Steps in the Right Direction,Against the Odds,An Evaluation of a Community‐Based Programme Aiming to Reduce Inactivity and Improve Health and Morale in Overweight and Obese School‐Age Children

The study describes an evaluation of a 48‐week physical activity and nutritional education programme for overweight/obese school‐age children using quantitative and qualitative methods. The majority of participants were obese or severely obese when enrolled, and while some improvements in body mass index, self‐esteem and engagement in a range of physical activities were noted, difficulties in evaluating a complex community‐based intervention were highlighted. Children, parents and health professionals described a range of benefits from attending the programme but more intensive services are likely to be needed for the most seriously obese children and for those families resisting intervention.     

Healthy eating and physical activity among low-income Hispanic adolescents and a school-based intervention

Hispanic and low-income adolescents have significantly higher overweight and obesity rates than others. This study described the nutrition and physical activity habits of a sample of 122 low-income, Hispanic adolescents and assessed the impact of their environment on their nutrition and physical activity. The study also assessed the outcomes of a pilot of a Farm to Table Chef Demonstration and Blender Bike intervention among a subsample of 16 participants. Family members' influence had a stronger positive correlation to healthy eating while friends' influence had a stronger positive correlation to exercise. The intervention piloted was statistically significantly associated with an increase in vegetable consumption.     

Risk factors associated with overweight and obesity in college students

College obesity is increasing, but to the authors' knowledge, no researchers to date have evaluated risk factors in this population. OBJECTIVE: The authors assessed whether abnormal eating perceptions and behaviors were associated with overweight in college students. PARTICIPANTS AND METHODS: A sample of undergraduates (N = 4,201) completed an online survey containing demographic questions and the Eating Attitudes Test-26 (EAT-26) questionnaire. The authors stratified participants into normal-weight and overweight/obese groups and evaluated physical activity, EAT-26 score, purging behaviors, and answers to selected overweight screening questions on the basis of body mass index. A modified EAT-26 score of > or = 11 was associated with overweight (p = .016). RESULTS: Compared with normal-weight peers, overweight participants displayed an increased fear of bingeing, preoccupation with food, desire to be thinner, and engagement in dieting behavior. Mean body mass index also increased with age and physical inactivity (p < .001). CONCLUSIONS: Because physical inactivity, disordered eating perceptions, and disordered behaviors are associated with increased rates of overweight and obesity, identification of these risk factors in obese youths may increase understanding of weight loss barriers and facilitate the treatment of adolescent obesity.     

The Effects of Family Structure on Consumption and Exercise Patterns for Adolescent Youth

With over 22 million children considered overweight or obese, research needs to examine factors related to overweightness and obesity. Parents seem to have an influence on their children’s eating behaviors such as taste likes and dislikes and quality and quantity of food. Parents also seem to influence their children’s physical activity levels. A link between physical activity level and obesity exists, indicating that less active children have an increased risk for high BMIs, with children from single parent families having higher than normal BMIs compared to children from two-parent families. The purpose of this study is to examine whether family structure influences eating and exercise patterns of adolescent youth. The current study employed a secondary data analysis utilizing data from the HBSC (N = 6733). According to the data, participants engaged in approximately 3.76 healthy consumption behaviors per week and moderate levels of exercise (mean = 2.38). The linear regression analysis indicated a significant relationship between family structure and consumption patterns, as youth from single parent families, stepparent families, and multigenerational families have fewer healthy consumption patterns (?.256, ?.142, and ?.164, respectively) compared to youth from two-parent families. Healthy eating initiatives need to target both parents and children, as a relationship between consumption patterns and family structure exists. Additionally, future research needs to examine initiatives targeted at promoting physical activity, particularly among overweight and obese youth who are less likely to engage in physical activity.     

