62,568 results match your criteria obese children


Adult female urinary incontinence guidelines: a systematic review of evaluation guidelines across clinical specialties.

Int Urogynecol J 2021 Apr 21. Epub 2021 Apr 21.

Department of Surgery, Division of Public Health Sciences, Washington University School of Medicine, St. Louis, MO, USA.

Introduction And Hypothesis: To systematically review evaluation guidelines of uncomplicated urinary incontinence (UI) in community-dwelling adult women to assess guidance available to the full range of providers treating UI.

Methods: Systematic literature search of eight bibliographic databases. We included UI evaluation guidelines written for medical providers in English after January 1, 2008. Read More

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[Mediating effect of milk intake between family socioeconomic status and body mass index of children and adolescents].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Feb;53(2):308-313

Peking University School of Public Health; Institute of Child and Adolescent Health, Peking University, Beijing 100191, China.

Objective: To examine the association between family socioeconomic status (SES) and body mass index (BMI) -score of children and adolescents, and the mediating effect of milk intake in this association.

Methods: In the study, 2 496 students and their parents were selected from 16 schools (4 urban middle schools, 4 rural middle schools, 4 urban primary schools, and 4 rural primary schools) using a stratified cluster sampling method. The frequency and amount of weekly milk intake from the 7-day Food Records reported by the students were extracted. Read More

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February 2021

Impact of Body Mass Index and Initial Respiratory Support on Pediatric Subjects in Acute Respiratory Failure.

Respir Care 2021 Apr 20. Epub 2021 Apr 20.

Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.

Background: It is unknown how the initial choice of respiratory support by pediatric ICU providers contributes to outcomes of nonintubated obese children with respiratory failure. We hypothesized that body mass index and the type of initial respiratory support applied are associated with poor clinical outcomes in patients who carry respiratory failure-associated diagnoses.

Methods: This is a retrospective analysis of de-identified patient data obtained from the Virtual PICU System database (2009-2018). Read More

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Changes over time in latent patterns of childhood-to-adulthood BMI development in Great Britain: evidence from three cohorts born in 1946, 1958, and 1970.

BMC Med 2021 Apr 21;19(1):96. Epub 2021 Apr 21.

School of Sport Exercise and Health Sciences, Loughborough University, Loughborough, UK.

Background: Most studies on secular trends in body mass index (BMI) are cross-sectional and the few longitudinal studies have typically only investigated changes over time in mean BMI trajectories. We aimed to describe how the evolution of the obesity epidemic in Great Britain reflects shifts in the proportion of the population demonstrating different latent patterns of childhood-to-adulthood BMI development.

Methods: We used pooled serial BMI data from 25,655 participants in three British cohorts: the 1946 National Survey of Health and Development (NSHD), 1958 National Child Development Study (NCDS), and 1970 British Cohort Study (BCS). Read More

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Improvement in BMI z-score following adenotonsillectomy in adolescents aged 12-18 years: a retrospective cohort study.

BMC Pediatr 2021 Apr 20;21(1):184. Epub 2021 Apr 20.

Department of Pediatrics, Carmel Hospital and Technion Faculty of Medicine, Haifa, Israel.

Background: Characteristics of obstructive sleep apnea (OSA) changes with age. Infants, toddlers and prepubertal children with OSA are usually underweight and may suffer from failure to thrive (FTT). Adenotonsillectomy (T&A) is the first line of treatment for OSA in childhood. Read More

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Influence of weight status on bone mineral content measured by DXA in children.

BMC Pediatr 2021 Apr 20;21(1):185. Epub 2021 Apr 20.

Medical School, University of Miguel Hernández de Elche, Sant Joan d'Alacant, Spain.

Introduction: Childhood obesity is a public health problem with repercussions in later life. As tissue formation peaks in childhood we determined how weight status influences bone mineral content.

Material And Methods: We studied 553 children aged 4-18 years over 10 years (46. Read More

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Factors associated with referral for polysomnography in children with Down syndrome.

Sleep Med 2021 Mar 24;82:29-36. Epub 2021 Mar 24.

