Design and methods of the Healthy Kids & amp; Families study: a parent-focused community health worker-delivered childhood obesity prevention intervention
DiscussionA CHW-delivered parent-focused lifestyle intervention may provide a translatable model for targeting the high priority public health problem of childhood obesity among low-income diverse communities. If demonstrated effective, this intervention has potential for high impact.Trial registrationClinicalTrialsNCT03028233. Registered January 23,2017. The trial was retrospectively registered. (Source: BMC Obesity)
Source: BMC Obesity - June 3, 2019 Category: Eating Disorders & Weight Management Source Type: research

Family food environment factors associated with obesity outcomes in early childhood
ConclusionConsideration of the composite effect of FFE on child ’s eating behaviours and obesity outcomes is important in guiding future research and obesity prevention initiatives by providing a more authentic picture of the FFE children are exposed to. Examining factors of FFE variables in conjunction with psycho-social variables, further articulates the rec iprocal influence of these variables on environmental constructs thus assisting in understanding of inequitable distribution of obesity risk.*keywordschildhood obesity, eating behaviours, early childhood, Family Food Environment, Factor Analysis, (Source: BMC Obesity)
Source: BMC Obesity - June 3, 2019 Category: Eating Disorders & Weight Management Source Type: research

“I love having a healthy lifestyle & quot; – a qualitative study investigating body mass index trajectories from childhood to mid-adulthood
ConclusionWork-related factors may influence weight or weight-related behaviours, irrespective of BMI trajectory, but the concept of an individual ’s “health identity” may help to explain divergent BMI trajectories. “Health identity” and its influence on health behaviour warrants further exploratory work. (Source: BMC Obesity)
Source: BMC Obesity - May 6, 2019 Category: Eating Disorders & Weight Management Source Type: research

Family Spirit Nurture (FSN) – a randomized controlled trial to prevent early childhood obesity in American Indian populations: trial rationale and study protocol
This study is a randomized controlled trial to test the efficacy of home-visiting intervention, called Family Spirit Nurture, on reducing early childhood obesity in Native American children. Participants are expectant Native American mothers ages 14 –24 and their child, enrolled from pregnancy to 24 months postpartum and randomized 1:1 to receive the Family Spirit Nurture intervention or a control condition. The intervention includes 36 lessons delivered one-on-one by locally-hired Native American Family Health Coaches to participating moth ers from pregnancy until 18 months postpartum. A mixed methods ...
Source: BMC Obesity - May 6, 2019 Category: Eating Disorders & Weight Management Source Type: research

Larger omental adipocytes correlate with greater Fetuin-A reduction following sleeve gastrectomy
AbstractBackgroundShortly after bariatric surgery, insulin sensitivity improves and circulating Fetuin-A (FetA) declines. Elevated FetA may decrease insulin sensitivity by inhibiting insulin receptor autophosphorylation. FetA also mediates inflammation through toll-like receptor 4 and influences monocyte migration and macrophage polarization in the adipocyte. The role of dietary changes on FetA is unclear. It is also unknown whether changes in FetA are associated with adipocyte size, an indicator of insulin sensitivity.MethodsSleeve gastrectomy patients (n = 39) were evaluated prior to the preoperative diet, ...
Source: BMC Obesity - May 6, 2019 Category: Eating Disorders & Weight Management Source Type: research

Towards personalised molecular feedback for weight loss
AbstractBackgroundNumerous diets, apps and websites help guide and monitor dietary behaviour with the goal of losing weight, yet dieting success is highly dependent on personal preferences and circumstances. To enable a more quantitative approach to dieting, we developed an integrated platform that allows tracking of life-style information alongside molecular biofeedback measurements (lactate and insulin).MethodsTo facilitate weight loss, participants ( ≥18 years) omitted one main meal from the usual three-meal routine. Daily caloric intake was restricted to ~1200KCal with one optional snack ≤250KCal. A mobile...
Source: BMC Obesity - May 6, 2019 Category: Eating Disorders & Weight Management Source Type: research

