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International journal of obesity : journal of the ... 27건

  1. [해외논문]   Association of childcare arrangement with overweight and obesity in preschool-aged children: a narrative review of literature   SCI SCIE

    Swyden, K (Behavioral Nutrition and Physical Activity Laboratory, Department of Nutritional Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA ) , Sisson, S B (Behavioral Nutrition and Physical Activity Laboratory, Department of Nutritional Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA ) , Lora, K (Behavioral Nutrition and Physical Activity Laboratory, Department of Nutritional Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA ) , Castle, S (Center for Public Health and Health Policy, University of Connecticut Health, Farmington, CT, USA ) , Copeland, K A (Early Childhood Education Institute, University of Oklahoma, Tulsa, OK, USA )
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 1 - 12 , 2017 , 0307-0565 ,

    초록

    The time children spend in childcare overlaps with daily meals and opportunities to be active. Thus these environments have the opportunity to promote—or hinder—healthy weight gain among children who attend them. The purpose of this narrative review was to compile findings from studies examining childcare type and weight outcomes among preschool-age children. A literature search was conducted using PubMed, PsychInfo and ERIC. Inclusion criteria were infant- to 5-year-old children exposed to any type of childcare with a cross-sectional or longitudinal weight outcome. Among 385 studies screened, 18 were included. For comparison across studies, type of childcare was categorized as: childcare center, Head Start, nanny/babysitter, non-relative care/family childcare home and relative care. Four studies found no association with childcare type and obesity, and 10 studies reported mixed results by type of care or subpopulation analyses. Two studies found an overall positive association, and two reported an inverse association. There were differences in direction of associations and findings by type of care arrangement. For Head Start, three of eight studies demonstrated a negative relationship with obesity; none demonstrated a positive association. No other childcare type demonstrated this inverse association. Informal types of care (relative and non-relative care in a home) were positively associated with child obesity in 3 of 10 studies. This association was less commonly reported among formal childcare centers (2 of 15 studies). The majority of studies, however, reported mixed findings or no association by childcare type. Results suggested no consistent evidence for a relationship between childcare and obesity risk, except Head Start. This review exposed the need for a consistent definition of childcare type and the exploration of unmeasured confounders, such as the nutrition and physical activity environment of childcare settings, to understand how they contribute to or protect against the development of overweight/obesity among children.

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  2. [해외논문]   Prevalence and phenotypic characterization of MC4R variants in a large pediatric cohort   SCI SCIE

    Vollbach, H (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , Brandt, S (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , Lahr, G (Molecular Diagnostics Laboratories, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , Denzer, C (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , von Schnurbein, J (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , Debatin, K-M (Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany ) , Wabitsch, M (Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany)
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 13 - 22 , 2017 , 0307-0565 ,

    초록

    Objective:We aimed to determine the prevalence of melanocortin-4 receptor (MC4R) variants in a large German cohort of children with obesity in a pediatric outpatient clinic and to ascertain whether there is a specific phenotype associated with loss-of-function variants as previously reported.Study Design:Eight hundred and ninety-nine patients from our pediatric obesity clinic were screened for MC4R variants by DNA sequencing after PCR amplification. Retrospective statistical analysis of anthropometric and metabolic characteristics was performed, comparing patients with and without MC4R variants across the entire cohort (n=586) as well as in case–control analysis using patients with common sequence MC4R individually matched for age, sex and body mass index standard deviation score (SDS) (n=11 case–control pairs).Results:We identified heterozygous variants within the coding region of the MC4R gene in n=22 (2.45%) patients. Fourteen (1.56%) had a variant that impaired receptor function. One new frameshift (p.F152Sfs), an yet unpublished nonsense mutation (p.Q156X) and one nonsynonymous variation (p.V65E) described in the Mouse Genome Database were detected. Across the whole cohort, at all ages, mean height SDS in subjects with impaired receptor function was higher than in patients with common sequence MC4R. In matched individuals, this trend persisted (8 of the 11 pairs) within the case–control setting. No differences were found regarding metabolic characteristics.Conclusions:The observed prevalence of mutations causing impaired receptor function in this large cohort is comparable to other pediatric cohorts. MC4R deficiency tends to lead to a taller stature, confirming previous clinical reports. The association of MC4R mutations with a distinct phenotype concerning metabolic characteristics remains questionable.