Department of Paediatrics, Monash University, Melbourne, Australia; Melbourne Children's Sleep Centre, Monash Children's Hospital, Melbourne, Australia. Electronic address:

Objectives: Children with Down syndrome (DS) are recommended to undergo polysomnography (PSG) by the age of four years due to the high prevalence of obstructive sleep apnea (OSA) in this group, but compliance is incomplete. To further understand referral patterns for PSG in this condition, we aimed to compare demographics, PSG results, OSA severity, behavior, daytime functioning and quality of life (QOL) between children with DS referred for sleep testing and those recruited from the community.

Study Design: Children 3-19 years with DS was included: 20 referred clinically for assessment of OSA and 24 volunteers from the community. Read More

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Designing warnings for sugary drinks: A randomized experiment with Latino parents and non-Latino parents.

Prev Med 2021 Apr 17:106562. Epub 2021 Apr 17.

Carolina Population Center, University of North Carolina, Chapel Hill, NC, USA; Department of Nutrition, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.

Sugary drink warnings are a promising policy for reducing sugary drink consumption, but it remains unknown how to design warnings to maximize their impact overall and among diverse population groups, including parents of Latino ethnicity and parents with low English use. In 2019, we randomized US parents of children ages 2-12 (n = 1078, 48% Latino ethnicity, 13% low English use) to one topic (one of four warnings, or a neutral control), which they viewed on three designs (text-only, icon, and graphic) to assess reactions to the various warnings on sugary drinks. All warning topics were perceived as more effective than the control (average differential effect [ADE] ranged from 1. Read More

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Promoting Sleep and Balanced Screen Time among School-Aged Children with Neurodevelopmental and Mental Health Disorders: A Parent Perspective.

Child Obes 2021 Apr 20. Epub 2021 Apr 20.

Boston College School of Social Work, Chestnut Hill, MA, USA.

Children with neurodevelopmental and mental health disorders (N/MHD), such as autism spectrum, mood disorders, and anxiety, are more likely to engage in excessive screen time, receive insufficient sleep, and to have obesity than neurotypical peers. However, little is known about how parents of these children approach promoting sleep and balanced screen time. We conducted semistructured interviews with 24 parents of children aged 8-15 years with a diagnosis of N/MHD to assess barriers and facilitators to promoting sleep and balanced screen time. Read More

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Associations between Obesity and Adverse Childhood Experiences in the United States.

Child Obes 2021 Apr 20. Epub 2021 Apr 20.

Department of Pediatrics, University of Kansas Medical Center, Kansas City, KS, USA.

Obesity leads to serious health consequences in children and is potentially associated with increased adverse childhood experiences (ACEs). Nationally representative studies examining associations between obesity and ACEs are lacking. Therefore, we aimed to determine the relationship between ACEs and childhood obesity. Read More

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Predictors of atopic disease in children of women with asthma.

Pediatr Allergy Immunol 2021 Apr 20. Epub 2021 Apr 20.

Department of Respiratory Medicine, Copenhagen University Hospital-Hvidovre Hvidovre, Denmark.

To the editor. The prevalence of atopic diseases is increasing , and so is the prevalence of cesarean section (CS) . The long-term consequences of CS on the infant's health are unclear, however, epidemiological studies suggest that it is associated with higher risk of obesity during infancy, type 1 diabetes, and allergic diseases . Read More

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Height Versus Body Surface Area to Normalize Cardiovascular Measurements in Children Using the Pediatric Heart Network Echocardiographic Z-Score Database.

Pediatr Cardiol 2021 Apr 20. Epub 2021 Apr 20.

Stanford University School of Medicine, Palo Alto, CA, USA.

Normalizing cardiovascular measurements for body size allows for comparison among children of different ages and for distinguishing pathologic changes from normal physiologic growth. Because of growing interest to use height for normalization, the aim of this study was to develop height-based normalization models and compare them to body surface area (BSA)-based normalization for aortic and left ventricular (LV) measurements. The study population consisted of healthy, non-obese children between 2 and 18 years of age enrolled in the Pediatric Heart Network Echo Z-Score Project. Read More

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Are there adverse outcomes for child health and development following caesarean section delivery? Can we justify using elective caesarean section to prevent obstetric pelvic floor damage?