A secondary analysis examining the concordance of self-perception of weight and actual measurement of body fat percentage: The CRONICAS Cohort Study
This study aimed to 1) measure agreement between self-perceptions of weight and objective measurement of body fat by bioelectric impedance analysis (BIA) among Peruvian adults; and 2) quantify the association betwee n body fat and a) baseline self-perceptions of weight and b) whether a participant underestimated their weight status.MethodsLongitudinal data from the CRONICAS Cohort Study of 3181 Peruvian adults aged 35-years and older were used. BIA measurements of body fat were categorized across four nominal descriptions: low weight, normal, overweight, and obese. Kappa statistics were estimated to compare BIA measurement...
Source: BMC Obesity - April 1, 2019 Category: Eating Disorders & Weight Management Source Type: research

Association of parental body mass index (BMI) with child ’s health behaviors and child’s BMI depend on child’s age
ConclusionsParental BMI was associated with child ’s %BMIp95 and some child behaviors, and this association was stronger in older children; older children also exhibited less healthy behaviors. Age- and sex-specific interventions that focus on age-related decreases in healthy behaviors and parental strategies for promoting healthy behaviors among at-risk children are needed to address this epidemic of childhood obesity. (Source: BMC Obesity)
Source: BMC Obesity - April 1, 2019 Category: Eating Disorders & Weight Management Source Type: research

Prevalence and correlates of overweight and obesity among school children in an urban district in Ghana
ConclusionsA number of modifiable risk factors were associated with overweight and obesity in this study. Public health strategies to prevent childhood obesity should target reduction in television watching time, promoting active transport to and from school, and increasing sleep duration. (Source: BMC Obesity)
Source: BMC Obesity - April 1, 2019 Category: Eating Disorders & Weight Management Source Type: research

Sleep and weight loss in low-income overweight or obese postpartum women
AbstractBackgroundWe conducted secondary data analyses to examine the associations between sleep duration, sleep quality, sleep disturbance and  ≥ 5% of weight loss in low-income overweight or obese postpartum women enrolled in a community-based lifestyle behavior intervention study aimed at prevention of weight gain.MethodsParticipants were recruited from the Special Supplemental Nutrition Program for Women, Infants, and Children in Michigan. The Pittsburgh Sleep Quality Index was used to assess sleep duration, sleep quality, and sleep disturbance. All participants were assessed and weighed at baseline (T...
Source: BMC Obesity - April 1, 2019 Category: Eating Disorders & Weight Management Source Type: research

Performance of neck circumference to predict obesity and metabolic syndrome among adult Saudis: a cross-sectional study
ConclusionNC stands out as an independent predictor of obesity and the MetS. Its stability, easiness of application, low cost and the cultural acceptance, justify its use as a screening tool for general and central obesity as well as MetS among Saudis under community settings, and as an additional routine measurement for health professionals. (Source: BMC Obesity)
Source: BMC Obesity - April 1, 2019 Category: Eating Disorders & Weight Management Source Type: research

Adherence to daily dietary and activity goals set within a M āori and Pacific weight loss competition
ConclusionsIncentives offer a promising strategy for encouraging retention in weight loss interventions. This study suggests that participants in a competition will perform incentivised tasks. The findings however, are limited by missing data and high drop out of individuals and whole teams. Further research is needed on how to increase retention. (Source: BMC Obesity)
Source: BMC Obesity - March 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

Prevalence and factors associated with overweight and obesity among adults in Hawassa city, southern Ethiopia: a community based cross-sectional study
ConclusionsPrompting active lifestyle, limiting intakes of sweets, advocating optimum consumption of alcohol and calorie dense animal source foods, especially amongst the better-off segment of the population, may reduce the magnitude of over-nutrition. (Source: BMC Obesity)
Source: BMC Obesity - March 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

