Infant, child & adolescent nutrition最新文献_第3页

Children's Perceptions of Obesity and Health: A Focus Group Study With Hispanic Boys. 儿童对肥胖和健康的看法:西班牙裔男孩的焦点小组研究。

Infant, child & adolescent nutrition Pub Date : 2012-10-01 DOI: 10.1177/1941406412446946

Joseph A Skelton, Megan Bennett Irby, M Angelica Guzman, Bettina M Beech

{"title":"Children's Perceptions of Obesity and Health: A Focus Group Study With Hispanic Boys.","authors":"Joseph A Skelton, Megan Bennett Irby, M Angelica Guzman, Bettina M Beech","doi":"10.1177/1941406412446946","DOIUrl":"https://doi.org/10.1177/1941406412446946","url":null,"abstract":"Objective: Hispanic boys are one of the most at-risk groups for the development of obesity, yet few effective interventions have been reported. The objective of this study was to assess Hispanic boys' perceptions of health and obesity to inform future, targeted interventions.Methods: This is a qualitative and quantitative study of Hispanic boys aged 8 to 12 years in Forsyth County, North Carolina (n = 25). Three focus groups were conducted combined with anthropometrics and measures of body image. Interview guides were developed to elicit children's perceptions of obesity, nutrition, physical activity, and family influences over health behaviors. Focus group comments were recorded and transcribed. Transcripts were coded using a multistage inductive approach, and grounded theory was used to analyze responses.Results: The following 6 themes emerged: boys had a limited and superficial understanding of health, nutrition, and activity; perceptions of health were based on muscular appearance, frequency of exercise, and media messages; boys had negative perceptions of overweight children and physical performance; family meals were infrequent and unstructured; boys prefer restaurants with fast food, buffets, and entertainment; and neighborhood safety influences activity participation. Boys did not mention parents as influencers of health and habits.Conclusions: From their findings, the authors have outlined several key areas that will inform clinicians and researchers in the prevention and treatment of obesity in this highly vulnerable population.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"4 5","pages":"289-296"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406412446946","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32254934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 12

Pain as a Comorbidity of Pediatric Obesity. 疼痛是儿童肥胖的合并症。

Infant, child & adolescent nutrition Pub Date : 2012-10-01 DOI: 10.1177/1941406412458315

Keri R Hainsworth, Lawrence A Miller, Stacy C Stolzman, Brian M Fidlin, W Hobart Davies, Steven J Weisman, Joseph A Skelton

{"title":"Pain as a Comorbidity of Pediatric Obesity.","authors":"Keri R Hainsworth, Lawrence A Miller, Stacy C Stolzman, Brian M Fidlin, W Hobart Davies, Steven J Weisman, Joseph A Skelton","doi":"10.1177/1941406412458315","DOIUrl":"https://doi.org/10.1177/1941406412458315","url":null,"abstract":"The purpose of this study was to document the prevalence and characteristics of physical pain in a sample of severely obese children and adolescents. In this retrospective chart review, primary measures included current and past pain, pain intensity, and pain characteristics during a 5-minute walk test. Pain assessments for 74 patients (mean age 11.7 years; 53% female; 41% African American) were conducted by a physical therapist. Past pain was reported by 73% of the sample, with 47% reporting pain on the day of program enrollment. Although average pain intensity was moderate (M = 5.5/10), alarmingly, 42% of those with current pain reported severe pain (6/10 to 10/10). Overall, pain occurred primarily in the lower extremities and with physical activity. Patients reporting current pain had a significantly higher body mass index than those reporting no pain. These findings suggest that pain is common in severely obese youth, and furthermore, that pain should be recognized as a comorbidity of pediatric obesity. Routinely screening severely obese children and adolescents for pain presence and intensity is recommended.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"4 5","pages":"315-320"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406412458315","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32254935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Pediatric Obesity Treatment in Children With Neurodevelopmental Disabilities: A Case Series and Review of the Literature. 儿童肥胖治疗与神经发育障碍的儿童:一个病例系列和文献回顾。

Infant, child & adolescent nutrition Pub Date : 2012-08-01 DOI: 10.1177/1941406412448527

