left ventricular damage (LV), mitral regurgitation, left atrial (LA) dilation and atrial fibrillation (stages 1-2) can be higher in patients with asymptomatic severe AS. The cardiac magnetic resonance (CMR) correlates of the staging algorithm have not been described. Purpose To investigate the distribution of patients with asymptomatic severe AS in the staging algorithm and its differences with CMR findings. In addition, differences in CMR data between patients presenting with AS-related adverse events at 1-year follow-up and patients free of events were compared. Methods Patients with asymptomatic severe AS (aortic valve area, AVA&amp;lt;1.0 cm2) and preserved LV ejection fraction (EF) (&amp;gt;50%) that were referred to CMR were included. Biomarkers, echocardiographic and CMR data were assessed retrospectively. CMR-derived parameters included LV and right ventricular (RV) volumes and systolic function, LA volumes and tissue characterization were reported at baseline and compared with AS-related events (a composite of all-cause mortality, symptoms onset, or need for aortic valve replacement) during 1-year follow-up. Results Of 97 patients included (73±9 years old; 36% males), 3 (%) patients were classified in Stage 0, 34 (35%) in Stage 1, 59 (61%) in Stage 2, and 1 (1%) in Stage 3 or 4. Compared to stage 1, patients in stage 2 were older (P=0.006) and had a higher prevalence of overweight (P=0.037), hypertension (P=0.018), NT-proBNP (P=0.030) and hsTnT (p=0.011) levels. On CMR, they showed higher LV volumes and mass index, larger LA volumes and reduced LA ejection fraction, but no differences on myocardial tissue characteristics (Table 1). Regarding prognosis, 45 (46.5%) patients presented AS-related events at 1-year follow-up. Those with events were mainly in stage 2 (36%) and presented higher NT-proBNP levels despite showing no differences in AVA. On CMR, those with events had lower LVEF, greater LV to RV end-diastolic volume ratio, greater left atrio-ventricular coupling index, reduced LA function and a higher extension of late gadolinium enhancement (Table 2). Conclusions In our cohort, most patients with severe asymptomatic AS were in stage 2. Stage 2 patients presented a higher degree of left-chambers remodelling on CMR compared to patients in stage 1. Patients in stage 2 or with lower LVEF, LV remodelling or reduced LAEF on CMR were those with an increased risk for events at follow-up.