Authors:
Jennifer King

Int Urogynecol J 2021 Apr 20. Epub 2021 Apr 20.

Pelvic Floor Unit, Westmead Hospital, Sydney, Australia.

Introduction And Hypothesis: Elective pre-labour Caesarean section (CS) delivery is widely regarded as the panacea for all pelvic floor dysfunction despite substantial epidemiological evidence that it is only partially protective. To demand a CS is also considered a right for the well-counselled patient, even without an elevated risk of incontinence or prolapse. In recent years there has been increasing data on possible adverse health outcomes for children delivered by CS over those delivered vaginally. Read More

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Obesity and Hypertension in School Children of Puerto Rico.

P R Health Sci J 2021 Mar;40(1):45-49

Inter American University of Puerto Rico School of Optometry, Bayamón, Puerto Rico.

Objective: To determine the prevalence of obesity and hypertension and the association of hypertension with obesity in an island-wide sample of school children in Puerto Rico.

Methods: The quantitative descriptive study included 3,145 children, 5 to 17 years of age, from Puerto Rico; they were examined once during a 3-year (2014-2017) period for weight (lbs) and height (cm) to calculate their body mass index (BMI) based on their age and sex. Children with BMIs in or above the 95th percentile were considered obese. Read More

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Half of the children with overweight or obesity and attention-deficit/hyperactivity disorder reach normal weight with stimulants.

Acta Paediatr 2021 Apr 20. Epub 2021 Apr 20.

Department of Paediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Aim: Treatment of childhood obesity is often insufficient and may be aggravated by high co-occurrence of attention-deficit/hyperactivity disorder (ADHD). We aimed to investigate whether children with overweight or obesity normalised in weight when receiving stimulant treatment for ADHD.

Methods: Growth data of 118 children were obtained from medical records at outpatient paediatric and children's psychiatric services in the Gothenburg area, Sweden. Read More

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ASMBS position statement on the rationale for performance of upper gastrointestinal endoscopy before and after metabolic and bariatric surgery.

Surg Obes Relat Dis 2021 Mar 19. Epub 2021 Mar 19.

Division of Minimally Invasive Surgery/Bariatrics, The Pennsylvania State University, Hershey, Pennsylvania.

The following position statement is issued by the American Society for Metabolic and Bariatric Surgery in response to inquiries made to the Society by patients, physicians, society members, hospitals, health insurance payors, the media, and others regarding the need and possible strategies for screening endoscopic examination before metabolic and bariatric surgery (MBS), as well as the rationale, indications, and strategies for postoperative surveillance for mucosal abnormalities, including gastroesophageal reflux disease and associated esophageal mucosal injuries (erosive esophagitis and Barrett's esophagus) that may develop in the long term after MBS, specifically for patients undergoing sleeve gastrectomy or Roux-en-Y gastric bypass. The general principles described here may also apply to procedures such as biliopancreatic diversion (BPD) and BPD with duodenal switch (DS); however, the paucity of procedure-specific literature for BPD and DS limits the value of this statement to those procedures. In addition, children with obesity undergoing MBS may have unique considerations and are not specifically addressed in this position statement. Read More

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Nutrition-related non-communicable disease and sugar-sweetened beverage policies: a landscape analysis in Kenya.

Glob Health Action 2021 Jan;14(1):1902659

University of the Witwatersrand, Johannesburg, South Africa.

: The burden of undernutrition is significant in Kenya. Obesity and related non-communicable diseases are also on the increase. Government action to prevent non-communicable diseases is critical. Read More

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January 2021

Effect of prenatal exposure to phthalates on epigenome-wide DNA methylations in cord blood and implications for fetal growth: The Hokkaido Study on Environment and Children's Health.

Sci Total Environ 2021 Apr 16;783:147035. Epub 2021 Apr 16.