Risk Factors Associated With Overweight and Obesity in College Students

College obesity is increasing, but to the authors' knowledge, no researchers to date have evaluated risk factors in this population. Objective: The authors assessed whether abnormal eating perceptions and behaviors were associated with overweight in college students. Participants and Methods: A sample of undergraduates (N = 4,201) completed an online survey containing demographic questions and the Eating Attitudes Test-26 (EAT-26) questionnaire. The authors stratified participants into normal-weight and overweight/obese groups and evaluated physical activity, EAT-26 score, purging behaviors, and answers to selected overweight screening questions on the basis of body mass index. A modified EAT-26 score of ≥ 11 was associated with overweight (p = .016). Results: Compared with normal-weight peers, overweight participants displayed an increased fear of bingeing, preoccupation with food, desire to be thinner, and engagement in dieting behavior. Mean body mass index also increased with age and physical inactivity (p < .001). Conclusions: Because physical inactivity, disordered eating perceptions, and disordered behaviors are associated with increased rates of overweight and obesity, identification of these risk factors in obese youths may increase understanding of weight loss barriers and facilitate the treatment of adolescent obesity.     

Social support characteristics among nonclinical African-American and Filipino-American parents with school-age children

This study is the first phase of a project to develop a culturally-appropriate, family-mediated social support intervention program. This phase consisted of in-home interviews with 26 African-American (AF) and 26 Filipino-American (FA) parents who were not receiving counseling or social services for parent-child conflict, and self-reported adequate personal and family functioning. In general, parents were college educated and employed full-time and had house-hold incomes of over $25,000. On average, AF parents were 35 years old, with 4 people in the household, including 2 children (mean AGE = 10 years). FA parents were older, averaging 45 years, and had 6 people in the household, including 3 children (mean AGE = 12 years). Mean scores on standardized measures reflected high self-esteem and positive attitudes toward their children and families. Social network size averaged 32 and 38 members for AF and FA mothers respectively, and 24 and 29 members for AF and FA fathers. Most parents reported that fewer than 50% of their network members knew each other. Data also suggested that parents reported a generally positive orientation to utilizing support resources, and favorable perceptions of and satisfaction with support form family and friends. Analyzes revealed that only functional support variables were significantly associated with parent well-being. Study limitations, service implications, and further research directions are discussed.     

Exploring the Climate for Overweight and Obese Students in a Student Health Setting

Attitudes and beliefs of health care providers, in conjunction with a nonthreatening physical environment, are important components in establishing a constructive and supportive climate for care of overweight and obese students. Objective: The authors explored providers' attitudes about obesity and assessed the physical environment in a student health clinic to identify areas that may be detrimental to the care of overweight and obese students. Participants: Eighteen direct care providers participated in the project. Methods: The authors conducted focus groups with direct care providers and assessed their experiences and perceived challenges in working with overweight and obese students. The authors also conducted a walk-through assessment of the physical environment. Results: Direct care providers expressed discomfort in deciding how and when to discuss weight with students. The authors found that elements of the physical environment could present barriers to care for overweight and obese students. Conclusions: The authors make recommendations for improving the health care climate for overweight and obese students.     

中国青少年健康发展情况及挑战

20年来,我国青少年在营养、体格发育、心理健康及生殖健康等方面均有不同程度的提升。但随着现代居住条件的改善、交通的发展,高脂、高蛋白、高热量等食物的过多摄入,学习负担的加重,体育锻炼的减少及电脑、网络的依赖加剧,青少年的身体机能和身体素质正在下降,超重肥胖、视力不良、心理健康、生殖健康问题等流行日趋严重,需要家庭、学校、社会、政府等各个层面给予高度关注与系统介入。     

Does Family Instability Make Girls Fat? Gender Differences Between Instability and Weight

Data from the 1979 National Longitudinal Survey of Youth and the Young Adult file were used to explore the relationship between the number of family structure transitions experienced from birth to age 18 and weight status in young adulthood. This was done by testing both linear risk and threshold effect models by gender (N = 3,447). The findings suggest that a linear risk approach best describes the relationship between family instability during childhood and weight status in young adulthood. Specifically, the cumulative family structure transitions children experienced from birth to age 18 place females, but not males, at greater risk for being overweight/obese in young adulthood. Sensitivity analyses indicated that cumulative family structure instability—and not formations or dissolutions separately—drove the main results. Birth order did not affect the findings. Increasing children's support systems during times of instability may reduce female children's risk of being overweight/obese as young adults.     