Fear of falling in obese women under 50  years of age: a cross-sectional study with exploration of the relationship with physical activity
ConclusionsThis study confirms that fear of falling is present in obese women under 50  years of age. It suggests that it is associated with low levels of physical activity. These novel findings warrant further research to understand capacity for physical and incidental activity in obese adults in both genders and suggest innovative interventions to promote lifestyle changes and/or consideration of falls prevention in this population. (Source: BMC Obesity)
Source: BMC Obesity - March 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

A randomized home-based childhood obesity prevention pilot intervention has favourable effects on parental body composition: preliminary evidence from the Guelph Family Health Study
AbstractBackgroundHome-based lifestyle behaviour interventions show promise for treating and preventing childhood obesity. According to family theories, engaging the entire family unit, including parents, to change their family behaviour and dynamics may be necessary to prevent the development of childhood obesity. However, little is known about how these interventions, which may change the family dynamics and weight-related behaviours of parents, affect weight outcomes in parents. Our objective was to examine the effect of a pilot home-based childhood obesity prevention intervention on measures of anthropometrics and body...
Source: BMC Obesity - March 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

Associations between medical students ’ beliefs about obesity and clinical counseling proficiency
AbstractBackgroundDespite evidence that biological and genetic factors contribute strongly to obesity, many healthcare providers still attribute obesity more to controllable behavioral issues rather than factors outside a person ’s control. We evaluated whether medical school students’ beliefs about obesity correlate with ability to effectively counsel patients with obesity.MethodsClerkship-year medical students at NYU School of Medicine completed an Objective Structured Clinical Experience (OSCE) that tests ability to effectively counsel standardized actor-patients with obesity. We surveyed these students to e...
Source: BMC Obesity - February 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

A technology-assisted health coaching intervention vs. enhanced usual care for Primary Care-Based Obesity Treatment: a randomized controlled trial
AbstractBackgroundGoals for Eating and Moving (GEM) is a technology-assisted health coaching intervention to improve weight management in primary care at the Veterans Health Administration (VHA) that we designed through prior rigorous formative studies. GEM is integrated within the patient-centered medical home and utilizes student health coach volunteers to counsel patients and encourage participation in VHA ’s intensive weight management program, MOVE!. The primary aim of this study was to determine the feasibility and acceptability of GEM when compared to Enhanced Usual Care (EUC). Our secondary aim was to test th...
Source: BMC Obesity - February 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

Prevalence of obesity among school-age children and adolescents in the Gulf cooperation council (GCC) states: a systematic review
ConclusionsThe prevalence of obesity among school-age children and adolescents appears to have reached alarming levels in the GCC, but there are a number of major gaps and limitations in obesity surveillance in the GCC states. More national surveys of child and adolescent obesity prevalence are required for the GCC states.Trial registrationPROSPERO registration numberCRD42017073692. (Source: BMC Obesity)
Source: BMC Obesity - January 8, 2019 Category: Eating Disorders & Weight Management Source Type: research

Weight loss and weight gain among participants in a community-based weight loss Challenge
ConclusionsThe current weight loss Challenge appears to contribute to helping a percentage of participants lose weight and maintain some or all of the weight loss. (Source: BMC Obesity)
Source: BMC Obesity - January 4, 2019 Category: Eating Disorders & Weight Management Source Type: research

Who drinks sugar sweetened beverages and juice? An Australian population study of behaviour, awareness and attitudes
ConclusionsConsumption of SSBs and 100% fruit juice is common but awareness of health risks and sugar content of these drinks is low. There is a need for greater consumer understanding which could be achieved through educative approaches such as public education campaigns, on-package warning labels and improved nutrition information panels. (Source: BMC Obesity)
Source: BMC Obesity - January 3, 2019 Category: Eating Disorders & Weight Management Source Type: research