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  3. [해외논문]   Television food advertisement exposure and FTO rs9939609 genotype in relation to excess consumption in children   SCI SCIE

    Gilbert-Diamond, D (Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA ) , Emond, J A (Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Norris Cotton Cancer Center, Lebanon, NH, USA ) , Lansigan, R K (Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA ) , Rapuano, K M (Geisel School of Medicine and Dartmouth-Hitchcock Medical Center, Norris Cotton Cancer Center, Lebanon, NH, USA ) , Kelley, W M (Department of Epidemiology, Geisel School of Medicine at Dartmouth, Lebanon, NH, USA ) , Heatherton, T F (Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA ) , Sargent, J D (Department of Psychological and Brain Sciences, Dartmouth College, Hanover, NH, USA )
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 23 - 29 , 2017 , 0307-0565 ,

    초록

    Background/Objective:Exposure to food advertisements may cue overeating among children, especially among those genetically predisposed to respond to food cues. We aimed to assess how television food advertisements affect eating in the absence of hunger among children in a randomized trial. We hypothesized that the fat mass and obesity-associated gene (FTO) rs9939609 single-nucleotide polymorphism would modify the effect of food advertisements.Subjects/Methods:In this randomized experiment, 200 children aged 9–10 years were served a standardized lunch and then shown a 34-min television show embedded with either food or toy advertisements. Children were provided with snack food to consume ad libitum while watching the show and we measured caloric intake. Children were genotyped for rs9939609 and analyses were conducted in the overall sample and stratified by genotype. A formal test for interaction of the food advertisement effect on consumption by rs9939609 was conducted.Results:About 172 unrelated participants were included in this analysis. Children consumed on average 453 (s.d.=185) kcals during lunch and 482 (s.d.=274) kcals during the experimental exposure. Children who viewed food advertisements consumed an average of 48 kcals (95% confidence interval: 10, 85; P=0.01) more of a recently advertised food than those who viewed toy advertisements. There was a statistically significant interaction between genotype and food advertisement condition (P for interaction=0.02), where the difference in consumption of a recently advertised food related to food advertisement exposure increased linearly with each additional FTO risk allele, even after controlling for body mass index percentile.Conclusions:Food advertisement exposure was associated with greater caloric consumption of a recently advertised food, and this effect was modified by an FTO genotype. Future research is needed to understand the neurological mechanism underlying these associations.

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  4. [해외논문]   Impact of parental obesity on neonatal markers of inflammation and immune response   SCI SCIE

    Broadney, M M (Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA ) , Chahal, N (Section on Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA ) , Michels, K A (Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA ) , McLain, A C (Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA ) , Ghassabian, A (Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, SC, USA ) , Lawrence, D A (Epidemiology Branch, Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA ) , Yeung, E H (Laboratory of Immunology, Wadsworth Center/New York State Department of)
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 30 - 37 , 2017 , 0307-0565 ,

    초록

    Background/Objectives:Maternal obesity may influence neonatal and childhood morbidities through increased inflammation and/or altered immune response. Less is known about paternal obesity. We hypothesized that excessive parental weight contributes to elevated inflammation and altered immunoglobulin (Ig) profiles in neonates.Subjects/Methods:In the Upstate KIDS Study maternal pre-pregnancy body mass index (BMI) was obtained from vital records and paternal BMI from maternal report. Biomarkers were measured from newborn dried blood spots (DBS) among neonates whose parents provided consent. Inflammatory scores were calculated by assigning one point for each of five pro-inflammatory biomarkers above the median and one point for an anti-inflammatory cytokine below the median. Linear regression models and generalized estimating equations were used to estimate mean differences (β) and 95% confidence intervals (CI) in the inflammatory score and Ig levels by parental overweight/obesity status compared with normal weight.Results:Among 2974 pregnancies, 51% were complicated by excessive maternal weight (BMI>25), 73% by excessive paternal weight and 28% by excessive gestational weight gain. Maternal BMI categories of overweight (BMI 25.0–29.9) and obese class II/III (BMI≥35) were associated with increased neonatal inflammation scores (β=0.12, 95% CI: 0.02, 0.21; P=0.02 and β=0.13, CI: −0.002, 0.26; P=0.05, respectively) but no increase was observed in the obese class I group (BMI 30–34.9). Mothers with class I and class II/III obesity had newborns with increased IgM levels (β=0.11, CI: 0.04, 0.17; P=0.001 and β=0.12, CI: 0.05, 0.19); P<0.001, respectively). Paternal groups of overweight, obese class I and obese class II/III had decreased neonatal IgM levels (β=−0.08, CI: −0.13,−0.03, P=0.001; β=−0.07, CI: −0.13, −0.01, P=0.029 and β=−0.11, CI:−0.19,−0.04, P=0.003, respectively).Conclusions:Excessive maternal weight was generally associated with increased inflammation and IgM supporting previous observations of maternal obesity and immune dysregulation in offspring. The role of paternal obesity requires further study.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  5. [해외논문]   Prospective associations between energy balance-related behaviors at 2 years of age and subsequent adiposity: the EDEN mother–child cohort   SCI SCIE