Hokkaido University Center for Environmental and Health Sciences, Sapporo, Japan. Electronic address:

Prenatal exposure to phthalates negatively affects the offspring's health. In particular, epigenetic alterations, such as DNA methylation, may connect phthalate exposure with health outcomes. Here, we evaluated the association of di-2-ethylhexyl phthalate (DEHP) exposure in utero with cord blood epigenome-wide DNA methylation in 203 mother-child pairs enrolled in the Hokkaido Study on Environment and Children's Health, using the Illumina HumanMethylation450 BeadChip. Read More

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Interplay between non-alcoholic fatty liver disease and cardiovascular risk in an asymptomatic general population.

J Gastroenterol Hepatol 2021 Apr 19. Epub 2021 Apr 19.

Sezione di Gastroenterologia ed Epatologia, Dipartimento Di Promozione Della Salute, Materno Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), Università di Palermo.

Background And Aims: Nonalcoholic fatty liver (NAFLD) is a major cause of liver disease worldwide leading also to a higher risk of cardiovascular events. We aimed to evaluate the impact of fatty liver and fibrosis on cardiovascular risk in a general population.

Methods: 542 subjects included in the community-based ABCD (Alimentazione, Benessere Cardiovascolare e Diabete) study were recruited. Read More

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Sleep Clinical Record application in Brazilian children and its comparison with Italian children.

Sleep Med X 2019 Dec 8;1:100008. Epub 2019 Aug 8.

Pediatric Sleep Disease Center, Child Neurology, NESMOS Department, School of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy.

Objective: To apply the Sleep Clinical Record (SCR) to a sample of Brazilian children with sleep complaints, to compare the results with Italian children, and to identify variables that influence phenotype.

Methods: Brazilian and Italian children, 4-11 years of age and matched for age, gender, obesity, and apnea-hypopnea index and who presented with complaints related to sleep, were selected. The instrument used was the SCR, and the procedure used was full-night cardiorespiratory monitoring. Read More

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December 2019

Primary Disease Prevention for Southwest American Indian Families During the COVID-19 Pandemic: Camp in a Box.

Front Sociol 2021 9;6:611972. Epub 2021 Mar 9.

Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, AZ, United States.

The goal of the American Indian Youth Wellness Camp in a Box was to engage, educate and empower families to improve their health and overall well-being during the COVID-19 pandemic. Camp in a Box was a 9-week program, inclusive of a 1-week intensive camp component followed by an 8-week booster component with content focused on nutrition, mental health and physical activity education. The Camp in a Box is a Tribal/Urban Indian-University partnership, and materials were developed to replace an existing weeklong residential camp and to comply with social distancing guidelines. Read More

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The Processed food revolution in African food systems and the Double Burden of Malnutrition.

Glob Food Sec 2021 Mar 2;28. Epub 2020 Dec 2.

Department of Nutrition, Gillings School of Global Public Health and the Carolina Population Center, University of North Carolina, Chapel Hill, USA.

African consumers have purchased increasing amounts of processed food over the past 50 years. The opportunity cost of time of women and men has increased as more of them work outside the home, driving them to buy processed food and food prepared away from home to save arduous home-processing and preparation labor. In the past several decades, this trend has accelerated with a surge on the supply side of the processing sector and small and medium enterprises (SMEs) and large private companies making massive aggregate investments. Read More

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The Impact of COVID-19 Pandemic Lockdown on the Incidence of New-Onset Type 1 Diabetes and Ketoacidosis Among Saudi Children.

Front Endocrinol (Lausanne) 2021 1;12:669302. Epub 2021 Apr 1.

Pediatric Endocrinology Division, Pediatrics Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Background: Overburdened healthcare systems during the coronavirus disease (COVID-19) pandemic led to suboptimal chronic disease management, including that of pediatric type 1 diabetes mellitus (T1DM). The pandemic also caused delayed detection of new-onset diabetes in children; this increased the risk and severity of diabetic ketoacidosis (DKA). We therefore investigated the frequency of new-onset pediatric T1DM and DKA in Saudi Arabia during the COVID-19 pandemic and compared it to the same period in 2019. Read More

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The Effects of Non-Nutritive Sweetener Consumption in the Pediatric Populations: What We Know, What We Don't, and What We Need to Learn.

