Breaking News
February 23, 2019 - Acupuncture Could Help Ease Menopausal Symptoms
February 23, 2019 - Researchers use AI to detect early signs of Alzheimer’s
February 23, 2019 - On recovery, vulnerability and ritual: An exhibit in white | News Center
February 23, 2019 - Memory Stored in Unexpected Region of the Brain
February 23, 2019 - Several health experts worldwide gather at EUDONORGAN event
February 23, 2019 - Discovery of potent compound in native California shrub may lead to treatment for Alzheimer’s
February 22, 2019 - Researchers create new map of the brain’s own immune system
February 22, 2019 - ICHE’s reviews on surgical infections, unnecessary urine tests, and nurses’ role in antibiotic stewardship
February 22, 2019 - UK Research and Innovation invests £200 million to create new generation of AI leaders
February 22, 2019 - Takeda collaboration to boost fight against Alzheimer’s and other neurodegenerative diseases
February 22, 2019 - Heavy drinking may change DNA, leading to increased craving for alcohol
February 22, 2019 - U.S. opioid deaths jump fourfold in 20 years; epidemic shifts to Eastern states | News Center
February 22, 2019 - 5 Questions with William Turner on Diversity in Medicine
February 22, 2019 - HHS Finalizes Rule Seeking To Expel Planned Parenthood From Family Planning Program
February 22, 2019 - Researchers uncover biochemical pathway that may help identify drugs to treat Alzheimer’s
February 22, 2019 - Biologist uses new grant to find ways to eliminate schistosomiasis
February 22, 2019 - Bag-mask ventilation to help patients breathe during intubation prevents complications
February 22, 2019 - AbbVie Announces New Drug Application Accepted for Priority Review by FDA for Upadacitinib for Treatment of Moderate to Severe Rheumatoid Arthritis
February 22, 2019 - Nature versus nurture and addiction
February 22, 2019 - New website connects researchers with data experts, resources | News Center
February 22, 2019 - Today’s Concerns About Drug Prices Echo The Past
February 22, 2019 - CT and Doppler equipment have low accuracy in detecting cerebral vasospasm and ischemia
February 22, 2019 - Study finds out similarity in function between healthy retina cell and tumor cell
February 22, 2019 - CWRU awarded NIH grant to identify effective treatments for intimate partner violence
February 22, 2019 - Oncotype DX Not Cost-Effective for Low-Risk Breast Cancer
February 22, 2019 - Scientists discover new type of immune cells that are essential for forming heart valves
February 22, 2019 - Talk About Déjà Vu: Senators Set To Re-Enact Drug Price Hearing Of 60 Years Ago
February 22, 2019 - Genetic defect linked to pediatric liver disease identified
February 22, 2019 - New cellular atlas could provide a deeper insight into blinding diseases
February 22, 2019 - Growing number of cancer survivors, fewer providers point to challenge in meeting care needs
February 22, 2019 - Innovative compound offers a new therapeutic approach to treat multiple sclerosis
February 22, 2019 - $1.5 million grant to develop opioid treatment program for jail detainees
February 22, 2019 - FDA’s new proposed rule would update regulatory requirements for sunscreen products in the U.S
February 22, 2019 - Most Hip, Knee Replacements Last Decades, Study Finds
February 22, 2019 - Wellness problems prevalent among ob-gyn residents
February 22, 2019 - In the Spotlight: “The world is your oyster in geriatrics”
February 22, 2019 - Successful testing of multi-organ “human-on-a-chip” could replace animals as test subjects
February 22, 2019 - Analysis of cervical precancer shows decline in two strains of HPV
February 22, 2019 - Sugary stent eases suturing of blood vessels
February 22, 2019 - From surgery to psychiatry: A medical student reevaluates his motivations
February 22, 2019 - Is New App From Feds Your Answer To Navigating Medicare Coverage? Yes And No
February 22, 2019 - New pacemakers powered by heartbeats could reduce need for surgery
February 22, 2019 - The United States records highest drug overdose death rates
February 22, 2019 - Morning walks could be better than drugs at lowering blood pressure
February 22, 2019 - Phase 1 data reinforce safety profile of new drug for treating Duchenne muscular dystrophy
February 22, 2019 - Vitamin D supplementation less effective in the presence of obesity, shows study
February 22, 2019 - Novostia raises CHF 6.5 million to advance its aortic, mitral heart valve to clinical trials
February 22, 2019 - CPRIT awards nearly $20 million to The University of Texas MD Anderson Cancer Center
February 22, 2019 - Sarepta Announces FDA Acceptance of Golodirsen (SRP-4053) New Drug Application for Patients with Duchenne Muscular Dystrophy Amenable to Skipping Exon 53
February 22, 2019 - An institutional effort to reduce the amount of opioids prescribed following lumbar surgery
February 22, 2019 - Family-history-based models perform better than non-family-history based models
February 22, 2019 - Failure to take statins leads to higher mortality rates | News Center
February 22, 2019 - New study explains why some patients report phantom sensations after limb amputation
February 22, 2019 - First motor-controlled heart valves implanted by Mainz University Medical Center
February 22, 2019 - Novel preclinical model mimics persistent interneuron loss seen in preterm infants
February 22, 2019 - Global health burden of glaucoma has increased, study reveals
February 22, 2019 - A holistic approach key to minimize treatment complexity in patients with interstitial lung disease
February 22, 2019 - 1 in 10 middle-aged Chinese adults are at high risk for heart disease, finds study
February 22, 2019 - More than half a million breast cancer patient’s lives saved by improvements in treatment
February 22, 2019 - Study finds no evidence that tougher policies prevent teenage cannabis use
February 22, 2019 - New blood test detects genetic disorders in fetuses
February 22, 2019 - Lower Self-Perception Observed in Children With Amblyopia
February 22, 2019 - Up to 15 percent of children have sleep apnea, yet 90 percent go undiagnosed
February 22, 2019 - Rare pulmonary defect prompts parents’ nationwide search for answers | News Center
February 22, 2019 - Lesbian and bisexual women at greater risk of being overweight, study finds
February 22, 2019 - UQ research may explain why vitamin D is essential for brain health
February 22, 2019 - Heart Attacks Rising Among Younger Women
February 22, 2019 - How your smartphone is affecting your relationship
February 22, 2019 - Orthopaedic surgeon receives prestigious award, $10 million grant | News Center
February 22, 2019 - New sepsis test could save thousands of lives
February 22, 2019 - Cervical cancer could be eradicated by 2100
February 21, 2019 - Sustained smoking cessation can lower risk of seropositive RA
February 21, 2019 - Thousands with chronic UTIs are not receiving the treatment they need
February 21, 2019 - Are teens getting high on social media? The surprising study seeking the pot-Instagram link
February 21, 2019 - Stanford expands biobank services | News Center
February 21, 2019 - Scientists identify link between drinking contexts and early onset intoxication among adolescents
February 21, 2019 - Strong social support may reduce cardiovascular disease risk in postmenopausal women
February 21, 2019 - Rapid expansion of interventions could prevent up to 13 million cases of cervical cancer within 50 years
February 21, 2019 - Motif Bio Receives Complete Response Letter From The FDA
February 21, 2019 - Researchers map previously unknown disease in children
Research explores how community efforts can help fight childhood obesity