Quality of life, food tolerance, and eating disorder behavior after laparoscopic gastric banding and sleeve gastrectomy - results from a middle eastern center of excellence
AbstractBackgroundObesity is a major health problem in Arab countries. Bariatric surgery can improve the quality of life of an obese individual. However, different types of bariatric surgery result in varying levels of food intolerance as a side effect. Many patients who undergo bariatric surgery are also at risk of subsequently developing eating disorder behaviors. The aim of the study was to compare the quality of life, food tolerance, and behaviors of eating disorders related to laparoscopic sleeve gastrectomy and gastric banding.MethodsA retrospective review of medical records and a questionnaire-based survey was compl...
Source: BMC Obesity - December 27, 2018 Category: Eating Disorders & Weight Management Source Type: research

Variations in bariatric surgical care pathways: a national costing study on the variability of services and impact on costs
ConclusionsThere is a lack of evidence base and a clear requirement for the evaluation of bariatric surgical services to identify the care pathways pre- and post-surgery which lead to largest improvements in health outcomes and remain cost-effective. (Source: BMC Obesity)
Source: BMC Obesity - December 26, 2018 Category: Eating Disorders & Weight Management Source Type: research

Healthy Life Centre participants ’ perceptions of living with overweight or obesity and seeking help for a perceived “wrong” lifestyle - a qualitative interview study
ConclusionChanging dietary and activity habits is difficult as the emotional alternation between shame, guilt and pride influences the ability to assume personal responsibility. A deeper understanding of each participant ’s perceptions and experiences is important for the ability to tailor and provide a high quality health service. Addressing participants’ emotional distress and search for dignity is necessary for enabling dietary and activity change. This should be considered in the future development of HLCs a nd health promotion interventions in order to educate service users about emotions and the role they...
Source: BMC Obesity - December 6, 2018 Category: Eating Disorders & Weight Management Source Type: research

Developing a patient-centered outcome for targeting early childhood obesity across multiple stakeholders
ConclusionsThe development of a patient-centered tool around achieving a healthy weight in early childhood identified common goals between providers and parents. While the tool has been developed, prospective testing of this patient-centered tool and its effects on engagement, parent motivation, and behavior change would be a useful next step. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Changes in gastrointestinal symptoms and food tolerance 6  months following weight loss surgery: associations with dietary changes, weight loss and the surgical procedure
AbstractBackgroundGastrointestinal (GI) co-morbidity is common in obese patients, but the effect of weight loss surgery on GI symptoms is incompletely elucidated. The aims of the present study were to explore changes in GI symptoms and food tolerance following weight loss surgery and to study whether such changes were associated with dietary modifications and/or the type of surgical procedure [Roux-en-Y Gastric Bypass (RYGB) versus Vertical Sleeve Gastrectomy (VSG)].MethodsParticipants: Patients with morbid obesity scheduled for weight loss surgery.The patients filled in paper-based questionnaires addressing diet, GI sympt...
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

How does childhood socioeconomic position affect overweight and obesity in adolescence and early adulthood: a longitudinal study
ConclusionThis study confirmed to some extent that economic, social and psychological insecurity and inequality as measured by lower parental educational level, lower household income, low labour market participation and poor family function during childhood was associated with an increased risk of overweight and especially obesity in adolescence and early adulthood in both genders. Despite some imprecise measures, the direction of the associations pointed to several associations, which all were in the hypothesized direction. Timing of lower household income and parental low LMP in childhood seemed to be gender-specific in...
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Understanding the psychosocial impact of weight loss following bariatric surgery: a qualitative study
ConclusionWeight loss following bariatric surgery leads to complex changes in self-perception and inter-personal relationships, which may be proximal mediators of commonly assessed mental health outcomes such as depression. Individuals considering bariatric surgery may benefit from anticipatory guidance about these diverse experiences, and post-surgical longitudinal monitoring should include evaluation for adverse psychosocial events. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Obesity moderates the complex relationships between inflammation, oxidative stress, sleep quality and depressive symptoms
This study assessed the impact of body mass index (BMI) on the link between BMI, inflammation, oxidative stress, sleep quality and self-reported depressive symptoms.MethodsWe used data from the U.S. National Health and Nutritional Examination Survey 2005 –2008 cycles (n = 9133; ≥20y). Depressive symptoms and sleep quality were determined from questionnaires. C-reactive Protein (CRP) was used as a biomarker of inflammation and γ-glutamyltransferase was used to assess oxidative stress. The relationship between depressive symptoms, sleep quality, and biomarker s were assessed with regression ...
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

