| 1. |
- Ericsson, Ingegerd
(författare)
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To measure and improve motor skills in practice
- 2008
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Ingår i: International Journal of Pediatric Obesity. - : Informa Healthcare. - 1747-7166 .- 1747-7174. ; 3:1, s. 21-27
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Tidskriftsartikel (refereegranskat)abstract
- Objective. The purpose is to validate and discuss the possibilities to use the Motorisk Utveckling som Grund för Inlärning (Motor skills Development as Basis for Learning, MUGI) observation checklist as a measurement instrument for gross motor skills and to introduce the MUGI model for motor training as an alternative to improve children's motor skills in practice. Methods. Motor skills observations were carried out on all pupils in the first three school years at a state-funded primary school in Sweden (n = 251). Pupils in an intervention group (n = 152) had one lesson of physical activity and motor training every school day and also, when needed, an extra motor training lesson per week. The MUGI observation checklist, which includes 16 items that measure static and dynamic balance, bilateral coordination, and eye-hand coordination, was validated and tested for reliability. Results. After one year of intervention, the pupils in the intervention group had significantly better (p < 0.05) motor skills than pupils in the control group. Results of factor analysis, reliability tests, and evaluator agreement show that the MUGI observation checklist fulfills requirements at an acceptable level of validity and reliability. The MUGI model was found to function well in practice for improving children's motor skills. Conclusions. The MUGI observation checklist could be an alternative to current measurement instruments in studies of children's gross motor skills, and also function as planning documentation for individual intervention programs. The MUGI model could be used to improve children's motor skills in practice.
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| 2. |
- Gunnarsson Mériaux, Benita, 1965, et al.
(författare)
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Identification and follow-up of obesity in ten-year-old school children.
- 2008
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Ingår i: International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity. - : Informa UK Limited. - 1747-7174. ; 3:2, s. 102-8
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: Growth surveillance of children in school health services is a routine in Sweden. We describe the effect at follow-up of an overt identification of obesity in school children. METHODS: Follow-up data were collected in two populations of ten-year-old children with obesity. Children in the study group belonged to a cohort born in 1990. Here the presence of obesity had been identified at the routine growth screening, and intervention activities against obesity had been actively offered. Controls belonged to a cohort born in 1989. RESULTS: Of the 176 children with obesity, 91 were in the study group (41 girls) and 85 (44 girls) in the control group. No differences were found between the groups in age, gender or body mass index at baseline. At follow-up, after one to two years, children in the study group had a modest but significantly more pronounced decrease in the relative body mass index, compared with controls. The mean difference between the populations in body mass index standard deviation score (z-score) after adjustment for baseline body mass index and follow-up time was -0.14 (95% confidence interval: -0.25 to -0.02; P=0.027). Socioeconomic status, gender, follow-up time and group were independent predictors for change in body mass index z-score. CONCLUSIONS: To identify children with obesity in a routine school health survey may be a crucial initial step in the management of childhood obesity.
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| 3. |
- Jiang, Jingxiong, et al.
(författare)
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Risk factors for overweight in 2- to 6-year-old children in Beijing, China
- 2006
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Ingår i: International Journal of Pediatric Obesity. - : Informa UK Limited. - 1747-7166 .- 1747-7174. ; 1:2, s. 103-108
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Tidskriftsartikel (refereegranskat)abstract
- Objective. To assess the prevalence of overweight among Chinese preschool children and to explore risk factors of childhood obesity focusing on parental characteristics, feeding practice and lifestyle. Methods. Data on 930 families with 2- to 6-year-old children in five kindergartens were obtained in a cross sectional study. Families were randomly selected from two of all six urban districts in Beijing, China. Information on parental characteristics, dietary habits, lifestyle habits, and feeding practice was collected by parental self-report questionnaires. The children's stature and weight were measured in light clothing and without shoes. Overweight and obesity were defined according to international cut-off values, as proposed by the International Obesity Task Force. Multivariate regression analysis was used to explore risk factors of child overweight. Results. The overall prevalence of overweight and obesity was 10.7% and 4.2%, respectively, and increased with age. The prevalence of child overweight was 14.1% and 7.5% in obese and non-obese families, respectively. Significant associations were observed between child and parent characteristics for overweight, frequency of eating in restaurant, television hours, and hours of physical activity. Child overweight was associated with parental overweight (Odds Ratio [OR] 2.43, 95% CI 0.78, 6.59), low maternal education level (OR 2.22, 95% CI 1.39, 3.55), food restriction (OR 2.68, 95% CI 1.64, 4.29), and television watching>2h/d (OR 1.56, 95% CI 1.17, 2.09), after adjusting for sex, age, family income and kindergarten (for cluster study design). Conclusions. Overweight prevalence among Chinese preschool children in Beijing is comparable to some European countries. Prevention strategies should include identified lifestyle risk factors.
