Background: Adolescents females with severe obesity are less likely to be sexually active, yet those who are engage in risky sexual behaviors. Objectives: To examine patterns and predictors of sexual-risk behaviors, contraception practices, and sexual health outcomes in female adolescents with severe obesity who did/did not undergo bariatric surgery across 4 years. Setting: Five academic medical centers Methods: Utilizing a prospective observational controlled design, female adolescents undergoing bariatric surgery (n = 111;M age =16.95±1.44 years; Body Mass Index: M BMI =50.99±8.42, 63.1% White) and nonsurgical comparators (n = 68; M age =16.18±1.36 years; M BMI =46.47±5.83, 55.9% White) completed the Sexual Activities and Attitudes Questionnaire at pre-surgery/baseline, 24and 48-month follow-up, with 83 surgical females (M BMI =39.27±10.08) and 49 nonsurgical females (M BMI =48.56±9.84) participating at 48-months.
According to the National Health and Nutritional Examination Survey (NHANES), in 2008, more than one third of children and adolescents were overweight or obese. This article describes the use of a residential, medically supervised summer camp to help overweight and obese children prevent excessive summertime weight gain. The theoretical framework guiding the program was Rosenstock's health belief model (HBM). The weight loss results are included as well as information concerning adaptations of physical activities, environmental design considerations, and creating a supportive atmosphere, to meet the unique needs of this population. Data show that weight loss can be achieved for overweight/obese children/teens in residential camps designed to develop healthy behaviors.
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