| Overweight children and adolescents referred for weight management: are they meeting lifestyle behaviour recommendations? | |
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MedLine Citation:
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PMID: 18923569 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Adopting and maintaining healthy lifestyle behaviours can help overweight boys and girls manage their weight and reduce obesity-related health risks. However, we currently know very little about the lifestyle habits of overweight children and adolescents referred for weight management in Canada and whether or not they are meeting current lifestyle recommendations. The objectives of this study were (i) to determine the demographic characteristics and lifestyle behaviours of overweight children and adolescents referred for clinical weight management, and (ii) to examine sex (boys vs. girls) and (or) age (child vs. youth) differences with respect to the achievement of lifestyle behaviour recommendations. Overweight (age- and sex-specific body mass index > or = 85th percentile) children (n = 27 girls, n = 24 boys) and adolescents (n = 29 girls, n = 19 boys) were referred to and enrolled in weight-management programs at the Pediatric Centre for Weight and Health (PCWH) at the Stollery Children's Hospital (Edmonton, Alta.) from January 2006-September 2007. Information was collected at intake regarding demography, anthropometry, and lifestyle behaviours before participants started a formal weight-management program. Lifestyle behaviour recommendations for nutrition, physical activity, screen time, and sleep were used to determine whether participants were meeting established guidelines. Overall, participants presented with poor lifestyle behaviours. Although most consumed adequate servings of grain products (93.9%) and meat and alternatives (68.7%), few met the serving recommendations for milk and alternatives (31.3%) or vegetables and fruit (14.1%). Physical activity levels were low - 7.4% and 4.1% achieved the recommended time and steps per day goals, respectively. Approximately 1/4 (22.7%) met the screen time recommendation, whereas fewer than 1/2 (47.4%) achieved the nightly sleep duration goal. Sex and age-group comparisons revealed subtle, but potentially important, differences in lifestyle behaviours that have implications for pediatric weight management. This study highlights the sub-optimal lifestyle behaviours of overweight children and adolescents referred for weight management. Intervention studies are needed to determine whether overweight boys and girls who achieve the lifestyle behaviour targets included in this study are able to successfully manage their weight and (or) reduce obesity-related health risks. |
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Authors:
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Geoff D C Ball; Julie M Lenk; Bobbi N Barbarich; Ronald C Plotnikoff; Graham J Fishburne; Kelly A Mackenzie; Noreen D Willows |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Applied physiology, nutrition, and metabolism = Physiologie appliquée, nutrition et métabolisme Volume: 33 ISSN: 1715-5312 ISO Abbreviation: - Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-10-16 Completed Date: 2008-12-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264333 Medline TA: Appl Physiol Nutr Metab Country: Canada |
Other Details:
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Languages: eng Pagination: 936-45 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, University of Alberta, Edmonton, AB T6G2R3, Canada. geoff.ball@ualberta.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adolescent Behavior / physiology* Anthropometry Body Mass Index Body Weight / physiology* Child Child Behavior / physiology* Cross-Sectional Studies Diet Female Humans Life Style* Male Motor Activity / physiology Nutritional Physiological Phenomena Obesity / diet therapy, psychology*, therapy* Sleep / physiology Television Waist Circumference |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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