The complexity of reaching and maintaining a healthy body weight – the experience from adults with a mobility disability
ConclusionsPeople with a mobility disability combined with being overweight/obese have a complex living situation and health needs. The experiences communicated by participants may facilitate adaption of existing intervention programs or development of a new evidence-based obesity prevention program for primary health care settings. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Prevalence and correlates of abdominal obesity among adults in Uganda: findings from a national cross-sectional, population based survey 2014
ConclusionsThere is a high prevalence of abdominal obesity among adults in Uganda which puts many at risk of developing associated metabolic complications. These data provide useful information for developing interventions and formulation of policies for the control and prevention of abdominal obesity in Uganda. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Associations between gestational weight gain and rate of infancy weight gain in Hawai ‘i and Puerto Rico WIC participants
ConclusionsWomen with excessive or inadequate gestational weight gain had lower proportional odds of RIWG and were more likely to have slower infant weight gain than women who gained the recommended amount of weight.Trial registrationClinicalTrials.gov Identifier;NCT02903186; September 16, 2016. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Mothers ’ and fathers’ media parenting practices associated with young children’s screen-time: a cross-sectional study
ConclusionMothers ’ and fathers’ media parenting practices were associated with children’s screen-time. Interventions aimed at reducing children’s screen-time should address both mothers’ and fathers’ media parenting practices. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Separating “good” from “bad” faecal dysbiosis – evidence from two cross-sectional studies
ConclusionsThe new ADI, but not the DI, allowed separation of the “good” and “bad” faecal dysbiosis. Rather than merely reporting dysbiosis and degrees of dysbiosis, future diagnostic tests should distinguish between types of dysbiosis. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Discriminative ability of adiposity measures for elevated blood pressure among adolescents in a resource-constrained setting in northeast Nigeria: a cross-sectional analysis
ConclusionWe provide evidence, here on the BMI, WC and WHtR to support the use of simple indirect measures of adiposity in evaluating adiposity-related risk including prehypertension and hypertension among Nigerian adolescents. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Brain activation to high-calorie food images in healthy normal weight and obese children: a fMRI study
In this study, we used fMRI to evaluate whether brain activation to high-calorie food images differs between normal weight and obese young children.MethodsBrain activation maps in response to high-calorie food images and non-food images for 22 healthy, 8 –10-years-old children (N = 11/11 for normal weight/obese respectively) were generated and compared between groups.ResultsWhen comparing brain activation differences in response to viewing high-calorie food versus non-food images between normal weight and obese children, group differences were observed in areas related to memory and cognitive control. S...
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Tranexamic acid therapy for postoperative bleeding after bariatric surgery
ConclusionThese findings suggest that the administration of tranexamic acid appears to be safe in reducing the reoperation rate for bleeding after bariatric surgery. (Source: BMC Obesity)
Source: BMC Obesity - December 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Multi-sensor ecological momentary assessment of behavioral and psychosocial predictors of weight loss following bariatric surgery: study protocol for  a multicenter prospective longitudinal evaluation
DiscussionThis project has the potential to build a more sophisticated and valid understanding of behavioral and psychosocial factors contributing to success and risk after bariatric surgery. This new understanding could directly contribute to improved (i.e., specific, consistent, and validated) guidelines for recommended pre- and postoperative behaviors, which could lead to improved surgical outcomes. These data will also inform behavioral, psychosocial, and environmental targets for adjunctive interventions to improve surgical outcomes.Trial registrationRegistered trialNCT02777177 on 5/19/2016. (Source: BMC Obesity)
Source: BMC Obesity - November 5, 2018 Category: Eating Disorders & Weight Management Source Type: research