Research explores how community efforts can help fight childhood obesity

image_pdfDownload PDFimage_print

According to the Centers for Disease Control and Prevention, one in five US school-age children and young people ages 6 to 19 years suffers from obesity, a tripling of such numbers since the 1970s. For individual children, genetics, eating and exercise all play a role in weight status — but the influence of a community’s design, programs and policies on childhood obesity hasn’t been comprehensively understood.

Now, groundbreaking research appearing in the current issue of Pediatric Obesity represents the most wide-ranging investigation to date of how broadly and successfully communities across the U.S. implement programs and policies to prevent obesity in kids. The work also includes analysis of individual and community factors associated with positive change in childhood obesity.

Researchers Stephen Fawcett, Vicki Collie-Akers and Jerry Schultz at the Center for Community Health and Development at the University of Kansas’ Life Span Institute spearheaded the community measurement aspect of the work, dubbed the Healthy Communities Study.

“This is the largest study of its kind examining whether community investment in programs and policies to promote physical activity and healthy nutrition is associated with healthy weight — lower BMI, or Body Mass Index — among children,” said Fawcett, research professor at LSI. “No one had attempted to map the dose of community programs and policies actually being implemented in a large and diverse sample of U.S. communities.”

Conducted between 2010 and 2016, the Healthy Communities Study looked at community policies and programs (CPPs) in each of 130 US communities, linking them to the weight status, eating habits and physical activity of 5,138 elementary and middle-school students in those locales. The sample included many children from low-income, Hispanic and African-American families. To estimate the dose of CPPs being delivered, the study’s researchers devised an intensity score that reflected the number of CPPs in place and their estimated strength, duration and reach.

“Analyses were conducted to see whether the intensity of CPPs was associated with lower BMI, or Body Mass Index, for children in the communities,” said Fawcett.

Among the study’s key findings:

  • The intensity of community programs and policies is significantly associated with lower BMI in children. More comprehensive CPPs — those targeting a greater number of distinct behaviors related to physical activity and nutrition — were associated with lower child BMI.
  • Community initiatives are more successful when CPPs are in place longer.
  • Across the nation, there’s a broad range in the number and intensity of programs and policies aimed at promoting physical activity, healthy nutrition and healthy weight in kids. Some communities invest more in CPPs, others very little. These communities showed variation in the number and types of behavior-change objectives.
  • Over time, investments in CPPs are increasing — and this matters for child health.
  • For a community that goes from the minimum observed intensity score to the maximum, its children would see a reduction of -1.4 BMI units
  • Communities that were predominately white benefited more from CPPs than those that were predominately African-American, with the least improvement in BMI seen for Hispanic children.

“This study has important implications for communities trying to assure a healthy environment for its children,” Fawcett said. “It suggests: Invest in programs and policies to promote physical activity and nutrition — lots of them, of strong form and reach, and targeted to the many different kinds of behaviors that promote healthier weight. To ensure that children are exposed to them, make sure that you’ve created changes in multiple sectors and settings through which children pass; like schools, parks, Boys & Girls Clubs and community organizations. Make sure they are in place long enough to make a difference. Six years or more was most effective. The exposure needs to be prolonged.”

Examples of community programs and policies to combat childhood obesity seen in U.S. communities include boosting availability of healthy foods in schools, encouraging kids to drink water instead of sugary beverages, increasing the amount of time that students are physically active, and building walking trails, parks, playgrounds and more pedestrian-friendly neighborhoods.

The KU research team emphasized the need to approach community programs with an emphasis on equity for populations of kids from different economic and cultural backgrounds.

“You need to bring an equity lens to designing community programs and policies intended to promote healthier weight among children,” Fawcett said. “You should not assume that all children will benefit equally from community investments that are not targeted and adapted to address children and families, such as African-Americans and Hispanics, that experience health inequities. What works in one community — predominantly white and affluent — may not work as well in a community where more supports for those experiencing health disparities are needed to assure healthy conditions for all our children.”

Source:

https://news.ku.edu/2018/10/03/largest-study-its-kind-gauges-community-efforts-combat-childhood-obesity-key-risk-factor

About author

Related Articles