    Saldanha-Gomes, C (INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité) , Heude, B (Center (CRESS), Early ORigin of the Child's Health and Development Team (ORCHAD), Paris, France ) , Charles, M-A (Paris-Sud University, Faculty of medicine, Kremlin-Bicêtre, France ) , de Lauzon-Guillain, B (INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité) , Botton, J (Center (CRESS), Early ORigin of the Child's Health and Development Team (ORCHAD), Paris, France ) , Carles, S (Paris Descartes University, Paris, France ) , Forhan, A (INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité) , Dargent-Molina, P (Center (CRESS), Early ORigin of the Child's Health and Development Team (ORCHAD), Paris, France ) , Lioret, S (Paris Descartes University, Paris, France )
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 38 - 45 , 2017 , 0307-0565 ,

    초록

    Background/Objectives:Sedentary behavior, physical activity and dietary behavior are formed early during childhood and tend to remain relatively stable into later life. No longitudinal studies have assessed the independent influence of these three energy balance-related behaviors during toddlerhood on later adiposity. We aimed to analyze the associations between TV/DVD watching time, outdoor play time and dietary patterns at the age of 2 years and child adiposity at the age of 5 years, in boys and girls separately.Subjects/Methods:This study included 883 children from the French EDEN mother–child cohort. TV/DVD watching time, outdoor play time and dietary intakes were reported by parents in questionnaires when the child was aged 2 years. Two dietary patterns, labeled 'Guidelines' and 'Processed, fast foods', were identified in a previous study. The percentage of body fat (%BF) based on bioelectrical impedance analysis and body mass index were measured at the age of 5 years.Results:In boys, TV/DVD watching time at the age of 2 years was positively associated with %BF at the age of 5 years (β=0.50 (95% confidence interval: 0.001, 1.00) for those boys with ⩾60 min per day of TV/DVD watching time vs those with ⩽15 min per day, P-value for trend 0.05). In girls, outdoor play was inversely associated with %BF (β=−0.96 (95% confidence interval: −1.60, −0.32) for those in the highest tertile of outdoor play time vs those in the lowest tertile, P=0.001). Overall, at the age of 2 years, dietary patterns were associated with both TV/DVD watching time and outdoor play time, but no significant and independent association was observed between dietary patterns and later adiposity.Conclusion:This study shows longitudinal and gender-differentiated relations between both TV/DVD watching time and outdoor play time in toddlerhood and later adiposity, whereas evidence for a relation between dietary patterns and subsequent fat development was less conclusive. Early childhood—by the age of 2 years—should be targeted as a critical time for promoting healthy energy balance-related behaviors.

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  6. [해외논문]   The association between weight perception and BMI: report and measurement data from the growing up in Ireland Cohort Study of 9-year olds   SCI SCIE

    Shiely, F (Department of Epidemiology and Public Health, University College Cork, Cork, Ireland ) , Ng, H Y (HRB Clinical Research Facility, Mercy University Hospital, Grenville Place, Cork, Ireland ) , Berkery, E M (School of Medicine, University College Cork, Brookfield Health Sciences Complex, Cork, Ireland ) , Murrin, C (Department of Mathematics and Statistics, University of Limerick, Plassey, Limerick, Ireland ) , Kelleher, C (School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland ) , Hayes, K (School of Public Health, Physiotherapy and Sports Science, University College Dublin, Belfield, Dublin 4, Ireland )
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 46 - 53 , 2017 , 0307-0565 ,