Use of various obesity measurement and classification methods in occupational safety and health research: a systematic review of the literature
ConclusionsFew authors acknowledged the limitations of using indirect obesity measures. This is in part due to the limited understanding of some occupational safety and health researchers regarding the complex issues surrounding obesity classification and also the mixed recommendations over the past 2 –3 decades and across populations. Efforts need to be made to promote appropriate obesity measurement and reporting in this field. (Source: BMC Obesity)
Source: BMC Obesity - November 1, 2018 Category: Eating Disorders & Weight Management Source Type: research

Complex patterns of direct and indirect association between the transcription Factor-7 like 2 gene, body mass index and type 2 diabetes diagnosis in adulthood in the Hispanic Community Health Study/Study of Latinos
ConclusionsHerein, we replicated the protective effect of rs7930146-T on body mass index at multiple time  points in the life course, and observed that these effects were not explained by past type 2 diabetes status in our structured modeling. The robust replication of the negative effects ofTCF7L2 on body mass index in multiple samples, including in our diverse Hispanic/Latino community-based sample, supports a growing body of literature on the complex biologic mechanism underlying the functional consequences ofTCF7L2 on obesity and type 2 diabetes across the life course. (Source: BMC Obesity)
Source: BMC Obesity - October 2, 2018 Category: Eating Disorders & Weight Management Source Type: research

A new anthropometric index for body fat estimation in patients with severe obesity
ConclusionsThe new BeW index showed a good performance for BF estimation in patients with severe obesity and can be superior to the BAI for this purpose. (Source: BMC Obesity)
Source: BMC Obesity - October 1, 2018 Category: Eating Disorders & Weight Management Source Type: research

Treatment fidelity in the Camden Weight Loss (CAMWEL) intervention assessed from recordings of advisor-participant consultations
This study examined the fidelity of a weight loss intervention (Camden Weight Loss) from recorded consultations by assessing advisors ’ delivery of content, use of motivational interviewing approach and therapeutic alliance.MethodsA process evaluation was conducted of advisor-participant consultations in a 12-month randomised controlled trial of an intervention for adult volunteers with a body mass index categorised as overweight or obese. A convenience sample of 22 consultations (12% of 191 participants) recorded at the intervention mid-point were available for analysis. Consultations were independently rated by two...
Source: BMC Obesity - September 10, 2018 Category: Eating Disorders & Weight Management Source Type: research

Association of Metabolic Markers with self-reported osteoarthritis among middle-aged BMI-defined non-obese individuals: a cross-sectional study
AbstractBackgroundOsteoarthritis (OA) is a chronic degenerative joint disease. While it is well-established that obesity affects OA through increased axial loading on the joint cartilage, the indirect effect of obesity through metabolic processes among the body mass index (BMI)-defined non-obese population, i.e., BMI
Source: BMC Obesity - September 3, 2018 Category: Eating Disorders & Weight Management Source Type: research

Capsaicinoids supplementation decreases percent body fat and fat mass: adjustment using covariates in a post hoc analysis
ConclusionThese results suggest potential benefits of Capsaicinoids (CAPs) on body fat and fat mass in post hoc analysis. Further studies are required to explore pharmacological, physiological, and metabolic benefits of both chronic and acute Capsaicinoids consumption.Trial registrationISRCTN10458693‘retrospectively registered’. (Source: BMC Obesity)
Source: BMC Obesity - August 13, 2018 Category: Eating Disorders & Weight Management Source Type: research

Exploring the associations between systemic inflammation, obesity and healthy days: a health related quality of life (HRQOL) analysis of NHANES 2005 –2008
ConclusionsSystemic inflammation appears to mediate the association between obesity and physical unhealthy days. Clinically raised inflammation is an independent determinant of physical and mental unhealthy days. Importantly, elevated (but sub-clinical) inflammation is also negatively associated with physical healthy days, and may warrant more attention from a population health perspective than currently appreciated. (Source: BMC Obesity)
Source: BMC Obesity - August 6, 2018 Category: Eating Disorders & Weight Management Source Type: research