Humor Your Way to Good Health

ABSTRACT

Although humor has been used in many ways, humor practices have not been fully conceptualized or utilized as a means to impact major concerns on a societal level. In this intergenerational model demonstration, humor practices were re-conceptualized and used as an effective vehicle for communicating messages to impact a societal issue, overweight and obesity among children. This objective was operationalized through an intergenerational project of the Legacy Leadership Institute on Humor Communication and Health (LLIHCH). Legacy Leaders were trained to use humor practices to convey messages about healthy eating and physical activity to children. They participated in interactive instruction on key topics (nutrition, humor practices, intergenerational relationships, children and schools, leadership, and instructional methods. Legacy Leaders used this training to conduct the Humor Your Way to Good Health program in two public elementary schools. Assessments indicate the children benefit significantly from the Humor Your Way to Good Health intergenerational program in terms of the knowledge acquired and its application to making choices that support healthy behaviors. The unique humor approach captures the attention and imagination of children. The intergenerational approach unites children and adults in a joint quest for healthier lifestyles. Together, they are addressing the epidemic of overweight and obesity among children.     

Evaluating a social marketing campaign on healthy nutrition and lifestyle among primary-school children: A mixed-method research design

Italy has one of the highest levels of childhood overweight and obesity in Europe. Therefore, preventing children from becoming overweight is a major public health challenge. Here, we used a mixed-method research approach – including a quasi-experimental design and three surveys – to create a formative evaluation of a social marketing campaign on healthy nutrition and lifestyle in Italian primary school children. The social marketing campaign was organized around the 4 Ps of the marketing mix (product: the educational activities; place: the involved schools and supermarkets; promotion: the in-person and technology-based communication; and price: hours spent by the targeted children in fulfilling the educational activities). The campaign involved primary-school children across four Italian cities. The findings suggest that social marketing education campaigns can be effective tools to improve children’s knowledge about healthy food and lifestyle, reduce their sedentary behavior, and increase their consumption of healthy food. Also, increasing children’s acceptance of healthful nourishment is a valuable tool to improve the dietary habits of the entire family. With relation to the educational program assessment method, this study can inform societal interventions especially those involving children through the integration of different qualitative and quantitative research methods, which collect data from different subjects and perspectives.     

Design of an educational strategy based on Intervention Mapping for nutritional health promotion in Child Care Centers

Early childhood is a critical period for instilling healthy habits to prevent overweight and obesity. This paper describes the development of an educational intervention for the promotion of healthy eating and physical activity among two-to-four-year-old children in public child care centers (CCCs) in Mexico City. Following the Intervention Mapping (IM) protocol, we developed the Bright Futures multidisciplinary intervention. First, a formative research process to identify the personal and environmental determinants of childhood overweight and obesity, behavioral outcomes and performance objectives was conducted. Then, a matrix of change objectives by intersecting the performance objectives with the determinants was integrated. Bright Futures lasted six months and included 24 weekly sessions, each composed of five phases: warm-up, theory, active movements, relaxation, and hydration. Ad hoc interactive teaching materials focused on recreational activities, and formulated plans for the adoption, implementation and process/impact evaluation of the intervention was developed. IM successfully guided the design of a theory-driven and evidence-based intervention for children in CCCs within a socio-ecological and participatory planning framework. This is one of the first studies in Mexico to use IM in the context of CCCs.     

Parent adoption and implementation of obesity prevention practices through building children's asking skills at family child care homes

BackgroundEarly childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP’N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children’s asking skills for healthful home environmental change through curricular activities.ObjectiveTo evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH.MethodsFCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities.ResultsFCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06).ConclusionsIt is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.     

Incorporating Information from Neuroscience and Endocrinology Regarding Sexual Orientation into Social Work Education

ABSTRACT

The brains of heterosexual males and heterosexual females are different. Moreover, the brains of gay men are similar to those in heterosexual females, whereas the brains of lesbians are similar to those in heterosexual males. Gender-atypical features in gays and lesbians are not limited to brain structures but extend to other physical features (auditory function, finger print patterns, relative size of index and ring fingers) and interest patterns and behaviors. The research supporting these postulates is reviewed. The gestational processes that might explain the differences in brain structure and function corresponding with sexual orientation are reviewed. A discussion of the physiological bases for the expression of gender-related traits and a discussion of factors contributing to sexual identity are provided. Throughout the article, alternative ways to think about gender are suggested. The importance of integrating the information presented in this article into the curriculum of social work education is explained.     