    초록

    Background:The gold standard for categorisation of weight status is clinically measured body mass index (BMI), but this is often not practical in large epidemiological studies.Objectives:To determine if a child’s weight perception or a mother’s perception of a child’s weight status is a viable alternative to measured height and weight in determining BMI classification. Secondary outcomes are to determine the influence of a mother’s BMI on her ability to categorise the child’s BMI and a child’s ability to recognise his/her own BMI.Methods:Cross-sectional analysis of the growing up in Ireland cohort study, a nationally representative cohort of 8568 9-year-old children. The variables considered for this analysis are the child’s gender, BMI (International Obesity Taskforce grade derived from measured height and weight) and self-perceived weight status, and the mother’s weight perception of the child, BMI (derived from measured height and weight) and self-perceived weight status. Cohen’s weighted-kappa was used to evaluate the strength of the agreement between pairwise combinations of the BMI variables. Cumulative and adjacent categories logistic regression were used to predict how likely a person rates themselves as under, normal or overweight, based on explanatory variables.Results:Mothers are more accurate at correctly classifying their child’s BMI (κ=0.5; confidence intervals (CI) 0.38–0.51) than the children themselves (κ=0.25; CI 0.23–0.26). Overweight mothers are better raters of their child’s BMI (κ=0.51; CI 0.49–0.54), compared with normal (κ=0.44; CI 0.41–0.47) or underweight mothers (κ=0.4; CI 0.22–0.58), regardless of whether the mother’s BMI is derived from measured height and weight or self-perceived. The mother’s perception of the child’s weight status is not an influencing factor on the child’s ability to correctly classify him/herself, but the child’s self-perceived weight status influences the mother’s ability to correctly classify the child.Conclusions:A mother’s BMI classification of her child is a viable alternative to BMI measurement in large epidemiological studies.

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  7. [해외논문]   The impact of familial, behavioural and psychosocial factors on the SES gradient for childhood overweight in Europe. A longitudinal study   SCI SCIE

    Bammann, K (Faculty of Human and Health Sciences, Institute for Public Health and Nursing Research (ipp), University of Bremen, Bremen, Germany ) , Gwozdz, W (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany ) , Pischke, C (Department of Intercultural Communication and Management, Copenhagen Business School, Frederiksberg, Denmark ) , Eiben, G (Leibniz Institute for Prevention Research and Epidemiology—BIPS, Bremen, Germany ) , Fernandez-Alvira, J M (Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden ) , De Henauw, S (Department of Physical Medicine and Nursing, Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain ) , Lissner, L (Department of Public Health, Ghent University, Ghent, Belgium ) , Moreno, L A (Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden ) , Pitsiladis, Y (Department of Physical Medicine and Nursing, Growth, Exercise, Nutrition and Development (GENUD) Research Group, University of Zaragoza, Zaragoza, Spain ) , Reisch, L (Cen) , Veidebaum, T , Pigeot, I
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 54 - 60 , 2017 , 0307-0565 ,

    초록

    Background:In highly developed countries, childhood overweight and many overweight-related risk factors are negatively associated with socioeconomic status (SES).Objective:The objective of this study is to investigate the longitudinal association between parental SES and childhood overweight, and to clarify whether familial, psychosocial or behavioural factors can explain any SES gradient.Methods:The baseline and follow-up surveys of the identification and prevention of dietary and lifestyle induced health effects in children and infants (IDEFICS) study are used to investigate the longitudinal association between SES, familial, psychosocial and behavioural factors, and the prevalence of childhood overweight. A total of 5819 children (50.5% boys and 49.5% girls) were included.Results:The risk for being overweight after 2 years at follow-up in children who were non-overweight at baseline increases with a lower SES. For children who were initially overweight, a lower parental SES carries a lower probability for a non-overweight weight status at follow-up. The effect of parental SES is only moderately attenuated by single familial, psychosocial or behavioural factors; however, it can be fully explained by their combined effect. Most influential of the investigated risk factors were feeding/eating practices, parental body mass index, physical activity behaviour and proportion of sedentary activity.Conclusion:Prevention strategies for childhood overweight should focus on actual behaviours, whereas acknowledging that these behaviours are more prevalent in lower SES families.