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| 4. |
- Johansson, Lovisa, et al.
(författare)
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Interaction between PPARG Pro12Ala and ADIPOQ G276T concerning cholesterol levels in childhood obesity.
- 2009
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Ingår i: International Journal of Pediatric Obesity. - : Informa UK Limited. - 1747-7174 .- 1747-7166. ; 4, s. 119-125
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Tidskriftsartikel (refereegranskat)abstract
- Aim. The aim of this study was to investigate the role of two candidate gene polymorphisms for insulin resistance and lipid levels in obese children and adolescents. Methods. Two markers of insulin resistance and lipid levels, Pro12Ala in peroxisome proliferator-activated receptor-gamma2 (PPARG) and G276T in adiponectin (ADIPOQ), were genotyped in 285 obese children and adolescents. As the apolipoprotein E (APOE) polymorphisms C112R and R158C are known to have a profound impact on lipid levels in both children and adults, results were adjusted for APOE genotype. Results. We found no association for PPARG or ADIPOQ polymorphisms with Body Mass Index (BMI), High Density Lipoprotein (HDL)-cholesterol, triglycerides or Insulin Resistance estimated by Homeostasis Model of Assessment (HOMA-IR). Wild type carriers of PPARG Pro12Ala (p<0.05), homozygous carriers of the variant allele of ADIPOQ G276T (p<0.001) and epsilon4 carriers of APOE (p<0.001) had higher total and low density lipoprotein (LDL)-cholesterol levels adjusted for age, gender, BMI and insulin sensitivity. A PPARG/ADIPOQ risk genotype combination was identified by analysis of covariance (ANCOVA) comparing all existing combinations. Carriers of PPARG Pro/Pro and ADIPOQ 276 T/T had higher total (5.0 [4.1-5.8] vs. 4.1 [3.6-4.6]mmol/l) and LDL-cholesterol levels (3.7 [2.9-4.5] vs. 3.0 [2.5-3.5]mmol/l) compared with carriers of other combinations (p<0.001). Importantly, the PPARG and ADIPOQ associations were unaffected when adjusting for APOE genotype. Conclusions. Genetic variants in candidate genes for insulin resistance are associated with cholesterol levels in obese children and adolescents, and may offer additional information in the risk assessment of obese children.
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| 5. |
- Kautiainen, Susanna, et al.
(författare)
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Sociodemographic factors and a secular trend of adolescent overweight in Finland
- 2009
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Ingår i: International Journal of Pediatric Obesity. - : INFORMA HEALTHCARE. - 1747-7166 .- 1747-7174. ; 4:4, s. 360-370
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Tidskriftsartikel (refereegranskat)abstract
- Background and aim. The prevalence of overweight and obesity increased three-fold among Finnish adolescents during the past three decades. The aim of the present study was to evaluate whether this secular trend differed between sociodemographic subgroups of adolescents. Methods. Mailed surveys were conducted among nationally representative samples of 12-18 year olds biennially in 1979-2005 (N = 3 105-8 390 per year, response rates 88%-66%). Body mass index was calculated from self-reported weight and height, and overweight (including obesity) was defined according to the IOTF reference for children. Associations between sociodemographic factors and secular trend in the prevalence of overweight were tested by logistic regression including interaction terms between survey year and sociodemographic variables. Results. Throughout the study period a higher prevalence of overweight, as compared with the respective reference groups, was observed among adolescents from rural areas, Western or Eastern Finland; or from lower socioeconomic status families (as measured by father's/guardian's education or occupational status or by mother's education); adolescents reporting lower school achievement, attending vocational school or not going to school at all; adolescents whose fathers were not employed outside home; and among girls living in non-nuclear families or whose mothers were unemployed/laid-off or retired/on long-lasting sick leave. The statistically significant interactions between survey year and sociodemographic variables on the prevalence of overweight were few and inconsistent. Conclusion. The prevalence of overweight varied across sociodemographic subgroups of adolescents but in general no sociodemographic differences in the trends over time were observed. These results suggest that factors underlying the increasing trend of overweight have affected the entire adolescent population.
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| 6. |
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| 7. |
- Nowicka, Paulina, 1974-, et al.
(författare)
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Family in pediatric obesity management. A literature review.