Megan B Irby, Stacy Kolbash, Dara Garner-Edwards, Joseph A Skelton

{"title":"Pediatric Obesity Treatment in Children With Neurodevelopmental Disabilities: A Case Series and Review of the Literature.","authors":"Megan B Irby, Stacy Kolbash, Dara Garner-Edwards, Joseph A Skelton","doi":"10.1177/1941406412448527","DOIUrl":"https://doi.org/10.1177/1941406412448527","url":null,"abstract":"Obesity can affect any child, but it occurs disproportionately in children with developmental disabilities. Treatment efforts, however, have focused primarily on nondisabled children, and more research is needed to determine how current approaches can be modified for youth with neurodevelopmental disabilities. This article briefly reviews what is currently known about obesity treatment in these children and presents a case series describing methods employed by a family-based, multidisciplinary weight management program in the treatment of obesity. Lessons learned from clinical experience are also discussed, with implications for collaborating with families of children with disabilities in treatment, establishing healthy routines and schedules, setting the pace of treatment progression, and minimizing disruptions in the behavior change process. Though there are no expert recommendations specifically tailored to obesity treatment in children with neurodevelopmental disabilities, existing clinical programs such as the one described here can be adapted to better meet the needs of this underserved population. Further research is warranted to determine the most effective methods for addressing obesity in these children, as has been specified as a national health priority.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"4 4","pages":"215-221"},"PeriodicalIF":0.0,"publicationDate":"2012-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406412448527","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32254933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Allometric Prediction of Energy Expenditure in Infants and Children. 婴儿和儿童能量消耗的异速预测。

Infant, child & adolescent nutrition Pub Date : 2011-08-01 DOI: 10.1177/1941406411414416

Thane Blinman, Robin Cook

{"title":"Allometric Prediction of Energy Expenditure in Infants and Children.","authors":"Thane Blinman, Robin Cook","doi":"10.1177/1941406411414416","DOIUrl":"https://doi.org/10.1177/1941406411414416","url":null,"abstract":"Predicting energy needs in children is complicated by the wide range of patient sizes, confusing traditional estimation equations, nonobjective stress-activity factors, and so on. These complications promote errors in bedside estimates of nutritional needs by rendering the estimation methods functionally unavailable to bedside clinicians. Here, the authors develop a simple heuristic energy prediction equation that requires only body mass (not height, age, or sex) as input. Expert estimation of energy expenditure suggested a power-law relationship between mass and energy. A similar mass-energy expenditure relationship was derived from published pediatric echocardiographic data using a Monte Carlo model of energy expenditure based on oxygen delivery and consumption. A simplified form of the equation was compared with energy required for normal growth in a cohort of historical patients weighing 2 to 70 kg. All 3 methods demonstrate that variation in energy expenditure in children is dominated by mass and can be estimated by the following equation: Power(kcal/kg/d) = 200 × [Mass(kg)((-0.4))]. This relationship explains 85% of the variability in energy required to maintain expected growth over a broad range of surgical clinical contexts. A simplified power-law equation predicts real-world energy needs for growth in patients over a wide range of body sizes and clinical contexts, providing a more useful bedside tool than traditional estimators.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"3 4","pages":"216-224"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406411414416","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30438366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Community based participatory research of breastfeeding disparities in African American women. 非裔美国妇女母乳喂养差异的社区参与性研究。

Infant, child & adolescent nutrition Pub Date : 2011-08-01 DOI: 10.1177/1941406411413918

Tamar Ringel Kulka, Elizabeth Jensen, Sue McLaurin, Elizabeth Woods, Jonathan Kotch, Miriam Labbok, Mike Bowling, Pamela Dardess, Sharon Baker

{"title":"Community based participatory research of breastfeeding disparities in African American women.","authors":"Tamar Ringel Kulka, Elizabeth Jensen, Sue McLaurin, Elizabeth Woods, Jonathan Kotch, Miriam Labbok, Mike Bowling, Pamela Dardess, Sharon Baker","doi":"10.1177/1941406411413918","DOIUrl":"https://doi.org/10.1177/1941406411413918","url":null,"abstract":"OBJECTIVE: Lack of support for breastfeeding mothers has been consistently identified in the literature as a barrier for breastfeeding across racial and ethnic groups. Using a community-based participatory approach, academic and community-based partners conducted an iterative process to assess barriers, facilitators and potential mediating interventions for breastfeeding in the African-American community in Durham, North Carolina. METHODS: Eight focus groups were conducted with African-American mothers, fathers and grandmothers. Researchers transcribed and coded each focus group and analyzed using Atlas ti. 5.2. Patterns and themes that emerged informed the development of community stakeholder interviews; 41 interviews were conducted with community representatives. These findings informed the development of a support group pilot intervention. The pilot support groups were evaluated for increase in knowledge of attendees. RESULTS: Focus group and community interviews indicate that African Americans may disproportionately experience inadequate support for breastfeeding. This lack of support was reported in the home, the workplace, among peers, and from healthcare providers. The pilot support groups resulted in increased knowledge of breastfeeding among group participants OR=3.6 (95% CI: 2.5, 5.2). CONCLUSIONS: The findings from this research underscore the importance of a multi-level approach to breastfeeding support for African American women to address breastfeeding disparities.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"3 4","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2011-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1941406411413918","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31168354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 39