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    회원님의 원문열람 권한에 따라 열람이 불가능 할 수 있으며 권한이 없는 경우 해당 사이트의 정책에 따라 회원가입 및 유료구매가 필요할 수 있습니다.이동하는 사이트에서의 모든 정보이용은 NDSL과 무관합니다.

    NDSL에서는 해당 원문을 복사서비스하고 있습니다. 아래의 원문복사신청 또는 장바구니담기를 통하여 원문복사서비스 이용이 가능합니다.

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  8. [해외논문]   A longitudinal study of serum insulin and insulin resistance as predictors of weight and body fat gain in African American and Caucasian children   SCI SCIE

    Sedaka, N M (Section on Growth and Obesity (SGO), Program in Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA ) , Olsen, C H (Biostatistics Consulting Center, Uniformed Services University of the Health Sciences, Bethesda, MD, USA ) , Yannai, L E (Section on Growth and Obesity (SGO), Program in Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA ) , Stutzman, W E (Section on Growth and Obesity (SGO), Program in Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA ) , Krause, A J (Section on Growth and Obesity (SGO), Program in Developmental Endocrinology and Genetics (PDEGEN), Eunice Kennedy Shriver National Institute of Child Health a) , Sherafat-Kazemzadeh, R , Condarco, T A , Brady, S M , Demidowich, A P , Reynolds, J C , Yanovski, S Z , Hubbard, V S , Yanovski, J A
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 61 - 70 , 2017 , 0307-0565 ,

    초록

    Background:The influence of insulin and insulin resistance (IR) on children’s weight and fat gain is unclear.Objective:To evaluate insulin and IR as predictors of weight and body fat gain in children at high risk for adult obesity. We hypothesized that baseline IR would be positively associated with follow-up body mass index (BMI) and fat mass.Subjects/Methods:Two hundred and forty-nine healthy African American and Caucasian children aged 6–12 years at high risk for adult obesity because of early-onset childhood overweight and/or parental overweight were followed for up to 15 years with repeated BMI and fat mass measurements. We examined baseline serum insulin and homeostasis model of assessment-IR (HOMA-IR) as predictors of follow-up BMI Z-score and fat mass by dual-energy X-ray absorptiometry in mixed model longitudinal analyses accounting for baseline body composition, pubertal stage, sociodemographic factors and follow-up interval.Results:At baseline, 39% were obese (BMI⩾95th percentile for age/sex). Data from 1335 annual visits were examined. Children were followed for an average of 7.2±4.3 years, with a maximum follow-up of 15 years. After accounting for covariates, neither baseline insulin nor HOMA-IR was significantly associated with follow-up BMI (Ps>0.26), BMIz score (Ps>0.22), fat mass (Ps>0.78) or fat mass percentage (Ps>0.71). In all models, baseline BMI (P<0.0001), body fat mass (P<0.0001) and percentage of fat (P<0.001) were strong positive predictors for change in BMI and fat mass. In models restricted to children without obesity at baseline, some but not all models had significant interaction terms between body adiposity and insulinemia/HOMA-IR that suggested less gain in mass among those with greater insulin or IR. The opposite was found in some models restricted to children with obesity at baseline.Conclusions:In middle childhood, BMI and fat mass, but not insulin or IR, are strong predictors of children’s gains in BMI and fat mass during adolescence.

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  9. [해외논문]   Nutritional quality of packaged foods targeted at children in Brazil: which ones should be eligible to bear nutrient claims?   SCI SCIE

    Rodrigues, V M (Nutrition Graduate Programme (Programa de Pós-Graduação em Nutrição), Nutrition in Foodservice Research Centre (NUPPRE), Federal University of Santa Catarina (UFSC), Santa Catarina, Brazil ) , Rayner, M (British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, Oxford, UK ) , Fernandes, A C (British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, Oxford, UK ) , de Oliveira, R C (Nutrition Graduate Programme (Programa de Pós-Graduação em Nutrição), Nutrition in Foodservice Research Centre (NUPPRE), Federal University of Santa Catarina (UFSC), Santa Catarina, Brazil ) , Proenç (Nutrition Graduate Programme (Programa de Pós-Graduação em Nutrição), Nutrition in Foodservice Research Centre (NUPPRE), Federal University of Santa Catarina (UFSC) , a, R P C , Fiates, G M R
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 71 - 75 , 2017 , 0307-0565 ,