- 2008
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Ingår i: International Journal of Pediatric Obesity. - : Informa UK Limited. - 1747-7166 .- 1747-7174. ; 3 S1, s. 44-50
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Tidskriftsartikel (refereegranskat)abstract
- A dramatic increase in prevalence of pediatric obesity has occurred in most countries over the past few decades. This is of particular significance given the fact that overweight children and adolescents are at increased risk for multiple medical co-morbidities, as well as psychosocial and behavioral difficulties. While considerable attention has recently been paid to identifying obesity and the importance of associated co-morbidities, there has been less focus on considerations related to effective interventions. Interventions aimed at childhood obesity include prevention and treatment. Both prevention and treatment need improvement to be useful in the clinical setting. Few investigators have demonstrated that treatment is effective. The aim of this review is to examine the effectiveness of family-based interventions in obese pediatric subjects and to explore what specific components of family-based programs are of particular significance when treating obese children. A literature search was performed and relevant studies are presented. A majority of the studies support the use of family-based treatment. Furthermore, to develop a fully interactive model, more focus is needed on the specific techniques used in evidence-based programs.
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| 8. |
- Nowicka, Paulina, 1974-, et al.
(författare)
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Family Weight School treatment: 1-year results in obese adolescents.
- 2008
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Ingår i: International Journal of Pediatric Obesity. - : Informa UK Limited. - 1747-7166 .- 1747-7174. ; 3:3, s. 141-147
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim was to evaluate the efficacy of a Family Weight School treatment based on family therapy in group meetings with adolescents with a high degree of obesity.METHODS: Seventy-two obese adolescents aged 12-19 years old were referred to a childhood obesity center by pediatricians and school nurses and offered a Family Weight School therapy program in group meetings given by a multidisciplinary team. Intervention was compared with an untreated waiting list control group. Body mass index (BMI) and BMI z-scores were calculated before and after intervention.RESULTS: Ninety percent of the intervention group completed the program (34 boys, 31 girls; baseline age = 14.8 +/- 1.8 years [mean +/- standard deviation, SD], BMI = 34 +/- 4.0, BMI z-score = 3.3 +/- 0.4). In the control group 10 boys and 13 girls (baseline age = 14.3 +/- 1.6, BMI = 34.1 +/- 4.8, BMI z-score = 3.2 +/- 0.4) participated in the 1-year follow-up. Adolescents in the intervention group with initial BMI z-score < 3.5 (n = 49 out of 65, baseline mean age = 14.8, mean BMI = 33.0, mean BMI z-score = 3.1), showed a significant decrease in BMI z-scores in both genders (-0.09 +/- 0.04, p = 0.039) compared with those in the control group with initial BMI z-score < 3.5 (n = 17 out of 23, mean baseline age = 14.1, mean baseline BMI = 31.6, mean baseline BMI z-score = 3.01). No difference was found in adolescents with BMI z-scores > 3.5.CONCLUSIONS: Family Weight School treatment model might be suitable for adolescents with BMI z-score < 3.5 treated with a few sessions in a multidisciplinary program.
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| 9. |
- Nowicka, Paulina, et al.
(författare)
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Low-intensity family therapy intervention is useful in a clinical setting to treat obese and extremely obese children
- 2007
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Ingår i: International Journal of Pediatric Obesity. - : Informa UK Limited. - 1747-7174 .- 1747-7166. ; 2:4, s. 211-217
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Tidskriftsartikel (refereegranskat)abstract
- Aims. To study the influence of low-intensity solution-focused family therapy with obese and extremely obese pediatric subjects on body mass index (BMI) z-scores and self-esteem. Materials and Methods. Fifty-four obese children, aged 6-17 years, were referred to an outpatient obesity clinic. The families received solution-focused family therapy provided by a multidisciplinary team. Height and weight were recorded; BMI and BMI z-scores were derived. Self-esteem was assessed with a validated questionnaire, "I Think I Am." Parents completed "The Family Climate Scale" assessing family dynamics. Results. Eighty-one percent of the children (n=44, mean age 11.9 years, mean BMI z-score 3.67, range 2.46-5.48) and their parents participated in the follow-up. Eleven children were treated for 6-12 months, and 33 for more than 12 months. On average, the families received 3.8 family therapy sessions. Intervention resulted in a mean decrease in BMI z-score of 0.12 (p=0.0001). Self-esteem on the global scale improved after intervention (p=0.002), and also on sub-scales, depicting physical characteristics (p<0.001), psychological well-being (p=0.026), and relations with others (p=0.046). The Family Climate Scale showed improvement in the sub-scales for Expressiveness (p=0.002) and Chaos (p=0.002). Conclusions. Solution-focused family therapy provided by a multidisciplinary team to obese and extremely obese children may prove useful in the clinical setting, with a positive impact on obesity and self-esteem.
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| 10. |
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