Weight and Weight-Related Behaviors Among 2-Year College Students

Abstract

Objectives and Participants: The purpose of this article is to describe weight indicators and weight-related behaviors of students enrolled in 2-year colleges, including sex differences. Methods: During Fall 2011 and Spring 2012, 441 students from 3 Minnesota community colleges enrolled in the Choosing Healthy Options in College Environments and Settings (CHOICES) Study and completed baseline assessments. Participants completed a baseline survey evaluating eating and activity patterns, sleep, and stress and measures of height, weight, waist circumference, and body fat. Results: Participants were primarily female (68%), white (73%), with a mean age of 22.8 years, and 66.2% reporting an annual income < $12,000. Almost half (47%) were overweight or obese. Young males appeared to engage the most in risky health behaviors and had higher levels of overweight or obesity, compared with young females. Conclusions: Findings confirm the need for innovative interventions targeting this understudied and underserved young adult population.     

Lesbian and Gay Youth's Aspirations for Marriage and Raising Children

ABSTRACT

One hundred and thirty-three lesbian and gay youth were interviewed about their interests in long-term relationships, same-sex marriage, and becoming parents. One-third of the males and one-half of the females considered future long-term relationships extremely important; 61% of the males and 82% of the females expected such relationships to be monogamous. One-third of the males and two-thirds of the females said they would very likely marry. Only 14% of the males and four females were disinterested in raising children. Counselors working with lesbian and gay youth should explore youth's expectations for relationships and for child-rearing.     

Test-retest reliability of a WRULD functional capacity evaluation in healthy adults

The aim of this study was to determine test-retest reliability of a Functional Capacity Evaluation for patients with non-specific Work Related Upper Limb Disorders (WRULD FCE). The study sample included 33 healthy adults, consisting of 14 males and 19 females with a mean age of 29.2 years. The WRULD FCE consisted of 8 different tests including 26 items measuring repetitive movements, duration, working in awkward positions, forceful movements and static postures. Two FCE sessions were held with a 10-day interval. Means, 95% confidence intervals, one-way random Intraclass Correlation Coefficients (ICCs), 95% limits of agreement and repeated measures were calculated. An ICC between 0.75 and 0.90 was considered as good and an ICC above 0.90 was considered as an excellent reliability. The results showed that 14 of 26 items (54%) had excellent reliability, 9 of 26 items (35%) had good reliability and 3 of 26 items (11%) had moderate reliability based on ICC values. Significant learning effects were present in the Purdue Pegboard Task and in the Complete Minnesota Dexterity Test. It is concluded that the WRULD FCE is reliable in healthy adults.     

Implicit theories of elder abuse in a sample of European-American descent

The purpose of this exploratory study was to examine implicit theories of elder abuse in a sample of men and women of European-American descent. Seventy-six participants, ranging in age from 17 to 79, filled out an open-ended qualitative survey asking them to give examples of behaviors considered in their culture to be extremely abusive, moderately abusive, and mildly abusive in the context of an adult child-older adult parent dyad. Results indicated that various types of physical aggression and neglect (with an emphasis on physical neglect) were the most common examples of extreme abuse. Psychological aggression was the most common example of moderate abuse, and forms of psychological abuse and neglect were the most frequent examples of mild abuse. Gender differences were found, with females more often mentioning examples of neglect than males. Sexual and economic abuse did not seem to be commonly identified forms of mistreatment in implicit theories of elder abuse.     

Factors that Influence Body Dissatisfaction: Comparisons across Culture and Gender

This study examined the relationship between attachment style, differentiation of self, and body dissatisfaction across culture and gender. The sample consisted of 115 Caucasians (85 females, 29 males) with a mean age of 22.2 years (SD = 5.81) and 119 Chinese individuals (93 females, 26 males) with a mean age of 22.8 years (SD = 2.35). Participants completed online self-report measures of body satisfaction, attachment style, and differentiation of self. Results indicated that high attachment anxiety and less differentiation of self were associated with lower body satisfaction for women but not for men of either cultural group. There were no significant cultural or gender differences in terms of overall body satisfaction; however, there were differences with regard to preoccupation with weight and self-perceived weight. It was concluded that culture had little impact on body dissatisfaction in the present sample but that the factors that shape body dissatisfaction differed by gender.