Maternal Variables Influencing Duration of Breastfeeding Among Low-Income Mothers. 影响低收入母亲母乳喂养持续时间的母亲变量。

Infant, child & adolescent nutrition Pub Date : 2009-06-01 DOI: 10.1177/1941406409334379

Anne Chevalier McKechnie, Audrey Tluczek, Jeffrey B Henriques

{"title":"Maternal Variables Influencing Duration of Breastfeeding Among Low-Income Mothers.","authors":"Anne Chevalier McKechnie, Audrey Tluczek, Jeffrey B Henriques","doi":"10.1177/1941406409334379","DOIUrl":"10.1177/1941406409334379","url":null,"abstract":"This study used a retrospective comparison of 2 naturally occurring groups, first to examine how exclusive versus partial breastfeeding relates to duration of breastfeeding and, second, to determine if factors such as age and body mass index are associated with exclusive versus partial breastfeeding duration. These factors were hypothesized to influence the amount of breastfeeding in a sample of 42 low-income mothers enrolled in the Supplemental Nutrition Program for Women, Infants, and Children of a predominately rural, Midwestern county. This study examined de-identified data from a state database spanning a calendar year. Breastfeeding behavior, age, and body mass index measurements for mothers giving birth within the first 6 months of that year were analyzed. Exclusive breastfeeding mothers breastfed longer, were of older age, and had lower body mass indexes than partial breastfeeding mothers. These findings further describe characteristics of low-income breastfeeding women. Understanding how factors associated with exclusive versus partial breastfeeding affect breastfeeding duration may inform clinicians and researchers of areas for future interventions.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"1 3","pages":"126-132"},"PeriodicalIF":0.0,"publicationDate":"2009-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3085246/pdf/nihms252557.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29859652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Milk-Based Nutritional Supplements in Conjunction With Lifestyle Intervention in Overweight Adolescents. 以牛奶为基础的营养补充剂与超重青少年的生活方式干预相结合。

Infant, child & adolescent nutrition Pub Date : 2009-02-01 DOI: 10.1177/1941406408326991

Caroline Apovian, Sherman Bigornia, Diana Cullum-Dugan, Chris Schoonmaker, Joanna Radziejowska, Jenna Phipps, Noyan Gokce, Nawfal Istfan, Alan Meyers, Carine Lenders

{"title":"Milk-Based Nutritional Supplements in Conjunction With Lifestyle Intervention in Overweight Adolescents.","authors":"Caroline Apovian, Sherman Bigornia, Diana Cullum-Dugan, Chris Schoonmaker, Joanna Radziejowska, Jenna Phipps, Noyan Gokce, Nawfal Istfan, Alan Meyers, Carine Lenders","doi":"10.1177/1941406408326991","DOIUrl":"10.1177/1941406408326991","url":null,"abstract":"There are limited data on successful weight management approaches among adolescents from underserved communities. The primary aim of this study was to obtain preliminary data on the efficacy, safety, and acceptability of a lifestyle intervention with milk-based supplements among adolescents from underserved communities. The secondary aims of this study were to assess change in adiposity indices and metabolic indices and to measure compliance. The authors conducted a 12-week open-labeled lifestyle intervention. Adolescents were taught a structured meal plan, including the use of 2 milk-based supplements daily, and participated in weekly lifestyle counseling. Overweight was defined as a body mass index >85th percentile. Percent total body fat was estimated using bioelectric impedance. Fasting blood samples were used to measure insulin indices and other biochemical safety tests. The sample consisted of 40 adolescents (70% girls, 83% minority). Although there was no significant change in body mass index (median [Q1, Q3]; -0.10 [-0.91, 0.61] kg/m(2), P = .26), participants showed a decrease in body mass index z score (-0.03 [-0.08, 0.01] SD, P = .01]), weight z score (-0.04 [-0.11, 0.02] SD, P = .001), and percent total body fat (-1.20 [-2.55, -0.12]%, P = .0001). No new onset of type 2 diabetes mellitus was reported, and plasma vitamin D increased (P < .01). Consumption of milk-based drinks increased from a median of 4.5 to 13.5 servings per week, whereas sugary beverages decreased from 8.0 to 3.8 servings per week. A lifestyle intervention that includes milk-based supplements may safely improve some adiposity indices and decrease intake of sugary beverages among overweight adolescents from underserved areas.","PeriodicalId":89385,"journal":{"name":"Infant, child & adolescent nutrition","volume":"1 1","pages":"37-44"},"PeriodicalIF":0.0,"publicationDate":"2009-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278916/pdf/nihms200040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30471164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Juvenile Justice 少年司法

Infant, child & adolescent nutrition Pub Date : 1900-01-01 DOI: 10.1007/978-1-137-29921-5_12

Lauren Mozer, J. Weber

引用次数: 0