Front Endocrinol (Lausanne) 2021 1;12:625415. Epub 2021 Apr 1.

Center for Endocrinology, Diabetes, and Metabolism, Department of Pediatrics, The Saban Research Institute, Childrens Hospital, Los Angeles, CA, United States.

Childhood obesity is increasing at an alarming rate in the United States. This trend carries serious risk of children developing obesity-related diseases including Type 2 diabetes and cardiovascular disease. Non-nutritive sweeteners (NNS) are used as substitution for table sugar as a way to prevent weight gain. Read More

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Can Parental Body Dissatisfaction Predict That of Children? A Study on Body Dissatisfaction, Body Mass Index, and Desire to Diet in Children Aged 9-11 and Their Families.

Front Psychol 2021 18;12:650744. Epub 2021 Mar 18.

Department of Personality, Evaluation and Psychological Treatment, Faculty of Psychology, University of Granada, Granada, Spain.

Body image has been associated with self-care and the assumption of either healthy habits or poor diets and eating disorders. As a vital element in the formation of a positive body image, the role of the family in childhood has been highlighted by a few studies. This study aimed to assess whether children's body dissatisfaction could be predicted by their parents' body dissatisfaction, body mass index (BMI), and approach to change. Read More

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Effects of Overweight and Obesity on Running Mechanics in Children.

Med Sci Sports Exerc 2021 Apr 15. Epub 2021 Apr 15.

Department of Health and Nutritional Sciences, South Dakota State University, Brookings, SD Department of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, MO.

While obesity has been linked to several differences in walking mechanics, few studies have examined movement mechanics of overweight and obese (OW/OB) children performing higher impact activities, such as running.

Purpose: The purpose of this study is to determine differences in running mechanics between healthy weight children (HW) and children classified as OW/OB.

Methods: Forty-two children (17 OW/OB, 25 HW) ran overground while kinematic and kinetic data were recorded using a motion capture system and force plate. Read More

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Chung-Jansen Syndrome with obesity.

Obes Res Clin Pract 2021 Apr 15. Epub 2021 Apr 15.

Dept. of Pediatrics, APC, PGIMER, Chandigarh, India. Electronic address:

Chung-Jansen Syndrome is a recently identified obesity syndrome, characteristic clinical features of which are global developmental delay, intellectual disability, obesity and dysmorphism (DIDOD). We present a child with the syndrome who also had hypothyroidism and renal involvement in form of small kidneys on one side. The next generation sequencing done in the child showed a nonsense variant in the PHIP gene leading to premature chain termination in the protein on bioinformatic analysis. Read More

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Associations Between Adolescent Mental Health and Health-Related Behaviors in 2005 and 2015: A Population Cross-Cohort Study.

J Adolesc Health 2021 Apr 9. Epub 2021 Apr 9.

Associate Professor, Centre for Longitudinal Studies and MRC Unit for Lifelong Health and Ageing, UCL, London, UK. Electronic address:

Purpose: Adolescent mental ill-health is a growing concern. There is little understanding of changes over time in the associations between mental health and health-related behaviors and outcomes (such as substance use, antisocial behavior, and obesity). We investigate whether the associations between different health and health-related outcomes in adolescence are changing over time in two recent cohorts of adolescents born 10 years apart. Read More

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Poor adherence to the Mediterranean diet is associated with increased risk of Metabolic Syndrome in children. The Healthy Growth Study.

Public Health Nutr 2021 Apr 19:1-25. Epub 2021 Apr 19.

Department of Dietetics, Nutrition and Sport, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia.

Objective: To examine the associations between the level of adherence to the Mediterranean diet (MedDiet) with obesity, insulin resistance (IR), metabolic syndrome (MetS) and its components in schoolchildren.

Design: The Healthy Growth Study was a large epidemiological cross-sectional study.

Setting: School children that were enrolled in primary schools in four counties covering the northern, southern, western and central part of Greece were invited to participate. Read More

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