    초록

    Objectives:This study aimed to assess the nutritional quality of food products marketed at children, with and without nutrient claims, using two different approaches.Methods:Analyses were performed based on a data set with food composition and labelling data from every packaged food marketed at children sold in a major Brazilian supermarket (n=535). Foods were classified as ‘healthier’ and ‘less healthy’ according to the UK/Ofcom nutrient profile model and to the NOVA classification based on the level of food processing. Pearson's χ 2 test was used to compare proportions between models. Agreement was assessed using Cohen’s κ-statistic (P<0.05).Results:The NOVA model was stricter than the UK/Ofcom model, classifying more products as ‘less healthy’ (91.4%) compared with the nutrient profile-based model (75.0%; P<0.001). Agreement between models was 79.4% (k=0.30), because 72.9% (n=390) of products were categorised as ‘less healthy’ by both models, and 6.5% (n=35) as ‘healthier’. Half of the food products marketed at children from the database (270; 50.5%) bore nutrient claims. From these products with nutrient claims, 95.9% (92.8–98.0) were classified as ‘less healthy’ by the NOVA model, whereas this percentage was 74.1% (68.4–79.2) according to the UK/Ofcom model (P<0.05).Conclusions:The high number of foods with low nutritional quality being marketed at children via product packaging and nutrient claims should be of concern to policy makers wanting to improve children’s diets and to tackle childhood obesity. The implementation of nutritional quality criteria to ensure that foods targeted at children should be eligible to bear nutrient claims on their labels could avoid a situation where claims mask the overall nutritional status of a food.

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  10. [해외논문]   30-year trends in overweight, obesity and waist-to-height ratio by socioeconomic status in Australian children, 1985 to 2015   SCI SCIE

    Hardy, L L (Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia ) , Mihrshahi, S (Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia ) , Gale, J (Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia ) , Drayton, B A (NSW Ministry of Health, North Sydney, NSW, Australia ) , Bauman, A (Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia ) , Mitchell, J (NSW Ministry of Health, North Sydney, NSW, Australia)
    International journal of obesity : journal of the International Association for the Study of Obesity v.41 no.1 ,pp. 76 - 82 , 2017 , 0307-0565 ,

    초록

    Background/Objective:To report 30-year (1985–2015) prevalence trends in overweight, obesity and abdominal obesity among children by school level and socioeconomic status (SES).Subjects/Methods:Five cross-sectional, population child surveys (age 4–18 years; n=27 808) conducted in 1985–1997–2004–2010–2015 in New South Wales, Australia. Outcomes were prevalence of measured overweight, obesity and waist-to-height ratio (WHtR⩾0.5) by sex, school level (children (primary) and adolescents (high)) and SES tertile.Results:In 2015, the prevalences of overweight, obesity and WHtR⩾0.5 in children were 16.4%, 7.0% and 14.6%, respectively, and in adolescents 21.9%, 17.2% and 4.6%, respectively. Obesity prevalence has not significantly changed in children or adolescents since 1997, nor since 2010 (children, P=0.681; adolescents, P=0.21). Overweight has not significantly changed in children since 1997, but has in adolescents since 1985, with a relative increase of 16 percentage points (P<0.001) between 2010 and 2015. WHtR⩾0.5 prevalence has significantly changed since 1985, except in adolescent girls between 2010 and 2015. Between 2010 and 2015 the relative increase in WHtR⩾0.5 was 17 and 40 percentage points in children and adolescent boys, respectively. Significant disparities in prevalence rates between children and adolescents from low and high SES backgrounds began in 2010 for overweight, since 1997 for obesity and since 2004 for WHtR⩾0.5. Differences between SES groups have become larger over the past 18 years.Conclusions:Since 1997, obesity has remained stable, and overweight has stabilized in children, not in adolescents. WHtR⩾0.5 significantly increased between 1985 and 2015, with prevalence rates at each survey around twice the obesity prevalence. Compared with high SES children and adolescents, the risk of overweight, obesity and WHtR⩾0.5 was significantly higher for low SES children and adolescents. The findings are highly relevant to policy makers involved in child obesity prevention interventions and highlight the need for better targeted interventions among children and adolescents from low SES backgrounds, and adolescents in particular.

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